Pan American Health Organization World Health Organization
__
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XVII
XVIII Regional
PanAmerican
Committee
Sanitary
Meeting
Conference
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Washington, O. C., U.S.A.September-October 1966
CSP17/46 EN (Final report)
7 October 1966
ORIGINAL: ENGLISH-SPANISH
FINAL REPORT OF THE
XVII PAN AMERICAN SANITARY CONFERENCE_
X%'Ii! b_TING OF THE REGIONAL COF_4ITTEE OF THE
!?OR,_LD HEALTH ORGANIZATION _3R THE AMERICAS
Io Application of Article 6 of the Constitution
of the Pan American Health Organization 1 "IIo Annual Report of the Chairman of the Executive
_-_ Committee 2
_ IIIo Annual Report of the Director of the Pan American
" Sanitary Bureau for 1965 3
IVo Quadrennial Report of the Director of the Pan
American Sanitary Bureau (i962-1965) 4 Vo Election of the Director of the Pan American
Sanitary Bureau and Nomination of the Regional Director of the World Health Organization for
the Americas 5
VIo Financial Report of the Director and Report of
the External Auditor for 1965 7 VIIo Program and Budget of the Pan American Health
Organization for 1967 8 VIIIo Proposed Program and Budget of the World Health
Organization for the Region of the Americas
for 1968 I0
IXo Provisional Draft of the Proposed Program and Budget of the Pan American Health Organization
for 1968 II
Xo Regional Projects to be Implemented in 1967-1968 with Funds of the United Nations Development
Program 12
XIo Amendments to the Rules of Procedure of the
. Conference 13
XII. Election of Two Member Governments to the Executive Committee on the TermLuation of the
XIVo Estimated Requirements for the Eradication of
Malariain the Americas 20
XVo Supply of Textbooks for Medical Students 22 XVIo Research Policy and Program of the Pan American
Health Organization 25 XVIIo Migration of P_ofessionals 28 XVIIIo Status of Smallpox Eradication in the Americas
and the Estimated Requirements for Achieving it 30 XIXo Status of _edes ae_ti Eradication _u the Americas 33 XXo Criteria for the Eradication of _%edesa_ 36 XXlo Status of National Health Planning 39 XXIIo Aspects of Health Related to Population Dynamics 41 XXIIIo Planning of Hospitals and Other Health Services 43 XXIVo Report on the Collection of Quota Contributions 44
XXV° EmergencyRevolvingFund 46 XXVI Amendments to the Staff Rules of the Pan American
Sanitary Bureau 47
XXVIIo Salary of the Director of the Pan American
SanitaryBureau 48
XXVIIIo Report on Buildings and Installations 49 XXIXo International Transportation of Human Remains 51
XXX. Relations of the Pan American Health Organization
with Other Organs of the Inter-American System 56 XXXlo Pan American Foot-and-Mouth Disease Center 59 XXXIio Training of Auxiliary Personnel 62
o
XXXIIIo Resolutions of the WHO Executive Board and the World Health Assembly of Interest to the
RegionalCommittee 64 XXXIV. The Problem of Venereal Diseases in the Americas 65
XXXVo Quality Control of Pharmaceutical Preparations 67 XXXVI. MentalHealthProgram 70 XXXVIIo Technical Discussion 72 XXXVIIIo Selection of Topics for the Technical Discussions
During the XVII Meeting of the Directing Council of the Pan American Health Organization, XIX Meeting . of the Regional Committee for the Americas of the
World HealthOrganization 74 XXXIXo Reports of the Governments of the Organization on
Public Health Conditions 75 XLo Place of the XVII Meeting of the Directing Council 76
8
csP17
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46
(Eng.)
7 October 1966
ORIGINAL: F_NGLISH-SPANISH
FINAL REPORT OF THE
XVII PAN A_LE_ICAN SANITARY CONFERENCE, XVIII MEETING OF THE REGIONAL C0_®_TTEE OF THE __ WORLD I_T_LTHORGANIZATIONFOR THE AMERICAS
- The XVII Pan American Sanitary Conference, XVIII Meeting of the Regional Committee of the World Health Organization, was held at the new Headquarters Building in Washington, D. C., from 26 September to 7 October
1966, in accordance with the convocation issued by the Director of the Pan American Sanitary Bureau pursuant to Resolution XI_ approved by the Executive
Committee at its 54th Meeting.
PARTICIPANTS
The following Governments were represented: Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Ecuador, E1 Salvador, France, Guatemala, Haiti, Honduras, Jamaica, Mexico, Kingdom of the Netherlands, Nicaragua, Panama, Paraguay, Peru, Trinidad and Tobago_ United Kingdom, United States of America, Uruguay, and Venezuela_ The Government of Guyana, as a Member of the Regional Committee, sent a
Dele-gation. The Government of Canada designated official observers. The " Conference was also attended by Dr. M. G. Candau, Director_General, and
the International Labour Organization and the United Nations Children's Fund, and observers from eleven non-governmental organizations and others
interested institutions.
PRELIMINARY SESSION
At the preliminary session held on 26 September the chiefs of Delegations exchanged views of general and protocolary matters.
INAUGURAL SESSION
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Page III
OFFICERS 0FTHE CONFERENC_
President: Dr. Antonio Ord_fiezPlaja Colombia
Vice Presidents_ Dr. \William H. Stewart United States of
_i_ America
Dr_ Benjamin Interiano E1 Salvador
o
Secretary Directorof thePan ex officio_ Dr. Abraham Horwitz American Sanitary Bureau
OFFICERS OF THE COMMITTEE_ Committee on Credentials
Chairman_ Dr. Victorio V. Olgu_n Argentina Rapporteur_ Dr. Charles Courtney Wedderburn Jamaica
Dr. Carlos Alberto Waldheim Cord6n Guatemala
General Committee
Chairman_ Dr. Antonio OrdSfiezPlaja Colombia
Vice-Cl_irmen: Dr. William H. Stewart United States of America
Dr. Benjamin Interiano E1 Salvador Members: D_ Daniel Orellana Venezuela o Dr. MauoelJos_Ferreira Brazil
Dr. Ram6n Valdivieso Chile Dr. Daniel Becerra de la Flor Peru
Member and
Committee I
Chairman: Dr. Daniel Orellana Venezuela
Vice-Chairman: Dr. Lennox de Lacy Jordan Trinidad and Tobago Rapporteur: Dr. Leoncio Andrade C. Ecuador
" CommitteeII
Chairman: Dr. Manoel Jos& Ferreira Brazil Vice-Chairman: Dro Raymond G. Hyronimus France Rapporteur: Dr. Roberto Acosta Borrero Colombia
Technical Discussions on
"Means for promotinK and makinK effective the coordination between the services and programs of Ministries of Health,
Social Securit F Institutes, and other institutions that conduct activities related to health"
_[oderator: Dr. Alberto Mondet Argentina Ra_porteur: Dr. Luis D. Alfaro Panama
Technical PanAmerican
Secretary: Dr. Leonardo Bravo Sanitary Bureau Panel Members: Dr. Pedro Daniel Mart{nez Mexico
Dr. A. Vasi Peru Dr. Alberto Calvo Panama
@
CSP17/46 (Eng.) Page V
WORKING PARTIES
Working Party on Amendments to the Rules of Procedure of the Conference
Chairman: Dr. Alvaro Aguilar Peralta Costa Rica R__apporteur: Dr. Juan Montalv_n Cornejo Ecuador Members: Dro Leoncio Andrade Corral Ecuador
Mr. Howard B. Calderwood United States of America
Dr. Fernando Escalante Pradilla Costa Rica
Wprkin_ Party on the Application of Article 6 of the Constitution of the Pan American Health Organization
Chairman and
_apporteur: Dro Rafael Moreno Valle Mexico Members: Dr. Emilio Poitevin Guatemala
Mr. Solomon Satcumar Lutchman Trinidad and Tobago Mr. Paul Jo Byrnes United States of
America
Mr. F61ix Miguel S_nchez Venezuela
Secretary__ Mr. Clarence Ho Moore Chief_ Budget and Finance Branch, Pan
Working Party on Quality Control of Pharmaceutical Preparations
Chairman: Dr. Victorio V. Olguln Argentina _ Members: Dr. Manoel Jos6 Ferreira Brazil
Dr. Julio Santa Mar_a Santa Cruz Chile
Dro Benjamln D. Blood United States of America
Dro Mario Pareja Pifieiro Uruguay
Secretaries: Dr, Emilio Budnik International Liaison Officer, Pan American Sanitary Bureau
Dr, Pedro N. Acha Regional Adviser in Veterinary Medicine, Pan American Sanitary Bureau
Workin_ Party on the Supply of Textbooks for Medical Students
Chairman and
Dro Antonio Ord$fiezPlaja Colombia Ra_rteur:
Members: Mr. Paulo de GSes Brazil Dr. Conrado Ristori Chile
Mr. Howard B_ Calderwood United States of America
Dr. Pedro Gu@dez Lima Venezuela
, Secretaries: Dr. Ram_n Villarreal Chief, Medical Education Branch, Pan American Sanitary
Bureau
csP17
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Page VII
Workin_Party on Relations of the Pan American Health Organization with other Organs of the Inter-American S_stem
Chairman= Dr. Dionisio Gonz&lez Torres Paraguay Rapporteur: Mr. Paulo de G6es Brazil Members: Dr. Victorio V. Olguln Argentina
Dr. Julio Santa Maria Santa Cruz Chile
Dr, Benjamin D. Blood United States of America
Secretary Dro Emilio Budnik International Liaison Officer, Pan American Sanitary Bureau
Workin_ Party on the Selection of toDics for the Technical Discussions for 1967
Chairman: Dr, Daniel 0reilana Venezuela
Ra_porteur: Dr. Charles Courtney Wedderburn Jsmaica Members: Dr, Manoel Jos@ Ferreira Brazil
Dr. Roberto Acosta Borrero Colombia
Dro Juan Montalv&n Cornejo Ecuador Dr. Tom_s PinedaMart[nez E1 Salvador
AGENDA
At the first plenary session, the agenda was approved.
SESSIONS OF THE CONFERENCE
The Conference held an inaugural session, thirteen plenary sessions, five sessions of the Committee on Credentials, seven sessions of the
General Committee, six sessions of Committee I and five of Committee II. The closing session was held on 7 October 1966.
RESOLUTIONS APPROVED
CSP17/46 (Eng.) Page 1
RESOLUTION I CSP17.R1 EN
APPLICATION OF ARTICLE 6 OF THE CONSTITUTION OF THE PAN AMERICAN HEALTH ORGANIZATION
. THE XVII PAN AMERICAN SANITARY CONFER__CE,
. Having received the report of the Working Party which indicated:
a) that only two countries (Bolivia and Haiti) are in arrears more than two years, this being the lowest number for several years ;
b) that Bolivia has adopted a financial plan for payment with-in a defwith-inite period, which commitment it has substantially fulfilled;
c) that Haiti has presented a financial plan which, considering economic conditions, is acceptable to the Working Party; and
d) that the Member Governments and the Pan American Sanitary Bureau deserve commendation for their joint efforts in improving the quota situation,
RESOLVES :
1. To note the progress in reducing quota arrears°
2o To permit these countries affected by Article 6-B of the Constitution to vote in the XVII Meeting of the Pan American Sanitary Conference o
RESOLUTION II CSP17.R2 EN
ANNUAL REPORT OF TEE CHAIRMAN OF TI_ EXECUTIVE COMMITTEE
" THE XVII PAN _24ERICAN SANITARY CONFERENCE,
" Having considered the Report of the Chairman of the _xecutive Committee, Dro Manoel Jos$ Ferreira, Delegate of Brazil, 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 Report of the Chairman of the Executive Committee, Dr, Manoel Jos$ Ferreira, Delegate of Brazil_ and to commend him and the
other Members of the Committee for the work accomplished°
CSP17/46 (Eng.) Page 3
RESOLUTION III CSP17.R3 EN
ANNUAL REPORT OF TH_ DIRECTOR OF THE PAN AMERICAN SANITARY BUREAU FOR 1965
" THE XVII P.<N 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 muericas, for 1965 (Official Document Noo 70); and
Considering the terms of Article 4-F of the Constitution of the Pan American Health Organizatien,
RESOLVES:
To approve the Annual Report of the Director for 1965 (Official Document No. 70), to commend him on the excellent work accomplished during the year, and to extend its commendation to the staff of the Bureau.
(Approved at the eighth plenary session,
RESOLUTION IV OSPIF.R4 EN
QUADRENNIAL REPORT OF THE DIRECTOR OF THE PAN AMERICAN SANITARY BUREAU (1962-1965)
THE k_II PAN AMERICAN SANITARY CONFERENCE,
. Having examined the Quadrennial Report 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 Noo 72); and
Considering the terms of Article 4-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 co_end 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°
CSP17/46 (Eugo) Page 5
RESOLUTION V CSP17.R5 EN
ELECTION OF THE DIRECTOR OF THE PAN AMERICAN SANITARY BUREAU AND NOMINATION OF THE REGIONAL DIRECTOR OF THE WORLD HEALTH ORGANIZATION FOR THE AMERICAS
THE XVII PAN AMERICAN SANITARY CONFERENCE,
Bearing in mind Article 4-E as well as Article 21-A of the Consti-tution of the Pan American Health Organization, which provide that the Pan American Sanitary Bureau shall have a Director elected at the Confer-ence by the vote of a majority of the Governments of the Organization;
Bearing in mind Article 42 of the Rules of Procedure of the Con-ference, 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
Arti-cles 49 and 52 of the Constitution of the World Health Organization, which establish the procedure for the appointment of the Regional Direc-tor of the World Health Organization,
RESOLVES:
2. To communicate to the Executive Board of the World Health
Organization the above designation of Dr. Abraham Horwitz for appoint-ment as Regional Director for the Americas°
CSP17/46 (Eng.) Page 7
RESOLUTION VI CSP17.R6 EN
FINANCIAL R_ORT OF THE DIRECTOR AND R_ORT OF THE EXTERNAL AUDITOR FOR 1965
TH_ XVII P_N AMERICAN S_NITARY CONF2_ENCE,
Having examined the Financial Report of the Director and the Report of the External 1_uditor for the fiscal year 1965 (Official Document No. 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,
RhSOLVES:
1. To approve the Financial Report of the Director and the Report of the External Auditor for 1965 (Official Document Noo 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 finan-cial 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.
RESOLUTION VII CSP17.RZ EN
PROGRAM AND BUDGET OF THE PAN AMERICAN HEALTH ORGANIZATION FOR 1967
THE XVII PAN AMERICAN &_NITARY CONFERENCE,
RESOLVES:
lo To appropriate for the financial year 1967 an amount of $9,115,680 as follows:
Pur__ose of Appropriation
PART I PAN AMERICAN HEALTH ORGANIZATION
-ORGANIZATIONAL MEETINGS $ 228,478 PART II PAN AMERICAN HEALTH ORGANIZATION
-HE._DQUARTERS 2,52_, 443 PART III PAN AMERICAN HEALTH ORGANIZATION
-FIE,L/)AND OTHER PROGRAMS 5,803,759 PART iV PAN AMERIC_/_ HEALTH ORGANIZATION
-SPECIAL FUND FOR HEALTH PROMOTION 250,Q_0 PART V PAN AMERICAN HEALTH ORGANIZATION
-INCREASETO ASSETS __, 3DO,O0q
Total- All Parts _9,115,680
2o That the appropriation shall be financed from: ao Assessments in respect to:
i) Member Governments assessed under the scale adopted by the Council of the Organization of American States in • accordancewith Article60 of the
CSP17/46 (Engo) Page 9
ii) Jamaica (based on assessment of those Member Governments having comparable
size and per capita income) _ 27,65& iii) Trinidad and Tobago (based on
assessment of those Member Governments " havingcomparablesize and per capita
income) 27,654
- iv) France (DC V, ResolutionsXVand XL) 14,832 v) Kingdom of the Netherlands (DC V,
ResolutionsXV and XL) I0,094 vi) United Kingdom (based on assessment of
those Member Governments having
com_rable size and per capita income) 27,654 bo MiscellaneousIncome 87,036
Total $9,115,680
3o 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°
4o 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 l0 per cent may be made with the concurrence of the Executive - Committee° All transfers of budget credits shall be reported to the
Directing Council°
RESOLUTION VIII CSP17.R8 £N
PROPOSED PROGRAM AND BUDGET OF THE WORLD HEALTH ORGANIZATION FOR THE REGION OF THE AMERICAS FOR 1968
THE XVII PAN AMERICAN SANITARY CONFERENCE,
Having examined Official Document Noo 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 that Organization, so that he may take into consideration in the preparation
of the proposed budget of the 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 Noo 67, and to request the Regional Director to transmit it to the Director-General of that Organization so that he may take it into consideration when preparing the WHO budget for 1968o
CSP17/46 (Engo) Page ii
RESOLUTION IX CSP17.R9 EN
PROVISIONAL DRAFT OF THE PROPOSED PROGRAM AND BUDGET OF THE PAN AMERICAN KEALTH ORGANIZATION FOR 1968
THE XVII PAN AMERICAN SANITARY CONFERENCE,
Having examined Official Document Noo 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 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:
Io 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 Noo 67°
Zo To instruct the Director, in preparing his Proposed Program and Budget for 1_68 and in his consultations with Governments on this matter, to give due consideration to the recommendations and comments made by the several Delegations.
RESOLUTION X CSP17.R10 EN
REGIONAL PROJECTS TO BE IMPLEMENTED IN 1967-1968 WITH FUNDS OF THE UNITED NATIONS DEVELOPMENT PROGRAM
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 Doct_ent Noo 87 of the Pan American Health Organization;
Noting that in addition to projects requested by countries direct to the Inter-Agency Consultative Board of the United Nations Developmenh Program there are regional projects which benefit countries throughout the Americas; and
Noting also that the percentage of health projects requested by Governments within the program of technical assistance of the United Nations Development Program has continued to decrease,
RESOLVES:
lo To approve and support for submission to the United Nations Development Program Inter-Agency Consultative Board, the proposed regional projects for the biennium 1967-1968o
2o 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°
0SP17/46 (Eng.) Page 13
RESOLUTION XI CSPI7.R11EN
AMEND_NTS TO THE RULES OF PROCEDURE OF THE CONFERENCE
THE XVII PAN AMERICAN SANITARY CONFERENCE,
Having examined the report of the Working Party on amendments to e the Rules of Procedure of the Conference,
RESOLVES:
To amend Articles l, 2, 3, 8, 13, 20, 22, 43, and 46 of the Rules of Procedure of the Conference, as follows:
"Rule l° 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 3 months
be-fore the date fixed for the opening of the meeting to all Governments and to organizations entitled to be represented at
the Conference"°
"Rule 3o 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".
trRule8. The provisionalagenda shall be sent to the Governments and to organizations entitled to representation at least 6U 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 13o The plenary sessions shall be devoted to matters of general interest and to the discussionand decision upon the report 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 o neither the President nor either of the Vice-Presidents elected
CSP17/46 (Engo) Page 15
preside. If the Chairman of the F_ecutive 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, and 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 these 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 t'.
"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 a secret ballot if it has previously so decided by a majority of the Delegations present and voting"°
RESOLUTION XII CSP17.R12 EN
ELECTION OF TWO MEMBER GOVERNMF/_TS TO THE EXECUTIVE COMMITTEE ON THE TERMINATION OF THE PERIOD OF OFFICE OF BRAZIL AND MEXICO
THE XVII PAN AMERICAN SANITARY CONFERENCE,
t
Consdering the provisions of Article 9-B of the Constitution of the Pan American Health Organization; and
Considering that the Goverr_ents of Colombia _%d the United States of America were elected to the Executive Committee on the termination of
the period of office of Brazil and Mexico,
RESOLVES:
lo To declare the.Governments of Colombia and the United States
of America elected to the Executive Committee for a period of three years°
2o To thank the Governments of Brazil and Mexico for the services
rendered to the Organization by their Representatives on the Executive Committee°
CSP17/46 (Eng.) Page 17
RESOLUTION XITI CSP17.R13 EN
STATUS OF MALARIA ERADICATION 'IN THE AMERICTJ_
_ , r,T
. THE XVII PAN ;d_ERIC_I_ o:_{IT_RY CONFERLNCE,
. Having examined the XIV Report of the Director of the Pan American Sanitary Bureau on the status of malaria eradication in the Americas
(Document CSP!7' ,/4);
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 _intenance phases; that real progress has nevertheless been made in the administrative organization of the various programs;
Considering that plans for financing the various programs have met
with delays and, for this reason_ work pla_ned for 1966 could not be carried on:
Bearing in mind that, as result of this setback, it has been necessary for various areas already inthe consolidation phase to be shifted back into the attack phase with a consequent increase in costs;
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 . compi_menting methods of attack can be effectively used to control
extra-domicialiary transmission in this Hemisphere_
RESOLVES:
lo To take note of the XIV Report on the Status of Malaria Eradication in the A_ericas (Document CSP17/4)o
2o To express its satisfaction with the progress made in administrative services of the various programs°
3o To emphasize the need to improve such services in programs where this has not yet been done°
qo To remind the Governments of the need to intensify their efforts to obtain the funa_ required for the programs, in order that the increased costs resulting from unnecessary prolongation of the eradication work may be avoided°
CSP!7/46 (Eng.) Page 19
6o To recommend intra-domiciliary spraying with DDT as the basic element of attack in malaria-eradication programs, complemented by such _Jethods as larviciding, collective treatment, etco, wherever appropriate°
7o To accelerate the coordination of local health services, whether provided by the governments, autonomous, or private agencies, 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 Unlted Nations Children's Fund and tile Gover_nent of the United States of America, through the
A£ency for International Development_
RESOLITTION XIV CSPI7.R14 EN
ESTIiiAT_._REI%UIREM_q_T$ FOR THE ERADICATION OF MALARIA" IN THE _/v[ERICAS
THE XVII PAN AMERICAN SANITARY COnfERENCE,
" Having considered the report on the estimated requirements for malaria eradication in the Americas (Document CSP17/5);
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 the annual increase 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 eradica-tion program; and
CSP17/46 (Eng) Page 21
RESOLVES :
1.. To take note of the estimated requirements for the PA/{O . Special Malaria Fund.
2o To reiterate to the Governments its deep _atisfaction with the " financial 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 i_sistiD_ 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 b_dget 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.
RESOLUTION XV CSPI7.R15 HN
SUPPLY OF TEXTBOOKS FOR MEDICAL STUDENTS
THE XVII PAN AMERICAN SANITAKf CONFERENCE,
. Having examined the proposed program for the supply of textbooks for students of schools of medicine in Latin America (Document CSP17/27);
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, agency recognized by the Directing Council 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;
CSP17/46 (Engo) Page 23
Bearing in mind that the E_ecutive Committee in its 54th Meeting invited the Director to continue his negotiations to materialize such a project and recommended that the Conference authorize the Director to
sign the necessary loan contracts,
RESOLVES:
lo To emphasize the importance of the project 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°
2o 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 Americao
3o 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 _y be made to special session or by other means if necessary, in order that the program may be implemented at the earliest possible date°
5o To authorize the Director in special cases where dollars are not available, to accept reimbursement for textbooks and teaching materials
in national currency of the Member Governments subject _o the" ca_a,_ity of the Organization to utilize suoh currencies in its program°
W,
CSP17/q6 (Engo) Page 25
RESOLUTION XVI CSP17.R16 EN
RESEARCH POLICY AND PROGRAM OF THE PAN AMERICAN HEALTH ORGANIZATION
THE XVII PAN AMERICAN SANITARY CONFERENCE,
Having reviewed the report of the research activities during the past four years;
Having t_en 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 matual benefit of the countries of the Region; '_
Realizing that the solution to the research and training problems cf the Region must rest with the countries themselves acting singly and in
collaboration with others, with reference to which the President of the - United States of America, on the occasion of the Fifth Anniversary of
Considering that additional funds for the direct support of _esearch and research training in closer adherence to the research priorities set by the Organization v_ould:
i) make possible the implementation of research projects of most critical importance to the health of the Americas;
2) facilitate the strengthening of centers for research and advanced training in the Americas; and
3) 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 for the research accomplishments of the Organization.
2. To authorize the Director to establish a Special Fund for Research°
cont_ _ou _loJis
3o To invite Gove_'nm_nt_ to m_<e vol_Itary ..." "_
to the Special Fund.
4° To request the Director to pursue the expansion of this Special Fund through additional voluntary contributions from foundations
CSP17/46 (Engo) Page 27
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_
i
6o To request the Director to study means for expanding and augmenting the number of multi-national 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 their contributions offered to the Organization for the further development of the research progr_n.
RESOLUTION XVII CSP17.R17 EN
MIGRATION OF PROFESSIONALS
THE XVII PAN AMERICAN SANITARY CONFERENCE,
Having reviewed the report, Migration of Health Personnel, Scien-tists, and Engineers from Latin America, 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 recalling that this movement is encouraged by factors in
the native country as well as in those to which they migrate;
Considering that the measure required both by the United States of America and by the Latin American countries to moderate this flow of professional persons would:
l) Expand the capacity of countries to develop economically a_d culturally;
2) Strengthen universities; and
3) Facilitate the provision of more adequate health services_
RESOLVES:
CSP17/46 (Engo) Page 29
2o To request the Director to study further the role that both the Organization and the Member Governments should play in moderating the international migration of professionals_ and to present a report of progress and proposals for further action for the consideration of the XVII Meeting of the Directing Council.
RESOLUTION XVIII CSP17.R18 EN
STATUS OF SMALLPOX ERADICATION IN THE AMERICAS AND THE ESTIMATED REQUIREMENTS FOR ACHIEVING IT
THE XVII PAN A_ERICAN SANITARY CONFERENCE,
Having examined Document CSP17/20_ Revo l_ Addendum I, on the status of smallpox eradication in the Americas and the estimated requirements for achieving it ;
Bearing in mind the resolution adopted by the Governi_g Bodies of the Pan American Health Organization, which date from 1949, and of the World Health Organization and specially 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 bhe Governments; and
Bearing in mind Resolution XVI of the 54th Meeting of the Executive Committee which indicates effective measures for carrying out national smallpox vaccination programs at the same time and in a coordinated manner, within the framework of a general policy of international cooperation_
RESOLVES :
l° To take note of Document CSP17/20, ReVo l, Addendum I, on the status of smallpox eradication in the _nericas and estimated requirements for achieving it o
CSP17/46 (Engo)
Page 31
3. To recommend to the Governments of the countries in which smak]-pox has been eliminated that they maintain maintenance programs _d ep±_ demiological surveillance programs until such time as the disease is elim-inated in the Hemisphere°
4o To-,recommend to the Governments that they give one another l-eth-nical and material assistance in conducting smallpox eradication progr_s as well as in the maintenance and epidemiological surveillance phases°
5o To recommend to the Governments that special care be taken in the preparation of smallpox vaccines so as to ensure that it meets the i_-ternational standards for potency and purity and to 1_rge them to use the services of the reference laboratories with which the Pan American Sanitary Bureau has concluded contracts for that purpose°
6o To reco_end to the Director of the Pan Americ_ Sanitary Bureau that he continue to coordinate smallpox eradication programs in the _ericas and that he provide the technical advisory services necessary to carry them out_
7. To urge the Director of the Pan American Sanitary Bureau to pro-vide the countries with material assistance, in accordance with the budget-ary resources available_ and that it be furnished to the Governments as tae progress of the program..,requires it and according to the needs of each o_
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 program hold periodic meetings to ex-change information on the progress of the program, 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 Pan American Sanitary Bureau to make provision for, and to assist the countries in holding, such meetings _d to transmit the results to other interested countries°
CSP17/46 (Engo) Page 33
RESOLUTION XIX CSP17.R19 EN
STATUS OF AEDES AEGYPTI ERADICATION IN THE A_RICAS
- THE XVII PAN AF/_ICAN SANITARY CONFERENCE,
Having considered the report of the Director on the Aede__sae_Dti eradication campaign in the Americas (Document CSP17/14);
Bearing in mind that 19 years have already elapsed since the Directing Council _r._stea_ _ the Pan American Sanitary Bureau with the eradication of the mosquito in this 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 campaigu made some progress in o_ly a few restricted areas and that in several coun-tries and territories the situation during that period has in fact con-siderably worsened;
Bearing in mind that the extensive areas still infested by Aedes aegyoti, primarily where the resistance of the vector to chlorinated - insecticides has become general, constitute de_agerous_ sources of
rein-festation for the countries and territories already free of the mosquito;
Considering that that 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 row available with w_ch Aedes oae_yDti resistant to chlorinated insecticides can be elininated_
RESOLVES:
lo To urge the Governments of the countries and territories already free of Aede___s_to maintain a strict vigilance service against rein-festation and that that service take all the necessary measures to prevent the introduction of the mosquito into those areas.
_4
2o To urge the Governments of the coquetries _ud territories s_ll infested t_hat they take timely measures to overcome any administrative dif-ficulties 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 those campaigns as soon as pos_ible_
3- To instruct the Director to take all necessary measures to in-tensify and accelerate the continental campaign so that Aedes _ma2
be eradicated in the Americas as soon as possible°
CSP17/46 (Khgo) Page 35
5. To request the Director to study and put into practice appro-priate systems for ensuring that the Aoae_ypt_ eradication campaign is carried out simultaneously and in a coordinated manner in all countries in which the problem still exists, including frequent and periodical meetings_ . under the Aegis of the Bureau, of the national authorities responsible for
the programs.
RESOLUTION XX CSP17.R20 EN
CRITERIA FOR THE ERADICATION OF AEDES AEGYPT!
THE XVII P:4_N__LqICAN SANITARY CONFERENCE,
Bearing in mind that the Pan American Sanitary Bureau has established the requirements which must be fulfilled before the Government Bodies of the Pan America_1 Health Organization can declare A_._ae_ypt i to have been eradi-cated in a country or territory;
Considering that among the requirements included in the Guide for the Reports on the A_t.ae_yDt_ Cmmpaign in the Americas (Miscellaneous Publica.zienc_ No o 49 ,. Pan Americsm_ Health Organization, Washington, D oCo, 1960), no men-tion is made of tile presence of colonies of Ao ae_.___ in laboratories situ-ated in areas from which this vector has already been eliminated;
Considering that the ez_istence of colonies of the mosquito in a coun-try _lready 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_ s e_.vnti;
Bearing in mind that in South America it has already been proved on two occasions that the existence of colonies of A_. _ in localities where the mosquito finds favorable ecological conditions may easily give
CSP17/46 (Eng.) Page 37
Bearing in mind that, even when the mosquito colonies are in eco-lmgically unfavorable ai_eas_ there is a possibility that Ao ae_5_ti from those colonles 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 Ao aegypti when establish-ing the criteria for eradication, is of the opinion that the presence of Ao aegy_,ti colonies should not be allowed in areas from which the vector has been eradicated and is systematically recommending to the Governments
concerned that all colonies of the mosquito that exist in those areas
be eliminated;
Bearing in mind that that policy is absolutely correct since the elimination of colonies of the mosquito in areas already free from it is im-plicit in the very idea of eradication; and
Considering that it is essential that the Pan American Health O_ganization formally adopt a policy on this matter,
RESOLV ,,_:
!o To approve the requirements for eradication established by the Pan American S_uitary Bureau and includ6d in the above-mentioned Guide for the Reports on the A. ae_yDti Eradication Campaign in the Americas.
2o To confirm that these requirements must be fully complied with before the Governing Bodies of the Pan American Health Organization can
3o To establish that, in order to be _onsidered free of the vector by those Governing Bodies_ a country or territory must satisfy the followin_ conditions, in addition to the above-mentionedrequirements:
(a) To eliminate all colonies of At. _ that exist in areas in " their territory in which the ecological conditions are favorable to the
development of the vector°
(b) Not to permit the existence of any colony of the mosquito excep5 in recognized scientific centers situated in areas that are ecologically unfavorable to the vector°
(c) To ensure that colonies of the vector existing in those unfavor-able areas are permanently maintained in such a way as not to allow the
country or territory to be reinfested by Az" ae_ypti from those colonies_
4. To recommend to the Director that he make the necessary arrange-ments for a group of experts in this field to meet under the auspices of the P_ American Health Organization to establish the conditions those 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° aegyDti by _he Governing Bodies of the Organization°
To request the Director to submit the conditions established by the above-mentioned 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.
csPly/46(_go)
Page 39
RESOLUTION XXI CSP17.R21 EN
STATUS OF NATIONAL HEALTH PLANNING
" THE XVII PAN AMERICAN SANITARY CONFERENCE,
Having considered the Report of the Director on the Status of National Health Planning (Document CSP17/1G);
Recognizing the importance of continuous planning in health as an integral part of economic and social development; and
Recognizing the contribution made by the Organization in assisting Governments in developing systematic approaches to national health s_mlysls and planning,
RESOLVES:
lo To commend the Director for the report which shows the
substantial progress made by the various Governments in the field of health planning since the last meeting of the Pan American Sanitary Conference°
2o To recommend to the Director:
the implementation stage of national health plans. Assistance should also continue in training health planners at internatiov_l and national course_
b) That the Organization intensify its activities to promote research for the improvement of planning methodology and st_nulate the international exchange of research findings within the Americas and through the Headquarters in Geneva with other Regions of the World Health Org_uization,
c) That he continue through the Director-General of the World Health Organization efforts to secure the assistance of the United Nations Development Programme 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 towards having integrated healt_ considered in its appropriate priority within the process of economic and social development planning in association with such members of the
Inter-American System as the Inter-American Development Bank (BY_)_ and the Inter-American Comn_ttee for the Alliance for Progress (CIAP)o
e_ That he report next year to the Directing Council on the progres_ made in the planning field.
CSP17/46 (Eng°) Page 41
RESOLUTION XXII CSP17.R22 EN
ASPECTS OF _ALTH RELATED TO POPULATION DYN_/_ICS
" THE XVII PAN AMERICAN SANIT_L_f CONFERENCE,
Having considered the Directorls Report on Population Dynamics, Doctument CSP171_6, and reviewed Resolution: (1) %_A18o49 (1965),
(2) '_4A19o43 (1966), (3) IX of the XVI Directing Council of PAHO (1965);
Noting that Resolution ll -M/66 of the Fourth Meeting (1965) of the IA-ECOSOC recommended to the Governments that they consider the need to make demographic studies that will take into account both quan-titative 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 in 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; emd
RESOLVES:
1. To approve the initiatives of the Director, in complying with . _O/PAHO Resolutions above cited through the following actions:
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 Americen Sanitary Bureau of an Office of Health and Population Dynamics_
including a Population Information Center (PIC).
2o To commend the Director for the breadth and scope of the
Organization's program activities to date and to recommend further develop-merit of the activities in accordance with the requests of the Governments for cooperation°
3o To request the Director to cooperate with other agencies of the Inter-American and United Nations systems as appropriate to assure the full participation of the health sector in international prog_ams concerned with population dynamics°
CSP17/46 (_g.) Page 43
RESOLUTION XXIII CSP17.R23 EN
PLANNING OF HOSPITALS AND OTHER HEALTH SERVICES
- THE k_II PAN AMERICAN SANITARZ CO_FERENCE_
Having considered the report of the Director on the planning of hospitals and other health services (Document CSP17/29),
RESOLVES:
lo To note with satisfaction the progress made in the program of Medical Care Administration.
2o To thank the OAS and the IDB for the efficient assistance they
bmve given to date to this program and to express the wish that it will be maintained and intensified in the future.
3o To confirm the policy formulated by the Director of the Bureau in this matter and to recommend that the program be strengthened, specially as regards to field activities°
4o To recommend to the Governments that both Health Institutions and Social Security Institutions take part in studies for the for_m!ation of national health plans°
5o 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_
RESOLUTION XXIV CSP17.R24 EN
REPORT ON THE COLLECTION OF QUOTA CONTRIBUTIONS
- THE XVII PAN AMERICA/,!SANITARY CONFERENCE,
Having considered the report on the collection of quota contributions (Document CSP17/24 and Revisions 1 and 2), as well as the information _d comments on quotas contained in the Financial Report of the Directo1' and the Report of the External Auditor for 1965 (Official Document Noo 68)_
Noting that the payment of quota arrears has substantially improved and that the number of countries o_ing quotas more than two years is thc !ov_est in several years;
Recognizing that the collection of current year quotas has not in-proved significantly; and
Considering the importance of the prompt and full payment of quota contributions to assure financial support of the entire approved progr_
RESOLVES :
lo To take note of the report on the collection of quota soutri-butions (Document CSP17/24 and Revisions 1 and 2) and of the ±nformatio_ sz_d . comments on quotas contained in the Financial Report of the Directo_ ar,i
CSP17/46 (_ngo) Page 45
2o Te commend Governments on their progress in paying quota arrear_ and to urge them to put quota payments on a current basis as soon as possible.
3o To commend the Director for his efforts to improve the level of quota payments and recommend that he continue to keep Oovernments amply informed on the status of quota payments and their importance to
the fulfillment of the progrsm of the Organization°
RESOLUTION XXV CSP17.R25 EN
EMERGenCY REVOLVING FUND
THE XVII PAN AMERICAN SANITARY CONFERENCE,
- Having examined the Report of the Director in Document CE54/ll and Resolution X approved by the Executive Committee at its 54th Mee£ing,
RESOLVES"
!o To take note of the Report of the Director and Resolution X approved by the Executive Committee at its 54th Meeting°
2. To invite Governments when they receive assistance from the Fund to reimburse the amounts advanced as soon as possible°
3. To increase the ceiling of the Fund to $i00,000 and to _thorize the Director to transfer to the Fund for this purpose an amount of $25,000
from the Working Capital Fund.
CSP17/46 (_Ugo) Page 47
RESOLUTION XXVI CSP17.R26 EN
A_[,_'{D_._NTSTO THE STAg_F RULES OF THE PAN ILMERICAN SANITARY BUREAD
THE XVII PAN AMERICAN SANITARY CONFERENCE,
Bearing in mind the provisions of Staff Regulation 12o2,
RESOLVES:
To take note of the amen_nents 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 1 January 1966o
RESOLUTION )3(VII CSP17.R27 EN
SALARY OF THE DIRECTOR OF THE PAN _diERIC.&NSANITARY BURLAU
THE XVII PAN AMERICAN SANITARY CONFERENCE_
Considering the revisions which were made as from 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 annux;_
effective from 1 January 1966;
Bearing in mind Resolution EB/37oR4 which establishes the salaries of WHO Regional Directors; and
Considering the role of the Director as head of the Pan Americ__n Sar_itary Bureau, the inter-s_erican specialized organization for health of
the Organization of American Sgates,
RESOLVES :
To establish the salary of the Director of the P_u American Sanit<_ry Bureau at the level of $22,000 per annum with effect from 1 January 1966o
CSP17/46 (Engo) Page 49
RESOLUTION XXVIII CSPI7R28 EN
REPORT ON BUILDINGS AND INSTALLATIONS
THE XVII PAN _MERICAN SANITARY CONFERENCE,
Having considered the report of the Director (Document CE54/7, Rev. l) on the work done to complete the installations and services in the Head-quarters building and the acquisition of space to expand the Zone VI Office_
and the additional space requirements for the Zone IV Office_
Bearing in mind that it is reported in the above-mentioned report that the Governments of Argentina, Barbados, Brazil_ Canada, Costa Rica, Chile, Guatemala, Haiti, Honduras, Mexico, Peru, Surin_u_, Trinidad and
Tobago, Venezuela, and Spain, as well as the Pharmaceutical Manufacturer's Association and Mrs° Carlota de Inurria have donated works of art for the Headquarters building,
RESOLVES :
l o To take note of the report of the Director on buildings and installations (Document CSP17/18)o
. 2. To express its thanks to the Governments of Argentina, Barbados, Brazil, Canada, Costa Rica, Chile, Guatemala, Haiti, Honduras, Mexico, Peru, Surinam, Trinidad and Tobago, Venezuela, and Spain, as well as to the
3. To take note of the additional] space requirements for the Zone IV Office and concur in the planned action of the Director to pur-chase a house to obtain adequate space as well as the acquisition of - additional space to enlarge the Zone VI Offices
o 4o To request the Director to report on this matter at a future meeting of the Executive Committee as he deems necessary.
5o 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.
CSP17/46 (Fm_go) Page 51
RESOLUTION XXIX CSP17.R29 EN
INTERNATIONAL TRANSPORTATION OF HUMAN P_iNS
THE XVII PAN AMERICAN SANITARY CONFERENCE,
- Bearing in mind that the Executive Committee at its 54th Meeting made a detailed examination of the draft regulations prepared by an Expert Committee which when it met in Washington on 13 to 15 December 1965 had
before it a report of a Working Party held 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 of draft regulations ;
Bearing in mind the letters from the Governments and health author -ities concerning this subject; and
Bearing in mind Resolution XVIII of the 54th Meeting of the Execative Committee
RESOLVES :
1. To approve and transmit to the Governments of the Organizaticn the following Declaration and Regulations concerning the International Transportation of Human Remains:
"DECLARATION
The international transportation of human remains should be simplified so as not to increase the problems of the families with complicated and urmecessary procedures that appear to overlook the moral and social considerations involved in such cases.
It is possible to simplify the administrative procedures in-volved in obtaining authorization for the international transporta-tion 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 preser-ving human remains; however, this in no way implies that other, sim-pler, and equally effective methods, cannot also be used°
Definitions
Article lo 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 3o For the purpose of these standards _ impervious coffin shall be any container or box, of whatever material, which can be hermetically sealed and so maintained by plastic or rubber gasket or by metal or similar material which has been soldered or welded. The body may also be encased in a plastic container which has been sealed by heat or by adhesive materials prior to being pla_ in a non-impervious coffin, and which, for the purpose of these s_-dards, will be considered the same as an impervious coffin°
Documentation
Article 4o For 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
CSPl?/46 (Engo) Page 53
co A transit permit stating the surname, first name, and age of the deceased person, issued by the com petent authority for the place of death, or the
place of burial in the case of exhumed human remair_=, and
do Copies of the documentation required under sub-paragraphs 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 name, age, and place of final destination of the body°
Health Measures
Article 5- The human remains shall be subject to the follow-ing measures:
ao 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 dis-infectant; 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 _ncasem_t in a plastic container which has been sealed by heat or by adhesive materials prior to placement in a noz _-impervious coffin.
Shipment Requirements
Article 6o Human remains prepared for international shipment must be placed in an impervious coffin° Where the cause of death was :_ quarantinable disease, as defined in the International Sanitary Regulations, tile human remains must be embalmed (arterial and cavity) , and placed in an impervious coffin°
The impervious coffin must thereupon be hermetically sealed and may be shipped without any other covering (except in the case oi
Transportation bF land, ai_andsea
Article 7- The following regulations shall apply to the tr_a_sportation by rail:
a. The impervious coffin may be transportedin the baggage compartment of a passenger car.
b. Each coum_try 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 n_st be conveyed preferably on 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 may be placed in speciall2 designed fabric container.
Common Provision
Article 8. Regardless of the mode of transportation, wreatLs, 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 above formalities may be reduced either through bilateral agreements or by joint decision in particular cases.
CSP17/46 (Engo) Page 55
2. To recommend to the Governments that they apply the above--mentioned regulations in the way they deem most appropriate.
3- To invite the Governments to inform the Director of the Bureau of the steps taken to implement the above-mentioned regulations 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 ap-propriate measures to implement in their territories the regulations on
International Transportation of Human Remains mentioned 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
RESOLUTION XXX CSP17.R30 EN
RELATIONS OF TKE PAN AMERICAN HEALTH ORGANIZATION WITH OTHER ORGANS OF THE INTER-AMERICAN SYSTEM
THE XVII PAN AMERICAN SANITARY CONFERENCE,
Having considered the report of the Director on the Fourth Annual Meeting of the Inter-American Economic and Social Council at the Expert and at the Ministerial Level (Document CSP17/22, Annex I);
Bearing in mind the recommendations concerning health and activities of the Pan American Sanitary Bureau as a specialized organization of the Inter-American System that were approved at those meetings;
Bearing in mind the recommendations on social principles approved by the Fourth Extraordinary Meeting of the Inter-American Economic and Social Council which are to be incorporated into the Charter of the Organization of American States; and
Bearing in mind Resolutions XII and XIV of the 54th Meeting of the Executive Committee, and Resolution XV of the XVI Meeting of the Directing
Council of the Pan American Health Organization, XVII Meeting of the
r
CSP17/46 (Engo) Page 57
RESOLVES :
lo To commend the Director for his efforts at the meetings of - the Inter-American Economic and Social Council (IA-ECOSOC) since the
approval of the Act of Bogot&, which have incorporated the health sector into development and have given it the attention it deserves because of its fundamental importance for the e_onomic and soci_l well-being of the peoples of the Americas.
2o To take note of the report of the Director on the Fourth Annual Meetings of the IA-ECOSOC at the Expert and at the Ministerial
O r
Level, held in Buenos Aires from 15 March to 1 April 1_o6; the Second Extraordinary Inter-American Conference which was held in Rio de Ja_leiro
from 17 to 30 November 1965, the Meeting of the Special Commission for the Preparation of a Preliminary Draft of Amendments to the Charter of the Organization of American States held in Panama from 25 February to 1 April 1966 (Document CSP17/22, Annex I), and the Fourth Extraordinary Meeting of IA-ECOSOCo
3o To underline the importance of the resolutions approved at the Fourth Annual Meetings of IA-ECOSOC at the Ministerial Level concern-ing health and planning of development; population; permanent coordination . of planning offices and improvements of planning techniques; improvement
