TABLE 10
CONTACT EXAMINATIONS 1961-62
95
Surgical Tuberculosis
Thoracic Surgery
146. Outpatient sessions for patients who need or have had chest surgery are held at the Wan Chai Chest Clinic by the Government Specialist in Thoracic Surgery and the Thoracic Surgeon from the Grantham Hospital. These sessions are held weekly and fortnightly respectively. In consultation with the staff of the Clinic, cases undergoing ambulatory chemotherapy who require surgical investigation or treat- ment are seen by the Thoracic Surgeons and the lines of investigation and treatment are planned. Thereafter, the patients are admitted to the Grantham Hospital; on discharge the subsequent follow-up takes place at the Wan Chai Clinic.
Granthamm
147. The numbers of cases seen during the past 3 years have been:
Governmen Thoracic Surgeon 1960
First attendances Subsequent attendances
Total
2567
1961 1962
112 137
Thoracic Surgeon 1960 196/
103
EIT 125 200 SPI 926 262 321 353
906 1,003 1.063 409 446 463
108
Under & years of age
Tuberculin Tests
Negative Positivo
1967
1962
831
611
-
+
3,102
3,493
Clinical findings of
Active T.B. Inactive T.B.
92
125
200
contacts showing
Positive Mantoux
Suspicious T.B.
510
453
Free of T.B.
2.375
2,803
Percentage of Contacts found to have active
tuberculosis
2.34%
2.31%
Over 8 years of age
Result of clinical
Active T.B.
421
289
examination
Inactive T.B.
665
314
following
Suspicious T.B.
1,002
753
'Contact' X-rayx
Free of T.B.
12,390
11,775
Percentage of contacts found to have active
tuberculosis
1.91%
2.01%
་་-
Tuberculin Testing and B.C.G. Paccination
144. Mention has been made previously of the effect of B.C.G. vaccination of the new-born. However, some 20,000 unvaccinated infants are added to the community each year, but this number is appreciably reduced through the Maternal and Child Health and School Health Services where tuberculin testing is carried out on children not known to have received B.C.G. vaccination at birth. During the year, 52.634 children were tuberculin tested in Maternal and Child Health Centres and schools of whom 25,996 were negative and received B.C.G. vaccina- tion.
145. Children under three years of age who have not had B.C.G. but who show a positive tuberculin reaction are given INAH for one year in an effort to minimize the risks of a progressive primary tuber- culosis. During the year 88 such children were discovered at the chest clinics and a further 100 through the Maternal and Child Health Service. There were thus 188 under treatment during 1962 as compared to 147 during 1960.
32
Orthopaedic Surgery
148. Outpatient Sessions are conducted at the Sai Ying Pun and Kowloon Chest Clinics for patients with bone and joint ruberculosis and are maintained jointly by the University Consulting Orthopaedic Surgeon, who is the Professor of Orthopaedic Surgery, and the Govern- ment Orthopaedic Specialist. Additional sessions are also held by the permanent staff at these two centres for patients requiring routine treat- ment and supervision. The surgery is carried out at the Grantham Hospital. Thereafter, routine medical treatment and ancillary services such as physiotherapy, the fitting of appliances and medical social work are carried out by the personnel attached to the relevant clinic.
149. Attendances at these sessions over the past four years have been:
First visits
Subsequent attendances
Total
-
31
1959 1960 1967 1962
617 441 415 397 3.503 4.001 4,618 3,685
4,120 4,442 5,033 4,082