Patients obtaining their Medicines from the dispensary.
A doctor at work in his consulting room.
campaign; the Maternal and Child Health Services are also co-operating in this project.
142. Facilities for the isolation of the advanced infectious case of pulmonary tuberculosis are almost non-existent. Efforts to sterilize these cases by prolonged chemotherapy are not meeting with the satis- factory results claimed in other parts of the world. The question of the importance of drug resistance is one which has not yet been settled and, until further information is forthcoming, these cases will continue to be handled with extreme caution.
The Hong Kong Anti-Tuberculosis Association Hospitulu
Ruttonjee Sanatorium and Freni Memorial Convalescent Home 143. These institutions are staffed by the Missionary Sisters of St. Columba and are operated as a single unit by the Hong Kong Anti-Tuberculosis Association. The combined total of 336 beds is devoted mainly to the treatment of pulmonary tuberculosis. Treatment is free, admission being obtained by selection at the Government Chest Clinics. This arrangement which has operated satisfactorily since the institution first came into being in 1949 and which obviates the necessity of duplicating diagnostic services. Admissions are restricted as far as possible to early cases who are likely to derive the maximum benefit from hospital treatment but certain cases are admitted by arrangement with the principal subscribers to the Association and without the need to pass through the Government Clinics. The institution works in close association with the University of Hong Kong, from which most of the Consultant Staff is drawn. The full range of medical and surgical treat- ment is available.
144. Orthopaedic tuberculosis cases admitted to the Sanatorium are treated under the supervision of the Consulting Orthopaedic Surgeon, a member of the staff of the University Surgical Unit who is also the Consulting Orthopaedic Surgeon to Government. Cases are obtained mainly from the orthopaedic clinic operated in the Government Chest Clinic at Wan Chai.
145. A Follow-up Clinic is operated by the medical staff of the Sanatorium for the benefit of discharged patients and a B.C.G. clinic is also maintained.
146. All social work in the institutions is done by the staff of the Government Tuberculosis Almoner.
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