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VIL THE TING WAH HOSPITAL; VICTORIA.
The maintenance of the buildings has been well looked after, and the medical staff was the same as in the previous year. The Chinese medical officers were G. II. Thomas, M.D., B.S., Fok Wing Tai, M.B., B.S., and Chiu Chu San, M.B., B.S., graduates of the University of Hongkong. The visiting medical officer was C. W. McKenny, M... of the medical department of the Government. These officers performed their duties in a careful and satisfactory
manner.
A concise statement of the various branches of the following headings.
Total number of in-patients treated Deaths
Males
Females
--
330
1922.
1921.
Patients remaining in hospital from 1921..... Admitted
257 8.079 6,881
8,336 7,211
2,267
1,813
Remaining in hospital at end of 1922
336 257
3,714 3,329.
4,622 3,882
5,531 4,589
2,548 2,289
1,850 1,363
838
594
5,518 4,895
1,289 2,014
136,280 98,763
+
-
(western
)
29,722 24,238
"
teve clinic
77
}
2.949 2.972
Vaccinations performed
2,395 2,865
Confinements
1,017
805
Operations, general..
268
292
eye
132
93
Under native treatment
Under western treatment
Bodies brought to hospital mortuary.
sent to Public Mortuary.
Free burials.......
İ
Destitutes sheltered........
Out-patients visits (native treatm nt)
The diseases which were most common among the patients treated in the hospital were beri-beri, pulmonary tuberculosis, influenza, plague and syphilis. As regards the first of these, beri-beri, there was an increase of something like eighty cases of this disease over those of the year before: it is one of the most important causes of sickness both on account of the number affected and the length of time for which the patients are unable to work, The death rate is also high for of the 846 patients who were admitted on account of beri-beri during the year 374 died, that is, 44 per cent of the cases were fatal. Cases of plague were not numerous last year but this year 464 patients were treated and 410 of these died, which amounts to a death rute of 88 per cent. Tuberculosis of the lungs was recorded in 656 cases of which 333 proved fatal, being a death rate of 50 per cent. Influenza seems to Frequent this region of the world persistently and to be independent of the seasons and the weather. 505 cases reported for the year. Of the venereal diseases there were 351
are
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cases of syphilis reported and 61 cases of gonococcal infection : in 1921 there were 255 and 12 cases, respectively. The increase is probably not a real one but is due to the fact that both patient and medical man are more keen in detection. The group of enteric fevers contained 48 admissions as compared with 15 in the previous year. The death rate was very high-53 per cent, for Those treated by the European staff and 80 per cent, for those who came under the eastern methods of treatment. It is believed that with a properly trained nursing staff the death rate would not be nearly so great. In the statistics the fevers are not in all cases shown either as typhoid or the paratyphoids, but this is more often due to omissions in registering the cases than that the diagnosis had not not been accurately made.
It is pleasant to be able to refer to the comparative absence of cerebro-spinal meningitis for 22 cases only were seen, whereas, the year before there were 74 cases in the hospital. Since 1918 the disease has become less frequent, and this seems to apply not only to the part of the world but to other parts as well.
The Ege department was in charge of Dr. G. M. Harston and Dr. J. Morrison. 2.949 patients attended and 132 operations were performed.
The Maternity department.—This is conducted on European lines and an increase in the number of patients occurred, there being 1,017 this year and 805 last year.
Operations performed.—268 operations were performed ander general anaesthesia,
The University medical clinic was in the care of Dr, C. W, MeKemy; no particular variation was made from the methods of teaching in use in former years.
The branch of the Tung Wa Hospital which is situated at Kennedy Town and is used as a hospital for small pox cases recciveď 46 patients suffering from this disease and 26′ of these died.
A reference is due to the generons and sympathetic manner in which the Board of Directors Tave performed their onerous duties not only during the year under review but in the past as well.
VIII.—THE BACTERIOLOGICAL Institute.
Professor C. Y. Wang acted as the officer in charge of this institution and carried out the duties connected with this post throughout the year: his detailed report is submitted in the ap- pendix. The examination of specimens for diagnostic purposes and the periodical examination of samples of the water from the different sources of supply, is the routine part of the work. The other work, more or less of a routine nature too, is the preparation of lymph for vaccination; the preparation of typhoid" and "pară-
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