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Director's Annual and Quinquennial Reports & Publications
Health and the Millennium Development Goals: From Commitment to Action.
Annual Report of the Director - 2011 »
“The Millennium Development Goals are the most ambitious endeavor ever pursued against human deprivation and the first to place health at the center of development. They give us an unparalleled opportunity to improve health and equity by mobilizing coordinated multisectoral action to fight disease and improve the social determinants of health.”
Director's speech »


Promoting health, well-being, and human security in the Americas.
Annual Report of the Director - 2010 »
“Human security is reflected in a child who doesn’t die, a disease that doesn’t spread, a job that isn’t eliminated, ethnic tension that doesn’t explode into violence, a dissenter who isn’t silenced. Human security doesn’t involve concern about guns but concern about human life and dignity.”
Director's speech » [in Spanish]


Advancing toward Health for All: Progress in Primary Health Care in the Americas.
Annual Report of the Director - 2009 »
There are countries in our Region and in the World that have managed to build health Systems that effectively guarantee universal and equitable access, that are collective and participatory, and that at the same time ensure efficiency, effectiveness, and quality. All of these systems are based on primary health care.



Planning Public Health Action: A Collective Vision and Commitment to Better Health.
Annual Report of the Director - 2008 »
Dr. Mirta Roses Periago presents the 2007–2008 annual report on the work of the Pan American Sanitary Bureau, Regional Office of the World Health Organization. The report highlights the Bureau's major work in providing technical cooperation during this period within the framework of the Strategic Plans of the Pan American Sanitary Bureau. "... strategic planning will allow us to strengthen health action, improve efficiency, increase accountability, and improve social protection and access to quality health care ..."
Director's speech »


HEALTH AGENDA FOR THE AMERICAS 2008 - 2017.
The Governments of the Region of the Americas jointly establish this Health Agenda to guide the collective action of national and international stakeholders who seek to improve the health of the peoples of this Region over the next decade.
Health Agenda for the Americas 2008 - 2017 »


Leading Public Health in the Americas into the 21st Century.
Quinquennial Report of the Director 2003-2007 »
The report by Dr. Mirta Roses Periago analyzes the most relevant information on compliance with the technical cooperation program during this period, within the framework of the strategic and programmatic orientations defined by the Governing Bodies of the Pan American Health Organization for the quinquennium 2003-2007.


HEALTH IN THE AMERICAS - Edition 2007.
Launched the 2007 edition of Health in the Americas at the 27th Pan American Sanitary Conference, publication that offers an updated, comprehensive presentation of the health situation throughout the hemisphere generally and specifically in the 46 countries and territories of the Americas,and it describes and analyzes the progress, constraints, and challenges of PAHO Member States in their efforts to improve the health of the peoples of the Region.
Health in the Americas - Edition 2007 »


PAHO in the 21st Century: Leadership and Cooperation in Public Health.
Director's publication - 2007.
Convinced that “exchange and cooperation among countries and institutions are the essence of the work of the Pan American Health Organization (PAHO)”, this publication presents the progress toward fulfilling the initial commitments to cooperation in public health in the period of 2003-2007 developed by the Organization to the Member States. Includes the subjects: Greater Resources for Health, New Cooperation Instruments and Modalities, Greater Solidarity and Pan-American Action, Strengthening the Regulatory and Governance Level, and, Recognition of our Progress.
more in PDF »


Close the Gap of Health in the Least Protected Population.
Annual Report of the Director - 2006 »
"The search for equity in health is one of the main objectives that guide" the Pan American Health Organization actions in the Americas, PAHO Director Dr. Mirta Roses said today, presenting her annual report to the organization's 47th Directing Council, an annual summit of health ministers who meet to discuss crucial public health issues. The report focuses on closing the gaps in health in the least protected populations in the Americas.


Working Together for the Health of the Americas.
Annual Report of the Director - 2005 »
In accordance with the provisions of the Constitution of the Pan American Health Organization, I have the honor to present the 2004-2005 annual report on the activities of the Pan American Sanitary Bureau, Regional Office of the World Health Organization. The report highlights the major events that have taken place during the period in the course of carrying out the program of technical cooperation within the framework of the Strategic Plan for the Pan American Sanitary Bureau, 2003-2007, defined by the Governing Bodies of the Pan American Health Organization.



Health: An Essential Component of the Development Goals Set Forth in the Declaration of the Millennium.
Annual Report of the Director - 2004 »
The Development Goals set forth in the United Nations Millennium Declaration reflect an unprecedented political consensus on the state of the world and its vision for the future. They establish measurable targets and specific timetables for the progress of humankind. These targets can be met if we are capable of turning them into the banner, the dreams, the aspirations, and the demands of individuals, groups, families, communities, and nations.


Moving towards a New Century of Health in the Americas.
Annual Report of the Director - 2003 »
Main subjects are: Progress towards Equity and Challenges Ahead; Strategic and Programmatic Orientations 1999-2002; PAHO Celebrates its Centennial; and the Change in Management and the New Administration's Foundation.



Director's Annual and Quadrennial Reports & Publications 2002 - 1996
BASIC DOCUMENTS of the Pan American Health Organization, 16th edition.
BASIC DOCUMENTS - 2002 »
This publication includes the basic documents pertaining to the governance of the Pan American Health Organization, including the Pan American Sanitary Code; the constitutions of the Pan American Health Organization and of the World Health Organization; the Rules of Procedure of the Pan American Sanitary Conference, the Directing Council, and the Executive Committee; and the Financial Regulations of the Pan American Health Organization.
More in PDF »



Charting the Future for Health in the Americas.
Quadrennial Report of the Director 1998-2002. Centennial Edition »
In celebrating its 100th anniversary, the Pan American Health Organization— already the oldest international public health entity in the world—joins a select group of institutions that have stood the test of time. With its centenarian counterparts, PAHO shares two strengths: a bedrock foundation and an uncommon ability to negotiate dramatic environmental changes. Those strengths, in turn, have enabled the Organization to pursue its primary purpose: service to the countries of the Americas to better the health of their peoples.

Charting a Future for Health in the Americas describes the work of the Pan American Health Organization in recent years. The report opens with a disquisition on the significance of its title—how PAHO has had, and will continue to need, to chart and steer a steady course, dealing with and even capitalizing on changes along the way, in order to reach its goal: health in the Americas.

With pointillistic highlights of the Organization’s century-long work in its major fields of responsibility, the report brings the accounting of its actions to the present. It describes the resources PAHO has employed and the impact its cooperation with member countries has had on assessing the regional health situation, enhancing health and human development, preventing and controlling diseases, promoting health, protecting the environment, and strengthening health systems and services. Moreover, because of the stature it has attained, the Organization has been able to strike alliances with other international agencies, nongovernmental organizations, and the private sector—and the story of their shared agenda is recounted here.



Promoting Health in the Americas.
Annual Report of the Director - 2001 »
Available in PDF, the full text of the 2000–2001 annual report on technical cooperation activities of the Pan American Sanitary Bureau, Regional Office of the World Health Organization. Within the context of the strategic and programmatic orientations for the 1999–2002 quadrennium, defined by the Governing Bodies of the Pan American Health Organization, the report analyzes the salient activities of the Organization’s technical cooperation program during this period. The report is complemented by the Interim Financial Report of the Director for the Year 2000.



Advancing the People's Health.
Annual Report of the Director - 2000 »
Entitled “Advancing the People’s Health,” the new PAHO Annual Report provides an overview of the health situation in the Americas and a description of the technical cooperation activities of the Pan American Sanitary Bureau. The report is complemented by the Interim Financial Report of the Director for the Year 1999.



Information for Health.
Annual Report of the Director - 1998 »
In accordance with the Constitution of the Pan American Health Organization, I have the honor to submit the 1998 annual report on technical cooperation activities of the Pan American Sanitary Bureau, Regional Office of the World Health Organization. Within the context of the strategic and programmatic orientations for the 1995-1998 quadrennium, defined by the Governing Bodies of the Pan American Health Organization, the report analyzes the salient activities of the Organization's technical cooperation program during 1998. The report is complemented by the Interim Financial Report of the Director for the Year 1998.

The report analyzes the salient activities of the Organization's technical cooperation program during 1998. The report is complemented by the Interim Financial Report of the Director for the Year 1998.



Leading Pan American Health.
Quadrennial Report of the Director 1994-1997 »
This report is a presentation of accounts. Every four years, PAHO’s Member Governments meet at the Pan American Sanitary Conference to set hemispheric policy. Policy adopted by the Conference in 1994, in the form of Strategic and Programmatic Orientations, committed the Pan American Sanitary Bureau to concrete lines of action in health and human development, health systems and services development, health promotion and protection, environmental protection and development, and disease prevention and control. What we have accomplished in those areas is the story told in the pages that follow.



Healthy People, Healthy Spaces.
Annual Report of the Director - 1996 »
Although there may well be modern versions of the concept of a good that might be at variance with Aristotle's, the view that health may be found among the goods to be created and nurtured by associations remains as one of our working hypotheses. Plus, health itself may lead to the formation of associations in particular spaces that, in turn, contribute to other equally desirable goods. (Official Document, © PAHO, 1996)