W O R LD H E A L T O R G A N I Z A T I ON

W O R L D H E A L T O R G A N I Z A T I O N EXECUTIVE BOARD

F o r t y - f i r s t Session

Provisional agenda item 5 . 2 .

0 R I S A T I O N M O N D I A

REGIONAL COMMITTEE FOR T H E A M E R I C A S Report on the Nineteenth Session

A

INDEXED EB41/30

11 January 1968 ORIGINAL: ENGLISH

t s j 級 тв

The Director-General has the honour to present to the Executive Board the report on the nineteenth session of the Regional Committee for the A m e r i c a s / X V I I Meeting of the Directing Council of the P a n A m e r i c a n Health O r g a n i z a t i o n . This report is p r e c e d e d by an introduction which summarizes the discussions and action taken at this m e e t i n g .

Document C D 1 7 / 3 3 .

INTRODUCTION

T h e XVII M e e t i n g of the Directing Council of the Pan American Health O r g a n i z a t i o n , n i n e t e e n t h session of the Regional Committee of the World Health Organization for the A m e r i c a s , was held at the Trinidad Hilton H o t e l , Port-of-Spain, Trinidad and Tobago, from 2 to 12 October 1 9 6 7 .

A l l the Member States of the R e g i o n , w i t h the exception of B o l i v i a , were represented at the M e e t i n g as were also F r a n c e , the N e t h e r l a n d s and the United Kingdom of Great Britain and N o r t h e r n Ireland, acting on behalf of certain territories of the R e g i o n .

A l s o represented w e r e the Governments of Barbados and Guyana w h i c h , at the second plenary session, were admitted as M e m b e r s of РАНО.

T h e Meeting was also attended by representatives of the United N a t i o n s , UNICEF, F A O , the Organization of American States, the Inter-American Development B a n k , five non-

governmental o r g a n i z a t i o n s , and by the Deputy Director-General of W H O . Canada appointed an official o b s e r v e r .

T h e Meeting considered the annual report of the Director of the P a n American Sanitary B u r e a u / R e g i o n a l Director of W H O .

T h e appropriations for РАНО for the financial year 1968, amounting to US$ 10 190 000, w e r e a p p r o v e d , as was the proposed regional programme and budget estimates of WHO for 1969, which w e r e to be transmitted to the D i r e c t o r - G e n e r a l . The Directing Council took note of the provisional draft of the proposed programme and budget estimates of РАНО for the same y e a r .

T h e financial report of the Director and the report of the External Auditor for the fiscal year 1966 were also a p p r o v e d .

In considering the status of malaria e r a d i c a t i o n , the Directing Council noted that, although progress had been m a d e and some technical problems had been solved through research, serious administrative and financial difficulties still p e r s i s t e d . In accordance with the r e s o l u t i o n of the World H e a l t h Assembly calling for a re-examination of the global strategy of m a l a r i a e r a d i c a t i o n , the Directing Council recommended to the Director of РАНО that he intensify his co-operation with the Director-General of WHO to this e n d . Similarly, it re-emphasized the need to redouble efforts to eradicate this disease and to give special a t t e n t i o n to the financing, administration and co-ordination of services and to the training of personnel； and recommended that special attention should be given to problem areas and to operational r e s e a r c h . . Similarly, it was decided to request international lending agencies m a k i n g loans to avoid requirements that might weaken the prime purpose of eradica- tion p r o g r a m m e s .

T h e Council reaffirmed the policy of PAHO/WHO w i t h respect to the importance of inter- national meetings of a technical character and recommended to governments and to the Director of РАНО that they give their support to t h e s e .

T h e problem of poliomyelitis was considered and, as it continued to pose a threat to h e a l t h , largely because of insufficient immunization, it was recommended to governments that they should conduct systematic immunization programmes, in order to achieve the highest immunity level as quickly as p o s s i b l e . Governments were urged to improve their

epidemiological and statistical services so as to obtain prompt notification of cases and РАНО w a s requested to continue to provide the countries with assistance in bringing epidemic o u t b r e a k s under c o n t r o l .

W i t h reference to the w a t e r - s u p p l y programme, the Directing Council examined the report of the Director of РАНО, which covered the first half of the A l l i a n c e for P r o g r e s s d e c a d e . It urged the need to continue to give priority attention to programmes of water supply, sewerage and water pollution control, in close association with national and inter- national lending agencies, with a view to ensuring that proposals for programmes of this nature were given p r i o r i t y . It also recommended that the programme of research in engineering e d u c a t i o n should be expanded and that governments re-evaluate their plans for urban and rural w a t e r supply and sewerage services and analyse the status of water pollu- tion w i t h a view to strengthening national structures and accelerating p r o g r a m m e s .

The n u t r i t i o n programme was examined together w i t h the proposals for its expansion and it was recommended that all aspects of this programme should continue to be d e v e l o p e d , special emphasis being given to the establishment of a data collection and analysis system for nutrition in the A m e r i c a s , the formulation of national nutrition policies and the intensification of r e s e a r c h . It was also recommended that the programme should be developed in close collaboration w i t h other international and bilateral agencies, intensifying co-operation with FAO in the study of possibilities for increased food pro- duction; it w a s recommended furthermore that grants should be sought from governments and private sources to expand the programme and that an integrated programme of research should be organized into the factors that contributed to pre-school m o r t a l i t y .

The Council noted that in the preceding five years the campaign for the eradication of A e d e s aegypti had m a d e progress only in rather limited areas, owing to administrative and

financial d i f f i c u l t i e s , and urged governments to fulfil their commitments and provide one another with reciprocal assistance, in the form of loans, grants and m a t e r i a l s and to m a i n t a i n strict surveillance against reinfestation. It also recommended to the lending agencies that they m a k e funds available to governments for the eradication of the v e c t o r .

Consideration was given to the decisions of the Inter-American Committee on the

A l l i a n c e for P r o g r e s s and of the Inter-American Economic and Social Council with respect to the Pan American Foot and Mouth Disease Center, recommending that РАНО should continue to assume technical and administrative responsibility for the Center and that it should be financed by m e a n s of contributions by the governments of the Member States of O A S . T h e Council expressed its appreciation to O A S , CIAP and IA-ECOSOC for the assistance they had rendered to the Center and accepted the r e c o m m e n d a t i o n s .

It was recommended to the Member countries that they undertake as part of economic and social development the planning of the health sector and that all the agencies c o n c e r n e d , especially social security institutes, should participate in t h i s .

T h e importance of the programme for the supply of textbooks for m e d i c a l students was reaffirmed and it was recommended that negotiations to obtain funds should continue w i t h the Inter-American D e v e l o p m e n t Bank and with other possible sources for the financing of the p r o g r a m m e .

The Directing Council recommended to the governments that they give smallpox eradica- tion the priority it deserved, that they maintain a high level of immunization and constant vigilance against the introduction of the disease whilst paying special attention to the preparation of smallpox v a c c i n e s , and that the countries concerned co-ordinate their activities to reduce the risk of the spread of the d i s e a s e .

Within the limitations of the information available on C h a g a s ' disease and of the therapeutic p o s s i b i l i t i e s , it was recommended that research on the biology and control of the vector as well as on d i a g n o s t i c methods and therapeutic products be intensified.

It w a s recommended that РАНО p r e p a r e a report on the relations between health and l a w , o u t l i n i n g a p l a n for c o l l a b o r a t i o n with governments that request i t , in this new field of activity for the O r g a n i z a t i o n .

T h e Council reviewed the Organization's proposal for co-operative programmes to

s t r e n g t h e n multinational activities for advanced training and research in the health sciences and instructed the Director of РАНО to continue to stimulate such activities by all possible m e a n s . It also emphasized the importance of ensuring that the best fellowship applicants w e r e selected and the fullest u s e m a d e of the services of fellows w h e n they completed their

s t u d i e s .

T h e Council considered the D e c l a r a t i o n of the A m e r i c a n Presidents and the Action Program approved by them at Punta del Este in April 1967 and expressed its satisfaction with the r e c o g n i t i o n given to health in the D e c l a r a t i o n . It also expressed its thanks to the G o v e r n m e n t of Argentina for its invitation to hold at Buenos A i r e s a special meeting of M i n i s t e r s of Health of the H e m i s p h e r e , w i t h a view to drawing up a plan of operations for implementing the decisions of the Presidents prior to the XVIII Meeting of the Directing Council of РАНО and Twentieth Meeting of the Regional Committee of W H O for the A m e r i c a s , a m e e t i n g that, in response to the invitation of the Argentine G o v e r n m e n t , would be held at Buenos A i r e s .

A n amendment w a s proposed to A r t i c l e 15-A of the Constitution of РАНО that would increase to nine the number of Member governments forming the Executive Committee and it was decided that the item should be included in the draft agenda of the XVIII M e e t i n g of the Directing C o u n c i l , Twentieth M e e t i n g of the Regional Committee of WHO for the A m e r i c a s .

T h e Committee resolved to appoint M r Lars Breie as the External A u d i t o r of РАНО, on the resignation from this appointment of M r Uno B r u n s k o g .

T h e topic considered at the Technical Discussions during the Meeting w a s "Methods for Increasing Health Service Coverage in the Rural A r e a s " • The topic selected for the T e c h n i c a l Discussions to be held in 1968 was "Participation of the Health Sector in P o p u l a t i o n P o l i c y " .

E B 4 1 / 3 0 A N N E X E I

D i r e c t i n g Council PAN A M E R I C A N H E A L T H

ORGANIZATION XVII Meeting

Port of Spain Trinidad and Tobago

October 1967

Regional C o m m i t t e e WORLD

HEALTH

O R G A N I Z A T I O N XIX Meeting

C D 1 7 / 3 0 , R e v . 2 24 October 1967 24 octobre 1967

LIST OF PARTICIPANTS LISTE DES PARTICIPANTS

ARGENTINA ARGENTINE Representative 一 Representant¡

D r . Ezequiel Alberto Dago Holmberg Secretario de Estado de Salud Publica Secretaría de Estado de Salud Publica Defensa 192

Buenos Aires, Argentina Alternate • Suppléant

D r . Victorio V . Olguín

Director de Relaciones Internacionales Sanitarias y Sociales

Secretaría de Eetado de Salud Publica Defensa 192

Buenos Aires, Argentina Adviser • Conseiller

D r , Virgilio Alonso

Director General de Organización y Desarrollo

Secretaría de Estado de Salud Publica Buenos Airee» Argentina

BARBADOS BARBADES Representative - Representan^ ¡ ,

M r . Cuthbert Edwy Taima

Minister of Health and Community Development

Bridgetown, Barbados

Alternates - … M r , Carlisle Burton

Permanent Secretary

Ministry of Health and Community Development

Bridgetownэ Barbados

BARBADOS (Cont.) BARBADES (suite) Alternates (Cont.) - Suppléants (suite)

D r . Jean Lenore Harney

Acting Chief Medical Officer Ministry of Health and Community

Development

Bridgetown, Barbados

BRAZIL BRESIL

Representative - Représentant P r o f . Малое! José Ferreira Secretario Gérai

Ministerio da Saude R i o de Janeiro, Brasil Alternates • Suppléants

D r . Murillo Bo Belchior

Director Comissâo de Assuntos Internacionais

Ministerio da Saude Rio de Janeiro, Brasil

D r . Woodrow Pimentel Pantoja

Assesor Técnico de Ministro da Saude Rio de Janiero, Brasil

Adviser 一 Conseiller Dr« Solon de Camargo Assesor Técnico

Rio de Janeiro, Brasil

CHILE CHILI Representative - Représentant

Dr。 Patricio Silva Garin Subsecretario de Salud Publica Ministerio de Salud Publica Santiago, Chile

Alternate • Suppléant D r , Bogoslav Juricic

Secretario del Consejo Consultivo Ministerio de Salud Pública

Santiago, Chile

COLOMBIA COLOMBIE Representative - Représentant

Dr» Antonio Ordóüez Plaja Ministro de Salud Pública Ministerio de Salud Publica Bogotá, Colombia

Alternate - Suppléant

D r . Roberto Acosta Borrero

Director General del Ministerio de Salud Pública

Bogotá, Colombia Advisers - Coiaseillers

D r . Fernando Suescun C。

Jefe de la División de Atención Médica

Ministerio de Salud Pública Bogotá, Colombia

GOUVERNEMENTS

COLOMBIA (Cont.) COLOMBIE (suite) Advisers (Cont>) 一 Conseillers (suite)

Dr。 Hernando Groot

Miembro del Consejo Directivo del Instituto Colombiano de Seguros Sociales

Bogotá, Colombia

Dr。 Raul Barrios Angulo

Coordinador de Servicios Médicos del Instituto Colombiano de Seguros Sociales

Bogotá, Colombia D r , David Bersh E .

Encargado ad-honorera de la Jefatura de la Oficina de Formación y Adiestramiento de Personal

Ministerio de Salud Pública Bogotá, Colombia

Tnte。 Carlos Ospina Cubillos

Coordinador de los Servicios de Salud Pública de la Armada Nacional

Fuerzas Militares de Colombia Cartagena, Colombia

COSTA RICA

Representative - Représentant D r . Alvaro Aguilar Peralta Ministro de Salubridad Publica San José, Costa Rica

Alternate • Suppléant D r . William Lyon

Consul Honorario de Costa Rica en Trinidad

Port-of-Spain, Trinidad

CUBA

Representative - Représentant Dr» Luis Gerald Simón Escalona

Director Nacional de Asistencia Médica Ministerio de Salud Publica

La Habana, Cuba Alternate • Suppléant

D r . Roberto Pereda Chávez

Director del Departamento de Relaciones Internacionales

Ministerio de Salud Pública La Habana, Cuba

Adviser - Conseiller

D r . Pedro Rodriguez Hernández

Epidemiólogo de la Dirección Nacional de Epidemiología

Ministerio de Salud Pública La Habana, Cuba •

DOMINICAN REPUBLIC 1 KEFüBIilQUE I X M N I C A Í N E

Representative 一 Représentant D r . Sergio A . Taveras Ferrain Director del Departamento Médico

Instituto Dominicano de Seguros Sociales Santo Domingo, República Dominicana

ECUADOR ËQtJATBûR Representative - Représentant

D r . Alfredo Perez Rueda

Subsecretario de Salud Publica Ministerio de Salud Pública Quito, Ecuador

GOUVERNEIVEOTS

ECUADOR (Cont.) EQUATEUR (suite) Alternate - Suppléant

D r。 Bolivar A。 Cárdenas Vásquez Jefe de la Campaña de Control de la

Peste

Departamento de Epidemiología Dirección Nacional de Salud Guayaquil， Ecuador

EL SALVADOR

Representative - Représentant D r . José Mario Diaz Nuila Director General de Salud Ministerio de Salud Publica San Salvador, El Salvador Alternate 一 Suppléant

D r . Alberto Aguilar Rivas

Secretario Coordinador del Departamento de Planificación

Dirección General de Salud

Ministerio de Salud Publica y Asistencia Social San Salvador, El Salvador

Adrieere - Conseillers D r , José Kuri Asprides

Director del Instituto del Seguro Social Instituto Salvadoreño del Seguro Social San Salvador, El Salvador

D r . Alejandro Cruz Menjivar Consejal Directivo

Instituto Salvadoreño de Seguro Social San Salvador, El Salvador

EL SALVADOR (Gont。）

E L SALVADOR (suite) Advisers (Cont,) - Conseillers (suite)

D r . Zozimo Mercado Mejía Miembro del Consejo Directivo

Instituto Salvadoreño de Seguro Social San Salvador, El Salvador

FRANCS

Representative - Représentant M r . M。 Loïe Rossignol

Sous-Prefet Chef Adjoint du Cabinet du Ministre des Affaires Sociales P a r i s , France

Alternate - Suppléant D r . Andre Chiarini

Médicin-Inspecteur Régional de la fiantê Région Sanitaire Antilles-Guyane

Av%fAue Pasteur Fort -»-de -Franc e H a r t i n i q u e , A。 F .

GUATEMALA

Representative - Représentant D r . Emilio Poitevin

Ministerio de Salud Pública y Asistencia Social

Palacio Nacional Guatemala, Guatemala

GUATEMALA (Contó) GUATEMALA (suite) Alternate 雄 Suppléant

D r . Carlos Waldheim

Director General de Sanidad Ministerio de Salud. Pública

Social

Guatemala, Guatemala Adviser 勢 Conseiller

Dr« Francisco Fuentes Peruccini

Director General de Servicios Médicos Instituto Guatemalteco de Seguridad. Social Guatemala， Guatemala

Pública

y Asistencia

GUYANA GUYANE Representative 一 Représentant

D r , William 0。 R。 Kendall Minister of Health and Housing Ministry of Health

Georgetown, Guyana Alternate - Suppléant

Dr。 Charles С. Nicholson Chief Medical Officer Ministry of Health Georgetwon, Guyana

HAITI

Representative - Représentant D r . Lovinsky Fauché

Directeur Général de Service de la Santé Publique

Port-au-Prince, Haiti

GOUVERNEMENTS

HAITI (Cont.) HAITI (suite) Alternate - Suppléant

Dr» Charles Dambreville

Chief, Division of Public Health Department de la Santé Publique de la

Population

Port-au-Prince, Haiti

HONDURAS

Representative - Représentant D r . Carlos A , Pineda Muñoz

Jefe de la Unidad de Planificación del Ministerio de Salud Publica y Asistencia Social

Tegucigalpa, D.G。, Honduras Alternate • Suppléant

D r , Felipe Guillermo Peña Zelaya Jefe del Subeentro de Salud de

Puerto Cortés

Dirección General de Salud Pública Puerto Cortés, Honduras

JAMAICA JAMAÏQUE Representative - Représentant

D r . Herbert Eldemire Minister of Health P . O . Box V7已

Kingston, Jamaica

JAMAICA (Gont.) J A M A I № (suite) Alternates 一 Supplean:ts

D r . Charles G . We<îderburn , Chief Medical Officer

Ministry of Health Kingstons Jamaica D r . Ashton Ge Wright

Jamaican High Commissioner Port-c f-Spain, Trinidad

KINGDOM O F THE NETHERLANDS ROYAUME DES PAYS-BAS Representative - Représentant

M r . Ernest Voges

Minister of Public Health Curaçao, Netherlands Antilles Alternates - Suppléants

Mr。 W。 J。 Ao Oostendorp

Director of Public Health in the Netherlands Antilles

C u r a ç a o , Netherlands Antilles

D r . Baltus Franklin Julius Oostburg Minister of Health

Gravenstraat 60 Paramaribo, Surinam

D r。 Howard Cyril Tjon-Sie-Fat Director of Health

Gravenstraat 60 Paramaribo, Surinam Mr。 H。 E . Th。E。 Mathon

First Secretary of Embassy at the R o y a l Netherlands Embassy

Port-of-Spain, Trinidad

MEXIQUE Representative - Représentant

D r . Pedro Pañi el Martínez Subsecretario de Salubridad

Secretaría de Salubridad y Asistencia México, D . F ” México

Alternate - Suppléant D r a . Blancal Ordonez

Subjefe de Medicina Preventiva del Instituto Mexicano del Seguro Social México^$ D . F ” México

Adviser - Conseiller

D r . Manuel Gómez Noguera Jefe de Servicio

Instituto de Seguridad y Servicios Sociales de loe Trabajadores del Estado

México, D.F., México

NICARAGUA

Representative - Représentant D r . Francisco ürcuyo Maliaño Vice-Presidente de la República y Ministro de Salubridad Pública Managua, D , N ” Nicaragua

Alternates 赛 Suppléants D r . Carlos H . Canales

Director General de Salubridad Publica Ministerio de Salubridad Pública

Managuaэ D . N ” Nicaragua

GOUVERNEMENTS

NICARAGUA (Contó) NICARAGUA (suite) Alternates(Cont.) - Suppléants (suite)

D r^e Francisco Gutierrez Alfaro

Contralor del Ministerio de Salubridad Publica

Managua, D。N” Nicaragua D r . Orontes Aviles

Director de Planificación y Evaluación de la Salud

Ministerio de Salubridad Pública Managua, D.N。, Nicaragua

D r . Alejandro Robleto Pérez

Director del Servicio Nacional de Erradicación de la Malaria (SNEM) Ministerio de Salubridad Publica Managua, D.N., Nicaragua

PANAMA

Representative - Représentant D r . Ruben Merel

Vice-Ministro de Salud Pública Panamá, República de Panamá Alternates - Suppléants

D r . Alberto E . Calvo Director General

Departamento de Salud Pública Apartado 3462

Panamá, República de Panamá D r . Luis Domingo Alfaro

Director Médico de la Caja del Seguro Social

Caja del Seguro Social Panamá, República de Panamá

PANAMA (Cont-) PANAMA (suite) Alternates (Cont.) 一 Suppléants (suite)

Dr。 Rafael D , Vasquez Asesor Médico

Caja del Seguro Social Panamá, República de Panamá D14 Jaime Peralta

Consul General de Panamá Port-of-Spain, Trinidad

PARAGUAY

Representative 一 Représentant Dr。 David Lofruscio

Director General de Salud, y Director de la Oficina de Asuntos Internacionales Ministerio de Salud Pública y Asistencia Social Asunción, Paraguay

PERU

^ O Ü Representative - Représentant

D r . Manuel Villa Crespo Director General de Salud

Ministerio de Salud Pública y Asistencia Social

Lima, Perú

Alternate - Suppléant

D r . Luie Angulo Bezada Director, Asesoría Jurídica

Ministerio de Salud Pública y Asistencia Social

Lima⁹ Perú

рщц (Cont。）

РЕБШ (suite) Advisers 一 Conseillers

D r . Carlos Trigoso Recio

Miembro del Consejo Directivo del Seguro Social del Empleado L i m a , Perú

Dr。 Francisco Pedraza Fuller

Jefe de la Oficina de Programación Seguro Social del Empleado

Limat Perú

D r . Milenko Stambuk

Sub-Jefe de la Oficina de Programación Seguro Social del Empleado

Lima， Perú

D r . Arturo Vasi

Director de Prestaciones de Salud Caja Nacional de Seguro Social Lima， Perú

TRINIDAD AND TOBAGO TRINITE E T TOBAGO Representative 一 Représentant

D r . Maxwell P . Awon Minister of Health Ministry of Health Port-of-Spain, Trinidad Alternates 一 Suppléants

D r . Leonard Comissiong Chief Medical Officer Ministry of Health Port-of-Spain, Trinidad

TRINIDAD AND TOBAGO (Cont.) TRINITE E T TOBAGO (suite) Alternates (Cont.) - Suppléants (suite)

M r . J . Harewood

Director of Statistics Central Statistical Office Port-of-Spain, Trinidad M r . Martin Kernahan Economist

Ministry of Planning and Development 5 Gray Street

Port-of-Spain, Trinidad M r . Lennox Paul

Administrative Officer IV Ministry of Finance

8 Richard Street Tacarigua

Port-of-Spain, Trinidad M r . Б. Carlton Ottley

Director of Community Development (Community Development Division) Port-of-Spain,. Trinidad

Advisers - Conseillers M r . В. K , Bates

Head of Technical Services Water and Sewerage Authority 90 Saddle Road

Maraval, Port-of-Spain, Trinidad D r . Neville T . A . Byam

Specialist Medical Officer (Nutrition and Metabolism) Ministry of Health

Port-of-Spain, Trinidad

UNITED KINGDOM RQYAUME-IINI Representative - Représentant

D r , S . M . Frazer

Director of Health Services in Bermuda Medical Health Department

Hamilton, Bermuda Alternate - Suppléant

D r . Patrick Grier First Secretary

British High Commission Port-of-Spaint Trinidad

UNITED STATES OF AMERICA ETATS-UNIS D.AMERIQIE

Representative - Représentant D r . William H . Stewart Surgeon General

Public Health Service

Department of Health, Education and Welfare Washingtonf D.Co

Alternates • Suppléants D r . James E* Banta

Director, Office of International Health Public Health Service

Department of Health’ Education and Welfare Washington, D.C*

D r . Benjamin !)• Blood

Associate Director for International Organizations Affairs, Office of International Health

Public Health Service

Department of Health, Education and Welfare Washington, D . C .

UNITED STATES OF AMERICA (Contr) ETATS-UNIS D'AMERIQUE (suite) Alternates (Cont,) 一 Suppléants (suite)

D r , Richard A . Smith

Deputy Directort Office of International Health

Public Health Service

Department of Health, Education and Welfare Washingtoni D . C .

Advieers - Conseillers M r . Edward Betzig Chief, CIAP/ECOSOC Division ARA/DP

Agency for International Development Washington, D . C .

D r . David Frost

Special Projects Advisor Health Service

Agency for International Development Washingtoni D . C .

D r . Frank J . Mulhern

Deputy Administrator 9 Agriculture Research Service

U . S . Department of Agriculture Washington, D . C .

M r . Otis E . Mulliken

Chief, Division of Human Resources Department of State

Washington, D . C . D r . Michael Ogden

Chief, Rural Health Branch Public Health Service

Department of Health, Education and Welfare

Washington, D.C*

UNITED STATES OF AMERICA (Cont•) ETATS-UNIS D'AMERIQUE (suite) Advisers (Cont.) - Conseillers (suite)

M r . Herbert M . Singer Singer, Corwin and Bobrow New Yorki New York

M r . Simon N . Wilson Officer in Charge

Inter-American Organizations and Conferences

Bureau of Inter-American Affairs Department of State

Washington, D . C .

ÜEÜGÜAY

Representative 一 Représentant D r . Miguel Dicancro

Subsecretario de Salud Pública Ministerio de Salud Pública Garibaldi 2656

Montevideo, Uruguay

VENEZUELA

Representative - Représentant Dr» Carlos Castillo

Director de Salud Publica

Ministerio de Sanidad y Asistencia Social Venezuela

VENEZUELA ( C o n te) VENEZUELA (suite) Alternates • Suppléants

D r . Daniel Orellana

Jefe de la Oficina de Sanidad Internacional Ministerio de Sanidad y Asistencia Social Caracas, Venezuela

D r . Armando Molina Landaeta

Abogado Jefe de la Consultoria Jurídica del Ministerio de Relaciones Exteriores Caracas, Venezuela

D r . Alfonso Risquez, Jefe Sub-ünidad de Planificación

División de Malariología y Saneamiento Ambiental Ministerio de Sanidad y Asistencia Social

Caracas, Venezuela

Dr- Oscar Lobo Castellanos

Médico Adjunto de la División de Tuberculosis Ministerio de Sanidad y Asistencia Social Caracas, Venezuela

D r . Héctor Cedeño Pérez

Jefe de la Oficina de Programación y Presupuesto del Instituto Venezolano de los Seguros Sociales

Caracas, Venezuela Advisers - Conseillers

D r , Pablo Salcedo

Coordinador .Nacional de los Servicios Médicos Instituto Venezolano de los Seguros

Sociales

Caracas, Venezuela Dr» Miguel Bellorin

Coordinador de los Servicios Médicos de la Zona Sur Oriental del Instituto Venezolano de los Seguros Sociales Ciudad Bolivar, Venezuela

C M A D Â

Official Observer - Observateur officiel D r。 Basil D。 В。 Layton

Principal Medical Officer, International Health

Department of National Health and Welfare Room 112Ц Brooke Claxton Building

Ottawa 3 , O n t a r i o , Canada

WORLD HEALTH ORGANIZATION ORGANISATION MONDIAIE DE LA SANTE D r . P . Dorolle

Deputy Director-General World Health Organization G e n e v a , Switzerland

M re Fe Gutteridge C h i e f , Legal Office

World Health Organization G e n e v a , Switzerland

Miss Monica Legh-Jones

Assistant to the Deputy Director-General World Health Organization

G e n e v a , Switzerland

PAN flKSRICAN SANITAHT BUREAU BUREAU SAATITAIRE P A N A F R I C A I N Dre Abraham Horwitz, Director, PASB

Member and Secretary ex officio of the Directing Council

D r . Charles L . Williams Deputy Director

Dr« Alfredo Arreaza Guzmán Assistant Director

PAN AMERICAN SANITARY BUREAU (Contó) BUREAU SANITAIRE PANAMERICAIN (suite)

D r . Stuart Portner Chief of Administration Dro José L . García Gutiérrez Chief, Zone I

D r . Alfred Gerald

Country Representative in Trinidad and Tobago D r . Pedro N . Acha

Regional Veterinary Public Health Adviser D r . Alfredo N . Bicaf Chief

Communicable Diseases Branch D r . Alfredo N . Bravo， Chief Medical Care Branch

Dr» Marcos Charnes, Chief Fellowships Branch

M r . William H . Childress Budget Section

D r . Abraham Drobny,'Chief Health Promotion Branch D r . Héctor García Manzanedo Temporary Advisor

D r . Mark Hollis, Chief

Environmental Sanitation Branch D r . John J« Kevany, Regional Adviser in Nutrition

D r . Charlee V . Kidd Consultant

D r . Alfredo Lynch, Regional Adviser in Public Health Malaria Eradication Programs D r . Tito Lopes da Silva, Chief

Malaria Eradication Branch

PAN AMERICAN SANITARY BUREAU (Cont.) ВШЕАЦ SANITAIRE PANAMERICAIN (suite)

D r . Eknilio López Vidal

Regional Adviser in Personnel Training D r . Mauricio Martins da Silva, Chief Office of Research Coordination M r . Clarence H» Moore, Chief Budget and Finance Branch Dr。 Vicente P . Musa

Regional Adviser on Aedes aegypti D r . Ruth R . Puffer, Chief

Health Statistics Branch D r . José Quero Morales External Relations Officer D r . Bichat de A . Rodrigues Regional Adviser on Smallpox D r . Ramón Villareal, Chief Medical Education Branch

Chief, Secretariat Services M r . José Rodríguez Olazábal

Public Information M r , Peter Ozorio

ORGANIZATION OF AMERICAN STATES ORGANISATION DES ETATS AMERICAINS

D r . José A . Mora Secretary General Pan American Union Washington, D。C0

Mr» Otto Howard Salzman Deputy Director

Department of Technical Cooperation Pan American Union

Washington, DoC。

M r s . Alzora Hale KLdridge Liaison Officer

Pan American Union Washington, D.Co M r . Beryl Frank

Chief, Special Security Unit Pan American Union

Washington, D.C*

M r . Julio C . Silva

Secretaría General de la ОБА Pan American Union-

Washington, D . C .

UNITED NATIONS NATIONS UNIES

M r . S . S t . A . Clarke

Chief of the ECLA Office for the Caribbean Port-of-Spain, Trinidad

M r . George S . Rampersad 一 Deputy Director of the ECLA for the Caribbean 1Л Keate Street

Port-of-Spain, Trinidad

TOUTED NATIONS (Cont.) m n m ' i ^ i m i s s • (suite )

United N a t i o n s Development Program

Prograjtime des Nations Unies pour le Développement M r . Alexander F . Campbell

Regional Representative of the UNDP in the Caribbean P . O。 Box 812

P o r t - o f - S p a i n , Trinidad

SPECIALIZED AGENCIES O F THE UNITED NATIONS

一工 NTÍGOVERNMENTÁL

E T ATIONS I N T E R G O U V ^ N E M E N T A I E S Food and Agriculture Organization of the

United Nations (FAQ) — Organisation des Nations U n i e s pour

1 ' Alimentation e t 1* Agriculture D r . J o h n I . McKigney

Deputy Director, Caribbean Food and Nutrition Institute

K i n g a t o n , Jamaica

United Nations Children1 s Fund (UNICEF)

Fonds des Nations U n i e s pour l'Enfance (FISE) M r . Roberto Esguerra-Barry

Director of the UNICEF for the Americas Regional Office for the Americas

S a n t i a g o , Chile

NON-GOVERNMENTAL ORGANIZATIONS ORGANISATIONS NON GOUVERNEMENTALES

P a n American Federation of Associations of Medical Schools

Fédération panamérloaine des Associations d'Ecoles d e Médecine

D r . José Felix Patiño Director Ejecutivo B o g o t á , Colombia

NON-GOVERNMENTAL ORGANIZATIONS (Cont.) ORGANISATIONS NON СЮЦУЕНЫЕМЕЖАШЗ (suite) International Society for Rehabilitation of the Disabled Société Internationale pour la Réadaptation des Handicapés

D r . H . M . Collymore

Trinidad and Tobago Society for Rehabilitation of the Disabled

Robert N . Gunnee Circular Drive San Fernando, Trinidad

World Medical Association Association médloale mondiale

D r . Harry J. Ebbs 555 University Avenue Toronto 2 , Ontario, Canada

International U n i o n against the Venereal Diseases and the Treponematoses Union ；Internationale contre le Péril vénérien e t les Tréponématoses

M r s . Gary Rasmuesen

Assistant Director, Regional Office for the Americas

New Y o r k , New York

International Council of Nurses

Conseil International des Infirmières M r s . Bernice Dolly

Trinidad and Tobago Registered Nurses1 Association San Fernandoy Trinidad

League of Red Cross Societies

Ligue des 3ooiété8 de la Croix-Rouge D r . Stephen Moosai-Màharaj

Secretary-General National Red Croes

“8 Pembroke Street Port-of-Spainf Trinidad

NON-GOVERNMENTAL ORGANIZATIONS (Cont.) ORGANISATIONS NON GOUVERNEMENTAIES (suite)

International Hospital Federation B*éd¿Fation. Internationale des HSpitaux

D r . José González

Secretary, Pan American Office International Hospital Federation One Farragut Square, South

Washington, D.Co 20006

EB41/30 ANNEX II

directing council

PAN AMERICAN HEALTH

ORGANIZATION

X V I I Meeting

Port-of-Spain Trinidad and Tobago

October 1967

regional committee

WORLD HEALTH ORGANIZATION

X I X Meeting

C D 1 7 / 1 , R e v . 4 (Eng.) Zh November 1967

O R I G I N A L : ENGLISH-SPANISH

1 . 2.

3 .

5 .

6.

7 .

AGHTOA

Opening of the Meeting

Establishment of the Committee on Credentials (Rule 2样，Rules of Procedure)

Election of President and Two Vice-Presidents (Rule l 8 , Rules of Procedure)

Establishment of the General Committee (Rules 25 and 26， Rules of Procedure) Adoption of the Agenda

(Hule 1 0 , Rules of Procedure)

Bequest of the Government of Guyana for Admission In the P a n American Health Organization

(Resolution I， 56th Executive Committee)

Request of the Government of BarbadQs for Admission in the Pan American Health Organization

(Resolution I I , 56th Executive Committee)

Document Number

C D 1 7 / 1 , R e v . 2

CD17/2

CD17/3

Annual Report of the Chairman of the Executive Committee C D I 7 / 9 , R e v . 1 and A d d . I (Art. 9， paragraph С, РАЮ Constitution)

Annual Report of the Director of the P a n American

Sanitary Bureau • O f f . D o c . N0.78

(Art. 9» paragraph С, РАНО Constitution)

Document Number 10 • Financial Report of the Director and Report of the CD17/21 and

External Auditor for 1966 O f f . D o c . N o . 75*

(Art, X I I , Financial Regulations)

(Resolution IVt 56th Executive Committee)

•A。 Proposed Program and Budget of the Pan American

Health Organization for 1968 Ofî. D o c , N o . 76*

(Art. 9， paragraph D^f РАНО Constitution) (Art. I l l , Financial Regulations)

(Res. I X , XVII Pan American Sanitary Conference) (Resolution X V I I , 56th Executive Committee)

•B. Proposed Program and Budget of the World Health

Organization for the Region of the Americas for 1969 Off> Doc» No- 76*

•C. Provisional Draft of the Proposed Program and Budget

of the Pan American Health Organization for I969 O f f . D o c . N o . 76*

(Art. 9，paragraph

D ， РАЮ

(Art. V , paragraph 5 * 7 , Financial Regulations) (Resolution XI， 56th Executive Committee)

CD17/22

1 3 . Report on the Status of the Malaria Eradication Program

in the Americas CD17/12 1 4 . Estimated Requirements for Malaria Eradication in the

Americas CD17/13 (Resolution X X V I , XIII Directing Council)

1 5 . Election of Three Member Governments to the Executive Committee on the Termination of the Periods of Office

of Jamaica, Panama and Venezuela CD17/4 (Art. 9 , paragraph В, РАЮ Constitution)

1 6 . Resolutions of the 39th Session of the WHO Executive Board and of the 20th World Health Assembly of Interest

to the Regional Committee CD17/10 1 7 . Report on Buildings and Installations CD17/28

(Resolution XXVIII, XVII Pan American Sanitary Conference) (Resolution X I I I , 56th Executive Committee)

•Distributed separately

CD17/1， Rev.

k

Document Number 1 8 . Research Policy and Program of the P a n American Health

Organization CD17/17 (Resolution XVI， XVII P a n American Sanitary Conference)

19• Amendments to the Staff Rules of the P a n American Sanitary Bureau

(Art, X I I , Paragraph 1 2 . 2 , Staff Regulations) (Resolution V I I , 56th Executive Committee)

2 0 . Technical Discussions: "Methods of Increasing Health Services Coverage in Rural Areas1 1

(Resolution X X X V I I I , X V I I P a n American Sanitary Conference)

CD17/5

C D 1 7 / D T / 1 , 2 , 5，

¿f, 5 , 6 , and 7

2 1 . Selection of Topics for the Technical Discussions During the X V I I I Meeting of the Directing C o u n c i l , X X Meeting of the Regional Committee of WHO for

the Americas

(Art. 7， Rules for Technical Discussions)

CD17/6

2 2 . Financing of the Pan American Foot-and-№>uth Disease Center

(Resolution XXXI， X V I I P a n American Sanitary Conference) (Resolution X V I I I , 56th Executive Committee)

2 3 . Eiradice.tion of Aedes aegypti

CD17/19 A d d . I

(Resolution X X , X V I I P a n American Sanitary Conference) (Resolution X I V , 56th Executive Committee).

Progress achieved in the Coordination between the Services and Procrams of Ministries of H e a l t h , Social Security Institutes, and Other Institutions that Conduct Activities Related to Health

(Resolution X X X V I I , X V I I P a n American Sanitary Conference) CD17/15

A d d . and and II

and I

CD17/18 алб A d d . I and II.

Nutrition Program in the Americas

(Resolution X I , X I I I Directing Council)

C D 1 7 / 2 3 and Add,工

CD17/1， Rev. k (Eng.) Page k

27-

Amendments to the Financial Rules of the Pan American Health Organization

(Art. 1 6 . 1 , Financial Regulations of РАЙЭ) (Resolution Vf 56th Executive Committee) Fellowships Program

(Resolution X V , 56th Executive Committee) 28. S u p p l y of Textbooks for Medical Students

Document Numbej*

CD17/8

CD17/1紅

CD17/20

2 9 .

3 0 ,

5 L . 3 2 .

3 3 .

Jh.

3 5 .

(Resolution X V , X V I I Pan American Sanitary Conference) (Resolution XIX， 56th Executive Committee)

Status of Smallpox Eradication in the Americas C D I 7 / H (Resolution X V I , 56th Executive Committee)

Intensification of Health Programs - Decisions Taken

at the Meeting of American Heads of State CD17/26 (Resolution X X , 56th Executive Committee)

Water Supply and Sewage Disposal Program CD17/16 Resignation of the External Auditor CD17/7

(Resolution V I , 56th Executive Committee)

One-Day Mass Vaccination as a Poliomyelitis Control Method

(Item proposed by the Government of Nicaragua) Health Law as an Independent B r ^ c h of Law

(Item proposed by the Government of P e r u )

CD17/29, 32 and

CD17/27

Collaboration of Mémber States in Meetings and Other International Activities organized by the Pan American Sanitary Bureau

(Item proposed by the Government of Cuba)

CD17/2^f

Evaluation of the Organization and Activities of National and Local Health Services

(Item proposed by the Government of Cuba)

CD17/25 and kO

CD17/1, R e v . k (Eng.) Page 5

Document Number 37• Participation of the Pan American Sanitary Bureau

in National Programs for Control of Chagas9 Disease CD17/31

(Item proposed by the Government of Argentina)

38• Proposed Amendment to Article 15-A of the Constitution

of the Pan American Health Organization CD17/55 (Item proposed by the Governments of Brazil and

Nicaragua) 3 9 . Other Matters

EB41/30 ANNEX III directing council

PAN AMERICAN HEALTH

ORGANIZATION

X V I I M e e t i n g

P o r t - o f - S p a i n T r i n i d a d a n d T o b a g o

O c t o b e r 1 9 6 7

regional committee

WORLD HEALTH ORGANIZATION

X I X M e e t i n g

C D 1 7 / 3 3 ( E n g . ) 1 2 O c t o b e r I 9 6 7

O R I G I N A L ! E N G L I S H - S P A N I S H

R E S O L U T I O N S A P P R O V E D

P a g e I . A d m i s s i o n of G u y a n a to m e m b e r s h i p of the P a n

A m e r i c a n H e a l t h O r g a n i z a t i o n

I I . A d m i s s i o n of B a r b a d o s to m e m b e r s h i p of the P a n A m e r i c a n H e a l t h O r g a n i z a t i o n

I I I • A n n u a l R e p o r t of the C h a i r m a n of t h e E x e c u t i v e C o m m i t t e e

I V , A n n u a l R e p o r t of the D i r e c t o r of the P a n A m e r i c a n S a n i t a r y B u r e a u for 1 9 6 6

V . F i n a n c i a l R e p o r t of the D i r e c t o r a n d R e p o r t of the E x t e r n a l A u d i t o r for 1 9 6 6

V I . P r o p o s e d A p p r o p r i a t i o n R e s o l u t i o n for the P a n A m e r i c a n H e a l t h O r g a n i z a t i o n

V I I • P r o p o s e d P r o g r a m a n d B u d g e t E s t i m a t e s of the W o r l d H e a l t h O r g a n i z a t i o n for the R e g i o n of the A m e r i c a s for 1 9 6 9

V I H P r o v i s i o n a l D r a f t of the P r o p o s e d P r o g r a m a n d B u d g e t E s t i m a t e s of the P a n A m e r i c a n H e a l t h O r g a n i z a t i o n for 1 9 6 9

I X . S t a t u s of m a l a r i a e r a d i c a t i o n in the A m e r i c a s X« P a r t i c i p a t i o n of t h e G o v e r n m e n t s i n m e e t i n g s

o r g a n i z e d by P A H O / W H O

X I • E l e c t i o n of t h r e e M e m b e r G o v e r n m e n t s to the E x e c u t i v e C o m m i t t e e on the t e r m i n a t i o n of the p e r i o d of o f f i c e o f J a m a i c af P a n a m a , a n d V e n e z u e l a

X I I • P l a c e of the X V I I I M e e t i n g of the D i r e c t i n g C o u n c i l

X I I I . E s t i m a t e d r e q u i r e m e n t s for the e r a d i c a t i o n of m a l a r i a in the A m e r i c a s

X I V . P o l i o m y e l i t i s

X V . W a t e r s u p p l y a n d s e w a g e d i s p o s a l p r o g r a m

3

5

6 8

1 0

13

1 6

18

1 9 2 0 22 zk

X V I • N u t r i t i o n p r o g r a m in t h e A m e r i c a s 27 XVII» R e s o l u t i o n s of the T w e n t i e t h W o r l d H e a l t h

A s s e m b l y of i n t e r e s t to the R e g i o n a l

C o m m i t t e e 3 0 X V I I I . S t a t u s of A e d e s a e g y p t i e r a d i c a t i o n in the

A m e r i c a s 32 XIX# F i n a n c i n g of the P a n A m e r i c a n F o o t - a n d -

M o u t h D i s e a s e C e n t e r 3 5 XX» P r o g r e s s a c h i e v e d in the c o o r d i n a t i o n

b e t w e e n t h e s e r v i c e s a n d p r o g r a m s of the M i n i s t r i e s of H e a l t h , S o c i a l Security- I n s t i t u t e s a n d other i n s t i t u t i o n s that

c o n d u c t a c t i v i t i e s r e l a t e d t o h e a l t h k l X X I • S u p p l y of t e x t b o o k s for m e d i c a l s t u d e n t s kk X X I I • S t a t u s of s m a l l p o x e r a d i c a t i o n in the

A m e r i c a s 紅 6 X X I I I# R e l a t i o n s of h e a l t h t o law i n g e n e r a l

X X I V . R e s e a r c h p o l i c y and p r o g r a m of the P a n

A m e r i c a n H e a l t h O r g a n i z a t i o n 51 X X V • F e l l o w s h i p p r o g r a m

X X V I . C o l l e c t i o n of q u o t a c o n t r i b u t i o n s 57 X X V I I • S c a l e of q u o t a a s s e s s m e n t s for B a r b a d o s

a n d G u y a n a 59 X X V I I I • S c a l e of q u o t a a s s e s s m e n t s 60

X X I X . A p p l i c a t i o n of A r t i c l e 6 - B of the РАНО

C o n s t i t u t i o n 62 X X X • R e p o r t on b u i l d i n g s and i n s t a l l a t i o n s 63

X X X I . C h a g a s1 D i s e a s e 65

P a g e

ХлХИв T e c h n i c a l d i s c u s s i o n s _{6 7}

XXXIII» S e l e c t i o n o f topics for the t e c h n i c a l d i s c u s s i o n s during the X V I I I M e e t i n g o f the D i r e c t i n g C o u n c i l of the P a n A m e r i c a n H e a l t h O r g a n i z a t i o n , XX M e e t i n g o f the R e g i o n a l C o m m i t t e e o f the W o r l d H e a l t h O r g a n i z a t i o n for the A m e r i c a s

X X X I V . A m e n d m e n t s to the S t a f f R u l e s o f the P a n A m e r i c a n S a n i t a r y B u r e a u

X X X V . A m e n d m e n t to the F i n a n c i a l R u l e s o f the P a n A m e r i c a n H e a l t h O r g a n i z a t i o n

X X X V I • A p p o i n t m e n t o f the e x t e r n a l a u d i t o r o f the P a n A m e r i c a n H e a l t h O r g a n i z a t i o n XXXVII» I n t e n s i f i c a t i o n o f . h e a l t h p r o g r a m s -

d e c i s i o n s t a k e n at the M e e t i n g of A m e r i c a n H e a d s o f S t a t e

X X X V I I I , P r o p o s e d a m e n d m e n t to A r t i c l e 1 5 - A o f the C o n s t i t u t i o n

Vote o f T h a n k s

6 9

7 0

7 1

72

7 3

7 6 79

X V I I M E E T I N G OF T H E D I R E C T I N G C O U N C I L OF THE PAN A M E R I C A N H E A L T H O R G A N I Z A T I O N

X I X M E E T I N G OF T H E R E G I O N A L C O M M I T T E E OF THE W O R L D H E A L T H O R G A N I Z A T I O N

F I N A L R E P O R T

T h e X V I I M e e t i n g of the D i r e c t i n g C o u n c i l of the P a n A m e r i c a n H e a l t h O r g a n i z a t i o n , X I X M e e t i n g of the R e g i o n a l C o m m i t t e e of the W o r l d H e a l t h O r g a n i z a t i o n , w a s h e l d in t h e T r i n i d a d H i l t o n H o t e l , P o r t - o f - S p a i n , T r i n i d a d and T o b a g o , from 2 to 1 2 O c t o b e r 1 9 6 7 , in a c c o r d a n c e w i t h the c o n v o c a t i o n i s s u e d by the D i r e c t o r of the P a n A m e r i c a n S a n i t a r y B u r e a u p u r s u a n t t o R e s o l u t i o n VIII a p p r o v e d b y the E x e c u t i v e C o m m i t t e e at its 56th M e e t i n g .

P A R T I C I P A N T S

T h e f o l l o w i n g G o v e r n m e n t s were r e p r e s e n t e d at the m e e t i n g :

A r g e n t i n a , B r a z i l , • C h i l e , C o l o m b i a , C o s t a R i c a , C u b a , D o m i n i c a n R e p u b l i c E c u a d o r , E l S a l v a d o r , F r a n c e , G u a t e m a l a9 H a i t i9 H o n d u r a s , J a m a i c a ,

M e x i c o , K i n g d o m of the N e t h e r l a n d s , N i c a r a g u a , P a n a m a , P a r a g u a y , P e r u , T r i n i d a d a n d T o b a g o , U n i t e d K i n g d o m , U n i t e d S t a t e s of A m e r i c a , U r u g u a y , and V e n e z u e l a . G u y a n a a n d B a r b a d o s w e r e a d m i t t e d to m e m b e r s h i p of t h e O r g a n i z a t i o n at the s e c o n d p l e n a r y s e s s i o n w h e r e u p o n t h e i r R e p r e s e n t a - t i v e s t o o k t h e i r s e a t s at t h e C o u n c i l t a b l e • T h e G o v e r n m e n t of C a n a d a

d e s i g n a t e d a n o f f i c i a l o b s e r v e r .

T h e m e e t i n g was also a t t e n d e d by D r . P i e r r e D o r o l l e , D e p u t y D i r e c t o r - G e n e r a l of the W o r l d H e a l t h O r g a n i z a t i o n , a s w e l l as by

observers from the Organization of American States (OAS) and the

Inter-American Development Bank (IDB), representatives of United Nations (UN), the Food and Agriculture Organization (FAO), and the United Nations Children's Fund (UNICEF). Representatives from five non-governmental organizations and other interested institutions were also p r e s e n t .

INAUGURAL SESSION

T h e I n a u g u r a l S e s s i o n w a s h e l d o n 2 O c t o b e r 1 9 6 7 in t h e

C o n f e r e n c e R o o m o f the T r i n i d a d H i l t o n H o t e l . It was a t t e n d e d b y t h e a u t h o r i t i e s o f t h e G o v e r n m e n t o f T r i n i d a d a n d T o b a g o , m e m b e r s o f the D i p l o m a t i c C o r p s , a n d r e p r e s e n t a t i v e s o f i n t e r n a t i o n a l a g e n c i e s a n d n o n - g o v e r n m e n t a l o r g a n i z a t i o n s •

A d d r e s s e s w e r e d e l i v e r e d b y Dr. M a x w e l l P# A w o n , M i n i s t e r o f H e a l t h o f T r i n i d a d a n d T o b a g o a n d P r e s i d e n t o f the X V I I M e e t i n g o f the D i r e c t i n g C o u n c i l ; t h e R i g h t H o n o r a b l e D r . E r i c Williams， P r i m e M i n i s t e r o f T r i n i d a d a n d T o b a g o； D r . A n t o n i o O r d ó ñ e z P l a j a , M i n i s t e r o f P u b l i c H e a l t h o f C o l o m b i a , o n b e h a l f o f t h e m e m b e r s o f the D i r e c t i n g C o u n c i l ; D r . P i e r r e D o r o l l e , D e p u t y D i r e c t o r - G e n e r a l o f the W o r l d H e a l t h

O r g a n i z a t i o n ; D r . A b r a h a m H o r w i t z , D i r e c t o r o f the P a n A m e r i c a n S a n i t a r y B u r e a u ; a n d H i s E x c e l l e n c y S i r S o l o m o n H o c h o y , G o v e r n o r G e n e r a l o f T r i n i d a d a n d T o b a g o •

A D D R E S S B Y D R . J O S E A . M O R A , S E C R E T A R Y - G E N E R A L O F T H E O R G A N I Z A T I O N O F A M E R I C A N S T A T E S

At the t h i r d p l e n a r y s e s s i o n , on 3 O c t o b e r 1 9 6 7 , D r . J o s é A . M o r a , S e c r e t a r y - G e n e r a l of the O r g a n i z a t i o n of A m e r i c a n S t a t e s , de- l i v e r e d a n a d d r e s s t o t h e D i r e c t i n g Council罐

O F F I C E R S

D r , A n t o n i o O r d ó ñ e z P l a j a ( C o l o m b i a ) , the A c t i n g P r e s i d e n t of the X V I I D i r e c t i n g C o u n c i l , o p e n e d the m e e t i n g at 9 : 0 0 a « m# on 2 O c t o b e r 1 9 6 ? . T h e r e u p o n the P r e s i d e n t a n d t w o V i c e - P r e s i d e n t s w e r e e l e c t e d p u r s u a n t to R u l e l8 of the R u l e s of P r o c e d u r e . The O f f i c e r s w e r e as follows！

P r e s i d e n t :

V i c e - P r e s i d e n t s :

D r . M a x w e l l P . A w o n

D r . P e d r o D a n i e l M a r t i n e z D r . E m i l i o P o i t e v i n

T r i n i d a d a n d T o b a g o M e x i c o

G u a t e m a l a S e c r e t a r y

ex o f f i c i o : D r . A b r a h a m H o r w i t z D i r e c t o r , P a n A m e r i c a n

S a n i t a r y B u r e a u

C O M M I T T E E ON C R E D E N T I A L S

T h e C o m m i t t e e on C r e d e n t i a l s , e s t a b l i s h e d p u r s u a n t to R u l e 2k of the R u l e s of P r o c e d u r e , w a s c o m p o s e d of the f o l l o w i n g m e m b e r s :

C h a i r m a n : D r . A l v a r o A g u i l a r P e r a l t a C o s t a R i c a R a p p o r t e u r ; D r . A l b e r t o A g u i l a r R i v a s E l S a l v a d o r

M e m b e r: D r . P a t r i c i o S i l v a G a r i n C h i l e

G E N E R A L C O M M I T T E E

U p o n the e l e c t i o n of the R e p r e s e n t a t i v e s of B r a z i l , C h i l e , N i c a r a g u a , and the U n i t e d S t a t e s of A m e r i c a p u r s u a n t to Rule 25 of the R u l e s of P r o c e d u r e the G e n e r a l C o m m i t t e e was c o m p o s e d of the f o l l o w i n g m e m b e r s :

Dr# M a x w e l l P . A w o n

D r . P e d r o D a n i e l M a r t i n e z Dr. E m i l i o P o i t e v i n

Dr# M a n o e l J o s é F e r r e i r a R e p r e s e n t a t i v e

D r . P a t r i c i o S i l v a R e p r e s e n t a t i v e

D r . F r a n c i s c o ü r c u y o R e p r e s e n t a t i v e

D r . J a m e s E.. В ant a R e p r e s e n t a t i v e

T r i n i d a d a n d T o b a g o M e x i c o

G u a t e m a l a B r a z i l

C h i l e

N i c a r a g u a

U n i t e d S t a t e s of A m e r i c a

A G E N D A

P u r s u a n t to R u l e 1 0 of the R u l e s of P r o c e d u r e , the D i r e c t i n g C o u n c i l a d o p t e d at its second p l e n a r y s e s s i o n the p r o v i s i o n a l a g e n d a

( D o c u m e n t C D 1 7 / 1f Rev» 2) s u b m i t t e d by the D i r e c t o r a n d , in so d o i n g , i n c l u d e d an a d d i t i o n a l item e n t i t l e d " P a r t i c i p a t i o n of the P a n A m e r i c a n S a n i t a r y B u r e a u in n a t i o n a l p r o g r a m s for the c o n t r o l of C h a g a s1 D i s e a s e "

w h i c h h a d b e e n p r o p o s e d by the G o v e r n m e n t of A r g e n t i n a .

A t the s i x t e e n t h p l e n a r y s e s s i o n t h e R e p r e s e n t a t i v e of B r a z i l p r o p o s e d a n a d d i t i o n a l a g e n d a i t e m c o - s p o n s o r e d by t h e R e p r e s e n t a t i v e

of N i c a r a g u a e n t i t l e d " P r o p o s e d a m e n d m e n t t o A r t i c l e 1 5 - A of the C o n s t i t u t i o n of the P a n A m e r i c a n H e a l t h O r g a n i z a t i o n1 1. The in- c l u s i o n of this item in the a g e n d a w a s a p p r o v e d .

W O R K I N G P A R T I E S

N i n e W o r k i n g P a r t i e s w e r e e s t a b l i s h e d . T h e f i r s t , e n t r u s t e d w i t h the s t u d y of the a p p l i c a t i o n of A r t i c l e 6 - B of the C o n s t i t u t i o n ^ w a s c o m p o s e d of the R e p r e s e n t a t i v e s of C o l o m b i a , M e x i c o , a n d the U n i t e d S t a t e s of A m e r i c a .

T h e second P a r t y c o m p o s e d of the R e p r e s e n t a t i v e s of A r g e n t i n a , B r a z i l^t P a n a m a , P e r u , and the U n i t e d S t a t e s of A m e r i c a w a s a p p o i n t e d to d r a f t a r e s o l u t i o n on Itera 13: R e p o r t on the S t a t u s of the M a l a r i a E r a d i c a t i o n P r o g r a m i n the A m e r i c a s •

T h e t h i r d W o r k i n g P a r t y , w h i c h p r e p a r e d a draft r e s o l u t i o n on I t e m 35： C o l l a b o r a t i o n of M e m b e r S t a t e s i n M e e t i n g s a n d o t h e r I n t e r s n a t i o n a l A c t i v i t i e s o r g a n i z e d by the P a n A m e r i c a n S a n i t a r y B u r e a u , w a s c o m p o s e d of the R e p r e s e n t a t i v e s of C h i l ef C o l o m b i a , C u b a , H o n d u r a s , M e x i c o , a n d V e n e z u e l a .

T h e fourth W o r k i n g P a r t y was e n t r u s t e d w i t h the p r e p a r a t i o n of a d r a f t r e s o l u t i o n on Item 24： P r o g r e s s a c h i e v e d in the

C o o r d i n a t i o n b e t w e e n the S e r v i c e s and P r o g r a m s of M i n i s t r i e s of

H e a l t h , S o c i a l S e c u r i t y I n s t i t u t e s , and other I n s t i t u t i o n s that C o n d u c t A c t i v i t i e s r e l a t e d t o H e a l t h , w a s c o m p o s e d of the R e p r e s e n t a t i v e s of A r g e n t i n a , B r a z i l , C h i l e , C o l o m b i a , P a n a m a , a n d P e r u .