In June 1883, I was informed that the Secretary of State had been pleased to sanction that my Hospital accommodation for patients should be increased. The same letter informed me that Mr. Marques was to retain the charge of the Small Pox Hospital and, in another paragraph, that I was to be relieved from all outside medico-legal work, except special cases in which the coroner might deem it necessary to summon me.
Since June 1883, I have been in sole charge of the Civil Hospital and of the Small Pox Hospital; and, to the best of my recollection, I have attended no inquests except for persons dying in Hospital under suspicious circumstances. The outside medico-legal duties have always since then been performed by Mr. Marques, a qualified surgeon, as his regular work.
On several occasions, a Cholera Hospital has been opened at Stone-cutter's Island, a distance of three miles, and Mr. Marques has left Hong Kong to take charge of it, outside Post Mortem Examinations and the medico-legal work attending them being performed by an outside practitioner.
The Public Mortuary is about a mile to the west of the Hospital, and the law courts about a mile to the East, and as last year 184 bodies were examined and reported on, many of which were the subject of inquests and criminal proceedings, it is evident that if I carried on these duties, the Civil Hospital would be very seriously neglected.
This seems a sufficient reason for my having been relieved of these duties.
In November 1880, the Naval Deputy Inspector General of Hospitals and the Military Deputy Surgeon General were requested by the Government to report whether the work of the Civil and Small Pox Hospitals, and the outside Post Mortem examinations and medico-legal duties attending them could be performed by one medical officer.
They reported: "The question naturally arises, can one medical officer with justice to those whose lives are committed to his care, and a due regard to his own mental and physical condition, necessarily tried by professional anxiety and climate, be expected to fulfil these multifarious duties unaided?"
"We are of the opinion that it is not advisable, with a due regard to the interests at stake, to allow the whole responsibility and strain to devolve on one medical officer."
Since this report in November 1880, Hospital accommodation has been increased from 83 to 98 beds, and the number of patients admitted has risen from 1091 in 1880 to about 1600 in 1886. The receipts from paying patients, about $5000 in 1880, will this year exceed $10,000.
In 1872, when I was first appointed, the admissions were 938 and the receipts were under $1,000.
The bodies examined in the Public Mortuary were 103 in 1887 and 184 in 1885, and the Mortuary has been removed to a distance from the Hospital.
2.
the
In June 1883, I was
informed that visual increcens
Secretary of States had been pleased to hogsy of June 18. t. 1930 dition, they receiving
Sanction
that
my
Hospital even
modation
patients
an increase on con- Enclosure to
look "sole charge of the laivil though the
may
lead to a
Increase
accom
"g
·larger member
of
e that I
The same letter informed mer was to retain the charge of the small Por Hospital and in another paragraph that I was to berelieved from all outside medico legal work, except special cases in which the boroner might deem it necessary to summon me
Since Jince 1883, I have been in sole
chara
of the Civil Hospital and of the Small pox Hospital; and to the best
my care
recollection
of my I have atte: did no inquests except or persons dying in Hospital under age the outside medico-legal duties have. always since then been performed by Mr
as his regular work. Parques, a qualified surgem, as his
On several occasions a Cholira Hospital. has beer opened at Stone-cutter's Island, a distance, of three miles, and It Marques hors left Hong Hong to take charge of it, outside Post Mortion Examinations and the medico legal work attending them being performed by
an outside practitioner,
Mini Military
The Public Mortuary is about a mile, to the west of the Hospital, and the lau courts about a mile to the East, and as last
Year 184 bodies were examined and reported on many
which were
the
subject of inquests and criminal proceedings, it is evident that if I carried on these duties the livil Bospital wovid
of
Report of Dr Kreem &
Shamison, 22 Nou? 1880 neveure as 2.
be very seriously neglected.
This seems
a.
3783
sufficient reason for my
having been relieved, of these duties.
In November 1880, the, Naverl. Doperty Inspector
Hospitals and the Military Deputy
General
Surgeon
of Genera were
requested by the Govern
the Rewil my
me i to report whether the work
and Small fox Hospitals, and the outside. Post Mortem examinations and medico-legal duties
cattending them could be performed by
medical officer:
They reported
one.....
can onL
to question natuarlly arises, medical officer with justice, to those whose
}
lives are committed to his
to his regard condition, n
an
buose
and a due
own mental, and physica:.
necessarily
tried by professional
;xiety and climate, be emprated to fulfil. these multifarious duties unaided."
to
"We are of shinion that it is not advisable with a due regard to the interests at stake,
allow the whole responsibility and shares to devolve on one medical officer."
Since this report
the report in November 1880, Hospital accommodation has been increased. from. 83 to 98 beds, and the number of patients admitted has risen from 1091 in 1880, to about
1600 in 1886
The receipts from paying patients, about
$5000 in 1880, will, this
exceed I loooo.
year appointed, the admissions recepte under $1,000.
In 1872, when I went
938 and
were
the
The bodies examined in the Public Mortuary
wvere 103 in 1887 and 184 in 1885 aand, the Mortuary
has been removed to a distance from itself
the
be
suru
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