175. In addition, the medical staff of the Sanatorium maintain the B.C.G. and 'follow-up' clinic in the Association's Headquarters situated next door to the hospital, and undertake the X-ray and medical work in connexion with the Tuberculosis Insurance Scheme.
176. The work done at the Rutonjee Sanatorium and the Freni Memorial Convalescent Home during the year ending 31st March, 1963 was as follows;
TABLE 11
ADMISSIONS TO THE BUTTONJEE SANATORIUM AND FRENI MEMORIAL
CONVALESCENT HOME
Adults through Government Clinics
1960
1961 1962
350
289 439
52
31
34
39
56
85
***
302
427
Other Voluntary Agencies
179. The Lutheran World Service developed in 1961 a pilot rehabili- lation scheme for patients with arrested or cured tuberculosis. This scheme has now become well-established and its activities are being expanded as additional facilities become available.
Private Hospitals
180. There are 110 beds provided in private hospitals, some of which are classed as charity beds in which treatment is given at low cost or free. There is also a considerable amount of ambulatory chemotherapy given by private practitioners, but there is no information at present available either on the numbers of patients under treatment or the results of treatment,
Children (Pulmonary) through Government Clinic Children (Orthopaedic) through Government
Clinic
Other admissions and re-admissions
Total
The Tung Wah Hospitals
693 678 981
177. This group of three hospitals has a varying total of between 250 and 350 beds occupied by patients with tuberculosis. These beds are almost entirely occupied by cases of a chronic type and the turnover is accordingly relatively slow. No special subvention is made to support these beds as the total recurrent expenditure of the group is met by a Goverment subvention. In the busy maternity wards of these hospitals the B.C.G. vaccination of new-born babies is carried out by the Govern- ment Tuberculosis Service staff.
The Haven of Hope Sanatorion
178. Maintained by the Junk Bay Medical Relief Society, this inter- denominational Protestant Mission Sanatorium provides 230 beds for the medical treatment of tuberculosis. No major surgical or orthopaedic work is undertaken. The Sanatorium staff also maintain a tuberculosis out- patient and 'follow-up' clinic at nearby Rennies Mill and carry out some tuberculosis survey work amongst the villagers in the Junk Bay area. Government maintains 80 beds in the Sanatorium for the free treatment of New Territories villagers and also gives a small annual grant towards the cost of the X-ray survey work.
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MALARIA BUREAU
181. The Malaria Bureau, under the direction of the Specialist (Malariology), is responsible for all malaria control operations through- out the Colony and, in certain instances, also undertakes the control of the breeding of culicine mosquitoes. In addition, lectures are given on malaria and allied subjects to various groups of health personnel under training, and expert advice is given as required to the Armed Services, to the Pest Control Unit of the Urban Services Department, to Hei Ling Chau Leprosarium, and to Her Majesty's Prisons in the New Territories. Control Operations
182. The important malaria vectors are A. minimus and A, jey- poriensis var. candidiensis. Malaria control in the urban areas is based chiefly on anti-Jarval measures consisting of training and clean weeding of hill streams, ditching and oiling. Anti-malaria oil continues to be employed as the main larvicide, although Gammexane Dispersible Powder and Diazinon are also used on a limited scale in areas where the application of oil is unsuitable, such as în rice fields and irrigation ditches leading from seepages to rice cultivation. The urban control programme includes Hong Kong Island and, in Kowloon, an area extending from just beyond Lai Chi Kok in the West to Lei Yue Mun in the cast, and as far north as the Kowloon Reservoir. Also included in the programme are certain circumscribed rural areas in the New Terri- tories such as Rennie's Mill, the township on Cheung Chau Island. Chi Ma Wan Open Prison and the Shek Pik dam site in the South of Lantau Island.
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