1932-08-03 — Page 7

HONG KONG DAILY PRESS, WEDNESDAY, AUGUST 3, 1932.

PUBLIC HEALTH BOARD of new graduates who are willing to set of specialists such as

grave concern.

(Continued from Page 6.)

and

to regard otherwise than with, distinol Heady for the Medical

Sanitary Departments. The co ordination between these two de 'partments as well as with other departments would then be brought about by the centralisation of all

I have spoken strongly on this particular matter because it is real. ly the only cleavage that we forl cannot be bridged. We want to be

to work for a nominal salary and senior, physician, a senior surgeon, even for nothing, in order to ac-a senior obstetrician "advocated in quire experience. The same applies the recommendations. to the nursing staff.

The Chinese government employees may be treated at the GO.B. (or University Hospital) and the Euro peans at the Victoria which would then be reserved for the government servants and their families only.

It is not declared whether the

MR. L. C. F. BELLAMY,

M. Bellamy said:-The task of condensing within the compass of 6

I need hardly emphasize that the paragraphs the unanimous views of professors mentioned are highly the six unofficial members of this qualified specialists and that they Board on a matter of such import- having been for sometime rendoring ance as the recommendations now valued and highly appreciated before us is a very difficult one and public services.

I understand that at present more than half of the work in the

I think Mr. Champkin is to be con- gratulated on his offort to co ordinate our various views. would, however, be very strange if

It

helpful in these reform. porpoaala, corresponding Heads under one.C.H, is to be rebuilt on the same Government Civil Hospital is being the motion did not contain, berd but we cannot assent to the diree- í administrating officer who will be or at a different site, but the pro conducted by the Clinical professors and there, features with which one

the president of the new Board, Assant locality has much to commend the work of the President under for as it is situated in a very den the new scheme would be mainly saly, populated district, and if the administrative and co-ordinative whole of the present site together it would be preferred that he should with the surrounding grounds otc be made availablo, then there ought to be enough room for a model and

tive and critical functions of the Sanitary Board being set aside in this arbitrary way. In other rea- pects we are in general agreement with the progressive policy of the D.M.S.S. and will give our full sup-be a non-technical official who will port to the measures of reform at the same time have the advant- that he advocates. I now move the age of serving as a necessary coun resolution.

terpoise for the uniform working of the Public Health Machinery.

In the new Public Health Board

SECONDER'S SPEECH.

and their staff at a tremendous sav. ing of expenditure to the Govern

I have reasons to believe ment. that their work was conicisticious and above reproach. Furthermore, I understand there is an agreement between the Government and the

Rockefeller Foundation whereby the

up-to-date hospital. The idea of accommodating the investigative Clinical professors are compelled to staff at one headquarters is sound, remain at the Government Civil but I would suggest Pokfulum as Hospital. As a matter of fact the

or more members might be lightly cut of sympathy. That is my posi-

tion regarding that portion of paragraph & which deals with the

viet-chairmanship of the Publie Health Board. I am not convinced

that there exists in the Cclony a more suitable man for this position than the Hon. the D.M.S.S.

Coming to clause 5 which recom

a better site as affording ground for annual donation from the Founda-monds that memoranda of individu-

Mr. Wong Kwong Tin in second the respective représentatives of the the stabling of the cattle used in tion was a source of substantial and al members on the recommendations

ing the motion said:-

It is with very great pleasure that I rise to second the motion just proposed by Mr. Champkin.

bers.

Medical Department.

There is indeed much need that

the preparation of sera.

...

Medical and Sanitary Departments will have sente, and the Head of the Sanitary Department may be the Question of Segregation, | Medical Officer of Health, if it is

The number of medical officers re- Tla Hon, D.M:5.58. in to be con 1thought that he should be an exquired under the new scheme is cer- gratulated on his far reaching propert in Public Health work. tainly large but if the greater part posals for reform. While heartily With regard to the unofficial mem. of this personnel be recruited local supporting his efforts to effect probers, I am of opinion that they ly and if the unification project gress in health matters, I wish to should all be elected by publie auf-could be made to materialise, then associate myself with Mr. Champ frage, and not partly clested and the scheme would not appear to be kia in stressing the importance of

parily nominated by the Govern- so ambitious or so difficult as it taking into consideration the tax ment, as it is the custom at pre-would seem at first sight. I note payer's point of view. Hence I

Bont. If it is feared that the re however that no mention has beea would urge the an unofficial ma

quisite number of elected members made on the problem of the treat- jority be maintained and that such will not be available, the Government and segregation of the leprous unofficial majority be representative

ment may then fill the vacancies by and tuberculous and considering the of all sections of the Community.

this One must also remember that how. nominating its own unofficial memagnitude of the scheme,

omission is somewhat incompre ever much one might wish to spend

hensible. money on improvements, the capac

It seems that I have dwelt some ity of one's pocker has to be consi- dered. Also, annoying restrictions this Department should be enlarg-what lengthily on this subject of which may mean the highest pitched and rendered more efficient, and the Re-organisation of the Medical of efficiency where sanitation is to my mind there is only one way and Sanitary Services, but I feel concerned may undermine the pro- by which this could be done satis-it incumbent upon me as an elected apority of the Colony, upon which factorily and economically, ie, by member of this Board, and a me- eulisting the services and co-opers

dical man at that, that I should our very existence depends.

Prosperity without health is I ad-tion of the Medical Faculty of the avail myself of this opportunity in Hong Kong University. It is com- presenting to you, for the considera mit undesirable; but who would be content to have health alone with mon knowledge that in general, in- tion of the Government, certain stitutions connected with a uni-suggestions which the D.M.S.S. may out a certain amount of wealth, or

versity, whether directly or indirect. find useful to incorporate in his what would it avail the healthy maly, always produce a much higher plans, when the time arrives for if his prospect is starvation? This is the question the Hon. D.M.S.S. standard of work than those not their materialisation.

Secing that nur In conclusion I wish to say that has to face, and it is the answer to

local University is more or lesa the policy of re-organising the Me his criticism that the Chinese Com-

fastered by the Government, it seemedical and Sanitary Services, is, unity desires a cudet, that is one

certainly anomalous flint there generally speaking, sound and de wall versed in administrating to

should be a certain amount of reserves the serious consideration of act as buffer between the scientific

duplication in the personnel and in the Government. man and the public.

the departments occuring within one and the same colony. It will Bot be a difficult matter for the Government and University authori, ties to come to an arrangement for

DR. BASTO'S VIEWS. Dr. R. A. de Chatre Basto, speak. ing in support of the motion said: -Mr. President,

On reading over the D.M.S.S.'s recommendations for -Lie Re

connected. 80

of the D. 38.8, should be forward-

conticual help both to the Univered Government, I may say that. sity and the Government. Besides, in my very brief memorandum I apart from the G.C.H. there is no laid stress on the need for every other Clinical teaching contre for the medical students.

member of this Board being sup- Hance I mention that if it is for po other ton's full and elaborate report of plied with a copy of Dr. Welling- reason, than that of upholding the privilege and duty of Hong Kong, that this request has not been com- two years ago. I regret very much as being the beacon-light of educa-plied with as I believe that a study tion, especially in medicine, in this of his full report is indisponsable part of the world, we are honour to a thorough appreciation by mem bound to give serious consideration bers of this Board of the justifies. to the University and its students.

tion and adéquate grounds for Dr. Wellington's recommendations.

What I like best about this motion

is Mr. Chumpkin's happy reference in faused to the policy of Public Health reform now foreshadowed

Under the same subheading "The Medical or Curative Branch" I think that sufficient recognition has not been accorded to the fact that there are in the colony a number of highly qualified specialists who may be willing to co-operate either in an honorary capacity or on part-avoidable loss of time will occur to delay the putting of this policy of time engagement..

reform into effect. I support the

I should like to point out that the usual practice of hospitals and in- firmaries in Great Britain of ap pointing local specialists to the staffs on part-time or entirely hon- orary appointments has been a de- pendable source of economy and satisfaction.

Kennedy" Town,

for Hong Kong and I hope that no

motion.

MR. M. K. LO.

Mr. M. K. Lo said :—

My colleagues have already dealt with the various aspects of the

20

D.M:S.S.'s Recommendations fully that I feel it is unnecessary for me to make any lengthy re- In regard to the clause "Super-marks on the Motion now before the numeraries to the extent of 20 per Board. I should, however, like to cent., etc." I believe this estimate deal with paragraph 2 of the was based on a highly salaried Motion in so far as it refera to the European staff of large numbers who Vice-Chairmanship of the proposed must necessarily go on long, leave Public Health Board, every few years. Hora again, may It will be seen that the unani- we not wisely economise by utilizing moue view of the unofficial mom- local University gradustes or local bers is that the Constitution of the men who hold British University | Sanitary Board be enlarged in. Dr. Li Shu Fan speaking for the diplomas. I am catirely in accord order that it may function as motion id

DR. LI SHU FAN.

As a member of this Board re-

that the Vice-

with the recommendation that a Fublic Health Board with the per- modern Infectious Disease Hospital sonnel suggested by the D.M.S.S. the fusion of the various medical presenting the public including the and Quarantine Station be built. 1 for his Public Health Advisory and scientifle departments. The Medical profession I feel that it is organisation of the Medical and contribution of the University to fitting that I should make a few earnestly hope that when sanction-Board, except Sankary Services in the copy wards this amalgamation would be remarks upon the recommendations ed it will be built in a less objec Chairman shall be a non-technical submitted to the members of this mainly in the form of personnel so ably worked out and submitted tionable quarter than Kennedy man, preferably the Secretary for Board, I cannot but feel that only and that of the Government mainly by the Director of Medical and Town, unless trade nuisances in the Chinese Affairs.

vicinity of the present hospital are Sanitary Services.

permanently abated.

the framework of a very extensive project is being laid before us for our consideration.

materiel.

Research Branch,

The present Bacteriological In

appears Lo bo incom-

I heartily welcome the scheme of reform advocated--a reform which I think is long overdue.

With reference to the recommen- dations on "Medical relief" I am

In view of certain newspaper comments on the D.,8.8.'s Re commendations I should like to state publicly my own reasons for

Such being the case it is very atitale difficult for anyone to express his mensurate with the size and inappropriately carried out it will do was made for extending the Kow- of the Motion, To begin with, I

I believe that when the scheme is glad to notice that contemplation concurring in the terms of clause 2

General Ward Accommodation.

opinion on a scheine which is not

much in obviating the duplication loon Hospital and the rebuilding of portance of a colony such as ours, only very extensive and elaborate

aud the recommendation for an in-of personnel, machinery and equip. the G.C.H. but also very far-reaching in ita ramifications. I have been given to

crease in the staff in the person of ment, with consequent all round in- provement in service and curtail- understand however, that a very will also act.

BA Assistant Bacteriologist who

full and comprehensive report has

as Pathologie, is ment of expenditure,

I think my colleagues agree with heen drawn up by the DM.8.8. on worthy of cousideration. If the fu-

me that the part of the recommen. Bion above suggested could be this subject, and I would venture to suggest that the whole of this brought about, then the Chief Gov.dations dealing with the re-adjust Bacteriologist and the Professor of munt of the various ordinances are Report be laid on the table for the Bacteriology could be represented in essentially sound. It should merit

adoption by Government. the support of the Board and the

information of the members of this Board.

the one man, and the posts of Gov, Pathologist and lecturer in Patho- logy could be held by the same in dividual.

any at once that my reasons have nothing whatever to do with the old question of Chinese suscepti. bilities as one paper has put it. But both in the extension and in The fact that this Motion repre. the rebuilding of the hospitals Isents the unanimous view of all the take this opportunity to emphasize unofficial members, including three that due regard should be made for who are not Chinese, is at least the average tax-payer by providing auggestive that the raison d'etre of, suficient general ward accommoda. clause 2 of the Motion must be tions. The practice of providing something else. paying 'private wards may be quite In regard to this matter the

The recommendations advocated

As regards the recommendations necessary in by-gune days but awing DM.8.8. observes, "I Hong under subheading "The Medical or to the existenes of a number of Kong because of the desire of cer by the D.M.S.S. involve radical and significant changes in the Medical

Curative Branch it appeare to me excellent private and semi-private tain Chinese to have a buffer inter- and Sanitary Departments, and i

that there is a rather completo pro- hospitals at the present time I con-posed between them and the pro- the opinion of this Board is to be.

vision of officers both in number sider it unnecessary and undesirable messional hygienist it is recom The pre-eminent work of the sought on such an important mat Curative Branch of the Medical and in qualification. But in view for the Government to provide pri- modded that until public opinion is ter it is necessary that it should be Department would appear to me to excessive mortality of tuberculosis the public. I think it is very hard

of the continual prevalence and thevate wards for paying members of more furnished with more detailed parbe:- ticulars than that already submit-

and unfair to turn away needy

ted. With regard to the Public

patients as is being frequently done in Government hospitals for want Health Advisory Board suggested | in the recommendations it is not quite clearly stated whether this Board is to replace the present Sanitary Board or whether the two are to co-exist.

Curative Branch.

•

in this Colony I think it is impera- (a) The care of the health of tive that one or more tuberculosis

officers be provided.

lesser-paid-government-em-

ployees.

(b) The care and treatment of the poor and destitute of the Colony,

educated

on matters of of Head of the Sanitary Dopart- Hygiene and Sanitation the post

shall be held by a Cadet ment Officer who is a Chinese scholar." I say frankly that I do not share. this desire, and that it has nothing | of general ward accommodation to do with the reasons for my con while at the same time these hoscurring in clause 2 of the Motion.

*The Mora 1 Fonder... pitals are occupied with a number: of private wards.

I venture to quote the following I understand. at present the paragraphs from a memorandum G.C.H. does..

does not as a rule admit which I submitted to the Head of tuberculosin patients. I earnestly the Sanitary Department in connec hope that provision will be made for tion with the D.M.8.8.'s Recom them in the future hospitals unless pendations:- a sanatorium is provided,

Co-operation Needed, Owing to the necessity for economy co-operation and complete If the Government Civil Hospital understanding in a scheme of this is to be rebuilt as recommended, it magnitude I deem it advisable to should I think be passed over to take into consideration the services the University for the purpose of of the Hong Kong University With exception to the paints Clinical Instruction. It should be Clinical professora,tis, the pro- enumerated above I consider the Health Board instead of Publican easy matter for the University fossore of medicine, surgery, and scheme of reform submited by the Health Advisory Board, and I think that the interests of the Colony to staff such a hospital economical would be served best by having two, ly as there are as a rula a number

Two Distinct Hends.

I would suggest the name Pablic

obstetrics. I believe the inclusion D.M.S.S. is one based on sound of these professors would entirely principles and is worthy of the obviate the appointment of a sopar-fullest consideration and support,

10. On the Expert versus Layman issue, the more I pond- er over the matter. the greater the difficulty experience in com ing to a decisive conclusion. But my mind is definitely inclined to.

#Continuped on Page 5.1

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