# GOVERNMENT LUNATIC ASYLUM.
The number admitted to this Institution was sixteen, the same as last year, three of them were females.
Table Xld gives the nationality, disease, and description of patients, with the number of days detention in the Asylum.
There has been considerable difficulty in sending them away to their native countries, even when they are quite harmless, in good health, and requiring very little attention.
# TUNG WA HOSPITAL.
The total number of patients treated in this Hospital, which is entirely under the management of the Chinese, was 2,048; of these, 1,109 died, and 216 of those that died were admitted in a moribund condition.
The number of out-patients treated was 122,292.
The number of patients admitted to the Small Pox wards was fifty-four; of these, forty-two died. The cases are mostly of the worst type, unvaccinated, and the majority children.
The number of successful vaccinations performed was 2,206.
# TEMPORARY LOCK HOSPITAL.
The arrangements as regards this Hospital remain the same as in my previous reports. Table XVa gives the number of admissions for the past 29 years, and the average number of days detention for each year. In 1858, the average number of days detention was 43.8; in 1886, it was 12.2, showing a considerable difference in the type of disease treated.
Table XVe shows the admissions of men to the different Hospitals for venereal disease. The admissions to the Military Hospital show an enormous increase, but a large number of these cases do not belong to Hongkong. The Naval Hospital also shows a considerable increase, but only a few of the cases belong to Hongkong. The Police Hospital shows a steady decrease for the last four years, and the Civil Hospital a very large decrease.
Table XVe 2 shows the amount of constitutional venereal disease admitted to the Naval Hospital; of this number, 20, only 2 cases belong to Hongkong.
Table XVe 3 shows the amount of constitutional venereal disease admitted to the Military Hospital, which is 71 cases; of these, 40 cases were not contracted in Hongkong.
The Naval, Police, and Civil Hospital record of constitutional disease contracted in Hongkong is very moderate. How and where they get it is the problem; it certainly cannot come from the registered women unless it is conceded that they can give to others what they have not got themselves. The Military are the chief sufferers.
# HEALTH OF THE COLONY.
Table XVI shows the rate of mortality amongst the European and American residents in Hongkong for the past ten years.
The number and percentage are the highest that have ever been recorded, even in the preceding year when so many were recorded from Cholera, of which there were no cases in 1886.
I give below the Tables of the death rates for the past fourteen years I have been in the Colony among the Europeans and Chinese, as registered in Hongkong, from diseases which may arise from filth poison.
YEARS FEVERS VOMITING & PURGING DIARRHEA CHOLERA TOTAL 1873, 1874 12, 31 96, 291 16, 288 195, ... 125, 46, 231 1875 94 343 259 ... ... 1876 145 370 311 ... ... 1877 89 481 33 701 ... 1878 116 783 21 608 ... 1879 309 873 348 ... ... 1880 438 JGX 435 ... ... 1881 679 71 465 ... ... 1882 262 571 660 ... ... 1883 132 600 301 1893 ... 1884 105 785 561 ... ... 1885 9 772 326 319 402 1886 ... ... ... 612, 696, 834, 1,304, 1,478, 1,030, 1,079, 1,215, 1,496, 1,035, 1,604, 19, 1,136 ...DEATHS AMONG EUROPEANS (BRITISH AND FOREIGN).
YEARS Enteric Simple Continued Typhus TOTAL 1873 6 $ 17 25 1874 17 18 ... ... 1875 14 10 ... ... 1876 9 29 ... ... ... ... ... ... ...The figures in the European Table total up the smallest number in the past fourteen years. In the Chinese Table, only 9 cases are recorded of a Typhoid or Enteric type, whereas the largest number of deaths from simple continued fever is recorded for the past fourteen years.
The Diarrhea cases on both Tables are moderate.
The Chinese Table is a curiosity in registration. The deaths from Enteric or Typhoid Fever vary in different years; 9 cases this year, the lowest of the fourteen, and 679 in 1881, the highest number recorded; Simple Continued Fever, 46 cases in 1874, the lowest number, and 772 this year, the highest number recorded.
Diarrhoea, 195 in 1873, the lowest number, and 701 in 1878, the highest number recorded.
I was absent on leave during the summer of 1886 for five months, the only leave I have had for 11 years. During my absence, Dr. Gregory P. Jordan acted for me as Colonial Surgeon. He also acted as Health Officer for two months in the Spring, while Dr. Adams was absent on leave, and in both cases carried on the work to the satisfaction of the Government.
Dr. Mauques suffered for some months from a serious attack of Inflammation of the Liver, and during his illness, Dr. Jordan and the Superintendent of the Government Civil Hospital had to divide his work, and after my return, I and Dr. Thomason, A.M.D., did the work for him.
In consequence of the Report and Tables of the Government Civil Hospital being sent in so late, I have been compelled to confine my report entirely to statistics.
I have the honour to be,
Sir,
Your obedient Servant,
Ph. B. C. Ayres, Colonial Surgeon.
The Honourable F. Stewart, LL.D.,
Acting Colonial Secretary,
&c.,
&c.,
&c.
Page 387
GOVERNMENT LUNATIC ASYLUM.
The number admitted to this Institution was sixteen the same as last year, three of them were females.
Table Xld gives the nationality, disease and description of patients, with the number of days detention in the Asylum.
There has been considerable difficulty in sending them away to their native countries, even when they are quite harmless in good health, and requiring very little attention.
TUNG WA HOSPITAL.
The total number of patients treated in this Hospital, which is entirely under the tnanagenient of the Chinese was 2,048, of these 1,109 died, and 216 of those that died were admitted in a moribund condition.
The number of out-patients treated was 122,292.
The number of patients admitted to the Small Pox wards was fifty-four, of these forty-two died. The cases are mostly of the worst type, unvaccinated, and the majority children.
The number of successful vaccination performed was 2,206.
TEMPORARY LOCK HOSPITAL.
The arrangements as regards this Hospital remain the same as in my previous reports. Table X Va gives the number of admissions for the past 29 years, and the average number of days detention for each year. In 1858, the average number of days detention was 43.8, in 1886 it was 12.2 showing a considerable difference in the type of disease treated.
Table XVe shows the admissions of men to the different Hospitals for venereal disease. The admissions to the Military Hospital show an enormous increase, but a large number of these cases do not belong to Hongkong. The Naval Hospital also shews a considerable increase, but only a few of the cases belong to Hongkong, The Police Hospital shows a steady decrease for the last four years, and the Civil Hospital a very large decrease.
Table XVe 2 shews the amount of constitutional venereal disease admitted to the Naval Hospital, of this number 20, only 2 cases belong to Hongkong.
Table XVe 3 shews the amount of constitutional venereal disease admitted to the Military Hospital, which is 71 cases, of these 40 cases were not contracted in Hongkong.
The Naval Police and Civil Hospital record of constitutional disease contracted in Hongkong is How and where they get it is the problem; it very moderate. The Military are the chief sufferers. certainly cannot come from the registered women unless it is conceded that they can give to others what they have not got themselves.
HEALTH OF THE COLONY,
Table XVI shews the rate of mortality amongst the European and American residents in Hong kong for the past ten years.
The number and percentage are the highest that have ever been recorded even in the proceeding year when so many were recorded from Cholera, of which there were no cases in 1886.
I give below the Tables of the death rates for the past fourteen years I have been in the Colony among the Europeans and Chinese, as registered in Hongkong, from diseases which may arise from filth poison.
DEATHS AMONG EUROPEANS (BRITISH AND FOREIGN.)
DEATHS AMONG CHINESE.
FEVERS.
VOMITING
YEARS.
DIARRHEA. CHOLERA.
Enteric.
Simple Contioned. Typhus.
AND ! PURGING.
TOTAL.
1873, 1874.
12
96
16
195
125
46
231
1875,
31
291
288
1876.
94
343
259
1877,
145
370
311
1878,
89
481
33
701
1879,
116
783
21
608
1880,
309
873
348
1881,
438
JGX
435
1882.
679
71
465
1883.
262
571
660
| 1884,
132
600
301
1893,
105
785
561
1886,
9
772
326
འད:ཨཽམ:ང
319
402
612
696
834
1,304
1,478
1,030
1,079
1,215
1,496
1,035
1,604
19
1,136
ཟ
The figures in the European Table total up the smallest number in the past fourteen years. In the Chinese Table only 9 cases are recorded of a Typhoid or Enteric type, whereas the largest Bumber of deaths from simple continued fever is recorded for the past fourteen years.
The Diarrhea cases on both Tables are moderate.
The Chinese Table is a curiosity in registration. The deaths from Enteric or Typhoid Fever vary in different years, 9 cases this year the lowest of the fourteen, and 679 in 1881, the highest number recorded; Simple Continued Fever 46 cases in 1874 the lowest number, and 772 this year the highest number recorded.
Diarrhoea 195 in 1873 the lowest number, and 701 in 1878 the highest number recorded.
I was absent on leave during the summer of 1886 for five months, the only leave I have had for Il years. During my absence Dr. GREGORY P. JORDAN acted for me as Colonial Surgeon. He also acted as Health Officer for two months in the Spring, while Dr. ADAMS was absent on leave, and in Both cases carried on the work to the satisfaction of the Government.
Dr. Mauques suffered for some mouths from a serious attack of Inflammation of the Liver, and daring his illness Dr. JORDAN and the Superintendent of the Government Civil Hospital had to divide his work, and after my return 1 and Dr. Thomesox, A.M.D. did the work for him.
In consequence of the Report and Tables of the Government Civil Hospital being sent in so late, I have been compelled to confine my report entirely to statistics.
I have the honour to be,
1878,
1874.
1875,
1876,
1877,
1878.
1879,
1880,
1881,
1882,
1883,
1884,
1885,
1886,
FEVERS.
VOMITING
YEARS.
DIAREA CHOLERA. AND
TOTALS
Enteric.
Simple
PERGING,
Typhus. Continued.
6
$
17
25
17
18
14
10
9
29
སྱཱ ཡ 1 ཏྱུ རྞ 1ཀ 1ཞུ ༔མྤ
1+
3
10
10
13
9
12
23
9
19
TAKERS*
29
37
19
415
The Honourable F. STEWART, LL.D.,
5
18
Acting Colonial Secretary,
$o.,
&e.,
$c.
Sir,
Your obedient Servant,
Pu. B. C. AYRES, Culonial Surgeon,
387
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