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434. The number of children admitted continues to increase and there is now a new children's ward of 14 beds.
435. The number of cases in the private wards, which show- ed a decrease after the raising of the fees from $2.50 to $4.00, showed signs of improvement after the rate had been reduced to $3.00. The fee includes both food and medicine.
436. There is improvement in the health of the general staff. and there are now very few cases of Malaria since prophylactic doses of Quinine were instituted and mosquito nets supplied to the nurses.
437. The deaths in 1932 numbered 1,163 A large number of these died within 24 hours after admission.
438. At the end of the year thirteen nurses were about in sit for the Midwives Board examination after a period of three years training.
THE TUNG WAH SMALLPOX HOSPITAL
439. The Tung Wah Smallpox Hospital, erected in 1902 for the herbal treatment of smallpox cases, consists of six wards arranged in three two-storied blocks and faced by another group of three two-storied blocks intended for staff quarters and for administration purposes.
At a distance and separated by a yard are the kitchens, the servants quarters and the mortuary. The whole is contained in a large compound.
All the blocks are connected by covered ways,
440. This hospital at the time of its construction was con sidered to have all the requirements necessary for the proper treatment of smallpox cases by Chinese methods.
441. There was room for 60 cases without overcrowding but there was no arrangement for heating the wards and no water carriage system.
442. For some years this institution has been neglected with the result that the fabric is now in a very dilapidated condition.
443. Four 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.
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444. The staff consists of a Chinese coolie as a caretaker and an amah. There is no resident doctor and no clerk and there are neither dressers nor nurses.
445. A herbalist from the Tung Wah visits daily and pre- scribes infusions but there is no attempt a nursing. Certain hospital clothing is provided but the patients as often as not wear their own clothes.
446. This being considered 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 berbalist. 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 for- mites.
447. 76 cases of smallpox were admitted during the year and There one case remained from 1931, making a total of 77 cases. were 44 deaths giving a case death rate of 57 per cent.
448. During the months of August and September this hospital was lent to the Government Medical Department for the accommodation of cholera cases.
THE TSAN YUK MATERNITY HOSPITAL.
449. The Tsan Yuk Maternity Hospital, which is part of the organisation financed and managed by the Chinese Public Dis- pensaries Committee, is situated in the most populous district of the town and next door to the Western Dispensary. Its proxim- ity to the University of Hong Kong has made it a convenient centre for the training of Medical Students.
450. By an arrangement with the Committee the whole of The in-patient work is supervised by Dr. R. E. Tottenham, Pro- fessor of Obstetrics to the University.
451. The total number of beds is 60 of which 47 are reserved for maternity cases and 13 for gynaecological patients.
452. The total number of deliveries was 1,252 (1.248 in 1931) out of a total of 1,328 cases treated. There were 5 maternal deaths and 59 children were still born.
458. There is an out-patient department the clinical work in which is carried out under the supervision of Lady Medical Officers of the Government Medical Department. In addition to the treatment of ordinary gynaecological cases, special clinics are held for ante-natal infant welfare and venereal diseases. These clinics have already been described.
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