conducted in all the refugee campm. „ Disinfection and health screening including cheat X-ray examinations were carried out for new arrivals.
Voluntary agancias continued to co-operate in the running of clinics in the open refugee centres to treat case of mild ailments while serious casse are referred to Government hospitals and specialist clinica for examination and treatment.
School Medical Service
The
The School Medical Service is operated by the School Medical Board which is an independent body. Participation in voluntary and for a token fee of $5 a year, participants can receive free medical attention from a general medical practitioner of their school'a choice. Government contributes $50 a year for each pupil enrolled and also beard the administrative cost of operating the scheme. Over 200 general medical practitioners have enlisted in the scheme and about 250,000 school children from 852 schools have been registered.
The school health service deals with the environmental health and sanitation of school premises and control of communicable diseases. School health officers, health visitors and health inspectora maka frequent inspections of schools and advise on matters concerning the health of the children, and organise immunisation campaigns.
Hospital and Clinic Service
There are three types of hospitals in Hong Kong, Government, Government-assisted and private, with a total of 21,586 beds representing 4.2 beda per thousand of the population, Pressure on the service was experienced in all fronts as reflected by the increase in attendance at out-patient clinica, casualty departments and hospital adminaiong. To ensure optimum utilisation of the resources in the district, the medical and health services have been reorganised in a regional basis since 1977. This, to mome extent, han improved the bed occupancy rate of some subvented district hospitals.
In 1981 the total casualty attendance were 884,028 averaging 2,422 attendances per day. More than 544,800 patients were treated in the 13 Government and 20 Government-assisted hospitals.
Clinica
Hospital services are supported by specialist clinica which provide out-patient specialist and follow-up services and general clinica which provida out-patient general and preventive health services, Out-patient service provided by the Government, subsidised and private organisations have been considerably expanded to cope with the growing population. The Government now operates 55 general out-patient clinics, polyclinics and specialist clinice. Evening, Sunday and public holiday sessions are also held at clinice in the more densely populated area sa part of an overall mesaure to meet the demand for out-patient service.
Mobile dispensari se
Mobile dispensaries and floating clinics take medical services to the outlying islanda and the more remote areas of the New Territories. Other inaccessible areas are visited regularly by the 'flying doctor' service with assistance from the Royal Hong Kong Auxiliary Air Force.
The total attendance at Government general out-patient and specialist clinica was 4.46 and 8.19 million respectively in 1981.
Ophthalmic Services
centres.
The Unit runs two main full-time out-patient specialist eye In addition, mobile ophthalmic teams are sent around to operate other regional clinics. A total of 206,226 attendances were recorded on a sessional basia in 1981. The Unit is also providing a specialist casualty service in the major regional hospitala on a call basis. There are a total of 78 ophthalmic bede in both regional and district hospitals. Mobile ophthalmic teams visit the hospitals on a sessional basis to perform aurgery and to deal with casen referred from other clinical units. In 1981 a total of 2,102 operations were performed in the hospitals and a further 2,474 operations were performed in the out-patient clinics.
4 corneal transplantations were done but only two transplantations were from local donor tissues. The number of permanent blindness registration weum 410.
The pattern of causes of blindness has remained unchanged and is observed to be mainly degenerative in nature occurring both in the
■enile and inbora group-
Ear, Nose and Throat Services
The ENT Unit comprises of two in-patient divisions with 33 beda based in Queen Mary Hospital and Queen Elizabeth Hospital. The total number of in-patient treated in 1981 waa 2,881 with 1,950 major operations performed. The Unit also runs 11 full-time and part-tine clinica in urban and rural areas. In 1981 total attendances were 68,952. Minor aurgerien were also performed in out-patient clinics, Speech therapy services were available for those who have developed speech difficultina as a result of recent diseases or surgery. There are 3 speech therapiste in the Unit and over the year a total of 4,581 sssessment and treatment was performed.
Mental Health Service
The department's Mental Health Service in conjunction with other academic and voluntary bodies were providing a full range of comprehensive psychiatric service for the mentally-illed in Hong Kong. Sophisticated treatment facilities are available in the two major mental hospitals, Castle Peak Hospital and the Kwai Chung Hospital and the other peychiatric unite in various regional and district hospitals. The total number of paychiatric beda as at 31.12.1981 wan 3,184. In line with the universal trend of operating small psychiatric units in the general hospitals, it was intended that an additional 2,200 beds would be incorporated into the various future medical projecta.
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