114
HEALTH
the Caritas Hospital and the Hong Kong Sanatorium and Hos- pital, where instruction is in Cantonese. Examinations are held by the Hong Kong Nursing Board and there is full reciprocity of registration between the Hong Kong Board and the General Nursing Council of England and Wales. Most female nurses, on completion of general nursing 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 midwives 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 examina- tions. 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 not at present possible.
Much post-graduate training for nurses is done overseas including training in thoracic and open heart surgery, neurological nursing, neuro-surgery and intensive care nursing. An Intensive Care Unit is to be part of the Queen Mary Hospital Extension Programme.
A new grade of health auxiliary was created to supplement the health visitor's service. These health auxiliaries are undergoing training for two years in health education and in public health nursing, including maternal and child health work, the tracing and keeping of records of infectious diseases in general, and tuberculosis, leprosy and venereal disease in particular.
The examination board in Hong Kong of the Royal Society for the Promotion of Health conducts examinations for the diploma for public health inspectors, the diploma in tropical hygiene for public health inspectors and the certificate for health visitors and school nurses. Training for the diploma for public health inspectors and the diploma in tropical hygiene for public health inspectors 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