m U D NATIONS NATIONS UNIES

RLD H E A L T H G A N I Z A T l O N

IONAL OFFICE FOR THE C k

Session

ORGANISATION MONDIALE DE LA SANTE

BUREAU REGIONAL DE L A

-0omittae A rut, Labanon

30 September 1955

REPORT OF SUB-COMMITTEE A

3F TIiE

FIFTH SESSION

OF THE

rnCfEON4L COBAMXTTEE FOR THE m+STF,RXJ r n D I r n R k r n N

RC 5 b ~ f i 9 Rev . 1

TABLF: OF CONTENTS

Page ..

G o x ~ ~ ~ G ~ * ~ * I . I . . ~ I I . I * * ~ . ~ . ~ ~ ~ * ......~.................................. 1 Adoption of.provisional.ag~nda...~.~.~~.~~~....... . . . 1 Prograiwne sub-division. .................................. ;.+..+. . ..... . 1 vot ingYr igh t s ..................................... I; ................ 1

'ART I * A N W ~ L * REPORT OF THE . REGIONAL PIRECTOR . 2

1 . riesolutions of . regional intere 'st adop-bd by the Eighth World Health Assembly..... .................................... 3

2 . Action taken on r e s o l u t i o n s passed by the ~ o u r l i h ~ession .................................... of the Rogional Committee. 4 3. mchnioal discussion on nursing... .............................. 4 4 . Technical wt tars

* - ............................. 4 r ~*vlronmental s a n i t a t i o n 5 .................................. 4.2. ~lrZar$a eradicat ion 5

4.3. Poliomyelitis.. .................................... ; 6 5. Rights and obligations 05Associate Members .............*...... 6 6 . Epidemiological i n t a l l igonce and i n t o r n a t i o m l quarantine

matters.. .................................................... 6 7. General programme o f work oovoring a specific p a r i o d . , + , . , . , . , . G 8 . Statements of ropreeentatives o f Mernbor States....... ..*....... 6 ........... 9. Statements of roprosantatiws of othnr Orga;nfaa~t;ions 7 10 . Other business .........4.........m.....m...................... 7

PART 111 - PROPOSED PROGWiMlIE AND BUDGET FOR 1957

..................................................... Em.f;+..*. 8 E t h i o p i a ..~......l.........~....~m.................... 8 .. I r a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . .m . 9 ............ Iraq* ~*..........****.....***.*.*.**.*..**... 9 ..... Jordan . . . . . . . . . . . . . . . . . * a . e . . V . . . . . ~ . ~ . . . . . ~ ~ . . . . . . . a 4 . . o . . . . . . 9

.................................................... Lobanon.... 9 L i b p . . . . * . . . . o . . . . * . . . * . . . . . . . . . . . . . . . * . ~ . . * . . . . . . . * . * s . * . . . . . . . 10 Pakistan.... ..................................:................ 10 Saudi Arabia ..4................................................ 11 SudiB.n.*.* .....*...........................*....................m 1.1 S ~ i a . ..............................................m.......... 11 United Kingdom ................................................. 11

PUT IV . RESOLUTIONS

*.....*.......*... **......*.*....*..* RC Slr/klhfi . 1 Adopt i o n of t h o Agenda ; 12 ............................ 2 Bcport of the Rog ioml Director. 12 3 Vaccination against Smallpox. ............................... 12 4 Nomonclaturc o f Hoalth Personnel .......+.................... 12 *...........*.. ... ...... 5 UEIO of Arabic as a Working Language ' ; 13 6 Resolutions of tho Eighth World H0aZkI-i A s m b l f of

Reghml Intsrost.. , . . . ............................... 12 7 Eixpansion of Public Information Activities in tho Eastern

...................................... jlcditerranaan R~gi0n 13 8 Enviromental Sani ta t ion .......m.................4r..... 11 9 Nursing . ....l....................6......... 14 ..... 10 Malaria Eraclioation in t he EastoPn l@ditorranean Rogion 15 11 Poliomyelitis and i t s Prevention ............................ 15

:PL&Y IV - RESOLUTIONS (oontinuod)

[i~51/khi/k.12 ~ o g i o n a l Programme .......................................e. I3 Technical Assiatanae Progr~~...~.,.......~+..~~.,...~~.~. 14 Gemral Programme . . . . . . . of ,wrk for a Sps~ifio .Rar.hd.l...-*-.-m-G.. ;.*.

, 15 'DNg X d d i d + i ~ ~ *.eAe.* mrr,+ ,* .*~ .* . .m++,*r .~ .q . . - 0 m 4 . r m * m h l * * m . * . * * * * . . . . . . . . . . . . , I * 1

16 ' TlG$3S 0 m . * + m .+* . .,a,* *. r..,*,e,, ..,".. e a r n r..a. *.*** .'I *** e d . 4 a . . . 17 . F$'ghtAa hnd ~ k l $ ~ a t , i o ~ s pf. A.B 89 o lo te . W b o r s ....e.m....... s ; ..... 18" ~~i'd'8mi01o~$cal Sntolligonoo and International

Quarantino Mattors,.,.,,.~,..~,.~+.md.d.I..Ie~..~.~.~~.m~ 1 9 Roproscntativo of Sub-committoo A. .......me........m ..a*.,

20 Time and P l a c ~ o f Woxt hleotings ...m...... ,,..,,.-.*.,..,.,t 21 vote or: ~a&s.*.....,.*,4..,4....*~.*,4.....**e~a..*....+*

I , ..... 22 ~ c h n i c a l ' . ~ ~ s c u a s i ~ n f o r noxt ~egionai- omitt toe ;,...,

A m x 1 Agdnda Annex 11 is€ 'of -par6icipants

R C ~ / ~ M / L ~ Rcv.1 Page 1

Ganbi;6J8. (,fEd'mer 1 , . .2 , . .3 land.4 of.. %c ~ g o - ~ d a - ) ----*--u *-

~lier-he'htside.- of Elub,;;C~rnit k~ A b f , the* F i f ih , , ~ @ S S i?, of *a l ' . R @ $ i ~ ~ l c ~ ~ i t - b ~ ~ for t h o Eastern Moditerranean, at tho invitation. of: ,.tho.. Gov&men% if Lobanon wc:a, held in Boimt f r o m 27 t o 30 Saptembor 1965. ~r .' Diba (Dan), Acting chai rlmn, i l l .

. I;h~.~,abbehtj~ ',af-'-'.~b-i 'AbU: o'l E l a . (~gyp . t ) . :~p ,b i~d i tho msk.ing;,

It hcld o ight plenary soss ions. Roprerrentativos of fourtoon oountrics VLYL

p r c son% including ,tho'. rapre son-htiw sf the newly-olccted- Assqciat? Mombor - Sud;-.,~.. Tho Sub-ConMttoe .oZoctod th9 Solkowimg aff ico, $boaror@ fgr t h o coming yoar t '

C h a i m n : Dr. Jamil Anouti (~obanon)

Vice-Chaimnt Dr. Subhf Lmin (~ordan) Dr .: F. ,Evlandoir. ( ~ $ h i o p ia)

H i s Exool2m-w ,%b' ,Mini star of. m a l e of -,Lebanon,. . Dr r: :p+?r,i,::. del ivbred an addrass of m2oome2lbn'b~half of =tho prosidon$- o f , t he , .Wva~p4nt I of ~bbanon.

Tho Doputy Director-General g c o t c d r~prosontatives and obsowvors on B c h ~ l f of the " D i r o c t o < - ~ n a k l , amd briefly outlinod a nwibor of ,important happoningr; since t h o Committoe r s kask meting*

AdoptLon of tho Provisional pgonda (itom 6 of tko Agenda - R ~ E ~ P L ? Rsv.1) *--- ..; . ..I-* - ,- w. 4 -- mc p r o v i s i o n a l ~ agoneln was adopted as presoqted (see Amox I) I

Tho Sub-Committoo os tab l i shod a programme sub-di~ision af ,tho .wh$o t o discuss tho propo~lod programmo and budgot f o r 1957, and o l o c b d T)r. J; Amouzo.;ar{1rRn as Chaimn.

Voting Rights

In accordnnco with Rule 22 of the Rulos of Prooeduro, tho roprosontativcs cf ,Vanco and the Unitod Kingdom o f Groat B r i b i n and Northern froland i n t i m t o d boforc tho oponing of t h o sossion tha t they inkendod to oxercieo thoir right of T O ~ O in Sub-Cornittoo A.

Tho roprosentativo of Italy roportad at t h o f i f t h plenary aossion t h a t h i s country wished to oxerciso i t s rkght of vote also at Sub-Conrmittaa A and the Sub-Comit tao approved the temporary suspension of Rulo 22 in ordor to pormi t tZliL.

i . . ~ 5 f i 1 / l 9 Rev. 1 page 2

FImH ARNUAE REPORT' 0 F THE R@ GI0 ML D'LREC 1DR

Tho report o f tho Regional D i r o o t a ( i t e m 8 of the hgo~igonda I-, $C~/&/Z) n\~*

'!is cus sea at longth, Rsprosentativo s gave isneral G ~ ~ ~ o v G ~ ' t o ropor t and . (. iod t h ~ steady planned axpansioh af activities i n the ragY'on; Tha follgving 1:tin points snorgsd from tho discuseriomsr

1. Moro etresa s t i l l ne0d~'to be givon t o broad O ~ V ~ ~ O ~ I D I Y ~ & ~ a m i t a t i o n programnos and to oxpanding sorvioos f o r health eduoation of kho public.

2. 41ppropiat$on mst oxpro esed at the oont inuod. and inoroasing oooporat Son w i t h othar agencdss inc ludfng international, govb'mon%al atid' noa- govornmontal agsnoies.

3, Stress was el80 laid on nood f o r development of soh001 hoal'bh aervioec,

4, Att&ntion was oal lod to tho dAff,ioultioe arising f r o m tho now mathod ploming at. country love1 for Toohnioal Assistance pragranrmes. Somc ropressntati~o s stre.ssed tho hportdme of t h o utilf mtion of Rogwkr fbds f o r low-tern projoots and tho hooessity for amitable distribution of thoso fbnda.

5. Some doubt was oxproased regardihg tho nooo s bity o$ hppointing b o a Roprosontativos but eha ~ o g f o n a l Diroctor roaffirnid' h%e boliof in tho usefulness of B U C ~ appointqiont~ on a l imited aoale,

6. In disoussions arising from oonaidorution of t h o repor* ~ombers oxprossd great intorest i n kho whole subjoct of peaoeful 1180s of a%bmko..energy. In a oomprohensivo stcb3mont, eho D ~ p u t y Direokor-General sot o u t thc s a l b n t foaturo~l 'and the po15oy of tho, Orgariiza.t;i,ba',ard, skro:sss&. tho subjoct muat bo, sobn in Ijrop& fouui-in- c b i m x i o n ~ + h ' the 'gdlisril. p r o g r m o of the Organization,

R C ~ / E M / ~ S Rov.1 Page 3

PART.. I1

, ~ ~ ; ~ ~ I O N 8 .! OF. R B G l Q W , . : INTEREST,. ADOPTBD ,,: $H . THl3 ELGIFTH.,Yi@RLD HFJLLTII liSSNb/3Z% i.(om; ,m &~~mg,;&~&-;~;,:, xcpgfl$ L.- ., - - .--,-** ,. m

1.1. hdrni s s i o n of Sudan as Associah MbrnXGr "CRbs 6Tiif'i'ofi W8.;8;'-.nH&. - - - ----.rl--...WC- oumo n Y B W m ,,

Tho sub-committoo took noto of t h e oontont of t h o rosolution but dofarrod discuasionj on. t b0 Iliahta: and pbligati+phs, of , Assoqiat~ M ~ m b ~ r s to i tom 13 of the Agenda.

1.2. Socond Gonoral Y r o g r m o of' Work Covaring a Spocif io Period (~osolution ,m*aT!z '~(3(3~TF.t;* xc's' FV4T --*-.cud4 - *.----------C.-.

-4.F ,., -

The Sub-Comft-t;oo "&cfcrrod 'disoussioxl .of %his rosolutkon t o i t o m 17.1 of tho Agenda.

1.3. Relations w i t h UNICEF ( ~ c s o l u t i o n WM8.12) -.-.I---

T ~ Q - sub-~btmitho took noto- o f .tho c o n $ ~ p t - o f t h i s , resp~ution.

1.4. S t a t u s of Intornat ioml Contributions and of Advances to t h o Working ,--.cc c., f.,. w -.+I- r . -.-dlrr- r --C. ~ r u a -w- .n~1-- .- .r - ? % ~ U ~ ~ ~ ~ a n YB3.IR8 . y3)

c- 7 .* cr. r -T . .-4' C W." . 1 Y

Tho Sub-Cwnmittoa took noto of tho c o n h n t of t h i a rosolution.

Tho Sub-Committoo took note of t h o contofi t -of %his rosalution.

1.6,. iAocp.ssion+t~~thc .dda... .Convention o n ) t h ~ F r i v i l o g o ~ and Zmmunitios of tho spa C J " R ~ < Z " Q ~ ? ~ ~ ~ ~ O $ ~ ~ Q ~ wrhss1$r- --- ----*.I&.-

---.wxlr-u* -.&. *.. r r a n .-. . ---. +--*

Tho Rogi6ml D i r ~ c t o r 'roportod that: only, khreo . cqunkr i o s in t h o ragion'had'aoccdbd to bho Convention c p Pr.ivoJogos and ' ,~mun i t io s , Tho ,'Sub~C6mmittcc todk noto 8 o f tho -co~.Gelnt of tho ra4 ;o lq t i~n .

1.7. Pub l i c I n f o m t i o n Aotivitloa (~osolution VW8.20 and docwan$ R C ~ / ~ ? ; @ J ) IYW.L-.c - -*.LL- . . Ths ,2@b~~orhmit tao -Look pote ,gf tho contont of tbs rqaolution but ii:

discus sion t hc gono rol opin%dn--whs tlmb t h o nppointma+'ii$ - a p o i a l liaison o f f i c o r s is not gonerally mceasary in t h i s r o g i o k

Mcrnbrtrrr prohisod f u l l siapport So. t<ho r o g i o m l o f f i c o in i t 8 publ jc informat ion p r o g r a r m .

1.8, I!c%ods of ,Rocruibmnt f o r Different Pos-he in N O (~osolution W U ~ . 2%) IC. .- .-*-..- c.W.rrCI1 -

7910 dub-Committoo took m-k *of thd* contant of thie rcsolud3on. Ti., . Rae;-ional.Dirockor oxplainod that tho oiycula.tion of ~ a c e t ~ p o s t e t o a l l oountr ib s wduld oausoc s o r i ~ u a .do lax in; ro!~~uiknc& bu% , ,wgad govcmmc nttr: to provi.de'.the ofF%co Wth froquont ly roviacd &ists of oxpqkts s u i t c b l t f o r scrvioo w i t h tho '0rgmiza.t;iQn.. .

1.9. - Malaria Eradioation'(~oso1ution NHA8.80 and doom- - IUuLx* - - 2 ) W

The Sub-Committee doforrod considoration of this resolut ion t o item 14.2 of tho bgonda.

LoElslativo Devolonnonts in tho -Unit 1.10. Planning f o r the 1956 Tcohnioal hssiatanoo Programme i ~ o s o l u t f w on -. ~ ; 8 . .-" . ..b

_I.. --Y - - .ed Nations E x p a n d . e ~ a m m o of ~ ~ ~ < o r n % ~ m m .- .LyIyLI r--w

Tho Sub-Cornittea deferred oonsideration o f thoso Wq rosalutions to itom 17 of the Agonda,

The Sub-Committee n o b d tho content o f thia resolution,

ACTION TMEN ON RESOLUTIONS PASSED BY THE FOURTH SESSION OF !ME REGlOl&lL )

2.1. Vaccination against Smallpox (~ssolution RC&~/GM/~ ---r*.r--cCIC

.12 ,.and dooumon-t

Tho reprosantativa of Iran roported plane for msa, vaccination c f tho population u.l;ilizing.rovised techniques and paying.paY'tfo&lar at-tontion t o inclusiaul' of nomads,

Tho Sub-committoe thanlcod tho Regional Director, aobd the ~ o n t a n t s of the document and raquctstsd that he oontinue stNies in t h e e subjoct.

2.2. Promotion and T F l X X o n RC

me Sub-Committoe do ferrsd oons idarat$on of, th ia ,docwent until i t e m 14.1 of thoRgonda ,

2.3. Nornonalaturo of Health Personnol - ( ~ o s o l u t i o ~ / k . -*- ?..a 16 and documont - n c m f l )

Tho.,Sub-Comitko skudfod -t;ho dooument; raquosbod th4 Obsorvor from tho Arab Laague to draw attontion of tho Lfsaguols Health Committoo t o this do~qment, and requested t h o ~ e g i o n a l piroctor to continuo t o otudy this quost ion in cooporation with Member S t a t e s of tho ragion and ropor t further to the Sixth Rogioml Committee.

2.4. Use of Arabia as a -. Working Languaeo (~osolution RC~[VO~IA.~' bnd documon$

Tho Sub-committoe studied th i s quesz;ion at length and rocomend~d that Arabic bs usod as a t h i r d offioial'and working languago at thc meeting$ of Sub-committee h o f the Begional C o m i t t a c . It was lntcr rocommended that tho us0 of Arabic ahould cormnenco not la tor ehnn 1967.

g , TECXNIC~LL DISCUSSIOh'r NURSING ( i t o m 15 of t h o Agenda - R-) 7 5

The Tsohnioal Discussion on Nursing baaod on tho clocwnont ~ ~ 5 / " r d / 1 0 wns'hold p l o w r y $omion. Four oountrjos, Iran, Jordan, Lobanon and Sudan had includod llurscs as mmbors of their delegations. In addhkion, tho disaussion was attonclod by a l a rgo number of nursba from Lobwon,. Jordan and Syria and by i n tona t iona l nurses working in -thc.so countries.

Ynny oountrios r o p o r t ~ d o f i tho dev~lopmant :of their n y s l p g so yvicps and b r i n g tho discuss&on mnphdsis was: givun to tho follow$,ng matt& 1 .

3; 1. Tha ostablishmont of ,+ nwsipg , section ( o r division) in tho nat iola~~l health administration vhich should bc staffod:.by oompotoBt, w o l l - qud i f i e d nurso admini~itrators,

3.2. The; jmportanco of tho oduaatfon of the professional nurso in ordcr 5 % proparo "hap sufficiently to plpy hor ,f'ull part ip the. expanding h e c I.%., '~orlr icb's~of .her oountry, . This involvps carofi'l pl&lmi11'g'and--bhc do.rrb"lpti~~t: of a bgsio-pragrnmmo or nursing baed ozi"hoaoptbd fn tc r - national standards and f ac ilitis s f o r pos't-bas'io :pr&'paralA on : fcr advanced responsibilities in nursing, soparatc %ud@t should bc .providpd adoquato for, tho osCabliahmont.and maintcnanco of nursing sohools. It &'B f o l t 'that +hose meaau&s w o d d tggd to ra9sq thq s ta tus of nursing and t o inoroaso the odtranoo of bettef, odii'ij'atod candidate s .

3.3. An exp&nd.an of, tho VYH0 ' f ~ i l o w s h i ~ prggrammo f o i * poa t-groduatw study in nursing,

3.4. Tho impdxtmco of>. tho argqnisation of , ,Nat iona l Nursing Associo.tions r;:it;i tho oncouragomont nnd support of t h ~ hndTibnal hoblth admini%~pticns . plis should u 3 t M n l y improva t h o hod th serviass of tho country.

4. TECEINICAL BULTm9 ( itom 14 of t h o kgonda) --I--

4.1, Envkomontal Bagi.tation (itom 14,l p f tho %nda - Ranolution XtqE'J:; CIM ---eeY. ,fh".."

*I--IP-YCLY

. . . .

I!ho Sub~Committec cliaoussod tho sub j o c t of on~i~bmiiontd. smitakion. basod on tho rasolut fon of' Sub-Commf t h o A of. ths Fourkl~ Rogicml Committoe and documen% R C ~ ~ I G , / ~ . All roprorr enta-bivo 8 stressod the nscossity of 'strengtheqinc onviromantal eanitatfon sorvices in t h ~ regia6. Bphasis was pldoed .on t h o necessity' ~f doveloping sanitntion bo*h at tho communiw and v'illago,.levol and at national .and prcvinoial adminishrativo levels, but pooplo must b gi& a ' p o r s o m l i n t a ros t i n sanitation programmes thraugh i r o a t o r honlth education. Rnphasis: was a1 so plnood on., the. n~oossi$y fog more trained p o r s o m o l and nn in ta ros t ing ~luggee~ion~wtts mado thAt tho, QPgan iba t i on should deyolog a regional. p r o j o o t staffed by a * pub1 io hoalth phya ician, onginday ahd adrninibtratcjr , t o tsur~oy t h c proaont s i t u a t i o n in countr ios ih tho pog+on and adv$;qo on ,&twc planGod dove lopmont.

4,2, Malaria Eradication Progrnmmos in tho Eagtorn Moditqrranoan R ~ ~ ; ~ c ; H I ~~xu"t3~m-8.30 --- ~ ~ m ~ - & o n ~ x ~ 1 . - .*.Am. 2 y

Inb%o;ocordanco w i t h t h o -bms of tho resclution of tho F,igh-&h World Hoalth ass~mbly thd ~ub-~oriufli-t;btoo discussed tho quest ion of malnria ooradJcation in plonary soas ion . Dr. Paul Russ@ll, Spacial Conaultan$ $25 tho 14alnrj.a Soo t ion at, WHO Hoadq~arters~ took part in +he discus~ion, On tho basis o f his visits 90, Lobanon, S y r i a , ~ r e q ' and Iran ko atatod his firm conviotioh t h a t it waa. a praqtioal proposition to plan for t o t a l eradication of makarfa (though not 5;ic mosquito vector) wvor a fivo-year popiod. It W ~ E omphasixod thal: intormtiomB and bilateral a p n o i c s 'regardo& malaria oradioo.tf cn r ic a good irrvos-bnont and woro willing t o aid countrios,

Tho problcm must bo approached in this area as an $ n ~ r , - r c y ; i o ~ ~ c ~ l pro joct. T h o is short and countries must work t ogo thor ahd spcs<'. before ros is tanco dovelops, In particular it is naocssary t o givo

R C ~ / ~ I I ' ~ ~ S ReV*l Page 6

olose a%&ntian to s txlebgthening the adminf s trative servioes required for suoh a project , The roprosonbf kve for UNICEF oonfirmsd %ho l!tad1'q great i &ere st in souhdly planned malaria eradiaatian programmes.

Repreeentatiws of countrSes not inbluded i n tho goup mentioned above drew attent ion, to diffioul-l+.ea in applyi'ng eradioation, as oppoeed to oont ro l methods a t the present time.

A number of countries part ioipat ing in the debate repormbsd good results following use of,reaidual inseotioides and expreerxed inbsreet and, aupport f o r proposals t o establish the neoessary eervfoes to aahieve eradf oation of malaria with internatio&l aid wi-bhin a five- year period,

l i t i a and it@ Prevention ( i t e m 14*3 of t h e Agenda - dooqmnt --CY

The Sub-Cornittee consiclared the document pre sentod, noted. i t s oontenta and requested t h e Regional Direotor to continue atudy of th is subject in ooopra t ion w i t h appropriate $llisti tution~ in +he r e @on,

5, RIGHTZJ AND OBLIGATIONIS OF MBOCUZ1E mmR8 (item 13 of the Uenda - RCS/~M/~) The sub-Cmmnittee oomidered the d o o h n t eubmitted and reomerided that it

Tins pmmature to 'propoee any a l t a r a t i o n i n tho s+atuw of Bssooiate Umbers at t h o prosent t h e .

6, EPIDEbfJOWQlGAL INTELLIGENCE AND I ~ W A T I O N k L QWLRANTINE MATERS ( i t e m . 16 af the Ag~gonda - ~~5/Ud/15 and R C @ ~ A-x IV)

The doomonts submitted o o n s i s 4 ~ d of a report of tho EgidemioLogioal TntollQenoo Sectdoh of the regiobal o f f i o e and a r e p o r t on the b i d e m e of quarantinable diseases i n the rogion during 19s4 w d the fk&t half of 1955, 2iwy &ow attention t o tho d i f f i c u l t i e ~ snoountered by oertain oounttiea in tho r o gion in ful f i l l ing tho ir obl igationa undor t h e International Sanitary Regula- t ions a d with the question of reservations to t h o Regulatfom, In diamssion, a number of oomtry ropmaontativas r o f ~ r r o d rrpooifioally to Weir intention t o rn,zko PoeemaCions regarding t h o proposed amendment t o the Re&latfom on yoll0~ , fcvor, T h e p~ooaduro fw making roaorvations wag outlimd to t ths repressntativofi-

7: G E N m L FROG- OF WORK FOR A SPECIFIC PERIOD ( i ~ L.YWY-.--V 17.1 of the Ilr.*-lxYu. - - Resolution WUL8.10, and d o o m & RCS&M/~} -.-H ---.l*-Uc .. c..Y-*llreC*I)I

The , Sub-Ccmuoittee oons ldo'rad and approved the- doowrent & b i t t e d by the Rogioml Direotor .

8. STATEMENTS OF XEPREBENTATIVES OF NEMBER BTATES (item 11 sf the

A nmbor o f repreeentativea oontributed e-batementa regard- the devolopnont of health servio@s in the i r oountries. Bnphasfs was platlod o'n tM & v o l o p ~ n ~ of provilloial ftn6 rural hsalth a e m i o e ~ , Intere~t ma' expressed 9x1 dontal hygiene and t h e tnoluaion of a regional consultant was wslocrmed, Certain ropro sentative a exprossod intare st 9n the subject of 'drug, addiotion, The Rcgional Direotor was asked to includo tho problem of drug addiotion amongst tho ao t iv i t i e s of the sogional o f f Loo, Attention ma dram to the inoreasing nmboa of highor training institutoa in t h e rogion, inoludiwLthe Malaria I n s t i k t o in Teheran artdl the Highor Inatibute f o r Fublio Health in Alexandria, Amongsf s i g n i f i o a n t deve lop~nts reported was the oxpanaion of v i ta l &d hea l t h s t a t i s 6 L @ sorvioos. Tho reprasontafivc of E t h i o p i a r e p o r t o d t h o dieoovory of a few

positive mouse protection t e s t s f o r y o l l o w fever a t Asaab on the Red Sea. FWther research oonthue s . PO sp i te inoroased ~ f f orts , smallpox oonthue a t o be a problmn and fntsr-oomkxy and inter-rogional ooopera.t;ion i a assentbl ,

Tho repreacatative for UNRm mpor-bd on t h ~ health aotivit'ies of l k a t Agoncy vrhiuh owes for mom. than 900,000 Arab refigeee, Ho noted striking awcbss in ssadimtion of malaria i n the Jordan and associabd valleys; He +drew the at tont ion of the Sub-committoo to the jn-bnsive training oburses for health education staff who are now available f o r cppoin-hen+ in mighbouring oounhrios.

Tho Sub-Committoo ~ e c e i v o d t h o r e p o r t and thankid tho Agesoy for its work on bohalf ' of tho ref'ugees.

Tho mproflenbtivc f o r FA0 submittad a br i e f statement especially oonoerning activities in the f i e l d of nutrikion, a subject of joint b t o r e s t to both ,'lgono%oe, and enmerated the joint nutrition actirrikioa being 'undertaken in thc r e~ ion . The hportancb of soh061 fee ding waa a tros sed. Finally, atbn+f om urns dram to tho very C ~ O S O ~ o o p o r a t i o n maintained between the iwo hgenoios.

Th? reprosonktim f o r tho Unitod Hations and UNf CEF submitbd a brief atatomon% cormeying the grootirgs of, %he ,Sacretau'y ~ o h e ~ i l of the UniWd Nations and reporting onUMICEF act iv i t ioe ih tho ro$56h. Bo~drow'~mttention.to tho closc cooporation bslmon M e govormnonts and WHO and WCEF as an integrated operakin6: ham, Attantion r n ~ ' dram *& ~ T C E F policy - t o c oncon-brate ' re tsouraoB where grcatost roeults can bo obtained. A b r b f report was submitted of the activitioq of tho recant UNICEF Executive Board and he s tmssod the intereat of the Board ill

nslar Lo. ortadication and cmir omontal sanitntion, The hnporeaxloo of 'ohild 1111trition and soh001 foeding was also cmphsized by tho reproaenbtive,

lo. oz'm BlBINBa ( i t e m 19 of t h o &on&) -UH

Uhdor tho Agenda &+om Ifother ~ u s t m a s ~ ~ , the ropresanbtive of Eman sogueatcd tho Regional Dirootor Bo arrange f o r a ' training oourso f br wa*r p l a t b o h n i c i w , ; h i l a r t o that arranged in t h o South ~ a s t Asia Ragioh.

Tho Sub-Comftteo also dooidod that tho ' t op i c for %ho Toohnfcal DiaousaJton ::t the Bixth Scssio~ o f the Rog ioml Commfttae should be q t ~ e a l t h Eduoatf on of tllc Public".

PART 111

THE FBOPOSED R Z O G ~ L E LND BUDGET FUR 1957

Tho' SW-Commit-tao ccns iderod and an4o~~a.d. +ma r o p c i t or ihc progl'amma sub.- divis ion which oxqinod tho proposod p r o g r m o and budgot Pbr 1957 (itorn.17 of i ha ~ g o r d h .is R&§,L@/~. and /5 hdd.1) .cormtry by country. . Ijc. alsc aonpidarod 'Ilc.catigns for thq ,rogionnl off ice and for tho iitor-ibgional firoJocts, hs

c .i:L~Pr4dd $bh t h o $ r q g r m o f c r 1956, tho programno ,$or 1967 qhcwq, an incronsir.g ~ : ~ ~ p l m a i s o n intor-o6'iChtry 'pro&ranmos and a slow but.:>st,wdy txie$ fuprds il:cronsing l o n g - t o h oduaational pro j co t a . Ievortholose iii4t amphaais oantink:; t o bo . L a d on i r o ~ o c t s f o r assis t ing govoxmonts i n aontral ~f oomwrioablo 1 i scaso~. Xn t h i a 'nonnoxion roproaowtatitree notod t h o prop~sils for ini$ia.f;ing

mnlar fa aradioaticn programmoe in cortnin oountrios on tho mainland of ~ l ~ i a , Tho quoaticn of'malaria e rad io i t i on was f'urthor d i ~ c u s s o d in a soparato so~sion w d o r i-ton 14,2 of t h o Agenda,

2110 sub-~bmmittco also oonsidorodaand ondorsod a supplamontary p r o g r m o cf doforrod proSpcts (R~6@/3 rldd.1) whioh should bo implcmntod to tho 'oxtont practicable if further fwds should bccomo availcL?c. Cor-thfn additions WOW :?ado to t f io qbppbmontary p r o g r m o whioh are indicated under qdparato country ho~.dings bol'm.

Tha Sub-Committea oonsidorod and spcrci$ioa&ly ondoraod the propcssd Zntur - c ountry ' p r o g r h e s outlined in do aument ~~$/Eh7/3.

Tkc f o l l d n g are s m a r i o ls of oonrmonta made by tho rcgrs sontativo s 2'. cc6~ t .a " . by oountry:

Tho 1957' p P a g r m m f o r Egypt m a considored and endorsed, Bowov~r tho f :~13&ng obsorvat ions by the ropro~ontativo of Egypt were notedr

Tho* Government o f Egypt waa not on t i rely ~ta%isfio$ with $ho ai3oodtion c,l' , Icgul ar funis f o r i%s programmes. l;ri. oompwisop with no ighbowring oountrios b. mparablo sieo tho allooation was cons irlored to' be unfortuhtoly smkl. T h i ~ tclndoncy had been moro emphrtsizod by outs,ma& in tho Govsrmontla i.oquos't f c r tcchnica.1, as sis tanca , t h ~ u g h tho roproaontativc ;?cintod out that tho hoblth prcp,r&m~ .had rbcoivvad somu ;$i00,000 o u t af ,a t o$p l Teohnioal Assistanoo nlLoc3;t.i t o t h o obuntgYq c f! $7'00 ib00.

Tho Regional Diroo to r pointod out t h a t country allcoatione f rom. thb Rop lm budgot should not be conaidorad in rolat ion t o any individual year but ramor i n r e l a t ion to the programme of the reg ion as a wholo Gvor a period of pars and indioatad that during tho p e r i ~ d 1949-1955 Egypt was tho sccond largost r o o i p i o n t country f r o m Regular budgot f'unds.

Tho 1957 programme waa considored and ondorscd. Tho f ollawing obsorvatil::c by t he roproscntat-lvc f o r Ethiopia worc n ~ t o d r

Tho mpaantativw wishod t c draw a t ton t ion t o tho statomont in t h o prcnmblc in the Const i tu t ion stating t h a t +!unequal dovol opmont in difforont corntrio s in tho promotion of health and control of disoatiro, ospocially ocmmunfoablo disonsc , i s :: c m a n dnngar" and ompbsised tha t hia WrtJmont tbomfdamd tbt mthr m@;or QZloo&kms to the budgot for Ethiop'fs than tho= .recaimd in migkboushg ooun.t;r$ea might Lheraby be Just if iod,

Tho 1957 progrRmmc was coneridorod and endorsod. %o following, abscrvati 1f' tho roprosontativo of Iran m r c notodl

mc roproson$a-t;ivo drow at tont ion t o facilities offorod to'noighbourilzg countries by tho lh la r ia Institute in Iran f o r t r a in ing at pcst-craduato levol ,

Scmf nar a -I--

Ho strongly supported - h o somimr p r o g r m a of tho region,

Public Informaticn p a - * - - -

Hc congratulntad tho rog ioml o f f l o o on i t s public informaticn activitios . &laria coordinator

110 suggoetod t h o eubstitution of t21o proposod intor-ccuntry malaria c::;rdimtor by an intor-country public health anginoor alsc for duty in GGSIIIO~F',I-

:.:i th malaria oradica+ion p r o g r a m s ,

Tho 1957 programno was considor04 and.8ndbrgod. plo P o l l o w i ~ ~ obsorvati I ' Y ~ tho roprosontativa cf Iraq wore notod:

Ho suggostod that l ong- tom, pro jomts d ~ o u l d by financed as far AS ~ o s s l b l c f r ~ m kho Rogular budgat owing t o unuortninties as sociatod w i t h the ~;jbhnical

Tc chnical Ass ietanoe Planning ~ 4 r c . r *,-a. *&Y-Y.- .-&I .-

Ho ropor tod unfavcurably on 'tho now moWod of. plmqing f o r Ts~hnioal Assis t~ . L t country lovok which tondod to mitigate against an apprbprints pllooation fcr 'loalth pro joots . '

Hc eupportod tho proposal f o r tho adoption of Arabia as a third h f f i o $ . a ~ ~ w o r k i r q language f o r Sub-Cammlttoo A w$th effect from tho sixth sossion ~f thc, '',c:5onnl Cornittoo,

Tho roprosentativo roqucatod information rognrding tho methods and or i t c r i~ . Tcr allocating Rogulcr budcot hnds t o rogions. The Rogioml Diroctor s t c b d thzt it vfas tho rosponsib i l i t y of tho ~ i r e o t o r - ~ e r & r a & to allooato fbnds. bekwcc-: d i f f a r o n t regions in acoordanae with data and i n fo rmt ion at his disposal t .5 on;.u--. a wa 11-balance d world-wide pr o g r m ,

The 1957 programno was oonsiderad and endorsed,

Subjeot t o tho ownments noted bolow, tho 1957 progr- was coneidoroa 3rd ondor sod. Tho f oblowing observations from tho rcprasontativo of Lobanon v x r o ns t

Lon tomd,, Pl'anning and ~ o c r d i n a t ion d--,.. Tho roproscn%ativo ~ t r c n g l y supportod tho oonaopt of long-kern planniw ahd

strcsacd tho nood f o r WHO o o o r d i m t i c n of all hoal th work oarried out by varicue h&oncioa in Mombor S t a h s of tho rog ion .

Tochnicnl he eistanoe Planning --C-- L.

EIo ccnfirmod the uneatisfactory mturo of +hc now Toohnical,flsslrs.t;anca plcmm3q procodura in 1855.

Ho sug~oated tho aupprossion o f tho prc)p~sed inter-csuntry r n n l a r i q - c c q r d i ~ ~ a k . # ~ , in fnvcur cf appofntmont of sanitary onginosPs and c thor toohnfcal staff,

Rohabf l i t a t i c n o f Bandioappod Childron Pro j o c t .I* . I.-- ..l-

Hc roquosted rotanticn cf tho aarvica~l of tho modical ocnsulfrint fdr tho rohnbilitntion cf hnndioappod childron prcjoct thrcughout 1956 md 1957. This roqucst was notod,

Sup lcmontal Budgot A- *- *.I-

HO roquostod tho addition o f t h o following consultants t o t h o supplohontnl ~~ud5o-h fo r Lobancnt

Short-tom ocnsultant on sohool health Shcrt-tom oaneultmt cn radic~isotcpas

Hc ~ u p p o r t c d tho adopt icn c f tho Arabia languaga as an cfficial and wcrkirq; ' i . : : t~z~~ago cf sub -~&tn i t t~o . w i t h offoot from tho sixth soaslhon.of ' tho R ~ g i ~ m l

: i : d t t ~ ~ .

. LIBYA

Tho 1957 p r o g r m o ma csnsfdorod and bndcr$od, &o follswi~& obsomations :cm t h o roproson+ntivo of Libya woro notad*

In t h o course of disousaisn he pcintod out tho apocial diffioulfioa oncounterol b y Libyn sinco i t s asbblishmont aa an indopandont ocuntry.

Arabic Lnnguago

No supportod t)I~, .adbption of tho drabio language ae ail o f f i o i a l and w~rkin-; l ~ ~ n c u n g o sf ~ub-~&nr$toe h with e f f b o t from tho ' eixth scsaion of t h o Rogdoncl Cornmi-ttoc ,

Tho 1967 progrplwnc was cond.dorod and endorsod.

Tho roproson ta t ' i k cf Palcistali toquostod that inoroasod a l looak ion f c r now a r o j o o t a bo mado if possiblo but was not preparod ati proaon* %o makb apoolf ic roquosta,

Tho 1957 prcgrawno was ocnsidorod and ojndursod, Tho f ~ l l ~ w i n e o b s o r v n t i ~ r 8 kho roprosontatim of Saudi Arabia was no-bad r

Tho raproscntativo prop~sod that tho uso cf Arabic aa an of f i c i a l nnd wsrlcinr Iznpagc o f Sub-cornittoo A should bo oomonccd w i t h e f f o c t from tho sixth scssisri if the Rogiona l Commfttoa,

Tho 1957 p r c g r m o m a consido rod and o ndorsed. ~ O ~ . P O L ~ " O W ~ ~ cBss maticns c j f tho roprosontativo cf Sudan were notod;

Envircmontnl, San i ta t ion -.c nm

Tho rcprosontatfvo drew attontion t o t h o fadt that 'tho amount a l l o a a t o d f o r ~ i rv i ronmon tn l s n q i t ~ t i q n ' in tho ;I967 budgct was somo $lo ,OOQ loss than thnt all ;o-tUJ in 1956. f n t h i s ccnnoxion t h o ~oglcrnl ~ i r o c t o r draw attontion to tho fact tkc..=t $lo ,000 had boon allccatod f o r a ncn-rocurring p ro j o a t in 1966 - tho erwimr iiz

d l ~ v i r o m o n k l sanitlxtion.4 . He alaq strosscd that o m i r o m o n t n l s & t p t i o n nc t iv i t ies f igurod largely in o th r r p r c j o c t s , cspocially such prdjobtah,as ' hot:lth.,lth lomonstration aroas.

rho roprasonta t ivo cf Sudan also , .r?qu~qtcd..,+s,eiptan~ . .,,. 9 fp,, ~>stabl i sh in$ n p i l c t rural h o n l t h prc jock w i t h omphasia cn cnvirormi6kbl- ~nnitati&%:' Ths roquos t ~ m s !l;todl

Tho p r o p ~ s s d : p p c g p m o f o r 1957 ~as.,oonsidorod and ondcrsod, Tho fsllswinz obscmnt ion cf tho roprosontativo cS Syrig vja&''mbd 4

h a b i c L a n g ~ ~ g ~ r ..- Tho roproson&tivo of Syria supportod tho adoption of tho iirabio i n q u a g o n s

I! s f f i c i a l and w~rking 1anp;uago o f ~ u b ~ ~ o r m n i t t a c A with offact from tho sixth .bssion o f tho Rcgional Comi t toc .

. UML TED KINGDOM

Tho 1957 progrnmmo fc r Unitod Kingdcm t o r p i t c r i o a %n tho region m s cznsiclorcd ,.,id 'ondcrsod, Tho fol lowing observations sf $ho roprosontativc of tho Unitod :Lny,dzm w r o nctod:

Wb con~ra tu l a tod tho RegionaJ .piroctor on his budg,b% for 1967 but suggostod L h n t thb 86urco cf h d s in t h o f o ' u r t h . b s l h m o f the & c m n t ~ ~ 6 @ , / 3 hoadod "Othcr Extra-Budgetary hindstt should bo .further spooif i6d as in t h o O f f i o i a l ;@cords of tho Organizaticn.

PART IV

THE RESOLUTIONS

In the course of its plonary sessions the Sub-Committee adorn8 me fo1lawQg roao1utfom t

?25n/EI4/k, 1 AWPTION OF THE AGFiNDA

The SubCommittee,

ADOPTS the apnda as pre sehbd, ( R O & ~ M / ~ . r ev . 1 )

RC~A/~R!/R. 2 REPORT OF THE RECtIONAZ DIRECTOR

The Sub-Cormnit tea,

1. N O ~ S ~ t h kpproAl the A ~ ~ l Report 09 the Regional Dirrotor; (ROS/EI.

2, l3XFRESSES i t a appreciation of the work of the ~ e g i a n a l ~ m i o e ;

3. ENDORSES the continued emphasis on control of oammunicrable diseases;

4, EXP&SIZES t h e imgor*anoe o f Improvement of anvf romen+al ahnitation and continued keal3h ' edu'bation, and

5 . EBQUESE3 tho Regional Director to oontinue and expand a s a i e t m o e t o Statos Members for d9velopmen.t bf thei r public health adniniatrative syatems and training of etaff.

~ ~ 5 h / E ~ / % r 3 VACCINATIOB AGAINST SWLWX

Having considered the dooument submi ttad by tihe Regional Dirao+or; (RC 6/%1J/&

1. N O T E 3 that the3 Eighth World Health Assembly by i t s resolution on I n t o r rmt ional Quarmtine , (lVJIA8.36) 'referred to the Commitbe o n Into mati 1 ~ u a r h t l n o f o r f'urtho'r conaideration. the queatian of' the progresaiva loaa Sa, h d w f o l l o d n g vacoinatiob and the t h e <and 'degreo of developmen+ of immunity following re-vaooination;

2. mQUEST8 the Regional Diractor to follow up # l a question and report to a future Regional Committee,

Tho Sub-Committee ,

Hooalling the resolution on the nomenclature of Sub-committea A of the Fourkh Regional C o r n i t h e ; (RCUL

,~eoognizing the importance of the adoption as far as poasible of a unified nomqnaJla$ure' for health etaff;

1, NOTES the proposed nomenclw~urs s e t out by the Regional Direotor J (riC 5fi.:../-- .: 1) 2, REQUESTS the: Regional Dimotor tr, etudy. %hi6 m a t t p r f'urthor i n cooper a t Lo. w i t h Member stakes and report to t h e SixCh Sossion of tihe Rogional Committed.

, . L L ~ ~ / E I ~ ~ . 5 USE OF l W B I C AS AN OFFIC'LRL i\MX> WRKfiNG UUGUAGE

The Sub-Committee ,

considering tho adviaability of ueing Arabic a8 an o f f i o h l BJld working language in tho Rogional Comrnittoa f o r the fastein Mediterranean:

T1'EWMMENDB the u ~ e of Arabia as a third language.

3 G .555L/2:m!/R . 6 RESOLIJTIONS OF TEE3 EIGHTH PrOIlLD HULTH atiSEM3LY , OF - R E G I O I U INTERZST

Tho Sub-Committoo ,

Iiav.intg studied the docwnont (~~5/Eli!l/7 and /C7 AM,^) presented by tho Bogfinal UirooLor drawing $attpnt;ion to oortain rosb$utions parrsod by thb Eighjih Worl~ EIoalth Assembly of regional i n t o r o a t ;

WBS W T E of t h o oontont of the following resolukiona:

RCS~~/%M/%. 7 'EXPhPTS I O N OF PUBLIC 1STM)WITI:ON IICTLVI Ti38 ZB TIE USTERN MEDITERRRmN mGfON

Having notod the r e s o l u t i o n of' the Eighth World Health Asiombly ( a 8 . 2 0 ) ooncorning tho oxpanaton of pub1 ic information aot iv i t iee , and ' studied thc do cumont subxa$ttod by the Rogional Diraof;or; ( ~ ~ 5 \ h v 4 )

Considering the need to m a k s TlHl a h a and work better b o r n ;

1. XlmS w i t h sa t i s fac t ion tho oxpansion and t h o work,of thia Sseticn'at Eleadquartera and at tho Regional Offioc;

2, CLLLS UPOU Gcvorlmcnts cf Sta'cos Eprfibors t c; ;rgnni zo naticnal cn~'li*t;-l;b~a "c pro1'~cb i u t c r o a t am'. l a o w l o d g ~ cf thu iyorld. Health O r ~ n n i z a t i ~ n in -bhc cculr.t;riua cf +he rcq icn and t; cnsura tho d i a s a i ~ i n n t i ~ n :f infcrmaticn ill L

c=n-kinuoG~ ilannor by stronqthcniw,; ro lx t ic?8 oxfatins bobrcron t h o vwfaus tlo2;rkxonta ocnocrno r3 tho public ;

3, REQUESTS ' the Organization to give inoreased aid t o the region in tho following wayst

(i) by production of basic information m d o r i a l in a .wider variety o,f, l riqguago a ;

(ii) by extonded produotion ox exhibi t and,.ather visual material ~ a a i l y adaptGbl~ t o r0giqqal and m-tl.oval. needs i

( i i i ) b y as sistanoe' t o regional and loca l initiative In' tho translation and printing,of the monthly 'tVHO Wewalotkr in nop-offioial lan&a& s .

Hating studied We document submitted by the Regional' '~iieo&ikr on the Promotion and Implementation of ~nvirarrmontal sanitation Programmoa; (ac 5 m / 9 1 Noting the ways in which the World hoi l th Organization oan a s s i s t aernbor Sta tes t o develop suooossf'ul soa i ta t ion progrmos;

Endo~~l ing the four prinoipal steps a o t forth whioh are essankial, to the 'sucoos.s of smi takion p r o ~ r b s , i. e . >organization of sanf ta t ioa ner~koo s supported by an oduoational o f Port, ea+ablishment of a ~ r a t i o h $ & i t a t i o n plm, hproving tho teaching and training of sanikt ion psrsb'ntlek and tho dovolopmont of p i l o t san i ta t ion p ~ o j e o t s ;

I . RECOMMENDS to tho Govornmnta of Mombor Statnee t o give due prarainoncc to pro j o o t a Sn environmental aanitlation 'when f ormulnting requests for assistance to the World Health Organization, t o UNICEF or t o o$her i n t o r - national aganoies;

2, INVITF,S the Regional Direotor to qoncime t o onaourago the ealmblfahmont of and to atrengthon oxfsting envirom~ntal : sanitation programmos of tho Mornbor S t & o a .

Tho Sub-Commi t t e e ,

H8vi studied tho paper on nur~ing submitted by the ~ogional Pireotor; (kc 5zM$3.0)

EIaving c o n ~ i d o r o d nurs lng programmos and problms as reporwd by ropresontat ive.~ of Mombor States;

'1. CONSIDERS tha+..*o developent of nursing is of p r h o importame to a l l Mornber States;

2. ACCEPT8 t he oontent of tho paper i n prinoiplo;

3. RECQWmS the Govqmmqnts of Member Sta.tesn aerioualy to oonaidm thc drawing-up of auitab l o nursing l e g i s l ~ t ion, the 'provi~ion of adematd aowioea for nursing education, the establishment of a saction in the . Ministry of Health oarrying primary responsibility for the nursing sor-rricos, olld the brgwnization of National Nursing Assooiations, and

R C E / ~ ! ~ / ~ S Rev. l Page 16

4. REQUESTS tho Regional Director t o continua to give maxbw aid, poasiblo

i or the development of modern and o f f i o i e n t nursing asrvioss and t a t h o . W ~ l o p m ~ t ofi progrmmo a of aq%a in$ a@uoation lsdaed &\ polloiea l a i d down

b$ the EWpsrB.CdStee on.~urs'Ing of the Wprld Rehlth Or'ganiaatton.

The Sub-Cornittoo ,

Ro t ing the re solut iolz of the ~ighth .World .~oal th- ,~~esembly (MU8.30) concorning tho eradioation of malaria;

Hav5ng studied the doaumc~t 8ubmitkd by t h e Regional 'Director; ( ~ ~ 5 / E n ! / 1 2 )

Considering tho danger oonst i tu ted by the potent ia l development of anophblf no reef staqce to insectioldaa.;

Racognizing the great h p o r t m c a of malaria ns a cause of' hi& mortality md morbidity ra tes in tho Regf~n, with rosul*tant eoonmio loss3

Boting with satisfaction t h o plans already drawn up for oontinuod assistmco by the Organization; and

Boting that up t o 50% of tha total cost o f aradication programma can bcJ m o t from international or othor foms of aid;

I r wLL8 upon tho Gov~l.tmmela~?3 irf S t a t e s bmbor e * td th in the Region in vthiah au& p r o g r m 8 are feas ib lc , to draw up long--t:@m - plans for eradication of malariamand %o press their raspoctive legisla.t:J-re bodios to oonmi-t; adoquate funds in a d m o o f o r a f ive -par prbgrammej

2, REQUFATS tho World Health Organization and tho Unitod Nations cliildrontg Fund to p r o v l d ~ tho maximum possible aid to oountrioa conaerncd.

BC~~~B/R* 11: PQLIOMYELITI8 AN0 ITS PREVENTION

Tho Sub-Cr~mittee,

Noting WO document subnittbd by tho Regional Director3 ROB^/^)

1. EmRSES tho action of t h o Regional Director in ooopsratixig.kith institutions with in the ~ e ~ i o n ' carrying out re soax'oh work oollcoming poliomyolitia;

2. l?BQUESTS. %he RogiomL Director .t;o continue studies on tMr',:problorn of p o l i d r n y o l i t i s w i t h i n tho R ~ g h n ' and t o report to a futuve '.Rbl&ona1 Committoe,

~ h o Sub-Commit t~ e ,

Having oonsidored tho proposed progrmo and budget 0se%bi~tdt3 for 1956 submitted .by the ~ o g i o n a ~ ~ i r o c t o r : ' ( ~ ~ f j / E a a ~ and /3 ~ d d . 1 )

1, CONSIDERS thls doownent seks o u t a sat isfactory programme within tho budget provided a i t h e r through YBO Ro gular Funds or through tho Technical Rsa is tanoo P r o g r m e subjoct t o tho following changet

Pa40 92 Malaria Coo~.d ina tor EMRO 20: The pos t of malariologist to bo <dalctod md replacod by one post of Public Health Engineor and ono post of sanitarian;

2 . mRWRDS this proposed programme of work and attendant budgot, ae mended, in aooordance with tho torrns of r o s o l u t f o n W ~ 8 , 2 3 of the Eighth World Health Assembly;

3. SPECIFICALLY ENIX)RSES t h o proposed programme of intor-country ac t i v i t i o a ;

4, RECOMMENDS tho use o f the Arabic languago as a th i rd o f f i o i a l and working ldnguage f o r Sub-Committoo A of the Regional Committee for t h o Eastern Mediterranean, commencing not l a t o r than 1957;

5. THANKS UNICEF f o r i t a cooporation.

The Sub-Comni.t.t;oc,

Having studied thc r c p o r t of tho R o g i o m l Dimctor on dovolopments in the Ul? Expandod Progrtumrmo of Tochnical Asslistanco find tho program$la proGosed for corntrios in tho rogion undor that program0 for 1966 and 1967; (RCEJW~ and /3 hdd.1)

Noting ro solut ions WHA8.32 and W8.33;

Considering tho role of t h e progrnmmo in improving tho hoalth of tho peopk in t h o region as an in togra l part of economic and s o o i a l development;

I. EXPRESSES t he hope that in f i t u r e years the problema sncoun+erod in tho f i r a t experienoe of country p r o g r a m i n g will be avoided;

2, REQUESTS Govorments in the region to assum that thoir hea l th offici par t ic ipa te f i l l y in tho work of tho coordinating body re sponaible for t h o d.ov*lopmont of t h e i r t o t a l country programmes, ao t h a t tho health aspeots of economic and social dovolopment may bo adequately consibrod;

3. REQUESTS -tho Regioml Director to provide such adrrioo and aesistanae as hea l th ministries may roquiro in doveloping their pro jec t proposals f o r inclusion in #e country's total prograrmne and. in thoir dlsoussions w i t h Ros ident Representatives, who perform a ooordinat ing ftmction in the dovelopmni; of Teohnical Assistanoc programmoa;

4. REQUESTS t h a t tho proposals for the Regional Nursing College and f o r tho World Health Organizationt s partioipation in tho Arab Statas Fundamcnf Education Centre bo approved by the Technical Assigtanoe Board;

5. EXPRESSEB tho hope that provision will be mado in ostnblishing tho 19 country targot figures, including tho WHO ta rge t sub-totals, for tho activit ies whioh appoar in the proposa ls f o r tho p r o g r m o and c o s t esr;hQ f o r Tochnical Assistance in 1957,

RC 5/h4/19 iiov . I . Page 17

fhqh.14 GENERI1L P R O G h W OF FOR A SPECIFIC PELRIOD

Noting roeolu$ion.YrMA8.JO of the Eighth World Boalth Aaaernbly:

Having studied the document aubmittod by tho Regional Director; (RC~/~MI~) 1, CONSIDERS tha t the document ou%linos a satiifaa+ory programme of. m~rk f o r tho .xogional nrgqns of hhe..mrld Health Organization dueing tho poriod 1957-19h;

2, ENDORSES tho ooncopt o f , the Regional Director t h a t tho programme of work for this apecif ic poriod is cornpos~d of the sumnation of the plan# an$ programmas 'of S t a t e s Mombors;

3. CALLS UPQH Governments t o draw up programmes of work for "their individual cbuntries within tho framework of' tho doom@n% submittad and in cooporation w i t h the Regional ,Director.

fiil 54i,h1~1$3. 15 DRUG ADDICTION

Tho Sub-qqmmittoo ,

?laving hoard t h o ropor t of tho Iranian r o p s o s o h t a t i ~ on t h o question of drug addiction;

1. NOTES w i t h s a t i s f a o t i o n tho a c t i o n taken by tho Govsrmbn% o f ' f r a n on this quostion; and

2, REQUESTS tho: Regional DirecAor to ancludo tho problem of drug a@,djction, and i t s c o n t r o l mpne; t h e b;c+ivitias of the Eastorn Mediterranean ~egkon.

Tha Sub-committoo,

1. RECEIVES with intorost tho roport of t h o Chiaf, Haplth.Diviaion, on tho hoalth ac t iv i t ies oarr iod ou t tiho Unitad ~ a t i o - p s Ral ie f and WoPks Agcncy for Pals s tino Ro fugoe a ; (RC

2, IIWlWKS l.NRWA f o r i t s cbritinuod h o a l t h w o r k among tho Palestino rofugcc..

tj 5i~De 17 RIGHTS MD OBLIGATIONS OF ASSOCUTE h@MSIEIRS IN 'REGIOWL COMMIT TEES

Tho Sub-cornit too,

Having cons idorod doownont ~~5hnd5 nubmittad by t h o Rogionnl Dirootor ;

Considoring that it would not ba & s , i r ~ b l ~ o . . f o P ~ , th6 r:ighta. an&: obk2gatioriB o f Associato Mgqh,qra:%o dif?& in t he various region&;

Considering that no ohango has occurrod in t h o ragion of tho Eaetom Moditorranom with r o gard to tho rospons ib il itio s and re l a t i ons o f Assooiato Members;

IELIEVES that tho cornidoration of this matter is promature and .tthat it should bo deferred t o the next session of the Rsgio~l l t l Commit&;oo f o r t:i: Eastorn Moditerranoan,

The Sub-Committoo,

1% NOTES N t h approciation tho oornproheneive roport ( R C S & N / ~ ~ ) on tho inoidenoo of guarantiq&blo dise&ae$ in tho rogiosl durifig 1954' an&' tho f i r s % ' half of 1968;

2. COI@ENDS tho Re>gional. Off ioo far f ts work in Lhia roaperot,

~ h o ~ u b - ~ & i t t a o ,

fPWSNTS Dr. W.A. G l y s u z as i t s roprosontative, w i t h Dr. It. ~r6vok as altomato.

R C ~ - I ~ E : @ . ~ O R ~ ~ * ~ TIl@ A w P@CE.OF THE NEXT TWO MEETINGS

The Sub-Committee,

1, ?MKS 4Ae Govormnt of Iran f o r it^ genoroua invitation3 and

2, RESOLVES to,hold i t s session In 1966 in Teheran, and, ktrthor;

3, RESOLVE3 to hold i t s seesion' in 1957 a* k b reg5annL bmqmrWrs in AZolrandrfa.

?'LC 5ii/%hl/k + 2 1 VOTE: OF TlUKS

Tho Sub-Committac,

EXPRFASEB its gratitude to the Govormont of Lebanon f o r i t s hoap5eality &id fo r tho oxoe llont ,and ' cromproh&sive arrtmgemonta mdo to onsuro t h o suooess of t h o sub-dbmmi+toe held 4% Bofrut f rom 27 %o 30 Soptombor,-1995.

5 i & ~ / R . 2 2 TECHNICAL DISCUSSION M)R lJEXT E&GIOULL COM11IITTEE

Tho Sub-Commit-be,

Considering tho importance of hoalth education for the dewrrolopmon-t of heal th . samices

DECWS to ohoose this aubjegt as the topio of !Feohnioal.QUousrr%on fo r the S W Regional gommi.t;tee.

Oponing o f thc Sossion

Eloc t ion of Chairman and Officers

hddres a by Chaiman

h p p ~ i n t m o n t c f Sub-Divis i cn on Programme

Adoption of rovisod Rulos of Prscoduro (sub-~cmmittoo B only)

Action takcn cn roso lu t i cns passod by tho Fourth Sossisn o f t h o Rogional Comittec

10. 2osolutfons ~f t h o ~ighth World Hoalth i~ssombly of rog ima l i n t o r e s t

11, Stntomcnts and roporta by roprosontativcs o f Kombor S t a t o a

12. Cooporation with othor Organizations

13. 1:ights and Obligatisns cf Asscoiato Mombars

4 . Tochnical mattors

14.1 Envircnmontal Sanitation 14.2 lh la r ia 14.3 Pcl iornyol i t i s

'16. Tochnical discussionsr "Nursingf'

17.1 Gonoral Programme of Work Covoring 3 Spoo i f i o Poricd

18. Xopcrt of t h o Sub-Division cn P r ~ g r m o

19, Othor business

21, Closur~ of session

LIST OF PARTICIPANTS

EGYPT

Elprosontat ivo

,Dr. M.M* Sidky Diroo tor-Gonorcxl , Sanitaticyi & To ohnical Ilo soaroho 8 Dczt . Ministry c f Public Health, C d r o

Dr. N.0. Shdib ~ i r o o t o i , Di-vis i on o f Jnternatf oxla1 Hsd th Ministry of Publio Health, Cairo

Dr. F.B. @ l a n h r Prinoipal Uedioal Advisor Mlnistry of Publio Health, Addia Rbabo.

Ats Rapto Marim VJGidhA~idan Sccrotnry-Gonoral o f Pub1 io Bealth, Addis Ababa

Dr. M, ~ r b v o t Chiof o f ~ 0 ~ ~ 1 t h Sorvicss Djibouti, Wonoh 86maLiland

Dr. IrIahmsud lbrnhhn Diroctcr, Intornationhl Health Soct ion Ministry cf' H~aLth, Baghdad

Dr. A.T. Diba Diroutcr, Tn-krnational WoaJth ilolationa Boparbont Ministry cf Henlth, Toheran

Miss P* S ~ l s a l i Chief Nurse, Publia Health. Orgmf zation Ministry cf Hbal*, Toheran

Mr. Lioinio Vo-stri 1 ~ t k o h 4 , Ztalidn Embassy, .B'irut

,dprosontativo Dr. subhi l h i n he sietant Undq'p-Soorotary Miaf stry of ~Honlth, h m n

:ur s ing Advisors &!is s , El izabeth Rilbopn Nursing Advisor t o f i n h t r y of.-Hoal.t;h, ArmmW

Miss Satenig Mihran Ohmian Instructcr, J~rdan SohcoZ of Nursing, Amman

rr: s (3 n t n t ivo

~ y r ~ scntat ivc

_,I tc: r i n t o

Dr. J m ~ i l Anout6 Director-Goncral mnis t ry of Health, 3ciruk

Dr. - S . Haytrk D i rcc tor o f Technical Sorvicohi and Idernat Lorn2 ~ @ a l + MinEistry cf Hoel th , B Q ~ w ~

Dr, 'fE. dh l ' l ou l Chiof, Dopartmcnt of MCH, Vital & Hoalth Statistics, School Boalth S e r ~ i c s s ' & Public Hoalth Education Ministry o f Honlth, 30 i r u t ,

Dr. El viCki3: ~hihf, 'Lbpartrnont cf ~ruv6ntitj;d Modicino Mini #try o f , Epslth, Boirut

ltr. D. 'Galow i~dminis tr a t h o Inapo o t o r , Quarant ino Sorvi oo s Ministry of Hoalkh, Boirut

M r . F. shohsda Technioal hd$ksor on Enviromhontnl sanitatf cn Ministry cf Health, 3oiru+

LIBYA

Dr. Vf. Fbollmar b i rockor -~ono rnl c f Phblic Hhiilth, Tr ipol f

Pik, Omar Abbaa Kadi Adminiskrativo Socrctnry 1;linietry o f Publf c Koalth, T r i p c l i

PAKl S TAB

Dr. 61i Mnwab Khan Assistant Diroctor-Ctonar~~l*~:-Moalth, Karachi

Dr. Has san Masoof ~ i r o c t o ~ cf t h b Tobhnicdl Office ef tho 1,ginistor of Honlth, Mooca

Dr. i?uohdi Tar az i ~ocrotdry-GWoral, Ministry o f EIoalth, Da'naSOus

Dr, 3. Araotingi D i r o o t o r o f Laboratsrioe Ministry c ' f Hoalth, Damasous

Dr. Din El-Chatti ~ n t o r , n c . t l b r d Hoalth Socti~n Ministfy cf Hoxl%h, Damascus

UNI TED KINGDO14

ursing Advisor

Sir E r i c Pridio Chiof MoQ$gd, off$cer Cclonin l .Off ico., London

Dr. W m i i * Glm Diroc to r of: Modisal SesvWps, Aden

Not roprosonted

Dr. l~lu'nod Ali Z a k i . Diroctcr cF Medical Scrv ic~s ILhartcwn

1,ii.s B Haws , .Elbaair Pr inoipal W4r cn Khar t own

h i t o d ]?at ions' ) Mr. M. Sandborg Acting Chief UNICEF Eopr@ aontat ivo Eaatorn Moditorranoan i ~ r o a O f f ice go but

Technical' Mr. Dudley Itlr~nrsack ,ssistcnce Bsnrd Liaison Officor cf tho Unitod Nations Technical

Basistanoo Bsard f c r Lobanvn and Syria

Dr. L.F. Findlay Chiof, Koalth D i v i a i ~ n rnNt~ , I l o i r u t

Niss Fernan Pragor Nursing Sorviocs Offioor mW~l, Scirut

IJiss Mona Doss i i o ~ i o m l Nutr i t ion hdvisor FA0 Ro gional 0 Sfioo, Cairc

l~z tc rmt icna lConrmi t toe u & a e * m & & ~ # n ~ a r a s ~ o u a d $.;' l i i l i t n r y Yodicine and Diroo to r o f Haalth Servicos o f t h o u Phnmlacy Lobanoso iLw, Minietry of National Dofensa

m i r u t

REPRESENTATIVES OF Z N ~ - G O V E R ~ ~ M ~ L L AIJD NON-C;O~i?MBNTAL OTIG~LNTULTIONB (cc

Lc~.r:uo sf Arab S t a t e s Dr. Nasscuh Nabulsi Chiof, Honlth Soct ion c f the t ~ r a b Loa~uo C a i r o

ilnoriocwn Collogo sf Mr. Omzr. Nnbi Boy Cba ;: k Physic inns Bc i r u t

ZntormticnalHydat ido- Dr. ? m i l c ; ~ , C i z k l c ~ i c a l Assooiaticn Bo irut

Intornat ional Pacdiatric Prcfo ssor H.U. Zollwogor ?A. D. :Lssociation Boi ru t

lntcrnaticnnl Associn%ion Mias id. E j o i l of Cathc lic Nuraos and Lobaneso Catholic Nureoat Aseociaticn :.lo dico-social Tforko rs Be i m t

Lonr;uo of iiod Cross Dr. . El50 ~anklini S o c i o t i c s Lobnnoso iwd Cross

Boiru t

I n t o rna-tiom1 h i o n for Dr. J.K. ~ a r f oucho Child Wolfaro and World Beirut F ~ d o r a t i o n of United 9n t i cns Associatione