Having considered the changes in the Rules of Procedure of the Directing Council proposed in the annex to Document CD20/19;

 Taking into consideration that similar changes have already been introduced into the Rules of Procedure of the Pan American Sanitary Conference; and

 Bearing in mind the provisions of Rule 59 of the Rules of Procedure of the Directing Council,

 To approve the changes in the Rules of Procedure of the Directing Council as they appear in the annex to Document CD20/19.

 Having noted Resolution I of the 66th Meeting of the Executive Committee, in which that body recommends to the Directing Council that it accept the application, submitted by the Secretary of State for External Affairs of Canada, the Honorable Mitchell Sharp, for the admission of his Government to membership in the Pan American Health Organization;

 Considering that the Government of Canada has declared its willingness to assume all the obligations set forth in the Constitution of the Pan American Health Organization, to comply with the provisions of the Pan American Sanitary Code as modified by the Additional Protocol of 24 September 1952, and to contribute a quota to the finances of the Organization; and

 Bearing in mind that the admission of Canada to membership in the Pan American Health Organization will bring a valuable contribution to the common effort to improve health and well-being in the Hemisphere,

1. To approve with satisfaction the request of Canada for admission to membership in the Pan American Health Organization.

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

 Having reviewed the Annual Report of the Chairman of the Executive Committee, Dr. Rogelio Valladares, Representative of Venezuela (Document CD20/16),1 on the work of the Committee from October 1970 to date, during which period it held its 65th and 66th Meetings; and

 Bearing in mind the provisions of Article 9-C of the Constitution of the Pan American Health Organization,

 To approve the Annual Report of the Chairman of the Executive Committee (Document CD20/16) and to commend Dr. Rogelio Valladares, Representative of Venezuela, and the other members of the Committee, for the work done during the period covered by the report.

1. To approve a supplemental appropriation for the financial year 1971 for Part III of the PAHO Regular Budget in the amount of $982,992.

2. To provide that the supplemental appropriation shall be financed from the following assessment, which is the equivalent to that which would be applied to the Member Government under the scale adopted by the Council of the Organization of American States, in accordance with Article 60 of the Pan American Sanitary Code:

  Country: Canada

  Percentage equivalent under OAS scale: 6.6

  Net assessment for the year: $982,992

 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 who levy taxes on the emoluments received from the Pan American Health Organization by their nationals and residents shall be reduced by the amount of such tax reimbursements by the Organization.

3. That, in accordance with the Financial Regulations of the Organization, 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 1972, inclusive. Notwithstanding the provision of this paragraph, obligations during the financial year 1972 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.

 Taking into account that the 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

 Considering that other Member Governments and Participating Governments are assessed on the basis of percentages which would be assigned to such countries if they were subject to the OAS scale,

 To establish the assessments of the Member Governments and Participating Governments of the Pan American Health Organization for 1972 in accordance with the scale of quotas shown below and in the corresponding amounts.

 Having examined Official Document 107, 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 estimates of the Pan American Health Organization for 1973, to be considered by the 68th Meeting of the Executive Committee and by the XXI Meeting of the Directing Council; and

 Recognizing that the provisional draft of the proposed program and budget estimates contains projects formulated in cooperation with the national authorities,

1. To take note of the provisional draft of the proposed program and budget estimates of the Pan American Health Organization for 1973, appearing in Official Document 107.

2. To request the Director to use the provisional draft as a basis for preparation of the proposed program and budget estimates for 1973, after further consultations 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 to make a detailed examination of the revised program and budget estimates for 1973 to be presented by the Director, after further consultations with the Governments, and to submit its recommendations thereon to the XXI Meeting of the Directing Council.

 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 1970 (Official Document 109); and

 Bearing in mind the provisions of Article 9-C of the Constitution of the Pan American Health Organization,

 To approve the Annual Report of the Director of the Pan American Sanitary Bureau for 1970 (Official Document 109), to commend him for the work done, and to extend this commendation to all the staff of the Bureau.

 Having considered the Financial Report of the Director and the Report of the External Auditor for the fiscal year 1970 (Official Document 106), as well as Resolution II approved by the Executive Committee at its 66th Meeting;

 Noting the improvement in the informational annex on PAHO/WHO expenditures, which now permits comparison of the funds assigned to and spent on each program; and

 Observing that although the year's financial operation permitted partial restoration of the amount advanced from the Working Capital Fund to cover the deficit incurred in 1969, the Fund remains at an unsatisfactory level,

1. To approve the Financial Report of the Director and the Report of the External Auditor for the fiscal year 1970 (Official Document 106).

2. To again commend the Director for having consistently pursued long-term financial policies which have enabled the Organization to achieve and maintain a sound financial position by keeping average expenditure within average income, and for the innovations introduced into the format of the Financial Report.

3. To thank the External Auditor for his report.

 Considering the importance of full participation by all Member and Participating Governments in the XX Meeting of the Directing Council; and

 Recognizing the efforts made by some Governments in arrears more than two full years to meet their obligations and thus comply with the Constitution of the Pan American Health Organization,

1. To accord the right to vote in the XX Meeting of the Directing Council to those countries affected by Article 6.B of the Constitution of the Pan American Health Organization.

2. To call to the urgent attention of all Governments remaining in arrears the grave concern with which the Directing Council views this most serious matter which would call for the application of Article 6.B at subsequent meetings in the absence of positive efforts to eliminate the arrearages.

 Having considered Official Document 107, submitted by the Director of the Pan American Sanitary Bureau, which contains the proposed program and budget estimates of the World Health Organization for the Region of the Americas for 1973;

 Bearing in mind that the proposed program and budget estimates are submitted to the Directing Council as Regional Committee of the World Health Organization for the Americas, for review and transmittal to the Director-General of the Organization so that he may take them into account in preparing the proposed budget estimates of WHO for 1973;

 Noting the recommendations made by the 66th Meeting of the Executive Committee; and

 Noting further with concern the trend in the level of the WHO budget assigned to the Region of the Americas,

1. To approve the proposed program and budget estimates of the World Health Organization for the Region of the Americas for 1973, appearing in Official Document 107, and to request the Regional Director to transmit them to the Director-General of the Organization so that he may take them into account in preparing the WHO budget estimates for 1973.

2. To request that the Director-General, when preparing those proposed budget estimates, give favorable consideration to increasing the proportion assigned to the Region of the Americas.

 Having considered the report on the collection of quota contributions (Document CD20/26 and Adds.) and Resolution XVI approved by the Executive Committee at its 66th Meeting, as well as the information and comments on quotas contained in the Financial Report of the Director and the Report of the External Auditor for 1970 (Official Document 106);

 Noting that of the five countries that are more than two years in arrears, two have reached official agreements and one has offered to take the necessary steps to pay its quotas, and two were not present when the subject was discussed; and

 Considering the importance of receiving the full support of all Governments for the Organization's program through timely and full payment of quota contributions,

1. To take note of the report on the collection of quota contributions (Document CD20/26 and Adds.).

2. To thank those Governments which have made payments in 1971, and to urge all Governments to pay remaining balances of arrears and current year quotas before the end of the year.

3. To express concern that three Governments are still more than two years in arrears and that no proposal for an appropriate financial settlement has been received from them.

4. To request the Director to continue to inform the Governments of the status of quota collections and to urge those Governments in arrears to become current through timely payment of their quota assessments.

 Having examined the report of the Director on the status of Aedes aegypti eradication in the Americas (Document CD20/12 and Add. I)1 and the activities undertaken in compliance with Resolution XLIII of the XVIII Pan American Sanitary Conference,

 Bearing in mind the danger represented by the infestation of extensive areas by A. aegypti, and being seriously concerned about the prevention or control of yellow fever and dengue;

 Considering that at its 66th Meeting the Executive Committee (Resolution V) reaffirmed the recommendation of the XVIII Pan American Sanitary Conference that the studies and investigations being carried out should not entail any reduction in the countries' efforts to eradicate the vector from their territories, or when that is achieved, to prevent their reinfestation;

 Seeing that the Organization has signed a contract for cost-benefit studies of programs for the prevention of A. aegypti-borne diseases which does not involve any increase in the budget; and

 Having taken note of the information provided by the Director to the 66th Meeting of the Executive Committee on the A. aegypti eradication program,

1. To endorse the recommendations contained in Resolution V of the 66th Meeting of the Executive Committee.

2. To request the countries and territories still infested to make every effort to eradicate Aedes aegypti as soon as possible, and to request countries free of the vector to endeavor to intensify surveillance activities in order to prevent reinfestations.

 Having considered Document CD20/11 presented by the Director, which contains the Final Report of the IV Inter-American Meeting, at the Ministerial Level, on Foot-and-Mouth Disease and Zoonoses Control, held pursuant to Resolution XIX approved by the Directing Council at its XVII Meeting;

 Bearing in mind the valuable technical assistance with which the Organization has been providing the countries, through the Pan American Foot-and-Mouth Disease Center and the Pan American Zoonoses Center, in the planning and implementation of programs for the control of foot-and-mouth disease and other zoonoses;

 Noting the financial assistance being provided by international credit agencies for those programs, which are of vital importance for the health and economy of the countries;

 Mindful of the serious human and animal health problems in the Hemisphere which are being caused by zoonoses; and

 Bearing in mind the need to strengthen programs for the development of manpower at all levels to carry out campaigns for the control of foot-and-mouth disease and other zoonoses,

1. To take note of the Final Report of the IV Inter-American Meeting, at the Ministerial Level, on Foot-and-Mouth Disease and Zoonoses Control (Document CD20/11).

2. To thank the Ministries of Agriculture for their efforts to control those diseases, which seriously affect food production and have a marked impact on human health and well-being.

3. To note with satisfaction the resolutions relating to programs for manpower development and for program planning and evaluation, which are essential to the efficient conduct of animal health programs.

4. To reaffirm its support of the Pan American Foot-and-Mouth Disease Center and the Pan American Zoonoses Center and of the programs they are carrying out, and to endorse Resolutions IV and VI of the IV Inter-American Meeting, at the Ministerial Level, on Foot-and-Mouth Disease and Zoonoses Control concerning the program and budget estimates of those Centers for 1972 and the preliminary drafts for 1973.

5. To reaffirm its support of the request of the Governments to the United Nations Development Program that it provide the Pan American Zoonoses Center, as a regional project, with financial assistance.

6. To emphasize the need for the Organization to provide increased technical assistance for the study of diseases, such as Venezuelan equine encephalitis, which are emerging as serious health problems, and for the conduct of programs to control them.

7. To thank the Governments of Argentina and of Brazil for the technical and financial assistance which they have given to the Pan American Zoonoses Center and the Pan American Foot-and-Mouth Disease Center, respectively.

8. To emphasize that the other resolutions approved by the IV Inter-American Meeting, at the Ministerial Level, on Foot-and-Mouth Disease and Zoonoses Control clearly reflect the activities of the Ministries of Agriculture of the Member Countries for the control of animal diseases affecting the health and economy of the peoples of the Hemisphere.

 Having seen Document CD20/3, in which the Director of the Pan American Sanitary Bureau submits to the attention of the Regional Committee of the World Health Organization for the Americas several resolutions adopted by the Twenty-fourth World Health Assembly;1 and

 Bearing in mind that some of the subjects to which the World Health Assembly resolutions refer are already included in the agenda of this meeting of the Regional Committee while the others are related to programs currently being carried out,

 To take note of the following resolutions contained in Document CD20/3:

 WHA24.30: Occupational health programs.

 WHA24.31: Development of the medical use of ionizing radiation.

 WHA24.36: Disinsection of aircraft.

 WHA24.45: Smallpox eradication.

 WHA24.47: Problems of the human environment.

 WHA24.49: Strategy for health during the Second United Nations Development Decade.

 WHA24.55: Community water supply.

 WHA24.59: Training of national health personnel.

 Having considered the Proposed Program and Budget Estimates of the World Health Organization for the Region of the Americas for 1972 and 1973, as set out in Official Document 107;

 Having taken note of the recommendations1 of the Executive Committee as its 66th Meeting, which were the basis for operative paragraph 2 of Resolution XI adopted by this Council, requesting the Director-General to give favorable consideration to increasing the proportion assigned to the Region of the Americas; and

 Considering the program proposals set forth in Document CD20/23, as well as the narrative statements of the projects and the criteria for priorities set out in Document CD20/21, Add. I.

1. To request the Director-General to give favorable consideration to increasing the proportion assigned to the Region of the Americas, recognizing that this request should not imply a recommendation for increasing the total budget of WHO.

2. To recommend to the Director-General that, within the amount he finds possible to allocate to the Americas, he include in the proposed program and budget for 1974 the proposal set out in Document CD20/23, giving due regard to the projects and priorities contained in Document CD20/21, Add. I.

Elected Barbados, Canada, and El Salvador to the Executive Committee upon termination of the periods of office of Argentina, Costa Rica, and Mexico, and thanked the Governments of these countries for the services rendered to the Organization by their representatives on the Committee.

 Bearing in mind the interest of the Governments in the PAHO textbook program;

 Having learned with satisfaction of the favorable development of the program described in the report of the Director (Document CD20/5),1 Annex 7, PAHO Official Document 115 (1972) and the approval of the loan for the program made to the Pan American Health and Education Foundation (PAHEF) by the Inter-American Development Bank (IDB) for the purpose of undertaking a joint PAHO/PAHEF program in accord with the plan approved by the XVIII Pan American Sanitary Conference in Resolution XXIX; and

 Considering the efforts the Organization has made over the years to obtain adequate long-term financing for this program,

1. To take note of the report of the Director on the textbook program (Document CD20/5).

2. To congratulate the Director on the way in which the program has been conducted and on obtaining adequate long-term financing for it.

3. To thank the Inter-American Development Bank for approving the loan to finance this important program.

4. To thank the Pan American Health and Education Foundation for its cooperation with the Pan American Health Organization in the textbook program.

 Having considered the amendments to the Staff Rules of the Pan American Sanitary Bureau, contained in the annex to Document CE66/11, Rev. 1, presented by the Director of the Bureau; and

 Bearing in mind the provisions of Staff Regulation 12.2,

1. To take note of the following amendments to the Staff Rules of the Pan American Sanitary Bureau, presented by the Director in the annex to Document CE66/11, Rev. 1, and approved by the Executive Committee at its 66th Meeting, to be effective as of 1 January 1971: 255.3, 270, 280.2 (b), 280.5 (c) and (d), 320.2, 320.4, 740, 810 (i), 820.1 (i), 950.2 (c), 950.3, 950.4, and 970.3.

2. To take note of the amendments, approved by the 66th Meeting of the Executive Committee, to Staff Rules 230.4, 235.1, and 730.3, effective 1 July 1971.

 Considering the revisions that were made as from 1 July 1971 in the salary scales for internationally recruited staff in graded posts;

 Having noted the action taken by the Executive Committee at its 66th Meeting to establish the annual salaries of the Deputy Director and the Assistant Director; and

 Bearing in mind the importance of the Pan American Health Organization as the specialized agency for health in the Organization of American States system, and the weight of the executive and technical responsibility involved in the direction of PAHO/WHO activities in the Americas,

1. To establish the net salary of the Director of the Pan American Sanitary Bureau at the level of $28,850 per annum, taking effect from 1 July 1971.

2. To request the Executive Committee, in cases of any future salary adjustments in respect of professional and ungraded categories of posts, to make recommendations to the Conference or the Directing Council concerning the appropriate level of the salary of the Director.

 Having received from the Executive Committee the report of the Committee for the PAHO Award for Administration (Document CE66/13) declaring the 1971 Award annulled and proposing changes in the procedure and criteria for making the Award (Document CE66/34, Rev. 1); and

 Considering the recommendation of the Executive Committee that the changes proposed by the Award Committee be approved,

1. To take note of the decision of the Committee for the PAHO Award for Administration in 1971.

2. To approve the changes proposed by the Committee in the procedure and criteria for making the Award.

 Having considered the report of the Director on poliomyelitis vaccination programs in the countries of Middle America and South America (Document CD20/27);1

 Having heard the statement of Dr. Albert B. Sabin on the item;

 Bearing in mind that poliomyelitis is a disease which affects almost all the countries of the Americas, with varying rates of morbidity, and which periodically occurs in epidemics of varying severity and extent;

 Considering that, although poliomyelitis mortality rates are relatively low, the disease is one which is the cause of serious sequelae;

 Bearing in mind that poliomyelitis can be controlled with live attenuated oral vaccine of proven effectiveness which is available and easy to administer and has been used successfully in several countries of the Region, to the point of virtually eliminating in some of them the occurrence of clinical cases; and

 Considering that it is the objective of the Member Governments that poliomyelitis cease to be a health problem in the Americas,

1. To recommend to the Member Governments that they study their own situation in order to organize, intensify, expand or maintain, whichever is applicable, national poliomyelitis control programs.

2. To request the Director to coordinate the studies on poliomyelitis and the development of control programs in the Americas, and to provide the countries, within available resources, with technical and material assistance in planning, organizing, implementing, and evaluating the corresponding epidemiological surveillance programs.

3. To request the Director, furthermore, to provide the countries with all possible technical and material assistance in the event of the threat or the occurrence of epidemics.

4. To authorize the Director to establish a Special Fund, in accordance with paragraph 6.7 of the Financial Regulations of PAHO, financed by voluntary contributions, for the purpose of expanding available assistance and undertaking poliomyelitis control programs in the Americas as indicated by the studies and by Document CD20/27.

5. To invite Member Governments to generously contribute funds, material, and equipment for the establishment and maintenance of the Special Fund so that the Organization may give effective and prompt assistance to the countries in their poliomyelitis control programs.

6. To request the Director to approach the United Nations Children's Fund (UNICEF) and other United Nations agencies or public and private institutions in order to obtain assistance for the poliomyelitis control program.

7. To establish a sufficient reserve of live attenuated poliomyelitis oral vaccine, the cost of which is to be borne by the Special Fund, to serve the needs for epidemic control and to be distributed to the countries in accordance with the needs of, and progress made by, the respective programs.

8. To request the Director, in agreement with the Member Governments and utilizing the manpower and material resources available, to take the necessary steps to promote the organization of a regional network of laboratories for the isolation, diagnosis, and typing of poliomyelitis virus; and to request the Member Governments of the countries in which these laboratories are established to facilitate their use by countries that do not have such laboratories.

9. To request the Director to submit to the Directing Council a periodic report on the progress of the program.

 Having considered the report of the Director on the status of the smallpox eradication campaign in the Americas (Document CD20/6);1

 Considering that in that campaign considerable progress has been made which must be consolidated;

 Considering that the statement of the Government of the United States of America that it is recommending to the states within the U.S.A. that they suspend compulsory smallpox vaccination is justified because of the existence of excellent epidemiological surveillance services in that country;

 Recognizing that most of the other countries of the Hemisphere are not in a similar position; and

 Considering that it is necessary to maintain and intensify efforts to achieve eradication of the disease by improving case-reporting, surveillance, and maintenance services,

1. To reaffirm that the eradication of smallpox continues to have high priority for the Americas and for the Pan American Health Organization and the World Health Organization.

2. To thank the Governments for the efforts they have made to eradicate the disease, in particular the Government of Brazil for the activities it is carrying out to achieve that objective.

3. To urge all the Governments to continue to cooperate with and aid countries that request assistance by supplying vaccine, laboratory diagnosis facilities, and technical advisory services.

4. To take note of the statement of the Government of the United States of America to the effect that, taking into account its epidemiological situation, it has recommended to the state authorities within the U.S.A. that they suspend compulsory smallpox vaccination.

5. To recommend to the other countries of the Americas that, before adopting a similar measure to that adopted by the United States of America, they study the risks it involves and that they maintain their vaccination services and improve their epidemiological surveillance systems in order to proceed with the immediate investigation of any suspect case of smallpox and with revaccinations whenever necessary.

6. To instruct the Director of the Bureau to keep the Governing Bodies of the Organization informed of the progress of the smallpox eradication campaign.

 Having examined Resolution WHA24.261 of the Twenty-fourth World Health Assembly on the cholera pandemic; and

 Bearing in mind that the appearance of cholera in certain European countries represents a threat to the Americas.

1. To reaffirm Resolution IX of the XVIII Pan American Sanitary Conference, which recommends to the Governments that they intensify their surveillance efforts in order to provide the earliest possible warning in case the disease appears in the Americas.

2. To recommend strongly to the Governments that, in applying the measures provided for in the International Health Regulations with regard to international travelers, they not go beyond the scope of those Regulations.

 Having examined Resolution WHA24.571 of the Twenty-fourth World-Health Assembly;

 Recognizing that the problem of drug abuse is one of steadily increasing importance in the Region; and

 Considering that the extent of the problem is not fully known, that the circumstances that give rise to, cause the spread of and perpetuate the habit are not known either, and that this information is necessary in order to carry out prevention, treatment, and rehabilitation programs more effectively,

1. To commend Resolution WHA24.57 of the Twenty-fourth World Health Assembly.

2. To recommend to the Director of the Bureau that he continue his efforts to carry out an epidemiological investigation designed to ascertain the extent of the problem of drug abuse in the countries of the Americas and the circumstances which permit the spread of the habit.

3. To request the Director-General of WHO to approach the United Nations Fund for Drug Abuse Control with a view to obtaining the funds for carrying out this important program.

 Having considered the XIX Report of the Director of the Bureau on the status of malaria eradication in the Americas (Document CD20/2);1

 Bearing in mind Resolution WHA22.392 of the Twenty-second World Health Assembly;

 Viewing with concern the financial difficulties that are hindering the progress of some programs;

 Bearing in mind that the agricultural use of insecticides may engender vector resistance and that DDT is still the most useful insecticide for most of the malarious areas; and

 Recognizing that the Governments are making investment plans for development,

1. To take note of the XIX Report of the Director of the Bureau on the status of malaria eradication in the Americas (Document CD20/2).

2. To reiterate its wish that Governments with eradication programs that have not yet been reexamined undertake that reexamination in accordance with Resolution WHA22.39.

3. To urge the Governments to continue their efforts to achieve the necessary financing and administrative efficiency for the normal development of operations.

4. To recommend to the Governments that, through their Ministries of Health and Agriculture, they issue regulations governing the use of acceptable insecticides for health campaigns and agricultural use.

5. To request the countries producing DDT to continue manufacturing it for those activities.

6. To emphasize the need to coordinate the activities of the Ministries of Health and the institutions responsible for the planning and execution of public works so as to prevent the creation of malaria problems, and to stress the need to make provision in their budgets for the funds required for antimalaria activities.

7. To reiterate the importance of strengthening basic health services in originally malarious areas and of strengthening coordination between national malaria eradication services and general health services.

8. To thank the United Nations Children's Fund, the United Nations Development Program, and the Governments of the United States of America and of the Federal Republic of Germany for the assistance they have provided, and to request them to continue to provide assistance at a level that will enable the programs to be efficiently conducted.

 Recognizing the need to define a health policy for the Americas for the decade 1971–1980, consistent with the anticipated socioeconomic development during the decade and the many problems posed by that development;

 Bearing in mind the desirability of defining the improvement to be achieved in the health sector during the decade and of working out a continental strategy for achieving it;

 Bearing in mind Resolution WHA24.49 of the Twenty-fourth World Health Assembly (Strategy for health during the Second United Nations Development Decade), and the PAHO/WHO Program of Work for the period 1973–1977; and

 Taking into account the kind invitation extended by the Government of Chile to hold the Meeting in the city of Santiago.

1. To recommend that a Meeting of Ministers of Health of the Americas be held immediately before the XXI Meeting of the Directing Council of PAHO, XXIV Meeting of the Regional Committee of WHO, in Santiago, Chile, in September or October 1972.

2. To suggest that the Meeting of Ministers deal with the following subjects:

a) Regional analysis of the progress made in the health sector in attaining the goals for the decade 1961–1970.

b) Assessment of prevalent health problems and their continental implications in the light of the anticipated socio-economic development in the new decade.

c) Establishment of goals for the period 1971–1980, including the setting of priorities.

d) Establishment of the strategy for attaining those goals, including an examination of the financial implications.

3. To request the Director to take the necessary steps to convoke and organize the Meeting of Ministers in accordance with the timetable and recommendations contained in the report of the working party on the item "Meeting of Ministers of Health," including the preparation of the corresponding working documents.

4. To recommend to the Executive Committee that, as soon as the Governments have examined the working documents prepared by the Secretariat, it draw up a proposed agenda for the above-mentioned. Meeting which is to be submitted to the countries for consideration at an early date.

5. To urge the Governments to assist and support the Secretariat both in preparing the documentation and in organizing and holding the Meeting

6. To request the Director to submit to the 68th Meeting of the Executive Committee a report on the preparations for the Meeting of Ministers.

 Having examined the report submitted by the Director on traffic accidents (Document CD20/10, Rev. 1);1

 Considering that, as is shown by the data presented, this subject constitutes a public health problem whose extent and epidemiology are not accurately known, particularly in Latin America;

 Recognizing the need to stimulate the interest of Governments in this problem; and

 Considering the offer made by the Government of the United States of America for the financing of an international seminar or a working party of experts to discuss the role of drinking alcohol in the causation of traffic accidents and to develop preventive measures,

1. To express its satisfaction with the presentation of the subject.

2. To suggest to the Director that the Organization:

a) Continue and intensify its collaboration with national, intergovernmental, and nongovernmental organizations working in this field and promote coordination between them.

b) Furnish advice to countries:

i) On the study and investigation of the epidemiology of factors involved in the causation of traffic accidents.

ii) On the establishment of uniform standards of classification and reporting.

iii) On the adoption of adequate control measures.

iv) On the preparation of specialized personnel.

3. To recommend to Governments:

a) That they give special attention to the epidemiological study of the factors governing the causation, extent, gravity, and nature of traffic accidents, taking into account local characteristics.

b) That they encourage the competent national and local organizations:

i) To develop coordinated programs for the prevention of traffic accidents.

ii) To organize services to provide immediate effective medical care for the victims.

iii) To promote extensive courses of instruction in the driving of motor vehicles.

iv) To improve the procedures for the granting of driver permits and expand programs for the traffic safety education of the public, with special attention to schoolchildren and drivers.

c) That they review their legislation in relation to factors concerning the individual, the vehicle, and the highway.

d) That they appropriate the necessary funds to finance the above-mentioned activities.

4. To express its pleasure with and to accept the offer made by the United States of America, and to request the Director to take the necessary steps to plan and organize an international seminar or a working party of experts for the purpose of studying the factors of drinking alcohol that enter into play in traffic accidents and measures for their prevention.

 Bearing in mind the provisions of Rule 9 of the Rules for Technical Discussions,

 To select the topic "Community Health Services and Community Involvement" for the Technical Discussions at the XXI Meeting of the Directing Council, XXIV Meeting of the Regional Committee of the World Health Organization for the Americas.1

 Bearing in mind the provision of Article 60 of the Pan American Sanitary Code, reiterated in Article 24 of the Pan American Health Organization Constitution, that the financing of the Pan American Sanitary Bureau shall be apportioned among the "Signatory Governments on the same basis as are the expenses of the Pan American Union";

 Noting that this provision does not take into account the possibility of membership in PAHO on the part of States not members of the OAS (formerly the Pan American Union);

 Noting further that, with the entry of new Member States, the total of the percentages of the contributions of Member States to the financing of the regular budget of the Organization has now reached a figure appreciably higher than 100 per cent (106.84) as a result of the current method of presenting the percentage relationship of the contributions of the Member States; and

 Recognizing that this method of presentation does not reflect the actual percentage relationship of the contributions of Member States of PAHO to the regular budget,

1. To request the 68th Meeting of the Executive Committee to study the method of presenting, in the official documents of the Organization, the percentage relationship of the contributions of Member States to the regular budget.

2. To request the Director to inform the Executive Committee of the antecedents and other factors bearing on this question, including information concerning developments that may affect the basis of financing stipulated in Article 60 of the Pan American Sanitary Code.

3. To request the Executive Committee to report to the XXI Meeting of the Directing Council on this subject, and, if it deems it necessary, to submit recommendations concerning possible methods of presentation that will indicate in a more desirable manner the percentages of the contributions of Member States to the regular budget.

 Having considered the Director's report on man-environment relationships (Document CD20/7)1 including suggested goals for 1971–1980, submitted pursuant to Resolution XXXIV of the XVIII Pan American Sanitary Conference;

 Recognizing that population growth and accelerating technological advances in urbanizing societies are producing unprecedented changes and a host of new stresses having in totality ill-defined impacts on the health and well-being of peoples;

 Recognizing the need for appropriate diagnostic mechanisms to identify and predict the physiological, toxicological, epidemiological, and sociological consequences of rapid environmental change;

 Bearing in mind that the continental and global dimensions of environmental pollution require international collaboration in order to understand and evaluate impacts on health;

 Recognizing the need for continental and global networks for the monitoring and surveillance of environmental impacts on man, and the importance of the Organization's existing centers as a part of those continental and global networks; and

 Noting the unprecedented advances in traditional sanitation achieved over the past decade by Member Governments, especially in providing water supply and sewerage services; in strengthening national institutions essential to environmental-quality controls; in establishing the Pan American Center for Sanitary Engineering and Environmental Sciences; and in initiating continental networks for monitoring and for continuing education, research, and graduate study,

1. To commend the Director for his report and for his effective support in collaborating with Governments in order to provide basic sanitation services, and for his vision and initiatives toward meeting emerging environmental challenges.

2. To urge ministries of health that, in the course of economic development, they expand and strengthen their capabilities to cope with health-related problems of the changing human environment.

3. To reaffirm Resolution XXXIV of the XVIII Pan American Sanitary Conference, requesting that ministries of health continue to emphasize the provision of basic sanitation services to urban and rural peoples, with special attention to community organization, self-help concepts, and revolving-fund mechanisms to support mass-approach techniques.

4. To thank the international lending agencies for their support to Governments in projects to improve sanitation and health and to request them to continue their collaboration.

5. To suggest that the Director reassess the Organization's total resources with a view toward strengthening the Region's total capabilities to meet the problems related to environmental health, including programs to promote the understanding, diagnosis, and assessment of environmental impacts on health, to monitor trends, and to provide educational and other support for environmental programs.

6. To request that the Director explore means for the establishment of a center for human ecology and health sciences, as a supplement to existing centers, keeping in mind the potential value of a regional center that will serve as a prototype in a global network for the study of human ecology.

7. To suggest that the Director arrange for liaison and collaboration with appropriate national and international agencies to exchange information, evaluate trends, and improve understanding of hemispheric and global environmental changes.

 Having reviewed the report of the Director on the expansion of occupational health services (Document CD20/8);1

 Recognizing that occupational hazards constitute a serious threat to the health of employees and that some industries create both a threat and a nuisance to the community; and

 Appreciating that a sound occupational health program in individual industries, integrated with national programs, contributes to the increase of individual productivity and to a country's economic development,

1. To urge that Governments establish national occupational health programs and that countries with existing programs expand them through projects carried out in individual industries with government collaboration.

2. To request the Director, within budgetary priorities, to broaden the Organization's assistance to Governments to strengthen national occupational health programs consistent with industrial development, giving particular attention to the preparation of technical manpower, systematic surveys and control of industrial hazards, and periodic evaluation of ongoing programs.

3. To urge Governments to encourage financing institutions and other sponsors of industrial development to provide funds for occupational health requirements in the design, construction, and operation of projects financed by them, as well as for the treatment of industrial wastes.

 Having studied the excellent report presented by the Representative of Mexico on the philosophical and pragmatic principles of programs designed to raise the level of living of the rural population (Document CD20/28); and

 Considering that rural underdevelopment is a general characteristic of most of the Latin American countries.

1. To thank the Government of Mexico for its interesting and stimulating report.

2. To recommend to the Governments of the countries of the Americas whose rural areas lack adequate health services that they endeavor to develop programs which will contribute to raising the level of health and living of the rural population.

 Having considered the report on the PAHO research program, 1962–1971, submitted to the Tenth Meeting of the PAHO Advisory Committee on Medical Research (CD20/13);1

 Having noted that the program encompasses a variety of subjects and has provided assistance to practically all the Latin American countries;

 Having noted further that during the decade under review the program has developed from a small beginning to an outlay of approximately US$3.6 million annually, most of which is provided from outside sources, and that this growth has been achieved with a minimum administrative structure;

 Realizing that biology, health, and medicine are not explicitly included in the Regional Scientific and Technological Development Program called for in the Declaration of the Presidents of America at their Meeting in Punta del Este in April 1967, thus depriving the Pan American Health Organization of access to the funds made available for the implementation of the program;

 Recognizing that in order to carry out the research program successfully in the next decade it is necessary to strengthen the Organization's research and research training efforts, by allocating to the program a greater proportion of the Organization's own funds; and

 Recalling that the Special Fund for Research established by the XVII Pan American Sanitary Conference2 for the specific purpose of providing additional resources for the support of research and research training in the Americas has, for the most part, been largely inactive for lack of funds,

1. To congratulate the Director on the progress of the PAHO research program in the last decade.

2. To express appreciation to the Governments, foundations, agencies, and other groups that have hitherto supported the Program.

3. To instruct the Director to include in the PAHO regular budget increasing amounts assigned to the research and research training program, with more emphasis in the areas of the administration and delivery of health services, housing and environmental control, and chronic diseases.

4. To instruct the Director to renew his efforts with the Organization of American States to include the Pan American Health Organization as an active participant in the Regional Scientific and Technological Development Program with access to the funds made available for implementing that program.

5. To thank the Governments of Chile, Trinidad and Tobago, and Uruguay for their contributions to the Special Fund for Research and to urge all other Member Governments to contribute to this Fund on a regular basis.

 Recognizing the worldwide concern over the effects of widespread and rapid environmental change on the health and well-being of man; and

 Having considered the Final Report1 of the Technical Discussions on "Environmental Pollution" held during the present meeting.

1. To express its great concern with respect to adverse environmental impacts, the serious gaps in knowledge of their effects on man, and the need for better environmental intelligence and more effective preventive and corrective measures.

2. To recommend to Governments that, in order to meet the critical needs for environmental protection, they consider the possibility of:

a) Establishing programs for controlling the quality of the environment.

b) Promoting activities in order to develop new knowledge in search for new concepts and approaches.

c) Fostering the creation of new institutions for environmental protection.

d) Training multidisciplinary professionals for those purposes.

3. To urge the Governments to establish or reinforce environmental health activities within the ministries of health, including sanitary engineering and other environmental sciences, to cope with traditional and emerging environmental problems, giving particular attention to the execution of housing programs and those for the provision of water supply, excreta disposal, and air pollution control.

4. To express its satisfaction with the conduct of the Technical Discussions and its thanks to the officials of the other international agencies and nongovernmental organizations for their participation.

5. To suggest to the Director that he give the report and background documents wide distribution.