(1) Part-Time Clinics

In order to provide facilities in the outlying districts for both diagnosis and treatment, clinics are held in all the main centres of population outside the urban area. These clinics are run on the basis of one half day session per week, the medical and auxiliary staff being supplied from the central clinics. X-ray facilities are provided either by the Mobile X-ray Unit or by reference to the central clinics, whichever is the more convenient for the patients. Half-day sessions are held at the following places:

Sai Kung, Tsuen Wan. Tai Po, Sheung Shui, Yuen Long, Aberdeen, Stanley and at St. John Hospital, Cheung Chaủ. In the more remote places or where it is uneconomic to maintain a branch clinic, treatment may be directed from the nearest branch clinic and carried out at a public dispensary, Such arrangements are in operation at Silvermine Bay. Peng Chau Island, Ma Wan Island and Lamma Island.

All diagnosis and treatment at the various Government tuberculosis clinics is carried out free of charge.

(III) Government Operated and Controlled Hospitals

Hospital treatment is available for patients suffering from tuberculosis in the undermentioned hospitals. All treatment is directed by the Tuberculosis Service.

(1) Queen Mary Hospital

General hospital, with beds set aside for Surgical

treatment of pulmonary tuberculosis

69 beds

(9) Lai Chi Kok Hospital

Infectious diseases hospital, with beds set aside for

medical and post-surgical treatment

176 beds

(3) St. John Hospital, Cheung Chaw

Small 'cottage' type hospital, with beds set aside

for medical and convalescent care...

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42 beds

287 beds

Twenty six beds in Lai Chi Kok Hospital have been temporarily released to meet the needs of diphtheria patients.

(IV) Other Hospitals

Sandy Bay Convalescent Home, with forty two beds, is under the medical direction of the Consulting Orthopaedic Surgeon to the Government, admissions and social work being carried out by the Government Tuberculosis Almoner.

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J

Tuberculosis Service-Staff

155.

The staff employed full time in the service is as follows: Senior Taberculosis Specialist

Tuberculosis Specialist

Medical Officers {

Hospital

Clinic

Nurses Almoners

Assistant Almoners Tuberculosis Visitors Clerks

--,

Vaccinators

B.C.C. Office Clerks

Drivers Ancillary Staff

Total

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1 (Vacant)

TT

15

2

6 (one vacancy)

27

IB

3

I

18

104

156. This does not include the staff of the Radiological Division who give full or part time service to the Tuberculosis Service, nor does it include staff of the laboratories of the Government Pathological Institute who do the bacteriological work in connexion with tuberculosis patients. This arrangement is convenient and operates satisfactorily.

Attendances at Clinics

157. As a result of the steadily increasing pressure of attendances at the clinics it was considered necessary in December 1955 to limit the attendances of new patients to a maximum of sixty each day at the main clinics. Despite this limitation of new patients, total attendances have continued to rise in the main clinics. At the branch clinics there is no restriction of the number of new patients attending. Details of attendances during the year were as follows:

TABLE 7

First attendances

Revisits

Main Clinics Branch Clinics Main Clinics Branch Clinics

7956 32,276

1957

32,850

2,33]

2,276

373.222

498,461

28,346

40,821

Total Attendances

436,175

$74,408

158. Exclusive of negative contacts and negative survey cases the total number of patients under treatment at the clinics during the year was 55,322.

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