ANNUAL REPORTFOR THE YEAR

THE OLDEST HOSPITAL IN

ESTABLISHEDTHE ORIENT

I ; 5amaaaai8»jiaiaaiiiaamiígfcíiaiiawlijaiijsaj|gi

THE FOREIGN AND CHINESE STAFF OF THE CANTON HOSPITAL. 1918.

REPORT

FOR THE YEAR 1918

OF THE

CANTON HOSPITALCANTON.> f tr '

IN CONNECTION W IT H

TH E

CANTON M ED ICAL M ISSIO N A R Y SOCIETY

A N D

TH E CANTON M E D ICA L

M ISSIO N A RY

UNION.

Yale Divinity Library New Haven* CoruL

'V r x sC / i s s -

A/ ? / y

THE CANTON MEDICAL MISSIONARY SOCIETY.

OFFICERS FOR 1918.

President Dr. C. K. Edmunds.

Hon. Vice-Presidents:

Rev. A. A. Fulton, D.D. •

Dr. W . G. Reynolds.

Hon. J. W . Jamieson, C.M .G .

Hon. P. S. Heintzleman.

Hon. A. W . Pontius.

G. D. Fearon, Esq.

Robert Shewan, Esq.

Mrs. .lohn G. Kerr.

Hon. Treasurer............... E. H. Smyth, Esq.

Hon. Secretary ............... Dr. J. M. Wright.

Hon. Auditor................... H. C. Shrubsole, Esq.

TRUSTEES :—■

Hon. J. W . Jamieson, Convenor of Board of Trustees.

Hon. A. W . Pontius.

E. H. Smyth, E sq .,.........Term expires, 1919.

Dr. C. K. EJmunds, 1920.

Dr. W. G. Reynolds, 1921.

Rev. W . D. Noyes,

Rev, C. A . Nelson,

1922.

1923,

THE CANTON MEDICAL MISSIONARY UNION.

DIRECTORS, 1918.

Rev. James M. Henry, Chairman,Representing Am erican Presbyterian Mission, North,

Term expires, 1922.Rev. Jacob Speicher, Chairman, (resigned, June, 1918).

Representing Am erican Baptist Mission, North,Term expires, 1921.

Rev. W . Mawson, Secretary,Representing New Zealand Presbyterian Mission,

Term expires, 1922.Chan Lim Pak, Esq.,

Representing Chinese Community.W ong J oy Chew, Esq.,

Representing Chinese Community.Rev. Edgar Dewstoe,

Representing Canton M edical M issionary Society,Term expires, 1922.

W . A. She™, Esq.,Representing Canton M edical M issionary Society,

Term expires, 1921Dr. E. J. M. Dickson,

Representing Am erican Reformed PresbyterianMission, North, Term expires, 1920.

Rev. C. W . Shoop,Representing Canton M edical M issionary Society,

(on furlough) Term expires, 1920.Rev. W . D. N oyes, A cting for Rev. C. W- Shoop.

Dr. J. M. W right,Representing the Canton Hospital Staff.

James W . Banbury. Esq., Hospital Treasurer, Canton M edical M issionary Union,

MEDICAL STAFF OF THE CANTON HOSPITAL 1918.

J. M. Wright, M .D ., Chairman of Staff, Surgeon and Pathologist.

J. Oscar Thomson, M .D ., Chief Surgeon.

H. W . Boyd, M .D ., Ophthalmologist {on furlough).

C. A. Hayes, M .D ., Acting Ophthalmologist.

W . W . Cadbury, M .D ., Internist.

R. E. Paterson, M .B ., Surgeon (on f urlough).

W . G. Reynolds, M .R .C .S ., Visiting Surgeon.

C. C. Rush, M .D ., Visiting Ophthalmologist.

Dr. Chiu Hak Shing, House and Ward Physician.

Dr. Chau Koon Ming, House Surgeon.

Dr. Chau Keng Ting, House Surgeon.

Dr. Tse W ai, House Surgeon.

Dr. W ong Min, House Surgeon.

Dr. Chau Tze W ing, House Ophthalmologist.

INTERNES.

Dr. Kwan Hiu Po.

Dr. W ong Uen Hing.

Dr. Chau Oot Man.

Dr. Mok Lie Yuk.

Dr. W ong Piu W a.

Leung San W ing. Pharmacist.

Cheung Hing Kee, Assistant Pharmacist.

NURSING STAFF OF THE CANTON HOSPITAL, 1918.

Miss Luciele A. W ithers, Superintendent Training School(Resigned, February, 1918.)

Dr. H. W . Boyd, Acting Superintendent (February to April.) Dr. J. M. W right, Acting Superintendent (April to December.) ta u E. Oi, Head Nurse in charge of Female Wards.Leung K ow Kwong, Head Nurse in charge of Male Wards. W ong Shu Ching, Head Nurse in charge of Operating Room. K w ok Pak Tsun, Head Nurse in charge of Laboratory.

Ng Y uk Pui, Head Nurse.Chau Lai Ching, Head Nurse.Loh Kai Hon, Head Nurse.Choi Chun Fong, Head Nurse N g Kai Chung, Head Nurse.

Lau T s9 Fong H ang Niu Cheong Li K w ok Tung W ong Sing Yan Jiu Chung Lin Lau W a Po Lo Chiu Kwei Lau Y an W ai

PUPIL NURSES.

Chan Shiu Chun Chan W ai Choi Lo Kni Non Ho Yui Y ing W ong Kam Yuen W ong Kit Y ee Lo Yuen Yan To Oi Ping

Chan Kara M ui Choy W ai Cheong Szto Kwok Y ing Chung Kong Ha N g Mo Kit Li Choe Y ing Lara H ak Chan

ADMIMISI RATION STAFF, 1918.

James W . Banbury, Esq., Business Manager and Treasurer. H. C. Shrubsole, Esq., Hon. Auditor.Iu Kung Po, Social Secretary.Tong Shun Hang, Assistant Manager.Leung Sui Cho, Superintendent of Labor.Leung W ing Tai, Accountant.Chiu Pak Yue, Office Secretary.Soo Pak Chaw, Writer.

EVANGELISTIC STAFF, 1918.

W ong Yue Yun.W ong Yuk Sinp\Mrs. Lr-.ura A. Dittmann.

CANTON HOSPITAL TRAINING SCHOOL FOR NURSES’ COURSE OF STUDY, 1918-1919.

F ir st Y e a r Cl a s s :

Anatom y

Physiology

H ygiene

General Nursing

English

Second Y e a r Class :

A natom y •

Physiology

Hygiene

Materia M edica

General Nursing

English

General Subjects

T h ir d Y e a r Cl a s s :

Anatom y

Physiology

Obstetrics

Eye, Ear, Nose and Throat

Materia Medica

Bandaging

English

General Subjects

FINANCE COMMITTEE OF THE CANTON HOSPITAL, 1018.

Mi*. Chu Chuk Sun, Chairman.Mr. Iu Kung Po, Hon. Secretary.Mr. Chiu Pak Yue, Hon. Assistant Secretary. Mr. Soo Pak Chow, Corresponding Secretary.

Mr. Chan Lim Pak.Mr. W ong Joy Chew.Mr. Choy Chun.Mr. W ong Y u Sing.Mr. Kwong Lau Chun.Mr. Shum Tsun Chiu.Mr. W un Kwok Fu.Dr. Na Huk Wun.Dr. Lau Y ing Kit.Dr. So To Meng.Dr. Lo Pa Tack.Mr. Lau Chuk Fan.Mr. W ong Y ok Hing.Mr. Fung Tsung Tong.Dr. Chung M ing Tack.Dr. Lo Kwok Kwong.Mr. Nui Chiu Shang.Mr. M ok Shan Tsien.Mr. W ai Pak Kwai.Mr. N g Y uk Tong.Mr. Tung Nong Kan.Mr. Ching Kuk Wan.Mr. Chew Y u Tong.Mr. Leung M ing Hing.Mr. Fong Lau Chun.Mr. Lai Liu Hok.Mr. K w ong M ing Kok.Mr. Chau Tung Sang.Mr. H wang Tsun Kang.Mr. Tang Bin Wall.Mr. Fung Lai Sang.M r. M au Kwong.

ANNUAL MEETINGCANTON MEDICAL MISSIONARY SOCIETY.

The Eightieth annual meeting o f the Canton Medical. M issionary Society was held in the Club Theatre, Shameen, March 20th, 1918, at 3.30 p.m.

The Rev. Edgar Dewstoe presided and the following mem­bers were present:— Doctor and Mrs. C. C. Selden, Doctor W . W . Cadbury, Doctor C. K. Edmunds, Doctor J. M. W right, Rev. Jacob Speicher, Rev. H. F. Thomson, Rev. Chas. E. Patton, Rev. E. C. Howe, Rev. C. A. Nelson, Rev. J. M. Henry, Rev. E. Dewstoe, Mr. J. W. Banbury, Mr. W . A. Shera, Mr. E. H. Smyth, Mr. O. E. Pom eroy, and Mr. F. N. Bell.

President Dewstoe read the notice calling the meeting.Doctor W . W . Cadbury led in prayer, after which the

minutes of the last annual meeting, together with the minutes o f a meeting held on M ay 2nd, 1917, were read, and after a few corrections were approved.

The appointment o f the Rev. W . D. Noyes to act during the absence o f the Rev. C. W . Shoop as the Society ’s Director on the Canton Medical M issionary Union was confirmed.

Report o f Society ’s Treasurer was read and after correc­tion was approved. In this approval was included the following,presented by Mr. W . A. Shera, viz., “ That but one English report o f the work o f the Canton Hospital for the year 1917 be printed and distributed to all members and foreign friends of the Society and Hospital. Further, that this report include the report o f the Union Directors with M edical Statistics, etc., the minutes o f the Society ’s meeting, and its Treasurer’s report in full, and that we authorize the Union Board o f Directors to arrange for publishing the same.” Approved.

Mr. W . A. Shera, Treasurer, asked for the approval of the Society in regard to the arrangement made by him and Rev. E. Dewstoe, President, for safe keeping o f the W erlich Legacy, as fo llow s: “ The shares are held in the names ofyour President, Rev. E. Dewstoe and your Treasurer, Mr. W- A. Shera. They have been deposited for safe keeping with the H ongkong and Shanghai Banking Corporation, Canton, together with declaration of trust and full power of attorney in their favor empowering them to collect the dividends and sign receipts for sam e.’’ Approved.

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D octor C. K. Edmunds m oved : “ That the W erlich and Samson legacies to the Canton H ospital be received by the Trustees o f the Society and be held and administered by them as w orking capital from which only the incom e be applied to the running expenses o f the Hospital, but all or part o f such working capital rnay be applied to the construc­tion o f new buildings.” Approved.

The Rev. C. E. Patton moved : “ To instruct the Secretary to notify each o f the Trustees o f the election and term o f office, at the same time nam ing the Hon. J. W . Jamieson, British Consul General as convenor o f the Board o f Trus­tees.” Approved.

Mr. W . A. Shera m ov ed : “ That the representatives on the Board o f Directors o f the Canton M edical M issionary Union be requested to arrange for suitable memorials in recognition of Mr. Samson’s and Mrs. W erlich ’ s gifts.” Approved.

A letter from Mr. Ip H ing Nam in regard to Samson L egacy was read and referred to the Trustees o f the Society .

The follow ing officers were then elected :—President...............................................Dr. C. K. Edmunds.Hon. V ice-Presidents.......................Rev. A. A. Fulton, D .D .,

Dr. W- G. Reynolds, Hon. J. W . Jamieson, C.M .G . H. B. M. Consul General, Hon. P. S. Heintzleman U.S. Consul General, G. D. Fearon, Esq., Robert Shewan, Esq., Mrs. John G. Kerr.

Hon. Treasurer................................... E. H. Smyth. Esq.H on. Secretary....................................Dr. J. M. W rightHon. A uditor............................... ......... H. C. Shrubsole, Esq.Rev. C. A . Nelson was elected a member o f the Society ’s

Trustees for a term o f five years.A vote o f thanks was given by the Society to Mr. W . A .

Shera for his efficient and acceptable service while Treasurer- o f the Society.

It being necessary that the Society have an Executive Committee, a B y-law was passed to be known as By-law No. 1, and to be ratified at the annual meeting. The By-law as passed reads: “ The Executive Committee of the Society shall consist o f the President, Secretary, Treasurer, Senior V ice-President, and the representatives on the Board of Directors o f the Canton M edical M issionary U nion.”

Adjournm ent.(Signed) J. M. W R IG H T ,

Secretary.

CANTON M E D IC A L M ISSIONARY S O C IE T Y ’S

T R E A S U R E R ’S REPO RT, 1918

13

The financial affairs o f the Society during 1918 have shown considerable improvement, the overdraft at the Bank having been paid off, and from the accounts it will be seen there is a balance in hand of $1,020.50. This sum represents interim dividends received on account o f the Lucy Glover W erlich Legacy on various shares on account o f the year 1918, and will, in due course, be incorporated with the total dividends eventually received for that year.

The subscriptions and donations to the Society amount to $1,810.36, and this sum has been paid to the Canton Medical M issionary Union for the Canton Hospital Account.

The dividends for 1917 on. account of the L u cy Glover W erlich Legacy, less the overdraft at the Bank on January 1st, 1918, and less some small expenses, have also been paid to the Canton M edical M issionary Union for the Canton Hospital Account.

A t the Annual Meeting o f the Society, held in March last, it was decided that the Frank Samson Legacy and the Lucy Glover W erlich L egacy should be received and administered by the Trustees of the Society.

The funds of the Frank Samson Legacy are still being kept in Sydney by the Society ’s attorney, Mr. Thomas Pratt, and are in due course to be remitted to the Trustees. The letter from Mr. Ip H ing Nam, in connection with this Legacy, which was read at the last Annual M eeting and referred to the Trustees o f the Society, has been dealt with but not finally settled. It is hoped, however, to have the matter adjusted in the near future.

The L u cy Glover W erlich L egacy consisted o f the shares o f which a detailed list was given in the last report. Some of the shares have been sold and the amount so obtained placed on fixed deposit. The remaining shares are still being held on behalf o f the Society.

(Signed) E. H. SM YTH ,Honorary Treasvrer.

Dr. Statement of Income and Expenditure o f Canton Medical Missionary Society for the Year 1918. Cr.

Hongkong Currency. Hongkong Currency. -

7o Additional Donations and Subscrip­ B y Overdraft on 1st January, 1918 .......$ 2,095.57t io n s for year 1 91 7 ............................ H 40.00 ,, Fees in connection with L u cy Glover

„ Donations and Subscriptions for W erlich Legacy .................................... 96.75year 1918................................................ 1,830.36 „ Printing and S tation ery ........................ 29.50

,, Dividends from L u cy G lover Legacy ,, Interest on Overdraft less Interestfor 1917 ................................................. 2,890.50 received..................................................... 22.31

,, Dividends from L u cy Glover Legacy ,, Paid to Canton M edical M issionaryInterim 1918 ........................................ 1,020.50 Union A ccount Subscriptions........... 3,870.36

,, Paid to Canton M edical M issionaryUnion A ccount Dividends ............... 646.37

„ Balance ..................................................... 1,020.50

$ 5,781.36 $ 5,781.36

Audited and found correct.

H E N R Y C. SH RU BSOLE,Hon. Auditor.

13th December, 1918.

E. H. SM YTH , Hon. Treasurer.

FRAN K SAMSON LEG ACY ACCOUNT. S T E R L IN G ACCOUNT.

December 31st, 1918.

The follow ing sum is held on behalf o f the Society by C. M. M. S. Attorney,Mr. Thomas Pratt, in Sydney, Australia £3,314. 8. ?d.

Lucy Glover Werlich Legacy Account.

December 31st, 1918.

The following shares are being held on behalf o f the S o c ie ty :—

Hongkong Land Investm ent & A gencyCo., Ltd..................................................... 153 shares.

Hongkong, Canton & Macao Steam­boat Co., L td ........................................... 34 shares.

H ongkong & W ham poa Dock Co., Ltd. 194 shares.

Union Insurance Society o f Canton, Ltd. 5 shares.

A lso the follow ing amount on fixed deposit $1,828.00.

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H E N R Y C. SH RU BSO LE, E. H. SM YTH ,Honorary Auditor. Honorary Treasurer.

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LIFE MEMBERS OF THE CANTON MEDICAL MISSIONARY SOCIETY.

Rev. R. E. Chambers, D.D.Robert E. Chambers, Jr.Dr. E. D. Shelby Dr. J. M. Swan Dr. J. O. Thomson Mrs. J. O. Thomson Rev. J. C. Thomson, M.D.M iss A vis Thomson Mrs. Robert Reford Ex-President Li Yuan Hung N. J. Stabb, Esq.

CANTON MEDICAL MISSIONARY SOCIETY.

G. B. Ram sey, Esq.Mrs. G. B. Ram sey Dr. G. Stuart Ram sey John S. G oodell, Esq.H. A . Bodwell, Esq.Dr. Sun Y at Sen Louis Schwab, Esq.Mrs. Louis SchwabSir Henry M ay, K .C.M .G. Sir Paul Chater.

List of Subscriptions for the year 1918.

Subscriptions for 1917:—Dr. J. M. W right................................................................... $ 10.00Rev. J. M. H enry ....................................................................... 10.00Rev. E. C. H o w a .................................................................. 10.00Rev. C. E. Patton ....................................................................... 10.00Subscriptions for 1918:—W ham poa Bethel F u n d ......................................................... 200.00Deacon and Com pany......................................................... 50.00The A siatic Petroleum Co................................................. 50.00International Banking Corporation ............................ 50.00A . S. W atson and Co., L td ..................... 50.00Standard Oil Co., o f New York .................................... 50.00Reiss and Company ......................................................... 50.00F. A. Carl, Esq..................................................................... 50.00C. H. Shields, Esq................................................................. 50.00Dr. and Mrs. J. O. Thomson ............................................ 34.36Herbert Dent and C om p an y ............................. 40.00Dr. M artha Hackett .................................................... 30.00H ongkong and Shanghai Banking Corporation ....... 25.00Jardine, Matheson and Company ..................................... 25.00Arnhold Brothers and C om p an y............................. 25.00Butterfield and S w ire .............................................................. 25.00

Carried forward...... $ 844.36

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Brought forward $ 844.36Holland China Trading Co................................................ 25.00Dodwell and Company ..................................................... 25.00Shewan Tomes and C o............................................. .............. 25.00Hogg, Karanjia and Co....................................................... 25.00Chartered Bank of India, Australia and China ....... 25.00W - G. Hum phreys and Co................................................. 25.00British Am erican Tobacco C om p an y ............................ 25.00V illa Brothers, o f Canton ................................................ 25.00J. P. Vasunia, Esq................................................................ 21.00Manners and Backhouse, Ltd ................................ 20.00The Bank o f Taiwan ......................................................... 20.00Mitsui Bussan Kaisha ..................................................... 20.00Gerin, Drevard and C o.....................................................20.00Little, Adam s and W ood ................................................. 20.00Nestle and Anglo Swiss Condensed M ilk C o.............. 20.00M. Hellstrand, Esq................................ ............................ 20.00E. H. Smyth, Esq.................................................................. 15.00Dr. A. A. Fulton .................................................................. 10.00E. H. Lockwood, Esq........................................................... 10.00J. W- Banbury, Esq............................................................. 10.00Rev. C. A. Nelson ......................................................... 10.00Dr. P. J. Todd .................. ................................................... 10.00'Rev. W . W . C layson ............................................................ 10.00Rev. G. H. M cN eur............................................................. 10.00Dr. A. W . H ooker ............................................................. 10 00Rev. C. A. Funk ................................................................. 10.00Mrs. L. H. Funk ................................................................. 10.00Rev. G. D. Thomson ......................................................... 10.00Dr. P. R. Fulton ................................................................. 10.00Mrs. P. R. Fulton ................................................................. 10.00Miss N ellie A . Brownlee ................................................. 10.00Rev. C. I. Blanchett ...................................................... 10.00U. Spalinger, Esq.................................................................. 10.00G. H. Bowker, Esq. ......................................................... 10.00P. Stuijfbergen, Esq............................................................. 10.00W . A. Shera. Esq................................................................... 10.00C. A. Peel, Esq ........................................................... 10.00H. C. Shrubsole, Esq............................................................ 10.00W . A. Hannibal and Co. ................................................... 10.00Dr. Harriett M. A lly n .............................. .......................... 10.00South China Christian Book Com pany......................... 10.00Miss E. Varies ...................................................................... 10.00Dr. W . W . C adbury................. ........................................... 10.00

Carried forward $ 1,480.36

Brought forward $ 1,480.36H. H. Sandem an.................................................................. 10.00Rev. W . W . R o g e rs ............................................. 10.00A. R. Knipp, Esq.................................................................... 10.00R. T. Matheson, Esq............................................................ 10.00Rev. H. D avies...................................................................... 10.00Mrs. C. G. F u s o n ................................................................. 10.00O. E. Pomeroy, Esq.............................................................. 10.00Mrs. O. E. Pom eroy............................................................. 10.00H. B. Graybill, E s q ............................................................. 10.00Dr. H. W - B oyd ..................................... 10.00M iss I. M. Sm ith................................................................. 10.00Dr. C. C. Seiden...................................................................... 10.00Mrs. C. C .-Seiden ................................................................. 10.00Rev. R. A. Jaffray ....................................................... ....... 10.00M iss E. K. M arsh................................................................. 10.00Rev. E. C. H ow e............... 10.00S. F. Karcher, Esq................................................................ 10.00Rev. W . M awson ................................................................. 10.00Miss Jennie M. Denn.......................................................... 10.00Rev. E. J. W eek es................................................................ 10.00Dr. C. A . H ayes........................................... 10.00J. R. Lloyd, Esq......................................................... 10.00C. Geiger, Esq........................................................................ 10.00Miss Adelia D odge............................................................... 10.00Dr. M ary W . N iles............................................................... 10.00Dr. E. M. Ewers.................................................................... 10.00Dr. K. W . M cB u rn ey ........................ .'................................ 10.00G. W eidm an Groff, Esq...................................................... 10.00H. O. T. B u rkw all................................................................ 10.00A. G. W ilson, Esq................................................................. 10.00Rev. G. E. L errigo ....................................................... 10 00Rev. H. J. Von Q ualen ...................................................... 10.00Dr. W . G. R eynolds............................................................. 10.00Rev. J. M. H en ry ................................................................. 10.00Dr. J. M. W rig h t.................................................................. 10.00H. F. Thomson, Esq......................................................... 10.00K. S. Pavri, Esq............... 5.00A. D. Vania, Esq................................................................... 5.00Dr. M. Edna W a lla ce .......................................................... 5.00M iss. F. A. Britton............................................................... 5.00Mr. J. R. Edmunds, J r........................................................ 5.00David L. Cook, Esq.............................................................. 5.00

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T o t a l ............... $ 1,870.36

CHAN LIM PAK, ESQ.MEMBER OF THE BOARD OF DIRECTORS AND THE FINANCE COMMITTEE

OF THE CANTON HOSPITAL.

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DIRECTORS' REPORT FOR I9I8. CANTON MEDICAL MISSIONARY UNION.

The second year o f the Canton M edical M issionary Union has been em inently successful. The reports of the various departments o f work in the Hospital compare favor­ably with anything done in the past, and in many instances going considerably beyond. W hile recognizing the part played in this by the whole Hospital Staff which has been united and faithful to a degree, it would not be fair, if atten­tion were not called to the signal services of D octor W right and Mr. Banbury, adequate appreciation for which is difficult to express.

The resignation of Miss W ithers at the beginning o f the year, the departure on furlough of Doctors Boyd and Paterson, threw very heavy and varied responsibilities upon Dr. W right. For more than half the year and through an exceptionally heavy season, Dr. W right as Chairman o f Staff, Chief Surgeon, Superintendent o f the-Nurse’s Training School, and the only foreign physician resident at the Hospital, remained cheerfully at his post, setting the Chinese Staff a notable example o f unflagging energy and unfailing tact, and winning the sincere admiration and gratitude o f the Directors. The Hospital is to be congratulated upon the appointment o f Dr. W right to be head of the Department o f G ynecology and Obstetrics, for which work he will further qualify him self during his impending furlough.

In the Department o f Administration, the presence of an exceptionally able Business Manager has been made evident in a variety of ways. A casual examination o f the financial report reveals what was supposed to have become a hopelessly lost art in the Canton H osp ita l: reduction of expenses and an actual cash balance at the end o f the year. Mr. Banbury’s efficiency and business talents o f a high order have called forth the hearty appreciation o f all concerned, and these coupled with the zeal with which he has thrown him self into the work of organization and reconstruction give large hope for the future.

W ith the accession of Dr. and Mrs. H ayes to the Medical Staff, the return of Dr. Thomson, and a new nurse, Miss Dickson, on the way, the prospects for the com ing year are most encouraging.

In regard to the question of co-operation in Medical College W ork, matters have been at a standstill since the initiation of negotiations between the Canton Christian College and Kung Y ee M edical College in the spring. The Directors are looking forward with lively interest to the

22

Canton Hospital taking its proper place in a large Union M edical Educational plan. In the meantime, post graduate training in the Hospital itself is being stressed and the number o f internes increased, while in the Kung Y ee and Y au Tsai M edical Colleges, Doctors W right, Boyd, Paterson and H ayes o f the Canton Hospital have had charge of regular courses.

The reduction o f the minimum daily charge from 25 cents to 20 cents, and the inclusion o f a m uch larger item in the Budget for Charity, represent* the steady purpose o f the Hospital to do as m uch purely benevolent w ork as possible. The fact, however, that even with a balance of several thousands on hand, a total sum over all estimated receipts, o f $20,000.00 has to be raised for the com ing year, shows the need o f financial support and interest. And this w ill be increasingly true as the Hospital attempts to meet some of the crying and outstanding needs o f the day.

iThe two great scourges which are sapping the vitality of China are tuberculosis and infant m ortality. A partially contributing cause for these, as well as much else, is the utter ignorance o f the great mass o f ■ people as to the elem entary facts of hygiene.

The Directors purpose during the com ing year, while adequate plans are maturing for a thoroughly equipped modern hospital, commensurate with the opportunity and responsibility o f the oldest M edical M issionary W ork in the world, to take steps toward m eeting the needs just mentioned. A public lecture service on hygiene is con­templated. Mrs. Hayes, herself an accom plished physician, is planning to. take up the problem of children’s diseases, while a campaign to secure the first Tuberculosis Hospital and Sanitarium for the Chinese in China is proposed.

The motto o f the Hospital, which this year for the first time has found delineation, calls for serious thought upon the part o f us all— SERVICE, and this in its widest aspects. This means not simply the establishing and maintaining along efficient lines o f one Hospital among m any others, but setting the pace, and even blazing the way, in the various lines o f public health and physical well-being. Not sim ply the meeting of a unique opportunity for Christian evangelism and benevolence within the Hospital walls, but the working out in concrete expression in the body physical o f this city and o f the province, the Christian ideal o f life through service and service through life.

(Signed) JAM ES M. H E N R Y ,Chairman,

Bo a r d of D ir e c t o r s ,Ca n t o n M e d ic a l M is s io n a r y U n io n .

WONG JOY CHEW. ESQ.MEMBER OF THE BOARD OF DIRECTORS AND THE FINANCE COMMITTEE

OF THE CANTON HOSPITAL

STATEMENT OF INCOME AND EXPENDITURE OF CANTON HOSPITAL U.S. GOLD ACCOUNT.

Dr For the Year from January ist to December 31st, 1918. Cr.

China M edical Board gift ........................ $ 4,500.00Mrs. Robert Reford’s gift ........................ 1,200.00Mr. & Mrs. Louis Schwab ........................ 600.00Mrs. Robert Reford’s gift ........................ 240.00Draft to New Y ork City ............ 1,000.00

$ 7,540.00

Received by Canton Hospital as per listo f donations ............................................. $ 4,500.00

To Dr. Thomson, paid in Montreal ....... 1,200.00B y expenses paid to Dr. Thom son 600.00To Mr. Joe W ong, sa lary ............................ 240.00Transportation, Dr. Hayes and fam ily ... 772.30 Business Manager A ccount Freight on ^

T ypew riter................................................. 8.29Balance on hand, New Y ork .................... 219.41

$ 7,540.00

Audited and found correct.

(Signed) H E N R Y C. SH RU BSO LE,H on. A u d i to r .

(Signed) J. W . B A N B U R Y ,Business Manager,

Canton Medical M issionary Union.

STATEMENT OF INCOME AND26

Dr. For the Year from 1st January

LocalCurrency

HongkongCurrency Total

Cash in hand December 31st,1917 .................................... $ 1,846.29 $ 677.87 $ 2,524.16

F e e s ............................................. 3,848.75 754.49 4,603.24Donations ................................ 5,320.64 10,800.02 16,120.66Registration ............................ 1,842.00 73.00 1,915.00Out-patients ............................ 285.10 — 285.10Sale o f D ru g s ............................ 1,768.62 41.03 1,809.63In-patients’ Food ................... 17,988.40 653.70 18,642.10H ouse R en t................................ 75.12 294.00 369.12M isce llan eou s.......................... 202.68 135.04 337.72Sale of Food ............................ 133.47 74.60 208.07Sale o f Sundries .................. 169.46 121.12 290.58Attendants’ Food .................... 1,378.90 — 1,378.90D octors’ Expenses................... 55.20 — 55.20Cash Transfer from H ’kong

C u rren cy ............................ 500.00 — 500.00Cash from Hon. Treasurer,

C .M .M .S.............................. — 2,516.73 2,516.73

To t a l $35,414.63 $16,141.58 $51,556.21

Audited and found correct.(Signed) H E N R Y C. SH RU BSO LE,

Hon. Auditor,

EXPENDITURE OF CANTON HOSPITAL.27

to 31st December, 1918. Cr.

Local Hongkong TotalCurrency Currency

Aid to P o o r ................................ $ 258.00 $ — $ 258.00Repairs and Improvements... 498.59 569.80 1,068.39Furniture and Equipment ... 258.08 264.75 522.83Surgical Instruments ........... 48.62 211.39 260.01Drugs and Laboratory Sup’s. 480.04 1,788.60 2,268.64Printing and Stationery ....... 985.22 124.35 1,109.55Light, Heat, W ater, etc......... 2,553.26 363.50 2,916.76Salaries and W a g e s ............... 6,731.67 1,763.00 8,494.67Internes’ & Nurses’ Clothing 117.46 — 117.46Hospital C loth in g ................... 142.74 — 142.74Hospital Supplies................... 3,202.52 613.96 3,816.48Patients’ Food ....................... 9,004.32 296.29 9,300.61Em ployees’ Food ................... 4,065.98 — 4,065.98Doctors’ Expenses................... 259.81 — 259.81M iscellaneous.....'..................... 154.27 3.00 157.27Insurance.................................... — 235.00 235.00Travel A ccount ....................... 54.66 1,127.60 1,182.26Business Manager Account- 50.00 4,200.23 4,250.23Gold A ccount to N .Y ............... — 1,181.68 1,181.68Attendants’ Food .................... 1,023.37 — 1,023.37Laundry A ccount ................... 832.50 — 832.50Cash Transfer to Local A /c. — 481.35 4SI.35Ca sh Ba l a n c e , Dece m ber 31st ,

1918 .................................... 4,693.52 2,917.10 7,610.62

T o t a l $35,414.63 $16,141.58 $51,556.21

(Signed) J. W . B A N B U R Y ,Business Manager.

BUD28

1919Estimated Disbursements.

Food and Aid to poor .......................................................$ 1,000.00Repairs and im provem ents............................................ 1,400.00Furniture and equipm ent................................................ 1,200.00Surgical instru m en ts....................................................... 600.00Drugs and Laboratory supplies.................................... 4,000.00Printing and office expenses ........................................ 1,300.00Light, heat, water, etc....................................................... 3,400.00Salaries and wages, employees and sta ff................... 12,000.00V isiting Physicians’ expenses .................................... 400.00Superintendent Nurse A cco u n t .................................... 1,300.00Nurses’, Internes’ and em ployees’ c lo th in g .............. 200.00Hospital c lo th in g .............................................. 200.00Hospital su pp lies .................................. ;........................... 4,000.00In-patients’ food and rent (cost) ........................... 12,000.00Em ployees’ food ............................................................... 4,800.00H ospital D octors’ A ccount ........................................... 5,500.00M iscellaneous ................................................................... 600.00Travel A ccount ................................................................ 1,500.00Business Manager A ccount ......................................... 3,500.00R eserve A ccount, covering 1917, 1918, 1919 ........... 4,500.00Laundry Contract ................. 1,100.00Entertainment Fund......................................................... 300.00Special equipment ..................................... 3,000.00

T ota l $ 67,800.00

-GET29

1919Estimated Resources.

Cash in hand January 1st, 1919.......................... $ 7,000.00Medical, Operation and Refraction Fees ............... 3,000.00Registrations .................................... 1,600.00Out-patients’ tickets and ca rd s .................................... 250.00Sale o f drugs and bottles ............................................... 1,400.00Sale o f food and beverage ........................................ 150.00Sale o f su n d ries .......................................................... 200.00China M edical Board Grant, Gold $4,500.00 .......... 9,000.00Hon. Treasurer, Canton M edical M issionary

Society ........................................................................ 3,000.00Mrs. Robert Reford, M ontreal, Canada, Gold

$1,440.00 at 75............ 1,900.00Mr. and Mrs. Louis Schwab, N ew York, N .Y .

Gold $600.00 at 75 ..................................................... 800.00Superintendent Nurse Account, Gold $500.00 at 75 650.00In-patients’ food and rent (receipts) ........................ 19,000.00M iscellaneous ........................................ 200.00

Subscriptions and Donations to be Raised................... 19,650.00

T ota l $ 67,800.00

NOTE.— The salaries of four foreign staif members whose support is provided by the American Reformed Presbyterian Mission, American Presbyterian Mission, New Zealand Presbyterian Mission, and the Canton Christian College, have not been included in the above Budget.

R espectfully submitted,JAM ES W. B A N B U R Y ,

Business Manager.

CANTON HOSPITAL DONATIONS.30

Local Currency.

Southern M ilitary G ov ern m en t..................................... $1,000.00Chan Lim Pak, Esq............................................................ 300.00Civil G overnor Li Y u H o n g ..................... 200.00General Lam F u ......................... 200.00W on g Joy Chew, Esq.......................................................... 200.00Mr. Pang Chek...................................................................... 162.00Mr. Ma Cho Kam ............................................................. 125.00M agistrate M ok K w ak K w a n ......................... 122.50Mr. Faan Oi Chung ......................................................... 100.00M ilitary G overnor M ok Y at C h o r ................................. 100.00Inspector General L o S h in g................................... 100.00General Chiu Kwan P u i ................................................... 100.00Mr. Sum Chong H uin ......................................................... 100.00General Chan Tung M in g ................................. 100.00Commissioner Li M on Chee ....................................... 100.00M agistrate K oo Y at K w o n g ............................................ 100.00Y ue Kuin Po ............ 67.00Mr. Jui W ai A im .................................................................. 50.00Board o f Naval A ffairs............................... 50.00Patient.................... ,...................... 50.00Mr. L i Kwan Pok ............................................................... 50.00Mr. N gai Pong Ping, P olice Com m issioner................ 50.00Mr. W ong Iu C h o r .............................................................. 50.00Dr. Y uen Gin K w o n ........................................................... 46.40M iss Lau E O i......................... 42.00Mr. W at Shun P ing............................................................. 40.00General L i Fuk Lum .......................................................... 40.00Civil G overnor L i Ting P o ............................... 38.00A nonym ous for E vangelistic w ork ................................ 35.00Shiu Shing C o........................................................................ 32.00Lau Chok Cho, Esq.............................. 31.00K wangtung Sat Y ip B a n k ....... *....................................... 30.00Cheung W an M a n ............................................................... 30.00Mr. Chiu P a k .................. 30.00M acao Chamber of C om m erce........................................ 29.00Miss L o Yan F oon ............................................................... 28.10Dr. Leung Po Chau.............................................................. 28.00Mr. Cheung K ong H a ......................................................... 28.00

Carried forward ...... $ 3,984.00

Mr. Yue H iu Chee ............................................................. 25.20Mr. W on g Kai Sam..................................... 24.00Mr. W ong Chiu Chun........................................................ 23.00Mr. K o Sui T in g ................ 22.55Mr. Leung Y iu K w a n ....................................................... 20.70H op Y ick Com pany............................................................ 22.00Mr. Ting Lau P o ................................... 20.00Mr. Y eung C h a n ................................................................. 20.00Self Help Association ............................ 20.00Mr. M ok Shan H o n ............................................................ 20.00Magistrate of L o t in g ........................................... 20.00Sum Ping Y im ..................................................................... 20.00Mr. Ho K ow O n .................................................................. 20.00Mr. H o Tsze K ai.................................................................. 20.00Mr. Loh Y un Y a n ............................................................... 20.00Mr. Lam Heung L eu n ....................................................... 20.00Mrs. J. A. Kempf, “ In m em ory o f her mother,

Mrs. Margaret D o ig ” ................................................. 20.00Mr. Sui W ong S h i ..................................... 20.00Miss Ne Chee Ching.................................... 19.05Mr. Loh Y un Y an .............. - ............................................... 18.40Man On C om pany............................................................... 17.00Mr. Lam Kau H ing ........................................ 15.50Mr. W ong Che W h un ......................................................... 15.50Mr. H o Che Y u n .............................................................. 15.50Magistrate o f Ping Y u en .................................................. 15.00Mr. Chui Sui K i .................................................................. 15.00Mr. Lai Cheong H ung ...................................................... 15.00Miss Chan Kam M in .......................................................... 13.90Bow On Drug C om p an y ................................................... 13.50Miss Choi W ai C h on g ....................................................... 13.20Mr. W ong Shiu Y ip ........................................................... 13.00Mr. Lam Y ing Chee .............................................. 13.00M agistrate of Ching Y uen D is tr ic t .............................. 12.00Mr. Shong Fung Chaw....................................................... 11.60Dr. Lau Luk H ang.............................................................. 11.50M r .Y u e Y u k W o .............................. 11-00W ing Sang Com pany.......................................................... 11.00Miss Ng M o K i t ................................................................. 10.70Mr. W on g K ong S a n g ....................................................... 10.20Dr. Chau K ing T in g ........................................................... 10.00Dr. W ong Oot M an.............................................................. 10.00

3i

Local Currency.

Brought forward ....... $3,984.00

Carried forward ....... $ 4,672.00

32

Mr. A u Sing H an g ....................................... ....................... 10.00Magistrate H o Shan H im ...................................................... 10.00Magistrate Poon Kei J iu ....................................................... 10.00Mr. Chu Lok Tin ...................................................... 10.00Mr. L i Y au Sam ........................................................................ 10.00Mr. Lau Tat H ing........................................................ 10.00Magistrate o f Loon M o o n ..................................................... 10.00Mr. L i Y an P o .................................................................. 10.00Mr. W au Shu P in g ................................................................... 10.00Mr. K w ang N g S h i .................................................... 10,00Mr. K w ang Dai K on g .............................................................. 10.00Mr. Leung Pai K a i............................................................ 10.00Mr. W ong Pak Shan...................... 10.00Dr. N g Ching L iu ............................................ 10.00Mr. H o Kai W a n ...................................................................... 10.00Mr. Lee Chee Y in g ................................................................... 10.00Mr. Iu H ong S i.................................................................... 10.00Mr. Chan K i W u n .................................................................... 10.00Dr. W ong Oot M a n ................................................................. 10.00Dr. L o Kw ak K w o n g ............................................................... 10.00Dr. Kwan Leu S h u n g............................................................. 10.00Mr. Cheung Chiu P in g ........................................................... 10.00Mr. Chau H ing W a n ............................... 10.00Mr. Tsang Chiu S in g ............... 10.00Mr. Lung Tin Shan................................................................... 10.00Mr. Lau Yan T ing..................................................................... 9.25Mr. K o Pak W u n ....................................................................... 9.00K w ong Hung and C om p an y ......................................... 8.00Mr. L i M ing Po ......................................................................... 8.00M iss Toi Ping ............................................................... 7.70Mr. Y u Y an T in g ...................................................................... 7.00Mr. H o W u C h un ...................................................................... 6.00Mr. Tsao Chiu S in ........................................................... 6.00Fuk H ong C om pany................................................................. 6.00Dr. W on g Y uen H in g .............................................................. 6.00Miss Lam H uk C h a n .............................................................. 5.90Mr. Fung Iu H in g .................................................................... 5.00Mr. Chee M o T sa n g ................................................................. 5.00Dr. Chau K ing T in g ................................................................. 5.00P a tie n t .................................................................................... 5.00Mr. Y eung Ting O i ................................................................... 5.00

Local Currency.

Brought forward ....... $4,672.00

Carried forward ....... $ 5,025.85

Mr. Liu K ing Shim .............................................................. 5.00Mr. Chan Chor Nam .......................................................... 5.00Mr. Iu Ken Chan................................................................. 5.00M ing H ing C om pany............................. 5.00M ok H iu S in g ...................................................................... 5.00Mr. Y ip Fong C h on g .......................................................... 5.00Dr. Leung Cho K im ............................................................. 5.00Mr. Hwang Tsun K an g..................................................... 5.00Mr. Lui Y uen N g ................................................................ 5.00Tai L oi Com pany................................................................. 5.00Dr. K w ok Tsze M ing........................................................... 5.00Mr. Kwan King Man ........................................................ 5.00Mr. Tong Hee Yue ................... 5.00Magistrate o f Fa Y uen........................ 5.00Mr. Jai Chek L a u ............................................................... 5.00Mr. Jao Shong Chan .................................................... 5.00Mr. Ching Pak Ki ............................................................ 5.00Po Chuen and C om pany.................................................... 5.00Mr. Y ue K w ong Kit ........................................................ 5.00Mr. W on g Juen Sum ........................................................ 5.00Mr. K w ok Hon Sang .................... 5.00W ah On C om p an y .............................................................. 5.00W on g O M an ......................................................................... 5.00Mr. W u Chun Tong............................................................. 5.00Dr. Lau Long Shan ........................................................... 5.00Mr. Ko Jong W o n g ......................................... 5.00Mr. Tom Pak Shan ............................................................ 5.00Mr. Lai Y u n g ........................................................................ 5.00Mr. Chan Lai Too................................................................ 5.00Mr. Lam H ok H ang ....................................................... 5.00Dr. Chu Yan T in g ............................................................... 5.00Miss Lam Huk C h a n ...................... 5.00Mr. Li Lok Shan ................................................................ 4.10Mr. Yum Kit Y u e ........................................... 3.50Mr. Lai Pak S ing................................................................. 3.00Kwan Cheong C om pany.................................................... 3.00Mr. Li Shiu Chan................................................................. 3.00Mr. Leung K ow K w o n g ..................................................... 3.00Sun Yuen Com pany............................................................. 3.00Dr. W ong Yuen H in g ......................................................... 3.00Mr. Lau Hee Y u k ................................................................. 3.00

33Local Currency.

Brought forward ....... $5,025.85

Carried forward ....... $ 5,214.45

34

Cheung H u S h ie ........................................................................ 27.00Tung On M agistrate ................................................................ 8.20Mr. M ok Shek K a m ................................................... 5.00Mr. K oo Foo Sun......................................................................... 3.00Mr. Chan Y au C heung............................................................. 3.00Mr. Lai K ai Shong............................................................... 3.00Mr. Lau Ok W ah ................................................................... 3.00Dr. Lum K w ai Y in g ................................................................. 3.00Mr. Foon Ti ................................................................. 3.00Mr. Chan San M e i ..................................................................... 2.00Mr. Lau Kit P o ..................................................................... 2.00Mr. Li Shui K i....................................................................... 2.00Mr. Pang Kang Chun................................................................ 2.00M agistrate o f Y an Chau........................................................... 2.00M r. Leung Lai N a m .............................................. 2.00Mr. Lui Chun Shui..................................................................... 2.00Dr. Y am Kai T ai......................................................................... 2.00Mr. W on g H ing K i..................................................................... 2.00Mr. K o Tong Chun.................................................................... 2.00Dr. Lau Tip W an ...................................................... 2.00Mr. Chan Long Shan................................................................. 2.00Dr. W ong Y uen H ing............................................................ 2.00E. Y uen R ice C om pan y.......................................... 2.00Mr. Leung K ow K w on g......................................... 2.00Mr. Leung Nai N am .................................................................. 2.00Mr. Leung Sun W in g .................................................. 1.50Mr. Chau L ip T a k .................................................... 1.50Miss Toi Oi P in g ......................................................................... 1.00Mr. W on g Y u k S in g ....................................................... 1.00Mrs. C. E. P a tton ........................................................................ 1.00Canton Paper F actory ....................................................... 1.00Sun Tai H ing Com pany ..................................................... 1.00K w ong H ing Com pany.................;.............................. 1.00Mr. Tom Shun Chee................................................................... 1.00Dr. H o Y un Chung..................................................................... 1.00Mr. Lau K ung P o .............................................................. 1.00Miss N g M o K it ................................................................ 1.00Dr. W on g Y uen H in g ............................................................... 1.00P a tie n t ..................................................................... .50Miss H ung K in ............................................................................. .50Mr. W on g Ting W an ................................................................. .50Miss Lam H ak C h a n ............................................... .40Patient............................................................... .09

Local Currency.

Brought forward ....... $5,214.45

Local Currency ....... $> 5,320.64

35

CANTON HOSPITAL DONATIONS.

Hongkong Currency.

China M edical Board G rant............................................. $7000.00China M edical Board Loss Exchange A ccount for

1917 ..................................................................................... 1522.87Southern M ilitary Governm ent.......................................... 1000.00Mrs. Robert Reford, G1200.00 paid in Canada to Dr.

Thom son........................................................ —Mrs. Robert Reford, G240.0G for preacher W ong ’s

salary................................................................................... 328.76Mr. and Mrs. Louis Schwab, G600.00paid in Canada

to Dr. J. Oscar Thom son ............................................... —Commissioner of Customs, through A. Hotson, Esq.. 100.00Special donation toward repair o f d ra in ................. 80.00Mr. Shui Lai Luen .............................................. 76.00Zoroastrian Society .................................................................. 75.00H on. Sze Shui Kei, Ambassador to London £12. 0. 0. 63.30Mr. Chan Chun Y in g ............................................ 63.00Mr. H ung Y in Yu..................................................................... 54.00Act. Governor Dick W on g .................................................... 50.00Miss Jean Hutchinson, G31.50 Chicago, 111., U.S.A.. 41.72Dr. T. P. Hwang, G31.75 Boston, Mass., U .S.A 39.74Patient.................................................................. 25.00Patient.......................................................................................... 25.00Mr. Cheng Po S a m .................................................................. 25.00Dr. N. Pierpont Crooks .......................................................... 20.00Dr. W ong Yuen H in g.............................................................. 20.00Nam Sing Com pany.............................................................. 15.00True Light S em inary.............................................................. 10.00Miss H. N o y e s ........................................................................... 10.00Miss E. Butler .......................................................................... 10.00P atient.......................................................................................... 10.00Mr. L i Chok H ing .................................................................... 10.00Late Rev. H. J. Van Q u a len ................................................. 10.00Dr. W ong Yuen H in g .............................................................. 10.00Rev. E. C. M itch e ll.................................................................. 10.00Mr. Lau Foo Shan..................................................................... 10.00Mr. C. F. Saunders, Pasadena, Calif., U .S.A ................... 10.00Rev. H. F. C aren ....................................................................... 8.80Mr. J. Pansius, Brooklyn, N .Y., U.S.A. Gold $5.00... 6.13Miss I. W endell.......................................................................... 5.00Miss A. W . E ricsson................................................................. 5.00Mr. W u Pui M an....................................................................... 5.00Mr. W ong Mai Shan............................................ 5.00Mr. Ah F on g ................................................................................ 5.00

Carried forward ....... $10,764.32

36

Brought forward ...... $10,764,32Mr. Shon Fung Chan ............................... 5.00Dr. F. D. G am ew ell......................... 5.00Dr. W . J. W . Anderson ..................................................... 5.00W ang H ing and C om pany................................................. 5.00Miss R. A. H uston................................................................ 5.00Geo. Eyles, E sq .,................................................................... 3.00Rev. C. A. Gimblett.............................................................. 3.00C. H. Shields, Esq. ............................................................ 2.70P a tien t..................................................................................... 1.00P atient..................... 1.00

Hongkong Currency.

Hongkong Currency ....... $10,800.02

HONORARY AUDITOR S REPORT— CANTON MEDICAL MISSIONARY UNION.

37

The Board of Directors

of the Canton Hospital.

Gentlemen,

I have much pleasure to report that I have now concluded the Annual Audit o f the books o f your Hospital for 1918 and have found them to be correct.

The Hospital might justly be proud o f the very excellent financial position in which it finds itself to-day. From a perusal o f the statements which have been prepared, it will be seen that by judicious spending and close scrutiny the cash disbursements for the present year have decreased by no less a sum than $2,499.11, and cash receipts, as the result o f much enterprise, show a net increase over last year to the extent o f $10,718.56 ; which is a very creditable accom plishm ent for a single year’s working. The H ospital sta rts the new year with a cash balance of $7,610.62, which is over $5,000.00 greater than that o f last year. It must also be borne in mind that as the H ospital’s finances were such it did not find it neces­sary to make the usual demands on the Canton M edical M issionary Society, the latter was able to pay off its over­draft with the bank, which amounted to $2,095.57, and com m ence 1919 with a credit balance o f $1,020.50.

In conclusion, I would state that it is m y opinion the unique financial position o f the Hospital is largely due to the untiring efforts o f the Business Manager.

I am, Gentlemen,

Yours faithfully,

(Signed) H e n r y C. Sh r u b s o l e ,Hon. Auditor,

Canton Hospital.

38

THE PROFESSIONAL STAFF.D uring the past year the co-operating Missions have

supplied the follow ing members o f the professional sta ff:—The Am erican Presbyterian M ission (North), Dr. H. W .

Boyd, who is the head o f the Eye, Ear, Nose and Throat Department, and is now on furlough.

The Reform ed Presbyterian M ission (North), Dr. J. M. W right, who has acted as C hief Surgeon and is the head of the Pathological Department.

The New Zealand Presbyterian M ission, Dr. R. E. Paterson, who has volunteered, and is now in the m ilitary service o f his country.

The Am erican Baptist M issionary Society (North), appointed Miss Luciele W ithers, who resigned her position in the early spring.

The Canton Christian College has contributed the services o f Dr. W . W- Cadbury, the efficient head o f the M edical Department.

The Canton M edical M issionary Union is supporting Dr. Charles A. Hayes, until other arrangements can be made. Dr. H ayes arrived from the United States in October, and is the acting head o f the Eye, Ear, Nose and Throat Depart­ment, during the absence o f Dr. Boyd.

In addition to these, the Canton Christian College has been instrumental in securing Dr. Calvin C. Rush, who has been appointed as visiting Ophthalm ologist to the Hospital.

The services o f Mr. Jam es W . Banbury, the Business Manager, have been secured to the Hospital through the contribution o f the China M edical Board o f the Rockefeller Foundation to the Canton Christian College, for that purpose.

Dr. J. Oscar Thom son, the Chief Surgeon, returned to the Canton Hospital at the close o f the year. Mrs. Robert Reford, o f Montreal, Canada, has continued the contribution o f Gold $1,200.00 toward his maintenance.

Dr. W . Graham Reynolds has been visiting surgeon. He has been very helpful in the work, and hearty thanks are due to him for his efforts.

Mr. Iu Kung P o has done efficient work as social secretary o f the Hospital.

A com petent corps o f Chinese physicians is now in residence. During the year the follow ing five physicians— Chau Tsz W ing, Chau K eng Ting, Tse W ai, W ong Uen Hing. and Chau Oot M an—com pleted their internships and have received the Canton H ospital Certificates.

39

The Nursing Staff consists of four male and three female head-nurses, four male and two fem ale graduate nurses, twelve male and ten female pupil nurses.

On M ay 2nd, 1918, we received a request from General L. K. Lee, Chief o f Staff o f the Southern Arm y, for the services o f D octor H. S. Jiu, our House Physician, to act as ch ief surgeon o f the First Division o f the U nion Southern Arm y. D octor Jiu was released by the Hospital Staff and was on active service for three months in the neighbourhood of Nam H ung City, where the fighting was severe.

FINANCE COMMITTEE.On the twenty-first o f M ay this Committee held its first

m eeting when fourteen Chinese members were present. M r Chu Chuk Shang was appointed Chairman. Regular m onthly meetings have been held. A sub-com m ittee has been form ed with a total membership o f thirty-seven. Matters bearing on the welfare o f the Hospital are discussed. This Committee has proved o f much help.

FOOD.For a time there were constant complaints as to the

quality o f the food served to patients. The kitchen depart­ment was placed upon a new contract basis, with a new cook and helpers. The food is now excellent, and is served in accordance with instructions received from the doctors. The Food Inspection Committee reports that the patients are satisfied, and there have been no complaints for months. All supplies are examined and checked, on com ing into the H ospital, by the office staff.

The charge for ward patients has been reduced from 25 cents to 20 cents per day per patient.

CHINESE STAFF.In order to meet the demand for better work in handling

o f Hospital records and accounts, treatment o f patients and improved service, it was necessary to com pletely reorganize all departments. This required change« as well as many additions to the Hospital Staff o f em ployees. W e have secured a qualified Chinese accountant and an assistant in the office. A superintendent o f labor has been engaged. A ll em ployees are doing excellent work. In all ninety-two names are on the pay-roll. Mr. Iu Kung Po has given valuable service in his capacity as Social Secretary. His office has had control o f the raising o f donations among the

40

Chinese, the form ing of the Finance Committee, and the publication of the Chinese Hospital M onthly and Y early Reports. H is department sent out 1,040 subscription books, 240 o f which have been returned with a total o f 937 signa­tures. This is a creditable showing when we consider that the collection o f subscriptions has been no easy matter, as the Chinese have been called on for help in many other w orthy causes to an exceptional degree.

OFFICE WORK RECORDS.A new card system for the registration o f patients, a

stock and inventory list, daily cash balance sheet, petty cash account record, and general reorganizing o f work in the office have been undertaken.

IMPROVEMENTS.Throughout the year we have been able to effect some

needy improvements. Constant patching and repairing to the buildings has been undertaken. A ll walls in the com ­pound, wards, kitchens and living quarters have been w hite­washed. The operating rooms and several o f the private wards have been painted. A large “ sm okeless ” cooker has been installed and a transparent roof placed over the kitchen. N ew serving equipment has been purchased. E lectric lights have been placed in all private wards. An archway has been built in the front o f Colledge building. The Adm inistration offices have been moved, a doctor’s office, Evangelist’s office, and a social and entertainment room have been provided, fitted up and furnished. The drain, w alk and passage way, running north and south, have been repaired and raised above high water mark.

CONTRIBUTIONS.Our grateful thanks are due to all subscribers to the funds

for their generous support:—To members o f the Canton M edical M issionary Society

and to Mr. Chan Lim Pak and Mr. W on g Joy Chew, our Directors, for special services.

To Hon. Dr. W u Ting Fang for his assistance in securing the appropriation from the Southern M ilitary Government.

We also express our thanks to Dr. E. M. Ewers for his help during the summer, and to H. C. Shrubsole, Esq., who, as Hon. auditor o f the Hospital has given valuable advice and help in matters financial,

CANTON HOSPITAL BUILDINGS. 1918.SOME OF THESE BUILDINGS ARE SIXTY YEARS OLD. PLANS ARE UNDER WAY TO REPLACE THESE STRUCTURES WITH A NEW HOSPITAL.

To Mr. J. R. Edmunds, Jr., for architectural drawings, plans, and especially for the handsome design o f the Hospital emblem.

To the Hospital Franco-Chinois “ Paul Doumer ” doctors, for examinations and X -ra y photographs for our patients.

To Mrs. Jessie A . W eeks, Miss Caroline Lee and the Chinese lady-workers o f the Y oung W om en ’s Christian Association, for making 55 suits o f patients’ clothes and many other articles.

W e gratefully acknowledge the follow ing gifts :—Printed circulars on Public H ygiene from C. H.

Shields, Esq.Office clock and loan o f typewriter from Nestle and

Anglo-Sw iss Condensed M ilk Company.Cotton and gauze from the U.S. Consulate General.Large brass bell for the grounds from E. H. Smyth, Esq.Flowers from the Committee British Episcopal Church

Establishment, Canton, on Easter Sunday and Christmas.Supplies from the W om en ’s W ork Committee, American

Red Cross, Canton Chapter.Potted flowers and other gifts to patients from Miss

M. H. Riggs.Scripture cards every Sunday from Mrs. J. M. Wright.Large clock from Mr. Ip Fung Chun.Furniture from Mr. Lau Chuk Fan.Refreshments from the Chen K wong Company.Photographs from Directors Chan Lim Pak and W ong

Joy Chew.Banners from Mr. Peter Lo and the Tai On Drug Co.Flags and decorations from C. M. Customs through

F. A. Carl, Esq.Stretchers, uniforms and flags from members o f Second

Presbyterian Church.Loan of electric lights from W . F- Carey, Esq.Athletic gear, baby’s basket, reading matter and flowers

from Mr. and Mrs. W . A. Shera.Fruit and flowers on Christmas D ay from E. H.

Smyth, Esq.Tennis net from Dr. E. M. Ewers.Needlework from the ladies o f the Canton Christian

College.

43

44

Dishes from W a On Company.Tw o tables from Mr. N g Ping Cho.Table from Mr. N g Yuk Hun.M edicine from C. M. Customs.Typhoid vaccine and medicines from Dr. Lok Yue Chor.Sewing from Misses E velyn and Madeline.

HOSPITAL GENERAL NEEDS.In the estimates for the ensuing year the items as

figured are for the operation o f the Hospital at the present rate o f efficiency.

N ew buildings are required, and w e hope to have plans com pleted, to submit to the Trustees o f the Canton M edical M issionary Society during the com ing year, for a fine hospital, built on modern lines, which will include our own lighting, water and heating plant, as well as a laundry.

W e shall be glad when our friends are once more at leisure to remember the Canton Hospital.

N ow that the war is over there will be a large amount o f hospital material and clothing, new and half worn, and also bedding w hich would be a great boon to us here. A ll sorts o f ¡cloth ing, vests, pyjamas, dressing gowns, as well as mattresses, sheets, pillow-cases, blankets, counterpanes, towels, bed rests, etc., while hot water bottles and air pillows are always needed.FINANCES.

Contributions from the Foreign Com m unity amounted to $10,847.62 and from our Chinese friends $7,083.40. Floods in June and August, the financial depression due to the Euro­pean W ar, and the unsettled local conditions have depressed contributions. The total number o f in-patients was 1951 (1,352 male, 599 female) an increase o f 302 over last year, and the average stay o f a patient was 19.8 days. The average cost per day per patient was $ .61^ . The total expense o f caring for that number o f patients was $34,645.59, food not included.

Early in the year the financial conditions o f the Hospital was not entirely satisfactory. The detailed statement as appended shows that the receipts were well over our original estimates and the disbursements have been kept well in hand. W e have closed the year with a cash balance o f $7,610.62. The working account estimates for the ensuing year shows approxim ately $67,800.00 to be expended, and the revenue is placed at $48,150.00, w ith $19,650.00 to be raised during the year,

45

EVANGELISTIC.The Spiritual phase o f our work has been one o f great

opportunity. Never have we seen people more eager and ready to listen to the W ord. I f someone could be found to give entire time to the work it would repay them and advance the Kingdom.

Mr. Joe W ong, supported by funds from Canada, has continued his services as evangelist.

One man, converted in the Hospital, is now teaching the people o f his own village in regard to Christ.

Services are conducted daily in the Chapel for all in­patients, and an evangelist talks to the patients who com e on dispensary days. A ll who com e with a message of the truth are welcom ed.

Dr. B oyd did much good personal work among the patients and employees.

M iss Avis Thomson, o f Montreal, Canada, has continued to support Miss W ong M o Tak, the wom an evangelist, who has been a regular visitor at the Hospital.

The Bible-woman, supplied by the True Light Seminary, has given faithful service to the wom en out-patients on dispensary days.

The Pastors o f the city have given us much help in the work, for which we are grateful.

W e wish also to specially mention Messrs. W ard, Pratt, Kem pf, Burk wall and Nelson.

W e shall miss the frequent visits of the late Rev. H. J. Y on Qualen.

It is our aim to have all o f our nurses, doctors and interns, professors o f Christ.

Mrs. Dittmann has rendered faithful and efficient service in the evangelistic work, and has made a very interesting report o f her work among the patients, w hich w ill appear under separate cover.

W e wish also to thank the students o f the Union Theological College for their personal work among the patients in the wards. Since their com ing, the number of patients interested in reading the Bible is noticeable.

W e thank the Rev. J. Johnson, of the Am erican Bible Society, for his help in supplying portions o f Scripture, also the number o f ladies who, from time to time, have visited the wom en’ s wards.

Bible portions and other literature, the gift o f the Dis­tribution P'und, Shanghai, have been distributed to the patients.

46

EYE, EAR, NOSE AND THROAT SERVICE.This department is directly under Dr. H. W. Boyd, who

left on furlough in April to the United States. Since that time, the work has been carried on by Dr. J. M. Wright, until October, when the work was placed in charge o f Dr. C. A. H ayes with the able assistance o f Dr. C. C. Rush. The follow ing is an itemized report o f the work in this department:

EYE DISEASES.P te r y g iu m ..................................... 29Corneal Ulcer ........................... 14L eu com a .......................................... 82Cataract .......................................... •33Trachiasis ........................... . . . 26A cu te Iritis .............................. 19Chronic „ ..................................... 25A cu te Catarrhal C on ju n c­

tivitis ............ .................... 13Chronic Catarrhal C onjunc­

tivitis ..................................... 64Chronic Gonorrheal C on­

junctivitis ........................... 6Optic A trophy ........................... 2A cu te Papillitis ...................... 3Syphilitic Choroiditis .'.......... 1Corneal S tap h ylom a............ 5Ptosis ............................. .. ............ 9,Blepharitis ................................ 7Entropion ..................................... 36A cu te Interstitial K eratitis 12Sim ple G la u c o m a ...................... 15A cu te Inflam m atoiy G lau ­

com a ..................................... 8Sarcom a of the Orbit ............. 1Tum ors of the E ye L i d s ____ 6M aebom ian C y s ts ...................... 11E xoph th alm ia ........................... OPolypi of the Conjunctiva . 1Phtisis B u lb i ................................ 9Ectropion ..................................... 3A cu te D a cry o c y stis ................. 2

Syphilis of tlie Frontal Bone 1A cu te P an op th alm itis 5Nystagm us ........................... 4A cu te Trachom a .................... 3 6Chronic Trachom a ................. 4 7Traum atic C ataract......... 2A dherent L e u c o m a ......... 13Tubercular Keratitis . . . 1 A lbum inuric R etinitis . . . . 1Carcinom a of the Orbit . . . . 1

EAR D IS E A S E S .Otosclerosis ................................ 15Furunculosis of E xternal

Auditory M eatus ............. 2T um or of the A u r i c le ......... 2Eczem a of E xternal Auditory

M eatus .............................. 2A cute Purulent Otitis M edia 2

I Chronic P urulentO titisM edia 10{ O tom ycosis............................. 3

| N O SE D IS E A S E S .! Atrophic R h in itis ............... 1

Syphilitic R hinitis ............... 5Nasal P o ly p i ......................... 8Enlarged Turbinates . . . . 1

THROAT D IS E A S E S .Diphtheria ................................... 1A cute T o n s illit is ............... 4Chronic T o n s il l i t is ............13Syphilitic P h aryn gitis......... 3Tuberculosis of the Vocal

Cords ..................................... 1

Total number o f Eye, Ear, Nose and ThroatIn-patients .......... 275

Total number o f diseases treated am ong the Eye, Ear, Nose and Throat In-patients... 621

In addition to this, sixty-tw o patients from the Surgical and M edical W ards were treated in this department.

(Signed) C H A R L E S A. H AYES,Ophthalmologist.

A METHOD SOMETIMES USED BY THE CHINESE IN INTERIOR PLACES TO TEMPORARILY RELIEVE ENTROPION. THE LOOSE SKIN OF THE UPPER LID IS RAISED UP SO

AS TO ELEVATE THE EYELASHES AND TWO SMALL PIECES OF BAMBOO ARE PLACED ON EACH SIDE OF THIS ELEVATED SKIN AND TIED

TOGETHER AT BOTH ENDS WITH THREAD. THIS IS LEFT ON FOR SEVERAL WEEKS AT A

TIME IN SOME CASES AND OFTEN GIVES TEMPORARY RELIEF

BY TURNING THE EYELASHES

OUT.

49

Report of Eye, Ear, Nose and Throat Department.

Operations.

D acryocystotom y ............................................................... 1Cataract E x traction ............................................................. 39Adherent Leucom a (Iridectom y) .................................... 6Carcinoma of the Orbit (E n u cleation )............................ 2Chronic M axillary Sinusitis (L u c-C aldw ell)............... 1Convergent Strabismus (T en otom y)............................... 1Caruncle (Excised) ............................................................. 1Carcinoma of the Lid ......................................................... 1Chalazion.................................................................................. 3Deformed Nose (Rhinoplasty) ........................................ 1Deviated Septum (Submucus R esection)........................ 1H a re -L ip .................................................................................. 15Double H are-Lip ................................................................. 1H ypopyon ............................. 1Iridectom y .............................................................................. 45M u co ce le ................................ 4Nasal Polypi .......................................................................... 3Pterygium .............................................................................. 27Gumma of the Lid (E x c ise d )............................................. 1Trachiasis .............................................................................. 4Trachom a (Co2 Snow) ..................................................... 12Trachom a (Expression) ..................................................... 14T onsillectom y.......................................................................... 5Subconjunctival Injection o f Na C l ................................ 5O ssiculectom y ...................................................................... 1M astoidectom y (S im ple)..................................................... 1T urbinectom y.......................................................................... 5

Total................... 202

Dispensary Patients.Eye Diseases.

A cute D a cry o cy st is ............................................................. 2Chronic D acryocystis ............................................................. 2Blepharitis ................................................................ 27A cute Catarrhal C onjunctivitis........................................ 19Chronic Catarrhal C on ju n ctiv itis .................................... 64Gonorrheal Ophthalmia ..................................................... 20Entropion ............................ 52E ctrop ion ............................................................................. 2Corneal U lcer.......................................... 39Corneal S taphylom a........................................................... 36Acute Interstitial K eratitis................................................. 10Chronic Interstitial K eratitis ........................................ 9Adherent Leucom a .............................................................. 8Panophalm itis ...................................................................... 3Glaucom a .............................................................................. 12Polypi o f the Conjunctiva ............................................... 2Optic A trophy............................................ 11Y itrous O p acities .............................................................,..... 2Phthisis B u lb i ......................................................................... 12M ucocele ................................................................... 3Astigm atism .......................................................................... 12H yperopia................................................. 6M yopia .................................................................................... 24Exophthalm ia ........................................................................ 3Traum atic Cataract................................... . .......................... 3Senile Cataract .................................................................... 22Juvenile Cataract, ........... 2A cute I r i t i s .............................................................................. 18Chronic Ir it is ......................... 34M aebom ian C y s t ..................................................... 12Leucom a Cornea.................................................................... 86Follicular Conjunctivitis .................................................. 12Subconjunctival H aem orrh age......................................... 2Pterygium .............................................................................. 32P tosis ........................................ 6T rach om a .................................................................................. 156Trachiasis.................................................................................. 48Sclerosis o f the Cornea ....................................................... 1Stenosis o f the Lachrym al D uct............. 3Subluxation of the L e n s ...................................................... 2Non-m alignant Tumors o f the O rbit................................ 1M alignant Tumors o f the O rb it........................... 4Syphilitic C h oroid itis........................................................... 2A cute P a p illitis ...................................................................... 3R etin itis .................................................................................... 2Nystagm us .............................................. 4

50

Total 849

51

Dispensary Patients.Ear Diseases.

A cute Purulent Otitis M e d ia ............................................ 14Chronic Purulent Otitis M ed ia ......................................... 58Eczem a o f the A uricle .......................................................... 22Ostosclerosis ......................... 23Perforation of the Tympanum ......................................... 6Tum or o f the A u ric le ............................................................ 8Inflammation o f the External A uditory Canal .......... 9Im pacted Corumen ............................................................... 26Furunculosis o f the External A uditory M eatus 25Otom ycosis .............................................................................. 2

T ota l............... 193

Nose Diseases. ‘U lcerated Septum.................................................................. 8Syphilitic Rhinitis ............................................................... 6H ypertrophy of the Turbinates.................................. 16A cute R h in it is ....................................................................... 9Chronic R h in it is .................................................................... 12A trophic Rhinitis .................................................................. . 3Nasal Polypi .......................................................................... 13Carcinoma of A lae Nasi .......................... 2E p is ta x is .................................................................................. 1Acute M axillary Sinusitis.................................................. 3Chronic M axillary S inusitis .............................................. 2

T ota l............... 75

Throat Diseases.A cute T on s illit is ......................... 3Syphilitic Tonsillitis ......................................................... 12Chronic Tonsillitis ............................................................. 44Chronic Granular Pharyngitis ......................................... 7Tubercular L a ry n g it is ................................ 2

Total

Total Num ber o f Eye, Ear, N ose and Throat Department Dispensary Patients.

First V is i t .............................................................................. 935

R etu rn ....................................................................................... 1,313

T otal................. 2,248

Number o f Diseased Conditions Treated....................... 1,188

(Signed) CHARLES A . HAYES,

Ophthalmologist.

A SURGICAL CLINIC.

SURGICAL SERVICE.

In this department the work has been full o f interest and the opportunities great. The disturbed condition o f the country brought to us quite a number of wounded soldiers. In m any cases these men had very creditable Red Cross attention given them before reaching us. These cases have afforded an opportunity for applying some o f the favorite remedies reported to be used at the “ fro n t” . Dr. Paterson left in A pril for N ew Zealand, it being his regular furlough time, where he joined the M edical Corps and is now in regular service in Samoa. W e have had efficient help from Dr. Reynolds during the year which we sincerely appreciate. W e wish to acknowledge the services by Doctors Ewers, Todd, Kirk and Hofmann. The Surgical Department greatly needs an X -ray apparatus. A portion of the amount required for this was subscribed in 1916 by Director Chan Lim Pak, and we trust that the balance will soon be raised. An electric Cystoscope is also needed owing to the great amount of bladder surgery done in the Hospital.

No. of

A nkylosis o f elbow, A rth rectom y........................................... 2A nkylosis o f knee, straightened ............................................ 8A nkylosis o f shoulder, broke adhesions ............................. 6A bscess o f hand, thigh, etc., incised and dra ined .............. 54Abscess of lung, resected r ib .................................................... 4Abscegs o f lung, aspirated ....................................................... 2Abscess, rectal, drained.............................................................. 5Abscess o f liver, drained ........................................................... 2Abscess, urethral, perineal, scrotal, drained ................. 8Abscess, appendiceal, drained.................................................. 2Abscess miscellaneous, drained ............................................. 20Angiom a, excised.......................................................................... 2Abdom inal fecal fistula, repaired............................................. 5A lveolar cyst, excised ........................................................ 5Antrum o f Highmore, cyst, e x c is e d ...................................... 2Amputation o f arm ....................................... 3Amputation of leg ...................................................................... 2Amputation o f finger ............................................................... 1Am putation of penis, ca rc in om a ............................................ 8Amputation o f testicle, cancer and tubercu lar.................. 6Amputation of hand, tubercular.............................................. 2Appendicitis, appendectom y............................................... 4Aneurysm , popliteal, L iga tion ................................................. 4

N o. o f cases.

Ascites, tubercular, laparotom y ............................................. 5Anal fistula incised .............................................. ................. 25A xillary glands, tubercular, exised ....................................... 3A xillary fibroma, exised ................................ 1Burns and scalds ........................................................................ 16Buboes, incised and cu re tted ................................................... 30Blastom ycosis, curetted ............................... ;.......................... 9Bladder, rupture o f ..................................................................... 2Bladder, tubercular ................................................................. ... 2Bullet wounds, extracted, dressed wounds ... .................... 104Bullet wounds of skull, trephined and cleansed wounds 5Carcinom a o f uterus, h ysterectom y ...................................... 4Carcinom a o f anus, palliative.................................................. 3Carcinom a o f breast* am pu ta tion ................................ 36Carcinom a o f back, excised .............................................. "....... 1Carcinom a o f lip, excised ......................................................... 1Carcinoma o f bladder, d ra in e d ......................... 3C icatricial tissue, e x c is e d ......................................................... 18Cervical fibroid, amputation of cervix ................................ 3Chronic nephritis, decapsu la tion ............................................ 10Carbuncle urethral excised ..................................................... 3Carbuncle, excised ........................................................................ 6Cervical abscess, incised and dra ined ................................... 11Carcinom a o f stomach, exploratory, in op era b le ............... 2Carcinoma o f stomach, gastro-enterostom y........................ 1Carcinom a o f neck, excision and ligation of ext. of

com. ca ro t ............................ 15D islocation o f thumb, reset ..................................................... 2D islocation o f shoulder, re p la ce d ................ 4D islocation o f knee, „ 1D islocation o f jaw, „ 5D islocation o f thumb, „ 2D islocation o f elbow, „ 2D islocation o f hip, „ 4Depression o f parietal and o f temp, bones, elevated 5Dermoid cyst, excised ....................................................... 10Elephantiasis, lym phangioplasty............................................ 6Fibrom a o f breast and o f thigh, excision ............................ 10Fibrom a o f lab. maj. pedunculated, e x c is e d ........................ 1Fissure anal., curetted ................................. 4Fibula shattered, rem oval o f sequestrum ............................ 18Gun shot perfor. o f chest, rest, antiseptics ......................... 4Gun shot perfor. o f chest, removed sequestrum ............... 9Gun shot perfor. o f tibia, ,, ,, 28Gun shot perfor. of femur, „ ,, 33

56

57No, Of cases.

Gun shot perfor. o f humerus, ul. and rad., removedsequestrum .................................... 47

Gangrene o f foot, e x c is e d ......................................................... 2Glass wounds, dressed ............................................................... 4Hypospadias, repaired .............................................................. 3Haemorrhoids, excised ............................................................... 18Haematoma, excised ................................................................. 2H ydrocle, injected or excised m em brane............................. 6In jury to spine, sandbag splint ............................................. 2Imperforate anus, plastic ......................................................... 5Furunculosis, excision, drainage, yeast ............................ 4Infected foot, incised and d ra in ed ........................................ 10Infected hand, „ „ 14Infected knee, „ ,, 4Infected teeth, extracted under ch loro fo rm ........................ 10Inguinal hernia .......................................................................... 4Ischio-rectal fistula, incised and curetted............................ 3Keloid, excised ....................................................... 9Knife wounds, cleaned and stitched .................................... 3Ligation o f the com m on ca ro t id ............................................. 8Ligation o f external ca ro t id ..................................................... 10Ligation of subclavin artery..................................................... 1Ligation o f femoral artery for a n eu rysm ............................ 1Liver wound (bayonet) ............................................................. 2Lipoma, excised .......................................................................... 1Lacerated scrotum, repaired ................................................. 2Lacerated fingers, dressed ..................................................... 5Lacerated foot, dressed ............................................................. 1M ucous cyst, ex c ise d .................................................................. 2Mutilated arm, amputated ..................................................... 2M etrorrhagia ........ 10M aternity ...... 28Metritis, chonic .......................................................................... 12Noma, 606 and cautery ............................................................. 3N ecrosis o f jaw, removed sequestrum ................................ 11N ecrosis o f tarsus, rem oved .............................................. 6N ecrosis o f radius, „ 3N ecrosis o f femur, „ 1Necrosis o f tibia, „ 2N ecrosis o f temporal bone, removed sequestrum ........... 3Needle in h an d .............................................................................. 7Osteom yelitis, ra d ica l............................................................ .. 4Osteosarcoma, ,, 3.Ovarian cyst, removed .............................................................. 12Epulis, excised ............................................................................... 1Caesarean Section ...................................................................... 1

58

No, o f cases.

Prolaps, o f Rectum , ca u te ry .................................................... 3Prolaps, o f Uterus, fixation .................................................... 3Prolaps, o f Bladder ........ 1Placenta, retention of, curette ............................................... 4Palm ar arch divided, lig a ted ................ 3Pyothorax, aspirate or resect r ib ......................... 7Polypus uterine, excised .......................................................... 2Phim osis, circu m cision .............................................................. 28Penis occlusion o f meatus, restored....................................... 2Perineal incision for occlusion o f ureth era ........................ 5Retention o f u rin e ........................................................................ 13Retroverted uterus, fixation .................................................... 8R ectal u lcer.................................................................. 10Stab wound o f abdomen, repa ired .......................................... 2Sarcom a o f thigh, e x c is e d ......................................................... 3Sarcom a of uterus, inoperable ........................................5Synovitis, asp irated ............................................. 7Scalp, dermoid c y s t ..................................................................... 4Sebaceous cyst, e x c is e d ............................................................. 6Syphilis, intravenous bichloride and As H g I Sol ............ 350Skingraft ........................................................................................ 12Severed tendons, u n ite d ............................................................ 5Sprained finger, splint ............................................................... 2Subinvolution ............................................................................. 3Fracture o f leg, s p lin t ...................... -•........................................ 22Fracture o f thumb, splint.......................................................... 1Fracture o f pelvis, „ 1Fracture o f elbow, „ 5Fracture o f humerus, „ 5Fracture o f femur, „ 8Fracture o f skull, ,, 4Fracture o f patella, „ 4Testicle sarcoma, re m o v e d ....................................................... 1U lcer cervix uteri, Tr Iodi and G lycerine Co .................. 30U lcer foot ....................................................................................... 28U lcer le g ...................................... 21Uterus fibroid, hysterectom y or m y e cto m y ........................ 10Uretheral fistula, repaired......................................................... 10Uretheral stricture, dilated....................................................... 20Uretheral stricture, urethrotm y ......................................... 4Uretheral stone, extracted........................................................ 15Uretheral rupture, rep a ired .................................................... 4Tubercular neck glands, e x c ise d ............................................. 25Tubercular femur, rem oved sequestrum ............................ 10Tubercular knee .......................................................................... ]2Tongue tie, fre e d .......................................................................... 12

BLASTOMYCOSIS.THIS DISEASE IS FOUND ON DIFFERENT PARTS OF THE BODY.

SOME CASES ARE VERY RESISTANT TO TREATMENT.BUT A FEW YIELD READILY.

Gl

No. ofcases.

Tubercular hip .......................................................................... 14Tendon A chilles, lengthened ............................................. 3Tendon Contracture, „ 10Throat cut, repaired ............................................................. 3V esica l Calculus, suprapubic l ith o to m y ............................ 79V esico vaginal fistula, repa ired ............................................. 8Vaginal occlusion, repaired..................................................... 3Ventral hernia, repaired............................................... 1Venereal warts, excised ..................................... 14W hitelow , incised........................................................................ 2H are-lip .......................................................................................... 14Operations not classified ........................................................ 22

Total operations .......... 1,604

SURGICAL DISPENSARY2100 1029 210 577

T o t a l 3,916

Total number o f in-patients, Eye, Ear, Nose and Throat 275,, ,, ,, ,, Surgical— M en....................... 726„ „ „ ,, „ — W o m e n ............... 300

T o t a l 1,311

Operations in Eye, Ear, Nose and Throat Department 282„ Dispensary 51

,, „ Surgical Department..................................... 1604„ „ „ D ispen sary ............... 577

Grand total o f op era tion s 2,514

The total number o f individual treatments to thein-patients............................................................................ 46,824

(Signed) J. M. W R IG H T ,Chief Surgeon.

M edicine for.....Dressings fo r— Teeth extracted Minor surgery...

PATHOLOGICAL DEPARTMENT.62

Each patient on entering the Hospital undergoes a laboratory examination. This department is indebted for valuable help received from Dr. M cM ullen and Mr. Degeneres o f the U.S.S. “ Pam panga ” , and to Dr. A. H. Price o f the H.M.S. “ Tarantula ” , for W asserman tests. The follow ing is a sum m ary o f the work d on e :—

Total number o f exam inations made in Laboratory... 4659 A partial list o f exam inations made is as follow s :Specimens o f urine........................................... 2158

„ „ feces............................................ 1169„ „ sputum....................................... 63„ for leprosy ..................................... 128„ ,, m a laria ..................................... 61„ „ filaria ...................... 5,, „ gon orrh ea .................. 42

fW asserm an” syPh ll ,s ...................................... 491 (pos itive ..-35

„ ' „ b lastom ycosis.......................... 88„ o f pus............................................... 34„ „ spinal fluid............................... 4„ „ stom ach con ten ts.................. 73„ from teeth for am eba..................... 3„ for am eba ........................................ 19

W hite blood c o u n t ........................................... 93Red ,, », 11Ova o f Clonor. sin. fo u n d .............................. 73 timesFasc. buschi „ 5 „Ova o f ankylostom a ,, 18 „Ova o f Tricho. trich. „ 178 „Ova o f Ascar. lumb. „ 290 „

(Signed) J. M. W R IG H T ,

Pathologist.

DERMATOLYSIS IN A CASE OF VON RECKLINGHAUSEN S DISEASE.

REPORT OF DEPARTMENT OF INTERNAL MEDICINE.

STATISTICS.Number o f cases discharged from

Private W ards in 1917 165Number o f cases discharged from

Private W ards in 1918 221Total discharges in 1917 .................................... 559Total discharges in 1918 ................... 674Out-patient Department 1918:

Private Calls,* new cases only ... 144Free Calls, new cases only ... 1054

1198 cases.

There is no record o f return calls in the medical dispensary.

The above statistics show an increase in the number o f cases treated in the medical wards in 1918. The department has felt keenly the lack o f a fully qualified nurse in the case o f the more serious patients.

The follow ing doctors have rendered excellent assistance during the y e a r :—

Drs. Chiu Hak Shing and W ong Min in the m en’s depart­ment and Drs. Chau K ing Ting, W ong Uen H ing and M ok Ue Y uk in the wom en’s department.

NATIONALITY OF PATIENTS.O f the 674 patients discharged from the medical wards

the nationality was as fo llow s :—Chinese ............................................. 650Japanese ........................................ 12Am erican .......................... 9English ............................................ 1German ............................................ 1Swedish ............................................ 1

* These figures are only a partial count.

66

INCIDENCE OF DISEASE

A reference to the table o f diagnoses below shows that the most prevalent diseases treated in the wards were as fo llow s:—

Tuberculosis ................................................. 86Beriberi ......................................................... 59Influenza ......................................................... 49Typhoid fe v e r ................................................. 46Syphilis.............................. 44M alaria ...................... 34Arthritis .................................................... 24

TUBERCULOSIS

The m ost unsatisfactory o f all conditions to treat is tuberculosis, and yet it is the com m onest disease in our service. No really satisfactory treatment can be given to these cases until a sanitarium is built outside o f the city limits.

BERIBERI

The m ajority o f béribéri cases com e from the army. They are generally o f the dry variety. Especial attention has been paid to the treatment o f these cases, and on the whole excellent results have been obtained. Patients unable even to sit up on admission have generally been able to walk within a month. W e have tried the Extract of Tiqui Tiqui obtained from the Bureau o f Science, Manila, and have been unable to note any therapeutic value from its use. Our routine treat­ment consists in giving a diet o f red, only partially polished, rice, with beans. D aily massage is given to every case by the three blind masseurs em ployed by the hospital. E lectricity is applied from one to three times a week, and strychnine is given in ascending doses beginning with grams 0.0022 and gradually increasing to grams 0.011 three times a day.

INFLUENZAThe great pandemic o f influenza, which has wrought such

havoc in Am erica and Europe, first reached Canton in June o f 1918. Most o f the nurses and internes were affected, but there were only 14 patients admitted to the wards at that time. The disease was remarkable for its mildness, the absence o f bronchial symptoms and the presence o f general pains over the body.

67

The autumn epidemic appeared in October and lasted into November. At this time 35 cases were admitted to the hospital; five o f these developed pneumonia and three died. A t this time the epidemic assumed' the typical form, with severe bronchial symptoms and cough, lasting for almost a week. The. m ortality in Canton, during both o f these epidemics, was not great, but in some o f the surrounding towns and villages it is reported to have been very serious.

SYPHILIS

52 injections o f Novarsenobenzol (Billon) and 2 o f Neo- salvarsan were given intravenously during the year.

"V e have obtained quite satisfactory results from the injection of the follow ing preparation which has been used to some extent in India :—

H ydrargyri Iodidi Rubri ......................... 065

Arseni Iodidi .......... 130

Aq. dest..................................................... 30.000

Render slightly alkaline by adding a few drops of 15 per cent sodium hydroxide solution. Inject seven cc. diluted to 10 cc. with distilled water, intravenously.

ARTHRITIS.24 patients, with more or less chronic joint affections

(non-syphilitic), have applied for treatment. M any of these have been very m aterially helped by a few intravenous in­jections o f typhoid vaccine together with the use o f massage, and the usual remedies for Chronic Arthritis.

LEPROSY.The clin ic for lepers on Friday mornings has been con­

tinued, and all of the lepers who have continued treatment for a month or more have shown marked improvement or apparent arrest o f the disease. The great advantage of having special clinics for special diseases is well shown by the statistics of our leper work. It is the experience of most men that it is very difficult to carry on continuous treat­ment in out-patient cases. The proportion o f return visits to first visits is generally far too small.

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T a b l e o f L e p r o s y Ca s e s T r e a t e d IN 1918.

Cases who began treatment in 1915 . . . ........... 3

1916 ... ... ... 2

1917 ... ........... 14

1918 ... ............ 70

No. o f cases who paid 1 visit only ........... 37

„ , , 2-9 visits ........... ........................... 29

, , , , 10 or more visits ........................... «3

Total number o f cases seen ................... ........... 89

Total number o f calls ............................ ........... 663

Average number of calls per patient ... ........... 7

The entire absence o f bubonic plague and cholera inhospital records should be noted. These diseases were not met with at all during the year. N ot a single case o f genuine cerebro-spinal meningitis was admitted to the hospital, and we know of no authenticated case having occurred among Chinese in the city. This seems very remarkable in view of the great prevalence o f this disease during the spring and summer months in Hongkong.

The follow ing table o f diagnoses includes all o f the patients dismissed from the m edical wards during the year. W here one patient suffered from two distinct diseases both diagnoses are recorded. The Bellevue Hospital nomenclature has been employed.

MEDICAL DIAGNOSES.

January 1st to December 15th, 1918.

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BLOOD.

Simple Anaem ia ............................ 5Splenic Anaemia ............................ 1 1

CIRCULATORY SYSTEM.ARTERIES AND VEINS.

Aneurysm , not specified ............... 2Aneurysm , abdominal aorta ....... 1 1Arterial sclerosis, general ........... 1 1 1Phlebitis ............................................ 1 1

HEART.

Dilatation, acute ............................ 2 2Endocarditis, chronic, lesion not

specified .................................... 4 1 1 2 44Endocarditis, chronic, with ascites 3 2 iEndocarditis, c h r o n i c , w i t h

nephritis .................................... 3 1 l 1Endocarditis chronic :

A ortic stenosis and insuffi­cien cy ............................ 1 i

A ortic insufficiency a n dchronic nephritis ....... 1 1

M itral in su ffic ien cy ........... 1Ü 6 3 1

M itral stenosis ................... 2 1 1M yocarditis, chronic ................... 5 4 i

DIGESTIVE SYSTEM.INTESTINE.

C a n cer ................................................. 1 1Cancer with ascites ....................... 1 1Constipation .................................... ¡ 35Dysentery, acute ............................ Í 1 lEnteritis, a c u te ..................... .......... 5 2 1 2 8E ntero-colitis, a cu te................... . ; 7 5 1 1Obstruction, acute........................... ! 1 i

Obstruction, ch ron ic....................... ¡ 1 1 1 I

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D is e a s e s a n d Co n d it io n s .

LIVER.

Am ebic Hepatitis .......C a n ce r .......................... .Cirrhosis .......................Cirrhosis with ascites Jaundice, catarrhal ...

GALL BLADDER.

CholecystitisCholelithiasis

MOUTH AND PHARYNX.

A cute Pharyngitis S tom atitis...............

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PERITONEUM.

General Peritonitis .....................RECTUM.

Chronic Proctitis .........................STOMACH.

C a n ce r ................................................. 1Dilatation ......................................... 1Foreign B ody ..................................Gastralgia .......................................... j 1Gastritis, a c u t e .................. j 6Gastritis, ch r o n ic ............................... j 10Gastro-enteritis, a cu te .................. 3H yperch lorhydria ....................... i 5Indigestion, a cu te .. ........................ j 4Stenosis o f pylorus ........................ 1U lcer..................................................... I 5

DUC TLESS G L A N D S A N D S P LE E N .

SPLEEN.

Splenom egaly.................................... 9Splenom egaly with a sc ite s 4

THYROID GLAND.

Exophthalm ic goitre.

1 ! 1 1 !

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iINFECTIVE DISEASES.

Abscess o f Liver ....... .................... 3 1 2Abscess o f lu n g ................................ 2 1 1Abscess multiple ............................ 1 1Abscess o f parotid g land............... 1 1Abscess perinephritic ................... 1 1Dysentery, bacillary ................... 3 2 1 2Fever o f unknown cau se............... 1 1 8Fever o f unknown cause, with

eruption....................................... 4 4Gonorrheal infection o f joints ... 2 2Gonorrheal infection o f urethra... 9h*Infection o f foot with lym phang­ •

itis ................................................. 1 1Infection o f l e g ................................ 1 1Influenza, autumn epidemic ....... 30 26 2 2 16Influenza, autumn epidemic, and

pneu m on ia ................................ 5 2 3Influenza, spring epidem ic........... 14 14Leprosy ............................................ 6 h 1 89M alaria ............................................ 33 30 1 2 32Measles ............................................ 2 2Meningitis, epidemic ................... 1 1P ertu ssis ............................................ 1 i 2Rheum atic fever ............................ 1 i

1Syphilis, form not specified ....... 25 2 17 a 1 83Syphilis, cephalalgia ................... 1 1Syphilis, con gen ita l........................ 2 1 1 LSyphilis, cerebro-spinal ........ ...... 2 2Syphilis, gumma ...... ...................... 1 1Syphilis, hem iplegia....................... i 3 3Syphilis, o f intestine ................... ; 1Syphilis, o f jo in ts ................... ....... ! b 1 3 1Syphilis, o f lung ............................ 1 i 1Syphilitic paraplegia ................... 1 i 1Syphilis secondary ....................... ; 1 1Tetanus ............................................ 3 2 1 1Tuberculosis abscess ' ................... 2Tubercular glands of the neck ... 1 1Tuberculosis o f the k idney........... 1 1Tuberculosis o f the la ry n x ........... 1Tuberculosis o f meninges ........... J 1 1

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INFECTIVE DISEASES.

Tuberculosis o f periton eum ......... 7 2 3 1Tuberculosis, acute pulm onary ... 2 1 2Tuberculosis, chronic fib ro id ....... 3 2 1 1Tuberculosis, chronic pulm onary 64 40 11 13 123Tuberculosis, chronic pulmonary,

and meningitis.......................... 1 1Tuberculosis, chronic pulmonary,

with peritonitis......................... 2 1 1Tuberculosis, chronic pulm onary,

with p leu risy ................ ............ 2 2Tuberculosis, o f spinal vertebra .. 1 1 4Typhoid Fever ................................ 41 23 4 2 12 7Typhoid Fever and beriberi ....... 3 1 1 1Typhoid Fever and malaria ....... 1 1Typhoid Fever with intestinal

p erfo ra tion ................................ 1 1V accination for small p o x ........... 1

JOINTS.

Arthritis, a c u te ................................ 7 4 3Arthritis, chronic ............................ 16 2 14 61Arthritis, deform ans........................ 1 1

LYMPHATIC SYSTEM.

E lephantiasis.................................... 1 1 1(See aIso under parasites.)

DISEASES OF THE MIND.

A cu te mania .................................... 1 1 ■■Dem entia precox ............................ 1 1Id iocy ................................................ 2

MISCELLANEOUS DISEASES ANDCONDITIONS.

A cidosis ......................... ................... 2 1 1A scites ................................................ 14B eriberi.......... ..................................... 40 * 16 18 3 3 73Beriberi with heart disease ....... 14 4 4 2 4Beriberi and pulm onary tuber­

culosis ........................................ 1 1Beriberi and syphilis ................... 1 1

D is e a s e s a n d C o n d it io n s .

MISCELLANEOUS DISEASES AND CONDITIONS.

Chyluria ............................................(See also under parasites

D ebility ...............................................Diabetes m ellitu s.............................D iagnosis not m ade.........................E p is ta x is ............................................H em ophilia ........................................No disease ........................................V e r t ig o ................................................

MUSCLES AND TENDONS.L u m b a g o ............................................Tendo A chilles, contracture .......

NERVOUS SYSTEM.BRAIN. SPINAL CORD AND MENINGES.

A poplexy ...........................................H em icrania........................................H em ip legia ........................................H yd rocep h a lu s.................................Lateral sclerosis .............................Lead encephalopathy....................M eningitis ........................................M yelitis, transverse........................Polie-m yelitis, c h r o n ic ..................Tabes dorsalis .................................Tumor o f b ra in .................................

CRANIAL AND SPINAL NERVES.

Neuralgia brachial Plexus(cancer o f breast)

Neuralgia sciatic nerve (sciatica)Neuralgia trifacial nerve ...........N euralgia trifacial nerve (tic

douloureux)... Neuralgia from gunshot wound

o f shoulder Neuralgia from gunshot wound

o f spineTraum atic palsy .............................Peripheral neuritis ................... .

(See also beriberi.)

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FUNCTIONAL NERVOUS DISORDERS.

C ephala lg ia ............................. ......... 2 1 1 8Convulsions ..................................... 2 i 1Epilepsy ............................................ 5 5 11H ysteria ............................................ 2 i 1 11N eurasth en ia .................................... 5 4 1 1 6

PARASITES.

A m ebic dysentery ......................... 8 6 2A n kylostom iasis .............................. <>& 2 ! 1A scariasis ......................................... 4 4 i 1 2Fasciolopsis Buski in fe c t io n ....... 1 1Filariasis and ch y lu r ia .................. 3 3Filariasis and elephantiasis......... 1 1

POISONING.

Lead p o ison in g ............... ................. 2 2 2M ercury p o iso n in g ......................... 3 2 1Opium habit .................................... 2 2Opium poisoning ............................. 2 0r%>

REPRODUCTIVE ORGANS.FUNCTIONAL DISTURBANCES INVOLVING

MALE AND FEMALE SEXUAL ORGANS. iD ysm enorrhoea................................ ; 6M en opau se...................................... 1 1N octurnal em issions ...................... 5

FEMALE REPRODUCTIVE ORGANS.

Fibroid o f uterus ............................. 1Fibroid of uterus with ascites...... 1 1Ovarian cyst ................ .................... 1 1 !

:MALE REPRODUCTIVE ORGANS.

O r ch it is ............................................... j 1

RESPIRATORY SYSTEM.BRONCHI AND TRACHEA.

Asthm a, bronchial .................................... 6 4 2 i 7Bronchitis, acute ........................... 1 9 1 2 5 2 9 2Bronchitis, chronic ........................ 3 1 2 'Coryza, acute .......................................... 2 1 i !

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D is e a s e s a n d C o n d it io n s .

RESPIRATORY SYSTEM.LUNG.

Em physem a ....................................Hem optysis, cause unknow n.......Pneum onia broncho........................Pneum onia lobar ............................Pneum onia lobar with pleural

effusion ....................................P L E U R A .

Em pyem a ........................................Pleurisy with effusion .......P leurisy and catarrhal jaundice |

SKIN.

E czem a..........................Erythema induratum.Herpes zoster ..............Leucoderm a ................L ichen planus ...........P soria sis ........................

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13

S ca b ie s ..................................................¡ 2T inea c ir c in a ta ................... .........

URINARY ORGANS.BLADDER.

A cute cystitis ................................KIDNEY.

Floating kidney ..............................H ypern eph rom a..............................Nephritis, acute ..............................Nephritis, ch ro n ic ............................Nephritis, chronic, with ascites...

OBSTETRICAL CONDITIONS.

P regnancy ........................................

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3 46

1 3 1 3

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(Signed) W IL L I A M W - C A D B U R Y ,

Head of the Medical Service.

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