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WORLD HEALTH ORGANIZATION
REGIONAL COMMITTEE FOR THE WESTERN PACIFIC
SEVENTEENTH SESSION Manila, 22-27 September 1966
REPORT OF THE REGIONAL COMMITTEE MINUTES OF THE PLENARY SESSIONS
MANILA November 1966
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REGIONAL COMMI'l'TEE FOR THE WESTERN PACIFIC SEVENTEENTH SESSION
Mon1Ja, 2l. to 27 September 1966
REPORr <F THE RmIONAL CO*IT'l'EE MINtJrEB OF THE PLENARY SESSIOO'S
w.NIIA November 1966
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The seventeenth session a£ the Begional Colllllittee tor the Western Pacific was held in the WHO Conference HaJ.l, f'rom 2J. to Z7 September
1966,
under the chairmanship of Dr Thor Peng Thong (cambodia), with Dr S. R. Sayampanathan (Singapore), as Vice-Chairman. Dr J. C. Thieme(Western Samoa) and Dr Koukeo Sa.ycocie (laos) were the Rapporteurs.
The Regional Committee met on 2J., 22 and 2"( September. Teclmica.1 discussions were held on 23, 24 and 26 September. The Report of' the Colllllittee will be f'ound in Part I at this document on pages 1-76, the minutes of' the plenary sessiOns in Part II on pages 8,3-216.
The Sub-Committee on Progr8.llllle and Budget met on 23 and 26
September. The report of' the Sub-Colllllittee will be f'ound on pages 31-56.
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REPORT OF THE REGIONAL Ca.t«'l"l!EE
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CONTENTS
nlTRODUCTION ... ~ • • • .. • .. 1 ANNUAL REPORT OF THE REGIONAL DIRECTOR
ON THE WORK FROM 1 JULY 1965 TO 30 JUNE 1966
...
PROPOSED PROGRAMME AND BUDGET FOR 1968
...
O'.I'HER ~ DISCUSSEI) ... ".
1 Smallpox eradication programme •••.••.••••....•.•.••...•
2 Cholera.
...
3 Establishment of a central registry
on poisoning ... ..
The epidemiology of filariasis in the
2 6 6
6 7 7
~'lestern Pacific Region ... " • .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 9 5
6
The epidemiology of endemic goitre in
the Western Pacific Region .••...•.•••.••....••.••.•.
Resolutions of regional interest adopted by the thirty-seventh session of the Executive Boa:r::d. and the Nineteenth I'Torld
Health As semlJl.y ... ..
OTHER BUSINESS
...
1 Progress reports from governments
on their health activities •.•.••••••••.•••••..•••••.•••
2 Technical Discussions
...
RESOWTIONS ADOPTED BY THE COMMITrEE
...
\1PRj
RC17 • Rl WPRj RC17 • R2 WPRjRC17 • R3vlPRj
RC17 • R4 vlPRjRC17.R5Annual Report of the Regional Director •••••••
Smallpox eradication programme ••••••••••••.••
Establishment of a central registry
on poisonings ...••...
Film"iasis ... . :E!1denlic goitre ... .
-iv-
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10
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13
14 14 14
15 16
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wpp'/RC17.R6 WPP./ RC17 • R7 WPp'/RC17.RB WPR/RCl7.R9
Health aspects of world population •••••••••••
Proposed programme and budget estimates
for 1968 " •... " .•... " ... " ... "
Technical Discussions
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"..
"...
"... .
Eighteenth session of the Regional
Colmni ttee ... " . " ... " " ... . WPp'/RCl7.RlO Nineteenth session of the Regional
Con:uni ttee • • • • • • • • • • • • • • • • • •• " ••••••••••••••••
WPR/RC17.Rll Resolution of appreciation •••••••••••••••••••
WPR/RC17.Rl2 Adoption of the report •••••••••••••••••••••••
1 AGmDA •. " •• " • " ••• " " ••• " ... " ••••• . ' •••••• " " " ••• " • " ••••••••••
2 LIST OF REPRESENTATIVES
...
"..
"...
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3 REPORT OF THE SUB-COMMITrEE ON
4
5
PROO~ .AND BtJ])GEr ••• " ••••••••••••••••• " •• " •••••••••••••••
REPORT OF THE TECHNICAL DISCUSSIONS ON 'mE ROLE OF THE HEAIlrH DEPARrMENr IN ENVIRONMENTAL
lIEAIII'H A~IV'ITIES •• " •• " •• " •••••••• " •••••••••• " • • • • • • • • • • ••••
LIST OF DOCUME:NTS
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18
19 19
20
21
23
31
57 73
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(WPR/RCl:(j14)
INTRODUCTION
!rhe seventeenth session of the Regional. Committee for the Western
Pacific was held in Ma.n1ls. from 2l to Z7 September 1966. The meeting 'WaS attended by representatives of all Member States in the Region, and by
~ representatives of France, Portugal, the United Kingdom. of Great Britain
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and Northern Ireland, and the United States of .llJrerica, attending on behalf' of certain territories in the Region. Representatives of the United Nations and the United Nations Development Progr8.llllle, UNICEF, the InternatiOnal. Committee of MUitary Medicine and Pharmacy, the South Pacific Commission and eleven non-governmental or~izations in ofticial relations with WHO were also present. Dr P.M. Kaul, Assistant Director- General, attended the session as representative of the Director-<;eneral.
The Committee elected the following officers:
Chairman •
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Dr !rhor Peng !rhong (Cambodia) Vice-chairman·
• Dr S.R. Sayampanathan (Singapore) Rapporteursin English Dr J.C. !rhieme (Western Samoa) in French
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• Dr Koukeo Saycocie (laos)Formal statements were made by the representatives of the United Nations and the United Nations Development Programme, of UNICEF, the International Committee of MLlitary Medicine and Pharmacy, the South Pacific Commission and eleven non-governmental organizations in official relations with WHO.
Tbe agenda is given in Annex 1 and the list of representatives in Annex 2.
At its first plenary session the Committee established a SUb- Committee on Programme and Budget, composed of representatives of the following countries: France, lAos, Malaysia, Philippines, Portugal, Singapore, the United States of America and Western Samoa. The Sub- Committee held two meetings, following which it submitted a report to the main Committee. Further details are given in Part II and Annex 3
of' this report.
The Committee received with regret an announcement made by the :Representative of' Ml.laysia that his Government was no J.onger able, for financial reasons, to invite the Committee to hold its eighteenth ses- sion in KUala Ll.llI\Pur. It noted that the Government of China might be interested in inviting the Committee to hold this session in Taipei.
It was agreed that the :Regional Director would keep the lember States informed of the progress of' negotiations and, i f a formal invitation were forthcoming, he was authorized to accept it (see resolution
~RC17.R9). It was also agreed that no decision would be made as to the site of the nineteenth session until the Committee met again (see resolution
WPB/ac17.RlO).
In the course of six plenary seSSions, the Committee adopted twelve resolutions which are set out in Part
v.
PART I. ANNUAL REPORT OF THE RmIONAL DIRECTOR ON THE WORK FROM 1 JULY 1965
TO 30 JUNE 1966
The :Regional Director, in introducing the Annual :Report, referred to the major developments which had taken place during the period under
T
review and summarized his expectations for the immediate future as follows:·
~. The preparation of re~1st1c long-range health plans, the establishment of priorities, and the formulation of practi~ tarsets which should be subjected to periodic assessment.
2. The further expansion of the health services at all ~ve~s
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based on improved supervision and the upgrading of performance standards;
the development of industrial health programmes hand-in-hand with eco- nomic deve~opment plans.
Increased activity in the field of health promotion, inc1uding organized efforts to deal with the problems of medical care; the consi- deration of the health aspects of social security schemes; the estab~sh-
ment of closer liaison between hospitals and health centres.
4. An increase in the number of specialized units required to give technicu guidance to the field operations of the seneral health services, with special attention being given to the strengthening of central and provincial ~borator1es, and the estab~sbment
or
epidemio-~og1cal and health statistics services.
5. Continuation of efforts to eradicate malaria and cholera and to maintain the Region free from. smallpox,; the fullest possible ut~za-
tion of the new information which, it was hoped, would become available from. the pilot studies and research being carried out on cho~ra, on the use of thiacetazone with INH in tuberculosis, on the most suitab~
chemotherapeutic methOds for the control of fUariasis; continued
research in the fields of Japanese encephalitis and haemorrhagic fever.
6. The integration of family planning programmes into maternal and child health programmes and increased efforts to promote the health of the pre-school child.
7.
The intensification of health education programmes.8. Expanded programmes in environmental sanitation in both rural and urban areas.
9.
The more rational utilization of trained manpower as part of national development plans; improved personnel policies; the training of polyvalent instead of siIlGle-purpose auxiliary .... lOrkers.The Committee then reviewed the Report chapter by chapter.
During the discussion, a considerable amount of attention was focused on family planning. A number of governments reported on the activities now in progress in their countries and the results achieved.
The resolutions adopted by the Uorld Health Assembly and the Regional Committee were reviewed again. The view was e:x;pressed that the most important consideration was the training of professional and non- professional staff, as very little was known about the operative part
of the programme. Knowledge could, however 1 be Gained from the experiences of a number of countries in the Region and many public health institutions were beginning to develop courses on population problems, fertility and reproduction, 'and demography.
The Committee noted that the Secretariat bad to carry out the instructions of its legislative and governing bodies and the resolution
of the Nineteenth World Health Assembly bad to be followed. The Director- General had instructed the Regional Directors on the type of assistance
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REPORT OF ~ REGIONAL COMMITrEE 5
which the Organization could now provide, and there seemed no doubt that if a government requested fellowships for trainin<;; in the fields of population problems or the health aspects of population planning, these .Tould be provided.
The Committee noted further that UNICEF had received several requests for assistance in family planning and that this matter was now being
discussed between UNICEF and WHO.
Following further discussion, a draft resolution was presented by the Representatives of China, Japan, Republic of KOrea, and the United states of .America. This was unanimously adopted at the fifth meeting (see resolution WPBjRCl7.R6).
The importance of education and training programmes and the need for conti. nuous cOlllIlIUDication between the consumers and the trainers of manpo1-rer \f8.S emphasized. It was noted that in the proposed programme and budget estimates for 19G3 more than 9.5 per cent. of the allocation for field activities was devoted to this field. The Regional Director also pointed out that all vlHO-assisted projects had, in fact, education and training aspects. Concern ,ras expressed at the departure of trained manpower from the developing to the developed countries. It was considered that this was a problem ',hich needed further study.
other points raised during the discussion related to the steps being taken by 1Tarious governments to intenSify their communicable disease programmes and to expand their mental health programmes. It was noted with satisfaction that progress had been made in the development of environmental health and health education services and that Australia and New Zealand were planning to establish degree courses in nursing.
The Committee considered that the Report provided a caqprehensi ve picture at activities during the period under review· and that much progress had been made (see resolution WPR/RC17 .Rl).
PART n. PROPOSED PROORA1+fE .AND BUDGET FOR 1968
The Sub-COmmittee on Programme and Budget (established in accordance with resolution WP/RC7.If( adopted by the Committee at its seventh session) held two meetings.
The Reglonal Committee reviewed the proposals for 1968 in the light of the findings and observations of the Sub-Committee.
The proposed regioml programme and budget estimates for 1968 were noted by the Committee and the Regional Director was requested to transmit them to the Director-General for his consideration for inclusion in his proposed programme and budget for 1968 (see resolution WPR/RC11.R7).
The report of the Sub-committee is contained in Annex 3.
PART In. CJrHER MATl'ERS DISCUSSED
1 Smallpox eradication programme (Document VlPR/RC17/5)
The Committee reviewed a report presented by the Regional Director containing a proposal for a regicr~ smallpox eradication programme and a suggested plan of action.
A number at representatives reported on the measures being taken to maintain their populations free from smallpox. The ease with which
smallpox could again invade the Region as a result of the rapid develop- ment of air communications was stressed by all. The Committee viewed with concern reports that in some cases vaccination certificates were being issued without the person having been vaccinated at all.
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REPORT OF TilE REGIONAL COMMITTEE 7
It considered that the attention of Member governments should be drawn to the importance of ensurin~ that the issuance of a vaccination certi- ficate meant that the vaccination had actually been successfully com- pleted. The Committee endorsed the proposal of the Regional Director for a regional smallpox eradication programme and emphasized, in parti- cular, the importance of the travelling seminar which would permit health officers to study clinical cases of· smallpox in countries where the infection still existed (see resolution WPR/RCl7.R2).
2 Cholera (Document WPRjRCl7/6)
The Committee noted the action taken by the Secretariat in connexion with the resolution adopted a.t its last meeting. It noted further that since the document had been issued an additional two countries had replied to the letter sent out earlier in the year. Only four out of the twelve countries replying had expressed interest in receiving assistance, namely, China (Taiwan), laos, Philippines and the Republic of Viet-Ham.
The Regional Director urged governments to take advantage of the services of the inter-regional cholera team presently stationed in
Manila, as from the preliminary information received not all governments
"rere maintaining a national cholera control centre. During the discus-
;~- sion at this item, the importance at strengthening environmental health services as one of the IlIf1.,ior measures in choJ.era control was stressed.
The Committee. dee:lu.(.,.l to take note of the r'!F':d; presented by the Regional Director.
3 Establish::nent ()t:_~
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c!:':.,12t!..aJ. registrY.?..c,?:_,:::2?.,?oning (Document WPRjRCl7/7) This item was placed on the agenda at the request of the Government of Singapore, which proposed the establishment at a central registry whichwould CQllect and disseminate information on poisonings to the various countries in the Region. In this way, a. body ot information on poisoning from household products, medicaJ., agricultural, veterinary and industrial chemicals would be built up.
The Committee acknowledged a report received from the Government of Australia on the proceedings of' the First National CoIt'erence on Poisoning, which bad been held in Canberra on 28 April 1966, a.'ld a copy of' the first
instalment of its National Poisons Register Manual.
The Commdttee also had before it a document prepared by the Secre- tariat which summa.rized some aspects of the proposal, which bad also
been the subject of' the technical discussions during the fifteenth session of the WHO Regional Committee for Europe.
During the discussion, the Commit tee was informed that poison eoutro1 information centres existed in five countries in the Americas, twenty-two countries in Europe, one in the Eastern lediterranean, one in South-East Asia and three in the Western Pe,cific - Australia, Japan, and New Zealand.
The various difficulties involved in establishing regional centres were mentioned. The Committee noted. that although WHO Headquarters was very interested in this subject and the Division of Biology and Pharmacology, with its unit of' Pharmacology and Toxicology, was undertaking studies in a number of fields, including the long-term effect on human beings of' the use of' insecticides and pestiCideS, it did not have the resources to tackle the problem in any substantive manner. WHO 'WOuld, however, do its best to disseminate information or to assist any governments to set up their own poison control information services.
The Committee noted with appreCiation the offer of' the Represen- tat1ve of Australia to COmmunicate, on request, information on the data which his Government was collecting (see resolution WPR/RCl7 .R3).
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REPORT OF THE RIDIONAL COMMITTEE 9
4
The epidemiology of filariasis in the Western Pacific Region (Document WPB/RC17/8)This item was placed on the agenda at the request of the Government of Portugal, which considered that it was opportune for the Committee to review the problem of filariasis and consider whetl~r more effective control methods could be found. The Committee also had before it a document prepared by the Secretariat, summarizing the situation in the Region on the basis of information available in the Regional Of'f'1ce.
Further information was presented by representatives on the situation in Australia, China (Taiwan), Mllays1a, French Polynesia, Portuguese Timor, Republic of KOrea, Territory of Papua and New Guinea and Western Samoa and on the measures advocated to control this disease. It was noted that mass drug treatment had succeeded in reducins the microfilarial rate considerably in a number of places.
The Committee adopted a resolution urging govern:aeni; s to continue to study the problem and to find more effective ways of controlling the infection. It also expressed the hope that UNICEF woulC continue to support campaigns in this field (see resolution l·lPR/RC17. R4).
5 in the vTestern Pacific Re ion
This item was proposed by the Government of Portugal. which believed that, as the documentation on the control of goitre was incomplete, it would be useful to h3. ve the subject discussed by the Committee. The Committee also had before it a document prepared by the Secretariat, summarizing the situation in tbe Region on the basis of information available in the Regional Of'fice.
Further information was presented by representatives on the
situation in China (Taiwan), Laos, MUaysia, New Zealand, Philippines,
Portusuese Timor and the Territory of Papua and New Guinea and the steps being taken to control the disease. It was noted that the in:tec- tion had virtually been eliminated in New Zealand where under the Food and Drug Regulations there was a requirement that iodized salt should contain between 0.75 and 1. 5 parts of iodine per 20 000. It was further noted that salt iodization plants had been set up in East Malaysia
(Sarawak) and that a pilot study using iodized salt, assisted by UNICEF and WHO, was in progress in China (Taiwan).
The Committee adopted a resolution expressing its thanks to the representatives who had presented additional information (see resolution WPB/RCl7 .R5).
6 Resolutions of regional interest adopted by the thirty-seventh session of the Executive Board and the Nineteenth World Health Assembly (Document WPR/RCl7/3)
The attention of the Committee was drawn to eleven resolutions of regional interest adopted by the Executive Board and the World Health Assembly. These covered the Consolidation of the special Fund and the
EA~anded Programme of Technical Assistance in a United Nations Develop- ment Programme (resolution EB37.R4l)j Establishment of a Revolving Fund
tor Teaching and laboratory Equipment for M:!dical lMucation and Training (resolution WHAl9.7); Malaria Eradication Programme (resolution WHAl9.l3);
Establishment and Operation of Uorld Health FOuniations (resolution r1HAl9.20); Resolution nR/Rc15/R2 Adopted by the Regioco.: Committee tor Africa at its Fifteenth Session on 9 September 1965 (resolution WHAl9.31);
Headquarters Accommodation: Voluntary Contributions from Government s (resolution WHAl9.33); Programme and Budget Estimates for 1967: Voluntary Fund for Health Promotion (resolution WBAl9.40) j Health Aspects of World
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Population (resolution WHAl9.4:;); Study at the Nature and Extent at HeaJ.thProblelllS of Seafarers and the HeaJ.th Services Available to Them (resolution WHAl9.48); Community Water SUpply Programme (resolution WHAl9.50); Reports of Expert Committees (resolution UHAl9.51).
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The Representative of the United Kinsdom referred to the resolution on voluntary contributions and stated that the thited Kingdom wished to reiterate its established policy that it was opposed in principle to the f'inancing, by means of' voluntary contributions, of programmes which it
considered should be financed out of' the regular budget.
The discussion centred around resolution WHAl9.4:; on the HeaJ.th Aspects of' World Population. The Committee noted the further instruc- tiona given to the RegionaJ. Directors by the Director-General on the type of assistance which could now be provided by the Organization.
The WHO policy with regard to the promotion of' research on population growth and its decision to render technicaJ. assistance to governments upon request was welcomed.
PARI! IV. arHER BUSINESS
1 Progress reports from governments on their beaJ.th activities The Chairman acknowledged the following reports which had been presented to the Committee:
(1) AUSTRALIA - Health Activities in 1965/1966 in Australia (2) CAMBODIA - Brief Progress Report of Health Activities in
Cambodia (September 1965 to September 1966)
(:5) CHINA - Countl"'J Report on Health for 1964; Taiwan t s
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(4) FIJI - A Short Report on Health Services in Fiji
(S) FRENCH POLDESIA - Brief Report on the Progress Achieved in . the Field of Public Health during the Year 1965-1966
( 6) GUAM - Report on the Progress of Health and M:ldical Services
(7) JAPAN - Report on the Progress of Health Activities for the Fiscal Year 1965 (April 1965 - lohrch 1966) i A Brief Report on Public Health Administration in Japan (January 1965 - August 1966)
(8) IAOS - Progress Report on Public Health in laos
(9) MACAO - A Brief Report on the Progress of Health Activities
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during the Period 1 July 1965 to 30 June 1966
(10) MALAYSIA - Brief Report on the Progress of Health Activities - East lohlaysia (Sabah) i Brief Report on the Progress of Health Activities in West Malaysia
(11) DoT CALEDONIA - Report on the Progress of Health Activities in New Caledonia and its Dependencies} 1965-1966
(12) HEW ZEAUND .. Progress in Health Activities in New Zealand (13) PAPUA AND NEW GUINEA - Progress of Health Activities in the
Territory of Papua and New Guinea - 1965-1966
(14) PHILIPPINFE - The state of Health in the Philippines (1965) (15) REPUBLIC CF KOREA - Brief Report of the Health Sit'LB. tion
in 1965
(16) SINGAPORE - Report on the Progress of Health Activities
(11) TlltJR - Report on the Progress of Health Activities} 1965
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(18) VIET-RAM - Progress of Health Activities in Viet-Nam _
1965-1966 ~
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(19) WEmJmN SAJIlA - Report on Progress of Health Activities -
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5-19662 Technical Discussions 2.l Designation of Chairman
At its eleventh session, the Regional. Committee adopted a resolution (IIP/RCll. Rll) recommendin", that the Chairman
or
the 1'echnical. Dis cussions should be appointed well in advance of the meeting. Following consulta- tions between the Regional Director and the Chc.:Ir man of the RegLonalCommittee, Dr Amadeo Cruz, Director, Bureau of Health Services, Department
ot Health, Mmila, was selected for this office.
2.2 Organization
The theme ot the Technical Discussions was "!he Role of the Health Department in Environmental Health Activities".
The first session consisted ot introductory statements and an
e~lanation ot procedures. The participants were then divided into three groups which met separately and conducted a tree discussion in accordance with guidelires and references prona.ed. The third session was again a plenary one at which the reports prepared by the discussion
groups were presented. Full details are contained in the report of the T' Technical Discussions which appears in Annex 4.
2.3 Selection ot topic for the Technical Discussions in 1967
The Committee selected t~ Integration of Maternal and Child Health and Family Planning Activities in the General Health Services", as the subject tor the Technical Discussions in 1967 (see resolution WPRjRC17 .RB).
PART V. RESOLtl'nClfS ADOPTED BY THE CCM4ITl!EE
WPp'/RC17.Rl AmruAL REPORT <F THE RmIONAL DIRECTOR The Regional Committee,
Having reviewed the Sixteenth Annual Report or the Regional Director covering the activities or WHO in the Western Pacific Region during the period 1 July 1965 to 30 June 1966,
1. NarES with satisfaction the increase in activities and the progress made;
2. CCHt!ENI)S the Regional Director and his staff for the work accomplished and the preparation of a comprehensive and interesting report.
WPS Bandb.Res., 4th ed., 2.2.16 Fifth meeting, 27 September 1966
WPP./RCl7. R2 Swu.LPOX ERADICATION PROORAlNl The Regional COmmittee,
Having revie;red the report presented by the Regional Director on the smallpox eradication programme,
1. REAFFIRM5 its support of the world-wide smallpox eradication programme;
2. EMPHASIZES the danger or the reimportation or smallpox into the Region particularly as a result ot the rapid development or
air communications;
3. DRAWS the attention or M:!mber governments to the importance of ensuring that the issuance of a vaccination cert1ticate for their countries means that the vacc.ination has actually been successfully completed;
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REPORT CF THE REnIONAL CCHfiTl'EE 15
4. ENDORSES the regional smallpox eradication programme presented in document WPEtRC11/5;
5. REQUESTS the Regional Director to arrange a travelling seminar to permit health officers to study clinical cases of smallpox in the countries where the infection still exists.
WPR Handb.Res., 4th ed., 1.3.1 (1) Fifth meeting, ZT September 1966
WP'R/RC11.R3 ESTABLISHMENT <F A CENTRAL RIiXlISTRY ON POIScmNGS The Regional Comm:i ttee,
Having considered the proposal made by the Government of
Sin~pore to establish a regional registry on poisonings, and having reviewed the report submitted by the Regional Director, 1. EXPRESSES its ths.nks to the Representative of Australia for submitting to the Committee extracts of the Proceedings of the First National Conference on Poisoning, which was held in Canberra
on 28 April 1966, and a copy of the first instalment of the National Poisons Register Ma.nua1;
2. NOTES with appreciation the offer of the Representative of Australia to communicate, on request, information on the data which his Government is collecting;
3. NOTES that 'WHO is not yet in a position to tackle the problem in any substantive manner;
4.
REQUESTS the Regional Director to assist any government so desiring to set up its own central poison information service.WPR Handb.Res., 4th ed., 1.8.1 Fifth meeting, 27 September 1966
FILARIASIS
The Regional CoDll11ttee,
Baving revie'Wed the report presented by the Regional Director on the epidemiology
at
f1la.riasis in the Western Pacific Region;aDd
Having noted with interest the additional reports presented on the subject by Representatives,
1. EXPRESSES the hope that:
(1) governments will continue to study this problem and particularly to find more effective ways
at
control.l.1ng the disease; and( 2) UNICEF wUl a.lso continue to support campaigns against it;
2. ~UES'l'S the Regional Director to provide the countries concerned with any new information which arises in this field.
WPR Bandb.Res., 4th ed., 1.3.2 (1) Fifth meeting, 2:7 September 1966
WPR/RC17.R5 ENDEMIC GOITRE
~ Regional Colllll1ttee,
Baving revie'Wed the report presented by the Regional Director on the epidemiology of endemic goitre in the Western Pacific Region,
1. EXPBESSES its thanks to the Representatives who presented further information on the situation in their countries;
2. TAKES HarE with interest of the measures advocated to control this disease.
WPR Bandb.Res., 4th ed., 1.5.2 (2) Fifth meeting, 2:7 September 1966
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WPR/RCl7.R6 HEALTH ASPEX:TS OF WORLD POPULATION The Regional COmmittee,
Having considered resolution WHAl9.43 adopted by the Nineteenth World Health Assembly on the hea.l.th aspects of world population, 1. NOTES that no requests have yet been submitted to the Regional Director for assistance in this field;
2. NOl'ES further that a number of Member countries in the i'lestern Pacific Region are carrying out active programmes in family planning;
3. RECOMMENDS that Member governments who are interested should.
consider requesting fellowships to observe operational programmes wi thin the Region or tor training in the health aspects CIt family planning.
WPR Bandb.Res., 4th ed., 1.4.1 (2) Fifth meeting, 27 September 1966
WPR/RC17.R7 PROPOSED PROOlWolME AND BUOO:E.'.r ESTIMATES FOR 1968 The Regional Committee,
Having examined the programme and budget estimates proposed for the financial year 1 January - 31 December 1968 and the report of the Sub-Committee on Programme and Budget,
1. AGREES that the following inter-country programmes proposed for implementation under the United Nations Development Programme/
Technical Assistance funds are important and should. be continued
loBterna1 and child health advisory services, South Pacific
Environmental health advisory services, South Pacific
budget proposals to the D1rector-General for his consideration for inclusion 10 his proposed programme and budget for 1968;
3. ADVISES caution as regards the increase of unnecessary expenses.
WPB Bandb.Res., 4th ed., 3.1.16 Fifth meeting,
Z7
September 1966WPR/RC17 • R8 TECHNICAL DISCUSSIONS ':he Regional. Comm1ttee,
Having considered the topics suggested by the Regional Director for the Technical Discussions during the eighteenth session of the
CoDm1ttee,
DECIDES that the sUb~ect for the Technical Discussions in 1967 shaU be ~ Integration of ltiternal and Child Health and Family Planning Activities in the General Health Services If.
WEB Bandb.Res., 4th ed., 5.5.2 (14) Fifth meeting,
Z7
September 1966WPR/BC17.1\9 EIGlf.l!EF11TH SESSICfi (8 THE REGIONAL CO!I4I'l'rEE The Regional Committee
1. NCf:l!IfS with regret that the ltilaysian Government is no longer able to act as host at the eighteenth sessi<n of the Regional Committee 101967;
2. Nat'ES further that an invitation might be extended by the Government of China to hold the session in Taipei in 1967 but that this is sub~ect to confirmation being received from the Government;
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REQUESTS the Regional Director:
(1) to discuss this matter further with the Government of China; and.
(2) to inform all M:!mber governments, at the earliest possible date, and no later than the end of the year, of the final decision reached;
4. AUTHORIZES the Regional Director to accept the invitation on behalf of the Committee;
5. DECIDES that, should the invitation not materialize, the meeting will be held at regional headquarters in Manila.
19
WPR Handb.Res., 4th ed., 5.3.2 (15) Fifth meeting, 27 September 1966
WPR/RC1'7.R10 NINETEENTH SESSICti OF THE REGIONAL COltlM[TTEE The Regional Committee
DECIDES to defer its decision as to the site of the nine- teenth session in 1968 until the next session of the Committee.
WPR Handb.Res., 4th ed., 5.3.2 (16) Fifth meeting, 27 September 1966
WPR/RC1'7.Rll RESOUlTION <F APPRECIATION The Regional Committee
EXPRESSES its appreCiation and thanks to:
(1) The Secretary of Health of the Philippines and the Charge d I Affaires a. i. of Cambodia to the Philippines for the hospitality extended;
(2) the Chairman and other officers of the Committee;
(.3) the representativ.es of the United Nations and the United Nations Devel.opment Programme, the United Nations Ch1ldren's Fund, the International Committee of Military !edic1ne and Pbarma.cy, the South Pacific COmmission, and the non-govern- mental. organizat1ons who made statements;
(4) Dr Raul., Assistant Director-General, for the honour of his visit and his inval.uab1e advice;
(5) the Regional Director and the Secretariat for their work in connexion with the meeting.
Fifth meeting, Z7 September 1966
W2R/RCl7 • R12 ADCIPTION Ci' THE REPORT
!he Regional Comm1ttee,
Having considered the draft report of the seventeenth session of the CoIIm1ttee,
ADOP'.L'S the report.
Sixth meeting, 21 September 1966
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1 2 3 4
5 6 7
8
9
ANNF-X 1 AGENDA
Formal opening
Address by retiring Chairman
Address by the Representative of the Director-General
Election of new officers: Chairman, Vice-Chairman and Rapporteurs Address by incoming Chairman
Adoption of the agenda Technical Discussions
statement by the Chairman of the Technical Discussions Proposed programme and budget estimates for the financial year 1 January - 31 December
1968
8.1 Establishment of the Sub-Committee on Programme and Budget 8.2 Consideration of the report presented by the Sub-Committee
on Programme and Budget
Acknowledgement by the Chairman of brief reports received from governments on the progress of their health activities
10 Resolutions of regional interest adopted by the thirty-seventh session of the Executive Board and the Nineteenth World Health Assembly
11 Report of the Regional Direct·or 12 Smallpox eradication programme
13 Cholera: action taken in relation to the resolution adopted by the Committee at its sixteenth session
14 Establishment of a central registry on poisonings: Item proposed by the Government of Singapore
15 The epidemiology of filariasis in the Western Pacific Region:
Item proposed by the Government of Portugal
16 The epidemiology of endemic goitre in the Western Pacific Region:
Item proposed by the Governraent of Portugal
2J.
17 Selection of topic for the Technical. Discussions during the eighteenth session of the Regional Committee
18 Consideration of the report presented by the Technical. Discussion Group
19 Time, place and duration of the eighteenth and nineteenth sessions of the Regional Committee
20 other business
2l Adoption of the draft report of the Committee 22 Adjournment
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I.
AUSTRALIA AUSTRALIE
CAMBODIA CAMBODGE
CHINA
-
CHINELIST CF REPRESENTATIVES LISTE DES REPRESENTANTS
ANNEX 2 ANNElCE 2
23
REPRESENTATIVES CF MEMBER STATES REPRESENTANTS DES ETKrS MEMBRES
Dr H.E. Downes ~Chief Representative) Deputy Director-Genera~ Chet de d6legation)
Commonwea~th
or
.AustraliaDr R. i'aureka (AJ.ternate/ Suppl.eant) Assistant Medic~ Officer
Department of Public Hea~th
Papua and New Guinea
Mr D. W. Argall (Adviser/Consei~r)
Third Secretary
Austr~an Embassy lwhnih
Dr Thor Peng Thong tChiet Representative) Directeur g6neral de h
Sante
Chet de delegation) Ministere de ~a Sante publiqueMr Ok Sam On (AJ.ternate/SupplBant)
Attache
Royal Embassy
or
Cambodia in the PhilippinesDr C. Ie. Chang ~Chief Representative)
Director Chef de delegation)
Department of Health Administration
Ministry ot Interior
Dr T.C. Hsu (AUernate/ Suppl.eant)
Commissioner of Health Department of Health
Taiwan Provincial Government
FRANCE ~decin-aeneral M. Orsini (Chief Bepresentative) Directeur du Service de Sante (Chef de delegation) et de l' Bygi~me pubUque de la
Nouvelle-ca.ledonie et DepeXldances
~decin-Colonel Tbenoz (Alternate/Suppleant) Chef du -Service de Sante
de la PolynBsie franqaise
JAPAN Dr M. Ml.tsuo (Chief Representative)
JAPON Director (Chef de delegation)
Division of Health and Vlelfare statistics Minister's Secretariat
Ministry of Health and Welfare
Mr K. Watanabe (Alternate/Suppleant) Assistant Chief Liaison Officer
International Affairs Minister's Secretariat
Ministry of Health and Welfare "
Mr Y. Ml.tsuda (Alternate/Suppleant) Second Secretary
Embassy of Japan
Ml.nila
IAOS Dr KOukeo Saycocie
Directeur de la Sante publique du Gouvernement royal du
laos
MALAYSIA Dr L. W. Jayesuria ~Chief Representative)
MALAISIE Deputy Director of Chef de dele~tion)
Madical Services (Heal.th)
Ministry of Health -:'
Dr R. Dickie (Alternate/Suppleant)
Director of Medical Services
Sarawak
East MUaysia
Dr C. H. James (Alternate/Suppleant) 6-
Deputy Director of Medical Services Sa.bah
East Ml.laysia
.~
25
w.!AYSIA ~ continued) Mr Abdul Aziz bin lobha.med (Alternate/Supp16ant)
'"
MA.LAISIE suite) Deputy Permanent Secretaryto the MLnistry o£ Health
NEW ZEAIIIND Dr C.N.D. Taylor NOUVELLE-zELANDE Deputy Director
Division of Public Health Department of Health
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PHILIPPINES Dr A.H. Cruz ~Chief Representative)
Director Chef de delegation)
Bureau o£ Health Services Department of Health
Dr V. Gahol (Alternate/Suppleant).
Regional Director
Regional Health Of'fice No •
e
.L Department o£ Health
.- ME' J. M. M:lrales (Alternate/ Supp16ant)
Chief
Environmental Sanitation Bureau o£ Health Services
.:f Department of Health
Dr A.N. Acosta (Alternate/Suppleant) Madical Adviser
Department of Health
-
ME' R. Concepcion (Adviser/Conseiller) Senior Sanitary Engineer
Regional Health Of'fice No. 3 Department of Health
Dr V. Buencamino (Adviser/ Conseiller) Sanitary EDgineer Adviser
- Bureau of Health Services
-~
Department of Health
ME' W. Ilustre (Adviser/Conseiller) Sanitary Engineer Adviser
Bureau of Health Services Department of Health
~
(Adviser/Conseiller) ME' J. Alvarez
Senior Sanitary Engineer Regional Health Of'fice No. 3 Department o£ Health
, -
PBlLIPPDES HrI.Ba.ntug (M.viaer/ Conse1ller)
~ cont1nued) Field Samta.ry Engineer suite) Regional Heal.th Clf.'tice 110. :5
Department
or
Beal.thHr B. Hizon (M.viser/ Conseiller)
Senior Sanita.ry Engineer Regional Health Clf.'tice No. 1 Department of Health
Hr D. Gonzal.e s (Adviser/Conseiller) Senior Sanitary Engineer
Regional Health Clf.'tice No. 2 Department ot Health
Mr P. Viray (Adviser/ Conseilier)
Senior Sanitary Engineer Regional Health Clf.'tice No.
4
Department of Health
Hr A. Asuncion (Adviser/ Conseiller)
Senior Sanitary Engineer ~
Regional Health Clf.'tice No. 6 Department
or
HealthMr I. lficanor (Adviser/ Conseiller) Field Sanita.ry Engineer
RegiOnal. Health Clf.'t1ce 110. 7 Department of Health
Mr R. Austria (Adv1ser/Conseiller)
Senior Sanitary Engineer Reg10nal Health Clf.'tice No. 8 Department of Health
POR'lWAL Dr Nunc Cs.mpelo de Andrade ~Chief Bepresentat1ve) Chief ot Health Services Chef de d'legation) Portuguese Prov1nce of. HLcao
Dr lenuel Florentino M:l.tias (Alternate/ SuppJ.eant) Chief of Health Services
Portuguese Province of Timor
Mr Carlos da wz lfwles (Alternate/SuppJ.eant) Attache to the
Portuguese Embassy in HLn1le.
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RBPORT .
fR mE REGIClfALCC!!1£tJ!EE27
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REPUBLIC Ci' KOREA Dr
Y.x.
Cha ~ Chief Representative)REPUBUQUE DE Director Chef de deUgation)
COREE Bureau of Public Health MLnistry of Heal.th and Social. A1'1'airs
Mt- J .H. Sub (Al.terrJB.te/ SuppUant)
Chief
Sanitation Section
.1... Ministry of Heal.th and
Social A1'1'airs
Mt- If.J. Chai (Al.ternate/SuppUant)
International. Organizations Section
Ministry of Foreign A1'1'airs
SINGAPORE Dr S. R. Sayampanathan :s.- SINGAPOUR Senior Health Of'f'1cer
Ministry of Heal.th
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UNITED ICIIfGDOM Dr P.H. Teng ~Ch1ef Representative) ROYAUME-UNI Director of Medical and Chef de deUgation)
--!: Health Services
Hong KOng
Dr C.H. Gurd (Al.ternate/ SuppUant)
-
Director of Medical Services~. Fiji
UNITED STATES Dr R. X. C. lee ~ Chief Representative) fR AMERICA Director of Public Heal.th Chef de deUgation) lL'J!ATS-1lNIS and ~cal. Activities
DtAMEaIQUE University of Hawaii
Dr H. De Lien (Al.ternate/ SUppJ.8ant) Chief I Health Division
United States Agency for International Devel.opment Mm1l.a
Dr R. Hogan (Adviser/eonseiller)
'.
Director of Public HealthanC- We1tare Guam
UNITED STA'l'ES CF Mt- M. 1(. Koizumi (Adviser/Conseiller) AMERICA (continued) Department of Publ.1c HeaJ.th
E'l'.A!rS-UNIS Trust Territory of the D I AMERIQUE (suite) Pacific Islands
Dr A. C. Service (Adviser/Conseiller) Acting Director of
Jedical Services American Samoa
VIE'l'-NAM Dr ~-Nhin-Th~
Directeur geMral de la Sante
~Chief Representative) Chef de delegation) Ministere de la Sante
Dr DuongooCam-chuong (Alternate/Suppleant) Directeux: de .].a Sante publ.1que
Ministere de la Sante
WESTERN SAl«)A Dr J.C. Thieme SAQ.-OCCIDENTAL Director at Health
Health Department
n.
REPRESENTNrIVES CF THE UNITED NATIONS AND SPECIATJZEJ) AGENCIES REPRESENTANTS DES NATIONS tlNIES E'l' DES INS'l':tTt1rIONS SPlOOlAHSEESUNr1'ED N.A!rIONS lIND
UNITED NATIONS DEVELOPMENT PROGRAMME NATIONS UNIES E'l' PROORAMME DES NATIONS UNIES POUR I.E DEVELOPPEMENT
UNITED NATIONS CHILDREN'S FUND FctIDS DES N.A!rIONS UNIES POUR L'ENFANCE
Mr W. H. Cornwell
Resident Representative of the United Nations Development Progra.mue in the Philippines
Mr I.H. Mu-kuson
UNICEF Resident Representative in the Philippines
nI. REPRESENTAfiVES CF arHER
IN'l'ER-GOVERNMENTAL ORGANIZA!l'IONS REPRESEN'1'.AN'l'S D' At7.rRES ORGANISA- TICUS INTERGOUVERNEMENTALES
Im'ERNATICUAL COMMI'l'rEE CF MILITARY MEDICINE .AND PHARMACY COMITE INTERNATIONAL DE MEDECINE E'l' DE PHARMACIE MILITAIRES
Lt. Colonel E.C. Panganiban, K:
Deputy Surgeon General
Armed Forces at the Philippines
~ General Emilio AglliM1do
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REPORT OF THE REXlICfiAL COlrK['ITEE 29
SOUTH PACIFIC COMMISSION COMMISSION DU PACIFIQUE SUD
Dr G. IDison
Executive Ofticer tor Health South Pacific Collllll1ssion New Caledonia
rI. REPRESmTATIVES OF NON- GOVERNMENTAL ORGANIZATlONS REPRESENTANTS DES OMANISATIONS NON GOUVERNEMENTALES
INTERNATIONAL ASSOCIATION FOR THE PREVENTION OF EI nmNESS ASSOCIATION IN'l'EHNATIONALE DE PROPHYLAXIE DE LA CECITE
INTERNATIONAL COMMI'ITEE OF CATHOLIC NURSES
COMITE INTERNATIONAL CATHOLIQUE DES INFIRMIERES ET ASSISTAN'l'ES ME:DICO-SOCIALES
INTERNATIONAL COUNCIL OF NURSES CONSEIL INTERNATIONAL DES
INFIRMIERES
INTERNATIONAL DENTAL FEDERA'l'I(lIJ FEDERATION DmI'AIRE INTERNATIONALE
IN'l'ERNATIONAL HOSPITAL FEDERATION FEDERATION INTERNATIONALE DES HOPITAUX
Dr S.P. lopez Executive Director Philippine Society tor
Prevention of Blindness, Inc.
Mmila
Mrs M. Ordonez
President of the Catholic Nurses I Guild of the Philippines
Mlnila
Mrs. R.S. Diamante President
Philippine Nurses I ASSOCiation Manila
Dr B. B. Erana
Manila Doctors Hospital
Dr E. Sison (Alternate/Supp18ant) Bureau of Public Dental Services Department ot Health
Mlnila
Dr E. Castillo (Alternate/Suppleant) Bureau of Public Dental Services Department of Health
Mlnila
Dr E.D. Congco President
Philippine Hospital Association Mln11 a
lltl'ERl'tATIOIIAL PIANRED PABEH'lBOClD F~ICIl
FEDEBAn<B IlfJ!El'J.IIA!rICfiAlE POUR I.E PLAlmlBG FAMILIAL
Iltl!.ERNATIONAL UNION CF ARCBI1'Ec.rS UNI(J{ lltl!HATI<BALE DES
ARCHlTECTES
LEAGUE CF BED CRQSS SOClHl'IOli:3 LIGUE DES SOCIETES DE II.
CROIX-ROUlE
MEDICAL WCH:N'S nt.fERNATIONAL ASSOCINrION
ASSOCINrI<If IN'J:ElRNN.I!Icaw.E DE FEIImS MEDECINS
THE WORLD MEDICAL ASSOCmI<If L' ASSOClA!rI(J{ MEDICALE lDmIAIE
WORLD F~IClf CF SOCIETIES CF ANAESTHESIOLOGISTS
FEDERA!rICti KlmIALE DES SOCmrES D' ABF8.I!B1!3IOLOGISTm
WQRU) VETERANS FEDERATI(J{
FEDERA!rION HJNDIALE DES ANCImS COMBAi'rAETS
Pratessor Han SU Sh1n, M.D.
Chairman
Beg1<mal Mec11cal Co1lllll1ttee PJ..cumed Pnrenthoocl Federation at 1fDrec.
lfI:o A. D1 me) ante.
President
Ph1l1ppine Institute ot Architects
Hmila
Dr B. Boa
!ember
:.Board of Governors
Philippine Rational Bed Cross Hmila
Dr G.C. Ca.ridad Director at the Medical Services
Ph1l1ppine National l\!:d Cross·
ltlDila
Dr J.C. Denoga Hmila
Dr Q. Gomez
Director ot Anestheeia Ph1l1pp1ne General. Hospital.
!en1la
DrJ.Ba.cal.a
College of Medicine and
Jfead of the School of Nursing University of Santo Tomas
!enila
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1 INTROOOCTION
1.1 At its seventh session, the Regional Conmittee, in resolution WP/PC7.Fq,
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decided "that the establishment of a sub-oommittee on programme and budget, consisting of six members plus the Chairman of the Regional Cormn1ttee, should
become a routine activity of the Regional Committee"; and recomlDended that "the membership of this sub-committee be rotated among the Representatives of various Members, subJect to the provision that any Representative desiring to be a member of the sub-committee should be entitled to participate".
The Sub-Conmittee on Programme and Budget met on 23 and 26 September 1966, , under the ohairmanship of Dr Thor Pang Thong (Cambodia). '!he attendance was
as follows:
4. Members
France M6decin-Genl§ral M. Orsini
Laos Dr Koukeo Saycocle
Malaysia Dr L. W. Jayesuria
Dr R. Dickie (alternate) Dr C.H. James (alternate)
-~ Mr Abdul. Adz bin Itlhamed (alternate)
Philippines Dr A.H. Cruz
Dr A.N. Acosta (alternate) Portugal Dr Nuno Campelo de Andrade
Dr Manuel Florentino Matias (alternate)
'. Mr Carlos da Luz Nunes (alternate)
SiIl6&pore Dr S.R. Sayampanathan
, United States Dr R.K.C. Lee
of America Mr M.K. Koizumi (adviser)
",-,-
Western Samoa Dr J.C. Thieme
The meetings of the Sub-CoDIIIittee were attended. also by' the to11owing members ot the Committee and their alternates and advisers:
Country Australia
Cambodia China
Japan
New Zealand
Repub1io ot Korea
Dr H.E. Downes Dr R. Taureka Mr Ok Sam On Dr C.K. Chang Dr T.C. Hsu Dr M. Matsuo Mr K. Watanabe Dr CN.D. Taylor Dr Y,K. Cha Mr J.H. Sull
1.2 In the oourse of its meetings. the Sub-Conm1ttee examined the proposed budget in aocordance with the guidelines given on page 49. In addition to the proposed. programme and budget estimates for the financial ;year 1 January - 31 December 1968 (document WPRJRC1712)' the Sub-CoDIIIittee was provided. with three working papers: (1) anal;ysis of proposed prograDlDe and budget estimates, regular funds - 1967-1968 (see pages 51-52); (2) maJor subject headings used.
in the proposed programme and budget estimates for 1968 (see pages 53-54);
and (,) additions or changes to the proposed progr8lllDe and budget estimates for the financial year 1 January - ~ December 1968 (see pages 55-56).
2 REGULAR PROGRAMME AND BUDGE:r ESTIMATES
2.1 Level of the proposed. programme and budget estimates for 1968 2.1.1 The Sub-committee noted that the estimates proposed. for the Region under the regular budget in 1968, exo1uding expenses in connenon with the Regional Committee, amounted to $4 ,.,2 416, an increase of $,c;1 251. or 9.01~.
r
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