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HEALTH
training, take a midwifery course of one year which qualifies them for entry to the examinations held by the Hong Kong Midwives Board. The course is conducted in English at government hospitals and in Cantonese at the other approved schools. For student mid- wives who are not registered nurses, a two-year course of training at the Tsan Yuk Maternity Hospital (and to a limited extent at the other approved training schools) is accepted by the Midwives Board for entry to the examinations. Due to the limited scope of domiciliary midwifery, adequate practical training in this aspect cannot be given and full reciprocity of registration with the Central Midwives Board of England and Wales is therefore not possible in present circumstances.
The examination board in Hong Kong of the Royal Society for the Promotion of Health conducts examinations for the health visitor's certificate, the public health inspector's certificate and the tropical hygiene certificate. Training for the public health inspector's certificate and the tropical hygiene certificate is carried out within the Urban Services Department.
ENVIRONMENTAL HEALTH
Responsibility for environmental health services in the urban area rests with the Urban Council, working through the Urban Services Department. In the New Territories the Director of Urban Services is responsible.
Some 6,000 employees of the Urban Services Department are engaged in street cleansing and the removal of refuse and night- soil. By the end of the year the quantity of refuse collected each day had reached 1,800 tons, compared with a daily figure of 1,000 tons in 1961. Kowloon refuse is conveyed by road to a coastal dump at Gin Drinker's Bay; refuse from Hong Kong Island is transported there by barge. Work was well advanced on the con- struction of two large oil-fired incinerators, each with a capacity of 1,000 tons of refuse a day. The one at Kennedy Town on Hong Kong Island was about to come into full operation at the end of the year; the one at Lai Chi Kok, Kowloon, is expected to be completed during 1967. Two mechanized street sweeping vehicles are already in use and further mechanization of the cleansing services is under way.