Enclosure No.1.

MEMORANDUM.

16

Dent

this

1.

To find a point of departure for an outline of the

facts leading to the organisation of the public health services

of this Colony recently expressed so far as legislation is

(3) 53590, 53609), 53548, 53603, 53615, 135,HIC concerned in Ordinances Nos. 7,9,12,13,15,16 and 18 of 1935

one must go back to the year 1924, when an outbreak of typhoid

gave rise to much criticism of these services on the part of

the local press. Criticism eventually centered on the obvious

point that, while the Principal Civil Medical Officer was the

technical officer responsible for the health of the Colony

(Hong Kong Hansard 1928, page 70) he had no standing in the

Sanitary Board and no control over the services comprised under

the Sanitary Department, which, since the 1908 amendment of

Public Health & Buildings Ordinance, following on the report of

a Commission of enquiry, had been under lay control. Popular

dissatisfaction was expressed in a motion of the Sanitary Board

carried on 9th September, 1924 to the effect that the department

should be reconstituted under charge of a qualified sanitarian.

2.

In February 1926 Sir C. Clementi called on the

Principal Civil Medical Officer (the late Dr. Addison) and the

Head of the Sanitary Department to put forward concrete proposals

for closer co-ordination of the Sanitary and Medical Departments.

Agreement was found to be impossible, as the Principal Civil

Medical Officer regarded all sanitary activity as matter for

technical control, while the Head of the Sanitary Department

claimed that matters of simple order and cleanliness, though

bearing on public health, did not require such expert super-

vision and were, in the circumstances of this Colony, better

left under the charge of those conversant with Chinese psycho-

logy and custom. Further conferences and discussions failed

to resolve the difficulty.

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