W O R L D H E A L T H ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
E X E C U T I V E B O A R D E B 2 9/ 8
1 D e c e m b e r T w e n t y - n i n t h S e s s i o n
— — O R I G I N A L : P r o v i s i o n a l agenda item 6.6
E N G L I S H
R E G I O N A L C O M M I T T E E F O R T H E W E S T E R N PACIFIC R e p o r t o n T w e l f t h S e s s i o n
The D i r e c t o r - G e n e r a l h a s the h o n o u r to p r e s e n t t o the E x e c u t i v e B o a r d t h e report of the T w e l f t h S e s s i o n of t h e R e g i o n a l C o m m i t t e e for the W e s t e r n P a c i f i c .
У
1 D o c u m e n t WP/RG!2/I5 R e v . l
W O R L D H E A L T H ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
E B 2 9 / 8 A N N E X
R E G I O N A L OFFICE F O R THE W E S T E R N PACIFIC
• B U R E A U R E G I O N A L DU. P A C I F I Q U E O C C I D E N T A L
R E G I O N A L COMMITTEE W P / R C 1 2 / l 5 R e v . l T w e l f t h Session
Wellington,- 3 1 A u g u s t - 5 September 19б1 O R I G I N A L : E N G L I S H
‘REPORT OF T H E T W E L F T H S E S S I O N OF T H E R E G I O N A L C O M M I T T E E
C O N T E N T S
Page
INTRODUCTION 1 I . A N N U A L R E P O R T OF T H E R E G I O N A L D I R E C T O R . 2
I I . PROPOSED P R O G R A M M E A N D B U D G E T E S T I M A T E S POR 19б? • . 5
工工I. OTHER M A T T E R S D I S C U S S E D 3
1 . P r i o r i t i e s in programme 3 2 . M a l a r i a eradication p r o g r a m m e 5
3 . M a l a r i a e r a d i c a t i o n p o s t a g e stamps 斗 4 . R e s o l u t i o n s of r e g i o n a l i n t e r e s t adopted by the twenty-
seventh and t w e n t y - e i g h t h sessions of the E x e c u t i v e B o a r d
and the F o u r t e e n t h W o r l d H e a l t h A s s e m b l y 斗 5 . T h e isolation of the t r a c h o m a v i r u s , p r o d u c t i o n of t r a c h o m a
v a c c i n e and p r e l i m i n a r y r e s u l t s of the c l i n i c a l t r i a l s • • • 5 6 . E x p a n d e d Programme of T e c h n i c a l A s s i s t a n c e (country
p r o g r a m m i n g p r o c e d u r e s ) 5
I V . OTHER B U S I N E S S 5 1 . P r o g r e s s r e p o r t s from g o v e r n m e n t s on- h e a l t h a c t i v i t i e s . . . . 5
2 . T e c h n i c a l D i s c u s s i o n s 6
WP/RC12/l5 R e v . l page i i
Page
V . R E S O L U T I O N S A D O P T E D B Y T H E COMMITTEE 8 W P / R C 1 2 . R 1 P r i o r i t i e s in programme 8 W P / R C 1 2 . R 2 A n n u a l R e p o r t of the Regional Director 9
M a l a r i a eradication programme . 10 W P / R C 1 2 . R 4 M a l a r i a eradication postage stamps 10 W P / R C 1 2 . R 5 E x p a n d e d Programme of Technical Assistance (country
p r o g r a m m i n g procedures) 11
W P / R C 1 2 . R 6 The isolation of the trachoma v i r u s , production of trachoma
v a c c i n e and preliminary results of the clinical trials . . 11 M o d i f i c a t i o n s to the 1962 regular programme and budget • • . 12
W P / R C 1 2 . R 8 Proposed programme and budget estimates for 1965 12
WP/RC12.R9 R e s o l u t i o n of appreciation 13
W P / R C 1 2 .RIO T e c h n i c a l D i s c u s s i o n s 14
W P/ k c i 2. R l l T i m e , p l a c e and duration of the thirteenth, fourteenth and
sixteenth sessions of the Regional Committee 14
A N N E X E S
1 . A G E N D A
2 . U S T OF R E P R E S E N T A T I V E S
3 . R E P O R T O F T H E S U B - C O M M I T T E E ON PROGRAMME AND BUDGET 4 . T E C H N I C A L D I S C U S S I O N S
WP/RC12/l5 R e v . l page 1
INTRODUCTION
The twelfth session of the Regional Committee for the formally opened at the Queen Margaret C o l l e g e , W e l l i n g t o n , Right Honourable the Prime M i n i s t e r , M r K . J . Holyoake, in Honourable the Minister of H e a l t h , M r N . L . S h e l t o n . The 31 August - 5 September 1 9 6 1 .
Western Pacific w a s New Z e a l a n d , by the the presence of the session lasted from
The meeting was attended by representatives of all Member States in the R e g i o n , except L a o s， and of the M e m b e r States responsible for territories in the R e g i o n , except Portugal. Representatives of the United N a t i o n s , U N I C E F , the South Pacific Commission and of 15 non-governmental organizations in official relations w i t h W H O were also present, D r P . M . K a u l , Assistant Director-General, attended the meeting as representative of the Director-General•
The Committee elected
Chairman : Vice-Chairman : Rapporteurs
in English : in French :
the following officers:
D r H . B . Turbott (New Zealand) D r E . Valencia (Philippines)
D r S . W . Y u n (Korea)
Médecin-Colonel L . Caillard (France) Formal statements were made by the representatives
the South Pacific Commission and eight non-governmental relations with W H O .
of the United N a t i o n s , U N I C E F organizations in official
The agenda is given in A n n e x 1 and the list of participants in Annex 2 . A t its first plenary session the Committee established its Sub-Committee on Programme and B u d g e t , composed of representatives from the following countries:
Cambodia, China, J a p a n , M a l a y a , New Z e a l a n d , the Philippines, the United K i n g d o m and V i e t N a m . The Sub-Committee held two m e e t i n g s , following which it submitted a
report to the main Committee. Further details are given in P a r t 工I and A n n e x 3 of this r e p o r t .
The thirteenth session of the Committee w i l l be held in M a n i l a w i t h the Government of the Philippines as h o s t . As decided by the Committee at its tenth session (resolution W P / R C 1 0 . R 6 ) , the fourteenth session of the Committee w i l l be h e l d in Port Moresby, P a p u a . The Committee accepted the invitation from the Government
•of K o r e a to hold its sixteenth session in S e o u l# (See resolution WP/RC12.R11,) In the course of five plenary sessions, the Committee adopted eleven resolutions which are set out in Part V .
WP/RC12/I5 R e v . l page 2
PART
工
• ANMJAL REPORT OF THE REGIONAb DIRECTORT h e Committee examined in detail the Eleventh Annual Report of the Regional D i r e c t o r , w h i c h , in addition to covering the work from 1 July of the previous year to 50 J u n e of the p r e s e n t , also 'summarizes the main developments in the health field in the R e g i o n during the first d e c a d e . It noted that national health administrations h a d been strengthened； rural health services initiated; the education and training of h e a l t h personnel had expanded, in quality as well as in quantity; much progress h a d been made in the control of communicable diseases; environmental sanitation had b e e n i m p r o v e d . The malaria eradication programme had continued to make progress b o t h in scope and q u a l i t y .
I n 196О-61， emphasis had been placed on assistance in strengthening national h e a l t h administrations, and in particular on the incorporation of health services in
community development s c h e m e s . In L a o s , M a l a y a , the Philippines and V i e t N a m , community development had as a component the expansion of rural health services, and the Committee rioted that health planning and administration at various levels had increasingly made use of consultation and co-ordination between departments of health, agriculture and e d u c a t i o n . A t the international level, community development in L a o s h a d seen a joint effort of a number of international agencies, including W H O .
T h e r e was also evidence of much interest in nutrition by health departments in t h e R e g i o n , and the R e g i o n a l Office was being increasingly called on for general and detailed technical advice in this field # Here again
，special emphasis had been
placed on the value of co-operative action by the international agencies^ and during the past year the closest liaison had been maintained with FAO and U N I C E F .I n environmental sanitation the major development had been the increased
interest shown in the provision of community water supplies, stimulated by the global w a t e r supply programme of W H O .
BCG vaccination programmes in China (Taiwan), the Philippines, Hong K o n g , Malaya, N e t h e r l a n d s New G u i n e a , Singapore and V i e t Nam had continued smoothly, and a
tuberculosis control programme was started in Western S a m o a . Furthermore, there had b e e n a marked increase in the number of countries and territories planning to embark on public health programmes for tuberculosis control, and several countries,
including A u s t r a l i a , New Zealand and J a p a n , had indicated their interest in
co-operating with W H O in studies on the isolation and identification of mycobacteria from h u m a n sources in tropical and subtropical areas.
During the d i s c u s s i o n , the importance of a flexible approach to programme
p l a n n i n g , bearing in mind the great differences in the socio-economic development of the countries in the R e g i o n，w a s stressed. Mention was made of the need to develop r u r a l public health services as part of a comprehensive and integrated health
p r o g r a m m e ; and the suggestion made that a special section in the Regional D i r e c t o rTs A n n u a l R e p o r t should be devoted to rural health»
WP/RC12/l5 Rev.l p a g e 3
I t w a s hoped that the p r o m o t i o n of m e n t a l h e a l t h would r e c e i v e the n e c e s s a r y recognition in the long-range h e a l t h p r o g r a m m e for the R e g i o n and t h a t l e p r o s y w o u l d be a n early subject for the t e c h n i c a l d i s c u s s i o n s .
The Committee adopted r e s o l u t i o n W P / R C 1 2eR 2#
P A R T I I . PROPOSED PROGRAIVIME A N D B U D G E T E S T I M A T E S F O R 1 9 6 3
The S u b - C o m m i t t e e on Programme and B u d g e t (established in a c c o r d a n c e w i t h r e s o l u t i o n WP/RC7.R7 adopted by the C o m m i t t e e a t its seventh s e s s i o n ) h e l d two m e e t i n g s , during w h i c h it made a d e t a i l e d e x a m i n a t i o n of the p r o p o s e d p r o g r a m m e and budget estimates in the W e s t e r n Pacific R e g i o n . T h e d i s c u s s i o n w a s b r o k e n d o w n into: (l) review of the regular p r o g r a m m e and b u d g e t for 1962 in the l i g h t o f budgetary adjustments and amendments p r o p o s e d by M e m b e r countries； (2) p r o p o s e d programme and b u d g e t estimates for the 1 9 6 3 r e g u l a r p r o g r a m m e ; ⑶ M a l a r i a E r a d i - cation S p e c i a l A c c o u n t ; (4) s u p p l e m e n t a r y list of projects; (5) E x p a n d e d P r o g r a m m e of T e c h n i c a l A s s i s t a n c e ; and (6) S p e c i a l A c c o u n t f o r the C o m m u n i t y W a t e r S u p p l y .
The report of the S u b - C o m m i t t e e , w h i c h is contained in A n n e x )，was c o n s i d e r e d and accepted by the m a i n C o m m i t t e e . (See r e s o l u t i o n s W P/R C1 2 ,R 7 and W P / R C 1 2 . H 8 . )
P A R T 工II. O T H E R M A T T E R S D I S C U S S E D 1 . Priorities in p r o g r a m m e (document W P/RCI2/5)
T h e Committee considered the q u e s t i o n of p r i o r i t i e s in p r o g r a m m e in a c c o r d a n c e w i t h the request of the F o u r t e e n t h W o r l d H e a l t h A s s e m b l y . It also r e v i e w e d the p r i o r i t i e s established at its n i n t h s e s s i o n in c o n n e x i o n w i t h the p r o g r a m m e and
budget and decided that n o change w a s r e q u i r e d i n the p r e s e n t p r o c e d u r e b e i n g f o l l o w e d in the R e g i o n .
T h e Committee u n a n i m o u s l y adopted r e s o l u t i o n IAÍP/RC12.R1.
2 . M a l a r i a eradication programme (document W P / R C1 2/ 6 )
T h e Committee reviewed the report of the R e g i o n a l D i r e c t o r o n the m a l a r i a
eradication programme in the R e g i o n . I t n o t e d w i t h g r e a t interest t h a t t h e m a l a r i a eradication programme in C h i n a (Taiwan) h a d r e a c h e d the last stage o f the c o n s o l i d a t i o n phase and that e r a d i c a t i o n of the d i s e a s e w a s close a t h a n d , that m a l a r i a e r a d i c a t i o n programmes were continuing in the P h i l i p p i n e s and R y u k y u Islands and t h a t two n e w
countries h a d launched 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 m e s d u r i n g 1 9 6 1 , n a m e l y . N o r t h B o r n e o and S a r a w a k . T h e report showed that considerable p r o g r e s s w a s b e i n g m a d e i n o t h e r countries either in the planning of e r a d i c a t i o n or in the d e v e l o p m e n t of p r o j e c t s aiming in the n e a r future at the e s t a b l i s h m e n t o f 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 m e s .
C o n t i n u e d a s s i s t a n c e to n e w l y i n d e p e n d e n t states (resolution .R22);
(4) S m a l l p o x e r a d i c a t i o n p r o g r a m m e (resolution WHAl4.40)j
(5) A c t i v i t i e s j o i n t l y a s s i s t e d b y U N I C E F and WHO (resolution WHA14.42)； (6) R a d i a t i o n h e a l t h , i n c l u d i n g p r o t e c t i o n of mankind from ionizing r a d i a t i o n hazards， w h a t e v e r t h e i r s o u r c e (resolution WHA14.56)；
(7) A d m i n i s t r a t i v e a n d t e c h n i c a l t r a i n i n g : resolution 7 9 7 (XXX) of t h e E c o n o m i c and S o c i a l C o u n c i l (resolution E B 2 7 . H 2 l ) .
WP/RC 1 2 / 1 5 R e v . l p a g e 4
.The C o m m i t t e e a l s o r e v i e w e d the s i t u a t i o n as f a r as c o n t r i b u t i o n s to the M a l a r i a E r a d i c a t i o n S p e c i a l A c c o u n t w e r e c o n c e r n e d and h o p e d that a l l M e m b e r g o v e r n m e n t s w o u l d g e n e r o u s l y c o n t r i b u t e to i t .
T h e C o m m i t t e e n o t e d the s t e p s t a k e n b y the R e g i o n a l D i r e c t o r in o r d e r to ensure t h e i n t e n s i f i c a t i o n of a n t i m a l a r i a a c t i v i t i e s in b o r d e r areas of K a l i m a n t a n .
A r e s o l u t i o n w a s a d o p t e d c a l l i n g the a t t e n t i o n of all g o v e r n m e n t s operating or p l a n n i n g e r a d i c a t i o n p r o g r a m m e s to the i m p o r t a n c e of critical e v a l u a t i o n at a l l s t a g e s , t h e n e e d f o r a w e 1 1 - o r g a n i z e d and w e l l - s t a f f e d m a l a r i a service and for full a n d c o n t i n u i n g s u p p o r t f r o m the g o v e r n m e n t and the people u n t i l e r a d i c a t i o n is
a c h i e v e d . T h e r e s o l u t i o n also e m p h a s i z e d the d a n g e r of r e l a x a t i o n w h e n early success a p p e a r e d t o m a k e c o n t i n u e d e x p e n s i v e s u p p o r t u n n e c e s s a r y . (See r e s o l u t i o n W p / r C 1 2 . R 3 . ) 3 . M a l a r i a e r a d i c a t i o n p o s t a g e stamps (document WP/RCI2/7)
T h e C o m m i t t e e r e v i e w e d t h e r e p o r t of the R e g i o n a l D i r e c t o r o n the m a l a r i a
e r a d i c a t i o n p o s t a g e s t a m p p r o j e c t and a d o p t e d a resolution e m p h a s i z i n g t h e importance o f u n i v e r s a l p a r t i c i p a t i o n in t h i s p r o j e c t . (See resolution W P / R C 1 2 . R 4 . )
4 . R e s o l u t i o n s o f r e g i o n a l i n t e r e s t a d o p t e d by t h e t w e n t y - s e v e n t h and twenty- e i g h t h s e s s i o n of the E x e c u t i v e B o a r d and the Fourteenth W o r l d H e a l t h A s s e m b l y
( d o c u m e n t W P / R C 1 2 / 8 ) ^ T h e C o m m i t t e e n o t e d the f o l l o w i n g r e s o l u t i o n s contained in d o c u m e n t W P/ R C I 2/ 8 :
(1) A d o p t i o n o f a W H O f l a g (resolution \VHAl4.24)；
(2) D e c l a r a t i o n c o n c e r n i n g the g r a n t i n g of independence t o c o l o n i a l c o u n t r i e s a n d p e o p l e s and t h e t a s k 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
( r e s o l u t i o n W H A I 4 . 5 8 ) ;
8
)
2 3 в
(
E
WP/RC12/l5 R e v . l page 5
5 . T h e isolation of the t r a c h o m a v i r u s , p r o d u c t i o n of t r a c h o m a v a c c i n e and preliminary results of the c l i n i c a l trials (Item presented b y the G o v e r n m e n t of the U n i t e d S t a t e s of A m e r i c a ) (document W P/ R C I 2 / 9 )
k T h e Government of the U n i t e d S t a t e s of A m e r i c a p r e s e n t e d a n a c c o u n t of the w o r k being done b y the N a v a l M e d i c a l R e s e a r c h U n i t 工工（NAMRU-II), T a i p e i , T a i w a n , in co-operation w i t h the G o v e r n m e n t of C h i n a , in the field of t r a c h o m a .
T h e Committee adopted a r e s o l u t i o n expressing its a p p r e c i a t i o n to b o t h
G o v e r n m e n t s for h a v i n g made this i n f o r m a t i o n a v a i l a b l e . (See r e s o l u t i o n W P / R C 1 2 . R6 . )
6 . E x p a n d e d P r o g r a m m e of T e c h n i c a l A s s i s t a n c e (country p r o g r a m m i n g p r o c e d u r e s ) (document WP/RC12/11)
T h e Committee noted that u n d e r the n e w country p r o g r a m m i n g p r o c e d u r e s of t h e E x p a n d e d Programme o f T e c h n i c a l A s s i s t a n c e , specific i n f o r m a t i o n w a s r e q u i r e d a s f a r as the content of the p r o j e c t p r o p o s a l s w a s c o n c e r n e d . It also n o t e d t h a t p r o j e c t s must be planned for t h e i r full d u r a t i o n and that although the T e c h n i c a l A s s i s t a n c e Committee w o u l d only give f i n a n c i a l a u t h o r i z a t i o n for f # u r y e a r s at a t i m e , infor- m a t i o n on the estimated d u r a t i o n m u s t be submitted at the time of the o r i g i n a l r e q u e s t . (See r e s o l u t i o n ViP/RC12.R5-)
P A R T I V . O T H E R B U S I N E S S
1 . Progress reports from g o v e r n m e n t s o n h e a l t h activities
The C h a i r m a n acknowledged the following p r o g r e s s reports w h i c h h a d b e e n trans- mitted to the R e g i o n a l D i r e c t o r :
(1) A U S T R A L I A - I n t e r i m R e p o r t b y the D i r e c t o r - G e n e r a l of H e a l t h , I959/196O; R e p o r t of the N a t i o n a l H e a l t h and M e d i c a l R e s e a r c h C o u n c i l , f o r t y - n i n t h session held at C a n b e r r a , 12 M a y i960； R e p o r t o f the . N a t i o n a l H e a l t h and M e d i c a l R e s e a r c h C o u n c i l , fiftieth s e s s i o n h e l d at C a n b e r r a , 27 O c t o b e r i 9 6 0，a n d the R e p o r t of the N a t i o n a l H e a l t h and M e d i c a l R e s e a r c h C o u n c i l , f i f t y - f i r s t session held at the C o m m o n w e a l t h S e r u m L a b o r a t o r i e s , M e l b o u r n e , 25 M a y 1 9 6 1 .
(2) B R U N E I - R e p o r t on the p r o g r e s s of h e a l t h a c t i v i t i e s , I 9 6 O - I 9 6 I .
⑶ CAMBODIA - R e p o r t o n the p r o g r e s s of h e a l t h a c t i v i t i e s d u r i n g i 9 6 0 . (4) CHINA (TAIWAN) - R e p o r t o n the progress of h e a l t h a c t i v i t i e s d u r i n g the fiscal y e a r 1 9 6 l ,
WP/RC12/l5 page 6
Rev.l
N O R T H B O R N E O - R e p o r t o n the p r o g r e s s of h e a l t h a c t i v i t i e s d u r i n g
(13) P H I L I P P I N E S - R e p o r t o n the p r o g r e s s of h e a l t h a c t i v i t i e s .
(14) S A R A W A K - A n n u a l R e p o r t of the M e d i c a l and H e a l t h D e p a r t m e n t , i 9 6 0 . ( 1 5 ) T E R R I T O R Y OF P A P U A A N D N E W GUINEA - R e p o r t on the p r o g r e s s of
h e a l t h a c t i v i t i e s，1 J u l y i 9 6 0 一 3〇 J u n e 1 9 6 1 .
(16) T R U S T T E R R I T O R Y O F T H E PACIFIC I S L A N D S 一 R e p o r t o n the p r o g r e s s of h e a l t h a c t i v i t i e s d u r i n g t h e fiscal y e a r 1 9 6 1 .
(17) V T E T N A M - R e p o r t o n t h e p r o g r e s s of h e a l t h a c t i v i t i e s , I 9 6 O - I 9 6 I .
2 • T e c h n i c a l D i s c u s s i o n s r
I n a c c o r d a n c e w i t h t h e r e s o l u t i o n a d o p t e d by t h e R e g i o n a l C o m m i t t e e air its e l e v e n t h s e s s i o n ( r e s o l u t i o n W P / R C 1 1 , R 1 1 )^ C o l o n e l J . F e r r i s F u l l e r , O . B . E . , ЕЛ)•，
B . D . S . , F . D . S . R . C - S . ( E d i r u ) , Q . H . D . S . ^ D i r e c t o r of D e n t a l S e r v i c e s , N e w Z e a l a n d N a v y , A r m y and A i r F o r c e s , a n d C h a i r m a n of the D e n t a l R e s e a r c h Commitiífee of the M e d i c a l R e s e a r c h C o u n c i l of N e w Z e a l a n d , w a s selected as C h a i r m a n of the T e c h n i c a l D i s c u s s i o n s .
S i x w o r k i n g p a p e r s w e r e p r e p a r e d b y w o r k e r s in the field of d e n t a l h e a l t h . T h e s e c o v e r e d the f o l l o w i n g s u b j e c t s :
(1) H i g h l i g h t s o f p r o b l e m s in d e n t a l h e a l t h ;
(2) T h e p r e v a l e n c e o f d e n t a l d i s e a s e in the W e s t e r n P a c i f i c and its p u b l i c h e a l t h i m p o r t a n c e ;
(5) FIJ工 一 í^P-Qít…on t h e ^progresb. of - h e a l t h activities»
(6) H O N G K O N G - R e p o r t o n the p r o g r e s s of h e a l t h a c t i v i t i e s , I 9 6 O - I 9 6 I . . (7) J A P A N 一 R e p o r t o n t h e p r o g r e s s & f h e a l t h activities d u r i n g the
f i s c a l y e a r - i 9 6 0 (April i 9 6 0 - M a r c h 1 9 6 1 ) .
(8) K O R E A - R e p o r t o n t h e p r o g r e s s of h e a l t h a c t i v i t i e s , I 9 6 O - I 9 6 I . (9) M A L A Y A - R e p o r t o n t h e p r o g r e s s of h e a l t h a c t i v i t i e s .
( 1 0 ) ...NETHERLANDS N E W G U I N E A - R e p o r t on the p r o g r e s s of h e a l t h a c t i v i t i e s d u r i n g i 9 6 0 .
(11) N E W Z E A L A N D - R e p o r t o n the p r o g r e s s of h e a l t h a c t i v i t i e s , 1 9 6 l .
о )& 2 9 1 1
г \
(3) T h e s i g n i f i c a n c e o f d e n t a l r e s e a r c h in a d e n t a l h e a l t h programme；
WP/RC12/l5 R e v . l page 7
(4) Guiding principles in the organization and administration of a dental health service; •
(5) Dental health planning at a national level;
(6) Fluoridation.
2.1 • Panel presentation and discussion
The subject ”Dental Health" was discussed in three plenary sessions• In the first two sessions, the topic for the session was presented by a panel of three members, after which general discussion took p l a c e . The subject was considered under two main headings: (1) the significance and importance of dental disease w i t h special reference to the problems of the Western Pacific Region; and ⑵ the
organization and administration of a dental health service and the use of trained personnel including dental auxiliaries. A special field session was held during a visit to the fluoridation plant at Lower Hutt C i t y .
At the third and concluding session， views and opinions were consolidated and conclusions were d r a w n .
2.2 Conclusions
(1) An organized treatment service reduces the consequences of dental disease but does not reduce the magnitude of the public dental health programme•
(2) In the first instance, if at all possible in any developing country， the dental programme should be based on a number of fully•-trained graduate dentists.
(3) It was realized that in some countries dental auxiliaries are required. The type of dental auxiliary required varies from country to country and the type of dental health programme must be adapted to the local conditions of each country.
(4) Whe^i for economic and other reasons dental auxiliaries only are trained, provision should be made for these people to receive further training to become fully-qualified dentists.
(5) There is a need to strengthen existing national dental health services and to ensure that in each programme there is a proper balance between the provisions made for research， prevention, health education
and treatment. • (6) There is a need to strengthen existing training programmes for
dentists, assistant dental practitioners and dental auxiliaries.
WP/RC12/15 R e v page 8
(7) T h e r e is a n e e d for M e m b e r countries to make a more thorough survey of the size and severity of national dental problems, to assess their s e r i o u s n e s s relative to other health problems and to determine the causes for d i f f e r e n c e s m a n i f e s t e d between and within different ethnic or
g e o g r a p h i c g r o u p s of p e o p l e .
(8) T h e r e is an u r g e n t n e e d for the interchange of information and e x p e r i e n c e b e t w e e n M e m b e r countries and this could be greatly facilitated b y the a p p o i n t m e n t of a d e n t a l consultant to the Regional O f f i c e . This c o n s u l t a n t should be a d e n t a l epidemiologist.
2 . 5 E v a l u a t i o n
O f the completed q u e s t i o n n a i r e s r e c e i v e d , all 3 5 assessed the choice of the t o p i c " D e n t a l Health" as t i m e l y ; 21 rated the Technical Discussions as excellent and 1 1 as r e a s o n a b l y g o o d ; 20 said they had gained new ideas in concept, and 13 had g a i n e d s o m e ,
2 Л S e l e c t i o n of subject for the Technical Discussions in 1962
T h e R e g i o n a l D i r e c t o r h a d presented for consideration by the Committee a number of p o s s i b l e subjects for the T e c h n i c a l Discussions in 1962, These were considered b y the C o m m i t t e e and "The role of health services in the improvement of community w a t e r supplies" w a s selected as the topic for discussion at the n e x t meeting of the C o m m i t t e e . (See r e s o l u t i o n W P / R C 1 2 , R 1 0 . )
T h e r e p o r t o n the T e c h n i c a l D i s c u s s i o n s appears in Annex 4 . PART V . R E S O L U T I O N S ADOPTED B Y THE COMMITTEE W P / R C 1 2 . R 1 P R I O R I T I E S IN PROGRAMME
T h e R e g i o n a l C o m m i t t e e ,
H a v i n g considered the question of priorities in programme in a c c o r d a n c e w i t h the r e q u e s t of the Fourteenth World Health A s s e m b l y , 1 . C O N S I D E R S t h a t the present procedure being followed in the Region is s a t i s f a c t o r y ; and
2.. R E A F F I R M S t h a t the criteria approved by the Regional Committee at its n i n t h s e s s i o n p r o v i d e sufficient guidance to governments and the R e g i o n a l D i r e c t o r as far as the establishment of programme priorities
i n the R e g i o n is c o n c e r n e d .
W P R H a n b . R e s . 2nd e d . , 1 . 1 Л ⑶ Fourth m e e t i n g , 5 September 1961
1 R e s o l u t i o n W P / R C 9 . R 5
WP/RC 12/15 R e v. L page 9
the progress w h i c h h a s b e e n made in the h e a l t h field d u r i n g past ten years :
(2) the yearly increase in the n u m b e r of fellowships awarded；
(3) the attention being g i v e n to activities in the field of n u t r i t i o n ;
2 . EMPHASIZES the importance of:
(1) a flexible approach to programme p l a n n i n g , bearing in mind the great differences in the socio-economic d e v e l o p m e n t of the countries in the R e g i o n ;
(2) the development of r u r a l public h e a l t h services as p a r t of a comprehensive and integrated h e a l t h programme；
(3) the co-ordination of preventive and curative services in the field of maternal and child h e a l t h ;
EXPRESSES the hope that the p r o m o t i o n of m e n t a l h e a l t h w i l l r e c e i v e the necessary recognition in the long-range h e a l t h programme；
k . SUGGESTS that leprosy should be an early subject for t h e T e c h n i c a l D i s c u s s i o n s ;
5 . CONGRATULATES the R e g i o n a l D i r e c t o r and his staff on the p r e p a r a t i o n of a comprehensive and detailed R e p o r t , w h i c h provided an excellent summary of activities over the last ten y e a r s ;
6 . ADOPTS unanimously the R e p o r t •
WP/RC 12.R2 A N N U A L REPORT OF THE R E G I O N A L D I R E C T O R T h e R e g i o n a l C o m m i t t e e ,
Having reviewed the E l e v e n t h A n n u a l R e p o r t of the R e g i o n a l D i r e c t o r , w h i c h covered not only the activities d u r i n g the period 1 J u l y i960 t o 30 J u n e 1961 but also summarized the m a i n developments in the h e a l t h field during the first decade of the R e g i o n a l Office^
1 . N O T E S w i t h satisfaction:
( 1 ) the
W P R H a n d b . R e s . 2nd e d ” 2.2.11 F o u r t h m e e t i n g , 5 S e p t e m b e r 1961
WP/RC 12/15 R e v. L page 10
W P / R C 1 2 . R ) M A L A R I A S R A D I C A T I O N m O G R A W E T h e R e g i o n a l C o m m i t t e e ,
工 H a v i n g c o n s i d e r e d t h e r e p o r t of the R e g i o n a l D i r e c t o r on the p r o g r e s s o f t h e 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 m e in the W e s t e r n Pacific R e g i o n ,
1 . N O T E S v/ith s a t i s f a c t i o n t h a t five countries in the R e g i o n , n a m e l y , C h i n a ( T a i w a n ) , N o r t h B o r n e o , P h i l i p p i n e s , S a r a w a k and the R y u k y u I s l a n d s h a v e 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 m e s ;
2 . C A L L S t h e a t t e n t i o n of all g o v e r n m e n t s operating or p l a n n i n g e r a d i c a t i o n p r o g r a m m e s t o t h e i m p o r t a n c e of c r i t i c a l e v a l u a t i o n at a l l s t a g e s , t h e n e e d f o r a w e l l - o r g a n i z e d and w e l l - s t a f f e d m a l a r i a service a n d for f u l l a n d c o n t i n u i n g support from the g o v e r n m e n t and the p e o p l e u n t i l e r a d i c a t i o n is a c h i e v e d ;
3 . E M P H A S I Z E S t h e d a n g e r of r e l a x a t i o n w h e n early success appears to m a k e c o n t i n u e d e x p e n s i v e s u p p o r t u n n e c e s s a r y ; and
4 . E X P R E S S E S the h o p e t h a t w i t h i n the n e x t y e a r , o t h e r countries in t h e R e g i o n w i l l b e a b l e to start 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 m e s ;
工工 H a v i n g r e v i e w e d the s i t u a t i o n as far as contributions to the M a l a r i a E r a d i c a t i o n S p e c i a l A c c o u n t are c o n c e r n e d ,
C A L L S o n M e m b e r g o v e r n m e n t s to c o n t r i b u t e g e n e r o u s l y to the f i n a n c i n g of t h e w o r l d - w i d e 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 m e .
W P R H a n d b . R e s . 2nd e d•，1. 2 . 1 .⑶ F o u r t h m e e t i n g , 5 September
I96I
W P / R C 1 2 . R 4 M A L A R I A E R A D I C A T I O N POSTAGE S T A M P S T h e R e g i o n a l C o m m i t t e e ,
H a v i n g d i s c u s s e d the p r o j e c t for the issuing of p o s t a g e stamps d e v o t e d to t h e 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 m e ,
1 . N O T E S t h a t f o u r c o u n t r i e s in the R e g i o n h a v e agreed to issue s u c h s t a m p s a n d t h a t a f u r t h e r four c o u n t r i e s h a v e the m a t t e r s t i l l u n d e r con- s i d e r a t i o n ;
2 . U R G E S t h e h e a l t h a u t h o r i t i e s in c o u n t r i e s w h i c h h a v e as y e t m a d e n o d e c i s i o n , to e m p h a s i z e to the p o s t a l a u t h o r i t i e s the importance of uni- v e r s a l p a r t i c i p a t i o n in t h i s p r o j e c t .
W P R H a n d b . R e s . 2 n d e d . , 1 , 2 . 1 ⑶ F o u r t h m e e t i n g , 5 S e p t e m b e r 1961
WP/RC 12/15 R e v . l p a g e 11
W P / ^ C 1 2 , R 5 E X P A N D E D P R O G R A M M E OF T E C H N I C A L A S S I S T A N C E (COUNTRY P R O G R A M M I N G P R O C E D U R E S )
T h e R e g i o n a l Committee，
H a v i n g considered the report p r e s e n t e d o n the n e w country p r o g r a m m i n g p r o c e d u r e s u n d e r the E x p a n d e d P r o g r a m m e of T e c h n i c a l A s s i s t a n c e ,
1 . NOTES;
(1) that specific information is r e q u i r e d b y the T e c h n i c a l A s s i s t a n c e B o a r d as far as the c o n t e n t o f the p r o j e c t p r o p o s a l s is concerned;
(2) that p r o j e c t s must be planned for the entire d u r a t i o n and that although the T e c h n i c a l A s s i s t a n c e C o m m i t t e e w i l l only g i v e financial a u t h o r i z a t i o n for four y e a r s at a t i m e , i n f o r m a t i o n o n the estimated d u r a t i o n of a p r o j e c t m u s t be submitted a t the t i m e of the o r i g i n a l r e q u e s t ;
2 . E M P H A S I Z E S t h a t one of the most i m p o r t a n t a s p e c t s o f country
programming u n d e r the T e c h n i c a l A s s i s t a n c e P r o g r a m m e is the r e l a t i o n s h i p of h e a l t h to the economic and social d e v e l o p m e n t of d e v e l o p i n g c o u n t r i e s ; and 3 . U R G E S the h e a l t h authorities concerned to e n s u r e that the c o n t r i b u t i o n w h i c h public h e a l t h can m a k e and d o e s m a k e to e c o n o m i c and social d e v e l o p - m e n t is made clear to the n a t i o n a l planning c o m m i t t e e s .
W P R H a n d b . R e s . 2nd e d . , 4.4 F o u r t h m e e t i n g , 5 S e p t e m b e r 1 9 6 1 W P / H C 1 2eR 6 THE I S O L A T I O N OF THE T R A C H O M A V I R U S , P R O D U C T I O N OP T R A C H O M A V A C C I N E A N D
P R E L I M I N A R Y R E S U L T S OF THE C L I N I C A L T R I A L S The R e g i o n a l C o m m i t t e e ,
H a v i n g considered w i t h interest the r e p o r t p r e s e n t e d on t h e w o r k b e i n g d o n e by the N a v a l M e d i c a l R e s e a r c h Unit-工工 in c o - o p e r a t i o n w i t h the G o v e r n - ment of China in the field of t r a c h o m a ,
E X P R E S S E S its appreciation to the G o v e r n m e n t s of the U n i t e d S t a t e s of A m e r i c a and-China for h a y i n g m a d e this, i n f o r m a t i o n a v a i l a b l e .
W P R H a n d b . R e s . 2nd ed•， 1.2,2 (3) F o u r t h m e e t i n g , 5 S e p t e m b e r I 9 6 I
WP/RC 12/15 R e v . l page 12
W P / R C 1 2 . R 7 M O D I F I C A T I O N S T O T H E I 9 6 2 R E G U L A R P R O G R A M M E A N D B U D G E T T h e R e g i o n a l C o m m i t t e e .
1 . N O T E S the m o d i f i c a t i o n s p r o p o s e d in the 1962 r e g u l a r p r o g r a m m e and b u d g e t and t h e r e a s o n s t h e r e f o r ;
2 . R E Q U E S T S t h e R e g i o n a l D i r e c t o r to i m p l e m e n t the p r o g r a m m e as a m e n d e d . W P R H a n d b . R e s ^ 2 n d e d.，3. U F o u r t h m e e t i n g , 5 S e p t e m b e r 1 9 6 1 W P / R C 1 2 . H8 P R O P O S E D PROGRAMVIE АЮ B U D G E T E S T I M A T E S FOR 1 9 6 3
T h e R e g i o n a l C o m m i t t e e ,
工 H a v i n g e x a m i n e d t h e p r o g r a m m e and b u d g e t estimates p r o p o s e d f o r the W e s t e r n P a c i f i c R e g i o n in 1 9 6 3 and the R e p o r t of the S u b - C o m m i t t e e o n P r o g r a m m e and B u d g e t ,
1 . C O N S I D E R S t h a t the p r o g r a m m e h a s b e e n w e l l - c o n c e i v e d and t h a t a s a t i s f a c t o r y b a l a n c e h a s b e e n m a i n t a i n e d among subject h e a d i n g s ;
2 . E N D O R S E S the p r o p o s e d p r o g r a m m e u n d e r the r e g u l a r b u d g e t and that p r o p o s e d to be f i n a n c e d f r o m t h e M a l a r i a E r a d i c a t i o n S p e c i a l Account；
3 . N O T E S the p r o g r a m m e p r o p o s e d t o be financed u n d e r the E x p a n d e d P r o g r a m m e o f T e c h n i c a l A s s i s t a n c e ;
A G R E E S t h a t the f o l l o w i n g i n t e r - c o u n t r y projects are i m p o r t a n t for this R e g i o n a n d should b e u n d e r t a k e n d u r i n g l965-1964：
S e m i n a r o n h e a l t h s u r v e y s and reporting S e m i n a r o n c o m p o s t i n g of o r g a n i c w a s t e s C o n f e r e n c e o f d e a n s of m e d i c a l schools;
5 • R E C O M M E N D S t h a t M e m b e r g o v e r n m e n t s w i s h i n g to p a r t i c i p a t e in any o f the a b o v e p r o j e c t s s h o u l d i n c l u d e them in t h e i r s u b m i s s i o n s in c o n n e x i o n w i t h t h e I 9 6 3 - I 9 6 4 c o u n t r y r e q u e s t s to the T e c h n i c a l A s s i s t a n c e B o a r d ;
工工 H a v i n g s t u d i e d the s u p p l e m e n t a r y list of p r o j e c t s , w h i c h w e r e b y g o v e r n m e n t s ^ i n c l u d i n g those b r o u g h t forward d u r i n g the m e e t i n g c o u l d n o t b e a c c o m m o d a t e d w i t h i n the r e g i o n a l a l l o c a t i o n s for 1 9 6 2 1 . B E L I E V E S t h a t t h e s e p r o j e c t s should b e considered p a r t of the p r o g r a m m e； and
2 . R E Q U E S T S t h e R e g i o n a l D i r e c t o r to i m p l e m e n t as many of the p r o j e c t s in t h e s u p p l e m e n t a r y list as p o s s i b l e , a s and w h e n funds are a v a i l a b l e ;
requested , w h i c h
arid 1 9 6 3 , r e g i o n a l
WP/RC12/l5 Rev.l page 13
D r H . В. T u r b o t t , Director-General of H e a l t h , and his staff the excellent arrangements made for the meeting;
(4) the Chairman and other officers of the Committee;
(5) the Chairman of the Technical D i s c u s s i o n s ,
Colonel J . Ferris F u l l e r , for his excellent planning and chair- m a n s h i p , and the other experts who served as members of the E x p e r t Panel;
(6) M r P . D o w s e , M a y o r , Lower H u t t C i t y , and members of his staff for kindly arranging the m o s t instructive visit to the fluoridation plant；
(7) the representatives of the U n i t e d N a t i o n s , the South Pacific Commission, and of the non-governmental organizations who made
statements;
(8) the Regional Director and the Secretariat for their w o r k in connexion w i t h the m e e t i n g .
Fourth meeting, 5 September 19б1 工工工 REQUESTS the Regional D i r e c t o r to transmit the proposals to the
D i r e сtor-General for his consideration for inclusion in his proposed budget for 1 9 6 3 .
WPR Handb.Res., 5.1.1 (11) Fourth m e e t i n g , 5 September 1 9 6 1
WP/RC12.R9 RESOLUTION OF APPRECIATION The Regional Committee
EXPRESSES its appreciation and thanks to:
(1) the Government and good people of New Zealand for having invited the Regional Committee to h o l d its twelfth session in Wellington;
(2) the Right Honourable the Prime M i n i s t e r , M r K . J . H o l y o a k e , for having formally opened the twelfth session of the R e g i o n a l Committee;
)
г 3 о
fx f
to accept the offer of the Government of the Philippines to as h o s t at the thirteenth session of the Committee in 19^2;
to accept the invitation of the Government of Korea to hold sixteenth session in Korea in 1965；
⑶ that both sessions w i l l be held in September of the year con- c e r n e d , the exact dates to be decided by the Regional Director in consultât ion w i t h the government concerned.
WP/RCI2/15 R e v . l page ЗЛ
W P / R C 1 2 . R 1 0 T E C H N I C A L DISCUSSIONS T h e R e g i o n a l Committee
1 . NOTES the report on the Technical Discussions;
2. EXPRESSES its appreciation to Colonel J . Ferris Fuller for having so ably served as C h a i r m a n ; and to the other experts who served as members of the E x p e r t Panel;
3 . D E C I D E S that the subject of the Technical Discussions in 19б2 shall be "The R o l e of Health Services in the Improvement of Community Water Supplies1 1 ； and
4 . ACCEPTS the r e p o r t .
W P R / H a n d b ^ R e s . 2nd e d . , 5.5.2 (9) Fourth meeting, 5 September 1961 W P / R C I 2 . R I I T I M E , PLACE AND DURATION OP THIRTEENTH, FOURTEENTH AND SIXTEENTH
SESSIONS OF T H E REGIONAL COMMITTEE T h e R e g i o n a l Committee
1 . REAFFIRMS the policy followed in the past that every second year the meeting should be held at regional headquarters；
2 . EXPRESSES its appreciation to the Government of the Philippines for its offer to act as h o s t during the thirteenth session and to the Government of K o r e a for its invitation to hold the sixteenth session in Korea in 19б5；
CONFIRMS its acceptance of the invitation of the Government of Australia t h a t the fourteenth session of the Committee will be held in Port M o r e s b y , P a p u a , in September 1963； and
4 . D E C I D E S :
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/ t
)/ s
1
С 2 t
/ Г Ч a r
v i
W P R H a n d b . R e s . 2nd e d . , 5.5.2 (12) Fourth meeting, 5 September 1961
A G E N D A
1 , Opening of the t w e l f t h s e s s i o n o f the R e g i o n a l C o m m i t t e e A d d r e s s by retiring C h a i r m a n
WP/RCI2/15 R e v . l A N N E X 1
p a g e 1
(WP/RCI2/1 R e v . l )
2 . A d d r e s s b y the D i r e c t o r - G e n e r a l
З. E l e c t i o n of n e w officers: C h a i r m a n , V i c e - C h a i r m a n and R a p p o r t e u r s
4 . A d d r e s s by incoming C h a i r m a n
5 . A d o p t i o n of the p r o v i s i o n a l and s u p p l e m e n t a r y a g e n d a W P / R C I 2 / 1 W P/ R C I 2 / 1 A d d#l 6 . T e c h n i c a l D i s c u s s i o n s
6 . 1 S t a t e m e n t by the C h a i r m a n of t h e T e c h n i c a l D i s c u s s i o n s
6 . 2 A c c e p t a n c e of the P r o g r a m m e for T e c h n i c a l
D i s c u s s i o n s W P / R C I 2 / T D 7 7 • E s t a b l i s h m e n t of the S u b - C o m m i t t e e o n P r o g r a m m e and
B u d g e t
8 . A c k n o w l e d g e m e n t by the C h a i r m a n of b r i e f r e p o r t s received from g o v e r n m e n t s o n the p r o g r e s s o f t h e i r h e a l t h activities
9 . Statements by r e p r e s e n t a t i v e s of the U n i t e d N a t i o n s , the S p e c i a l i z e d A g e n c i e s and the S o u t h P a c i f i c C o m m i s s i o n 1 0 . R e p o r t of the R e g i o n a l D i r e c t o r
11• R e v i e w of the p r o p o s e d p r o g r a m m e and b u d g e t for 1 9 6 2 in the light of p r e s e n t budgetary a d j u s t m e n t s and consideration of amendments p r o p o s e d by M e m b e r countries
1 2 . Proposed p r o g r a m m e and budget e s t i m a t e s for the financial y e a r 1 J a n u a r y - D e c e m b e r 196З
V/P/RCI2/2
W P/ R C I 2/ 3 W P / R C 1 2 / 4
W P / R C 1 2 / 4 C o r r . l 1 3 . P r i o r i t i e s in p r o g r a m m e W P/ R C I 2/ 5
WP/RC12/15 R e v . l Annex 1
page 2
l 4# 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 m e s 1 5 • M a l a r i a e r a d i c a t i o n p o s t a g e stamps
l 6 • R e s o l u t i o n s o f r e g i o n a l interest adopted by t h e t w e n t y - s e v e n t h and t w e n t y - e i g h t eessions of t h e E x e c u t i v e B o a r d and t h e F o u r t e e n t h W o r l d H e a l t h A s s e m b l y
1 7 • T h e i s o l a t i o n of t h e t r a c h o m a v i r u s , production of t r a c h o m a v a c c i n e and p r e l i m i n a r y results of the c l i n i c a l t r i a l s
l 8# E x p a n d e d P r o g r a m m e of T e c h n i c a l A s s i s t a n c e (country p r o g r a m m i n g p r o c e d u r e s )
1 9 • S t a t e m e n t s b y r e p r e s e n t a t i v e s o f non-governmental o r g a n i z a t i o n s in o f f i c i a l relations w i t h W H O 2 0 , C o n s i d e r a t i o n of the r e p o r t presented b y the Sub-
C o m m i t t e e o n P r o g r a m m e and B u d g e t
2 1 • C o n s i d e r a t i o n of t h e r e p o r t p r e s e n t e d by the T e c h n i c a l D i s c u s s i o n G r o u p
2 2 . T i m e , p l a c e and d u r a t i o n of t h i r t e e n t h and f o u r t e e n t h sessions of the R e g i o n a l Committee 2 5 • O t h e r b u s iness
2斗. A d o p t i o n of t h e d r a f t r e p o r t of the Committee
WP/RCI2/6 WP 加 12/7
W P / R C 1 2 / 8
WP/RCI2/9 WP/RCI2/1I
WP/RCI2/13
W P / R C 1 2 / I 4
WP/RCI2/1O
WP/RCI2/15 Rev.l 2 5 . A d j o u r n m e n t
Wp/rCI2/i5 Rev.l
LICT OF REPRESENTATIVES LISTE D E S REPRESENTANTS
ANNEX 2 page 1
(WP/RC12/12)
REPRESENTATIVES OF MEMBER STATES REPRESENTANTS DES ETATS MEMBRES •
AUSTRALIA AUSTRALIE
D r H . E , D o w n e s
Assistant Director-General of Health Department of Health
Canberra, Australia M r R . Harris
Assistant Superintendent and Head Department of Preventive Dentistry United D e n t a l Hospital
S y d n e y , Australia
(Chief Representative) (Chef de délégation)
(Adviser/conseiller)
CAMBODIA CAMBODGE
D r Thor Peng Thong
Directeur du Service de Santé Phnom-Penh, Сambodge
(Chief Representative) (Chef de délégation)
M • Sum-Vadhanayu Chirurgien-dentiste Phnom-Penh, Cambodge CHINA
CHINE
D r C . K . Chang Director
Department of Health Administration
Ministry of Interior T a i w a n , Republic of China
(Chief Representative) (Chef de délégation)
D r С. H . Y e n
Commissioner of Public Health Taiwan Provincial Government T a i w a n , Republic of China
FRANCE Médecin-Colonel L . Caillard
Directeur de la Santé Publique de la Nouvelle-Calédonie
N o u m é a , Nouvelle-Calédonie
WP/RC12/l5 Rev.l Annex 2
page 2
J A P A N J A P O N
D r N . N a g a t o m o
C h i e f , M e n t a l H e a l t h S e c t i o n P u b l i c H e a l t h B u r e a u
M i n i s t r y o f H e a l t h and W e l f a r e T o k y o , J a p a n
M r К. W a t a n a b e
A s s i s t a n t C h i e f L i a i s o n O f f i c e r I n t e r n a t i o n a l A f f a i r s
M i n i s t e rf s S e c r e t a r i a t
M i n i s t r y o f H e a l t h and W e l f a r e Tokyo， J a p a n
M r H . A n d o T h i r d S e c r e t a r y E m b a s s y o f J a p a n
W e l l i n g t o n , N e w Z e a l a n d
(Chief R e p r e s e n t a t i v e ) (Chef d e d é l é g a t i o n )
( A l t e r n a t e / S u p p l é a n t )
( A l t e r n a t e / S u p p l é a n t )
K O R E A C O R E E
D r S . W . Y u n
C h i e f o f P u b l i c H e a l t h S e c t i o n
M i n i s t r y o f H e a l t h and S o c i a l A f f a i r s S e o u l , K o r e a
M A L A Y A D r W . Je J e s u d a s o n
M A L A I S I E D e p u t y D i r e c t o r of M e d i c a l S e r v i c e s (Health) F e d e r a t i o n of M a l a y a
D r I b r a h i m b i n H a j i Y a s i n
A c t i n g A s s i s t a n t D i r e c t o r of M e d i c a l S e r v i c e s (Dental)
F e d e r a t i o n o f M a l a y a N E T H E R L A N D S
P A Y S - B A S
D r 0 . J . M . K r a n e n d o n k
D e p u t y D i r e c t o r o f P u b l i c H e a l t h D e p a r t m e n t of H e a l t h
N e t h e r l a n d s N e w G u i n e a N E W Z E A L A N D
N O U V E L L E - Z E L A N D E
D r H . В. T u r b o t t (Chief R e p r e s e n t a t i v e ) D i r e c t o r - G e n e r a l of H e a l t h (Chef d e d é l é g a t i o n ) D e p a r t m e n t o f H e a l t h
W e l l i n g t o n , N e w Z e a l a n d
D r D . P . K e n n e d y ( A l t e r n a t e / S u p p l é a n t ) D i r e c t o r
D i v i s i o n o f P u b l i c H e a l t h D e p a r t m e n t o f H e a l t h W e l l i n g t o n , N e w Z e a l a n d
WP/RC12/15 Rev.l Annex 2
page 3 .
D r J . C . Thieme Director of Health Western Samoa
Colonel J . Ferris Fuller (Alternate/suppléant) Director of Dental Services
New Zealand N a v y , Army and Air Forces Wellington, New Zealand
(Alternate/Suppléant)
PHILIPPINES D r E . Valencia Secretary of Health Department of Health Manila^ Philippines
(Chief Representative) (Chef de délégation)
Dr E . L . Villegas ( A It ernat е/Suppl éant ) Medical Adviser and Officer-in-Charge
of International Health • Department of Health
M a n i l a , Philippines
D r E . Sisón (Alternate/suppléant) Regional Dental Supervisor
Department of Health Manila
UNITED KINGDOM D r P . W . Dill-Russell, C . B . E " O.St.J. Chief Representative) ROYAUME-UNI Director of Medical Services and (Chef de délégation)
Inspector-General
South Pacific Health Service Suva, Fiji
D r Abdul Wahab bin M d . Ariff State Medical Officer
Brunei
D r D . A . Baird, O . B . E .
Director of Medical Services Medical and Health Department Kuching, Sarawak
M r W.' H . Burndred Dental Surgeon Hong Kong
D r L . J . Clapham, С.B.E.
Director of Medical Services Medical Department
Jesselton, North Borneo
WP/RC12/l5 Rev.l Annex 2
page 4
M r D . M . Ellerton Senior Dental Officer S u v a , Fiji
M r Kwong S e a Yoong
D e n t a l Officer for Schools B r u n e i
U N I T E D STATES OF AMERICA
ETATS-UNIS D'AMERIQUE
D r A . S . Osborne
Chief,工international Organizations Relations Branch
D i v i s i o n of International Health Public Health Service
Department of Health, Education and Welfare
Washington 2 5 , D . C . D r J . E . Kennedy
Chief Public Health Officer United States Operations Mission Phnom-Penh^ Cambodia
Captain R . A . Phillips '
M e d i c a l C o r p s , United States Navy Commanding Officer
N a v a l Medical Research U n i t
工工
T a i w a n , Republic of China(Chief Representative) (Chef de délégation)
(Alternate /suppléant)
(Adviser/conseiller)
V I E T N A M D r Le-Cuu Truong
V T E T - N A M Directeur général de la Santé et des Hôpitaux
Saigon^ Viet-Nam
工工
. REPRESENTATIVES OF THE UNITED NATIONS AND SPECIALIZED AGENCIESREPRESENTANTS DES NATIONS UNIES ET DES INSTITUTIONS SPECIALISEES
UNITED NATIONS N A T I O N S UNIES
M r G . Bartels
U N I C E F / T A B Representative MLC Building
Sydney, Australia U N I T E D NATIONS CHILDREN'S FUND
FONDS D E S NATIONS UNIES POUR L'ENFANCE
M r G . Bartels
U N I C E F / T A B Representative MLC Building
Sydney, Australia
WP/RC12/15 R e v. L Annex 2
page 5
工工I. REPRESENTATIVES OP OTHER 工NTEH-GOVERNMENTAL ORGANIZATIONS AND OF NON-GOVERNMENTAL ORGANIZATIONS
REPRESENTANTS D!A U T R E S ORGANISATIONS INTER-GOUVERNEMENTALES ET NON-GOUVERNEIVÎENTALES
INTERNATIONAL COMMITTEE OP MILITARY MED工CINE АШ) PHARMACY
COMITE INTERNATIONAL D E MEDECINE ET DE PHARMACIE MILITAIRES
Brigadier F , L . Hutter Director-General
M e d i c a l Services of the Armed Forces
Wellington^ New Zealand
INTERNATIONAL ASSOCIAT工ON FOR THE PREVENT工ON OF BLINDNESS
ASSOCIATION INTERNATIONALE DE PROPHYLAXIE DE LA CECITE
D r R . G . 8 . The Terrace Wellington^
Ferguson New Zealand
INTERNATIONAL С01Ш1ТТЕЕ OF CATHOLIC NURSES COMITE INTERNATIONAL CATHOLIQUE DES
INFIRMIERES E T ASSISTANTES MEDICO—SOCIALES
M i s s N。 P。 Fitzgibbon
M e m b e r , Catholic Nurses Guild of N e w Zealand
Vice-President of CICIAMS for the Western Pacific R e g i o n
D u n e d i n , N e w Zealand INTERNATIONAL COUNCIL OP NURSES
CONSEIL INTERNATIONAL D E S INFIRMIERES
M i s s F。 J\ Cameron Director
Division of Nursing Department of Health Wellington^ N e w Zealand INTERNATIONAL DENTAL FEDERATION
FEDERATION DENTAIRE INTERNATIONALE
Sir J o h n P。 W a l s h
Dean；- Faculty of D e n t i s t r y University of Otago
D u n e d i n , N e w Zealand INTERNATIONAL FEDERAT工ON OF GYNECOLOGY AND
OBSTETRICS
FEDERATION INTERNATIONALE DE GYNECOIOOIE ET D f OBSTETRIQUE
D r H . M . Carey
Professor and Head of School Postgraduate School of Obstetrics
and Gynaecology
The University of Auckland National Women's Hospital A u c k l a n d , N e w Zealand
W P / R C 1 2 / I 5 R e v . L
A n n e x 2 page 6
I N T E R N A T I O N A L SOCIETY FOR THE REHABILITATION O P T H E DISABLED
M r P . Carroll
Secretary, New Zealand Crippled Children Society (Inc.)
Wellington, New Zealand I N T E R N A T I O N A L U N I O N FOR H E A L T H EDUCATION
U N I O N INTERNATIONALE POUR L'EDUCATION SANITAIRE
D r С. N . Derek Taylor Director
Division of Health Education Department of Health
Wellington, New Zealand LEAGUE OP RED CROSS SOCIETIES
L I G U E D E S SOCIETES DE LA CROIX-ROUGE
M r M . S . Galloway
Former Secretary-General
The New Zealand Red. Cross Society Wellington, New Zealand
M E D I C A L WOMEN'S INTERNATIONAL ASSOCIATION A S S O C I A T I O N INTERNATIONALE D E S FEMMES
M E D E C I N S
D r M . Buchler 2 Myrtle Street Lower Hutt
Wellington, New Zealand D r E . Hughes
29 Princes Street Auckland, New Zealand SOUTH PACIFIC COMMISSION
C O M M I S S I O N D U PACIFIQUE SUD
D r W . Norman-Taylor
Acting Executive Officer for Health South Pacific Commission
Noumea, New Caledonia W O R L D CONFEDERATION FOR PHYSICAL THERAPY
CONFEDERATION MONDIALE D E PHYSIOTHERAPIE
Miss J . C . McGrath
c/o Department of Health Wellington, New Zealand W O R L D FEDERATION FOR M E N T A L HEALTH
F E D E R A T I O N MONDIALE POUR LA SANTE MENTALE
D r A . Stoller
Chief Clinical Officer
Mental Health Research Institute Victoria, Australia
WP/RC12/l5 Rev.l Annex 2
page 7
WORLD FEDERATION OP OCCUPATIONAL THERAPISTS Miss F . Rutherford
FEDERATION MONDIALE DES ERGOTHERAPEUTES Principal, Occupational Therapy Training School
c/〇 Auckland Mental Hospital Auckland， New Zealand
Miss M . Bamford
Inspecting Occupational Therapist Division of Physical Medicine Department of Health
Wellington, New Zealand WORLD FEDERATION OP SOCIËTIEIS OF
ANAES'THESIOLOGISTS
FEDERATION ]У1〇Ш1АГЕ DES SOCIETES D 1AKESTHESIOLOGISTES
Dr A . A . Tennent 25 Moxham Avenue
Wellington, New Zealand
VJORLD FEDERATION OF UNITED NATIONS ASSOCIATIONS
FEDERATION MONDIALE DES ASSOCIATIONS POUR IES NATIONS UNIES
Sir John P «, Walsh
D e a n , Faculty of Dentistry University of Otago
Dunedin, New Zealand WORLD MEDICAL ASSOCIATION
ASSOCIATION MEDICALE MONDIALE
D r С. J . Ross-Smith
Federal Council of the British Medical Association in Australia Sydney, Australia
WORLD VETERINARY ASSOCIATION D r I . J • Cunningham
Assistant Director-General of Agriculture
Department of Agriculture Wellington, New Zealand
WP/RC12/I5 Rev.L ANNEX 3
page 1
( W P / R C1 2/ 1 3 )
REPORT OF THE SUB-COMMITTEE ON PROGRAMME AND BUDGET 1. INTRODUCTION
The Sub-Committee on Programme and B u d g e t , composed of representatives from
Cambodia, China, J a p a n , Malaya, New Zealand, Philippines, United Kingdom and V i e t N a m , held two meetings on 31 August and 4 September 1961 under the chairmanship of
D r E . Valencia• It discussed the following items:
(i) Review of the regular programme and budget for 1962 in the light of present budgetary adjustments and consideration of amendments proposed by Member countries
( Ü ( m
(iv (v (vi
Proposed programme and budget estimates for the 1965 regular programme Malaria Eradication Special Account
Supplementary list of projects
Expanded Programme of Technical Assistance Special Account for the Community Water Supply
and Representatives from Australia, Netherlands, the South Pacific Commission four of the non-governmental organizations in official relations with WHO also attended.
2 . DISCUSSION
2.1 Review of the regular programme and budget for 1962 in the light of present budgetary adjustments and consideration of amendments proposed by Member countries (document WP/RCI2/))
The Sub-Committee noted that the modifications made were due to the following factors: the decision of the World Health Assembly to transfer the administrative and operational costs of the Malaria Eradication Special Account to the regular budget as from January 1961, which would mean an increase of nine posts including one inter- national post; the decision of the Director-General to close the Singapore Epidemio- logical Intelligence Station as of January 1962, which would result in the abolishment of six local posts; the need to provide for an additional medical officer in 1961，
which would be a continuing charge• These modifications accounted for an additional requirement of $ 17 9 2 4 . The increased provision for duty travel related to the duty travel costs for staff transferred from the Malaria Eradication Special Account and did not indicate an increase in duty travel for the Regional Office s t a f f .
WP/RC 12/15 R e v . 1 A n n e x 3
page 2
A s far as field activities were concerned, there were no significant changes in the staffing pattern other than the addition of a secretary for a regional adviser and two clerk-typists in the A r e a RepresentativeT s office in Singapore resulting in an increase of approximately $ 2 0 0 0 .
The modifications made to the country programmes were the result of discussions and agreements between the Organization and Member governments, the advance award of some fellowships to 1961， revised requirements in connexion with the contributions to the U n i t e d Nations Pension Fund and, finally^ changes in the average costing for short- term consultants•
T h e Representative of the Netherlands referred to the deletion of the dental h e a l t h fellowship for Netherlands New Guinea. Assistance in the field of dental h e a l t h was now being provided by the Netherlands Government in the form of fellowships at the D e n t a l Training S c h o o l , S u v a , Fiji• WHO assistance was not therefore now required for dental health education.
A question was raised as to the extent the services provided by the Singapore Epidemiological Intelligence Station would be affected by the Director-Generalfs d e c i s i o n to curtail its operation.
T h e Assistant Director-General assured the Sub-Committee that with the new arrangement there would be no reduction in the functions or responsibilities under the International Sanitary R e g u l a t i o n s .
D e c i s i o n : T h e Sub-Committee agreed to recommend to the plenary session that these modifications should be incorporated into the 1962 programme, and that the R e g i o n a l Director should be requested to implement the pro- gramme as a m e n d e d .
2,2 Proposed programme and budget estimates for 1963 regular programme
( d o c u m e n t W P / R C 1 2/ 4 ) ^ ^一—^ “ T h e Committee noted that the total proposed budget for 1965 was $ 1 825 2 8 0 . T h e p r o p o s a l for 1963 represented an increase of $ 426，or 7-95 per cent.
，against
t h a t of 19б2, Of this t o t a l , the amount proposed for field activities was$ 1 5 8 0 235，representing a 9*86 per c e n t . increase over that of 1962，while that proposed for the R e g i o n a l Office was $ 445 045^ an increase of 2.45 per cent, over that of 1962 w This was in line with the Regional Director ' s policy of keeping the staffing pattern of the administrative side of his office to the minimum level and providing as much technical assistance as possible to Member governments.
WP/RC12/Í5 R e v . l Annex 3
page 5
The Regional Office (pages 3-8)
There was no change in the number of posts proposed in the Regional O f f i c e , which remained at 5 8 .
Duty travel costs remained the same as in previous years; h o w e v e r , home travel costs showed a slight increase as a result of the home leave schedule of the inter- national staff• It might, in future， be necessary to increase the item "allowances"
as a result of future changes in the cost of living in Manila• T h i s , h o w e v e r , could not be foreseen at the time of the presentation of the document and the same level as in previous years h a d , therefore, been maintained.
Attention was drawn to a change in the title of some staff members in the Regional Office. Formerly the Director of the Bureau of Health Services was assisted by three public health administrators. Recently, there had been many questions regarding the nomenclature of the posts, and it had been thought more realistic to give this post a functional title rather than something v a g u e . The Director-General had approved the suggestion that there should be two or three
assistants to the Director of Health Services and, as the public health administrators actually served in this capacity, it seemed more appropriate to call them w h a t they actually w e r e . A change had therefore been made in the functional titles of the staff members concerned, The three public health administrators had thus been replaced by two assistant directors of health services and one regional adviser on public health administration (the latter appearing under "Regional Advisers") to handle all matters pertaining to public health administration.
Regional Advisers (pages 9-12)
The post of regional adviser in health education had been suppressed in 1959•
The Regional Director now proposed to reinstall this in 1963. In addition, an
increase in the number of сlerk-stenographers and clerk-typists was proposed in order to deal with the ever-growing volume of work resulting from the wider distribution of technical and information material to Member governments. Duty travel estimates would be increased by $ 2000. There w o u l d , on the other h a n d , be a slight decrease
in home leave requirements. The total requirements, therefore, represented merely a slight increase over that of 1962.
Area Representatives (pages 15-l6)
No change was proposed in the staffing pattern. Duty travel expenses would be maintained at the same level as in 1961 and 1 9 6 2 .
Country projects (pages 17-116)
Note was taken of a working document WP/rc 12/p&B/2 (see Annex 1) which contained an analysis of field activities for 1963. As in previous y e a r s , the field of public health administration had the largest share of funds, with a percentage of Jl.75^
followed by nursing 11.55 per cent., tuberculosis 9*56 per cent.， maternal and child health 6.6 per cent. and environmental sanitation 5 - 9 per cent.
WP/RC 12/15 R e v . 1 A n n e x 3
page 4
Inter-country programmes (pages 118-133)
In addition to such inter-country projects as the yaws and tuberculosis teams which would visit various countries, the following inter-country seminars or
training courses were proposed by the Regional Director: (l) seminar on immunization in the control of communicable diseases, (2) seminar on the role of the hospital in the public health programme^ and (5) training course on epidemiology and bacteriology of enteric infections.
D e c i s i o n : The sub-Committee decided to rocommend to the main Cominittee the approval of the programme and budget for 1963 as proposed by the R e g i o n a l D i r e c t o r .
2.5 M a l a r i a Eradication Special Account (document WP/RC12/4)
T h e Sub-Committee was informed that the Malaria Eradication Special Account (MESA) had- been established to supplement the malaria eradication programmes already included in the regular and Technical Assistance budgets. The total shown under MESA for malaria eradication projects in I963 was $ 6l8 896; an amount of $ 49 795 w a s allocated under the regular budget, and $ 1斗9 701 under the Technical Assistance budget•
T h e M a l a r i a Eradication Special Account was a voluntary fund and the implemen- tation of the proposed programmes depended upon the availability of funds; also, further agreement had to be reached between the governments concerned and the Organization before these programmes could be implemented. Modifications could, therefore， be expected as these programmes developed in the following years•
The Sub-Committee noted that a correction had to be made to the text covering the Sarawak malaria eradication project. The phrase "malaria programme until i960"
in the fifth line was f "tiler*Gfore，a.n"iGnd©d. "toТ1ша1а.зг1э. progr'ammG "urrfcil . The attention of the Sub-Committee was drawn to the fact that the Organization w a s not in a position to allocate funds for a project unless a plan of operation had been agreed upon and signed by the government concerned and the Organization. The 1963 programme w a s , therefore, a tentative one and only when the criteria established by the Organization had been agreed on by the government would a definite allocation of funds be m a d e .
The Assembly resolution covering the gradual transfer of malaria programmes to the regular programme was discussed in some detail. The Assembly had proposed that in 1962 the Director-General would add into the regular budget the amount of
$ 2 ООО 000 for activities under M E S A , which meant that to the extent of
$ 2 ООО 000 these activities would be implemented in 1962 by funds made available from the regular budget of the Organization. For the 1963 programme, the Assembly
V/p/RC12/l5 R e v . l Annex 3
page 5
had agreed that the amount of $ 4 ООО 000 should be included in the regular budget of WHO for the same purpose. The entire expenditure under the Malaria Eradication
Special Account, which might exceed $ 4 000 000 would be incorporated into the regular budget from 196斗 onwards. As could be seen, therefore> there were three stages. The whole malaria eradication programme in the Special Account could not be transferred in one or two years. It w a s , therefore, necessary to continue to show in 1963 the expenditure under the Malaria Eradication Special Account^ instead of in the regular budget.
Decision: The Sub-Committee decided to recommend approval of the proposed programme and budget under the Malaria Eradication Special Account.
2.4 Supplementary list of projects (document WP/RC12/4
： pages 170-194)
The Sub-Committee was informed that requests for assistance from Member govern- ments usually exceeded the funds available and it was accordingly necessary to relegate some of these requests to the supplementary list for implementation in the future should savings become available. The list before the Sub-Committee consisted of requests made by Member governments in 196l, 1962 and 1963. Those projects w h i c h would be undertaken in 1961 and 1962 had been cleared by the respective governments before the programme and budget document had been prepared, and 1963 projects were those included in the original requests which could not be accommodated in the regular budget.
The Sub-Committee noted that two additional requests were to be added to the list (l) in connexion with an environmental sanitation project in China which would cost
$ 29 537 in 1962 arid $ 13 757 in 1963； (2) a fellowship in 1962 to permit a medical officer in Malaya to visit Indonesia, Taiwan and the Philippines for seven weeks to observe the treponematoses control programmes in those countries - this would cost
$ 900.
Decision; The Sub-Committee decided to report to the plenary session that it was satisfied with the supplementary list of projects as listed and amended.
2.5 Expanded Programme of Technical Assistance (document WP/RC.12/4: pages 1-1J2;
and Annex A, pages 1б2-1б9)
The Sub-Committee noted that the proposed programme under Technical Assistance for 1963 was based on information received from Member governments and was at this stage highly tentative. At the present time no country target figures had been established and the final amounts governments would receive for their health activities could not be forecast with any degree of precision. Requests under the Technical Assistance programme and budget were made by Member governments direct to the Technical Assistance Board， except in the case of inter-country programmes.
