435. A herbalist from the Tung Wah visits daily and prescribes infusions but there is no attempt at nursing. Certain hospital clothing is provided but the patients as often as not wear their own clothes.

436. Considered to be a herbalist hospital it is seldom visited by any of the Western-trained Tung Wah staff, and for all practical purposes it is controlled by the caretaker and the herbalist. There being no trained staff resident and the control being such as it is there must be grave doubts regarding the efficiency of the disinfection processes and the means taken to prevent dissemination of disease by patients, contacts and fomites.

437. 137 cases of smallpox were admitted during the year. There were 78 deaths giving a case death rate of 57 per cent.

438. For some years this institution has been neglected with the result that the fabric is now in a very dilapidated condition.

439. Five years ago an attempt was made at renovation and various rooms in the service blocks were labelled respectively doctor's office, record room, laboratory and dispensary, but no use was made of any of the rooms and they remained unequipped and empty.

440. This year proposals were made for improving the accommodation and installing a water carriage system. Proposals were also made for providing a service of properly trained nurses to look after the patients. These proposals were not carried out and at the end of the year nothing had been done.

441. There can be no doubt that conditions at this hospital are unsatisfactory both from the point of view of the patients and that of the public.

The Tsan Yuk Maternity Hospital.

442. The Tsan Yuk Maternity Hospital, which is part of the organisation financed and managed by the Chinese Public Dispensaries Committee, is situated in the most populous district of the town and next door to the Western Dispensary. Its proximity to the University of Hong Kong has made it a convenient centre for the training of Medical Students.

443. By an arrangement with the Committee the whole of the inpatient work is supervised by Dr. R. E. Tottenham, Professor of Obstetrics to the University.

444. The total number of beds is 60 of which 45 are reserved for maternity cases and 15 for gynaecological patients.

445. The total number of deliveries was 1,192 (1,252 in 1932) out of a total of 1,282 cases treated. There were 5 maternal deaths and 53 children were still born.

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