X1000306-1964-65_Part01 — Page 12

provide institutional accommodation of the order required for the isolation of all infectious cases.

36. The policy for control of the disease has been to protect, by vaccination with B.C.G., those most vulnerable to fatal post-primary manifestations, to provide out-patient facilities for the ambulatory treat- ment of as many tuberculosis patients as possible and to reserve the limited hospital accommodation for patients not responding to ambula- tory treatment or in need of surgical intervention. In the execution of this policy there has been a high degree of co-operation between Government and voluntary agencies concerned with the problem. particularly the Hong Kong Anti-Tuberculosis Association. The Govern- meat Tuberculosis Service maintains the B.C.G. vaccination and out- patient treatment programmes while the voluntary agencies, aided by substantial Goverment subventions, maintain the hospitals. To ensure the maximum co-operation and co-ordination, a small committee was formed in February, 1965, under the chairmanship of the Assistant Director of Medical and Health Services (Health) and comprising repre- sentatives of the Government Tuberculosis Service and of the Hong Kong Anti-Tuberculosis Association.

37. The formation of this committee was in accordance with the acceptance of certain recommendations made by Professor F. Hear. C.M.G. and Dr. Wallace Fox in their report to Government on the future of the Colony's tuberculosis control programme. Other recom- mendations made in the report, particularly those concerning research. had far-reaching financial and sociological implications; these required detailed and expert study which was undertaken by a small group under the chairmanship of Dr. the Hon. A. M. RODRIGUES, C.B.E. and including representatives of Government, the University of Hong Kong and the Hong Kong Anti-Tuberculosis Association. The report sub- mitted by this group was being considered by the Medical Advisory Board at the end of the year under review.

Mortality

38. The death rates from all forms of tuberculosis continued the decline shown in past years, and the trends since 1951 are illustrated in Figure 7.

PERCENTAGE

100

FIOULE 1

TUBERCULOSIS MORTALITY & BOG VACCINATION OF NEWBORN

F

*0

30

THORTALITY KATES EXPRESSED AS PERCENTAGE DIF 1951 RATESI

14/1 12 งา H IT

YEAR

B.CO. VADZINATION

OF ALL NEWBORNS.

TOTAL MORTALETY

INFAMITOLE

MORTALITY

劃

39. Infantilc mortality rate from the disease has shown an even more impressive reduction than the overall rate; this is attributable, at

DEATHS PER 1060 IN AGE GROUL

500

400

100

100

MOGR

TILIENCLILONĖS MORTALITY BY ADE AND SEX 1999 4 ISMAI

BLADE

-19536 JOHALE

FEMAL

+

AGE GROUP

12

13