are a new Pathology Building consisting of a new Mortuary, a Virus Laboratory and Clinical Pathology Services, and a new Clinical Building to cater for an increased intake of medical students. These works are duc for completion in 1972.
QUEEN ELIZABETH HOSPITAL
(Tables 51-52)
89. This hospital serves a population of approximately 24 million people living in Kowloon and the New Territories as a medical centre for emergency and specialist care.
90. During its seventh year of operation attendances at the casualty department rose by 5.3% compared with the previous year. Of these attendances 30.8% were due to trauma, the main causes being in order of frequency, industrial, domestic, assult and traffic cases. 37.9% of all cases seen in the casualty department required immediate admission to hospital and 4.3% were referred for admissions to other hospitals such as Kwong Wah Hospital and Lai Chi Kok Hospital. (Paragraph 152 below gives details of the operation of the casualty department of the Kwong Wab Hospital). The average time spent in the hospital by each in-patient was 6.7 days. Once tided over the acute episode of the illness, patients are either discharged or trans- ferred to Kowloon or Lai Chi Kok Hospitals for convalescence. The pressure of admission necessitated increasing the bed state to 1,893 although the hospital's capacity was only for 1,596 beds.
KOWLOON HOSPITAL
91. This bospital serves partly as a subsidiary centre for Queen Elizabeth Hospital and also as a centre for chest diseases requiring both medical and surgical treatment. It also contains psychiatric ward and a paraplegic unit.
ап aculc
92. With the completion of the West Wing in October 1970, the total bed complement of the hospital has increased from 500 to 1,042, including an acute psychiatric unit of 67 beds, a paraplegic unit of 50 beds, 188 beds for thoracic diseases and 737 convalescent beds for Queen Elizabeth Hospital. Towards the end of the year under review, the West Wing was not yet in full operation. However, it is envisaged that full functioning of the hospital will gradually be achieved in not too distant future.
28
TSAN YÜK HOSPITAL (Table 54)
93. This hospital, under the clinical supervision of the Professor of Obstetrics and Gynaecology of the University of Hong Kong, is the main specialist obstetric hospital in Hong Kong. It has 292 beds including 51 beds for the care of premature babies and is the teaching centre in obstetrics for medical undergraduates and the training school for midwives.
94. About 89% of admissions were booked cases. These were mainly primigravidas, grand mutiparae and cases with previous or present complications that required specialist care. The emergency admissions were referred mostly from Government Maternity Homes. There were 5,920 deliveries with one maternal death.
MENTAL HEALTH SERVICE (Tables 35-56)
Castle Peak Hospital (Table 55)
95. This hospital of 1,242 beds was required to accommodate 1,721 patients at the end of the year. This is the only hospital in the Colony for the full-time care of psychiatric patients.
96. Continued efforts to turn the hospital into a modern therapeutic community have resulted in a judicious liberalization of control over patients. Except for two closed wards for patients involved in Court proceedings, most of the wards are in various degrees 'open', baving free access to their own gardens. Three wards are entirely open, the patients housed therein being convalescent and receiving intensive attention to prepare them for discharge. Some patients travel daily to Tsuen Wan and San Hui to work in factories for a short period of rehabilitation prior to final discharge and many are given permission to go freely within the hospital.
97. All modern treatments in psychiatry were given, but reliance was placed mainly on drug treatment and social measures. It was clear that maintenance treatment of many schizophrenics over a long period of time could result in a drop in the relapse rate. There was an increasing tendency to treat patients in psychiatric out-patients' centres rather than admit them to hospital.
98. Continued efforts were made to rehabilitate the long-stay and grossly mentally disabled patients, the aim being to discharge them fit
29