while the number of examinations have increased. the significance of the contact as a case-finding source would appear to be decreasing.
TABLE 14
CONTACT EXAMINATIONS 1959-60
Clinical findings of Contacts showing Positive Mantoux
Percentage of Contacts
tuberculosis
Over 8 years of age
Under & years of age
Tuberculin Tests
1959
1960
Negative Positive
996
1,908
907 2,392
Active
110
69
41
Inactive Suspicious
65
LOJ
324
473
Free of T.B.
1,429
1,749
found to have active
3.72%
2.09%
Results of Clinical
examination
following
Contact X-raya
tuberculosis
Active
Inactive
Suspicious
Free of T.B.
336
318
159
387
658
1.043
6,856
8.766
4.199
3.02%
10,933
13.913
128. Medical and senior nursing staff are provided by the Sisters of the St. Columban Roman Catholic Mission; staff of the Medical Faculty of Hong Kong University act in a consultant capacity. Admission is through the sponsoring agencies, the University Clinical Units and the Government Tuberculosis Service. Full medical and surgical treatment is available free of charge, and a follow-up clinic is maintained by the Sanatorium for all discharged patients. All necessary social work is provided by the Almoners of the Government Tuberculosis Service.
129. The work of these two institutions during 1960 as compared to 1959 is outlined in Table 15.
TABLE 15
BUTTONIEE SANATORIUM AND FRENI MEMORIAL CONVALESCENT HOME 1959-60
Percentage of Contacts found to have active
Grand total of Contacts examined
The Hong Kong Anti-Tuberculosis Association
125. The major part of the work of the Hong Kong Anti-Tuber- culosis Association lies in the provision of bospital facilities for the treatment of tuberculosis. To this end the Association maintains thres institutions the Grantham Hospital, the Ruttonjee Sanatorium and the Freni Memorial Convalescent Home. The affairs of the Association are managed by a Board of Directors which appoints two Management Boards, one for the Grantham Hospital and one for the Ruttonjee Sanatorium and Freni Memorial Home. In addition, the Association maintains a B.C.G. Clinic, a Tuberculosis Insurance Scheme and a Health Education Service.
126. The Association's work receives considerable voluntary support and this is augmented by a Government subvention in respect of the Ruttonjee Sanatorium and Freni Memorial Home, the B.Č.G. Clinic and the Health Education service. The insurance scheme is, of course, self-supporting.
Ruttonjee Sanatorium and Freni Memorial Convalescent Home
127. Containing 340 beds and operated as a single unit, these two institutions are financed by funds from the parent Association, by Government subvention and by the maintenance of a number of spon- sored beds.
1950
1960
Adults admitted through Government Clinics Children (Pulmonary) from Government Clinics Children (Orthopaedic) from Government Clinics Other admissions and re-admissions
279
350
55
52
$1
39
277
252
Total admissions
662
693
Grantham Hospital
130. This modern hospital, maintained by the Association through a Board of Management, contains $32 beds. Of these, 444 are maintained by a Government grant based on a daily maintenance charge and patients are admitted to these beds through the Government Tuber- culosis Service for treatment free. For the remainder of the beds, maintenance fees are charged but all fees are calculated on a non-profit- making basis.
131,
Clinical supervision of the 444 subsidized beds is divided between the medical staff of the Hospital and of the Government Specialist units dealing with the medical and surgical aspects. The work done during 1960 is outlined in Table 16,
TABLE 16
SUBSIDIZED ADMISSIONS TO GRANTHAM HOSPITAL 1960
Grantham Hospital Pulmonary Unit Government Pulmonary Unit Government Orthopaedic Unit
Total
Beds
Admissions
240
277
128
214
76
100
444
591
32
33
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