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Department of Health Annual Report 2010/2011

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Department of Health Annual Report 2010/2011 Annual Departmental Report by Dr Constance H.Y. CHAN, JP Director of Health Department of Health Annual Report 2010/11 i FOREWORD It is my pleasure to present this 2010/11 Annual Report of the Department of Health which reviews the work delivered by our Department during that year and summarises the achievements of the service units in the Department. Hong Kong is under the continuous threat of non-communicable diseases and we have accorded high priority to promoting healthy lifestyles. Further to the launching of the document ‘Promoting Health in Hong Kong: A Strategic Framework for Prevention and Control of Non- communicable Diseases’, the ‘Action Plan to Promote Healthy Diet and Physical Participation in Hong Kong’ was published in 2010. Tobacco control was also strengthened with extension of smoking ban to over 120 open-air public transport facilities on 1 December 2010. On communicable diseases, the challenge of influenza A (H1N1) 2009 virus (i.e. human swine influenza virus) that started in 2009 reminded us to maintain vigilance for emerging and re-emerging diseases. With the concerted efforts of colleagues and our partners, the impact of the human swine influenza epidemic had been much reduced and the disease was removed from the list of statutory notifiable infectious diseases on 8 October 2010. The Government published the ‘Primary Care Development Strategy Document’ in 2010, setting out the benefits of good primary care and the major strategies and pathways of action that will help to deliver high quality primary care in Hong Kong. To be in line with the Government’s primary care development strategy, our Department established the Primary Care Office in the same year to support and co-ordinate the development of primary care, and implement primary care development strategies and actions. On behalf of the Department of Health, I would like to extend my appreciation to other Government departments, non-government organisations, professional bodies, academic institutions and the media for their unfailing support, assistance and co-operation. I would also like to express my gratitude to all my colleagues for their devotion and dedication in tackling the challenges that we came across. I look forward to your continuing support so that the Department may serve the community with responsiveness and through excellence in public health services. Dr Constance H.Y. CHAN Director of Health Department of Health Annual Report 2010/11 ii MISSION The Department of Health is the Government’s health adviser and agency to execute healthcare policies and statutory functions. It safeguards the health of the community through promotive, preventive, curative and rehabilitative services. The motto of the Department, ‘Partnership in Health’, reflects our collaborative effort with other healthcare professionals, sectors and the community to improve the health of the people of Hong Kong. Department of Health Annual Report 2010/11 iii CONTENTS FOREWORD MISSION CHAPTER ONE HEALTH OF THE COMMUNITY 1 Population Indices 1 Health Indicators 3 Mortality Data 5 Mortality Rate 5 Leading Causes of Death 7 Hospitalisation Data 8 Disease Surveillance 9 Infectious Diseases 10 Notifiable Infectious Diseases 10 Other Infectious Diseases 14 Occupational Diseases 16 Cancer 17 Health Surveys Results 18 Poisoning Incidents Notification 18 CHAPTER TWO HIGHLIGHTS OF THE YEAR 2010 19 CHAPTER THREE EXPENDITURE AND MANPOWER 29 CHAPTER FOUR HEALTH SERVICES REVIEW 31 Chinese Medicine Division 32 Family and Elderly Health Services 34 Elderly Health Service 34 Family Health Service 35 Health Care Voucher Unit 40 Health Administration and Planning Division 40 Narcotics and Drug Administration Unit 40 Office for Registration of Healthcare Institutions 40 Tobacco Control Office 42 Department of Health Annual Report 2010/11 iv Primary Care Office 45 Special Health Services 45 Electronic Health Record Management Team 45 Medical Device Control Office 45 Pharmaceutical Service 46 Port Health Office 48 Radiation Health Unit 49 Specialised Services 50 Child Assessment Service 50 Clinical Genetic Service 51 Forensic Pathology Service 52 Professional Development and Quality Assurance Service 52 Student Health Service 53 Centre for Health Protection 56 Emergency Response and Information Branch 56 Infection Control Branch 58 Programme Management and Professional Development Branch 59 Public Health Laboratory Services Branch 61 Public Health Services Branch 63 Social Hygiene Service 63 Special Preventive Programme 65 Tuberculosis and Chest Service 67 Surveillance and Epidemiology Branch 69 Communicable Disease Division 69 Non-communicable Disease Division 70 Central Health Education Unit 72 Community Liaison Division 74 Dental Service 76 CHAPTER FIVE STAFF TRAINING AND RELATIONS 80 CHAPTER SIX INTERNATIONAL RELATIONS 82 Department of Health Annual Report 2010/11 v CHAPTER SEVEN CORPORATE ENVIRONMENTAL PROTECTION 84 CHAPTER EIGHT FUTURE DEVELOPMENT 89 APPENDIX I Publications APPENDIX II Organisation of the Department of Health as at 31 March 2011 APPENDIX III Department of Health Institutions as at 31 March 2011 APPENDIX IV Statement of Expenditure by Programme 2010/11 APPENDIX V Government Medical Subventions to Voluntary Institutions 2010/11 Department of Health Annual Report 2010/11 vi CHAPTER ONE HEALTH OF THE COMMUNITY Population Indices The mid-year population of Hong Kong in 2010 was 7.02 million. The annual growth rate of the population averaged 0.5% over the period 2001 – 2010. The crude birth rate in 2010 was 12.6 per 1 000 population with 88 200 registered live births. The crude death rate was 6.1 per 1 000 population, with 42 699 registered deaths. As a result of increasing life expectancy and low birth rate, Hong Kong’s population has been ageing steadily (Figure 1). In 2010, 13.1% of the population were aged 65 and above, the elderly dependency ratio being 175 per 1 000 population aged 15 to 64. The percentage of population aged 65 and above for 1990 was 8.5% and that for 2000 was 10.9%. By 2020 and 2030, the figures are estimated to be 18.2% and 25.9% respectively. Department of Health Annual Report 2010/11 1 Figure 1 : Population Pyramid, 1990, 2010 and 2030 Mid-2010 Age 85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 450 400 350 300 250 200 150 100 50 0 50 100 150 200 250 300 350 400 450 Male Female Thousand persons Mid-1990 Mid-2030 Age Age 85+ 85+ 80-84 80-84 75-79 75-79 70-74 70-74 65-69 65-69 60-64 60-64 55-59 55-59 50-54 50-54 45-49 45-49 40-44 40-44 35-39 35-39 30-34 30-34 25-29 25-29 20-24 20-24 15-19 15-19 10-14 10-14 5-9 5-9 0-4 0-4 450 400 350 300 250 200 150 100 50 0 50 100 150 200 250 300 350 400 450 450 400 350 300 250 200 150 100 50 0 50 100 150 200 250 300 350 400 450 Male Female Thousand Male Female Thousand persons persons Department of Health Annual Report 2010/11 2 Health Indicators The major health indicators reflect that people in Hong Kong are generally enjoying good health. On average, a baby boy born in Hong Kong in 2010 could expect to live 80.1 years and a baby girl 86.0 years. There has been a steady rise in the life expectancy of our population over the past two decades (Figure 2), and Hong Kong was among the best in the world (Table A). The infant mortality rate and the under-five mortality rate in Hong Kong have been declining over the past two decades, and reached a level as low as 1.7 per 1 000 registered live births and 0.8 per 1 000 population aged under five respectively in 2010 (Figure 3). Our infant mortality rate ranked among the lowest in the world (Table B). Maternal mortality ratio has remained low for the past two decades. In 2010, there was only one case of maternal death reported and maternal mortality ratio was 1.1 per 100 000 registered live births. Figure 2 : Life Expectancy at Birth (Male and Female), 1991 – 2010 88 86 Male 84 Female 82 (years) 80 78 76 74 Life expectancy at birth at expectancy Life 72 70 680 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 Year Department of Health Annual Report 2010/11 3 Table A : Life Expectancy at Birth in Hong Kong and Selected Countries Life Expectancy at Birth (years) Country / Territory Male Female Hong Kong 80.1 (2010) 86.0 (2010) Japan 79.6 (2010) 86.3 (2010) Singapore 79.2 (2010) 84.0 (2010) UK 78.8 (2010) 82.7 (2010) USA 76.2 (2010) 81.0 (2010) Note : Figure in brackets denotes the reference year of the respective figure. Figure 3 : Infant Mortality Rate and Under-five Mortality Rate, 1991 – 2010 8 6 7 Infant Under-five 5 6 4 5 4 3 five Mortality Rate Mortality five - Infant Mortality Rate Mortality Infant 3 2 Under 2 (No. of deaths per 1 000 registered live births) live 1 000 registered per of deaths (No. 1 1 five) under aged 1 per of 000 population deaths (No. 0 0 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 Year Department of Health Annual Report 2010/11 4 Table B : Infant Mortality Rate in Hong Kong and Selected Countries Infant Mortality Rate Country / Territory (No. of deaths per 1 000 registered live births) Hong Kong 1.7 (2010) Japan 2.3 (2010) Singapore 2.0 (2010) UK 4.3 (2010) USA 6.1 (2010) Note : Figure in brackets denotes the reference year of the respective figure.
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