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IV Directing Council of the Pan American Health Organization
CD4.R1 The Directing Council,
Considering that the final report of the 11th Meeting of the Executive Committee (Document CE11/R/I), in Resolution I on the Program and Budget of the Pan American Sanitary Bureau for 1951, submitted to the Directing Council for consideration the Proposed Program and Budget for 1951 (Document CD4/PP/1) amounting to a total of $1,943,681, together with Annex I to that document regarding the scale of contributions for the proposed budget for 1951; and
Considering that the Committee on Program and Budget, after a detailed study of Document CD4/PP/1 and Annex I and lengthy discussions on the program and on the different items in the budget, deemed it advisable to retain the total amount and distribution of the budget as submitted,
1.To approve the [Proposed] Program and Budget for 1951, amounting to $1,943,681 for the calendar year.
2. To divide the budget into the following three parts:

The items above shall be used in the execution of the program submitted by the Executive Committee (Document CD4/PP/1).
3. To authorize the Director of the Pan American Sanitary Bureau to transfer credits from one to another of the three aforementioned parts in amounts not exceeding 10 per cent of the total of each part, and to advise the Executive Committee of such action promptly. Transfers of credits in excess of 10 per cent from one to another of these parts may be effected subject to prior approval by the Executive Committee.
4. To authorize the Director to effect transfers of unallocated balances.
5. To assign quotas for the collection of funds on the basis established in Article 60 of the Pan American Sanitary Code.
6. To divide the budget of the Pan American Sanitary Bureau for 1951 among the Member Governments in accordance with the scale of contributions adopted by the Council of the Organization of American States for the budget of the Pan American Union for the fiscal year 1950-1951.
Sept. 1950 Pub. 255, 4
CD4.R2
The Directing Council,Considering that the Third World Health Assembly approved the 1951 Budget covering the total operating cost of the Regional Office in the Americas; and
Considering that this budget did not include an amount to cover the cost of the meeting of the Regional Committee,
1. To express to the World Health Organization its satisfaction at the approval of the sum of $637,063 allotted in the budget to cover operating costs in the Region of the Americas.
2. To recommend the inclusion in the aforementioned budget of an additional sum of $9,875 to cover the expenses of the meeting of the Regional Committee of [WHO] in this Hemisphere.
Sept. 1950 Pub. 255, 5
CD4.R3
The Directing Council,Considering that it is desirable that the Governments of the Member States know well in advance the amount of their contributions so that they may include them in their respective budgets; and
Considering that it is desirable that the Pan American Sanitary Bureau know well in advance the funds available for carrying out its programs so that it may plan them [on a timely basis] and contract the technical personnel that will be in charge of them,
1. To take note of Document CD4/PP/8, and to compliment the Director of the Bureau on the preparation of the budgets two years in advance.
2. To instruct the Director of the Pan American Sanitary Bureau to distribute this document to the ministries of public health and of foreign relations of the Member States.
3. To present this document, with the comments of the Governments, to the Executive Committee for consideration at its 13th Meeting in Washington.
Sept. 1950 Pub. 255, 5
CD4.R4
The Directing Council,Considering that the Program and Budget of the Regional Office of the World Health Organization for the Western Hemisphere for 1952 (Document CD4/PP/2), presented by the Regional Director to the Regional Committee of the World Health Organization, for a total of $1,148,779, considerably supplements and expands the activities for the Western Hemisphere planned by the Pan American Sanitary Bureau for the year [in question],
To state that the Regional Committee has taken note of the aforementioned program and budget, and to instruct the Regional Director to submit it to the Director-General for his consideration in the preparation of the budget for 1952.
Sept. 1950 Pub. 255, 6
CD4.R5
The Directing Council,Considering that the General Assembly of the United Nations, in its Fourth Meeting, and the Third World Health Assembly have considered the problem of coordination of international agencies; and
Considering that important steps have been taken within the United Nations and the Organization of American States system and by the regional offices of WHO to bring about adequate coordination of activities,
1 . To recommend to the Member Countries to take, through their health authorities, such measures within their respective governmental structures as may be necessary to facilitate the coordination of international activities.
2. Further, to recommend to the Member Countries that have not already done so [that they create] within their respective health administrations a bureau or office entrusted with the coordination of their international health relations.
Sept. 1950 Pub. 255, 6
CD4.R6
The Directing Council,Considering that there exist various international organizations that are carrying out important functions relative to the public health of the Member Countries;
Considering that the Economic and Social Council of the United Nations approved a resolution governing cooperative programs and their coordination; and
Considering that the Executive Board of the World Health Organization adopted resolutions on the development of relationships with nongovernmental organizations,
To recommend to the Governments and to the Pan American Sanitary Bureau that for the solution of the aforementioned problems of coordination they apply the appropriate resolutions adopted by the World Health Organization, the Organization of American States, and the United Nations.
Sept. 1950 Pub. 255, 7
CD4.R7
The Directing Council,Considering that the Pan American Sanitary Bureau finds it difficult to carry forward working programs based on budgets adopted shortly before the beginning of the fiscal year;
Considering that the present schedule for the study and approval of the budgets of the Organization does not allow the Member Governments sufficient time to include their assessed contribution to the Organization in their national budgets for the year in question, thus delaying payments; and
[Having heard] the comments of the Director presented on this problem in Document CD4/PP/3,
1. To take note of the interest shown by the Director in his search for an adequate budget policy for the Organization.
2. To suggest to the XIII Pan American Sanitary Conference that it instruct the Directing Council to study the possibility of establishing the program and adopting the budget of the Organization for the second year following the year of its meeting.
Sept. 1950 Pub. 255, 7
CD4.R8
The Directing Council,Considering that the programs and recommendations adopted at the Conferences and meetings for which no appropriate funds are voted become automatically ineffective;
Considering that the Pan American Sanitary Bureau at present functions on the basis of a budget, which has not been the case in previous years; and
Considering that the recommendations accumulated from previous Conferences and meetings only [serve as expressions of] the interest of Member States in the development of certain activities, rather than as injunctions to the Bureau, as long as no corresponding funds are assigned,
To recommend to the XIII Pan American Sanitary Conference that it relieve the Pan American Sanitary Bureau of those responsibilities imposed by previous Conferences and meetings that were not supported by appropriate programs and funds.
Sept. 1950 Pub. 255, 8
CD4.R9
The Directing Council,Considering that the Technical Assistance program and budget of the Regional Office of the World Health Organization for the Western Hemisphere, presented by the Regional Director to the Regional Committee of the World Health Organization, amplifies and complements to a considerable extent the projects and activities for the Western Hemisphere,
1. To note the proposed program and budget.
2. To request that it be transmitted to the Director-General of the World Health Organization for his consideration.
Sept. 1950 Pub. 255, 8
CD4.R10
The Directing Council,Considering that aftosa (foot-and-mouth disease), a livestock disease of wide distribution in the Americas, affects human nutrition through substantial reductions in meat and milk supplies;
Considering that the Organization of American States (OAS) and its Specialized Organizations have received numerous requests from Member Governments for the inclusion of an aftosa project under the Expanded Technical Assistance Program, and [that] the Pan American Sanitary Bureau is the only Specialized Organization of the OAS now equipped with a veterinary service, [which is] necessary for the preparation of such a project;
Considering that the formal agreement between the Council of the OAS and the Directing Council of the Pan American Sanitary Organization (23 May 1950) provides [in Article IV] that "the Pan American Sanitary Organization shall give technical advice on matters of public health and medical care to the Council of the OAS and its organs, and to the Pan American Union, upon request";
Considering that the Secretary General of the OAS has made written request to the Director of the Pan American Sanitary Bureau for the preparation and sponsorship of a Technical Assistance project [for aftosa control];
Considering that the Pan American Sanitary Bureau, in collaboration with the Inter-American Institute of Agricultural Sciences, has prepared a project for an antiaftosa center [in the Americas], to be operated with Technical Assistance funds; and
Considering that the Director of the Bureau has indicated that any further participation in this project is subject to special authorization by the Directing Council,
To approve the action of the Bureau in preparing the project for the organization of an antiaftosa center in the Americas, and to authorize the participation of the Bureau in the organization of such a center until such time as some other Specialized Organization of the OAS is prepared to take full charge, provided that the financing of the center shall be with funds other than those of the Pan American Sanitary Bureau.
Sept. 1950 Pub. 255, 8
CD4.R11
The Directing Council,Considering that it is necessary to place the Member Nations regularly and periodically in contact with the center of operations of the Pan American Sanitary Organization;
Considering that the Directing Council acts as Regional Committee of the World Health Organization for the Americas; and
[Bearing in mind that] regional budgets must be submitted to the World Health Organization Headquarters as early in the year as possible in order to permit adequate consideration,
To hold the V Meeting of the Directing Council at the seat of the Pan American Sanitary Bureau from 20 to 27 August 1951.
Sept. 1950 Pub. 255, 9
CD4.R12
The Directing Council,Considering that, under authority of Resolution II of the Directing Council at its III Meeting, the Director of the Pan American Sanitary Bureau was instructed to set aside and administer $50,000 as of 1 January 1950 as an Emergency Procurement Revolving Fund;
Considering that, under authority of the resolution cited above, the Director of the Pan American Sanitary Bureau purchased medical supplies costing $1,744.91 to be shipped to Cuzco, Peru, as an emergency measure at the time of the recent earthquake;
Considering that it will be necessary to provide an amount of $1,744.91 to bring the total of the Emergency Procurement Revolving Fund back to its authorized level of $50,000; and
Considering that no general unallocated funds of the Bureau exist from which the amount of $1,744.91 can be transferred to restore the Fund to its authorized level,
1. To maintain the Emergency Procurement Revolving Fund at the previously authorized level of $50,000 by restoration of the amount expended.
2. To approve the expenditure of $1,744.91 by the Director, and to take note of the report thereon.
Sept. 1950 Pub. 255, 10
CD4.R13
The Directing Council,Considering that the Pan American Union has indicated that the Pension Fund Committee would entertain a proposal from the Pan American Sanitary Bureau to share in the benefits and advantages of its Contingency Fund;
Considering that the Pan American Sanitary Bureau is without adequate means for handling cases of retirement due to disability, and [that] participation in the Contingency Fund would alleviate this condition; and
Considering that the cost to the Bureau would be proportionate to the number of positions, and [that] participation in the Fund would save for the Bureau's use forfeited office credits left by participating staff members who [because of their] short service [claim none] or only a part of such credits,
1. To request that the Pan American Sanitary Bureau apply to the Pan American Union for participation in its Contingency Fund.
2. To provide that the initial contribution by the Pan American Sanitary Bureau to the Contingency Fund be negotiated by the Director with the Pan American Union as regards the amount and the date of payment, basing it on the number of participating staff members of the Pan American Sanitary Bureau.
3. To request that the Director make a semiannual review of the state of the Contingency Fund as it affects the Bureau and recommend for approval at the next meeting of the Executive Committee any adjustments in contribution which may be necessary in order to discharge the Bureau's obligation to the fund.
Sept. 1950 Pub. 255, 10
CD4.R14
The Directing Council,Considering that, by action of the Council of the Organization of American States, the Pan American Union has increased its contribution to the Pension Fund from 6 per cent to 7 per cent of the salaries of participating staff members; and
Considering that the Pan American Union has made this increase in the contribution retroactive, increasing by one sixth the amount of the Bureau's contribution to the Pension Fund,
1. To increase, as of 1 January 1951, the rate of contribution to the Pension Fund from 6 per cent to 7 per cent of the salaries of staff members participating in the Pan American Union Pension Plan.
2. To increase, as of the same date, the existing credits of the Bureau by one sixth for each staff member account now active.
Sept. 1950 Pub. 255, 11
CD4.R15
The Directing Council,[Having reviewed] the proposals of the Director set forth in Document CD4/AFL/3 relative to the retirement age of employees of the Pan American Sanitary Bureau;
Considering that it is desired that Bureau personnel be admitted to the United Nations Joint Staff Pension Plan, to which the employees of the World Health Organization now belong; and
[Having noted] that the United Nations Joint Staff Pension Plan establishes the retirement age at 60, which might cause hardship to certain employees of the Bureau,
1. To approve the text of Regulation 20 and Staff Rule 610 as proposed by the Director in Document CD4/AFL/3, in the event that the staff of the Pan American Sanitary Bureau is admitted to the United Nations Joint Staff Pension Plan, and, in the event the request for participation therein is rejected, to approve the alternative proposal presented in this document.
2. To authorize the Director, upon decision on the request for participation in the United Nations Joint Staff Pension Plan, to place in operation one of the alternative proposals that is appropriate.
Sept. 1950 Pub. 255, 11
CD4.R16
The Directing Council,Considering that the proposals set forth in Document CD4/AFL/3 and its Corr. 1 relating to the modification of the Staff Rules and Regulations on notice and indemnity on termination of employment would introduce policies and procedures in the Pan American Sanitary Bureau that would differ from those of the World Health Organization; and
Considering that it is desired to have uniform policies and procedures for employees of the two organizations working together,
1. Not to accept the recommendations proposed by the Director relating to the change of Article 21 and Staff Rules 620.1, 620.2, 632.1, 632.3, and 641.4 on notice and indemnity on termination of employment.
2. To authorize the Director to take the necessary action to ensure that all employees of the Pan American Sanitary Bureau are governed by the provisions of the Staff Rules and Regulations in the form accepted by the Directing Council.
Sept. 1950 Pub. 255, 12
CD4.R17
The Directing Council,Considering that the proposal of the Director set forth in Document CD4/AFL/3 for the establishment of a board of review would create a second internal organ, in addition to the existing Board of Inquiry and Appeal, and that an additional organ does not provide adequately for the independent and unbiased determination desired;
Considering that the World Health Organization will in the future probably utilize the Administrative Tribunal of the United Nations; and
Considering that it is desired to have uniform policies and procedures governing the personnel of the World Health Organization and that of the Pan American Sanitary Bureau,
1.Not to approve the proposed Regulation 28 and Staff Rule 550, but to instruct the Director, as an interim procedure, to make use of the already established Board of Inquiry and Appeal as an administrative tribunal.
2.To authorize the Director, at such time as the World Health Organization joins the Administrative Tribunal of the United Nations, to make application through the World Health Organization for participation in the same by the Pan American Sanitary Bureau.
3.To authorize the Director to prepare and to put into effect necessary staff rules and regulations at that time to facilitate participation in the United Nations Administrative Tribunal.
Sept. 1950 Pub. 255, 12
CD4.R18
The Directing Council,Considering the proposals set forth in Document CD4/AFL/3 relative to the inclusion of new Regulations 29, 30, 31, and 32 in the Staff Regulations of the Pan American Sanitary Bureau, which have already been adopted by the World Health Organization; and
Considering that it is desired that the same policies and procedures govern the personnel of the World Health Organization and of the Pan American Sanitary Bureau working together in a common effort,
1. To approve the new Staff Regulations 29, 30, 31, and 32.
2. To authorize the Director to take such steps as may be necessary to put these regulations in operation.
Sept. 1950 Pub. 255, 13
CD4.R19
The Directing Council,Considering that the provisions of World Health Organization Staff Rule 890 establish certain field allowances; and
Considering that the desire for maintaining uniformity in conditions of service between the personnel of the World Health Organization and that of the Pan American Sanitary Bureau working in a common effort is a paramount necessity for the operation of field teams,
1. To adopt World Health Organization Staff Rule 890 as an integral part of the Staff Rules of the Pan American Sanitary Bureau.
2. To authorize the Director to place this Staff Rule in operation as soon as this can be reasonably accomplished.
Sept. 1950 Pub. 255, 13
CD4.R20
The Directing Council,Acting as the Regional Committee of the World Health Organization for the Americas,
[Having considered] the problem that has arisen regarding the requirement that the Governments provide the funds to pay field service allowances of staff members of the World Health Organization; and
[Having] noted that some of the Governments are unable to comply with this requirement because of economic difficulties or certain legislative restrictions,
1. To ask the Regional Director to request the Director General of the World Health Organization to include this topic on the agenda of the Fourth World Health Assembly, with a view to replacing the present stipulation with another more flexible provision based on the ability and willingness of the Governments to provide the necessary funds.
2. To recommend, further, that the Regional Director ask the Director-General of the World Health Organization to take such steps as he deems advisable to have the United Nations Technical Assistance Board give this aspect of the Technical Assistance Program additional consideration.
Sept. 1950 Pub. 255, 13
CD4.R21
The Directing Council,Considering that the Pan American Bureau is an inter-American organization in which four working languages are recognized;
Considering that the ability to speak and utilize two or more of these languages would expedite and simplify Bureau operations; and
Considering that the development of a bilingual or multilingual staff would facilitate the inter-American objectives of the Bureau,
RECOMMENDS: 1. That the Director, in establishing salary levels for officials and employees of the Bureau, take into consideration, in addition to other qualifications, their ability to speak two or more languages. 2. That the Pan American Sanitary Bureau have on its staff a corps of secretaries whose native tongue is one of the four official languages, who are able to work equally well in English as in one of the respective native languages, and [who] also have a good knowledge of a third language.Sept. 1950 Pub. 255, 14
CD4.R22
The Directing Council,[Considering that] Resolution IX of the III Meeting of the Directing Council at Lima provided that Denmark, France, the Netherlands, and the United Kingdom be invited to participate, on the same basis as the American Republics, in meetings of the Directing Council as Regional Committee of WHO;
[Considering that] Article 2, paragraph B, of the Constitution of the Pan American Sanitary Organization provides that "territories or groups of territories within the Western Hemisphere which are not responsible for the conduct of their international relations shall have the right to be represented and to participate in the Organization" and that "the nature and extent of the rights and obligations of these territories or groups of territories in the Organization shall be determined in each case by the Directing Council after consultation with the Government or other authorities having responsibility for their international relations";
[Considering that] the Director of the Pan American Sanitary Bureau has been authorized to negotiate with Denmark, France, the Netherlands, and the United Kingdom for the purpose of obtaining contributions from these States to the funds of the Pan American Sanitary Bureau to assist in defraying expenses incurred by the Pan American Sanitary Bureau in connection with that portion of the Pan American Sanitary Organization operations not covered by contributions from the World Health Organization; and
[Considering that] the Directing Council has authorized studies leading toward a constitutional revision of the Pan American Sanitary Organization,
1. To request the Executive Committee to examine all pertinent documents and to consult all parties interested in the relationship of the Directing Council of the Pan American Sanitary Organization and the Regional Committee of the World Health Organization for the Western Hemisphere, and the relation of each of these to the Member States of the World Health Organization not having their seats of government in the Western Hemisphere which
a) By reason of their Constitution consider certain territories or groups of territories in the Western Hemisphere as part of their national territory; or
b) Are responsible for the conduct of the international relations of the territories or groups of territories in the Western Hemisphere.
2. To recommend to the Committee the inclusion in the proposed constitutional revision of definite measures which may clearly define these relationships.
Sept. 1950 Pub. 255, 14
CD4.R23
The Directing Council,Considering that, in accordance with the Final Act of the XII Pan American Sanitary Conference, the Directing Council of the Organization adopted the present Constitution, which should now be modified with a view to reducing the number of organs in the Organization and revised in general to adapt and assign the functions pertaining to each organ; and
Considering that the Constitution in force assigns to the Conference the power to introduce constitutional amendments or modifications in the Organization,
1. To submit to the XIII Pan American Sanitary Conference for its consideration a project, drawn up by the Directing Council, amending the present Constitution, with the request that the Conference authorize the Executive Committee to return it to the Directing Council at its V Meeting, together with the expressed opinions of the Member Governments, the members of the Regional Committee of the World Health Organization, and the Council of the Organization of American States.
2. To request the XIII Pan American Sanitary Conference to authorize the Directing Council to decide, at its V Meeting, upon the amendments and to adapt them to the new Constitution.
Sept. 1950 Pub. 255, 15
CD4.R24
The Directing Council,Considering that it is important that all the Member Governments be kept informed of commitments made by the Organization to individual Governments, as stated in Document CD4/AFL/7,
To request the Director to annex to his regular reports the full text of all formal agreements entered into with the Governments.
Sept. 1950 Pub. 225, 16
CD4.R25
The Directing Council,[Having considered] the proposed annual report, [which] has been submitted by the appropriate Committee,
To approve the proposed report, [requesting that it be submitted] to the Member Governments in compliance with the provisions of Article 8, paragraph E, of the Constitution of the Pan American Sanitary Organization.
Sept. 1950 Pub. 255, 16
CD4.R26
The Directing Council,Elected Chile and the Dominican Republic to fill the vacancies on the Executive Committee created by the termination of the periods of office of Uruguay and Venezuela.
Sept. 1950 Pub. 255, 17
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