Page
IX.
MEDICO SOCIAL WELFARE ACTIVITIES
48
X. TRAINING OF PERSONNEL
48
49
XI. MEDICO LEGAL WORK
ANNEXURES
(A) Chart of the Organization of the Depart-
ment.
(B) Maps of Medical Institutions.
50
51
(C) Establishment of the Department at 31.3.50. (D) Table and graph showing deaths by ages for 1949 with the age distribution as found in the 1921 and 1931 censuses.
2
54
55
(E) Graph showing monthly number of births.
for the years 1947, 1948 and 1949.
67
..------
(F) Notifiable Diseases, Deaths and Notifications
from 1946-1949.
58
(G) Tuberculosis report.
61
(H) School Health. Results of medical inpec- tion of pupils and defects found in schools.
76
(1) Report of the Tsan Yuk Hospital.
78
(J) Summary of work of Government Hospitals,
Dispensaries and Clinice
84
(K) Cases treated in Government and Govern- ment assisted hospitals with total deaths in the Colony for 1949.
87
(L) Cases treated as inpatients and outpatients
at the main private hospitals in the Colony for 1949.
155
(M) Report of the Principal Almoner.
166
(N) Mortuaries, Summary of work.
162
(0) Report of the Malariologist.
163
(P) Report of the Government Chemist.
169
(Q) Report of the Government Pathologist.
176
I-ADMINISTRATION.
A. General,
Throughout this report all statistics will refer to the calendar year 1949 in conformity with the usual practice for medical statistics, but the text will refer to the financial year April 1st, 1949 to March 31st, 1950.
2. At the beginning of the year there seemed hope for development in many aspects of the Medical Department's work but unfortunately, owing to pressure of events outside the Colony, defence expenditure loomed large ahead and it became necessary to curtail the programme in order to create savings to meet this expenditure.
3. This call for economy was met by abandoning certain of the less essential services provided, such as the extra feeding of tuberculosis patients, and by leaving a number of less important posts vacant until the end of the financial year.
Throughout the year there was a steady increase in the demands on the Medical Service both in the out-patient departments and for in-patient treatment in hospitals.
This increased demand can only be attributed to an increase in the population as there were no important changes in the health of the community either in the form of epidemics or nutritional deficiency to account for it.
5. As might be expected, with the need for economy, there were no major developments in the department and the long anticipated and much needed additional tuberculosis clinic had to be postponed until the latter part of 1950. The date for its completion being set some time in September.
6. Since the war the St. John Hospital at Cheung Chau, a hospital of 70 beds, has been administered by the Medical Department, the St. John Ambulance Brigade having insufficient funds at their disposal. In order that Government might have some security of tenure to justify spending considerable suma of money on much needed repairs negotiations were opened with the St. John Council, Hong Kong for an agreement regarding the future administration of the hospital. These negotiations were finally completed in February 1950; by them the Government agreed that the hospital should be known by the name of St. John Hospital, Cheung Châu and that the Government should administer it for five years.
7. In August 1949 the Western Chinese Public Dispensary was closed down and the space made available for an extention of the adjacent Taan Yuk Hospital,