TABLE ?
DEATU RATES FROM TUBERCULOSIS
Percentage of tuberculosis deaths below 5 years
Estimated
Death rate
Year
population
per 100,000
(mid-year]
from all cases
Percentage of total deaths from tuberculosis
1951
2.013,000
208.0
20.0
34.0
1952
2,250,000
158.8
18.4
34.3
1953
2.250.000
130.6
16.0
36.2
1954
2.177.000
126.2
14.9
31.2
1935
2.340.000
120.0
14.7
29.0
1936
2.440.000
107.0
13.6
25.0
1937
2,583.000
103.6
13.9
21.1
1958
LM
1.748,000)
83.8
11.2
19.6
1939
2.8$7.000
76.2
10.7
19.2
1960
2.981,000
69.9
10.8
10.5
1961
3.177.7000
60.0
10.2
11.5
141. The vaccination of new born babies with B.C.G., started in 1952, is now widely accepted and all agencies engaged in midwifery are participating. As 96% of the registered births take place in institutions, vaccination is greatly simplified and during 1961 the percentage vaccinat- ed was 79.31%. The percentage in 1952 was 4.33%. The effect of this measure is reflected to some extent in the notifications of tuberculosis amongst children aged 5 years and under, What percentage of the cases so notifed have not received B.C.G. is not yet known. but this aspect of the situation is now under investigation.
TABLE &
TUBERCULOS13 NOTIFICATIONS UNDER FIVE YEARS
اري
Under Five Years
* New Borns
AN
T.B.
Vaccinated
Forms
Meningitis
Forms
Under one Year
T.B. Meningitis
1992
4.33
2,386
100
321
108
1957
35.91
1.441
444
370
114
1959
46.96
(137
114
105
1959
59.53
975
276
1960
71.54
+60
THI
下排
39
[56]
79.31
$49
IBS
TE
48
TABLE Y
309
NOTIFICATIONS OF TUBERCULOSIS (ALL AGES) 1961
OR
142. The notifications of tuberculosis are far from complete and it will be seen that the great majority are made from Government Institu- tions which account for 87.5% of the total. On the other hand the registration of deaths is virtually complete and there were 1,907 deaths recorded as due to tuberculosis. An analysis of these deaths showed that full details of the previous history were available for only 651. Of this group 1.7% had no signs of tuberculosis; 27.6% had not received treat- ment prior to death. Of the 460 receiving treatment before death 219 had attended Government Chest Clinics and 241 had been under treat- ment by private practitioners. Assuming that death rates are roughly comparable in the two groups under treatment. It appears that some 9,000 notifications have not been made. This situation is also under investigation with a view to ensuring that the statutory obligation to notify ruberculosis is more fully appreciated and met.
143. An analysis of morbidity rates calculated from notifications and related to census data shows that tuberculosis morbidity is low under the age of 14 years after which it rises sharply to the age of 24 years, increasing thereafter gradually in the older age groups. In the age group 60-64 years. the death rate from tuberculosis is five times the average for all ages; in young persons the death rate is highest in the 0-4 years group being just over two-thirds of the rate for all ages. The most favour- ed group is between 10 and 19 years where the death rate is less than 6 per 100,000.
144. The major unknown factor is of course the number of persons coming into Hong Kong to get treatment for tuberculosis. An inquiry conducted in March 1962 showed that 124% of cases under active treatment had been in the Colony for six months or less. A review carried out in hospital patients showed that 14% had come to Hong Kong specifically for treatment. Of the 4,987 cases who defaulted from treatment during the year, about 2% was recorded as 'returned to village' which is taken to indicate that they had left the Colony to return home. 145. All cases attending the Government Chest Clinics are given treatment free without question as to origin. The increasing volume of work undertaken at the Government Chest Clinics is set out below,
Goverment Chest Clinics
Other Government Institutions
Tung Wah Group of Hospitals
Non-Government Institutions
Private Practitioners
8.957
2.056
4447
512
First attendances
TABLE 10
19.$7
35.126
12,584
Cases of tuberculosis discovered Total attendances for treatment
30
1960
1938 1959
196/ 39.454 39.009 35.991 40.146 11.428 12,270 14,406 12,937 15,270 $39.080 *803,326 1.655,100 2,001,990 2,204,058
33
No comments yet.
Private notes are available after approval.