RESOLUTIONS

CE113.R1  The Executive Committee,

 Having considered the report of the Director on the collection of quota contributions (Document CE113/21 and Add. I) and the report provided on Member Governments in arrears in the payment of their quota contributions to the extent that they could be subject to the application of Article 6.B of the Constitution of the Pan American Health Organization;

 Noting the provisions of Article 6.B of the PAHO Constitution relating to the suspension of voting privileges of Member Governments that fail to meet their financial obligations and the potential application of these provisions to nine Member Governments; and

 Noting with concern that there are 25 Member Governments that have not made any payments towards their 1994 quota assessments and that amounts collected for 1994 assessments amount to only 7% of total assessments,

RESOLVES:

To take note of the report of the Director on the collection of quota contributions (Document CE113/21 and Add. I).

To thank the Member Governments that have already made payments for 1994 and to urge the other Member Governments to pay their outstanding quota contributions as soon as possible.

To recommend to the XXIV Pan American Sanitary Conference that the voting restrictions contained in Article 6.B of the PAHO Constitution be strictly applied to those Member Governments that by the opening of that meeting have not made additional and substantial payments towards their payment commitments.

To request the Director to continue to inform the Member Governments of any balances due and to report to the XXIV Pan American Sanitary Conference the status of the collection of quota contributions.

June 1994 OD 266, 92

 

CE113.R2  The Executive Committee

 Having seen Document CE113/9 (Part A), which reports on progress made toward achievement of the targets set forth in the Strategic Orientations and Program Priorities (SOPPs) for the Pan American Health Organization during the Quadrennium 1991–1994,

RESOLVES:

 To recommend to the XXIV Pan American Sanitary Conference the adoption of a resolution along the following lines:

The XXIV Pan American Sanitary Conference,

 Having seen Document CSP24/___, "Progress Report on the Quadrennial Targets for the Strategic Orientations and Program Priorities (SOPP), 1991–1994";

 Bearing in mind Resolution CE107.R3 of the 107th Meeting of the Executive Committee (1991), which recommends that the Director use evaluation schemes to review progress made toward achievement of the quadrennial targets; and

 Recognizing the need to monitor the execution and outcomes of actions taken by the Organization in terms of benefit for the population in the countries of the Region,

RESOLVES:

To reaffirm the importance of the Strategic Orientations and Program Priorities as mechanisms for guiding the work of the Organization, and to encourage the Member States and the Secretariat to draw upon the lessons learned from this exercise and apply them to the Strategic Orientations and Program Priorities process in the future.

To request the Member States to provide the Bureau with the information that will enable it to monitor achievement of the quadrennial targets, and to take the necessary measures, as appropriate, to ensure that these goals are fulfilled.

To ask the Director to coordinate with the countries the establishment of mechanisms that will make it possible to monitor achievement of the quadrennial targets as part of the development of information systems.

June 1994 OD 266, 93

 

CE113.R3  The Executive Committee,

 Having considered Document CE113/10, which contains a tentative request for US$ 79,794,000 without cost increases from the World Health Organization for the Region of the Americas for the biennium 1996–1997; and

 Noting that the Subcommittee on Planning and Programming has reviewed the program budget in general terms,

RESOLVES:

To thank the Subcommittee on Planning and Programming for its review.

To recommend to the XXIV Pan American Sanitary Conference, XLVI Meeting of the Regional Committee of WHO for the Americas, that it approve the 1996–1997 proposal of $79,794,000 without cost increases by adopting a resolution along the following lines:

 

 

CE113.R4  The Executive Committee

 Having seen Document CE113/9 (Part B), which proposes strategic orientations and program priorities for the Pan American Health Organization in the quadrennium 1995–1998,

RESOLVES:

To request the Director to revise the document entitled "Strategic Orientations and Program Priorities for the Pan American Health Organization, 1995–1998," taking into account the comments made by the Executive Committee, prior to presentation to the XXIV Pan American Sanitary Conference.

To recommend to the XXIV Pan American Sanitary Conference the adoption of a resolution along the following lines:

The XXIV Pan American Sanitary Conference,

 Having seen Document CSP24/___, "Strategic Orientations and Program Priorities for the Pan American Health Organization, 1995–1998";

 Bearing in mind that it is the constitutional function of the Pan American Sanitary Conference to determine the general policies of the Organization; and

 Recognizing that the Member States and the Secretariat need to channel their efforts and resources into undertakings that will improve access to health services and help to ensure that the health needs of the population in the Region are effectively met,

RESOLVES:

To adopt the document "Strategic Orientations and Program Priorities for the Pan American Health Organization, 1995–1998" as a basic frame of reference for the strategic planning of the Organization.

To request the Member States to bear in mind the strategic orientations and program priorities for the Organization during 1995–1998 as they formulate their national health policies.

To request the Director to:

Apply the strategic orientations and program priorities contained in the aforementioned document to the biennial and annual operating program budgets of the Organization throughout the 1995–1998 quadrennium;

Disseminate the document "Strategic Orientations and Program Priorities for the Pan American Health Organization, 1995–1998" to the Member States and transmit it to the Director-General of WHO for his consideration;

Transmit the document to multilateral organizations and donor countries' technical cooperation agencies that participate in health sector activities in the Member States.

To request the Director, in developing the next quadrennial strategic orientations and program priorities, to:

Link the strategic orientations and program priorities to the basic indicators of Health Conditions in the Americas;

Take into account the capacities and responsibilities of the Pan American Health Organization in defining its program of technical cooperation;

Ensure that the priority areas of the strategic orientations and program priorities are reflected in the Organization's program budgets and in the definition of the categories used for programming the Organization's work during the quadrennium.

June 1994 OD 266, 95

 

CE113.R5  The Executive Committee

 Having considered the progress report presented by the Director on the Expanded Program on Immunization (Document CE113/11 and Add.I),

RESOLVES:

 To recommend to the XXIV Pan American Sanitary Conference the adoption of a resolution along the following lines:

The XXIV Pan American Sanitary Conference,

 Having considered the progress report presented by the Director (Document CSP24/___) on implementation of the Expanded Program on Immunization and the Plan of Action for the Eradication of Wild Poliovirus from the Americas;

 Noting with great pride that transmission of wild poliovirus appears to have been interrupted in the Region of the Americas, inasmuch as no cases have been reported in the three years since the detection of a case in Juín, Peru, on 23 August 1991;

 Further noting that national and multinational initiatives to eliminate measles are having a major impact on the incidence of this disease, that at the end of 1993 the Region of the Americas reported the lowest number of cases in its history, and that transmission may have been interrupted in several countries or areas (e.g., Chile, Cuba, and the English-speaking Caribbean countries);

 Considering that efforts to eliminate neonatal tetanus have been very successful and that the Region has reached the goal set by the World Summit for Children of less than one case per 1,000 live births at the regional level;

 Realizing that immunization coverage levels have continued to increase in most of the countries, reaching a regional level of 80% in the last two years for all the vaccines being administered (DPT, polio, measles, BCG, and TT);

 Considering that strategies are being developed for controlling hepatitis B and rubella, and that the possibility of introducing new vaccines-for example, a vaccine against Haemophilus influenzae b-in national immunization programs is now being considered by several of the Member States;

 Noting that these developments have contributed enormously to the overall strengthening of the health infrastructure in all countries; and

 Recognizing that it will be a major challenge in the future to maintain and further increase immunization coverage in order to reach the goal of 95% by the year 2000, and that the introduction of new vaccines will have to be preceded by major shifts in health policies toward more preventive activities,

RESOLVES:

To congratulate all the Member States, their health authorities, their health workers, and the communities themselves on their continuing commitment and efforts toward attainment of the historic accomplishment represented by the eradication of poliomyelitis from the Western Hemisphere, as well as other major advances in their immunization programs.

To thank the agencies involved in this effort, particularly the United States Agency for International Development (USAID), the United Nations Children's Fund the (UNICEF), the Inter-American Development Bank (IDB), Rotary International, and the Canadian Public Health Association (CPHA), as well as many other national organizations, for their support, without which it would have been impossible to achieve these goals, and to request that they maintain and increase their contributions to the program in order to ensure that efforts to meet the new challenges are similarly successful.

To thank the Governments of Argentina, Brazil, France, and Sweden for their support of national efforts to control and eliminate measles.

To call on all the Member States to continue to give high priority to this program in order to ensure that the human and financial resources needed for implementing the actions outlined in the progress report, in particular funds for the purchase of vaccines, are made available in their national budgets and are allocated especially to those areas or populations at greatest risk for the target diseases. In this respect, it is of the utmost importance that:

National commissions for the certification of poliomyelitis eradication continue to monitor the poliomyelitis surveillance indicators in their own countries until the world is certified polio-free;

The acute flaccid paralysis surveillance system now in place be expanded to cover illnesses with fever and rash, including laboratory support, as part of the efforts to increase the possibility of eliminating measles;

Vaccination of women of childbearing age in areas identified to be at risk for tetanus be accelerated in order to ensure that every child is born to an immune mother and will not be at risk of contracting neonatal tetanus;

Careful consideration be given to both the epidemiologic and financial implications before any other vaccines-for example, yellow fever, hepatitis B, rubella, mumps, Haemophilus influenzae b, or meningococcal meningitis-are used in, or added to, national immunization programs.

To request the Director to:

Continue monitoring the maintenance of poliomyelitis eradication in the Americas until the world is certified polio-free;

Search for additional resources to increase the funds assigned to the Measles Elimination Fund established by the XXXVII Meeting of the Directing Council1 in 1993, in order to ensure that the national initiatives under way in several of the countries will have the support needed to consolidate present gains toward the elimination of this disease;

To stimulate increased participation by the collaborating agencies through the work of national interagency coordinating committees and the monitoring of national plans of action.

June 1994 OD 226, 96

 

CE113.R6    The Executive Committee,

 Having seen the proposal for convening a Pan American Conference on Health and the Environment in Sustainable Development, to be held in 1995 (Document CE113/12), which examines the desirability and feasibility of holding such a conference and presents a corresponding agenda and development plan,

RESOLVES:

 To recommend to the XXIV Pan American Sanitary Conference the adoption of a resolution along the following lines:

The XXIV Pan American Sanitary Conference,

 Having seen the proposal for convening a Pan American Conference on Health and the Environment in Sustainable Development, to be held in 1995 (Document CSP24/___);

 Noting the follow-up actions recommended in Agenda 21 of the United Nations Conference on Environment and Development (UNCED), held in 1992, which considers health as it relates to the environment and development, as well as the recommendation that the countries prepare national plans for sustainable development and that such plans incorporate the components of health in general and environmental health in particular;

 Bearing in mind Resolution CD36.R13 of the XXXVI Meeting of the Directing Council (1992), which requested the Director to study the feasibility of convening such a conference; and

 Considering that it is urgent that the health sector have a consistent policy at the regional level which recognizes the close relationship that exists among health, the environment, and development and which facilitates the sector's active participation from the outset in the preparation of national plans for sustainable development and in the discussion, follow-up, and execution of UNCED's Agenda 21 at the national and international level,

RESOLVES:

To urge the Member States to:

Incorporate the components of health and environment in their national plans for sustainable development;

Continue to strengthen institutional capacity for the management of environmental health at all levels, including the strengthening or establishment of a high-level commission for coordinating activities for the effective implementation of actions in the areas of health and the environment;

Participate actively in the various preparatory stages of the Pan American Conference on Health and the Environment in Sustainable Development, to be held in 1995, especially in the national phase.

To request the Director to:

Ensure that the Pan American Conference on Health and the Environment in Sustainable Development will be held on 21–23 August 1995, pursuant to securing the necessary funding and acceptance by the Subcommittee on Planning and Programming of the development plan that has been proposed;

Carry forward his negotiations with the World Bank and the Inter-American Development Bank to ensure their full cooperation in holding the Conference, and also to encourage other regional, bilateral, and nongovernmental organizations concerned with the subject to participate in the conference and incorporate health and environmental considerations in their development programs;

Continue his efforts on behalf of the countries, as requested in Resolution CD36.R13 of the XXXVI Meeting of the Directing Council, to see that their needs are met in the area of health and the environment, especially in terms of the mobilization of resources.

June 1994 OD 266, 98

 

CE113.R7  The Executive Committee

 Having seen Document CE113/13, "International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources,"

RESOLVES:

 To recommend to the XXIV Pan American Sanitary Conference that it adopt a resolution along the following lines:

The XXIV Pan American Sanitary Conference,

 Having seen Document CSP24/___, "International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources";

 Aware of the increasing use of ionizing radiation in medical applications and its potentially deleterious effects on health:

 Emphasizing the importance of international harmonization in the field of radiation safety;

 Acknowledging the coordinating role of the Inter-Agency Committee on Radiation Safety (IACRS)-which comprises the Commission of the European Communities, the Food and Agriculture Organization of the United Nations (FAO), the International Atomic Energy Agency (IAEA), the International Labor Organization (ILO), the Nuclear Energy Agency (NEA) of the Organization for Economic Cooperation and Development, the United Nations Scientific Committee on the Effects of Atomic Radiation, and the World Health Organization (WHO), as well as the Pan American Health Organization (PAHO)-in preparing the aforementioned International Basic Safety Standards in light, inter alia, of the 1991 recommendations of the International Commission on Radiological Protection; and

 Recognizing that, within the framework of IACRS, a joint secretariat of FAO, IAEA, ILO, NEA, WHO, and PAHO was established to prepare the International Basic Safety Standards,

RESOLVES:

To endorse the International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources.

To urge the Member States to draw on the guidance provided by the International Basic Safety Standards when establishing regulations and operational criteria in the field of radiation safety.

To ask the Director, in accordance with the availability of resources from the Organization, to continue to cooperate with the Member States in the development and implementation of national plans on radiation safety.

June 1994 OD 266, 100

 

CE113.R8  The Executive Committee

 Having seen the report contained in Document CE113/14, "Health and Peace for Development and Democracy in Central America,"

RESOLVES:

 To recommend to the XXIV Pan American Sanitary Conference the adoption of a resolution along the following lines:

The XXIV Pan American Sanitary Conference,

 Having seen Document CSP24/___, "Health and Peace for Development and Democracy in Central America"; and

 Considering the progress that has been achieved in terms of the quest for harmony and peace in Central America, in which efforts in the field of health have played an important role,

RESOLVES:

To support the efforts under way to accelerate development and consolidate democracy in the Central American countries through actions in the field of public health.

To urge the Member States of Central America to formulate and implement a common health agenda in order to take maximum advantage of opportunities for improving the living conditions of the population within the framework of Central American social integration and greater equity and efficiency in the delivery of health services.

To request the Director, within the limits of available resources, to continue to support the Central American countries in the social integration process, the formulation and implementation of a subregional health agenda, and the corresponding mobilization of resources.

June 1994 OD 266, 101

 

CE113.R9  The Executive Committee,

 Having seen Document CE113/15, "Regional Plan of Action for Health Promotion in the Americas," presented by the Director in fulfillment of Resolution CD37.R14 of the XXXVII Meeting of the Directing Council;

 Noting that the aforementioned document endorses a broad concept of health, reaffirms the role that health plays in the well-being and development of society, emphasizes the formulation of public policies conducive to the creation of healthful options for the population, and proposes a set of concrete actions to this end; and

 Recognizing that health promotion has not yet reached the optimum stage of development in most of the countries of the Region, and that the Regional Plan of Action which has been proposed may serve as an incentive for the development of health promotion and at the same time provide fertile ground for technical cooperation,

RESOLVES:

To approve the Regional Plan of Action presented in the document.

To urge the Member States to:

Give due priority to health promotion and make specific provision for it in their development policies and plans;

Prepare and implement national plans for health promotion which are tailored to the situation in each country and are consonant with the principles set forth in the Regional Plan of Action;

Facilitate integration of these programs in the various related social sectors, especially education, housing, labor, justice, urban development, sports, and family protection and welfare;

Allocate sufficient human and material resources for implementation of the Plan;

Promote the programming and execution of actions at the local level with the political support of municipal administrations and the participation of community members and the local health systems;

Give special recognition to the adverse effects of the use of tobacco, drugs, and alcohol on the health of individuals and to their impact on health system expenditures.

To request the Director, within the limits of available resources, including extrabudgetary funds, to:

Encourage coordination of the various programs within the Organization with a view to achieving the adoption of health promotion as a common strategy for all technical cooperation;

Promote, at the country level, the exchange and dissemination of knowledge and successful experiences and initiatives in the area of health promotion while at the same time promoting research and encouraging incorporation of the subject in the health sciences curricula.

June 1994 OD 266, 102

 

CE113.R10  The Executive Committee

 Having reviewed the report on acquired immunodeficiency syndrome (AIDS) in the Americas (Document CE113/16 and Add. I) and Annexes II-A and II-B.

RESOLVES:

To request the Director to consult with the Regional Directors of relevant United Nations agencies, with the executive heads of agencies of the inter-American system, and with other interested bilateral agencies on the establishment of an appropriate coordinating mechanism to ensure the proper implementation and coordination of the new joint and cosponsored United Nations Program on AIDS in the Americas.

To recommend to the XXIV Pan American Sanitary Conference the adoption of a resolution along the following lines:

The XXIV Pan American Sanitary Conference,

 Having reviewed the report on acquired immunodeficiency syndrome (AIDS) in the Americas (Document CSP24/___);

 Recalling Resolution WHA46.37 of May 19931 and its subsequent follow-up in May 1994,2 in which the World Health Assembly proposed and endorsed, respectively, the establishment of a joint, cosponsored United Nations Program on AIDS;

 Considering that HIV transmission and the AIDS pandemic continue to grow globally as well as in the countries of the Region of the Americas, and that this situation requires a more intensive, long-term, effective, and sustainable intersectoral response;

 Reaffirming that dealing with the intersectoral implications of AIDS is primarily a national responsibility in which all sectors must play their respective roles, with the appropriate leadership of the health sector; and

 Recognizing the continued need for joint, coordinated efforts involving all relevant sectors of society, as well as multilateral and bilateral technical and financial cooperation agencies, in the prevention of HIV, AIDS, and other sexually transmitted diseases at the national, regional, and global levels,

RESOLVES:

To endorse the implementation of the new joint, cosponsored United Nations Program on AIDS in the Region of the Americas, taking advantage of the existing regional structures of the participating agencies.

To urge the Member States to support, establish, or reinforce mechanisms to ensure effective national coordination of all national, multilateral, and bilateral efforts to fight HIV infection, AIDS, and sexually transmitted diseases in the countries of the Americas.

To request the Director to:

Continue to support efforts to prevent and control HIV infection, AIDS, and sexually transmitted diseases in the Region of the Americas;

Continue to consult with the other agencies participating in the new joint, cosponsored United Nations Program on AIDS and to develop with them a mutually acceptable means to of implementing that program in the Region of the Americas, including the establishment of a coordinating mechanism that will ensure the participation of other inter-American institutions and partners in the Region.

June 1994 OD 266, 103

 

CE113.R11  The Executive Committee,

 Having examined the report of the Award Committee of the PAHO Award for Administration, 1994 (Document CE113/8, Add. I); and

 Bearing in mind the provisions of the procedure and guidelines for conferring the PAHO Award for Administration as approved by the XVIII Pan American Sanitary Conference (1970)1 and amended by the XX Pan American Sanitary Conference (1978)2 and by the XXVII Meeting of the Directing Council (1980),3

RESOLVES:

To note the decision of the Award Committee to confer the PAHO Award for Administration, 1994, on Dr. Zilda Arns Neumann, Director of the Division of Maternal and Child Health in the Ministry of Health of Brazil, for her outstanding work in the administration of programs in a variety of public fields, particularly maternal and child health-both in nongovernmental and governmental organizations and at state and national levels.

To transmit the report of the Award Committee of the PAHO Award for Administration, 1994 (Document CE113/8, Add. I) to the XXIV Pan American Sanitary Conference.

June 1994 OD 266, 104

 

CE113.R12    The Executive Committee,

 Having reviewed Document CE113/23, which reports on actions taken by the Secretariat in relation to the approved projects financed by the PAHO Building Fund and describes additional project requirements,

RESOLVES:

 To approve the proposal to remodel the electrical system in the Peru building at an estimated cost of US$ 42,000.

June 1994 OD 266, 105

 

CE113.R13  The Executive Committee

 Having seen and examined the report of the Director containing the Regional Plan of Action for organization of the Regional System for Vaccines (SIREVA) (Document CE113/17),

RESOLVES:

 To recommend to the XXIV Pan American Sanitary Conference the adoption of a resolution along the following lines:

The XXIV Pan American Sanitary Conference,

 Having seen Document CSP24/___ on the Regional System for Vaccines (SIREVA);

 Considering that vaccines are fundamental instruments for the implementation of programs to control and eradicate diseases preventable by immunization;

 Bearing in mind that research for the technological development of new vaccines is the responsibility of the scientific community and national institutions;

 Convinced that the development of new vaccines can stimulate biotechnology as part of the technologic development process; and

 Considering that only through technical cooperation among countries, based on joint efforts that bring together the technical and scientific experience, capacity, and potential of their institutions through a collaborative program for development within the Regional System for Vaccines, will it be feasible to produce the needed new vaccines and to make those that are already available more safe and efficacious,

RESOLVES:

To urge the Member States to:

Define and give priority to a policy for the development of a regional system covering the development, production, quality control, and evaluation of vaccines of importance for public health;

Revise and adjust the targets, strategies, and principal actions relating to epidemiologic research on diseases preventable by vaccination; development, production, and quality control; and evaluation of new and improved vaccines;

Promote policies and legislation that will commit national resources, mobilize investments, and foster technical, scientific, and financial cooperation among the countries of the Region in order to finance the work planned for SIREVA.

To authorize the Director to enter into negotiations and agreements with public and private institutions in order to promote the development, production, and marketing of vaccines in the Region in response to expressions of interest by the Member Governments.

To request the Director to:

Support, within the limits of available resources, the basic activities of coordination and technical and scientific cooperation among the countries in the area of research and in the development, production, and evaluation of vaccines of high priority for the control of diseases preventable by immunization;

Assist in implementing research pursuant to the guidelines contained in the master plans formulated and approved by the Expert Committees on SIREVA, or for the development of specific immunizing agents;

Promote a system for encouraging participation in research on vaccine development by as many official and private institutions as possible in the countries of the Region;

Provide affiliated laboratories with access to scientific and technical knowledge developed within the Regional System for Vaccines and related to the production of vaccines, as long as these laboratories have facilities and production infrastructures that meet international requirements, and as long as they assume responsibility for the quality and proper use of the vaccines, pursuant to the guidelines of the Expert Committees on SIREVA;

Discuss and come to an agreement on the transfer of technology among the participating parties, for which purpose PAHO will convene representatives of the Member States and the Expert Committees on SIREVA.

June 1994 OD 266, 106

 

CE113.R14  The Executive Committee,

 Having seen the joint PAHO/ECLAC report presented in Document CE113/18, "Health, Social Equity, and Changing Production Patterns in Latin America and the Caribbean,"

RESOLVES:

To request the Director to introduce further refinements in Document CE113/18 taking into consideration the discussion by the Committee.

To recommend to the XXIV Pan American Sanitary Conference that it adopt a resolution along the following lines:

The XXIV Pan American Sanitary Conference,

 Having seen the PAHO/ECLAC report presented in Document CSP24/___, "Health, Social Equity, and Changing Production Patterns in Latin America and the Caribbean";

 Recognizing the mutually reinforcing relationship among health, health care, and the socioeconomic and political development of the American countries; and

 Taking into consideration the resolution adopted on this subject by the XXV Session of the Economic Commission for Latin America and the Caribbean at Cartagena de Indias, Colombia, on 27 April 1994, which recommended to PAHO and ECLAC that this report be submitted to a Special Meeting of Ministers of Economy and Health to be held during the forthcoming XXIV Pan American Sanitary Conference,

RESOLVES:

To urge the Member States to:

Disseminate this report and promote debate thereon among representatives of government agencies, parliaments, universities, and society in general with a view to strengthening national commitment to the attainment of equity in health and development;

Incorporate the basic elements of the PAHO/ECLAC proposal in agendas and policies on national development, so that health will be incorporated as both a focus and a condition for development with equity.

To encourage ongoing collaboration by the PAHO and ECLAC secretariats in the dissemination, refinement, and implementation of this proposal, particularly insofar as it refers to the monitoring, evaluation, and formulation of policy, and that efforts be made to extend this collaboration to other bilateral and multilateral organizations.

To ask the Director, within the limits of available resources, to support the implementation of this proposal by the Member States.

June 1994 OD 266, 107

 

CE113.R15    The Executive Committee,

 Having seen Document CE113/19, which presents the results from a survey of the market for the services of the Pan American Institute for Food Protection and Zoonoses (INPPAZ);

 Bearing in mind Document CD37/15, "Financial Study of INPPAZ"; and

 Having been informed of the discussions in the most recent meetings held by the International Coordination Council and the Technical and Scientific Committee, the advisory bodies of the Institute,

RESOLVES:

To adopt Document CE113/19, "Study of the Market for Services of the Pan American Institute for Food Protection and Zoonoses," together with the recommendations of the Technical and Scientific Committee and the International Coordination Council of INPPAZ, as well as Document CD37/15, "Financial Study of INPPAZ," as orientation for determining the focus of technical cooperation activities of the Institute.

To request the Director of PAHO to continue to refine the performance of INPPAZ so that it will be increasingly aligned with the basic needs of the countries, bearing in mind the Institute's existing capacity to respond.

June 1994 OD 266, 108

 

CE113.R16  The Executive Committee

 Having seen the progress report presented by the Secretariat on the third monitoring of progress in the implementation of the Strategies of Health for All by the Year 2000 (Document CE113/20); and

 Bearing in mind the commitments assumed by the Member States of WHO at its Forty-fifth World Health Assembly (Resolution WHA45.4, 1992)1 with regard to the presentation of national reports, according to which a regional report is to be drafted for consideration by the XXIV Pan American Sanitary Conference, to be held in September 1994, and, subsequently, by the Executive Board and the World Health Assembly,

RESOLVES:

To urge the Member States:

To renew their commitment to the Strategies of health for All by the year 2000 and to primary health care as a framework within which to address the epidemiologycal, socioeconomic, and financial situation in the area of health through the end of the twentieth century;

To intensify their effort to ensure that the national reports not yet received by the
Secretariat will be submitted as soon as possible.

To request the Director:

To support the review of the common framework and format currently in use, as well as the procedures for the monitoring and evaluation exercises, in order to maximize the value of the responses prepared by the countries;

To continue to work on the preparation of the regional report corresponding to the third monitoring exercise, and to ensure that this report will be presented for consideration by the XXIV Pan American Sanitary Conference, XLVI Meeting of the WHO Regional Committee for the Americas.

30 June 1994

CE113.R17  The Executive Committee,

 Having reviewed Document CE113/8 containing, among other things, a proposal to modify the existing procedures and guidelines for conferring the PAHO Award for Administration,

RESOLVES:

 To recommend to the XXIV Pan American Sanitary Conference the adoption of a resolution along the following lines:

The XXIV Pan American Sanitary Conference,

 Having reviewed Document CSP24/___, containing, among other things, a proposal for modification of the existing procedures and guidelines for conferring the PAHO Award for Administration;

 Noting that the last revision of the procedures and guidelines took place in 1980,1 and that recent experience suggests that they should be updated; and

 Considering that the Director has proposed and that the 113th Meeting of the Executive Committee has analyzed revisions to the current procedures and guidelines for conferring the Award,

RESOLVES:

To adopt the modifications to the procedures and guidelines for conferring the PAHO Award for Administration contained in Document CSP24/_____.

To request the Director to communicate the revised procedures and guidelines to the Member States.

June 1994 OD 266, 110

 

CE113.R18  The Executive Committee,

 Having studied the report presented by the Standing Subcommittee of the Executive Committee charged with reviewing the list of nongovernmental organizations in official relations with PAHO; and

 Mindful of the provisions of paragraph 1.9 of Resolution CSP20.R20 of the XX Pan American Sanitary Conference,

RESOLVES:

To recommend the updating of the current criteria regarding the establishment and maintenance of official relations between PAHO and inter-American nongovernmental organizations and, to that end, to request the Director to prepare a proposal to be submitted for the consideration of the Executive Committee at its meeting in June 1995, and subsequently transmitted to the XXXVIII Meeting of the Directing Council for approval.

To continue relations with the Latin American Federation of Hospitals, the Pan American Federation of Associations of Medical Schools, the Latin American Union against Sexually Transmitted Diseases, the Inter-American College of Radiology, the Latin American Confederation of Clinical Biochemistry, and the Pan American Federation of Nursing Professionals until the new criteria are approved.

To request the three nongovernmental organizations in official relations with PAHO that did not submit their information on time to do so within 90 days, to enable the Standing Subcommittee on Inter-American Nongovernmental Organizations in Official Relations with PAHO to recommend whether to continue or suspend relations.

To request the Director to:

Continue developing dynamic working relations with inter-American nongovernmental organizations of interest to the Organization in areas which fall within the program priorities that the Governing Bodies have adopted for PAHO;

Assess the relevance of the relationship with inter-American nongovernmental organizations working officially with PAHO, encouraging more participation and collaboration;

Continue fostering relationships between the Member Governments and nongovernmental organizations in health;

Encourage nongovernmental organizations to provide their technical cooperation within the framework of national health policies and with the awareness of the pertinent country authorities.

June 1994 OD 266, 111

 

CE113.R19  The Executive Committee,

 Having considered the amendments to the Staff Rules of the Pan American Sanitary Bureau submitted by the Director in the Annex to Document CE113/26; and

 Bearing in mind the provisions of Staff Rule 020,

RESOLVES:

To confirm the following amendments to the Staff Rules of the Pan American Sanitary Bureau submitted by the Director in the Annex to Document CE113/26:

Effective 1 March 1993, concerning the abolition of the meritorious within-grade increase scheme for newly appointed staff and the introduction of a long-service step for staff in the general service category who joined the Organization on or after 1 March 1993;

Effective 1 January 1994, concerning an editorial change in the definition of pensionable remuneration, the introduction of a language incentive scheme for staff in the professional and higher categories, and the procedures applicable to secondment from government service;

Effective 1 February 1994, concerning the transitional arrangements for the phasing out of meritorious within-grade increases for serving staff;

Effective 1 March 1994, concerning the salary applicable to staff in the professional category and directors' posts and the rates of staff assessment for staff in the professional and higher categories.

To amend paragraph 440.4 proposed for addition to the PASB Staff Rules (Document CE113/26, Annex), to read as follows:

"440.4 For staff seconded from government service the offer of appointment, notice of acceptance and supporting documentation of the terms and conditions of secondment, as agreed by the Bureau, the government and the staff member concerned, shall constitute evidence of the existence and validity of secondment from government service to the Bureau for the period stated in the offer of appointment. Any extension of appointment that continues the secondment status shall be subject to agreement by all parties concerned."

June 1994 OD 266, 112

 

CE113.R20  The Executive Committee,

 Considering the revision made to the base/floor salary scale for the professional and higher categories, effective 1 March 1994;

 Taking into account the recommendation of the Ninety-third Session of the WHO Executive Board to the Forty-seventh World Health Assembly1 relating to the remuneration of the Regional Directors, the Deputy Director-General, and the Director-General; and

 Bearing in mind Staff Regulation 3.1 of the Pan American Sanitary Bureau and Resolution CD20.R20 of the XX Meeting of the Directing Council,

RESOLVES:

Effective 1 March 1994, to:

Establish the annual net salary of the Deputy Director at US$ 82,586 at dependency rate and $74,721 at single rate;

Establish the annual net salary of the Assistant Director at $81,586 at dependency rate and $73,721 at single rate.

To recommend to the XXIV Pan American Sanitary Conference that it establish the annual net salary of the Director at $90,043 at dependency rate and $80,922 at single rate, effective 1 March 1994.

June 1994 OD 266, 113