UNITED NATIONS NATIONS UNIES
W O R L D H E A L T H
O R G A N I Z A T I O N
ORGANISATION MONDIALE
DE LA SANTÉ
FIRST WORLD Ш Щ ASSEMBLY A/Prog/29/Rev. 1 13 July 1948 ORIGINAL: ENGLISH 1 2 . 1 , 5 * Tuberculosis
(Off.Rec.WHO, 1 0 , page 8)
COMMITTEE ON PROGRAMME
Draft Resolution on Tuberculoses proposed Ъу
the delegation of Czechoslovakia
WHEREAS the World Health Organization i s of the opinion that i t i s of the greatest importance to promote tuberculosis control throughout the world,
THE WORLD HEALTH ASSEMBLY RECOMMENDS
1» That Governments take - subject to the conditions in their countries - preventive, curative, legislative, social and other measures necessary for tuberculosis control, particular attention being paid to the following:
( i ) Registration of every case of confirmed and suspected tuberculosis and of death from tuberculosis,
( i i ) Free treatment of tuberculosis patients in institutions, or i f that i s not possible, at home, with as adequate isolation as possible,
( i i i ) Establishment of clinics for diagnostic examination and follow-up , with such service available f r e e of charge*
( i v ) Establishment of procedures to get all persons suspected of having tuberculosis examined,
(v) The securing of a. sufficient number of beds in tuberculosis hospitals.
( V i ) Routine tuberculine-testing free of charge when indicated, ( v i i ) BCG vaccination free of charge when indicated,
( v i i ) Mass X-ray examination free of charge when indicated, ( i i ) Condensation f o r the lowered earning ability of the
a f f l i c t e d person,
( x ) Rehabilitation of patients,
( x i ) Extermination of tuberculous cattle.
I n addition to our suggestions for regulating the proposals of the Expert Committee by legislature, we are submitting certain modifications to the Report on the First Session of the Expert
A/Prog/29/Rev.l page. 2
• . • . • ' j - ' t
Committee,''' • • • • ' l e are proposing that the following be. referred to the Expert
Committee for further consideration:
a) that the special workers mentioned - namely, a tuberculosis administrator, epidemiologist, laboratory worker and
clinical worker, should be supplemented by a public-health nurse;
b ) that, instead of studies by these workers at different places, ' provision b© made for a combined training in a well-organized
IsviberculosiE contrai -establishment in one place in order that they may put into practice the already Co-ordinated experiences they gain during theirtraining. In other words, training
should be given to. working teams and not only to individuals*
As to the third paragraph on page 2 of the Report on the Second 2
Session, we are proposing the addition of a training centre for Central and Eastern Europe. There is no need to dwell on the reason for this proposal. I t is a recognised fact that the war has affected morbidity and mortality from tuberculosis in these areas.
As to the fourth paragraph on the same page,, we-feel that highly
specific consultation services of- short duration with regard to tuberculosis are rather expensive, compared-with the results, and ineffective without constructive advice from an experienced public-health administrator as to how to improve the inadequate system of a particular country»
As to the first paragraph under (-3.3) on the same page, we should like to suggest a minor rephrasing in a positive way, that countries intending to acquire mass x-ray equipment should make provision for full clinical investigation and disposition of cases with abnormal x-ray findings.
As to the next paragraph, the recommendations should not only be confined to construction of permanent buildings, but of institutions
1 S e e Off.Rec-WHO, 8 , page 50, item 3 , 2 Supplementary Report, doc, S.16
A/Prog/29/Rev.1 page 3
rirj^ccordciic</^rith up-^to-date information as to the type and size of buildings, number of beds, the clinical equipment and provision of staff.
In this ooimexj.oa, we would request that the Expert Committee prepare a plan to the end of 1948, indicating the number of hospital beds needed for effective tuberculosis control.
In the last paragraph, we would like to s tress that WHO ¿should
conce?w« :c ora increasing the production of tuberculine, ' streptomyoine and BOG vaccine, and supervise an equal distribution of these products, among
the nations in need of them. This should be the. sec tion on tuberculosis
in the Provisional Agenda. "*" • Regarding point 3 (3*7' ( i ) and (2) ) , we wish to request that this
be undertaken at the earliest possible moment.
In point 6 ( 3 . 7 ) ; we propose that immediate action be taken on the basis of the results of those studies pursued in consultation with FAO.
à s to point 1 1 ( 6 ) on page 5 , the dissemination of information on the WHO tuberculosis programme to governments should be given in realistic terms, is e, , o i inform them only of the total programme in general terms, which might create the impression that it could be carried out within a. year over the whole globe, but also of what could be undertaken
in a year* The governments should be clearly informed that the programme would at the beginning be applied to areas of the greatest need and in which
the best results oould be achieved in the most economical way.
Off .Rec.WHO, 10, page 8 , item 1 2 . 1 . ¿ „ 3 . 2 . 2 .
W O R L D H E A L T H O R G A N I Z A T I O N
FIRST WORLD HEALTH ASSEMBLY
I 2 . I . 5 . Tuberculosis (Off.Rec.WIIO, 10, page 8)
COMMITTEE ON PROGRAMME
ORGANISATION MONDIALE DE LA SANTÉ
A/Prog/29/Rev.l.Corr.l 14 July 1948
ORIGINALa ENGLISH
Draft Resolution on Tuberculosis
proposed by the delegation of Czechoslovakia
CORRIGENDUM !
Page 3, 2nd paragraph, line 3 s Delete 1 equal" and substitute
"equitable".
PREMIERE ASSEMBLE MONDIALE DE LA SANTE
1 2 , 1 . 5 . Tuberculose (Actes off M OMS, 10, page 9 )
A/Prog/29/Rev.1,Corr,1 14 juillet 1948
ORIGINAL5 ANGLAIS
COMMISSION DU PROGRAMME
Projet de résolution sur la tuberculose
présenté par la délégation de ia Tchécoslovaquie
CORRIGENDUM s
Page 3) deuxième paragraphe^ 4ème ligne s Remplacer le mot "égale"
par "équitable".
W O R L D H E A L T H O R G A N I Z A T I O N
ORGANISATION MONDIALE
D E LA SANTÉFIRST WORLD HEALTH ASSEMBLY A/Prog/29 5 July 1948 ORIGINAL : ENGLISH COMMITTEE ON PROGRAMME
1 2 . 1 . 5 Tuberculosis
(0ff.Re с.WHO,10, page 8)
Amendments proposed by the Delegation of Czechoslovakia to the Draft Resolution on Tuberculosis
There is no need to discuss the importance of the tuberculosis programme in international health administration. We know also the means whereby to prevent and to control tuberculosis, and it is up to us to apply these means in the most economical and effective manner. The problem of tuberculosis control is well analysed in the Reports of the First Session and of the Second Session of the Expert Committee."'' The Expert Committee presents a comprehensive evaluation of tuberculosis control on the international level, and the Czechoslovakian delegation wishes to express its gratitude for this clear and precise statement.
However, we would like to suggest supplementary measures and certain modifications to this programme, and we are proposing that the World Health Organization should recommend to all Members regulation of this programme by the following legislature:
1. Obligatory report on registration of every case of confirmed and suspected tuberculosis and of death from tuberculosis;
2 . Obligatory institutional care of tuberculosis cases or, i f not possible, at least adequate isolation made at home;
3 . Establishment of clinics whether governmental or non-governmental.
4„ Examination and treatment of cases free of charge;'
5о Obligatory examination of all persons suspected of having tuberculosis ;
Off.Rec.WHO,8, pages 49-53; and doc. S.16
A/Prog/'29 page 2
6 , The securing of sufficient number of beds in tuberculosis hospitals;
7, Obligatory" routine tuberculine-testing free of charge;
8, Obligatory and free of charge BCG vaccination when indicated;
9e Obligatory and free of charge mass X-ray examination;
10. Compensation for the lowered earning ability of the afflicted person;
H e Re-training of the cases;
12. Extermination of tuberculous cattle.
In addition to our suggestions for regulating the proposals of the Expert Committee by legislature, "we are submitting certain modifi-
2 cations to the Report on the First Session of the Expert Committee.
We are proposing:
a) that the special workers mentioned, namely, a tuberculosis administrator, epidemiologist, laboratory worker and clinical worker should be supplemented by a public health nurse;
b) that instead of studies by these workers at different places, provision be made for a: combined training in a well-organized Tuberculosis Control Establishment in one place in order that they may put into practice the already co-ordinated experiences they gain during their training. In other words, training should be given to working teams and not only to individuals.
As to the third paragraph on page 2 of the Report on the Second 3
Session, we are proposing the addition of a training centre for Central and Eastern Europe. There is no need to dwell on the reason, for this proposal, It is a recognized fact that the war affected morbidity and mortality froiti tuberculosis in those areas.
As to the fourth paragraph on the same page, we feel that highly specific consultation services of short duration with regard to tubercu- losis are rather expensive compared with the results, and ineffective without constructive advice from an experienced public health administra-
tor as to how .to improve the inadequate system of a particular country.
As to the first paragraph-under ( 3 . 3 ) on the same page, we should like to suggest a minor rephrasing in a positive way, that countries intending to acquire mass X-ray equipment should make provision for full clinical investigation and disposition of cases with abnormal X-ray findings.
See Off .Re с <>WHQ; 8,page 50, item
Supplementary Report, doc. S.16
A/prog/29 page 3 As to the next paragraph, the recommendations should not only be confined to construction of permanent buildings, but of institutions in accordance with up-to-date information as to the type and size of
buildings, number of beds, the clinical equipment and provision of staff.
In this connexion, we would request that the Expert Committee prepare a plan to the end of 1948, indicating the number of hospital beds needed for effective tuberculosis control.
In the last paragraph, we would like to stress that WHO should concentrate on increasing the production of tuberculine, streptomycine and BCG vaccine, and supervise an equal distribution of these products among the nations in need of them. This should be the section on
4 tuberculosis in the Provisional Agenda.
Regarding point 3 ( 3 . 7 ( l ) and (.2)), we wish to request that this be undertaken at the earliest possible moment. .
In point 6 ( 3 . 7 ) , v:e propose that immediate action be taken on the basis of the results of those studies pursued in consultation with FAO,
As to point 11(6) on page 5, the dissemination of information on the YfflO tuberculosis programme to governments should be given in rea- listic terms, i . e . , not to inform them only of the total programme in general terms, which might create the impression that it could be carried out within a year over the whole globe, but also of what could be undertaken in a year. The governments should be clearly informed that the programme would at the beginning be applied to areas of the greatest need and where the best results could be achieved in the most econcaical way.
Off»Rec.WH0,10, page 8, item 1 2 . 1 . 5 . 3 . 2 . 2 .
