255. Phase II of the re-development of the Kwong Wah Hospital was almost completed by the end of the year. This includes the School of Nursing and the East wing which will accommodate 437 beds. The Canossa Hospital of 203 beds, which will replace the original hospital of this name destroyed during the Occupation, will be opened in April 1960. Work on the site of the Maryknoll Hospital at Wong Tai Sin is now under way.
256. In the New Territories the Lutheran Hospital of 52 beds at Fanling, built from funds donated by the Jockey Club. was opened by H.E. the Governor in March 1960. A cottage hospital of 17 beds at Cheung Sha. South Lantau is nearing completion and will serve the Shek Pik Water Development Scheme staff as well as the local villagers. At Pok Oi Hospital work on an extension of 50 beds is now well under way.
257. At the end of March 1960 there were 31 civil hospitals in the Colony of which 12 are wholly maintained by Government, 10 are managed by voluntary or missionary bodies which receive recurrent subventions from public funds. There are 9 private hospitals and S nursing homes. Details of the accommodation provided are at Appendix 5. An analysis of the work done at the Government and Government assisted hospitals is at Appendices 8 & 9.
Queen Mary Hospital
258. This, the largest of the Government Hospitals, is an acute hospital and also the main specialist centre for the Colony. It is the teaching hospital for the Medical Faculty of the University of Hong Kong and the main Government centre for the training of nurses.
259. Of the hospital's 601 beds, 234 are allocated to the University Departments of Medicine, Surgery. Obstetrics and Gynaecology. The Professor and the staff of the respective Departments provide the clinical care of the patients admitted to these wards. Within the Department of Surgery is an Orthopaedic and Traumatic Surgical Linit, headed by the Senior Lecturer in Orthopaedic Surgery. As from April 1st 1959 the University Department of Pathology assumed complete responsibility for all clinical pathology in the hospital, except for chemical analyses which are still performed by the Government Chemist and for forensic pathology. There is also a combined University and Government Paedia- tric Unit of 29 beds headed by the Senior Lecturer in Pediatrics of the University Department of Medicine. The remaining 336 bods are allocated to the Government clinical units in general surgery, medicine.
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radiology, thoracic surgery, neurosurgery, tuberculosis and otorhino- laryngology, each unit being headed by a Government Specialist: in addition a limited number of beds are available for ophthalmology, dermatology and midwifery,
260. The administration of the hospital is the responsibility of the Medical Superintendent, who is a Principal Medical Officer of the Department, and who is assisted by a lay Hospital Secretary, Radio- logical services, including radio-therapy, anaesthetic services, all nursing care, medical social work, physiotherapy, occupational therapy. pharmacy and hospital supplies are maintained by Government.
261. The Government Medical Unit conducts three specialist out- patient sessions each week at the Violet Peel Polyclinic and weekly specialist clinics at both Shau Kei Wan Dispensary and St, John Hos- pital on the island of Cheung Chau. Research into hypertension and renal disease, clinical trials of hypotensive drugs and studies of new investigatory techniques have been continued throughout the year. The treatment of the withdrawal symptoms in heroin addiction by using meprobamute only and electromyography in muscular and neuromus- cular diseases have been other clinical research activities.
262. In the field of thoracic surgery, the number of cases of broncho- genic carcinoma seen in the Government Thoracic Surgical Unit is increasing: in most of the patients the disease is far advanced and in only 18% was a successful resection possible. Cardiac surgery is at present limited to closed heart operations.
263. The resignation of the Neurosurgical Specialist in September, 1959, has restricted the scope of the Government Neurosurgical Unit temporarily to the treatment of traumatic neurosurgical cases only.
264. The staff of the Pediatric Unit conduct regular outpatient clinics at the Sai Ying Pun Outpatients Department and, in addition, hold three clinic sessions a week at Queen Mary Hospital, one for nephritic cases, one for haematological and cardiac cases and the third for the follow-up of cases presenting unusual clinical features.
265. The scope of the Government General Surgical Unit remains limited by the great pressure on beds and emergency surgery has per- force to take priority. Surgical clinics are held regularly each week al the Violet Peel Polyclinic by the Specialist and his staff but, owing to pressure of emergency work, waiting lists for elective surgery art increasing.
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