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XII Directing Council of the Pan American Health Organization
CD12.R1 The Directing Council,
Having examined the Annual Report of the Director of the Pan American Sanitary Bureau, Regional Office of the World Health Organization for the Americas, for 1959 (Official Documents Nº 34),
To take note of the Annual Report of the Director, congratulating him and the staff of the Bureau on the brilliance and comprehensiveness of that report, which not only clearly outlined the work of the Organization but also enunciated the health problems of the Hemisphere and indicated the path to their solution in a most commendable manner.
Aug. 1960 OD 36, 14
CD12.R2
The Directing Council,Having examined the Financial Report of the Director and the Report of the External Auditor for 1959 (Official Document Nº 33); and
Bearing in mind the decision taken by the Executive Committee at its 40th Meeting with respect to the aforesaid reports (Resolution XI),
To the Financial Report of the Director, and the Report of the External Auditor for 1959.
Aug. 1960 OD 36, 14
CD12.R3
The Directing Council,Having examined the Report of the Director on the use of the Emergency Revolving Fund (Official CD12/11); and
Considering that, if the Fund is to serve its important purpose of collaboration with the Governments, it is essential that it be maintained at the established level,
1. To take note of the Report on the use of the Emergency Revolving Fund, presented by the Director of the Pan American Sanitary Bureau.
2. To recommend that the Governments, when they request assistance from the Fund, reimburse as soon as possible the amounts advanced from the Fund.
Aug. 1960 OD 36, 15
CD12.R4
The Directing Council,Taking into account the final report on the activities of the Aedes aegypti eradication program in El Salvador presented at this meeting, according to which that country declared itself to be free of Aedes aegypti, after having satisfactorily met the standards on which the criteria established by the Pan American Sanitary Bureau for that purpose are based,
1. To accept the final report presented by the Republic of El Salvador, and to declare its territory free of Aedes aegypti.
2. To call upon the countries and territories that are still infested to take action so that countries that have not yet initiated eradication activities may undertake them and those that have such activities under way may intensify them, in accordance with the decisions taken at the XI Pan American Sanitary Conference.
3. To remind the countries in which the vector has already been eradicated of the necessity for maintaining strict vigilance in land, air, and sea ports in order to prevent reinfestations.
Aug. 1960 OD 36, 15
CD12.R5
The Directing Council,Acting pursuant to Article 12.2 of the Staff Regulations of the Pan American Sanitary Bureau,
To take note of the amendments to the Staff Rules of the Pan American Sanitary Bureau, approved by the Director and confirmed by the Executive Committee at its 40th Meeting, which appear in Document CE40/2, Annex I.
Aug. 1960 OD 36, 16
CD12.R6
The Directing Council,Having examined the report of the Subcommittee on Basic Documents of the Pan American Health Organization (Document CE40/10); and
Taking into account Resolution IV adopted by the Executive Committee at its 40th Meeting,
1. To take note of the report of the Subcommittee on Basic Documents of the Pan American Health Organization contained in Document CE40/10, and to thank the members of the Subcommittee for the work they are performing.
2. To request the Executive Committee to report further on the activities of the Subcommittee to the XIII Meeting of the Directing Council.
Aug. 1960 OD 36, 16
CD12.R7
The Directing Council,Having carefully studied Document CD12/20 on the development and utilization of Incaparina; 1
Considering that the utilization of Incaparina by certain countries will contribute greatly to the success of the campaign against malnutrition, especially in children; and
Considering that, in accordance with Resolution VIII adopted by the Council of INCAP at its XI Meeting, Panama City, 8-10 August 1960, INCAP will advise the Governments "on all aspects of the industrial production and control of products developed by INCAP,"
To recommend to the Member Governments that, through their respective public health and related departments, they carefully study the potential value and the possibilities of producing Incaparina or similar local products, and the means of promoting the consumption of these products by the public.
Aug. 1960 OD 36, 17
CD12.R8
The Directing Council,1. To appropriate for the financial year 1961 an amount of $4,800,000, as follows:

2. [To approve that] amounts not exceeding the appropriations noted under paragraph 1 be [made] available for the payment of obligations, in accordance with the Financial Regulations of the Organization, incurred during the period 1 January to 31 December 1961, inclusive.
3. [To approve that] the appropriations as noted above be financed by contributions from the Member Governments according to Article 60 of the Pan American Sanitary Code; contributions on behalf of France, the Kingdom of the Netherlands, and the United Kingdom according to Resolutions XV and XL of the V Meeting of the Directing Council; and miscellaneous income accruing to the Pan American Health Organization.
4. [To authorize] the Director to transfer credits between parts of the budget, provided that such transfers of credits between parts do not exceed 10 per cent of the part from which the credit is transferred. Transfers of credits between parts of the budget in excess of 10 per cent may be made with the concurrence of the Executive Committee. All transfers of budget credits shall be reported to the Directing Council.
Aug. 1960 OD 36, 17
CD12.R9
The Directing Council,Considering that both the Pan American Sanitary Conference and the Executive Committee of the Pan American Health Organization have adopted, in Articles 55 and 28 of their respective Rules of Procedure, the procedure of having the Final
Report signed only by the Chairman and the Secretary ex-officio of the meetings; and
Bearing in mind that the adoption of this same procedure by the Directing Council would enable the representatives, at the close of the working sessions, to return without delay to the duties they perform in their respective countries,
To amend Article 44 of the Rules of Procedure of the Directing Council, to read as follows: "Article 44. The Chairman and the Secretary ex-officio shall sign the Final Report."
Aug. 1960 OD 36, 18
CD12.R10
The Directing Council,Having examined Official Document 31 submitted by the Director of the Pan American Sanitary Bureau and containing a provisional draft to be considered as the preliminary basis for the Proposed Program and Budget of the Pan American Health Organization for 1962 that will be submitted to the 43rd Meeting of the Executive Committee and to the XIII Meeting of the Directing Council;
Recognizing that the provisional draft of the Proposed Program and Budget comprises well-conceived and much-needed health projects; and
Taking into account the recommendations and comments made by various delegations during the discussion of the provisional draft,
1. To take note of the provisional draft of the Proposed Program and Budget of the Pan American Health Organization for 1962.
2. To instruct the Director, in preparing the Proposed Program and Budget for 1962, and in his consultations with the Governments on this matter, to give due consideration to the recommendations and comments made by several delegations.
Aug. 1960 OD 36, 18
CD12.R11
The Directing Council,Having examined Official Document 31 submitted by the Director of the Pan American Sanitary Bureau and containing the Proposed Program and Budget of the World Health Organization for the Region of the Americas for 1962; and
Bearing in mind that the aforesaid Proposed Program and Budget is submitted to the Directing Council, as Regional Committee of the World Health Organization, for review and transmittal to the Director-General of the Organization so that he may take it into consideration in the preparation of the proposed budget of WHO for 1962,
To approve the transmittal of the Proposed Program and Budget of the World Health Organization for the Region of the Americas for 1962, and to request the Regional Director to transmit it to the Director-General of the Organization so that he may take it into consideration when preparing the WHO budget for 1962.
Aug. 1960 OD 36, 19
CD12.R12
The Directing Council,Having examined the report of the Director on the collaboration of PASB in administrative practices of national health services;
Bearing in mind Resolution XXXV of the X Meeting of the Directing Council; and
Considering the developments of the survey currently in progress and the efforts being extended to give assistance to the Governments through both fellowships and advisory services,
1. To take note of the report presented by the Director (Document CD12/5).
2. To request the Director to report on the results of the survey and the progress of this program to the XIII Meeting of the Directing Council.
Aug. 1960 OD 36, 19
CD12.R13
The Directing Council,Taking into account the significance of the economic aspects of public health activities, recognized during the examination of the various topics of its XII Meeting;
Considering that a more active participation by the Governing Bodies of the Pan American Health Organization with other international organizations would facilitate the integrated development of the activities with which this Organization is charged; and
Having taken note of the legal provisions established in the Basic Documents of the Organization,
1. To commend the valuable efforts carried out by the Director of the Pan American Sanitary Bureau to emphasize the economic aspects of public health activities.
2. To request the Director of the Pan American Sanitary Bureau, in accordance with the terms of Article 23 of the Constitution of the Pan American Health Organization, to consult with the appropriate officers of the Organization of the American States and other organizations interested in or connected with public health, in order to study how the joint interests of these organizations in the economic field can be further developed.
3. To request the Director to report on this matter to the 43rd Meeting of the Executive Committee, so that the Committee, after considering the report, may transmit it with such observations and recommendations as it deems pertinent, to the XIII Meeting of the Directing Council to be held in 1961.
Aug. 1960 OD 36, 25-6
CD12.R14
The Directing Council,Having noted Resolution II of the 41st Meeting of the Executive Committee;
Considering that the Executive Committee at its 40th Meeting resolved, inter alia (Resolution I), to recommend that the Directing Council authorize the Director of the Pan American Sanitary Bureau to accept title to the land to be donated by the Government of the United States of America, on behalf of the Pan American Health Organization;
Bearing in mind that the Executive Committee at its 40th Meeting resolved, inter alia (Resolution II), to recommend to the Directing Council that any balance remaining from the fire insurance settlement be transferred to the Building Reserve Fund; and
Wishing to implement a building program that will avoid unnecessary delays,
1. To express again its deep appreciation to the Government of the United States of America for the measures it has taken with respect to the donation of the site for the construction of the Headquarters building of the Pan American Health Organization.
2. To authorize the Director of the Pan American Sanitary Bureau to accept title to the land to be donated by the Government of the United States of America, on behalf of the Pan American Health Organization.
3. To approve the proposals of the Subcommittee regarding (a) methods of selecting architects, engineers, and contractors; (b) estimated space requirements; (c) facilities to be included in the building; (d) estimated cost; and (e) methods of financing, as outlined in the report of the Subcommittee (Document CD12/21).
4. To authorize the Director, with the concurrence of the Permanent Subcommittee on Buildings and Installations, to arrange financing for the construction of the Headquarters building by means of a twenty-year loan, if possible interest free, and to provide in the regular annual budgets of the Organization the funds necessary to repay the loan in annual installments.
5. To authorize the Executive Committee to act on behalf of the Pan American Health Organization regarding the construction of the Headquarters building, and to authorize the Executive Committee to redelegate this authorization, to the extent that it deems appropriate, to the Permanent Subcommittee on Buildings and Installations.
6. To approve the transfer to the Building Reserve Fund of the balance remaining from the insurance settlement following the fire that occurred in the Headquarters building on 5 November 1959.
Aug. 1960 OD 36, 20
CD12.R15
The Directing Council,Having examined the report on the status of malaria eradication in the Americas (Document CD12/6);
Taking into account that the XIV Pan American Sanitary Conference, meeting at Santiago, Chile, in October 1954, took the initiative in establishing the program to eradicate malaria in the Americas (Resolution XLII);
Taking into account that the Eighth World Health Assembly, held in Mexico City in May 1955, adopted a resolution that malaria should be eradicated not only in the Americas but throughout the world, and to this effect initiated pertinent measures (Resolution WHA8.30); and
Considering that malaria constitutes a serious obstacle to the economic development of vast fertile regions of the Hemisphere,
1. To take note of the aforesaid report (Document CD12/6) and of the progress that the Governments have achieved.
2. To express its satisfaction with the measures being taken by the Governments and by the Pan American Sanitary Bureau to solve the epidemiological and entomological problems encountered in the course of the campaign.
3. To reaffirm its interest in the program and to request that the Member Governments continue their efforts to complete the eradication campaigns in their respective territories, thereby contributing toward the attainment of the goal of worldwide eradication.
4. To express again its appreciation to the Governments that have generously contributed to the Special Malaria Fund of the Pan American Health Organization, and to invite all the Governments to contribute to this fund.
5. To convey its appreciation to the United Nations Children's Fund and to the International Cooperation Administration of the United States of America for the collaboration they are rendering to the countries, and to express the hope that this collaboration will continue.
Aug. 1960 OD 36, 21
CD12.R16
The Directing Council,Taking into account the unfavorable effects on the countries' economies of the prevalence of malaria;
Considering that the technical and economic measures that should be taken by the Governments require, for the fullest achievement of their purposes, a better knowledge of the problems of malaria in each country; and
Considering that the lack of knowledge by economists constitutes a gap that must be filled in order to break the vicious circle of poverty and illness,
1. To suggest to the Member Governments that, in their respective economic plans, recognition be given to the importance of the eradication of malaria in their territories and to its significance for improvement in the standard of living, especially that of rural people who live in areas having a high incidence of this disease.
2. To request the Pan American Sanitary Bureau to study, insofar as budgetary limitations permit, the possibility of devising methods for the evaluation, by the Member Governments, of the economic and social significance implicit in the speedy elimination of malaria.
3. To recommend that the Member Governments consider the possibility of extending such evaluation services to include all the programs conducted by their respective public health administrations.
Aug. 1960 OD 36, 21
CD12.R17
The Directing Council,Having examined the report presented by the Director of the Pan American Sanitary Bureau; and
Considering that, although smallpox has already disappeared in various countries of the Americas and is being eliminated in others through intensive vaccination programs, there are still some countries in which the disease persists and where intensive vaccination programs have not been undertaken, a situation that represents a serious public health problem for the entire Hemisphere,
1. To express its satisfaction with the success achieved by various Member Governments in eradicating smallpox from their territories, and with the development of nation-wide vaccination campaigns in other countries, which makes it possible to foresee the disappearance of the disease in the not-too-distant future.
2. To urge once again that the Governments of countries where smallpox still exists, and where no nation-wide eradication campaigns have been undertaken, intensify their efforts to implement such programs as soon as possible.
3. To recommend that the Member Governments give special attention to the maintenance of adequate levels of immunity among the population in order to consolidate the gains already achieved.
4. To recommend that the Member Governments provide the public health services with the facilities necessary for the laboratory diagnosis of suspected cases of smallpox, a measure that becomes increasingly important as the eradication programs progress.
5. To call the attention of the Member Governments to the importance of the correct application of the special measures concerning smallpox set forth in the International Sanitary Regulations.
Aug. 1960 OD 36, 22
CD12.R18
The Directing Council,Elected Argentina and Chile to the Executive Committee upon termination of the periods of office of Mexico and Venezuela, and thanked the Governments of these countries for the valuable services rendered to the Organization by their representatives on the Committee.
Aug. 1960 OD 36, 23
CD12.R19
The Directing Council,Having examined the report on the collection of quota contributions (Document CD12/10);
Considering that some countries may encounter difficulties in the payment of the assessed quotas to the Pan American Health Organization as a result of various factors-among them, regulations connected with monetary controls and, particularly, foreign exchange controls; and
Considering that the timely payment of contributions by the Governments is fundamental to the development of the Pan American Sanitary Bureau programs approved by the Member Countries,
1. To request the Pan American Sanitary Bureau to study the possibility of having the Member Countries pay part of the assessed quotas in their respective national currencies.
2. [To request] that consideration be given to the possibility of having part of the aforesaid payments made in the form of services, such as fellowships of the Organization, offered by countries that are in a technical position to do so.
3. [To request] that the possibility be studied of paying in the currency of the Member Country a proportion of the expenses incurred in implementing programs in its territory.
4. To request the Bureau to study formulas that will enable countries in arrears to make payment of the amounts necessary to amortize their obligations, applying wherever possible, and in each case, those measures that will make feasible the settlement of these obligations by means of the payment of a portion of such arrears in their respective national currencies.
5. To recommend to the Director that he convey the information herein requested to the 43rd Meeting of the Executive Committee for its consideration.
Aug. 1960 OD 36, 23
CD12.R20
The Directing Council,Having studied in detail the report on the status of community water supply programs (Document CD12/12), 1 presented by the Director of the Pan American Sanitary Bureau;
Considering the urgent need for intensifying these programs in many areas of Latin America as an indispensable measure for the economic and social development of the populations concerned; and
Bearing in mind the collaboration that is being given by the Pan American Sanitary Bureau in the form of advisory services, orientation, and training of personnel, in pursuit of the goals established in Resolution XVI of the XI Meeting of the Council,
1. To take note of, and express its satisfaction with, the report presented by the Director of the Pan American Sanitary Bureau on the progress made in the development of community water supply programs, and to urge that the Member Governments and the Director continue [to intensify] efforts for the improvement of these programs.
2. To thank the Governments of the United States of America and of Venezuela for their generous contributions to the Special Community Water Supply Fund.
3. To request the Director to continue his efforts to obtain additional voluntary contributions from all sources, public and private, national and international.
4. To authorize the Director to continue collaborating with the Member Governments in order to obtain funds for the development of water supply programs.
5. To request the Director to continue his efforts with national and international financial institutions to accord high priority to requests for loans to carry out water supply programs.
6. To recommend to the Member Governments the need to include rural water programs as a part of over-all public health programs, integrating this activity into existing local organizations, with full participation of the community in all stages of each program.
7. To recommend to the Member Governments that when distributing funds for water supply works in rural areas they consider as an important factor the sanitary conditions of such areas.
8. To request the Organization to study and advise on the types of equipment best suited to the needs of the various countries, with particular reference to their long-range economic implications.
Aug. 1960 OD 36, 24
CD12.R21
The Directing Council,Having received the report of the Technical Discussion on the subject "Technical, Administrative, Legal, and Financial Aspects of Garbage and Refuse Disposal" 1 presented by the Moderator, Dr. Gustavo Fricke (Chile), and prepared by the Rapporteur, Mr. Juan L. Radelat (Cuba); and
Recognizing the importance of efficient refuse disposal services to public health and the responsibility that public health officials have for the improvement of these services,
1. To take note of the report (Document CD12/DT/2, Rev. 1).
2. To express its satisfaction with the manner in which the discussions were conducted, and to thank the Moderator, the Rapporteur, the consultants, and the members of the panel for their valuable contribution to the success of the discussions.
3. To recommend to ministries of health that they adopt measures for the promotion and strengthening of sound refuse disposal practice throughout their countries.
4. To urge the Governments to give more attention to the provision of adequately trained personnel for the management and operation of such services.
5. To instruct the Pan American Sanitary Bureau to provide technical advice on refuse disposal and to give all assistance practicable, within budgetary limitations, to the requests of the Governments for collaborative programs in this field.
Aug. 1960 OD 36, 24
CD12.R22
The Directing Council,Having examined Document CD12/16 on the advertising of medicinal products, presented by the Director of the Pan American Sanitary Bureau,
1. To take note of Document CD12/16.
2. To instruct the Director of PASB to continue the study of the present situation with respect to the control of advertising of medicinal products, in accordance with Resolution XXX of the XI Meeting and to report the results to the XIII Meeting of the Directing Council.
3. To reiterate its recommendation that the Governments of the Member Countries adopt measures to prohibit false or misleading advertising of medicinal products.
Aug. 1960 OD 36, 25
CD12.R23
The Directing Council,Taking into account the significance of the economic aspects of public health activities, recognized during the examination of the various topics of its XII Meeting;
Considering that a more active participation by the Governing Bodies of the Pan American Health Organization with other international organizations would facilitate the integrated development of the activities with which this Organization is charged; and
Having taken note of the legal provisions [set forth] in the Basic Documents of the Organization,
1. To commend the valuable efforts carried out by the Director of the Pan American Sanitary Bureau to emphasize the economic aspects of public health activities.
2. To request the Director of the Pan American Sanitary Bureau, in accordance with the terms of Article 23 of the Constitution of the Pan American Health Organization, to consult with the appropriate officers of the Organization of American States and other organizations interested in or connected with public health in order to study how the joint interests of these organizations in the economic field can be further developed.
3. To request the Director to report on this matter to the 43rd Meeting of the Executive Committee, so that the Committee, after considering the report, may transmit it with such observations and recommendations as it deems pertinent to the XIII Meeting of the Directing Council to be held in 1961.
Aug. 1960 OD 36, 25
CD12.R24
The Directing Council,Having considered the report of the Director on the needs for adequately trained health personnel in the Americas;
Noting the data on serious shortages of health workers throughout the Region;
Recognizing the necessity for greatly expanded programs of aid to educational facilities in all the health sciences;
Aware of the recommendations of the Director's Advisory Committee on Education; and
Cognizant of the fact that, even with regular expansion of the Pan American Health Organization and the World Health Organization budget, sufficient funds are not likely to be available for the size of program necessary in the field of education,
1. To emphasize the importance of all efforts to expand the Organization's work in the field of education, particularly in the provision of long- and short-term consultants to educational institutions and in the provision of long- and short-term fellowships for existent and prospective faculty members.
2. To urge the Director to intensify his efforts to find extrabudgetary funds in order to expand the educational program to the degree needed.
3. To recommend that the Member Countries further intensify their efforts for the education and training of public health personnel.
4. To recommend that the Member Countries expand their special programs of in-service training for public health personnel.
Aug. 1960 OD 36, 26
CD12.R25
The Directing Council,Taking into account the difficulties at present encountered in the contracting of personnel for international public health work, and specifically in the secondment of staff from the public health services of the various countries;
Having taken note of the legislative measures adopted by the Republic of Colombia 1 for the solution of this problem; and
Considering it urgently necessary that those countries that have not yet done so adopt provisions toward the same ends,
To request the Member Governments to introduce into their legislation the provisions necessary for the protection of the rights that have been acquired in their respective national services by officers who may be seconded to international public health organizations.
Aug. 1960 OD 36, 26
CD12.R26
The Directing Council,Having studied the Third General Program of Work of the World Health Organization, as presented in WHO Official Records 102; and
Considering the importance of long-range planning on a sound basis, which will take into account the needs of the countries of the Hemisphere as well as the state of advancement of the art and science of public health in all its branches,
1. To take note of the Third General Program of Work adopted by the World Health Organization.
2. To instruct the Director to prepare and submit to the XIII Meeting of the Directing Council a General Program of Work for the Pan American Health Organization for the period 1962-1965, taking into account the comments made by the various delegations during the discussion of this topic.
Aug. 1960 OD 36, 27
CD12.R27
The Directing Council,Bearing in mind the provisions of Articles 1, 2, and 7 of the Rules for Technical Discussions,
To select the topic "Methods of Evaluation of the Contribution of Health Programs to Economic Development" for the Technical Discussions that will take place during the XIII Meeting of the Directing Council.
Aug. 1960 OD 36, 27
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