HOSPITALS GENERAL NEEDS
The Support o f: —
One Foreign Business Mar
One Foreign Nurse.
Five Foreign Doctors, viz.
Pathologist, R<»entgonoiogis,, T w . PKysiei ir s Pediatritiau.
X-ray Outfit,
Supply of Bible Portions ani I’racts,
Medical and Instruction Books,
Hew Buildings,
Furniture, Hospital Beds, etc.,
Supplies (Cotton, Gauze, Bandage),
Hospital Material and Clothing (Hew and Old),
Mattresses, Sheets, Pillow-cases, Blankets, Towels,
Endowment,
Motor Ambulance,
Fund for Current Expenses,
Surgical Instruments,
Support for Bed for One Year. THE FOREIGN AND CHINESE STAFF OF THE CANTON HOSPITAL, 1919.
REPORT
FOR THE YEAR 1919
OF THE CANTON HOSPITAL
CANTON, s h j a -a . i ip '
IN CONNECTION WITH
THE
CANTON MEDICAL MISSIONARY SOCIETY
AND
THE CANTON MEDICAL
MISSIONARY
UNION,
Yale Divinity Library New Haven. Conn. NTZ.Z C - l í Z s - A w r y OFFICERS OF THE CANTON MEDICAL MISSIONARY SOCIETY. FOR 1919.
President ...... Rev. James M. Henry.
H on. Vice - Presidents :
Dr. C. K. Edmunds.
Rev. A. A. Fulton, D.D.
Rev. Edgar Dewstoe.
Hon. J. W. Jamieson, C .M .G ., H.B.M. Consul General.
Hon. A. W. Pontius, U.S. Consal General.
Dr. W . G .‘ Reynolds.
G. D. Fearon, Esq.
Robert Shewan, Esq.
Mrs. John G. Kerr.
Hon. Treasurer ...... E. H. Smyth, Esq.
Hon. Secretary ...... Dr. C. A. Hayes.
Hun. Auditor ...... H, C. Shrubsole, Esq.
TRUSTEES:
Hon. J. W. Jamieson, C .M .G , Convenor of Board of Trustees.
Hon. A. W. Pontius.
E. H. Smyth, Esq Term expires 1919.
Dr. C. K. Edmunds ...... „ 1920.
Dr. W. G. Reynolds ...... „ 1921.
Rev. W . D. N o y e s „ 1922.
Rev. C. A. Nelson ...... „ 1923. THE CANTON MEDICAL MISSIONARY UNION.
DIRECTORS, 1919.
Rev. JAMES M. H e n r y , Chairman, Representing American Presby terian Mission, North ... Term expires 1922. Rev. W . MAWSON, Secretary, Representing New Zealand Pres byterian M ission ,, 1922. C h a n L im P a k , Esq. Representing Chinese Community Rev. E d g a r D e w s t o e , Representing Canton Medical Missionary Society ...... ,, 1922. Dr. E. J. M . D ic k so n , Representing American Reformed Presbyterian M ission ... „ 1920. Dr. C. K. E d m u n d s , Representing Canton Christian College ...... „ 1920. Rev. J. S. KUNKLE, Representing American Presby terian Mission, North ... ,, 1922. Mr. O. E. P o m e r o y , Representing Canton Christian College ...... „ 1920. Mr. K. D u n c a n , Representing Canton Christian College ...... „ 1920. Mr. W . A. SHERA, Representing Canton Medical Missionary Society ...... ,. 1921. Mr. E. H. Sm y t h , Representing Canton Medical . . Missionary Society ...... „ 1920. W o ng Jo y C h e w , Esq. Representing Chinese Community
Dr. C. A. H.AYES, Representing the Canton Hospital Staff.. Mr. J. W . BANBURY, Hospital Treasurer & Business Manager, Canton Medical Missionary Union, MEDICAL STAFF, 1919.
HARRY W . BOYD, A.B., M.D.. (Univ. of Penn.), (on furlough), Ophthalmo-O! o-Rii i no-Laryngologist.
W il l ia m W . Ca d b u r y , m .a .; m .d ., (Univ. of Penn.)., Internist.
C h a r le s A. H a y e s , m .d ., (Univ. of Cal.), Ophthal mo- Oto-Rhino-Laryngologist, Chairman o f Staff.
Mrs. C. A. H a y e s , M.D., (Univ. of Cal.), In charge of Sarah Jaffray Dispensary.
Joh n K ir k , m .b ., c h .b ., f .r .c .s., (Edin. Univ.), Surgeon.
W . G r a h a m R e y n o l d s , m .r .c .s., (Eng.), l .r .c.p ., (Lond. Univ.), Honorary Visiting Surgeon.
Ca l v in C. R u s h , m .d ., (Univ. of Penn.), Visiting Ophthalmologist.
J. O scar T h o m s o n , m .d ., c .m ., f .a .c .s., (McGill Univ.), Surgeon.
JAMES M. W r ig h t , M.D., (Univ. of Kansas). Surgeon.
ASSISTANT PHYSICIANS. Dr. Jeu Hak Shing Dr. Chau Oot Man Dr. Chau Koon Meng Dr. Chau Keng Teiig Dr. Chau Tsz Wing Dr. Mok Yu Yuk
INTERNES. Dr. Chau Ue Kim Dr. Tsang Suen Wan Dr. Chan Pik Cha Dr. Ng Keung Wa Dr. Foo Wai Man Dr. Chue Shiu Tung
Pharmacist ...... Leung Sun Wing Assistant Pharmacist Cheung Hing, Miss.Bessie Louise Dickson,. R.N., (New York Hospital), Superintendent of Nurses. Miss Helen I. Stockton, R.N., (Mass. General Hospital), Associate Superintendent of Nurses. Lau I. Oi, Graduate Nurse in charge of Women's Wards. ^ on g Shu Ching, Grad uate Nu rse in cha rge o f Men s Wards. Nei Chi Ching, Graduate Nurse in charge of Operating Room. Ng Kai Chung, Head Nurse in charge of Medical Wards. Nurses in Training—24. EVANGELISTIC STAFF. Rev. Jos. C. Thomson, M.A., M.D., (voluntary). Mrs. Oscar Thomson. Mr. Joe Wong. Mr. Poon Fuk Hei (masseur). Mr. Chui Sin Tsoi (masseur). Wong Sam Koo. ADMINISTRATION STAFF. Mr. James W. Banbury, Business Manager and Treasurer. Mr. J. Warner Brown, Hon. Auditor. Iu Eung Po. Social Secretary. Leung Wing Tai, Accountant. Chiu Pak Yue, Office Secretary. Mak Wing Hoi, Office Assistant- Sum Wan Pao, Superintendent of Labour. Poon Chsong, Clerk. ANNUAL MEETING, 1919. CANTON MEDICAL MISSIONARY SOCIETY. The Eighty-first Annual Meeting of the Canton Medical Missionary Society, was held at the Canton Hospital, Kuk Fau, Canton, January 17th, 1919, at 3.30 p.m. President C. K. Edmunds, being absent in America, the Senior Vice-President, Rev. A. A. Fulton, D.D., presided and the following members were present:—Hon. A. W. Pontius, Mrs. John G. Kerr, Doctor and Mrs. J. Oscar Thomson, Dr. C. A. Hayes, Mr. H. B. Graybill, Mr. E. H. Smyth, Mr. & Mrs. O. E. Pomeroy, Rev. W. Mawson, Rev. J. M. Henry, Dr. Paul Todd, Mr. W. A. Shera, Mr. A. V. Hogg, Mr. H. C. Shrubsole, Rev. E. C. Howe,Mr. & Mrs. E. Pepperell, Rev. W. D. Noyes, Mr. C. G. Fuson, Rev. W. Clayson, Mr. H. F. Thomson and Mr. J. W. Banbury. Miss C. A. Smith and Dr. M. Jenks were also present. Dr. Fulton read the notice calling the meeting, after which the meeting was duly opened with prayer. The Secretary, Dr. J. Wright, being absent on business, Dr. C. A. Hayes acted as secretary pro tem. The minutes of the last Annual Meeting held on March 29th, 1918, were read and approved. It was moved and carried that the following, to be known as By-Law No. 1, be added to the Constitution of the Canton Mediqal Missionary Society, due notice having'been given at the last Annual Meeting:— “ By-Law No. 1. The Executive Committee of the Canton Medical Missionary Society shall consist of the President, Secretary, Treasurer, Senior Vice-President, and the representatives on the Board of Directors of the Canton Medical Missionary Union.” The report of the Chairman of the Directors of the Canton Medical Missionary Union was read by Rev. J. M. Henry and also approved. The reports of the Chairman of the Staff and the Business Manager of the Canton Hospital were taken as read. 10 The Honorary Treasurer, E. H. Smyth, Esq. presented the Financial Report which was also approved. The following officers, whose names were prepared by the Nominating Committee, were then elected by acclamation : — President: Rev. J. M. Henry. Hon. Vice-Presidents: Dr. C. K. Edmunds, Rev. A. A. Fulton, D.D., Rev. Edgar Dewstoe, Hon. J. W. Jamieson,C.M.G., H.B.M. Consul General Hon. A. W. Pontius, U.S. Consul, Dr. VV. G. Reynolds, Hon. Robert Shewan, G. D. Fearon, Esq., Mrs. John G. Kerr. Hon. Treasurer : E. H. Smyth, Esq. Hon. Secretary : Dr. C. A. Hayes. Hon. Auditor : H. C. Shrubsole, Esq. TRUSTEES. Hon. J. W. Jamieson, C .M .G ., Convenor of the Board of Trustees. Hon. A. W. Pontius. E. H. Smyth, Esq Term expires 1919. Dr. C K. E dm u n d s „ 1920. Dr. W. G. Reynolds „ 1921. Rev. W. D. Noyes ...... „ 1922. Rev. C. A. Nelson ...... „ 1923. The appointment of E. 'H. Smyth, Esq., to act as the representative of the Canton Medical Missionary Society on the Board of Directors of the Canton Medical Missionary Union, in the place of Rev. C. W. Shoop, who has resigned, was confirmed. Notice was given by Hon. Treasurer, E. H. Smyth, to change the Constitution of the Canton Medical Missionary Society so that the membership fee will be Hongkong $5.00 instead of $10.00 per year. A rising vote of thanks was given to the retiring Officers, after which the meeting adjourned. (Signed) CHARLES A. HAYES, Secretary. 11 CANTON MEDICAL MISSIONARY SOCIETY. TREASURER S REPORT, 1919. The subscriptions and donations to the Society for the year 1919 amount to $2,699 20, which sum has been paid over to the Canton Medical Missionary Union for the Canton Hospital account. It is satisfactory to note the increased number of subscribers—both firms and private individuals— during this year. The dividends and interest received for the year 1918 on account of the Lucy Glover Werlich Legacy and the Frank Samson Legacy have also been paid to the Canton Medical Missionary Union. The total amount paid to the Canton M edical Missionary Union in the year 1919 is $5,159.83, which is so far the largest sum the Society has been able to pay to the Union in any one year. During the year the funds of the Frank Samson Legacy which were bsing kept in Sydney by the Society’s Attorney, Mr. Thomas Pratt, have be9n transferred to the control of the Trustees of the Society in Canton. The Trustees have suitably dealt with the letter received from Mr. Ip HingNam in connection with this Legacy, which was read at the Annual Meeting in 1918 and referred to the Trustees of the Society for action. This opportunity is taken of expressing the thanks of the Society to Mr. Thomas Pratt, of Sydney, for his valuable assistance in connection with the Legacy, and the Society is much indebted to him for his kind help. Most of the shares comprising the Lucy Glover Werlich Legacy have been sold, but some are retained-for the present. Part of the funds of this Legacy have been used towards purchasing some property adjoining the Hospital. During the year under review a sum of $15,907.34 has been so expend ed and the property obtained is a valuable addition to the Hospital site. From the accounts presented herewith it will be seen that there is a balance in hand of $1,034.37. This sum (less $30 being subscriptions received in advance for the year 1920) represents interim dividends and interest received on account of shares and deposits for the year 1919 and will, in due course, be incorporated with tho total amounts eventually received for that year. (Signed) E. H. SMYTH, Hon. Treasurer, Dr. Statement of Income and Expenditure of Canton Medical Missionary Society for the Year 1919. Cr, Inlh December, 19W. To Balance (being dividends account, 1918) ...... $ ] ,020.50 By Printing and Stationery ...... $ 10.00 „ Interest Account, 1918 ...... 1,430.13 ,, Paid to Canton Medical Missionary ,, Donations and Subscriptions for U nion ...... 5,159.83 yenr 1918 (received in 1919)...... 20.00 ” B alance...... 1,034.37 ,, Donations and Subscriptions for year 1919...;...... 2,699.20 ,, Donations and Subscriptions for year 1920 (received in advance). 30.00 „ Dividends, Interim, 1919...... 569.50 ,, Interest, 1919...... 434.87 $ 6,204.20 $ 6,204.20 Audited and found correct. J. WARNER BROWN, E. H. SM YTH , H on. Auditor. Hon. Treaxnrer. 15th December, 1919. IN MEMORY OF FRANK SAMSON ) i ] ^ 4 ' - f t - -—• # 4 r ^ A PROMINENT CHINESE GENTLEMAN 14 $ % i t M a -N £ a» ¿£ OF SVDNEV. AUSTRALIA. H DIED x t tt iK THE YEAR I9I5 ANO LE FT HIS ENTIRE i t Q? ivy m . v ì ì ì h ì # 4 ESTATE TO THE CANTON HOSPITAL. >& a m TABLET EREUTED TO THE MR. FRANK SAMSON. 15 LIFE MEMBERS OF THE CANTON MEDICAL MISSIONARY SOCIETY. Rev. R. E. Chambers, D.D. G. B. Ramsey, Esq. Robert E. Chambers. Jr. Mrs. G. B. Ram sey Dr. E. D. Shelby Dr. G- Stuart Ramsey Dr. J. O. Thomson John S. Goodell, Esq. Mrs. J. O. Thomson H. A. Bodwell, Esq. Rev. J. C. Thomson, M.D. Louis Schwab, Esq. Miss Avis Thomson Mrs. Louis Schwab Mrs. Robert Reford Sir Henry May, K.C.M.G. N. J. Stabb, Esq. Sir Paul Chater. FRANK SAMSON LEGACY ACCOUNT. Decem ber 15th, 1919. The following sum is held on Fixed Deposit in Singapore...... Sts. $21,837.00 * LUCY GLOVER WERLICH LEGACY ACCOUNT. Decem ber 15th 1919. The following Shares are being held on behalf of the Society:— Hongkong Land Investment and Agency Company, Limited... 153 Shares Hongkong, Canton and Macao Steamboat Company, Limited 34 Shares Also the following amount on Fixed D ep osit...... $ 19,442.56 J. W A R N E R B RO W N , E. H. SM YTH , Hon. Andito?'. Hon. Tren sì! ver 16 LIST OF SUBSCRIPTIONS FOR THE YEAR 1919. Whampoa Bethel Fund...... $200.00 Hongkong and Shanghai Banking Corporation...... 75.00 A. S. Watson & Co., Ltd...... 60.00 Andersen Meyer & Co., Ltd...... 50.00 Arnhold Brothers & Co., Ltd...... 50.00 Asiatic Petroleum Co., Ltd...... 50.00 Banque de L’Indo Chine ...... 50.00 Banque Industrielle de Chine...... 50.00 British American Tobacco Co., Ltd...... 50.00 Butterfield and Swire ...... :...... 50.00 Chartered Bank of India, Australia and China 50.00 The Dairy Farm Ice and Cold Storage Co., Ltd...... 50.00 Deacon & Co., Ltd...... 50.00 Dodwell & Co., Ltd...... '.. 50.00 Gerin Drevard & Co...... 50.00 Herbert Dent & Co...... 50.00 Holland China Trading Co...... 50.00 W. G. Humphreys & Co...... 50.00 International Banking Corporation...... 50.00 Jardine, Matheson & Co., Ltd...... 50.00 W. R. Loxley & Co...... 50.00 Nestle and Anglo-Swiss Condensed Milk Co...... 50.00 Nordisk Fjerfabrik, Ltd...... * 50.00 Reiss & Co...... 50.00 Standard Oil Company ...... 50.00 Shewan, Tomes & Co...... 50.00 T. E. Griffith, L td...... 50.00 Th. Varenne & Co...... 50.00 Villa Bros, of Canton, Ltd...... 50.00 Little, Adams & Wood ...... 40.00 GeneralSilk Importing Co., Inc...... '...... 30.00 Manners and Backhouse ...... 30.00 C. F. G a r s tin ...... 25.00 Hogg, Karanjia & Co., Ltd...... 25.00 C. S. Paget ...... 25.00 Carried foneard $1,810.00 . H' 17 ' Brought fonvard $ 1,810.00 E. H. Smyth ...... '•••...... 25.00 Vacuum Oil Company ...... 25.00 J. P. Vasunia ...... 21.00 Bank of Taiwan, Ltd...... 30.00 Boyer Mazet & C ie ...... 20.00 Dr. C. K. E d m u n d s...... 20.00 M. Hellstrand ...... 20.00 R. D. Matheson ...... 20.00 Mitsui Bussan Kaisha, Ltd...... 20.00 Madier Freres...... 15.00 F. A. Nixon ...... 15.00 A . W ilson ...... 15.00 Dr. R. E. Paterson...... 11.20 Rev. W. D. N o y e s ...... 10.00 Miss J. G. Paxton ...... 10.00 Dr. J. M. W right ...... 10.00 Dr. John K irk ...... 10.00 Dr. C. C. S eid en ...... 10-00 Mrs. Seiden ...... 10.00 J. W. Banbury ...... 10.00 Rev. H. O. T. Burkwall...... 10.00 Rev. Geo. H. McNeur...... 10.00 Chester G. Fuson ...... 10.00 H. F. Thomson...... 10.00 Rev. W. Mawson ...... 10.00 M. A. K e e s ...... 10.00 Dr. E. C. M achie ...... 10.00 W. W. Clayson ...... 10.00 Miss E. Faries ...... 10.00 A. G. Wilson ...... 10.00 F. P. V a s u n ia ...... 10.00 H. B. W ilson ...... 10.00 W. A. Hannibal & Co...... 10.00 H. S. Sm ith...... 10 00 F. B o ll...... 10 00 F. C. Herb ...... 10.00 H. H. Sandeman...... 10.00 N. L. A rm ita g e ...... 10.00 Carried fo r iva rd $2,307.20 ■ 18 Brought forward $2,307.20 H. E. Smith...... -...... 10.00 G. C. K itching...... 10.00 E. Baron...... 10.00 M. Drevard...... 10.00 J. Baud ,...... 10.00 W. A. Shera ...... 10.00 J. O. Remedios ...... 10.00 M. O. C la rk ...... 10.00 M. A. Annett...... 10.00 Dr. W. G. Reynolds...... 10.00 L. F. Tebbutt...... 10.00 C. Fum agalli ...... 10.00 J. N. Segardal...... 10.00 R. T. Nelson ...... 10.00 James Smith...... 10.00 C. Geiger ...... 10.00 R. T. H a ll...... 10.00 U. Spalinger...... 10.00 E. R. M ogra ...... 7.00 Rev. J. C. Thom son...... :...... 5.00 Miss F. A. Britton ...... 5.00 F. M a rti...... 5.00 J. Mowbury Jones...... 5.00 E. H. Chaudoin...... 5.00 A. P. Mei ...... 5.00 H. D. Browne...... 5.00 J. B. H arrison ...... 5.00 N. E. M uriel...... 5.00 G. N. Courtney ...... 5.00 H. B o n d ...... 5.00 H. T. Mouslóy...... 5.00 M. Brennwald...... 5.00 F. G. Stetson ...... 5.00 J. D ix o n ...... 5.00 H. Laffond...... ; 5.00 J. Jacquemin ...... -...... '5.00 C. A. Y olle ...... 5.00 F. H. Tyson ...... 5.00 Carried forward $2,589.20 19 Brought forward $2,589.20 S. M. Kirkman ...... 5.00 H. C. P age...... 5.00 J. W. Mayhew ...... 5.00 J. Jeppesen ...... 5.00 A. H uxley ...... 5.00 L. N e lso n ...... 5.00 J. M. Birrell...... 5.00 C. D. M einhardt...... 5.00 E. J. W oodall:...... 5.00 P. F. F a is o n ...... 5.00 E. A. M a cD on a ld ...... 5.00 E. C. Tregillus ...... 5.00 R. J. W hite ...... 5.00 E. Pepperell...... 5.00 A. R. Powell...... 5.00 N. B. Karanjia ...... 5.00 J. H. Barton...... 5.00 A. Hoffmeister ...... 5.00 P. A. Dixon ...... 5.00 E. G. J a m ie so n ...... 5.00 A n o n ...... 5.00 A non ...... 5.00 $2,699.20 Received after the accounts have been closed :— Dr. W W . Cadbury ...... $ 10.00 A. R. Knipp...... 10.00 Mrs. M. N. Kerr ...... 10.00 * ■ $ 30.00 DR. JOHN MYERS SWAN. The Canton Medical Missionary Society, having learned at its annual meeting with much sorrow, of the sad accident resulting in the death of Dr. J. M. Swan, on November 11th last, would hereby express its deep appreciation of his long continued and faithful labors in behalf of this society’s hospital, and would extend to Mrs. Swan and the members of his family their heartfelt sympathies. Canton, January 21st, 1920. 23 DR. JOHN MYERS SWAN. Dr. John M. Swan was born in Glasgow, Ohio, on September 11th, 1860. Dr.'Swan came to China in September, 1885, as a missionary of the American Presbyterian Foreign Mission Board. After a period of language study he joined the staff of the Canton Medical Missionary Society’s Hospital in 1887. From that date until 1839, he was associated with the distinguished surgeon Dr. J. G. Kerr. In 1899 Dr. Swan succeeded Dr. Kerr as Medical Superintendent of the Hospital. Building upon the excellent work of Dr. Kerr and his asso ciates and predecessors, Dr. Swan carried the institution steadily forward. In the report of the Managing Committee for the Canton Hospital for 1900, the year of the Boxer out break, we find the following :— “ In reference to Dr. J. M. Swan, the remaining members of the Committee desire to place on record their testimony to his devotion to the interests of the Canton Medical Missionary Society. Swan has continued his work with unabated vigour through a period of sustained anxiety, and of no little risk. The result has been a year of unprecedented success, the Hospital returns showing an advance.on previous years in nearly every particular.” In the Report for 1904, which was issued just before he went on his second furlough, after seventeen years’ service, we read : — “ Resolved that this meeting places on record its high appreciation of the efficient and devoted service which Dr. Swan has rendered the Society during the time that he has been in charge of the Canton Hospital. The usefulness of the Institution has been enlarged in all its branches.” In the 1908 report we read :— “ The successful work of the Hospital during the. past year and the satisfactory condition of the Hospital’s balance sheet is very largely due to Dr. Swan, to whose ability and untiring energy the Committee are deeply indebted,” 24 These quotations bear eloquent witness to Dr. Swan’s devoted, sustained and successful labours. During the fifteen years ot his superintendency, from 189-9 to May, 1914, Dr. Swan enlarged the facilities and equip ment of the Hospital in numerous ways. Many improvements in, and additions to, the old buildings 'were made. Much additional land was secured, and new buildings were erected. In January, 1902, the South China Medical College was established and the next year an imposing building was erected on newly-acquired ground. In May, 1914, Dr. Swan retired from the services of the Medical Missionary Society, since which date he was engaged in private practice. Dr. Swan was a Life Member of the American Medical Association, the Ohio State Medical Association and the Canton Medical Missionary Society. Dr. and Mrs. Swan left China early in the year for a visit to America, and while there Dr. Swan met with an accident which resulted in his death on thè 11th of November. At a meeting of the Board of Directors, held at the Canton H ospital on January 19th, 1920, the secretary was instructed to convey to Mrs. J. M. Swan the following resolution:— That the Board of Directors of the Canton Medical Missionary Union has been greatly shocked to hear of the sudden death of Dr. J. M. Swan, for so long physician in-charge of the Canton Hospital, and desires to convey to Mrs. Swan and the members of 'his family its sincere sympathy in this sore bereavement. The following resolution was passed, with instructions that it be spread upon the Minute Book and a copy sent to the bereaved relatives. Resolved.—That the Staff of the Canton Hospital, being greatly grieved to learn of the sudden summons from the activities of earth of Dr. John Myers Swan, after almost a generation of faithful and untiring service in the interests of this Hospital, and medical Missionary work generally, would hereby extend to the sorely bereaved widow, the sons and relatives their heartfelt sympathies, beseeching for them the consolations of the Holy Spirit, N ovem ber 26th, 1919, Dr . SO TO MENG. 27 DR. SO TO-MENG. Dr. So To-meng, a native of Ko-iu, Canton Province, was educated in' America and at the Canton Hospital Medical College, and has travelled extensively. An expert ocular surgeon, cataract operations were his delight. He adminis tered chloroform to over ten thousand patients without a single death from anaesthetic, and served the Hospital when it was the only institution of the kind here. He was its longest-term assistant, serving it for twenty-five years, from 1865 to 1886, and afterwards attended faithfully for some years on dispensary and operating days: During the Franco-Chinese War a public placard was posted offering a reward for his head, because of his loyalty to the foreigners. He was ever a devoted supporter of the Canton Hospital, and maintained a helpful interest in its work until his death at Canton on the 9th of M ay, 1919, aged seventy-two years. The Canton Medical Missionary Dnion Board of Directors, on learning of Dr. So To-meng’s decease, sent a resolution of appreciation of the long faithful service of the departed and of sincere sympathy with the members of his family. CANTON MEDICAL MISSIONARY UNION. DIRECTORS’ REPORT FOR 1919. The third year of the Canton Medical Missionary Union was a banner year as far as in-patients are concerned, the total number being 2493. The number of out-patients also shows an increase over the last few years, the total being 11654. This increase is partly accounted for by the Sarah Jaffray Dispensary for Women and Children, which is being conducted in the inner'city by Mrs. Hayes, who has been unsparing of herself in this service. The development of the eye, ear, nose and throat work under Dr, Hayes’ supervision has been a feature of the year’s w ork. 28 The addition to the Nursing staff in February of Miss Dickson has made itself felt throughout the year, and it is a satisfaction to record the accession, within the last few weeks, of Dr. John Kirk, of the New Zealand Presbyterian Mission, to the Medical staff, and of Miss Stockton, of the American Presbyterian Mission, to the Nursing staff. Financially, the year has been difficult. The general stringency has made itself felt in the falling off of contribu tions, and as one result of trying to make both ends meet, and at the same time to carry out Pok-Tsai traditions of Medical Benevolence, the Hospital equipment, meagre at best, has fallen deplorably below p.ar. The fact that the free medical treatment given the poor makes an approximate annual tax, on the Hospital of $15,000.00 is probably not generally realized, but has a vital bearing upon the efficiency of the work. It has been, with much reluctance, decided to raise the minimum charge per diem during the coming year from twenty cents a day to thirty cents. The main feature of the year’s work has been the prac tical consummation of an affiliation in Medical Education between theKungYee Medical College and the C.M.M. Union. The agreement is now merely awaiting final endorsement in respect to the accuracy of the English and Chinese transla tions, and will probably have received formal signing, before this report is in print. The Canton Medical Missionary Union, now entering upon its fourth year, faces grave problems of financial support and organization. In the report for last year mention was made of the need for a new plant, modern and efficient, for the proper carrying on of hospital work. The Board of Co-operation of the Canton Missionary Conference, in the medical section of its programme of advance, has thoroughly endorsed this need, and has further stressed the importance of an adequate staffing of the Hospital, with a view toward participation in Medical Education, to the extent of fifteen fully qualified men. It has also gone on record that such questions as Public Health Propaganda, the problems of Tuberculosis and Leprosy, a school of Pharmacy, translation of Medical literature, etc., belong to the work of, and should at an early date be taken up by, the Canton Medical Mission ary Union. These are all, in the last analysis, problems of finance, and important as they are, necessary in fact to the proper development of the work under our care, the actual financial outlook must be faced. • Early in December the Hospital staff was asked to bring forward a minimum Budget for the ensuing year. After long and careful consideration a Budget was brought forward, which required the raising, beyond all estimated resources, of 29 some $40,000.00. The directors felt that this was out of the question and referred the Budget back for revision. It is this Revised Budget, totalling $66,950.00, and involving the raising above all estimated resources of $23,650.00, and representing to the staff an unsatisfactory minimum, which the directors have provisionally approved. It has been this fact of the financial difficulties involved every year, both as to actual running expenses and keeping up of equipment, let alone securing of staff, that have let both staff and directors to question the soundness of the present organization, and to ask whether or no the C.M.M. Union as a Missionary Union is a success. With these questions of finance and organization con fronting it, the Canton Medical Missionary Union enters its fourth year, calling for the support and the prayers of its friends. (Signed) JAMES M. HENRY, Chairman, B o a r d of D ir e c to 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 . REPORT OF CHAIRMAN OF STAFF. FOREIGN STAFF. Dr. James M. Wright of the Reformed Presbyterian Mission returned to America on a well earned furlough in May. He is now, with a fellowship of the China Medical Board of the Rockefeller Foundation, specializing in the subjects of Gynecology and Obstetrics and is expected back next Fall to take charge of that department in the Hospital. Dr. Harry W. Boyd, of the American Presbyterian Mis sion, left on furlough in April of last year. Owing to sickness of Mrs. Boyd he has not yet returned, but is expected back next month to take up work again in the Eye, Ear, Nose & Throat Department. While at home he has been studying under a Fellowship of the China Medical Board of the Rockefeller Foundation. 30 Dr. J. Oscar Thomson, after recuperating at home and studying under a Fellowship of the China Medical Board of the Rockefeller Foundation, arrived back from Canada in December of last year and took up his work again in General Surgery. As a result of wide experience in surgery and special research work, he has been given the degree of F.A .C.S. by the American'College of Surgeons. Mrs. Robert Reford, of Montreal, Canada, has continued the contribution of Gold $1,200.00 towards his maintenance. Dr. William W. Cadbury, of the Canton Christian College, has continued in charge of the Department of Internal Medicine, and since Dr. Wright left on furlough he has had charge of the Laboratory Service also. Dr. Charles A. Hayes,.having specialized in diseases of Eye, Ear, Nose and Throat while in America on furlough, under a Fellowship of the China Medical Board of the Rockefeller Foundation, is in charge of that department. During the past year he has acted as Chairman of Staff. He is at present supported by the Canton Medical Missionary Union. Dr. Calvin C. Rush rendered valuable assistance as Visiting Ophthalmologist until May, when he left for America. It is with pleasure we announce that the New Zealand Presbyterian Mission appointed Dr. John Kirk to the staff of the Canton Hospital in the fall of the year. He commenced his duties in December in the Department of General Surgery. His coming has added a real impetus to our work. Dr. W. Graham Reynolds has served as Honorary Visiting Surgeon during the year. He rendered especially valuable services during the month of July when the staff was depleted on account of the summer holidays. Hearty thanks are due to him for his real heart-interest in the work of the Hospital. Miss Bessie Louise Dickson, formerly Superintendent of Princeton University Hospital, was invited by the Board of Directors of -the Canton Medical Missionary Union to come out and take up her duties as Superintendent of Nurses. She arrived in February of this year and entered upon her duties at once. At present she is supported by the Canton Medical Missionary Union. Miss Helen I. Stockton, of the American Presbyterian Mission, was appointed to the Hospital and took up her duties in November. She will share with Miss Dickson the responsibility for the management of the Nursing Department. Mr. James W. Banbury has continued his untiring and faithful services as Business Manager during the past year. He is supported by funds contributed by the China Medical Board of the Rockefeller Foundation. 31 CHINESE PROFESSIONAL STAFF. During the past year the following five assistant physicians have been in the employ of the Hospital and rendered very valuable services :— Dr. Jiu Hak Shing Dr. Chau Oot Man Dr. Chan Koon Ning Dr. Chau Tsz Wing Dr. Chau Keng Ting In addition to the above Dr. Mok Ue Yuk was appointed assistant physician in October. On August 1st our senior house physician, Dr. Jiu Hak Shing, left us to accept a position in the hospital of the Union Medical Oollege in Peking, now being conducted by the China Medical Board. A number of internes have also been doing regular work on the staff during the year, two of whom, upon completion of their internship, have been granted certificates by the Hospital. Leung Sari Wing and Cheung Hing Kei, pharmacist and assistant pharmacist, have done excellent work. Kwok Pak Chuen has rendered faithful service as assistant in the laboratory. MEDICAL EDUCATION. Plans have been consummated for affiliation in medical education with Kung Yue Medical College, and the foreign physicians on the staff have given regular instruction in that institution. During the past year Dr. Hayes has given regular lectures to the students in Diseases of Eye, Ear, Nose and Throat. Beginning this Fall Dr. Thomson has been giving lectures on Minor Surgery and Dr. Kirk on Practical Anatomy. Students from the College attend our operations on Tuesdays and Saturdays and also our dispensary, in the different departments, on Mondays, Wednesdays and Fridays, where clinical instruction is given. During the first half of the year Dr. Hayes taught Clinical Microscopy in the Hackett Medical College for Women, Dr. Cadbury Clinical Diagnosis and Dr. Wright taught Pathology until he went home on furlough in May. Dr. Thomson has also been acting as consulting surgeon to the David Gregg Hospital. As this has been a record year in the number of patients treated, it has not only entailed a heavy burden upon the staff in treating and caring for them, but has also given us very excellent clinical opportunities to instruct the medical students that have come here for that purpose. CHARLES A. HAYES, M.D., * Chairman o f Staff. A Solid Pile of Stones (18 x 24 inches at the base) removed by operation from patients in the Canton Hospital. REPORT OF THE DEPARTMENTS OF SURGERY AND GYNAECOLOGY AND OBSTETRICS FOR THE YEAR 1919. Throughout the year Dr. J. Oscar Thomson has con tinued on active duty at the hospital, and has also been consulting surgeon to the David Gregg Hospital for Women and Children of the American Presbyterian Mission. During the first half of the year, until he returned home on furlough, Dr. James M. Wright shared in the surgical work. In December Dr. John Kirk joined the hospital staff and has since shared in the work of the surgical department. Dr. W. Graham Reynolds has continued to serve as honorary visiting surgeon throughout the year. The surgical staff has also given regular operative, ward and dispensary clinics, and lectures to the students of the Kung Yee (Men’s) and Hackett (Women’s) Medical Schools. In the men’s service throughout the year Drs. Chau Koon Meng was assistant surgeon, which position he filled very satisfactorily. Having received a scholarship from the government, Dr. Chau has recently proceeded to the United States for further study. Dr. Jeu Hak Shing also acted as assistant surgeon for a time. Drs. Chan Ue Kim, Chan Pik Cha, Foo Wai Man, Tsang Suen Wan, Ng Keung Wa and Chue Shiii Tung have seA^ed as internes, and have all done their work quite satisfactorily. In the women’s service Dr. Chau Keng Teng has faithfully acted as assistant surgeon, and Dr. Mok Ue Yuk as interne, until October, when she was promoted to bo assistant. During the past year the Hospital has well proved its usefulness to the foreign business community, four members having had successful abdominal operations therein. In one case it was entirely owing to the facilities offered by the Hospital for immediate operative interference that the patient’s life was saved. 36 SUMMARY OF STATISTICS. Number of patients admitted...... 1,129 Rem aining in hospital Decem ber 16th, 1918 ... 64 Total number of in-patients treated ...... 1,193 Operations—General Surgery ...... 1,067 Gynaecology and Obstetrics ...... 104 Dispensary ...... 733 T o ta l...... 1,904 Number of out-patients (dispensary) ...... 4,131 Private office patients ...... 470 Out calls ...... 49 Total number of out-patients treated.------4,650 Dispensary—New cases ...... 1,772 Return visits ...... 2,359 M ales ...... 2,997 Females ...... 1,134 N a t io n a l it y o f I n -p a t ie n t s . Chinese ...... 1,173 A m erican 4 Japanese 1 British ...... 7 Portuguese ...... 1 German ...... 1 Indian ...... 7 M exican ...... 1 Co n d it io n s T r e a t e d (In -p a t ie n t s ).— 1418. Infections ...... 315 J oints ...... 49 Wounds and Injuries ... 213 Digestive System ...... 46 V en erea l...... 179 Bones ...... 43 Genito-Urinary...... 170 Abnormalities ...... 30 Tumors ...... 149 Circulatory System ..... 7 Tuberculosis ...... Respiratory System ..... 5 S k in ...... 87 Poisoning ...... 2 Rectum and Anus 80 Miscellaneous ...... 10 Lym phatic System ... 72 Gynaecol and Obstet .,.. 140 Co n d itio n s T r e a t e d (O u t- p a t ie n t s ).— 1418. Skin ...... 1,128 Rectum and Anus ..... 150 Contagious Dis...... 561 Tumors, Benign ...... 111 U lcers...... 380 Tumors, M align ...... 99 Teeth ...... 363 M outh ...... 87 Genito-Urinary ...... 348 A bd om in a l ...... 69 W o u n d s ...... 309 Bones ...... 72 Infections ...... 298 "Fractures and Disloc... . 21 Miscellaneous ...... 165 Gangrene ...... 21 s? Op e r a t io n s (I n -p a t ie n t s ). Miscellaneous...... 368 Rectum and Anus...... 87 Genito-Urinary ...... 220 Head ...... 68 Lower Extremity ...... 155 Abdomen ...... Gynae. and Obstet...... 104 Upper Extremity ...... 51 N eck ...... 102 Thorax and Chest...... 24 R e sid e n c e of C h in e s e Pa t ie n t s (In - p a t ie n t s ). Kwong-tung Province 720. Other provinces 207, distributed thus : — K w ong Sai ...... 83 Fukien ...... 12 Shantung .... 2 Kiang Su ... 29 Chekiang ...... 6 Kweichau .... 1 H unan...... 23 C h ili...... 4 Szechuen .... 1 Yunnan ...... 20 H upeh...... 4 Kiang S i...... 19 A n h u i...... 3 R e sid e n c e of I n -p a t ie n t s fr om K w o n g -t u n g P r o v in c e Canton and Hok Shaan .... 21 Shiu Hing .... 9 D istrict ... 238 W ei Chau ..... 21 Yitig Tak .... 8 Shun tTa k ...... 84 H oi P ’ing ..... 19 Mui I n ...... 5 San O oi...... • 44 Tsang Shing.. . 19 Ts’ung Fa .... 5 Heung Shan. 36 Fa Uen ...... 17 Ko C hau...... 4 Ko lu ...... 33 San N ing ..... 17 Pok L o h ...... 4 Tung Koon .. 31 Tsing Uen ..... 16 Wan Fau .... 4 Saam Shui .. 26 Ham Chau..... 13 and from Chiu Chau, Kwong Ning, Lung Moon, Sz Ooi, Yan P’ing, Tin Pak, Shui Tung, Lim Chau, San On, Yeung Chan, Lin Chau, Lui Chau, Fat Shan, Mau Ming, Sai Uen, San Hing, Yeung Kong, Kwong Lei and Kau Kong 44 patients came to the Canton Hospital. 480 patients came from places in this province outside of Canton. Oc c u p a t io n s of I n -p a t ie n t s (Ch in e s e ). Soldiers ...... 173 Cloth weavers 20 Railroad men 8 H ousewives .. 137 Sailors ...... 20 Prostitutes ... 5 Farmers ... .. 126 Tailors ...... 15 Preachers ...... 5 M erchants .. 107 Mechanics...... 11 Silkworkers ... 4 Labourers .. 86 Carpenters ... 9 Students ... .. 78 Customs men 8 There were besides, clerks, cooks, masons, watchmen, woodcutters, printers, officials, Bible women, bamboo weavers, fishermen, letter carriers, hotel keepers, barbers, bakers, gardeners, physicians, nurses, druggists, telephone operators and armourers. 38 V e s i c a l C a l c u l u s . Seventy-one cases of vesical calculus were operated upon. 67 were males and 4 females. 66 were cured and 4 died. Three of these entered the Hospital with complete reten tion of urine, one with a ruptured urethra and extravasation of urine. One had pyelonephritis. One (65 years of age), who had acute retention, died after a subsequent operation for the removal of a greatly hypertrophied prostate gland. The youngest was 3 years of age, and the oldest 70. There were 34 farmers, 10 labourers, 8 merchants, 8 students and 11 of miscellaneous occupations. LIGATIONS.—For inoperable tumors ligation of the supply ing arteries has been performed. In some cases the condition has, as a result, subsequently become operable. The common carotid was ligated 12 times, the external carotid 6 times and the internal carotid artery once, without a fatality. ABSTRACTS OF HISTORIES OF A FEW INTERESTING CASES. Case No. 1919 had a piece of straw introduced into his bladder, per urethram, by a Chinese quack three months previously. The straw, 19 c.m. long was extracted from the urethra encrusted with uric acid and urates, one c.m. in diameter, weighing three grams. Patient No. Ill, a male 80 years of age, a case of urethral calculus, had had his penis partially amputated for malign ancy seven years previously. Case No. 1751.— A fem ale, age 36, had a large vesical calculus weighing 185 grams. The urethra was dilated and she had incontinence of urine. She was greatly emaciated and weak. Her urine was alkaline and contained much albumen, blood and pus cells. She had previously passed several calculi. The stone completely filled the bladder, which formed a large cystocele. It was impossible to crush it. A suprapubic incision was made, but the bladder could not be opened as it was almost completely covered with peritoneum which was adherent to the public bone. A cystic ovary was partially resected. A vaginal cystotomy was then performed and the stone removed after it was broken into fragments with a chisel and mallet. A piece of. gauze was found in the bladder. The bladder wall was sutured with 39 chromic and silk work gut. The patient was discharged cured. The calculus was an aggration of a number of smaller stones consisting of uric acid, urates and phosphates. Case No. 1959.—A male, 65 years of age, had com plete reten tion of urine for four days. He had an hypertrophied prostate, vesical calculus, inguinal hernia and double hydrocele. Blood pressure 120-65. Hemoglobin 75%. Leucocyte count 10,800. Erythrocytes, normal. Urine contained albumen and pus cells. There were ova of Ascaris in his feces. After thorough preparation a suprapubic cystostomy was performed and 155 small vesical calculi were removed. These were composed of uric acid. The largest was 2.5 x 2 x 1.5 c.m., the smallest the size of a pea. The total weight was 14 grams. A week later*a prostatectomy was done. The patient had also arterio-sclerosis and unfortunately died five days later. Case No. 18-1752 was a male, age 38, with splenomegaly. Medical treatment proving unsuccessful in curing his con dition, since a splenectomy could not be performed owing to very extensive adhesions and cardiac diseases,, the splenic artery was ligated. The spleen became greatly reduced in size. Case No. 1683 was a male, age 56, with a perithelioma of the carotid body of twenty years’ duration, which was excised after ligation of che common, internal and external carotid arteries. The patient was cured. Case No. 829 was a male, 60 years of age, who was admitted during the month of May with a small epithelioma on the right edge of the tongue near the tip. No evident involvement of the buccal mucous membrane was observed or of the submaxillary glands. Hemoglobin 80%. Ova of ascaris in the feces. The right half of his tongue was excised and the patient returned home. In October he returned to the Hospital with a small firm submaxillary gland and a hard small tumor in the remaining part of the tongue. The left external carotid artery was ligated and the rest of the tongue was completely excised. Subsequently the submaxillary gland was excised under novocaine anesthesia. Case No. 18-1067 w as a soldier, age 48, w ho was wounded in battle. The bullet entered abdomen to the right of the umbilicus. The exit wound was in the right lumbar region. When he entered the Hospital he had for six months had a fecal fistula through the exit wound (Wasermann positive). The abdomen was opened by an incision through the right rectus muscle, the descending colon separated from the abdominal wall, and the fistula in the bowel sutured. The 40 fistula in the abdominal wall was then excised and the abdominal wounds sutured. He made an uninterrupted recovery. Case No. 1605 was a boy of twelve with a gangrenous appendix adherent to the abdominal wall. Leucocyte counts successively 5800-8900-14600. An appendicectomy was performed and the patient cured. Case No. 1568.— A male age 24— gangrenous appendix with abscess. Leucocyte count 10,400. The abscess was drained and the patient discharged cured. Case No. 497.—Male, age 35. This was a case of Psoas abscess with appendix adherent to the abdominal wall adjacent to the abscess. An appendioectomy was first per formed and the abscess then drained through a muscle splitting incision which was sutured after the introduction of iodoform emulsion. Recovered. Case No. 2193.—A female 24 years of age had a large ovarian cyst with a congenital retrocecal kinked appendix. Case No. 1885.—Ovarian adeno-cystoma of twenty years known duration. The abdomen was fifty-two inches in circumference. The tumor was completely adherent to the abdominal wall so that resection was impossible. The tumor was marsupialized. The contents of the tumor weighed 65 pounds. The patient recovered. Case No. 2138.—A female, age 23 with chronic appendi citis, a small ovarian adeno cystoma and cystic ovary. She was cured by an appendicectomy, partial resection of the ovary and excision of the tumor. Case No. 1970.—A female, age 45 years. This patient had a large pedunculated fibroid tumor of the uterus weighing twenty pounds. The abdomen was thirty-five inches in circumference. Duration eight years. The tumor was easily resected and the patient was cured. Case No. 1638 was a female, 23 years of age, with a parovarian cyst and concomitant salpingitis. The cyst which was adherent to the sigmoid was first resected. The pus tube which was adherent to the uterus, bladder, colon and ureter was with great difficulty resected after hemisec- tion of the uterus. The patient recovered. Case No. 648.— M ale, age 47, had an irreducible left inguinal hernia of the sliding variety, the colon, mysentery and adjacent peritoneum forming part of the sac. The patient was cured. Case No. 1582.— Male, 30 years o f age, with an incarcerated hernia of twelve hours’ duration. Herniotomy was performed, 41 the contents of the sac, which consisted of small intestine, were found to be viable. It was reduced and a radical operation done. The gatient made an uninterrupted recovery. One patient fell down the elevator shaft of the Sun Building* from the seventh floor to the bottom. No bones were broken and the patient was discharged cured. Case No. 1951.—A male, 28 years of age, married, with a family, had a strangulated inguinal hernia of four days’ duration. His mother would not permit him to enter the Hospital for treatment earlier. Upon admission his abdomen was distended, tender, rigid, and the patient was suffering great pain. He was vomiting and in a state of collapse. Herniotomy was performed. The contents of the sac, which consisted of ileum, was becoming gangrenous. A large patent MeckeH’s Diverticulum 1 x 2 inches long and 1 inch wide was attached to and opened into the strangulated bowel. Six inches of small intestine was resected, but it was impossible to secure sufficient healthy gut to perform an entero-enterotomy. The divided ends of the bowel were therefore sutured to the skin. The patient died upon the second day after operation. J. OSCAR THOMSON, Surgeon. 42 STATISTICAL REPORT OF THE SURGICAL DEPARTMENT for the year ending December 15th, 1919. TJ0) © © ► • «5 *3 0) > O' rg a Ü u o D i s e a s e s a n d C o n d i t i o n s S o 3 & a © H o P. 5 J h c f & ABNORMALITIES. CONGENITAL. Abnormal anus ...... 1 l 1 Cleft palate ...... 4 1 5 5 Hare lip...... 4 4 8 8 Hypospadias ...... 3 3 1 o Phim osis ...... 11 11 11 Urachus—patent...... 2 2 2 BONES. 30 Fractures, vide wounds and injuries ...... 1 1 Gangrene of leg ...... 1 1 i 0 Hypertrophy of os calcis ...... /W 2 2 Osteomyelitis of femur and tibia 15 7 22 16 5 1 Osteomyelitisof inferior maxilla 10 3 13 5 6 Osteomyelitis of malar ...... 2 2 1 1 Osteomyelitis of scapula ...... 1 1 1 Periostitis of rib ...... 1 1 1 Sarcoma, vide tumors ...... 1 1 1 43 t CIRCULATORY SYSTEM. Aneurysm, popliteal ...... 1 1 1 Aneurysm, radial ...... 1 1 1 Angioma of lip ...... 2 2 2 Carotid body tumor ...... 1 1 1 | •Varicose veins...... 2 2 2 7' DIGESTIVE SYSTEM. Appendicitis...... 1 4 5 5 Appendicitis, with abscess ..... 1 1 1 Appendicitis, gangrenous...... 1 1 1 Abscess, abdominal ...... 2 2 2 Abscess, of liver ...... 1 1 1 Adhesions, pyloric ...... ! 1 1 1 Cancer of stomach ...... 1 1 1 43 ~~ I 3 c D ise a se s a n d Co n d itio n s *3 u Died a £ Cured Female 1 Unimproved j j DIGESTIVE SYSTEM— Continued. 1 Cirrhosis of liver...... 1 1 Congenital retrocecal appendix 1 1 1 | Fecal fistula...... 0 3 3 ! Gunshot wounds of abdomen ... 4 4 3 1 Hernia, femora1, strangulated... I 1 ! Hernia, inguinal ...... 7 7 6 1 1 Hernia, inguinal strangulated.. 4 4 3 ! Hernia, inguinal sliding ...... 1 1 i : Hernia, ventral ...... 2 2 i Macroglossia ...... I 1 i 1 Peritonitis, general...... 3 3 2 1 Peritonitis, tubercular ...... 2 2 2 Splenomegaly ...... 2 2 2 Urachus, patent ...... 2 2 2 RECTUM AND ANUS. 46 Abnormal anus ...... 1 1 1 Cancer of rectum ...... 1 1 1 Condylomata ...... 2 4 6 6 ! Fibro-sarcoma...... 2 2 2 i Fistula-in-ano...... 34 1 35 30 3 2 Hemorrhoids ...... 27 3 30 26 2 2 O : Ischio-rectal abscess...... 2 2 " i P o ly p ...... 1 1 1 1 Pruritis ani ...... 1 1 1 Prolapse of rectum ...... 1 1 | 1 GENITOURINARY. 80. s Calculus, vesical...... 73 4 77 67 i 5 Calculus, urethral ...... 5 5 5 Cancer of penis ...... 11 11 7 4 Cystitis ...... 8 •i 10 10 Elephantiasis of penis and , scrotu m ...... 4 4 4 Epidydimitis ...... 1 ‘ 1 1 Fistula ...... 3 3 3 Fistula, dog bite ...... 1 1 1- Fistula, pig bite ...... 1 1 1 ; Foreign body in bladder, i i catheter fragments...... ! 1 I 2 % ' 44 ( D i s e a s e s a n d C o n d i t i o n s cc . Died Cured s Total Female Improved Unimproved | | ' GENITO-URINARY.—Continued. | H y d ro ce le...... I 5 5 5 i Hypospadias...... 3 3 1 2 ! Nephritis ...... 2 ! 2 2 O rch itis...... 4 4 4 Paraphimosis ...... 4 4 ! 4 Phimosis, specific ...... 9 9 9 Prostate, hypertrophied ...... 3 3 2 Retention of urine, acute ...... 5 5 5 Retention of urine, with extra vasation...... 2 2 1 Stricture ...... 17 17 1 17 V a ricocele...... 1 1 i ! INFECTIONS. 170 I Abscess of abdo minal w all...... 2 2 2 Abscess of arm] ...... 3 2 5 4 Abscess of axil a ...... 2. 2 1 Abscess of breast ...... 5 5 3 1 1 Abscess of finger...... 4 1 5 4 1 Abscess of head ...... 10 4 14 11 1 2 Abscess of leg ...... 28 6 34 25 8 1 Abscess, miscellaneous...... 1 1 1 Abscess of neck ...... 5 1 6 5 1 Abscess, pyemic ...... 3 3 3 Abscess of scrotum ...... 1 1 1 Abscess of trunk...... 4 2 6 2 4 Anterior polyomyelitis ...... 2 1 1 3 2 1 Cellulitis ...... 3 3 3 Chaneroid and bubo ...... 22 1 23 22 Gonorrhoea ...... 35 *+)9 37 36 1 Septicemia ...... 1 1 1 Syph ylis...... 47 2I 69 64 5 T eta n u s...... 1 1 2 Tubercular abscesses, psoas 5 1 6 5 Tubercular abscesses, axillary 3 2 5 5 Tubercular adenitis • •’...... 18 21 39 27 6 4 TUBERCULOSIS (VIDE BONES & JOINTS) Ulcers—syphylitic, varicose,etc 33 10 43 20 19 4 315 45 I 0? *c3 DISEASES AND CONDITIONS *3 o a H Cured j Female Im proved Unimproved i JOINTS. j i ! Ankylosis of elbow ...... 6 1 7 7 Ankylosis of knee ...... 5 5 2 3 Arthritis of ankle ...... 1 j 1 1 Arthritis of knee ...... 2 1 3 1 1 Dislocations, vide wounds and i l 1 1 in ju ries...... \3 1 : 4 4 Sprain, vidé wounds & injuries 1 1 1 Synovitis of knee ...... j 2 2 j 4 1 3 Synovitis of maxilla ...... : 1 1 1 Synovitis, multiple...... ' 1 I 1 1 Tuberculosis of ankle ...... 1 1 1 Tuberculosis of hip ...... ; 9 3 1 2 7 5 Tuberculosis of knee ...... 2 2 1 1 Tuberculosis, scaro-iliac ...... 1 1 2 2 Tuberculosis of spine...... 4 4 4 49 LYMPHATIC SYSTEM. Adenitis, cervical, tubercular ••• 18 21 39 27 6 Adenitis, axillary, tubercular ••• 3 2 5 5 Elephantiasis of leg ...... 1 1 1 Elephantiasis of penis & scrotum 4 4 4 Lympho-sarcoma ...... 20 3 23 5 11 72 MISCELLANEOUS. 10 POISONING. 1 1 2 2 RESPIRATORY SYSTEM. Em pyem a ...... 4 4 2 2 H em oth orax...... 1 1 1 1 5 SKIN DISEASES. i ji Blastomycosis ...... : 17 3 20 Callus ...... 1 3 » Eczem a ...... I 29 6 35 Epithelioma...... ,•...... ! 2 2 Furunculosis ...... 1 1 Ich th y osis...... 1 1 Keloid „.„...... „..I....,...... 4 2 6 46 D i s e a s e s a n d C o n d i t i o n s SKIN DISEASES.— Continued. L eu cod erm a ...... Psoriasis ...... Scabies ...... 12 Tinea circinata ...... U rticaria ...... 1 TUMORS. Adenoma of breast...... Angioma of lip ...... 2 Angioma of face ...... 2 Carcinoma of arm ...... 2 Carcinoma of breast ...... Carcinoma of chest wall ...... 1 Carcinoma of glutual region ... 2 Carcinom a o f jaw ...... 1 Carcinoma of labia...... Carcinoma of lip ...... 2 Carcinoma of penis ...-...... 1L Carcinoma of rectum ...... "... Carcinoma of scalp ...... 1 Carcinoma of stomach ...... 1 Carcinoma of tongue ...... 4 Carcinoma of uterus ...... Cyst of ovary ...... Dermoid cyst of ovary ...... Epulis of jaw ...... Exostosis of os calcis...... Fibroid of uterus...... Fibromata of face ...... Fibromata of hip...... Fibromata, multiple ...... Fibro-adenoma of vulvovaginal gland ...... Fibro-sarcoma of back ...... Fibro-sarcoma of ischio-rectal re g io n ...... 2 Fibro-sarcoma of tendo achilles 1 Lipoma of thigh ...... 1 Lympho-sarcoma, cervical ...... 20 Macroglossia ...... 1 Osteoma of cervical spine ...... 1 47 Dise a s e s a n d C o n d itio n s U nim proved TUMORS. - Continued. Osteoma of scapula ..:...... 1 • 1 Parovarian cyst ...... 1 1 1 Perithelioma of the carotid body 1 1 ! Prostatic fibro-aclenoma ...... 3 1 Polypus, rectal...... 1 1 ; Sarcoma of femur ...... 1 1 Sarcoma of inf. max., tibia and ulna ...... 1 1 Sarcoma of metacarpal...... 1 1 1 Sarcoma of testicle ...... 1 1 Scar tissue ...... 3 3 3 ! Scnr tissue keloid ...... 4 2 6 6 ! Sebaceous cvsts ...... 6 6 6 ! WOUNDS AND INJURIES. 149 ! Bitten by dog ...... 1 1 Bitten by pig ...... 1 1 l ! Bitten by snake ...... 1 1 Bitten by tiger...... 1 1 i i Burns and scalds...... 17 '3 20 19 i Burns, acid ...... 1 1 Burns, iodine ...... 1 1 1 Burns, oil ...... 1 1 Concussion of brain ...... 7 2 9 6 3 Contusions and abrasions of scalp ...... 4 1 5 4 1 Contusions and abrasions of lip 1 1 1 Contusions and abrasions of abdomen ...... 2 2 0 Contusions and abrasions of perineum ...... 2 J 3 3 Contusions and abrasions of trunk ...... '...... 5 1 6 4 1 Contusions and abrasions of upper extremity ...... ' 4 2 6 5 1 Contusions and abrasions of ! lower extremity ...... 0 2 7 3 4 Dislocations of ankle...... i 1 1 Dislocations of elbow ...... 3 1 4 4 Dislocations of hip ...... 2 1 3 3 Dislocations of knee ‘...... 5 2 2 1 ! o *3 D ise a se s a n d C o n d itio n s S WOUNDS AND INJURIES.—Continued. Dislocations of inferior maxilla 2 Foreign bodies : Catheter fragments in blad der ...... 1 Bamboo stick in uterus-••... ■ Straw in bladder...... 1 Fish bone in throat...... Needle in abdominal wall... 1 Needle in hand ...... 1 Miscellaneous...... 0 Fracture of neck of femur Ï Fracture of femur ...... 2 Fracture of humerus...... 2 Fracture of phalanges ...... 2 Fracture of radius and ulna ... 1 Fracture of ribs ...... 1 Fracture of scapula ...... 1 Fracture of spine ...... 1 Fracture of tibia and fibula...... 2 Gunshot wounds of head ...... 4 Gunshot wounds of neck ...... 1 Gunshot wounds of shoulder ... 5 Gunshot wounds of chest...... 6 Gunshot wounds of spine...... 1 Gunshot wounds of upper arm 8 Gunshot wounds of elbow ...... 5 Gunshot wounds of forearm ... 1 Gunshot wounds of wrist...... 2 Gunshot wounds of hand ...... 2 Gunshot wounds of abdomen ... 4 Gunshot wounds of hip ...... 4 Gunshot wounds o f th igh ...... 15 Gunshot wounds of knee ...... 2 Gunshot wounds of leg ...... :.. 15 Gunshot wounds of ankle and f o o t ...... 3 Incised wounds of head ...... 3 Incised wounds of neck (self inflicted) ...... 2 Incised wounds of chest ...... 2 Incised wounds of abdomen...... 1 D i s e a s e s a n d C o n d i t i o n s WOUNDS AND INJURIES.— Continued, j Incised wounds of upper ex- 1 trem ity ...... Incised wounds of lower ex trem ity ...... Rupture of bladder with gen. peritonitis...... Sprain of shoulder ...... T o ta l 50 Report of the Department of Gynaecology and Obstetrics for the year ending December 15th, 1919. Jj TS "5 O D i s e a s e s a n d C o n d i t i o n s "S C a H 3 Female Im proved Unimproved j j Cured Adeno-fibroma of vulvo-vaginal gland ...... 3 3 Amenorrhoea ...... 1 1 Abscess of vulvo-vaginal gland 1 1 Carcinoma of labia...... 1 1 Carcinoma of uterus ...... | 7 7 Dermoid cyst of ovary ...... | 2 2 i Dead foetus ...... 1 j i Endometritis ...... 4 2 1 1 Fibroid tumors of uterus, sessile 4 2 1 Fibroid tumors of uterus, pedun culated ...... 1 1 Foreign body in uterus— bam boo stick ...... 1 1 Labia, hypertrophied...... 1 1 Labor, normal...... 32 32 Labor, forceps ...... 2 2 Labor, mitral disease, induced a bortion ...... 2 2 Babies born in hospital...... 34 34 M iscarriage ...... 2 2 Ovarian cysto-adenoma ...... 20 20 Parovarian cyst ...... 1 1 Perineum, lacerated (outside) 2 2 Peritonitis, gonorrhoeal ...... 1 1 Placenta previa, version ...... 1 1 Prolapse of uterus ...... 2 2 Retroversion of uterus ...... 4 1 3 Salpingitis...... 7 5 2 Vesico-vaginal fistula ...... 3 2 1 140 « 51 SURGICAL OPERATIONS. For the year ending 15th December, 1919. OPERATION. HEAD. Number. Curettage and cauterization of mouth...... 1 Excision of cysts ...... 6 ,, epithelioma ...... 8 „ carcinoma of tongue and adenectomy 1 „ carcinoma of tongue, partial ...... 1 ,, fibroma ...... 2 „ lipoma ...... 2 „ scars ...... 1 „ inferior maxilla, partial ...... 4 Extractions of teeth, multiple ...... 4 Incision and drainage of abscesses of face ...... 7 Incision and drainage of abscesses of parotid gland 2 Injection of boiling water, angioma...... 2 Plastic repair of harelip ...... 8 „ nose ...... 1 „ wounds ...... 17 Sequestrectomy, inferior m axilla ...... 14 Trephiniug skull ...... 2 Uranoplasty ...... - ...... 5 NECK. 68 Adenectomy ...... 44 Excision of carcinoma...... •...... 4 „ keloid...... 6 „ lympho-sarcoma...... 15 ,, osteoma cervical vertebra ...... 1 „ perithelioma of carotid body ...... 3 Incision and drainage of a bscesses...... 2 „ of carbuncle ...... 1 Ligation of common carotid artery...... 12 ,, external carotid artery ...... 6 ,, internal carotid artery ...... 1 „ facial artery ...... 2 Plastic repair of cut throat (self inflicted)...... 4 Tracheotomy ...... 1 THORAX AND CHEST. 102 Excision carcinoma ...... 2 Incision and drainage of abscess...... 3 Laminectomy...... 2 M am ectom y ...... 3 52 THORAX AND CHEST.—(Con.) Number. Mamectomy, radical with adenectomy ...... 7 Plastic repair of wounds...... 2 P leu rotom y...... 3 Resection of rib, partal ...... 2 24 ABDOMEN. Appendicectomy ...... 5 „ with drainage of abscess ...... 1 Excision of needle in abdominal wall...... 2 ,, patent urachus ...... 2 Cauterization of fecal fistula ...... 2 Drainage of peritonitis ...... 2 Herniotomy, radical repair, inguinal ...... 7 „ „ femoral with entero-enterostomy 1 „ ,, inguinal strangulated...... 1 „ ,, inguinal Meckel’s diverticulum, with entero-enterostomy ... 1 sliding ...... 1 „ ,, v e n tra l...... 2 Incision and drainage of abscess of abdominal wall ...... 3 „ ,, „ intra-abdominal 2 of liv e r ...... 1 Incision of psoas abscess-iodoform emulsion ...... 16 Laparotomy, exploratory ...... 6 Ligation of Splenic artery ...... 1 Omentopexy ...... 1 Pyloric adhesions separated ...... 1 Suturing bowel ...... 3 61 RECTUM AND ANUS. Cauterization of ulcers ...... 7 Dilatation of stricture ...... 1 Excision of carcinoma of rectum ...... 1 „ condylomata...... 6 „ fibro-sarcoma ...... 2 ,, fistula-in-ano ...... 35 ,, hemorrhoids...... 30 polyp ...... 1 Incision of stricture...... Incision and drainage of.ischio-rectal abscess...... 2 Plastic repair of abnormal anus ...... 1 Plastic operation for pruritis ani...... 1 87 53 GENITOURINARY. Number. Amputation of penis, radical with adenectomy ...... 8 Amputation of scrotum ...... 2 Catheterization for acute retention ...... 5 Cauterization of syphylitic ulcers ...... 4 Cauterization of vesical fistula ...... 2 Circumcision ...... 18 Cystotomy for acute retention ...... 2 „ ,, with extravasation...... 1 ,, foreign bodies (catheter fragments) 2 Decapsulation' of kidneys ...... 4 Dilatation of urethra for stricture ...... 34 Epidydimectomy ...... 1 Excision condylomata of penis...... 1 Excision scar tissue of cord ...... 1 Hydrocele, radical cure ...... 4 Hydrocele, tapped...... 3 Hypospadias, plastic repair ...... 3 Incision and drainage of bubo ...... 23 Incision and drainage of perineal abscess...... 1 Lithotomy, suprapubic...... 66 ,, „ and vaginal cystotomy...... 1 „ „ with perineal drainage...... 1 ,, perineal ...... 2 „ perurethram ...... 1 „ u reth ral...... 5 Orchidectomy...... 2 Plastic repair penile fistula caused by a dog bite ...... 1 a pig bite ...... 1 ,, oedema prepuce ...... 1 ,, paraphimosis ...... 4 „ redundant prepuce ...... 2 Prostatectomy, suprapubic...... 1 Prostatectomy with Lithotomy (155 Vesical calculi) 1 Urethrotomy, external...... 11 Yaricocle, radical cure ...... 1 UPPER EXTREMITY. 220 Amputation, upper arm ...... 1 „ finger ...... 2 Arthrectomy, elbow joint ...... 2 Arthroplasty, elbow ...... 4 Aspiration of joints ...... 4 Brisement forcee of ankylosed joints ...... 10 Excision carcinoma of forearm ...... 4 Excision of sebaceous cyst of axilla ...... 1 54 UPPER EXTREMITY— (Con.) Number. Extraction of bullets and suturing gunshot wounds, shoulder 3 elb ow ... 2 „ „ „ „ hand ... 2 Incision and drainage of abscesses...... 5 Ligation of radial artery...... 1 Plaster casts applied...... 2 Reduction of dislocated elbow ...... 1 Sequestrectom y ...... 2 Suturing wounds ...... 5 LOWER EXTREMITY. 51 Amputation of leg at knee joint ...... 5 Arthrectomy of hip joint...... 3 Aspiration of joints, injections ...... 5 Brisem ent forcee o f ankylosed jo in ts ...... 4 Curettage of ulcers ...... 16 Excision of callus ...... 6 „ fibroma ...... 1 „ lipoma of thigh...... 1 „ osteoma of femur ...... 1 Exploratory incision for sarcoma ...... 1 Extraction of bullets and wounds sutured...... 7 Excision of head of femur ...... 1 Extraction of needle in knee ...... 1 Evulsion of toenail ...... 1 Incision and drainage of abscesses ...... 11 Incision and obliteration of prepatellar bursitis...... 1 Incisions, multiple for cellulitis ...... 1 Ligation femoral artery ...... 1 Ligation popliteal artery...... 2 Plaster casts applied...... 4 Reduction of dislocated hip ...... 3 Reduction of dislocated ankle ...... 1 Sequestrectomy, chronic osteomyelitis, femur and tibia. 46 Sequestrectomy, gunshot wounds...... 15 Skin grafting ...... 3 Suturing wounds ...... 5 T enotom y...... 2 Tenoplasty ...... 2 Trephining os calcis...... 2 MISCELLANEOUS. 155 Curettage of ulcers ...... 12 Carbondioxide snow applications ...... 9 Excision of epithelioma ...... 2 „ k e lo id ...... 6 55 MISCELLANEOUS—( Con.) Number.' Excision of dermoid cysts ...... 2 ,, tumors ...... 7 Extraction of bullets, and plastic operations ...... 5 Examinations under anesthetic ...... 38 Incision and drainage of abscesses...... 48 Injection of Novoaresenobenzol ...... 18 „ Salvarsan...... 2 „ Hydrarg-Arseno-Iodide ...... 172 Intravenous instillation of saline solution ...... 24 Plastic repair of stab wounds ...... 4 Plaster casts applied ...... 7 Skin grafting ...... ! ...... 5 Suturing wounds ...... 2 Paracentesis ...... 2 368 Gynaecological and Obstetrical Operations for the year ending 15th December, 1919. Abortion, induced ...... 2 Amputation of cervix uteri, Schroeder ...... 1 Colporrhaphy, posterior ...... 1 Curettage of uterus ...... 12 Drainage of abdomen, abdominal and vaginal...... 1 Excision of tumor of labium majus...... 1 Excision of adeno-cystoma of vulvo-vaginal gland 3 Extraction of dead foetus ...... 1 Extraction of foreign body from uterus (bamboo stick)... 1 Hysterectomy, supravaginal...... 1 Incision and drainage of abscesses...... 2 Labor, normal...... 32 ,, forceps extraction...... 4 „ version and extraction...... 1 Laparotomy, exploratory ...... 2 Marsupilization of ovarian cyst (20 years’ duration) 1 Obliteration of patent urachus...... 1 Oophorectomy ...... 20 Perineorrhaphy...... 2 Plastic repair vesico-vaginal fistulae ...... 3 Myomectomy, sessile fibroids ...... 2 Myomectomy, large pedunculated fibroid ...... 1 Resection dermoid cyst ...... 2 Resection parovarian cyst ...... 2 Reduction of prolapsed uterus ...... 1 Salpingectomy, single ...... 2 Salpingectomy, double...... 1 V u lvectom y...... 1 104 TABLE OF OPERATIONS FOR V E S IC A L C A L C U L U S , 1919. No. Patient. Age. Sex. Residence. Occupation. Duration. Date of Oprn. Operation. Chemie. Comp. Diameter. Weight. Result Remarks 1. 18-1847. 20 M Tung Koon Carpenter 7 years Dec. 3 Suprapubic Cured 2. 1850. 28 M Tung Koon Farmer 2 years Nov. 30 Suprapubic Cured 3. 1912 . 8 M P’ un Ue 3 years Dec. 10 Suprapubic Cured 4. 1927. 5 M P ’ un Ue Fisherman 3 years Dec. 14 Suprapubic Cured 5. 1932. 42 M Naam Hoi Farmer Dec. 11 Suprapubic Cured 6. Acute retention 1944. 41 M Saam Shui Farmer 4 years Dec. 6 Suprapubic Cured 7. 1940. 30 M San Ning Merchant 9 mon. Dec. 19 Suprapubic Cu red 8. 19-61. 12 M Canton Farmer 4 years Jan. 8 Suprapubic Cured 9. 136. 36 F San N ing * l ì years Jan. 16 Suprapubic Cured 10. 124. 20 M Hoi P’ing W eaver 16 years Jan. 21 Suprapubic perineal drain Novoca Died Extravasation urine 11. Acute retention 143. 8 M Tung Koon Farmer 5 years Jan. 21 Suprapubic cm. gm. Cured 12. 252. 18 M San Coi Smith 14 years Jan. 28 Extr. per ureth ram Cured 13. 237. 53 M Ko lu Carpenter 7 years Jan. 25 Suprapubic Uric A cid 2.5 x 2 x 1.5 11 Cured 14. 394. 3 M Tung Koon 2 years Mar. 20 Perineal Ur. Ac. & Ura. 1 x .5 x .5 1 Cured 15. 448. 40 M Sz Ooi Farmer 2 years Mar. 27 Suprapubic Cu red 16. 483. 51 M San Ning Farmer 1 year April 3 Suprapubic Cured 3 stones 17. 454. 8 M P un Ue 1 year Mar. 3 Suprapubic Cured TB abscess, Hemorrhoid'' 18. 606. 60 M Shun Tak Farmer 4 years April 26 Suprapubic Ur. Ac. & Ura. 5.5 x 4.5 x 3.5 52 Died Ureih stricture 19. 626. 14 M P ’un Ue Student 4 years April 29 Suprapubic Ur. Ac. & Ura. 3 x 2 x 1.5 6 Cured Triangular stone 20. 611. 19 M Ko lu Wood cutter 7 years M ay 1 Suprapubic ¡¡Uric Acid 4.5 x 3.5 x 2.5 31 Cured 21. 645. 39 M HeungShan Farmer U years M ay 8 Suprapubic iUr. Ac. & Ura. 3.5 x 3 x 2 15 Cured Mitral insuf. 2 22. 654. 31 M Naam Hoi Merchant years M ay 10 Suprapubic Ur. Ac. & Ura. 3 x 2 x 1.5 9 Cured Icterus 23. 693. 13 M Naam Hoi Merchant 2 years M ay 15 Suprapubic* Uric A cid 3.5 x 2.5 x 1.5 19 Cured Small meatus 24. 763. 8 M Naam Hoi May 27 Suprapubic Phosph- 2 stones 25. 852. 9 F Saam Shui 4 years M ay 27 Suprapubic Urates 2 x 2 x 1.5 5 Cured 26. 840. 7 M Tung Koon 4 years M ay 29 Suprapubic Ca. Oxalate 3.5 x 3 x 2.5 13 Cured 27. 856. 8 M Ko Ming Student I f years M ay 31 Suprapubic Ur. Ac. Ur. Phos. 3x2x2 9 Cured Hydrocele 28. 845. 10 M Saam Shui Laborer 7 years J une 3 Supi apubic Urates & Phos. 5 x 3 x 2.5 29 Cured 29. 887. 11 M San Ooi Farmer 1 year June 7 Suprapubic Uric A cid 3x2x2 11 Cured 30. 942. 56 M P ’un Ue Farmer June 9 Perineal Died Stricture, ac. retent , extrav. urine, 2 stones 31. 1085. 16 M H ok Shan Farmer 10 years July 1 Suprapubic Ur. Ac., Ur. Phos. 3.5 x 3 x 2 14 Cured 32. 1130. 10 M Saam Shui Cowboy 8 years July 1 Suprapubic Cured 33. 1125. 16 M H ok Shaan July 1 Suprapubic Cured 34. 1149. 20 M Tung Koon Merchant 3 years July 8 Suprapubic Ur. Ac. & Ura. 5x3x2 23 Cured 35. 1143. 9 M Kwong Sai Student 5 years July 10 Suprapubic Urates 3 x 2.5 x 2 10 Cured 36. 1239. 38 M Saam Shui Boatman 8 years July 19 Suprapubic Ur. Ac. & Phos. 4.5 x 4 x 2.5 33 Cured 37. 1292. 6 M San Ning 7 mon. July 26 Suprapubic Cured 38. 1332. 67 M Ko lu Merchant 2 years July 29 Suprapubic Ur. Ac. & Ura. 4 x 3 x 1.5 16 Cured Dysentery 39. 1346. 57 M Shun Tak Aug. 2 Suprapubic Ur. Ac., Ur. Phos. 7 x 5.5 x 4 141 Cured 40. 1337. 26 M Shun Tak Farmer 1 year' Aug. 3 Suprapubic Ur. Ac. & Ura. 3 x 2.5 x 2 9 Cured 41. 1416. 75 M Tsing Uen 3 years Aug. 7 Suprapubic Ur. Ac. & Ura. 4x3x2 23 Cured 4?. 1433. 70 M HeungShan Farmer 2 years Aug. 19 Suprapubic ¡Phosphates 4 x 3 x 3 20 Cured 43. 1528. 42 M W ei Chau Farmer lal i years' Aug. 23 Suprapubic |Ur, Ac. & Ura- 6 x 4 x 3.5 59 Cured Table of Operations foi Vesical Calculus. 1919.—{('ont.j No . Patient. Age. Sex. Residence. Occupation. Duration. Date of Oprn. Operation Chemie. Comp. Diameter. Weight. Result. Remarks. 44. 1535. 4 M Shun Tak Farmer 2 mon. Aug. 23 Suprapubic Ur. Ac. & Phos. 6 Cured 3 stones 45. 1635. 22 M P’ un Ue Laborer 4 years Aug. 9 Suprapubic Ch. Ox . & Tr. Phos. 6 x 4 x 3.5 52 Died Pyelonephritis 46. 1602. 16 M San Ooi Farmer li years Aug. 1L Suprapubic Cured Splenomegaly 47. 1661. 15 M P ’un Ue Farmer 1 year Aug. 11 Suprapubic Ur. Ac. & Ura. 4 x 3 x 2.5 33 Cured 3 stones 48. 1655. 12 M K o Iu Student Aug. 13 Suprapubic Ta. Oxalate Cured 49. 1662. 13 M Ko Ming Student 4 years Aug. 13 Suprapubic Ura. & Phos. 1 x .5 x .5 1 Cured Dumbell—another operation 5 0. 1751. 36 F P ’un Ue W et nurse Aug. 20 Suprapubic & Vagin. Ur. Ac., Ur. Phos. 185 Cured Gauze extracted 5 1 . 1720. 13 M Ko Iu Farmer 5 years Sept. 16 Suprapubic Ur. Ac., Ur. Phos. 3.5 x 2.5 x l.i') 9 Cured 2 stones 52. 1725. 13 M Hoi P ’ing Student 4 years Sept. 20 Suprapubic Urates & Phos. 7x4x3 56 Cured 53. 1822. 15 M K w ongN ing Farmer 3 years Oct. 2 Suprapubic U rates 4 x 2.5 x 1.5 11 Cured 54. 1836. 14 M Ko Iu Fisherman 2 years Oct. 2 Suprapubic Uric Acid 3.5 x 2 x 1.5 Gured Dumbell 55. 1830. 36 M P ’un Ue Trader la years Oct. 4 Suprapubic Urates 3 x 2.5 x 1.5 11 Cured 56. 1827. 22 M Tsang Shing Farmer 2 years Oct. 7 Suprapubic Ur. Ac. & Ura. 6 x 4.5 x 3 44 Cured 57. 1863. 10 M P’un Ue Farmer 5 years Oct. 9 Suprapubic Ur. Ac. & Ura. 3x2x2 7 Cured 58. 1864. 9 M Tsung Fa Farmer i year Oct. 9 Suprapubic Ur. A c. & Ura. 3 x 2.5 x 1.5 12 Cured 59. 1883. 52 M W ei Chau Merchant 3 years Oct. 11 Suprapubic Ura. & Phos. 5.5 x 4 x 3 53 Cured 60. 1893. 20 M Ko Iu Farmer Oct. 16 Suprapubic Ur. Ac. & Ura. 4 x 3 x 1.5 11 Cured 61. 1895. 7 M Tsing Uen Farmer 3 years Oct. 16 Suprapubic Ur. Ac. & Ura. 2 x 1.5 x 15 4 Cured 62. 1897. 10 M Ts’ung Far Student a year Oct. 18 Suprapubic Ur. Ac. & Phos. 4.5 x 3 x 2.5 25 Cured 63. 1929. 6 M Hok Shan 1 year Oct. 18 Suprapubic Uric Acid 2.5 x 2 x 1.5 13 Cured 64. 1959. 65 M Naam Hoi Boatman 2 mon. Oct. 20 Suprapubic Uric Acid 2.5 x 2 x 1.5 24 155 stones—acute reten. from 4 days — died 65. 1961. 9 M Ko Ming Farmer 8 years Oct. 20 Suprapubic after subsequent pro- 66. 2000. 7 M K w ongN ing Farmer 1 year Nov. 1 Suprapubic statectomy. 67. 1972. 5 F San Ooi 2 years Nov. 4 Suprapubic Ura. & Phos. 3.5 x 3 x 2 18 Cured 68. 2067. 12 M Hoi Ping Student 3 years Nov. 8 Suprapubic Ur. Ac. & Phos. 3 x 2 5 x 1.5 9 Cured 69. 2069. M Suprapubic Ur. Ac., Ura. Phos. 12 Cured 70. 2154. 62 M Heung Shan Farmer 2 years Nov. 27 Suprapubic Ca. Oxalate 2.5 x 2.5 x 2 11 Cured 71. 2164. 57 M Ko Iu W eaver 3 years Nov. 29 Suprapubic Ur. Ac. & Phos. 4 x 3.5 x 2.5 20 Cured Uric A cid 55 Cured Ur. Ac. & Phos. 5 x 4.5 x 2.5 43 Cured M a le ...... 67 Cured .. , 67 Youngest 3 years. F em a le...... 4 Died . 4 Oldest... 70 years. Suprapubic Lithotomy.... 66 - F arm ers...... 34 71 71 Average age 23^ years- Suprapubic, perineal drain... 1 Laborers...... 10 Longest duration of the disease was 16 5rears- The average duration of the disease was 3è years. Suprapubic and vaginal 1 Students...... 8 There were three of over 10 years’ duration- Seven cases had more than one calculus, either 2 or 3 stones. ; one Perineal .. 2 M erchants...... 8 had 155 stones- The heaviest calculus weighed 185 grams- E xtracted per urethram 1 M iscellaneous ... 11 3 of the calculi were composed of Calcium Oxalate, and one of these was coated with Triple Phosphates—8 were of Uric Acid— 71 71 15 were of Uric Acid and Urates—4 of Urates—2 cf Phosphates— and 17 were of Phosphates covering Uric Acid and or Urates. J. OSCAR THOMSON. 5 urethral calculi were extracted per urethram- ADENO-CYSTOMA OF OVARY, WEIGHT 65 LBS., SUCCESSFULLY REMOVED BY OPERATION. 63 REPORT OF THE DEPARTMENT OF INTERNAL MEDICINE. STATISTICS. Number of cases discharged from private wards in 1918-•• 221 Number of cases discharged from private wards in 1919- 2 22 Total number of cases discharged in 1918 ...... 674 Total number of cases discharged in 1919 ...... 832 Out-patient Department in 1919 : Private calls, first visits only...... 174 Free Dispensary new cases ...... 1,123 Free Dispensary, return visits ...... 1,288 City c a lls ...... 91 The above statistics show that there was a notable increase in the number of cases treated in the medical wards during 1919- The work would have been quite impossible except for the valuable assistance of Dr. Chau Oot Man who succeeded Dr. Jeu Hak Shing as first assistant in the men’s department, and the following internes: Drs Chan Ue Kim, Wong Pan Wa, Tsang Suen Wan and Chan Pik Cha- In th« women’s department Drs- Chau Keng Teng and Mok Ue Yuk have alternately rendered faithful service in the medical wards- Dr- Wong Min was released with considerable regret in order that he might take charge of the Baptist Mission Hospital at Ying Tak where he has given good satisfaction ever since. NATIONALITY OF PATIENTS. Besides the Chinese patients discharged from the medical wards other nationalities were represented as follows: American ...... 2 German ...... 1 Korean...... 1 English ...... 1 Japanese...... 3 There is probably no hospital in,China in which such a large proportion of the patients come from great distance-; and from outside provinces. This is to be explained by thn many years of service which the hospital has ren l.iret1 ‘ » China beginning as the only hospital in the whole empiru, also by the cosmopolitan nature of Canton City aind also because many of our patients are soldiers who have been recruited from distant provinces. Besides the patients who came from Kwangtung the homes were distributed as follows 64 NATIONALITY OF PATIENTS.—( Con.) A nw hei ...... 3 Kiangsi ...... 20 H u p eh ...... 4 Chekiang ...... 4 Kiangsu ...... 32 Shantung ...... 4 Chihli ...... 1 K w an gsi...... 70 Szechwan ...... 3 Fukien ...... 9 H unan...... 15 ” Yunnan ...... 44 Thus there were 207 patients, or almost one fourth of the total number discharged who came from provinces other than Kwangtung. The City of Canton is located partly in the Poon Ue and partly in the Naam Hoi districts and from these two there were altogether 159 cases- Other districts of Kwangtung from which there came ten or more patients were as follows: Heungshan ...34 Saam Shui...... 11 Tsang Sheng •• 19 H oiping ...... 19 San Ooi ...... 47 Tsing Uen ...... 19 H okshan...... 17 Shun Tak ...... 96 Tung Koon ...... 19 K o Iu ...... 13 Toi Shan...... 27 Wai Chau ...... 16 INCIDENCE OF DISEASE. Reference to the Table of Diagnoses below shows that the diseases most frequently met with in the wards were as fo llo w s: Tuberculosis ...... 100 cases- Syphilis...... 69 Beriberi-...... 59 Typhoid Fever ...... 44 M alaria...... 41 Influenza ...... 40 Pneumonia ...... 27 Chronic Nephritis...... 26 In the dispensary the most frequently me1 diseases were Tuberculosis 152 cases, Chronic Gastritis, 137 cases ; Leprosy, 114 cases and 101 cases of Bronchitis- The treatment of Pulmonary Tuberculosis by the injec tions of a solution of Saccharose according to the method of Lo Monaco, of Rome, has been employed with considerable success in ameliorating the cough and expectoration. For the past few years it has been very noticeable that while Chronic Nephritis of the parenchymatous type was fairly common, Chronic Interstitial Nephritis is rarely met with. Thus, during the past year, although there were 26 cases of chronic nephritis admitted, there was not a single one associated with high blood pressure, and only two showed uremic symptoms and these were Japanese subjects- In all 65 the cases there was marked albuminuria with edema. Except in patients with aortic regurgitation, hypertension is a rare condition in our experience among the Chinese- The teacher, the two cooks and all of the students, except two in a small school in the western part of the city, were taken suddenly ill after eating their morning meal- Some of the contents of the pot in which their soup had been cooked was found by chemical analysis to contain arsenic- Eleven of the victims were brought to the hospital for treatment three or four hours after they had swallowed the poison- By means of vigorous treatment with stomach washing and intravenous saline injections five of the patients were saved, the other six dying with typical signs of acute arsenic poisoning- Three cases of Diabetes Mellitus were successfully treated with the Allen starvation method- Six patients suffering from Tabes Dorsalis were under treatment during the year- We have found that intravenous injections of the mixture of Mercuric Iodide and Arsenic Iodide, mentioned in last year’s report, appeared to give con siderable relief. Neo-Arsphenamin given intravenously was not as beneficial in our hands. The use of Typhoid Vaccine, intravenously, has proved a valuable remedy in a number of conditions- The most striking results have occurred in a number of cases of Typhoid Fever in which the temperature fell to normal by crisis after one or two injections of the vaccine. LEPROSY. The weekly clinic for Lepers has been changed to Thursday morning in order that these patients should not come to the hospital on the same day as other cases- Injec tions of the Chaulmoogr# Oil Mixture of Heiser and Roger’s Sodium Gynocardate A- have been employed. Most of the patients have shown marked improvement, but there have been a few. relapses- T able of L eprosy Patients T reated in 1919. No- of Cases who began treatment in 1915...... 2 191 6...... 2 191 7...... 9 1918 ...... 10 1919 ...... _91 Total Number of Patients seen...... 114 Total Number of Visits ...... 769 66 LEPROSY.—( Con. ) Number who paid one visit only ...... 04 Number who paid 2 to 9 visits ...... • •• 27 Number who paid ten or more visits ...... 23 Average number of calls per patient ...... 6'7. CARE OF STUDENTS IN CANTON. By agreement with the Union Theological School and the Tung Chi School the students of these institutions are given an annual physical examination by doctors ar the Canton Hospital and may apply at the Hospital for treatment at special rates- MINOR OPERATIVE PROCEDURES. Among the minor operations performed in the medical department the following have been recorded:— Aspirating ascitic fluid ...... 87 Aspirating fluid from pleura ...... 5 Aspirating spinal fluid ...... 6 intra-muscular injections of saccharose solution...... • • 105 Intravenous injections of the Arsenic Mercury and Iodine Compound ...... - 225 Intravenous injections of Hexamethvlenamine solution. 30 Intravenous injections of Neo-Arsphenenamine ...... 48 Intravenous injections of Typhoid Vaccine ...... 102 Total number of operations 608 This does not include saline transfusions and other minor operations of almost daily occurrence. The table of diagnoses given below includes all of the patients dismissed from the medical wards during the year- Where one patient suffered from two or more diseases all the diagnoses are recorded. The Bellevue Hospital nomencla ture is employed. W. W. CADBURY, Head o f the Department of Internal Medicine. MEDICAL DIAGNOSES. December 16th, 1918 to December 15th, 1919. D iseases a n d Co n d it io n s. I | r* o « THE BLOOD. i ■ Anaemia, Simple ...... 3 : 3 5 Anaemia, Splenic ...... 2 2 Banti’s Disease ...... 3 1 1 1 1 Splenomegaly, Primary ...... 6 4 2 22 Splenomegaly, with Ascites 14 ; 12 j 2 Splenomegaly, Ascites and Pleural Effusion...... 1 j 1 Splenomegaly, and Infan tilism ...... 1 1 Haemophilia ...... 1 ; BONES. | Periostitis...... ! j 1 THE CIRCULATORY SYSTEM. ARTERIES. Aneurysm (artery not specified) 1 Aneurysm of aortic arch...... 1 j 1 j Aneurysm of descending aorta ... 1 1 i HEART. :1 ENDOCARDIUM AND VALVES. i Endocarditis, Chronic ...... 1 1 ! 2 Endocarditis, Chronic and Ascites . j 1 Va vular Disease, Chronic Car- 1 diac: j A ortic Regurgitation...... i 1 Aortic Stenosis ...... 5 Mitral Regurgitation ...... 5 j 5 18 1 Mitral Regurgitation and Ascites ...... 4 ' 3 ' i Mitral Regurgatation and ; Chronic Nephritis...... 2 I 2 Mitral Regurgitation and „ | Pregnancy ...... ! 1 • : ' I ! 68 £ £ s > ! i "ce 1 o ! > ' ® | Diseases and Conditions. I ¿ 1 1 ¡§ O £ - D ia g n o s e s D is p e n s a ry HEART.—^ Continued.) ENDOCARDIUM AND VALVES. Valvular Disease, Chronic Car 1 diac : 1 Mitral Regurgitation and Stenosis ...... 1 1 : Mitral Stenosis and Chronic N eph ritis...... 1 : 1 MYOCARDIUM. i i Dilatation, Acute Cardiac ...... 3 1 i 2 i Myocarditis, Chronic ...... 2 1 i 1 1 3 Myocarditis, Chronic and Ascites 3 i 3 I NEUROSES. I ¡ ; Palpitation, Cardiac...... 1 I 1 3 Tachycardia ...... 1 1 jI THE DIGESTIVE SYSTEM. ; APPENDIX. . Appendicitis, Acute ...... 1 i 1 1 Appendicitis, Chronic ...... | 2 INTESTINE. Colitis, Acute ...... 1 8 Colitis, Chronic...... 1 1 1 1 Constipation ...... 7 ! 6 1 . | 31 Enteritis, Acute ...... 18 ' 15 1 3 7 Entero-colitis, Acute ...... 3 ! 1 2 1 Gastro-enteritis, Acute, ...... 3 | 2 1 9 LIVER. Cirrhosis of Liver and Ascites ... 18 13 3 2 3 Cirrhosis of Liver Hypertrophic.. 4 Cirrhosis of Liver and Jaundice.. 2 2 GALL BLADDER AND GALL DUCTS. ¡ Cholangitis, with Jaundice...... 3 3 6 Cholecystitis ...... 1 PERITONEUM. - 1 \ Ascites, cause not specified...... | : ¡ 10 MOUTH, PHARYNX, ETC. ‘ MOUTH. : I . Stomatitis, Gangrenous (Noma). ! ; ! i PHARYNX. i i i ' i ...... 1 Pharyngitis, Acute i i i i 1 69 m I 1 : 1 c *-* D i s e a s e s a n d C o n d i t i o n s . £ 5“ £ ■ OESOPHAGUS. Stricture of Oesophagus ...... 1 l RECTUM. Proctitis, Chronic ...... 1 l STOMACH. Achylia Gastrica ...... 1 l Dilatation of Stomach, Chronic.. 2 l l 11 Gastralgia ...... 6 4 2 22 Gastritis, Acute Catarrhal...... 1 8 15 3 12 Gastritis, Chronic Catarrhal ...... 20 6 13 1 137 Hyperchlorhydria...... 3 3 1 Nervous Dyspepsia ...... 1 1 Ulcer of Stomach ...... 11 2 ; 7 2 19 THE DUCTLESS GLANDS AND SPLEEN. Exophthalmic Goitre ...... 1 I THE EAR. Otitis Media ...... HERNIAE. Hernia, location not stated. INFECTIVE DISEASES. Abscess of Hand ...... 1 ! 1 i Abscess of Lung ...... 2 1 1 1 Abscess of Parotid Gland ...... 1 1 j Abscess of Spleen ...... 1 s 1 ! Bubonic Plague...... 3 1 1 2 Cerebro-spinal Fever ...... t 1 i Cholera Asiatica ...... 6 2 ! 1 3 Diphtheria ...... Dysentery, bacillarv...... 4 1 2 1 Dysentery, chronic ...... D 2 1 2 Dysentery; unclassified ...... 11 8 1 1 1 13 2 Fever, cause unknown...... 4 i 2 32 Furunculosis ...... i 2 Gonococcus Infection of Joints 2 .1 j 4 Gonococcus Infection of Pelvic j T issu es...... i Gonococcus Infection of Urethra . 1 , i 1 i 70 •o 1 '■=Z ! ’ -= £ a. ; >c a I 1 Diseases a n d Co n d itio n s. 3 | ------ INFECTIVE DISEASES.—(C onti nu^d J Influenza ...... 40 30 i 6 l 3 27 Leprosy ...... 13 1 8 5 114 M alaria...... 38 36 1 1 31 Malarial Hæmaturia ...... 1 ; ! l Malarial Headache ...... 2 1 l l Malarial Splenomegaly ...... 11 I j 8 3 Rheumatic Fever, Acute...... 1 ! : 1 Septicemia from Ischio-Rectal A bscess...... 1 1 Septicemia, Puerperium ...... 1 1 Syphilis, form unspecified ...... 20 4 | 15 1 83 Syphilis, secondary ...... 6 1 4 1 Syphilis of Bone ...... 1 ; i Syphilitic Cephalalgia...... 3 i 2 1 i Syphilis of Cerebro-Spinal Ner vous System ...... 4 4 Syphilitic Hemiplegia ...... 4 ' 4 Syphilis of Joints ...... 24 3 20 1 Syphilis of Larynx ...... 1 1i 1 Syphilitic Myelitis, Transverse... 3 O 1 Syphilis of Periosteum ...... 1 1 f Syphilitic Paraplegia ...... 1 1 Syphilis of Spine ...... 1 1 Tuberculosis, Abscess of Psoas Muscle ...... 1 1 1 Tuberculosis, Acute Miliary ..... 0 1 ; 1 Tuberculosis of Hip Joint ...... Tuberculosis of Intestine ...... 3 ■ 2 I | Tuberculosis of Joint, unspecified Tuberculosis of Larynx ...... 2 2 Tuberculosis, Acute, of Lungs ... At0 2 i Tuberculosis, Chronic, of Lungs .. 80 42 26 12 145 Tuberculosis of Lungs and P eritoneu m ...... 1 i_ i Tuberculosis of Meninges ...... 1 ; Î | Tuberculosis of Peritoneum ...... 3 ; 2 1 i : 1 Tuberculosis of Spinal Vertebrae T) 2 i 3 Typhoid Fever ...... 44 30 3 ; 9 D ise a s e s a n d Co n d it io n s . j o in t s . Arthritis, form unspecified...... Arthritis, Acute ...... 4 Arthritis, Chronic...... 18 Arthritis, Deformans ...... 5 DISEASES OF THE MIND. Dementia (cause unknown) ...... 1 Dementia, Praecox...... 1 Idiocy ...... insanity, (form not stated) 1 Mania, A cute ...... 3 Mute ...... Phobia, Leprosy Phobia ...... MISCELLANEOUS DISEASES AND CONDITIONS. Acidosis, Non-diabetic...... Beriberi...... 59 Dentition ...... 3 Diabetes Insipidus...... 1 Diabetes Mellitus ...... 3 Diagnoses not made...... 4 Examination, Physical...... Glycosuria ...... 1 Gout ...... H eadach e...... 1 Malnutrition ...... 3 M igraine ...... 1 Malingering ...... 4 Night Sweating ...... No Disease ...... 3 Phantom Tumor...... 2 Scurvy ...... V e r tig o ...... 2 MUSCLES. Contracture of the Achilles T e n d o n ...... 1 Lumbago ...... 1 Myositis, Acute Suppurative 1 Myositis, Chronic ...... i 72 D ise a se s an d Co n d it io n s. THE NERVOUS SYSTEM. BRAIN. SPINAL CORD AND MENINGES. AnaBmia of Brain (Syncope) ...... 3 A p o p le x y ...... 3 Diplegia ...... 1 Dystrophy, Progressive Muscular Encephalitis, Lethargic ...... Hemiplegia (Old) ...... Hydrocephalus, Acquired ...... Meningitis, form not determined Myelitis, Transverse (due to old fracture) ...... j 1 Paralysis (not specified) ...... 1 Paraplegia, Spastic ...... 1 Poliomyelitis, Chronic Anterior .. 1 Sclerosis, Disseminated ...... 1 Sclerosis, Lateral ...... | 2 Tabes Dorsalis ...... | 6 CRANIAL AND SPINAL NERVES. Neuralgia of Brachial Plexus ... 1 1 1 Neuralgia of Sciatic Nerve...... 1 Neuralgia of Trigeminal Nerve... 1 Neuritis, Multiple, Acute ...... i 1 1 1 Paralysis of Brachial Plexus...... 1 1 1 I Paralysis of Facial Nerve ...... j 1 Paralysis of Hypoglossal Nerve.. 1 1 ; j FUNCTIONAL NERVOUS DISORDERS. 2 2 4 i 3 1 1 6 Epilepsy, Petit Mai 1 1 i 9 3 4 1 1 1 5 In som n ia ...... 1 1 1 Neurasthenia...... 8 3 4 ' 1 22 Neurosis, Traumatic of Spine 1 1 2 i 1 I 1 ’ 1 1 Spasm, Habit, of Eyelids. - 1 1 ; i PARASITES. Ankylostomiasis ...... 3 1 1 1 . : 2 Ascariasis* ...... 7 6 1 j 17 Blastomycosis ...... Í 2 73 •c 1 © n (Mo 1 - c D is e a s e s a n d C o n d i t i o n s . c* I e t* ; £ V.C* —cC Recovered c i PARASITES— (Continued.) 1 1 Entamebic Abscess of Liver ...... 5 4 1 Entaraebic Dysentery ...... 4 4 i Faciolopsis Buski Infection ...... 1 1 Filariasis and Chyluria ...... 1 1 Oxyuris Vermicularis ...... ! i S ca b ies...... 5 4 1 4 Trichophytosis ...... 5 POISONINGS AND INTOXICATIONS. Alcohol Poisoning, Acute ...... 2 2 Arsenic Poisoning, Acute ...... 11 5 6 1 C inchonism ...... 1 1 Lead Poisoning, Chronic...... 1 1 Mercurial Ptyalism ...... 1 1 1 Opium (Smoking) Habit ...... 5 4 1 1 1 Opium Poisoning, Acute ...... 1 1 Toxemia from Chinese medication 1 1 REPRODUCTIVE ORGANS. * FUNCTIONAL DISTURBANCES. 1 1 Amenorrhoea ...... 3 Dysmenorrhoea ...... ! 3 Metrorrhagia ...... ! 1 Seminal Emissions ...... 5 3 1 1 6 FEMALE REPRODUCTIVE ORGANS. Ovarian Cyst ...... j - Retroversion of Uterus ...... 1 Salpingitis, Acute ...... 2 2 MALE REPRODUCTIVE ORGANS. Atrophv of Testicle ...... 1 1 RESPIRATORY SYSTEM. BRONCHI AND TRACHEA. Asthma, Bronchial ...... 9 1 7 1 20 Bronchitis, A cu te ...... 12 S 4 54 Bronchitis, Chronic ...... 5 2 3 |47 LARYNX. Laryngitis. Acute ...... j 1 1 | 2 74 D is e a s e s a n d C o n d it io n s . LUNG. Emphysema, Chronic ...... j H em optysis...... Pneumonia, Broncho ...... Pneumonia, Broncho & Abortion i Pneumonia, Broncho & Ascites. Pneumonia, Lobar...... Pneumonia, Lobar, unresolved .. J NOSE. Coryza, Acute...... Ethmoid Sinusitis...... PLEURA. Pleurisy, Acute ...... ! Pleurisy, Serofibrinous ...... * Pleurisy, Suppurative ...... SKIN. HAIR AND NAILS. A lopecia ...... Dermatitis, Acute ...... Eczema ...... Erythema, Chronic of Face ...... j Hyperidrosis ...... Impetigo Contagiosa...... Itching of Skin, cause not known j Leucoderma ...... Pernio ...... Psoriasis ...... Urticaria...... ; TUMORS. BENIGN TUMORS. ; Cerebellar Tumor, nature un- I known ...... Cerebral Tumor, nature unknown i Fibromatosis, Multiple...... ! MALIGNANT TUMORS. , Cancer of Intestine ...... | Cancer of Liver ...... Cancer of Lung ...... i Cancer of Stomach ...... I i J Dise a s e s a n d Co n d it io n s . URINARY ORGANS. BLADDER. Cystitis, not specified ...... Cystitis, Acute ...... 1 Cystitis, Chronic ...... 1 KIDNEY. Chyluria ...... Haematuria ...... 1 Nephritis, Acute...... 4 Nephritis, Chronic...... 1Î Nephritis. Chronic with Ascites.. 12 Nephritis, Chronic, and Uraemia -■> Nephrolithiasis ...... Polvuria, cause not known ...... OBSTETRICAL CONDITIONS. Pregnancy ...... 1 Vomiting of Pregnancy NEWBORN CHILD. Prematurity...... INJURIES. Sprain of Ankle ...... 1 Wound of Heel, Infected 1 FIBROID TUMOR OF THE UTERUS, WEIGHT 20 LBS.. SUCCESSFULLY REMOVED BY OPERATION. STATISTICAL REPORT FOR THE EVE, EAR. NOSE AND THROAT SERVICE FOR THE VEAR 1919. The work of this department lias been carried on this year by Dr, C. A. Hayes. Most valuable assistance was also rendered by Dr. C. C. Rush until he left for Am erica in May. As the statistics will show there has been a marked increase in in-patient and out-patients as well as operations- There have also been a very large number of Refractions and Office Treatments. This has made the work in this department very heavy. The following is the statistical report: IN-PATIENTS. EYE-DISEASES. Acute Trachoma ...... 5 Chronic Trachoma ...... 131 Acute Catarrhal Conjunct ivitis...... 14 Chronic Catarrhal Conjunctivitis...... 15 Chronic Ph’yctenular Conjunctivitis ...... 3 Vernal Catarrh ...... 1 Entropion...... 35 E ctropion ...... 2 Trachiasis ...... 34 Pterygium ...... 25 Corneal Ulcer...... 34 Ulcus Serpens Corneae...... 3 Leucoma and Macula ...... 123 Staphyloma of the Cornea ...... G Keratoconus ...... 4 Keratomalacia ...... 2 Symblepharon...... 2 Internal Strabismus...... 4 Embolism of Central Artery of the Retina ...... 2 Thrombosis of Central Vein of the Retina...... 1 Retinitis Pigmentosa ...... 1 Chronic Chorio-Retinitis...... 5 Interstitial Keratitis...... 15 Hyphaema ...... 1 Acute Iritis ...... 19 Prolapse of Iris ...... 10 Posterior Synechia ...... 19 Anterior Synechia...... 19 Irido-Cyclitis ...... 7 Gonorrheal Ophthalmia ...... 6 Acute Glaucoma ...... t...... 1 80 EYE-D1SEASES.— (Con.) Chronic Glaucoma ...... ^6 Retinitis Hsemorrhagica...... 1 Optic Atrophy ...... 6 Acute Papillitis...... 1 Panophthalmitis ...... 1 Sympathetic Ophthalmitis...... 1 Sarcoma of Orbit ...... 3 Mucocele of Lid ...... 1 Chronic Dacryocystitis ...... 3 Sclerosis of the Cornea ...... 1 Atrophy of the Orbit...... 11 Sympathetic Retinitis...... 1 Abscess of the Lid ...... 1 Turbercular Keratitis...... 2 Senile Cataract ...... 41 Congenital Cataract...... 1 Secondary Cataract ...... 3 Traumatic Cataract...... 1 Subluxation of the Lens...... t.... 1 T o t a l 645 EAR DISEASES. Acute Catarrhal Otitis Media ...... 4 Chronic Catarrhal Otitis Media ...... 24 Acute Purulent Otitis Media...... 4 Chronic Purulent Otitis Media...... 35 Retracted Drum ...... 11 Cyst of External Auditory Meatus ...... 1 Furunculosis of External Auditory Meatus...... 3 Acute Mastoiditis...... 1 Chronic Mastoiditis ...... 1 T o t a l 84 NOSE DISEASES. Chronic Maxillary Sinusitis ...... 1 Sarcoma of the Maxillary Sinus ...... 2 Chronic Purulent Frontal Sinusitis...... 1 Chronic Ethmoiditis...... 1 Chronic Rhinitis ...... 56 Nasal Polypi ...... 3 Syphilitic Rhinitis...... 13 Hypertrophied Middle Turbinates ...... 28 Hypertrophied Inferior Turbinates...... 36 Sarcoma of the Nasal Orifice ...... 1 T o t a l 142 81 THROAT DISEASES. Acute Pharyngitis...... 36 Chronic Pharyngitis ...... 68 Syphilitic Pharyngitis...... 9 Sarcoma of the Pharynx...... 1 Vincent’s Angina ...... 1 Diphtheria ...... 2 Tuberculosis r-f the Larynx ...... 3 Acute Tonsillitis ...... 5 Chronic Tonsillitis ...... 20 Acute Follicular Tonsillitis ...... 2 Hypertrophied Tonsils ...... 44 Peritonsillar Abscess ...... 2 TOT A1...... 193 Total No. of Diseases treated in In-Patient Department 1.061 Total No- of In-Patients...... 368 EYE, EAR, NOSE AND THROAT DEPARTMENT. OPERATIONS. /Cauterization...... 12 I racniasis jg lie}]en_streatfield Operation ...... 34 '{ Snellen-Streatfield Operation ...... 49 Snellen-Streatfield Operation with Entropion -j Canthoplasty...... 53 I Tarsectomy ...... [ Harlan’s Operation ...... Ectropion of Lower Lid. Arlt Operation...... Ectropion of Upper Lid. Hotz Operation ...... Leucoma (Optical Iridectomy)...... 10 Leucoma and Keratoconus (Optical Iridectomy). 1 Leucoma Adherans (Iridectomy)...... 15 Enucleation ...... {Excision and Drainage ...... i l Eviseration...... 3 i Resection of the Cartilage... ] Chronic Trachoma < Expression by Rolling...... 4 iC o2 S n ow ...... Staphyloma of the Orbit (Keratectomy) ...... Maebomiftn Cysts (Excised and Cauterized) ...... 82 Prolapse of the Iris (Iridectomy ) ...... 3 Sclerosis of the Cornea (Tying off and Excision)... 1 Occlusion of the Pupil (Iridotomy)...... 1 Papilloma of the Lid (Excision) ...... 3 Sarcoma of the Orbit (Enucleation)...... 2 Symblepharon (Simple Excision)...... 1 Dachryocystitis (Excision of the Lachrymal Sac). 2 fCombined Extraction ...... 25'j Cataract < Simple Extraction ...... 6 V 32 (.N eedlin g...... l ) Secondary Cataract (Needling)...... 3 Subluxation of the Lens (Scouping)...... 2 Pterygium (Transplantation) ...... 20 f Tenotomy of Internal Internal Strabismus 1 Advancement bernai 3 I R ectu s...... 3. Syphilitic Papillitis (Intravenous Transfusion of Neosalvarsan) ...... 7 Optic Atrophy (Intravenous Transfusion of Neosalvarsan) ...... 1 Acute Glaucoma (Iridectomy)...... 4 Chronic Glaucoma { Enlott’rTrephïne Operation l } 8 Post-Auricular Cyst (Excised and Cauterized)- ... 1 Acute Purulent Otitis Media (Myringotomy) ...... 2 Lacerated Ear Lobule ...... 1 Hypertrophied Middle Turbinates (Turbinectomy) 15 Hypertrophied Inferior Turbinates (Turbinectomy) 1 Deviated Septum Ï} 3 Nasal Mucus Polypus (Snare) ...... 10 Occlusi Nasi (Incision, Separation and Turbinec tom y)...... t 2 Sarcoma of the Nose (Excised)...... 1 Chronic Maxillary Sinusitis (Caldwell-Luc Operation) ...... 1 ^Tonsillectomy under \ Hypertrophied Tonsils J To“ " ndeï * 7 i0 V Local Anaesthesia... 3J Adenoids (Adenoidectomy) ...... 43 Peritonsillar Abscess (Evacuation)...... 2 Acute Mastoiditis (Mastoidectomy) ...... 1 Total Number of Operations 344 83 DISPENSARY PATIENTS. EYE DISEASES. E ntropion...... 33 E ctropion ...... o Blepharitis ...... 40 Chalazion...... 10 Hordeolum of the Lid ...... 7 Cyst of the Lid ...... 5 Eczema of the Lid...... 1 Trachiasis ...... 72 Acute Trachoma ...... 81 Chronic Trachoma ...... 874 Acute Catarrhal Conjunctivitis...... 131 Chronic Catarrhal Conjunctivitis...... 145 Gonorrheal Conjunctivitis...... 7 Chronic Purulent Conjunctivitis...... 7 Phlectenular Conjunctivitis ...... 32 Follicular Conjunctivitis...... 10 Vernal Catarrh ...... 2 Pterygium ...... 48 Keratomalacia ...... 8 Mucocele of the Conjunctiva...... 2 Subconjunctival Haemorrhage ...... 4 Serpigenous Ulcer of the Cornea ...... 7 Corneal Ulcer...... 102 M acula and L e u co m a ...... 281 Traumatic Wounds of the Cornea ...... 6 Staphyloma of the Cornea ...... 24 Sclerosis of the Cornea...... 4 Tubercular Keratitis ...... 2 Interstitial Keratitis...... 60 Superficial Keratitis...... 45 H ypopyon ...... 15 Atrophy of the Orbit...... 43 Sympathetic Ophthalmia ...... 2 Embolus of tne Central Artery of the Retina 2 Retinitis Pigmentosa ...... 2 Acute Dacryocystitis ...... 2 Chronic Dacryocystitis ...... 9 Keratoconus ...... 4 Acute Inflammation of the Lachrymal Duet 3 Stenosis of the Lachrymal Duct ...... 23 Senile Cataract ...... 56 Congenital Cataract...... 3 Traumatic Cataract ...... 5 Toxic Amaurosis ...... 6 Vitrous Opacities ...... 13 84 EYE DISEASES.— (Con.) Chronic Chorio-Retinitis...... 4 Subluxation of the L ens ...... 2 Prolapse of the Iris ...... 52 Posterior Synechia ...... 15 Anterior Synechia...... 37 Acute Iritis ...... 52 Chronic Iritis ...... 9 Irido-Cvclitis ...... 31 Acute Glaucoma ...... 10 Chronic Glaucoma ...... 23 Acute Papillitis...... 19 Acute Retinitis ...... 2 Optic Atrophy...... 6 Error of Refraction ...... 123 Internal Strabismus...... 25 External Strasbismus ...... 1 Hemianopsia ...... 2 Sarcoma of the Orbit ...... 4 Carcinoma of the Orbit ...... 1 Abscess of the Lid ...... 1 Miosis due to Sympathetic P aralysis...... 3 Neuralgia of Supraorbital Nerve ...... 1 T o t a l 2,663 EAR DISEASES. Otosclerosis ...... 2 Acute Catarrhal Otitis Media ...... 3 Chronic Catarrhal Otitis Media ...... 196 Acute Purulent Otitis Media...... 7 Chronic Purulent Otitis Media...... 162 Retracted Drum ...... 9 9 Lacerated Ear Lobule ...... 3 Furunclosis of the External Auditory Meatus...... 54 Traumatic Wounds of the External Auditory Meatus ... 23 Eczama of the External Auditory Meatus ...... 8 Cyst of the External Auditory Meatus ...... 7 Aspergillus of the External Auditory M eatus...... 11 Furunculosis of Ear Lobule ...... 3 Foreign Body in the Ear...... 7 Acute Mastoiditis...... 3 Chronic Mastoiditis ...... 7 T o t a l 595 NOSE DISEASES. Acute Frontal Sinusitis ...... 1 Chronic Frontal Sinusitis ...... 1 85 NOSE DISEASES.—(Con.) Chronic Maxillary Sinusitis ...... 3 Chronic Ethmoiditis...... 5 E p ista x is ...... 4 Acute Rhinitis ...... 34 Chronic Rhinitis ...... 125 Atrophic Rhinitis...... 7 Foreign B >dy in the N ose ...... 7 Hypartrophied Middle Turbinates ...... 37 Hypertrophied Inferior Turbinates...... 152 Deviated Septum ...... 41 Mucus Polypus...... 13 Syphilitic Rhinitis ...... 45 T o t a l 475 THROAT DISEASES. Acute Tonsillitis ...... 29 Chronic Tonsillitis...... 226 Hypertrophied Tonsils...... 162 Sarcoma of the Tonsils ...... 1 Peritonsillar Abscess ...... 2 Adenoids ...... 317 Naso-Pharyngial Fibroma...... 5 M u tism ...... 18 Acute Pharyngitis...... 52 Chronic Pharyngitis...... 292 Syphilitic Pharyngitis...... 58 Acute Laryngitis ...... 15 Chronic Laryngitis ...... 7 Tubercular Laryngitis...... 5 Foreign Body in the Esophagus ...... 2 T o t a l 1,191 Total Number of Eye, Ear, Nose and Throat Department Dispensary Patients. First V isits...... 1,443 Return Visits...... 1,426 T o t a l 2,869 Number of Diseased Conditions Treated in Dispensary...4,932 Number of Refractions...... 206 CHARLES A. HAYES, M.D. 86 REPORT OF CLINICAL LABORATORY. After Dr. J. M. Wright’s departure for his furlough the undersigned was placed in charge of the department- The routine examinations have been well carried out by Mr. Kwok Paak Tsuen, a graduate of the Hospital- Mr- Kwok has satisfactorily completed two years of service in the clinical laboratory for which the Hospital has granted him a certificate- Owing to the absence of a pathologist the labora tory is unable to perform Wassermann Tests and but little Bacteriological and Pathological work is done This is a gross defect in the hospital routine and can only be remedied by securing a well-trained Pathologist- The following clinical data were compiled by Mr- Kwok- It will be noted that although 89 specimens of blood were examined for the malarial parasite, this organism was not found in a single case- It has been our experience that in Chinese subjects suffering from malarial infection the parasite is generally very difficult to isolate- Malignant malaria is not often seen in the wards, however- STATISTICAL REPORT OF THE CLINICAL LABORATORY. URINE. Total Urine Examinations...... 2,289 Albumen present ...... 260 Glucose present...... 14 Blood present...... 45 Pus cells present ...... 35 Bile present...... 8 Chyluria ...... 2 FECES. Total Fecal Examinations...... 3,960 Ascaris ova, alone ...... 355 A m e b a ...... 7 Ankylostoma, alone...... 11 Balantidium Coli ...... 4 Clonorchis Sinensis, alone ...... 40 87 FECES.—(Co;?.) Fasciolopsis Buski ...... 4 Tricuris Trichiura, alone...... 77 Ascaris and Ankylostoma ...... 2 Ascaris and Clonorcliis Sinensis...... 3 Ascaris and Trichuris Trichiura ...... 45 Ankylostoma and Trichuris Trichiura ...... 1 Clonorchis Sinensis and Trichuris Trichiura ...... 6 Fasciolopsis Buski and Trichuris Trichiura ...... 1 Ascaris, Ankylostoma and Trichuris Trichiura ...... 2 Ascaris, Colonorinis Sinensis and Trichuris Trichiura - 2 Examinations for Blood and Hemoglobin...... 7 BLOOD. Leucocyte Counts 169 Red Cell Counts...... 68 Differential Counts ...... 3 Hemoglobin Estimation ...... 359 MISCELLANEOUS. No. of Exam. No. Positive. Sputum for Tubercle Bacilli...... 180 61 Sputum for Diplococci...... 32 8 Throat for Diptheria Bacilli...... 12 2 Nasal Secretion for Lepra Bacilli-•• 94 18 Pus for Gonococci ...... 63 36 Skin for Blastomycosis ...... 70 28 Blood for Malaria...... 89 0 Blood for Filaria ...... 7 3 Spinal Fluid ...... 8 Phenol-Sulphone-Phthalein Renal Function Test ...... 24 Gastric Analyses...... 72 Pus Examinations ...... 38 W m - W. CADBURY, Acting Pathologist. 88 THE SARAH JAFFRAY DISPENSARY. Through the generosity of Mr. and Mrs. W. G. Jaffray, of Toronto, Canada, the opening of the “ Sarah Jaffray Dispensary” was made possible on March 18th of this year. It is located in one of the most needy parts of Canton, where there is neither a hospital, dispensary, chapel or sunday- school. It is a small beginning of work for God in that dark place, but we hope and pray that it may be used by Him in bringing some souls into tbe glorious life of His Gospel, as well as bringing relief and comfort to those who come there. A Bible woman is employed to give all her time to the preaching of the Gospel to the women and children who come, and to visit them in their homes. During the past few months there has been a marked interest in the Gospel by a number and some have said that they really believe on Jesus. The people in this section are mostly poor and ignorant, though now there are many new houses being built and a better class of people coming in. These are all destitute of any knowledge of Christ and His love. Pray for those who come there that what little is being done in His name may bring forth fruit unto everlasting life. During the nine months since the dispensary was opened there have been 1347 new and return patients treated, the first month 80 and the last month 239, this being the largest number of any one month. ALICE JOHNSON HAYES, M.D. In charge of Jaffray Dispensary. REPORT OF THE NURSING DEPARTMENT. The Nursing Staff of the Canton Hospital comprises :— Miss Bessie Louise Dickson, R.N., New York Hospital, New York, Superintendent of Nurses. Arrived February, 1919. Miss Helen I. Stockton, R.N., Mass., General Hospital, Boston, Associate Superintendent of Nurses. Arrived November, 1919. Lau E Oi, Graduate Turner Training School, Canton, 1912. In charge Women’s Wards. 89 Wong Shu Cliing, Graduate Canton Hospital. 19J7. In charge Men's Wards. Nei Chi Ching, Graduate Canton Hospital, 1918. In charge Operating Room. Ng Kai Chung, Graduate Canton Hospital, 1918. In charge Medical Wards. Kwok Pak Tsuen, Graduate Canton Hospital. 191S. In charge Laboratory. Pupil Nurses in Training 18 (9 men, 9 women). Probationers 2 (1 man, 1 woman). Graduating Class 4: Hoh Yui Ying, Loh Yun Van. Lau Tsz Fong, Hung Hin Cheung. The Diploma and Hospital Pin (used for the first time) were presented November 26th. It seemed wise to omit public exercises this year on account of the unrest through the city among the students. The classes and lectures for nurses have been held nearly every day except during July and August : — Anatom y - Dr. John Kirk. Anatom y - - - Dr. Chau Got Man. Anatomy - Dr. Mok tie Yuk. Physiology - Dr. Chau Oot Man. Physiology - - - Dr. Chan Pik Cha. Medicine and Diseases - Dr. W. W. Cadbury. Hygiene .... Dr. Chau King Teng. Obstetrics - - - Dr. Chau King Teng. Eye, Ear, Nose and Throat Dr. Chau Tsz Wing. Bible and English - Mrs. Oscar Thomson. Ethics .... Miss Stockton. Bandaging - - - Miss Stockton. Practical Nursing - - Miss Stockton. Massage .... The new class is very small. Not having a Supervising Nurse last year, the work of securing applicants and keeping up the classes could not be taken in hand. However the future outlook of the training School is very encouraging with Miss Stockton in charge. As she has had experience in Training School work and knowledge of the Chinese people and language, with her spiritual ideals and capability, we feel that the School will have new life and vigour. During the past year a Housekeeper has been engaged, whose duties are Supervision of Laundry, Linen and Sewing Room and Kitchens, and she will be under the control of the Nursing Department; Mrs. Leung at present is holding the position. The Nurses’ Dormitory has been cleaned and white washed, and necessary repairs made. We hope soon to have a sitting-room, and to make a few changes which will be 90 conducive to health and comfort, and will keep the nurses in better condition for work and service. We are planning several things for the good of the School, and expect soon to have them in operation. BESSIE LOUISE DICKSON, Superintendent of Nurses. EVANGELISTIC REPORT. The desire to spread the Gospel of the Son of God being at the very foundation of the Canton Hospital, every effort is put forth to forward this object. The opportunity is in many ways unique, as the patients come from so wide a field, and have, while in the hospital, the unaccustomed leisure for hearing, studying and thinking, the lack of which often makes ordinary evangelistic work so difficult. They come to the foreign doctor without prejudice against western things, and when they receive considerate and helpful attention in their sickness, they become eager to understand the motive power behind all this kindness. Especially during these past few years of turmoil.and uncertainty, the Gospel of Peace has a telling appeal, to which many respond. Our work is largely “ seed-sowing,” on account of our constantly changing audience, yet some definite results are seen and decisions made, and effort is made to follow up the many interested enquirers, to put them in touch with the Christian Church nearest to their homes, and so conserve the work done here. We need more help in this work, at least one man and one woman foreign missionary, and another Chinese Bible- woman, besides our present staff, giving full time here. This year we have had the great help of the Rev. Dr. J. C. Thomson, who has given his services to the men of the Hospital in the intervals of much other work in Canton and the Province. We have also had some assistance from visits of local mis sionaries who are always most welcome. Several members of the True Light Seminary Bible-Woman’s Class have given regular classes on Sunday morning, in connection with the Hospital Church Sunday School, in the women’s wards to those who cannot attend the Sunday School or the regular Church services. 91 Mr. Joe Wong, our head Chinese Evangelist, w hose salary is provided by Mrs. Robert Reford, has done excellent work in ward preaching, in the Morning Services, in the Dispensary and in personal appeals and teaching. He has given out, from September to December, 3842 picture leaflets, 2830 tracts, and o55 Gospels in the Hospital, besides some 850 tracts given to prisoners upon several visits made to the City jails by Dr. Thomson; and Mr. Wong is also in charge of Morning Chapel Prayers. One definite and encouraging result of the year’s work is the case of a young man from the Province of Kwong-sai. Before coming here, he had never heard the Gospel. Mr. Wong taught him while here, and he joined the Church before leaving. Later he wrote Mr. Wong that lie desired to enter definite Christian work. Being advised to enter the Wuchow Bible School, he did so, and is now studying for the ministry. Morning worship is a feature of the Hospital work. All patients who can walk are urged to attend and all membefs of the medical, nursing and business staffs, come whenever possible. Also doctors, nurses, druggists and secretaries help the evangelistic staff by taking meetings, calling the patients out and playing the organ. Several visitors have also been of great help in our Prayers, notably Mr. Yan Kam T’in of the Methodist Church and Mr. Leung Hing Hin of the Second Presbyterian Church. The average attendance throughout the year has been from eighty to over a hundred and the willingness to come, as well as the number in atten dance, has gradually increased. Mr. P’oon Fuk Hei, for years a faithful worker in this Hospital, has continued his evangelistic work in the intervals of his duties as masseur. Mr. Ch’ui Sin Tsoi has lately joined him, while the “ True Light” Bible-woman has served help fully, especially on out-patients’ days. W'ong Saam Koo, the blind Woman Evangelist supplied to the Hospital by Miss Avis Thomson, has done good service, preaching to the women, teaching the Saam and Sz-Tsz-King to those willing to learn, helping to teach the children to sing hymns, and in every way showing her desire that the women patients should know the Lord as their Saviour. Several friends of the Hospital have visited the wards during the year, distributing cards, flowers, and gifts, and delighting the patients by their interest and kindness. Of these Miss Riggs needs special mention. Mrs. Oscar Thomson, besides work in the women’s wards, has held some Bible courses for the nurses. Some four thousand leaflets have been distributed. The women are most willing to hear and learn, and several have expressed their definite choice of Christ as their Lord, while many have 92 promised to become enquirers at their nearest church. The desire to hear the Gospel story seems genuine, and the appreciation and gratitude shown are delightful, especially that of the children. Our object includes the enlisting of all members of the staff, Foreign and Chinese, in the Hospital evangelistic force, that is, as active propagandists by word and deed of the truths of Christianity, as warm partizens of Our Lord. Already most of the staff are very helpful in this way, which of course, has a great influence with the patients, as a few words spoken in season by one to whom they feel grateful may do more real good than many impersonal meetings. So the effort is made in various ways to obey the “ great commission,” to “ Go Preach ” . The thanks of the Canton Hospital are due to the Shang hai Distribution Fund for picture-leaflets, tracts and large pictures. The pictures have been hung, with their explana tion, in every ward of the Hospital thus giving even to visitors an opportunity to know something of Jesus Christ. A very encouraging indication of the effective evangelis tic work being done in this Hospital appeared at a recent Morning Prayers. After his address, Dr. Hayes invited all who then wished to confess Jesus Christ as Lord to stand up. Seventeen responded, including two of our Doctors who had not before m2 de public profession of Christianity. The following day five more expressed iheir desire also, of becom ing Christians. A daily Bible Class is now being held for these, and any others interested, by Rev. Dr. Thomson and Mr. Wong, and it is hoped that at least ten will be ready for baptism at the next Communion Season. The Revival meetings, held in the Hospital Church by ihe Rev. Dr Jonathan Goforth, were well attended, and were helpful in many ways, especially in the stirring up of Christians to a more intense desire that God’s Holy Spirit may have free course in their lives, to the salvation of many throughout Canton and South China. All of the Christian Churches of the city were well represented at these meetings, as well as the Christian Schools and other organizations, besides the official, military, merchant and missionary classes of Canton. This year’s Christmas celebration was both devotional and social, uniting staff and patients in joy that Our Lord came to earth. Dr. Kirk gave a splendid message at morning prayers and the nurses sang Hark the herald angels sing,” which they had also sung in all the wards early in the morning. During the morning every patient received several oranges and cards, the gift of Mr. E. H. Smyth, as well as gifts from Mrs. Thomson, and all the children were given 93 toys by Mrs. Banbury. During the afternoon some of the Canton Christian College Students held a service for the patients, sang in the wards and also presented every patient with a tooth-brush and piece of soap. At 2 o’clock a service for the Hospital staff and employees was held on the lawn, at which Rev. Wong Yuk Shing, Mrs. Lau Sam Sz, Dr. Hayes, Dr. Chau Koon Meng, Mr. Iu Kung Po and Dr. Oscar Thomson spoke, and the nurses and C. C. C. Students sang. Afterwards Rev. Dr. Thomson, the chairman, invited all to refreshments. Miss Riggs and some students of the True Light Middle School distributed flowers in the wards. The Prayers of God’s people are desired for the Evange listic work of the Canton hospital, that the seed sown may bear fruit to His glory. J. OSCAR THOM SON, In charge of Evangelistic Ho/7u REPORT OF THE BUSINESS DEPARTMENT. FINANCES. This year was com m enced with $7,610.62 in hand and we have closed our books with a cash balance of $1,970.34. Donations have been $6,821.16 and the money given is from 9LI new subscribers. The prevailing unsettled conditions, the high cost of rice, the general financial stringency and the boycott against Japanese goods have hampered many contri butors this year, while others have met with serious losses. Most of the gifts received have come from Hongkong, and our thanks are due to our director, Wong Joy Chew, for his assistance in securing the large amount of money from Hongkong. The increased cost of rice, fuel and supplies generally have added largely to the cost of upkeep. The total receipts for the year were well over our original estimates and the total disbursements were about $600.00 over and above the original estimate. This excess is due chiefly to an insufficient appropriation for in-patients’ food, which had to be provided for the extra large number of patients admitted. We also have a much larger staff of Chinese assistants and employees who have to be provided with food and clothing. We have done very well in Medical, Surgical and Refracting fees, having over $7,500.00 above the 94 estimate. The working account estimates for 1920 show-; approximately $63,950.00 to be expended and the estimated revenue is placed at $43,000.00 which leaves a balance of $22,950.00 to be raised during the year. Mrs. Robert Reford has continued the contribution of Gold $1,200.00 toward the maintenance of Dr. J. Oscar Thomson, the chief surgeon. Mrs. Reford is also providing the salary of Evangelist Joe Wong. The China Medical Board of the Rockefeller Foundation has contributed the sum of Gold $2,000.00 for miscallaneous expenses and Gold $2,500.00 to cover expenses of the Business Manager. Mr. & Mrs. Louis Schwab are continuing the support of a Foreign nurse by contributing Gold $600.00. Mr. Henry C. Shrubsole resigned as Hon. Auditor in May and Mr. J. Warner Brown has been appointed to the office in his place. IN-PATIENTS. The year 1919 has been a record one for the number of registrations of in-patients; a total of 2461 for the year, making an increase of 368 over last year, and when compared with the following, makes a very good report: — 1912 2123 in-patients 1916 1485 in-patients 1913 1969 1917 1649 1914 1843 1918 1951 1915 1886 1919 2461 The average cost per day per patient was cents .66 and the total expense of caring for 2461 patients was $24,363.75, the cost of food not being included. The total number of days spent in the Hospital for the year were 50736, making an average of 21 days for each patient. The average number of patients per diem was 151; July and August with 212 and February and March with 109 patients per diem. The expenditures for medical supplies, dressings and clothing has thus increased without proportionate in crease of income. Two hundred and twenty nine Charity patients were treated during the year at a cost to the Hospital for food of $431.91 aside from the cost of medicine and operations. The receipts from in-patients (registrations, fees, food and rent) amounted to -137,436.66: about one half of the total receipts. REPAIRS AND IMPROVEMENTS. Constant minor repairs, carpentry work, painting and colour-washing has been undertaken throughout the year and the appearance of the Hospital Buildings and grounds have 95 been much improved. The residences of the Foreign Staff have been renovated. A new roof has been placed on the laundry drying room and the main kitchen has been put in first class condition. Through the kind offices of the Asiatic Petroleum Company, there has been installed a fuel burner on the large boiler and we are now able to have steam in the sterilizers on every operating day. The fire engine has been repaired and is giving us good service in our fire-drills. In order to provide for a private patients’ examining room the Business Manager’s office has been moved to the bungalow on the Bund. A Board and Staff meeting room has been provided in the middle room of this building and the Housekeeper has been assigned to the north room. Workmen have been moved to the rooms in the basement of the same building and the quarters they formerly occupied have been converted into bedrooms for the Hospital coolies. Our staff is constantly growing and our living quarters are inadequate to meet the demand. Rooms have been rented outside the compound where some of our native staff now reside. During the year the Canton Medical Missionary Society purchased the property adjoining the nurses’ dormitory on Chiu Yum Kai. This is quite a valuable addition to our property and we intend to install a new laundry and diet kitchens there. Lisi er Employees in me canton Hospital, 1919. Foreign Physicians & Surgeon (2 on furlough)... 6 Chinese Assistant Physicians & Surgeons ...... 4 Chinese Internes ...... 6 Foreign Head Nurses ...... 2 Chinese Assistant Head Nurses ...... 5 Chinese Pupil Nurses, male 10, female 10...... 20 Pharmacist & Assistant Druggist ...... 2 Foreign Business Manager ...... 1 Chinese Social Secretary ...... 1 Evangelist ...... 1 Housekeeper ...... 1 Accountants, writers & clerks ...... 4 Masseurs, 2 male, 1 female ...... 3 96 Gardeners ...... 2 Foreman ...... 1 Mason & Whitewasher ...... 2 Painters ...... 2 Electrician ...... 1 Carpenters ...... 2 Orderlies & Ward Coolies, male 5, female 2 ...... 7 Attendants & Yard Coolies ...... 8 Cooks & Food Servers...... 11 Gatemen & Messengers ...... 4 Night Watchman ...... 1 T otal...... 97 employees CONTRIBUTIONS. Our thanks are due to all our friends for their general support, and to the following:— To Mr. J. R. Edmunds, Jr. for architectural advice and drawings. To the Asiatic Petroleum Company and their Mr. Cadman for the installation of the oil burner in the boiler. To Hon. Dr. Wu Ting Fang and the Military Government for support in the work of the Hospital. To Mrs. J. W. Banbury for supervision of food and supplies for the private patients. To Mrs. Fuson for making up seventy-five articles of clothing. To Mrs. Fisher and other ladies of Paak Hak Tung for needlework on over three dozen articles. To Mr. Wong Joy Chew, of Hongkong, for his assistance in the collection of donations. To the Students of the Canton Christian College for their entertainment to the patients on Christmas Day. We gratefully acknowledge the following gifts:— Religious pamphlets from the Distribution Fund Publi cation Society, Shanghai. Use of motor launch by Mr. Henry C. Shrubsole. Flowers from the Methodist Church on Easter Sunday. Supplies, clothing and drugs from Mrs. Ruth McEuen. Sewing done by Mrs. Oscar Thomson. Needlework from the ladies of the Y.M.C.A. Postal cards from Mr. W. E. Estill, San Francisco. Dishes from Tak Cheong & Company. Refreshments from Chen Kwong & Company. Flags and decorations from C. M. Customs. Gospels from Rev. H. O. T. Burkwall, Medicine from C. M. Customs. 97 Services during the year from Mr. J. J. Banbury, San Francisco. Typewriting and office assistance from Mrs. Oscar Thomson. Christmas gifts from Miss Riggs to the patients. Flowers from the Committee, British Episcopal Church Establishment, Canton, on Christmas and Easier Sundays. Use of rooms in True Light Middle School, Kukfau. Decorations from Sincere and Company. Stove and other many favours from Dr. W. Graham Reynolds. Sewing by Misses Evelyn and Madeline. Increase to Chinese staff during ye%,r...... 31 Number of Chinese staff resigned during year 20 Number of Chinese employed and on pay roll ...... 79 Subscription books distributed ...... 889 Subscription books returned with donations...... 346 Number of Subscribers for the year ...... 911 Amount of Subscriptions & Donations ...... $ 6,321.16 Percentage of Surgical Fees was 45% ...... 4,767.09 „ Refraction Fees was 34% ...... 3,598.55 „ Medical Fees was 21%...... 2,196.05 Total Fees Received ...... 10,56169 Religious tracts, leaflets and gospels distributed ...11007 Average attendance at morning prayers ...... 110 JAMES W. BANBURY, Bus in ess .1 hi n age r. 98 99 STATEMENT OF INCOME AND EXPENDITURE OF CANTON HOSPITAL. D r‘ For the Year from ist January to 31st December, 1919. Cr. Local Hongkong T , Local Hongkong Total. Currency. Currency. lotal. Curri'Ncy. Currency. Cash in hand December 31st, Aid to Poor (Charity)...... $ 431.91 431.91 ^ 1918 ...... $ 4,693.52 $ 2,917.10 $ 7,610.62 Repairs and Improvements. 1.039.40 606.96 1,646.36 £ ees? ...... 7,101.89 3,459.80 10,561.69 Furniture and Equipment... 534.6N 814.20 1,348.88 Registrations...... 2,032.00 91.00 2 123 00 Surgical Instruments...... 109.78 257.77 367.55 Out-patients ...... 363.90 363 90 Drugs and Laboratory Sup Sale of Drugs ...... 2,305.45 157.47 2 462 9^ plies ...... 671.74 4,926.76 5,598.50 Sale of Food ...... 98.62 41.90 140 52 Printing and Office Expenses 1,585.64 874.77 2,460.41 Sale of SundrieS ...... 116.86 162.61 279 47 Light, Heat, Water, etc...... 2,898.38 472.26 3,370.64 China Medical Board Grant. Salaries and Wages...... 9,757.44 1,569.40 * 11,326.84 Loss by Exchange Physicians’ Expenses...... 201.15 201.15 1918—$2,000.00 Superintendent Nurse A/c... 1,023.38 1,023.38 Received 1919— 5,555.55 Employees’ Clothing ...... 360.37 360.37 ------7,555.55 7,555.55 Hospital Clothing...... 497.93 497.93 Hon. Treasurer, C. M. M. Hospital Supplies...... 3,914.99 1,872.83 5,787.82 S o c ie ty ...... 5,159.83 5,159.83 Patients’ Food ...... 11.889.19 631.57 12,520.7 h Mrs. Robert Reford, Mon- Employees’ Food ...... 4,594.23 285.00 4,879.23 ...... 312-70 1,526.97 1,839.67 Doctors’ Account...... 5,687.35 5,687.35 Mr. T o t a l ...... $43,478.90 $24,920.97 $68,399.87 Cash Balance, December 31st, 1919 ...... 310.91 1,659.43 1,970.34 To t a l $43,789.81 $26,580.40 $70,370.21 T o t a l ...... *43,789.81 $26,580.40 $70,370.21 Audited and found correct. J. W A R N E R B ROW N , JAMES W. BANBURY, H oii, Auditor. Business Manager. CANTON HOSPITAL DONATIONS. Local Currency. General Wong Chuen Shin...... $300.00 General Ting Wan Tai...... 144.00 General Cheng Chok Ying and Officers...... 118.00 General Lau Ghee Lok ...... 95.00 C. M. Customs ...... 89.00 Lieutenant Hung Kwong Lau and Friends ...... 72.40 Mr. Law Kuen Chung and Friends...... 72.00 Mr. Sum Ki Wan and Friends ...... 70.00 General Mok Ching Chung...... 60.00 Mr- Fung Chung Tong and Friends...... 50.00 Mr. Yeung Wing Tai ...... 36.00 Mr. Yeung Yum Loi and Friends...... 35.50 Commissioner of Customs through Mr. A. Wilson ... 33.70 Mr. Leung Shii Ki...... 31.25 Mr. Chan Lim Pak ...... 30.00 Mr. Choi Tsze W ei...... 30.00 Dr. Jiu H ok ...... 25.00 Mr. Kwok Shiu L a u ...... 25.00 Mr. Shiu Pun and Friends...... 25.00 Dr. Nu Hak Wan and Friends ...... 25.00 K wong Tung Independent Day Celebration Club 24.53 Patients through Miss Ho Yui Ying ...... 24.00 Mr. Leung Shiu Tong and Friends ...... 24.00 Patients through Miss Choi Wai Chong...... 23.00 Mr. Ching Shiu W an ...... 22.00 Yeung Kong Magistrate and Friends...... 22.00 Mr. Wong Tung Ng ...... 21.10 Dr. Lau Hon Fan and Friends ...... 21.00 Mr. Leung Tin Shun...... 20.00 Friends through Dr. S. H. Jiu ...... 20.00 The Sun Co., City ...... 20.00 Chen Kwong & Co., Canton ...... 20.00 Mr. Mak Suik Pang ...... 20.00 Mr. Lau Yuk Luen ...... 20.00 Mr. Ue Wan Ching ...... 20.00 Mr. Chui Fu Lam ...... 20.00 Carried forward $1,708.48 101 Local Currency. Brought forward ...... $1,708.48 Mr. Jai Yum Chee...... 20.00 Mr. Dun Chuen ...... 20.00 Mr. Kwok Shin Chaw ...... 20.00 Mr. Peter Law ...... 20.00 Mr. Ip Kung Po and Friends...... 20.00 Mr. Pui Chung Soon...... 20.00 Friends through Mr. Chui Foo Shan ...... 17.00 Mr. Leu ng Yim Fong ...... 16.00 Mr. Leung Pak Kwong and Mr- Chan Pak Chee through Miss Ho Yui Ying...... 15.00 Mr. Chan Ching Lin ...... 15.00 Mr. Wong Chong ...... 15.( 0 Mr. Chu Chek Sang ...... 15.00 Mr. Lam Sze Kwong...... 13.00 Fan Wong Shi ...... 12.75 Mr. Wong Joy Yau ...... 10.00 Mr. Mok Sui ...... 10.00 Mr. Sum Yue ...... 10.00 Mr. Poon Shek Fan ...... 10.00 Mr. Chu Pok Shi ...... 10.00 Mr. Lok Kwong Kam ...... 10.00 Mr. Leung Pui T on g...... 10.00 ' Mr. Leung Lan Fan ...... 10.00 Miss Chan Ping Ki ...... 10.00 The Manager of Kwong Sang Hong ...... 10.00 Mr. Lei Kung Fan...... 10.00 Mr. Li Tsoy Yau ...... 10.00 Mr. W ong Tak ...... 10.00 Chung Mei Drug Co...... 10.00 Mr. Toam W an Sam ...... 10.00 Mr. Lau Yick Chuk ...... 10.00 Mr. Yau Jug M an ...... 10.00 Mr. Iu Tat Chun...... 10.00 Yan Ping Volunteer Corp ...... 10.00 Mr. Ho Yat Huen ...... 10.00 Mr. Kwok Tsuen ...... 10.00 Mr. Cheung Kit Sing ...... 10.00 Mr. Chui Iu Shing...... 10.00 Carried fonnrd ...... $2,177.23 102 Local Currency. Brought forward ...... $2,177.23 Mr. Li Ching Shau...... 10.00 Mr. Lei Ching Shan ...... 10.00 Mr. Lau Ting Chong and Friends...... 13.00 Magistrate of Ching Hoi District and Friends 13.00 Mr. Chin Sui Cho ...... 13.00 Sun Fong Magistrate ...... 12.60 Mr. Ho Shii Wah and Friends ...... 10.00 Mr. Lam Tak Hing and Friends ..... 10.00 Mr. Tong Long Ting and Friends...... 10.00 Mr. Chung Ming Tak and Friends ...... 10.00 Mr. Wong Joy Chiu ...... 8.00 Dr. Lo W ai Kw ong ...... 7.00 Mr. Ue Mei Tak ...... 7.00 Mr. Chu Cheong To and Friends ...... 7.00 Mr. Lau Chok Fan and Friends...... v...... 7.00 Mr. Cheng Chek Wan ...... 1 6.40 Dr. Lai Long Huin ...... 6.00 Mr. Wong Kam Fong ...... 5.00 Friends through Mr. Banbury ...... 5.00 Mr. NgYukTong ...... 5.00 Mr. Jiu Kam Fong ...... 5.00 Mr. Haw Chong ...... 5.00 Mr. Cheung Choy ...... 5.00 Mr. Choi Mown Hung ...... 5.00 Mr. Lei Kang Foon ...... 5.00 Mr. Loh Shuit Po ...... 5.00 Mr. Tong Yat Chuen...... 5.00 Mr. To Chek Man and Friends ...... 5.00 Mr. Leung Hin Cho ...... 5.00 Mr. Au Yeung H ing ...... 5.00 Friends through Miss Ho Yui Ying ...... 5.00 Mr. Lam Ting Kung...... 5.00 Mr. Paul W right...... 5.00 Mr. Shong Shiu Yuen ...... 5.00 Dr. Leung Ting M ei...... 5.00 Mr. Lei Sing Tsnen ...... 5.00 Dr. Tang Ting Chee ...... 5.00 Po Wai Tun, Esq...... 5.00 Carried forward $2,442.23 103 Local Cti rrcuaj. Brought forward ...... $'2,442.23 Mr. Chan Yim Fun ...... 5.00 Mr. Chan Shuit Char ...... 5.00 Mr. Chan- Doi H op...... 5.00 Mr. Wong Shiu Hang ...... 5.00 Mr. Chan Hung Yum ...... 5.00 Dr. H. S. Jiu ...... 5.00 Mr. Chan Ling ...... 5.00 Dr. Cheng H oo ...... 5.G0 Mr. Cheng Tak Ming ...... 5.00 Mr. Tung Tai Lam ...... 5.00 Mr. Wong Kwei M ing ...... 5.00 Mr. Wong Lo Fong ...... 5.00 Mr. Chan KamChee...... 5.00 Wing Sun Factory...... 5.00 Mr. Lei Kin On ...... 5.00 Mr, Chan Chok Kwan ...... 5.00 Dr. Chan Check Charm ...... 5.00 Mr. Lau Fong Shan ...... 5.00 Mr. Kwok Yuen Ki ...... 5.00 Mr. Wong Kuen Ling ...... 5.00 Mr. Leung Yan Mui...... 5.00 Mr. Leung Po Chan ...... 5.00 Dr. Ip Shong T in g ...... 5.00 Mr. Choi Tsze Wun and Friends ...... 4.00 Mr. Wong Tat M ing ...... 3.50 Mr. Chan Lap Foo...... 3.50 Mr. Jai Ming Sam...... 3.00 Miss Li Wing Too...... 3.00 Dr. Chau Yu Pak ...... 3.00 Mr. Chan Mo Tsang ...... 3.00 Mr. Hon Yik Lau ...... 3.00 Mr. Lok Ching Sang ...... „ ...... 3.00 Mr. Szto Sang ...... 3.00 Mr. Lam Shing Cho ...... 2.00 Mr. Chan Sing M i ...... 2.00 Mr. Wong Kam Y ee ...... 2.00 Mr. Chan Lok Ting ...... 2.00 Mr. W ong Kon Shan...... 2.00 Carried forurud ...... $2,599.23 104 Local Currency. Brought forward ...... $2,599 23 Mr. Shong Jui F ai ...... 2.00 Mr. Ho Kuang Shong ...... 2.00 Mr. Jai Kwan Yee ...... 2.00 Mr. W ong S a i...... 2.00 Mr. Ho Chee Cho ...... 2.00 Mr. Cheng £>oo Ha...... <...... 2.00 Patients ...... 2.00 Mr. Chau Shun Yee ...... 2.00 Friends through Mr. Leung Ming Hin ...... 1.60 Mr. Cheung Chek Ling ...... 1.00 P a tien t...... 1.00 Mr. Mak Yue Kwan ...... 1.00 Mr. M o M ing Shi ...... 1.00 Mr. Sam Tai Kei ...... 1.00 Mr. Y au Kam M in g ...... 1.00 Mr. Wong Chee Kwei ...... 1.00 Mr. Jiu Hip Shan ...... 1.00 Friend ...... 1.00 Mr. Jai Shu Chong ...... 1.00 Mr. Cheng Hang P o ...... 1.00 Mr. Mak Chek W an ...... 1.60 Mr. Wong Kwei Toam ...... 70 Mr. Mak Mui Sang ...... 40 P a tie n t...... 24 To t a l $2,630.77 Hongkong Currency. Mr. Wong Yuk Nam and Friends...... $ 246.61 Mr. Wong Ming Tong ...... 220.00 Miss En Oi Farm and Friends ...... 215.23 General Wong Kong Shan ...... 200.00 Mr. Lei Iu Tseung and Friends...... 187.50 Canton and Shiu Hing Club, Shanghai ...... 106.89 Mr. Poo Kim Wun ...... 100.00 Mr. Yuen Chee O i...... 100.00 Carried forward ...... $1,376.23 105 Hongkong Cu rrency. Brought forward ...... $1,376.23 Mr. Qiiing Iu Nam ...... 100.00 A n on y m ou s...... 100.00 Mr. Choi Kai Nam and Friends ...... 100.00 Mr. Chan Luen Po and Friends ...... 82.00 The Secretary of H ongkong Zoroastrian Society ... 75.00 Mr. Ma Wing Chan ...... 65.00 Mr. Kwok Tai Kan and Friends ...... 58.00 Mr. Kwan Ching Tong...... 50.00 Mr. Kan Yau Cho ...... 50.00 Mr. Wong Kam Ying ...... 50.00 Mr. Tai Si Um ...... 50.00 Mr. Lau Chu Pak ...... 50.00 Mr. Chau Tung Sang ...... 50.00 Mr. Kwok Ming Kock ...... 50.00 Mr. Ho Sai Wing ...... 50.00 Mr. Wai Jok Kam and Friends...... 50.00 Mr. Chan Lock Ting and Friends...... 50.00 Mr. Fok Too Kai and Friends ...... 45.00 Miss Jennie Jones...... 43.90 Union Theological College...... 40.00 Mr. Kwong Yuen Kang and Friends ...... 30.00 Mr. Wong Yin Lin and Friends ...... 30.00 Mr. Leung Yan Po and Friends ...... 30.00 Mr. Chan Kang Wan and Friends ...... 30.00 Mr. Fok Heung Yue and Friends...... 28.00 Mr. Cheung Yat Tsuen and Friends ...... 28.00 Mr. Lo Yau Cheung ...... 27.00 Mr. Ip Nam Shin and Friends ...... 26.00 Mr. Chu Pak Tung ...... 25.00 Mr. Wong Lai Chuen and Friends ...... 25.00 Mr. Lo Chung Kui and Friends...... 25.00 Mr. Leung Yan Po ...... 20.00 Mr. Ip Wai Pak:...... 20.00 Chen Kwong & Co-. Hongkong...... 20.00 Mr. Kwok Dium Wan ...... 20.00 Mr. Chan Shii Ming ...... 20.00 Dr. W an Man K a i...... 20.00 Mr. Chan Pak Tsun ..... -...... 20.00 Mr. Ip Lui Kong ...... 20.00 Mr. Iu Shan Kwan ...... 20.00 Carried forward ...... $3,069.13 106 Hongkong Currency. Brought forward ...... $3,069.13 Mr. Loh Kit Tong and Friends ' ...... 20.00 Mr. Wai Lai Shau and Friends...... 19.00 Mr. Wong Kam Fook ...... 15.00 Mr. Ha Tsze Him ...... 15.00 Mr. Yuen Yat H ong ...... 15.00 Mr. Kwok Po Kan and Friends...... 15.00 Mr. To Chek Man and Friends ...... 15.00 Mr. Wong Tat Ming and Friends...... 15.00 Mr. Li Yik Sang and Friends...... 15.00 Mr. Leung Shu Ki...... 13.00 Mr. Yue Chek Shan ...... 11.00 Chinese Optical Co- ...... 10.00 Mr. Lui Poa Sang ...... 10.00 Mr. Chan Chek Hing ...... 10.00 Wing On & Co., Canton ...... lt'.OO Mr. Wong Mou Lam ...... 10.00 Mr. Wong Lan Sang...... 10.00 Luen Tai & Co...... 10.00 Mr. Chung Yau Shan ...... 10.00 Mr. Wong Yeu Tung...... 10.00 Mr. Chan Wan Shan...... 10.00 Mr. Lam W oo ...... 10.00 Mr. Yue Yuk Chi ...... 10.00 Mr. Mok Wing Yue ...... 10.00 Mr. Chan Kai M ing ...... 10.00 Mr. E. H. Smyth ...... 10.00 Sui Cheong & Co...... 10.00 Mr. Tsoi Hing...... 10.00 Mr. Fung Heung Sam and Ling Loong Co...... 10.00 Mr. Lam Man Pui and Friends...... 10.00 Loh Chung Ming and Friends ...... 10.00 Mr. Wong Chau and Friends...... 10.00 Mr. Jiu Chan Yue and Friends...... 10.00 Mr. Wong Kwei Tom ...... 8.00 Mr. Leung Kwok Ying and Friends...... 8.00 Mr. Yuen Heung Chi ...... 7.00 Mr. Allan Thomas...... '...... 7.00 Mr. Yuen Won Hing...... 7.00 Dr. J. M. W right ...... 6.13 Miss E. C. Dahlstrom ...... 6.13 Mr. Leung Long Hang...... 5.00 Carried fo r in trd $3,511.39 107 Hongkong Cn rrenct/. Brought fonrant ...... $3,511.39 Mr. Wong Hang Lam ...... 5.00 Mr. Chan Lim Fu ...... 5.00 Commissioner of Customs through Mr. A. Wilson... 5.00 Mr. A. H. M acK enzie ...... 5.00 Mr. Chu Chek Sang ...... 5.00 Mr. Ma Yuk Shan...... 5.00 Mr. Chiu W ah Y ing ...... 5.00 Mr. Ho Choi Shan...... 5.00 Miss Anna W. Ericsson ...... 5.00 Mr. Lau Chung Wing ...... 5.00 Mr. H.'Staples Smith ...... 5.00 Mr. Loh Kir, Ping ...... 5.00 Mr. Lam Shin Yan ...... 5.00 Mr. Lau Chuk Kwen...... 5.00 Mr. Cheung Shun Shan ...... 5.00 Mr. Yue King Shu...... 5.00 Mr. Ma Man Fai ...... 5.00 Mr. Au Man Kit...... 5.00 Church Missionary Society ...... 5.00 Mr. Ching Shiu Wan ...... 5.00 Kung Yuen & Co- ...... • 5.00 Rev. A. Baxter ...... 5.00 Mr. Man Choi Wing ...... 5.00 Mr. J. Anderson...... 5.00 Mr. Chan Mon Kuin...... 5.00 Mr. Poon Chu Yuen and Friends...... ;...... 5.00 Mr. Choi Yuen Jim and Friends ...... 5.00 Mr. Tong Shun Hang ...... 5.00 Mr. Fung Long Ting and Friends...... 5.00 Mr. Ng Yue Hon ...... 5.00 Mr. Mak Mui Sang ...... 4.00 Miss E- C- Dahlstrom ...... 3.00 Mr. Ma Kam Shan ...... 2.00 Mr. Choy Yue Chung ...... 2.00 Compradore of S.S. “ Kwong Si” ...... 2.00 Mr. Yuen Yuk Fai...... 2.00 Mr. Chan Lap Foo and Friends...... 2.00 Mr. Chen Ka Chan...... 2.00 Mr. Wong Chok Chan ...... 1.00 Mr. Wong Huin ...... :...... 1.00 Mr. Tsang Chee Hon ...... 1.00 Friends of Canton Hospital...... 7.00 T o t a l $3,690.39 108 109 BUDGET FOR 1920. ESTIMATED DISBURSEMENTS. ESTIMATED RESOURCES. Free Food to Poor Patients...... $ 200.00 Cash in hand January 1st, 1920...... $ 1,900.00 Repairs and Improvements...... 2,000.00 Medical and Operating Fees ...... 7,500.00 Furniture and Equipment ...... 1,800.00 Registrations ...... 1 ,8 0 0 .0 0 Surgical Instruments...... 1,000.00 Out-patients’ Cards and Tickets ...... 250.00 Drugs and Laboratory Supplies...... 4 500.00 Sale of Drugs and Bottles ...... 1.700.00 Printing and Office Expenses ...... 2,000.00 Sale of Food and Beverage ...... 1 5 0 .0 0 Light, Heat, Water, etc...... 3,400.00 Sale of Sundries ...... 200.00 Salaries and Wages ...... 12,000.00 China Medical Board Grant ...... 9,000.00 Visiting and Physicians’ Expenses ...... 250.00 Hon. Treasurer, C.M.M. Society...... 3,000.00 Superintendent Nurse Account ...... 1,300.00 Mrs. Robert Reford, Montreal, Canada ...... 1 ,4 0 0 .0 0 Employees’ Clothing...... 400.00 Mr. & Mrs. Louis Schwab, New York, N Y...... 600.00 Hospital Clothing ...... 1,000.00 In-patients’ F ood...... 10,500.00 Hospital Supplies ...... 4,500.00 Rent from Private Patients...... 5,000.00 In-patients’ Food (Cost) ...... 10,000.00 Miscellaneous...... 300.00 Em ployees’ Food ...... 5,000.00 Hospital Doctors’ Account ...... 5,800.00 Miscellaneous...... 600 00 Travel Account ...... 500.00 Amount to be raised during 1920 ...... 23,650.00 Business Manager Account...... 3,300.00 Reserve Account...... 6,000.0*0 Laundry Contract ...... 1,200.00 Entertainment Fund ...... 200.00 To t a l $ C6,950.00 T o t a l $66,950.00 Note. The salaries of five foreign staff in embers whose Respectfully submitted. support is provided by the American Reformed Presbyterian Mission, American Presbyterian Mission, New Zealand JAMES W. BANBURY, Presbyterian Mission and the Canton Christian College have not been included in, the above Budget, Business Manager. 110 HOSPITAL STATISTICS FOR THE YEAR 1919 The following statistics give summary of the work done during the y e a r:— Number of Beds in wards and private rooms ...... 235 Foreign Visitors to Hospital (non-patient) ...... 322 Chinese Visitors to Hospital (non-patient) ...... 967 Office Calls—Foreign ...... 187 Chinese ...... J ,017 Refraction Calls (single visits1 ...... 207 Total number of all office calls ...... 1,411 Number of patients admitted during the year...... 2,319 Number of patients in Hospital, January 1st, 1919 ... 142 Number of private patients ...... 457 Number of ward patients ...... 2,0l!4 Number of male patients ...... 3,936 Number of female patients ...... 545 Number of patients in Hospital, December 31st,' 1919. 155 Number of births in Hospital during the year ...... 34 Number of deaths in Hospital during the year ...... 170 Average number of patients per day ...... 151 Total number of days spent by patients in Hospital ... 50,736 Average stay of patients in Hospital (days)...... 21 Percentage of in-patients :— Surgical ...... 52% M e d ica l...... 31% Eye, Ear, Nose and Throat 17% Number of Charity patients treated ...... 229 Number of Surgical Operations...... !... 1,171 Eye, Ear, Nose and Throat Operations...... 344 Surgical Treatments (medical) ...... 608 Total Dispensary Operations...... 753 Grand Total of all Operations in all Depts ...... 2,8! 6 Number of out-patients in Hospital Dispensary 10,307 Number of out-patients in Jaffray Dispensary 1,347 Total number of all out-patients ...... 11,654 Number of Prescriptions filled in drug room ...... 20,876 Number of City calls :— Medical ...... 91 Surgical ...... 49 Eye, Ear, etc...... 35 Total number of City calls during the year------175 Surgical in-patients treated during the year ... 1,194 M edical „ „ „ ... 936 Eye, Ear, Nose Throat,. „ „ ... 363 Total of all patients treated during the year------2,493 I l l Eye, Ear, Nose treatments ...... 1,064 Total Office calls, all departments ...... 1,411 Total City calls, all departments ...... 175 Total out-patients for year ...... 10,307 Making a Grand Total of patients treated 14,354 NATIONALITY AND RESIDENCE OF IN-PATIENTS ADMITTED TO THE CANTON HOSPITAL DURING THE YEAR 1919. Chinese 2,282, Am ericans and Europeans 31, Japanese 3, Indians 3, Koreans 1, Mexican 1. Total Foreigners 39. From Kwong Tung Province 1813. From other Provinces 469, distributed thus :— Kwong Sai...... 162 Fukien ...... 22 A n h u i...... 5 Yunnan ...... 85 Chekiang ...... 18 Szechuen ...... 5 Kangsu ...... 65 Chili ...... 11 K w e ich a u ...... 3 Hunan ...... 36 H u p e h ...... 8 Kiangsi ...... 42 Shantung 6 From Canton and District 620. From other Districts of the Province 1193, distributed as ]follows Shun Tak ...... 224 Tsing Uen .. ... 45 Lung Moon .... 10 San Ooi ...... 120 Saam Shui...... 36 Lim Chau ...... 9 Heung S h an .. . 89 Shiu Hing ...... 25 Yan P ’i n g ...... 8 Tung Koon..... 80 Ham Chau...... 18 Lin Chau ...... 8 San Ning ...... 68 Ts’ung Fa ...... 15 San Hing ...... 7 Ko Iu ...... 55 San On ...... 17 Chao A n ...... 7 W ei Chau ___ . 53 Pok Loh...... 16 Kwong Ning..., 6 H oi P ’ing ...... 52 Ko Chau...... 12 Loh Ting ...... fi Tsang Shing ... 51 Ko Ming...... 12 W an Fau ...... 6 Fa Uen ...... 47 Sz O o i...... 11 King Chau...... 5 H ok Shan ...... 45 Ying Tak ...... 10 Y eung Kong ... 5 and 25 patients from Tin Pak, Tung On, Shiu Chau Mau Ming, Chi Hing, Hop Po, Yeung Ch’un, Ling Shaan Fa Chau, Lui Chau, Yan Fa, Pak Hoi, Mui Yun and Tak Hing Í12 HISTORY OF THE CANTON HOSPITAL. FOUNDING OF THE CANTON HOSPITAL. The Canton Hospital, originally called the Ophthalmic Hospital, was founded in 1835 by Dr. Peter Parker, a graduate of Yale University. The hospital was opened on November 4th. It is the oldest missionary hospital in the world, and the oldest hospital in the Orient. It was the first benevolent institution in China. UntiLits destruction in the burning of the '»Factories in 1866, the building was provided rent free by Howqua, the senior Hong merchant, who was also a life member of the institution. In October, 1836, after mature deliberation, suggestions having for their object the formation of a Medical Missionary Society, signed by Thos. R. Colledge, M.D., F.R.S., Rev. Peter Parker, M .D . and Rev. Dr. Bridgman, the pioneer American missionary to China, were published and circulated, and on February 21st, 1838, in the rooms of the General Chamber of Commerce of.Canton, at a public meeting of merchants and missionaries, the Medical Missionary Society, in China, called, since 1907, the Canton Medical Missionary Society, was organized. The chair was taken by Dr. William Jardine. Dr. T- R. Colledge, surgeon to the East India Company and H. B. M. Commission was elected president, which position he held continuously for forty years until his death in 1878. OBJECT. At the request of the Society, the three originators of the movement drew up a statement of the object and prospects of the Sosiety, which includes the following paragraph: “ Heal the sick is our motto, constituting alike the injunction under which we act and the object at which we aim, and which; with the blessing of God, we hope to accomplish by means of scientific practice, in the exercise of an unbought and untir ing kindness. We have called ourselves a Missionary Society, because we trust it will advance the cause of Missions and because we want men to fill our institutions who, to requisite skill and experience, add the self denial and the high moral qualities which ¿re usually looked for in a mis sionary. While the Society’s agents, who will be looked for from the Mission Boards in Christian lands, will ply their art, they will educate young Chinese in it, and reflex benefits will accrue to medical science from discoveries in China. The Society thus addresses itself to all, including the scientist and the philanthropist- Men of eminent qualifications and 113 tried character are indispensable for the successful persecu* tion of the work : on them the destinies of the Society are suspended.” This was the first institution to combine the two definite objects of the alleviation of human suffering and the exten sion of Christianity. The Canton Hospital has played no unimportant part in bringing foreigners and Chinese into better relations by removing mutual misunderstanding. The Chief Superinten dent of British Trade in China, remarked of this institution’ in 18 il, that “ the surgeon's knife was better calculated to. conciliate the Chinese than any weapon of war.” The Canton Hospital has been for eighty-four years “ a plain fact likely to have more effect than the best kinds of argument. The Chinese write and speak pictures. The hospital is a picture on which they must constantly look.” DR. PETER PARKER. Dr. Peter Parker, the first regularly-appointed medical missionary to the Chinese empire, who opened the country at the point of the lancet, was sent out by the then Union American Board Commissioners for Foreign Mission?. Notice rhaving bpen given of the opening of the Hospital, the first day no patient ventured to come, the second day a solitary woman, afflicted with eye disease, came, the third day half-a-dozen, but soon they came in crowds, by hundreds, even a thousand having been present on out-patient day, some spending the night before the doors to gain early admission. When the first important case of surgery was presented at the Canton Hospital to Dr. Parker, and it was necessary to amputate a man’s arm in order to save his life, the patient refused operation until Dr. Jardine, who was assisting Dr. Parker, presented him with fifty dollars. In another case, Dr. Parker, having expressed doubt to an old woman with senile cataract whether she could bear the operation (this was in pre-anesthetic days), she answered : “ If you like you may take them both out and put them in again.” Instruction in medicine was commenced bv Dr. Parker in 1837. During the blockade of Canton, in 1840, the Hospital was closed; and Dr. Parker embarked ,on a. tour through-- America and England, with the object of raising a permanent fund for the support of the work—the. maintenance of the hospitals, the medical education of Chinese youth; in .order•to- extend the blessings of western medicine throughout China— in all his efforts never losing sight of the paramount object, the introduction of the Gospel. 114 Dr. Parker addressed the Congress of the United States in joint session and public meetings were held in the leading centres, and committees were formed and funds raised. Large and influential meetings were also held throughout Great Britain. Members of the Royal Family, of the church and nobility and other prominent personages gave their support. The Edinburgh Medical Missionary Society, the Medical Philanthropic Society of London and the New York Medical Missionary Society were founded as a result of this tour. The Hospital was re-opened in 1843, Dr. Parker continu ing to serve at the Canton Hospital and amongst the foreign com m unity until 1855. Dr. Parker was appointed joint secretary of the American Legation, being present at the framing of the American Treaty with China at Macao in 1845, acting later as Charge d’ Affaires. He was subsequently appointed United States Commissioner to China. In 1857 he permanently returned to the United States and resided at Washington, where he held such positions as Regent of the Smithsonian Institution, President of the Evangelical Alliance and of the Yale College Alumni Association. From 1878 until his death in 1888 Dr. Parker was President of the Medical Missionary Society in China. The first Lithotomy operation upon a Chinese was per formed by Dr. Parker in 1844, by the lateral perineal method. Ether was first used in 1847 and Chloroform in 1848 in the Canton Hospital. DR. JOHN GLASGOW KERR. L.L.D. In 1855 Dr. John G. Kerr, a graduate of Jefferson Medical College of Philadelphia, sent to China under the auspices of the American Presbyterian Foreign Mission Board, was appointed Superintendent of the Canton Hospital. The next year the building was destroyed in the burning of the Factories. Re-opened in 1858 in Tsang Sha street, it was known in Chinese as the Pok-Tsai Hospital, that is, the Hospital of Universal Benevolence. In 1866 the present site was purchased, on the river front, in the centre of the city, adjacent to the landing stages nf the steamers and passage boats, and buildings erected for hospital and residence. The property has in later years been enlarged by pur chase and reclamation from the river, and additional buildings erected. Dr. Kerr performed about thirteen hundred Lithotomy operat:ons, for Vesical Calculus, the majority by Lithrotitv and Perineal Section, a few by Suprapubic Cystotomy- In 1880 he performed the first Oophorectomy in China. He 115 discovered the first specimen of Fasciolopsis Buski in China. More than twenty medical text books were translated by him into Chinese. One hundred and twenty physicians, most of them prominent Christians, were educated by Dr. Kerr and his associates, Drs. J. C. Thomson, Mary Niles, Mary Fulton and others. Hospital schools for employees and patients were also conducted. After forty-five years’ fruitful service Dr. Kerr retired from the Canton Hospital in 1898 and founded the Joha G. Kerr Hospital for the Insane, the firsi, and for many years, the only institution of the kind in China. For many years Dr. Kerr was president of the China Medical Missionary Association. H e passed to his reward on August 10th, 1910. During the years 1884 and 1885, while Dr. Kerr sojourned in the United States recuperating, Dr. Jos. C. Thomson wTas appointed Superintendent of the Hospital. The Franco- Chinese war occurred, anti-foreign feeling was incited and mobs gathered at the doors of the hospital threatening its destruction, but “ owing to the courage and determination of Dr. Thomson the operations of the hospital were not interrupted.” DR. JOHN MYERS SWAN. Dr. John M. Swan, of the American Presbyterian Mission, succeeded Dr. Kerr as Superintendent of the Canton Hospital. He was a member of the staff from 1858 to 1914, during which time he was instrumental in securing additional land and erecting a number of buildings for the hospital, and in enlarging the hospital chapel, which was dedicated in 1883 to the memory of Rev. C. F. Preston, who for twenty-three years supervised the evangelistic work of the hospital, Dr. S. Wells Williams for many years vice-president having provided most of the money for this purpose. During the trying time of the Boxer Uprising of 1900, Dr. Swan kept the hospital open. In 1903 he organized the South China Medical College, secured land and funds and erected a building for the school. During his term of service Dr. Swan operated upon over one thousand cases of Vesical Calculus, most of them by Perineal Lithotomy. Dr. Swan was accidently killed while in the United Stages on November 11th of the present year. CHINESE COOPERATION. The first building occupied by the Canton Hospital, was provided by Howqua, the senior Hong merchant, who become also a life member of the institution. The first Chinese to become a full member of the hospital staff was Dr. W ong Fun, a graduate of Edinburgh University, 116 the first Chinese upon whom a medical diploma was con ferred. He was in charge of the Canton Hospital from 1858 to 1860. Dr. So To Meng, a graduate in medicine of the hospital school, served on the staff of the hospital for twenty-five years from 1865 to 1886, subsequently attending for some years on out-patient and operating days. He was an expert ocular surgeon, and administered chloroform to over ten thousand patients without a single death from the anes thetic. During the Franco-Chinese war. because of his loyalty to Foreigners, a placard was posted offering one hundred dollars reward for his head. Dr. So continued to be a firm friend of the hospital until his death which occurred during the past year. Dr. Ney Sik Pang, a son of Gideon Ney, an ex-vice president, a graduate of the hospital medical school, was a staff member from 1894 to 1910. Since the year 1862, the Viceroys and Generals and other civil and military officials of this province and many of the gentry and merchants have contributed annually towards the current expenses of the hospital and its many dispensaries, and also to special funds for buildings. The cost of the hospital and Medical College buildings was to a great extent borne by Chinese friends, the site of the college buildinjg being donated by the Viceroy. The enlargement of the hospital chapel, and the purchase of special equipment has been made possible, by their contributions. In 1916, the Eightieth Anniversary of the founding of the Canton Hospital, the President of China, Lei Yuan Hung, contributed five thousand dollars. Dr. Sun Yat Sen, first provisional president of the Republic of China, commenced his medical studies at the Canton Hospital medical school, and has made donations to the hospital. The Chinese merchants of Hongkong, Macao, Shanghai, Kuala Lumpur and other places have, at different times, sent substantial sums of money. In 1916 Mr. Frank Samson, a Chinese gentleman, who died in Australia, left his whole estate of four thousand pounds sterling to the Canton Hospital. The present Chinese Director? of the Hospital, Messrs. Wong Joy Chew and Chan Lim Pak, have themselves subscribed liberally and also secured from their friends contributions for the work of the hospital. WARS, REVOLUTIONS AND FLOODS. During the past eighty-four years the Canton Hospital has served as a base hospital for the wounded soldiers and 117 non-combatants, in all of the wars and revolutions that have afflicted this part of China. At the time of the Franco-Chinese war, at the request of the Viceroy, the hospital sent a surgeon and nurses to care for the wounded at the military camps in Formosa. At the time of the Revolution which overthrew the Manchu Dynasty in 1911, and during the subsequent counter revolutions of 1912 and 1916, over six hundred seriously wounded patients were treated in the hospital. The hospital physicians, have, at various times, in the hospital, or at their yamens, treated viceroys and generals and the leading officials, gentry and merchants of the pro vinces of Kwong Tung and Kwong Sai. Because of the reputation of the hospital, patients come for treatment from all parts of south and even central China; some have even travelled to Canton from Shanghai and Singapore for the express purpose of being operated upon by the hospital surgeons. Fires and floods are annual events in Canton. During the summer of 1915 the hospital was flooded throughout to a depth of from three and one-half to five feet. There was at the same time a ravaging fire, caused by burning oil floating on the surface of the flood, which for a time threatened the hospital. The flood weakened the hospital buildings, many of them now over half a century old. MEDICAL STATISTICS. The hospital statistics show that over two million patients have been treated in the Canton Hospital and its dispensaries, and about one hundred and sixty thousand operations per formed. Three, thousand patients have been operated upon for Vesical Calculus, by Suprapubic Cystotomy, Litholapaxy and Perineal Section. The hospifal staff helped in stamping out the epidemics of bubonic plague in 1896 and 1897. The Canton Hospital draws its patients from a population of fifty millions of people, from the Provinces of Kwong Tung and Kwong Sai chiefly. Many of them come to the hospital from places far away in the interior, in very advanced stages of their disease and in very weak condition. For example an abdominal tumor, weighing 116i pounds, was removed from a woman who, after the removal of the tumor, only weighed 79 pounds. For over one year the patient had been unable either to stand up or to lie down. COOPERATION. The Society, while owing the property and being respon sible for the buildings and equipment and maintenance, has 118 always looked to the Protestant Foreign Missions to provide the staff to conduct its work, both medical and evangelistic. For many years all of the hospitals and dispensaries through out South and Central China were offspring of this parent institution, and the physicians in charge were connected with this central organization. Members of the Foreign business community, interested in such work, and missionaries of all societies having work in South China, have been members of the Medical Missionary Society- For twenty-one years, from 1834 to 1855, the Canton Hospital was staffed by the Union American Board, and for fifty years from 1855 to 1907 by the American Presbyterian Board. The London Missionary Society, the Wesleyan Missionary Society, the United Brethren in Christ, the Southern Baptist Convention, the Canton Christian College, the Women's Board of the American Baptist Missionary Society (North), the New Zealand Presbyterian Missionary Society and the American Reformed Presbyterian Board have actively participated in the work of the Society by contribu ting physicians for shorter or longer terms to the Canton Hospital or its branches. In 1907 the Society decided to attempt to provide its own staff, but owing to the inadequacy of the Society’s resources it was impossible for it to finance the institution upon a moderate standard of efficiency. In 1906, the Canton Medical Missionary Union was organized^, and to it has been delegated the management of the hospital, the property being held for the Medical Mis- sionory Society by a Board of Trustees, of which the American and British Consul-Generals are members. The Canton Medical Missionary Society, the Women’s Board of the American Baptist Mission (North), the American and Reformed Presbyterian Missions were chart§r members of the Union. Subsequently, the New Zealand Presbyterian Mission and the Canton Christian College entered the Union. The China Medical Board of ths Rockefeller Founda tion has made a generous annual donation to the Canton Hospital, for five years, through the Canton Christian College, These Missions have contributed staff members to the Canton Hospital, through the Union. The object of the Union is to consolidate, bring to higher efficiency, and extend the medical missionary work in South China. It aims to bring to the sick the benefits of modern medicine in the most scientific and Christian manner, through the provision of proper hospital facilities ; to make provision for the medical care of the poor and to aid in the training of Chinese as physicians, nurses, dentists and pharmacists of the highest standard. Since the year 1913 the medical staff of the Canton Hospital have given regular clinics and lectures to the students of the Kung Y ee (M en’s) and H ackett (W om en’s) Medical Schools. EVANGELISTIC WORK. Evangelistic work has always been an object of para mount importance in the Canton Hospital and its dispensaries. Tens of thousands of patients and their friends come to the hospital annually from all parts of Canton and of South China. Poor people, who cannot ordinarily spare the time from their daily labour for their “ rice ” to hear or be instructed in the " western doctrine,” while in the hospital have an un accustomed leisure which they are at a loss to occupy, hence they are in most cases willing to listen to the Gospel story. Countless thousands have accepted Christ as their Saviour, and upon returning home have helped to spread the knowledge of the God of Love and of Jesus Christ the propitiation for our sins- The Canton Hospital has been, therefore, for eighty-four years, an integral and important factor in the evangelization of South China, and has rendered great service to all of the Protestant Missions with work in South China. Rev. C. F. Preston and Rev. B. C. Henry, were for many years responsible for the supervision of the evangelistic work of the hospital. They were members of the American Presby terian Mission. AGENTS OF THE SOCIETY. The following physicians have been connected with the Medical Missionary Society at various times during the past eighty-four years:—Doctors Peter Parker, Wm. Lockhart, W. B. Diver, Benj. Hobson, Dyer Ball, W. H. Cumming, D. J. McGowan, J. C. Hepburn, A. P. Happer, McCartee, J. G. Kerr, H. Gocking, R. H. Graves, Wong Fun, E. Faber, A. Krolczyk, Carnegie, J. Nacken, T T. Devan, J. F. Carrow, Jeremiassen, Jos. C. Thomson, Mary W- Niles, Mary H. Fulton, H- M. McCandliss, J. M. Swan, C. E. Reed, E. C. M achle, Ruth C. Boggs, P. J. Todd, H. W . Boyd Anderson, J. Oscar Thomson, A. H. Woods, Wm. W. Cadbury, H. J. Howard, James M. Wright, G. S. Ramsey, John Kirk and Charles A. H ayes; also Mrs. Jos. Ings, Lucile A. Withers, Evelyn Manful, Bessie L. Dickson and Helen I. Stockton, nurses and A. Gordon Wilson and James W- Banbury, Business Managers. Among the presidents and vice-presidents of the Society have been the follow in g :— Dr. T. Colledge, Dr. Peter Parker, 120 Dr. John G. Kerr, Rev. R. H. Graves, M.D., Rev. Dr. H. V. Noyes, E. A. Stanton, Esq., Rev. Edgar Dewstoe, Dr. C. K. Edmunds, Rev. J. M. Henry, S. Wells Williams, L.L.D., Gideon Nye, Rev. A. P. Happer, M.D., D.D., Rev. John Chalmers, L.L.D., Hubbard J. Smith, U.S. Consul, Robt. M. McWade, U.S. Consul, Rev. C. Bone, Rev. A. A. Fulton, Dr- W- G. Reynolds, Sir John Bowring, Sir Thomas Jackson, Hon- Robert Shewan, Sir Brooke Robinson, Rev. J. M. Henry and Sir Challoner Alabaster. H.E. Sir Henry May, ex- Governor of Hongkong, was a liberal subscriber. CONCLUSION.— For eighty-four years the Canton Hospital has been the great charity hospital of South-western China, with a population of fifty millions. The opportunity for evangelistic work is unlimited; tens of thousands of poor people, who could not be cared for elsewhere are treated by the staff of the Canton Hospital. This wealth of clinical material has always been, and should be more directly used in the education of Chinese physicians to cope with the physical needs, as well as the spiritual, of this great population, and in the interests of .medical science. The hospital treats, annually, over two thousand in patients in the public wards. They remain in the hospital an average of twenty days, and only pay twenty cents per day for food, service, treatment, medicine, operation and special examinations, in most cases, and frequently their food is also provided by the hospital when they are unable to pay for it. The expense to the hospital of caring for these patients is nearly ninety cents per day, so that the hospital loses about twenty thousand dollars annually, which deficit, in addition to funds for the purchase of equipment and supplies, must be secured from generous philanthropists. Unfortunately, for some time, sufficient funds have not been provided to meet the annual deficits, so that there is imminent danger of having to curtail the charity work of the hospital, which would be a great calamity. About five hundred private paying in-patients are cared for annually, and tens of thousands of patients attend the out-patient dispensary. J. O. THOMSON.