..

UNITED NATIONS E/ICEF/L,80910 August1955

ECONOMIC ORIGINAL:EN3LISH

.& AND -~’ SOCIAL COUNCIL-.

UKCTEDNATIONSCHILD.llENtS FUND

ProgrammeCommittee

.

Recommendationof the ExecutiveDirectorfor anMEXICO

Apportiomnent

I%_@riaEradication

1. The Administrationrecommendsan ,apporticmentof $2&400,000for the-—.provisionof insecticides,vehicles,sprayersand othereauipmentfor the first

18 monthsof a s-yearcampai”gnof insecticidesprayingto eradicatemalariain

Mexico. TheAdministrationalsorecommendsthe approvalin principleof the

entireproject. Thefirs”tyear of the campaign,19%/19%, will be devotedto

recruitment.and trainingof personnel,organizationof the campaignand.spraying

in relativelyUmited pilotareas, Full coverageof the countrywill startin

September1956. At the peak levelof the sprayingoperation,which willbe

maintainedfor 4 consecutiveyears1956 to 1960, 13,400,000peopleHillbe

directlyprotected. Du&ng the S years of the programmeit is expectedthat

UNICEFwillbe requestedto providesuppliesand eouipmentto the approximate

totalvalue of $8,400,000.Duringthis sameperiodthe MexicanGovernmentwiU

spendthe equivalentof $12~5!10,000for the programme. The apportionment..recommendedin this paperwould cwer a periodof 18 months,the preparatory

year plus 6 monthsof the firstyear of-fullcoverage,

2. The techniquesto be usedin the programmeare basedon therecommenda-

tionsofM’HOand the UNICEF/WHOJointCommitteeon HealthPolicy, WHO will

assign6 technicaladvisorsto the programmeand provide19 fellowshipsfor

traim”.ngabroadfor iVexicantechnicians~.Thesefellowsare alrea~ in

Venezuelaand the UhitedStatesin training. Theprojectpersonneland fello-

wshipsare expectedto be financedfrom TechnicalAssistancefundswhich”have,.

alreadybe~n requestedby theGovernmentof Mexicoas a firstprioxzity.. .

,.

/30 T~.present recommendationf,.,. ,,,.

,.,..

,,

, ..-.

... . . ,; “:.,..”..

. ...,,,.::,., ,,.~,

..,. ,;;~,...E/IC.EF/L,809 ,.Page 2

.;.,......

.:. ,,., .,:.,!,.,.:. .?...... ...-,.,,,..‘,. >. ,“,.:,...,,, ....,.,

...,,!.:... .> .,’”.. ....,.. .,:,.,,.,.,,,

.:’,. ,, .!.. ,.!... .. 2-.,!,,;.:,.,.

3*’” The presentrecommendationhas takeninto accountthe”su>@ies and ~~ ‘

“equipmentprovidedas a resultof an allocationof $200,000approvedby.the +.:~Boardin September1953 for malariacontrolin Mexico... .

Malariain Mexico

h i%d.ariais one of the most seriousdiseasesin Mexico. Duringthe

past.,5years it has been the thirdmost importantcauseof death.followi.ng

onlydiarrheaand enteritisand pulmonarydiseases. The country,situated...

on the Tropicof Cancer with a large ??ort~on Of ~:~ -a Wb.thi-nthe trol?~.c~:.,, :,..,,,,, zonesotfersconditionse~re~eq favo~rablefor ~Kl@-c m~a~ia. Geogr~ ,“

..,.

.. .’:”“’phically,.“.,... country.

,,.,‘“. zonesand

i.,.

,5. , .

malariacovemapproximatelythreefourthsof the surfaceof the,~:’’”;;;.~~

OnQtwo states,Chihuahuaand KLxwJala,and the highestmounta~;fii,s’”.... ,the desertare considered.to be treeof malaria.

,...;,.:,,,;..,,. ,,.,...,,, .The averagemalariamortalityfor the countryas a wholedur~agthe;-’

,,.,:pas~j“’years.;hasbeen 90 per 100,000population>with a rate of 449,inkxaca,.... .

‘.,...321,,*Tabasco,308 in Chiapas,200 in Pueblaand ~7’7in Vera @UZ~ “ ~;’-’ { “.;, .’i,,:’:

~~:..,:~.~;;,.‘!hem~arious area in Mexicorepresentsnearly45.percentof.’”the’‘ .

.,.,

.. -. :..malari,oqs.:.arwasstill.not protectedin the Americas. In this arealive”@,? “’

>,per,ce:~tof-thepopulationstillunprotectedin the Americas. The motitiality-.’;...’.ir6mmalafiairMexico represents.52per centof the totalmalariamor&litY’”’”,..,k the Americasa ‘J’’hreefour%hsoi the productivepopulationin Meficolives

,,. .,.ti rnalariouszoneswith,t~e.resultthat economiclossesdirectlyCausedby- ,,

the raiages?f rn.alariahave been estimatedby the MexicanGovernmentat more’”~~‘“,.

than,2bi.~on.pesosper year. (U.S.@_602000)OOO).,., ,.,“~.,. ,.

...,.

7P .’

three are

Inosquikos-,:,

8“● ,

Of the ~“our“speciesof plasmodiumwhichproducehumaninfections>.,.foundin Mexicojwhile26 speciesand sub-speciesof anophe,les:,..,,,,

have-beenf-ound.:,,,’,,,. ...’ .. . :.....,. .......,.,.,,,.’ :~-.,, .,:,..: ~.:;;:.

:. ,,Althoughdata on w.lariamorbidityis incompleteand more.or,less..,““’,,,:

umited,>o the registration Ofsick PerSOnSseenat healthcentersand ;“~~~’’’:,<t‘-”p:..... ...*,;........... .,, ,,hospitals,w indicationOf thesaou~e= Of the problem can be ob=rvwk-~~~ ‘??”:;... .fromthe-factthat,evenwith theselimitations,the morbidityrqtesper.~~jj~r’~~~<;~

(k,,.. .. :’,’++.” ‘“”.!.’ .. , . , ,.” ., .,”~,.~’Coahu”ila:’l;735J‘inTabasco,,.

‘% .’s~atesaveragfig200 tO 250.

‘.:., ,‘, ,.,,,,.,,... ;!,

ljl-13and in Nayarit1,067with the restof. , .’......The effectsof suchhighmorbitityrates‘&re.;: .’

b,:

disastrous.The great majorityof productiveareasof the countrybeing& ,,‘.,.,--${~e”malariou~zoneshas a profoud affectonindustryj agric.d.ture>

.F animalhusban~~ and mining. With approximately2 millionpeoplea year.sufte~hg.,,

,fl’’6mn&laria,+t is estimatedthat at least 500jOQ0,or 25 per centof the’

economicallyproductivepopulationare debilitated.As a result%of corn,iice,cattle,wheat,bee~s>sugar,cacao,textiles,oil,,,..,, .....otherproductsis seriouslyaffected..,

,, “’~ 9* : ‘-”The eradicationof malariaZs certainto hava d.ramati,c.;..

the production,.

&d many~,,“,.... .,..\ ..”‘... .

resultsti “’:,.,. ,: ,~;‘.’“termsof h~an welfareby directlyrelievingthe immediatesufferersof the “; J~,-., :,..~~ miseriesof the diseaseas well as by increasingproductionin presently ‘:~,;...

‘cultivatedareasand openingup new territoryto exploita,tion~ ,1..,”“,.. ,.-,,Y,<.”,.,: ,“

..”.‘.,. ,.,.’,.: ...,

The’pol..icyof malariaeradication. ,,,,,..’,.” .,.,.’,.’~c);”::“

.. - .’. .,. .;.”<.’..’:

The Boardhad beforeit at the last sessionvafiousdoc~.erits~.~,,””’..,.,:,’..:.,..:”,.,:,’,...,.,’.,...,:.relatlngto ‘theneed for, and possibilitiesof, eradicatingmaiaria,incltihg ..,., . . ,.“ani~fo~ation note’by the &ecutive Directoron the fin=ci~ ~~pectS:”o~l,&“

... ..increa~edUNICEFcontributionfor malariaeradication(13/ICEF/L755);a.repo~.

.,by the Directorof the Pan AmericanSanitaryBureauj

,. ..BegionalOfficeof,the .,.

‘WorldIi~bthOrganizationon \fMalariaEradicationin ~he Americas?!(E/&EF/282); ‘“.,.”a statementby the Chiefof the WHO.MalariaSection($H()&.Qetti Vole-II,{‘“,.

.! ..;”i~~b~r4-5} 1954); =d resolutionsof the Xmth pan ~eric~ SMita&,Con_ ’”’, ~,-

feierlce;October’1954.Since the last sessionjtha ~ghth~~rld~eal~~ ‘,,Aa~e&L.yhel(lin MexiuoCity in May 19$Srequested~gavernments ,,

to.intensityplansof nationwidemalariacontrolso thatmalariaeradication ...

maY be achievedand the regularinsecticidesspraytigC~P+&n#: ’Safe~,.”:”,.,,terminatedbeforethe potential.dangerof a development’of resist~ce,,to,@- ‘

-..,.. ‘.?++<k: .“,,:<, ..

secticidesk anophelesvectorspeciesmateri~ize~ll(II&+&830)*.Th~,&j~rd ‘“” ‘. .; ...has’be~ore,itthe recommendations’ofthe JointCommittee~nHeAih.poL~cy:~fi;~,..”..,:),,,.-.,.,“’,..,,,’,. , .“,:.:

rec&&&nd~g WIC~ participationin eradicationprogran&es( E/ICEF/297fi~:,.;’.’-.’:..,,The’JCHPreportpoints.outthat”therehave,..... , ,.developments,~.the..fight:against,,,~a~a,r>a:.. ...i, -.).,”‘:, , .. ~,,.:,.,.,:,, ., ,.,. ,,,,0” ,,...,,, .,,.....,: : ..:.,..,.,.,..:’,.’ .,

a)’

‘/.

,. ..,,;.. .,., : .,be~ntwo outstandingrecent~,;;’~;,{...:::”,

:..., ...’.that.it’is.:tectic+ly;j.tid~~.fi~~’:T.’“!,,:.,,/.:...........:.“.:..,,<.... ....,-.:,‘,..... ,,...,,financiallyfeasible....

,:,

., :,?,.

*L ,,, .{.

..,.

.&i

financiallyfeasibleto“eradicatemalariain largeareaeang~b) th~tit ~~s,-,..’’’..’”,‘?,,.;,,,’::..*,, 4be&&neappaienithat theremay be a time limitbeyondwhichknowninsec~icixles..;,,,.,...:....... ,-:> ‘;’““nolongerkill tlle”mosquitosthat carrymalariaowingto the dev~loPM~*.’of

?,... .;,,.“

“re.s~stancein t.he.mosquitovector or to chamgesin its behavior, The”Com&ttee.,,

~ipted out thatmalariaeradicationmeansthe eliminat~onof malariafro~a..,.

....givenarea as an endemicdisease, It+is no longerendemicwhentherehas been;.,<:

,:,no,new authochthonouscase for three.corks~eutiveyears.:..

,.The Committeerecome

rnek;d’’”that”tlle’requestingcountryshouldbe ~ected tO have = a~~quate

ce~~tral@i-+nalariaorganizatim;shouldpromoteLk.snecessarysupporting”““...,*..... .“ ,.

leg~~+qtion;“&d shouldpledgeit3 f’ina.nc~~suppG:.1,for the dUratiOnOf the,.,.,,,”p&5gf&ii&It is the opinionof tine

ful.f{llsthesethreecriteria,

Administrat.ioathat the Mexicanprograuime

... . .. .. .,. ”.$ .. . . . ,,

“’U* . ,:,:,Itis proposedtO protect,13j@~~0 peoPle

‘the%’”’’indirectlyprotectedpa tota~of16~7QO@@) by

directlyb~”ivlu~g,. “

Qouse sprayiig:of... .

i.n’secticidesycithresidualeffect. Dependingon the characteristics0$.‘,

mal~ri~,transmission,,spraying~1 be carriedout once or twiceeachyear., .,, ..,.

ovep a periodof four“yearsof completecoverage, ThisperiodwL1l be”pre=., ,’,.,

sed~ by ‘a”’preparatioryyear,,.dur~gwhichcountrywidesurve~til.1-be made,..

pers?~el Willbe;recrui.tedtid trained,’’’theorganization,of.thecampa;~ set,,. .’.

..,..,,,up,,andsupplies and equipmentput in placethroughoutthe co&try. .T)ne‘,,. ,.. ,.,,..po~~aiion tobe proteetedis shownin the followingtable:... >.,. ~

TotalPopulation TotalNumberof Populationof Poptiationto be

(1958) Houses(195$)

MalariousArea Protecteddirectly,,.in Ma.).ariousArea.’

32r078,785 6,ml, 61.I. 16,746;136 13J06,70?”’;’”., .,, ~,,

12* The annualsprayingworkkad duringthe yearsof’flil.1cover~ge”wKLl-

tieas follows:~., ,...

..‘“.Numberof Houses Numberof Houses TotalNumber ‘l!otalNumber,&f““”tobe sprayed to be sprayed of spraytigs; .,Once a year Twicea year Houses

.:.,Per year~

,<<.,;..-

1,396;593 ‘“’ 2,739#19 ,4,135,742 ““ ._1,342,5z6 “+ ~ ... .:.,,,.. ... i.-.“ .,,$ ,!.. ,,.,....

,,........:,

E/IcEF/L.$09Page 5

b’ 13● Thesesprayingoperationswill be carriedout in 30 of th~ 32 states

‘1 and territoriesof the country~ .

Basisfor estimatesof requirements

14. It is estimatedthat on the averageeachhousewill have 200 sqyare

metresof wall surfaceto be sprayed. Wallswill be sprayedto a heightof

3.5metres With a concentrationof 2 grammesper sWaremetreOtPQTpure su’h-

a%ancepor0.60 grammesper squaremetre of dieldrin~ It is estimatedthat each

spraymancan cover10 housesper day working250 d~-;~sper yeare Therefore,

1,654 spraymenwill be neededto accomplishthe requirednumberof sprayings

eachyear*

15. A special.organizationfor the executionof the campaignhas been

establishedby the Government.The work will be directedby a fivemember

NationalCommissionpresidedoverby the Secretaryof ,Healthand Welfare-

Underthe Commissionare two main departments— Executiveand Evaluation.

For f~.eldoperationsthe countqyhas been dividedinto 13 zones>eachzone

havfi~,~a chiefwho reportsto the nationaldirectorof tliecampaignsa medicaJ.

officerin chargeof the evaluationactivitiesh the zonetand an engineer

who will be directlyresponsiblefor the fieldoperations.Each zonewill

have a supplydepotand transportworkshops. The 13 zonesin tuih are divided

into 83 sectors,eachwith an officerin chargeof operationsand an evaluation

officer. Each sectorwill have on the average5 sprayingbrigadesconsisting j

of a brigadeleaderand 4 spraymen. In general,eachbrigadewillbe responsible.Jfor a specificdelimitedareaduriggthe entirecampaignwith a minimumof ~

.!,.

movingof brigadesfrom one ‘placeto another. dhereverpossiblethe limitsof “’

the areato be coveredby eachbrigadeare drawnin sucha way as to include

somehouseswhichneed 2 sprayingsa year and somewhichneed one in orderto

enablethe brigadesto meet the seasonsof malariatransmission. :.

/Techniqueof the campaigm

J

Techniqueof the canpxi~

16. The campaignwill consistof two basic stages(a) the nt%’eof

eradication;and (b) the stageof surveillanceand preventionof re-infectionc

The eradicationsta~eincludesthe sprayinGand evaluatim operations,,tihe

latterbeixvgof crucialim~ortances

17. =ior to the actualsmrt of f’ieldsww% oWrattons the

evaluationservicesmust determinethe preciselimitsof the malariaarea,the

ch-cteristics of trarmmissionand the habitsof vectorsto determine,what

wtrate~wi-11be employed. Duringthe sprayingoperationitselfthe evaluation

servicesmust checRcloseyyandcmstantly ita effi~’.ac;rt.norderto avoidor

recaupany failureswhichWOU1?endanaercompletee;-adfcatlona

18● The fieldsprayingoperationsare developedin threephases:

a)

b)

c)

the preliminaryph.aeewhich in this pro@amme will occupythe firstyear in which sprayingwillbe done in limitedaree.~,yrimarilyfor the purposeof trainingand firaldeterminationof technique;

the phaseof totalcovera~ewhich inlk?xicowiU lastfouryears>end;

the phaseof interruptionof sprayingde~endingon thescientificdeterminationtlnatmalariahas not been transmittedfor at leas%threeyears.

19● When syrayin~has been interrupted,the phaseof surveillanceand

preventionof re-infecttonbegins,the ob~ecttvebein~to discoverany casesof

malaria,to treatthem,ati,,if necessary carryout repeatsprayingsin the

affecteda~ea, Durin8thisstage stepsmust alsobe takento preventthe

introductionof new casesfrmn outsidethe ca,urtry,

20* The criterionof the achievementof eradicationis the absenceof

‘i” any new case of malariafor threeyears. When eradicationhas been achieved,.:”’the specialWalaria organizationwillbe dismantledand the functionof

permanentsurveillancewill becomepart of the normalo~erationof the re~lar

publichealthservices,

21 ● All of the existin~informationaboutmaIariain Mexicohas been

collectedand collatedby the new nationalmalariaeradicationor~nizationand

has servedas a basisfor layin&out the preliminaryplan of attack. On the

basisof thi~data provi.sionqlmaps have been madeand Vae countrydi%ridedinto

/operatin~sectors,

,i E/ICEF/L.809Yage 7

..m

.Opmzting sectors,preliminaryestimatesof the quantitiesand ty~esOf

insecticidesrequired,~de, a~ the nu~er of spraytngsper year determined

on the basis of the characteristicsof transmissionof the disease. One of the

22● & notedabo~e,13,406,707peoplewill be ‘directlyprotected”by

the s~rayingo~ratfon al~tl~@ 16,7~j136 p.eop~elive in malarious areas. This

differenceis eccountedfc)r%ythe fact that at will ke possibleto protect

someareas “indirectly:’tllnmu@the applicationof the “harrier”technique. In

diseaseand movementof the vectori@ such %h&t inte:?ruptionof trenmissioncan

k le achievedby settingup a barrierof sprays dhouseswhichwill effectively

prOtectthe housesbehindthe barrtereventhoufl@theyare not syrayed.

23. 11.srietenninattonas to whetheran area will be s~rayedOriceor

twiceeachyear deperdson the annualperiodof trafismissionof the disease,

Wherethe transmissionis seasonaland of shortduration(threelmfivemonths)

it willbe sufficientto sprayonly oncea year,beginningthe spraying

sufficientlyfar in advanceof the be~innin~of the transmissionseasonSo that

when transmissionbe@ns, aU the affectedhousesare protected.Where the

transmissionis year-round,syrayfngmustbe carriedout twicea year as the DDT

CtiEuWb be reliedu~on to have sufficientkilli~ effectfor longertilansix months.

24. Unlike‘pM’,the insecticidedieldrincan, in Mexicanconditions,

killmosquitoesfor at leasta yearafterit has leen a~plied. Thereforein those ‘“

areaswheretbe periodof malariatransmissionis more than six monthsa year,

but the roadsare such that the areasare accessiblefor onlya shorttimeeach ~

year makingtwo sprayingsinyossiblejdieldrtnwill be used. It is also

plannedto use dieldrinexclusivelyin the fourthyear of the campai~ when .,,,

totalcoveraGeof the.malariousarea throughoutthe countrywill%e

accomplishedduri~ the first six inonthsof the year,terminatingthenthe .>,

eradicationphaseof the pro~amme. ,,.:>

25. The wallsof dwellingswill%e sprayed’uyto a maximnmhei~ht

of 3 1/2 metres, whtch will be exceeded o- when entomological studiesdemonstrate

that in a Particulararea it Is necessaryto spray higherthan this,

/TiminRof the cmna~——.. .. —.

26.

necessary

firsttwo

including

coursein

Duringthe

for the total

monthsall of

., .,

firstyear of thecampaign,all the,persomlel

yrogrammewill be recruitedand.trained- DurinQthe

the seniortechntcalstaffwill be assenlbled,

malariologiatsand entomulog%ts~ They willundergoan intensive

malariaeradication

the operation’-In the second

leader~,and fieldevaluation

sectms will be recruitedand

as well as field.trainingin the routinesOf

step (45/60days)all of tinesectorchiefs,brigade

Prsonnel who will be attachedto the zonesand

trainedfor theirspscificjobse In the third

step (fourmonths),the tecludcaland auxiliarylyx~fiorrnel‘havingbeen trained,

a Geographicalreconmissanceof the entiremalari’ou.sarea of the cczmtry

will be undertaken.Duringthis periodmaps will%e adjusted,habitsof the

vectorsstudied,housesnumbered,roadsand meansof comnmnicationsstudied,and

all of the detailedinformationnezessaryto guidethe fieldoperationswill be

collectisdand confirmed.cThe fourthstep in the preliminaryyear willhe the

collatingof all thisdata,adjustingmaps and atrategYJand fim.diziw

the detailedplan of operations.In the fifthgte~ 500 spraym.enwill he

recruited‘andGiventen days of intensivefieldtrainingin sprayingtechniques.Thesemen will form thex%z~leusof the sprayingbrigades.27. Threemonthsbeforethe beginningof totalsprayingcoveraceof

the countrythe ~rimaryand secondarysupplydepotsthroughoutthe countrywill

be establishedand suppliesand equipmentdistributedto them so that

be completelyreadyfor operationstwo monthsbeforethe inau~ration

sprayinGoperations

28. At this timethe rest of the spraymenwill be recruited,

theywill

of total

trained

and dispatchedto the areaswheretheywill be working+ It is plannedthat

all personqeland supplieswill be in placeso that,ona givenday the tOtal

sprayingo~erationcap begins.;’:.:+m..,?

. ..>.

/ Legislation

..

E/IcEF/I.ao9Page 9

,,

Legislation

em The UNICEF/MHOJointComnitteeon H&althPolicynotedthatas one

M the basic elementsof a successfuleradicationprofyamnethe requesting

Countries’’shtildpromotethe necessarysupportinglegislation’’(E/ICST/297)mra”10)

30. In March 1975, a malariasanitarycodewas ~ro~@ted in

Mexico. The main provisionsof thiscodeare as’follQws:

a)

l))

, c)

All medical-pra.ctitioner~are required.to reportwithin24 hoursall positiveor suspecteddiagnosesof malariacasese

All malariacases‘mastbe treated.and bloodsmearsexaminedin alaboratory.

Representativesof the MalariaServicesare giventhe authorityto enterhousesto spraythem or to checkthe efficacyof thespraying. “

~T1fJE~ ~o~f+j~en~s

31. It is estimatedthatfor the entirefiveyears of the programme

UNICEFwouldprovidethe follcwingsu@@e and equiynent:

pre=ratory year (1955 - w%)

3 StationwaGons

195 Jeeps

394 Pick-uptrucks

15 Iargetrucks

5 Out-boardmotors

18OO Sprayers

82 Microscopes

26,455 PoundsofDDT (100~)

540,388 I’ ‘i “ (75%)85,GGO ‘I Dieldrin(5G$)

Firstyear of totalcoveraoe(1956- 19’57)

148,243 l?OU12.d.S DDI (lO@O)

3,5Qo,918 ‘f M (75$)

465,649 “ Dieldrin(5@~)

Seccndyear of totalcoveraGe(1957- 1958)

152,293 PoundsDIYT (100~)

3>596,574 t’ ,, (75%)

478,373 “ Dielirin(5C~)

/Third.year of

E/ICEF/L.80~l?a~e20

Thirdyear of totalccverage(1958- 1959)

156,408 Run@P~ (MIG$O)“

3,693,734’ f! ‘ ,, (75$)

491,295 “ D3@.&in(5~)

Fourthyear of totalcoveraqe(Z959 - 1960)

1,528,310 PiundsDieZWln (%$)

32. Spare parts for the vehial’~swillhe providedto approximately

10 Per cent of the valueof the vehic@B. If experiencedurinGthe firstyear

of totalcovera~ewarrants,lar~errelatfvequant~.tiesof dieldrinmay be

requested~This wouldnot,howver, mater3.~2~affe~ttlr~etotalcost to Ulu~CEF

33” It is estimatedthat the cost to UN’lCIL’of these suppliesover

the five yearswouldbe amroxhw,tely$8,40Q,0C0.

, 34. The apportionmentrec@mxendedZn this palerwouldcoversu~p~ies .,

for the prefatory year and six monthsof the firstyear of totalcoverage.

UNICW?would ywide the followi~:

Transport(3stattonwagons,195 jeeys,354 pick-uptrucks,15 heavytrucks,5 outboard.motors,sparep?ts) $1,200,000

Sprayers,MC(I 43,000

~ficroscoyes,82 24,000

DIW lC@O lC0,000l’bs. 24,000

DDT 75$ 2,300,000 lbss 552,000

Dieldrin 320,000 lbs. 352,000

Totalsuppliesand.equipment $ 2,195,000

Freight 205,000 .

$ 2,400,000

Governmentcommitments

35* The totalexpendituresof’the MexicanGovernmentfor the five-year

programmeare estimatedtobe 1~0,000,000pesos (US$12,500,0CO). These

expenditureswill be distributedas follows:

E/lcEF/L*809PaGe 11 -,.

..:..,(InMexicanPesos)

k:.......

1955/36 1956/57 1957/5~ 1958/59 1959/60 .

Fieldyeraomel 10.298.881 s.909.488 20.351.888 20.953.866 16*175*Y33

Administration 4.053.888 4.538.lk8 4.538.148 4.53&148 4*53!5.148personnel

Officeequipment 1.200.000

Field equipment 1.285.000 * .

Officeoperations 3.lo&G92 3,7CQ.000 3s750.000 3.800.000 3.750.000

Transportand field 3.250.000 4.2000000 4.250-000 4.300.000 395109117operations .

23.196.061 32*347*636 32,890.036 33.592,014 27.974.253

givinga totalexpe.ndi%reC@ N&x. 2esos150.000.000 .

36. The Governmentof Uixieohas qressei. itsfirm commitmentto

undertaketheseexpendituresfor tbe euti~ecampaign.

WEO participationand technicalapyruval

37“ The plan for malariaeradicationinl~exicohas the technical

apTrovalof hTIOand has been developedwith the closestco-operationof WHO.

The CoordinatingOfficefor the MalariaEradication I’rogramme(CONER)whichis an

integralpart of the Tan AmericanSanitaryBureau,ReGionalOfficeof the World

HealthOrfyanization,and which is responsiblefor WHO participationin malaria

eradicationthroughoutthe lkmericas,has been established in Mexico City. Tlnis

Office has been intimately involved in the plann$ng of this firstlarge-scale

eradicationpro~amme.

38. In addition to the @zidmce which the programmewill receivefrom

this Office,itwill alsohave the constanttechnicalassistanceof six’WHO

advisersone of whom,a malariologist,is alreadyon the Job. Five additional

adviserswill short~ arrive in Mexico. In 1955 $58,000 has been ln@eted for

thie Turposewith expendituresof $72,000p~ed for 1956and a likeamount ‘

in succeedin~years. In additionto,theTechnicaladvisers,19 fellowshi~s

for forei~ studywill be financedby WHO at a cost of ap@oximately$20,000.

As notedabove,theseFellowsare alreadystudyi~ in Venezuelaand the United

States. The technicaladvisersand fellowshipsare expectedto be financedfrv,

“ Priority1 TechnicalAssistancefunds. .,.,,,

,.-,

..

k“””

. .

. . .