RESOLUTIONS

 

 

CD14.R1    The Directing Council,

Having examined the Annual Report of the Executive Committee (Document CD14/12) submitted to the Council for consideration; and

Bearing in mind the provisions of Article 9-C of the constitution of the Pan American Health Organization,

To approve the Annual Report of the Executive Committee (Document CD14./12) and to thank its Chairmen, Dr. Francisco Urcuyo Maliaño, Representative of Nicaragua, and Dr. Alfredo Leonardo Bravo, Representative of Chile, as well as the members of the Committee, for the work accomplished.

Sept. 1963 OD 54, 5

CD14.R2    The Directing Council,

Having examined the report of the Director on the use of the Emergency Revolving Fund (Document CD14/17);

Considering the recommendations of the Executive Committee for [raising] the level of the Fund to $75,000, in view of the price increases that have occurred since the Fund was created; and

Bearing in mind that the Fund must be maintained at its authorized level if the important purpose of assistance to Governments for which it was created is to be fulfilled,

1.To take note of the report of the Director on the use of the Emergency Revolving Fund (Document CD14/17).

2.To authorize an increase in the ceiling of the Fund to $75,000, effective in 1965, to be achieved by means of a provision for this purpose in the budget for that year.

3.To invite the Governments, when they receive assistance from the Fund, to reimburse the amounts advanced as soon as possible.

Sept. 1963 OD 54, 6

CD14.R3    The Directing Council,

Bearing in mind the provisions of Staff Regulations 12.2,

To take note of the amendments to the Staff Rules of the Pan American Sanitary Bureau presented by the Director in the annex to Document CE48/9, and confirmed by the Executive Committee at its 48th Meeting.

Sept. 1963 OD 54, 6

CD14.R4    The Directing Council,

Considering the reports of the Executive Committee, of the Permanent Subcommittee on Buildings and Installations, and of the Director of the Pan American Sanitary Bureau concerning the construction of the permanent Headquarters building;

Noting with satisfaction that the contract has been awarded and that construction has commenced; and

Noting that the W. K. Kellogg Foundation has made an additional grant of $1,250,000, which brings the [over-all] grant to a total of $5,000,000,

1.To express its thanks to the W. K. Kellogg Foundation for its generous additional grant and its support of health programs in the Americas.

2.To express its thanks to the Permanent Subcommittee on Buildings and Installations for its work in the past year.

3.To request the Director to report further on the program of construction to future meetings of the Governing Bodies.

Sept. 1963 OD 54, 6

CD14.R5    The Directing Council,

Having examined Document CD14/21, in which the Director brought to the attention of the Regional Committee for the Americas a number of resolutions of the Sixteenth World Health Assembly and the Thirty-First and Thirty-Second Sessions of the Executive Board; and

Bearing in mind that the Pan American Sanitary Bureau is already engaged in the matters covered by the resolutions of the World Health Assembly and the Executive Board,

To take note of the following resolutions contained in Document CD14/21: EB31.R47 (Expanded Program of Technical Assistance); EB31.R49 (Decentralization of United Nations Activities); EB31.R26, WHA 16.17, and EB32.R23 (Malaria Eradication Special Account); EB31.R31 and WHA16.23 (Development of the Malaria Eradication Program); EB31.R32, Rev. 1, and WHA16.24 (Developments in Activities Assisted Jointly with UNICEF); WHA16.26 (Voluntary Fund for Health Promotion: Medical Research); WHA16.27 (Voluntary Fund for Health Promotion: Community Water Supply); EB31.R39 and WHA16.31 (Continued Assistance to Newly Independent States); WHA16.37 (Smallpox Eradication Program); and EB31.R50 and WHA16.40 (United Nations Development Decade).

Sept. 1963 OD 54, 7

CD14.R6    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 1962 (Official Document 50),

To take note of the Annual Report of the Director for 1962 (Official Document 50), to congratulate him on the excellent work accomplished during the year and the manner in which the Report was presented, and to extend congratulations to the staff of the Bureau.

Sept. 1963 OD 54, 7

CD14.R7    The Directing Council,

Having considered the report of the Director on the administrative rationalization in the Pan American Sanitary Bureau (Document CD14/22);

Noting the progress made in streamlining structure, procedure, and techniques in the administrative activities of the Pan American Sanitary Bureau;

Bearing in mind the very considerable economies made as a result of the program of rationalization and the [consequent] opportunity offered for investment in services to the Governments for the development of programs; and

Recognizing the high degree of initiative displayed by the Secretariat in undertaking and successfully achieving such a fundamental restructuring of the administration of field programs,

1.     To take note of the report of the Director on the administrative rationalization in the Pan American Sanitary Bureau (Document CD14/22).

2.     To express its appreciation for the initiative of the Secretariat and to highly commend the Director and the staff of the Bureau for the success of their efforts to date in effecting substantial economies in administration.

3.     To request the Director to continue the program of rationalization and to report on progress at the next meeting of the Executive Committee and make periodic reports to the Governments.

Sept. 1963 OD 54, 8

CD14.R8    The Directing Council,

Having considered the report of the Director on the formulation of planning methodology and the training of health planners (Document CD14/9); and

Recognizing the need to train specialists in health planning, as well as to orient health administrators in basic concepts of planning, so as to assure the fullest participation of health in social and economic development,

1.     To approve the report of the Director of the Pan American Sanitary Bureau on the work accomplished in the formulation of planning methodology and the training of health planners (Document CD14/9).

2.     To recommend that the Director of the Bureau, in cooperation with the ministries of health and other international organizations, adopt the pertinent measures for rapidly increasing the number of experts with specialized training in health planning, in order to permit the efficient development of national and international health plans.

3.     To recommend that the Governments organize short in-service training courses on planning for technical-administrative personnel at all levels, special attention being given to those who work in the various local health agencies and to those in semiautonomous and private institutions participating in health programs.

4.     To recommend that the Bureau encourage and cooperate with national and international agencies in the organization of training courses for national and international personnel, of suitable length and content, in the various disciplines within the health profession.

5.     To recommend that schools of public health and other schools training health professionals include the methodology of health planning in their teaching programs, and that they request the assistance of the Pan American Sanitary Bureau for this purpose, if necessary.

6.     To recommend that steps be taken to develop and give wide distribution to a body of literature on health planning, including manuals, reports of experience, and theoretical bases, in order to rapidly promote a more widespread understanding of the subject.

7.     To recommend that the Director make arrangements with national and international organizations for health matters to be satisfactorily covered in any courses on planning they may conduct, and that the necessary assistance be given to enable the Bureau staff to participate in the presentation of this subject in such courses.

Sept. 1963 OD 54, 8

CD14.R9    The Directing Council,

Having considered the report of the Director on the status of the continental plan of community water supply and sewage disposal (Document CD14/14);

Noting with satisfaction the work of the Pan American Sanitary Bureau during the past five years in the promotion and development of community water supply programs in the Americas;

Noting with satisfaction the favorable consideration and the approval of loans for water supply and sewerage by international and bilateral credit organizations, especially the Inter-American Development Bank;

Noting the contributions made in the past four years to the PAHO Community Water Supply Fund by the Governments of Colombia, the United States of America, Uruguay, and Venezuela;

Noting the proposed pledge of the Government of the United States of America of $450,000 for 1964, subject to the appropriation of funds, of which a maximum of $150,000 will be provided to match funds contributed by the other Governments of the Organization;

Recognizing and reaffirming the great importance of the continental water supply and sewage disposal programs to public health and to the economic and social development of the peoples of all the countries of the Americas; and

Mindful of the fact that the ever-increasing responsibilities of all the national agencies involved in the general field of environmental sanitation, specifically in the fields of water supply and sewage disposal, both urban and rural, can be met only by adequately trained professional and auxiliary personnel,

1.     To request the Director of the Bureau to continue to give the highest priority to the community water supply program and to continue the Bureau's efforts to stimulate greater investment of funds from all sources, both local and international.

2.     To request the Director to continue and increase the technical assistance given to the Governments in the planning and financing of water supply systems, and to extend this assistance to the subsequent activities of management, construction, operation, and maintenance of the new or the expanded and improved systems.

3.     To express its satisfaction and thanks to the Governments of Colombia, the United States of America, Uruguay, and Venezuela for their contributions to the PAHO Community Water Supply Fund during the past four years, and to request the Director to renew the invitation to all Governments to contribute to the Fund, especially to match the additional $150,000 pledged by the United States of America for 1964.

4.     To request the Director to convey to the Inter-American Development Bank, the International Bank for Reconstruction and Development, the Agency for International Development, and the Export-Import Bank of the United States of America the sincere thanks and satisfaction of the Council for the consideration being given to loans and grants for water supply and sewerage.

5.     To again call to the attention of the Governments the need for giving the highest priority to national water supply and sewage disposal programs in urban and rural areas, for incorporating them in long-range national development plans, and for providing the budgets necessary for the financing of these programs by the maximum utilization of local resources and materials, the responsibility for such programs resting with the ministries of health.

6.     To request the Director to continue and increase the assistance to the countries in the preparation and training of professional and auxiliary personnel for the implementation and maintenance of water supply programs, and to cooperate with the countries in obtaining international support for the development and strengthening of their schools of engineering.

Sept. 1963 OD 54, 9

CD14.R10    The Directing Council,

Having considered the report of the Director on the activities of the Pan American Sanitary Bureau in economic and social development (Document CD14/10); 1 and

Considering the importance of these activities for the progress of the people of Latin America,

1.     To approve the report of the Director on the activities of the Pan American Sanitary Bureau in economic and social development (Document CD14/10).

2.     To recommend that the Director make the necessary arrangements with the Governments to ensure that health programs are fully incorporated in the planning and executing of national development programs.

3.     To recommend that the Director cooperate with other interested agencies, both national and international, private and official, at the national and the international level, for the purpose of promoting technical cooperation in health matters.

4.     To recommend that the Director take whatever steps are necessary to enable the Bureau to cooperate more actively with the Organization of American States, and in particular with the Inter-American Economic and Social Council, in order to ensure that full consideration is given to health in the preparation and review of national development plans.

5.     To recommend that the Director continue to cooperate with the Inter-American Economic and Social Council in the work of Committee VI, on Health, Housing, and Community Development, and in other aspects of the implementation of the Charter of Punta del Este with respect to health.

6.     To recommend that the Governments include a representative of the ministries of health in national delegations to the meetings of the Inter-American Economic and Social Council at the expert and the ministerial level that carry out the annual review of the program of the Alliance for Progress.

Sept. 1963 OD 54, 10

CD14.R11    The Directing Council,

Having considered Document CD14/13, which provides additional information on the support of international and national health programs through the medium of citizens' health committees; and

Noting the necessity and value of citizen support of national and international health programs,

To request the Director to continue the program of fostering the organization of national citizens' health committees, and in so doing to cooperate with the appropriate national and international entities, both public and private.

Sept. 1963 OD 54, 11

CD14.R12    The Directing Council,

Having [noted] the formal request 1 for membership in the Pan American Health Organization made by the Prime Minister of Trinidad and Tobago on behalf of his Government on 21 December 1962;

[Bearing in mind] that this request has been communicated by the Director of the Pan American Sanitary Bureau to the Governments of the Pan American Health Organization;

Considering that the Government of Trinidad and Tobago has declared that it is willing to assume all the obligations imposed by the Constitution of the Pan American Health Organization and to comply with the provisions of the Pan American Sanitary Code as amended by the Additional Protocol of 24 September 1952, as well as to contribute by means of a quota assessment to the financial support of the Organization; and

Having regard to [the provisions of] Article 2 of the Constitution of the Pan American Health Organization,

1.     To approve the application made by Trinidad and Tobago for membership in the Pan American Health Organization.

Sept. 1963 OD 54, 11

CD14.R13    The Directing Council,

Having considered the final report of Mexico on the eradication of Aedes aegypti, which states that that country is free of the mosquito and that the standards and criteria for eradication established by the Pan American Sanitary Bureau have been met; and

Having noted that a special verification confirming the absence of Aedes aegypti was made with the participation of personnel of the Pan American Sanitary Bureau,

To accept the report of Mexico, to congratulate that country on the work accomplished, and to declare its territory free of Aedes aegypti.

Sept. 1963 OD 54, 12

CD14.R14    The Directing Council,

Noting that the Governing Bodies of the Pan American Health Organization have declared Aedes aegypti eradicated from Bolivia, Brazil, Chile, Costa Rica, Ecuador, El Salvador, Guatemala, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Uruguay, British Honduras, French Guiana, and the Canal Zone; and

Noting that there are still many areas in the Americas infested with Aedes aegypti, and that those areas constitute sources of reinfestation for the areas and countries that have already eradicated that vector,

1.     To urge the Governments of the countries and territories that are still infested with Aedes aegypti to give the eradication campaign the necessary priority so that the entire Hemisphere may be freed of this vector as soon as possible.

2.     To point out to the countries that have already completed eradication of Aedes aegypti the need for maintaining strict vigilance at international ports and airports, as well as in border zones, in order to prevent reinfestation of their territories.

Sept. 1963 OD 54, 12

CD14.R15    The Directing Council,

Having examined the Proposed Program and Budget of the Pan American Health Organization for 1964 contained in Official Document 45,

To approve the Program and Budget of the Pan American Health Organization for 1964 contained in Official Document 45.

Sept. 1963 OD 54, 13

CD14.R16    The Directing Council,

Having examined Official Document 45 submitted by the Director of the Pan American Sanitary Bureau, which contains the Proposed Program and Budget of the World Health Organization for the Region of the Americas for 1965; and

Bearing in mind that the aforesaid Proposed Program and Budget is presented 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 1965,

To approve the Proposed Program and Budget of the World Health Organization for the Region of the Americas for 1965 contained in Official Document 45, 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 1965.

Sept. 1963 OD 54, 13

CD14.R17    The Directing Council,

Having examined Official Document 45, submitted by the Director of the Pan American Sanitary Bureau, which contains the provisional draft that is to constitute the basis for the preparation of the Proposed Program and Budget of the Pan American Health Organization for 1965 to be considered by the 50th Meeting of the Executive Committee and the XV Meeting of the Directing Council;

Recognizing that the provisional draft of the Proposed Program and Budget contains well-conceived and much-needed public health projects; and

Taking into account the recommendations and comments made by several representatives 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 1965 contained in Official Document 45.

2.     To instruct the Director, in preparing the Proposed Program and Budget for 1965 and in his consultations with the Governments on this matter, to give due consideration to the recommendations and comments made by several representatives.

Sept. 1963 OD 54, 13

CD14.R18    The Directing Council,

1.     To appropriate for the financial year 1954 an amount of $6,560,000, as follows:

2.[To approve] that the appropriation be financed from:

3.     [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 1964, inclusive.

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.

Sept. 1963 OD 54, 14

CD14.R19    The Directing Council,

elected Mexico and Brazil to the Executive Committee upon termination of the periods of office of Argentina and Chile, and thanked the Governments of these countries for the valuable services rendered to the Organization by their representatives on the Committee.

Sept. 1963 OD 54, 15

CD14.R20    The Directing Council,

Having examined the report of the Director on the establishment of a rural welfare fund (Document CD14/23);

Bearing in mind the importance of environmental sanitation to the health and social and economic development of the rural population of the Americas, and the target established in the Charter of Punta del Este of supplying water and sewage disposal services to at least 50 per cent of the rural population [within] the decade;

Mindful of Resolution A-11 of the First Annual Meeting of the Inter-American Economic and Social Council at the Ministerial Level (Mexico City, October 1962), which recognized the need to intensify efforts to improve living conditions in rural areas and to obtain international credits to develop programs for this purpose; and

Noting the support for such programs expressed by the Task Force on Health at the Ministerial Level 3 (Washington, D.C., April 1963), by Resolutions IV and XIII of the 48th Meeting of the Executive Committee (Washington, D.C., April 1963), by the VIII Meeting of Ministers of Public Health of Central America and Panama (San José, Costa Rica, July 1963), and by Committee VI of the Inter-American Economic and Social Council (San José, July-August 1963), and in view of the favorable opinion and the unanimous approval of the Members of the Council at its XIV Meeting,

1.     To approve the rural health program along the general lines described in Document CD14/23, based on community participation, on the establishment of national revolving funds, and on the need for international capital contributions.

2.     To urge the Director to seek assistance from all possible sources for the financing and implementation of the program, including the Governments and the international development and credit institutions.

3.     To recommend that the Director appoint a Technical Committee to give advice on financing, community organization and motivation, and other aspects of the program.

4.     To recommend that the Governments establish competent organizations to take charge of the execution of the national programs.

Sept. 1963 OD 54, 15

CD14.R21    The Directing Council,

Having regard to Resolution IV of the XVI Pan American Sanitary Conference;

Having studied the draft procedure for the admission of States to membership in the Pan American Health Organization (Document CD14/3); and

[Bearing in mind,] further, that this matter should be studied more thoroughly before any final conclusions are reached,

1.     To request the Director to continue to study the question of the admission of new Members to the Pan American Health Organization and to report thereon to the next meeting of the Directing Council.

2.     [To stipulate] that, in the meantime, any application by a new country for membership in the Pan American Health Organization be dealt with in accordance with the provisions of Article 2, paragraph A, of the Constitution of PAHO.

Sept. 1963 OD 54, 16

CD14.R22    The Directing Council,

Having considered the XI Report on the status of the malaria eradication program in the Americas (Document CD14/16), presented by the Director of the Pan American Sanitary Bureau;

Having regard to the recommendations on this subject made by the Meeting of the Task Force on Health at the Ministerial Level, held in Washington, D.C., in April 1963;2

Noting the progress made, and appreciating that such progress would have been impossible without the assistance of UNICEF and of the Agency for International Development (AID) of the Government of the United States of America;

Aware of the persistence of transmission in some areas that have been submitted to the attack phase for a longer period of time than was previously anticipated;

Mindful of the fact that the lack of coordination between services of malariology and those of programming for economic development in rural areas has, in some countries, caused the diverting of important sums of money from the malaria eradication programs to provide funds for unforeseen extensions of the malaria campaign or other programs; and

Informed of the research carried out by the Pan American Sanitary Bureau in cooperation with various Governments to study and determine the possible causes of the persistence of transmission in those areas, the results obtained to date, and the immediate measures of solution recommended,

1.   To express its satisfaction with the progress achieved in the malaria eradication program in the Americas, and to reiterate the desire of the Council that the cooperation of UNICEF and of the Agency for International Development be continued and intensified until the eradication of the disease is achieved in the Hemisphere.

2.   To recommend that the Director of the Pan American Sanitary Bureau continue, to the maximum possible degree, his cooperation with the Governments in studies of the causes of the persistence of transmission of malaria and in the search for practical and economical solutions to the problem.

3.   To again draw the attention of the Governments to the need to eradicate malaria from their territories in the shortest possible time and to increase their financial efforts to supply the necessary funds to attack the problem of the persistence of transmission, in conformity with available methods of attack.

4.   To again draw the attention of the Governments to the need to examine the effectiveness of their malaria eradication programs for the purpose of eliminating existing administrative defects, especially with regard to the selection of personnel, and to intensify the supervision of field work at all levels.

5.   To recommend that the Governments, in their programs of economic development for rural areas, take into account the problem of the dissemination of malaria, and adopt the necessary measures to secure the active participation of malariologists from the preliminary planning stage onwards.

6.   To recommend to the Governments that, in economic development activities that affect rural areas where there is a danger that the transmission of malaria may be established or may persist, funds be allocated for the specific purpose of preventing or combating such transmission, in conformity with the pertinent recommendations of the director of the national eradication program.

Sept. 1963 OD 54, 17

CD14.R23    The Directing Council,

Having considered Document CD14/20 1 on the estimated requirements for the Special Malaria Fund of the Pan American Health Organization;

Having regard to Resolution XXVIII of the XVI Pan American Sanitary Conference;

Considering the fact that malaria eradication continues to be a positive and indispensable factor in the economic development of vast areas of Latin America;

Bearing in mind the economic and social development objectives established in the Charter of Punta del Este;

[Bearing in mind] the need for increased economic efforts to achieve the goals set forth in malaria eradication programs; and

[Noting] the steps taken by the Director of the Pan American Sanitary Bureau to implement the recommendation formulated in Resolution XXVIII of the XVI Pan American Sanitary Conference for the establishment of a malaria eradication service in Central America in order to approach the problem on a regional basis, including all countries of the Central American isthmus,

1.     To take note of the sums deemed necessary for the activities to be carried out by the Pan American Sanitary Bureau in 1964 in relation to the malaria eradication program in the Hemisphere.

2.     To reiterate the need for the inclusion of the malaria eradication campaign, with the priority it deserves, in the economic and social development programs for malarious or potentially malarious areas.

3.     To recommend that the Director of the Pan American Sanitary Bureau continue his efforts to bring about the establishment of the Malaria Eradication Service of the Central American Isthmus (SEMICA), in conformity with the provisions of the agreement signed ad referendum by the Ministers of Public Health of the countries of that region and the Director of the Bureau on 6 July 1963 in San José, Costa Rica.

4.     To again express its thanks to the Government of the United States of America for its generous and timely contribution to the PAHO Special Malaria Fund in 1963, and to express the hope that the contribution will continue in ensuing years as a proof of the importance that that Government ascribes to the eradication of malaria as a basic factor in the economic and social development of the Americas.

5.     To express its thanks to the Agency for International Development (AID) of the Government of the United States of America for the assistance provided in regard to local costs of certain malaria eradication programs, and to express the hope that such assistance will be intensified so as to bring about a more rapid solution of existing problems.

6.     To express its profound appreciation of the continuing cooperation given by UNICEF to the hemisphere-wide malaria eradication program.

7.     To request the Director to continue to make reports to the Directing Council on the estimated financial requirements for the program of malaria eradication in the Hemisphere.

Sept. 1963 OD 54, 18

CD14.R24    The Directing Council,

Having examined Resolution WHA16.24 of the Sixteenth World Health Assembly on developments in activities [carried out] jointly with UNICEF, which expresses the concern of WHO that any reduction in material assistance to joint activities of UNICEF/WHO would adversely affect the health and welfare of children;

Having been informed that a meeting of the Executive Board of UNICEF is to be held early next year in Bangkok to review its future policy;

Considering that a change in the policy of aid for malaria eradication could seriously affect the WHO/PAHO programs, and in particular could cause a delay in the health progress of the countries; and

Considering that the malaria eradication program is fundamental to the economic and social development of the countries, and that malaria seriously affects children, since it is the most widespread disease in the developing countries,

1.     To express to UNICEF, through the Director of the Pan American Sanitary Bureau, the deep concern of the countries of the Americas about any diminution of contributions of the United Nations Children's Fund that might affect public health programs and, especially, in a fundamental way, the malaria eradication program.

2.     To request the countries of the Americas that are members of the UNICEF Executive Board to instruct their representatives to express the concern of WHO and PAHO to that agency, and to insist that it is essential that the health programs not be adversely affected as a result of any change in the policy of UNICEF in programs that have produced beneficial results and evident progress in the struggle to reduce morbidity and mortality of children.

Sept. 1963 OD 54, 19

CD14.R25    The Directing Council,

Having examined some of the problems involved in formal and informal exchanges of medical and health personnel among the countries of the Americas for training and educational purposes or for rendering voluntary services;

Noting that such exchanges are arranged for purposes of facilitating training or for rendering services to the population, or both;

Recognizing that such interchange of teaching and other personnel in the health field among the countries of the Americas is of mutual benefit to all participating countries, both those sending and those receiving personnel; and

Desiring to encourage to the greatest possible extent such interchange of teaching and other health personnel among the countries,

To request the Director of the Bureau:

1.     To study the opportunities for intercountry exchanges of teaching and other personnel in the health field, as well as the interest in such interchange and in current programs of education and training or service rendered by such personnel, the contribution to health programs that can be achieved by such interchange, and the problems involved.

2.     To study the extent to which such interchange activities can assist in the development of programs for the training of health personnel, especially in the professional fields, and to report on this matter to the 50th Meeting of the Executive Committee.

3.     To collaborate with the Governments, upon request and within the limits of the Organization's resources, for the purpose of establishing proper liaison both among the Governments themselves, and between the Governments and medical centers and associations of educational institutions in the health field, so as to contribute to the interchange among the various countries of faculty members or personnel from official and private agencies.

Sept. 1963 OD 54, 19

CD14.R26    The Directing Council,

Having examined the report of the Director of the Bureau on the study of the structure and organization of the Pan American Sanitary Conference, and the replies received from the Governments on this matter (Document CD14/5); and

Bearing in mind that many Governments have not as yet expressed [an] opinion on the various points under study,

1.     To urge the Governments that have promised to make comment with regard to the study of the organization of the Pan American Sanitary Conference, and those that have not as yet replied to the Director on this matter, to send in their observations as soon as possible.

2.     To instruct the Director of the Bureau to submit to the XVI Meeting of the Directing Council a detailed report on this subject, bearing in mind the opinions expressed by the Governments.

Sept. 1963 OD 54, 20

CD14.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 "Tuberculosis Eradication: a Task for Present Planning and Future Action" for the Technical Discussions to be held during the XV Meeting of the Directing Council, XVI Meeting of the Regional Committee of the World Health Organization for the Americas.

Sept. 1963 OD 54, 20

CD14.R28    The Directing Council,

Bearing in mind the provisions of Rule 1 of its Rules of Procedure,

To thank the Government of the United States of Mexico, and to accept its invitation to hold the XV Meeting of the Directing Council, XVI Meeting of the Regional Committee of the World Health Organization for the Americas, and the 51st Meeting of the Executive Committee in Mexico City.

Sept. 1963 OD 54, 21

CD14.R29    The Directing Council,

Having received and considered the report of the Technical Discussions on "Ideas for the Formulation of a Plan for the Control of Gastrointestinal Diseases";

Considering that one of the goals of all the Governments is the reduction of mortality under five years of age by at least 50 per cent in the next decade, [and that] deaths from diarrheal disease account for at least one fourth of the present mortality in this age group; and

Considering that knowledge of the measures necessary to reduce mortality and morbidity from diarrheal disease exists but is not always applied, and that additional knowledge to perfect and simplify diarrheal disease control programs is urgently needed,

1.     To recommend both to the Governments and to the Pan American Sanitary Bureau that they strengthen and expand their efforts to control diarrheal disease and to reduce mortality from that cause, making use wherever appropriate of the ideas presented in the working documents prepared for the aforementioned Technical Discussions.

2.     To request that UNICEF, with the technical advice of PASB, continue and expand its collaboration with the Governments in these efforts.

3.     To recommend to the Director that PASB promote and encourage the type of research in the field of diarrheal disease that will be of assistance to the Governments in the planning and execution of national health programs, and specifically that PASB convene a series of meetings of competent, active investigators so as to share experiences, arrive at common definitions, and outline methodological aproaches to such research.

4.     To recommend to the Director-General of the World Health Organization that he consider the feasibility of expanding the sphere of activities of the present international network of Salmonella Centers so as to include the microbiological study of other enteropathogens and so as to serve as a nucleus from which to develop field epidemiological research centers.

Sept. 1963 OD 54, 21

CD14.R30    The Directing Council,

Having examined the report of the Director on the nutrition program in the Americas (Document CD14/19); and

Considering that marked progress has been made in this field, in conformity with the recommendations contained in Resolution XV of the XVI Pan American Sanitary Conference,

1.     To take note of the report of the Director on the nutrition program in the Americas (Document CD14/19).

2.     To express its satisfaction at the progress achieved in this field, in conformity with Resolution XV of the XVI Pan American Sanitary Conference.

3.     To recommend that the Director maintain his efforts to increase the resources devoted to the activities of the Organization in the field of nutrition, and especially to the efforts aimed at the incorporation of nutrition activities in the general programs of the local health services of the countries.

4.     To recommend that the Director continue to include in his annual report a full description of activities in the field of nutrition, and that he supplement this information by any special report to the Directing Council that he may feel is indicated.

5.     To recommend that the Organization collaborate with FAO and UNICEF [in increasing] its advisory services in the field of the development, commercial production, utilization, and marketing of low-cost protein products in order to ensure their effective use in undernourished population groups.

6.     To recommend that the Director study modern methods of mass communication for the promotion of widespread consumption of low-cost protein products in order to assist in the development of techniques that can be utilized by ministries of health.

Sept. 1963 OD 54, 22

CD14.R31    The Directing Council,

Having considered the report of the Director on the research policy and program of the Pan American Health Organization (Document CD14/18);

Bearing in mind Resolution XXVI of the XVI Pan American Sanitary Conference, which expressed its satisfaction with the research policy and program as presented and requested the Director to submit to the Directing Council an annual report, which is now under review;

Recalling that the Task Force on Health at the Ministerial Level2 (15-20 April 1963) took note of the importance of research, stating that "it is important that research in the bio-medical, bioengineering, and biosocial fields be closely coordinated with the operational and information requirements of health services, health planning agencies, and institutions engaged in the education and training of health personnel," and to that end suggested that the Governments assess their research and research training resources and accelerate their activities in these fields with a view to the solution of social problems that have been given high priority under national plans and in the Charter of Punta del Este;

Considering that, while the bulk of the current research program is concerned with biomedical and biostatistical problems, activity in the fields of environmental health and biosocial and administrative studies is being accelerated and should be expanded greatly in the future if health programs are to achieve the targets laid down in the Charter of Punta del Este for the decade of the 1960's;

Noting that research studies on medical education and physician needs and on the organization and administration of health services and medical care are being undertaken in cooperation with the Milbank Memorial Fund; and

Appreciating that the assistance rendered through the grant program of the United States Public Health Service/National Institutes of Health has played an important part in intensifying and expanding the research program, and that the PASB Office of Research Coordination, since its inception in November 1961, has been financed in large part by an NIH grant that terminates in December 1963,

1.     To express its satisfaction with the substantial progress that has been achieved, and to commend the Director, the Advisory Committee on Medical Research, the staff, and the many experts involved in initiating these research endeavors.

2.     To express its concurrence in the policy of accelerating research studies in environmental health and biosocial and biostatistical research dealing with health conditions and the economic and social aspects of health, and with medical care, including administrative research to improve health services and medical care programs.

3.     To approve the steps already taken to cooperate with national research councils and other appropriate bodies in studying national resources in the health sciences and communication systems in scientific research and, upon request and within the resources of the Bureau, to assist Governments in establishing national research councils.

4.     To endorse the efforts that are being made for developing research studies on needs for physicians in relation to medical education programs.

Sept. 1963 OD 54, 22

CD14.R32    The Directing Council,

Having considered the report (Document CD14/42) 1 of the Working Party entrusted with the examination of the recommendations of the Meeting of the Task Force on Health at the Ministerial Level, held in April 1963; and

Considering that the recommendations of the Task Force2 reflect a continental approach to health that coincides with the goals and objectives expressed in the Constitution of the Pan American Health Organization and developed through its program and budget,

1.     To accept as a statement of general policy of the Pan American Health Organization all the recommendations of the Task Force on Health at the Ministerial Level.

2.     To request the Director of the Pan American Sanitary Bureau to implement without delay Resolution XX on the rural health program for the benefit of the peoples of the Americas, in accordance with Document CD14/23.

3.     To request the Director to take the necessary steps to interest the Governments in complying with the recommendations on malaria eradication made by the Task Force on Health at the Ministerial Level.

4.     To authorize the Director to take into consideration, in the implementation of the 1964 program and budget, the recommendations contained in the report of the Task Force on Health, both on a regional and a national basis, and in accordance with the stated program priorities of the Organization and its financial resources.

5.     To instruct the Director to take the recommendations above into consideration in the planning for the program and budget for 1965 and [subsequent years].

Sept. 1963 OD 54, 23

CD14.R33    The Directing Council,

Having examined the Financial Report of the Director and the Report of the External Auditor for the year 1962 (Official Document 46),

1.      To approve the Financial Report of the Director and the Report of the External Auditor for 1962 (Official Document 46).

2.      To urge Governments that have outstanding quotas to pay them as soon as possible.

3.      To commend the policy of prudent administration followed by the Director in maintaining budgetary expenditures within income.

Sept. 1963 OD 54, 24

CD14.R34    The Directing Council,

Having examined the report on the collection of quota contributions (Document CD14/25, Addenda I and II), and having noted the information and comments on quotas contained in the Financial Report of the Director and the Report of the External Auditor (Official Document 46);

Considering the statement of the External Auditor that "since arrears of two or more years are the most serious, it might be advisable for the Governing Bodies to consider the experience of WHO and other international organizations, including the effect of their constitutional provisions making possible the limitation of privileges and services";

Considering, further, Resolution IX of the Executive Committee at its 48th Meeting, recommending study of the possibility of a constitutional amendment to incorporate provisions concerning quotas similar to those of Article 7 of the Constitution of WHO;

[Bearing in mind] that quotas are due and payable on 1 January of each year and that payment on a current basis is essential to fulfillment of the program of the Organization,

1.     To take note of the report on the collection of quota contributions (Document CD14/25, Addenda I and II) and of the information and comments on quotas contained in the Financial Report of the Director and the Report of the External Auditor (Official Document 46).

2.     To urge the Governments to make budgetary provision for their quota assessment and to pay their quotas as early as possible each year, since they are due on 1 January of the year.

3.     To request the Director:

a)  To explore all possible measures for promoting and facilitating the payment of quotas; and

b)  To make arrangements with countries having quotas more than two years in arrears with a view to developing an agreed financial plan for the payment of outstanding quotas within a definite period, and to report on this matter to the Executive Committee at its spring meeting and to the XV Meeting of the Directing Council.

4.     To request the Director and the respective Ministers of Health to bring to the attention of officials and organizations responsible for dealing with economic and fiscal policies (ministries of finance, treasury, etc.) the value of health programs as a part of economic development and the importance of providing adequate financial support for the Pan American Health Organization, with the object of preventing any interruption in the program of PAHO.

5.     To request the Executive Committee to continue its study of this subject and to retain this item on the agenda for the Directing Council at its XV Meeting.

Sept. 1963 OD 54, 24