1927-02-17 — Page 8

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THE HONGKONG TELEGRAPH,

COLONY'S HEALTH.

HIS EXCELLENCY REVIEWS PROBLEMS.

THURSDAY, FEBRUARY 17, 1927.

Ilko, but they wore all travellers along that road and he hoped he had been able to load them a little bit on the way in showing how an attempt might be made to improve. it Ho assured them he had made Problems of publle health were but only with a desire to help, and, his remarks in no carping spirit, dealt with by Colonel Boylan. any help that he could give, or the Smith, the President of the Hong-Association could give in that kong branch of the British Medical direction, would be

vary freely Association, and by His Excellency rendered. (Applause). the Governor (Sir Cecil Clementi, K.C.M.G.) at the annual dinner of the Association held at the Hongkong Hotel last night.

The Government's-Attitude: The toast having been enthusi astically honoured, His Excellency tho Governor roplied. After There were over forty present, thanking Colonel Boylan Smith for Colonel Boylan Smith being in the the very kind words he had spoken chair, with His Excellency, the and the company for the cordial guest of honour, on his right. The way in which they had received the Chairman was supported by the toast, he said that the problems of members of the Council, Professor public health in the Colony were John Anderson (Vice President), beset by no ordinary diiculties Dr. Strahan (Hon. Secretary), Dr. and it was necessary for Him to Sanders (Hon. Treasurer), Dr. touch upon some of them in order Addison, Surg. Lt-Comdr. Fitzroy to make glear the attitude of the Williams, Dr. Black, Dr. Woo and Hongkong" Government towards Dr. J. C. Macgown.

matters of public health. The. Proposing the toast of His Ex-first point to remember was that cellency the Governor, Colonel Hongkong was a small British Boylan Smith said he under- Colony of about a million inhabit- stood that was the first occasion ants, sot on the sea coast of a His Excellency had dined with the large Chinese province estimated local branch of the British Medical to contain about 37 million in- Association, and they sincerely habitants. The province of Kwang- hoped it would not be the last. As tung was somewhat smaller in size the representative of His Majesty than Italy, but it had a larger the King and as Governor of the population, whereas the population Colony, they were glad to welcome of the whole of the Colony was him, but they were particularly somewhat less than that of one pleased to have him because he was single town in Kwangtung province himself. (Hear hear and phe referred to its capital, Can- plause). It had been said that a

Even in a city like prophet was without hon-ar in his Canton, problems of sanita-

and of públic but His Excellency tion

health certainly belied that proverb. received only the most perfunctory He (the Chairman) had served in attention from the Chinese au- a number of Colonice but he had thorities, and in the Kwangtung Fnown no head of the Government province as a whole these matters who was regarded with more es- were utterly neglected. There was teem and respect and admiration a daily ebb and flow of many han Sir Cecil Clementi (Ap- thousands of Chinese between plause).

Hongkong and Canton, and it was quite impracticable for them to protect the Colony by quarantine

the against

menice to publie health which this continual ebb and flow of the population pro- the health of the Colony. They vided. In this matter the Colony'a

own country,

Health Of the Colony. Dealing with matters of public health, the Chairman asked if those present vore satisfied with

ton,

nad very good reason to be satis-position was, and must remain,

Births and Deaths.

In the next place the registra tion of births and deaths presented great difficulties. Chinese women habitually preferred, whenever possible, to return to their native village"Canton more faria order that their children might be born. This fact vitiated Hong- kong's birth statistics. Similarly,

fied with the health of the Euro-hazardous until the Chinese au- noun in the Colony, but he ven-thorities put the province of tured to think no one would way Kwangtung into sanitary order. the health of the Asiatic was all

(Applause). at might be. They would see from the 1926 report of the Medical Oficer of Health that some 3,500 infants were registered as caving been born in that year, and that some 4,700 infants under one yea were reported us having died. That was a very terrible thing to have to say. The only interpreta- tion they could put upon the figures, was that all the births were not registered. He quite agreed that 3,500 was by no means any- where near the true number <if births, but

nevertheless they could not deny that infant mortality was very high. Some efforts were made at child welfare, but the diffulties that had to be faced were enormous. He would like to see, if it were possible, more accurate statistics kept in this connection.

Statistical Bureau,

luctance of going to hospital when sick, did not receive the necessary nursing, hence the high mortality. Many Chinese patients wore only admitted to hospital in extremis.

nese men and women when sick or stricken in years returned, if ancestral they could, to their homes to die.. This fact, vitiated death atatistics. Hongkong's Again, a very large proportion of the Chinese population was not attended during sickness by any medical man.

Colonel Boylan Smith had referred to the matter of typhoid. In the case of typhoid, nursing was of very great importance, and the Chinese popu- Referring to the schools, Colonellation, owing to their inherent re- Boylan Smith spoke of a visit to fone school, which, from the point of view of public health, could hardly have a superior anywhere! If all the schools here were like thut, then the Colony was traordinarily fortunate. He thought that some records should be kept the health of scholars until they had reached the age of six- teen. The Chairman urged the establishment of R statistical barena, presided over by mathematician, in order that a fourate Information might be obtained upon, matters of public health. No one could say that the statistics at present supplied were accurate, For instance, in the report for 1920 the deaths from enteric fever were given as 61 per cent. It was ridiculous to suppose that 81 per cent, of the total cases died, no matter how they were treated.

1-

Malurin.

ex-

His Excellency asked the com pany to consider the Tung Wan Hospital, where patients, on first admission, could choose treated either in accordance with Chinese or Western medical prac- tice. He believed that statistics

دوره

be

showed that nearly always there was a larger mortality among the patients treated according to being due to the fact that Chinese Western medical practice, this patients on first admission pre- the Chinese practice, and it was Terred to be treated according to only when Chinese methods fail- ed that they received Western always make the Colony's vital treatment. These fucts would

statistics extremely misleading, and any argument based upon them was apt to be fallacious. (Hear hear).

A Good Example.

The Chairman urged the regis tration of malarial fever as a not- fiable disease, and spoke of a re- cent vigit by a prominent naval malarial officer from Singapore, His Excellency assured those who had said Hongkong was three present that the Hongkong Govern- years behind the times ir, the mat- ment was keenly alive to the nec- ter of malarial prevention. He essity of protecting both the certainly thought there ought to public health of the Colony and of be a malariologist in the Colony. sotting a good example, to their If it was possible to eradicate neighbours in Canton. He thought malarial fever on the Island, then they would all agree that the newly he thought it would be well worth reconstructed Victoria Hospital while. (Hear hear). The death and the Hospital just built in Kow- rate-would-be-reduced, the health loon, were-models-of-what such- of the community would be improv. institutious ought to be. The Gov- ad and everybody would benefit. erument Civil Hospital had, in the It would be interesting past, served Its purpose well, but to discover the loss to It was now out of date, "and as the commercial community through soon as funds could be made malarial fever. He was not throw available the Government pro- ing any bricks at the Government, posed to rebuild it on modern lines but was only attempting to point and on a larger scale. But thore out ways in which he thought the were very strict limits to the num- health of the Colony might be imber of medical institutions that proved. In pleading for greater the Government could afford to accuracy in atatistics, accuracy maintain, for they would readily in reporting the results of Investi. see that no matter how capacious gations among the rising, genera- their hosptials and asylums, they tion and accuracy regarding tho would always be filled to overflow- Incidence of disease, he felt sure he ing so long as the Canton authori- had the whole of the Association ties spent so much money on civil and the community behind him. war that they had little or nothing They wanted an adequate intelleft to protect their own people disease. (Hear hear). public health was long and dif- Although he fully realised that ficult and was not so clently mark every cure, in a hospital had alap ed out as some of them would a prophylactic value, nevertheless

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unknown the Chinese community resident years ago. hero, and it is obvious that much

was

# very spadework will have to be done in educating public opinion before the inhabitants of the Colony aga

he subscribed wholeheartedly to with which the Chinese had taken lency concluded, "none of these the doctrine that prevention was to football, tennis and swimming problems can be successfully solved botter than cure.

and other forms of recreation without the willing cooperation of The Children.

which were, almost Obviously the right thing to do among them a fow in the first place was to attend to (Applause). This the health of the children in the encouraging sign. (Hear hear). hope that they would grow up. Dangers of Malaria. sound and strong. In this matter Colonel Boylan Smith had very whole will be willing to submit to the Hongkong Government made a rightly emphasised the dangers to the very heavy sacrifices necessary beginning in August 1926, by the the public health of the Colony of in the cause of improved sanita appointment of a medical officer malaria. His Excellency though; tion. Lord Cromer, speaking of of schoole. Since that time do he need hardly say that anything Egypt, onco said 'Sanitation is a finito records had been kept of the he could do to assist in the fight bottomless financial abyss, and 1 general health of school children against malaria would be done am afraid the same is true of Hongkong also.. Nevertheless, As regards eyesight, the state of most gladly. The Hongkong Gov- when I look back and see the won- teeth, and such matters. The ernment had, in the past, achieved derful progrese made in sanitation time, of course, had been too short a great deal, chiefly through the

to show any definite results so training of nullahs, and year by during the lifetime of the present generation, I feel confident we can far, but all the children in Gov-year the danger of the anopheles look into the future with hope, ornment schools now, in cases of mosquito had been pushed further and in this matter of instructing defectivo eyesight, were provided, and further from the chief con- public opinion about public health at the publie expense, with specta-tres of population. Ho quite it is the Medical Association that cles. The subject of hygiene was agreed that the Colony needed should show the way. I wish you compulsory in all Government malariologist, and he hoped that all success in the benefclent work schools, but it had not yet been before long cne would be appoint . made an examination subject, {ed.

though he hoped it would be shortly.

"

Athletics Attention was paid nowadays to athletics and nothing had pleased him more since la return to Hong- keng, than to see the enthusiasm

which you are engaged, and ask you to rise and drink to the health Beyond all question the chief of the Hongkong branch of the enemy in this Colony was tubercu- British Medical Association." (Ap- loafa, Tuberculosis, of course, was plause). intimately connected with the very difficult housing problem. Chinese Cooperation.".. "Now; gentlemen,"

The toast was cordially received. During the course of the evening, in programme of music and song His Excel- was much enjoyed.