Having examined the report of the Director on the proposed biennial program and budget cycle for the Pan American Health Organization (Document CSP20/18);
Taking into account the disadvantages identified, but acknowledging the advantages of establishing biennial budgeting as an integral part of biennial programming in PAHO;
Recognizing the desirability of conforming with the decisions taken by the Thirtieth World Health Assembly in Resolution WHA30.201 of introducing a biennial program budget at WHO beginning with the 1980–1981 biennium;
Noting that the first biennium for which biennial budgeting could become effective is the 1980–1981 biennium;
Noting the recommendations contained in Resolution VIII of the 80th Meeting of the Executive Committee;
Considering that Article 4, paragraph G, Article 6, paragraph B, and Article 9, paragraph D, of the Constitution of PAHO must be amended to enable the Organization to adopt a biennial budget cycle;
Bearing in mind the provisions of Article 28 of the Constitution, which provides that: "Proposals to amend the Constitution shall be communicated to the Member Governments at least three months in advance of their consideration by the Conference or the Council, Amendments shall come into force for all Member Governments when adopted by the Conference by a two-thirds vote of the representatives of all Member Governments or when adopted by the Council by a two-thirds vote of those representatives", and
Noting that proposed amendments to the Constitution were sent to each Member Government at least three months in advance of their consideration by the Conference,
Resolves:
1. To adopt a biennial program and budget for PAHO, beginning with the biennium 1980–1981, which shall be reviewed and approved by the Directing Council every two years.
2. To instruct the Director of PASB to submit the first biennial program and budget to the Directing Council at its meeting of 1979, and every two years thereafter.
3. To approve the proposed amendments to the Constitution of the Pan American Health Organization, which read as follows:
Chapter II, The Conference, Article 4, Functions
G. The Conference shall review and approve the biennial program and budget of the Organization.
Chapter II, The Conference, Article 6, Voting
B. If a Government fails to meet its financial obligations to the Organization by the date of the opening of the Pan American Sanitary Conference or a meeting of the Directing Council, by being in arrears in an amount exceeding the sum of its annual payments of contributions for two full years, the voting privileges of that Government shall be suspended. Nevertheless, if the Conference or the Directing Council is satisfied that the failure of the Government to pay is due to conditions beyond its control, it may permit the Government to vote.
Chapter III, The Council, Article 9 Functions
D. The Council shall review and approve the biennial program and budget of the Organization.
4. To construe all prior resolutions and decisions of the Governing Bodies according to this resolution.
Sept.–Oct. 1978 OD 162, 51
CSP20.R2 The XX Pan American Sanitary Conference,
Having examined the Financial Report of the Director and Report of the External Auditor for fiscal year 1977 (Official Document 153); and
Recognizing that the Organization continues to be in a sound financial situation,
Resolves:
1. To take note of the Financial Report of the Director and Report of the External Auditor for fiscal year 1977 (Official Document 153).
2. To commend the Director for having achieved and maintained a sound financial situation.
Sept–Oct 1978 OD 162, 53
CSP20.R3 The XX Pan American Sanitary Conference,
Having considered the report of the Director on the collection of quota contributions (CSP20/28 and Adds.);
Noting that, of the three countries with approved plans for liquidating their arrears, two had made payments by the time of the Pan American Sanitary Conference; and
Bearing in mind the importance of prompt and full payment of quota contributions to assure the financing of the authorized program and budget to maintain the Organization in a sound cash position,
Resolves:
1. To take note of the report of the Director on the collection of quota contributions (Document CSP20/28 and Adds.).
2. To permit, after noting the report of the working party on the application of Article 6.B of the Constitution of PAHO, the Delegates of the Dominican Republic, Haiti, and Paraguay to vote in the XX Pan American Sanitary Conference.
3. To thank the Governments that have already made payments in 1978 and to urge the other Governments whose circumstances so permit to pay their current quotas as early as possible in the year they are due so that the work of the Organization can continue and the financial burden of its program can be spread fairly among all Members.
4. To direct the attention of Governments once again to the provisions of Article V, paragraph 5.4 of the Financial Regulations of PAHO, which reads: "Contributions shall be considered as due and payable in full...as of the first day of the financial year to which they relate.... As of 1 January of the following financial year, the unpaid balance of such unpaid contributions shall be considered to be one year in arrears."
5. To request the Director to continue to inform the Governments of any balance due.
Sept.–Oct. 1978 OD 162, 54
CSP20.R4 The XX Pan American Sanitary Conference,
Having examined the Annual Report of the Chairman of the Executive Committee on the work of the Committee from October 1977 to date, during which period the 79th and 80th Meetings were held; and
Bearing in mind the provisions of Article 9.C of the Constitution of the Pan American Health Organization.
Resolves:
1. To take note of the Annual Report of the Chairman of the Executive Committee.
2. To commend the Chairman and the other members of the Committee on their excellent work.
Sept.–Oct. 1978 OD 162, 55
CSP20.R5 The XX Pan American Sanitary Conference,
Having examined by the Quadrennial Report, 1974–1977, and Annual Report, 1977, of the Director of the Bureau on the activities of the Pan American Health Organization during the period between the XIX and XX Pan American Sanitary Conferences (Official Documents 158 and 158-A); and
Bearing in mind the provisions of Article 4.F of the Constitution of the Pan American Health Organization,
Resolves:
To approve the Quadrennial and Annual Reports of the Director (Official Documents 158 and 158-A) to the Governments of the Pan American Health Organization, and to commend him and the staff of the Bureau on the work accomplished in the past four years.
Sept.–Oct. 1978 OD 162, 56
CSP20.R6 The XX Pan American Sanitary Conference,
The XX Pan American Sanitary Conference elected Guatemala, Peru, and the United States of America, to the Executive Committee upon termination of the periods of office of Bahamas, Colombia, and Costa Rica, and thanked the Governments of these countries for the services rendered to the Organization by their representatives on the Committee.
Sept.–Oct. 1978 OD 162, 56
CSP20.R7 The XX Pan American Sanitary Conference,
Bearing in mind Articles 4.E and 21.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 Rule 45 of the Rules of Procedure of the Conference, which provides that the Director of the Bureau shall be elected by any number of votes greater than half the number of the Governments of the Organization;
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 Regional Directors of the World Health Organization; and
Satisfied that the election of the Director of the Bureau has been held in accordance with the aforestated procedure,
Resolves:
1. To declare Dr. Héctor R. Acuña Monteverde elected Director of the Pan American Sanitary Bureau for a period of four years to begin 1 February 1979.
2. To submit to the Executive Board of the World Health Organization the name of Dr. Héctor R. Acuña Monteverde for appointment as Regional Director for the Americas.
Sept.-Oct 1978 OD 162, 57
CSP20.R8 The XX Pan American Sanitary Conference,
Resolves:
1. To appropriate for the financial year 1979 an amount of $39,275,341, as follows:
Part I: Part II: Part III: Part IV: Part V: Part VI
Part VII:
Total --- |
Program of Services Development of the Infrastructure Administrative Direction Governing Bodies Increase to Assets Special Fund for Health Promotion Effective Working Budget (Parts I-VI) Staff Assessment (Transfer to Tax Equalization Fund) All Parts |
$ 14,289,100 13,205,000 5,486,400 441,600 ---- 250,000 ----------------- $ 33,672,100 5,603,24 $ 39,275,341 |
2. That the appropriation shall be financed from:
a) Assessments in respect to: member Governments and Participating Governments assessed under the scale adopted by the Council of the Organization of American States in accordance with Article 60 of the Pan American Sanitary Code or in accordance with resolutions of the Directing Council b) Miscellaneous income Total |
$ 38,575,341 700,000 $ 39,275,341 |
In establishing the contributions of Member Governments and Participating Governments, their assessments shall be reduced further by the amount standing to their credit in the Tax Equalization Fund, except that credits of those Governments which levy taxes on the emoluments received from the Pan American Health Organization by their nationals and residents shall be reduced by the amounts of such tax reimbursements by PAHO.
3. That, in accordance with the financial Regulations of PAHO, amounts not exceeding the appropriations noted under Paragraph 1 shall be available for the payment of obligations incurred during the period 1 January to 31 December 1979, inclusive. Notwithstanding the provision of this paragraph, obligations during the financial year 1979 shall be limited to the effective working budget, i.e., Parts I-VI.
4. That the Director shall be authorized to transfer credits between parts of the effective working budget, provided that such transfers of credits between parts as are made do not exceed 10 per cent of the part from which the credit is transferred. Transfers of credits between parts of the budget in excess of 10 per cent of the part from which the credit is transferred may be made with the concurrence of the Executive Committee. All transfers of budget credits shall be reported to the Directing Council and/or the Conference.
Sept.-Oct 1978 OD 162, 58-59
CSP20.R9 The XX Pan American Sanitary Conference,
Whereas, Member Governments appearing in the scale adopted by the Council of the Organization of American States are assessed according to the percentages shown in that scale, in compliance with Article 60 of the Pan American Sanitary Code; and
Whereas, other Member Governments and Participating Governments are assessed on the basis of percentages that would be assigned to such countries if they were subject to the OAS scale,
Resolves:
To establish the assessments of the Member Governments and Participating Governments of the Pan American Health Organization for 1979 in accordance with the scale of quotas shown below and in the corresponding amounts.
Sept–Oct. 1978 OD 162, 59
CSP20.R10 The XX Pan American Sanitary Conference,
Having examined Official Document 154 submitted by the Director of the Pan American Sanitary Bureau, containing the provisional draft that is to constitute the basis for the preparation of the proposed program and budget estimates of the Pan American Health Organization for 1980–1981, to be considered by the 82nd Meeting of the Executive Committee and by the XXVI Meeting of the Directing Council; and
Recognizing that the provisional draft of the proposed program and budget estimates contains programs formulated in cooperation with the national authorities,
Resolves:
1. To take note of the provisional draft of the proposed program and budget estimates of the Pan American Health Organization for 1980–1981 (Official Document 154).
2. To request the Director to use the provisional draft as a basis for preparation of the proposed program and budget estimates for 1980–1981, after further consultation with the Governments to determine their latest desires and requirements in relation to the health priorities of the countries.
3. To request the Executive Committee at its 82nd Meeting to make a detailed examination of the revised program and budget estimates for 1980–1981, to be presented by the Director after further consultation with the Governments, and to submit its recommendations thereon to the XXVI Meeting of the Directing Council.
Sept–Oct. 1978 OD 162, 61
CSP20.R11 The XX Pan American Sanitary Conference,
Having examined Official Document 154 submitted by the Director of the Pan American Sanitary Bureau, which contains the provisional draft of the program budget of the World Health Organization for the Region of the Americas for 1980–1981;
Bearing in mind that the provisional draft of the program budget is submitted to the Conference as Regional Committee of the World Health Organization for the Americas for review and transmittal to the Director-General of that Organization so that he may take it into account in preparing the program budget of WHO for 1980–1981; and
Noting the recommendations1 made by the 80th Meeting of the Executive Committee,
Resolves:
To approve the provisional draft of the program budget of the World Health Organization for the Region of the Americas for 1980–1981 appearing in Official Document 154, and to request the Regional Director to transmit it to the Director-General of that Organization so that he may take it into account in preparing the proposed program budget of WHO for 1980–1981.
Sept.–Oct 1978 OD 162, 62
CSP20.R12 The XX Pan American Sanitary Conference,
Considering that the Conference has decided to adopt a biennial program and budget cycle for the Pan American Health Organization beginning with the 1980–1981 biennium;
Aware that it is necessary to amend the Financial Regulations of PAHO to enable the Organization to implement a biennial program and budget cycle;
Bearing in mind that the Financial Regulations of PAHO provide that the Financial Regulations may be amended only by the Directing Council or the Pan American Sanitary Conference; and
Having examined the proposed amendments to the Financial Regulations contained in the Annex to Document CSP20/13,
Resolves:
To adopt the amendments to the Financial Regulations as set forth in the Annex to Document CSP20/13.
Sept.–Oct. 1978 OD 162, 63
CSP20.R13 The XX Pan American Sanitary Conference,
Having been informed of the untimely death of Mr. Sven-Ivar Ivarsson; and
Bearing in mind that it has been the practice of the World Health Organization and the Pan American Health Organization to have the same External Auditor, and that Sir Douglas Henley, who has been appointed External Auditor of the World Health Organization for the years 1978 and 1979, has expressed his willingness to serve as External Auditor of the Pan American Health Organization,
Resolves:
1. To express to the Government of Sweden and the family of Mr. Sven-Ivar Ivarsson its deep regret over his untimely death.
2. To appoint Sir Douglas Henley External Auditor of the Pan American Health Organization for the financial years 1978 and 1979.
Sept.–Oct. 1978 OD 162, 63
CSP20.R14 The XX Pan American Sanitary Conference,
Having been informed of the resignation of Mr. Lars Lindmark as the External Auditor of the Pan American Health Organization; and
Considering the valuable services rendered to the Organization by the External Auditor in the exercise of his functions,
Resolves:
1. To note with regret the resignation of Mr. Lars Lindmark as the External Auditor of the Organization.
2. To express appreciation to Mr. Lindmark for the dedication he brought to the performance of his functions as External Auditor of the Organization and for his counsel in regard to the financial procedures of the Organization.
Sept.–Oct. 1978 OD 162, 64
CSP20.R15 The XX Pan American Sanitary Conference,Convinced that the reports from the Governments of the Organization on health conditions and the progress achieved in the intervals between one Conference and the next provide extremely useful data and records of experience; and
Considering that their presentation by the Governments constitutes a useful and important item on the agenda of the Conference,
Resolves:
To thank the Governments for the reports presented by their delegates to the Conference, and to underscore their value for future programming of the activities of the health sector.
Sept.–Oct. 1978 OD 162, 65
CSP20.R16 The XX Pan American Sanitary Conference,
Having seen Resolution XIII on the Working Capital Fund, approved by the Executive Committee at its 80th Meeting;
Bearing in mind Article 6.2 of the Financial Regulations of PAHO, which provides that the Working Capital Fund shall be established in an amount and for the purposes to be determined from time to time by the Directing Council;
Recognizing the need for maintaining the Working Capital Fund at a level sufficient to permit the Pan American Sanitary Bureau to carry out its operations until the annual quota payments of the Member Governments in any one year are received;
Having taken note of the status of the Working Capital Fund from 1949 to 1977;
Bearing in mind the change in the patterns of quota payments by the largest contributor;
Considering that the 1978 program and budget, approved by Resolution XVII of the XXV Meeting of the Directing Council, includes a budgetary increase of $500,000 in the Working Capital Fund:
Recalling that Resolution XXVII of the XXV Meeting of the Directing Council authorized the Director to establish a Revolving Fund for the Expanded Program on Immunization, and
Considering the proposals of the Director in paragraph 4 of Document CE80/12 to make the following allocation of excess funds in the Working Capital Fund: i) $500,0000 for the Revolving Fund for the Expanded Program on Immunization; ii) $250,000 for the provision for termination and repatriation entitlements; iii) $50,000 for the Repairs and Renovation Fund; and iv) $95,777 for other program activities,
Resolves:
1 To establish the Working Capital Fund at a fixed level of $11,000,000 until such time as the budgetary position of the Organization warrants a change.
2. To authorize the Director to utilize the 1978 approved budgetary increase of $500,000 in the Working Capital Fund as part of the initial capital of the Revolving Fund for the Expanded Program on Immunization.
3. To authorize the Director to utilize $895,777 of the current Working Capital Fund as follows, i) $500,000 for the Revolving Fund for the Expanded Program on Immunization; ii) $250,000 for the provision for termination and repatriation entitlements; iii) $50,000 for the Repairs and Renovation Fund; and iv) $95,777 for the Expanded Program on Immunization in the Americas.
4. To instruct the Director to use any excess income over expenditures at the end of any calendar year for the following purposes; i) to replenish any drawings from the Working Capital Fund in order to restore it to the fixed level; and ii) after replenishing the Working Capital Fund to its fixed level, to place any further surplus in a holding account until such time as the Directing Council or the Pan American Sanitary Conference decides how the funds will be utilized.
Sept-Oct. 1978 OD 162, 65
CSP20.R17 The XX Pan American Sanitary Conference,
Having considered the report of the Award Committee of the PAHO Award for Administration (Document CSP20/27); and
Bearing in mind the regulations set forth in the procedure governing the PAHO Award for Administration,
Resolves:
1. To declare Dr Oswaldo Egas Cevallos of Ecuador winner of the PAHO Award for Administration, 1978.
2. To approve the proposed procedure governing the PAHO Award for Administration (Proposal II in the Committee's report) and Guidelines for the Award (Proposal III in the Committee's report).
3. To request the Director to include the sum of $500 annually in the program and budget for this Award.
Sept–Oct. 1978 OD 162, 67
CSP20.R18 The XX Pan American Sanitary Conference,
Having examined the document on control vs. eradication in malaria programs (Document CSP20/9 and Addendum);
Bearing in mind Resolution XVIII adopted by the Executive Committee at its 80th Meeting;
Taking into account Resolution WHA31.451 of the Thirty-first World Health Assembly; and
Considering that the epidemiological situation of malaria has worsened in certain areas of the Americas, with repercussions unfavorable to the extensive areas now free of the disease,
Resolves:
1. To reaffirm that eradication is the goal of the malaria program in the Americas.
2. To declare, to this end, 1980 the "Year of Frontal Struggle with Malaria in the Americas" for the purpose of intensifying operations to eradicate the disease.
3. To urge the Governments to carry out promptly epidemiological studies that will assist in the adoption of new strategies.
4. To request the Governments to give sufficient national priority to the malaria program to ensure the necessary financing.
5. To request the Director, on organizing the III Meeting of Malaria Eradication Services to be held in Mexico in 1979, that the Meeting's work be oriented toward the formulation of a Hemisphere-wide plan of action.
6. To ask the Director to intensify, with assistance from the WHO Special Program for Research and Training in Tropical Diseases, the Organization's technical cooperation with the Governments in applied research and training activities.
7. To request the Director to call a meeting for the purpose of discussing malaria reinfestation in countries where the disease has been eradicated and to consider the possible introduction of appropriate surveillance measures, including at points of entry into countries.
Sept–Oct. 1978 OD 162, 67
CSP20.R19 The XX Pan American Sanitary Conference,
Having considered the Final Report of the XI Inter-American Meeting, at the Ministerial Level, on Foot-and-Mouth Disease and Zoonoses Control (Document CSP20/20);
Recognizing the rising demand for technical cooperation of the Organization in animal health and veterinary public health from Member Countries carrying out programs for the prevention, control, and eradication of foot-and-mouth disease and the zoonoses;
Aware of the importance of the technical cooperation provided by the Organization to the Member Governments through the Pan American Foot-and-Mouth Disease and Zoonoses Centers for animal health and veterinary public health programs, which are essential for the prevention, control, and eradication of diseases of major importance for man and animals; and
Considering that it is essential to maintain the activities of the Centers at their present level in order that the programs for the prevention, control, and eradication of zoonoses in the countries may be consolidated,
Resolves:
1. To take note of the Final Report of the XI Inter-American Meeting, at the Ministerial Level, on Foot-and-Mouth Disease and Zoonoses Control (Document CSP20.20).
2. To thank the Ministers of Agriculture for their efforts toward the prevention, control, and eradication of animal diseases, thereby cooperating toward the improvement of the health and the socioeconomic development of the peoples of the Americas.
3. To express their appreciation to the Ministers of Agriculture for the support and contributions they are providing to the above-mentioned Centers.
4. To request the Director that, in consultation with competent agencies in the field as necessary, he study the possibility of transferring the responsibilities now borne by the Organization in relation to the Pan American Foot-and-Mouth Disease Center to some international agency more closely concerned with agriculture, taking care to ensure that this transfer is effected without detriment to the valuable work accomplished thus far.
Sept.–Oct. 1978 OD 162, 69
CSP20.R20 The XX Pan American Sanitary Conference,
Recalling that the XIV Pan American Sanitary Conference adopted Resolution XXVIII setting forth the criteria that the Pan American Health Organization was to observe when establishing official relations with inter-American nongovernmental organizations;
Considering that it is necessary to establish procedures for applying the criteria set forth in the above-mentioned Resolution XXVIII;
Recognizing the need to establish the privileges that an official relationship with PAHO confers on nongovernmental organizations;
Having considered the proposed procedures and privileges contained in Document CE80/14 presented by the Director to the Executive Committee at its 80th Meeting; and
Having taken note of Resolution XX of the 80th Meeting of the Executive Committee,
Resolves:
1. To adopt the following procedures for the establishment by the Pan American Health Organization of official relations with inter-American nongovernmental organizations:
1.1 An inter-American nongovernmental organization may, of its own accord or by invitation, request official recognition and the establishment of working relations in areas of mutual interest.
1.2 To this end, the inter-American nongovernmental organization must submit with its application the following supporting documentation:
1.2.1 Certified copies of its charter and by-laws.
1.2.2 Certified copies of the charters and by-laws of its affiliates in the Hemisphere.
1.2.3 An authenticated copy of the proceedings in which the governing body was elected and of the authorization of the assembly to establish relations with PAHO.
1.2.4 A copy of the most recent periodic report on its activities.
1.3 The letter of application will be circulated to all the Member Governments and their views obtained within a term of 60 days.
1.4 The Executive Committee of PAHO will appoint a standing subcommittee composed of three members, one of whom will be rotated each year to ensure the continuity of the subcommittee's functions.
1.4.1 The Director of PASB will forward to the standing subcommittee the applications for recognition and supporting documents received from inter-American nongovernmental organizations.
1.4.2 If the documentation received is not sufficiently complete or satisfactory, the Director will also inform the subcommittee of the steps that have been taken.
1.4.3 The Committee will review and analyze the documentation presented in detail. If a question arises, it may request the appearance of an authorized representative of the inter-American nongovernmental organization to clarify any matters relating to the applications.
1.5 When the applications received have been properly reviewed, the standing subcommittee will make its recommendations to the Executive Committee on the recognition and the establishment of official working relations with the applying inter-American nongovernmental organization.
In certain cases, the standing subcommittee may recommend that consideration of an application be postponed and that the Director be requested to contact the applying organization in order to determine the areas of common interest and the mutual benefits that would accrue from cooperation between the two organizations.
1.6 Once it has considered the standing subcommittees recommendations, the Executive Committee will decide whether or not to authorize relations with a given organization.
1.7 Every year the Chairman of the Executive Committee will convey the decisions taken to the Directing Council or the Pan American Sanitary Conference.
1.8 The Director of PASB will inform each organization of the Executive Committee's decision on its application. If the decision is favorable, he will indicate the privileges conferred by the establishment of official relations.
1.9 Every three years the Executive Committee, acting through the standing subcommittee, will review the list of inter-American nongovernmental organizations with which PAHO has official working relations and decide whether they should be continued or suspended.
2. To establish that the status of official relations with PAHO shall confer on an inter-American nongovernmental organization the following privileges:
2.1 The right to appoint an observer to participate, without the right to vote, in the regular meetings of the Governing Bodies of PAHO, and in conferences and seminars conducted under the authority of PAHO.
When matters of particular interest to the organization are discussed at these meetings, its observer may, at the request of the Chairman of the meeting or in the Chairman's acceding to a request from it, make a statement presenting its views.
2.2. Active participation in the Technical Discussions that take place in connection with the meetings of the Directing Council or the Conference.
2.3 Access to nonconfidential documentation related to matters of interest to it.
2.4 Collaboration, when requested by the Chairman of the Executive Committee, in the programming of joint activities in health matters of common interest.
2.5 The right to submit a memorandum to the Director of PASB on programs going forward in areas of common interest; the Director will determine the nature and scope of its circulation. In the event of a memorandum being submitted which, in the view of the Director, should be placed on the agenda of the Directing Council, the memorandum will be put before the Executive Committee for possible inclusion on the agenda of the Council.
Sept.–Oct. 1978 OD 162, 70
CSP20.R21 The XX Pan American Sanitary Conference,
Considering that the composition of the Joint Coordinating Board of the WHO Special Program for Research and Training in Tropical Diseases is to include 12 members selected by the Regional Committees of WHO from among those countries directly affected by the diseases dealt with by the Special Program, or from among those providing technical or scientific support to the Special Program, and that two of them must be selected by the Regional Committee for the Americas; and
In view of the outcome of the vote taken on the matter,
Resolves:
To select Brazil and Venezuela each to designate a representative to serve as a member of the Joint Coordinating Board of the WHO Special Program for Research and Training in Tropical Diseases.
Sept.-Oct. 1978 OD 162, 72
CSP20.R22 The XX Pan American Sanitary Conference,
Having studied the report of the Working Group on Dengue Fever in the Caribbean, which met in Montego Bay, Jamaica, in May 1978;
Taking into account the present situation of the Aedes aegypti eradication program in the Americas and the serious problems of reinfestation faced by many countries;
Considering the extensive epidemic of dengue fever in 1977 and 1978 following the introduction of a new serotype and the serious threat of hemorrhagic dengue in the Caribbean;
Concerned about the presence of jungle yellow fever in areas of the Continent adjacent to those heavily infested with A. aegypti, and the imminent threat this poses of urban yellow fever; and
Bearing in mind that the decision adopted by the Directing Council in 1947 at its First Meeting (Resolution I) and Resolution XVI of the XXV Meeting of the Directing Council are still in force,
Resolves:
1. To maintain the present policy of eradication of A. aegypti and to reaffirm the recommendations1 of the XVII Pan American Sanitary Conference that the Governments of the countries still infested by the vector take the necessary measures to overcome any administrative and financial difficulties that may be hampering the progress of their campaigns, and that they give the highest priority to provision of the funds, personnel, and supplies needed to complete these campaigns as soon as possible.
2. To request the Director to convene a working group consisting of representatives from the countries of the Region to prepare a regional plan for the phased eradication of A. aegypti and to recommend to the countries that they allocate adequate resources for the support of A. aegypti eradication programs which, if effectively carried out, will prevent epidemics of dengue and yellow fever and alleviate the need for expensive emergency measures.
3. To recommend the strengthening of clinical, epidemiological, and laboratory surveillance of dengue and yellow fever and the designation of national collaborating centers for such surveillance through agreements between the Governments in the endemic zone and PAHO, so that they may warn promptly of the imminence of epidemics.
4. To request the Director to develop a basic manual providing step-by-step guidelines for dealing with vector control emergencies, including ground and aerial application of insecticides and to up-date the existing manual for control of A. aegypti.
5. To request the Director to give, to the extent of the available means, all necessary assistance to national A. aegypti eradication programs.
6. To recommend that the proposed programs and budgets of PAHO include specific allocations of funds for providing assistance to campaigns for the eradication of A. aegypti and for the prevention and control of the diseases transmitted by this vector.
7. To request the Director to promote the availability of stocks of high quality yellow fever vaccines in sufficient quantity to cope with any emergency.
Sept.–Oct. 1978 OD 162, 73
CSP20.R23 The XX Pan American Sanitary Conference,
Having been informed of the request presented by the organization sponsored by the Hipólito Unanue Agreement that it be permitted to designate a representative to attend the meetings of the Governing Bodies of the Organization as an observer;
Considering that decisions on requests of this kind are the prerogative of the Conference or the Directing Council, as stipulated in Article 26 of the Constitution of the Pan American Health Organization; and
Noting Resolution XXVIII of the 80th Meeting of the Executive Committee,
Resolves:
1. To approve the request presented by the Organization sponsored by the Hipólito Unanue Agreement that it be permitted to designate a representative to attend the meetings of the Directing Council or the Pan American Sanitary Conference as an observer.
2. To request the Director to transmit this decision to the Secretariat of the Hipólito Unanue Agreement.
Sept.–Oct. 1978 OD 162, 74
CSP20.R24 The XX Pan American Sanitary Conference,
Having examined the resolutions of the Thirty-first World Health Assembly that the Director of PASB has brought to the attention of the Conference as Regional Committee of the World Health Organization for the Americas (Document CSP20/5); and
Apprised by the Director of the activities being carried out in the Region in the various fields;
Resolves:
To take note of the resolutions of the Thirty-first World Health Assembly contained in Document CSP20/5.
Sept.–Oct. 1978 OD 162, 75
CSP20.R25 The XX Pan American Sanitary Conference,
Having considered the report of the Director on "Technical Cooperation among Developing Countries" (TCDC) (Document CSP20/23) presented in compliance with Resolution XXI of the 80th Meeting of the Executive Committee; and
Bearing in mind Resolution XXVIII of the XXV Meeting of the Directing Council and WHA31.411 of the Thirty-first World Health Assembly,
Resolves:
1. To take note of the report on TCDC activities in the Region of the Americas in which the Organization has cooperated with the countries.
2. To reaffirm the support of the Organization to the Member Countries in the development of TCDC in the health field as an essential mechanism for promoting and increasing the individual and collective self-reliance of the countries.
3. To request the Member Countries to give firm support to, and invite them to participate actively in, the Technical Discussions of the Thirty-second World Health Assembly on "Technical Cooperation in the Field of Health among Developing Countries."
4. To request the Director to establish a working group on a high political level and representative of the actual socioeconomic situation in the Hemisphere, to study and formulate strategies and mechanisms for stimulating the development of TCDC in the Region, and for carrying out the mandate from the World Health Organization to serve as a focal point for TCDC at the global level, and that the recommendations of that working group be presented to the Executive Committee of the Organization for consideration.
5. To urge upon the Director the importance of continued collaboration by the Organization at all levels in the reinforcement of TCDC among the Member Countries on the intercountry, subregional, and regional levels.
6. To recommend to the Director that the report on coordination of TCDC among the programs of the Organization and the countries center on the analytic study of some health programs going forward in the TCDC context in order to assess the scope and results of, and the obstacles to, the advancement of this new form of international technical cooperation.
7.To recommend to the Director that an "information bank" should be prepared and maintained where Member Countries can obtain data about technical expertise, training courses, equipment. etc., available to Member Countries under the TCDC program.
Sept–Oct 1978 OD 162, 76
CSP20.R26 The XX Pan American Sanitary Conference,
Having examined the report on the "Provisional Agenda of the Sixty-third Session of the Executive Board of WHO Items of Interest to the Regional Committee" (Document CSP20/25) presented by the Director,
Resolves:
1. To request the Director to transmit to the Director-General of the World Health Organization the thanks of the Conference for this valuable information and its desire to continue receiving it in the future.
2. To take note of the report on the "Provisional Agenda of the Sixty-third Session of the Executive Board of WHO: Items of Interest to the Regional Committee" (Document CSP20/25).
Sept.–Oct. 1978 OD 162, 77
CSP20.R27 The XX Pan American Sanitary Conference,
Having examined the Report (Document CSP20/DT/3) of the Technical Discussions on "The Impact of Drugs on Health Costs: National and International Problems" held during the Conference, which had before it Document CSP20/DT/1;
Bearing in mind Resolution WHA31.321 of the Thirty-first World Health Assembly, and the importance of safe and effective drugs in health care and the need to expand access to these drugs to all sectors of the population;
Stressing the need for current and objective drug information for prescribers and consumers;
Noting the increasing expenditures for drugs and aware of the need to control expenditures for pharmaceutical products while maintaining continued optimal quality;
Recognizing the importance of the pharmaceutical supply system to health care, and considering the national and international elements of that system; and
Convinced of the necessity of a comprehensive national drug policy to address these concerns, and of a comprehensive drug law to implement that policy,
Resolves:
1. To take note of the Report of the Technical Discussions (Document CSP20/DT/3) and to express its satisfaction with it.
2. To recommend that Member Countries develop and maintain comprehensive national drug policies that will result in implementation of the recommendations presented in the Report of the Technical Discussions.
3. To request the Director to establish or strengthen relations with the pharmaceutical industry for the purpose of giving effect to the recommendations contained in the Report of the Technical Discussions.
Sept.–Oct. 1978 OD 162, 78
CSP20.R28 The XX Pan American Sanitary Conference,
Considering that the provisions of Rules 7, 8, and 9 of the Rules for Technical Discussions have been followed in the selection of the topic of the 1980 Technical Discussions,
Resolves:
To declare selected the topic "Community Health Education: Evaluation of Present Programs, New Approaches, and Strategies" for the Technical Discussions to be held in 1980 during the XXVII Meeting of the Directing Council of PAHO, XXXII Meeting of the Regional Committee of WHO for the Americas.1
Sept.–Oct. 1978 OD 162, 79
CSP20.R29 The XX Pan American Sanitary Conference,
Considering that it is in the interest of the Member Governments to make utmost use of the resources available for the expansion of technical cooperation among developing countries;
Aware that one of the most effective ways to attain this objective is to strengthen the links between PAHO and officially recognized nongovernmental organizations, and to engage in joint programs of common interest;
Convinced that firm support must be given to expansion of the specialized communication media in order to speed up exchanges of information and technologies;
Bearing very much in mind that the Inter-American Association of Sanitary and Environmental Engineering (AIDIS) is a nongovernmental organization that maintains official relations with WHO and PAHO and for three decades has been collaborating with the Organization through its 22 national sections in environmental improvement activities in the Hemisphere; and
Convinced that, because of its internal structure, AIDIS possesses an effective information system consisting of its Editorial Secretariat, its own international journal, and the various publications of its national sections,
Resolves:
To recommend to the Director that he consider the advisability of using the services of AIDIS in the Pan American Network of Information on Sanitary Engineering and Environmental Sciences (REPIDISCA) in the framework of the existing mutual collaboration between the Organization and AIDIS.
Sept.–Oct. 1978 OD 162, 79
CSP20.R30 The XX Pan American Sanitary Conference,
Convinced that the existing inequalities in the health status of people is politically, socially, and economically unacceptable and is of common concern to all countries;
Recognizing that primary health care requires strong and continued political commitment at all levels of government based upon the full understanding and support of the people;
Considering that a commitment was made to these concepts by the Ministers of Health of the Americas in their IV Special Meeting, held in Washington, D.C., in September 1977, as stated in Resolution XIV of the XXV Meeting of the Directing Council;
Recognizing that the results of the International Conference on Primary Health Care, held in Alma-Ata, USSR, in September 1978, confirmed and reinforced this hemispheric policy on the strategies of primary health care and community participation as a means for raising the levels of the health and well-being of the people;
Considering that each country must adjust and apply these strategies in keeping with the demographic, cultural, social, and economic characteristics of urban and rural areas, and must pursue the development of appropriate technologies to make them workable;
Recognizing that health is dependent on social and economic development and also contributes to it, and that Governments should incorporate primary health care strategy within their national development plans, emphasizing intersectoral action; and
Considering the necessity of preparing the evaluation of the Ten-Year Health Plan for the Americas and the importance of continuing systematic evaluation thereafter, and recognizing the necessity of having criteria which will facilitate comparisons both within and among countries.
Resolves:
1. To urge those Governments that have not yet completed their plans for extending health services to all their people to give priority to this task.
2. To encourage all Governments to expedite the implementation of their policies and plans they have made for covering their populations and at the same time to evaluate systematically their programs and revise their policies and plans accordingly.
3. To request the Director to give priority to the systematic development and dissemination of definitions and criteria to be used by all countries in evaluating the extension of health services.
4. To recommend that Governments include and develop primary health care as a part of overall health care, with due attention to the various levels of care, patient referral systems, supervision etc.
5. To urge Governments to give due regard to the need for adopting a multisectoral approach to the promotion of health, and for placing special emphasis on the preventive aspects of health services delivery
6. To request the Director to intercede on behalf of the Member Governments with the international funding agencies, asking them to review and align their policies with respect to national priorities with particular attention to the essential role of health in development.
7. To request the Director to facilitate the exchange among countries of experiences, expertise, training materials, and information regarding appropriate technologies as relevant to the implementation of extension of health service coverage policies and plans.
8. To urge all Member Governments to recognize the historic importance of the Alma-Ata Conference, to adhere to its Declaration, and to implement its recommendations.
9. To request the Director to report on the results of these actions to the next meeting of the Directing Council.
Sept.–Oct. 1978 OD 162, 80
CSP20.R31 The XX Pan American Sanitary Conference,
Having examined Document CSP20/3, and annexes, concerning the institutions designated as Pan American Centers;
Considering that these institutions are an integral component of the respective PAHO program, and constitute an effective mechanism for combining the functions of advisory services, teaching, research, and dissemination of information, in accordance with the needs of the countries and the state of technological development in the field;
Noting that efforts of such Centers have a unique role in furthering technical cooperation among developing countries;
Recognizing that under certain circumstances a national center, by agreement between the Government and PAHO, may provide the functions of an international center, utilizing PAHO project support without requiring PAHO administration; and
Noting that the term "Pan American Center" has hitherto been applied indiscriminately both to centers entirely dependent on PAHO and to national centers,
Resolves:
1. To thank the Director for the comprehensive report on PAHO Centers.
2. To limit the term "Pan American Center" to those whose technical, administrative, and financial affairs are handled by PAHO.
3. To accept in principle the recommendations concerning: the criteria that distinguish a Center; the procedure for establishing and disestablishing a Center; and the standards and conditions for designation of an Associated National Center.
4. To direct that any proposal for the establishment, disestablishment, or transfer of any Pan American Center be routinely submitted to the Executive Committee and the Directing Council and be accompanied by a complete study.
5. To recommend that the Director study the specific recommendations for the improvement of operation of the Centers, noting that many of these recommendations relate to the total PAHO program and not to Centers per se, and to implement those recommendations that are feasible.
6. To request the Director to commence the regular evaluation process of each Center called for in the report and to entrust the Executive Committee with design of appropriate evaluation methods and review of the evaluation reports.
7. To request that the report presented by the working group be completed by describing in greater detail each individual Center, and to ask the Director to submit this to the next meeting of the Directing Council.
Sept.–Oct. 1978 OD 162, 82
CSP20.R32 The XX Pan American Sanitary Conference,
Having considered the report of the Director on the costs of administering grant funds (Document CSP20/19);
Bearing in mind the increased emphasis on obtaining extrabudgetary funds; and
Recognizing the need to maintain the funds of the regular budget for financing the approved programs of the Organization,
Resolves:
1. To approve the general policy established by the Director that the full cost of the technical and administrative services and support for the efficient and effective implementation by PAHO of programs and projects financed from extrabudgetary funds, should, as far as possible, be financed from such funds.
2. To authorize the Director, whenever appropriate, to charge against the amount of funds provided for extrabudgetary activities whatever percentage may be required in each case to defray the costs of administering those funds.
3. To request the Director to continue studying the matter and to report on it to the Meeting of the Executive Committee in June/July 1979.
Sept.–Oct. 1978 OD 162, 83
CSP20.R33 The XX Pan American Sanitary Conference,
Considering that the present health care system often encounters cultural obstructions because of its highly indiscriminating infrastructure;
Considering that the health educational and information apparatus is also a cultural intrusion into the community;
Considering that the responsibility for health care has traditionally been borne by the medical profession and not the community; and
Considering that the patient has his own interpretation of levels of care, superstitions, or systems of belief that may not accord with the present health service delivery system,
Resolves:
1. To recommend to the Director that he give firm support to research designed to discover and develop procedures and instruments of communication as a means to improve health service systems.
2. To recommend to PAHO and the Member Governments that more emphasis be placed on expanding and intensifying research in the sociocultural aspects of health in community life and of the health service delivery system, as detailed in the recommendations put forward in the Final Report of the First Meeting of Specialists for the multidisciplinary analysis of sociocultural problems affecting health activities in the countries of the Andean subregional area.
3. To commend the Delegation of Ecuador for its presentation to the XX Conference on the subject of sociocultural obstacles to the delivery of health care.
Sept.–Oct. 1978 OD 162, 84
CSP20.R34 The XX Pan American Sanitary Conference,
Keenly aware that the wholesome character and affability of the people of Grenada have helped to create an atmosphere favorable to its deliberations and to make the members of the delegations feel entirely at home at all times; and
Sincerely impressed by the effectiveness and amiability of the treatment received from the authorities and people of Grenada in the course of the meeting,
Resolves:
To express its gratitude to the Government and the noble people of Grenada for their superb hospitality, which has contributed so much to the success of the Conference.
Sept.–Oct. 1978 OD 162, 85