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HONG KONG DAILY PRESS, WEDNESDAY, FEBRUARY 4, 1931.
ISOLATION OF SMALL-POX CASES.
VIGOROUS CHINESE PROTESTS: COMPULSORY
VACCINATION ADVOCATED.
DR. POPE'S. MOTION CARRIED ÄT SANITARY BOARD
MEETING.
At the Sanitary Board Masting yesterday by seven volas to two, the Board carried emotion rescinding the resolution of the Board of October 15, 1918, allowing patients suffering from small- pox to be treated in their own house.
The motion was proposed by the Medical Oficer of Health and seconded by Mr, G. R. Sayer, the Chairman of the Board, Beveral members spoke in favour of it while Mr. Wong Kwong Tin and Mr. T. H. Chan spoke, and eventually voted, against it.
CHINESE VIEWS ON WESTERN METHODS.
In proposing the resolution, the Modical Officer of Health, Dr. G. W. Pope, said:
small-pox appeared in the com. nunity it was essential for effective control that his power to isolate should not be restricted:
Mr. Sayer went on to say that he was convinced that, members would "hesitate tong before going counter to the expert technical ad- vice.
The resolution is fundamentally. bad in that it undermines the sasen- tial principle of jalation. Once small-pox appears in a community there are two primary essentials for effective control-ablation of the After dealing with the legal posi- case and vaccination or isolation of tion, Mr. Sayer concluded by say- remarkable thing the contacts. (Strictly speaking the ing:-What a vaccinated contacts should do boit la that all trouble about notifica isolated). The resolution deprived tion, disinfection and all the anxiety the Medical Officer of Health of his about isolation can bo eliminated discretion to isolate small-pox cases by the prick of a needle once every notified to him.
five or six years.
Chinese Customs. Under those conditions 100 per cent. notification would only very
Dr. W. V. M. Koch, in sup. slightly diminish the magnitude of porting the motion, said in part:— an epidemic. I therefore retom Thero might be an objection mend to the Board that the rosoly to carrying out the order by tion be rescinded and that the saying that we are frightening discretion vested in the Medical people or interfering with their Officer of Health, in so far as small-customs, but their own rulers did pox is doncerned, be placed on the not hesitate to interfere with their same footing as all other infectious customs, when they felt it was discaack,
necessary to do so. They have taken a firm stand in regard to the Gregorian calendar and have order
As to where cases should be isolated and treated, I must be guided by the Director of Médicaled that it must be adopted and and Sanitary Services and remove that the lunar calendar must ba patients only to institutions recom- dropped. mended by him.
I'now move-
That the resolution of the Board of October 15, 1916, that patients suffering from small-pax be allow- ed to be treated in their own houses under the following condi- tions:-
1. That all cases in the district should be notified to the Medical Officer of Health. 2.-That all inmates of the house,
should be vaccinated. 3.That a notico should be posted on the door of the house where the patient is being treated be rescinded.
Chairman Seconda Motion,
Dr. Koch also said that steps had been taken by the Chinese autho rities to dicabuse their minds of superstition.
I believe there is no reason
why we, in this Colony, having such
strong ground for rescinding this rosolution which has been given a very fair, and long trial, should hesitate. From every point of view, Both medical and hygenie the re solution should be rescinded."
Sub-Committee's Report,
Mr. M. To said, in part:— The question of the provention and mitigation of small-pox in the Colony is one of the most important questions, with which this Board is concerned. It is common ground In seconding Dr. Pope's motion, that the motion now before the the Chairman said he felt sure that Board is the direct résult of a re- members, would concur with him! port of a sib-committeo of this that change was necessary;
Board appointed some months ago The original resolution, said Mr. with the following terms of refer Sayer, was passed by unanimous ence: vote. The M.O.F. At the time gave his adhesion in these terms: "I agree that the riska run are counter- balanced by decrease in dumping, the prevention of concealment of all cases and the opportunity of vaccination contacts." The Medical Officer of Health had withdrawn his consent and had said that once
Toetamine into the history of small-pox in the Colony in recent years and the machinery for its prevention and mitigation and report to the Board, and to duggest a reply to His Excel leney's communication regarding the dumping of the bodies of those dead of small-pox."
The sub-committed was enmposed of the Hon. the Director of Medical and Sanitary Services, Mr. J. P. Braga, Mr. Wong Kwong Tin and myself.
fi
I signed that report subject to certain remarks annexed therewith and with your permission I should liko, to read to you those remarks as expressing my position in that matter:
I desire to endorse the view expressed by the Hon. Mr. J. P. Braga as to the time and labour bestowed by the Hon. the Dirac- „tor of Medical and Sanitary Ser- vices upon the preparation of this exhaustive report, and as a mem ber of the Sub-Committeo, I am 'also very grateful to him."
I am satisfied that the renola. tion of the Sanitary Board of the 15th October, 1818, has in fact failed in its objecte. But I still adhere to the view, expressed in the memorandum, and referred to in porograph 08 of tho report, that a house-to-house visit or a house-to-house inquisition, is a policy which should not be coun= | tenanced.
Freedom of Choico.
As I have agreed with the con- clusion of the Hon, the Director of Medical and Sanitary Services that the trial of home treatment has failed in its object. I am prepared to follow out the logical consequences for the rescission of the Resolution by the Board. But there are certain' matters which may arise as the result of such rescission on which I desire to make myself, quite clear. To begin with, there is the question of the adequacy of hospital ac commodation elsewhoro. On this point I understand the Hon. the Director of Medical and Sanitary Services is quite satisfied. But the next important point is the freedom of choice on the part of the patient as to the kind of treat- ment he is to have in the Isola tion Hospital. On this point my views are emphatic. Although I personally am a great believer in the offiency of Western medical science, I for one am not prepared to deny to those who prefer Chi- nese treatment the right of having such treatment. I know of small pex involving, the washing of the patient) as being fatal to re- covery, and I feel strongly that Chinese should be entitled to enjoy their national method of treatment unmolested. Moreover, I am not very clear in my own mind as to whether the Hon. the Director of Medical and Sanitary Services would have any medical objection to home treatment if the home as not a tenement house with the undesirable. result men- tioned in paragraph 70 of the re port. I gather that the Hon. the Director, of Medical and Sanitary Services has none, provided that the Medical Officer of Health con sidera that the case is one which- is capable of being properly isolat ed, and without any danger to the public.
I should like to emphasize one point to which I referred ir, my romarks annexed to the report. am satisfied that there are thou Bande of Chinese who regard the Western method of treatment of small-pox as being fatal to recovery, and to the best of my ability I shall press for the recognition of their right to be treated in the way they think beat.
(Continued on Page T.)
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WHITEAWAYS
SALE
FINAL WEEK
COMMENCES ON
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FINAL REDUCTIONS
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SALE CLOSES POSITIVELY SAT., FEB. 7TMn.
TO-DAY IS THE LAST DAY YOU CAN RECORD YOUR VOTE FOR THE
GREAT HOSPITAL BALLOT.
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