44. The following table sets out the figures of infant and neo-natal deaths in detail:

47. Details of the principal causes of mortality are set out in the following table;

TABLE 1

TABLE 4

Age Period

السلام

1955

1956

1937

Causes of Death

0-1 day

199

224

212

227

Number of Deatha 1954 1955 1956

1957

1-7 days

803

989

1109-1

1.101

Pneumonia (all forms)

3,837

3,821 3,548

3,836

-4 weeks

1.048

982

1,039

1,007

Tuberculosis of respiratory system

2,052

1,925

1,901

2,069

4 werks-3 months

1,179

1,148

961

$74

Tuberculosis (other forms)

824

885

728

606

Gastro-enteritis and colitis

2,690

3-6 months

IIEZ

1,120

TE

893

4 months

991

957

SHOW

763

Malignant neoplasms

2,264 2,361 1,000 1.190 1,262

1,714

1,380

Premature births

921

912

982

949

9-12 months

6916

691

744

576

Total under 1 year

6,028

6.012

5,895

5,436

Infant Mortality rate

72-4

66-4

60-9

55-6

No. of deaths under 4 weeks Neo-natal Mortality rate

2.050

1,095

24-4

23-1

2,342

24-2

2,330

23-6

45. There has been a slight rise in the maternal mortality rate from 0-90 per thousand deliveries in 1956 to 1-06 per thousand deliveries in 1957. The following table sets out the maternal mortality figures for the years 1954 - 1957 in detail:

Pregnancy and

Child beare

Rate per No. of dedic

טאיו,

TABLE 2

ALİANZON

Total Live

You

Live Sou Birth Bitche

and Sin

A

No, ni dashia

Bare Ber

Jelasheurmuot Mortality Rate

Rate Pr No. of

1,000 decks

Bierks

1954

1955

33.317

LYS6

1957

1.341 84,658

1,250 41.761

96.746

90.73-

97.834 1,245 99.07

102

1·20

1

105

1-24

1대에

1-13

1

0-03

100

1-16

#6 0.0$

101 1-01

1

0.02

BE

0-90

103

1:06

10-0

46. The following table shows deaths from toxaemias of pregnancy during the years 1954 - 1957:

Total births (including

Death rate per thousand

TABLE 3

Deaths from

Year

Toxdemins of

Pregnancy

still births)

1954

38

84.658

0-4

1955

48

91,761

0-5

1956

36

97,734

0-4

1957

32

99,079

0.3

10

Urban AreaS

III. WORK OF THE HEALTH DIVISION

HYGIENE AND SANITATION

48. The need for improved environmental sanitation in the urban arcas of Hong Kong and Kowloon continues to increase and such work requires constant reinforcements of supervisory staff in order to main- tain even minimum standards. During the year the bealth staff was strengthened by the addition of a Health Officer (Administration) with offices in the Urban Services Department and by an additional Health Officer in the Hong Kong urban area which was thus divided into Eastern and Western Districts.

49. As previously, the duties of the Health Officers were mainly concerned with the public health aspect of environmental sanitation, food hygiene, infectious disease control and the guidance of the Health Inspectorate in carrying out their day-to-day functions.

50. Improvements were made in the system of house inspection by District Health Inspectors; teams of four or five inspectors now together visit a group or block of domestic premises. The occupants of which receive prior notice by card of the date of inspection. This has resulted in a more uniform assessment of sanitary defects.

$1. A new form of inspection record card was introduced for licensed food premises; these record cards are kept in cach restaurant and café and provide a continuous survey of the sanitary condition of the premises as well as ensuring their regular inspection.

52. A high proportion of milk and ice cream samples taken for examination continued to show unsatisfactory bacteriological results. Some 25% of milk samples and 20% of ice cream samples were below

11

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