404. Of the persons referred for specialist opinion the great majority are suffering from abnormalities of the respiratory system. Pulmonary tuberculosis accounted for the rejection of 79% of all persons found as unfit for service as against 84% in 1962. The analysis of all causes of rejection is given in Table $3.
TABLE 33
UNFITNESS BY CAUSES 1962-63 (per 1,000 total examinations)
Pulmonary Tuberculosis
1962
44.29
1963
39.45
kil
Disease of the Respiratory System (excluding
Tuberculosis)
6.76
2.00
Disease of the Circulatory System
201
2.39
Diseases of the Alimentary System
0.38
3.50
Diseases of the Skeletal System
0.06
0,11
MAI
0.19
0.28
0.45
1.55
NII
P
0.19
0.17
0.51
0.17
2.68
0.19
0.22
57.81
49.84
Discases of the Genito-urinary System
Diseases of the Nervous System Diseases of the Endocrine System
Diseases of the Eye
Diseases of the Skin
Miscellaneous Diseases .
Total
CON
*
M1
་ས་
405. The Board also undertakes the immunization of candidates appointed to posts which carry special risks. Immunization procedures consist of tuberculin testing and Schick testing, followed by B.C.G. or diphtheria toxoid vaccination as required, and T.A.B. inoculations.
HOSPITAL MAINTENANCE AND SUPPLY
406. This function is the responsibility of the Chief Hospital Secretary, assisted by a staff of Senior Hospital Secretaries, Hospital Secretaries and Assistant Hospital Secretaries. There are two group Hospital Secre- taries, one at Queen Mary Hospital and the other Kowloon Hospital, who are responsible for the routine supply and lay administration of the medical institutions on their respective sides of the harbour. Assistant Hospital Secretaries are posted to major institutions within the two main groups. However, the Queen Elizabeth Hospital is administered as a separate unit by a Senior Hospital Secretary assisted by two Hospital Secretaries. In addition, a Senior Hospital Secretary works in the Planning
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Unit at Headquarters while a Hospital Secretary, stationed at the Castle Peak Hospital, is responsible for that institution.
407. The function of this branch is the maintenance of the routine non-professional work in the hospitals and clinics. This includes the supply of fuel, rations and medical and surgical equipment, the main- tenance of equipment and furniture, the recruitment and discipline of all male menial staff, the maintenance of transport and the initiation of repair work to the fabric of buildings. The Chief Hospital Secretary is also the Department Welfare Officer and the U.N.I.C.E.F. Liaison Officer.
408. A Hospital Services Section is responsible for the day-to-day running and maintenance of the steam and engineering services in the major institutions, and is under the control of the Electrical and Mechan- ical Engineering Branch of the Public Works Department. Electronic equipment has again been maintained most efficiently by the staff of the Telecommunications Division of the Postmaster General's Department and grateful acknowledgement is made of the valuable assistance given by these two Departments.
Staff Welfare
409. The Medical and Health Department Staff Welfare Association is located on Hong Kong Island and bas branches in Kowloon (including Kowloon and Queen Elizabeth Hospitals) and Castle Peak Hospitat. The Association provides three staff recreation centres and supports a number of welfare schemes to aid the families of members or of pen- sioners.
410. Staff relations continued to be good and there were very few cases requiring disciplinary action in relation to the size of the staff concerned.
UNICEF Assistance
411. The milk feeding programme, which is sponsored by UNICEF, continued throughout the year. Altogether, 189,895 lbs. of UNICEF milk were distributed to welfare organizations throughout the Colony and the total number of supplementary meals given at feeding centres was 1,518,553, an increase of 141,900 over the previous year.
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