XVIII Pan American Sanitary Conference XXII Meeting of the...
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XVIII Pan American Sanitary Conference XXII Meeting of the WHO Regional Committee for the Americas FINAL REPORT
Transcript of XVIII Pan American Sanitary Conference XXII Meeting of the...
XVIII Pan American Sanitary Conference
XXII Meeting of the WHO Regional Committee for the Americas
FINAL REPORT
El texto en español apa-rece en las páginas 1-49
CONTENTSPage
PREAMBLE . . ..................................................... 55
RESOLUTIONS
I. Amendments to the Rules of Procedure of the Pan AmericanSanitary Conference ................................ 59
II. Application of Article 6-B of the Constitution of the PanAmerican Health Organization ....................... 59
III. Annual Report of the Chairman of the Executive Committee . 60
IV. Quadrennial Report of the Director of the Pan AmericanSanitary Bureau (1966-1969) ......................... 61
V. Annual Report of the Director of the Pan American SanitaryBureau for 1969 ................................... 61
VI. Participation of Canada in the Pan American HealthOrganization ...................................... 62
VII. Election of Three Member Governments to the ExecutiveCommittee on the Termination of the Periods of Office ofNicaragua, Trinidad and Tobago, and Uruguay ............ 63
VIII. Health Conditions in the Americas ..................... 63
IX. Cholera .......................................... 64
X. Election of the Director of the Pan American Sanitary Bureau,and Nomination of the Regional Director of the World HealthOrganization for the Americas ......................... 65
XI. Reports of the Governments of the Organization on HealthConditions ........................................ 65
XII. Smallpox Eradication ............................... 66
XIII. Country Reports on Health Conditions .................. 67
XIV. General Program of Work of the Pan American HealthOrganization/World Health Organization covering the Period1973-1977 ........................................ 68
XV. Selection of the Topic for the Technical Discussions at the XXMeeting of the Directing Council of PAHO, XXIII Meeting ofthe Regional Committee of WHO for the Americas ......... 69
XVI. Collection of Quota Contributions ..................... 70
XVII. Amendments to the Staff Rules of the Pan American SanitaryBureau ........................................... 71
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CONTENTS (cont.)Page
XVIII. PAHO Award for Administration ...................... 71
XIX. Assistance for the Medical Rehabilitation of the Area Affectedby the Earthquake of 31 May 1970 ..................... 72
XX. III Inter-American Meeting, at the Ministerial Level, onFoot-and-Mouth Disease and Zoonoses Control ........... 73
XXI. Nursing .......................................... 75
XXII. Appropriations for the Pan American Health Organization for1971 ............................................ 76
XXIII. Assessments of the Member Governments and ParticipatingGovernments of the Pan American Health Organization ..... 77
XXIV. Regular Budget of the World Health Organization for theRegion of the Americas for 1971 ...................... 78
XXV. Proposed Program and Budget Estimates of the World HealthOrganization for the Region of the Americas for 1972 ...... 80
XXVI. Regional Projects to be Implemented in 1971-1972 withFunds of the United Nations Development Program ........ 80
XXVII. Provisional Draft of the Proposed Program and BudgetEstimates of the Pan American Health Organization for 1972 . 81
XXVIII. Proposed Program and Budget Estimates of the World HealthOrganization for the Region of the Americas for 1973 ...... 82
XXIX. Financing of the Textbook Program, Pan American Health andEducation Foundation .............................. 83
XXX. Organization of Regional Assistance in the Event of DisastersExceeding the Operating Capacity of the Affected Country . 84
XXXI. Malaria Eradication ................................. 86
XXXII. Resolutions of the Twenty-Third World Health Assembly ofInterest to the Regional Committee .................... 87
XXXIII. Multinational Centers ............................... 88
XXXIV. Man-Environment Relationships ....................... 89
XXXV. Control of Cigarette Smoking ......................... 91
XXXVI. Financial Report of the Director and Report of the ExternalAuditor for 1969 ................................... 92
XXXVII. Technical Discussions on the Topic "Venereal Diseases as aNational and International Health Problem" .............. 93
XXXVIII. Long-Term Planning and Evaluation .................... 94
XXXIX. Long-Term Financial Indicators ....................... 95
XL. Health Legislation .................................. 96
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CONTENTS (cont.)
XLI. Inter-American Development Bank ..................... 97
XLII. Place of the XX Meeting of the Directing Council of PAHO,XXIII Meeting of the Regional Committee of WHO for theAmericas ......................................... 98
XLIII. Status of Aedes aegypti Eradication in the Americas ........ 98
ANNEX: Participants ....................................... 102
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FINAL REPORT
The XVIII Pan American Sanitary Conference, XXII Meeting of the RegionalCommittee of the World Health Organization for the Americas, was held in theHeadquarters building in Washington, D.C., from 28 September to 8 October1970, in accordance with the convocation issued by the Director of the PanAmerican Sanitary Bureau and confirmed by the Executive Committee inResolution III1 approved at its 64th Meeting.
PARTICIPANTS 2
The following Governments were represented: Argentina, Barbados, Bolivia,Brazil, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Ecuador, ElSalvador, France, Guatemala, Guyana, Haiti, Honduras, Jamaica, Mexico,Kingdom of the Netherlands, Nicaragua, Panama, Paraguay, Peru, Trinidad andTobago, United Kingdom, United States of America, Uruguay, and Venezuela.The Executive Committee of the Directing Council of the Pan American HealthOrganization was represented by its Chairman, Dr. Victorio V. Olguín, inaccordance with Rule 32 of the Rules of Procedure of the Conference and Rule14 of the Rules of Procedure of the Executive Committee. The Government ofCanada designated official observers. The Conference was also attended by Dr.M. G. Candau, Director-General of the World Health Organization, and Mr.Milton P. Siegel, Assistant Director-General, and by observers from theOrganization of American States, the Inter-American Development Bank, theUnited Nations, the Economic Commission for Latin America, the UnitedNations Children's Fund, the United Nations Development Program, and theFood and Agriculture Organization. Observers from fourteen nongovernmentalorganizations and other interested institutions were also present.
PRELIMINARY SESSION
At the preliminary session held on 28 September the chiefs of delegationsexchanged views on general and protocolary matters.
INAUGURAL SESSION
The inaugural session was held on 28 September at 10:30 a.m. The sessionwas opened by Dr. Sylvia E. Talbot, the President of the XIX Meeting of theDirecting Council and M.inister of Health of Guyana, pursuant to Rule 22 of the
'Official Document PAHO 103, 50-51.2The complete list of participants appears in the annex, p. 102.
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Rules of Procedure of the Conference. Addresses were then delivered by Mr.Galo Plaza, Secretary General of the Organization of American States; Dr. JesseL. Steinfeld, Surgeon General of the United States Public Health Services; Dr.M.G.Candau,Director-Generalof the World Health Organization; Mr. FelipeHerrera, President of the Inter-American Development Bank; and Dr. AbrahamHorwitz, Director of the Pan American Sanitary Bureau.
OFFICERS OF THE CONFERENCE
The President, two Vice-Presidents, and Rapporteur were elected pursuant toRule 18 of the Rules of Procedure. The officers were as follows:
President:Vice-Presidents:
Rapporteur:Secretary
ex officio:
Dr. José Renán EsquivelDr. Adán Godoy JiménezDr. José de Jesús Mayz LyonDr. Ramón Alvarez GutiérrezDr. Abraham Horwitz
PanamaParaguayVenezuelaMexicoDirector, Pan American
Sanitary Bureau
COMMITTEE ON CREDENTIALS
In accordance with Rule 26 of the Rules of Procedure, the Committee onCredentials, composed of the following members, was appointed:
Dr. Francisco Parra-GilDr. Mervyn U. HenryDr. Orontes Avilés
EcuadorTrinidad and TobagoNicaragua
GENERAL COMMITTEE
With the election of Brazil in accordance with Rule 27 of the Rules ofProcedure, the General Committee was composed as follows:
Chairman:Vice-Chairmen:
Rapporteur:Chairman of
Committee 1:Chairman of
Committee I:Delegate:Secretary
ex officio:
Dr. José Renán EsquivelDr. Adán Godoy JiménezDr. José de Jesús Mayz LyonDr. Ramón Alvarez GutiérrezDr. S. Paul Ehrlich, Jr.
Dr. Horacio Rodríguez Castells
Dr. Alfredo N. BicaDr. Abraham Horwitz
PanamaParaguayVenezuelaMexicoUnited States of
AmericaArgentina
BrazilDirector, Pan American
Sanitary Eureau
In accordance with Rule 29 of the Rules of Procedure, two main committeeswere established, with the following officers:
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Chairman:Rapporteur:Secretary:
Committee I
Chairman:
Vice-Chairman:Rapporteur:
Dr. S. Paul Ehrlich, Jr.
Dr. José Luis OrlichDr. Carlos A. Pineda
United States ofAmerica
Costa RicaHonduras
Committee II
Chairman:Vice-Chairman:Rapporteur:
Dr. Horacio Rodríguez CastellsDr. Alcides AlmadaDr. Edgar Mohs Villalta
AGENDA
In accordance with Rule 9 of the Rules of Procedure, the provisional agenda(Document CSP18/1, Rev. 4),3 presented by the Director, as amended toinclude an additional item on "Cholera," in accordance with Rule 10 of theRules of Procedure, was approved at the first plenary session.
WORKING PARTY
One working party was established. It was responsible for examining topicsfor the Technical Discus;ions to be held during the XX Meeting of the DirectingCouncil of PAHO, XXIII Meeting of the Regional Committee of WHO for theAmericas. It was composed of the Delegates of Argentina, the DominicanRepublic, and Jamaica.
TECHNICAL DISCUSSIONS
The Technical Discussions, which were held on 2 October, dealt with thetopic "Venereal Diseases as a National and International Health Problem,"which had been selected by the XIX Meeting of the Directing Council 4 held in1969. The officers of the Technical Discussions were as follows:
General Session
Moderator:Rapporteur:Technical Secretary:
Dr. Alfredo N. BicaDr. Mervyn U. HenryDr. Alvaro Llopis
BrazilTrinidad and TobagoDepartment of
CommunicableDiseases, PASB
3See Official Document PAHO 108.4Resolution XXXII. Official Document PAHO 99, 80-81.
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ArgentinaParaguayCosta Rica
Panel Members: Dr. Carlos J. AlarcónDr. William J. BrownDr. Arthur E. CallinDr. Juan César GarcíaDr. Thorstein GutheDr. Antonio Campos Salas
Working Party I
Moderator:
Rapporteur:Technical Secretary:
Dr. Robert de Caires
Dr. Pedro Guedez LimaDr. Alvaro Llopis
United States ofAmerica
VenezuelaDepartment ofCommunicableDiseases, PASB
Working Party II
Moderator:Rapporteur:Technical Secretary:
Dr. Bogoslav JuricicDr. Alfredo RabinovichDr. Merlin Brubaker
ChileArgentinaDepartment of
CommunicableDiseases, PA.SB
The following served as consultants to the Pan American Sanitary Bureau:
Dr. Carlos J. AlarcónDr. William J. BrownDr. Arthur E. CallinDr. Antonio Campos Salas
VenezuelaUnited States of AmericaUnited States of AmericaMexico
The Final Report of the Technical Discussions was submitted to the tenthplenary session of the Conference, which approved the corresponding reso-lution.
SESSIONS
The Conference held an inaugural session, ten plenary sessions, two sessionsof the Committee on Credentials, seven sessions of the General Committee,seven sessions of Committee I and six of Committee II. The closing s;ession washeld on 8 October.
RESOLUTIONS APPROVED
The Conference in plenary session approved the following resolutions:
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Resolution I
Amendments to the Rules of Procedure of thePan American Sanitary Conference
The XVIII Pan American Sanitary Conference,
Having considered the report of the Director (Document CSP 18/6);5Bearing in mind the recommendations included in Resolution 16 of the
XVIII Meeting of the Directing Council and Resolution II7 of the 64th Meetingof the Executive Committee;
Taking into consideration that similar changes have already been introducedinto the Rules of Procedure of the Directing Council and the ExecutiveCommittee; and
Bearing in mind the provisions of Rule 61 of the Rules of Procedure of theConference,
Resolves:
1. To approve the changes in the Rules of Procedure of the Conference asthey appear in Document CSP18/6.
2. To request the XX Meeting of the Directing Council to consider therecommendations included in Resolution II of the 64th Meeting of theExecutive Committee, defining the role of the Representative of the ExecutiveCommittee at meetings of the Directing Council.
(Approved at the second plenary session,28 September 1970)
Resolution II
Application of Article 6-B of the Constitution of thePan American Health Organization
The X VIII Pan American Sanitary Conference,
Considering the significance of decisions to be taken at the XVIII PanAmerican Sanitary Conference and the importance of full participation by allMember and Participating Governments; and
S5Mimeographed document.60fficial Document PAHO 93, 40-41.70fficial Document PAHO 103, 50.
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Recognizing the efforts made by those Governments in arrears more thantwo full years to meet their obligations and thus comply with the Constitutionof the Pan American Health Organization,
Resolves:
To accord the right to vote in the XVIII Pan American Sanitary Conferenceto those countries affected by Article 6-B of the Constitution of the PanAmerican Health Organization.
(Approved at the sixth plenary session,30 September 1970)
Resolution III
Annual Report of the Chairman of the Executive Committee
The XVIII Pan American Sanitary Conference,
Having reviewed the Annual Report of the Chairman of the ExecutiveCommittee, Dr. Victorio V. Olguin, Representative of Argentina (DocumentCSP18/15), 8 on the work of that Governing Body during the period that haselapsed since the XIX Meeting of the Directing Council; and
Bearing in mind the provision of Article 9-C of the Constitution of the PanAmerican Health Organization,
Resolves:
To approve the Annual Report of the Chairman of the Executive Committee,Dr. Victorio V. Olguin, Representative of Argentina (Document CSP18/15), andto commend him and the other members of the Committee on the workaccomplished.
(Approved at the sixth plenary session,30 September 1970)
8See Official Document PAHO 108.
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Resolution IV
Quadrennial Report of the Director of the Pan AmericanSanitary Bureau (1966-1969)
The XVIII Pan American Sanitary Conference,
Having examined the Quadrennial Report (1966-1969) of the Director of theBureau on the activities of the Pan American Health Organization during theperiod between the XVII and the XVIII Pan American Sanitary Conferences(Official Document 101); and
Considering the terms of Article 4-F of the Constitution of the Pan AmericanHealth Organization,
Resolves:
To approve the Quadrennial Report (1966-1969) (Official Document 101) ofthe Director to the Governments of the Pan American Health Organization, tocommend him on the work accomplished in the past four years and on the formof presentation of the Report, and to extend its commendation to the staff ofthe Bureau.
(Approved at the seventh plenary session,1 October 1970)
Resolution V
Annual Report of the Director of thePan American Sanitary Bureau for 1969
The XV1II Pan American Sanitary Conference,
Having examined the Annual Report of the Director of the Pan AmericanSanitary Bureau, Regional Office of the World Health Organization for theAmericas, for 1969 (Official Document 102); and
Considering the terms of Article 4-F of the Constitution of the Pan AmericanHealth Organization,
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Resolves:
To approve the Annual Report of the Director for 1969 (OfficialDocument102), to commend him on the excellent work accomplished during tJhe year, andto extend its commendation to the staff of the Bureau.
(Approved at the seventh plenary session,I October 1970)
Resolution VI
Participation of Canada in thePan American Health Organization
The XVIII Pan American Sanitary Conference,
Noting the declaration by the Government of Canada of its intenti to join thePan Armerican Health Organization as soon as the necessary administrativearrangements have been completed;
Recognizing that, with the incorporation of Canada, the membership of theOrganization would include all the Governments of the Americas; and
Noting that as early as 1949 the Member Governments, acting through theDirecting Council at its III Meeting, in Resolution VIII, 9 expressed l:he wish forthe incorporation of Canada into the Organization as soon as possible,
Resolves:
1. To express its pleasure with the declaration of the Government of Canadaof its intent to join the Pan American Health Organization as soon as possible.
2. To request the Director to provide all available assistance in. order thatCanada may join the Organization without delay.
(Approved at the eighth plenary session,6 October 1970)
9PAHO Publication 247 (1950), 27.
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Resolution VII
Election of Three Member Governments to the ExecutiveCommittee on the Termination of the Periods of Office of
Nicaragua, Trinidad and Tobago, and Uruguay
The XVIII Pan American Sanitary Conference,
Considering the provisions of Article 9-B of the Constitution of the PanAmerican Health Organization; and
Considering that the Governments of Brazil, Honduras, and the United Statesof America were elected to the Executive Committee on the termination of theperiods of office of Nicaragua, Trinidad and Tobago, and Uruguay,
Resolves:
1. To declare the Governments of Brazil, Honduras, and the United States ofAmerica elected to the Executive Committee for a period of three years.
2. To thank the Governments of Nicaragua, Trinidad and Tobago, andUruguay for the services rendered to the Organization by their Representativeson the Executive Committee.
(Approved at the eighth plenary session,6 October 1970)
Resolution VIII
Health Conditions in the Americas
The X VIII Pan American Sanitary Conference,
Having examined the report on Health Conditions in the Americas,1965-1968 (Scientific Publication 207), in relation to the series prepared forprevious Conferences covering the period 1950-1964,
Resolves:
1. To approve the report on Health Conditions in the Americas, 1965-1968(Scientific Publication 207).
2. To recommend that the Organization continue to maintain the series ofreports which evaluate the progress in the health field in the Region andestablish the bases for future health programs.
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3. To urge the Governments to take the necessary actions for theimprovement of vital and health statistics.
(Approved at the eighth plenary session,6 October 1970)
Resolution IX
Cholera
The X VIII Pan American Sanitary Conference,
Having heard the presentation made by Dr. M. G. Candau, Director-Generalof the World Health Organization;
Conscious of the recent spread of cholera to areas of the Near East and ofAfrica, where the disease has not been endemic;
Concerned that the disease may appear without warning in the Arnericas;Noting that the Director of the Pan American Sanitary Bureau has already
arranged, through the collaboration of the Center for Disease Control of theUnited States Public Health Service, for training in bacteriological diagnosis ofcholera for selected health officials of the countries of the Americas; and
Noting also that the Bureau is prepared to provide technical assistance in thepreparation of cholera vaccine,
Resolves:
1. To thank the Director-General of the World Health Organization for hisvery informative presentation.
2. To urge the Governments to intensify their surveillance efforts in order toprovide the earliest possible warning in case the disease appears in the Americas.
3. To recommend strongly to the Governments that, in applying themeasures provided for in the International Sanitary Regulations with regard tointernational travelers, they not go beyond the scope of those Regulations.
(Approved at the eighth pler.!ary session,6 October 1970)
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Resolution X
Election of the Director of the Pan American SanitaryBureau, and Nomination of the Regional Director
of the World Health Organization for the Americas
The XVIII Pan American Sanitary Conference,
Considering the provisions of Article 4-E and Article 21-A of theConstitution of the Pan American Health Organization, which provide that thePan American Sanitary Bureau shall have a Director elected at the Conferenceby the vote of a majority of the Governments of the Organization;
Taking into account Article 45 of the Rules of Procedure of the Conference,which provides that the Director of the Bureau shall be elected by any numberof votes greater than half the number of the Governments of the Organization;
Bearing in mind Article 4 of the Agreement between the World HealthOrganization and the Pan American Health Organization, and Articles 49 and 52of the Constitution of the World Health Organization, which establish theprocedure for the appointment of the Regional Director of the World HealthOrganization; and
Seeing that the election of the Director of the Bureau has been held inaccordance with the above-mentioned procedure,
Resolves:
1. To declare Dr. Abraham Horwitz Director of the Pan American SanitaryBureau, for a period of four years to begin on 1 February 1971.
2. To inform the Executive Board of the World Health Organization of thedesignation of Dr. Abraham Horwitz for appointment as Regional Director forthe Americas.
(Approved at the eighth plenary session,6 October 1970)
Resolution XI
Reports of the Governments of theOrganization on Health Conditions
The XVIII Pan American Sanitary Conference,
Having considered the reports of the Governments of the Organization onhealth conditions and the progress achieved during the interval between the
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XVII and XVIII Pan American Sanitary Conferences, presented in accordancewith Resolution XV1 O adopted at the III Meeting of the Directing Council; and
Mindful that these reports contain extremely valuable data on importantaspects of the health conditions in the countries concerned and reflect theresults of diversified experience,
Resolves:
To thank the Governments for their reports on the health progress achievedduring the period 1966-1970.
(Approved at the eighth plenrary session,6 October 1970).
Resolution XII
Smallpox Eradication
The XVIII Pan American Sanitary Conference,
Having been informed of the status of the smallpox eradication campaign inthe Americas (Document CSP 18/9);' 1
Considering that, despite the successes achieved to date, it is essential thatthe countries continue to assign first priority to the problem of smallpoxeradication in the Americas; and
Bearing in mind that, as long as endemic foci continue to exist in theHemisphere, it is indispensable that a high level of immunity of the populationbe maintained by the use of freeze-dried vaccine meeting the minimumstandards recommended by the World Health Organization,
Resolves:
1. To reaffirm that smallpox eradication continues to be one of the mostimportant priorities for this Hemisphere and for the Pan American HealthOrganization.
2. To thank the Government of Brazil for the efforts it has made toeradicate smallpox from its territory, and to congratulate it on the resultsachieved to date.
10PAHO Publication 247 (1950), 31.1 1See Official Document PAHO 108.
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3. To urge the countries to strengthen their eradication or maintenanceprograms, giving special attention to evaluation of the coverage results andvaccine "takes," and developing efficient epidemiological surveillance activitiesfor the detection and investigation of cases and the containment of outbreaks.
4. To urge vaccine-producing countries to intensify their efforts to producefreeze-dried vaccine meeting the requirements of the World Health Organization.
5. To thank the countries that have made donations to the vaccine bank ofthe Organization and to ask them to continue to do so.
6. To instruct the Director of the Bureau:
a) To continue taking the necessary measures for coordinating national andinternational efforts for the eradication of smallpox, and to continue providingthe countries with technical and material assistance, using funds assigned byPAHO/WHO.
b) To continue reporting to the Governing Bodies of the Pan AmericanHealth Organization on the progress of the smallpox eradication program.
(Approved at the eighth plenary session,6 October 1970)
Resolution XIII
Country Reports on Health Conditions
The X VIII Pan American Sanitary Conference,
Convinced that the reports of the Governments of the Organization onhealth conditions and progress achieved in the intervals between one Conferenceand the next constitute useful records of experience; and
Considering that the reports of the Governments should be one of the mostimportant items on the agenda of the Conference,
Resolves:
To request the Executive Committee to study, in collaboration with thetechnical staff of the Pan American Sanitary Bureau and in consultation withthe Governments, ways and means of facilitating the formulation, presentation,and discussion of the reports of Governments so that the other Members of theOrganization may derive the greatest possible benefit from the experience ofeach country.
(Approved at the tenth plenary session,8 October 1970)
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Resolution XIV
General Program of Work of the Pan AmericanHealth Organization/World Health Organization
covering the Period 1973-1977
The XVIII Pan American Sanitary Conference,
Having examined the report of the Director on the General Program of Workof PAHO/WHO for the period 1973-1977 (Document CSP18/28);' 2
Mindful that this Program is in accordance with the recommendationsembodied in Resolution WHA23.59 13 of the Twenty-Third World HealthAssembly on the General Program of Work covering a Specific Period;
Considering that, in preparing this Program, changes in the order of priorityof national and regional health programs and the trends observed in :recent yearsin PAHO activities have been taken into account;
Noting that this Program is in line with the recommendations of the WorldHealth Organization on long-term planning and that it constitutes a first step inthe preparation of forecasts and projections concerning PAHO/WHO activitiesfor a longer period, especially with regard to:
a) The analysis and evaluation of data on the health status of the populationof the Americas and on environmental sanitation conditions;
b) Studies on methods of planning, organization, and social and economicanalysis of national health systems;
c) Promotion of multinational agreements on the conduct of regional pro-grams relating to health and sanitation problems affecting the Region or a par-ticular group of countries;
d) Coordination of research;e) Identification of the most efficient and effective measures of assistance to
Member Countries in organizing their health systems and especially in trainingof the necessary manpower; and
f) Adoption of measures designed to enable the countries to fully participatein the activities of PAHO/WHO.
Recognizing that this Program is in accordance with the recommendations ofResolution XVI4 approved by the 64th Meeting of the Executive Committee onjoint planning by Governments and the Organization through a syst:em of four-year projections; and
Considering that the Program satisfactorily meets the requirements for assist-ance established by the Governments at the regional, Zone, and country levelfor the period 1973-1977,
12 See Official Document PAHO 108.130ff. Rec. Wld Hlth Org. 184, 32-33.' 4Official Document PAHO 103, 58.
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Resolves:
1. To commend the Director of the Bureau on his detailed report (Docu-ment CSP18/28), which will enable all the activities to be examined as a con-sistent whole.
2. To approve the proposed General Program of Work of PAHO/WHO forthe period 1973-1977 and to request the Director of the Bureau to transmit itto the Director-General of the World Health Organization so that he may take itinto account in preparing the Fifth Program of Work of WHO for the above-mentioned period insofar as it relates to the Region of the Americas.
3. To recommend to the Governments and the Director of the Bureau thatthey continue their efforts for the joint programming of activities of the Organi-zation and collaborate in the development and improvement of the system offour-year projections.
4. To urge the Member Countries to continue and increase their efforts togain more knowledge of the health status of the population and to develop andstrengthen the health infrastructure, including information systems, research,planning, and administrative improvement as well as coordination of nationalhealth systems.
5. To recommend to the Governments that they continue and strengthentheir basic sanitation programs and give the necessary attention to the emergingproblems of industrialization and urbanization, including the definition of newindicators in this field.
6. To recommend to the Governments that they continue and strengthenstudies on health resources, especially human, technical, and financial resources,so as to ensure that national health plans are properly carried out.
7. To request the Director to report to the XX Meeting of the DirectingCouncil on the proposed program.
(Approved at the tenth plenary session,8 October 1970)
Resolution XV
Selection of the Topic for the Technical Discussions atthe XX Meeting of the Directing Council of PAHO, XXIII Meeting
of the Regional Committee of WHO for the Americas
The XVIII Pan American Sanitary Conference,
Bearing in mind the provisions of Rules 1, 2, 7, and 8 of the Rules for Tech-nical Discussions,
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Resolves:
To select the topic "Environmental Pollution" for the Technical Discussionsto be held at the XX Meeting of the Directing Council of the Pan AmericanHealth Organization, XXIII Meeting of the Regional Committee of the WorldHealth Organization for the Americas.
(Approved at the tenth plenary session,8 Ociober 1970)
Resolution XVI
Collection of Quota Contributions
The XVIII Pan American Sanitary Conference,
Having considered the report on the collection of quota contributions (Docu-ment CSP18/23 and Addenda I and II);' 5
Noting that the payment of quotas in arrears has improved but that fourcountries remain in arrears more than two years; and
Convinced of the importance of obtaining the full support of all Govern-ments for the program of the Organization through prompt and full payment ofquota contributions,
Resolves:
1. To take note of the report on the collection of quota contributions(Document CSP18/23 and Addenda I and !I).
2. To thank those Governments which already have made payments in 1970,and to urge all Governments to pay remaining balances of arrears and current-year quotas before the end of the year.
3. To express concern about the number of Governments in arrears morethan two years and to recommend to those Governments that they fulfill theirfinancial plans for the payment of arrears within a definite period.
4. To recommend to the Director of the Bureau and to the Executive Com-mittee that they analyze the problem of quotas in arrears more tha:n two yearsand promote compliance with Article 6-B of the Constitution, taking into ac-count the suggestions and comments made by the delegates.
5. To request the Director to continue to inform the Governments on thestatus of quota collections and bring to their attention the importance of unani-
1 5Mimeographed document.
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mous support of the program of the Organization, through the full and promptpayment of quota contributions by each Government.
(Approved at the tenth plenary session,8 October 1970)
Resolution XVII
Amendments to the Staff Rules of the Pan AmericanSanitary Bureau
The XVIII Pan American Sanitary Conference,
Bearing in mind the provisions of'Staff Regulation 12.2,
Resolves:
1. To take note of the amendmentsl 6 to the Staff Rules of the Pan Ameri-can Sanitary Bureau presented by the Director in the annex to DocumentCE64/14, and approved' 7 by the Executive Committee at its 64th Meeting withthe effective date of 1 January 1970.
2. To endorse the Director's plan to provide an appropriate administrativetribunal for those staff members who do not now have access to an external tri-bunal and to request that the Director implement his plan as soon as possible.
(Approved at the tenth plenary session,8 October 1970)
Resolution XVIII
PAHO Award for Administration
The X VIII Pan American Sanitary Conference,
Having considered Document CSP18/8, Rev. 1,18 concerning the PAHOAward for Administration; and
16Rules 255.5, 820.1(e), 265.1, 265.2, 330.1, 330.2, 330.3, 680.1, 680.2.1 7 Resolution XIV. Official Document PAHO 103, 57-5 8.1 8 See Official Document PAHO 108.
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Bearing in mind the importance of encouraging a high standard of compe-tence in the administration of health services,
Resolves:
1. To approve the procedure and the criteria for the award of the PAHOAward for Administration, set forth in Document CSP18/8, Rev.1.
2. To urge the Governments to use the PAHO Award for Administration asan incentive to those who do outstanding work in the field of administration inthe health sector or in the form of written papers on administrative topics thatare applicable to the health sector.
(Approved at the tenth plenary session,8 Ocrober 1970)
Resolution XIX
Assistance for the Medical Rehabilitation of the AreaAffected by the Earthquake of 31 May 1970
The XVIII Pan American Sanitary Conference,
Cognizant of the report presented by the Government of Peru on the emer-gency situation caused by the earthquake of 31 May 1970 (DocumentCE64/17);19
Noting the report of the Director on the steps taken by the Pan AmericanSanitary Bureau on the occasion of the above- mentioned emergency;
Bearing in mind the extent of the destruction and the material and humanlosses caused by the earthquake; and
Bearing in mind the proposal of the Government of Peru contained in Docu-ment CE64/17,
Resolves:
1. To note the expressions of thanks given by the Government of Peru forthe assistance received.
19See Official Document PAHO 108.
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2. To request the Director of the Bureau to introduce, in consultation withthe health authorities of the Government of Peru and in accordance with theinformation to be provided in due course, appropriate changes in the programbeing carried out in the country with the assistance of the Organization in orderto adapt it as far as possible to the new circumstances.
3. To instruct the Director to make available to the Government, subject tobudgetary limitations, the technical assistance necessary for carrying out studiesto determine the kind and amount of assistance required for the rehabilitationof the health infrastructure in the devasted areas.
(Approved at the tenth plenary session,8 October 1970)
Resolution XX '
III Inter-American Meeting, at the Ministerial Level,on Foot-and-Mouth Disease and Zoonoses Control
The XVIII Pan A merican Sanitary Conference,
Having considered the Final Report of the III Inter-American Meeting, at theMinisterial Level, on Foot-and Mouth Disease and Other Zoonoses (DocumentCE64/13), 2 0
Bearing in mind that the Report adequately reflects the accomplishments ofthe meetings of the Ministers of Agriculture that were convened by the Directorpursuant to Resolution XIX 2 1 of the XVII Meeting of the Directing Council;
Recognizing that these achievements are the result of collaboration betweenthe national health services and the ministries of agriculture of the Hemisphere,as recommended by the Special Meeting of Ministers of Health of the Americas(Buenos Aires, Argentina, 14-18 October 1968);22
Bearing in mind the importance and magnitude of the programs for thecontrol of foot-and-mouth disease and other animal diseases and the importanceof financial aid from international credit institutions for these programs;
2 0 See Scientific Publication PAHO 218 (in press).
2 Official Document PAHO 82, 74-76.2 2 0fficial Document PAHO 89, 29.
73
Considering the meaningful results obtained by the Pan American Foot-and-Mouth Disease Center from broadening its activities and raising the level of itsassistance to the countries; and
Noting the favorable reception given by the Governments to the Missiondesignated by the Director of the Bureau to discuss with the authorities of thecountries of the Hemisphere the importance of zoonoses control as an integralpart of economic and social development, and the support expressed by theministries of agriculture for continuing and expanding the work of the Center,
Resolves:
1. To take note of the Final Report of the III Inter-American Meeting, at theMinisterial Level, on Foot-and-Mouth Disease and Zoonoses Control (DocumentCE64/13), held pursuant to Resolution XIX of the XVII Meeting of theDirecting Council of PAHO, which was submitted by the Director of the PanAmerican Sanitary Bureau.
2. To express its thanks to the ministries of agriculture for thei:r efforts tosolve the problems connected with these diseases and to reduce their impact onthe socioeconomic development of the countries.
3. To note with satisfaction those resolutions concerning national food andnutrition policies, including food availability and consumption indices, as a sig-nificant move toward joint activities by the health, education, and agricultureagencies of the countries.
4. To reaffirm its support of the Pan American Foot-and-Mouth DiseaseCenter and the programs it is conducting.
5. To reiterate the importance of supporting the activities of the Pan Ameri-can Zoonoses Center in order to bring about greater control of the zoonoses inthe countries; and to endorse Resolution II of the III Inter-American Meeting, atthe Ministerial Level, on Foot-and-Mouth Disease and Zoonoses Control con-cerning the financing of the Center and supporting the proposal to the UnitedNations Development Program that it extend its financial assistance to theCenter.
6. To express its thanks to the Governments of Argentina and Brazil fortheir valuable technical and financial assistance to the Pan American ZoonosesCenter and the Pan American Foot-and-Mouth Disease Center, respectively.
7. To point out that all the other resolutions 'of the III Inter-AmericanMeeting, at the Ministerial Level, on Foot-and-Mouth Disease and ZoonosesControl contribute to more effective control of animal diseases as a supportivemeasure for improving human health in the Hemisphere.
8. To emphasize the need for international organizations to provide thecountries with more technical assistance in coordinating their campaigns tocontrol animal diseases.
(Approved at the tenth plenary session,8 Ocrober 1970)
74
Resolution XXI
Nursing
The XVIII Pan American Sanitary Conference,
Having considered Resolution X23 approved by the Executive Committee atits 64th Meeting, which recommended to Governments that they organize andset up a nursing system in accordance with the objectives of national healthplans, defining the quantity and type of nursing resources required for deliveryof health care and the system of nursing education required for the preparationof the different types of personnel, and that they make provision in health plansfor necessary funding;
Considering that in that same resolution the Director of the Bureau wasrequested to continue to promote the nursing programs of the Organization andto endeavor to obtain additional funds for their expansion;
Recognizing the essential role played by nursing in the delivery of health careto the population and the relationship between the achievement of programobjectives and the availability of adequate and appropriate nursing resources;and
Bearing in mind the need for maximum utilization of nursing resources,
Resolves:
1. To endorse Resolution X approved by the Executive Committee at its64th Meeting.
2. To recommend to the Governments that they initiate action that will leadto the prompt establishment of a nursing system in which areas of responsibilityand quantity and category of personnel required are defined and which iscompatible with local health program objectives and the type and level ofmedical care to be provided, bearing in mind the need for Governments to pro-vide health care to all sectors of the community.
3. To recommend to the Governments that they establish a permanentmechanism for participation by nurses in the planning and evaluation processesand for keeping information on existing nursing resources current and available.
4. To recommend to the Director that he take the necessary steps to provideassistance required by countries in determining their system of nursing andelaborating plans to meet their needs, and that he assign the resources requiredfor effective action.
5. To request the Director to report to the XX Meeting of the DirectingCouncil on the action taken and progress made by the countries.
(Approved at the tenth plenary session,8 October 1970)
2 30fficial Document PAHO 103, 55-56.
75
Resolution XXII
Appropriations for the Pan American Health Organization for 1971
The XVIII Pan American Sanitary Conference
Resolves:
1. To appropriate for the financial year 1971 an amount of $16,950,165 asfollows:
Part I:Part II:Part III:Part IV:Part V:
Organizational Meetings ...............Headquarters .... '. ....................Field and Other Programs ................Special Fund for Health Promotion ........Increase to Assets ......................
Subtotal-Parts I-V ..............................
Part VI: Pan American Foot-and-Mouth Disease Center
Effective Working Budget (Parts I-VI) ................
Part VII: Staff Assessment (Transfer to Tax EqualizationFund) ....................
Total-All Parts ..................................
2. That the appropriation shall be financed from:
a) Assessments in respect to:Member Governments and Participating Governmentsassessed under the scale adopted by, the Council of theOrganization of American States in accordance withArticle 60 of the Pan American Sanitary Code or inaccordance with the Directing Council resolutions ..
b) Miscellaneous Income .......................
Total .............................................
$- 363,5983,642,1699,326,530
250,000250,000
$ 13,832,297
1,405,034
$ 15,237,331
1,712,834
$ 16,950,165
$; 16,745,165205,000
$; 16,950,165
In establishing the contributions of Member Governments and.ParticipatingGovernments, their assessments shall be reduced further by the amount standingto their credit in the Tax Equalization Fund, except that credits of those Gov-ernments who levy taxes on the emoluments received from PAHO by theirnationals and residents shall be reduced by the amounts of such tax reimburse-ments by the Organization.
3. That, in accordance with the Financial Regulations of the OIganization,amounts not exceeding the appropriations noted under paragraph 1 shall beavailable for the payment of obligations incurred during the period 1 January to31 December 1971, inclusive. Notwithstanding the provision of this paragraph,
76
obligations during the financial year 1971 shall be limited to the effectiveworking budget, i.e., Parts 1-VI.
4. That the Director shall be authorized to transfer credits between parts ofthe effective working budget, provided that such transfers of credits betweenparts as are made do not exceed 10 per cent of the part from which the credit istransferred. Transfers of credits between parts of the budget in excess of 10 percent of the part from which the credit is transferred may be made with the con-currence of the Executive Committee. All transfers of budget credits shall bereported to the Directing Council.
5. To approve an increase in the appropriation level of $ 15,237,331 for theeffective working budget specified in paragraph 1 above, in an amount to bedetermined by the Executive Committee, but not to exceed $300,000. Such in-crease shall be financed in the first instance from any available miscellaneousincome and then, if necessary, by transfer from the Working Capital Fund, withno increase in the assessments in respect to Member Governments and Partici-pating Governments. This approval is given in recognition of:
a) The probability that the United Nations General Assembly will approve aprofessional salary increase in 1971, with consequent increased budgetary re-quirements, for which contingency no provision is included in the amountappropriated in paragraph 1 above.
b) The lack of provision for carrying out the recommendations of the IIIInter-American Meeting, at the Ministerial Level,on Foot-and-Mouth Disease andZoonoses Control for an additional appropriation for $300,000 to cover theneeds of the Pan American Zoonoses Center.
6. That in applying the increase called for in paragraph 5, the ExecutiveCommittee give first priority to funding increases in salary costs.
(Approved at the tenth plenary session,8 October 1970)
Resolution XXIII
Assessments of the Member Governments and Participating Governments of thePan American Health Organization
The XVIII Pan American Sanitary Conference,
Taking into account that Member Governments appearing in the scaleadopted by the Council of the Organization of American States are assessedaccording to the percentages shown in that scale, in compliance with Article60 of the Pan American Sanitary Code; and
77
Considering that other Member Governments and Participating Govern-ments are assessed in accordance with Resolutions XXVII and XXVIII 24 ofthe XVII Meeting of the Directing Council,
Resolves:
To establish the assessments of the Member Governments and ParticipatingGovernments of the Pan American Health Organization for 1971 in accordancewith the scale of quotas shown below and in the corresponding amounts.
(See following page)
(Approved at the tenth plenary session,8 October 1970)
Resolution XXIV
Regular Budget of the World Health Organizationfor the Region of the Americas for 1971
The XVIII Pan American Sanitary Conference,
Having examined the Proposed Program and Budget Estimates for the Regionof the Americas as presented in Official Document 98 by the Director of thePan American Sanitary Bureau; and
Bearing in mind the dynamics of the preparation and updating of programpropo sals,
Resolves:
To endorse the revisions to the 1971 Program and Budget Estimates for theWorld Health Organization regular program in the Americas as shown in OfficialDocument 98.
(Approved at the tenth plena,y session,8 October 1970)
240fficial Document PAHO 82, 85-86.
78
(1) (2) (3)
GrossOAS scale assessment
Country % US$
ArgentinaBarbadosBoliviaBrazilChileColombiaCosta RicaCubaDominicanRepublic
EcuadorEl SalvadorGuatemalaHaitiHondurasJamaicaMexicoNicaraguaPanamaParaguayPeruTrinidad andTobago
United Statesof America
UruguayVenezuela
Subtotal
Other MemberGovernments
GuyanaParticipatingGovernments
FranceKingdom ofthe Netherlands
United KingdomSubtotal
Total Assessments-All Countries
7.060.080.316.761.741.520.311.44
0.310.310.310.380.310.310.386.600.310.310.310.75
1,171,31413,27351,432
1,121,542288,681252,181
51,432238,909
51,43251,43251,43263,04551,43251,43263,045
1,094,99751,43251,43251,432
124,432
0.31 51,432
66.000.683.20
100.00Equivalentpercentages
10,949,974112,818530,907
16,590,870
0.24 39,818
(4)
Credit frorn taxequalization fund
US$
119,8111,3585,261
114,72029,52925,795
5,26124,438
5,2615,2615,2616,4495,2615,2616,449
112,0055,2615,2615,261
12,727
5,261
1,120,05411,54054,305
1,697,051
(5)Adj. for taxesby Govts. on
cmoluments ofPAHO staff
US$
250
606,593
6,731613,574
4,073
0.22 36,500 3,734
0.19 31,523 3,2240.28 46,454 4,752
154,295 15,783
16,745,165 1,712,834
(6)
Netassessment
USs
1,051,50311,91546,171
1,006,822259,152226,636
46,171214,471
46,17146,17146,17156,59646,17146,17156,596
982,99246,17146,17146,171
111,705
46,171
10,436,513101,278483,333
15,507,393
35,745
- 32,766
- 28,299- 41,702- 138,512
613,574 15,645,905
(2) This column includes the OAS percentages adding to 100 per cent and the equivalent percentages applicableto other Member Governments and Participating Governments. The OAS scale minimum assessment is0.3 per cent or per-capita contribution equal to that of the largest contributor, whichever is smaller.
(5) This column includes estimated amounts to be received by the respective Member Governments in 1971 inrespect of taxes levied by them on staff members' emoluments received from the PAHO, adjusted for anydifference between estimate and actual for the second preceding year. The adjustments in respect to 1969are increases of $20 for Colombia, $123,199 for the United States of America, and $331 for Venezuela.
79
Resolution XXV
Proposed Program and Budget Estimatesof the World Health Organization for the
Region of the Americas for 1972
The XVIIII Pan American Sanitary Conference,
Having considered Official Document 98, submitted by the Director of thePan American Sanitary Bureau, which contains the Proposed Program andBudget Estimates of the World Health Organization for the Region of theAmericas for 1972; and
Bearing in mind that the Proposed Program and Budget Estimates are sub-mitted to the Pan American Sanitary Conference as Regional Committee of theWorld Health Organization, for review and transmittal to the Director-Generalof that Organization so that he may take them into account in preparing theproposed budget estimates of WHO for 1972; and
Noting the recommendations contained in Resolution XII2 5 approved by theExecutive Committee at its 64th Meeting,
Resolves:
To approve the Proposed Program and Budget Estimates of the World HealthOrganization for the Region of the Americas for 1972, appearing in OfficialDocument 98, and to request the Regional Director to transmit them to theDirector-General of that Organization so that he may take them into account inpreparing the WHO budget estimates for 1972.
(Approved at the tenth plenary session,8 October 1970)
Resolution XXVI
Regional Projects to be Implemented in 1971-1972with Funds of the United Nations Development Program
The X VIII Pan American Sanitary Conference,
Having considered the over-all program and budget of the World HealthOrganization for the Region of the Americas, including the portion which is
2 5Official Document PAHO 103, 56-57.
80
expected to be financed under the United Nations Development Program; andNoting that, in addition to projects requested by countries directly to the
United Nations Development Program, there are regional and interregional pro-jects which benefit countries throughout the Americas,
Resolves:
1. To urge the Governments to continue to give full consideration to theimportance of health activities in social and economic development, and toincrease the proportion of health projects in the total number of projects re-quested from the United Nations Development Program.
2. To endorse and recommend to the United Nations Development Programapproval of those regional projects proposed for the Region of the Americas forthe program 1971-1972; specifically, the projects are: environmental sanitationin the Caribbean area; management of health services; studies and investigationsof water resources; teaching of behavioral sciences;Aedes aegypti eradication inthe Caribbean area; health education in the Caribbean area; biostatistics educa-tion and population dynamics; and Pan American Health Planning Program.
3. To recommend to the United Nations Development Program approval ofproposed interregional projects which foster public health throughout the worldand in particular those in which the Governments of the Americas may partici-pate.
4. To recommend to the Governments that they individually make knowntheir interests and endorsements to the United Nations Development Program inregard to the regional and interregional projects.
5. To request the Director to continue to provide the ministries of healthwith assistance in preparing projects for submission to the United Nations De-velopment Program, and to remind the ministries that under the current systemfor making such submissions they may present requests for health projects atany time during the year.
(Approved at the tenth plenary session,8 October 1970)
Resolution XXVII
Provisional Draft of the Proposed Programand Budget Estimates of the Pan American Health Organization
for 1972
The XVIII Pan American Sanitary Conference,
Having studied Official Document 98, submitted by the Director of the PanAmerican Sanitary Bureau, which contains the provisional draft that is to
81
constitute the basis for the preparation of the Proposed Program and BudgetEstimates of the Pan American Health Organization for 1972 to be consideredby the 66th Meeting of the Executive Committee and by the XX Meeting of theDirecting Council; and
Recognizing that the provisional draft of the Proposed Program and BudgetEstimates contains soundly conceived and much-needed health projects,
Resolves:
1. To take note of the provisional draft of the Proposed Program and BudgetEstimates of the Pan American Health Organization for 1972, appearing inOfficial Document 98.
2. To request the Director to use the provisional draft as a basis for prepara-tion of the Proposed Program and Budget Estimates for 1972, after furtherconsultations with Governments to determine their latest desires and require-ments in relation to the priorities of the Governments and of the Organization.
3. To request the Executive Committee to make a detailed examination ofthe revised Program and Budget Estimates for 1972 to be presented by theDirector, after further consultations with Governments, and to submit :its recom-mendations thereon to the XX Meeting of the Directing Council.
(Approved at the tenth plenary session,8 October 1970)
Resolution XXVIII
Proposed Program and Budget Estimates of theWorld Health Organization for the Region of the Americas
for 1973
The XVIII Pan American Sanitary Conference,
Having considered the Proposed Program and Budget Estimates of the WorldHealth Organization for the Region of the Americas for 1971 and 1972 ascontained in Official Document 98; and
Recognizing the advisability of projecting probable program needs intofuture years,
Resolves:
To recommend to the Director-General that he include in the Program andBudget Estimates of the World Health Organization for 1973 the proposedprogram for the Region of the Americas as detailed in Document CSP 18/20. 26
(Approved at the tenth plenary session,8 October 1970)
2 6 Mimeographed document.
82
Resolution XXIX
Financing of the Textbook Program,Pan American Health and Education Foundation
The XVIII Pan American Sanitary Conference,
Having studied the report presented by the Director in DocumentCSP18/29;2 7
Noting with pleasure that the Pan American Health and Education Founda-tion has been activated under the leadership of Dr. Abel Wolman, and that itsbroad and continuing cooperative relationship with the Pan American HealthOrganization has been expressed in a signed agreement;
Taking note of the progress made to date in the textbook program and thesignature of an agreement between the Foundation and PAHO for its joint oper-ation;
Bearing in mind that the Inter-American Development Bank has underconsideration a loan to the Pan American Health and Education Foundation forthe textbook program to be carried out in cooperation with the Pan AmericanHealth Organization, but that the loan is subject to guarantee of repayment bymeans of a letter of credit;
Recognizing that it has been the intention of the XVII Pan AmericanSanitary Conference, as expressed in Resolution XV,28 and of the DirectingCouncil at its XIX Meeting, as expressed in Resolution XXXVI,2 9 to promotethe textbook program both directly and through the Foundation, including theundertaking of necessary financial obligations and support; and
Believing that the loan arrangement represents the best available conditionsfor financing the textbook program,
Resolves:
1. To approve the form of Application and Agreement for CommercialLetter of Credit between the Pan American Sanitary Bureau and The RiggsNational Bank of Washington, D.C. (Riggs Form 352/Rev.'54, as amended),presented to this meeting.
2. To authorize the Director of the Pan American Sanitary Bureau or hisduly designated delegate for and on behalf of the Pan American Health Organi-zation which shall be deemed to include the Pan American Sanitary Bureau,hereinafter referred to as PAHO:
a) To order or receive from or through The Riggs National Bank of Washing-ton, D.C., a letter of credit for the Pan American Health and Education Foun-
27 See Official Document PAHO 108.2 8Official Document PAHO 74, 71-72.2 90fficial Document PAHO 99, 84.
83
dation with the Inter-American Development Bank as beneficiary in an amountof $2,040,000 and in the form presented to this meeting, secured by collateralprovided by PAHO in an amount not to exceed $2,040,000;
b) To execute, relative thereto, in the name of PAHO and to deliver, fromtime to time, an Application and Agreement for Commercial Letters of' Credit inthe form presented to this meeting with such modifications or changes that rnayseem necessary or desirable to the Director, or his delegate, and such otheragreements, applications, hypothecations, pledges, assignments, indemnities,guarantees, loan agreements, notes, or other documents that may seem neces-sary or desirable;
c) To execute, relative thereto, in the name of PAHO, acknowledge anddeliver a deed of trust conveying the Governor Shepherd Apartments, 2121Virginia Avenue, N.W., to trustees to secure the obligations of PAHO under saidApplication and Agreement for Commercial Letter of Credit and related letterof credit and to indemnify The Riggs National Bank of Washington, D.C.,against loss under said letter of credit, in the form presented to this meetingwith such changes or modifications that may seem necessary or desirable to suchDirector, or his duly designated delegate; and
d) To take any other and further action necessary to carry out and imple-ment the authority hereby granted.
3. That The Riggs National Bank of Washington, D.C., may rely upon theauthority hereby conferred until receipt by it of a certified copy of a resolutionof this Conference or the Directing Council of the Pan American Health Organi-zation revoking or modifying the same.
(Approved at the tenth plenary session,8 October 1970)
Resolution XXX
Organization of Regional Assistance in theEvent of Disasters Exceeding the Operating Capacity
of the Affected Country
The XVIII Pan American Sanitary Conference,
Cognizant of the proposal of the Government of Peru on the organization ofregional assistance in the event of disasters (Document CSP18/26, Annexes Iand II);30
Bearing in mind that natural disasters occur relatively frequently in certaingeographic areas of the Hemisphere, and may occur sporadically in virtually allof them;
3 0 See Official Document PAHO 108.
84
Taking into account that natural disasters may give rise to emergencieswhich, because of their magnitude in relation to the resources of the countryitself, exceed the possibility of coping with them properly and make externalassistance necessary;
Considering that a proper organization and national planning sometimesmake it possible to prevent and always to reduce in large measure the conse-quences of natural disasters and as a corollary the magnitude of the emergency;
Recognizing that, in those countries which have not yet done so, it is neces-sary to establish agencies capable of coping with such emergencies and to plantheir activities so as to make better use of national resources as well as to be in aposition to request with precision and to use as effectively as possible externalassistance, regardless of its origin;
Considering that because of the diverse origin and nature of external as-sistance, there is obviously a need for a coordinating agency whose main officemust be in the country affected and under the egis of its authorities;
Taking into consideration that the existence of a proper national organi-zation and prior planning of the use of resources to cope with emergency situ-ations are essential to enable the country to establish the necessary coordinationwith agencies of the United Nations System, with the Inter-American Emergen-cy Aid Fund, and with bilateral assistance agencies; and
Having taken note of the document submitted by the Director of the Bureauon the problem of emergency situations and existing arrangements for dealingwith it (Document CSP18/26),
Resolves:
1. To recomend to the Governments, and especially to those of countriessituated in geographic areas in which natural disasters are more frequent, thatthey make provision in their plans for the establishment of the necessaryagencies in order to cope with emergency situations caused by natural disastersor for their improvement if they already exist.
2. To recommend to the Governments that they pay special attention to theplanning of health measures to be taken in emergencies and that they assign itdue priority.
3. To request the Director of the Bureau to study the method of collabo-rating with the Governments and provide them with the assistance they deemnecessary for studying the situation, establishing the necessary agencies, andplanning the work to be carried out in an emergency.
4. To request the Director to study existing external assistance arrangementsand, in collaboration with the authorities of the health sector of the countries,to attempt to establish a procedure for coordinating and channeling regionalassistance in the event of disasters exceeding the operating capacity of theaffected country.
(Approved at the tenth plenary session,8 October 1970)
85
Resolution XXXI
Malaria Eradication
The XVIII Pan American Sanitary Conference,
Having considered the XVIII Report of the Director of the Bureau on thestatus of malaria eradication in the Americas (Document CSP 18/7);3 1
Aware of the measures adopted pursuant to Resolution WHA22.393 2 of theTwenty-Second World Health Assembly on the re-examination of the globalstrategy of malaria eradication;
Recognizing the need to continue the malaria eradication program in orderto consolidate the progress made in the Americas and to safeguard the fundsinvested in that program;
Bearing in mind that malaria is still a major public health problem in manyareas of the Americas and hinders their economic development and that somecountries still face administrative, financial, or technical difficulties t:hat are pre-venting the early completion of the program;
Considering the need to incorporate the malaria eradication program in thatpart of the national development plan dealing with the health sector; and
Recognizing the assistance furnished to Governments by internationalagencies,
Resolves:
1. To take note of the XVIII Report of the Director of the Bureau on thestatus of malaria eradication in the Americas (Document CSP18/7).
2. To express its satisfaction with the steps taken pursuant to ResolutionWHA22.39 on the re-examination of the global strategy of malaria eradicationand program evaluation, and to request the Director to continue these basicactivities of program review and evaluation and make the results available to theGovernments.
3. To reaffirm the goal of malaria eradication and the need for each Govern-ment to provide the essential resources for carrying out operational plans drawnup in accordance with the revised strategy.
4. To congratulate those countries that have continued to make progresstoward eradication.
5. To draw the attention of Governments to the importance of incorpo-rating the malaria eradication program into that part of the national develop-ment plan dealing with the health sector, and of giving suitable priority to theappropriation of funds for it.
3 t See Official Document PAHO 108.3 2 0ff. Rec. Wld Hlth Org. 176, 18-19.
86
6. To request the Governments and the Director to continue and strengthenresearch aimed at devising more efficient, safe, and economical methods ofinterrupting malaria transmission, and of evaluating the economic impact of theeradication of that disease.
7. To reaffirm the need to strengthen the coordination of national malariaeradication services and general health services with a view to extending cover-age in rural areas, and to assign polyvalent health activities to the personnel ofboth services in areas in the maintenance phase.
8. To emphasize to the Governments the desirability of increasing, with theassistance of the Pan American Sanitary Bureau, activities for the health educa-tion of the public designed to reduce as much as possible factors that limit theeffectiveness of the attack measures used.
9. To thank PAHO/WHO, UNICEF, and the Agency for InternationalDevelopment for their assistance to the Governments in carrying out malariaeradication programs, and to request international agencies to continue to pro-vide their valuable collaboration in order to achieve the goal of eradicating thatdisease, which is hindering the economic development of areas still infected.
(Approved at the tenth plenary session,8 October 1970)
Resolution XXXII
Resolutions of the Twenty-Third World Health Assemblyof Interest to the Regional Committee
The XVIII Pan American Sanitary Conference,
Having seen Document CSP18/183 3 in which the Director of the PanAmerican Sanitary Bureau submits to the attention of the Regional Committeefor the Americas several resolutions adopted by the Twenty-Third World HealthAssembly; 34 and
Bearing in mind that the Bureau has under consideration subjects to whichthe World Health Assembly resolutions refer,
Resolves:
1. To take note of the following resolutions contained in DocumentCSP18/18:
WHA23.35: "Training of national health personnel"WHA23.36: "Community water supply"
3 3Mimeographed document.3 40ff. Rec. Wld Hlth Org. 184.
87
2. To take note of the following resolutions, approved by the Twenty-ThirdWorld Health Assembly and proposed to the Conference by the Delegation ofthe United States of America:
WHA23.13: "International monitoring of adverse reactions to drugs"WHA23.42: "Drug dependence."3. To also take note of three other resolutions, and to state that t:he Confer-
ence has dealt with these subjects as items on its agenda and adopted iesolutionsthereon:
WHA23.12: "Measures taken in pursuance of the revised global strategy ofmalaria eradication"
WHA23.32: "Health consequences of smoking"WHA23.59: "General program of work covering a specific period.'
(Approved at the tenth plenary session,8 October 1970)
Resolution XXXIII
Multinational Centers
The XVIII Pan American Sanitary Conference,
Having studied Document CSP18/22 and annexes3 5 containing guidelines forthe establishment and operation of multinational centers recommended by theExecutive Committee at its 64th Meeting; 36 and
Recognizing the value of multinational centers for dealing wiith healthproblems of interest to several countries,
Resolves:
1. To approve the following general guidelines for the establishment andoperation of multinational centers:
a) For the purpose of these guidelines, a multinational center shall bedefined as an institution or center administered by international staff andsupported to a significant degree by international funds, which provides servicesfor all the countries in the Region, or a group of them in a particular area.
b) The establishment and operation of multinational centers shall be basedon the priorities arising out of the planning of the PAHO/WHO program. Underthis system, each country's appraisal of its health problems shall determine theextent and nature of the international assistance that will best serve l:o supportthe health programs of the Member Countries.
c) Where the solution of a country's health problems requires services of a
35 See Official Document PAHO 108.3 6 Resolution XIX. Official Document PAHO 103, 60-61.
88
standard arrd capacity not existing in a country, PAHO/WHO will collaboratewith the health authorities with a view to strengthening the national institutionsin order to meet the needs of the country but resorting, in cases where this isnot possible, to national institutions of other countries with sufficient resources.
d) Where there are no suitable national institutions to deal with problems ofcommon interest, multinational centers will be planned and developed in consul-tation with the Governments in order to make maximum use of PAHO/WHOassistance.
e) In their own or related fields, multinational centers should support, assist,and supplement the programs of the countries and should promote internationalcooperation for the solution of common problems.
f) In view of the fact that multinational centers are institutions and arecreated only when there are no adequate national institutions, internationalfinancial assistance is regarded as a long-term obligation. Nevertheless, eachmultinational center should be reviewed regularly in planning the program andin the light of its importance in relation to the needs of the participating coun-tries.
g) In planning a multinational center, the Director shall seek financial andother support from extra-budgetary sources, in addition to the regular budget.The host Government should provide premises and, as far as its resourcespermit, also contribute supplies, personnel, and funds. The choice of a locationshould take into account the resources of the potential host Government as wellas any other factors affecting the services rendered to countries.
h) Proposals for multinational centers shall continue to be submitted as partof the PAHO/WHO program and budget to the Executive Committee and to theDirecting Council or the Conference, for consideration and approval.
2. To thank the Director for his report on the program and activities of theexisting multinational centers.
(Approved at the tenth plenary session,8 October 1970)
Resolution XXXIV
Man-Environment Relationships
The XVIII Pan American Sanitary Conference,
Having considered the Director's special report on man-environment relation-ships (Document CSP18/10)3 7 and having reviewed Resolutions WHA23.59 andWHA23.60 of the Twenty-Third World Health Assembly; 3 8
37Scientific Publication PAHO 219.3 80ff. Rec. Wld Hlth Org. 184, 32-34.
89
Recognizing that rapid population growth and accelerating technologicaladvances in urbanizing societies are creating unprecedented impacts. on man'stotal environment and that the speed, magnitude, and complexity of theseforces intensify traditional problems and create a host of new physical andmental stresses;
Bearing in mind that the characteristic which distinguishes health ministriesfrom other agencies in the environmental field is their focus on the health andwell-being of peoples and the significance of environmental change to man; and
Observing with satisfaction the aggressive and effective measures taken bythe Governments to strengthen national institutions and to meet the goals in theCharter of Punta del Este related to a quality human environment,
Resolves:
1. To commend the Director on the report on man-environment relation-ships (Document CSP18/10) and on his initiative to keep Governments in-formed on evolving problems of environmental health.
2. To recommend to the Director:
a) That the Organization intensify its program of assistance to Governmentsin developing new or more effective approaches and techniques for controllingenvironmental hazards.
b) That the Organization continue its activities to collaborate with Govern-ments in the strengthening of the continental networks for education:, training,and research; to develop and implement practical systems for monitoring ofenvironmental pollution; and to improve the organization and administration ofenvironmental services.
c) That the Organization continue to give special attention in its programs tothe health needs of rural peoples, with emphasis on community organization,self-help concepts, and revolving-fund mechanisms to support mass-approachtechniques for providing water supplies, sewerage services, housing, a:nd relatedenvironmental improvements.
d) That he continue his commendable efforts, in collaboration with bothbilateral and multilateral international agencies, for the purpose of makingavailable financial and technical support to assist Governments in providing ahealthful environment.
3. To request the Director to develop, for submission to the XX Nleeting ofthe Directing Council, environmental health projections for the 1970 decade,including specific and realistic proposals with long-range goals and the design ofprograms that the Organization and the Governments might undertake tomonitor pollution trends and to implement essential control and remedialmeasures.
(Approved at the tenth plenary session,8 October 1970)
90
Resolution XXXV
Control of Cigarette Smoking
The XVIII Pan American Sanitary Conference,
Having considered the report of the Director of the Bureau on the control ofcigarette smoking (Document CSP18/12);39
Bearing in mind the resolutions on this problem adopted by the XIX Meetingof the Directing Council 40 and the Twenty-Third World Health Assembly; 4 1
Recognizing the serious health hazards of cigarette smoking, a habit whichcontributes significantly to the development of pulmonary and cardiac diseases,including bronchopulmonary cancer, chronic bronchitis, emphysema, andischemic heart disease;
Considering that programs for the prevention of these diseases should includevigorous action designed to reduce the prevalence of the smoking habit as wellas other activities intended to discourage the acquisition of that habit, especiallyby young persons;
Convinced that the habit of smoking cigarettes must be presented as a healthhazard, and that public health agencies should take the lead in disseminating thisinformation;
Bearing in mind the valuable experience accumulated in countries whereconsiderable efforts have been made for years to control cigarette smoking; and
Considering that any program for controlling the smoking habit must bebased on an accurate assessment of the extent of tobacco consumption and anadequate knowledge of the motives and attitudes of the population in regard tothe problem,
Resolves:
1. To recommend to the Governments that they intensify and coordinatethe efforts of health authorities, scientific associations, and the community tocombat tobacco consumption.
2. To commend the Pan American Sanitary Bureau on its initiative inplanning a survey on the characteristics of the smoking habit in eight cities ofLatin America, and to request the Director to take such measures as may benecessary to ensure that the study is undertaken as soon as possible, subject tothe financial resources of the Organization.
3. To promote the conduct of similar surveys in all the countries in theRegion interested in controlling cigarette smoking.
4. To request the Director to establish a clearinghouse for receiving andtransmitting information concerning smoking and health in order to promote
3 9 See OfficialDocument PAHO 108.4 0 Resolution XXXIV. Official Document PAHO 99, 82.4 1 Resolution WHA23.32. Off. Rec. Wld Hlth Org. 184, 15-16.
91
and facilitate the exchange of experiences and educational materials amongagencies in the Region interested in the control of smoking.
5. To request the Director to report to the XX Meeting of the DirectingCouncil, XXIII Meeting of the Regional Committee of the World Hea]lth Organi-zation for the Americas, on the action proposed and its financial implicationsfor the Organization.
(Approved at the tenth plenary session,8 October 1970)
Resolution XXXVI
Financial Report of the Director andReport of the External Auditor for 1969
The XVIIIPan American Sanitary Conference,
Having considered the Financial Report of the Director and the Report ofthe External Auditor for the fiscal year 1969 (OfficialDocument 97), as well asResolution IV 4 2 approved by the Executive Committee at its 64th Meeting, aspresented in Document CSP18/14;4 3
Noting the improvement in the payments of arrears, so that the Organizationcontinues to be in sound financial condition;
Observing with satisfaction the beneficial effect of the long-termr financialpolicy in the past decade of not spending, on the average, at a higher level thanincome, so that even the large deficit of 1969 did not result in an excess ofexpenditure over income during the decade; and
Recognizing that in view of the low income in 1969, the Director madeefforts in that year to reduce the expenditure as much as possible,
Resolves:
1. To approve the Financial Report of the Director and the Report of theExternal Auditor for the fiscal year 1969 (Official Document 97).
2. To commend the Director on having consistently pursued long-termfinancial policies which have enabled the Organization to achieve and rnaintain asound financial position.
3. To urge the Governments to pay their quotas as soon as possible to assuremaximum fulfillment of the program of the Organization.
4 2 0fficial Document PAHO 103, 51.4 3 Mimeographed document.
92
4. To call attention to Resolution V14 4 approved by the Directing Councilat its XVIII Meeting, in the sense that the External Auditor should amplify hisreport to include comments concerning administrative practices in PAHO.
5. To recommend to the Director that, with respect to the informationalannex on PAHO/WHO expenditures, he provide data to facilitate a comparisonof expenditures with budgeted amounts.
6. To thank the External Auditor for his report.
(Approved at the tenth plenary session,8 October 1970)
Resolution XXXVII
Technical Discussions on the Topic "Venereal Diseases as a National andInternational Health Problem"
The XVIII Pan American Sanitary Conference,
Having considered the Final Report 4 5 of the Technical Discussions on"Venereal Diseases as a National and International Health Problem," held duringthe present meeting,
Resolves:
1. To take note of the Final Report of the Technical Discussions and toexpress its satisfaction with the conduct of the discussions.
2. To express its thanks to the officials of the other international agenciesand nongovernmental organizations who participated.
3. To recommend to the Director of the Pan American Sanitary Bureau thathe give this report the widest possible distribution.
4. To request the Director, subject to budgetary limitations, to provide theGovernments which request it with assistance in implementing the recommen-dations contained in this report.
(Approved at the tenth plenary session,8 October 1970)
4 4 0ff cial Document PAHO 93, 44.4 5 Published in Spanish in the Boletín de la Oficina Sanitaria Panamericana, Vol. LXX,
No. 1 (January 1971). English edition in press.
93
Resolution XXXVIII
Long-Term Planning and Evaluation
The XVIII Pan American Sanitary Conference,
Having considered the reports of the Director of the Bureau on the stepstaken in connection with the joint programming of the assistance required bythe countries in dealing with their priority health problems (DocumentsCSP18/16 and CE64/8, Rev. l);46
Recognizing that the immediate outcome of the first stage of this process hasbeen to permit an orderly review of the health problems of the Region, ofindividual countries, and of groups of countries which has provided the Bureauwith guidelines in selecting the areas in which to provide the most assistance;
Considering that, if the procedure is to be improved, not only must furtherstudies be carried out, but it is necessary for PASB to continue to receive thefull cooperation of the countries that have adopted the procedure and for thosecountries which have not yet done so to accept it;
Considering that the formulation, execution, and evaluation of nationalhealth plaris constitute the basis for the satisfactory joint programming of theOrganization's activities; and
Considering that, with the work now in progress, the pertinent resolutions ofthe Executive Committee and the Directing Council of PAHO and the WorldHealth Assembly are being carried out,
Resolves:
1. To approve the reports of the Director on the activities carried out inconnection with the long-term planning and evaluation of PAHO/WHO assist-ance to the countries (Documents CSP18/16 and CE64/8, Rev. 1).
2. To recommend to Governments that they adopt or continue to apply thejoint programming procedure.
3. To recommend to the Director that he continue the studies for theimprovement of the procedure so as to ensure that maximum use is made of theavailable resources.
4. To recommend to Governments that they continue their efforts to applyhealth planning procedures at the national level.
5. To request the Director to continue to apply the joint programmingprocedure in the formulation of the Organization's programs and budgets, andto report on the results of his efforts to the XX Meeting of the EDirectingCouncil.
(Approved at the tenth plenary session,8 October 1970)
4 6 See Official Document PAHO 108.
94
Resolution XXXIX
Long-Term Financial Indicators
The XVIII Pan American Sanitary Conference,
Considering Resolution EB45.R134 7 on long-term financial indicatorsadopted by the Executive Board of the World Health Organization at its Forty-Fifth Session;
Affirming that the definition, preparation, and utilization of such indicatorsis an inseparable part of the procedures for health planning and for the program-ming of activities to achieve the goals of the health policies of the countries;
Understanding that the possibility of developing and using these indicatorsdepends fundamentally on a substantial improvement in national planningprocedures, on the accuracy of the programming of the activities concerned inthe countries, and on the extent to which the internal programming proceduresof PAHO/WHO have been developed, as well as a precise knowledge of theimpact of specific activities in modifying health situations; and
Recognizing that this highly complex subject requires more detailed studyand that, in particular, the Organization must undertake consultations with theGovernments,
Resolves:
1. To recommend to the Director of the Bureau that he undertake the neces-sary consultations with the Governments.
2. To postpone discussion of this question until the Directing Council hasheld another meeting and has had an opportunity to examine the results ofthese consultations.
3. To request the Director-General of the World Health Organization toinclude this resolution and the view expressed by the XVIII Pan AmericanSanitary Conference, XXII Meeting of the Regional Committee for theAmericas, in the report to be prepared for the Forty-Seventh Session of theWHO Executive Board.
(Approved at the tenth plenary session,8 October 1970)
4 7 0ff Rec. Wld Hlth Org. 181, 8-9.
95
Resolution XL
Health Legislation
The XVIII Pan American Sanitary Conference,
Having considered the report on the survey of health legislation in theAmericas during the last 20 years (Document CSP18/21,4 8 Addendum I andAnnex), prepared by the Director pursuant to Resolution XXVIII4 9 of the XIXMeeting of the Directing Council and Resolution XVIS 0 of the 64th Meeting ofthe Executive Committee;
Considering that this report reviews the most salient aspects of i:he basichealth legislation of the countries of the Americas between 1948 and 1968, andindicates the main areas of concern, the priorities assigned to them, and thetrends observed;
Bearing in mind that this report will be of use to countries that wish to revisetheir health laws and regulations and bring them up to date; and
Recognizing that the material available will facilitate subsequent studies onsubjects of common interest, particularly the examination and modernization ofthe Pan American Sanitary Code,
Resolves:
1. To approve the report of the Director on the survey of bas:ic healthlegislation in the Americas (Document CSP18/21, Addendum I and Annex), andto request the Governments to forward the pertinent documentation tocomplete the report, so that it may be given wide distribution among theMember Countries.
2. To urge the Governments to promote the revision and modernization oftheir health laws and regulations.
3. To recommend to the Governments that they encourage the universitiesto give due attention to the teaching of health legislation in law schools, medicalschools, and schools of public health.
4. To request the Director to continue to provide the countries that requestit with technical assistance in revising and modernizing their health legislation.
5. To request the Director to sponsor meetings of interdisciplinary studygroups to discuss legal matters and the unification of the basic principles ofhealth legislation, including the study of essential aspects that might be coveredin such legislation, so as to provide the countries with a guide that they coulduse according to their individual characteristics and needs.
4 8 Mimeographed document.4 9 0fficial Document PAHO 99, 77-78.5 0 Official Document PA-HO 103, 59.
96
6. To recommend to the Director that he continue to promote and carry outstudies on the modernization of the Pan American Sanitary Code.
(Approved at the tenth plenary session,8 October 1970)
Resolution XLI
Inter-American Development Bank
The XVIII Pan American Sanitary Conference,
Having heard with pleasure the statement made by the President of the Inter-American Development Bank at the inaugural session s 1 on the investment ofcapital in health projects;
Having noted in the reports of the Governments expressions of appreciationfor the contribution of the Bank to their health programs;
Considering that the Bank has recently celebrated its tenth anniversary; andBearing in mind the importance of an investment of external capital to
accelerate the implementation of health programs for the benefit of the peoplesof the Americas,
Resolves:
1. To associate itself with the tribute rendered to the Inter-American De-velopment Bank on the occasion of its tenth anniversary.
2. To express appreciation to the Bank and to recommend that it:
a) Increase the volume of loans for types of activities where loans alreadyhave been approved, such as water supply, foot-and-mouth disease, zoonoses,hospitals, medical education, and production of biologicals;
b) Approve loans for new subjects already included in the Bank's policies, aswell as for other health programs when the investment of external capital isjustified; and
c) Analyze all loans for social and economic development to identify thehealth components and include financial support for them as an integral part ofthe total projects.
3. To recommend that the Governments revise their planning to includeappropriate requests for external capital to accelerate health programs for thebenefit of their people.
(Approved at the tenth plenary session,8 October 1970)
5 1 See Official Document PAHO 108.
97
Resolution XLII
Place of the XX Meeting of the Directing Council of PAHO,XXIII Meeting of the Regional Committee of WHO for the Americas
The XVIII Pan American Sanitary Conference,
Noting the kind invitation extended by the Delegate of Venezuela to holdthe XX Meeting of the Directing Council of PAHO, XXIII Meeting of theRegional Committee of WHO for the Americas, in Caracas, the capital ofVenezuela; and
Considering that, in accordance with Rule 1 of the Rules of Procedure of theDirecting Council, the place of the meeting shall be chosen by the Conference,
Resolves:
1. To offer its sincere thanks to the Government of Venezuela and to acceptwith satisfaction its invitation to hold the XX Meeting of the Directing Councilof PAHO, XXIII Meeting of the Regional Committee of WHO for the: Americas,in the city of Caracas.
2. To instruct the Director to take, in consultation with the Host Govern-ment, the necessary steps to organize the meeting and to fix the date thereof.
(Approved at the tenth plenary session,8 October 1970)
Resolution XLIII
Status of Aedes aegypti Eradication in the Americas
The XVIII Pan American Sanitary Conference,
Having examined the report of the Director on the satus of Aedes aegyptieradication in the Americas (Document CSP18/13);5 2
Considering the reports of the PAHO Study Group on the Prevention ofAedes aegypti-Borne Diseases, of the Scientific Advisory Cc!mmittee on DengueSurveillance in the Americas, and the proposed cost-benefii study of programsfor the prevention of A. aegypti-borne diseases prepared by a firm of con-sultants;
5 2 See OfficialDocumentPAHO 108.
98
Taking into' account Resolution XXIII s 3 of the XIX Meeting of the Di-recting Council and Resolution VII5 4 of the 64th Meeting of the ExecutiveCommittee;
Bearing in mind the fact that the extensive areas of the Hemisphere that arestill infested by A. aegypti are a potential source of reinfestation for the coun-tries and territories already free of the vector and endanger the success of thecontinent-wide campaign; and
Aware of the dangerous situation caused by the reappearance of dengue feverand the continuing threat of the "urbanization" of the virus of yellow fever inthe Americas,
Resolves:
1. To recommend to the countries and territories already free of A. aegyptithat they strengthen their surveillance activities against reinfestation.
2. To request countries that had already achieved eradication of the vectorand were subsequently reinfested to adopt measures designed to achieve theelimination of A. aegypti.
3. To urge the Governments of the countries and territories still infestedwith A. aegypti to take the necessary steps, pursuant to the resolution approvedat the I Meeting of the Directing Council (Buenos Aires, 1947)5 5 and the pledgemade by those countries to eradicate the vector from the Hemisphere, toachieve that objective as soon as possible and to assign the necessary priority tothe adoption of measures that will ensure that the vector is not exported tocountries free of it.
4. To authorize the Director to take such measures as may be necessary forcarrying out the studies recommended by the PAHO Study Group on the Pre-vention of Aedes aegypti-Borne Diseases and that these studies be carried out atthe lowest possible cost, without increasing the budget and attempting to obtaina sufficient amount of voluntary contributions.
5. To request the Director to submit to the 66th Meeting of the ExecutiveCommittee a report on the status of the proposed cost-benefit study.
(Approved at the tenth plenary session,8 October 1970)
5 30fficial Document PAHO 99, 72-73.5 4 0fficial Document PAHO 103, 53.5 5 PAHO Publication 247 (1950), 3.
99
IN WITNESS WHEREOF, the President of the Conference and the Directorof the Pan American Sanitary Bureau, Secretary ex officio, sign the presentFinal Report in the English and Spanish languages, both texts being equallyauthentic.
DONE in the city of Washington, D.C., on the 8th day of October 1970. TheSecretary shall deposit the original texts in the archives of the Pan AmericanSanitary Bureau, and shall send copies thereof to the Governments of theOrganization.
For the President:
Adán Godoy JiménezVice-President of the Conference,
Delegate of Paraguay
Abraham HorwitzDirector, Pan American Sanitary Bureau,
Secretary ex officioof the Conference
100
ANEXO
ANNEX
Annex
Participants
GobiernosGovernments
ARGENTINA
Jefe de la Delegación-Chief ofDelegation
Dr. Horacio Rodríguez Castells, Secre-tario de Estado de Salud Pública,Secretaría de Estado de Salud Pú-blica, Buenos Aires
Delegado -Delegate
Dr. Victorio V. Olguín, Jefe de Rela-ciones Sanitarias Internacionales,Secretaría de Estado de Salud Pú-blica, Buenos Aires
Asesor-Adviser
Dr. Alfredo Rabinovich, Director Na-cional de Normalización Médica ySanitaria, Secretaría de Estado deSalud Pública, Buenos Aires
BARBADOS
Jefe de la Delegación-Chief ofDelegation
Hon. Cuthbert Edwy Talma, Ministerof Health and Social Welfare,Bridgetown
Delegados-Delegates
Mr. Carlisle Archibald Burton, Per-manent Secretary, Ministry ofHealth and Social Welfare, Bridge-town
Dr. A. Vaughan Wells, Chief MedicalOfficer, Ministry of Health andSocial Welfare, Bridgetown
BOLIVIA
Jefe de la Delegación-Chief ofDelegation
Dr. Javier Ossio Quezada, Ministro dePrevisión Social y Salud Pública, LaPaz
Delegados-Delegates
Sr. Julio Sanjines, Embajador de Boli-via, Washington, D.C.
Dr. Antonio Céspedes, Ministro Conse-jero, Embajada de Bolivia,Washington, D.C.
Suplen tes-A Ilternates
Sr. Jorge Omiste, Primer Secretario,Embajada de Bolivia, Washington,D.C.
Sr. Carlos Ormaechea, Representantea.i. ante la Organización de los Esta-dos Americanos, Washington, D.C.
BRASIL (BRAZIL)
Jefe de la Delegación-Chief ofDelegation
Dr. Alfredo N. Bica, Secretário daSaúde Pública, Ministerio da Saúde,Rio de Janeiro
Delegados-Delegates
Dr. Nilo Chaves de Brito Bastos,Diretor, Departamento Nacional deProfilaxia e Controle de DoenQas,Ministério da Saúde, Rio dle Janeiro
Dr. Mathias Joaquim da Gama e Silva,Diretor Executivo da Comissáo deAssuntos Internacionais, Ministérioda Saúde, Rio de Janeiro
102
Anexo
Participantes
Asesor-Adviser
Sr. Genaro A. Mucciolo, SegundoSecretário da Delega5co do Brasil áOrganizacao dos Estados Ameri-canos, Washington, D.C.
COLOMBIA
Jefe de la Delegación-Chief ofDelegation
Dr. José Ignacio Díaz-Granados, Minis-tro de Salud Pública, Ministerio deSalud Pública, Bogotá
Delegados-Delegates
Dr. Bernardo Moreno Mejía, DirectorGeneral, Instituto Colombiano deBienestar Familiar, Ministerio deSalud Pública, Bogotá
Dr. Gabriel Velázquez Palau, Profesorde Medicina Social, Universidad delValle, Cali
Suplentes-A lternates
Dr. Antonio Yepes Parra, Jefe, Divi-sión de Atención Médica, Ministeriode Salud Pública, Bogotá
Dr. Carlos A. Ferro-Vargas, Jefe, Divi-sión de Campañas Directas, Minis-terio de Salud Pública, Bogotá
A sesor -A dviser
Dra. Consuelo H. Sarria Olcos, Jefe,Oficina Jurídica, Ministerio deSalud Pública, Bogotá
COSTA RICA
Jefe de la Delegación-Chief ofDelegation
Dr. José Luis Orlich, Ministro de Salu-bridad Pública, San José
Asesor-Adviser
Dr. Edgar Mohs Villalta, Viceministrode Salubridad Pública, San José
Jefe de la Delegación -Chief ofDelegation
Dr. Heliodoro Martínez Junco, Minis-tro de Salud Pública, La Habana
Delegados-Delegates
Dr. Jorge Aldereguía Valdés-Brito,Viceministro de Salud Pública,Ministerio de Salud Pública, LaHabana
Dr. Roberto Pereda Chávez, Director,Departamento de Relaciones Inter-nacionales, Ministerio de Salud Pú-blica, La Habana
Suplentes-A lternates
Dr. Bartolomé Sagaró Delgado, Jefe,Grupo Nacional de Dermatología yVenereología, Vice-Ministerio deHigiene y Epidemiología, Ministeriode Salud Pública, La Habana
Sr. José Francisco García Madrigal,Funcionario de la Dirección deOrganismos y Conferencias Inter-nacionales, Ministerio de RelacionesExteriores, La Habana
Dr. Ramón Martínez Rodríguez,Director Nacional de Epidemio-logía, Ministerio de Salud Pública,La Habana
Sr. Rogelio Rodríguez López, Conse-jero de la Misión Permanente deCuba ante las Naciones Unidas,Nueva York
CHILE
Jefe de la Delegación -Chief ofDelegation
Dr. Ramón Valdivieso, Ministro deSalud Pública, Santiago
103
CUBA
Delegados-Delegates
Dr. Bogoslav Juricic, Secretario delConsejo Nacional Consultivo deSalud Pública, Ministerio de SaludPública, Santiago
Dr. Patricio Silva, Director General deSalud, Ministerio de Salud Pública,Santiago
Suplen te -A lternate
Sr. Jorge Bustos, Secretario, Embajadade Chile, Washington, D.C.
ECUADOR
Jefe de la Delegación-Chief ofDelegation
Dr. Francisco Parra-Gil, Ministro deSalud Pública, Quito
Delegado -Delegate
Dr. Hernán Veintimilla, RepresentanteAlterno, Delegación del Ecuadorante la Organización de los EstadosAmericanos, Washington, D. C.
EL SALVADOR
Jefe de la Delegación-Chief ofDelegation
Dr. Víctor Manuel Esquivel, Ministrode Salud Pública y Asistencia So-cial, San Salvador
Delegados-Delegates
Dr. José Mario Díaz Nuila, DirectorGeneral de Salud, Ministerio deSalud Pública y Asistencia Social,San Salvador
Dr. Alberto Aguilar Rivas, SecretarioCoordinador, Departamento de Pla-nificación en Salud, Ministerio deSalud Pública y Asistencia Social,San Salvador
Suplente-A lternate
Dr. Juan Allwood Paredes, Director,Departamento de Salud, Organiza-ción de Estados Centroamericanos,San Salvador
ESTADOS UNIDOS DE AMER ICA(UNITED STATES OF AMERICA)
Jefe de la Delegación-Chief ofDelegation
Dr. Jesse L. Steinfeld, Su:rgeon Gen-eral, Public Health Service, Depart-ment of Health, Education, andWelfare, Washington, D. C.
Delegado -Delegate
Dr. S. Paul Ehrlich, Jr., Director,Office of International Health,Department of Health, Education,and Welfare, Washington., D.C.
Suplente-A lternate
Dr. Robert de Caires, Associate Direc-tor for Planning and :Evaluation,Office of International llealth, De-partment of Health, Education, andWelfare, Washington, D.C'.
Asesores-A dvisers
Mr. Robert B. Allen, Office of Inter-national Administration, Bureau ofInternational Organization Affairs,Department of State, Washington,D.C.
Mr. Edward B. Rosenthal, Office ofEconomic and Social Affairs,Bureau of International Organiza-tion Affairs, Department of State,Washington, D.C.
Dr. Lee M. Howard, Director, HealthServices and Technical Assistance,Agency for International Develop-ment, Washington, D.C.
104
Mr. Simon N. Wilson, Inter-AmericanOrganizations Adviser, Bureau ofInter-American Affairs, Departmentof State, Washington, D. C.
FRANCIA (FRANCE)
Jefe de la Delegación-Chief ofDelegation
Dr. Raymond G. Hyronimus, MédecinInspecteur Général Honoraire de laSanté Publique, Ministére de laSanté Publique et de la SecuritéSociale, Paris
Delegados-Delegates
Dr. Jeanne Broyelle, InspecteurGénéral adjoint de la Santé, Minis-tere de la Santé Publique et de laSecurité Sociale, Paris
Dr. André Chiarini, Médecin InspecteurRégional de la Santé, Region Sani-taire Antilles-Guyane franQaise,Fort de France
GUATEMALA
Jefe de la Delegación -Chief ofDelegation
Dr. José Trinidad Uclés, Ministro deSalud Pública y Asistencia Social,Guatemala
Delegado -Delegate
Dr. Julio César Mérida de León, Direc-tor General de Servicios de Salud,Ministerio de Salud Pública y Asis-tencia Social, Guatemala
GUYANA
Jefe de la Delegacin -Chief ofDelegation
Dr. Sylvia E. Talbot, Minister ofHealth, Georgetown
Delegado -Delegate
Dr. Robert L. S. Baird, Acting ChiefMedical Officer, Ministry of Health,Georgetown
HAITI
Jefe de la Delegación-Chief ofDelegation
M. Arthur Bonhomme, Ambassadeurd'Haiti, L'Ambassade d'Haiti, Wash-ington, D.C.
Delegado -Delegate
M. Fritz I. Fougy, Second Secrétaire etAttaché Cultural d'Ambassaded'Haiti, Washington, D. C.
HONDURAS
Jefe de la Delegación -Chief ofDelegation
Dr. Carlos A. Pineda, Jefe, Unidad dePlanificación, Ministerio de SaludPública y Asistencia Social, Teguci-galpa, D.C.
JAMAICA
Jefe de la Delegación-Chief ofDelega tion
Dr. Edward J. Valentine, PrincipalMedical Officer, Ministry of Health,Kingston
Delegado -Delegate
Mr. Erwin R. Angus, Counsellor, Dele-gation of Jamaica to the Organiza-tion of American States, Washing-ton, D.C.
A sesor -A dviser
Mr. Neville K. McLaren, Administra-tive Officer, Embassy of Jamaica,Washington, D. C.
105
MEXICO
Jefe de la Delegación -Chief ofDelegation
Dr. Ramón Alvarez Gutiérrez, DirectorGeneral de Servicios Coordinadosde Salud Pública en Estados yTerritorios, Secretaría de Salubri-dad y Asistencia, México, D.F.
Delegados-Delegates
Dr. Antonio Campos Salas, DirectorGeneral de Salubridad en el DistritoFederal, Secretaría de Salubridad yAsistencia, México, D.F.
Dr. Gregorio Martínez Narváez, Ase-sor, Dirección General de Coordina-ción de Salud de Estados y Territo-rios, Secretaría de Salubridad yAsistencia, México, D.F.
NICARAGUA
Jefe de la Delegación-Chief ofDelegation
Dr. Francisco Urcuyo Maliaño, Vice-presidente de la República y Minis-tro de Salud Pública, Managua
Delegados-Delegates
Dr. Orontes Avilés, Director de Plani-ficación de la Salud, Ministerio deSalud Pública, Managua
Dr. José Renán Esquivel, Ministro deSalud, Panamá
Delegado -Delegate
Dr. Everardo González Gáilvez, Sub-director General de Salud, Minis-terio de Salud, Panamá
PARAGUAY
Jefe de la Delegación -Chief ofDelegation
Dr. Adán Godoy Jiménez, Ministro deSalud Pública y Bienestar Social,Asunción
Delegados-Delegates
Dr. Ramón P. Delmás, Director Gene-ral de Salud, Ministerio de SaludPública y Bienestar Social, Asun-cion
Dr. Alcides Almada López, Director,Servicio Nacional de Erradicacióndel Paludismo, Ministerio de SaludPública y Bienestar Social, Asun-ción
Suplen te -A lternate
Dr. Víctor Alejo Ramírez, Director,Servicios Quirúrgicos, Ministerio deSalud Pública y Bienestar Social,Asunción
Dr. Carlos H. Canales, Director Gene-ral de Salud Pública, Ministerio deSalud Pública, Managua
Asesor-Adviser
Dr. Alejandro Robleto Pérez, Director,Servicio Nacional de Erradicaciónde la Malaria, Ministerio de SaludPública, Managua
PANAMA
Jefe de la Delegación-Chief ofDelegation
Asesor-A dviser
Dr. Marcos Martínez,rio, EmbajadaWashington, D.C.
Primer Secreta-del Paraguay,
PERU
Jefe de la Delegación-Chief ofDelegation
Dr. Luis Marchand Stens, MinistroConsejero, Embajada del Perú,Washington, D. C.
106
Delegado -Delegate
Sr. Jorge del Campo Vidal, Consejero,Delegación del Perú ante la Organi-zación de los Estados Americanos,Washington, D. C.
Suplente-A lternate
Sr. Carlos Chichizola Guimet, SegundoSecretario, Embajada del Perú,Washington, D. C.
REINO DE LOS PAISES BAJOS(KINGDOM OF THE NETHERLANDS)
Jefe de la Delegación -Chief ofDelegation
Dr. J. Th. M. Gielen, Director, Depart-ment of Public Health, NetherlandsAntilles, Willemstad
Delegados-Delegates
Dr. J. 1. S. Chang Sing Pang, DeputyDirector of Public Health ofSurinam, Paramaribo
Dr. Hans E. Th. E. Mathon, FirstSecretary, Embassy of the Kingdomof the Netherlands, Washington,D.C.
Suplene -A lternate
Dr. F. W. Kist, Second Secretary,Embassy of the Kingdom of theNetherlands, Washington, D. C.
REINO UNIDO(UNITED KINGDOM)
Jefe de la Delegación-Chief ofDelegation
Dr. Simon M. Frazer, Chief MedicalOfficer, Department of Health andWelfare, Bermuda
REPUBLICA DOMINICANA(DOMINICAN REPUBLIC)
Jefe de la Delegación -Chief ofDelegation
Dr. Francisco Manuel TezanosDa'Costa, Secretario de Estado deSalud Pública y Asistencia Social,Santo Domingo
TRINIDAD Y TABAGO(TRINIDAD AND TOBAGO)
Jefe de la Delegación -Chief ofDelega tion
Dr. Mervyn U. Henry, Chief MedicalOfficer, Ministry of Health, Port-of-Spain
Delegado -Delegate
Mr. Solomon S. Lutchman, Minister-Counsellor, Embassy of Trinidadand Tobago, Washington, D.C.
Suplen te-A lternate
Mr. R. Kenneth Ablack, InformationAttaché, Embassy of Trinidad andTobago, Washington, D.C.
URUGUAY
Jefe de la Delegación-Chief ofDelegation
Dr. Angel César Ronco, Subsecretariode Estado, Ministerio de Salud Pú-blica, Montevideo
Delegados-Delega tes
Dr. Oscar Rodríguez López, DirectorGeneral de la Salud, Ministerio deSalud Pública, Montevideo
Dr. Abelardo Sáenz Sanguinetti, Presi-dente, Oficina de Asuntos Inter-nacionales, Ministerio de SaludPública, Montevideo
107
VENEZUELA
Jefe de la Delegación-Chief ofDelegation
Dr. José de Jesús Mayz Lyon, Ministrode Sanidad y Asistencia Social,Caracas
Delegados-Delegates
Dr. Rogelio Valladares, Director Gene-ral, Ministerio de Sanidad y Asisten-cia Social, Caracas
Dr. Daniel Orellana, Jefe, Oficina deSalud Pública Internacional, Minis-terio de Sanidad y Asistencia So-cial, Caracas
Suplen tes -A lternates
Ing. Alfonso A. Rísquez Cotton, Ad-junto de la Dirección de Malariolo-gía y Saneamiento Ambiental, Mi-nisterio de Sanidad y AsistenciaSocial, Caracas
Dr. Pedro Guédez Lima, Jefe, Secreta-ría de los Servicios Medicoasisten-ciales, Ministerio de Sanidad yAsistencia Social, Caracas
CANADA
Observadores Oficiales-OfficialObservers
Dr. Basil D. B. Layton, Principal Medi-cal Officer, International Health,Department of National Health andWelfare, Ottawa
Dr. S. E. Acres, Medical Consultant,Communicable Diseases and Acci-dents, Epidemiology Division,Department of National Health andWelfare, Ottawa
Mr. R. M. Middleton, Counsellor forInter-American Affairs, CanadianEmbassy, Washington, D.C.
Comité Ejecutivo de la OPSExecutive Committee of E'AHO
Representante-Represen tative
Dr. Victorio V. Olguin, Presidente delComité Ejecutivo
Organización Mundial de la. SaludWorld Health Organization
Dr. M. G. Candau, Director-General
Mr. Milton P. Siegel, Assisi:ant Direc-tor-General
Mr. F. Gutteridge, Chief, Legal Office
Mrs. Y. Warner, Assistant te the Direc-tor-General
Oficina Sanitaria PanameiicanaPan American Sanitary Bureau
Dr. Abraham Horwitz, Director, Secre-tario ex officio de la Conferencia
Dr. Charles L. Williams, Jr., DirectorAdjunto
Dr. Alfredo Arreaza Guzmán, Sub-director
Sr.. E. R. Lannon, Jefe de Administra-ción
Dr. Pedro N. Acha, Jefe, Departa-mento de Salud Humana y Animal
Dr. Alfredo L. Bravo, Jefe, Departa-mento de Administración de Servi-cios de Atención Médica
Sr. Earl D. Brooks, Jefe, Departa-mento de Gestión Administrativa yPersonal
Dr. Héctor A. Coll, Jefe, Oficina deEnlace y Relaciones Públ.cas
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Dr. Carlos Díaz Coller, Jefe, Departa-mento de Comunicaciones Cientí-ficas y Públicas
Dr. Abraham Drobny, Jefe, Departa-mento de Servicios de Salud
Dr. José Luis García Gutiérrez, Jefe,Departamento de Servicios Técni-cos Especiales
Dr. Guzmán García Martín, Jefe,Departamento de Erradicación de laMalaria
Dr. Mark D. Hollis, Jefe, Departa-mento de Ingeniería y Ciencias delAmbiente
Dr. Mauricio Martins da Silva, Jefe,Departamento de Promoción y Co-ordinación de Investigaciones
Sr. Clarence H. Moore, Jefe, Departa-mento de Presupuesto y Finanzas
Dr. Richard A. Prindle, Jefe, Departa-mento de Salud y Dinámica de laPoblación
Dra. Ruth R. Puffer, Jefe, Departa-mento de Estadísticas de Salud
Dr. Bichat de A. Rodrigues, JefeInterino, Departamento de Enfer-medades Transmisibles
Dr. Raúl Vera, Jefe, Departamento deEvaluación
Dr. Ramón Villarreal, Jefe, Departa-mento de Desarrollo de RecursosHumanos
Jefe, Servicios de Secretaria(Chief, Secretariat Services)
Sr. Luis Larrea Alba, Jr., Jefe, Secciónde Personal y Conferencias
ObservadoresObservers
ORGANIZACION DE LOS ESTADOS AMERICANOSORGANIZATION OF AMERICAN STATES
Sr. Galo Plaza, Secretario General
Dr. Jesse Dean Perkinson, Director, Departamento de Asuntos Científicos
Dr. Theo R. Crevenna, Director, Departamento de Asuntos Sociales
Sra. Alzora H. Eldridge, Oficial de Enlace, Oficina Ejecutiva del SecretarioGeneral
Sr. Howard O. Salzman, Administrador Adjunto, Administración de Coopera-ción Técnica
BANCO INTERAMERICANO DE DESARROLLOINTER-AMERICAN DEVELOPMENT BANK
Sr. Felipe Herrera, Presidente
Ing. Humberto Olivero, Jefe, Sección de Ingeniería Sanitaria
Sr. Stacey Widdicombe, Especialista en Educación, Sección de Educación,Ciencia y Tecnología
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NACIONES UNIDAS Y ORGANISMOS INTERGUBERNAMENTALESUNITED NATIONS AND INTERGOVERNMENTAL ORGANIZATIONS
Mr. Marcial Tamayo, Director, U.N. Information Center, Washington, D.C.
Mr. Walter Hayes, U.N. Information Center, Washington, D.C.
Programa de las Naciones Unidas para el Desarrollo (United Nations Develop-ment Program)
Mr. Marcial Tamayo, Director, U.N. Information Center, Washington, D. C.
Comisión Económica para América Latina (Economic Commission for LatinAmerica)
Mr. Ernesto Cuesta, Acting Chief, Washington Office, Washington, I).C.
Miss Barbara Norwood, Assistant Chief, Washington Office, Washington, D.C.
Fondo de las Naciones Unidas para la Infancia (United Nations Chi'dren 's Fund)(UNICEF)
Mr. Roberto Esguerra-Barry, Regional Director for the Americas, Santiago, Chile
Mr. José Ignacio Zañartu, Program Officer for the Americas, New York
Organización de las Naciones Unidas para la Agricultura y la Alimentación (Foodand Agriculture Organization of the United Nations) (FA O)
Mr. Amable Ortiz, Assistant to the Regional Representative for North Americaand Latin American Affairs, Rome
ORGANIZACIONES NO GUBERNAMENTALESNONGOVERNMENTAL ORGANIZATIONS
Asociación Internacional de Fertilidad (International Fertility Association)(IFA)
Dr. David H. Kushner, Principal Investigator Population Council, SeniorConsultant, Columbia Hospital, Washington, D.C.
Asociación Médica Mundial (World Medical Association)
Dr. Eugene V. Jobe, Assistant Director, Department of Governmental Relations,American Medical Association, Washington, D.C.
110
Confederación Internacional de Parteras (International Confederation of Mid-wives)
Miss Lucille Woodville, President, Assistant Chief, Maternal and Child HealthBranch, Indian Health Service, Department of Health, Education, andWelfare, Rockville, Md.
Consejo Internacional sobre el Alcoholismo y las Toxicomanlas (InternationalCouncil on Alcohol and Addictions)
Mr. Charles P. Frazier, Educational Director, The Christopher D. SmithersFoundation Inc., New York
Mr. Augustus H. Hewlett, Executive Secretary, North American Association ofAlcoholism Programs, Washington, D.C.
Dr. Frank Seixas, Medical Director, National Council on Alcoholism, New York
Consejo Internacional de Enfermeras (International Council of Nurses)
Miss Dorothy Sutherland, Nurse Adviser, Office of International Health,Department of Health, Education, and Welfare, Washington, D.C.
Federación Den tal Internacional (International Den tal Federation)
Dr. Nelson W. Rupp, Research Division, American Dental Association, Washing-ton, D. C.
Federación Internacional de Ginecologláa y Obstetricia (International Federationof Gynecology and Obstetrics)
Dr. John Louis Parks, Professor of Obstetrics and Gynecology, Dean of theSchool of Medicine, The George Washington University, Washington, D.C.
Federación Internacional de Hospitales (International Hospital Federation)
Dr. Leo J. Gehrig, Director, Pan American Office, Washington, D.C.
Dr. José González, Secretario, Oficina Panamericana de la Federación Nacionalde Hospitales, Washington, D.C.
Federación Internacional de Planificación de la Familia (International PlannedParenthood Federation)
Dr. Luz Cortez Jefferson, Médico Ginecoobstetra, Ministerio de Salud Pública,Lima
111
Federación Mundial de Ergoterapeutas (World Federation of OccupationalTherapists)
MissMarjorieFish, Consultant, Division of Training, Social and RehabilitationServices, Department of Health, Education, and Welfare, Washington, D. C.
Mrs. I. R. Achter, Coordinator, Department of Physical Medicine and Rehabilita-tion, District of Columbia General Hospital, Washington, D.C.
Fondo Milbank Memorial (Milbank Memorial Fund)
Dr. L. E. Burney, Executive Director, New York
Liga de Sociedades de la Cruz Roja (League of Red Cross Societies)
Dr. Alan Chrisman, Deputy Director of the Blood Program, The AmericanNational Red Cross, National Headquarters, Washington, D.C.
Unión Internacional para la Educación Sanitaria (International Union for HealthEducation)
Dr. L. P. Aujoulat, Secretary General, Paris, France
Unión Internacional contra las Enfermedades Venéreas y las Treponematosis(International Union against the Venereal Diseases and the Treponematoses)
Dr. James S. McKenzie-Pollock, Regional Director for the Americas, New York
112
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