RESOLUTIONS

 

 

CD15.R1    The Directing Council,

Having examined the Annual Report of the Chairman of the Executive Committee, Dr. Carlos Quiros Salinas, Representative of Peru (Document CD15/24); 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 Chairman of the Executive Committee, Dr. Carlo Quiros Salinas, Representative of Peru (Document CD15/24), and to commend him and the other members of the Committee for the work accomplished.

Aug.--Sept. 1964 OD 58, 57-58

CD15.R2    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 1963 (Official Document 56),

To take note of the Annual Report of the Director for 1963 (Official Document 56), 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.

Aug.--Sept. 1964 OD 58, 58

CD15.R3    The Directing Council,

Having noted the section of the Annual Report of the Director (Official Document 56) relating to mental health;

Considering that this document reports the establishment, within the Pan American Sanitary Bureau, of a Mental Health Information Center on Latin America, which is providing a useful service in the collection, analysis, and distribution of information on mental health;

Bearing in mind that epilepsy constitutes a health problem of appreciable significance in many areas; and

Recognizing that in virtually every part of the Hemisphere there exist burdens of misunderstanding and legal and other types of discrimination that are contrary to an enlightened, human approach to programs for the management of this condition,

To request the Director to study the incidence and distribution of epilepsy in the Americas, and the legal and other types of discrimination to which sufferers from this condition are subject and which impede programs directed toward the solution of the problem of epilepsy.

Aug.--Sept. 1964 OD 58, 58

CD15.R4    The Directing Council,

1.To appropriate for the financial year 1965 an amount of $7,190,000, as follows: 2.[To approve] that the appropriation be financed from:

3.[To approve] that, in accordance with the Financial Regulations of the Organization, amounts not exceeding the appropriations noted under paragraph 1 be [made] available for the payment of obligations incurred during the period 1 January to 31 December 1965, 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.

Aug.--Sept. 1964 OD 58, 59

CD15.R5    The Directing Council,

Having examined Official Document 52 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 1966; 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 1966,

To approve the Proposed Program and Budget of the World Health Organization for the Region of the Americas for 1966 contained in Official Document 52, 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 1966.

Aug.--Sept. 1964 OD 58, 61

CD15.R6    The Directing Council,

Having examined the WHO Program of Technical Assistance expected to be financed under the United Nations Expanded Program of Technical Assistance, which appears in Official Document 52 of the Pan American Health Organization;

Noting that, in addition to projects requested by countries directly to the Technical Assistance Board, there are regional projects that benefit countries throughout the Americas; and

Noting also that the percentage of health projects requested by the Governments within the Expanded Program of Technical Assistance has continued to decrease,

1.To approve and support for submission to the United Nations Technical Assistance Board the proposed Regional projects for the biennium 1965-1966.

2.To urge that the Governments give full consideration to the importance of health activities in social and economic development, and that in the future they increase the proportion of health projects requested within the Expanded Program of Technical Assistance.

Aug.--Sept. 1964 OD 58, 61

CD15.R7    The Directing Council,

Having examined Official Document 52 presented 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 1966 to be submitted to the 52nd Meeting of the Executive Committee and the XVI Meeting of the Directing Council;

Noting that this provisional draft contains soundly conceived and much-needed health projects;

Bearing in mind that it would be advisable for the Pan American Health Organization to increase its contribution to the Institute of Nutrition of Central America and Panama (INCAP) so as to ensure the normal development of the Institute, which is supplying services not only to the nations of the Americas but to those of other continents as well;

Taking into account the recommendations and comments made by several representatives at the time the provisional draft was considered; and

Considering the provisions of [paragraph] 3.4 of [Article III] of the Financial Regulations of PAHO,

1.To take note of the provisional draft of the Proposed Program and Budget of the Pan American Health Organization for 1966 contained in Official Document 52.

2.To thank the Governments of Central America and of Panama for the moral and financial support that they have given to the Institute of Nutrition of Central America and Panama.

3.To thank the Government of Guatemala for the additional contribution it is making to INCAP by providing it with a new building, which will enable the Institute to have the necessary means and services at its disposal for the better fulfillment of its purposes.

4.To authorize the Director of PASB to increase the contribution of the Organization to INCAP by $200,000 and to include this sum in the Proposed Program and Budget of PAHO for 1966.

5.To recommend to the Director that, in submitting the Proposed Program and Budget of PAHO for 1966 to the 52nd Meeting of the Executive Committee, he take into account both actual and anticipated budgetary income in the distribution of projects in accordance with priorities.

6.To request the Director to give due consideration to the recommendations and comments made by several representatives, both in his preparation of the Proposed Program and Budget of PAHO for 1966 and in his consultations with the Governments on this matter.

Aug.--Sept. 1964 OD 58, 62

CD15.R8    The Directing Council,

Having examined the Financial Report of the Director and the Report of the External Auditor for the year 1963 (Official Document 53),

1. To approve the Financial Report of the Director and the Report of the External Auditor for 1963 (Official Document 53).

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

3. To recommend that the Director continue in 1965 and 1966 the policy of prudent administration that he has followed in previous years, in order that budgetary expenditures may be maintained within income.

Aug.--Sept. 1964 OD 58, 63

CD15.R9    The Directing Council,

Having considered the report on the collection of quota contributions (Document CD15/13 and Addendum I), as well as the information and comments on quotas contained in the Financial Report of the Director and the Report of the External Auditor for 1963 (Official Document 53); and

Considering the importance of prompt and full payment of quota contributions to assure financial support for the entire approved program,

1. To take note of the report on the collection of quota contributions (Document CD15/13 and Addendum I) and of the information and comments on quotas contained in the Financial Report of the Director and the Report of the External Auditor for 1963 (Official Document 53).

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

3. To request the Director to make continuous efforts, directly and through PAHO Zone Chiefs and Country Representatives in the respective countries, to have the payment of quotas effected on a current basis and to have arrearages paid as soon as possible.

4. To request the Director to continue his efforts to make arrangements with countries having quotas in arrears more than two years to adopt a financial plan for the payment of outstanding quotas within a definite period.

5. To request the Director and the respective Ministers of Health to bring to the attention of officials and departments 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, in order to prevent the interruption of the program of PAHO.

Aug.--Sept. 1964 OD 58, 644

CD15.R10    The Directing Council,

Having considered the recommended amendment to the Constitution of the Pan American Health Organization formulated by the Executive Committee at its 50th Meeting in Resolution XII (paragraph 8); and

Taking into account Resolution XIII adopted at the 50th Meeting of the Executive Committee and the provisions of Article 28 of the PAHO Constitution,

To adopt the following amendment to Article 6 of the Constitution of the Pan American Health Organization:

1.Insert the following paragraph, to be known as paragraph B, after the present paragraph A:

B.If a Government fails to meet its financial obligations to the Organization by the date of the opening of the Pan American Sanitary Conference or a meeting of the Directing Council by being in arrears in an amount exceeding the sum of its quotas for two full years, the voting privileges of that Government shall be suspended. Nevertheless, if the Conference or the Directing Council is satisfied that the failure of the Government to pay is due to conditions beyond its control, it may permit the Government to vote.

2.Redesignate the present paragraph B as paragraph C.

Aug.--Sept. 1964 OD 58, 65

CD15.R11    The Directing Council,

Bearing in mind the amendment to Article 6 of the Constitution of the Pan American Health Organization;

Taking into account the opinions expressed by several representatives with respect to the application of the aforesaid amendment; and

Noting the report on the collection of quota contributions (Document CD15/13 and Addendum I),

To temporarily suspend, for the period of the XV Meeting of the Directing Council of the Pan American Health Organization, the application of the amendment to Article 6 of the Constitution.

Aug.--Sept. 1964 OD 58, 65

CD15.R12    The Directing Council,

Having examined the report of the working party charged with studying procedures which, when applied as found necessary and appropriate, will enable the Governments to pay their arrears; and

Bearing in mind the amendment to the Constitution that was approved at this meeting of the Directing Council, which provides that the voting privileges of Governments in arrears in an amount exceeding the sum of their quotas for two full years shall be suspended,

1.To urge all Governments in arrears to explore every possible way of paying their outstanding quota contributions, including, if they deem it appropriate, resort to national and international credit institutions.

2.To recommend to the Goverments that, whenever appropriate, they establish a plan with the Pan American Sanitary Bureau for the payment of arrears within a specified period, it being understood that, should such a financial plan be established and promptly fulfilled, the Pan American Sanitary Conference or the Directing Council may permit the Government concerned to exercise its voting privileges.

3.To instruct the Director of the Bureau to officially inform the Governments, either personally or through a special representative, of the serious consequences that the delay in the payment of quotas has on the normal development of the programs decided on by the Governing Bodies for the benefit of the peoples of America.

4.To instruct the Executive Committee to conduct an annual review of the situation of the countries in arrears in an amount exceeding the sum of their quotas for two full years, and to recommend such measures as it deems pertinent in each particular case.

Aug.--Sept. 1964 OD 58, 66

CD15.R13    The Directing Council,

Having examined the report of the Director on the program review of a sample of long-term projects of the Organization (Document CD15/8); and

Considering Resolution IV of the 50th Meeting of the Executive Committee and the discussions held by the Committee on this subject,

1.To take note of the report of the Director on the review of the program of the Organization (Document CD15/8), and to express its satisfaction with the general progress of the projects covered by the review. 2.To request the Director to continue the evaluation of the Organization's program, to extend it to all country projects in which the Organization cooperates, and to make a continuing review of the project activities in all stages of their development.

Aug.--Sept. 1964 OD 58, 67

CD15.R14    The Directing Council,

Bearing in mind the provisions of Staff Regulation 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 CE50/6, and confirmed by the Executive Committee at its 50th Meeting.

Aug.--Sept. 1964 OD 58, 67-68

CD15.R15    The Directing Council,

Having examined the report of the Director on the administrative rationalization in the Pan American Sanitary Bureau (Document CD15/18);

Noting the progress made in streamlining structure, procedure, and techniques in the administrative activities of the 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 CD15/18).

2.To express its appreciation to the Secretariat for its initiative 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 future meetings of the Governing Bodies.

Aug.--Sept. 1964 OD 58, 68

CD15.R16    The Directing Council,

Having examined Document CD15/9 and Addendum I, in which the Director brought to the attention of the Regional Committee for the Americas a number of resolutions adopted by the Seventeenth World Health Assembly and by the Thirty-Third and Thirty-Fourth Sessions of the WHO Executive Board; and

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

To take note of the following resolutions in Document CD15/9 and Addendum I: WHA17.2 (Report on an Absentee Member of the Executive Board), WHA17.20 (Large-Scale Development Programs), WHA17.21 (Presentation of Future Program and Budget Estimates), WHA17.22 and EB33.R12 (Report on the Development of the Malaria Eradication Program), WHA17.24 and EB33.R6 (Status of the Malaria Eradication Special Account), WHA17.25 (Placement of the Malaria Eradication Special Account in the Voluntary Fund for Health Promotion), WHA17.33 (Members in Arrears in the Payment of their Contributions to an Extent which may Invoke Article 7 of the Constitution), WHA17.39 (Clinical and Pharmacological Evaluation of Drugs), WHA17.40 (Community Water Supply Program), WHA17.41 and EB33.R28 (Standards of Drugs), WHA17.43 (Smallpox Eradication Program), WHA17.19 (Program and Budget Estimates for 1965; Voluntary Fund for Health Promotion), WHA17.38 (General Program of Work Covering a Specific Period), WHA17.47 (Coordination with the International Atomic Energy Agency), and EB34.R25 (Program Review: Endemic treponematoses of childhood and venereal diseases).

Aug.--Sept. 1964 OD 58, 69

CD15.R17    The Directing Council,

Elected Jamaica, Panama, and Venezuela to the Executive Committee upon termination of the periods of office of Nicaragua, Peru, and Uruguay, and thanked the Governments of these countries for the valuable services rendered to the Organization by their representatives on the Committee.

Aug.--Sept. 1964 OD 58, 70

CD15.R18    The Directing Council,

Having examined the XII Report of the Director of the Pan American Sanitary Bureau on the status of malaria eradication in the Americas (Document CD15/5);

Noting the progress that has been achieved as the result of the coordinated efforts of the Governments, the World Health Organization, the Pan American Health Organization, the United Nations Children's Fund, and the Agency for International Development of the United States of America;

Mindful, however, of the fact that in areas where there are pressing technical and other problems of persistent transmission of the disease progress has been slow owing to the lack of sufficient funds to finance the supplementary measures required for the total solution of the problem;

Considering that both internal and international migrations from infected areas to others that are free of endemic malaria represent a constant threat of reinfection of these areas, and that this has already occurred in some places;

Considering the wide geographic distribution of malarious or potentially malarious areas in the Hemisphere, which can give rise to epidemic situations that may hamper the economic and social development programs undertaken there, or even bring them to a total halt;

Bearing in mind that agricultural and stockraising activities, as well as industrial undertakings, benefit immediately and directly from malaria eradication programs conducted in the areas in which they operate; and

Aware of the research carried out by the Pan American Sanitary Bureau, in cooperation with certain Governments, and of the need to maintain and expand these investigations so as to devise economical methods for speeding up malaria eradication in problem areas,

1.To take note of the XII Report on the status of malaria eradication in the Americas (Document CD15/5).

2.To express its satisfaction with the progress that has been achieved and to reiterate the hope that UNICEF and the Agency for International Development will continue to support the campaign until malaria is eradicated from the Hemisphere.

3.To express its concern over the shortage of sufficient funds to intensify the campaign in areas where the transmission of the disease persists because of technical problems.

4.To again draw the attention of the Governments to the fact that in providing funds for malaria programs regard must be had for the problem of human migration from infected areas (with or without technical problems) to areas that are free of the disease, since this can lead to reinfection and thus nullify the results of previous efforts and investments.

5.To recommend to the Governments that in drawing up their economic and social development programs (land settlement, irrigation, road building, etc.) they give careful attention to the possible repercussions of malaria on such programs.

6.To recommend to the Governments the desirability of studying the possibility of obtaining financial contributions from public or private enterprises engaged in industrial, agricultural, or stockraising activities in malarious or potentially malarious areas.

7.To recommend to the Director that he do everything possible to intensify the research programs undertaken by certain Governments with the assistance of the World Health Organization and the Pan American Health Organization, in particular with a view to devising still more economical methods for the eradication of malaria in problem areas.

Aug.--Sept. 1964 OD 58, 70

CD15.R19    The Directing Council,

Having examined the report of the Director on the estimated requirements for the Special Malaria Fund of PAHO (Document CD15/6);

Bearing in mind the efforts of the Governments to eradicate malaria in their territories in order to attain the objectives established in Title I of the Charter of Punta del Este and in Resolution A.2 appended to the Charter;

Considering that, despite the progress achieved, there are still problem areas in which the transmission of malaria persists and that require greater technical assistance from PAHO;

Bearing in mind the extremely valuable voluntary contributions and is even increasing it wherever supplementary measures are necessary;

Bearing in mind the extremely valuable voluntary contributions to the PAHO Special Malaria Fund made by certain Governments, in particular the Government of the United States of America through its Agency for International Development; and

Considering that, in making regular contributions to the PAHO Special Malaria Fund, the countries and territories that are already completely or partly free of malaria transmission will indirectly protect their own areas against the reintroduction of this endemic disease,

1.To take note of the amounts needed to meet the requirements of the Special Malaria Fund of PAHO in 1965, as indicated in Document CD15/6.

2.To express appreciation to UNICEF for its decision to continue and even to increase its financial cooperation for the eradication of malaria in those countries that are in need of special assistance in order to interrupt transmission in areas where there are technical problems.

3.To urge the Governments of the countries or territories that are already wholly or partly free of malaria to contribute regularly to the PAHO Special Malaria Fund.

4.To again thank the Governments that have contributed to the PAHO Special Malaria Fund, especially the Government of the United States of America, for their continued contributions to the Fund [so that] the Pan American Sanitary Bureau [could] provide the technical assistance requested by the Governments of the Hemisphere.

5.To again emphasize to the Governments of the Americas that malaria eradication should be considered an essential factor in economic development in rural areas, and that they should make every effort to promote the malaria campaign until eradication has been achieved.

Aug.--Sept. 1964 OD 58, 72

CD15.R20    The Directing Council,

Having considered the reports of the Director on the progress of the malaria eradication program in the Americas (Documents CD15/5 and CD15/6);

Having noted the financial position of the PAHO Special Malaria Fund, which heretofore has been financed on the basis of voluntary contributions;

Recognizing that the program in the Americas is a crucial element in the campaign for the eradication of malaria throughout the world, which was established as an objective of the World Health Organization at the Eighth World Health Assembly, held in Mexico in 1955 (Resolution WHA8.30);

Noting Resolutions WHA14.38 and WHA14.15 of the Fourteenth World Health Assembly, held in 1961, which made provision for incorporating the costs of the malaria eradication program into the regular budget of WHO; and

Believing that it is important to keep constantly in mind the element of urgency in malaria eradication programs, and that proper organization and assured financial support are indispensable,

1.To request the Director to consult with the Director-General of the World Health Organization with a view to finding an appropriate method of assuring the financing of the malaria eradication program in the Americas.

2.To request the Director to report on this subject to the 52nd Meeting of the Executive Committee.

Aug.--Sept. 1964 OD 58, 73

CD15.R21    The Directing Council,

Having examined the report of the Director on the status of the continental water supply and sewerage program for urban areas (Document CD15/16);

Bearing in mind the urgency of providing adequate water supply and sewerage services to urban areas, regardless of their size, in view of the importance of these services to the health and the social and economic progress of the people;

Considering the necessity of providing these services at a rate that will meet the needs of present metropolitan growth, so as to protect the health of these urban concentrations of people;

Noting with satisfaction the progress made in this field since 1961, as reflected by the fact that $500,000,000 have been committed by the Governments and by international credit institutions for the improvement of water supply and sewerage services;

Mindful, however, of the fact that new projects are not developing in accordance with the work schedules established to meet the needs and objectives set forth in the Charter of Punta del Este, or in pace with the present rate of increase of urban populations;

Recognizing that the support provided by the international credit institutions, especially the Inter-American Development Bank, has contributed greatly to progress in the water supply and sewerage programs; and

Noting that the voluntary contributions to the PAHO Community Water Supply Fund made by the Governments of Colombia the United States of America, Uruguay, and Venezuela have made it possible to expand the Organization's program of technical assistance in this field,

1.To urge each of the Governments to expand its program of urban water supply and sewerage services, and to give special attention to the development of sound project proposals supported by well-conceived plans and feasibility studies so as to ensure acceptance of projects by the international lending agencies, which will make it possible to meet existing and projected needs for these services.

2.To recommend that the Director increase the Organization's technical assistance to Governments and continue to collaborate closely with the Inter-American Development Bank and other agencies in order to advance the programs in this field.

3.To recommend that the Director draw up and submit a plan for financing the Organization's work in the field of urban water supply and sewerage services, taking into account the limitations and uncertainties of the Community Water Supply Fund contributions, and that he propose adjustments in the regular budget of the Organization for that purpose.

4.To request that the Director continue the Organization's program of cooperation in research, education, and training and in the strengthening of engineering schools, as a means of fostering progress in the field of water supply and sewerage services.

Aug.--Sept. 1964 OD 58, 74

CD15.R22    The Directing Council,

Having examined the progress report of the Director on the establishment of the continent-wide program of rural water supply and well-being (Document CD15/10);

Bearing in mind the urgency of providing rural community water supplies, in view of their importance to health and to the social and economic progress envisioned by the Alliance for Progress;

Considering the strong endorsement given to rural water supply activities by the XIV Meeting of the Directing Council of the Pan American Health Organization (Resolution XX) and by the Second Annual Meeting of the Inter-American Economic and Social Council at the Ministerial Level (Resolution 19-M/63);

Recognizing the increased interest and concern of the Governments in connection with community water supplies, and the world-wide interest reflected by the action taken at the Seventeenth World Health Assembly (Resolution WHA17.40); and

Viewing with satisfaction the demonstrated interest in and support of the PAHO proposal for a program of rural water supply and well-being,

1.To urge the Director to take all necessary steps [promptly] to begin the continent-wide program of rural environmental health and well-being along the guidelines set forth in Document ES/RW-1,3 which calls for the participation of the communities, for the establishment of national revolving funds, and for contributions from outside sources, so as to achieve the objectives contained in Resolution A.2 appended to the Charter of Punta del Este.

2.To ask the Director to continue his close collaboration with national and international organizations that are sources for grants or credits, especially the Inter-American Development Bank and the Agency for International Development of the United States of America, with a view to stimulating greater investments in community water supply systems.

3.To instruct the Director to assign high priority to community water supply programs and to expand and redeploy present advisory services [so as] to enable the Pan American Health Organization to provide technical services and assist Governments with community organization and with the integration of the rural water program with related community development, and to work out with lending and borrowing agencies methods of assuring the financing of technical assistance by the Organization.

4.To recommend that the Governments take appropriate action to establish in their countries adequate and competent organizations supported by the legal and financial provisions necessary for administering rural water supply programs at the national level, keeping in mind the need to integrate into the programs related improvements for rural well-being and for the social development of rural communities.

5.To recommend that loans for water supply revolving funds made to the Governments or their independent agencies by international credit institutions be at the lowest possible rate of interest, [with] the longest possible repayment period, so as to ensure that these programs will be self-sustaining in the future, including repayment through appropriate water rates.

6.To recommend that the Director continue to search for ways and means to secure appropriate international financing, within the framework of the instructions given by the Directing Council of the Pan American Health Organization and the recommendations of the Inter-American Economic and Social Council, which will provide the most effective instrumentality of this program.

Aug.--Sept. 1964 OD 58, 75

CD15.R23    The Directing Council,

Having considered the report of the Director on the fluoridation of public water supplies (Document CD15/29);

Considering that dental problems cannot be solved or dental disorders brought under control with the available professional resources, and that the relative shortage of dental resources will become more pronounced as the population of Latin America increases;

Considering that the fluoridation of public water supplies is an effective means of preventing dental caries; and

Bearing in mind that, in order to hasten the extension of water fluoridation to areas that are not yet benefiting from this measure, there must be close collaboration and coordination between dentists and sanitary engineers,

1.To take note of the report of the Director on the fluoridation of public water supplies (Document CD15/29), and to endorse the policy outlined [therein].

2.To note with satisfaction the terms of the recommendation on fluoridation that were adopted by the IX Inter-American Congress of Sanitary Engineering, organized by the Inter-American Association of Sanitary Engineering (AIDIS) and held in Bogotá, Colombia, in July 1964.

3.To suggest to the national authorities responsible for providing public water supplies that they take the necessary steps to begin fluoridation in water systems that have not yet adopted this measure.

4.To recommend that the Director continue his efforts to obtain the funds needed to implement the proposed program.

Aug.--Sept. 1964 OD 58, 77

CD15.R24    The Directing Council,

Having considered the report of the Director on the status of national health planning (Document CD15/4); 1 and

Recognizing the importance of systematic health planning carried out in conjunction with national economic and social development planning,

1.To approve the report of the Director on the Organization's collaboration with the Governments in the formulation of national health plans (Document CD15/4).

2.To take note of the substantial support given by the Organization to the training of health planning personnel, and to recommend that this assistance be continued.

3.To recommend that the Governments increase the scope of national training courses on planning for health workers at all levels.

4.To recommend that the Organization increase its collaboration with the Governments in the administrative and management aspects of the planning activities, in view of the special skills required in this field during the implementation phase of the planning process.

5.To recommend that the Organization continue its studies, in association with the Governments, of the resources likely to be available for health development during the next ten years in the light of the expected increase in the number of persons to be served, especially in rural areas that at present lack basic environmental and personal health services.

6.To recommend that the Organization continue its efforts, in conjunction with national and international organizations, to further develop the methodology of national health planning and improve the administrative aspects of health activities.

Aug.--Sept. 1964 OD 58, 77

CD15.R25    The Directing Council,

Considering that the health planning process within national administrations includes defining the relative role of hospitals and other health facilities in orderly national health development;

Considering that national plans are already demonstrating the urgent need for additional hospitals and other health facilities, and for the reorganization of some existing units;

Bearing in mind that hospital construction and operations already account for a substantial percentage of national health expenditures from whatever source;

Considering that there is costly overlapping of medical care facilities in some countries, and that the magnitude of costs of this part of national health development deserves special attention; and

Bearing in mind that the Second Annual Meeting of the Inter-American Economic and Social Council at the Ministerial Level 1 made recommendations to the Governments on health matters, including the planning for a more effective utilization of health care facilities,

1.To request that the Director of the Bureau, through an advisory committee, study the planning aspects of hospitals and health facilities within the national health planning process, and that he report to the 52nd Meeting of the Executive Committee and to the XVI Meeting of the Directing Council on how the Bureau can best participate in the planning for the construction, staffing, and operation of integrated hospitals and related health facilities designed to serve the community needs in the various countries.

2.To urge that the recommendations on this subject made by the Second Annual Meeting of the Inter-American Economic and Social Council at the Ministerial Level be taken into account.

Aug.--Sept. 1964 OD 58, 78

CD15.R26    The Directing Council,

Considering the report of the Director on the progress of the construction of the new Headquarters building and the sale of the property owned by the Organization (Documents CE50/5 and CD15/11) 1 and the report of the Permanent Subcommittee on Buildings and Installations; and

Having noted that the Executive Committee, at its 50th Meeting, designated the Governments of Brazil and Mexico to serve as members of the Permanent Subcommittee on Buildings and Installations,

1.To thank the W. K. Kellogg Foundation for its generous gift of $5,000,000, and the Government of the United States of America for the donation of the site for the Headquarters building.

2.To express its appreciation to the Chairman and the members of the Permanent Subcommittee on Buildings and Installations for their valuable assistance in the prosecution of all activities related to the construction of the new Headquarters building.

3.To request the Director to make further reports to the Executive Committee and the Directing Council on the progress of the construction of the Headquarters building and the sale of the property at 1501-1515 New Hampshire Avenue, N.W., in Washington, D.C.

4.To request the Permanent Subcommittee on Buildings and Installations to study the matter of gifts for the new building, to establish procedures and standards for the acceptance or rejection of gifts, and to communicate with the Governments on these procedures and standards.

Aug.--Sept. 1964 OD 58, 79

CD15.R27    The Directing Council,

Having examined the report of the Director on the use of the Emergency Revolving Fund (Document CD15/14 and Addendum I); and

Considering that the Fund must be maintained at the established 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 CD15/14 and Addendum I).

2.To urge the Governments requesting assistance from the Fund to reimburse the amounts advanced as soon as possible.

Aug.--Sept. 1964 OD 58, 80

CD15.R28    The Directing Council,

Having examined the report of the Director on the campaign to eradicate Aedes aegypti in the Americas (Document CD15/20);

Considering that despite the results obtained in this campaign there is still much to be done before the eradication of the mosquito in the Hemisphere is completed;

Bearing in mind the provisions of Resolution XXXIV adopted by the Directing Council at its XIII Meeting;

Having regard to the fact that the resistance of Aedes aegypti to insecticides is a serious obstacle to the progress of the campaign in the Caribbean area; and

Mindful that, in order not to jeopardize the success of the continent-wide campaign, it is essential to prevent the reinfestation of areas already free of the mosquito,

1.To urge the Governments of the countries and territories still infested by Aedes aegypti to make every effort to eradicate the mosquito as soon as possible.

2.To remind the Governments of countries and areas from which the vector has been eradicated of the necessity of maintaining active surveillance services to prevent reinfestation.

3.To instruct the Director to intensify the studies now being undertaken for the solution of the resistance problem and to take appropriate measures to complete Aedes aegypti eradication in the Americas as soon as possible.

Aug.--Sept. 1964 OD 58, 81

CD15.R29    The Directing Council,

Considering the urgent need to train a sufficient number of auxiliary workers of a caliber to meet the demands of the economic, social, and health situation in each country;

Considering the need to set up guidelines for the training of auxiliary workers and of the persons who will teach them; and

Considering the advisability of determining the types, number, and duties of auxiliary workers in relation to professional personnel and to health programs,

To instruct the Director to prepare a study on the training of auxiliary workers that may serve as the basis for discussion at a meeting of national authorities experienced or interested in the question, with the collaboration of international experts, for the purpose of presenting, for consideration by the Organization, a policy for the training of auxiliary workers based on the needs of the countries of the Americas.

Aug.--Sept. 1964 OD 58, 81

CD15.R30    The Directing Council,

Having carefully examined the report of the Director of the Bureau on the intercountry exchange of teaching and other health personnel (Document CD15/23), 1 submitted in conformity with Resolution XXV adopted by the Directing Council at its XIV Meeting; and

Considering that the dissemination of information concerning the teaching activities of public and private agencies in the health field should be coordinated so as to facilitate exchange of personnel to the greatest extent possible,

1.To thank the Director for the extensive information contained in his report on the intercountry exchange of teaching and other health personnel (Document CD15/23).

2.To request the Director to study the advisability of establishing a clearinghouse for information about the need for and the possibility of intercountry exchanges in the various fields mentioned in the aforesaid report.

Aug.--Sept. 1964 OD 58, 82

CD15.R31    The Directing Council,

Having examined the report of the Director on the research policy and program of the Pan American Health Organization (Document CD15/19) 1 and the report of the Third Meeting of the PAHO Advisory Committee on Medical Research;

Bearing in mind Resolution XXVI of the XVI Pan American Sanitary Conference, which expressed satisfaction with the research policy and program as presented and requested the Director to submit an annual report to the Directing Council, which has been examined at the present meeting;

Recalling that the Task Force on Health at the Ministerial Level took note of the importance of research and 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 priority under national plans and in the Charter of Punta del Este;

Considering that the study of the multiple and complex factors affecting campaigns for the control and eradication of communicable diseases, improvement of nutrition, management of chronic and degenerative diseases, environmental sanitation, and community development, as well as basic administrative aspects of planning, among others, cannot have a solid foundation unless programs of research are simultaneously developed in order to give the necessary support to those activities and permit periodic evaluations;

Believing that national development planning for health is an integral part of over-all national development, that the health and well-being of populations and of individuals are essential to progress generally, and that studies on population dynamics are necessary elements in the process of planning for health programs; and

Noting with satisfaction that the PAHO Advisory Committee on Medical Research has focused attention, from the scientific point of view, on the environmental determinants of community well-being in relation to urban and rural development,

1.To approve the program of research that is now under way, with respect to both the scope and depth and the balance of the programmed activities.

2.To recommend that the Organization undertake studies on population dynamics and population growth, including medical demography, epidemiology, and human reproduction as related to socioeconomic development, with the participation, when necessary, of schools of medicine and public health and other research centers in such studies as may be immediately related to the improvement of health in the various countries.

3.To recommend that the Organization give all possible advisory services and collaboration for the development in the various countries of research in the field of public health, as a necessary support to the health activities that are being conducted by the countries.

4.To recommend to the Governments that they make every effort to improve the training and research institutions for the development of health manpower and research activities, giving maximum financial and other support to ensure the necessary cooperation and coordination on a national and international basis.

5.To urge that the individual Governments, insofar as their resources permit, consider the possibility of establishing a permanent national fund for research on public health problems, assigning it the technical and administrative autonomy necessary for accomplishing its purposes.

Aug.--Sept. 1964 OD 58, 83

CD15.R32    The Directing Council,

Considering that a favorable attitude toward programs of preventive medicine and public health is necessary in order to ensure the proper training of new generations of physicians; and

Considering that the literature on human pathology should properly emphasize the preventive aspects of medicine,

To instruct the Director of the Pan American Sanitary Bureau to arrange for the preparation and publication of textbooks on pathology in which the preventive aspects of the medical and social problems faced by most of the countries of the Americas are properly dealt with.

Aug.--Sept. 1964 OD 58, 84

CD15.R33    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 Improving Vital and Health Statistics" for the Technical Discussions to be held during the XVI Meeting of the Directing Council, XVII Meeting of the Regional Committee of the World Health Organization for the Americas.

Aug.--Sept. 1964 OD 58, 85

CD15.R34    The Directing Council,

Considering that one of the fundamental and basic purposes of the Pan American Sanitary Bureau is the training of professional personnel who will work in the health programs of the Continent;

Bearing in mind that in the budget approved for the coming year (Official Document 52) each country is assigned an item for fellowships in the various programs; and

Taking into account that in the past two years certain difficulties have arisen that have prevented the Government of Cuba from utilizing the fellowships awarded to it,

To request those Member Countries in which courses are held for which fellowships are awarded by the Organization to grant every facility to the designated fellows to enable them to attend the courses concerned.

Aug.--Sept. 1964 OD 58, 85

CD15.R35    The Directing Council,

Having studied the report of the Director on the current status of the problem of venereal diseases in the Americas (Document CD15/30);

Considering that, in view of the clear increase in venereal diseases in the countries of the Americas, there is an urgent need for programs to be organized or intensified, as the case may be, for the control of this group of illnesses; and

Considering the interest of the Pan American Health Organization in providing the Governments with all possible technical assistance to aid in overcoming the problem of venereal diseases,

To request the Director to undertake a special study of the current situation of the venereal disease problem in the countries of the Americas for the purpose of preparing a proposal for a continental program to control these diseases, and to report thereon to a future meeting of the Directing Council.

Aug.--Sept. 1964 OD 58, 86

CD15.R36    The Directing Council,

Having considered the Final Report of the Technical Discussions on "Tuberculosis Eradication: a Task for Present Planning and Future Action";

Considering that this report is an accurate summation of the contents of the working documents2 and of the views expressed by the participants;

Considering that this report may be of practical use as a basic guide in the development of tuberculosis control programs; and

Bearing in mind the urgent need for the theoretical and practical training of medical officers in the epidemiological, clinical, and administrative aspects of the diseases that constitute the major health problems,

1.To take note of the Final Report, and to express its satisfaction with the preparation and conduct of the Technical Discussions on "Tuberculosis Eradication: a Task for Present Planning and Future Action."

2.To request the Director to publish the working documents and the Final Report of the Technical Discussions and to give them wide distribution.

3.To recommend to the Organization and to the Governments that in the matters of tuberculosis policy they take into account the guidelines contained in the report on these Technical Discussions, especially with respect to the training of medical officers.

Aug.--Sept, 1964 OD 58, 86

CD15.R37    The Directing Council,

Having examined the report of the Director on the administrative advisory services provided to the Governments by the Pan American Sanitary Bureau (Document CD15/21);

Recognizing the continuing need for improvement, within the national health services, of the administrative machinery and procedures necessary to assure the efficient operation of the programs; and

Considering that in the achievement of this objective great importance is assigned to the establishment of basic standards that, within the framework of the legislation and the interest of each country, will make administrative research easier and ensure the uniform orientation of personnel devoted to specific administrative tasks,

1.To commend the Director on the efforts made to date by the Pan American Sanitary Bureau in collaborating with the ministries of health to promote better administrative organization and practices.

2.To recommend to the Governments that they devote special attention to research in administration for the purpose of improving the practices and procedures employed in health administration.

3.To instruct the Bureau to undertake a study, in agreement with the various Governments, of basic standards and guidelines for courses aimed at training administrative personnel for health services.

4.To instruct the Director to report further on this matter to future meetings of the Governing Bodies.

Aug.--Sept. 1964 OD 58, 87

CD15.R38    The Directing Council,

Having examined the report of the Director (Document CD15/7) on the Second Annual Meetings of the Inter-American Economic and Social Council at the Expert and the Ministerial Levels;

Mindful that health is a basic component of economic and social development, that failure to incorporate plans for the effective control of preventable diseases in economic and social development projects interferes with the progress of such projects, and that these costly delays could have been avoided or minimized if the health sector at the national and international levels had participated in the planning and execution of these works;

Considering that the Act of Bogotá and the Charter of Punta del Este recognized the importance of having the Pan American Sanitary Bureau, as the representative of the health sector, take part in governmental and intergovernmental activities and programs relating to the planning of economic and social development so as to ensure the harmonious integration of these plans and programs;

Bearing in mind the need for including individual and collective health care in economic and social development activities;

Considering that the pattern of making loan funds available from international lending agencies at highly favorable terms has already been established in order to speed the progress of malaria eradication programs and overcome this obstacle to economic development; and

Bearing in mind the resolutions 1 adopted by the Second Annual Meetings of the Inter-American Economic and Social Council, in particular Resolutions A-21/E63, A-11/E63, A-22/E63, C-4/E63, and 19-M/63, as well as the "Recommendations on Health"2 of the Final Report of the Second Annual Meeting of the Inter-American Economic and Social Council at the Ministerial Level,

1.To take note of the report of the Director on the Second Annual Meetings of the Inter-American Economic and Social Council at the Expert and the Ministerial Levels (Document CD15/7), and to commend him for the active part played by the Pan American Sanitary Bureau in these meetings.

2.To instruct the Director to continue to provide such cooperation as he deems appropriate and necessary in order to ensure the full participation of the Bureau, at both the national and the international level, in the planning and implementation of the economic and social development programs of the Americas, especially in connection with large-scale national or intercountry programs.

3.To instruct the Director to continue his efforts to implement the resolutions and recommendations regarding health adopted by the Inter-American Economic and Social Council, in particular those referring to the program of rural environmental health and well-being and its integration into other community development programs and those relating to the economic significance of foot-and-mouth disease.

4.To instruct the Director to support the Governments of the Organization in their efforts to have international credit organizations, when approving loans for the construction of large-scale irrigation, road building, and urbanization works, etc., assign sufficient funds to cope with the health problems to which such works give rise and to organize health services in the areas concerned.

5.To encourage the Governments to seek and use effectively and rapidly loans from international lending agencies so as to complete the eradication of malaria within national borders.

6.To encourage the Governments to assign representatives of the ministries of health to their delegations to the Annual Meetings of the Inter-American Economic and Social Council, as well as to other national commissions working with the Inter-American Committee on the Alliance for Progress (CIAP) or other international agencies or groups in planning for or evaluating national programs for development.

Aug.--Sept. 1964 OD 58, 88

CD15.R39    The Directing Council,

Having considered the preliminary report of the Director on the study of the organization of the Pan American Sanitary Conference (Document 15/26 and Addendum) and the working documents on the place of the XVII Pan American Sanitary Conference (Document CD15/27 and Addendum); and

Bearing in mind Resolution XXXVIII of the XVI Pan American Sanitary Conference, Resolution VIII of the 50th Meeting of the Executive Committee, and the opinions expressed in the discussion of these topics,

1.To request the Director to inform the Member Governments of the Organization of the constitutional amendments proposed to the present meeting and those that may be received in good time before the 52nd Meeting of the Executive Committee.

2.To instruct the Executive Committee to submit a report to the XVI Meeting of the Directing Council on the organization, structure, and place of the meetings of the Governing Bodies of the Pan American Health Organization.

3.To transmit the proposals on the meeting place of the XVII Pan American Sanitary Conference to the XVI Meeting of the Directing Council so that it may decide as it deems fit.

Aug.--Sept. 1964 OD 58, 90

CD15.R40    The Directing Council,

Having examined the report of the Director on the relationship between social security medical programs and those of ministries of health or other official health agencies (Document CD15/15);

Considering that it is necessary to improve the procedures designed to achieve active health planning, extend the coverage of health services, coordinate the financing schemes, and integrate preventive and curative activities; and

Considering that the social security agencies are in a position to give assistance in the preventive programs of governmental agencies responsible for serving the entire population.

1.To take note of and thank the Director for his report on the relationship between social security medical programs and those of ministries of health or other official health agencies (Document CD15/15).

2.To instruct the Director to continue to provide advisory services to the countries at their request and to promote the coordination of international organizations interested in this subject.

3.To recommend to the Director that he convene a study group to present to the Organization a report containing its views regarding the promotion of better coordination between the public health services and the medical care programs provided by the social security agencies and other organizations, and that he transmit this report to the Governments in due course.

4.To authorize the Director to take into account, when implementing the program and budget for 1965, such new needs as may arise from this resolution.

Aug.--Sept. 1964 OD 58, 90

CD15.R41    The Directing Council,

Having considered the report of the Director on the status of smallpox eradication in the Americas (Document CD15/22) 1 and the program of PAHO/WHO in this regard (Resolution WHA17.43);

Bearing in mind that smallpox has already disappeared from several countries of the Americas and that in others it is being eliminated through intensive vaccination campaigns, whereas in some the disease persists and no suitable smallpox campaign has been initiated;

Taking into account the fact that the Governments of the countries that are now free of the disease are concerned about the threat posed by the foci of smallpox that persist in the Americas;

Mindful of Resolution XIX adopted at the XIII Pan American Sanitary Conference; and

Considering that contributions of vaccine have been made by countries in this Region as well as in other Regions of WHO,

1.To pay tribute to the memory of those public health workers who have faced great difficulties in the course of their work and have on occasion given their lives in fulfillment of their duty.

2.To again emphasize the urgent necessity of eradicating smallpox from the Hemisphere as part of the world-wide program for that purpose.

3.To express its satisfaction with the fact that smallpox has already disappeared from many countries of the Americas as a result of extensive eradication campaigns, and that other countries within the Hemisphere are carrying out intensive nation-wide campaigns to eliminate this disease.

4.To recommend to the Governments of countries that have eradicated smallpox that they maintain a high level of immunization and maintain constant vigilance against the recurrence of the disease.

5.To again urge the Governments of countries where smallpox still exists to institute eradication programs or to intensify those under way, to continue their efforts to overcome all administrative and financial difficulties in the way of these programs, and to assign such programs the high priority they deserve.

6.To instruct the Director to take all necessary steps to support and to provide the Governments with advisory services so as to enable them to eradicate smallpox.

7.To authorize the Director, under special circumstances, to request and accept contributions of equipment, personnel, material, or other collaboration required to achieve the objective desired.

8.To recommend to the countries producing smallpox vaccine that they adopt measures designed to establish a "smallpox vaccine pool" through voluntary contributions of vaccine, so that supplies may be sent without delay to countries in which emergency situations may arise.

9.To recommend to the Governments that they adopt special measures for the confirmation by all available means, and particularly [those of] laboratories, of any suspected cases of smallpox found within their territory.

Aug.--Sept. 1964 OD 58, 91

CD15.R42    The Directing Council,

Having examined the report of the Director of the Pan American Sanitary Bureau on the progress of the Inter-American Investigation of Mortality (Document CD15/28);

Considering that this investigation has revealed variations in death rates for malignant neoplasms according to site, for cardiovascular diseases, as well as for other causes, which warrant further investigation; and

Considering that additional information is being obtained through interviews with physicians and from laboratory and autopsy findings in order to arrive at a more precise assignment of the underlying cause of death,

1.To recommend that the Governments and the Pan American Sanitary Bureau make full use of the results of the Inter-American Investigation of Mortality in order to develop studies to determine the factors responsible for the differences revealed by this investigation.

2.To recommend that the Governments take the necessary steps to improve mortality statistics and medical certification so that such data may be better utilized in both research and health programs.

3.To recommend that the Governments make full use of the results of the Inter-American Investigation of Mortality in their specific control programs.

Aug.--Sept. 1964 OD 58, 93

CD15.R43    The Directing Council,

Considering that programs for the eradication of communicable diseases which are implemented through special campaigns are exposed to serious risks of failure as they enter the phases of consolidation and vigilance, owing to the lack of health infrastructure capable of maintaining their activities; and bearing in mind that it is precisely these communicable diseases that are the main causes of infant mortality in rural areas, which contain over 50 per cent of the population of Latin America,

1. To instruct the Director of the Pan American Sanitary Bureau to request the UNICEF to include among its programs those designed to provide a health infrastructure in rural areas.

2. To request the Director to encourage and advise the Governments in the organization of this type of service.

Aug.--Sept. 1964 OD 58, 94