disadvantage that the overcrowding in the hospitals inevitably lowered the standards of treatment, a serious drawback where the hospitals are train- ing schools for medical students and nurses.
8. As in previous years the Director of Medical and Health Services received considerable help and co-operation from the Hong Kong and China Branch of the British Medical Association and the Hong Kong Chinese Medical Association. The great interest that these Associations take in the medical affairs of the Colony is one of the pleasantest facts to be recorded in this report.
9. The truth of the saying that it is an ill wind that blows nobody any good has been demonstrated once again for, were it not for the many doctors now living in Hong Kong as refugees, many of them leaders in their profession, it would have been impossible to maintain the medical services in the Colony at their present standards.
10. In my last report I stated that at the end of the financial year there were 36 doctors out of a total medical staff of 127 who belonged to this group of refugee doctors ineligible for registration in Hong Kong. The figure at the end of this financial year is 62 out of a total medical staff of 140,
11. The evening clinic at Sai Ying Pon, run with the aid of voluntary help from a number of private doctors in the Colony, proved such a success that in September it grew too large for the staff available and was finally closed and replaced by the evening clinics opened under the scheme for charging a dollar for each attendance.
12. The tuberculosis clinic for Kowloon, which it was hoped would be opened in September, 1949, was further delayed and was finally opened officially on 16th February, 1951.
13. An additional block for Kowloon Hospital designed to take 72 beds is under construction at the present time. This, when completed. will give some much needed temporary relief to the pressure on the beds but the real solution is a new general hospital.
14. In June, 1950, a committee was appointed by His Excellency the Governor to make recommendations for a five year building plan for the Colony.
15. Various proposals were put up for consideration by the Medical Department and it was agreed that a second tuberculosis clinic, to be built in Hong Kong, should be undertaken in the financial year 1951/52. It was agreed that a start should be made in the financial year 1952/1953 on two new hospitals, one a general hospital of 400 beds on the Kowloon
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Ilospital site together with an addition to the present maternity hospital bringing its beds from 48 to 150 and the conversion of the existing hos- pital, including the new block now under construction, into a children's hospital of approximately 150 beds and cots. The second hospital approved is to be a new mental hospital with a maximum accommodation of 250 beds. The site for this hospital is not definitely fixed but it will probably be at Aberdeen. It is proposed to start building this hospital also in the financial year 1952/1953. With the completion of this build- ing programme the medical facilities in the Colony will be greatly improved and Kowloon, for the first time in many years, should have a reasonable number of hospital beds for the needs of the inhabitants.
16. Considerable assistance from UNICEF was received during the year. This took three forms, the provision of equipment, the provision of fellowships and a feeding programme. Among the more important items
of equipment received were special cats for the children's wards, incubators for maternity wards, various pieces of apparatus for use in the physiotherapy department (for paralysis associated with poliomyelitis) and a considerable amount of laboratory equipment.
17. Six Fellowships were awarded, two of them to doctors, one for the study of child health and one for the study of tuberculosis. Two nurses also had fellowships for the study of tuberculosis and two nurses for the study of child health; one of these unfortunately became ill soon after arriving in England and had to return without completing the fellowship.
18. The feeding programme consisted in the distribution of dried milk through Government and charitable organizations. In all there were 31 distributing centres and a total of 68,087 pounds of milk have been distributed during the year.
19. Dr. P. H. Teng, the Senior Port Health Officer, visited Port Health Authorities in England and America, the American part of this tour being with the aid of of a W.H.O. fellowship. This exchange of in- formation has proved exceedingly helpful in the port administration.
20. On 1st September, 1950, the temporary headquarters of the Western Pacific Regional Office of W.H.O. was opened in Kowloon. Since that date there has been close liaison with the Medical Department which is of great benefit to the local community. Attached to the headquarters staff are experts in many branches of medicine and public health, and they have all been very ready and willing to give advice of the many problems in Hong Kong. This advice has ranged from an extensive investigation into the tuberculosis problem in Hong Kong covering a period of nearly 3 weeks, to brief interviews and consultations on such
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