366. Regular specialist out-patient clinics including tuberculosis, ophthalmology, social hygiene and maternity child health are held at a number of these out-patient centres.
367. Owing to the very large volume of work to be undertaken it is necessary to hold a number of night clinics at seven centres. Held from 6 p.m. to midnight these night sessions are attended to capacity and have proved a welcome and significant augmentation of services strained to the utmost during the hours of daylight.
General
SPECIALIST SERVICES.
368. There are Government specialist services in medicine, surgery, obstetrics and gynaecology, tuberculosis, ophthalmology, dermatology, venereal diseases, radiology, dentistry and pathology. Members of the staff of the University clinical units of medicine, surgery, obstetrics and gynaecology, orthopaedics and pathology also provide consultant services. Within the Government surgical service there arc neuro-surgical and chest surgery units.
369. Mention has already been made of the general medical and surgical services, and of the obstetrical and gynaecological specialist facilities provided on Hong Kong Island and in Kowloon.
370. The midwifery service continues to expand at a phenomenal rate and the demands exceed the facilities despite relatively high ratio of maternity beds to population. Owing to the conditions of over- crowding in the urban areas there is literally no space to provide other than an emergency domiciliary service. Therefore institutional mid- wifery is an cssential in the urban areas of the Colony and plans for wards for uncomplicated midwifery at certain of the new Government clinics are under consideration. Private maternity homes run by mid- wives in private practice contribute largely to the service. These homes are licensed by the Midwives Board and are inspected regularly by the Inspector of Midwives who is a Goverment Medical Officer and a member of the Board. Domiciliary midwifery is practised whenever possible, mainly in the New Territories and in areas where rehousing has made it possible.
37. Ante-natal and post-natal clinics are an increasingly popular feature of the midwifery service and during the year attendances totalled [12.647 and 10,268 respectively.
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RADIOLOGICAL SERVICE
372. There are three sections in this Service. Radio-diagnostic, Radio-therapeutic and the Physics and Workshop Section. The head- quarters in the Queen Mary Hospital is under the direction of the Senior Radiological Specialist, assisted by a staff of one Radiological Specialist, three qualified Radiologists and twenty one Medical Officers training in radiology. Student radiographers are trained for the M.S.R. (London) examinations.
Radio-diagnostic Section
373. The Radio-diagnostic Section provides a service in each of the following institutions:
In Hong Kong :
(i) Queen Mary Hospital_(including radio-diagnostic work for the Mental and Sai Ying Pun Hospitals and the Government clinics and dispensaries on the Island),
(1) Tsan Yuk Hospital,
(2) Wan Chai Chex Clinic,
(iv) Medical Examining Board:
In Kowloon *
0) Kowloon Hospital (providing also the radio-diagnostic service for
institutions and clinics without these facilities),
(i) Kowloon Chest Clinic,
(ii) Shek Kip Mei Chest Clinic,
(iv) Lai Chi Kok Hospital.
374. There is also a Mass Miniature Radiography Unit which operates as required throughout the Colony. In addition consultant services are supplied to the Tung Wah and Tung Wah Eastern Hospitals.
375. Extension of the radio-diagnostic work has included the X-ray Department in the new Shek Kip Mei Chest Clinic and an expansion of the X-ray Department in the Kowloon Chest Clinic.
376 265,814 investigations were carried out by the radio-diagnostic section. This is an increase over 1956 of 13,123 investigations.
Radio-therapeutic Section
377. This Section is at the Queen Mary Hospital and is equipped for deep radiotherapy, superficial and contact radiotherapy and radium and radio-isotope work.
378. The deep radiotherapy equipment consists of one 400 KV Maximar deep therapy machine, one 250 KV Maxitron deep therapy
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