have to be debarred from school until they are sputum negative. The Tung Wah Group of Hospitals maintains tuberculosis beds mainly for the care of patients with long-standing disease. The distribution of all tuberculosis beds is shown in Table 19.
TABLE 19
TUBERCULOSIS BEDS 1963
+
Government Hospitals
Hong Kong Anti-Tuberculosis Association:
Grantham Hospital
Per
Ruttonjes Sanatorium (Including Freni Memorial
Convalescent Home)
Tung Wah Hospitals...
Haven of Hope Sanatorium.
Total
Private Hospitals
JLL
AN
:
122
613
343
355
LIN
230
ALE
64
Avi
1,727
156. The Lai Chi Kok and Tung Wah Eastern Hospitals provide beds for the admission of acute tuberculosis emergencies, such as haemoptysis and spontaneous pneumothorax, which are brought to the casualty departments of the Queen Mary and Kowloon Hospitals. Such cases are admitted either direct or as soon as resuscitation has been effected at the receiving hospital and the patients are fit to move.
The Work of the Voluntary Agencies
The Hong Kong Anti-Tuberculosis Association
157. This is the largest and longest established of the voluntary agencies working exclusively in the field of tuberculosis. It maintains two hospitals and one convalescent home, containing a total of 956 beds, a B.C.G. clinic and outpatient clinic for the follow-up of discharged patients and a Tuberculosis Insurance Scheme. Supported by voluntary donations, the Royal Hong Kong Jockey Club and some endowments, the Association also receives substantial annually-recurrent subventions from Government.
158. The Association works very closely with the Government Tuber. culosis Service and now provides in its two hospitals almost all available facilities for the thoracic and orthopaedic surgery required for the treat- ment of tuberculosis. Admissions to both the medical and surgical beds of Grantham Hospital and, to a lesser extent, the Ruttonjee Sanatorium
36
are now largely in respect of patients referred by the Government Chest Clinics, although both hospitals also arrange admissions direct for their own referred cases.
The Grantham Hospital
159. Opened in 1957, this hospital of 613 beds is equipped as a modern chest hospital. An extension was completed carly in 1963; this contains wards totalling 84 beds, a physiotherapy department and a school for the training of nurses for the British Tuberculosis Association Nursing Certificate. Run on a fee-paying non-profit-making basis, the hospital provides private, semi-private and general ward accommodation for fees of $35, $24 and S18 a day respectively. During 1963, Government maintained 492 of the beds in the general wards, including 48 beds in the new extension. Government also provides the clinical staff for 252 beds and undertakes the medical social work for patients in the 492 beds it maintains. The follow-up of patients discharged from these beds is undertaken at the Government Chest Clinics.
160. For the clinical supervision of Government-sponsored patients within the hospital there are the Grantham Pulmonary Unit of 240 medical and surgical beds, the Government Pulmonary Unit of 138 medical and 34 surgical beds and the joint Grantham-Government Orthopaedic Unit of 80 beds. The Medical Superintendent, responsible to the Grantham Hospital Management Board, is in charge of the medical administration of the hospital and has clinical charge of the Grantham Pulmonary Unit medical beds. The Grantham Thoracic Surgeon has clinical charge of the surgical beds in that unit. The medical and surgical beds in the Government Pulmonary Unit are under the clinical supervision of the Government Senior Tuberculosis Specialist and the Government Specialist Thoracic Surgeon respectively. The orthopaedic beds are in the clinical charge of a visiting consultant in Orthopaedics. All staff throughout the hospital is provided by the Association with the exception of Government Medical Officers posted to the Government clinical units whose salaries are recovered from the Association. The Government Specialists act as consultants and no charge is made for their services.
The Ruttonjee Sanatorium and Freni Memorial Convalescent Home
161. These two units are the responsibility of the Ruttonjee Sanatorium Management Board and are run as one. In the Sanatorium of 233 beds. medical, surgical and orthopaedic work is carried out, while the Con- valescent Home of 110 beds is for patients who are under drug treatment
37
No comments yet.
Private notes are available after approval.