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13. SUMMARY OF RECOMMENDATIONS.- cont'd.

4. Medical Institutions. The position is com- plicated by the fact that a certain amount of hospital accommodation has been wiped out, or requires to be reconditioned before use, and that the Services have been allotted a considerable number of beds that belong to the Civil Administration. A Committee sitting in Hong Kong in 1939 recommended the target to be aimed at should be five beds per thousand of the population for general purposes. Col. Tehily gives a present figure of 3,785 beds for all civil purposes, but this implies recovery of the bedsjallotted to the Services and the rehabilitation of some institutions. A pre-requisite to proper planning for hospital accommodation and staff is some estimate of the population in the Colony and a recommendation for some means to be devised to obtain this is put forward.

The main maternity centre is at the Tsan Yuk Hospital, which is a first class institution under the control of It.Col. Gordon King; some addition to this hospital is needed to provide for isolation cases. There is additional Government and Chinese provided maternity accommodation in the Colony.

Vental cases are not retained in Hong Kong unless they can establish a birth qualification. The total per- manent bed accommodation required is approximately seventy beds. Other cases are returned to Canton following arrange- ments with the British Consul there. The Hong Kong "overn- ment pays for treatment provided at canton. The existing hospital is out-of-date and a new Mental Hospital should be erected on a suitable site with facilities for carrying out better means for rehabilitation and cure.

A new ever Hospital, to replace the hospital destroyed by bombing, should be erected on the old site, which is an excellent one. This hospital should be for the needs of the Island alone; the question of infectious diseases coming from outside the Colony is dealt with in. a later recommendation.

Leper cases are sent to the Shek Lung Settlement in the Province of Kwangtung; their care is paid for by the Hong Kong Government. This arrangement seems wise and should be continued. A certain number are, however, always temporarily detained in the Colony and improvement in treatment and accommodation for these cases should be considered.

A recommendation is made to provide an up-to-date Quarantine Hospital and Camp, with provision for disinfec- tion and inoculation services. A suitable site on the mainland should be selected for this, one convenient for the quarantine anchorage and the civil airport.

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