XVI Pan American Sanitary Conference

RESOLUTIONS


CSP16.R1 The XVI Pan American Sanitary Conference,

Having carefully examined the revised text of the Rules of Procedure of the Pan American Sanitary Conference contained in Document CSP16/2; and

Bearing in mind Resolution XX XVII adopted by the XIII Meeting of the Directing Council,

Resolves:

To approve the Rules of Procedure of the Pan American Sanitary Conference contained in Document CSP16/2.

Aug.–Sept. 1962 OD 48, 9

 

 

CSP16.R2 The XVI Pan American Sanitary conference,

Having examined the Annual Report of the Executive Committee (Document CSP16/22), submitted by its Chairman, Dr. Victorio Vicente Olguín, Representative of Argentina; and

Considering the terms of Article 4-F of the Constitution of the Pan American Health Organization,

Resolves:

To approve the Annual Report of the Executive Committee (Document CSP16/22) and to commend the Chairman, Dr. Victorio Vicente Olguín, Representative of Argentina, and the members of the Committee on the work accomplished.

Aug.-Sept. 1962 OD48, 9-10

 

 

CSP16.R3 The XVI Pan American Sanitary Conference,

Considering the formal request for membership in the Pan American Health Organization made on behalf of the Government of Jamaica by the Chargé d'Affaires of the Embassy of Jamaica in Washington, D.C., on 10 August 1962;1

Considering that this request has been communicated by the Director of the Pan American Sanitary Bureau to the Governments of the Pan American Health Organization; and

Considering that the Government of Jamaica has declared that it is willing to assume all the obligations imposed by the Constitution of the Pan American Health Organization and to comply with the provisions of the Pan American Sanitary Code, as amended by the Additional Protocol of 24 September 1952, as well as to contribute by means of a quota assessment to the financial support of the Organization,

Resolves:

1. To approve the application made by Jamaica for membership in the Pan American Health Organization.

2. To request the Director to transmit this decision to the Governments of the Organization.

Aug.–Sept. 1962 OD 48, 10

 

 

CSP16.R4   XVI Pan American Sanitary Conference,

Considering the provisions of Articles 2, paragraph A; 4, paragraphs B and H; and 9, paragraph A, of the Constitution of the Pan American Health Organization,

Resolves:

1. To request the Directing Council to study and draw up appropriate procedures to govern the admission of States to membership in the Pan American Health Organization.

2. To delegate to the Directing Council the authority to deal with questions of admission of States to membership in the Organization during the interval between meetings of the Conference, in accordance with the procedures to be adopted by the Directing Council.

Aug.–Sept. 1962 OD 48, 10

 

 

 

CSP16.R5   XVI Pan American Sanitary Conference,

Having examined the Quadrennial Report of the Director of the Bureau on the activities of the Pan American Health Organization during the period between the XV and the XVI Pan American Sanitary Conferences (Official Document 43); and

Considering the terms of Article 4, paragraph F, of the Constitution of the Pan American Health Organization,

Resolves:

To approve the Quadrennial Report (January 1958–December 1961) of the Director to the Governments of the Pan American Health Organization, to commend him on the work accomplished in the past four years and on the form of presentation of the report, and to extend its commendation to the staff of the Bureau.

Aug.–Sept. 1962 OD 48, 11

 

 

CSP16.R6 The XVI Pan American Sanitary Conference,

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 1961 (Official Document Nº44); and

Considering the terms of Article 4-F of the Constitution of the Pan American Health Organization,

Resolves:

To approve the Annual Report of the Director for 1961 (Official Document Nº44), to commend him on the excellent work accomplished during the year, and to extend its commendation to the staff of the Bureau.

Aug.–Sept. 1962 OD 48, 11

 

 

CSP16.R7 The XVI Pan American Sanitary Conference,

Bearing in mind Article 4, paragraph E, as well as Article 21, paragraph A, of the Constitution of the Pan American Health Organization, which provide that the Pan American Sanitary Bureau shall have a Director elected at the Conference by the vote of a majority of the Governments of the Organization;

Bearing in mind Article 42 of the Rules of Procedure of the Conference, which provides that the Director of the Bureau shall be elected by a number of votes greater than half the number of the Governments of the Organization; and

Bearing in mind Article 4 of the Agreement between the World Health Organization and the Pan American Health Organization, and Articles 49 and 52 of the Constitution of the World Health Organization, which establish the procedure for the appointment of the Regional Director of the World Health Organization,

Resolves:

1. To declare Dr. Abraham Horwitz elected Director of the Pan American Sanitary Bureau for a period of four years to begin 1 February 1963.

2. To communicate to the Executive Board of the World Health Organization the designation of Dr. Abraham Horwitz, for appointment as Regional Director for the Americas.

Aug.–Sept. 1962 OD 48, 11

 

 

 

CSP16.R8   XVI Pan American Sanitary Conference,

The Pan American Sanitary Conference elected Costa Rica and the United States of America to the Executive Committee upon termination of the periods of office of Colombia and El Salvador, and thanked the Governments of these countries for the valuable services rendered to the Organization by their representatives on the Committee.

Aug.–Sept. 1962 OD 48, 12

 

 

CSP16.R9   XVI Pan American Sanitary Conference,

Considering that the summaries of four-year reports on health conditions in the Americas presented to the XIV, XV, and XVI1 Pan American Sanitary Conferences provide an important record of progress in the Americas and contribute comparative data for the planning and evaluation of national and international health programs; and

Considering that the planning of long-range health programs requires basic data of many types, which should be as complete and comparable as possible and available for all areas of the Americas,

Resolves:

1. To recommend that the Governments of the Organization take the necessary steps to expand and strengthen their programs for the collection, publication, and utilization of vital and health statistics that will serve as a basis for the formulation, execution, and evaluation of national health programs.

2. To encourage the prompt, accurate, and complete reporting of data on morbidity and mortality due to communicable diseases, for immediate use in the planning, execution, and evaluation of programs for the control or eradication of such diseases.

3. To request the Director of the Pan American Sanitary Bureau to continue to stress the importance of the annual publication of statistics on morbidity and mortality due to notifiable diseases so that current evaluation may be made of the progress of control or eradication programs on a local, national, and international basis.

4. To recommend that each national health authority establish, or strengthen, its statistics department so that it will function at the appropriate level, respond to the needs, and fulfill the responsibilities recommended in the Pan American Sanitary Code and by the XIV Pan American Sanitary Conference.

5. To encourage the Governments of the Organization to support education and training programs in statistics for professional, technical, and auxiliary personnel so that rapid progress may be made in obtaining basic data and utilizing them effectively.

6. To recommend to the Director that the Organization continue to give high priority to the improvement of the quality and coverage of vital and health statistics so that throughout the Americas adequate systems of collection and utilization may be developed during the next decade.

7. To recommend that the Bureau continue the publication of the summaries of four-year reports on health conditions in the Americas, and that increased efforts be made at all levels to improve the quality of the data submitted on human resources, health and hospital services, and other facilities.

Aug.–Sept. 1962 OD 48, 12

 

 

CSP16.R10   XVI Pan American Sanitary Conference,

Having examined the report of the Director on the status of the continental plan of community water supply and sewage disposal (Document CSP16/13);1

Noting with satisfaction the work of the Pan American Sanitary Bureau during the past four years in the promotion and development of the community water supply program in the Americas, and the assistance being rendered to the Governments of the Organization;

Taking note of the contributions made in the past three years to the PAHO Special Community Water Supply Fund by the Governments of Colombia, the United States of America, Uruguay, and Venezuela;

Having heard the pledge of the United States Delegation to the Conference of a contribution of $300,000 to the PAHO Special Community Water Supply Fund for 1963 and a proposed pledge of up to $450,000 for 1964, subject to the appropriation of funds, of which a maximum increase of $150,000 would be provided to match funds contributed by the other Governments of the Organization;

Viewing with satisfaction the investment made by the Inter-American Development Bank in water supply and sewage disposal, and the close collaboration established between the Bureau and the Bank;

Recognizing and reaffirming the great importance of water supply and sewage disposal programs, both urban and rural, to public health and to the economic and social development of the peoples of all countries;

Noting the progress being made in the field of urban water systems, and recognizing that it is necessary, in accordance with the Charter of Punta del Este, to stress the need for similar progress in the solution of rural water problems;

Believing that the ministries of health must extend the sanitary supervision of urban water and sewer systems to include the sanitary review and approval of all plans for new construction;

Being convinced that in most countries rural water and sanitation programs can best be carried out by the engineering services of the ministries of health; and

Believing that the ever-increasing responsibilities of all the ministries of health in the general field of environmental sanitation, and specifically in the fields of water supply and sewage disposal, both urban and rural, can be met only by adequately staffed and well-organized divisions of sanitary engineering.

Resolves:

1. To request the Director of the Bureau to give the highest priority to the community water supply program and to continue the Bureau's efforts to stimulate the investment of local and international funds in water projects.

2. To request the Director to continue to amplify the assistance being given to the Governments in the planning, financing, management, and operation of water supply systems and in the preparation and training of professional and auxiliary personnel required for these purposes.

3. To express its thanks to the Governments of Colombia, the United States of America, Uruguay, and Venezuela for their contributions to the PAHO Special Community Water Supply Fund during the past three years, and for the pledge of future assistance by the Government of the United States, and to request the Director to renew the invitations to all the Governments to contribute to the Fund.

4. To request the Director to submit a program and budget indicating how these funds are to be spent and the possible [future] trends of the program.

5. To request the Director to convey to the Inter-American Development Bank the sense of satisfaction of the Conference with the consideration being given to loans for water systems and with the close collaboration being developed between the Bank and the Pan American Sanitary Bureau, as reflected in the recently signed agreement for joint action in the field of technical assistance.

6. To call to the attention of the Governments the necessity of giving high priority to national water supply and sewage disposal programs, both urban and rural, of incorporating them in long-range national plans, and of making suitable provision for the financing of these programs through maximum use of local resources.

7. To call to the attention of the Governments the necessity of strengthening the engineering divisions of the national health services through due recognition of the need for improved conditions of employment and encouragement of professional development and subsequent appropriate action.

8. To encourage each Government to enforce existing regulations, or to adopt appropriate regulations, directed to the sanitary review and approval by engineers of the health ministries, national or state, of all plans for urban water and sewer installations prior to the construction or modification of such works.

9. To express the need for all concerned-Governments, banking institutions, the Pan American Sanitary Bureau, and other international agencies and organizations-to study ways and find means for meeting the needs for rural water supply and sewage disposal and to rapidly implement programs directed to the improvement of these facilities for the rural populations.

10. To urge the Governments to assign responsibility for the conduct of all rural water and sewer projects to national or state health organizations.

Aug.–Sept. 1962 OD 48, 13

 

 

 

CSP16.R11   XVI Pan American Sanitary Conference,

Having examined the Memorandum of Agreement between the Pan American Health Organization and the Inter-American Development Bank concerning technical assistance (Document CSP16/26),

Resolves:

To take note of the Agreement between the Pan American Health Organization and the Inter-American Development Bank concerning technical assistance contained in Document CSP16/26.

Aug.–Sept. 1962 OD 48, 14

 

 

CSP16.R12   XVI Pan American Sanitary Conference,

Considering the scope and seriousness of the problems arising from the lack of sanitation in the Americas and the fact that the diseases due to this lack constitute the five main causes of death in most countries of the Region;

Recognizing the growing interest of the countries in the solution of these problems, as expressed in the Act of Bogotá and more specifically in the Charter of Punta del Este, which sets, among others, targets for the provision of water supply and sewage disposal services to vast sectors of both the urban and the rural population;

Bearing in mind the importance that sanitation activities have been given in recent years in the programs of the Organization, as evidenced by the increase in the funds assigned to them and by the present number of such projects at the country, intercountry, and regional levels; and

Mindful that these facts and the prospects of a continuing increase in sanitation activities, especially in connection with development plans under the Alliance for Progress, make it necessary to strengthen, at the Headquarters of the Pan American Sanitary Bureau, every means that will permit sanitation programs to be expanded as much as possible,

Resolves:

To request the Director to study the need for and the advisability of establishing at the highest executive level within the Bureau a service exclusively devoted to environmental health and sanitation problems, bearing in mind the practical advantages of such a measure, the difficulties it might give rise to, and its administrative and financial implications.

Aug.–Sept. 1962 OD 48, 15

 

 

CSP16.R13  XVI Pan American Sanitary Conference,

Considering that the Pan American Health Organization has initiated an extensive regional research program on mortality, in which approximately 40,000 deaths will be thoroughly investigated, with interviews of physicians, to obtain all available information regarding the cause of death, including supporting laboratory and pathological findings;

Considering that the preliminary analysis made in June 1962 indicated that the principal collaborators in the cities are obtaining the data to fulfill the objectives of the research project so that the background information needed for further epidemiological studies of diseases in the adult population will become available; and

Considering that the opportunities for research in the fields of cancer and cardiovascular diseases that will be indicated by this investigation will especially require pathological services, which at present are limited in some of the cities,

Resolves:

1. To recommend that, as the Organization makes progress in the investigation of mortality, appropriate extensions be made for understanding patterns of mortality in the Region, and that a similar investigation be undertaken of mortality of children in the age period 1–14 years in order to study the underlying and multiple causes responsible for mortality.

2. To recommend to the Director of the Pan American Sanitary Bureau that the Organization proceed with the planning of epidemiological research on cancer and cardiovascular diseases [with a view to undertaking] studies that will take into account wide differences in customs and living conditions.

3. To recommend that the Governments of the Organization promote the development of postgraduate training programs in medical schools for the preparation of pathologists for hospital and medico-legal services.

Aug.–Sept. 1962 OD 48, 15

 

 

CSP16.R14   XVI Pan American Sanitary Conference,

Bearing in mind the medically demonstrated existence of congenital defects and other significant disturbances directly or indirectly produced in individuals or their descendants by exogenous agents;

Taking into account the positive value of statistical and clinical evaluation as criteria in appraising the action of drugs, chemicals, and other factors causing this type of disturbance and side effects;

Recognizing that the value of data concerning any one problem acquires significance only when such data are compiled from sufficiently large population groups; and

Considering that a prompt analysis of such data must be made in order to ensure their most effective utilization for the protection of the health of the people,

Resolves:

1. To recommend that the Director of the Pan American Sanitary Bureau study the means of considering scientific problems of clinical and pharmacological evaluation of such exogenous agents and of organizing a system of collection and exchange of information on the effects of these agents.

2. To recommend that the health services of the Governments of the Organization adopt measures designed to ensure that congenital defects noted at birth will be registered by the attendant on certificates of fetal death and live birth, and that those discovered at a later date will be notified to the health authorities.

3. To recommend to the Director of the Pan American Sanitary Bureau that the Organization develop standard procedures for the registration and rapid compilation and analysis by the Bureau of data with respect to congenital or secondary effects of the factors under consideration, with a view to bringing together the experiences of those countries where systems for the collection of such data exist.

4. To recommend that effective methods of analyzing such data be developed so that health authorities may then be able to initiate necessary measures for the protection of the health of the public.

5. To recommend that cooperation and coordination be maintained with all agencies desiring to participate in the solution of these problems.

Aug.–Sept. 1962 OD 48, 16

 

CSP16.R15   XVI Pan American Sanitary Conference,

Having examined the report of the Director on the nutrition program in the Americas (Document CSP16/6);1

Considering that considerable progress has recently been made in this field, in accordance with the recommendations contained in Resolution XI of the XIII Meeting of the Directing Council;

Bearing in mind the marked increase in the number of expanded nutrition programs that are being developed in the Americas for the purpose of raising the living standards of rural populations;

Considering that personnel training in nutrition should continue to receive high priority in training programs;

Considering that a knowledge of food consumption rates is important for the preparation of food programs in the general development plans;

Bearing in mind that the research program on nutrition proposed by the Director of the Bureau in Document CSP16/6 includes the study of the most urgent problems in the Hemisphere in this regard;

Bearing in mind the importance of developing new sources of protein, together with a policy of controlling the prices of the traditional sources, in order to prevent protein deficiency in children, in accordance with one of the purposes set forth in Resolution A.2 of the Alliance for Progress;2

Considering that the control and possible eradication of endemic goiter in large areas of the Americas is technically feasible; and

Bearing in mind the need for sound coordination of the activities of the various international agencies and institutions of bilateral assistance to the Governments for improving the nutrition and living standards of the peoples,

Resolves:

1. To express its satisfaction at the progress achieved in the nutrition program in the Americas, in accordance with Resolution XI of the XIII Meeting of the Directing Council.

2. To recommend that the Pan American Sanitary Bureau, in agreement with the interested Governments and international agencies, proceed as soon as possible to make an evaluation of the expanded nutrition programs being conducted in the various countries of the Hemisphere.

3. To recommend that the Governments, with the cooperation of the Bureau, take the necessary steps to strengthen the nutrition programs of health services at the local level, incorporating them in their regular activities, and that they endeavor to coordinate them with those being carried out by agricultural extension and educational services.

4. To instruct the Director of the Bureau to consider the possibility of increasing, within the limits of the budget, the resources devoted to training personnel in nutrition, as regards both fellowships and financial assistance to the training centers that are being organized in cooperation with FAO and UNICEF, and to [efforts aimed at] the inclusion of nutrition in the curricula of schools of medicine, public health, nursing, and [the like].

5. To recommend to the Governments that they carry out food consumption surveys whose findings will serve as the basis for the preparation of national food programs forming part of general development plans.

6. To give full support to the nutrition research program proposed by the Director in Document CSP16/6.

7. To recommend that, in view of the severity of the nutrition problem in children, especially the problem of protein deficiency, the Governments intensify the policy of developing the traditional sources of protein and controlling their prices, as well as that of developing other sources of low-cost protein not at present used for human consumption.

8. To reiterate the urgent need for countries that have not yet done so to institute a program of salt iodization as a means of endemic goiter control (or even eradication in certain areas), and to recommend that the Director of the Bureau call a meeting to study the difficulties encountered, particularly those of a legal or administrative nature, and to establish a policy aimed at a significant reduction of this endemic disease.

9. To request the Director, if it is deemed advisable, to call a meeting of the representatives of interested international agencies and of the Governments that provide assistance through bilateral agreements, for the purpose of attaining more effective coordination of the international cooperative efforts aimed at improving diet and nutrition in the Americas.

Aug.–Sept. 1962 OD 48, 17

 

CSP16.R16 The XVI Pan American Sanitary Conference,

Having examined the Financial Report of the Director and the Report of the External Auditor for 1961 (Official Document Nº39); and

Bearing in mind the action of the Executive Committee at its 46th Meeting regarding the above mentioned reports (Resolution 1),

Resolves:

To approve the Financial Report of the Director and the Report of the External Auditor for the fiscal year 1961 (Official Document Nº39.)

Aug.–Sept. 1962 OD 48, 18

 

CSP16.R17 The XVI Pan American Sanitary Conference,

Having examined the report of the Director on the collection of quota contributions (Document CSP16/17 and Addendum I); and

Considering that the Pan American Health Organization continues to be faced with financial problems owing to the large amounts of the quotas in arrears,

Resolves:

1.  To take note of the report of the Director on the status of the collection of quota contributions (Document CSP16/17 and Addendum I.)

2. To urge the Governments whose quota contributions are in arrears to pay them as soon as possible, in order to ensure the normal development of the Organization's activities

Aug.–Sept. 1962 OD 48, 18

 

 

CSP16.R18 The XVI Pan American Sanitary Conference,

Having examined the report of the Director on the use of the Emergency Revolving Fund (Document CSP16/18); and

Considering that the Fund must be maintained at the established level if the important purpose of assistance to Governments for which it was created is to be fulfilled,

Resolves:

1. To take note of the report of the Director on the use of the Emergency Revolving Fund (Document CSP16/18.)

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

Aug.–Sept. 1962 OD 48, 19

 

 

CSP16.R19 The XVI Pan American Sanitary Conference,

Considering the provisions of Article 21, paragraph B, of the Constitution of the Pan American Health Organization;

Bearing in mind Resolutions VI and VII of the 46th Meeting of the Executive Committee; and

Having regard to the provisions of Staff Regulations 3.1 and 12.2,

Resolves:

1. To take note of the amendments to the Staff Rules of the Pan American Sanitary Bureau contained in the annex to Document CE46/3, submitted by the Director and confirmed by the Executive Committee at its 46th Meeting.

2. To take note of the decision of the Director that the present Assistant Director of the Bureau, Dr. John C. Cutler, shall be the Deputy Director; that the present Secretary General, Dr. Victor A. Sutter, shall be the Assistant Director; and that the salary of the Deputy Director shall be fixed at $17,900 per annum and that of the Assistant Director at $16,900 per annum.

3. To amend Staff Regulation 3.1 to read as follows: "The salaries of the Deputy Director and the Assistant Director shall be determined by the Director of the Bureau, with the approval of the Executive Committee"; and to amend the second sentence of Staff Rule 230.1 to read as follows: "The salaries of the Deputy Director and the Assistant Director shall be fixed by the Director, with the approval of the Executive Committee."

Aug.–Sept. 1962 OD 48, 19

 

 

CSP16.R20 The XVI Pan American Sanitary Conference,

Having examined Resolution XVII, concerning the salary of the Director of the Pan American Sanitary Bureau, adopted by the Executive Committee at its 46th Meeting;

Bearing in mind Resolution WHA15.5, adopted by the Fifteenth World Health Assembly, which established the salaries of the Regional Directors of the World Health Organization; and

Recognizing that the responsibilities of the Director of the Bureau have increased considerably as a result of the growth of the Organization and the expansion of its activities during the past ten years,

Resolves:

To establish the remuneration of the Director of the Pan American Sanitary Bureau, [effective] 1 January 1962, [as follows]: annual salary, $18,900; annual representation allowance, $6,000; and, in addition, the normal allowances authorized to staff members under the Staff Rules.

Aug.–Sept. 1962 OD 48, 20

 

 

CSP16.R21 The XVI Pan American Sanitary Conference,

Having considered the reports of the 46th Meeting of the Executive Committee, of the Permanent Subcommittee on Buildings and Installations, and of the Director of the Pan American Sanitary Bureau on the progress made to date in planning for the construction of the new Headquarters building of the Pan American Sanitary Bureau;1

Bearing in mind that the preliminary plans for the building have been completed, and that these plans have been approved by the National Capital Planning Commission and the Commission on Fine Arts in Washington, D.C.;

Noting the generous grant made by the W. K. Kellogg Foundation; and

Noting also that additional financing is necessary in order to meet the revised cost estimates for the new Headquarters building,

Resolves:

1. To authorize the Director to request the necessary additional financing from the W. K. Kellogg Foundation, or from another foundation, on the same basis as the previous arrangements.

2. To authorize the Director to instruct the architects to undertake immediately the final plans and specifications for the new Headquarters building.

3. To authorize the Director, on completion of the final plans and specifications, to secure bids and award contracts for the construction of the building, provided the necessary financing has been assured.

4. To express its thanks to the members of the Permanent Subcommittee on Buildings and Installations, to the Director, and to the staff of PASB for their efforts to date for the construction of the new Headquarters building, and to request them to continue these efforts so that construction may be expedited and the building occupied at an early date.

Aug.–Sept. 1962 OD 48, 20

 

 

CSP16.R22   XVI Pan American Sanitary Conference,

Resolves:

1. To appropriate for the financial year 1963 an amount of $5,990,000, as follows:

 

Purpose of Appropriation

 

3. [To approve] that amounts not exceeding the appropriations noted under paragraph 1 be [made] available for the payment of obligations, in accordance with the Financial Regulations of the Organization, incurred during the period 1 January to 31 December 1963, inclusive.

4. [To authorize] the Director to transfer credits between parts of the budget, provided that such transfers of credits between parts do not exceed 10 per cent of the part from which the credit is transferred. Transfers of credits between parts of the budget in excess of 10 per cent may be made with the concurrence of the Executive Committee. All transfers of budget credits shall be reported to the Directing Council.

Aug.–Sept. 1962 OD 48, 21

 

 

 

CSP16.R23 The XVI Pan American Sanitary Conference,

Having taken into account Resolution WHA14.5 of the Fourteenth World Health Assembly, which provides that Members of the WHO Executive Board shall be paid a per diem allowance of $30 while attending meetings in New York;

Considering that costs have increased in Washington in recent years, as well as in New York; and

Believing that per diem allowances for Members of the Executive Committee of the Pan American Health Organization should be set at a level comparable with that established for Members of the Executive Board of the World Health Organization,

Resolves:

To approve a per diem allowance of $30 for Members of the Executive Committee, in accordance with Article 17, paragraph B, of the Constitution of the Pan American Health Organization.

Aug.–Sept. 1962OD 48, 22

 

 

CSP16.R24   XVI Pan American Sanitary Conference,

Having examined Official Document 40 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 1964; and

Bearing in mind that the aforesaid Proposed Program and Budget is presented to the Conference, 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 1964,

Resolves:

To approve the transmittal of the Proposed Program and Budget of the World Health Organization for the Region of the Americas for 1964 contained in Official Document 40, 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 1964.

Aug.–Sept. 1962 OD 48, 22

 

CSP16.R25   XVI Pan American Sanitary Conference,

Having examined Official Document 40 submitted by the Director of the Pan American Sanitary Bureau, which contains the provisional draft that is to constitute the basis for the preparation of the Proposed Program and Budget of the Pan American Health Organization for 1964 to be considered by the 48th Meeting of the Executive Committee and the XIV Meeting of the Directing Council;

Recognizing that the provisional draft of the Proposed Program and Budget contains well-conceived and much-needed public health projects; and

Taking into account the recommendations and comments made by various delegations during the discussion of the provisional draft,

Resolves:

1. To take note of the provisional draft of the Proposed Program and Budget of the Pan American Health Organization for 1964 contained in Official Document 40.

2. To instruct the Director, in preparing the Proposed Program and Budget for 1964 and in his consultations with the Governments on this matter, to give due consideration to the recommendations and comments made by several delegations.

Aug.–Sept. 1962 OD 48, 22

 

CSP16.R26   XVI Pan American Sanitary Conference,

Having considered the report of the Director on the research policy and program of the Pan American Health Organization (Document CSP16/35);1

Bearing in mind Resolution XX XVIII of the XIII Meeting of the Directing Council;

Having regard to the present health problems highlighted in the Charter of Punta del Este, the solution of which will be expedited by the implementation of the recommended research policy and program;

Noting that an important research training program is called for;

Noting the recommendation that the Governments, through their national research councils or other appropriate bodies, assess national biomedical and public health research resources; and

Considering the importance of research in the program of the Organization,

Resolves:

1. To express its satisfaction with the research policy and program as presented and, in the words of the Advisory Committee of Medical Research, "congratulate the Director, the Secretariat, the staff, and the many experts involved for the very high standards of scientific excellence attained."

2. To stress the importance of research training.

3. To request the Director (a) to take all possible steps to expand the research activities of the Organization, including specific projects and their financing, for the mutual benefit of the countries of the Region; and (b) to submit annual reports to the Directing Council and a progress report to the XVII Pan American Sanitary Conference.

Aug.–Sept. 1962 OD 48, 23

 

 

CSP16.R27   XVI Pan American Sanitary Conference,

Having examined the X Report on the status of malaria eradication in the Americas (Document CSP16/20),1 presented by the Director of the Pan American Sanitary Bureau;

Bearing in mind the progress made as a result of the coordinated efforts of the Governments and of the international organizations cooperating in the campaign;

Taking into account the technical problems that still have to be solved in some areas and the research being carried out for that purpose; and

Mindful of the economic difficulties that are causing costly delays in the development of certain campaigns,

Resolves:

1. To express its deep gratitude for the assistance that UNICEF and the Agency for International Development (AID) of the Government of the United States of America have given in carrying out the continent-wide program of malaria eradication, and to reiterate its wish that this cooperation be continued and, if possible, intensified, until the eradication of malaria in the Americas is achieved.

2. To express its satisfaction with the research programs that some of the Governments are carrying out with the cooperation of the Pan American Sanitary Bureau for the purpose of solving technical problems that impede the interruption of malaria transmission in certain areas.

3. To again call the attention of Governments to the urgent necessity of eradicating malaria and of assigning to the campaigns the necessary funds for that purpose.

4. To express its satisfaction with the assistance that the Pan American Sanitary Bureau is giving to the Governments in the training of personnel.

Aug.–Sept. 1962 OD 48, 24

 

 

CSP16.R28   XVI Pan American Sanitary Conference,

Having examined the report of the Director on the estimated requirements for the Special Malaria Fund of the Pan American Health Organization (Document CSP16/25);1

Taking into account the positive effects that malaria eradication will have on the economic and social development of vast areas of Latin America, primarily in the sector of agricultural production;

Bearing in mind the immediate goals for this decade mentioned in Title I of the Charter of Punta del Este and the measures for immediate action set forth in Resolution A.2 of the Charter;

Having regard to the need for a greater financial effort for the eradication of malaria in certain areas where intradomiciliary spraying of residual insecticides is by itself insufficient to interrupt transmission; and

Considering that Central America and Panama form a geographically well-defined unit, and that continued transmission of malaria in any one of these countries immediately jeopardizes those other areas in which malaria has been eradicated,

Resolves:

1. To take note of the estimated requirements in 1963 for the PAHO Special Malaria Fund.

2. To urge the Governments to contribute to this Special Fund.

3. To recommend that the countries of the Organization incorporate the malaria eradication campaign in the economic and social development programs of the Alliance for Progress and give suitable priority [thereto].

4. To recommend that the provision of international assistance for malaria eradication campaigns in the Central American isthmus be sufficiently flexible to make possible the transfer of financial and material resources from one country to another, depending on the technical requirements of the moment.

5. To express gratitude to the Government of the United States of America for its generous contribution to the Special Malaria Fund in 1963 and for its offer of continued support of the Fund in the future.

6. To express [appreciation] to the Bureau for the satisfactory way in which this item was presented.

Aug.–Sept. 1962 OD 48, 24

 

CSP16.R29   XVI Pan American Sanitary Conference,

Having examined the report of the Director on the planning activities of the Pan American Health Organization (Document CSP16/24);1 and

Bearing in mind the importance and urgency of these activities and the growing interest being shown by the Governments in the formulation of national health plans,

Resolves:

1. To take note of the report of the Director on national health plans (Document CSP16/24).

2. To support the steps taken by the Director with regard to the advisory services to be given to the Governments, the formulation of planning methodology, and the training of health planners.

3. To call to the attention of the Governments the need for formulating national health plans and, to that end, for establishing, at the level of the ministries of health, planning units duly coordinated with and represented in the national units for economic and social planning, in order to assure the integration of plans and programs for health into those for national social and economic development.

Aug.–Sept. 1962 OD 48, 25

 

CSP16.R30   XVI Pan American Sanitary Conference,

Having examined the report of the Director on the present status of smallpox eradication in the Americas (Document CSP16/11);1

Bearing in mind the concern expressed by the delegates from countries now free of this disease about the dangers inherent in the foci of smallpox that remain in the Americas;

Having considered the program of the Organization for completing the eradication of smallpox in the Americas; and

Taking into account the social and economic burdens of smallpox, and the resolution of the Charter of Punta del Este "to complete projects that are now being executed, particularly those related to the control or eradication of communicable diseases . . . giving due priority to the emergency programs of certain countries,"2

Resolves:

1. To express its satisfaction with the success achieved by various Governments of the Organization in eradicating smallpox and with the development of nation-wide campaigns by other Governments.

2. To urge once again that those Governments in whose countries foci of smallpox still exist expand and accelerate their national smallpox eradication programs and give such programs high priority in their national health plans, seeking needed additional funds and resources from national or international sources in order to make possible the eradication of smallpox from the Americas within the next five years, in accordance with Resolution A.2 of the Charter of Punta del Este.

3. To instruct the Director to take all necessary steps to support and assist the Governments in order to reach the goal of eradication of the disease.

4. To call the attention of the Governments to the importance of the correct application of the special measures set forth in the International Sanitary Regulations, particularly in Article 3.

5. To urge those Governments that have eradicated smallpox to develop systems within their health services to assure the maintenance of adequate national levels of immunity and to provide for continued surveillance against recurrence of the disease.

Aug.–Sept. 1962 OD 48, 25

 

CSP16.R31   XVI Pan American Sanitary Conference,

Having examined the report of the Director on the Aedes aegypti eradication campaign in the Americas (Document CSP/12);1

Having noted that fifteen years have elapsed since the decision was taken by the I Meeting of the Directing Council of the Pan American Health Organization (Buenos Aires, 1947) to undertake a continental program to eradicate Aedes aegypti, and that many areas are still infested with the Aedes aegypti mosquito, constituting potential and actual sources of reinfestation for those areas and countries that have eradicated the vector;

Having noted Resolution XXXIV of the XIII Meeting of the Directing Council;

Having noted the reports of increasing insecticide resistance and of sporadic introduction of tardily recognized cases of jungle yellow fever into aegypti-infested urban areas; and

Bearing in mind the programs that certain governments are carrying out, and the intention expressed by others of undertaking Aedes aegypti eradication,

Resolves:

1. To invite the Governments of those countries and areas in which the vector has been eradicated to maintain active surveillance programs in order to prevent reinfestation.

2. To express its satisfaction with the progress achieved in the current eradication campaigns of certain countries, which makes it possible to foresee the elimination of this vector from their territories in the near future.

3. To call on the Governments of countries and areas still infested with Aedes aegypti to give the highest priority to provision of the necessary funds, personnel, and materials for the completion of their eradication campaigns.

4. To request the Director to exert all appropriate efforts to intensify and accelerate the Aedes aegypti eradication campaign in order to achieve the goal of eradication at the earliest possible date.

Aug.–Sept. 1962 OD 48, 26

 

CSP16.R32   XVI Pan American Sanitary Conference,

Bearing in mind that the Executive Committee at its 36th Meeting requested the Director to submit a report to the Directing Council on the financial requirements for formulating a continental plan of tuberculosis control, and that subsequently the Charter of Punta del Este, in Resolution A.2 (paragraph 2.b–3), recommended the intensification of tuberculosis control;

Considering that both the WHO Expert Committee on Tuberculosis and the UNICEF/WHO Joint Committee on Health Policy have made a series of technical recommendations that can be applied for the gradual solution of this problem;

Considering that, despite the efforts made and the weapons medicine has acquired to combat tuberculosis, the Governments have reported that they are confronted with a serious situation due to this disease;

Bearing in mind that it is becoming necessary to devote much greater efforts to the solution of the tuberculosis problem, especially in the matter of financing and of utilizing available resources;

Considering that, in order to ensure that better use is made of these resources, it is urgently necessary to draw up and implement sound, integrated public health plans and programs into which tuberculosis control programs should be incorporated; and

Considering that, in order to draw up long-term plans for the control of tuberculosis, it is urgently necessary to stimulate epidemiological research on the problem by every possible means, especially by the development of sound methods in limited demonstration projects,

Resolves:

1. To note with satisfaction the report of the Director (Document CSP16/14),1 which demonstrates the concern of the Bureau with the tuberculosis problem in the Americas.

2. To urge the Governments to do everything possible to stimulate national tuberculosis programs and to incorporate them into the general public health services.

3. To recommend to the Governments that they obtain from the agencies that provide the money for, or are concerned with, the financing of the Alliance for Progress, special funds for coping with the complex problem of tuberculosis.

4. To request the Director to assist the Governments in drawing up and implementing short-term plans based on local demonstration projects to be supported by UNICEF funds, and long-term plans to be supported by domestic funds or funds from other sources, in accordance with the principles laid down by the UNICEF/WHO Joint Committee on Health Policy.

5. To request that the Director take all possible measures to assist the Governments in the preparation of specialized personnel required for these programs.

6. To urge the Director to ensure that priority is given in the research program to studies designed to provide a better knowledge both of the magnitude of the problem and of its economic and technical aspects.

7. To authorize the Director to take steps to obtain without delay the necessary funds for putting the foregoing recommendations into practice.

Aug.–Sept. 1962 OD 48, 27

 

 

CSP16.R33   XVI Pan American Sanitary Conference,

Having considered the report of the Director on the activities being carried out by the Pan American Sanitary Bureau under the Charter of Punta del Este (Document CSP16/7);1 and

Bearing in mind the importance of these activities for the health and welfare of the peoples of the Americas,

Resolves:

1. To approve the report of the Director on the activities of the Pan American Sanitary Bureau under the Charter of Punta del Este (Document CSP16/7).

2. To urge the Governments to push forward with well-planned and coordinated programs designed to achieve the health objectives of the Charter of Punta del Este.

3. To request the Director to continue, and to augment, the advisory services to the Governments for the "preparation and execution of the aforementioned [health] plans," as recommended in the Charter of Punta del Este.

4. To invite the Director to proceed with the program of the Bureau in such a way as to fulfill the responsibilities of the Pan American Sanitary Bureau under the Charter of Punta del Este.

5. To invite the Director to make every effort to secure extrabudgetary funds in support of training in planning for national and international staff and in support of the programs and projects working to achieve the health objectives of the Charter of Punta del Este.

6. To invite the Director to take the steps necessary to assure the participation of the Bureau with respect to surveys, planning, and program operation in social and economic development undertaken by the Organization of American States, the Inter-American Development Bank, the United Nations Economic Commission for Latin America, and other organizations, both multilateral and bilateral, in accordance with the Charter of Punta del Este.

Aug.–Sept. 1962 OD 48, 28

 

 

CSP16.R34   XVI Pan American Sanitary Conference,

Having examined Document CSP16/23, in which the Director brought to the attention of the Regional Committee for the Americas a number of resolutions of the Fifteenth World Health Assembly; and

Bearing in mind that the Pan American Health Organization is already engaged in the matters covered by the resolutions of the World Health Assembly,

Resolves:

To take note of the following resolutions contained in Document CSP16/23: WHA15.19 (Report on Development of the Malaria Eradication Program), WHA15.20 (Development of the Malaria Eradication Program: Acceleration of the program from continued voluntary contributions), WHA15.22 (Continued Assistance to Newly Independent States), WHA15.25 (Admission of New Associate Members: Jamaica), WHA15.34 (Malaria Eradication Special Account), WHA15.35 (Financing of the Malaria Eradication Program: Criteria for determining eligibility for credits toward the payment of contributions), WHA15.47 (Malaria Eradication Postage Stamps), WHA15.53 (Smallpox Eradication Program), WHA15.54 (Developments in Activities Assisted Jointly with UNICEF), WHA15.56 (Decisions of the United Nations, Specialized Agencies, and the International Atomic Energy Agency affecting WHO's Activities: World Food Program), and WHA15.57 (Decisions of the United Nations, Specialized Agencies, and the International Atomic Energy Agency Affecting WHO's Activities: United Nations Development Decade).

Aug.–Sept. 1962 OD 48, 28

 

CSP16.R35   XVI Pan American Sanitary Conference,

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

[Considering] the report of the working group composed of the Delegates of Jamaica, Mexico, and Venezuela,

Resolves:

To select "Ideas for the Formulation of a Plan for the Control of Gastrointestinal Diseases, Including Environmental Sanitation Measures, Epidemiology, Health Education, and Early Diagnosis and Treatment" as the subject for the Technical Discussions to be held during the XIV Meeting of the Directing Council, XV Meeting of the Regional Committee of the World Health Organization for the Americas.

Aug.–Sept. 1962 OD 48, 29

CSP16.R36   XVI Pan American Sanitary Conference,

Having examined the report of the Rapporteur of the Technical Discussions on "Present Status of Medical Care in the Americas in Relation to its Incorporation as a Basic Service in Integrated Health Programs" held at the present Conference; and

Considering the importance for the health of the Americas of achieving an integrated system of health services,

Resolves:

1. To take note of the report on the Technical Discussions (CSP16/DT/5, Rev. 2),1 and to express its satisfaction with the deliberations.

 

2. To recommend that the Director give the report the widest possible distribution.

Aug.–Sept. 1962 OD 48, 29

 

 

CSP16.R37   XVI Pan American Sanitary Conference,

Recognizing the need for the provision of potable water and facilities for the sanitary disposal of wastes in order to protect individual and community health, both urban and rural;

Bearing in mind that the role of national health authorities in assuring services and protection of this type is recognized and defined in Resolution X of the XVI Pan American Sanitary Conference;

Bearing in mind that the basic health aspects of water supply and sewage disposal must be considered within the complex of health factors in planning and maintaining housing and community development programs and projects; and

Considering that in some instances due consideration has not been given to basic water supply and sewage disposal facilities in housing projects and community development projects already completed or initiated,

Resolves:

1. To urge the Governments to provide for the participation of the appropriate health authorities in the planning and review of all programs and projects for urban housing, whether restoration or new construction.

2. To encourage the Governments to give the necessary attention to the health aspects of rural housing and community organization and development, particularly in relation to water and environmental sanitation programs.

3. To urge the national health authorities (ministries of health) to assume their appropriate responsibilities for the health aspects of the aforementioned rural programs.

Aug.–Sept. 1962 OD 48, 30

 

CSP16.R38   XVI Pan American Sanitary Conference,

[Considering] that on 25 August 1962 the Government of Uruguay addressed a communication to the President of this Conference proposing [that] the XVII Pan American Sanitary Conference be held in that country, and that on 27 August 1962 the Government of Cuba extended a similar invitation; and

Bearing in mind the exceptional circumstance [afforded by] the expected completion within the next four years of the new Headquarters building of the Pan American Health Organization, [which] would be an occasion for the Conference in 1966 to occupy for the first time the main center of future international health activities of the Hemisphere,

Resolves:

1. To express its thanks to the Governments of Uruguay and Cuba for their offers in connection with the XVII Pan American Sanitary Conference.

2. To transmit the invitations received to the Directing Council with the request that at its 1964 meeting it designate the place of the XVII Pan American Sanitary Conference, bearing in mind the aforementioned invitations, those that may be received by the date of the meeting, and all other relevant circumstances with regard to the opening of the new building of the Pan American Health Organization, and to authorize the Directing Council to take such measures as may be pertinent in order to designate the place.

Aug.–Sept. 1962 OD 48, 30-31