RESOLUTIONS



CSP17.R1 The XVII Pan American Sanitary Conference,

Having received the report of the working party on the application of Article 6 of the Constitution of the Pan American Health Organization, which indicated:

a) That only two countries (Bolivia and Haiti) are more than two years in arrears, this being the lowest number for several years;

b) That Bolivia has adopted a financial plan for payment within a definite period, which commitment it has substantially fulfilled;

c) That Haiti has presented a financial plan which, in view of the economic conditions in that country, is acceptable to the working party; and

d) That the Governments and the Pan American Sanitary Bureau deserve commendation for their joint efforts in improving the quota situation,

Resolves:

1. To note the progress made in reducing quota arrears.

2. To permit those countries affected by Article 6, paragraph B, of the Constitution to vote in the XVII Pan American Sanitary Conference.

Sept.-Oct. 1966 OD 74, 59

CSP17.R2 The XVII Pan American Sanitary Conference,

Having considered the Annual Report of the Chairman of the Executive Committee, Dr. Manoel José Ferreira, Delegate of Brazil (Document CSP17/23), on the work of that Governing Body during the period since the XVI Meeting of the Directing Council; and

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

Resolves:

To approve the Annual Report of the Chairman of the Executive Committee, Dr. Manoel José Ferreira, Delegate of Brazil (Document CSP17/23), and to commend him and the other members of the Committee on the work accomplished.

Sept.-Oct. 1966 OD 74, 60

CSP17.R3 The XVII Pan American Sanitary Conference,

Having examined the Annual Report of the Director of the Pan American Sanitary Bureau, Regional Office of the World Health Organization for the Americas, for 1965 (Official Document 70;) and

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

Resolves:

To approve the Annual Report of the Director for 1965 (Official Document 70), to commend him on the excellent work accomplished during the year and to extend its commendation to the staff of the Bureau.

Sept.-Oct. 1966 OD 74, 60

CSP17.R4 The XVII Pan American Sanitary Conference,

Having examined the Quadrennial Report (1962-1965) of the Director of the Bureau on the activities of the Pan American Health Organization during the period between the XVI and the XVII Pan American Sanitary Conferences (Official Document 72); and

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

Resolves:

To approve the Quadrennial Report (1962-1965) of the Director to the Governments of the Pan American Health Organization, to commend him on the work accomplished in the past four years and on the form of presentation of the report, and to extend its commendation to the staff of the Bureau.

Sept.-Oct. 1966 OD 74, 61

CSP17.R5 The XVII Pan American Sanitary Conference,

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

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

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

Resolves:

1. To declare Dr. Abraham Horwitz elected Director of the Pan American Sanitary Bureau for a period of four years to begin 1 February 1967.

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

Sept.-Oct. 1966 OD 74, 61

CSP17.R6  The XVII Pan American Sanitary Conference,

Having examined the Financial Report of the Director and the Report of the External Auditor for the fiscal year 1965 (Official Document 68); and

Considering that there has been an improvement in the financial situation of the Organization with regard to higher quota collections, increase in the level of the Working Capital Fund, and the creation of reserves for termination costs,

Resolves:

1. To approve the Financial Report of the Director and the Report of the External Auditor for 1965 (Official Document 68.)

2. To again draw the attention of Governments to the need for quotas to be paid as soon as possible, within the course of each financial year, and especially to the need for plans for the payment of arrears within stipulated periods to be strictly adhered to.

3. To commend the prudent administration of the Director in maintaining budgetary expenditures within income, in building up the Working Capital Fund, and in creating reserves for termination costs.

Sept.-Oct. 1966 OD 74, 62

CSP17.R7 The XVII Pan American Sanitary Conference,

Resolves:

1. To appropriate for the financial year 1967 an amount of $9,115,680, as follows:

Purpose of Appropriation

Part I

Part II

Part III

Part IV

Part V

Total all parts

Pan American Health Organization-Organizational meetings

Pan American Health Organization-Headquarters

Pan American Health Organization-Field and other programs

Pan American Health Organization-Special Fund for Health

Promotion

Pan American Health Organization-Increase to assets

$  228,478

2,533,443

5,803,759

250,000

300,000

---------------

$ 9,115,680

2. That the appropriation shall be financed from:

a) Assessments in respect to:

i) Member 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

 ii) Jamaica (based on assessment of those Governments

  having comparable population size and per capita income)

 iii) Trinidad and Tobago (based on assessment of those

  Member Governments having comparable population size and

  per capita income)

 iv) France (Resolutions XV and XL of the V Meeting of the

  Directing Council)

 v) Kingdom of the Netherlands (Resolutions XV and XL of the V

  Meeting of the Directing Council)

 vi) United Kingdom (based on assessment of those

  Member Governments having comparable population size

  and per capita income)

b) Miscellaneous income

Total

$ 8,920,756

27,654

27,654

14,832

10,094

27,654

87,036

-------------

$ 9,115,680

         

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 1967, inclusive.

4. That the Director shall be authorized to transfer credits between parts of the 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 may be made with the concurrence of the Executive Committee. All transfers of budget credits shall be reported to the Directing Council.

Sept.-Oct. 1966 OD 74, 63

CSP17.R8 The XVII Pan American Sanitary Conference,

Having examined Official Document 67 submitted by the Director of the Pan American Sanitary Bureau, which contains the Proposed Program and Budget of the World Health Organization for the Region of the Americas for 1968; and

Bearing in mind that the aforesaid Proposed Program and Budget is presented to the Conference, as Regional Committee of the World Health Organization, for review and transmittal to the Director-General of the Organization so that he may take it into consideration in the preparation of the proposed budget of WHO for 1968,

Resolves:

To approve the Proposed Program and Budget of the World Health Organization for the Region of the Americas for 1968 contained in Official Document 67, and to request the Regional Director to transmit it to the Director-General of the Organization so that he may take it into consideration when preparing the WHO budget for 1968.

Sept.-Oct. 1966 OD 74, 64

CSP17.R9 The XVII Pan American Sanitary Conference,

Having examined Official Document 67 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 1968 Proposed Program and Budget of the Pan American Health Organization to be considered by the 56th Meeting of the Executive Committee and by the XVII Meeting of the Directing Council;

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

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

Resolves:

1. To take note of the provisional draft of the Proposed Program and Budget of the Pan American Health Organization for 1968 contained in Official Document 67.

2. To request that the Director, in preparing the Proposed Program and Budget for 1968 and in his consultations with the Governments on this matter, give due consideration to the recommendations and comments made by the several delegations.

Sept.-Oct. 1966 OD 74, 65

CSP17.R10 The XVII Pan American Sanitary Conference,

Having examined the WHO Program of Technical Assistance expected to be financed under the United Nations Development Program, which appears in Official Document 671 of the Pan American Health Organization;

Noting that, in addition to projects requested by countries directly to the Inter-Agency Consultative Board of the United Nations Development Program, there are regional projects that benefit countries throughout the Americas; and

Noting also that the percentage of health projects requested by the Governments within the Program of Technical Assistance of the United Nations Development Program has continued to decrease,

Resolves:

1. To approve and support for submission to the United Nations Development Program Inter-Agency Consultative Board the proposed Regional projects for the biennium 1967-1968.

2. To urge that the Governments give full consideration to the importance of health activities in social and economic development, and that in the future they increase the proportion of health projects requested within the United Nations Development Program.

Sept.-Oct. 1966 OD 74, 66

CSP17.R11 The XVII Pan American Sanitary Conference,

Having examined Document CSP17/21, Addendum I and Corrigendum, and the report of the working party on amendments to the Rules of Procedure of the Conference,

Resolves:

To amend Articles 1, 2, 3, 8, 13, 20, 22, 43, and 46 of the Rules of Procedure of the Conference, as follows:

Rule 1. The Director of the Pan American Sanitary Bureau shall convoke the Conference to meet at the time and place determined in conformity with Article 7 of the Constitution. Notices of convocation shall be sent not less than three months before the date fixed for the opening of the meeting to all the Governments and to all the organizations entitled to be represented at the Conference.

Rule 2. Where Article 7, paragraph B, of the Constitution applies, the Conference shall be held at the Headquarters of the Organization, if, for any reason, it cannot be held in the designated country.

Rule 3. Whenever the Conference meets elsewhere than at the Headquarters of the Organization, the inaugural plenary session shall be held at the place set by the host Government in consultation with the Director of the Bureau.

Rule 8. The provisional agenda shall be sent to the Governments and to the organizations entitled to representation at least 60 days prior to the meeting. Furthermore, the documents relating to the provisional agenda will, whenever possible, be sent to the Governments, with copies of such documents to the national health authorities, at least 30 days prior to the meeting.

Rule 13. The plenary sessions shall be devoted to matters of general interest and to discussion and decision on the reports of such committees or working parties as may be established by the Conference.

Rule 20. The President, or a Vice-President while presiding, shall not participate in the discussions but may vote in the event he is the sole delegate of his country.

Rule 22. In the event that at the opening of the Conference neither the President nor either of the Vice-Presidents elected at the preceding Conference is present, the President of the immediately preceding meeting of the Directing Council or, in his absence, the Chairman of the Executive Committee, shall preside. If the Chairman of the Executive Committee is not present and if the meeting is held at Headquarters, a President ad interim shall be selected by lot from among the heads of delegations; if the meeting is held elsewhere than at Headquarters, the head of the delegation of the host country shall preside.

Rule 43. A motion shall be considered adopted when it has received the affirmative vote of the majority of the Governments present and voting, except when the Constitution or [the present] Rules of Procedure otherwise provide. If the votes are equally divided, the motion shall again be put to a vote without further debate, and if the votes are again equally divided, the motion will be regarded as not adopted.

Rule 46. In addition to the cases expressly provided for elsewhere in these Rules, the Conference may vote on any matter, except budgetary matters, by secret ballot if it has been previously so decided by a majority of the delegations present and voting.

Sept.-Oct. 1966 OD 74, 66

CSP17.R12 The XVII Pan American Sanitary Conference,

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

Sept.-Oct. 1966 OD 74, 68

CSP17.R13 The XVII Pan American Sanitary Conference,

Having examined the XIV Report of the Director of the Pan American Sanitary Bureau on the status of malaria eradication in the Americas (Document CSP17/4);1

Considering that the progress achieved in 1965 has not continued at the same pace as in previous years, even though new areas have been shifted into the consolidation and maintenance phases; that real progress has nevertheless been made in the administrative organization of various programs;

Considering that plans for financing various programs have met with delays and, for this reason, work planned for 1966 could not be carried on;

Bearing in mind that, as a result of this setback, it has been necessary for various areas already in the consolidation phase to be shifted back into the attack phase, with a consequent increase in costs;

Considering the studies made by the Pan American Sanitary Bureau in cooperation with the Governments to clarify the biological problems that make it impossible to eradicate malaria in certain areas solely through intradomiciliary spraying with residual-action insecticides;

Considering that the high-grade resistance of certain vectors to DDT is not generalized and that the suspension of spraying with this insecticide results in an increase in the number of cases; and

Bearing in mind that, on the basis of the studies made, various complementary methods of attack can effectively be used to control extradomiciliary transmission in the Hemisphere,

Resolves:

1. To take note of the XIV Report on the status of malaria eradication in the Americas (Document CSP17/4).

2. To express its satisfaction with the progress made in the administrative services of various programs.

3. To emphasize the need to improve such services in programs where this has not yet been done.

4. To remind the Governments of the need to intensify their efforts to obtain the funds required for the programs in order that the increased costs resulting from unnecessary prolongation of the eradication work may be avoided.

5. To recommend to the Pan American Sanitary Bureau that it continue to carry out studies in cooperation with the countries to find solutions to biological and operational problems.

6. To recommend intradomiciliary spraying with DDT as the basic element of attack in malaria eradication programs, complemented by such methods as larviciding, collective treatment, and others, wherever appropriate.

7. To accelerate the coordination between local health services-whether governmental, autonomous, or private-and the malaria eradication programs, including radical-cure treatment of the greatest possible number of patients.

8. To express appreciation for the valuable cooperation rendered to the Governments during the 1965 campaigns by the Pan American Health Organization, the World Health Organization, the United Nations Children's Fund, and the Government of the United States of America through the Agency for International Development.

Sept.-Oct. 1966 OD 74, 68

CSP17.R14 The XVII Pan American Sanitary Conference,

Having considered the report on the estimated requirements for malaria eradication in the Americas (Document CSP17/ 5);1

Bearing in mind the increasing efforts of Governments to adequately finance their malaria eradication campaigns;

Considering that the Pan American Health Organization can only continue to furnish the Governments with the technical assistance they require as a result of considerable aid from the Special Malaria Fund, in addition to the allotments of the PAHO and WHO regular budgets;

Bearing in mind the approved plan for annual increase[s] in the regular budget of PAHO so as to bring up to two million dollars the sum allotted to financing its assistance to the continental malaria eradication program; and

Considering that the Pan American Sanitary Bureau needs more specialists in order to fulfill its responsibilities in the malaria eradication program,

Resolves:

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

2. To reiterate to the Governments its deep satisfaction with the efforts they are making to provide the campaigns with the funds necessary for continuing them.

3. To express its thanks to the Government of the United States of America for its extraordinary assistance to the malaria eradication programs in the Hemisphere.

4. To insist on the need to maintain the PAHO Special Malaria Fund by means of voluntary contributions until such time as the necessary funds are available in the regular budget for financing the program together with WHO funds.

5. To again urge the Governments to cooperate with the Pan American Sanitary Bureau by providing the technical personnel it requires to intensify its assistance to the malaria eradication program in the Hemisphere.

Sept.-Oct. 1966 OD 74, 70

CSP17.R15 The XVII Pan American Sanitary Conference,

Having examined the proposed program for the supply of textbooks for students of schools of medicine in Latin America (Document CSP17/27);1

Bearing in mind the value and importance of this program for the professional training of future physicians of the Americas;

Bearing in mind the interest expressed by the universities and schools of medicine in this program;

Bearing in mind the interest expressed in this program by the Pan American Federation of Associations of Medical Schools, the agency recognized by the Directing Council2 as representative of the medical schools of the Americas;

Recognizing the feasibility and utility of this proposed program;

Considering that this program could have important potential for extension to other health professions;

Considering also that the proposed book program may be complemented advantageously by other teaching materials to facilitate and improve the learning process; and

Bearing in mind that the Executive Committee, at its 54th Meeting, invited the Director to continue his negotiations to implement such a project and recommended that the Conference authorize the Director to sign the necessary loan contracts,

Resolves:

1. To emphasize the importance of the proposed program for the supply of textbooks and its significance for a better professional training of physicians and other health personnel in the Americas, since such textbooks should be based on the most advanced educational processes.

2. To commend the initiative of the Director and to instruct him to continue his negotiations with the Inter-American Development Bank (IDB) or other agencies to obtain financial support for the program for the supply of textbooks to medical students in Latin America.

3. To authorize the Director to negotiate with the IDB or other agencies the most favorable terms possible for the financing of the program, and to report to the Executive Committee on the results of these negotiations and their effect on the regular budget and staff of the Organization; such report may be made to a special session, or by other means if necessary, in order that the program may be implemented at the earliest possible date.

4. To instruct the Executive Committee to approve the loan agreement if it is satisfied that the terms are the best available.

5. To authorize the Director, in special cases where U.S. dollars are not available, to accept reimbursement for textbooks and teaching materials in the national currency of the Member Governments, subject to the capacity of the Organization to utilize such currencies in its program.

Sept.-Oct. 1966 OD 74, 71

CSP17.R16 The XVII Pan American Sanitary Conference,

Having reviewed the report of the research activities of the Pan American Health Organization during the past four years (Document CSP17/17);1

Having taken cognizance of the offer made by the Delegations of Argentina, Brazil, and Uruguay of additional funds to facilitate the further expansion of the PAHO research program;

Recalling that Resolution XXVI of the XVI Pan American Sanitary Conference stressed the importance of research training and requested the Director "to take all possible steps to expand the research activities of the Organization, including specific projects and their financing, for the mutual benefit of the countries of the Region";

Realizing that the solution to the research and training problems of the Region must rest with the countries themselves acting singly or in collaboration with others, with reference to which the President of the United States of America, on the occasion of the fifth anniversary of the Alliance for Progress, stated: "The time has also come to develop multinational institutions for advanced training in science and technology";

Considering that additional funds for the direct support of research and research training in closer adherence to the research priorities set by the Organization would:

a) Make possible the implementation of research projects of most critical importance to the health of the Americas;

b) Facilitate the strengthening of centers for research and advanced training in the Americas; and

c) Thereby serve to moderate the migration of health personnel, scientists, and engineers from those Member Countries where the problem exists,

Resolves:

1. To congratulate the Director on the research accomplishments of the Organization.

2. To authorize the Director to establish a Special Fund for Research.

3. To invite the Governments to make voluntary contributions to the Special Fund.

4. To request the Director to pursue the expansion of this Special Fund through additional voluntary contributions from foundations and from other sources.

5. To request the Director, taking account of other program priorities, and within budgetary ceilings, to make provision for the further development of the research program in future regular budgets of PAHO.

6. To request the Director to study means for expanding and augmenting the number of multinational centers for training and research in the life sciences and medicine in the Americas, and to present appropriate proposals to the XVII Meeting of the Directing Council.

7. To thank the Governments of Argentina, Brazil, and Uruguay for the contributions they have offered to the Organization for the further development of the research program.

Sept.-Oct. 1966 OD 74, 72

CSP17.R17 The XVII Pan American Sanitary Conference,

Having reviewed the report Migration of Health Personnel, Scientists, and Engineers from Latin America,1 prepared for the Organization;

Noting the serious problem created in many Latin American countries by the migration of valuable human resources to the United States of America and other countries, and considering that this movement is encouraged by factors in the native country as well as in the countries to which the professional personnel migrate; and

Considering that the adoption both by the United States of America and by the Latin American countries of the measures required to moderate this flow of professional personnel would:

a) Expand the capacity of countries to develop economically and culturally;

b) Strengthen universities; and

c) Facilitate the provision of more adequate health services,

Resolves:

1. To request that the Governments take appropriate measures to strengthen national policies leading to research and training programs in health and the sciences that will provide incentives for nationals to remain at home.

2. To request the Director to study further the role that both the Organization and the Governments should play in moderating the international migration of professional personnel, and to present a report of progress and proposals for further action for consideration by the XVII Meeting of the Directing Council.

Sept.-Oct. 1966 OD 74, 74

CSP17.R18 The XVII Pan American Sanitary Conference,

Having examined Document CSP17/20, Rev. 1, and Addendum I,1 on the status of smallpox eradication in the Americas and the estimated requirements for achieving it;

Bearing in mind the resolutions adopted by the Governing Bodies of the Pan American Health Organization, which date from 1949, and of the World Health Organization, and especially Resolution XXX of the XVI Meeting of the Directing Council, which reiterates and confirms the previous resolutions to the effect that smallpox eradication is one of the major objectives of the Organization but that it has to be carried out by the Governments; and

Bearing in mind Resolution XVI of the 54th Meeting of the PAHO Executive Committee, which indicates effective measures for carrying out national smallpox vaccination programs simultaneously and in a coordinated manner, within the framework of a general policy of international cooperation,

Resolves:

1. To take note of Document CSP17/20, Rev. 1, and Addendum I, on the status of smallpox eradication in the Americas and the estimated requirements for achieving it.

2. To recommend to the Governments in whose territory smallpox still exists that they undertake smallpox eradication programs as soon as possible.

3. To recommend to the Governments of the countries in which smallpox has been eliminated that they continue maintenance programs and epidemiological surveillance programs until such time as the disease is eliminated in the Hemisphere.

4. To recommend to the Governments that they give one another technical and material assistance in conducting smallpox eradication programs as well as in the maintenance and epidemiological surveillance phases.

5. To recommend to the Governments that special care be taken in the preparation of smallpox vaccine so as to ensure that it meets the international standards for potency and purity, and to urge them to use the services of the reference laboratories with which the Pan American Sanitary Bureau has concluded contracts for this purpose.

6. To recommend to the Director of the Pan American Sanitary Bureau that he continue to coordinate smallpox eradication programs in the Americas and that he provide the countries with the technical advisory services necessary to carry them out.

7. To urge the Director of the Bureau to provide the countries with material assistance, in accordance with the budgetary resources available, and that it be furnished to the Governments as the progress of the program requires it and according to the needs of each of the stages of the program.

8. To recommend to the countries engaged in smallpox eradication programs that, in order to achieve effective coordination of their efforts, the officials responsible for the programs hold periodic meetings to exchange information on the progress of the activities, to study and solve such problems as may occur, and to share any new developments that may be of value to other countries.

9. To request the Director of the Bureau to make provision for assisting the countries in holding such meetings and to transmit the results to other interested countries.

Sept.-Oct. 1966 OD 74, 75

CSP17.R19 The XVII Pan American Sanitary Conference,

Having considered the report of the Director on the status of Aedes aegypti eradication in the Americas (Document CSP17/14, Rev. 1);1

Bearing in mind that nineteen years have already elapsed since the Directing Council entrusted2 the Pan American Sanitary Bureau with the eradication of the mosquito in the Hemisphere;

Considering that, notwithstanding the results achieved to date, there are still many areas in the Americas that are infested by the vector;

Bearing in mind that in the last four years the eradication campaign made progress in only a few restricted areas and that in several countries and territories the situation during that period has in fact considerably worsened;

Bearing in mind that the extensive areas still infested by A. aegypti, primarily those in which the resistance of the vector to chlorinated insecticides has become general, constitute dangerous sources of reinfestation for the countries and territories already free of the mosquito;

Bearing in mind that the frequent reinfestations that have been occurring in several areas endanger the success of the continent-wide campaign;

Considering that this danger will only disappear if the mosquito is rapidly eliminated from the areas still infested in the Hemisphere; and

Bearing in mind that insecticides are now available with which A. aegypti resistant to chlorinated insecticides can be eliminated,

Resolves:

1. To urge that the Governments of the countries and territories already free of Aedes aegypti maintain a strict [surveillance] service against reinfestation, and that this service take all the necessary measures to prevent the introduction of the mosquito into these areas.

2. To urge that the Governments of the countries and territories still infested take timely measures to overcome any administrative difficulties that may be hampering the progress of their campaigns, and that they give the highest priority to the provision of the funds, personnel, and supplies needed to complete these campaigns as soon as possible.

3. To instruct the Director to take all necessary measures to intensify and accelerate the continent-wide campaign so that A. aegypti may be eradicated in the Americas as soon as possible.

4. To authorize the Director to obtain funds to finance the prompt eradication of A. aegypti.

5. To request the Director to study and put into practice appropriate systems for ensuring that the A. aegypti eradication campaign is carried out simultaneously and in a coordinated manner in all countries in which the problem still exists, including frequent and periodic meetings, under the auspices of the Pan American Sanitary Bureau, of the national authorities responsible for the programs.

Sept.-Oct. 1966 OD 74, 76

CSP17.R20 The XVII Pan American Sanitary Conference,

Bearing in mind that the Pan American Sanitary Bureau has established the requirements that must be fulfilled before the Governing Bodies of the Pan American Health Organization can declare Aedes aegypti to have been eradicated in a country or territory;

Considering that among these requirements, which are included in the Guide for the Reports on the Aedes aegypti Eradication Campaign in the Americas,1 no mention is made of the presence of colonies of A. aegypti in laboratories situated in areas from which this vector has already been eliminated;

Considering that the existence of colonies of the mosquito in a country already free of it constitutes a possible source of reinfestation, not only for that country but also for the other countries of the Americas that have already eradicated A. aegypti;

Bearing in mind that in South America it has already been proved on two occasions that the existence of colonies of A. aegypti in localities where the mosquito finds favorable ecological conditions may easily give rise to the reinfestation of those localities;

Bearing in mind that even when the mosquito colonies are in ecologically unfavorable areas there is a possibility that A. aegypti from those colonies may be taken to areas in which the ecological conditions permit the vector to develop;

Bearing in mind that the Pan American Sanitary Bureau, notwithstanding the fact that it made no reference to colonies of A. aegypti when establishing the criteria for eradication, is of the opinion that the presence of A. aegypti colonies should not be allowed in areas from which the vector has been eradicated, and that it is systematically recommending to the Governments concerned that all colonies of the mosquito in those areas be eliminated;

Bearing in mind that this policy is absolutely correct, since the elimination of colonies of the mosquito in areas already free from it is implicit in the very idea of eradication; and

Considering that it is essential that the Pan American Health Organization formally adopt a policy on this matter,

Resolves:

1. To approve the requirements for eradication established by the Pan American Sanitary Bureau and included in the aforementioned Guide for the Reports on the Aedes aegypti Eradication Campaign in the Americas.

2. To confirm that these requirements must be fully complied with before the Governing Bodies of the Pan American Health Organization can declare a country or territory free of A. aegypti.

3. To establish that, in order to be considered free of the vector by those Governing Bodies, a country or territory must satisfy the following conditions, in addition to the aforestated requirements:

a) Eliminate all colonies of A. aegypti that exist in areas in their territory in which the ecological conditions are favorable to the development of the vector;

b) Not permit the existence of any colony of the mosquito except in recognized scientific centers situated in areas that are ecologically unfavorable to the vector; and

c) Ensure that colonies of the vector existing in those unfavorable areas are permanently maintained in such a way as not to allow the country or territory to be reinfested by A. aegypti from such colonies.

4. To recommend to the Director that he make the necessary arrangements for a group of experts in this field to meet under the auspices of the Pan American Health Organization to establish the conditions that these colonies must satisfy if their presence in a country or territory is not to prevent that country or territory from being considered free of A. aegypti by the Governing Bodies of the Organization.

5. To request the Director to submit the conditions established by the aforementioned group of experts to the next meeting of the Directing Council and, when approved by the Council, to bring them to the attention of the Governments concerned.

Sept.-Oct. 1966 OD 74, 78

CSP17.R21 The XVII Pan American Sanitary Conference,

Having considered the report of the Director on the status of national health planning (Document CSP17/10);

Recognizing the importance of systematic planning in health within the framework of national plans for economic and social development; and

Recognizing the contribution made by the Organization in assisting Governments in developing systematic approaches to national health analysis and planning,

Resolves:

1. To commend the Director on the report presented, which shows the substantial progress made by the various Governments in the field of health planning since the XVI Pan American Sanitary Conference.

2. To recommend to the Director:

a) That the Organization continue and intensify its assistance to the Governments for the further development of health planning, especially in the process of macroanalysis of national health situations, and also during the implementation stage of national health plans, and that it continue to give assistance in the training of health planners in international and national courses;

b) That the Organization intensify its activities to promote research for the improvement of planning methodology and stimulate the international exchange of research findings within the Americas and, through the Headquarters in Geneva, with other Regions of the World Health Organization;

c) That he continue, through the Director-General of the World Health Organization, efforts to secure the assistance of the United Nations Development Program or other entities for the establishment of a Pan American Center for Health Planning, to be organized in close association with the Latin American Institute for Economic and Social Planning;

d) That he continue his efforts, in association with such members of the Inter-American System as the Inter-American Development Bank and the Inter-American Committee on the Alliance for Progress, toward having integrated health considered in its appropriate priority within the process of economic and social development planning; and

e) That he report next year to the Directing Council on the progress made in the planning field.1

Sept.-Oct. 1966 OD 74, 79

CSP17.R22 The XVII Pan American Sanitary Conference,

Having considered the report of the Director on population dynamics (Document CSP17/16),1 and having reviewed Resolutions WHA18.49 (1965) and WHA19.43 (1966) of the Eighteenth and Nineteenth World Health Assembly, respectively, and Resolution IX of the XVI Meeting of the PAHO Directing Council (1965);

Noting that Resolution 11-M/662 of the Fourth Annual Meeting of the Inter-American Economic and Social Council at the Ministerial Level (1966) recommended to the Governments that they consider the need to make demographic studies that will take into account both quantitative and qualitative aspects of the problem, especially the mutual relationship between population factors and economic and social development;

Recognizing the significance and implications of rapid population growth on every aspect of life of the community;

Observing that the essential instrument of the development process is specialized manpower at all levels of planning and operations, and that there is a scarcity of trained professionals and research workers in the field of population dynamics as related to national development; and

Recognizing that the health component should be an integral part of all national development programs and projects, and that to help bring this about collaboration is both desirable and necessary between the Organization and the various agencies involved in international cooperation for national development planning and implementation, both bilateral and multilateral, official and voluntary,

Resolves:

1. To approve the initiatives taken by the Director, in complying with the aforecited WHO/PAHO resolutions, through the following measures:

a) The establishment of regional education and research training centers on the health aspects of population dynamics; and

b) The establishment within the structure of the Pan American Sanitary Bureau of an office of health and population dynamics, including a Population Information Center (PIC).

2. To commend the Director on the breadth and scope of the Organization's program activities to date and to recommend further development of the activities in accordance with the requests of the Governments for cooperation.

3. To request the Director to cooperate with other agencies of the Inter-American System and of the United Nations, as appropriate, to assure the full participation of the health sector in international programs concerned with population dynamics.

Sept.-Oct. 1966 OD 74, 81

CSP17.R23 The XVII Pan American Sanitary Conference,

Having considered the report of the Director on the planning of hospitals and other health services (Document CSP17/19),1

Resolves:

1. To note with satisfaction the progress made in the program of administration of medical care services.

2. To thank the Organization of American States and the Inter-American Development Bank for the efficient assistance they have given to this program to date, and to express the wish that it will be maintained and intensified in the future.

3. To confirm in its entirety the policy formulated by the Director of the Bureau in this matter, and to recommend that the program be strengthened, especially as regards field activities.

4. To recommend to the Governments that both health institutions and social security institutions take part in studies for the formulation of national health plans.

5. To request the Director of the Bureau to submit an annual report to the Directing Council and, if appropriate, to the XVIII Pan American Sanitary Conference on the progress made by the countries of the Americas in the organization and administration of integrated health services.

Sept.-Oct. 1966 OD 74, 82

CSP17.R24 The XVII Pan American Sanitary Conference,

Having considered the report of the Director on the planning of hospitals and other health services (Document CSP17/29),

Resolves:

1. To note with satisfaction the progress made in the program of administration of medical care services.

2. To thank the Organization of American States and the Inter-American Development Bank for the efficient assistance they have given to date to this program and to express the wish that it will be maintained and intensified in the future.

3. To confirm in its entirely the policy formulated by the Director of the Bureau in this matter and to recommend that the program be strengthened, especially as regards field activities.

4. To recommend to the Governments that both health institutions and social security institutions take part in studies for the formulation of national health plans.

5. to request the Director of the Bureau to submit an annual report to the Directing Council and, if appropriate, to the XVIII Pan American Sanitary Conference on the progress made by the countries of the Americas in the organization and administration of integrated health services.

Sept.-Oct. 1966 OD 74, 82-83

CSP17.R25 The XVII Pan American Sanitary Conference,

Having examined the report of the Director on the Emergency Revolving Fund (Documents CSP17/11 and CE54/11) and Resolution X approved by the Executive Committee at its 54th Meeting,

Resolves:

1. To take note of the report of the Director on the Emergency Revolving Fund and of Resolution X approved by the Executive Committee at its 54th Meeting.

2. To invite the Governments that receive assistance from the Fund to reimburse the amounts advanced as soon as possible.

3. To raise the ceiling of the Fund to $100,000, and to authorize the Director to transfer to the Fund an amount of $25,000 from the Working Capital Fund for this purpose.

Sept.-Oct. 1966 OD 74, 84

CSP17.R26

 The XVII Pan American Sanitary Conference,

Bearing in mind the provisions of Staff Regulation 12.2,

Resolves:

To take note of the amendments to the Staff Rules of the Pan American Sanitary Bureau presented by the Director in the annex to Document CE54/5, and approved by the Executive Committee at its 54th Meeting, with the effective date of January 1966.

Sept.-Oct. 1966 OD 74, 85

CSP17.R27

 The XVII Pan American Sanitary Conference,

Considering the revisions that were made effective as of 1 January 1966 in the salary scales for internationally recruited staff in graded posts;

Having noted the action taken by the Executive Committee to approve the proposal of the Director fixing the salary of the Deputy Director at $21,000 per annum and that of the Assistant Director at $20,000 per annum, effective as of 1 January 1966;

Bearing in mind Resolution EB37.R4 of the Thirty-Seventh Session of the WHO Executive Board, which establishes the salaries of WHO Regional Directors; and

Considering the role of the Director as head of the Pan American Sanitary Bureau, the Inter-American Specialized Organization for health of the Organization of American States,

Resolves:

To establish the salary of the Director of the Pan American Sanitary Bureau at the level of $22,000 per annum, effective as of 1 January 1966.

Sept.-Oct. 1966 OD 74, 85

CSP17.R28 The XVII Pan American Sanitary Conference,

Having examined the report of the Director (Documents CSP17/18 and CE54/7, Rev. 1)1 on the work done to complete the installations and services in the Headquarters building, on the acquisition of space to expand the Zone VI Office (Buenos Aires, Argentina), and on the additional space requirements for the Zone IV Office (Lima, Peru); and

Bearing in mind that, as stated in the aforementioned report, the Governments of Argentina, Barbados, Brazil, Canada, Chile, Costa Rica, Guatemala, Haiti, Honduras, Mexico, Peru, Surinam, Trinidad and Tobago, Venezuela, and Spain, as well as the Pharmaceutical Manufacturers' Association and Mrs. Carlota M. de Inurria (of Argentina), have donated works of art for the Headquarters building,

Resolves:

1. To take note of the report of the Director on buildings and installations (Documents CSP17/18 and CE54/7, Rev. 1).

2. To express its thanks to the Governments of Argentina, Barbados, Brazil, Canada, Chile, Costa Rica, Guatemala, Haiti, Honduras, Mexico, Peru, Surinam, Trinidad and Tobago, Venezuela, and Spain, as well as to the Pharmaceutical Manufacturers' Association and Mrs. Carlota M. de Inurria, for the works of art they have donated to the new Headquarters building.

3. To take note of the additional space requirements for the Zone IV Office, and to concur in the planned action of the Director to purchase a house in order to obtain adequate space, as well as (to acquire) additional space to enlarge Zone IV Office.

4. To request the Director to report on this matter at a future meeting of the Executive Committee as he deems necessary.

5. To express its appreciation to the members of the Permanent Subcommittee on Buildings and Installations for their valuable assistance in the activities related to this matter.

Sept.-Oct. 1966 OD 74, 85

CSP17.R29 The XVII Pan American Sanitary Conference,

Having examined Document CSP17/61 on [the international] transportation of human remains], and bearing in mind that the Executive Committee at its 54th Meeting made a detailed examination of the draft standards (Document CE54/6 and Addendum 1) prepared by an Expert Committee, which when it met in Washington from 13 to 15 December 1965 had before it a report of a study group convened in August of the same year;

Bearing in mind that the working party of the 54th Meeting of the Executive Committee prepared a new set (Document CE54/17) of draft standards;

Bearing in mind the letters from the Governments and health authorities concerning this subject; and

Considering Resolution XVIII of the 54th Meeting of the Executive Committee,

Resolves:

1. To approve and transmit to the Goverments of the Organization the following Declaration and Standards concerning the International Transportation of Human Remains:

Declaration

The greater ease of communications today and the considerable increase in tourism make the international transportation of human remains a matter of practical interest that justifies the establishment of uniform standards.

The international transportation of human remains should be simplified so as not to increase the problems of the families with complicated and unnecessary procedures that appear to overlook the moral and social considerations involved in such cases.

It is possible to simplify the administrative procedures involved in obtaining authorization for the international transportation of human remains if it is borne in mind that, contrary to a deep-rooted opinion, a corpse does not constitute a health risk even when death was due to a quarantinable or communicable disease, since its power to infect disappears when it is suitably embalmed.

Embalming might become the general practice in the countries of the Americas, since it is the most appropriate method of preserving human remains; however, this in no way implies that other, simpler, and equally effective methods cannot also be used.

Definitions

Article 1. International transportation of human remains is understood to be the shipment of the body from the country where the death occurred to the country of its final destination after either death or disinterment.

Article 2. The transportation of bodies between frontier districts within 48 hours after death shall not be subject to these standards.

Article 3. For the purpose of these standards, an impervious coffin shall be any container or box, of whatever material, that can be hermetically sealed and so maintained by plastic or rubber gasket or by metal or similar material that has been soldered or welded. The body may also be encased in a plastic container that has been sealed by heat or by adhesive materials prior to being placed in a nonimpervious coffin, which for the purpose of these standards will be considered the same as an impervious coffin.

Documentation

Article 4. For the international transportation of human remains, the following documents shall be required:

a) An official certificate of cause of death issued by the local registrar of death or similar authority;

b) A statement by the person authorized to prepare the remains, certified by an appropriate authority, indicating the manner and method in which the body was prepared and indicating that the coffin contains only the body in question and necessary clothing and packing;

c) A transit permit stating the surname, first name, and age of the deceased person, issued by the competent authority for the place of death, or the place of burial in the case of exhumed human remains; and

d) Copies of the documentation required under subparagraphs (a), (b), and (c) shall accompany the shipment of remains. The outside of the coffin should bear an immovable plaque or other appropriate marking, in a conspicuous place, indicating the name, age, sex, and place of final destination of the body.

Health Measures

Article 5. The human remains shall be subject to the following measures:

a) Thorough washing with an effective disinfectant; disinfection of all orifices; packing of all orifices with cotton saturated with an effective disinfectant; wrapping in a sheet saturated with an effective disinfectant; and placing in an impervious coffin; or

b) Proper embalming (arterial and cavity) and placement in an impervious coffin; or

c) Proper embalming (arterial and cavity) and encasement in a plastic container that has been sealed by heat or by adhesive materials prior to placement in a nonimpervious coffin.

Shipment Requirements

Article 6. Human remains prepared for international shipment must be placed in an impervious coffin. Where the cause of death was a quarantinable disease, as defined in the International Sanitary Regulations, the human remains must be embalmed (arterial and cavity) and placed in an impervious coffin.

The impervious coffin must thereupon be hermetically sealed; [it] may be fitted in a wooden box or one made of other material so as to prevent movement, or [it] may be wrapped in a specially designed fabric.

Transportation by Land, Air, and Sea

Article 7. The following regulations shall apply to transportation by rail:

a) The impervious coffin may be transported in the baggage compartment of a passenger car; and

b) Each country shall be responsible for fixing the time limit within which the body must be removed at its final destination.

In case of transportation by road, the impervious coffin must be conveyed preferably in a closed hearse or, failing such, in an ordinary closed van (truck) or automobile, placed in such a way as to prevent movement.

The impervious coffin may be conveyed also in the baggage compartment of a passenger aircraft or in a cargo aircraft and may be equipped with a vent or safety valve, provided that precautions are taken to prevent the escape of liquids or nauseous gases.

In case of transportation by sea, the impervious coffin, in order to preclude movement, must be packed in an ordinary wooden case, or one made of other material, or [else] be placed in a specially designed fabric container.

Common Provision

Article 8. Regardless of the mode of transportation, wreaths, flowers, and other similar funeral articles may be sent with the coffin only when it is permitted by the provisions in force in the country to which it is being sent.

Final Provisions

Article 9. The formalities above may be reduced either through bilateral agreements or by joint decision in particular cases.

Article 10. The transportation of remains exhumed after the period established in the local provisions in force have elapsed, and the transportation of ashes, shall not be subject to health or other special measures.

2. To recommend to the Governments that they apply the foregoing Standards in the way they deem most appropriate.

3. To invite the Goverments to inform the Director of the Bureau of the steps taken to implement the foregoing Standards, so that he may report them to the other Governments and to the Governing Bodies of the Organization.

4. To urge the Director that he endeavor to ensure, in the way he deems most appropriate, that the Governments of the Organization take appropriate measures to implement in their territories the Standards on International Transportation of Human Remains appearing in the first operative paragraph of this resolution.

5. To recommend to the Director that he transmit this resolution to the Director-General of the World Health Organization.

Sept.-Oct. 1966 OD 74, 86

CSP17.R30 The XVII Pan American Sanitary Conference,

Having considered the report of the Director on the Fourth Annual Meetings of the Inter-American Economic and Social Council at the Expert and the Ministerial Levels (Document CSP17/22 and Annex I);1

Bearing in mind the recommendations approved at these meetings concerning health and the activities of the Pan American Health Organization as a Specialized Organization of the Inter-American System;

Bearing in mind the recommendations on social principles approved by the Fourth Special Meeting of the Inter-American Economic and Social Council, which are to be incorporated into the Charter of the Organization of American States; and

Considering Resolutions XIV and XV of the 54th Meeting of the Executive Committee and Resolution XV of the XVI Meeting of the Directing Council of PAHO, XVII Meeting of the Regional Committee of the World Health Organization for the Americas,

Resolves:

1. To commend the Director on his efforts at the meetings of the Inter-American Economic and Social Council held since the approval of the Act of Bogotá, which have incorporated the health sector into development and have given it the attention it deserves because of its fundamental importance for the economic and social well-being of the peoples of the Americas.

2. To take note of the report of the Director (Document CSP17/22 and Annex I) on the Fourth Annual Meetings of the Inter-American Economic and Social Council at the Expert and the Ministerial Levels, held in Buenos Aires, Argentina, from 15 March to 1 April 1966; the Second Special Inter-American Conference, held in Rio de Janeiro, Brazil, from 17 to 30 November 1965; the Meeting of the Special Committee for the Preparation of Draft Amendments to the Charter of the Organization of American States, held in Panama from 25 February to 1 April 1966; and the Fourth Special Meeting of the Inter-American Economic and Social Council, held in Washington, D.C., from 6 to 18 June 1966.

3. To underline the importance of the resolutions2 approved at the Fourth Annual Meeting of the Inter-American Economic and Social Council at the Ministerial Level concerning health and development planning, population, permanent coordination of planning offices and improvement of planning techniques, improvement of statistics of the Latin American countries, social security within the framework of the Alliance for Progress, Statutes of the Inter-American Emergency Aid Fund, and study of the future financing of the Pan American Foot-and-Mouth Disease Center.

4. To instruct the Director to continue to develop and strengthen the relationship of the Organization with the Inter-American Economic and Social Council and with the Inter-American Committee on the Alliance for Progress (CIAP), with a view to integrating health activities into economic and social development programs.

5. To urge the Director to endeavor to obtain the inclusion in the agenda of future meetings of the Inter-American Economic and Social Council of items directly connected with the health of the people of the Hemisphere, and to underline the advisability that in the letters convoking the meetings that are sent to Governments they be invited to include in their delegations health experts so that they may contribute their knowledge and experience when these items are examined.

6. To instruct the Director to take steps to ensure that certain health problems which because of their characteristics and scope call for solutions at the highest level be placed on the agenda of the next Meeting of the American Chiefs of State.

7. To recommend to the Director that he continue to pay attention to the meetings on the amendment to the Charter of the Organization of American States, with a view to maintaining the recognition of the Pan American Health Organization as an Inter-American Specialized Organization and so that health may continue to be one of the main principles inspiring the activities of the OAS and of the Governments.

Sept.-Oct. 1966 OD 74, 90

CSP17.R31 The XVII Pan American Sanitary Conference,

Recognizing the importance in the economic development and the nutritional status of the Americas of the Pan American Foot-and-Mouth Disease Center, which receives assistance and support from the Government of Brazil as the host country, is administered by the Pan American Sanitary Bureau, and is financed by the Program of Technical Cooperation of the Organization of American States;

Recognizing the important work that the Center has carried out in the field of education and training, advisory services to Governments, and research on various problems with a view to reducing the incidence of foot-and-mouth disease;

Bearing in mind the serious financial problem that has arisen from the fact that the budget covering the period 1 April 1966 to 30 June 1967, recently approved for the Center by the Inter-American Economic and Social Council at its Fourth Annual Meetings in March-April 1966, is insufficient to permit the activities to be continued even at the 1965 level;

Believing that the Center has reached a stage in which the expansion of services is urgently necessary to enable it to assist the Governments in the planning and execution of national immunization programs;

Bearing in mind the resolution1 adopted at the Fourth Annual Meeting of the Inter-American Economic and Social Council at the Ministerial Level, which recommends that the Organization of American States and the Pan American Health Organization take joint measures to study how to establish a system of payments by the countries with a view to ensuring the permanent and stable financing of the Center; and

Considering that the Inter-American Development Bank and the World Bank have both recognized the economic importance of the programs and have informed the Inter-American Committee on the Alliance for Progress of their intention to grant loans to Governments to finance national control programs.

Resolves:

1. To emphasize the importance of maintaining the activities of the Pan American Foot-and-Mouth Disease Center, administered by the Pan American Sanitary Bureau, at a sufficient level to enable it to provide the Governments with scientific cooperation and technical advice in the planning and execution of national foot-and-mouth disease control programs.

2. To express its concern about the immediate financial situation arising from the inadequate budget approved by the Inter-American Economic and Social Council, which would not even allow activities to be maintained at the present level, and to instruct the Director to cooperate with the Organization of American States in efforts aimed at securing the financial support necessary to avoid a reduction in present activities, and at obtaining a gradual increase of that support according to the needs of the program.

3. To express its satisfaction with the fact that, as far as long-term needs are concerned, and in accordance with the provisions of the aforementioned resolution of the Inter-American Economic and Social Council, the Director has begun a study in collaboration with the competent officials of the Organization of American States to draw up a plan for the continuing and stable financing of the Center.

4. To instruct the Director to report to the Executive Committee at its 56th Meeting on the progress made in this regard.

Sept.-Oct. 1966 OD 74, 91

CSP17.R32 The XVII Pan American Sanitary Conference,

Having examined Document CSP17/8,1 and bearing in mind that the various public health specialities are suffering from a manifiest shortage of trained personnel at different levels;

Considering that as a logical consequence of the development of the services the need for this personnel is daily increasing, and it is to be expected that this increase will continue in the future; and

Bearing in mind the urgent need to define in each country the characteristics and functions of auxiliary personnel that are to take part in health programs,

Resolves:

1. To recommend to the Governments that, when the training plans in the various ministries are drawn up, the specific functions to be discharged by personnel be determined, the needs connected with their training be carefully established, and pertinent measures be adopted to implement those plans.

2. To instruct the Director of the Pan American Sanitary Bureau to assist the Governments in studying and defining present and future needs for personnel and in preparing instructors for the training and supervision of auxiliary health workers.

3. To recommend that at future meetings of the Directing Council the Governments submit reports on the progress achieved in the training and utilization of auxiliary personnel in their countries and on the experience gained in these activities.

Sept.-Oct. 1966 OD 74, 93

CSP17.R33 The XVII Pan American Sanitary Conference,

Considering Document CSP17/7, in which the Director submits to the attention of the Regional Committee for the Americas several resolutions adopted by the Nineteenth World Health Assembly and by the Thirty-Seventh Session of the WHO Executive Board,

Resolves:

To take note of the following resolutions: EB37.R41 (Consolidation of the Special Fund and the Expanded Program of Technical Assistance in a United Nations Development Program), WHA19.7 (Establishment of a Revolving Fund for Teaching and Laboratory Equipment for Medical Education and Training), WHA19.13 (Malaria Eradication Program), WHA19.16 (Smallpox Eradication Program), WHA19.20 (Establishment and Operation of World Health Foundations), WHA19.21 (Establishment of the Dr. A. T. Shousha Foundation), WHA19.33 (Headquarters Accommodation: Voluntary contributions from Governments), WHA19.40 (Program and Budget Estimates for 1967: Voluntary Fund for Health Promotion), WHA19.43 (Program Activities in the Health Aspects of World Population which might be Developed by WHO), WHA19.48 (Study of the Nature and Extent of Health Problems of Seafarers and of the Health Services Available to Them), WHA19.50 (Community Water Supply Program), and WHA19.51 (Reports of Expert Committees).

Sept.-Oct. 1966 OD 74, 94

CSP17.R34 The XVII Pan American Sanitary Conference,

Having examined Document CSP17/251 on the status of the problem of venereal diseases and of venereal disease control programs in the Americas; and

Bearing in mind the limited information available on the incidence and prevalence of venereal diseases, the increase in which over recent years is a matter of serious concern on the part of health authorities, primarily because of the social repercussions of such diseases,

Resolves:

1. To take note of Document CSP17/25 on the status of the problem of venereal diseases and of venereal disease control programs in the Americas.

2. To recommend to the ministries of health that they undertake studies to determine, with the greatest possible precision, the incidence and prevalence of venereal diseases, particularly syphilis, in their respective countries.

3. To recommend to the competent national health authorities that they organize the appropriate laboratory services for the diagnosis of venereal diseases, and that they gradually extend such services to cover the total needs of their respective territories.

4. To recommend to the ministries of health that the required steps be taken to plan, program, organize, and evaluate venereal disease control programs, and that such programs be implemented at the earliest possible moment.

5. To recommend to the ministries of health that special attention be given to programs for the training of personnel in the various aspects of venereal disease control programs, and that efforts be made to assure the inclusion of obligatory courses on venereal disease in the curricula of the schools of medicine, nursing, and public health.

6. To recommend to the Governments that they prepare health education programs on the subject of venereal diseases with the greatest care, and that they apply such programs for the purpose of creating social awareness of these diseases in the patients, in their contacts, and in the general public, so as to include venereal diseases openly in the category of communicable diseases.

Sept.-Oct. 1966 OD 74, 95

CSP17.R35 The XVII Pan American Sanitary Conference,

Bearing in mind the great interest the Governments of the Americas have shown in having adequate control of drugs and pharmaceutical preparations, for which purpose the pertinent control laboratory services need to be established;

Considering Resolutions WHA17.41 and WHA18.36 of the Seventeenth and Eighteenth World Health Assembly and Resolution XII of the XVI Meeting of the Directing Council of the Pan American Health Organization;

Having examined the reports of the PAHO/WHO consultants on the establishment of international laboratories for the control of pharmaceutical preparations and the location of such laboratories, as well as PASB Document CSP17/261 and Document CSP17/31 presented by the Government of Chile; and

Bearing in mind the views the delegates have expressed on this item,

Resolves:

1. To commend the Director of the Pan American Sanitary Bureau on the steps he has taken to promote and improve drug control and on the assistance being given to the Governments in organizing laboratories for the quality control of drugs.

2. To recommend to the Director that he continue and expand the assistance to the Governments in establishing, operating, and improving their services for the control and analysis of pharmaceutical preparations.

3. To request the Director to continue negotiations aimed at the establishment of international laboratories for the control of pharmaceutical products, which would serve as training, research, and reference centers in this field.

4. To thank the Government of Uruguay for its cooperation and its great interest in establishing an international laboratory of this type in its country, for which purpose it has taken the necessary official steps.

5. To bring to the attention of Governments the importance of the considerations and recommendations on the quality control of pharmaceutical preparations contained in the report (Document A19/P&B/5) that the Director-General of the World Health Organization submitted to the Nineteenth World Health Assembly (Geneva, 3-20 May 1966).

6. To request the Director to make a study, by appropriate means, of the supply of generic drugs and pharmaceutical preparations so that a better technical and social return may be obtained from the funds invested in them, and that he give technical assistance to the Governments that request it in standardizing their present system for the supply and control of drugs.

7. To request the Director to convene a meeting of an expert group to study immediate and long-term needs for providing the countries of the Americas with adequate services for the quality control of drugs and pharmaceutical preparations.

8. To request the Director to submit a progress report on this program to the 56th Meeting of the Executive Committee.2

Sept.-Oct. 1966 OD 74, 96

CSP17.R36 The XVII Pan American Sanitary Conference,

Having considered the report of the Director (Document CSP17/15)1 on national mental health programs;

Bearing in mind the importance of mental health as an essential component of total health;

Considering the need to establish integrated mental health programs as part of national health plans; and

Recognizing the importance of research in the field of mental health as a basis for the formulation in the countries of programs of assistance, prevention, and rehabilitation,

Resolves:

1. To recommend to the Governments that have not yet done so that they establish mental health sections or departments to draw up national programs for incorporation in the general health plans.

2. To urge the Pan American Sanitary Bureau to promote and coordinate a research program on the frequency and distribution of alcoholism and on the cultural patterns that condition the habit of imbibing alcoholic beverages.

3. To recommend to the Director that he continue to promote research on the frequency and distribution of epilepsy in the Hemisphere.

Sept.-Oct. 1966 OD 74, 97

CSP17.R37 The XVII Pan American Sanitary Conference,

Having considered the Final Report of the Technical Discussions on "Means for Promoting and Making Effective the Coordination between the Services and Programs of Ministries of Health, Social Security Institutes, and Other Institutions that Conduct Activities Related to Health"1 held at this meeting;

Considering the importance of coordinating all resources in order to achieve a better return from the medical care programs sponsored by various public and private institutions; and

Considering that some countries have already integrated or are in the process of integrating their medical services in the ministries of health,

Resolves:

1. To take note of the Final Report of the Technical Discussions, and to express its satisfaction with the [deliberations].

2. To express its thanks to the Organization of American States for its assistance in organizing and conducting the Technical Discussions and to the other international organizations for their participation, as well as to the senior officials of the social security institutions who attended the Technical Discussions.

3. To recommend to the Director of the Pan American Sanitary Bureau that he give this report the widest possible distribution and take appropriate measures to provide those countries that request it with technical assistance in implementing the recommendations contained [therein].

4. To request the Director to report to the next meeting of the Directing Council on the progress made in the coordination of the services in the Member Countries.

Sept.-Oct. 1966 OD 74, 98

CSP17.R38 The XVII Pan American Sanitary Conference,

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

Resolves:

1. To select the topic "Methods of Increasing Health Service Coverage in Rural Areas" for the Technical Discussions to be held during the XVII Meeting of the Directing Council, XIX Meeting of the Regional Committee of the World Health Organization for the Americas.

2. To recommend to the Director that, in convoking the XVII Meeting of the Directing Council, he invite the Governments to include in their delegations representatives of social security institutions so as to permit their participation in the Technical Discussions.

Sept.-Oct. 1966 OD 74, 99

CSP17.R39 The XVII Pan American Sanitary Conference,

Mindful that the reports of the Governments of the Organization on public health conditions and on the progress achieved during the interval between two consecutive Conferences contain valuable data and results of experiences; and

Considering that it would be in the interest of the Governments to use the Conference as a forum for the exchange of information and ideas about important aspects of the health conditions in their respective countries,

Resolves:

1. To invite the Governments to transmit to the Pan American Sanitary Bureau, at least four months before the XVIII Pan American Sanitary Conference, their reports on public health conditions and progress achieved in this field for the years 1966-1969.

2. To request the Director of the Bureau to make a comparative study of the reports and select the aspects he considers to be of the foremost importance for health in the Americas.

3. To instruct the Director to inform the Governments of the selection he has made and to invite them to make special reference to [these aspects] when they make their oral presentations at the XVIII Pan American Sanitary Conference.

Sept.-Oct. 1966 OD 74, 99

CSP17.R40 The XVII Pan American Sanitary Conference,

Resolves:

To thank the Government of Trinidad and Tobago, and to accept its invitation to hold the XVII Meeting of the PAHO Directing Council, XIX Meeting of the Regional Committee of the World Health Organization for the Americas, and the 57th Meeting of the Executive Committee in Port-of-Spain.

Sept.-Oct. 1966 OD 74, 100