Tenth Meeting of the Executive Committee : Final report

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PAN AMERICAN SANITARY ORGANIZATION

TENTH MEETING OF THE EXECUTIVE COMMITTEE Washington, D. C., Aprd 17-28,195U

FINAL RFPORT*

The Tenth Meeting of the Executive Committee of the Pan American- Sanitary Organization convened by the Director of the Pan Ameritan Sanitary Bureau mas held in the City of Washington, D. C., the United States of America, April 17 to 28, 1950. The following persons were present :

REPRESENTATIVES :

AROENTINA

Dr. Alberto Zwanck

Representante Permanente ante los Organismos Internacionales de Sanidad, Ministerio de Salud Pbblica de la Naci6n

EL SALVADOR

Dr. Juan Allwood Paredes Director General de Sanidad,

Ministerio de Salud Publica y Asistencia Social

GUATEMALA

Dr. Luis F. Galich

Director General de Sanidad Publica,

Ministerio de Salud Pública y Asistencia Social

Dr. Jorge Estrella Ruiz Subdirector de Salud Publica,

Ministerio de Salud Publica y Asistencia Social

UNITED STATES OFAMERICA

Dr. H. Van Zile Hyde Medical Director,

U. S. Public Health Service

UBUGUAY

Dr. Ricardo Cappeletti Jefe de la División de Higiene, Ministerio de Salud Publica

VENXLUELA

Dr. Carlos Luis Gonsalez Director de Salubridad Pública,

Ministerio de Sanidad y Asistencia Social

* Este documento fue publicado en español en el Boletin de Za Oficina Sanitaria Panamericana, junio, 1950, p. 629. En la lista de Representantes que aparece en la primera página en dicho documento, por error de imprenta, fue omitido el nombre del Dr. Jorge Estrella Ruiz, Subdirector de Salud Publica, Ministerio de Salud Publica y Asistencia Social del PerG y Representante del Perú ante el Comité Ejecutivo de la OSP. Sin embargo, su nombre aparece suscribiendo el Informe Final (V. p. 644).

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734 BULLETIN OF THE PAN AMERICAN SANITARY BUREAU

ALTERNATES:

UNITED STATBS OF AIIXERICA

Dr. Howard B. Calderwood

Specialist in International Organizations

Division of United Nations Economic and Social Affairs, Department of State

Dr. Frederick J. Brady Assistant Chief

Division of International Health U. S. Public Health Service

ADVISER:

VENEZUELA

Dr. Miguel Murillo Vivas Director de Gabinete,

Ministerio de Sanidad y Asistencia Social

OBSERVER:

BRAZIL

Dr. Heitor Praguer Fróes

Director Geral do Departamento Nacional de Saude

CUBA

Dr. Félix Hurtado

Delegado Permanente del Gobierno de Cuba ante la Organización Mundial de la Salud y Representante Personal del Señor Ministro de Salubridad de Cuba como Observador ante el Comite Ejecutivo

DOMINICAN REPUBLIC

Dr. Luis F. ThomEn

Embajador de la República Dominicana en Washington, D. C.

MEXICO

Dr. José Zozaya

Asesor Técnico de la Secretaría de Salubridad

WORLD HEALTH ORGANIZATION : Dr. Martha M. Eliot

Assistant Director-General

Dr. P. M. Kaul

Chief, New York Liaison Office

Miss Bernice Newton

Special Assistant to the Assistant Director-General

ORGANIZATION OF AMERICAN STATES: Mr. Paul M. Kelbaugh

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July 19601 EXECUTIVE COMMITTEE 735 PAN AMERICAN SAN1TAR.Y BUREAU:

Dr. Fred L. Soper Dr. John R. Murdock

Director Assistant Director

Dr. Miguel E. Bustamante Secretary General

Dr. Emilio Budnik Assistant Chief Public Health Division

Dr. Paulo C. A. Antunes

Chief of the Division of Public Health

Mrs. Agnes Chagas

Chief of the Nursing Section

Mr. Chester L. Guthrie

Director, Administrative Services Division

Mr. Joseph S. Piazza Assistant Director

Administrative Services Division

PRELIMINARY ACTION

A Preliminary Plenary Session was heId at 9:30 A.M. on April 17th, in the Conference Room of the Council of the Organization of Ameritan States. The following temporary officers, elected at the Ninth Meeting of the Executive Committee, acted at the session:

Chairman: Dr. Alberto Zwanck, Argentina Vice Chairman: Dr. Juan Allwood Paredes, El Salvador

Secretary: Dr. Miguel E. Bustamante, Secretary General of the Pan Ameritan Sanitary Bureau (Article 4 of the Rules of Procedure and of Debate)

HOMAGE TO THE LIBERATOR, GENERAL Jo& SAN MARTÍN The Chairman opened the Tenth Meeting of the Executive Commit- tee, and then gave the íloor to the Representative from Venezuela, Dr. Carlos Luis González, mho, on behalf of the Pan Ameritan Sanitary Organization and through the Executive Committee, rendered a warm tribute to the memory of the Liberator, General José San Martin, in commemoration of the “Year of the Liberator.” It was agreed to send a special message to the Minister of Public Health of the Argentine Republic, informing him of this tribute.

REPORT OF THIZ CHAIRIVTAN OF THIZ EXECTJTIVE COMMITTEE The Chairman submitted to the Executive Committee the Annual Report which, pursuant to Chapter III, Article 8, Paragraph (c) of the Constitution of the Pan Ameritan Sanitary Organization, is to be re- viewed by the Directing Council at its Fourth Meeting. On a motion of the Representative from Uruguay, the report mas approved unanimously.

RULES OF PROCEDURE AND OF DEBATE

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736 BULLETIN OF THE PAN AIKERICAN SANITARY BUREAU

the Representative of the United States, seconded by the Representa- tive of Venezuela, said Rules were modified, particularly with referente to the appointment of Working Subcommittees, and the procedure which appears in Annex 1 of the present Final Report was finally adopted by unanimous vote.

ELECTION OF QFFICERS

The election of officers was the next order of business. Dr. Alberto Zwanck, of Argentina, Acting Chairman, was unanimously elected Chair- man, on a motion of the Representative from El Salvador; and Dr. Juan Allwood Paredes of El Salvador was unanimously elected Vice Chairman of the Committee, on a motion of the Representative from Venezuela.

REPORT OF THE DIRECTOR

The Director of the Pan Ameritan Sanitary Bureau, Dr. Fred L Soper, presented his Report (Doc. OSP/10 CE.W-7) covering the period from October 1st 1949 to March 31st, 1950.

In his oral statement he merely selected a few points for special com- ment. Instead of attempting to give a summarized report of develop- ments since the last meeting of the Executive Committee he presented the monthly reports of the combined activities of the Pan Ameritan Sanitary Bureau and the Regional Office of the World Health Organiza- tion for the Americas, for the period under consideration. He also presented for consideration of the Executive Committee the Final Report of Price, Waterhouse and Co., on its audit of the 1948 accounts, and the Annual Financia1 Report for 1949 of the Pan Ameritan Sanitary Bureau.

The Director reported that he attended a Meeting of the Expert Panel on Yellow Fever in Geneva in December, where certain recommendations were made to and accepted by the Expert Committee on Quarantine regarding certain communicable diseases which are of special interest to the Americas.

During December 1949, the Director also visited Paris, the Hague and London to discuss with representatives of the Health Services and of the Foreign Offices the amounts to be contributed by the metropolitan countries to the Pan Ameritan Sanitary Bureau on behalf of non-self governing territories in the Western Hemisphere.

The Director reported that the negotiations with the Organization of Ameritan States had progressed satisfactorily and that a final Draft Agreement would be submitted for ratification to the Executive Committee.

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July mo] EXECUTIVE COMMITTEE 737

of establishing with greater anticipation the amounts of money which mill be available for expenditures for any given year.

The Director reported at length on the progress of the program for eradication of Aëdes aegyptz’ and other programs which are being under- taken by the Bureau.

The Director reported on the Session of the Inter-Ameritan Economic and Social Council which was held recently in Washington and during which the development and coordination of projects of technical assist- ante was discussed. The Director expressed his view that progress could most effectively be obtained through long term permanent programs rather than through t,emporary programs based on funds made available under pressure of immediate political situations.

AGENDA

The Provisional Agenda for the Tenth Meeting, prepared by the Pan Ameritan Sanitary Bureau, was approved by the Executive Committee, after inclusion of the topics suggested by the Governments of the Re- publics of Argentina and Peru, regarding, respectively, (1) Certificates of Vaccination against Yellow Fever, and (2) the Standardization of the Structure and of the Organizational Methods in the National Health Administrations of the Americas; the final Agenda appears as in Docu- ment OSP/10 CE.W-2 (Rev. 1).

WORKING SUB-COMMXTEES

Due to the modification introduced in the Rules of Procedure and of Debate regarding the formation of Working Sub-Committees, all of the topics on the Agenda were submitted to the entire Executive Committee for consideration. Three Drafting Sub-Committees were appointed to prepare the corresponding resolutions: one to deal mith the Topic “Pro- gram and Budget for 1951”; another to prepare a resolution with respect to the creation of a Budget Financing Fund for the Bureau; and, the third, to handle the remaining topics on the Agenda. These Sub-Com- mittees were made up as follows:

Drafting Sub-Committee

(Program and Budget for 1951) Dr. Juan Allwood Paredes, El Salvador Dr. Jorge Estrella Ruiz, Peru

(Budget Financing Fund) Dr. Alberto Zwanclr, Argentina Dr. H. Van Zile Hyde, United States

(Other Topics on the Agenda) Dr. Luis F. Galich, Guatemala Dr. Ricardo Cappeletti, Urumay Dr. Carlos Luis González, Venezuela

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sions and four Drafting Sub-Committee sessions were held. The Final Plenary Session was held on April28, 1950.

RESOLUTIONS APPROVED BY THE EXECUTIVE COMMITTEE The following resolutions formulated by the Drafting Sub-Committee on the basis of conclusions reached during the plenary sessions of the Executive Committee, were approved at the Final Plenary Session:

1. PROGRAM AND BUDGET FOR 1951 PAN AMERICAN SANITARY BUREAU

WHEREAS :

The Proposed Program and Budget for 1951, presented by the Direc- tor of the Bureau for the consideration of the Executive Committee amounted to a net sum of $2,273,617.00, and contained a clear and com- plete exposition of the needs and definition of the corresponding parts; and

As a result of the detailed study which was made during the plenary sessions of the Executive Committee and of the discussions and deliberations upon the program presented, it mas considered expedient to reduce the total sum of the budget and make certain modifications in the sections included in it; and

In order to maintain an equilibrium within the budget proposal, there should be adjustments through reduction in the three parts which com- prise the proposal; and

Such reductions would not impede the normal and progressive development of the specific functions of the bureau;

THE EXECUTIVE COMMITTEE, RESOLVES :

1. To propose to the Directing Council of the Pan Ameritan Sanitary Organization in its Fourth Meeting the approval of a net budget in the amount of $1,943,681.00 (currency of the United States of America) for the calendar year 1951, the budget consisting of the following headings:

Budgeted repuest: $1,968,681.00 Part I-Pan Ameritan Sanitary Or-

ganization.. _ . . . . . , . . . $75,854.00

Part II-Pan Ameritan Sanitary

Bureau Operations. . . . _ . . . 1,550,102.00 Part III-Pan Ameritan Sauitary

Bureau Administration.. . 342,725.OO

Less: Miscellaneous Receipts 25,OOO.OO

Net sum to be obtained by regular quotas aasessed against Member Gov-

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Jdy 19501 EXECUTIVE COMM’ITTEE 739 2. To instruct the Director of the Pan Ameritan Sanitary Bureau to send to the Member Countries of the Pan Ameritan Sanitary Organiza- tion the detailed Proposed Program and Budget as has been approved by the Executive Committee.

II. BTJDGET FINANCING F~ND WHEREAS :

The Executive Committee holds that budgets approved by the Con- ference or the Directing Council represent the decision of these directing bodies as to the type and extent of programs for specifrc years, and the Director of the Bureau is accountable for carrying out these deci- sions; and

The Executive Committee recognizes the fact that some payments may be delayed in respect to programs and budgets of the Pan Ameri- can Sanitary Organization but urges Member Governments to maintain constant vigilance to avoid delays in payments; and

The Pan Ameritan Sanitary Organization requires adequate financia1 assistance in the form of a fund to enable it to carry out programs during periods of delay in payment of quotas in accordance with directives received; and

It is a proper funct*ion of the Conference or Directing Council to deter- mine the principies upon which such a fund would be formed and ad- ministered;

THE EXECUTIVE COMMITTEE, RESOLVES:

1. To recommend to the Conference the creation of an adequate fund to finance the Bureau during periods of delay in quota payments;

2. To instruct the Director of the Pan Ameritan Sanitary Bureau to present to the Conference a ful1 analysis of the needs of the Organiza- tion in regard to the fund, with recommendations;

3. To invite Member Governments to make alternate proposals for the consideration of the Conference;

4. To authorize the Director of the Pan Ameritan Sanitary Bureau to circulate the result of his studies among the twenty-one Member Nations, and further authorizes the Director to circulate any studies received from Member Nations if so requested.

III. AUDITING OF ACCODNTS WHEREAS:

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740 BULLETIN OF THE PAX AMERICAN RANITARY BUREAU

Said Company, for reasons given above, is in a position to observe the procedures of the Bureau and to continue t*he auditing of the accounts more economically;

1. To authorize the Director of the Pan Ameritan Sanitary Bureau to engage the services of ‘(Price, Waterhouse and Company,” to audit the accounts of the Pan Ameritan Sanitary Bureau for the fiscal years 1949 and 1950.

2. To authorize payment of this auditing service from the general funds of the Pan Ameritan Sanitary Bureau.

IV. PROGRAM AND BUDCIET FOR 1951 AND 1952 REGIONAL OFFICE OF THE WORLD HEALTH ORGANIZATION

WHEREAS :

The Proposed Program and Budget of the Regional Office of the World Health Organization for 1951, has been submitted by the Direc- tor of the Bureau, accompanied by supporting documents; and

In view of the fact that the Third World Health Assembly is to be held in the immediate future and will consider and resolve the matters pertaining to its budgets for 1951 and 1952,

1. To approve the Proposed Program and Budget of the Regional Office of the World Health Organization for 1951, which was submitted by the Director of the Pan Ameritan Sanitary Bureau, Document OSP/10 CE.W-9.

2. To instruct the Director to support the above mentioned proposal at the Third World Health Assembly.

3. To instruct the Director to prepare the draft of the Regional Budget for 1952 to be submitted to the Regional Committee in October 1950, using as a basis the suggestions offered by the Member Countries. V. FINANCIAL PARTICIPATION OF FRANCE, GREAT BRITAIN AND THE

NETHERLANDS, FOR THEIR DEPENDENT TERRITORIES IN THE REGION OF THE AMERICAS, IN THE REGIONAL BUDGET

WHEREAS :

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July 19601 EXECUTIVE COIWMITTEE 741 In accordance with said Report, the Governments of Great Britain, France and the Netherlands, have shown special interest in this matter; and inasmuch as the pertinent negotiations are considerably advanced,

1. To take note of the above-mentioned Report, submitted by the Director in compliance with Resolution IV adopted by the Directing Council at its Third Meeting.

2. To approve the steps taken, and to ask the Director of the Bureau to continue the negotiations, and to report to the Executive Committee at its next Meeting.

VI. EXEC~TIVE COMMITTEE-REPRESENTATIVES WHO WILL SUBMIT THE PROPOSED PROGRAM AND BUDGZT OF THE PAN AMER-

ICAN SANITARY BTJXEAU FOR 1951 TO THE DIRECTING COUNCIL

WHEREAS :

The members of the Executive Committee, in accordance with Article 12 of the Constitution, act as a Committee responsible for submitting the Proposed Budget to the Directing Council; and

The Committee eiould be in a position to properly inform the Council on the studies and deliberations it has made during its sessions;

1. To appoint a Special Committee to report to the Directing Council at its Fourth Meeting on the Proposed Program and Budget of the Pan Ameritan Sanitary Bureau for 1951, which has been studied and approved by the Executive Committee at its Tenth Meeting.

2. That said Special Committee be composed of the following members: Dr. Juan Allwood Paredes, El Salvador; Dr. Jorge Estrella Ruiz, Peru; Dr. Ricardo Cappeletti, Uruguay.

VII. STAFF RULES AND REGULATIONS OF THE PAN AMERICAN SANITARY BUREAU

WHEREAS :

Resolution VI, approved by the Directing Council at its Third Meet- ing in Lima, Peru, authorizes the Executive Committee t.o make deci sions with regard to the articles and rules of the Staff Rules and Regu- lations, with the exception of Articles 20, 27 and 28; Rules 550, 610, 852, 853, 1111 and 1120, and all of Section 1000, which is not applicable in the case of the Pan Ameritan Sanit,ary Bureau; and

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1. To authorize the Director to continue negotiations with the United Nations and to make appropriate request for the inclusion of the Pan Ameritan Sanitary Bureau staff in the Joint Staff Pension Fund of the United Nations; he shall submit a report to the Executive Committee at its next meeting.

2. That the Director of the Bureau also continue the studies and negotiations regarding Rules 550, 610, 620.1, 632.1 and 632.2, submitting his recommendations to the Directing Council.

3. To approve the recommendations of the Director as contained in the document submitted to the Executive Committee, except insofar as they refer to the above-mentioned Rules.

VIII. REIMBURSEMENT OF STATE INCOME TAX WHEREAS :

The World Health Organization has resolved that its employees be reimbursed for State Income Taxes ; and

The Directing Council of the Pan Ameritan Sanitary Organization, at its First Meeting, authorized the Bureau to refund income taxes paid by its employees;

To authorize the Director of the Pan Ameritan Sanitary Bureau to reimburse the members of the staff, upon proper application, for State Income Taxes paid on salaries earned during the years 1948 and 1949; and that such reimbursements be continued while the Staff Rules of the World Health Organization on this subject are still in forte.

IX. PRIVILEGES AND IMMTJNITIES PAN AMERICAN SANITARY ORGANIZATION

WHEREAS :

It is indispensable to an official international institution such as the Pan Ameritan Sanitary Organization, that its status be recognized; and that the various Member Countries grant it the privileges and immunities which are customarily granted to similar institutions; and

Such privileges and immunities have been recently recognized by the United Nations; and

The II World Health Assembly adopted a resolution on the “Conven- tion on Privileges and Immunities of the Specialized Agencies of the United Nations”; and

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July í960] EXECUTIVE COMMITTEE 743 THE EXECUTIVE COMMITTEE,

RESOLVES :

To request the XIII Pan Ameritan Sanitary Conference to express to the Member Governments, by means of a recommendation, the ad- visability of granting to the Pan Ameritan Sanitary Organization, to its component organs, and to its staff, the privileges and immunities to which it is entitled as an International Sanitary Organization.

X. DATES FOR THE 11~~ MEETING OF THE EXECUTIVE COMMITTEE; THE IV MEETING OF THE DIRECTING COUNCIL; THE XIII PAN AMERICAN SANITARY CONFERENCE, AND THE 12~~ MEETING OF THE EXECUTIVE COMMITTEE

WHEREAS :

For practica1 reasons, the various governing bodies of the Pan Amer- ican Sanitary Organization must hold their meetings in consecutive order;

To authorize the Director of the Pan Ameritan Sanitary Bureau to set the following dates for the meetings to be held during 1950 in Ciudad Trujillo, Dominican RepLblic, pursuant to the resolutions adopted by the Directing Council at its III Meeting in Lia, Peru, in October 1949:

11th Meeting of the Executive Committee: September 20 to 23; IV Meeting of the Directing Council: September 25 to 30; XIII Pan Ameritan Sanitary Conference: October 2 to 10;

12th Meeting of the Executive Committee: October ll

The Director is also authorized to convoke the Member Governments to attend said meetings.

XI. REVISION OF PROGRAMS OF THE PAN AMERICAN SANITARY BUREAU

WFIEREAS :

The Pan Ameritan Sanitary Bureau, throughout the years of its ex- istence, has been instructed to carry out many activities covering a variety of fields;

The Bureau has been unable to carry out many of these instructions because of financia1 or technical limitations;

Without altering the fundamental principles of the Pan Ameritan Sanitary Organization, the operating program should be revised in the light of past experience and in accordance with available facilities, and

Having heard the views expressed by the Director of the Bureau; THE EXECUTIVE COMMITTEE,

RESOLVES :

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2. To recommend also to the Directing Council that the study made in this regard, be submitted to the XIII Pan Ameritan Sanitary Con- ference for decision.

XII. STUDY OF THE WORKING DIRECTIVES OF THE PAN AMERICAN SANI-~ARY BUREAU IN COORDINATION WITH THOSE OF THE

WORLD HEALTH ORGANIZATION

WHEREAS:

Consideration is given to the background of the problem and to the reports submitted by the Director of the Pan Ameritan Sanitary Bureau;

That the study referred to under this topic be submitted for consideration to the XIII Pan Ameritan Sanitary Conference, together with the documents necessary for the study of the matter and the adoption of a resolution.

XIII. COORDINATION OF THE REGIONAL PROJECTS AND ACTIVITIES OF INTERNATIONAL ORGANIZATIONS WITHIN GOVERNMENTAL

PLANS OF THE MEMBER NATIONS

WHEREAS :

Consideration is given to the background of coordination within the system of the United Nations, or coordination by the regional offices of the World Health Organization, and of coordination within the system of the Organization of Ameritan States;

1. To submit this topic to the consideration of the Directing Council at its next meeting.

2. To submit also the necessary documents relating to coordination of the activities of international public health agencies, such documents expressing the wish of the Pan Ameritan Sanitary Organization that coordinating activities be instituted in the msnner determined by the Member Countries, through their health authorities.

XIV. AQREEMENT WITH THE COUNCIL OF THE ORCJANIZATION OF AMERICAN STATES

WHEREAS:

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July 1960] EXECUTl?E ComI’M’EE 745 Exercising the powers vested in it by Resolution XI adopted by the Directing Council in its Third Meeting;

THE EXEZUTIVE COMMITTEE, RESOLVES:

1. To approve the report of the Special Sub-Committee on Relations in regard to the Draft Agreement with the Council of the Organization of Ameritan States.

2. To approve the text of the Agreement as it appears in Annex II of the present Final Report, and

3. That the Director of the Pan Ameritan Sanitary Bureau shall sign the said instrument, on behalf of the Executive Committee and repre- senting the Directing Council of the Pan Ameritan Sanitary Organiza- tion.

XV. UTILIZING EXISTING INTER-AMERICAN ORQANIZATIONS AND COORDINATING THEIR ACTIYITIES, AVOIDING THE CREATION

OF NEW AGENCIES

WHEREAS:

The Council of the Organization of Ameritan States, by a decision made on November 2, 1949, and the General Assembly of the United Nations, by Resolution of November 24, 1949, have recommended that the creation of new and unnecessary Inter-Ameritan and International organizations be avoided, and that instead the facilities and services of the already existing organizations, organs, and technical offices be uti- lized as the occasion demands;

1. To recommend to the XIII Pan Ameritan Sanitary Conference to declare itself as being in favor of the utilization, to the fullest extent possible, of already existing organizations in the execution and coordination of programs of international scope, and instead, to recommend that the creation of new agenceis be avoided so as to prevent duplication of effort and to increase the effectiveness of joint enterprises.

XVI. CERTIFICATES OF VACCINATION AGAINST YELLOW FEVER WHEREAS:

The health authorities of Portugal have required certificates of vaccination against yellow fever; and

The Director has submitted information on the subject and reported that the above-mentioned health authorities have been approached with regard to this matter; and

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746 BlJLLETIN OF THE PAN AMERICAN SANITARY BUREAU

To instruct the Director to seek an adequate solution of the afore- mentioned matter at the III World Health Assembly.

XVII. STANDARDIZATION OF THE STRUCTURE AND ORGANIZATIONAL METHODS OF THE NATIONAL HEALTH ADMINISTRATIONS

IN THE AMERICAS

That the topic “Standardization of the structure and organizational methods in the National health administrations in the Americas,” which was submitted to the 10th Meeting of the Executive Committee, be in- corporated in the agenda of the XIII Pan Ameritan Sanitary Conference, so that the appropriate resolution be adopted by that body.

VOTE

WHEREAS :

The Executive Committee during its Tenth Meeting was greatly assisted in its work by the excellent preparations made by the entire ataff of the Pan Ameritan Sanitary Bureau;

To give a vote of approval to the staff of the Pan Ameritan Sanitary Bureau for its efficient performance.

This Final Report was approved and signed in the City of Washing- ton, D. C., United States of America, on the Twenty-eighth day of April of nineteen hundred and aty.

EXECUTIVE COMMITTEE :

(Sgd.) ALBERTO ZWANCK (Sgd.) JORGE ESTRELLA RUIZ

Representative of Argentina Representative of Peru

(Sgd.) JUAN ALLWOOD PAREDES (Sgd.) H. VAN ZILE HYDE

Representative of El Salvador Representative of the United States of America

(Sgd.) LUIS F. GALICH (Sgd.) RICARDO CAPPELETTI

Representative of Guatemala Representative of Uruguay

(Sgd.) CARLOS LUIS GONZÁLEZ

Representative of Venezuela

PAN AMERICAN SANITARY BUREAU:

(Sgd.) FRED L. SOPER (Sgd.) M. E. BUSTAMANTE