Seven designated flu clinics resumed services to chronically ill patients yesterday, but strict screening troubled some visitors. At Shau Kei Wan Jockey Club Clinic in the morning, some five nurses were responsible for screening incoming visitors. Chronically ill patients and other visitors were allowed to go into the area designed for flu patients. They all had to wear masks and have their temperatures taken. Flu patients were asked to climb stairs to a waiting area and consultation rooms on the next floor, whereas chronically ill patients had to use a lift to go to other floors. There were separate toilets, entrances and exits for the two groups of patients. One chronically ill woman suffering from lung disease said it was a little chaotic. 'Many people are taking the wrong lift. Even though there are nurses to stop them, they can't stop so many people,' she said. She said although many patients were confused about the directions, the nurses could sometimes be too helpful. 'Actually, I can find my way.' One woman attending the flu clinic said the arrangements were quite good but it was troublesome for her to walk up the stairs. 'It is tiring as I am a bit sick,' she said. A 79-year-old woman suffering from hypertension said she was illiterate and could not read the signs, but there had been enough nurses to offer guidance. A total of 243 swine flu cases, involving patients aged between one month and 86, were confirmed yesterday, taking the total to 7,314. Sixty-one patients are in hospital, with one in serious condition and six critical. One of the cases involves a staff member at Sheung Shui Public Library who has been on sick leave. He would only return to work after he had fully recovered, a government spokesman said.