Briefing for WHO Representatives

on the Sixteenth Meeting of the

Regional Consultative Committee and on the

Thirty-ninth Session of the Regional Committee for the

Eastern Mediterranean

WORLD HEALTH ORGANIZATION Regional Office for the Eastern Mediterranean

CONTENTS

Reglonal Consultative Committee

Functions of the Regional Consultative Committee S~xteenth Meeting of the RCC

Reglonal Committee far the Eastern Medlterranean

Functions of the Regronal Commlttee Th~rty-ninth Session of the Reglonal C~mriittee L~st of Resolutcns Ltsi of Decrslons Resolut~ons (actual text) Decis~ons (actual text)

REGIONAL CONSULTATIVE COMMlllEE

Functions of the Regional Consultative Committee The Regmnal Consultattve Committee (RCC) was fmt established followmg a cesoluuon

adopted by the lhrwh Session of Regional Commlaee m 1983. It IS unnm ofe~ght members. des~gnated by the Regronal Dmaor, acung In theu own personal capac~ty, that IS, they do not represent them governments The terms of reference of the RCC rnclu& advising the Regmnal Dmcm on polrcy and s&ategy m the Regton for the &velopment of t e c W cmpemt~on among developing countries (TCDC), preparing the programme budget, revlewmg methods of work of the Reglonal Committee, and any other matters referred to ~t by the Reg~onal Drrector Membersh~p IS mlually for two years for half of the members, and three years f a the other half The RCC mee4s once a year. usually in late Augudearly September'.

Sldeenth meetlng of the RCC

The S~xteenth Meetlng of the Reg~onal Consultattve Comm~ttee was held In the Regmai Office. Alexandria, Egypt, on 31 August and 1 September 1992 The RCC reviewed the follow- up acttons taken on Ihe recwnmendattons of the earlla RCC meemgs The mam agenda items dwussed at the meetmg were on

The Proposed Programme Budget for the F m d Penod 1994-1995 for the Eastem Mdterranean Re~on. Smeges for Pmmotmg Self-Rehawe m Health. Shanng of Informauon m Consultancy Reports An Integrated Approach to Health and Med~d Educaaon

The followmg was agreed upon m the ~ I S C U S S K ) ~ ~

@ng the proposed programme b w for 1994-1995, the RCC recommended that commun~ty mvolvement be mcluded as an ad&ttonal cnlen~n for mome allocatton. ngardmg the decreasing funds avadabk dunng the prev~ous b m w the RCC recommended tahng m o n to ensure that the regronal share of WHO'S global regular budget be mcmad to 70-755, the RCC recommended that measures be taken to ensure that the budgetary rates of exchage are the most reahmc pcwble. -.L

the RCC recommended that counmes that had benefited fmn unspent funds allocated lo cwnmes affected by calammlues, m~ght share part of theu future budgets wlth these counmes, when theu lmplunentanon capac~ty has been regenmted, the RCC reammended that Member Srates should develop appropriate approaches to promote m&vldual and community self-nhance m health through healthy Me-styles. family self-me and health educauon. Self-rehawe at nat~onal level could be adueved m

the areas of whole blood and blood components, mtenance and rep;ur of medrcal and laboratory equlpment and human resources far health. at mtemuntry and reg~onal levels, the RCC recommended pr0gramm.s m vacclne producnon and q d t y assurance, pmduchon of essentral h g s , lncludmg h e h l mdanes. producnm of basic laboratory and fiologlcal equlpment. and producnon of blood pmdwts, the estabhshment of an Advisory C o m m a on Drug Produrnon was also corlSl&.red useful, the RCC noted that there was a wealth ofmfamauon m cnnsultants' assignment repons that could also be of benetit to other counmes, and recommended the Reponal Comm~ttee to authorize EMRO to cuculate, at regular mtervals, a compWon of selected Execuhve Acuon Documents (I e , summary exaafts of assignment repons), after ensunng any necessary clearances limn the government conmned, re- an mtegrated approach to health and mdcal edwaam. the RCC felt that wh~le full mtegrauon would be an ideal u l m t e goal, a gradual step-by-step approach, stamng wlth mtegrauon at the dellvery level, mlght be more pracncal. 11 recommended that c o o r ~ o n / m t e ~ o n at the health dehvery level, m l d u e s hosmg one or more mdcal schools, should be considered whenever feasible, and that the estabhshment of a "Jomt Health Serv~ces and Med~cal Educauon Baard", m such l d u e s , should be encouraged. the RCC noted with deep concern the temble s l m o n m Afghan- and Somaha and endorsed the Regional Dsrector's plans for keepmg n a m d health persannel m those counmes, and urged the full use of "basrc muurnurn needsn pro~ects m those countries, and the conhnwon of WHOEMRO achvlhes m stable areas

REGIONAL COMMllTEE FOR THE EASTERN MEDITERRANEAN

Functions of the Regional Committee The Reg~onal Committee (RC) f a the Eastern Med~terranean IS the mam g o v m g body on

policy miters for the WHO Eas~un Mdtemmean Regton It a h supe~ses the XXIVI~XS of the Reponal Office Its func~10lls mclude.

a) to formulate pollcles govermng mattem of an wclusvely R@OIUI charauer; b) to supwrse the acames of the Regmal Omce. c) to suggest to the Regmnal Office the mvmlng of techcal confmnms and such

work or m m m o n m health matters as. m the mum dthe R e d Camnuttee. would - p r o m o t e t h e o ~ m v e s o f t h e ~ o n w n t h ; l t h e ~

d) to eooDeratc wnth other WHO Remonal Cannutrees and wlth those of other Umted N- ' s p e c r s i z a d a g ~ l e s a n d w n t h & r e ~ m ~ ~ ~ h a v l a g t n m w t p m canmon anth the olplaulon.

e) to tender adwce, through the Dm~orGeneral, to the OrgatuzatKn on mtematiod health maaa~ that have wnda-thm-nmonal smruficance.

f) to -mend addmonal & app&&~cms by the governments of countries m the Rep0n.f the~onofthecenwlbdgetoftheOrgaruPrttonelloaeds~l~entu, c a n y o U t n @ U

g) such other funmum 8s may be delegated to ihe Regaond (lnnmw by the World Health Assembly, the Execuf~ve Board a the ~~ 'Ihe EMR Regmd Comrmttee ~mdallManberStatesfomungtheWHOEastcmM~ean&pon

The Reg~onal h t o r IS the ex@cm Swetary of the Repd Canmlttee The Regumal Commluee meets annually (usually m early Octoba), ather m one of the EMR

Memba States or m the Reg~onal Office, m acmduw wth the mvltahon rectlved

Thirty-ninth Session of the Regional Committee The Thuty-mth Sess~on of the Regrod Com~~~ttee was held m Alexandria, Egypt fmm 3 u, 6

October 1992 The R e m d Cornnutlee elected HE Dr Ah Bm Mohammed Bm MoDsa (Oman) as Chuman, and Dr sayed Mohamcd Amm Fatunrc (Afghamtm) and Dr Mdramcd Sobhy A&d Rehun (Egypl) a I@ Vm-Chaumen For the Tcchnd Dscusslon$ H E Professor Hed~ M'henn~ (Trusra)waselectedChauman

T h e T h n t y - m t h S e s s o n o f t h e R ~ C a m n u t l e e ~ v c n o l r s ~ , 1 0 ~ ~ g : t h e m p i of ubamzanon on he*. monow: dmases advocacy of health far all am- medrcal ~ ~ ~ C ~ ~ I O M Z X , reducaon m mtmml and Infant martahry: and promoaon of healthy Mestyle&

The Thlrty-n~nlh Scss~on of the Reglonal Committee adopted twclve resolu~lons (nine programme-related, two country-related, and one that dealt wnth admmrslrahve maaers). It also agreed on s u decls~ons, three of wh~ch concerned the nomlnatton of a Member State to vanous c o m m m or bosrds ' I b e f a l h w m g ~ s a ~ & b d d t h e m a n d ~ a Q p o J d a b n g w n t h ~ t s d ~

LlST OF RESOLUTIONS

Annual Repon of the Regronal Dlrector Thc Impact of Rap~d Urbawatmn on Health Mcmbersh~p of Palesune 1n the Reg~onal Comm~Uee Proposed Programme Budget for the Fmnclal Penod 1994-1995 for the Easlern Mcd~temean R e ~ o n Zoonotlc D~seases Report of the Reg~onal Consultauve Commrttee (Sutee,nth Meeung) Advocacy of Health for All Among W a l Pracuuoners ReducUm m Maternal and Infant M t y Promouon of Healthy L~feStyles

EM/RC39/R.10 Health Conmuons of the Arab Populauon m the Occupled Arab Terntones, Includmg Palesane

EMIRC39lR.11 Health Ass~stance to Speclfic Counmes - -- ~ ~ v e nwm EMIRC391R.12 Place and Date of the Fometh Sess~on of the Reg~onal Committee, 1993

LlST OF DECISIONS Declslon 1 Electmn of Officas Declslon 2 Adopnon of the Agenda Declslon 3 Nom~natron of a Member State from the Eastern Mdterranean Regon to the

Management Advmry Comm~tteeof the Acum FVogramme on Essential Drugs Declslon 4 Norn~natron of a Member State to the Jomt Coord~namg Board of the Specla1

Pragramme for Research and T m m g m Troptcal DI& Declslon 5 Normnatlon of a Member Stare for the Global Promamme on AIDS Decision 6 Sub- of Techn~cal Dlscuss~ons and Technical kipers m 1994 and 1995

RESOLUTIONS

EM/RC39/R.1 ANNUAL REPORT OF THE REGIONAL DIRECTOR

The Regional Conuniaee,

Havmg rewewed The Work of WHO m the Eastern hh?drrerratk?iM Regwn -Annual Report 4 the Regwnal Director for the penod 1 January to 31 December 1991'.

1 CALLS UPON the governments of the Regm

1 1 to Increase resources devoted to nahonal health budgets so as to further natronal socloeconomlc development and to make health care services accessbk to the more vulnerable populatrons, and thus to achleve better equity m the drstnbutron of these selvlces;

1.2 to enhance mutual collaboration in the control of malana and other communicable -9

2 REQUESTS the Repnal Duector to ~mtlate actran for the cstabhshment of a committee at the mrustenal level that could take the necessary sleps to ensure exmbudgetary fundmg for the Repnal Voluntary Fund for Health for All,

3 THANKS the Regmal Duector and commends hun on the efforts made m the area of health devebpmmt m the Eastem M&taranean Region.

4 ADOF'TS the Annual Report of the Re@ &up.

WRC39/R.2 THE IMPACT OF RAPID URBANIZATION ON HEALTH

The Regwnal Comnuttce,

Havlng renewed w~th Interest the technical paper presented on 'The Impact of Rapid Urbanuatlon an Health?

Recallrng the resolutron WH.444 27 on "Urban Health Development" of the Forty-fourth World Health Assembly.

T h g note of the WHO Comrmssm on Health and Enwonment and the B a n s of the Umted Natlons Conference on Enwonment and Development (UNCED), held m Rm de Janem m June 1992,

1 RECOGNIZES that the Eastern Mdterranean R e p s cxpenencmg rapld urbanuatlon, wh~ch s causing a multrtude of environmental and health problems In many clues of the Reg~on,

'Dornmra EM/RC39R Tbcunmt EMIRC39/T&hsc..ll

2. URGES Member States 2 1 to e x p h the dunensons of the problem to decn~on-malers m thelr countries so as to

~nduce them to work for lmprovlng hvlng cmhons m rural areas, m a manner that would control m u o n and protect from the adverse effects of rap~d urbanuahon,

2 2 to promote an effmve mfonnation and edwaonal campgn m order to tnaease pubL awareness of the adverse lmpacts of rap~d urbanmoon, w~th the health sector assuming

leadershrp for such campgn and with the acuve mvolvement of other sectors. 2 3 to mvolve the Mrusuy of Health m the development of pokles and s w g l e s rumed to

mtnunlze the damage mulung from rapid urban~zauon; 2 4 to strengthen urban Pnmary Health Care, 2 5 to promote the concept of "Healthy C~t~es" to m~nunrze the adverse environmental and

ecolog~cal rmpacs of urbanuahon

3 REQUESTS the Reponal Dmtor to 3 1 to prepare informahon and educauonal programmes which countries can ut111ze In

awareness campa~gns, 3 2 to prow& haember States wth awlable mfcnnabtn an d u l expamces m that area

EM/RC39/R.3 MEMBERSHIP OF PALESTINE IN THE REGIONAL COMMITTEE

The Regwnal CommUtee,

R e d h g Ihat, ~ccordmg to h c l e 47 of the WHO Constmuon and Resolut~on WHA2 103. terntones lhat are not respons~ble for the conduct of then mkmauonal relahons and lhat are not Assaclate h a e m b , have, subject to -bed consultatms, the nght to be represented at and to paruclpate m Reponal Comm~uees wth all nghts and obhgauons, except that they shall not have the nght to vote m plenary meems of the Reg~onal Cornnuttee. or m rts shbvls~ons M n g wrth fmce or cunsutuuonal matters,

Agmmg that Palesme, an observer m the Uruted W o n $ has the nght to be fully represented and parkipate as a member of the Reg~onal Comrmuee for the Eastern Mdtenanean, and without prejudice to the quesuon of respons~btl~ty regardrng the ~nternahonal relauons of Palestme.

REQUESTS the Reglonal Duector and the Dl rec torGed to undertake, on behalf of the EMR Member States, the necessary uxlsulmons as penbed m Resoluuon WHA2.103 and to report back to the Reponal Comm~uee

EMlRC39lR.4 PROPOSED PROGRAMME BUDGET FOR THE FINANCIAL PERIOD 1994-1995 FOR THE EASTERN MEDITERRANEAN REGION

The Regwnal Cornmutee,

Hav~ng cons~dered the crlterla for regular budget resource allocahon and the Proposed Programme Budget for the Eastern M d t e n a m m Reg~on for the Fmanclal Penod 1994-1995.

N m g that the Proposed Programme Budget conforms to the E~ghth General Programme of Work and reflects nauonal and reg~onal pnonues In agreement w~th the Reponal Programme Budget Pohcy.

Nomg also that the share to all WHO ~ g ~ o n s IS appmxmtely 66% of total regular budget funds avadable to the Organ-on.

1 RECOMMENDS that the reg~onal members of the Execuuve Board as well as nqwemmves to the World Health Assembly undamke uumves In hose forums to maease substanllally the share of total re@ budget resolaces

2 URGES that Member States ensure that a health component IS mcluded m ~ n t e ~ n a l and b~lateral collaborauve programmes

3 REQUESTS the Reg~onal Dyector 3 1 to recons~der the cntena for regular budget resource allcmuon for the countries of the

Repon m a way that best responds to thw evolv~ng needs for support and to repon back to the R e p d Committee at a subsequent meetzng,

3 2 to put asde for Palesline 1% of country allocaI101ls for the b~enn~um 1994-1995, on a pro- rata basis from each Member State,

3 3 to subm~t the Reg~onal Propmaxi Programme Budget, as conrand m document EM/RC39/ 3, to the D~rector-Gend for ~ncluslon m the Proposed Budget far the Fmanclal Penod 1994-1995

EMlRC39lR 5 ZOONOTIC DISEASES

The Regronal Commattee,

Hav~ng rev~ewed the Reg~onal D~rector's repon on 'Zmnot~c D~seases In the Eastern Mdtaranean Reg~on"'.

Consdenng the-magn~tude of the problem and cecognlvng that conunued efforts are requLFed to Improve the prevenuon and con1101 of zoonot~c dmaxs m the Reg~on;

1 URGES Member States 1 1 to conunue to devote the necessary commtment and support to the prevenuon and control

of zoonotlc dneases, ensure the adopt~on of necessary leg~slatron, and allocabon of suffic~ent resources.

12 to strengthen cooperatJon between nauonal veterinary, pubhc health serv~ces and other ~ la ted monal services m surveillance, donmuon exchange, prevenuon and con1101 of zoonouc diseases.

1 3 to ensure the ~ V I S I O I I of necessary support semces, mclu&ng dlagnomc and m n g fachues, drugs and vaccmes,

1 4 to snengrhen health educauon about zoonoses prevenuon, pamcularly among h~gh-nsk groups and to cooperate w~th the Reg~onal Office m order to prepare the rnformatlon matenak required for the campgns.

2 REQUESTS the Regtonal h t o r

2 1 t o p r o m o t e a n d ~ o p e r ; l t r o n a l r e s e a r c h o n z o o n o l l c ~ , 22 t o f d m e a n d p w n o t e r n t a n a t l o n a l ~ ~ h ~ ~ m t a n ; u l o n a l ~ . 2 3 t o c a n ~ m s u ~ p a r t ~ ~ h W H O r n t h e W d ~ c t s e a c ; e $ a n d t o

pnmotethedesgnamnofnabmalspec~centres~rd~centresmtheRegm

EMlRC39m.6 REPORT OF THE REGIONAL CONSULTATIVE COMMITTEE (SIXTEENTH MEETING)

The R e g r o ~ l Commrttee,

Hav~ng cons~dered the report of the S~xteenth Meeung of the Regional Consultative Comrniuee',

1 ENDORSES the port of the Re~onal Consulwve Commluee,

2 CALLS UPON Member States to conslder lmplementlng the recomrnendahons lncluded m the repon whenever feas~ble,

3 REQUESTS the Regional Director to implement the pans concerning the Eastern M&temmean Regtonal Office of these recommendations

EMIRC39lR.7 ADVOCACY OF HEALTH FOR ALL AMONG MEDICAL PRACTITIONERS

The Regwnal ComnuTtee,

Hav~ng studled the working paper on "Advocacy of Health for All Among Medlcal Pracuuoners'",

Recogn~z~ng that medlcal pracutloners are both major providers of health care and social leaders capable of motlvamg and ~nvolvmg the cornmunlty and leaders of other sectors m the Health-for-All movement

Nomg the mpntance of advocacy m mobll~wng mdcal pracuboners m support of Health for All, and the need to enhance efforts to advocate Health for Ail among m e d d pracuuoners and other categones of health personnel,

1 URGES Member States 1 1 to ensure that the concept of Health for All IS Integrated wtJm the cumcula of all m d d

and health education msutuuons, 12 to lake necessary acuon to reonent mdcal teachers and provide them wth lnformauon

about Health for All, 1 3 to encourage research to identlfy ways of increasing the ~nvolvement of the mfferent

categones of health personnel, espec~ally medical pracuuoners in the Health-for-All movement.

1 4 to encourage medical assoclatlons, syndicates and counclls to include an advocacy component m the conunulng mdcal and health educauon of theu members

'Documenr EMIRC3915 'Document EM/RC39/8

EMtRC39IR.8 REDUCTION IN MATERNAL AND INFANT MORTALITY

The Regwnal Comrrulrce,

Having mnsidered the p r o p report of the Regional Duector on "Reduction m Maternal and Infant Mortalityn1, d c a m g m particular the steady decline m the m h n a l and dan t monality nues m most countnes of the Eastem M&tenanean Region.

Noting that there was ln some countnes a tendency towards admmstrative &chotomy in treaung family planning as a programme sepamte from maternal and child health,

Recalling resolut~on EM/RC35/R 9 on maternal and Infant mortality in the Eastern Mediterranean Region.

1 COMMENDS the untiring efforts of governments, lntmatlonal agencies, and nongovmental organmuons to promote and protect the health of the mothas and Infants m the Region by adopung a hollstic apapproach based on the Safe Mothemood Iniuauve,

2 CALLS UPON Member States to make concated efforts to reduce, by the year uXK), maternal mortality m all counmes of the Region by 50% and Infant mortality by one-thlrd, or below 50 per thousand hve b h s , whichever IS lower.

3 URGES all Member States to ensure that fam~ly planning continues to be considered as an mtegral part of maternal and child health promotion as enunciated m the AhwAta Deckanon on Primary Health Care, and to avo~d seulng up family planlung as a separate programme, thus jeopardmng the success of both programmes

EMIRC39lR.9 PROMOTION OF HEALTHY LIFE-STYLES

The R e g i o ~ l Comrmltee,

Havlng uylsldered the progress report of the Re~onal Director on "Pnxnouon of Healthy Me style^'^ .

Recahg resolution EM/RC36/R 7 on healthy Mestyles m the Eastem Medi~cn;lnean Region.

1 URGES Member States to contlnue givmg pnonty to the promoilon of healthy Me-styles. utihzmg various means of public informat~on and health educatron and m h g use of the Amman Declarauon on Health Prommon.

2 CALLS UPON Member States to combat unhealthy Me-styles, such as smolong and other risk-takmg practices through appropriate health educahon and l e g ~ ~ h o n

EMmC39lR.10 HEALTH CONDITIONS OF THE ARAB POPULATION IN THE OCCUPIED ARAB TERRITORIES, INCLUDING PALESTINE

The R e g r o ~ l Comrmnee,

W u l of the basic pnnclple established m the WHO Consutumn, whlch affirms that the health of all people n fundamental to the auamment of peace and security,

M m m g WHO'S respons~b~hty for the atmnment by the b t u u a n people and the Arab mnhab~tants ~n the occupied Arab terntorles of the hlghest attamable standard of health as a fundamental human nght,

Seriously concerned by the detenmon of health condltlons of the PalesunIan people, the vlolahons of human nghts m the occupml Arab temtones, and by the suppressive pracmes of the occupauon authonues agamt the Palestman people dunng the ur J&

Hopmg that the peace talks among the parhes concerned m the Mddle East wdl lead to a just and comprehens~ve peace m the area, based on the pnnclples of mternauonal legmmacy and, m pamcular, on relevant Unlted Natlons d u u o n s .

Notlng w~lh d a c u o n the measures bang taken by the Director- General and the Reponal Dlre~tor to unprove the health condbons m the occupied Arab tcmtoncs, mcltwhng Palestme and the Golan Helghts,

Recalling the resoluuons of the Regional CommrUee and of the World Health Assembly concemmg the health cmd~t~ons of the Arab populat~on m the occupied Arab temtones, mclud~ng Palesune,

1 REQUESTS the DmtorGeneral, m the hght of the relevant resoluuons of the World Health Assembly and the Regional Commluee 1 1 to make efforts to enable the Special Expert Committee to perform ~ t s rnlss~on of

mvesugamg the health con&uons of the Arab populabon m the owupled Arab temtones and r e p o w on the results of ~ t s mlsslon to the Fony-s~xth Gcnwal Assembly.

1 2 to prov~de and moblllze the necessary reso-, and especially to send mdcal specdsts, equipment and drugs, to promote the health condluons of the Arab lnhabrtants m the occupied Arab temtones, and to support hosp~tals and health msutuuons there so that they may fulfill theu humamtanan role, m cooperauon and coo~dmauon wlth the Paleslnmi Supreme Health Cound,

1 3 to mtenslfy exlsung support to confront appalhg problems of water supply, as well as sewerage and whd waste dsposal m the occupml Arab temtones and to assst m m u o n of mechanisms for planrung and development m enwonmental health,

1 4 to conunue to make efforts to follow-up the lmplementauon of resolution WHA45 26. pamcularly paragraph 9 thereof, m co&d.m&onwrth Member States, observers and all other organmuons lnvolved m health and humanltanan achnues. and to conbnue the efforts &med at carrylng out assistance provlded through the Specla1 Asslslance Programme,

2 CALLS ON the Duector-General and the R e a d Dlrecm to take necessarv s te~s to ensure . . the smooth assumpuon by the Palesbnlan people In the occupled Arab terntones of full reswnsblhtv for health services m cooDerabon and coordmauon w~th the Palestman sumerne h&th council. w11h the framework o i the nauonal Palesunmi health plan,

3 CALLS UPON all Member States of Eastern Mediterranean Reglon and reg~onal lntergovernmental and nongovernmental organlzauons to provlde all necessary support to unprove the health condluons of the Palaman and other Arab people m the occupled Arab terntones

EWRC39lR 11 HEALTH ASSISTANCE TO SPECIFIC COUNTRIES

The Regional Conunittee,

Recalling and confm~ng the prevlous resoluuons of the Regional Commluee on health assistance to specific wunmes. and most recently EMiRC38R 15 (Iraq's need of drugs and mdcal supph); EM/RC38/R16 (Addressmg the health and enwonmental hazards m K u w t resultmg from the Gulf War). EM/RC38/R 17 (Tmluucal and matenal asslstance to Jordan and Yemen). EM/RC38/R 18 (FmncJ and medml rlssstance to Sudan). EM/RC38/R19 (Material. m& and techtucal assstance to Somalra), EM/RC38/R20 (Health and medrcal assistance to Lebanon). EMBC38R 21 (Asssmce to Afgharusmn),

Deeply conmed about the emergency s~tuauon m some Member States. notably m So& and Afghanrstan. and the adverse unpact Uus IS havlng on then p o p u h m ' health,

Takmg note of the Unltcd Nauons General Assembly resoluucn 461182, ''Snmgtherung of the cmrd~nauon of humanltarlan assistance of the Unlted Nauons" and World Health Assembly resoluuon WHA45.21 of 13 May 1992.

HavmgexarmnedtheAnnualReportofthe~L)lread,whrhdudes,vlrrrakn,actlons t a l c e n b y W H O / E M R O f a t h e e m a g ~ h e a W l a n d m e b c a l ~ t o ~ m ~

1 EXPRESSES 11s apprec~atron to the Regonal hreEm for hn conmuous effom to mngihen the Organlzatlon's capaclty to respond promptly and efflc~ently to country-spec~fic emergencies,

2 URGES Member SUES and the ~nternauonal community to use all means and measures poss~ble to save the vlcums of famlne In Somalia, to help Member States suffering from problems of refugees and dLFplacd persons such as A f g b , Dj~bouh, Somala Sudan and Yemen, and to faclhtate access of Iraq1 pcople to vital medxal and nutnuonal supplies,

3 CALLS UPON the Reponal Dlrecm to conmue to gve hgh pnonly to counmes menuoned In the above resoluuons and to coordinate WHO'S efforts In emergency preparedness and humamtanan assistance wlth WHO headquarms and w~th the humamtanan a d progmnmes of the Uruted Nauons sy sw , ~nclu&ng mobharm of extrabudgetary resources

EM/RC39/Rm12 PLACE AND DATE OF THE FORTIETH SESSION OF THE REGIONAL COMMITTEE, 1993

The Regwml ~omnulue,

Noung that the Reponal Commluee had rece~ved earher mvlmons to hold sessions m K u w t and the Unlted Arab Ern- (resoluuons Eh41RC37iR.16 and EMK38R.22) that had been poqmned at the request of the mvlmg cwntnes,

Expressing appreclauon to h e Government of Sudan for the offer to host the Form& Session of the Regonal Comm~ttee for the Eastern M~wranean,

RESOLVESthattheFom&Sesslonofthe~~0eewrll lbeheMfromSaturday.2 October to Tuesday, 5 Oaober 1993, m one of the amlrm that had actended mwmcms to host the Comrmaee, precedence bemg demmned by the date of mvluum, and sub- to contirmatwn

DECISIONS

Declslon 1 ELECTION OF OFFICERS

The Regronal Commmttee elected the followmg off= Chauman H E Dr Ah Bm Mohammed Bm Mmsa (Oman) Vmce-Chamnen Dr Sayed Mohamed Amrn F m l e (Afghanistan)

Dr Mohamed k b h y AWel Rehlm (Egypt)

Chauman HE. Dr Hedm M'henm e u n s n )

- MI Mohamed Yehu Ahmed Abol Fotcuh (Kuwat) - Mrs Fauna Bmt Abdullah Al-Ghad (Oman) - Dr Mohamed Helmy WaMan (EMRO) - Mr Hassan Nagulb Abdallah (EmO)

Decision 2 ADOPTION OF THE AGENDA

l'he Regtonal comumtte.e adopted IU p r o v d agenda, and u p the proposal of the Regmal D m , agreed for mncluslon wthm Agenda Item 18 'Other Busmess". a new subject, namely "Membersh~p of Palestme m the Regonal Comm~ttee"

Decision3 NOMINATION OF A MEMBER STATE FROM THE EASTERN MEDITERRANEAN REGION TO THE MANAGEMENT ADVISORY COMMITTEE OF THE ACTION PROGRAMME ON ESSENTIAL DRUGS

The Reglonal Comm~ttee nomtnated the Arab Replbhc of Egypl to serve as a member of the Mamgement Advisory Committee of the Amon Programme on Essentral Drugs for a penod of three years, from 1 January 1993 to 31 December 1995

Decision4 NOMINATION OF A MEMBER STATE TO THE JOINT COORDINATING BOARD OF THE SPECIAL PROGRAMME FOR RESEARCH AND TRAINING IN TROPICAL DISEASES

'Ihe Regonal Comm~aee nornlnated the Kmgdom of Arabia to serve as a member of the Specla1 Programme for Research and T m m g m Tmpmcal hseases for a penod of three years, fmrn 1 January 1993 to 31 December 1995

Declslon5 NOMINATION OF A MEMBER STATE FOR THE GLOBAL PROGRAMME ON AIDS

?he kg& Cornnuaee nom~nated Djlboua to serve as a member of the Global Programme on AIDS Management Comrmaee for a pmod of thne years, from 1 January 1993 to 31 Deaxnber 1995

Decision 6 SUBJECTS OF TECHNICAL DISCUSSIONS AND TECHNICAL PAPERS IN 1994 AND 1995

The R e p d Comrmlfce,

Havlng considered the recommendabons of the Reponal Consuluulve Commxttee that were made at its sixteenth mcetlng m Alexandria. m rebon to the sub@& of the Techrucal I>~scusslons and the Techcal Pmm for the Fortv-first and Fortv-second Sesrlons of the Remonal Canmiuee for the Eastern ~ed;ferranean m 1994 and 1995. r&pctJvely.

, DECIDES that the subpts for the Technical Discussions shall be I n 1994

Role of the community (lncludmg NGOs) m AIDS preventJon and control xuvmes I n 1995

* Health system management

FURTHER DECIDES that the subjects for the Technical Papm shall be I n 1994

S~stainab~l~ty of wonal unmurumon levels Changing iuems of diseases and the~r unpact on WHO wllaboratlve programmes

I n 1995 Hospital admm~strahon Quality a s smce of health services