Considering that the Executive Committee, in its final report of the 8th Meeting (Document CE8.L-17), [through Resolution I on the] Program and Budget of the Pan American Sanitary Bureau for 1950, submitted to the Directing Council a budget for a global sum of $2,000,000, with a statement of purposes and itemized classes;

Considering that the detailed study carried out during the sessions of the Committee on Program, Administration, and Budget, and the discussions and deliberations on the program submitted on the different items of the budget, have indicated that it is advisable to reduce the total amount of the budget and to introduce various modifications in the sections included [therein]; and

Considering that the present state of development of the Pan American Sanitary Bureau is such that modifications and reductions can be made in Classes I, II, and III of the budget for 1950 without causing undue harm to the normal development of the specific activities of the Bureau,

1. To approve the budget amounting to $1,742,035 for the calendar year 1950, with reductions in the proposed $2,000,000 budget affecting:

a) Class I, in the sum of $52,500, inasmuch as it is felt that 15 per cent of the Headquarters administration expenses, as set forth in the Director's proposed budget, should appropriately be met by the World Health Organization, in addition to such other provision as the World Health Organization may make for meeting the administrative expenses of the Pan American Sanitary Bureau, as Regional Office of the World Health Organization, within Chapter 3.2 of the World Health Organization budget for 1950;

b) Class II, in the sum of $139,250, having approved the organization and establishment of two Zone Offices instead of four, which would have [implied] a new and more expanded [financing] program; and

c) Class III, in the sum of $66,215, pertaining to justified reductions in the Procurement Division and in the Food and Drug Section [and to the elimination of the Maternal and Infant Health Section], which are expected to be duly covered by the World Health Organization's budget for the Regional Office of the Americas in the Western Hemisphere, and of the Dental Section, inasmuch as it is considered preferable to develop and properly organize present activities without the creation of new ones.

2. To divide the budget among the four classes as follows:

The items above shall be applied to the financing of the program presented by the Director of the Pan American Sanitary Bureau (Document CE8.L-5), with such modifications as have been introduced by the Delegates.

3. To authorize the Director of the Pan American Sanitary Bureau to transfer funds from one to another of the aforementioned items, provided that such transfers will not exceed 10 per cent of the total of the item, informing the Executive Committee of such action promptly, [transfers] in excess of the percentage indicated [to] be effected only when the Director obtains previous consent from a majority of the members of the Executive Committee.

4. To assign contributions for the collection of quotas on the basis established by Article 60 of the Pan American Sanitary Code.

The 1950 budget of the Pan American Sanitary Bureau shall be divided among the Member Governments in accordance with the schedule of contributions adopted by the Council of the Organization of American States for the Budget of the Pan American Union for the fiscal year 1949-1950.

Oct. 1949 Pub. 247, 21

CD3.R2    The Directing Council,

Considering that the Directing Council of the Pan American Sanitary Organization, at its I Meeting in Buenos Aires, resolved . . . [to approve the establishment of] a reserve fund, allocated to ensure the normal operations of the Bureau, the financing of new programs or supplementing of those already approved, or for any other purpose that the Directing Council may deem necessary; and

[Bearing in mind that] the Director of the Pan American Sanitary Bureau considers that, in view of the disbursements made in 1948 and up to August 1949 and the income of 1948 and 1949, it is opportune to determine the amount of the Reserve and Emergency Funds for 1950,

1. Emergency Fund. To create an emergency fund from existing surplus at the end of the fiscal year of the Pan American Sanitary Bureau, 31 December 1949. The sum of $50,000 shall be set aside and deposited in dollars in a bank in Washington, D.C., and this fund shall be administered by the Director or by his authorized representative. Reimbursement to the Emergency Fund shall be made by refunding through payments from countries that may receive materials for emergency services, or by orders approved by the Executive Committee chargeable to the general funds of the Bureau. The Executive Committee and the Directing Council shall receive reports pertaining to the use of such funds.

2. Reserve Fund. That all free balances of cash available at the end of the fiscal year of the Pan American Sanitary Bureau, 31 December 1949, and any contribution to the budget of 1949 or previous years received during 1950 be set aside in the Reserve Fund of the Pan American Sanitary Bureau tp be used as working capital fund pending decision as to its disposal and the establishment of a permanent Working Capital Fund by the 1950 Pan American Sanitary Conference. This amount shall be deposited in dollars, or in the form of interest-bearing bonds, in a Washington D. C., bank, and the transfer of funds to operating bank accounts of the Bureau will be made in each instance with the specific authorization of the Director. The Executive Committee and the Directing Council shall receive reports on the status of said fund.

Oct. 1949 Pub. 247, 23

CD3.R3    The Directing Council,

as Regional Committee of the World Health Organization for the Americas,

Considering that under the terms of the Constitution of the World Health Organization and the Agreement between the Pan American Sanitary Organization and the World Health Organization signed on 24 May 1949, the Directing Council of the Pan American Sanitary Organization met as the Regional Committee of the World Health Organization for the Americas on 12 October 1949, [with] representatives from the United Kingdom, France, and the Netherlands [enjoying] full privileges; and

[Having considered] the relationship between the program and budget of the World Health Organization and [that] of the Pan American Sanitary Organization, after a study of the documents of the Program and Budget for 1950 approved by the Second Assembly of the World Health Organization, the Program and Budget for 1950 of the Pan American Sanitary Bureau, and Resolution III, paragraph 1, of the Executive Committee at its 8th Meeting,

1. To recommend to the World Health Organization that it establish sections on tuberculosis, malaria, venereal disease, maternal and child health, and environmental sanitation in the Regional Office, and that, through such sections, the Regional Director consult with the Member Governments in order to develop active programs of technical assistance in these fields.

2. To recommend to the World Health Organization that an appropriate portion of its fellowship funds be allotted to the Region of the Americas, and that, in the administration of such funds, consideration be given to the value of training in existing schools and institutions in all parts of the Americas.

Oct. 1949 Pub. 247, 24

CD3.R4    The Directing Council,

That the financial participation of France, Great Britain, the Netherlands, Denmark, and their dependent territories shall be the [subject] of correspondence between the Regional Director and the metropolitan Governments, the Director presenting the Executive Committee with the result of his investigations, [which Committee, in turn, is] requested to present a statement to the XIII Pan American Sanitary Conference with recommendations relating to this matter.

Oct. 1949 Pub. 247, 25

CD3.R5    The Directing Council,

as Regional Committee of the World Health Organization for the Americas,

Considering that there exists in the Region of the Americas the Pan American Sanitary Organization, which carries out its own programs, and has, in addition, an appropriate office engaged in health administration;

Considering that the programs can be readily developed because of the geography of the Region and the similarity of the health problems that exist in this group of nations; and

Considering that it is advisable to take advantage of the existing technical, economic, and administrative services that the Bureau can render to both organizations by coordinating the programs to be carried out in the Region with those of the World Health Organization.

1. To recommend that the Regional Director, in submitting the program and budget for 1951 to the Director-General of the World Health Organization, take into account the foregoing considerations as they apply to the general policies for this Region.

2. To recommend that the Regional Director likewise consider the requests of the Member Governments in certain specific instances.

Oct. 1949 Pub. 247, 25

CD3.R6    The Directing Council,

Considering that the report presented by the special committee appointed by the Director of the Pan American Sanitary Bureau to comply with Resolution IV, paragraph 1, adopted by the Executive Committee at its 7th Meeting, contains recommendations concerning Staff Rules for the Pan American Sanitary Bureau; and

Considering that the Executive Committee, at its 8th Meeting, after a detailed study of the [matter, formulated recommendations for consideration by the Directing Council],

[To instruct] that the Pan American Sanitary Bureau adopt the Staff Rules and Regulations of the World Health Organization duly modified and set forth in Document CE8.L-7, with the following exceptions: Articles 20, 27, and 28; Rules 550, 610, 852, 853, 1111, and 1120; and all of Section 1000 that does not apply in the case of the Pan American Sanitary Bureau.

2. [To request] that the Director of the Bureau continue the studies and negotiations now being made regarding pensions, compensations, and an administrative tribunal.

3. [To authorize] the Executive Committee to take a decision regarding the articles and rules mentioned in paragraph 1 when all the pertinent information mentioned has been obtained.

4. [To recommend] that, until such time as the Executive Committee comes to a decision regarding the aforementioned paragraph: (a) the employees of the Pan American Sanitary Bureau continue to participate in the Pension Plan of the Pan American Union; (b) the present insurance plan for employees [be continued]; and (c) no [decision be taken] with regard to the Administrative Tribunal.

Oct. 1949 Pub. 247, 26

CD3.R7    The Directing Council,

[Bearing in mind that] the Executive Committee, in its 7th and 8th Meetings, considered the need for the construction of a building in Washington to house the Pan American Sanitary Bureau;

Considering that the Executive Committee, in its 8th Meeting, realizing that the determination of a permanent site for the Pan American Sanitary Bureau takes precedence over plans for construction, modified Topic IV on the tentative agenda of the Directing Council to read "Permanent Site of the Pan American Sanitary Bureau"; and

Considering that the conditions under which the Pan American Sanitary Bureau was organized 47 years ago no longer prevail,

1. To place the question of the selection of a permanent site for the Pan American Sanitary Bureau on the agenda of the XIII Pan American Sanitary Conference, to be held at Ciudad Trujillo, Dominican Republic, in 1950, for final study and decision.

2. To appoint a committee to study the question thoroughly and to report thereon to the Conference.

Oct. 1949 Pub. 247, 27

CD3.R8    The Directing Council,

Considering that the XII Pan American Sanitary Conference, [meeting at] Caracas, Venezuela, recognized Canada as a member of future Pan American Sanitary Conferences; and

Considering that the Executive Committee expressed the wish for the incorporation of Canada into the Pan American Sanitary Organization as soon as possible,

To confirm Resolution VII of the 8th Meeting of the Executive Committee (Document CE8.L-17), expressing also its wish that the incorporation of Canada into the Pan American Sanitary Organization be effected as soon as possible.

Oct. 1949 Pub. 247, 27

CD3.R9    The Directing Council,

[Considering that] the Executive Committee, in Resolution VIII of its 8th Meeting, recommended that the Directing Council resolve the manner in which Denmark, France, the Netherlands, and the United Kingdom will participate in the Directing Council, and after study of the resolution adopted by the Second World Health Assembly and consideration of the statements made by the Observers from France, the Netherlands, and the territories in the Western Hemisphere under the jurisdiction of the United Kingdom,

To invite States Members of the World Health Organization not having their seats of government within the Western Hemisphere which "either (a) by reason of their Constitution consider certain territories or groups of territories in the Western Hemisphere as part of their national territory, or (b) are responsible for the conduct of the international relations of territories within the Hemisphere," to participate on the same basis as the American Republics in meetings of the Directing Council as Regional Committee of the World Health Organization.

Oct. 1949 Pub. 247, 28

CD3.R10    The Directing Council,

Considering that the Executive Committee, in its 8th Meeting, reported that the countries considered in the UNICEF/WHO/PASO programs are being visited by representatives of the United Nations International Children's Emergency Fund (UNICEF) and of the Regional Office of the World Health Organization in order to draw up agreements between the Governments and UNICEF for carrying out the programs recommended by the Director of the Pan American Sanitary Bureau; and

Considering that the final UNICEF approval of these plans should be given by the Directing Council of UNICEF about 1 November 1949,

To record with pleasure the report of the Executive Committee with respect to the programs that should be carried out in Latin America with funds provided by UNICEF.

Oct. 1949 Pub. 247, 28

CD3.R11    The Directing Council,

[Having considered] Resolution IX of the Executive Committee in its 8th Meeting (Document CE8.L-17), the report of the Subcommittee on Inter-American Organizations of the Council of the Organization of American States, and the draft Agreement between the Pan American Sanitary Organization and the Organization of American States as it was approved on 5 October by the Executive Committee;

[Bearing in mind] the articles of the Charter of the Organization of American States concerning the Inter-American Specialized Organizations; and

[Having considered] the articles of the Constitution of the World Health Organization concerning the relations between the Pan American Sanitary Organization and the World Health Organization, and the Agreement signed on 24 May 1949 between these two organizations, which provides that the Directing Council and the Pan American Sanitary Bureau shall serve as Regional Committee and Regional Office, respectively, of the World Health Organization,

1. To approve the draft Agreement between the Pan American Sanitary Organization and the Organization of American States as set forth in Annex I of this Final Report.

2.To request the Director of the Pan American Sanitary Bureau to transmit a copy of this draft Agreement to the Council of the Organization of American States.

3. To authorize the Director to sign the Agreement on behalf of the Pan American Sanitary Organization upon its acceptance by the Council of the Organization of American States.

4. To appoint a subcommittee of three members of the Executive Committee, whose names appear in Annex II, to negotiate with the appropriate representatives of the Council of the Organization of American States, with a view to obtaining an agreement on any points of difference that may be acceptable to the two organizations concerned, in the event the Council of the Organization of American States does not accept the aforementioned draft Agreement approved by the Directing Council; in any such negotiations the said subcommittee shall bear in mind the discussion of the Agreement that took place in the meeting of the Directing Council.

5. To request the subcommittee to submit a report on the negotiations to the 10th Meeting of the Executive Committee, if necessary.

6. To authorize the Executive Committee to give final approval, on behalf of the Pan American Sanitary Organization, to an Agreement with the Organization of American States.

Oct. 1949 Pub. 247, 29

CD3.R12    The Directing Council,

Considering the terms of Article 19, paragraph B, of the Constitution of the Pan American Sanitary Organization, and Article 37 of the Constitution of the World Health Organization, concerning the international character of its personnel,

To interpret the Oath of Office of the Director of the Pan American Sanitary Bureau as allowing him, in matters pertaining to the work of the World Health Organization, to take instructions from that Organization.

Oct. 1949 Pub. 247, 30

CD3.R13    The Directing Council,

Considering that the XII Pan American Sanitary Conference, held in Caracas, Venezuela, in January 1947, resolved that the XIII Pan American Sanitary Conference would be held in Guatemala in 1950;

Considering that the Government of Guatemala has officially announced that it cannot accept the responsibility of the XIII Pan American Sanitary Conference; and

Considering that Article 11 of the Rules of Procedure and of Debate of the Directing Council of the Pan American Sanitary Organization establishes that the Directing Council is to determine the site of the next meeting,

That the IV Meeting of the Directing Council of the Pan American Sanitary Organization shall take place immediately before or jointly with the XIII Pan American Sanitary Conference in Ciudad Trujillo, Dominican Republic.

Oct. 1949 Pub. 247, 30

CD3.R14    The Directing Council,

Considering that the Pan American Sanitary Organization has no official seal for its documents, correspondence, or other [uses] prescribed by law; and

Considering that the Pan American Sanitary Bureau has been using a seal, the facsimile of which appears on its publications, correspondence, reports, and other printed material, which has not been officially adopted,

To approve and adopt, as the official seal of the Pan American Sanitary Organization, the seal used at present on documents of the Pan American Bureau, recommending also that said seal remain in the custody of the Office of the Secretary General.

Oct. 1949 Pub. 247, 30

CD3.R15    The Directing Council,

Considering that the Executive Committee of the Pan American Sanitary Organization has recommended that the Directing Council express its views on the realization of future Pan American Conferences of National Directors of Health; and

Considering that, under the present constitutional structure of the Pan American Sanitary Organization, which provides for quadrennial meetings of the Pan American Sanitary Conference as the supreme organ of government and forum for the interchange of information and ideas concerning the preservation, promotion, and restitution of physical and mental health and further provides for annual meetings of its Directing Council, [the circumstances that originally gave rise to the Pan American Conferences of National Directors of Health no longer prevail],

1. To recommend to the XIII Pan American Sanitary Conference, to be held in 1950, that it express a conclusive opinion on the advisability of abolishing the periodic meetings of the national directors of health in order to avoid useless duplication of effort on the part of the Member States.

2. To advise the Member States to present at each Pan American Sanitary Conference a written report, preferably of statistical nature, on the work accomplished between Conferences.

Oct. 1949 Pub. 247, 31

CD3.R16    The Directing Council,

Considering that it is absolutely necessary to establish adequate standards for organizing national, international, and Pan American medical congresses, whether official or semiofficial, in order to secure greater benefits through coordination and to avoid duplication of efforts,

1.That, in the organization of their work, the national medical congresses adopt the standards set forth by the Coordinating Council of Medical Congresses established in Brussels.

2. That the Director of the Pan American Sanitary Bureau submit to the XIII Pan American Sanitary Conference a draft of rules for inter-American or Pan American medical congresses, official or semiofficial.

Oct. 1949 Pub. 247, 31

CD3.R17    The Directing Council,

Considering that the World Health Organization in its Second Assembly has designated 7 April as World Health Day;

Considering that most of the Member States of the Pan American Sanitary Organization belong to the World Health Organization and are therefore subject to the decisions made thereby; and

Considering that the Executive Committee of the Pan American Sanitary Organization has recommended the approval of the celebration of Pan American Health Day jointly with the World Health Day and has indicated that the American States cannot and must not forget the great significance in the history of continental health of the date of 2 December 1902, when the First Pan American Conference was held,

1. To approve the celebration of World Health Day on 7 April.

2. To remind its Member States that 2 December 1902 is the date when the activities of the Pan American Sanitary Organization were initiated.

Oct. 1949 Pub. 247, 32

CD3.R18    The Directing Council,

Considering that, in accordance with Resolution XV adopted by the 7th Meeting of the Executive Committee, held in Washington on 23-30 May 1949, the Director of the Pan American Sanitary Bureau exchanged views with the representatives of the Government of Portugal during the Second World Health Assembly (Rome, June-July 1949), and that said representatives based the demand for a certificate of vaccination or immunization against yellow fever on the fact that Aedes aegypti exists in the airports of Dakar and Lisbon, where airships from South America make regular stops; and

[Considering that] urban yellow fever has not existed on the American Continent for many years, and [that,] while it is necessary to defend the principles established in matters of international prophylaxis, the sanitary measures need not inconsiderately hinder the transportation of passengers,

To instruct the Director of the Pan American Sanitary Bureau to take the necessary official steps to secure the abolition of the requirement of a certificate of vaccination against yellow fever by the Government of Portugal with regard to passengers coming from urban centers in America.

Oct. 1949 Pub. 247, 32

CD3.R19    The Directing Council,

To recommend to the Governments of the American States [having membership on] the Executive Committee that the delegates to this body be, if possible, the same persons who attended the session at which such countries were elected, in order to maintain unity of purpose in dealing with the problems confronted by the Committee and in order that the deliberations can render the most satisfactory results for the benefit of health in America.

Oct. 1949 Pub. 247, 33

CD3.R20    The Directing Council,

[Having considered] the draft of the annual report presented by Committee III,

To approve this report, which will be sent to the Member Governments in accordance with the provisions of Article 8, paragraph E, of the Constitution of the Pan American Sanitary Organization.

Oct. 1949 Pub. 247, 33

CD3.R21    The Directing Council,

expressed its opinion in favor of holding meetings of the Directing Council every two years, one regular annual meeting of the Executive Committee, and in case of necessity, a special meeting of the Committee to be convened by the Director of the Pan American Sanitary Bureau, and including this matter in the agenda of the XIII Pan American Sanitary Conference for study and eventual amendment of the pertinent articles of the Constitution of the Pan American Sanitary Organization now in effect.

Oct. 1949 Pub. 247, 33

CD3.R22    The Directing Council,

Elected El Salvador, the United States of America, and Peru to fill the vacancies on the Executive Committee created by the termination of the periods of office of Brazil, Costa Rica, and Mexico.

Oct. 1949 Pub. 247, 33

CD3.R23    The Directing Council,

RENDERS,at the suggestion of the Peruvian Delegation, unanimously seconded by all the other Delegations, sincere homage to the memory of the Director Emeritus of the Pan American Sanitary Bureau, General Hugh S. Cumming, who died on 20 December 1948. General Cumming's death marked the passing of the pre-eminent figure of his generation in international health agencies.

RENDERS HOMAGE to the memory of its Honorary Member, Dr. Luis Gaitán, whose demise occurred in Guatemala on 21 July 1949. Upon his death, the Pan American Sanitary Bureau lost the first of its honorary members and one of its most sincere and devoted friends.

Oct. 1949 Pub. 247, 34