xxi meeting of the paho directing council xxiv meeting of...

XXI Meeting of the PAHO Directing Council

XXIV Meeting of the WHO Regional Committee for the Americas

FINAL REPORT

El texto en español apa-rece en las páginas 1-27

TABLE OF CONTENTS

PREAMBLE .......................................................

RESOLUTIONS

I. Appropriation for the Pan American Health Organization for1973 ...........................................

II. Assessments of the Member Governments and ParticipatingGovernments of the Pan American Health Organization ....

III. Proposed Program and Budget Estimates of the World HealthOrganization for the Region of the Americas for 1974 .....

IV. Provisional Draft of the Proposed Program and BudgetEstimates of the Pan American Health Organization for 1974

V. Percentage Relationship of Contributions to the RegularBudget of PAHO ..................................

VI. Amendments to the Financial Regulations ..............

VII. Annual Report of the Chairman of the Executive Committee.

VIII. Annual Report of the Director of the Pan American SanitaryBureau for 1971 ..................................

IX. Financial Report of the Director and Report of the ExternalAuditor for 1971 ..................................

X. Engineering and Maintenance of Medical Care Services andOther Health Services ..............................

XI. PAHO Award for Administration .....................

XII. Country Reports on Health Conditions .................

XIII. Report on the III Special Meeting of Ministers of Health ofthe Americas and Steps Necessary to Implement theDecisions Adopted ................................

XIV. Election of Three Member Governments to the ExecutiveCommittee on the Termination of the Periods of Office ofGuyana, Peru, and Venezuela ........................

XV. Financing of the Regular Budget of the Pan American HealthOrganization .....................................

XVI. Proposed Program and Budget Estimates of the World HealthOrganization for the Region of the Americas for 1975 .....

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TABLE OF CONTENTS (cont.)

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XVII. V Inter-American Meeting, at the Ministerial Level, onFoot-and-Mouth Disease and Zocnoses Control ..........

XVIII. Quota Collections and Application of Article 6-B of thePAHO Constitution ................................

XIX. Resolutions of the Twenty-Fifth World Health Assembly ofInterest to the Regional Committee ...................

XX. Pan American Center for Health ]Planning ...............

XXI. Vote of Thanks to Dr. Basil D. B. Layton ...............

XXII. Designation of Two Speakers to Address the CommemorativeSession of the Twenty-Fifth Anniversary of WHO during theTwenty-Sixth World Health Assembly ..................

XXIII. Coordinating Committee for the Regional Program of thePan American Zoonoses Center .......................

XXIV. Agreement Between PAHO/WHO and the Organization ofCentral American States (ODECA) ....................

XXV. Cost-Benefit Study on the Prevention of Aedesaegypti-Borne Diseases .............................

XXVI. Buildings and Installations ...........................

XXVII. Communicable Diseases in Border Areas ................

Vote of Thanks.

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FINAL REPORT

The XXI Meeting of the Directing Council of the Pan American HealthOrganization, XXIV Meeting of the Regional Committee of the World HealthOrganization for the Americas, was held at the Casa de la Cultura "GabrielaMistral" in Santiago, Chile, from 10 to 13 October 1972, as convened by theDirector of the Pan American Sanitary Bureau, in accordance with ResolutionXIX 1 approved by the Executive Committee at its 68th Meeting.

PARTICIPANTS 2

The Meeting was opened by Dr. Jesse L. Steinfeld, Surgeon General of thePublic Health Service of the United States of America and President of the XXMeeting of the Directing Council. The following Governments were represented:Argentina, Barbados, Bolivia, Brazil, Canada, Chile, Colombia, Costa Rica, Cuba,Dominican Republic, Ecuador, El Salvador, France, Guatemala, Guyana, Haiti,Honduras, Jamaica, Kingdom of the Netherlands, Mexico, Nicaragua, Panama,Paraguay, Peru, Trinidad and Tobago, United Kingdom, United States ofAmerica, Uruguay, and Venezuela. The Executive Committee was representedby its Vice-Chairman, Dr. Hugo V. Alquéres Baptista, in accordance with Rule14 of the Rules of Procedure of the Committee.

The meeting was also attended by Dr. Thomas A. Lambo, AssistantDirector-General of the World Health Organization as well as by observers of theOrganization of American States (OAS), the Inter-American Development Bank(IDB), the United Nations Children's Fund (UNICEF), the United NationsDevelopment Program (UNDP), the International Labour Organisation (ILO),and the Food and Agriculture Organization of the United Nations (FAO).Observers from 11 nongovernmental organizations were also present.

OFFICERS

The President, the two Vice-Presidents, and the Rapporteur were electedpursuant to Rule 18 of the Rules of Procedure of the Directing Council. Theofficers were as follows:President: Dr. Juan Carlos Concha Gutiérrez ChileVice-Presidents: Dr. Raúl C. León Argentina

Dr. Alix Théard HaitiRapporteur: Dr. Mervyn U. Henry Trinidad and TobagoSecretary Dr. Abraham Horwitz Director, Pan American

ex officio: Sanitary Bureau

O10fficialDocument PAHO 117 (1972), 36.2The list of participants appears in the annex, p. 58.

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COMMITTEE ON CRED]ENTIALS

Pursuant to Rule 27 of the Rules of Procedure, the Committee on Credentialswas composed of the following members:

Chairman: Dr. Roberto Kriskovich ParaguayRapporteur: Dr. José Antonio Alvarez Alvarez EcuadorMember: Dr. Ross A. Chapman Canada

GENERAL COMMI1TEE

The Representatives of Mexico, United States of America, and Uruguay wereelected to the General Committee, which, pursuant to Rule 28 of the Rules ofProcedure, was composed as follows:

Dr. Juan Carlos Concha Gutiérrez ChilePresident of the Council

Dr. Raúl C. León ArgentinaVice-President of the Council

Dr. Alix Théard HaitiVice-President of the Council

Dr. Mervyn U. Henry Trinidad and TobagoRapporteur of the Council

Dr. Héctor Acuña Monteverde MexicoRepresentative

Dr. Jesse L. Steinfeld United States ofRepresentative America

Dr. Aquiles Lanza UruguayRepresentative

AGENDA

In accordance with Rule 10 of its Rules of Plrocedure, the Directing Council,at its first plenary session, adopted the provisional agenda (Document CD21/1,Rev. 2)3 submitted by the Director, with the addition of Item 29, Comrmunicable Diseases in Border Areas. It was agreed to postpone consideration ofItems 20 and 21, on the Technical Discussions, until the next Meeting of theCouncil.

WORKING PARTY

A working party, composed of the Representatives of Argentina, Colombia,and Mexico, was established to study the application of Article 6-B of theConstitution concerning the suspension of the voting privileges of anyGovernment two years in arrears in the payment of its quotas. The workingparty presented a report and a proposed resolution in plenary session.

3See Official Document PAHO 122 (1973).

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SESSIONS

The Directing Council held seven plenary sessions and a closing session; theCommittee on Credentials and the General Committee each held three sessions.

RESOLUTIONS APPROVED

In the course of the meeting, the Directing Council approved the followingresolutions:

Resolution I

Appropriation for the Pan American Health Organization for 1973

The Directing Council

Resolves:

1. To appropriate for the financial year 1973 an amount of $22,348,146 asfollows:

Part I:Part II:Part III:Part IV:Part V:

Organizational Meetings ......................Headquarters ...............................Field and Other Programs .....................Special Fund for Health Promotion ..............Increase to Assets ...........................

Subtotal-Parts 1-V .................................

Part VI: Pan American Foot-and-Mouth Disease Center .....

Effective Working Budget (Parts l-VI) ...................

Part VII: Staff Assessment (Transfer to Tax EqualizationFund) ....................................

Total-All Parts ....................................

2. That the appropriation shall be financed from:

a) Assessment in respect to:

Member Governments and Participating Governmentsassessed under the scale adopted by the GeneralAssembly of the Organization of American States inaccordance with Article 60 of the Pan AmericanSanitary Code or in accordance with the DirectingCouncil resolutions ............................

b) Miscellaneous Income ..........................

$ 380,7644,727,903

12,124,782250,000400,000

$17,883,449

1,700,091

$19,583,540

2,764,606

$22,348,146

$22,108,146

240,000

Total ......................... ..................... $22,348,146

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In establishing the contributions of Member Governments and ParticipatingGovernments, their assessments shall be reduced further by the amount standingto their credit in the Tax Equalization Fund, except that credits of thoseGovernments who levy taxes on the emoluments received from the PanAmerican Health Organization by their nationals and residents shall be reducedby the amounts of such tax reimbursements by the Organization.

3. That, in accordance with the Financial Regulations of the Organization,amounts not exceeding the appropriations noted under Paragraph 1 shall beavailable for the payment of obligations incurred during the period 1 January to31 December 1973 inclusive. Notwithstanding the provision of this paragraph,obligations during the financial year 1973 shall be limited to the effectiveworking budget, i.e., Parts I-VI.

4. That the Director shall be authorized to transfer credits between parts ofthe effective working budget, provided that such transfers of credits betweenparts as are made do not exceed 10 per cent of the part from which the credit istransferred. Transfers of credits between parts of the budget in excess of 10 percent of the part from which the credit is transferred may be made with theconcurrence of the Executive Committee. All t:ransfers of budget credits shall bereported to the Directing Council and/or the Conference.

(Approved at the fourth plenary session,11 October 1972)

Resolution II

Assessments of the Member Governments and Participating Governmentsof the Pan American Health Organization

The Directing Council,

Taking into account that Member Governments appearing in the scaleadopted by the General Assembly of the Organization of American States areassessed according to the percentages shown in that scale, in compliance withArticle 60 of the Pan American Sanitary Code; and

Considering that other Member Governments and Participating Governmentsare assessed on the basis of percentages which would be assigned to suchcountries if they were subject to the OAS scale,

Resolves:

To establish the assessments of the Member Governments and ParticipatingGovernments of the Pan American Health Organization for 1973 in accordancewith the scale of quotas shown below and in the corresponding amounts.

(See following page)


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(1)

Country

ArgentinaBarbadosBoliviaBrazilChileColombiaCosta RicaCubaDominican

RepublicEcuadorEl SalvadorGuatemalaHaitiHondurasJamaicaMexicoNicaraguaPanamaParaguayPeruTrinidad and

TobagoUnited States

of AmericaUruguayVenezuela

Subtotal

Other MemberGovernments

CanadaGuyanaParticipating

GovernmentsFranceKingdom of

the NetherlandsUnited Kingdom

Subtotal

Total Assessments-All Countries

(2) (3)

OAS scale

6.890.080.326.491.631.540.321.30

0.320.320.320.410.320.320.327.130.320.320.320.81

Grossassessment

US$

1,415,00316,43065,719

1,332,854334,754316,271

65,719266,982

65,71965,71965,71984,20265,71965,71965,719

1,464,29165,71965,71965,719

166,350

0.30 61,611

66.00 13,554,4590.57 117,0613.33 683,884

100.00 20,537,061

Equivalentpercentages

(4)

Credit from taxequalization fund

US$

176,9452,0558,218

166,67241,86139,549

8,21833,386

8,2188,2188,218

10,5298,2188,2188,218

183,1108,2188,2188,218

20,802

7,704

1,694,97514,63885,519

2,568,143

6.72 1,380,091 172,5790.24 49,289 6,164

0.23 47,235 5,907

0.19 39,020 4,8790.27 55,450 6,934

1,571,085 196,463

22,108,146 2,764,606

(5) (6)Adj. for taxes

imposed byMember Govts. on

emoluments of NetPAHO staff assessment

US$ US$

- 1,238,058- 14,375- 57,501- 1,166,182- 292,893

442 277,164- 57,501- 233,596

- 57,501- 57,501- 57,501

73,673- 57,501- 57,501- 57,501- 1,281,181- 57,501- 57,501- 57,501- 145,548

- 53,907

790,644 12,650,128- 102,4233,066 601,431

794,152 18,763,070

1,207,51243,125

41,328

34,14148,516

1,374,622

794,152 20,137,692

(2) This column includes the OAS percentages adding to 100 per cent and the equivalentpercentages applicable to other Member Governments and Participating Governments.The OAS scale minimum assessment is 0.32 per cent or per capita contributions equalto that of the largest contributor, whichever is smaller.

(5) This column includes estimated amounts to be received by the respective Member(Governments in 1973 in respect of taxes levied by them on staff members' emolumentsreceived from the PAHO, adjusted for any difference between estimate and actual forthe second preceding year.

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Resolution III

Proposed Program and Budget Estirriates of the World HealthOrganization for the Region of the Americas for 1974


Having considered Official Document 114, submitted by the Director of thePan American Sanitary Bureau, which contains the proposed program andbudget estimates of the World Health Organization for the Region of theAmericas for 1974;

Bearing in mind that the proposed program and budget estimates aresubmitted to the Directing Council as Regional Committee of the World HealthOrganization for the Americas, for review and transmittal to the Director-General of that Organization so that he may take them into account whenpreparing the proposed budget estimates of WHO for 1974; and

Noting the recommendations 4 made by the 68th Meeting of the ExecutiveCommittee,

Resolves:

1. To approve the proposed program and budget estimates of the WorldHealth Organization for the Region of the Americas for 1974, appearing inOfficial Document 114, and to request the Regional Director to transmit themto the Director-General of that Organization so that he may take them intoaccount in preparing the WHO budget estimates for 1974.

2. To request the Director General that, when preparing those proposedbudget estimates, he give favorable consideration to increasing the proportionassigned to the Region of the Americas.


Resolution IV

Provisional Draft of the Proposed Prograni and Budget Estimates of thePan American Health Organization for 1974


Having examined Official Document 114 submitted by the Director of the

4 Resolution VI. Official Document PAHO 117 (1972), 26-27.

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Pan American Sanitary-Bureau, which contains the provisional draft that is toconstitute the basis for the preparation of the proposed program and budgetestimates of the Pan American Health Organization for 1974, to be consideredby the 70th Meeting of the Executive Committee and by the XXII Meeting ofthe Directing Council; and

Recognizing that the provisional draft of the proposed program and budgetestimates contains much-needed projects prepared in cooperation with thenational authorities,

Resolves:

1. To take note of the provisional draft of the proposed program and budgetestimates of the Pan American Health Organization for 1974, appearing inOfficial Document 114.

2. To request the Director to use the provisional draft as a basis for thepreparation of the proposed program and budget estimates for 1974, afterfurther consultations with Governments to determine their latest desires andrequirements with reference to the health priorities of the countries.

3. To request the Executive Committee to make a detailed examination ofthe revised program and budget estimates for 1974 to be presented by theDirector, after further consultation with Governments, and to submit itsrecommendations thereon to the XXII Meeting of the Directing Council.


Resolution V

Percentage Relationship of Contributions to theRegular Budget of PAHO


Having studied the constitutional basis as well as policies established by theDirecting Council for calculating assessments to the regular budget of PAHO,and noting that a constitutional amendment would be required to change thesystem;

Recognizing that as long as there are Governments in PAHO which are notmembers of the OAS, the true percentage of each Government's contributionwill be less than that shown in the assessment resolution, but that eachGovernment can easily calculate or obtain from the Director its actualpercentage; and

Considering that the present situation does not justify a change in theConstitution of the Pan American Health Organization,

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Resolves:

To request the Director to furnish annually to the Executive Committee adocument similar to that provided to the 68th Meeting of the Committee(Document CE68/12).5


Resolution VI

Amendments to the Financial Regulations of PAHO


Having considered the recommendation 6 of the Executive Committee and themodifications proposed in the Financial Regulations as shown in DocumentCD21/14;7

Taking into consideration that similar changes in the Financial Regulations ofthe World Health Organization were approved8 by the Twenty-Fifth WorldHealth Assembly; and

Bearing in mind the provisions of Financial }Regulations 15.1,

Resolves:

To approve the amendments in the Financial Regulations of the PanAmerican Health Organization as they appear in the annex to DocumentCD21/14.


Resolution VII

Annual Report of the Chairman of the Executive Committee


Having considered the Annual Report of the Chairman of the Executive

55 Mimeographed document.6 Resolution XVIII. Official Document PAHO 117 (1972), 35.7 Mimeographed document.8 Resolutions WHA25.14 and WHA25.15. Off. Rec. Wld Hlth Org. 201 (1972), 8.

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Committee, Dr. Baltazar Caravedo, Representative of Peru (DocumentCD21/19)9 on the activities carried out from October 1971 to date, during whichperiod the Committee held its 67th and 68th Meetings; and

Bearing in mind the provisions of Article 9-C of the Constitution of the PanAmerican Health Organization,

Resolves:

To approve the Annual Report of the Chairman of the Executive Committee,Dr. Baltazar Caravedo, Representative of Peru (Document CD21/19), and tothank the Chairman and the other Members of the Committee for the work doneduring the period covered by the Report.

(Approved at the fifth plenary session,12 October 1972)

Resolution VIII

Annual Report of the Director ofthe Pan American Sanitary Bureau for 1971


Having considered the Annual Report of the Director of the Pan AmericanSanitary Bureau for 1971 (OfficialDocument 116); and

Taking into account the provisions of Article 9-C of the Constitution of thePan American Health Organization,

Resolves:

To approve the Annual Report of the Director of the Pan American SanitaryBureau for 1971 (Official Document 116) and to commend him and the rest ofthe staff of the Bureau for the work done during the period covered by theReport.


9Annex 1. OfficialDocumentPAHO 122 (1973).

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Resolution IX

Financial Report of the Directorand Report of the External .Auditor for 1971


Having considered the Financial Report of the Director and the Report of theExternal Auditor for fiscal year 1971 (Of]i.cial Document 113), as well as'Resolution IO approved by the Executive Committee at its 68th Meeting,

Resolves:

1. To approve the Financial Report of the Director and the Report of theExternal Auditor for fiscal year 1971 (Official Document 113).

2. To commend the Director for having consistently pursued long-termfinancial policies that have enabled the Organization to achieve and maintain asound financial position.


Resolution X

Engineering and Maintenance of Medical Care Servicesand Other Health Services


Having considered the report presented by the Director on engineering andmaintenance of hospitals and other health services (Document CD21/10),' 1 aswell as Resolution XIV12 of the 68th Meeting of the Executive Committee;

Recognizing the importance of hospital maintenance services to ensure goodquality of health care delivery; and

Bearing in mind that, to keep pace wit:h the increasing demands for aneffective health care delivery system measures must be taken to upgrademaintenance and engineering in all areas of he alth,

Resolves:

1. To coqmmend the Director for the effective support extended to theHospital Maintenance and Engineering Center in Caracas, Venezuela, the

10Officia Document PAHO 117 (1972), 23.1 Annex 7. OfficialDocument PAHO 122 (1973).120fficia Document PAHO 117 (1972), 33.

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activities of which have been essential for promoting interest in this fieldthroughout the Region.

2. To urge ministries of health of all the countries of the Region to establisha maintenance unit at the national level and to request financial assistance fromthe United Nations Development Program (UNDP), whenever necessary; toassign qualified personnel and an adequate budget to each health maintenanceactivity; and to train personnel to effectively handle and operate themaintenance program within the health service.

3. To recommend to the Director that he continue to promote a regionalmaintenance and engineering program for medical care services and other healthservices and that he explore possible national or international sources offinancing to help interested countries in the expansion of these services.


Resolution XI

PAHO Award for Administration


Having considered the report of the Committee on the PAHO Award forAdministration (Document CD21/17 and Annex);13 and

Bearing in mind the criteria for the PAHO Award for Administration,

Resolves:

To declare Dr. Eduardo Zapata Salazar of Peru the winner of the 1972 PAHOAward for Administration.

(Approved at the sixth plenary session,12 October 1972)

Resolution XII

Country Reports on Health Conditions


Having taken note of Document CD21/16 and annexl4 on country reports

1 3Annex 2. Official Document PAHO 122 (1973).14 Annex 5. Ibid.

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on health conditions, prepared by the Director of the Pan American SanitaryBureau; and

Bearing in mind the interest expressed by the countries in continuing topresent to Pan American Sanitary Conferences a report on the progress achievedin the health field,

Resolves:

1. To request the countries to send to the Pan American Sanitary Bureau notless than 60 days before the date of the meeting of the Pan American SanitaryConference a report setting forth the most important developments in the healthfield in the past four years, with special emphasis on changes and innovations inthe organization and administration of health services and on novel aspects ofprograms in operation which are of general interest.

2. To recommend to the XIX Pan American Sanitary Conference that duringplenary sessions, the delegates limit their speeches to a statement of the mostimportant points in the above-mentioned report or of any other informationthey consider to be of interest to the Conference. The statement shall notexceed four double-spaced typewritten pages and the time for reading it shallnot exceed 10 minutes. For the purposes of this presentation, delegates are to beentered previously on the list of speakers.

3. To request the Director of the Pan American Sanitary Bureau tocommunicate with the health authorities of the countries not less than sixmonths before the date of the meeting of the Conference reminding them of theterms of this resolution.


Resolution XIII

Report on the III Special Meeting of Ministers of Health of the Americasand Steps Necessary to Implemenl the Decisions Adopted


Having heard the statement by the Director of PASB on the III Meeting ofMinisters of Health of the Americas, held in Santiago, Chile, 2-9 October 1972;and

Considering that the recommendations I s made by the Meeting constitutevaluable guidelines on the direction to be taken by the programs of the countriesduring the next decade,

s1See OfficialDocumentPAHO 118 (1973).

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Resolves:

1. To incorporate into the policy of the Pan American Health Organizationthe recommendations of the III Meeting of Ministers of Health of the Americas.

2. To request the Director of PASB to study the implications of thoserecommendations and the consequent modifications in the objectives andpriorities of the program of the Organization, and to report thereon to the XXIIMeeting of the Directing Council.

3. To recommend to the countries that, within their planning process, theyidentify the priority health problems and establish objectives for each of them inaccordance with the manpower, physical, and financial resources available,taking into account the regional health goals.

4. To request the Director of PASB to convene as soon as possible a workingparty of personnel responsible for planning and information and of healtheconomists, with a view to designing an evaluation system that can be adapted tothe conditions of each country and still be flexible enough to give comparableresults and in turn permit a continent-wide evaluation of the achievements of thedecade.

5. To recommend to PAHO that, in consultation with experts of thecountries, general guidelines be drawn up for determining the present financingof health investments and the changes required to carry out the plans andprograms envisaged in the Ten-Year Health Plan for the Americas, 1971-1980.

6. To suggest to the health authorities of the countries that they initiate coststudies of their health services and, whenever possible, cost-benefit studies,particularly in areas with the largest investment.

7. To recommend to PAHO that it prepare the necessary designs to ensurecomparability of the cost studies.

8. To recommend that PAHO furnish advisory services to countries request-ing them, in all matters relating to the financing of the health sector, such as thefinancial analysis of the sector, analysis of health expenditures, programming ofinvestments, management and financing of specific projects and of externalcredits, so that the countries will gradually come to know what financialresources are earmarked for health and how they are related to the benefitsobtained.


Resolution XIV

Election of Three Member Governments to the Executive Committeeon the Termination of the Periods of Office of

Guyana, Peru, and Venezuela


Considering the provisions of Article 9-B of the Constitution of the PanAmerican Health Organization; and

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Considering that the Governments of Haiti, Mexico, and Panama were electedto the Executive Committee on the termination of the periods of office ofGuyana, Peru, and Venezuela,

Resolves:

1. To declare the Governments of Haiti, Mexico, and Panama elected to theExecutive Committee for a period of three years.

2. To thank the Governments of Guyana, Peru, and Venezuela for theservices rendered to the Organization by their representatives on the ExecutiveCommittee.


Resolution XV'

Financing of the Regular Budget of thePan American Health Organization


Considering that at present approximately 99 per cent of the funds for theregular budget of the Pan American Health Organization are derived from thequota contributions of Member Governments and Participating Governments,i.e., that income from other financial sources represents only just over 1 per centof the total regular budget;

Bearing in mind that, among other factors, the high rate of natural populationincrease in the Hemisphere, the commitment entered into by the Governmentsat the III Special Meeting of Ministers of Health of the Americas to attainrealistic but ambitious goals, and the continuous increase in the production costsof health services due to scientific and technological development, are sufficientreasons for considering the problem of the :necessary increase in the PAHObudget a matter of the utmost seriousness and urgency;

Recognizing that it is not possible for the burden of that increase to continueto fall almost exclusively upon the quota contributions of the MemberGovernments and Participating Governments, fi'om which it can be deduced thatthe most advisable and feasible course is to look for means of achieving a rapidand substantial expansion in the sources of financing in addition to quotacontributions, so that the major part of the budgetary increase would be derivedfrom those new sources, apart from the historical process of growth in quotacontributions that has been taking place and will continue to occur; and

Considering that in this regard the efforts which the Pan American SanitaryBureau has been making toward establishing a financial institution to promote

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the raising of supplementary financial resources for the Organization's budgetare commendable,

Resolves:

1. To instruct the Director of the Pan American Sanitary Bureau to establisha special group of experts to study the problem of obtaining financial resourcesto supplement the quota contributions of Member Governments and Partici-pating Governments, and that the group propose concrete alternative solutions,feasible and capable of immediate application, to the 70th Meeting of theExecutive Committee.

2. To request the 70th Meeting of the Executive Committee consider thereport of the special group of experts and on the basis thereof present suitablerecommendations to the Directing Council at its XXII Meeting so that the mostappropriate alternative solution may be implemented as rapidly and effectivelyas possible.


Resolution XVI

Proposed Program and Budget Estimates of the World HealthOrganization for the Region of the Americas for 1975


Having considered the proposed program and budget estimates of the WorldHealth Organization for the Region of the Americas for 1973 and 1974,contained in Official Document 114, as well as the proposals contained inDocument CD21/4;1 6 and

Recognizing the advisability of projecting probable program needs into futureyears,

Resolves:

To recommend to the Director-General that he include in the program andbudget estimates of the World Health Organization for 1975 the proposedprogram for the Region of the Americas as detailed in Document CD21/4.


16 Mimeographed document.

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Resolution XVII

V Inter-American Meeting, at the Ministerial Level, onFoot-and-Mouth Disease and Zoonoses Control


Having considered the Final Reportl 7 of the V Inter-American Meeting, atthe Ministerial Level, on Foot-and-Mouth Disease and Zoonoses Control(Document CD21/5);

Recognizing the importance of strengthening the coordination of activitiescarried out by the ministries of agriculture and of health in the field of humanand animal health;

Mindful of the need for continued efforts in manpower development inanimal health planning;

Being aware of the seriousness of the public health hazards resulting from theindiscriminate use of pesticides, particularly in view of the lack of adequatelegislation or of analytical laboratories to aid in the needed remedial action; and

Noting that the forthcoming completion of the Pan American Highwaythrough the Darien Gap will increase the risk of introduction of certain diseasesof human and animal significance into areas now free of them,

Resolves:

1. To take note of the Final Report of the V Inter-American Meeting,.at theMinisterial Level, on Foot-and-Mouth Disease mnd Zoonoses Control (DocumentCD21/5).

2. To emphasize the advisability of having Iepresentatives of the ministries ofhealth attend future Inter-American Meetings on Foot-and-Mouth Disease andZoonoses Control, in order to obtain a better coordination of activities in thisfield.

3. To express its thanks to the ministries of agriculture for their endeavors inthe control of these diseases of human and animal health significance, which, ifallowed to persist, would hinder the economic and social development of thecountries.

4. To recommend to the Governments that they give serious consideration tothe impending hazards to human and aníimal health resulting from theapplication and indiscriminate use of pesticides, and that they put into practicethe recommendations contained in Resolution XV approved at the V Inter-American Meeting on Foot-and-Mouth Disease and Zoonoses Control.

5. To reaffirm its support of the Pan Arnerican Foot-and-Mouth DiseaseCenter and the Pan American Zoonoses Center and the programs they areconducting.

6. To emphasize the need for greater cooperation between the ministries of

17See Scientific Publication PAHO 256 (1973).

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agriculture and of health and international organizations in order to moreeffectively control animal diseases as a feasible measure for improving humanhealth in the Hemisphere.


Resolution XVIII

Quota Collections and Application of Article 6-Bof the PAHO Constitution


Having considered the report on the collection of quota contributions(Document CD21/12 and Addendum I);1 8 and

Having received and considered the report of the working party on theapplication of Article 6-B of the Constitution of the Pan American HealthOrganization, which indicated:

a) That two countries, Bolivia and Haiti, have made payments in 1972toward fulfillment of plans for payment of arrears within a definiteperiod, previously approved by the Directing Council; and that bothintend to make further payments before the end of this year;

b) That two countries, Paraguay and Uruguay, have made partial quotapayments in 1972, and each intends to make further payments so as tocomplete their quotas for 1972. In addition, each Government proposes toadopt a plan, starting in 1973, to pay an amount equal to its current quotaplus 10 per cent of the arrears outstanding at the end of 1972;

c) That the Government of the Dominican Republic plans to pay the amountof its current quota, US$54,065, before the end of 1972. Furthermore, itproposes to adopt a plan, starting in 1973, to pay an amount equal to itscurrent quota plus 10 per cent of the arrears outstanding at the end of1972,

Resolves:

1. To take note of the report on the collection of quota contributions(Document CD21/12 and Addendum 1).

2. To thank the Governments that have already made payments in 1972, andto urge all Governments to pay remaining balances of arrears and current yearquotas before the end of the year.

3. To note with appreciation the payments made by Bolivia and Haiti, as welIas their intention to make further payments in fulfillment of their respectiveplans for payment of arrears within a definite period.

1 8Mimeographed document.

49

4. To note with appreciation the intention of Paraguay and Uruguay to makefurther payments in 1972 which, together with amounts already paid, will equalthe current quota.

5. To note the intention of the Dominican Republic to pay its current quotabefore the end of the year.

6. To approve the respective plans proposed by the Dominican Republic,Paraguay, and Uruguay for payment in future years of their current quotas plus10 per cent of the arrears outstanding at the end of 1972.

7. To permit the above-mentioned five Governments affected by Article 6-Bof the Constitution to vote in the XXI Meeting of the Directing Council.

8. To request the Director of PASB to continue to inform the Governmentsof any balances due and to report to the XXII Meeting of the Directing Councilon the status of the collection of quotas.


Resolution XIX

Resolutions of the Twenty-Fifth WVorld Health Assemblyof Interest to the Regional Committee


Having considered Document CD21/3, 19 in which the Director of the PanAmerican Sanitary Bureau submitted to the Regional Committee of the WorldHealth Organization for the Americas some of the resolutions approved by theTwenty-Fifth World Health Assembly 20 and by the Forty-Ninth and FiftiethSessions of the Executive Board;2 1 and

Bearing in mind Annex VIII of Document CD21/3 relating to theTwenty-Fifth Anniversary of the World Health Organization,

Resolves:

1. To take note of the following resolutions of interest to the RegionalCommittee:

WHA25.26: Organizational Study by the Executive Board on MedicalLiterature Services to Members.

WHA25.35: Community Water Supply.WHA25.39: New Zone Office Building in Brasilia.

19Mimeographed document.20Off. Rec. Wld Hlth Org. 201 (1972).210ff: Rec. Wld Hlth Org. 198 and 203 (1972).

50

WHA25.42: Training of National Health Personnel.WHA25.45: Smallpox Eradication.WHA25.63: Occupational Health Programs.EB49.R14: Place of Regional Committee Sessions.EB50.R18: Twenty-Fifth Anniversary of the World Health Organization.

2. To recommend to the Governments that they give due importance to thecelebration of the Twenty-Fifth Anniversary of the World Health Organization.


Resolution XX

Pan American Center for Health Planning


Having considered the report on the activities of the Pan American Center forHealth Planning (Document CD21/20), 22 presented by its Director in com-pliance with Resolution XX1112 3 of the 66th Meeting of the ExecutiveCommittee;

Having considered the report of the First Meeting of the Technical AdvisoryCommittee of the Center, held in 1971;

Bearing in mind the programming of the second phase of the Center, in whichits program of work is expanded and reoriented with a view to completing thetransfer of training and research responsibilities to the countries, and tostrengthening and expanding its information services; and

Recognizing that the Center is complying with the general guidelines for theestablishment, operation, and financing of multinational centers, established inResolution XXXIII12 4 of the XVIII Pan American Sanitary Conference,

Resolves:

1. To commend and thank the Director of the Center for the training,research, and information activities the Pan American Center for Health Planningis providing in support of the countries.

2. To thank the United Nations Development Program (UNDP) for thefinancial assistance it is giving to the Center through Program RLA/68/083.

3. To endorse the new orientation of the activities of the Center for a secondphase, especially the emphasis on information services and the way in which

2 2Annex 6. OfficialDocumentPAHO 122 (1973).2 30fficial Document PAHO 110 (1971), 31.2 40fficial Document PAHO 104 (1970), 88-89.

51

they will be used to continue to support and orient the training and updating ofspecialized manpower and the research they are carrying out in the countries onplanning problems.

4. To recognize the importance of maintaining the level of efficiency of theCenter, especially for carrying out its second phase, and to support the Directorof the Pan American Sanitary Bureau in the negotiations that are beingconducted with the UNDP for the financing of the second phase of ProgramRLA/68/083.

5. To request the Director of PASB to report to the Directing Council on theprojected activities and the financial needs of the Center as well as on thenegotiations being conducted with the United Nations Development Program.


Resolution XXI

Vote of Thanks to Dr. Basil D. B. Layton


Considering that Dr. Basil D. B. Layton has worked uninterruptedly for over25 years in the public health service of the Government of Canada and in theinternational field; and

Considering that Dr. Layton has decided to retire from active service,

Resolves:

To extend a vote of thanks to Dr. Basil D. B. Layton for his work andrecognize the effectiveness of his invaluable cooperation.


Resolution XXII

Designation of Two Speakers to Address the Commemorative Sessionof the Twenty-Fifth Anniversary of WHO during the

Twenty-Sixth World H:ealth Assembly


Having noted Resolution EB50.R18 2 5 of the Executive Board of the World

250ff. Rec. Wld Hlth Org. 203 (1972), 9.

52

Health Organization on the celebration of the Twenty-Fifth Anniversary ofWHO; and

Considering the importance of this great event,

Resolves:

To designate the representatives of Brazil and of Trinidad and Tobago tospeak on behalf of the Region of the Americas at the commemorative session ofthe Twenty-Fifth Anniversary of WHO to take place at the Twenty-Sixth WorldHealth Assembly.


Resolution XXIII

Coordinating Committee for the Regional Program of thePan American Zoonoses Center


Having heard with gratification that the United Nations DevelopmentProgram has approved the new regional project of the Pan American ZoonosesCenter; and

Recognizing that in accordance with the plan of operations of this regionalprogram it is necessary to establish a coordinating committee composed of threerepresentatives of the ministries of health,

Resolves:

To elect the Governments of Uruguay, the United States of America, andVenezuela to serve on the coordinating committee for the regional program ofthe Pan American Zoonoses Center.


Resolution XXIV

Agreement between PAHO/WHO and the Organization ofCentral American States (ODECA)


Taking into account the report of the Director of the Pan American Sanitary

53

Bureau on the proposed agreement between P'AHO/WHO and the Organizationof Central American States (ODECA) (Document CD21/15); 26 and

Bearing in mind the authorization 2 7 granted by the Executive Committeetothe Director at its 68th Meeting, to continue negotiations with ODECA in orderto formalize relations between the two organizations,

Resolves:

To authorize the Director of the Bureau to continue the above-mentionednegotiations and to sign eventually the agreement between PAHO/WHO and theOrganization of Central American States.


Resolution XXV

Cost-Benefit Study on the Prevention ofAedes aegypti-Borne Diseases


Having considered the report of the cost-benefit study on the prevention ofAedes aegypti-borne diseases in the Americas (Document CD21/9), 2 8 preparedby a specialized firm in accordance with Resolution X1112 9 of the XX Meetingof the Directing Council,

Resolves:

1. To note the conclusions and recommendations of the study.2. To request the Director of PASB to make known the comments and

observations made on the study by experts from other agencies.3. To urge the Governments of the countries still infested to decide without

delay to eradicate Aedes aegypti from their territories, in accordance with theresolution3 0 approved at the I Meeting of the Directing Council (Buenos Aires,1947).

4. To note with satisfaction the statement by the representatives of thecountries which have declared their intention to take the necessary measures forpreventing reinfestation of neighboring countries.

2 6 Mimeographed document.27 Resolution XV. Official Document PAHO 117 (1972), 34.28 Annex 4. Official Document PAHO 122 (1973).2 90fficial Document PAHO 111 (1972), 56-57.30Resolution I. PAHO Publication 247 (1950), 3.

54

5. To express its thanks to the Governments of the United States of Americaand of Trinidad and Tobago for their generous voluntary contributions towardthe financing of the study.

6. To request the Director to convene a group of experts in variousdisciplines connected with this vector and the diseases it transmits, in order thatthe group may issue recommendations in the light of new knowledge andexperience.

(Approved at the seventh plenary session,13 October 1972)

Resolution XXVI

Buildings and Installations


Having considered the report of the Director on buildings and installations(Document CD21/13) 3 1 and taking note of Resolution IX 3 2 approved at the68th Meeting of the Executive Committee,

Resolves:

To note the report presented by the Director of PASB on buildings andinstallations.


Resolution XXVII

Communicable Diseases in Border Areas


Taking into account the importance of health problems in frontier regionscommon to two or more countries; and

Considering that for the control of the diseases which affect border areas it isessential to carry out synchronized, coordinated measures financed simul-taneously by the countries involved,

31lAnnex 3. OfficialDocument PAHO 122 (1973).32 0fficialDocument PAHO 117 (1972), 29.

55

Resolves:

1. To request the assistance of the Pan American Sanitary Bureau inpromoting with the Governments having cornmon health problems along theirborders that they study them jointly and develop coordinated activities, and thatthey make available the necessary financial assistance for the control of diseasesaffecting border areas or for programs financed jointly by the interested parties.

2. To recommend that, when necessary, the health authorities of thecountries establish groups with the specific function of giving priority attentionto border problems.

3. To request those countries which have joint border programs to meetperiodically in order to evaluate the activities developed.


VOTE OF THANKS

The Directing Council

Wishes to express its thanks to the Chilean people and Government for thekindnesses shown and the facilities provided to ensure the success of the XXIMeeting of the Directing Council of the Pan American Health Organization andXXIV Meeting of the Regional Committee of the World Health Organization;and to the Pan American Sanitary Bureau and its Secretariat and translationservices, for their efficiency in organizing and carrying out the Meeting.

IN WITNESS WHEREOF, the President of the Directing Council and theDirector of the Pan American Sanitary Bureau, Secretary ex officio, sign thepresent Final Report in the English and the Spanish languages, both texts beingequally authentic.

DONE in Santiago, Chile, this thirteenth day of October, nineteen hundredand seventy-two. The Secretary shall deposit the original texts in the archives ofthe Pan American Sanitary Bureau and shall send copies thereof to theGovernments of the Organization.

Juan Carlos Concha GutiérrezPresident of the Directing Council,

Representative of ChileA braham Horwitz

Director of thePan American Sanitary Bureau,

Secretary ex officio of theDirecting Council

56

ANEXO

ANNEX

Anexo

Participants

GobiernosGovernments

ARGENTINA

Representan te -Represen tative

Contraalmirante Dr. Raúl C. León,Director General de Sanidad Naval,Armada Argentina, Buenos Aires

Suplen tes-A Iternates

Dr. Julio César Blaksley, Director Na-cional de Contralor Sanitario, Sub-secretaría de Salud Pública, BuenosAires

Dr. Antonio J. González, DirectorNacional de Sectorial de Desarrollo,Subsecretaría de Salud Pública,Buenos Aires

Dr. Sixto Gerardo González, Subsecre-tario de Salud Pública de la Provin-cia de Córdoba, Representante delComité Federal de Salud, Córdoba

Srta. Nydia H. Gordillo Gómez, Ase-sora de Gabinete, Ministerio deBienestar Social, Buenos Aires

Sr. Félix Córdoba Moyano, Secretariode Embajada, Embajada de laArgentina, Santiago, Chile

BARBADOS

Representan te-Representative

Hon. George G. Fergusson, Minister ofHealth and Welfare, Ministry ofHealth and Welfare, Bridgetown

Sup!entes-A lternates

Mr. Alwyn S. Howell, PermanentSecretary, Ministry of Health andVWelfare, Bridgetown

Dr. Douglas H. Shennan, Senior Medi-cal Officer of Health, Ministry ofHealth and Welfare, Bridgetown

BOLIVIA

Represen tan te-R epresen tative

Dr. Antonio Brown Lema, Director delEDepartamento Técnico, Ministeriode Previsión Social y Salud Pública,La Paz

Supiente-A Iternate

Dr. Glicerio Rojas, Director, UnidadSanitaria Santa Cruz, Ministerio deP:revisión Social y Salud Pública, LaP;lz

BRASIL (BRAZIL)


Dr. Hugo Victorino Alquéres Baptista,Secretário de Assisténcia Médica,Ministério da Saúde, Rio de Janeiro

Suplentes-A lternates

Dr. Manoel José Ferreira, Superinten-dente da Unidade de Planejamento,Ministério da Saúde, Rio de Janeiro

58

Participantes

Annex

Dr. Nelson Luiz de Araújo Moraes,Assessor do Ministro da Saúde, Mi-nistério da Saúde, Rio de Janeiro

CANADA

Represen tan te-Represen tative

Dr. Basil D. B. Layton, Medical Con-sultant to the Deputy Minister ofNational Health, Department ofNational Health and Welfare,Ottawa


Dr. Ross A. Chapman, Director-General, International Health Serv-ices, Department of NationalHealth and Welfare, Ottawa

Dr. Arnoldus J. de Villiers, Chief,Health Effects Division, Environ-mental Health Directorate, Depart-ment of National Health and Wel-fare, Ottawa

Asesor-A dviser

Mr. Robert W. Showman, First Secre-tary and Alternate Canadian Perma-nent Observer to the Organizationof American States, Washington,D.C.

COLOMBIA

R epresen tan te -R epresen ta tive

Dr. Pablo A. Isaza Nieto, Jefe, Oficinade Planeación, Ministerio de SaludPública, Bogotá

Suplen te-A lternate

Dr. Alonso Belalcázar Urrea, Asistentede la Secretaría General, Ministeriode Salud Pública, Bogotá

COSTA RICA

Represen tan te-R epresentative

Lic. Viriato Camacho Vargas, Emba-jador de Costa Rica en Chile, San-tiago, Chile

CUBA

Representan te-Represen tative

Dr. Roberto Pereda Chávez, Directorde Relaciones Internacionales, Mi-nisterio de Salud Pública, LaHabana

Suplen tes-A lternates

Dr. Mario Escalona Reguera, DirectorNacional de Educación Médica, Mi-nisterio de Salud Pública, LaHabana

Dr. Adolfo Valdivia Domínguez, JefeNacional de Higiene y Epidemio-logía, Ministerio de Salud Pública,La Habana

Sr. Plácido Marrero Rodríguez, Direc-ción de Organismos y ConferenciasInternacionales, Ministerio de Rela-ciones Exteriores, La Habana

CHILE

Representante-Representative

Dr. Juan Carlos Concha Gutiérrez,Ministro de Salud Pública, Minis-terio de Salud Pública, Santiago


Dr. Mariano Requena-Bichet, Subdi-rector, Servicio Nacional de Salud,Santiago

59

Sr. Raúl Arrieta Cuevas, Asesor Jurí-dico del Ministerio de Salud Pú-blica, Ministerio de Salud Pública,Santiago

Dr. Manuel Zúñiga, Médico Inspector,Servicio Nacional de Salud, San-tiago

Dr. Raúl Cantuarias, Asesor del Minis-tro de Salud Pública, Ministerio deSalud Pública, Santiago

Dr. Bogoslav Juricic, Jefe, Oficina deAsuntos Internacionales, Ministeriode Salud Pública, Santiago

Dr. José M. Borgoño Domínguez, Jefe,Sección de Epidemiología, ServicioNacional de Salud, Santiago

Supi'entes-A Iternates

Dr. S. Paul Ehrlich, Jr., Director,Office of International Health, De-partment of Health, Education, andM'elfare, Washington, D.C.

Dr. Frank I. Gauldfeldt, ProgramAnalyst, Department of Health,Education, and Welfare, Washing-ton, D.C.

Mr. John L. Hagan, Foreign AffairsOfficer, Bureau of InternationalOrganizations, Department ofSitate, Washington, D.C.

Mr. John B. Tipton, Embajada de losEstados Unidos de América, San-tiago, Chile

ECUADOR

Represen tan te-Represen ta tive

Dr. José A. Alvarez Alvarez, DirectorGeneral de Salud, Ministerio deSalud Pública, Quito

EL SALVADOR

FRANCIA (FRANCE)


Mme.. le Docteur Jeanne Broyelle,Inspecteur Général Adjoint, Mi-nistere de la Santé Publique et de laSécurité Sociale, Paris


Dr. Miguel A. Aguilar Oliva, DirectorGeneral de Salud, Ministerio deSalud Pública y Asistencia Social,San Salvador

ESTADOS UNIDOS DE AMERICA(UNITED STATES OF AMERICA)


Dr. Jesse L. Steinfeld, Surgeon Gen-eral, Public Health Service, Depart-ment of Health, Education, andWelfare, Washington, D.C.

Suplente-A lternate

Dr. André Chiarini, Médecin-Inspec-teur Régional de la Santé pour lesAntilles et la Guyane, Ministere dela Santé Publique, Fort-de-France,Martinique

GUATEMALA

Representan te-Represen tative

Sr. Mario Juárez Toledo, Embajadorde Guatemala en Chile, Santiago,Chile

60


Dr. Juan R. Aguilar León, Jefe, Depar-tamento de Nutrición, Ministerio deSalud Pública y Asistencia Social,Guatemala

Dr. Otto G. Retana, Jefe, División deSalud Maternoinfantil y Familiar,Ministerio de Salud Pública y Asis-tencia Social, Guatemala

GUYANA

R epresen tan te-Represen ta tive

Dr. Robert L. S. Baird, Chief MedicalOfficer, Ministry of Health, George-town


Dr. Philip Irving Boyd, ExecutiveSecretary, Caribbean Health Minis-ters Conference, Georgetown


Dr. Danilo Velásquez Cruz, Director,Programa de Salud Maternoinfantil,Ministerio de Salud Pública y Asis-tencia Social, Tegucigalpa

JAMAICA


Dr. Kenneth A. McNeill, Minister ofHealth and Environmental Control,Kingston

Suplentes-A iternates

Dr. Edward J. Valentine, PrincipalMedical Officer, Ministry of Healthand Environmental Control,Kingston

Dr. Velta Sylvia Wallace, PrincipalMedical Officer, Ministry of Healthand Environmental Control,Kingston

HAITI

Representante-Representative MEXICO

Dr. Alix Théard, Secrétaire d'Etat dela Santé Publique et de la Popula-tion, Département de la SantéPublique et de la Population, Port-au-Prince


Dr. Gaston Deslouches, Chef de laSection de Planification et d'Eva-luation du Département de la SantéPublique et de la Population, Port-au-Prince

R epresen tan te-R epresentative

Dr. Héctor Acuña Monteverde, Direc-tor General de Asuntos Interna-cionales, Secretaría de Salubridad yAsistencia, México, D.F.

Suplente-A lternate

Dr. Luis Peregrina Pellón, Director,Escuela de Salud Pública, Secretaríade Salubridad y Asistencia, México,D.F.

61

HONDURAS


Lic. José María Morfin Patraca, Dele-gado de Relaciones Públicas, Secre-taría de Salubridad y Asistencia,México, D.F.

NICARAGUA

Representante-Representa tive

Dr. Fernando Valle López, Ministro deSalud Pública, Ministerio de SaludPública, Managua

Suplen te -A lternate

Dr. Justo P. Zamora Herdocia, Direc-tor de Administración, Ministeriode Salud Pública, Managua

A sesores-A dvisers

Dr. Carlos Amaya Campos, Director deServicios Técnicos, Ministerio deSalud Pública, Managua

Dr. Orontes Avilés, Director de Planifi-cación y Evaluación de la Salud,Ministerio de Salud Pública,Managua

PANAMA

Represen tan te -R epresen ta tive

Dr. Jaime Arroyo Sucre, Jefe, Departa-mento de Salud Mental, Ministeriode Salud, Panamá

PARAGUAY

R epresen tan te-R epresen ta tive

Dr. Alcides Almada López, Director,Servicio Nacional de Erradicacióndel Paludismo, Ministerio de SaludPública y Bienestar Social,Asunción

Dr. Roberto Kriskovich, Director,Departamento de Protección Fami-liar, Ministerio de Salud Pública yBienestar Social, Asunción

PERU


Dr.. Oscar Urteaga Ballón, Vice-Mi-nistro de Salud, Ministerio deSalud, Lima

Suplen tes-A lternates

Coronel Armando Elías Olivera, .Ins-pector General, Ministerio de Salud,Lima

Dr. Mario León Ugarte, Director Ge-:neral, Escuela de Salud Pública,Lima

Dr. Carlos Neuenschwander Landa, Di-rector General de Organización, Mi-nisterio de Salud, Lima

Dr. Alberto Lari Cavagnaro, DirectorAsistente del Director Superior, Mi-nisterio de Salud, Lima

Dr. Luis F. Mejía-Lizarzaburu, GerenteGeneral, Sociedad de BeneficenciaPública, Lima

REINO DE LOS PAISES BAJOS(KINGDOM OF THE NETHERLANDS)


Dr. Win Antoine van Kanten, DeputyDirector of Health, Ministry ofHealth, Paramaribo, Surinam

62

A sesor-A dviser

REINO UNIDO(UNITED KINGDOM)


Dr. Clifford Desmond Wooding, ChiefMedical Officer, Montserrat

REPUBLICA DOMINICANA(DOMINICAN REPUBLIC)


Dr. Héctor Pereyra Ariza, Secretariode Estado de Salud Pública y Asis-tencia Social, Secretaría de Estadode Salud Pública y Asistencia So-cial, Santo Domingo

Suplente-Alternate

Sr. Frank E. Baehr Cabral, Embajadorde la República Dominicana enChile, Santiago, Chile

TRINIDAD Y TABAGO(TRINIDAD AND TOBAGO)


Dr. Mervyn U. Henry, Chief MedicalOfficer, Ministry of Health andLocal Government, Port-of-Spain


Dr. Oswald H. Siung, Principal MedicalOfficer (Epidemiology), Ministry ofHealth and Local Government,Port-of-Spain

URUGUAY

R epresen tan te -R epresen tative

Dr. Aquiles Lanza, Asesor del Minis-terio de Salud Pública, Ministeriode Salud Pública, Montevideo


Dr. Samuel R. Villalba González,Director General de Salud, Minis-terio de Salud Pública, Montevideo

VENEZUELA

Representan te -Representative

Dr. Daniel Orellana, Jefe, Oficina deSalud Pública Internacional, Minis-terio de Sanidad y AsistenciaSocial, Caracas


Dr. Pedro Guédez Lima, Jefe, Secre-taría de Servicios Médico-Asisten-ciales, Ministerio de Sanidad y Asis-tencia Social, Caracas

Ing. George Bocaranda, Director, Cen-tro de Mantenimiento e Ingenieríade Hospitales, Ministerio de Sani-dad y Asistencia Social, Caracas

Comité Ejecutivo de la OPSExecutive Committee of PAHO


Dr. Hugo Victorino Alquéres Baptista(Brasil), Vicepresidente

Organización Mundial de la SaludWorld Health Organization

Dr. Thomas A. Lambo, SubdirectorGeneral

Oficina Sanitaria PanamericanaPan American Sanitary Bureau

Dr. Abraham Horwitz, Director, Secre-tario ex officio del Consejo Direc-tivo

63

Dr. Alfredo Arreaza Guzmán, Sub- JeJe, Servicios de Secretariadirector (Chief, Secretariat Setvices)

Sr. E. R. Lannon, Jefe de Adminis- Sr. Luis Larrea Alba, Jr., Jefe, Seccióntración de Personal y Conferencias

ObservadoresObservers

ORGANIZACION DE LOS ESTADOS AMERICANOSORGANIZATION OF AMERICAN STATES

Sr. Ricardo P. Hughes, Representante de la Secretaría General de la OEA enChile, Santiago, Chile

NACIONES UNIDAS Y ORGANISMOS INTERGUBERNAMENTALESUNITED NATIONS AND INTERGOVERNMENTAL ORGANIZATIONS

Fondo de las Naciones Unidas para la Infancia (United Nations Chidren 's Fund)

Sr. Roberto Esguerra Barry, Director General, Oficina Regional para lasAméricas, Santiago, Chile

Sr. Martin G. Beyer, Director Regional Adjunto, Oficina Regional para lasAméricas, Santiago, Chile

Sr. Orestes Fernández, Oficial Regional de Programas, Oficina Regional para lasAméricas, Santiago, Chile

Programa de las Naciones Unidas para el Desarrollo (United Nations Develop-ment Program)

Srta. Margaret Joan Anstee, Representante Residente en Chile del PNUD,Santiago, Chile

Organización de las Naciones Unidas para la Agricultura y la Alimentación (Foodand Agricultural Organization of the United Nations)

Dr. Fabián Recalde, Asesor Regional de Nutrición, FAO, Santiago, Chile

Oficina Internacional del Trabajo (International Labor Office)

Sr. Julio Bergerie, Director del Centro Interamericano de Investigación yDocumentación sobre Formación Profesional

64

ORGANIZACIONES NO GUBERNAMENTALES

NON-GOVERNMENTAL ORGANIZATIONS

Asociación Médica Mundial, Inc. (The World Medical Association, Inc.)

Dr. Patricio Silva Garín, Colegio Médico de Chile, Santiago, Chile

Comité Internacional Católico de Enfermeras y Asistentes Médico-Sociales(International Committee of Catholic Nurses)

Sra. C. Arauz de Pirovano, Vicepresidente del Comité para América Latina,Buenos Aires, Argentina

Comité Internacional de Medicina y Farmacia Militares (International Com-mittee of Military Medicine and Pharmacy)

Gral. de Brigada Dr. José Rodríguez Vélez, Director de Sanidad Militar,Santiago, Chile

Consejo Internacional de Enfermeras (International Council of Nurses)

Srta. Sofía R. Pincheira, Consejera General, Colegio de Enfermeras de Chile,Santiago, Chile

Federación Den tal Internacional (International Den tal Federation)

Dr. Víctor Daniels, Cirujano Dentista, Especialista en Salud Pública, Santiago,Chile

Federación Internacional de Ginecología y Obstetricia (International Federationof Gynecology and Obstetrics)

Profesor Onofre Avendaño, Facultad de Medicina, Universidad de Chile,Santiago, Chile

Federación Internacional de Planificación de la Familia (International PlannedParenthood Federation)

Dr. René Cabrera, Director, División de Educación e Información, AsociaciónChilena de Protección de la Familia, Santiago, Chile

Federación Mundial de Salud Mental (World Federation for Mental Health)

Dr. Phillip Irving Boyd, Executive Secretary, Georgetown, Guyana

65

Federación Nacional de la Industria del Medicamento (National Federation ofPharmaceutical Manufacturers' Associairion)

Sr. J. L. Corvillón, Instituto Bioquímico, Santiago, Chile

Sr. Julio García, Productos Químicos Ciba-Geigy, Ltda., Santiago, Chile

Liga de Sociedades de la Cruz Roja (League of Red Cross Societies)

Dr. Mariano Bahamonde Ruiz, Vicepresidente de la Cruz Roja Chilena, Santiago,Chile

Unión Internacional de Sociedades de Inmunología (International Union ofInmunological Societies)

Dr. Ricardo Sorensen, Instituto Bacteriológico de Chile, Santiago, Chile

Dr. Carlos Moreno, Instituto Bacteriológico de Chile, Santiago, Chile

66

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