necessity to discharge in the early stages a number of individuals who proved quite uncooperative in treatment. These data apply to male addicts only and the relatively few female addicts who volunteer for treatment are treated as voluntary patients in the women's section of the hospital, under the provisions of the Mental Health Ordinance, 1960.
TABLE 27
ADDICTION TEPATMENT CENTRB-CASTLE PEAK HOSPITAL
Total patients admitted
Average length of stay of patients discharged
Total patients discharged
Maximum length of stay
774
Minimum length of stay
Reasons for premature discharge
+
LL
J
+
Employment available at once and prognosis good
Disciplinary infringements
Did not return from leave
J
4
Others including severe physical illness uncovered during
withdrawal
Total
162 112
109 days 165 days
I day
31 16
$
151
306. The Hong Kong Society for the Aid and Rehabilitation of Drug Addicts is building a rehabilitation centre on Shek Kwu Chau Island some 14 miles from Hong Kong. This centre will initially have accommodation for 240 addicts with workshop and other facilities. It is proposed to channel admissions through the Treatment Centre al Castle Peak Hospital where medical and nursing care will be given during the withdrawal period and the medical and psychological assess- ments made. The Society, a voluntary body, will be responsible for the capital and recurrent costs of the Island Centre to which Government is making capital and recurrent subventions.
Lai Chi Kok Hospital
307. This hospital of 479 beds situated on the outskirts of Kowloon consists of 12 two storey buildings, originally converted for use as an infectious diseases hospital for Kowloon and the New Territories. However, its function has changed under the pressure on acute hospital beds and it now has 241 convalescent beds, 150 infectious diseases beds and 88 tuberculosis beds. It is entirely staffed by Government.
308. The convalescent beds are used mainly for patients transferred from Kowloon and Queen Mary Hospitals. Numbers of these patients are, in fact, 'semi-acute and in the immediate post-emergency phase.
72
Accordingly, much more nursing care is provided than is generally required for convalescent beds. However, there is also a number of long stay cases such as paraplegics who cannot be discharged on account of quite unsuitable home conditions.
309. The infectious diseases section admitted mainly cases of diphtheria, typhoid, tetanus and measles with broncho-pneumonia. Other conditions treated during the year were tuberculous meningitis, polio- myelitis and bacillary and amoebic dysentery. During the cholera outbreak, one block was set aside as a treatment unit for a period of seven weeks from the 17th August.
310. Out of 1,885 admissions to the Infectious Diseases Section 925 were on account of diphtheria with a fatality rate of 7.4%; tracheotomy was necessary for 190 of these patients. The predominant strain of C1. Diphtheria was of the mitis type.
311. The pulmonary tuberculosis unit admits patients who are being prepared for Thoracic surgery or who require a period of medical treat- ment in hospital. Ten beds are now set aside, since November, 1961, for the acute emergencies arising in pulmonary tuberculosis and which are usually referred direct from the Kowloon Hospital Casualty Department, 312. Physiotherapy and occupational therapy units are maintained full time as well as an Almoning Service. There is also a school for long-stay children which is run by the Hong Kong Branch of the British Red Cross Society.
Sai Ying Pun Infectious Diseases Hospital
313. This hospital of a nominal 88 beds is on Hong Kong Island and is used entirely for the treatment of infectious diseases; the daily average in-patient state is usually over 100. Table 28 below details the causes of admission during 1961.
Typhoid
Tetanus
TABLE 28
INFECTIOUS DISEASE HOSPITALS 1961
Cater
Admited
Deaths
Care Fatality Rate (per cent)
Diphtheria
1.176
100
8.50
369
J
27
154
75
48.70
Amoebic dysentery
108
.93
Bacillary dysentery
407
4
198
Poliomyelitis
147
30
20.41
Tuberculous meningitis
33
14
42.42
Measles
179
36
12.90
73
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