RESOLUTIONS

 

 

CD16.R1    The Directing Council,

Having examined the Annual Report of the Chairman of the Executive Committee, Dr. Charles L. Williams, Representative of the United States of America (Document CD16/28); 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. Charles L. Williams, Representative of the United States of America (Document CD16/28), and to commend him and the other members of the Committee for the work accomplished.

Sept.-Oct. 1965 OD 66, 56-57

CD16.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 1964 (Official Document Nº 63),

To take note of the Annual Report of the Director for 1964 (Official Document Nº 63), to congratulate him on the excellent work accomplished during the year and teh manner in which the Report was presented, and to extend congratulations to the staff of the Bureau

Sept.-Oct. 1965 OD 66, 57

CD16.R3    The Directing Council,

Having [examined] the report of the working party on the application of Article 6 of the Constitution of the Pan American Health Organization, which indicated, with respect to those countries attending the XVI Meeting of the Directing Council and affected by [this article], substantial progress in the development and fulfillment of plans for the payment of quota arrears within a definite period, in accordance with the policy established in Resolution XII of the XV Meeting of the Council,

To note the progress of these Governments, and to permit them to vote in the XVI Meeting of the Directing Council.

Sept.-Oct. 1965 OD 66, 57-58

CD16.R4    The Directing Council,

Having examined the Financial Report of the Director, and the Report of the External Auditor for the year 1964 (Official Document 59),

1.   To approve the Financial Report of the Director and the Report of the External Auditor for 1964 (Official Document 59).

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

3.    To recommend that the Director contiune the policy of prudent administration in maintaining budgetary expenditures within income.

Sept.-Oct. 1965 OD 66, 58

CD16.R5    The Directing Council,

1.To appropriate for the financial year 1966 an amount of $8,080,000, as follows:

2.That the appropriation shall be financed from:

3.That, in accordance with the Financial Regulations of the Organization, amounts not exceeding the appropriations noted under paragraph 1 shall be available for the payment of obligations incurred during the period 1 January to 31 December 1966, inclusive.

4.That the Director shall be authorized to transfer credits between parts of the budget, provided that such transfers of credits between parts as are made 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.-Oct. 1965 OD 66, 58

CD16.R6   The Directing Council

Having examined Official Document 61 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 1967; 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 1967,

To approve the Proposed Program and Budget of the World Health Organization for the Region of the Americas for 1967 contained in Official Document 61, 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 1967.

Sept.-Oct. 1965 OD 66, 60

CD16.R7   The Directing Council

Having noted Official Document 61 presented by the Director of the Pan American Sanitary Bureau, which contains the provisional draft intended to constitute the basis for the preparation of the Proposed Program and Budget of the Pan American Health Organization for 1967 to be submitted to the 54th Meeting of the Executive Committee;

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

Taking into account the provisions of [paragraphs] 3.4 and 3.5 of [Article III] of the Financial Regulations of the Pan American Health Organization,

1.To thank the Director for the provisional draft of the Proposed Program and Budget of the Pan American Health Organization for 1967 contained in Official Document 61.

2.To request the Director, in submitting the Proposed Program and Budget of the Pan American Health Organization for 1967 to the 54th Meeting of the Executive Committee pursuant to Article III of the Financial Regulations of PAHO, to give due consideration to the resolutions and recommendations adopted by the XVI Meeting of the Directing Council, in accordance with established priorities.

3.To request the Executive Committee at its 54th Meeting, in considering the proposed program and budget presented by the Director of the Bureau pursuant to Chapter IV of the Constitution of the Pan American Health Organization, to conduct a careful and thorough examination and review of the provisional draft and to submit a report with recommendations to the XVII Pan American Sanitary Conference.

4.To request the Director to consult with the Governments in the preparation of the Proposed Program and Budget for 1967.

Sept.-Oct. 1965 OD 66, 60-61

CD16.R8   The Directing Council

Having considered the report on the collection of quota contributions (Document CD16/26 and Addendum I), as well as the information and comments in quotas conatined in the Financial Report of the Director and the Report of the External Auditor for 1964 (Official Document 59);

Bearing in mind that the XV Meeting of the Council, acting on a recommendation of the 50th Meetin of the Executive Committee, adopted an ammendment to Article 6 of the Constitution of the Pan American Health Organization providing for suspension of voting privileges for failure to meet financial obligations to the Organization; and

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

1.    To take note at the report on the collection of quota contributions (Document CD16/26 and Addendum I) and of tthe information and comments on quotas conatined in the Financial Report of the Director and the Report of the External Auditor for 1964 (Official Document 59).

2.    To commend the Director for his efforts to obtain settlement of the outstanding arrearages and to request his continues efforts to have quotas paid on a current basis.

3.    To express its concern, nevertheless, over the continuing serious quota situation, especially the arrearages of more than two years standing.

4.    To recommend that the Director continue to keep the governments amply informed of the status of quota payments and the implications of non-payment on the prosecution of the program of the Organization.

5.    To urge the Governments whose arrearages would bring them within the loss-of-vote provision of Article 6-B of the Constitution of the Pan American Health Organization, to pay their quota arrears as soon as possible in order to assure the full participation of all Governments, which is so vital to the work of the Organization

Sept.-Oct. 1965 OD 66, 61-62

CD16.R9   The Directing Council

Having considered Resolution WHA18.49 of the Eighteenth World Health Assembly;

Considering Resolution XXXI of the XV Meeting of the Directing Council, XVI Meeting of the Regional Committee of WHO, which recommended various studies on population dynamics; and

Recognizing the interrelationships and interactions of health, population growth, and socioeconomic development, and the importance of active programs of cooperation among organizations of the Inter-American System,

To request the Director:

1.To provide technical advice, as requested, on the health aspects of population dynamics, in line with Resolution WHA18.49 adopted by the Eighteenth World Health Assembly.

2.To cooperate with the Inter-American Committee on the Alliance for Progress in studies assigned to it by Section 1, paragraph 16, of the progress report on the Alliance (adopted at the Third Annual Meeting of [the Inter-American Economic and Social Council] at the Ministerial Level, 9 December 1964).

3.To conduct studies as may be desirable on population dynamics related to the program activities of PAHO, and to support professional training as appropriate.

Sept.-Oct. 1965 OD 66, 62

CD16.R10   The Directing Council

elected Ecuador and Guatemala to the Executive Committee upon termination of the periods of office of Costa Rica and the United States of America, and thanked the Governments of these countries for the valuable services rendered to the Organization by their representatives on the Committee.

Sept.-Oct. 1965 OD 66, 63

CD16.R11   The Directing Council

Having considered the report of the Director on nongovernmental financial support for health activitities (Document CE52/12), which mentions the establishment of the World Health Foundation of the United States of America and the plan for the establishment of similar national foundations in other countries;

Bearing in mind Resolution V on this matter adopted by the Executive Committee at its 52nd Meeting; and

Considering Articles 3 and 9 of the Agreement between the World Health Organization and the Pan American Health Organization,

1.To take note of the report of the Director of the Bureau on nongovernmental voluntary contributions for health activities (Document CE52/12).

2.To take note, also, of the Agreement signed by the Director-General of the World Health Organization and the Director of the Pan American Sanitary Bureau on 15 October 1964 at Washington, D.C.

3.To instruct the Director of the Bureau to continue to cooperate in the plan for world health foundations and to take such steps as he deems necessary to further the fundamental purposes set forth in the Constitutions of the Pan American Health Organization and of the World Health Organization.

Sept.-Oct. 1965 OD 66, 64

CD16.R12   The Directing Council

Bearing in mind Resolution WHA18.36 of the Eighteenth World Health Assembly concerning the need for the Governments to take steps to ensure that pharmaceutical preparations, both imported and of national manufacture, are subject to an adequate qualitative inspection, for which purpose it is necessary that analytical laboratory services be established;

Considering the report of the PAHO/WHO temporary consultant on the possibilities of establishing an international laboratory for the analysis of pharmaceutical products (Document CD16/19, Addendum II, Annex II), which would also serve as a training and research center in this field; and

Considering Recommendations [VII.C.1 and C.2] 1 contained in the Final Report of the Meeting of the Task Force on Health at the Ministerial Level (Washington, D.C., 15-20 April 1963) on the quality and cost of essential drugs,

1.To commend the Director for the promptness with which the Bureau has begun to collaborate with the Governments in the implementation of Resolution WHA18.36 approved at the Eighteenth World Health Assembly.

2.To recommend that the Bureau continue studies on the possibilities of establishing international laboratories for the analysis of pharmaceutical products, which may serve as reference laboratories for the Member Countries.

3.To draw to the attention of the Governments the importance of Recommendations [VII.C.1 and C.2] on the quality and cost of essential drugs, contained in the Final Report of the Meeting of the Task Force on Health at the Ministerial Level, which [was held] at Washington, D.C., in 1963.

4.To request the Director to report to the next meeting of the Directing Council on the result of these studies and on the possibilities offered by the Organization for providing more extensive assistance in the development of projects of this type.

Sept.-Oct. 1965 OD 66, 64

CD16.R13   The Directing Council

Having examined the report of the Director on the administrative rationalization in the Pan American Sanitary Bureau (Document CD16/16); 1

Noting the progress made to date in accomplishing the objectives of the program;

Bearing in mind the economies effected as a result of the program of rationalization and the [consequent] investment of funds in program services to the Governments; and

Cognizant of the continued efforts that are being made to improve the internal methods and procedures through the implementation of data-processing systems,

1.To take note of the report of the Director on the administrative rationalization in the Pan American Sanitary Bureau (Document CD16/16).

2.To commend the Director and the staff of PASB for their efforts to date in effecting economies in administration through the recentralization of administrative activities and the introduction of data-processing techniques.

3.To request the Director to continue the program of rationalization and to report on progress at future meetings of the Governing Bodies.

Sept.-Oct. 1965 OD 66, 65

CD16.R14   The Directing Council

Considering that the countries of Central America and Panama have contributed, through the instrumentality of the Institute of Nutrition of Central America and Panama (INCAP), to the solution of the problem of malnutrition in the Americas, and have given an example of multinational planning,

1.To congratulate the countries of Central America and Panama, and to thank them for their valuable help in solving the problem of malnutrition not only in the member countries of INCAP but also in the [other countries of the] Americas and throughout the world.

2.To recommend to the Director of the Bureau that he continue to give all possible technical and financial support to INCAP.

Sept.-Oct. 1965 OD 66, 66

CD16.R15   The Directing Council

Having considered the report of the Director on the Third Annual Meetings of the Inter-American and Social Council at the Expert and the Ministerial Levels, transmitted by the Executive Committee (Document CE52/2, Rev. 1); 1 and

Bearing in mind the recommendations approved by these meetings, especially those relating to health in the Americas,

1.To note with great satisfaction and interest the report of the Director on the Third Annual Meetings of the Inter-American Economic and Social Council at the Expert and the Ministerial Levels, held in Lima, Peru, from 30 November to 11 December 1964 (Document CE52/2, Rev. 1).

2.To express its satisfaction with the interest shown by the Third Annual Meetings of the Inter-American Economic and Social Council in health in the Americas, and especially the recommendations approved at the Expert Level on foot-and-mouth disease, rural and urban water supply, [and the inclusion of] health investments [in] requests for international loans for land settlement, road building, urbanization, and other programs.

3.To instruct the Director of the Bureau to continue to develop and strengthen relations between the Organization, the Inter-American Economic and Social Council, and the Inter-American Committee on the Alliance for Progress (CIAP), in order to bring about the integration of health activities in economic and social development programs.

4.To urge that the Governments of the Organization include representatives of ministries of health in their delegations to the annual meetings of the Inter-American Economic and Social Council, and that they also endeavor to have included in the agenda of these meetings specific items concerning the participation of the health sector in the dynamic process of development in the countries of the Americas.

Sept.-Oct. 1965 OD 66, 67

CD16.R16   The Directing Council

Having examined the XIII Report of the Director of the Pan American Sanitary Bureau on the status of malaria eradication in the Americas (Document CD16/13); 1

Bearing in mind the progress made, especially in plans for the adequate financing of various campaigns after 1965;

Bearing in mind the plans of the international organizations and of the Government of the United States of America to continue their collaboration to enable the national malaria eradication campaigns to proceed without stoppages until the final objective is attained;

Considering the importance for the Hemisphere of the coordination of the antimalaria activities that are being carried out by the Governments of Central America and Panama, in recognition of the regional epidemiological nature of the problem;

Bearing in mind the conclusions of the Seminars on the Role of the General Health Services in the Eradication of Malaria;2 and

Considering the report of the First Meeting of the PAHO Advisory Committee on Malaria Eradication,

1.To take note of the XIII Report on the status of malaria eradication in the Americas (Document CD16/13).

2.To express satisfaction with the continued interest of the Governments in eradicating malaria from their territories by means of the more adequate financing of their campaigns.

3.To reiterate the need for increased international assistance, both technical and financial, as well as bilateral aid, in solving the biological problems that have arisen.

4.To congratulate the Governments of Central America and Panama on the results of the Meeting of Ministers of Health of Central America and Panama.

5.To take note of the observations and conclusions formulated at the Seminars on the Role of the General Health Services in the Eradication of Malaria and to recommend that they be put into practice as soon as possible.

6.To take note of the report of the First Meeting of the PAHO Advisory Committee on Malaria Eradication, and to urge that the research recommended in that document be intensified.

7.To express thanks for the assistance rendered to the Governments by the Pan American Health Organization, the World Health Organization, the United Nations Children's Fund (UNICEF), and the Government of the United States of America, through its Agency for International Development, in the 1964 campaigns.

Sept.-Oct. 1965 OD 66, 68

CD16.R17   The Directing Council

Having considered the report on the future financing of the malaria eradication program in the Americas (Document CD16/7),1 as well as Resolution III of the 52nd Meeting of the Executive Committee;

Bearing in mind the great importance of both the PAHO Special Fund and the WHO Special Account, as well as the regular budgets of the two organizations, in financing the malaria eradication program; and

Bearing in mind that continuing support in the form of voluntary contributions is of the utmost importance in maintaining the advisory services that the countries need at present in order to protect the financial investments they have already made and to ensure the satisfactory prosecution of the aforementioned program,

1.To take note of Resolution III of the 52nd Meeting of the Executive Committee and of the report of the Director on the future financing of the malaria eradication program in the Americas (Document CD16/7).

2.To stress the importance of voluntary contributions to the PAHO Special Malaria Fund and the WHO Malaria Eradication Special Account, as well as of strengthening the regular budgets of both organizations in continuing the malaria eradication program in the Americas.

3.To urge the Governments to continue their contributions at the level necessary to achieve the objectives of the program.

Sept.-Oct. 1965 OD 66, 69

CD16.R18   The Directing Council

Having considered Document CD16/14 1 on the estimated requirements for the PAHO Special Malaria Fund;

Bearing in mind the increasing efforts of the Governments to eradicate malaria from their territories, and the fact that some of the Governments have decided to negotiate foreign loans for this purpose;

Noting that the PAHO Advisory Committee on Malaria Eradication considered the estimates of the requirements to be minimal, in the light of available information; and

Considering the need of the Pan American Sanitary Bureau to have [a greater number of] specialists available for providing the campaigns with appropriate assistance and for intensifying research on current problems,

1.To take note of the estimated requirements for the PAHO Special Malaria Fund.

2.To express to the Governments its deep satisfaction with the financial efforts they are making to provide the campaigns with the funds necessary [for their continuation].

3.To commend the Government of the United States of America for the facilities offered through the program of the Alliance for Progress in the granting of loans, under very favorable conditions, for the Governments requesting them in order to continue their campaigns.

4.To recommend to the Governments that they bear in mind the Declaration of the Ministers of Health of Central America and Panama,2 approved at the Meeting held in Washington, D.C., on 28 and 29 April 1965, insofar as it applies to all the malaria eradication campaigns.

5.To recommend that the Governments cooperate with the Pan American Sanitary Bureau in providing the specialists needed by the Bureau in order to intensify its technical assistance to the malaria eradication program in the Hemisphere.

6.To recommend to the Bureau that it continue its negotiations with international credit institutions with a view to having them include in their policy the financing of malaria eradication programs through long-term, low-interest loans.

Sept.-Oct. 1965 OD 66, 70

CD16.R19   The Directing Council

Having considered the Final Report of the Study Group on Coordination of Medical Care in Latin America, with special reference to the relationship between social security medical programs and those of ministries of health or other official health agencies (Document CD16/25); 1

Bearing in mind that the opportunity to enjoy the highest attainable standard of health is a right of all human beings without distinction-a right that should be ensured by the State through the organization or promotion of a system of services for the protection, promotion, and restoration of health;

Recognizing that government health services and social security medical services complement each other; and

Recognizing that the planning of economic development and social progress requires that the countries make rational use of existing installations and program the development of their human and material resources in a methodical and coordinated manner,

1.To take note of the Final Report of the Study Group.

2.To thank the Director of the Bureau and the members of the Study Group for their profound analysis of the problem, and the Organization of American States for its efficient cooperation.

3.To reiterate its previous resolution2 to the effect that the aforementioned report be transmitted to the Governments, together with an invitation to progressively apply the recommendations [therein] concerning machinery for coordination between ministries of health and social security institutions, [placing emphasis on] the need for a survey to measure the real magnitude of the problem and to ascertain its characteristics.

4.To recommend to the Governments that social security institutions and all public or private agencies that engage in health activities participate in the national planning of the health sector.

5.To recommend to the Director of the Bureau that:

a) He make studies, diffuse knowledge, and offer advisory services to the Governments on how to achieve the maximum degree of coordination between the ministries of health and the autonomous, semiautonomous, and private institutions that engage in health activities;

b) He sponsor and promote, in collaboration with the national and international agencies concerned, educational programs designed to lead to the development of a common doctrine on the administration of medical care;

c) Through the Governments concerned, [efforts be made to help] spread modern concepts of health care among trade unions and the local communities, in order to secure the adoption of a favorable attitude toward coordination; and

d) [He] promotes joint meetings of medical authorities and other high officials of the ministries of health and of the social security institutions of the Member Countries in order to encourage the aforesaid coordination.

Sept.-Oct. 1965 OD 66, 71

CD16.R20   The Directing Council

Having considered the report of the Director on the status of national health planning (Document CD16/15), 1 the Final Report of the Study Group on Health Planning, and the Report of the Technical Discussions on Health Planning at the Eighteenth World Health Assembly annexed to the report of the Director;

Recognizing the importance of systematic planning in the health field within the framework of national plans for economic and social development; and

Recognizing the need, outlined in the Final Report of the Study Group on Health Planning, for a firm institutional base for the assistance that the Organization provides the Governments in the field of national health planning,

1.To commend the Director for the detailed report, which shows in general terms the progress made in the field of health planning since the XV Meeting of the Directing Council.

2.To recommend to the Director:

a) That the Organization continue and intensify its assistance to the Governments in the activities that in each particular case are deemed necessary for the prosecution of health planning;

b) That the Organization continue to promote research for the improvement of planning theory and practice and the international exchange of research findings;

c) That he study the advantages that would accrue from the establishment of a Pan American Center for Health Planning, which would act as a focal point for health planning activity in the Hemisphere, and that he explore all possible sources of financial assistance for the Center;

d) That, depending on the situation in each country, he requests the Governments to give full support to national health plans; and

e) That he report next year to the Pan American Sanitary Conference on the results of his efforts and the progress made in the planning field.

Sept.-Oct. 1965 OD 66, 72

CD16.R21   The Directing Council

Having considered the report of the Director on the research policy and program of PAHO (Document CD16/20), 1 the report of the Fourth Meeting of the PAHO Advisory Committee on Medical Research (Document CD16/20, Annex 1), and the Current PAHO Collaborative Research Program (Sources of Financing) (Document CD16/20, Annex II);

Noting the progress made in the Inter-American Investigation of Mortality; in studies on Chagas' disease, epidemic typhus, endemic goiter, nutritional anemias, malaria, mosquito resistance to insecticides, and the radiation and isotopes projects; and in the research activities of the Institute of Nutrition of Central America and Panama (INCAP), the Pan American Foot-and-Mouth Disease Center, and the Pan American Zoonoses Center;

Noting that new work includes major studies in biomedical research policy for the Region, public health research in Argentina, population dynamics and medical demography, faculty and research training centers, environmental determinants of community well-being, malnutrition in mental development, deprivation in psychobiological development, and, as part of a broad effort to improve medical library resources of the Region, a regional medical library center;

Recalling that the entire program is following the policy guidelines of Resolution XXVI of the XVI Pan American Sanitary Conference;

Noting with gratitude that the Advisory Committee on Medical Research continues its dedicated interest in the research program of PAHO, providing timely and informed advice on specific projects and on the program as a whole, including the priorities to be devoted to biomedical, biosocial, anl bio-sanitary research and to major regional, community, and individual health problems; and

Noting with appreciation the increase in both the amount and the sources of voluntary and public support and the administrative efficiency of the PAHO research planning and coordination, as exemplified by the fact that although there has been a marked expansion in the program since the XVI Pan American Sanitary Conference, there has been no increase in the administrative budget,

1.To commend the Director, the Advisory Committee on Medical Research, and the staff for the breadth, balance, and vitality of the research program.

2.To record its satisfaction with the fact that, in the field of research and training in population dynamics, as in other subject fields, PAHO and WHO are collaborating in developing a coordinated program for the Americas (under Resolution XXXI of the XV Meeting of the Directing Council and Resolution WHA18.49 of the Eighteenth World Health Assembly) aimed at achieving a harmonious integration of health, population growth, and community development components of national efforts to raise the standard of living of populations throughout the Region.

3.To endorse the emerging emphasis on (a) programs and research studies for measuring present and future requirements in the Americas [for] physicians and other professional, paramedical, and auxiliary personnel; and (b) the program for Pan American Faculty and Research Training Centers, which are intended to assist in meeting the severe shortage of qualified teachers and researchers in various medical sciences and in related professions, and of paramedical and auxiliary personnel in the fields of industrial, occupational, and environmental health.

4.To note with satisfaction the recommendations made by the Advisory Committee on Medical Research to the Director on the subject of a biomedical research policy for the Region, which emphasize that universities should foster "a climate of opinion that recognizes that scientific research is part of the cultural life of the community" and that the ministries of health, like the ministries of education, should promote and support research and advanced educational programs calculated to assist in solving health and community development problems.

5.To reaffirm paragraph 5 of Resolution XXXI of the XV Meeting of the Directing Council (1964); to urge individual Governments, insofar as their resources permit, to consider the possibility of establishing a permanent national fund for research on public health problems; and to commend [the Government of] Argentina for its initiative in this respect.

6.To request the Director of the Bureau to provide the Governments that request it with technical assistance in the organization of national scientific and technical research councils.

Sept.-Oct. 1965 OD 66, 73

CD16.R22   The Directing Council

Bearing in mind the preliminary report submitted to the Executive Committee (Document CE52/13) 1 and

the Addendum thereto, "Study of the Organization of the Pan American Sanitary Conference" (Document CD15/26),2 to which were annexed the replies of the Governments on this subject; and

Bearing in mind the recommendation of the Executive Committee in its report (Document CE52/22),3

1.To recommend that for the XVII Pan American Sanitary Conference the Director retain the same general structure as in earlier Conferences, due regard being had to the suggestions made by the Governments [with respect to] the organization and work of the main committees.

2.To invite the Director to study the cost of the XVII Pan American Sanitary Conference from the standpoint of its organization, with a view to ensuring that future meetings of the Conference have the most appropriate structure at the lowest cost.

Sept.-Oct. 1965 OD 66, 75

CD16.R23   The Directing Council

Having considered Resolution VIII of the 52nd Meeting of the Executive Committee concerning the organization of the Pan American Sanitary Conference;

Having considered the report of the working party of the Executive Committee in the addendum to Official Document 62, which recommends "that the Executive Committee be officially represented at the meetings of the Directing Council and the Conference by its Chairman or by any other member appointed by the Committee"; and

Bearing in mind the desirability of the Executive Committee being officially represented at these meetings,

1.To provide that the Executive Committee shall be officially represented by its Chairman, or by any other member designated by the Committee, at the meetings of the Directing Council of the Pan American Health Organization and of the Pan American Sanitary Conference.

2.To provide that the travel and subsistence expenses of the official representative of the Executive Committee at the meeting shall be borne by the Organization.

Sept.-Oct. 1965 OD 66, 76

CD16.R24   The Directing Council

[Considering] the report approved by the Executive Committee at its 52nd Meeting (Resolution VIII) and the proposed amendments to the Constitution relating to the place of the Pan American Sanitary Conference formulated therein; and

Bearing in mind [the provisions of] Article 28 of the Constitution of the Pan American Health Organization,

1.To approve the following constitutional changes:

Article 7.

A.The Conference shall meet every four years at the Headquarters of the Organization on a date fixed by the Director of the Bureau in consultation with the Executive Committee.

B.Notwithstanding the provision of the immediately foregoing paragraph, the Conference may meet in any Member Country of the Organization, provided that the Government concerned invites it, and the Conference itself or the Directing Council at its meeting held one year before that appointed for the Conference accepts the invitation.

C.Whenever the provisions of the immediately foregoing paragraph apply, the Government of the country in which the Conference is to be held shall appoint a Committee to cooperate with the Bureau in organizing the Conference.

2.[To redesignate] the present paragraphs C to G of Article 7 [as] paragraphs D to H of the amended text of the new article.

Sept.-Oct. 1965 OD 66, 77

CD16.R25   The Directing Council

Bearing in mind the report approved by the Executive Committee at its 52nd Meeting (Resolution VIII) and the proposed amendment to the Rules of Procedure of the Directing Council formulated therein; and

Bearing in mind Article 58 of the Rules of Procedure of the Directing Council,

To amend Rule 1 of the Rules of Procedure of the Directing Council to read as follows:

Rule 1. The Director of the Bureau shall convene the Council to meet in conformity with Article 12, paragraph A, of the Constitution and pursuant to a resolution of the Executive Committee. The meeting shall be held at the Headquarters of the Organization or at a place chosen by the Conference or the Council. Whenever the meeting is not held at the Headquarters of the Organization, the Director shall fix the date of the meeting in consultation with the host Government.

Sept.-Oct. 1965 OD 66, 78

CD16.R26   The Directing Council

Considering the report of the Director on the construction of the new building and the sale of the property owned by the Organization (Document CD16/21); 1 and

Noting that the Governments have been approached for donations of objects of fine art,

1.To express its appreciation to the Government of the United States of America for its gift of land and to the W. K. Kellogg Foundation for the grant of money that permitted the construction of the new 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 and to the sale of the buildings at 1501 and 1515 New Hampshire Avenue, N.W., Washington, D.C.

3.To thank the Director and the staff of the Bureau for their efforts in the construction of the new building and the sale of the buildings at 1501 and 1515 New Hampshire Avenue, N.W.

4.To take note of the status of property purchased or rented for field installations.

5.To request the Director to keep the Executive Committee and the Directing Council informed at future meetings of donation of objects of art made to the Organization for its new Headquarters.

6.To request the Permanent Subcommittee to continue assisting the Director on all matters concerning the Headquarters establishment.

Sept.-Oct. 1965 OD 66, 78

CD16.R27   The Directing Council

Considering that both the agreement with the W. K. Kellogg Foundation and the authorization by the XIII Meeting of the Directing Council in Resolution XVI for the establishment of the Special Fund for Health Promotion envisaged the possibility of allocating a larger amount of funds to the Special Fund for Health Promotion than the minimum required under that agreement; and

Taking into account that a balance that could be used for program activities undoubtedly will remain in the Building Fund,

To authorize contributions from the Building Fund of the Pan American Health Organization to the Special Fund for Health Promotion under such conditions and in such amounts as may be authorized by the Executive Committee.

Sept.-Oct. 1965 OD 66, 79

CD16.R28   The Directing Council

Considering the final report on the eradication of Aedes aegypti presented by Argentina, which declared that the 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

Bearing in mind that a special confirmatory verification was carried out with the participation of officials of the Pan American Sanitary Bureau,

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

2.To urge the Governments of countries and areas still infested by Aedes aegypti to give the highest priority to the provision of the funds, personnel, and supplies needed for the completion of their eradication campaigns.

3.To recommend to the Governments of countries and areas from which the vector has been eradicated that they maintain active surveillance programs to prevent reinfestation.

4.To urge the Director to adopt appropriate measures to intensify and accelerate Aedes aegypti eradication campaigns so that the goal of eradication in the Americas can be achieved as soon as possible.

Sept.-Oct. 1965 OD 66, 80

CD16.R29   The Directing Council

Bearing in mind the provisions of Articles 1, 2, and 7 of the Rules for Technical Discussions,

To select the topic "Means for Promoting and Making Effective the Coordination between the Services and Programs of Ministries of Health, Social Security Institutes, and Other Institutions that Conduct Activities Related to Health" for the Technical Discussions to be held during the XVII Pan American Sanitary Conference, XVIII Meeting of the Regional Committee of WHO for the Americas.

Sept.-Oct. 1965 OD 66, 80

CD16.R30   The Directing Council

Having considered the report of the Director on the status of the smallpox eradication program in the Americas (Document CD16/29); 1

Bearing in mind the resolutions of the XIII, XIV, XV, and XVI Pan American Sanitary Conferences on the eradication of smallpox, as well as its own previous resolutions, especially Resolution XLI approved at the XV Meeting;

Considering that smallpox is an eradicable disease and that effective techniques and means are available for that purpose; and

Bearing in mind Resolution WHA18.38 of the Eighteenth World Health Assembly, which declares the world-wide eradication of smallpox to be one of the major objectives of WHO,

1.To declare smallpox eradication in the Americas to be one of the major objectives of the Pan American Health Organization.

2.To reiterate and confirm the previous resolutions of the Governing Bodies of the Organization to the effect that smallpox must be eradicated from the Hemisphere as soon as possible.

3.To remind the Governments that the organization and execution of national smallpox vaccination programs is a specific obligation incumbent upon them.

4.To recommend to the Governments that, side by side with intensive vaccination programs, they organize activities aimed at maintaining a high level of immunity among the population, and that in countries where the eradication campaign has been completed but where the corresponding maintenance operations have not yet been initiated, they begin them as soon as possible.

5.To urge the Governments of countries in which there is no smallpox, and in which the level of immunity of the general population is low, to institute, by such means as they deem appropriate, a program for [rapidly] increasing the vaccinated proportion of the population.

6.To urge the Governments to intensify their epidemiological surveillance services for the early detection and investigation of suspected cases of smallpox and for the prevention of the spread of the disease, and to recommend that to that end the Governments take special measures for the clinical, laboratory, and epidemiological confirmation of suspected cases of smallpox occurring in their territories.

7.To request the Director of the Bureau to prepare an estimate of the financial and other resources that the countries and the Organization require for the eradication of smallpox and to submit that estimate to the 54th Meeting of the Executive Committee and the XVII Pan American Sanitary Conference.

8.To emphasize the need for the Pan American Sanitary Bureau to continue to coordinate the national smallpox vaccination campaigns and to provide those campaigns with the help they need, including technical assistance in planning, operation, research, and personnel training, as well as vaccine, supplies and equipment, and certain local costs, whenever necessary.

9.To urge the Director of the Bureau to assist the Governments in obtaining financial and material resources for their national programs.

10.To urge the Governments that are in a position to do so to supply the national programs of other countries of the Continent that need them not only with smallpox vaccine but also with financial and material resources and specialist services, either directly or through the Pan American Sanitary Bureau.

11.To express its thanks to the countries of the Continent that have so generously donated smallpox vaccine to countries that need it and/or do not produce enough of it.

Sept.-Oct. 1965 OD 66, 81

CD16.R31   The Directing Council

Having considered the report of the Director on the preparations for holding a meeting to formulate a policy for the training of auxiliary workers based on the needs of the countries of the Americas (Document CD16/11),

To take note that the recommendation of the Council at its XV Meeting [to the effect] that a study be made of the training of auxiliary personnel has been carried out, and to request the Director to inform the Governing Bodies of the Organization in due course of the conclusions reached at the proposed meeting of national authorities with experience or interest in the matter, in order to establish a policy for the training of such personnel.

Sept.-Oct. 1965 OD 66, 82

CD16.R32   The Directing Council

Having considered the report of the Director (Document CD16/9) on the procedure for the presentation of reports to the Directing Council; and

Bearing in mind the discussions of the 52nd Meeting of the Executive Committee on this matter and its Resolution XVII,

1.To take note of the report of the Director on the procedure for the presentation of reports to the Directing Council, and to express its satisfaction with the manner in which these reports are presented, especially with the progress achieved in recent years.

2.To recommend to the Director that he continue the evaluation begun in the last two years so as to provide the Governing Bodies with an ever clearer account of the progress made in the development of the programs in which the Organization is collaborating with the Governments.

Sept.-Oct. 1965 OD 66, 83

CD16.R33   The Directing Council

Having considered the Final Report of the Technical Discussions on "Methods of Improving Vital and Health Statistics"; 1

Considering that this report provides a summary of the seven working documents2 and the views expressed by the participants; and

Considering the urgent need for the institution of the methods recommended to provide the basic data needed for the planning and administration of health programs,

1.To take note of the Final Report and the recommendations made in the Technical Discussions on "Methods of Improving Vital and Health Statistics."

2.To recommend to the Organization and to the Governments that efforts be made immediately to implement the recommendations for actions to rapidly develop satisfactory statistics for the planning and administration of health programs.

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

Sept.-Oct. 1965 OD 66, 84

CD16.R34   The Directing Council

Having examined Document CD16/19 and Addenda I and II, in which the Director brought to the attention of the Regional Committee for the Americas a number of resolutions adopted by the Eighteenth World Health Assembly and by the Thirty-Fifth and Thirty-Sixth 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 CD16/19 and Addenda I and II: WHA18.33 and EB35.R45 (Fourth General Program of Work Covering a Specific Period: 1967-1971), WHA18.37 (Organizational Study of the Executive Board: Methods of planning and execution of projects), and WHA18.43 (Amendments to Article 7 of the Constitution).

Sept.-Oct. 1965 OD 66, 84

CD16.R35   The Directing Council

Having considered the report of the Director on the growing significance of air and water pollution problems (Document CD16/17);

Considering that increasing demographic expansion is causing unprecedented urban and industrial concentrations that create a large volume of waste discharges;

Bearing in mind that uncontrolled waste discharges from urban centers and industrial installations pollute air and water resources, and that, if excessive, such pollution is detrimental to the health and well-being of people, restricts industrial expansion, and limits water and land use;

Recognizing that problems of air and water pollution are further complicated by accelerating technological changes affecting the production and use of industrial products and the type and volume of polluting wastes;

Noting with satisfaction that the report emphasizes the importance and urgency of industrial development and the need for Governments to be realistic and practical in the development and application of regulatory measures and to give due consideration to the capacity of air and water resources to assimilate, with safety, reasonable volumes of polluting materials; and

Noting the grave implications of excessive and uncontrolled air and water pollution for the health and the social and economic well-being of people, and that Governments must take prompt action to analyze problem areas and, where necessary, apply the proper measures to remedy the situation,

1.To endorse the courses of action proposed in the report [of the Director] (Document CD16/17), in order to provide the Governments that request it with all the technical assistance they need on all aspects for air and water pollution, including appropriate measures, as required, for monitoring trends in air and water pollution, for appraising special problems, and for developing practical control methods.

2.To recommend to the Governments that, through their ministries of health, they give proper attention to problems of air and water pollution and, where appropriate, expand their technical staff and related facilities to provide for practical and effective regulatory controls to prevent excessive pollution of air and water resources, taking into account the economic importance of industrial and agricultural development.

3.To urge the Director to make studies on the cost of control practices, and to use the resources of the Organization to determine more feasible and practical methods of water treatment that will be within the economic and operational reach of the people to be protected and within the financial and administrative capacity of the Governments concerned.

4.To request the Director to give appropriate attention to the expanding problems of air and water pollution in the Organization's programs of assistance in the fields of education, training, and research, and to provide for the collection and dissemination to Governments of such scientific information as might be helpful on the health and economic implications of air and water pollution and on remedial practices.

Sept.-Oct. 1965 OD 66, 85

CD16.R36   The Directing Council

Having considered Document CD16/27 on the international transportation of human remains, and its Annexes I and II, which contain information on the legislation in force in 31 countries and political entities of the Americas, and Annex III, containing the report of the study group on the subject;

Bearing in mind the points of view expressed by the representatives2 at the 52nd Executive Committee and during the discussion of this subject in the Directing Council; and

Considering Resolution XVIII of the 52nd Meeting of the Executive Committee,

1.To take note of the report of the Director and documents annexed thereto concerning the international transportation of human remains (Document CD16/27).

2.To express its appreciation to the Director for the report and for the draft proposal on the establishment of general standards for the Americas in the international transportation of human remains.

3.To request the Director to prepare a final draft on standards for the Americas on the international transportation of human remains, to transmit them to the Governments for review and comment at the earliest practicable time, and to submit them to the Executive Committee for its consideration and its recommendations for action.

4.To request the Director to transmit a copy of this resolution, together with the draft proposal on the establishment of general standards for the Americas on the international transportation of human remains, to the Director-General of the World Health Organization.

Sept.-Oct. 1965 OD 66, 86

CD16.R37   The Directing Council

Having considered the Final Report of the Advisory Committee on Planning of Hospitals and Other Health Facilities (Document CD16/24), 1 prepared pursuant to Resolution XXV of the XV Meeting of the Directing Council;

Bearing in mind that one of the basic health services is the provision of medical care and that, because of its importance and the financial burden it represents for the economic development of the countries, measures will have to be taken on a continental scale to strengthen medical care services in the countries and to coordinate their activities for the sake of timely provision of services, reduction of costs, and efficiency; and

Considering that the construction of new health facilities and the remodeling of existing ones, including hospitals, and the improvement of their organization and administration, are an indispensable part of any continental, national, or local policy,

1.To take note of the Final Report of the Advisory Committee on Planning of Hospitals and Other Health Facilities (Document CD16/24), and to thank the Director of the Bureau and the members of the Committee for the work accomplished.

2.To recommend that the Pan American Sanitary Bureau, within the limitations of existing program priorities, expand its present resources for this purpose so that it can cooperate in studies and provide countries and international agencies with advisory services in the following fields:

a) The planning and organization of national health services, which should be based on appropriate regional systems, with a view to achieving optimum utilization of resources by establishing costs and priorities in expenditures and investments;

b) The administration of hospitals and other health services with a view to increasing their efficiency and performance;

c) The assessment of the need for various types of personnel and for facilities for their education and training;

d) The incorporation of the foregoing subjects into the teaching programs of medical schools and the encouragement of research on these subjects by universities and other educational centers;

e) The costing and financing of various medical care systems, including independent and semi-independent services, and of the construction and equipping of hospitals; and

f) The utilization of international resources so that, in addition to meeting the purposes for which they are intended, they stimulate the increase of national resources for the same purposes, as well as the better use of these resources.

3.To request the Director of the Bureau to establish suitable machinery for putting these objectives into practice, and to [make use], for this purpose, of the currently available resources connected with this type of activity.

4.To recommend that the Pan American Sanitary Bureau strengthen its working relations with public and private international agencies active in this field, with a view to ensuring that the planning of hospitals and other health facilities occupies its appropriate place in medical care programs and, consequently, in national health programs.

Sept.-Oct. 1965 OD 66, 87

CD16.R38   The Directing Council

Having considered Document CE52/6 on the Pan American Federation of Associations of Medical Schools, and bearing in mind the considerations contained therein;

Having examined the statutes of the Pan American Federation of Associations of Medical Schools;

Bearing in mind the provisions of Article 26 of the Constitution of the Pan American Health Organization and Resolution XXVIII of the XIV Pan American Sanitary Conference; and

Considering Resolution XV adopted by the Executive Committee at its 52nd Meeting,

1.  To establish official relations with the Pan American Federation of Associations of Medical Schools as a nongovernmental organization representing the medical schools in the Americas.

2.  To authorize the Director to develop with the Federation, to the extent that financial and budgetary limitations allow, cooperative activities of mutual interest aimed at strengthening medical education programs in the Americas.

Sept.-Oct. 1965 OD 66, 89

CD16.R39   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 Bureu presented by the Director in the Annex to Document CE52/14, and confirmed by the Executive Committee at its 52nd Meeting.

Sept.-Oct. 1965 OD 66, 90

CD16.R40   The Directing Council

Having considered the report of the Director (Document CD16/18) on the work done on the study of the incidence and distribution of epilepsy in the Americas, in implementation of Resolution III adopted by the Council at its XV Meeting,

To recommend to the Director of the Bureau that, in cooperation with the Governments, he develop a program of epidemiological research on epilepsy and continue the study of the legal and social aspects of the disease.

Sept.-Oct. 1965 OD 66, 90