X1000306-1960-61_Part01 — Page 31

TABLE 24

KOWLOON HOSPITAL 1956-60

1956

1957

JOSE

19,50

1900

Maternity Cases

. .

2.867

1,861

3,472

3.646

4,372

General In-patients (excluding

maternity)

7,256

7,819

[0,595

13,242 16,052

Out-polical allendances

481.169

547,026

558,010

$32,492 547,392

NOE

Casualties attended

Available

31,996

10.191

Operations (excluding minor

ones)

4.629

4,984

5,704

11.637 80,333

6,571

midwives, private practitioners or the Government Midwifery Service. As Tsan Yuk now deals with all complicated cases the duration of in-patient stay has been increased, with a corresponding reduction in the total of cases admitted.

207. The work of the hospital during the year is detailed in Table 25.

TABLE 25

WORK OF THE TSAN YUK HOSPITAL 1959-60

7,584

19.59

1960

Total admissions

8.196

7.251

Total deliveries

7,440 6,416

Still-birth rate (per 1,000 total births)

13.97

9.70

Neo-natal mortality rate (per 1,000 live births) Maternal mortality rate (per 1,000 total births) Percentage operative deliveries

14.31

12.17

0.80

0.16

14.12

20.12

203. The large out-patient department adjacent to the hospital deals with general cases and also serves as a centre for specialist out-patient sessions conducted by the staff of the hospital clinical units who also hold specialist sessions at certain Government clinics in Kowloon and in the New Territories. The Casualty Department, attached to the out- patient centre, attended an average of 219 emergency and accident cases every 24 hours throughout the year.

Tsan Yuk Maternity Hospital

204. This is the main specialist obstetric hospital in the Colony and is maintained by Government which also provides the Medical Super- intendent, the resident house officers and the nursing and administrative staff. Clinical work in this hospital of 200 beds is the responsibility of the Professor of Obstetrics and Gynaecology in the University of Hong Kong assisted by members of the University staff and by a number of Government Medical Officers. All tuition of medical students in obstetrics is conducted here and it is the Colony's main teaching centre for student midwives who have not previously qualified as general nurses.

305. Ante-natal and post-natal sessions are held regularly. In addi- tion there is a special clinic for medical conditions complicating preg- nancy, a social hygiene clinic for venereal disease, and a Family Planning Clinic staffed and run by the Family Planning Association of Hong Kong.

206. Routine admissions are now limited to cases registered in the ante-natal clinics, which are in the main primiparae. 'grand' multi- gravidae, women with a previous abnormal obstetric history or referred cases requiring specialist care; such admissions comprised 94.8% of the total. The remaining 5.2% of cases admitted were suffering from complications of pregnancy or labour and were referred by practising

50

Lai Chi Kok Hospital

208. This hospital, situated on the outskirts of Kowloon, is accom- modated in converted buildings and performs three functions. It receives all cases of infectious diseases requiring admission to hospital which occur on the mainland part of the Colony; it serves as a convalescent unit for the Queen Mary and Kowloon Hospitals and it provides a number of bods for tuberculosis patients. For the convalescent and tuberculosis patients both physiotherapy and occupational therapy are provided on a full-time basis, while the Hong Kong Branch of the British Red Cross Society maintains a school for long-stay child patients. 209. The extremely heavy incidence of diphtheria experienced during the winter of 1959-60 was not repeated during this last year and only twelve beds were re-allocated temporarily to deal with the number of diphtheria cases admitted. In fatal cases the cause of death was either overwhelming toxaemia or advanced bronchopneumonia not responding to the administration of various antibiotics. Over ninety per cent of the cases admitted had received no prophylactic immunization, and, of the remainder, most had received only one injection of toxoid.

210. As in previous years a number of cases of typhoid were admitted but mortality remained low. In measles, a high case fatality rale reflects the advanced stage of the intercurrent bronchopneumonia encountered in such cases on their arrival in hospital, many being seen too late for treatment to be able to take effect.

51