OF THE WORLD HEALTH ORGANIZATION · OF THE WORLD HEALTH ORGANIZATION No. 58 ... CIOMS Council for International Organizations of Medical Sciences ... by major functions 2

OFFICIAL RECORDSOF THE

WORLD HEALTH ORGANIZATION

No. 58

PROPOSED PROGRAMMEAND

BUDGET ESTIMATESFOR THE FINANCIAL YEAR1 JANUARY - 31 DECEMBER

1956

WITH THE

PROPOSED PROGRAMME AND ESTIMATED EXPENDITUREFOR TECHNICAL ASSISTANCE FOR ECONOMIC DEVELOPMENT

OF UNDER -DEVELOPED COUNTRIES

WORLD HEALTH ORGANIZATIONPALAIS DES NATIONS

GENEVA

December 1954

ABBREVIATIONS

The following abbreviations are used in the Official Records of the World Health Organization:

ACC Administrative Committee on Co- ordination

CIOMS Council for International Organizations of Medical Sciences

ECAFE Economic Commission for Asia and the Far East

ECE Economic Commission for Europe

ECLA - Economic Commission for Latin America

FAO Food and Agriculture Organization

ICAO - International Civil Aviation Organization

ICITO Interim Commission of the International Trade Organization

ILO International Labour Organisation (Office)

ITU International Telecommunication Union

OIHP Office International d'Hygiène Publique

PASB Pan American Sanitary Bureau

PASO - Pan American Sanitary Organization

TAA - Technical Assistance Administration

TAB Technical Assistance Board

TAC - Technical Assistance Committee

UNESCO United Nations Educational, Scientific and Cultural Organization

UNICEF - United Nations Children's Fund

UNKRA - United Nations Korean Reconstruction Agency

UNRWAPRNE - United Nations Relief and Works Agency for Palestine Refugees in the Near East

WFUNA - World Federation of United Nations Associations

WMO - World Meteorological Organization

PRINTED IN SWITZERLAND

WORLD HEALTH ORGANIZATION

28 February 1955OFFICIAL RECORDS No. 58 Corr. 1

Proposed Programme and Budget Estimates for 1956

CORRIGENDA

Page 51, under " 8.2 Administration and Finance "-

In the first line, delete the figures " 1951 -55 " ;

replace by " 1951 -56 "

Page 186 : Europe, Regional Office, under " Administration and Finance "-

Under " Budget and Finance ", last line, against the postof Clerk, G3,

delete the line of figures reading :

replace by:

Under " Personnel ", last line, against the post of RecordsClerk, G3,

delete the line of figures reading:

replace by:

Regular Budget

Number of posts Estimated expenditure

1954 1955 1956 1954 1955 1956

Us $ Us $ US$

1 2058

1 1 1 2267 2236

1 1 1 2267 2236

1 2058

CONTENTSPage

Letter of Submittal and Authority

Intioduction by the Director - General IX

Notes on the Presentation of the Programme and Budget xut

Appendix: Salary schedules showing distribution of posts under regular, Technical Assistance andother extra -budgetary funds, in grade levels XVIII

TablesEstimated total expenditure under regular, Technical Assistance and other extra -budgetary funds,

with percentages, by major functions 2

Estimated total staff under regular, Technical Assistance and other extra -budgetary funds, withpercentages, by major functions 2

Summary of Budget Estimates 4

Summary Table showing Total Budget, Income, Assessments and Effective Working Budget 10

Scales of Assessment for 1954, 1955 and 1956 10

Proposed Appropriation Resolution for the Financial Year 1956 12

Proposed Working Capital Fund Resolution for 1956 13

INFORMATION ANNEXES

ANNEX 1 - DETAILS OF PROGRAMME AND ESTIMATED EXPENDITURE FROM REGULAR ANDTECHNICAL ASSISTANCE FUNDS

Tables

Summary by purpose -of- expenditure code, indicating percentages of total regular budget estimates 17

Summary by purpose -of- expenditure code, indicating percentages of total estimated expenditureunder Technical Assistance 17

Summary of activities to be financed from funds of the Office International d'Hygiène Publique 18

PART I : ORGANIZATIONAL MEETINGS TextPage

Costestimates

1. World Health Assembly : Ninth Regular Session 19 19

2. Executive Board and its Committees 19 19

3. Regional Committees 19 -Africa 19

The Americas 20

South -East Asia 20

Europe 20

Eastern Mediterranean 20

Western Pacific 21

- III -

PART IT : OPERATING PROGRAMME

4. CENTRAL TECHNICAL SERVICES

TextPage

Costestimates

Summary - 25

4.0 Office of the Assistant Director - General 22 26

4.1 Epidemiological and Health Statistical ServicesOffice of the Director - Epidemiological Information and Morbidity

Statistics - International Quarantine - Epidemiological IntelligenceStation, Singapore - Statistical Studies - International Classificationof Diseases and Causes of Death 22 26

4.2 Therapeutic SubstancesOffice of the Director - Biological Standardization - Pharmaceutical Section

- Addiction -Producing Drugs - Health Laboratory Methods -Tuberculosis Research Office, Copenhagen 23 28

4.3 Editorial and Reference ServicesOffice of the Director - Documents and Official Records - Health Legislation

- Library and Reference Services - Technical Publications - Transla-tion 24 30

4.4 Statutory staff costs - 31

4.5 Grants, contractual technical services, and other forms of research co- ordination - 32

4.6 Other costs 32

Estimated requirements for publications for the financial year 1956 - 33

5. ADVISORY SERVICES

Summary - 39

5.0 Office of the Assistant Director -General 35 41

5.1 Communicable- Disease ServicesOffice of the Director - Malaria and Insect Control - Tuberculosis -

Venereal Diseases and Treponematoses - Endemo- epidemic Diseases 35 41

5.2 Organization of Public -Health ServicesOffice of the Director - Public -Health Administration - Nursing - Social

and Occupational Health - Health Education of the Public - Maternaland Child Health - Mental Health = Nutrition 36 42

5.3 Environmental Sanitation 37 44

5.4 Education and Training ServicesOffice of the Director - Fellowships - Exchange of Scientific Information

- Assistance to Educational Institutions 38 45

5.5 Reports and Analysis 38 45

5.6 Supply 38 46

5.7 Statutory staff costs 46

5.8 Grants, contractual technical services, and other forms of research co- ordination - 46

5.9 Other costs (Study groups) - 47

6. REGIONAL OFFICES : Summary - 48

7. EXPERT COMMITTEES AND CONFERENCES 49

PART III : ADMINISTRATIVE SERVICES

8. ADMINISTRATIVE SERVICES

Summary - 54

8.1 OFFICES OF THE DIRECTOR - GENERAL

8.1.0 Office of the Director- General 55

- IV -

TextPage

Costestimates

8.1.1 External Relations and Technical Assistance 51 55

8.1.2 Public Information 5I 56

8.1.3 Statutory staff costs ( Offices of the Director -General) 56

8.1.4 Other costs (Offices of the Director - General) 56

8.2 ADMINISTRATION AND FINANCE 51 -8.2.0 Office of the Assistant Director -General 52 57

8.2.1 Legal Office 52 57

8.2.2 Internal Audit 52 57

8.2.3 Administrative Management and PersonnelOffice of the Director - Administrative Management - Personnel - Confe-

rence and Office Services 52 57

8.2.4 Budget and FinanceOffice of the Director - Budget - Finance and Accounts 53 59

8.2.5 Statutory staff costs (Administration and Finance) - 59

COMMON SERVICES 53 60

ANNEX 2 - REGIONAL SCHEDULES

Summary

AfricaSummaryRegional OfficeRegional AdvisersArea Public -Health OfficersBasutolandBechuanalandBelgian Congo and Ruanda - Urundi . .

Federation of Rhodesia and NyasalandFrench AfricaGambiaGold CoastKenyaLiberiaMauritiusNigeriaPortuguese TerritoriesSeychellesSierra LeoneSomaliland ProtectorateSwazilandTanganyikaUgandaUnion of South AfricaZanzibarInter -Country Programmes

The AmericasSummaryRegional OfficeRegional AdvisersZone OfficesArgentinaBoliviaBrazil

Text

6767676868

686969696969707071717172

7272727373

-979797979898

PageCost

estimates

63

75767879808081838485858586878889909091919192939495

108109114115120120121

The Americas (continued)British GuianaBritish West Indies 1CanadaChileColombiaCosta RicaCubaDominican RepublicEcuadorEl SalvadorGuatemalaHaitiHondurasJamaicaMexicoNicaraguaPanamaParaguayPeruSurinamUnited States of AmericaUruguayVenezuelaInter -Country Programmes

South -East AsiaSummaryRegional OfficeRegional AdvisersArea RepresentativesAfghanistanBurmaCeylonIndiaIndia (former French Settlements)

Text

99

999999

100100100100100101101101102102102103

-103103104

-141141

141141143145146149

PageCost

estimates

122123123123124125126126127127128128129129130131132132134135135135136137

155156158159160161

164166169

I For Jamaica see under that name.

- V -

20737

South -East Asia (continued)

TextPage

Costestimates

Eastern Mediterranean (continued)

TextPage

Costestimates

Indonesia 149 169 Ethiopia 214 234Nepal 151 172 Iran 214 236Portuguese India - 172 Iraq 216 237Thailand 152 173 Israel 217 239Inter -Country Programmes 153 174 Jordan, Hashemite Kingdom 217 240

Lebanon 218 242Europe Libya 219 243

Summary - 185 Pakistan 220 245Regional Office 176 186 Saudi Arabia 221 247Regional Health Officers 176 188 Somalia 222 248Austria 176 189 Sudan 223 249Belgium 176 190 Syria 224 250Denmark 177 191 Yemen 225 252Finland 177 191 Inter -Country Programmes 225 253France 177 193Germany 177 194 Western PacificGreece 177 194 Summary - 264Iceland 178 195 Regional Office 255 265Ireland 178 196 Regional Advisers 255 267Italy 178 196 Australia 255 268Morocco (French Zone) 178 197 Brunei - 268Netherlands 179 198 Cambodia 255 268Norway 179 199 China 256 269Portugal 179 200 Fiji 257 271The Saar - 200 Hong Kong 257 271

Spain 180 201 Japan 257 272Sweden 180 201 Korea 258 273Switzerland 180 202 Laos 259 274Tunisia 180 203 Malaya 259 275Turkey 181 204 Netherlands New Guinea - 276United Kingdom of Great Britain and New Zealand 259 276

Northern Ireland 181 206 North Borneo 259 277Yugoslavia 182 207 Papua and New Guinea 260 277Countries Undesignated 182 208 Philippines 260 278Inter -Country Programmes 182 208 Sarawak 261 280

Singapore 261 281Eastern Mediterranean Trust Territory of the Pacific Islands 262 281

Summary - 227 Viet Nam 262 282Regional Office 212 228 Western Samoa 262 283Regional Advisers 212 230 Inter - Country Programmes 262 283Area Representatives 212 231Aden - 232 Region UndesignatedCyprus 212 232 Summary - 286Egypt 212 232 Countries Undesignated 285 286

ANNEX 3 - SUMMARIES OF ESTIMATED EXPENDITURE FOR ACTIVITIES PROPOSED UNDERTECHNICAL ASSISTANCE

Technical Assistance : Summary by purpose -of- expenditure codeTechnical Assistance : Summary of programmes for 1955 and 1956 by priorities

ANNEX 4 - SUPPLEMENTARY PROGRAMME WITH COST ESTIMATES

PageText Cost

estimates

Page

289

291

PageText Cost

estimates

Africa 303 305 Europe 312 315

The Americas 307 309 Eastern Mediterranean 316 319

South -East Asia 310 312 Western Pacific 319 322

-- VI -

LETTER OF SUBMITTAL AND AUTHORITY

In accordance with the requirements of the Constitution, the Director - General hasthe honour to submit the proposed programme and budget estimates of the Organizationfor the financial year 1 January to 31 December 1956.

The recommendations of the Executive Board on these proposals will be publishedin the report on the fifteenth session of the Executive Board (Official Records series).

M._ G. CANDAU, M.D.,

Director -Generalof the World Health Organization

INTRODUCTION BY THE DIRECTOR -GENERAL

The year 1956 marks the tenth anniversary of the adoption of the Constitution of the WorldHealth Organization. It was on 22 July 1946 that. the International Health Conference, called forthe purpose by the Economic and Social Council of the United Nations, took this historic step ;and the Constitution of WHO has served ever since as a guide to all Member States in their endea-vours to raise standards of health throughout the world.

This memorable anniversary provides, I believe, a fitting occasion for presenting to the WorldHealth Assembly the Programme of Work for 1956 against the background of the general principleswhich governed the creation of the Organization.

In order to enhance the usefulness of this presentation, I shall also, whenever possible, link itwith the " General Programme of Work for a Specific Period " which the World Health Assemblyhas extended toinclude the year 1956 and which circumscribes the annual programme of workprovided for by these budget estimates for 1956. The 1956 programme again has been developed inthe light of the priorities established by the Economic and Social Council, which include, for thepromotion of basic publichealth programmes, the strengthening of public -health services and theprevention and control of major communicable diseases.

One of the most gratifying results of WHO's development under the provisions of the Consti-tution is that the various parts of the Organization's machinery are now well geared to what isgenerally considered its basic long -term function : assistance in the strengthening of national healthservices.

In the process of attempting to realize this principal objective, which remains at the core of alllong -term activities planned by WHO, the Organization succeeded in overcoming two extremelyserious obstacles which were present in the early stages of its existence, and which might have inter-fered with its orderly development. Thanks to the way in which the decentralization policy wascarried out, a twofold danger has been eliminated : on the one hand, that of drawing a sharp dividingline between Headquarters and the regional offices, and on the other hand that of assigning to themduplicate or overlapping functions. The responsibilities of these two integral parts of the Organiza-tion are now well defined -the role of Headquarters being to carry out certain essential technicalservices and to exercise functions of direction, supervision and control, while the regional officesco- ordinate requests coming from countries and help to establish country and regional programmes,tasks which presuppose close contacts with governments as well as an intimate knowledge of localconditions and resources.

One example of what can be achieved by proper co- ordination of the activities of the Organiza-tion as a single entity can be found in certain of the efforts made in the South -East Asia Region inthe field of medical education. From data provided by teams of medical scientists which visitedIndia, Burma, Ceylon and Indonesia during the preceding years, a preliminary survey of medicaleducation requirements in South -East Asia was developed during 1954, at Headquarters. As oneresult of this survey, it will be possible for national conferences or study groups of medical educatorsand administrators to examine the question of adapting long -term planning in medical education tothe actual needs of the Region, with emphasis on the preventive and community approach,

- IX -

X INTRODUCTION BY THE DIRECTOR -GENERAL

By adopting " strengthening of national health services " as the principal goal of its assistanceto governments, the Organization has done away with another important source of possible con-fusion and interference with the efficient carrying out of its role as the agency striving through properco- ordination to increase the effectiveness of all international health work. The cardinal principlewhich has guided all those involved in the preparation of the 1956 programmes is that both the directassistance WHO is able to render at the request of individual countries, and the help these countriesreceive from other sources, should be as far as possible integrated into national plans for the long-term development of health services.

The endeavour of WHO to foster a more comprehensive approach to the basic health needsof countries is reflected in the extent to which integrated public -health projects are replacing thesingle -purpose type of field project. While the Organization continues to receive requests forassistance in mass campaigns for communicable- disease control, more and more countries areplanning their campaigns against single diseases such as malaria, yaws and tuberculosis as an integralpart of a comprehensive public -health service.

This policy, which has been one of the more recent features of WHO's work, particularly inthe Americas, and of which the El Salvador health demonstration area project is, I think, an excellentillustration, is also developing in the other regions, and will undoubtedly be more fully developed inthe years to come. It represents the most effective approach yet devised for the solution of thetremendous health problems of rural populations which, it should not be overlooked, constitute inmany parts of Asia, Africa and the Americas, eighty per cent. of the whole. The programme for1956, which covers an impressive number of countries, includes assistance to governments in thedevelopment of health services which will be effective in meeting the needs of rural areas and whichcan be supported by local resources. Many methods used by the Organization are serving and willcontinue to serve this purpose : the appointment of regional advisers, the organization of seminarsfor exchange of information, the use of short -term consultants, etc.

The experience acquired in various countries by developing rural health services around maternaland child health projects has proved valuable in deciding upon the next steps in maternal and childhealth activities. There is a growing feeling that such activities ought not to be carried out as separateprojects, but should be integrated into the general framework of health services. The proper functionof consultants requested by governments will then be to advise not only on the conduct of maternaland child health programmes as such, but also on the ways in which such integration can be carriedout most effectively.

But above all, the organization of comprehensive rural health services constitutes a challengeto all medical and paramedical personnel to utilize the technical knowledge they have acquired forproposing to governments practical and simple actions which, by introducing the necessary servicesinto the social structure, would provide for the health protection of rural populations.

The fundamental importance of education and training projects in virtually all parts of WHO'sprogramme has not been overlooked in the preparation of the 1956 programme. To use an activityin the Eastern Mediterranean Region as an example : while the work of the Regional NursingCollege will continue, 1956 will also see, in that field, the development of further activities, such asthe Khartoum School of Nursing in the Sudan,, the school for auxiliary workers and the schoolfor nurses in Libya, and a new school of nursing in Syria.

While the training of doctors and nurses for all regions will continue to be the main objectiveof our programme in professional education, the problems of education and training of other cate-gories of health personnel will not be overlooked in 1956 and in the following years. This includes,for instance, training in veterinary public health. Also, in the advice given to governments on theimprovement of their dental health programmes, special emphasis will be placed on the trainingaspects.

The effectiveness of our contribution to the strengthening of health services and, in particular,to the improvement of rural health conditions in the various countries, will depend to a great extent

INTRODUCTION BY THE DIRECTOR -GENERAL XI

on the amount of assistance we can offer in attacking the urgent environmental sanitation problemsmost countries are facing. The support to be given, in 1956, to teaching institutions and technicalseminars in a number of countries for the training of sanitary engineers and sanitarians is one exampleof the emphasis being laid by the Organization on simple and fundamental sanitation. Anotherexample is the Organization's growing interest in food sanitation -an interest which, to becomeeffective, requires close co- operation and co- ordination with the other international organizationssharing responsibility in this field. For milk and milk products, the present liaison between FAO,UNICEF and WHO is being extended from quality control into the fields of milk and dairy legisla-tion.

Following the pattern established during the past few years, inter -country activities have becomea dominant feature of WHO's work in all regions. The results obtained in the European Regionthrough that method are particularly gratifying. The inter -country studies, conferences and grouptraining courses sponsored during the past years by WHO represent, both in the extent of partici-pation by Members and in the variety of the health problems which have been covered, a co- operativeendeavour in public health which is probably without precedent in Europe.

One of the main purposes of inter -country activities is to make available to other Membersof one or several regions progress achieved by any one country in a given field of public health. Inyaws control, for example, such an approach is being adopted in the Caribbean, as well as in theWestern Pacific, where the so- called " island- hopping " operations should be well under way by1956 and 1957. Similarly, it is expected that, as a result of the international yaws conference plannedfor 1955 in Africa, several countries and territories in the tropical zone will in 1956 and thereafterco- operate in long -term yaws control. By and large, the same method is to be employed for malaria -control plans in the Eastern Mediterranean, in Africa and throughout the Americas.

Another important consequence of experience gained from communicable- disease campaignsis the recognition of the need for well -planned, co- ordinated institutional research on the applicationto publichealth techniques of established methods of prevention, diagnosis and treatment. Thereis no doubt that, in order to advise governments effectively on reliable, economical and efficientcontrol methods, greater efforts and more funds will have to be devoted to studies of vaccines,standardization of diagnostic methods, reagents and biological products, responses to insecticides,to antibiotics, etc.

x

I consider it my duty to point out to the Health Assembly that the Programme of Work for1956, far from representing even the minimum amount of assistance WHO should give in order topromote world health, does not even satisfy the many urgent needs expressed in the total number ofrequests received from various governments. For several reasons -the most important being thatthe whole system of the scales of assessment is to be reconsidered by this Assembly -I felt that I hadno choice but to adapt a programme for 1956 to approximately the same budgetary level as wasapproved for 1955 by the Seventh World Health Assembly. In fact, the actual work during the yearunder consideration will be even more limited than for 1955, since the 1956 estimates have had tocover all local living costs of experts employed on field projects, amounting to about $260 000. Inaddition, we must also provide for normal salary increments of about $107 000.

While I am submitting a programme which can be financed with virtually no increase in thebudget, I consider that I also owe it to the Assembly -the governments of the world interested inhealth improvement -to provide as complete information as possible on the activities which, becauseof such budgetary restrictions, have had to be excluded. I therefore decided to include these activitiesin a supplementary programme which, in the form of a separate annex, is submitted with the maindocument. Thus, it will be possible, should the Health Assembly wish to do so, to include financialprovision for additional programme activity when it approves the budget for 1956.

XIÍ INTRODUCTION BY THE DIRECTOR -GENERAL

1 should like to repeat here what I said to the Seventh Health Assembly : the Organizationis today well equipped to discharge the duties assigned to it by the Constitution, it has succeeded infinding a set of methods and techniques appropriate to the type of work to be carried out, and itcan command the services of health personnel not only professionally well qualified, but also awareof the special problems involved in international relationships.

Another consequence of the limitations I have had to apply to the 1956 budget is that WHOwill continue to be unable to assume its full responsibilities for the various projects developed inassociation with UNICEF. Part of the cost, in 1955, of technical personnel for joint projects willbe reimbursed to WHO by UNICEF. However, I firmly believe that this cannot be accepted as apermanent arrangement, and that WHO should ultimately accept its full financial share in thisco- operative work. The Seventh World Health Assembly reaffirmed the opinion of previous Assem-blies that WHO should do so, and took a further step in this direction when it adopted a higherbudget for 1955 than for 1954 and provided that WHO should pay half the cost in 1955 of the projectpersonnel whose costs were being financed by UNICEF in 1954. The Eighth Assembly may wishto consider the financial implications of taking an additional step toward the ultimate objective. Thecost involved for the technical personnel required on jointly assisted UNICEF /WHO projects, thefinancial provision for which is not included in the 1956 estimates, is $480 000. The Assembly maywish to include provision for all, or a part, of this amount when it approves the budget for 1956.

1 had hoped that, by this time, it would have been possible for me to inform the Assembly thatthe difficulties due to fluctuations in the funds granted to WHO under the United Nations ExpandedProgramme of Technical Assistance for Economic Development would have been eliminatedaltogether, or at least have diminished. This is unfortunately far from being the case. The principleof comprehensive programmes for individual countries, designed to meet the urgent needs of govern-ments responsible for schemes of economic development in all their major aspects, is in itself a soundone. However, on the basis of that principle, the Technical Assistance Committee and the Economicand Social Council at their meeting in July 1954 recommended a new system which does away withthe practice of automatic allocations of Technical Assistance funds to participating agencies. Asa result, the uncertainty as to the amounts of money which WHO can expect from that source has,in fact, become even greater than it was during previous years. I do not have to underline themagnitude of this handicap in the orderly planning of activities in the field of international health.

NOTES ON THE PRESENTATION OF THE PROGRAMME AND BUDGET

1. Form of Presentation

1.1 In accordance with resolution WHA7.36 of the SeventhWorld Health Assembly,' the presentation of the proposedprogramme and budget estimates for 1956 conforms to thecriteria established by the Fourth World Health Assembly(resolutions WHA4.10, WHA4.18, WHA4.56 and WHA4.74) 2and by the Executive Board at its eighth and tenth sessions(resolutions EB8.R28 and EBIO.RII) 3 and follows generallythe pattern of that adopted for the year 1955 with the modi-fications recommended by the Executive Board at its thirteenthsession in resolution EB13.R55 4 as approved by the SeventhWorld Health Assembly.

1.2 Resolution WHA7.36 requires that the proposals regard-ing activities under the regular budget be presented separatelyfrom those regarding activities to be financed from extra -budgetary funds. Accordingly, in all schedules the cost esti-mates under the regular budget are now shown, together withthe numbers of posts, to the left of the descriptive information ;the headings of these regularbudget columns have also beenprinted in bolder type. The descriptive information is followedby columns indicating the numbers of posts and estimatedexpenditure from Technical Assistance and from Other Extra -budgetary Funds. As further required by resolution WHA7.36,the " Total " column which previously appeared on theextreme right, reflecting the total estimated expenditure fromall sources of funds, has been eliminated.

1.3 As in previous years, schedules showing the distributionof posts under Regular, Technical Assistance and Other Extra -budgetary Funds, in grade levels, are appended to thesenotes, and are followed by tables showing the estimatedexpenditure and total staff under all funds, by major functions,with percentages.

2. Integrated International Health Programme

2.1 As in the past, the column headed " Other Extra -budgetary Funds " contains cost estimates relating to suchrequirements as are expected to be met from other than regularor Technical Assistance funds.

2.2 In accordance with resolution WHA7.50 5 of the SeventhWorld Health Assembly, which provides, " that WHO mustmaintain a balanced public -health programme ", projectsjointly assisted by UNICEF and WHO have been includedin the proposed regular and Technical Assistance programmesfor 1956 to the extent that their estimated cost can be providedfor within the total amount of the estimates. Further, incompliance with resolution WHA7.35,3 provision has beenincluded in the revised 1955 budget for approximately half

1 Off. Rec. W1d Hlth Org. 55, 332 Off Rec. Wld Hlth Org. 35, 20, 23, 40, 493 Off. Rec. Wld Hlth Org. 36, 8 ; 43, 44 Off. Rec. Wld Hlth Org. 52, 225 Off Rec. WU Hlth Org. 55, 406 Off Rec. Wld Hlth Org. 55, 32

the cost of the international health personnel in projects forwhich UNICEF has reimbursed these costs in 1954. Follow-ing negotiations in pursuance of resolution EB14.R22' ofthe Executive Board, the remaining personnel costs relatingto these projects have been approved by the UNICEF Exe-cutive Board for reimbursement in 1955, and are shownunder " Other Extra -budgetary Funds " for that year. Allcosts shown under the column " Other Extra -budgetaryFunds " for which the UNICEF Executive Board has approvedthe allocation of funds are denoted, as in the past, by asterisks.

3. Technical Assistance Programme

3.1 In the absence of any information, at the time of pre-paration of the proposed programme and budget estimatesfor 1956, as to the amount of funds likely to be made availableto the World Health Organization under the ExpandedProgramme, the proposed Technical Assistance programmesfor that year have been based on the assumption that thecountry planning target figures indicated by the TechnicalAssistance Board for the purposes of the proposed TechnicalAssistance Programme for 1955 will continue to be generallyapplicable to 1956.

3.2 As indicated in the programme and budget estimatesfor 1955, the Director- General, in compliance with the requestof the Technical Assistance Board at its 25th session that allparticipating agencies should aim at a reduction in admi-nistrative costs in 1954, made arrangements to this :end atHeadquarters and in the regions on the assumption that thelevel of operations under the Expanded Programme for 1954would be reduced as compared with that for 1953. The stepsthen envisaged entailed the eventual suppression of certainposts and the elimination of certain provisions for consultantsand duty travel for the years 1954 and 1955. As the reducedlevel of operations under the Expanded Programme can beexpected to be maintained at least for 1955 and possibly for1956, the economies envisaged have now been effected andare reflected in the reduced estimates of expenditure fromTechnical Assistance funds in respect of administrative costsfor the year under review as well as the two preceding years.

3.3 The extent to which the Technical Assistance programmesplanned for 1955 and 1956 can be implemented will continueto depend upon the amount of fluids allocated to the WorldHealth Organization. This amount is, in turn, dependentupon the extent to which voluntary contributions are pledgedand paid by governments. In considering the shortfall inTechnical Assistance funds which affected the regular pro-gramme for 1954, the Seventh World Health Assembly inresolution WHA7.35 requested the Director -General, to theextent possible in the light of available resources, to re-transfer, by concentrating on priority I projects, to TechnicalAssistance funds in 1955 those projects which in 1954 werebeing financed from regular funds. During the latter half of1954, however, additional funds were made available to WHOunder the Expanded Programme, so that it was found possible

' Off Rec. Wld Hlth Org. 57, 6

- XIII -

XIV NOTES ON THE PRESENTATION OF THE PROGRAMME AND BUDGET

to effect such re- transfers in most instances as from 1954.In the revised estimates of expenditure from Technical As-sistance funds for 1955, the terms of resolution WHA7.35have been implemented to the fullest extent practicable.

3.4 The provisions in the estimates of expenditure fromTechnical Assistance funds for the years 1955 and 1956 havebeen included with due regard to the directives of the SeventhWorld Health Assembly that :(a) as far as practicable for future years the regular andTechnical Assistance programmes should be developed " insuch a way as to keep them completely separate " (para-graph 8 of resolution WHA7.35) ;(b) the programmes financed from the regular budget ofWHO and from Technical Assistance funds should be deve-loped in such a way as to separate them as completely aspossible " in order that adjustments in one programme willnot necessitate consequential adjustments in the other pro-gramme " (paragraph 1 of resolution WHA7.41) ;(e) to the extent practicable, there should be included " inthe estimates of expenditure from Technical Assistance fundsprovisions for the fellowship requirements of appropriateindividual projects (including individual fellowships), irres-pective of the source from which other costs relating to suchprojects be financed, subject to the consent of the governmentsand the approval of the Technical Assistance Board " (para-graph 2 of resolution WHA7.41) ; and(d) the Technical Assistance programme should be imple-mented " in priorities (categories of urgency) ... to the extentof available resources " (paragraph 3 of resolution WHA7.41).

In implementation of paragraph 3 of resolution WHA7.41the projects included in the proposed Technical Assistanceprogrammes for 1955 and 1956 have been divided into twocategories (priorities I and II) and the priority assigned toeach project has been denoted in the country schedules andin the narratives by the use of the Roman numerals I and II.

3.5 In the interests of improved presentation the prioritytotals previously shown at the end of each country scheduleare now given in the summary (by priorities) of the proposedTechnical Assistance programmes for 1955 and 1956 includedin Annex 3.

4. Contributions in Local Currencies

Efforts to ascertain the amounts expected to be contri-buted by governments in local currency towards the costsof implementation of projects within their own countrieshave continued, and the information so far made available isat the end of each country schedule, in accordance withresolution WHA7.36. The estimated amounts appear withinbrackets in the column headed " Other Extra -budgetaryFunds." Any additional information obtained from govern-ments will be made available to the Eighth World HealthAssembly.

5. Computation of Estimates and Averages used in Costing

5.1 As in the programme and budget estimates for 1955, allgraded posts have been costed on a full -year basis and allpersonnel costs in respect of filled posts have been computedindividually on the basis of actual salary (including incre-ments) and anticipated statutory travel (if any). For the

1 O ff: Rec. Wld Hlth Org. 55, 36

costing of consultants and vacant posts the following averages,established on the basis of experience, have been used :

I. HEADQUARTERS, REGIONAL AND OTHER OFFICES(including regional advisers etc.)

AllowancesGrade Children's

allowanceUs$

EducationgrantUs$

Installationallowance

Us$D2 -P5 230 75 800P4 -P3 180 75 750P2 -P1 60 75 450G6 -G1 (or equivalent

local grades) . . . 20 * 75 * 220 **

Travel

GradeInitial

recruitment and Home leaverepatriation

Us$ Us$

Transportation ofpersonal effects

us $D2 -P5 750 1 950 580P4 -P3 400 1 100 450P2 -P1 150 600 110G6 -G1 (or equivalent

local grades) . . . . 50 ** 100 ** 40 **

Consultants Fees $600 per monthTravel $600 per month

II. PROJECT STAFF

Dependants' EducationGrade allowance grant

Uss us $

Installationallowance

us$

Travelon initial Home

recruitment leaveand

repatriationUs$ Us$

P4-P3. . 400 75 560 700 t 1 000P2-Pi. . 200 75 450 700 t 1 000

Short -term Consultants

Senior Consultant

Junior Consultant

FeesTravel

FeesTravel

$700 per month$600 per month

$400 per month$600 per month

* In the case of posts subject to local recruitment, the incumbents areentitled to children's allowance and education grant only if provided for in thelocal conditions of employment.

** Applicable to vacant posts for which provision for non -residentallowance is made

t Includes field equipment allowance

5.2 For each post subject to international recruitment, andfor each local post for which provision for non -residentallowance is made, provision has again been included forrepatriation grant in the amount of $100 as an average. Whereprovision has been included for duty travel, it has been based,as far as practicable, on the costing of individual journeysproposed.

5.3 Provision for staff turnover has been included, asbefore, in the relevant appropriation sections of the regularbudget and in the Technical Assistance estimates for both1955 and 1956, at the end of the headquarters summary tablesfor Central Technical Services, Advisory Services and Admi-nistrative Services. In the case of regional offices, regionaladvisers, regional and area health officers, zone offices, andarea representatives the provision has been includedat the end of the summary for all regions. In the light of

NOTES ON THE PRESENTATION OF THE PROGRAMME AND BUDGET XV

experience, the provision for Headquarters has been calculatedat the rate of 3 per cent. for posts subject to internationalrecruitment and 10 per cent, for posts subject to local recruit-ment, and applied to the averages for the P3 grade and thelocal grades respectively relating to recruitment, repatriationand transportation of personal effects. For internationallyrecruited posts at regional offices 1 calculations have beenbased on a staff turnover of 8 per cent. applied similarly to therelevant grade P3 averages. No turnover costs are applicablein respect of locally recruited staff in the regions.

5.4 The deductions for lapses in replacing internationallyrecruited staff at Headquarters have been based on theestimated savings in respect of salaries, pension fund, insuranceand dependants' allowances which would accrue from lapsesaveraging three and a half months, this period having beenestablished from previous years' personnel records. In comput-ing these deductions the percentage turnover has been usedto determine the actual number of posts to which this lapsewould be applicable and the amounts have then been calculatedon the basis of the emoluments of a P3 post (as an average).In the case of the regional offices 1 a lapse of four months hasbeen established and applied. No deductions for lapses havebeen made in respect of locally recruited staff at Headquartersor at regional offices, since experience has proved that suchstaff can be replaced without delay. However, in the case ofboth locally and internationally recruited staff at Headquartersand internationally recruited staff at regional offices 1 thedeductions take account of the fact that when replacementis effected the new staff member will be remunerated at thebase step of his grade. In computing the amount of thisadditional deduction, actual data from previous years havebeen taken into account in establishing the average grade andstep at which staff members have left the Organization ; ithas also been estimated that the departures would be spreadevenly throughout the year, giving an average of six months'savings from differences in salary steps. For Headquarters,salary steps IV and III represent the averages applicable tointernationally recruited and to locally recruited staff. In thecase of the regional offices 1 the average is salary step III.

5.5 The deductions for delays in filling new posts have beencalculated from past experience on the basis of periods averag-ing six weeks in the case of Headquarters and three monthsin the case of regional offices,' and applied to the salary costs(including cost -of- living adjustments where applicable) andthe averages of the other costs applying to the posts concerned.These deductions have been merged, where applicable, withthe deductions for lapses in effecting replacement.

5.6 The deductions for delays in the implementation of newprojects in 1955 and 1956 have; similarly to last year, beencalculated on the basis of delays averaging three months andapplied to the salaries and related costs of the posts concerned,all such personnel costs having been computed on a full -yearbasis. However, in exercise of the authority conferred byresolution WHA7.42 of the Seventh World Health Assembly,an additional delay period of two months has been appliedin respect of all new projects in 1955, thereby ensuring theavailability in 1955 of funds to enable the Organization toprovide lodging and other subsistence allowances to inter-national staff assigned to such new projects. By the sameauthority provision to cover such costs has been included in

1 Including regional advisers, regional and area healthofficers, zone offices and area representatives

the cost estimates for each new regular project in 1955 andfor all regular projects in 1956. In addition, inasmuch as theexisting arrangements remain applicable for regular projectscontinuing into 1955, global provision based on experience in1954 has again been included in the overall summaries for 1955to cover such costs should waivers in respect of these continu-ing projects be granted in accordance with resolution WHA5.59of the Fifth World Health Assembly.2 It is not possible toidentify the countries or regions where such costs may haveto be met by the Organization.

5.7 As the new local costs plan applying to projects includedin the proposed Technical Assistance programmes for both1955 and 1956 is expected to be fully operative in all countriesin which projects are to be implemented under the ExpandedProgramme, no provision in respect of such costs has beenincluded in the estimates of expenditure from TechnicalAssistance funds for those years.

6. Casual Income

The estimated total casual income of $634 500, which hasbeen shown at the end of the table " Summary of BudgetEstimates " as the deduction to be made from the proposedtotal 1956 budget estimates in order to arrive at the totalassessments of Members, represents a decrease of $315 500 ascompared with the amount approved for this purpose by theSeventh World Health Assembly for 1955. While the amountof casual income to be applied to 1956 is subject to suchadjustments as may ultimately be decided by the Eighth WorldHealth Assembly in the light of the position at that time, anexplanation is here given of the main reasons for the differencebetween the approved total for 1955 and the present estimate.A large part of the decrease (approximately $125 000)relates to the lower estimate of income to be derived from" assessments on new Members from previous years " and" transfer from cash portion of Assembly Suspense Ac-count ". The remaining decrease is almost entirely accountedfor under the item of miscellaneous income. The reasonfor this is that it was found possible on the basis of pastyears' experience to establish more accurately at the end of1953 the amount required to be carried forward to 1954 as areserve in order to liquidate outstanding obligations from1953 in accordance with the Financial Regulations. It istherefore anticipated that no savings in the reserves thusestablished will be forthcoming at the end of 1954 to besurrendered as income in that year according to Rule 4.3 ofthe Financial Regulations. As a result, the miscellaneousincome for 1954, which is to be applied to the proposed 1956budget, is estimated to be some $180 000 less than the miscel-laneous income for 1953, applied as a reduction to theapproved 1955 budget. -

7. Publications Revolving Fund

As in the programme and budget estimates for 1955, atotal of $10 000, to be financed from the Publications RevolvingFund, is provided to cover the costs of the post of distributionand sales officer established in 1953, of giving publicity toWHO publications, and of improving the sales of such publi-cations. Similarly, in order to reflect the authorized use ofthe Publications Revolving Fund for defraying the cost ofprinting additional copies of publications for sale, the estimated

2 Off Rec. Wld Hlth Org. 42, 37

XVI NOTES ON THE PRESENTATION OP THE PROGRAMME AND BUDGET

expenditure for this purpose has continued to be shown inthe appropriate schedules. In the " Summary of BudgetEstimates " an amount equivalent to the total estimated costsof these activities has been included as income by transfer

e from the Publications Revolving Fund.

8. Scales of Assessment

In compliance with resolution WHA7.15 of the SeventhWorld Health Assembly, a table is included showing both thescale of assessment which would be applied and the amountsof the individual contributions which would be called for ifthe United Nations scale of assessment for 1954, as adjustedto the World Health Organization membership, were appliedto the proposed budget for 1956 in the manner laid down inparagraph 2 of that resolution. For purposes of comparisonthis table shows, in separate columns, the individual Members'contributions and their percentage assessments (convertedfrom units), obtained by applying for 1956 the same scale ofassessment as was approved for 1955 by the Seventh WorldHealth Assembly. As in previous budget documents, thistable also gives the contributions of Members for the years1954 and 1955 in accordance with the approved scale ofassessment for those years.

9. Appropriation Resolution

The form of the proposed Appropriation Resolution for1956 follows that approved for 1955.

10. Working Capital Fund

The form of the proposed Working Capital Fund Resolutionfor 1956 follows that approved for 1955. The Director -General recommends that the size of the Working CapitalFund for 1956 be the same as that established by the SeventhWorld Health Assembly for 1955, with the addition of anyamounts in respect of new Members.

11. Supplementary Programme

As indicated in the Introduction, the budget documentincludes a new Annex 4 containing narratives and cost esti-mates relating to projects to be implemented to the extentto which funds may be made available for the purpose. Thesenarratives and cost estimates are presented by region and bycountry in the same way as in Annex 2. Similarly, the totalcost estimates for each project have been calculated on thesame basis as in the case of the projects included in the regularprogramme and budget estimates for 1956.

Appendix

SALARY SCHEDULES

SHOWING DISTRIBUTION OF POSTS

UNDER REGULAR, TECHNICAL ASSISTANCE AND

OTHER EXTRA -BUDGETARY FUNDS,

IN GRADE LEVELS

Appendix

SALARY SCHEDULES SHOWINGTECHNICAL ASSISTANCE AND OTHER

Regionor Office

Grade

Number of Posts

Step I Step IIRegular TechnicalAssistance

Other Extra -budgetary Funds

1954 1955 1956 1954 1955 1956 1954 1955 1956

A. InternationallyRecruited Staff

US$ US$

P1 . 67 71 75 26 26 24 39 31 19 3 600 3 800P2 . 120 136 131 138 168 161 79 71 63 4 800 5 000P3 . 79 90 82 67 81 75 36 33 25 6 000 6 200P4 . 143 163 161 115 147 150 49 52 46 7 300 7 525P5 . 51 51 53 2 2 2 8 8 8 8 750 9 000D1 . 4 4 4 1 1 . 1 5 5 5 10 000 10 400D2. 19 19 19 - - - 2 2 2 11000 11400PD. - - - - - - 12 000 12 500UG. 11a I1a 1 1 a - 4b 4b 4b

494 545 536 349 425 413 222 206 172

Swiss fr. Swiss fr.B. Locally Recruited Staff

Headquarters G1. . . 6 925 7 125(Geneva) G2. . . 2 2 2 7 725 7 950

G3. . . 64 57 58 16 15 15 8 625 8 940G4. . . 75 82 82 8 8 7 9 555 9 920G5. . . 24 24 24 2 2 2 10 655 11 075G6. . . 24 24 23 4 4 4 11 920 12 390

189 189 189 30 29 28

Straits $ Straits $

Headquarters Si . . 3 3 3 840 1388(Singapore) S2 . . 1 1 1 1 080 1 128

S3 . . 2 2 2 2 880 3 120S4 . . 3 2 2 3 840 4 080S5 . . 2 2 2 5 340 5 640Special 2 2 2 7920 8280

13 12 12

Danish kr. Danish kr.

Headquarters Cl . . 9 9 9 6 960 7 296(Copenhagen) C2. . 9 9 9 8 220 8 688

C3 . . 6 6 6 9 480 10 080C4 . . 3 3 3 11 100 11 820C5 . . 6 6 6 13 320 14 160C6 . . 3 3 3 15 960 16 920C7. . 3 3 3 19 200 20 280

39 39 39

a Director -General, Deputy Director -General, three Assistant Directors- General and six Regional Directorsb Director, Assistant Director, Secretary -General and Consultant, Pan American Sanitary Bureau

- XVIII -

DISTRIBUTION OF POSTS UNDER REGULAR,EXTRA -BUDGETARY FUNDS, IN GRADE LEVELS

Step III Step IV Step V Step VI Step VII Step VIII Step IX Step X Step XI Step XII Grade

USS USS USS USS us usa US$ usa

4 000 4 200 4 400 4 600 4 800 5 0005 200 5 400 5 600 5 800 6 000 6 200 6 4006 400 6 625 6 850 7 075 7 300 7 525 7 750 8 0007 750 8 000 8 250 8 500 8 750 9 000 9 250 9 5009 250 9 500 9 800 10 100 10 400 10 700 11 000

10 800 11 200 11 600 12 00011 800 12 200

P1P2P3P4P5D1D2PDUG

Sw. fr. Sw. fr. Sw. fr. Sw. fr. Sw. fr. Sw. fr. Sw. fr. Sw. fr. Sw. fr.

7 325 7 525 7 725 7 925 8 125 8 325 8 525 8 725 8 925

8 175 8 400 8 625 8 850 9 085 9 320 9 555 9 790 10 025

9 255 9 570 9 885 10 200 10 515 10 830 11 145 11 460 11 775

10 285 10 650 11 015 11 380 11 750 12 120 12 490 12 860 13 230

11 495 11 915 12 335 12 755 13 175 13 595 14 015 14 435 14 855

12 860 13 330 13 800 14 270 14 740 15 210 15 680 16 150 16 620sr

01G2G3G4G5G6

Straits S Straits S Straits S Straits S Straits $ Straits S Straits S Straits S

936 984 1 032 1 080 1 128 1 176 1 224 1 272

1 176 1 224 1 272 1 320 1 380 1 440 1 500 1 560

3 360 3 600 3 840 4 080 4 320 4 560 4 800 5 0404 320 4 560 4 800 5 040 5 340 5 640 5 940 6 2405 940 6 240 6 540 6 840 7 200 7 560 7 920 8 2808 640 9 000 9 360 9 720 10 080 10 440 10 800 11 160

S1

S2S3S4S5Special

Danish kr. Danish kr. Danish kr. Danish kr. Danish kr. Danish kr. Danish kr.

7 632 7 968 8 304 8 640 8 976 9 312 9 6489 156 9 624 10 092 10 560 11 028 11 496 11 964

10 680 11 280 11 880 12 480 13 080 13 680 14 28012 540 13 260 13 980 14 700 15 420 16 140 16 86015 000 15 840 16 680 17 520 18 360 19 200 20 04017 880 18 840 19 800 20 760 21 720 22 680 23 64021 360 22 440 23 520 24 600 25 680 26 760 27 840

C1C2C3C4C5C6C7

- XIX -

c

XX SALARY SCHEDULES SHOWING DISTRIBUTION OF POSTS UNDER

Regionor Office

Grade

Number of Posts



1954 1955 1956 1954 1955 1956 1954 1955 1956

Headquarters(New York

Liaison Office)

NY1 .

NY2 .NY3 .NY4 .NY5 .

.

.

.

.

.

1

3

1

1

3

1

1

3

1

US$

2 1552 4552 8553 2553 855

US$

2 2552 5552 9553 4054 070

5 5 5

Fr. CFA Fr. CFA

Regional BZ1 . 1 3 3 290 000 300 000Office for BZ2 . 3 3 3 330 000 340 000

Africa BZ3 . 3 4 5 375 000 390 000(Brazzaville) BZ4 . 6 6 6 420 000 435 000

BZ5 . 3 4 4 465 000 480 000BZ6 . 2 2 2 2 2 2 515 000 535 000

18 22 23 2 2 2

US$ US$

Regional WL1 . 1 960 2 045Office for WL2 . 2 100 2 185

the Americas WL3 . 3 2 2 2 375 2 465(Washington WL4. 3 3 3 3 3 3 2655 2770

D.C.) WL5 . 6 5 5 8 8 7 33 30 30 2 890 3 020Zone I WL6 . 11 11 11 26 25 25 3 150 3 290

WL7 . 2 2 2 2 8 7 7 3 440 3 600W L8 . 3 3 3 12 12 12 3 800 3 980

25 24 24 10 10 9 85 79 79

Mex. pesos Mex. pesos

Zone II ML1 . 1 1 1 3 960 4 180(Office, ML2. 6 050 6 270

Mexico City) ML3 . 1 1 1 7 150 7 425ML4. 11 550 11 880ML5 . 6 6 6 15 950 16 390ML6 . 18 370 18 920ML7 . 2 2 2 23 100 23 760ML8 . 28 600 29 370

10 10 10

Quetzales Quetzales

Zone III GL1 . 540 600(Office, GL2 . 1 1 1 720 780

Guatemala GL3 . 1 1 1 1 080 1 200City) GL4 . 3 3 3 1320 1440

GL5 . 5 5 5 1560 1680GL6 . 1 1 1 1 800 1 920GL7 . 3 3 3 2 040 2 160GL8 . - - - 2 280 2 400

14 14 14

REGULAR, TECHNICAL ASSISTANCE AND OTHER EXTRA -BUDGETARY FUNDS XXI

Step III Step IV Step V Step VI Step VII Step VIII Step IX Step X Step XI Step XII Grade

US$ US$ US$ US$ US$ US$ US$ US$

2 355 2 455 2 555 2 655 2 755 2 855 NY12 655 2 755 2 855 2 955 3 055 3 155 3 255 NY23 055 3 155 3 255 3 355 3 455 3 555 3 655 3 755 NY33 555 3 705 3 855 4 015 4 175 4 335 4 495 NY44 285 4 500 4 715 4 930 5 145 5 360 5 575 5 790 NY5

Fr. CFA Fr. CFA Fr. CFA Fr. CFA Fr. CFA Fr. CFA Fr. CFA

310 000 320 000 330 000 340 000 350 000 360 000 BZI350 000 360 000 375 000 390 000 405 000 420 000 BZ2405 000 420 000 435 000 450 000 465 000 480 000 495 000 BZ3450 000 465 000 480 000 495 000 515 000 535 000 555 000 BZ4495 000 515 000 535 000 555 000 575 000 595 000 615 000 BZ5555 000 575 000 595 000 615 000 635 000 655 000 675 000 BZ6

US$ US$ US$ US$ US$

2 130 2 215 2 300 2 385 2 470 WL12 270 2 355 2 440 2 525 2 610 WL22 555 2 645 2 735 2 825 2 915 WL32 885 3 000 3 115 3 230 3 345 WL43 150 3 280 3 410 3 540 3 670 WL53 430 3 570 3 710 3 850 3 990 WL63 760 3 920 4 080 4 240 4 400 WL74160 4340 4520 4700 4880 WL8

Mex. pesos Mex. pesos Mex. pesos Mex. pesos Mex. pesos Mex. pesos Mex. pesos Mex. pesos Mex. pesos Mex. pesos

4 400 4 620 4 840 5 060 5 280 5 500 5 720 5 940 6 160 6 380 ML16 490 6 710 6 930 7 150 7 370 7 590 7 810 8 030 8 250 8 470 ML27 700 7 975 8 250 8 525 8 800 9 075 9 350 9 625 9 900 10 175 ML3

12 210 12 540 12 870 13 200 13 530 13 860 14 190 14 520 14 850 15 180 ML416 830 17 270 17 710 18 150 18 590 19 030 19 470 19 910 20 350 20 790 ML519 470 20 020 20 570 21 120 21 670 22 220 22 770 23 320 23 870 24 420 ML624 420 25 080 25 740 26 400 27 060 27 720 28 380 29 040 29 700 30 360 ML730 140 30 910 31 680 32 450 33 220 33 990 34 760 35 530 36 300 37 070 ML8

Quetzales Quetzales Quetzales Quetzales

660 720 780 840 GL1840 900 960 1 020 GL2

1 320 1 440 1 560 1 680 GL31 560 1 680 1 800 1 920 GL41 800 1 920 2 040 2 160 GL52 040 2 160 2 280 2 400 GL62 280 2 400 2 520 2 640 GL72 520 2 640 2 760 2 880 GL8

XXII SALARY SCHEDULES SHOWING DISTRIBUTION OF POSTS UNDER

Regionor Office

Grade

Number of Posts



1954 1955 1956 1954 1955 1956 1954 1955 1956

Soles Soles

Zone IV LLl . . 3 3 3 6 600 7 370(Office, Lima) LL2 . . 11 000 11 935

LL3 . . - - 18700 19800LL4 . . 7 7 7 24 200 25 645LL5 . 1 1 1 31 900 33 330LL6 . . 1 1 1 41 800 43 560

12 12 12

Cruz. Cruz.

Zone V RLIA. . 1 1 1 18 000 19 000(Office, Rio de RL1B. . 25 000 26 500

Janeiro) RL2 . . 1 1 1 40 000 42 000RL3 . 2 2 2 60 000 63 000RL4 . . 3 3 3 84 000 88 000RL5 . . 115 000 120 000RL6 . . 135 000 141 000

7 7 7

Arg. pesos Arg. pesos

Zone VI BALI. . 1 1 1 11 040 11 540(Office, BAL2. . 1 1 1 14 400 15 000

Buenos Aires) BAL3. . 2 2 2 18 000 18 800BAL4. . 2 2 2 25 200 26 200BALS. . 2 2 2 39 000 40 400BAL6. . - - 48 000 51 600BALI. . 1 1 1 60 000 63 600

9 9 9

Chil.pesos

Chil.pesos

Inter -American CLI . . 1 1 1 39 000 41 400Centre, Chile CL2 . 1 1 1 48 000 51 000

CL3 . . 1 1 1 63 000 66 600CL4 . . 1 1 1 114 000 120 000

4 4 4

US$ US$

Field OfficeJamaica JL1 . 2 2 2 1 560 1 620

2 2 2

US$ US$

Field Office EPLI . . 1 500 1 571El Paso EPL2. . 2 000 2 083

EPL3 . . 2 2 2 2 400 2 496

REGULAR, TECHNICAL ASSISTANCE AND OTHER EXTRA -BUDGETARY FUNDS XXIII

Step III Step IV Step V Step VI Step VII Step VIII Step IX Step X Grade

Soles

8140

Soles

8910

Soles

9845

Soles

10780

Soles

11715 LL112 870 13 805 14 905 16 005 .17 105 LL220 900 22 000 23 650 25 300 26 950 LL326 730 27 995 29 425 30 855 32 285 LL434 485 36 190 37 785 39 380 41 085 LL545 320 47 080 49 500 51 920 54 340 LL6

Cruz. Cruz. Cruz. Cruz. Cruz. Cruz. Cruz. Cruz.

20 000 21 000 22 000 23 000 24 000 25 000 26 000 27 000 RL1 A28 000 29 500 31 000 32 500 34 000 35 500 37 000 38 500 RL1B44 000 46 000 48 000 50 000 52 000 54 000 56 000 58 000 RL266 000 69 000 72 000 75 000 78 000 81 000 84 000 87 000 RL392 000 96 000 100 000 104 000 108 000 112 000 116 000 120 000 RL4

125 000 130 000 135 000 140 000 145 000 150 000 155 000 160 000 RL5147 000 153 000 159 000 165 000 171 000 177 000 183 000 189 000 RL6

Arg. pesos Arg. pesos Arg. pesos Arg. pesos Arg. pesos Arg. pesos

12 040 12 540 13 040 13 540 14 040 14 540 BALI15 600 16 200 16 800 17 400 18 000 18 600 BAL219 600 20 400 21 200 22 000 22 800 23 600 BAL327 200 28 200 29 200 30 200 31 200 32 200 BAL441 800 43 200 44 600 46 000 47 400 48 800 BALS55 200 58 800 62 400 66 000 BALE67 200 70 800 74 400 78 000 BALI

Chil.pesos

Chil.pesos

Chil.pesos

Chil.pesos

Chil.pesos

43 800 46 200 48 600 51 000 53 400 CL154 000 57 000 60 000 63 000 66 000 CL270 200 73 800 77 400 81 000 84 600 CL3

126 000 133 200 141 600 151 200 162 000 CL4

US $

1 680

Us$ US$

1740 1800 JL1

Us$ US$ US$ US$ US$

1642 1714 1786 1 858 1 930 EPLI2 166 2 249 2 332 2 416 2 500 EPL22592 2689 2786 2 883 2 980 EPL3

XXIV SALARY SCHEDULES SHOWING DISTRIBUTION OF POSTS UNDER

Regionor Office

Grade

Number of Posts



1954 1955 1956 1954 1955 1956 1954 1955 1956

Regional Officefor South -East

ND1 . .

ND2 . .

Indianrupees

1 2001 620

Indianrupees

1 2361 680

Asia ND3 . . 5 5 5 13 13 13 2520 2700(New Delhi) ND4 . . 28 26 26 9 9 9 3 900 4 140

ND5 . . 11 11 11 3 3 3 5 580 5 880

44 42 42 25 25 25

AreaRepresentative's

Office(Rangoon) RN4 . . 1 1 1

1 1 1

Kyats Kyats

4 140 4 260

AreaRepresentative's

Office(Colombo) CY4 . 1 1 1

Ceylonrupees

3600

Ceylonrupees

3720

1 1 1

Regional G1. . .

Office for G2. . .

Europe G3. . . 4 4 8 4 4 4(Geneva/ G4. . . 11 11 13 1 1 1

Copenhagen) G5. . 2 2 2 1 1 1

G6. . 2 2 2

19 19 25 6 6 6

E£ E£

Regional EM1 . . 108 120

Office for EM2 . . 192 204the Eastern EM3 . . 3 3 3 300 318

Mediterranean EM4. . 12 12 13 6 6 6 420 444(Alexandria) EMS . 9 9 9 5 5 5 600 636

EM6 . . 3 3 3 3 3 3 816 852

27 27 28 14 14 14

REGULAR, TECHNICAL ASSISTANCE AND OTHER EXTRA- BUDGETARY FUNDS XXV

Step III Step IV Step V Step VI Step VII Step VIII Step IX Step X Grade

Indianrupees

Indianrupees

Indianrupees

Indianrupees

Indianrupees

Indianrupees

Indianrupees

Indianrupees

1 272 1 332 1 392 1 452 1 512 1 572 1 632 1 692 ND 11 740 1 836 1 932 2 028 2 124 2 220 2 316 2 412 ND22 880 3 120 3 360 3 600 3 840 4 080 4 320 4 560 ND3

' 4 380 4 680 4 980 5 280 5 580 5 880 6 180 6 480 ND46 180 6 600 7 020 7 440 7 860 8 280 8 700 9 120 ND5

Kyats Kyats Kyats Kyats Kyats Kyats Kyats Kyats

4 380 4 500 4 680 4 860 5 040 5 220 5 400 5 580 RN4

Ceylon Ceylon Ceylon Ceylon Ceylon Ceylon Ceylon Ceylonrupees rupees rupees rupees rupees rupees rupees rupees

3 840 3 960 4 080 4 260 4 440 4 620 4 800 4 980 CY4

Geneva scale applicable until afterthe move to Copenhagen, when a scalesimilar to that shown under " Head-quarters (Copenhagen)" will apply

E£ E£ E£ E£ Ef E£

132 144 156 168 180 EMI216 228 240 252 264 EM2336 354 372 390 408 426 EM3468 492 516 540 564 588 EM4672 708 744 780 816 852 EM5888 936 984 1 032 1 080 EM6

XXVI SALARY SCHEDULES SHOWING DISTRIBUTION OF POSTS UNDER

Region Gradeor Office

Number of Posts



1954 1955 1956 1954 1955 1956 1954 1955 1956

Phil. pesos Phil. pesos

Regional Ml. . 1 440 1 620Office for M2. . 1 980 2 190

the Western M3. . 12 12 12 3 3 3 3 300 3 540

Pacific M4. . 7 7 7 3 3 3 4 320 4 620(Manila) M5. . 4 4 4 1 1 1 5 520 5 880

M6. . 5 5 5 1 1 1 6 240 6 600

28 28 28 8 8 8

Total 903 954 953 448 523 509 363 341 307

Unclassified posts . . 4e 4c 4c 68 d 67 d 66 d

Total Staff 907 958 957 448 523 509 431 408 373

e Local salary scales not yet established for these postsd Posts not individually classified (PASB)

REGULAR, TECHNICAL ASSISTANCE AND OTHER EXTRA -BUDGETARY FUNDS XXVII

Step III Step IV Step V Step VI Step VII Grade

Phil. pesos Phil. pesos Phil. pesos Phil. pesos Phil. pesos

1 800 1 980 2 190 2 400 M12 400 2 610 2 820 3 060 3 300 M23 780 4 020 4 320 4 620 4 920 M34 920 5 220 5 520 5 880 6 240 M46 240 6 600 6 960 7 320 M56 960 7 320 7 680 8 040 M6

2 ESTIMATED TOTAL EXPENDITURE UNDER REGULAR, TECHNICALWITH PERCENTAGES,

ORGANTLATIONAL MEETINGS

HEADQUARTERS

Central Technical ServicesAdvisory Services

Sub -total - Operating Services at Head-quarters

Offices of the Director -GeneralAdministration and Finance

Sub -total - AdministrativeServices

Total - HEADQUARTERS

EXPERT COMMITTEES

ALL OTHER

Regional Offices


Total - ALL OTHER

GRAND TOTAL

Regular

1954 1955 1956

US$ % US $ % US$ %

288 223 3.47 342 510 3.60 324 910 3.38

1 225 861 14.76 1 438 315 15.14 1 479 238 15.391 025 025 12.34 1 036 843 10.91 1 066 774 11.10

2 250 886 27.10 2 475 158 26.05 2 546 012 26.49

368 977 4.44 386 199 4.07 374 831 3.90639 902 7.70 667 956 7.03 677 509 7.05

1 008 879 12.14 1 054 155 11.10 1 052 340 10.95

3 259 765 39.24 3 529 313 37.15 . 3 598 352 37.44

135 336 1.62 131 757 1.39 133 000 1.38

1 216 510 14.64 1 337 402 14.08 1 398 071 14.55

265 744 3.20 269 833 2.84 268 557 2.79

3 142 398 37.82 3 889 185 40.94 3 888 710 40.46

4 624 652 55.66 5 496 420 57.86 5 555 338 57.80

8 307 976 100.00 9 500 000 100.00 9 611 600 100.00

Technical Assistance

1954 1955

US $ % US $ %

84 855 2.13 71 163 1.58

84 855 2.13 71 163 1.58

79 640 2.00 85 448 1.90

141 824 3.57 147 113 3.26

221 464 5.57 232 561 5.16

306 319 7.70 303 724 6.74

258 594 6.50 264 489 5.86

3 412 493 85.80 3 941 173 87.40

3 671 087 92.30 4 205 662 93.26

3 977 406 100.00 4 509 386 100.00

ESTIMATED TOTAL STAFF UNDER REGULAR, TECHNICALWITH PERCENTAGES,

HEADQUARTERS


Sub -total - Operating Services at Head-quarters

Offices of the Director-General

Administration and Finance

Sub -total - Administrative

Services

Total - HEADQUARTERS

ALL OTHER

Regional OfficesCentral Technical ServicesAdvisory Services

Total - ALL OTHER

GRAND TOTAL

Regular Technical Assistance

1954 % 1955 % 1956 % 1954 % 1955 %

160 17.64 164 17.12 164 17.14

99 10.92 100 10.44 104 10.86

259 28.56 264 27.56 268 28.00

37 4.08 37 3.86 37 3.87

95 10.47 95 9.92 94 9.82

132 14.55 132 13.78 131 13.69

391 43.11 396 41.34 399 41.69

185 20.40 190 19.83 201 21.00

66 7.27 65 6.78 65 6.80

265 29.22 307 32.05 292 30.51

516 56.89 562 58.66 558 58.31

967 100.00 958 100.00 957 100.00

14 3.34 12 2.30

14 3.34 12 2.30

11 2.45 11 2.10

23 5.12 23 4.40

34 7.57 34 6.50

48 10.91 46 8.80

74 16.48 74 14.15

326 72.61 403 77.05

400 89.09 477 91.20

448 100.00 523 100.00

ASSISTANCE, AND OTHER EXTRA- BUDGETARY FUNDS, 3

BY MAJOR FUNCTIONS

Other Extra- budgetary Funds Total

1956 1954 1955 1956 1954 1955 1956

Us$ 9 US$ 9 CS$ 9 US$ 9 US$ 9 Us$ 9 US$ 9

288 223 1.43 342 510 1.38 324 910 1.47

1 225 861 6.09 1 438 315 5.81 1 479 238 6.70

82 264 1.80 1 109 880 5.51 1 108 006 4.47 1 149 038 5.20

82 264 1.80 2 335 741 11.60 2 546 321 10.28 2 628 276 11.90

86 629 1.90 448 617 2.23 471 647 1.91 461 460 2.09

134 990 2.95 781 726 3.88 815 069 3.29 812 499 3.67

221 619 4.85 1 230 343 6.11 1 286 716 5.20 1 273 959 5.76

303 883 6.65 3 566 084 17.71 3 833 037 15.48 3 902 235 17.66

135 336 0.67 131 757 0.53 133 000 0.60

274 826 6.02 1 165 173 14.83 1 140 280 10.61 1 208 186 15.27 2 640 277 13.11 2 742 171 11.08 2 881 083 13.04

265 744 1.32 269 833 1.09 268 557 1.22

3 987 804 87.33 6 689 869 85.17 9 610 993 89.39 6 705 012 84.73 13 244 760 65.76 17 441 351 70.44 14 581 526 66.01

4 262 630 93.35 7 855 042 100.00 10 751 273 100.00 7 913 198 100.00 16 150 781 80.19 20 453 355 82.61 17 731 166 80.27

4 566 513 100.00 7 855 042 100.00 10 751 273 100.00 7 913 198 100.00 20 140 424 100.00 24 760 659 100.00 22 091 311 100.00

ASSISTANCE, AND OTHER EXTRA -BUDGETARY FUNDS,BY MAJOR FUNCTIONS

Other Extra-budgetary Funds Total

1956 9 1954 9 1955 9 1956 9 1954 9 1955 9 1956 9

160 8.95 164 8.68 164 8.92

12 2.36 113 6.38 112 5.93 116 6.31

12 2.36 273 15.33 276 14.61 280 15.23

11 2.16 48 2.69 48 2.54 48 2.61

21 4.12 118 6.60 118 6.25 115 6.25

32 6.28 166 9.29 166 8.79 163 8.86

44 8.64 439 24.62 442 23.40 443 24.09

73 14.34 145 33.64 139 34.07 139 37.26 404 22.61 403 21.33 413 22.4666 3.69 65 3.44 65 3.53

392 77.02 286 66.36 269 65.93 234 62.74 877 49.08 979 51.83 918 49.92

465 91.36 431 100.00 408 100.00 373 100.00 1 347 75.38 1 447 76.60 1 396 75.91

509 100.00 431 100.00 408 100.00 373 100.00 1 786 100.00 1 889 100.00 1 839 100.00

4 SUMMARY OF BUDGET ESTIMATES

PART I - ORGANIZATIONAL MEETINGS

SECTION 1: MELD HEALTH ASSEMBLY

1954EstimatedExpenditure

US $

1955Estimated

ExpenditureUS $

1956Estimated

ExpenditureU5 $

Chapter 00 Personal Services01 Salaries and wages (temporary staff) 27 583 35 240 35 240

Total - Chapter 00 27 583 35 240 35 240

Chapter 20 Travel and Transportation21 Duty travel 8 944 9 000 9 00025 Travel of.delegates 48 601 52 000 52 00026 Travel and subsistence of temporary staff 3 350 5 700 5 700

Total - Chapter 20 60 895 66 700 66 700

Chapter 30 Space and Equipment Services

31 Rental and maintenance of premises 4 091 5 500 5 50032 Rental and maintenance of equipment 2 530 3 000 3 000

Total - Chapter 30 6621 8500 8500

Chapter 40 Other Services43 Other contractual services 6 255 7 000 7 00044 Freight and other transportation costs 2 000 3 000 3 000

Total - Chapter 40 8 255 10 000 10 000

Chapter 50 Supplies and Materials51 Printing 35 800 58 940 50 440

52 Visual materials 1 472 1 500 1 500

53 Supplies 9 860 10 000 10 000

Total - Chapter 50 47 132 70 440 61 940

Chapter 80 Acquisition of Capital Assets82 Equipment 908 1 500 1 500

Total - Chapter 80 908 1 500 1 500

Total - SECTION 1 151 394 192 380 183 880

SECTION 2s EXECUTIVE BOARD AND ITS COMMITTEES


Total - Chapter 00 15 393 18 650 18 650

Chapter 20 Travel and Transportation21 Duty travel 8 178 7 740 7 74025 Travel and subsistence of members 36 359 40 700 40 700

26 Travel and subsistence of temporary staff 1 616 2 000 2 000

Total - Chapter 20 46 153 50 440 50 440


31 Rental and maintenance of premises 1 286 1 580 1 580

32 Rental and maintenance of equipment 1 065 1 240 1 240

Total - Chapter 30 2 351 2 820 2 820

Chapter 40 Other Services43 Other contractual services 4 355 4 660 4 660

44 Freight and other transportation costs 231 200 200

Total - Chapter 40 4 586 4 860 4 860

Chapter 50 Supplies and Materials

51 Printing 10 572 11 560 11 560

53 Supplies 8 374 8 900 8 900

Total - Chapter 50 18 946 20 460 20 460

Total - SECTION 2 87 429 97 230 97 230

SUMMARY OF BUDGET ESTIMATES (continued)


1955

EstimatedExpenditure


ust US$ 05 $

SECTION 3: REGIONAL COMMITTEES

Chapter CO Personal Services01 Salaries and wages (temporary staff) 10 980 6 050 8 700

Total - Chapter 00 10 980 6 050 8 700

Chapter 20 Travel and Transportation21 Duty travel 13 700 26 600 11 250


Total - Chapter 20 22 100 35 650 20 550

Chapter 30 Space and Equipment Services32 Rental and maintenance of equipment - 2 720 2 000 3 350

Total - Chapter 30 2 720 2 000 3 350


Total - Chapter 40 3 850 4 000 3 950

Chapter 50 Supplies and Materials53 Supplies 9 750 5 200 7 250

Total - Chapter 50 9 750 5 200 7 250

Total - SECTION 3 49 400 52 900 43 800

Total - PAIS I 288 223 342 510 324 910

PART II - OPERATING PROGRAMME

SECTION 4: CENTRAL TECHNICAL SERVICES

Chapter 00 Personal Services01 Salaries and wages 818 038 956 023 990 88102 Short -term consultants' fees 8 325 9 -900 13 100

Total - Chapter 00 826 363 965 923 1 003 981

Chapter 10 Personal Allowances12 Dependants 23 611 29 205 27 77713 Repatriation 5 470 11 800 11 800

14 Pension Fund 114 238 132 883 137 92215 Staff insurance 7 195 9 612 9 982

Total - Chapter 10 150 514 183 500 187 481

Chapter 20 Travel and Transportation21 Duty travel 45 227 44 340 42 54022 Travel of short -term consultants 8 380 9 300 13 000

23 Travel on initial recruitment and repatriation 5 174 13 035 7 89624 Travel on home leave 13 382 21 300 35 475

27 Transportation of personal effects 2 245 4 344 2 968

Total - Chapter 20 74 408 92 319 101 879


31 Rental and maintenance of premises 51 728 60 659 61 635


Total - Chapter 30 56 137 65 402 66 253

Chapter 40 Other Services41 Communications 40 802 42 877 41 682

42 Hospitality 3 906 4 227 4 194

43 Other contractual services 39 244 36 536 34 26644 Freight and other transportation costs 15 633 14 567 14 115

Total - Chapter 40 99 585 98 207 94 257


51 Printing 149 221 163 773 163 741

53 Supplies 27 321 24 495 21 840

Total - Chapter 50 176 542 188 268 185 581

6 SUMMARY OF BUDGET ESTIMATES (continued)

Chapter 60 Fixed Charges and Claims


US$

1955Estimated

ExpenditureLl4$


US$

61 Reimbursement of income tax 2 930 2 536 2 51662 Insurance 1 255 1 345 1 298

Total - Chapter 60 4 185 3 881 3 814

Chapter 70 Grants and Contractual Technical Services72 Contractual technical services 77 165 81 665 81 665

Total - Chapter 70 77 165 81 665 81 665

Chapter 80 Acquisition of Capital Assets81 Library books 15 000 15 000 15 00082 Equipment 11 706 13 983 7 884

Total - Chapter 80 26 706 28 983 22 884

Total - SECTION 4 1 491 605 1 708 148 1 747 795

SECTION 5,

Chapter 00

ADVISORY SERVICES

Personal Services01 Salaries and wages 1 698 622 2 246 705 2 315 479

02 Short -term consultants' fees 198 504 218 680 159 180

Total - Chapter 00 1 897 126 2 465 385 2 474 659

Chapter 10 Personal Allowances11 Lodgings subsistence, and special monthly allowances 32 297 81 265 245 891

12 Dependants 71 251 103 718 105 94813 Repatriation 6 951 16 600 17 000

14 Pension Fund 159 428 185 898 192 580

15 Staff insurance 16 013 21.970 22 666

Total - Chapter 10 285 940 409 451 584 085

Chapter 20 Travel and Transportation21 Duty travel 196 121 231 646 257 96822 Travel of short -term consultants 152 570 210 240 160 70023 Travel on initial recruitment and repatriation 190 997 141 697 66 93024 Travel on home leave 94 458 142 127 228 93626 Travel and subsistence of temporary staff 5 301 4 300 4 450


Total - Chapter 20 656 739 740 555 730 785

Chapter 30 Space and Equipment Services31 Rental and maintenance of premises 37 025 38 579 41 139


Total - Chapter 30 48 932 53 916 54 992


42 Hospitality 2 715 2 577 2 660

43 Other contractual services 17 144 15 665 18 209

44 Freight and other transportation costs 7 635 7 090 7 276

Total - Chapter 40 65 327 65 674 69 630


51 Printing 271 232 239

53 Supplies 127 415 125 521 101 887

Total - Chapter 50 127 686 125 753 102 126

Chapter 60 Fixed Charges and Claims61 Reimbursement of income tax 15 906 12 189 12 865

62 Insurance 3 614 3 635 3 775

Total - Chapter 60 19 520 15 824 16 640

Chapter 70 Grants and Contractual Technical Services71 Fellowships 712 676 748 540 716 230

72 Contractual technical services 179 090 66 730 55.730

73 Participants in seminars and other educational meetings 81 027 141 370 87 435

Total - Chapter 70 972 793 956 640 859 395

SUMMARY OF BUDGET ESTIMATES (continued) 7

Chapter 80 Acquisition of Capital Assets


OS$


US$


US$

81 Library books 500 500 500

82 Equipment 92 860 92 330 62 672

Total - Chapter 80 93 360 92 830 63 172

Total - SECTION 5 4 167 423 4 926 028 4 955 484

SECTION 6: REGIONAL OFFICES

Chapter 00 Personal Services01 Salaries and wages 765 730 848 251 898 300

Total - Chapter 00 ' 765 730 848 251 898 300

Chapter 10 Personal Allowances12 Dependants 25 858 25 743 26 721-13 Repatriation 1 360 8 300 9 000

14 Pension Fund 102 366 111 097 117 135

15 Staff insurance 7 266 8 098 8 701

Total - Chapter 10 136 850 153 238 161 557

Chapter 20 Travel and Transportation21 Duty travel 42 000 51 940 49 660

23 Travel on initial recruitment and repatriation 30 510 12 197 23 03424 Travel on home leave 23 620 28 420 41 920


Total - Chapter 20 106 030 102 326 125 498


31 Rental and-maintenance of premises 3 900 3 900 3 900


Total - Chapter 30 28 590 37 160 32 190


42 Hospitality 6 000 6 000 6 00043 Other contractual services 3 660 4 200 4 410

44 Freight and other transportation costs 2 980 3 420 3 580

Total - Chapter 40 51 780 58 550 61 110


51 Printing - 6 250 7 310 8 050

52 Visual material 40 460 43 560 43 560

53 Supplies 10 420 12 180 13 410

Total - Chapter 50 57 130 63 050 65 020

Chapter 60 Fixed Charges and Claims61 Reimbursement of income tax 36 100 29 937 31 636

62 Insurance 2 780 3 270 3 240

Total - Chapter 60 38 880 33 207 34 876

Chapter 80 Acquisition of Capital Assets81 Library books 12 000 12 000 12 000

82 Equipment 19 520 29 620 7 520

Total - Chapter 80 31 520 41 620 19 520

Total - SECTION 6 1 216 510 1 337 402 1 398 071

SECTION 7: EXPERT COMMITTEES AND CONFERENCES


Total - Chapter 00 9 600 8 510 8 351

Chapter 20 Travel and Transportation21 Duty travel (permanent staff) 4 400 3 315 3 120

25 Travel and subsistence of members 83 106 - 76 920 79 000


Total - Chapter 20 90 706 83 386 85 213

8 SUMMARY OF BUDGET ESTIMATES (continued)


1954


US $


US $


US $

32 Rental and maintenance of equipment 300 315 309

Total - Chapter 30 300 315 309


Total - Chapter 40 8 300 7 563 7 423


51 Printing 13 000 19 000 19 000

53 Supplies 12 330 11 975 11 752

Total - Chapter 50 25 330 30 975 30 752

Chapter 60 Fixed Charges and Claims62 Insurance 1 100 1 008 952

Total - Chapter 60 1 100 1 008 952

Total - SECTION 7 135 336 131 757 133 000

Total - PART II 7 010 874 8 103 335 8 234 350

PART III - ADMINISTRATIVE SERVICES

SECTION 8: ADMINISTRATIVE SERVICES


02 Short -term consultante, fees 5 909 5 000 5 750

Total - Chapter 00 653 800 671 029 684 620

Chapter 10 Personal Allowances12 Dependants 22 721 23 337 23 26713 Repatriation 1 302 8 800 8 70014 Pension Fund 90 500 93 093 94 89715 Staff insurance 6 361 6 686 6 818

16 Representation 6 500 6 500 6 500

Total - Chapter 10 127 384 138 416 140 182

Chapter 20 Travel and Transportation21 Duty travel 33 161 39 440 42 94522 Travel of short -term consultants 971 1 100 1 850

23 Travel on initial recruitment and repatriation 2 381 4 847 4 815

24 Travel on home leave 19 939 40 540 23 41027 Transportation of personal effects 551 2 159 2 151

Total - Chapter 20 57 003 88 086 75 171



Total Chapter 30 49 804 51 136 52 102

Chapter 40 Other Services41 Communications 26 576 25 004 24 92342 Hospitality 3 379 3 196 3 146

43 Other contractual services 19 161 16 911 17 32744 Freight and other transportation costs 7 935 6 936 6 818

Total - Chapter 40 57 051 52 047 52 214


51 Printing 687 638 633

52 Visual material 41 550 , 28 750 28 750

53 Supplies 15 271 14 544 12 995

Total - Chapter 50 57 508 43 932 42 378

SUMMARY OF BUDGET ESTIMATES (continued) 9


1954


OS $

1955


US $

1956


US $

61 Reimbursement of income tax 2 534 1 918 1 888

62 Insurance 389 208 283

Total - Chapter 60 2 923 2 126 2 171

Chapter 80 Acquisition of Capital Assets82 Equipment 3 406 7 383 3 502

Total - Chapter 80 3 406 7 383 3 502

Total - SECTION 8 1 008 879 1 054 155 1 052 340

Total - PART IÍI 1 008 879 1 054 155 1 052 340

Total - PARTS I, IT and III 8 307 976 9 500 000 9 611 600

PART IV - RESERVE

SECTION 91 Undistributed reserve 1 340 300 1 499 360 1 580 900+ ++

2 006 180+ + ++

Total - PART IV 1 340 300 1 499 360 1 580 900+ff

2 006 180+ +++

Total - ALL PARTS 9 648 276 10 999 360 11 192 500+ ++

11 617780+ + ++

Less, Assets of OIHP 24 000 22 091 17 500Assessments on new Members from previous years 377 006 20 835

Miscellaneous income - 285 192 313 264 130 000

Available by transfer from cash portion of AssemblySuspense Account 188 802 556 810 450 000

Available by transfer from Publications RevolvingFund 19 307 37 000 37 000

Total - Casual Income 894 307+ 950 000 634 500

Total - ASSESSMENTS ON MEMBERS 8 753 969** 10 049 360 10 558 000+ 10 983 280++ ++

rIncludes estimated expenditure and offsetting income from the Publications Révolving Fund as authorized by the Fifth andSixth World Health Assemblies in resolutions WHA5.23 and WHA6.33 respectively

In the Appropriation Resolution for 1954 (resolution WHA6.28) the gross assessments against Members were $8 963 000.+++

These amounts reflect the position if the same scale of assessment as was adopted for 1955 by the Seventh World HealthAssembly in paragraph 1 of resolution WHA7.15 is applied to the proposed programme and budget estimates for 1956.

++++In accordance with the request of the Seventh World Health Assembly in paragraph 3 of resolution WHA7.15, these amountsreflect the position if the scale of assessment, which the Seventh World Health Assembly in paragraph 2 of the sameresolution has recommended to the Eighth World Health Assembly for adoption, is applied to the proposed programme andbudget estimates for 1956.

10 SUMMARY TABLE SHOWING TOTAL BUDGET, INCOME,ASSESSMENTS AND EFFECTIVE WORKING BUDGET

1954

US$

1955

US$

1956

(1)

US

(2)

US$

Total budget 9 838 000+ 10 999 360 11 192 500 ++ 11 617 780+ ++

Less: Casual income 875 000 950 000 634 500 634 500

Assessments on Members 8 963 000 10 049 360 10 558000 ++ 10 983 280 ++Less: Assessments on inactive Members and China 1 340 300 1 499 360 1 580 900 2 006 180

Assessments on active Members 7 622 700 8 550 000 8 977 100 8 977 100Add: Casual income 875 000 950 000 634 500 634 500

Effective working budget 8 497 700 9 500 000 9 611 600 9 611 600

+

+++

Exclusive of estimated expenditure and offsetting income from the Publications Revolving Fund, as authorized by the Fifthand Sixth World Health Assemblies in resolutions WHA5.23 and WHA6.33 respectively

These amounts reflect the position if the same scale of assessment as was adopted for 1955 by the Seventh World HealthAssembly in paragraph 1 of resolution WHA7.15 is applied to the proposed programme and budget estimates for 1956.

In accordance with the request of the Seventh World Health Assembly in paragraph 3 of resolution WHA7.15, these amountsreflect the position if the scale of assessment which the Seventh World Health Assembly in paragraph 2 of the sameresolution has recommended to the Eighth World Health Assembly for adoption, is applied to the proposed programme andbudget estimates for 1956.

SCALES OF ASSESSMENT FOR 1954, 1955 AND 1956

1954

Total

assessments:

$8 963 000Total budget:

$9 838 000

1955

Totalassessments:


$10 999 360

19562

Total

assessments$10 558 0002Total budget:$11 192 5002

Total

assessments:$10 983 2802Total budget:$11 617 7802

US $ US $ % b US $ % US $

ACTIVE MEMBERS

Afghanistan 4 193 4 690 0.05 4 950 0.06 6 790Argentina 155 134 173 600 1.72 182 960 1.44 157 900

Australia 158 419 184 540 1.82 194 510 1.63 179 130Austria 11 879 13 300 0.13 14 010 0.21 22 920.

Belgium 113 206 126 680 1.25 133 520 1.19 130 740Bolivia 6 988 7 820 0.08 8 240 0.06 6 790

Brazil 155 134 173 600 1.72 182 960 1.44 157 900

Burma 4 193 4 690 0.05 4 950 0.08 8 490

Cambodia 3 494 4 020 0.04 4 220 0.04 4 390

Canada 268 340 300 280 2.97 316 480 2.85 312 410

Ceylon 3 494 4 020 0.04 4 220 0.08 8 490

Chile 37 735 42 230 0.42 44 500 0.34 37 350Costa Rica 3 494 4 020 0.04 4 220 0.04 4 390

Cuba-

24 458 27 370 0.27 28 840 0.28 30 560

Denmark 66 386 74 290 0.73 78 300 0.69 75 560Dominican Republic 4 193 4 690 0.05 4 950 0.04 4 390

Ecuador 4 193 4 690 0,05 4 950 0.04 4 390

Egypt 66 386 74 290 0.73 78 300 0.56 61 970El Salvador 4 193 4 690 0.05 4 950 0.05 5 090

Ethiopia 6 988 7 820 0.08 8 240 0.08 8 490

Federation of Rhodesia and Nyasaland° 2 350 0.02 2 470 0.02 2 550Finland 11 879 13 300 0.13 14 010 0.24 26 320

France 503 136 563 010 5.57 593 400 5.16 566 250

Germany, Federal Republic 270 436 302 620 2.99 318 960 3.27 359 100Greece 13 976 15 640 0.15 16 480 0.16 17 830

Guatemala 4 193 4 690 0.05 4 950 0.05 5 940Haiti 3 494 4 020 0.04 4 220 0.04 4 390

Honduras 3 494 4 020 0.04 4 220 0.04 4 390

Iceland 3 469 4 020 0.04 4 220 0.04 4 390

India 272 533 304 970 3.01 321 420 2.91 319 200Indonesia 27 952 31 280 0.31 32 960 0.40 44 140

Iran 37 735 42 230 0.42 44 500 0.32 35 660Iraq 13 976 15 640 0.15 16 480 0.12 13 580

Ireland 30 048 33 620 0.33 35 440 0.29 32 260Israel 9 783

- 10 940 0.11 11 540 0.12 13 580Italy 176 098 197 060 1,95 207 680 1.88 206 290

SCALES OF ASSESSMENT FOR 1954, 1955 AND 1956 (continued) 11

ACTIVE MEMBERS (continued)

1954

Totalassessments:


$9 838 000

1955

Totalassessments:


$10 999 360

1956a

Total

assessment$10 558 00CTotal budget:

$11 192 50(P'

Totalassessments810 983 280

Total budge:$11 617 780

US 8 US 5 %b US 8 % US 8

Japan 149 543 167 350 1.65 176 370 1.63 179 130

Jordan, Hashemite Kingdom 3 494 4 020 0.04 4 220 0.04 4 390

Korea 3 494 4 020 0.04 4 220 0.07 7 640

Laos 3 494 4 020 0.04 4 220 0.04 4 390

Lebanon 4 892 5 480 0.06 5 760 0.05 5 090

Liberia 3 494 4 020 0.04 4 220 0.04 4 390

Libya 3 494 4 020 0.04 4 220 0.04 4 390

Luxembourg 4 193 4 690 0.05 4 950 0.05 5 090

Mexico 53 109 59 430 0.59 62 630 0.61 67 070

Monaco' 3 469 4 020 0.04 4 220 0.04 4 390

Moroccó ' a-

2 097 2 350 0.02 2 470 0.02 2 550

Nepal (6 938)e 4 020 0.04 4 220 0.04 4 390

Netherlands 117 399 131 370 1.30 138 460 1.17 128 190

New Zealand 37 662 42 570 0.46 45 110 0.42. 46 690

Nicaragua 3 494 4 020 0.04 4 220 0.04 4 390

Norway 41 928 46 920 0.46 49 450 0.43 47 540

Pakistan 58 700 65 680 0.65 69 230 0.63 69 610

Panama 4 193 4 690 0.05 4 950 0.04 4 390

Paraguay 3 494 4 020 0.04 4 220 0.04 4 390

Peru 16771 18 760 0.19 19 780 0.17 18 680

Philippines 24 458 27 370 0.27 28 840 0.32 35 660

Portugal 32 843 36 750 0.36 38 740 0.31 33 960

Saudi Arabia 6 988 7 820 0.08 8 240 0.07 7 6400

Southern Rhodesia 2 097Spain 92 242 103 230 1.02 108 780 1.03 112 910

Sweden 139 277 152 050 1.89 158 060 1.62 178 280

Switzerland 83 856 93 840 0.93 98 900 0.98 107 820

Syria 9 783 10 940 0.11 11 540 0.09 9 340

Thailann 22 362 25 020 0.25 26 370 0.20 22 070

Tunisia 2 097 2 350 0.02 2 470 0.02 2 550

Turkey 76 169 85 230 0.84 89 830 0.69 75 560

Union of South Africa 93 639 104 790 1.03 110 430 0.84 91 690

United Kingdom of Great Britain and Northern

Ireland 962 248 1 077 540 10.65 1 114 930 9.37 1 028 920

United States of America 2 987 667 3 349 790 33.33 3 519 330 33.33 3 661 090

Uruguay 15 374 17 200 0.17 18 130 0.16 17 830

Venezuela 22 362 25 020 0.25 26 370 0.29 31 410

Viet Nam 17 470 19 550 0.19 20 600 0.16 17 830

Yemen (3 469)e 4 020 0.04 4 220 0.04 4 390

Yugoslavia 27 952 31 280 0.31 32 960 0.34 37 350

TOTAL - ACTIVE MEMBERS 7 622 700 8 550 000 85.18 8 977 100 81.73 8 977 100

SPECIAL ASSESSMENTS

China 503 136 563 010 5.57 593 400 5.10 560 300

TOTAL - SPECIAL ASSESSMENTS 503 136 563 010 5.57 593 400 5.10 560 300

INACTIVE MEMBERS

Albania - 3 494 4 020 0.04 4 220 0.04 4 390

Bulgaria 11 879 13 300 0.13 14 010 0.15 16 130

Byelorussian SSR 18 169 20 330 0.20 21 430 0.31 33 960

Czechoslovakia 75 471 84 440 0.83 89 010 0.85 93 380

Hungary 16 771 18 760 0.19 19 780 0.29 32 260

Poland 79 664 89 130 0.88 93 960 1.16 127 340

Roumania 29 349 32 840 0.32 34 620 0.41 44 990

Ukrainian 588 70 579 78 980 0.78 83 250 1.17 128 190

Union of Soviet Socialist Republics 531 788 594 550 5.88 627 220 8.79 965 240

TOTAL - INACTIVE MEMBERS 837 164 936 350 9.25 987 500 13.17 1 445 880

GRAND TOTAL 8 963 000 10 049 360 100.00 10 558 000 100,00 10 983 280......... ......

sSee footnotes

.+and

..aunder Summary Table, above.

bFor purposes of comparison the unit scale has been converted into a percentage scale.

o Associate Memberd

See resolutions WHA5.16, WHA5.55, WRA6.37, and WHA7.18.

e The assessments of Nepal and Yemen, which joined in 1953 after the close of the Sixth World Health Assembly, are shown in parenthesisand are not included in the total assessments of $8 963 000.

12 PROPOSED APPROPRIATION RESOLUTION

UPROPOSED APPROPRIATION RESOLUTION FOR

THE FINANCIAL YEAR 1956

The Eighth World Health Assembly

RESOLVES to appropriate for the financial year 1956 an amount of US $ as follows :

I.

Appropriation AmountSection Purpose of Appropriation US S

PART 1 : ORGANIZATIONAL MEETINGS

1. World Health Assembly2. Executive Board and its Committees3. Regional Committees

Total - Part I

PART II : OPERATING PROGRAMME

4. Central Technical Services5. Advisory Services6. Regional Offices7. Expert Committees and Conferences

8. Administrative Services

Total - Part II


Total - Part III

SUB-TOTAL - PARTS I, II, III

PART IV : RESERVE

9. Undistributed Reserve

Total - Part IV

TOTAL - ALL PARTS

II. Amounts not exceeding the appropriations voted under paragraph I shall be available for the payment of obligationsincurred during the period 1 January to 31 December 1956 in accordance with the provisions of the Financial Regulations.

Notwithstanding the provisions of this paragraph, the Director- General shall limit the obligations to be incurred duringthe financial year 1956 to the effective working budget established by the World Health Assembly, i.e., Parts I, II and III.

III. The appropriation voted under paragraph I shall be financed by contributions from Members after deduction of :

(i) the amount of $ available from the transfer of the assets of the Office International d'Hygiène Publique(ii) the amount of $ representing assessments on new Members from previous years(iii) the amount of $ representing miscellaneous income available for the purpose(iv) the amount of $ available by transfer from the cash portion of the Assembly Suspense Account(v) the amount of $ available by transfer from the Publications Revolving Fund

Total $

thus resulting in assessments against Members of $

PROPOSED WORKING CAPITAL FUND RESOLUTION 13

IV. The Director -General is authorized, with the prior concurrence of the Executive Board or of any committee to which itmay delegate appropriate authority, to transfer credits between sections.

V. Notwithstanding the provisions of the Financial Regulations, the Director -General is authorized to charge as an obligationagainst the 1956 appropriation the costs, including transportation, of operational supplies and equipment for which contractshave been entered into prior to 31 December 1956.

VI. In respect of the printing of publications, the Director- General is authorized, notwithstanding the provisions of theFinancial Regulations, to charge as an obligation against the 1956 appropriation the cost of publications for which completemanuscripts shall have been delivered to and received by the printer prior to 31 December 1956.

PROPOSED WORKING CAPITAL FUND RESOLUTION FOR 1956

The Eighth World Health Assembly

1. RESOLVES that the Working Capital Fund for the membership of the Organization as at 30 April 1955 be established for1956 in the amount of US $ ,1 plus the assessments of Members joining after 30 April 1955 ;

2. AUTHORIZES the Director -General :

(1) to advance from the Working Capital Fund such sums as may be necessary to finance the appropriations for thefinancial year 1956 pending receipt of contributions from Members ; sums so advanced shall be reimbursed to the WorkingCapital Fund as contributions become available ;

(2) to advance such sums in 1956 as may be necessary to meet unforeseen or extraordinary expenses, and to increase therelevant Appropriation Section accordingly, provided that not more than US $250 000 is used for such purposes, exceptthat with the prior concurrence of the Executive Board a total of US $500 000 may be so used ; and

3. REQUESTS the Director -General to report to the next convening Health Assembly all advances made under the authorityvested in him to meet unforeseen or extraordinary expenses, and the circumstances relating thereto, and to make provision inthe estimates for reimbursement of the Working Capital Fund except when such advances are recoverable from other sources.

1 The amount as at 31 October 1954 is $3 385 369, which amount may be revised by 30 April 1955.

INFORMATION ANNEXES

Annex 1

DETAILS OF PROGRAMMEAND ESTIMATED EXPENDITURE FROM REGULAR

AND TECHNICAL ASSISTANCE FUNDS

SUMMARY BY PURPOSE -OF- EXPENDITURE CODE, INDICATING PERCENTAGESOF TOTAL REGULAR BUDGET ESTIMATES

Organisational Meetings Operating Programme Administrative Services TOTALPercentages of total

budget

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US $ US $ US $ U5 $ US $ US $ US $ US $ US $ US $ US $ US $ % %

Chapter

00 Personal services 53 956 59 940 62 590 3 498 819 4 288 069 4 385 291 653 800 671 029 684 620 4 206 575 5 019 038 5 132 501 50.63 52.83 53.40to Personal allowances 573 304 746 189 933 123 127 384 138 416 140 182 700 688 884 605 1 073 305 8.43 9.31 11.17

21 Duty travel 30 822 43 340 27 990 287 748 331 241 353 288 33 161 39 440 42 945 351 731 414 021 424 223 4.23 4.36 4.4122 Travel of short -term consultants 160 950 219 540 173 700 971 1 100 1 850 161 921 220 640 175 550 1.95 2.32 1.83

23 Travel on initial recruitment andrepatriation 226 681 166 929 97 860 2 381 4 847 4 815 229 062 171'776 102 675 2.76 1.81 1.07

24 Travel on home leave 131 460 191 847 306 331 19 939 40 540 23 410 151 399 232 387 329 741 1.82 2.45 3.4325 Travel and subsistence of delegates 84 960 92 700 92 700 83 106 76 920 79 000 168 066 169 620 171 700 2.02 1.79 1.79

26 Travel of temporary staff 13 366 16 750 17 000 8 501 7 451 7 543 21 867 24 201 24 543 0.26 0.25 0.25

27 Transportation of personal effects . 29 437 24 658 25 653 551 2 159 2 151 29 988 26 817 27 804 0.36 0.28 0.29

30 Space and equipment services 1] 692 13 320 14 670 133 959 156 793 153 744 49 804 51 136 52 102 195 455 221 249 220 516 2.36 2.33 2.29

40 Other services 16 691 18 860 18 810 224 992 229 994 232 420 57 051 52 047 52 214 298 734 300 901 303 444 3.60 3.17 3.16

50 Supplies and materials 75 828 96 100 89 650 386 688 408 046 383 479 57 508 43 932 42 378 520 024 548 078 515 507 6.26 5.77 5.3660 Fixed charges and claims 63 685 53 920 56 282 2 923 2 126 2 171 66 608 56 046 58 453 0.80 0.59 0.61

70 Grants and contractual technicalservices 1 049 958 1 038 305 941 060 1 049 958 1 038 305 941 060 12.64 10.93 9.79

80 Acquisition of capital assets 908 1 500 1 500 151 586 163 433 105 576 3 406 7 383 3 502 155 900 172 316 110 578 1.88 1.81 1.15

TOTAL 288 223 342 510 324 910 â 010 874 8 103 335 8 234 350 1 008 879 1 054 155 1 052 340 8 307 976 9 500 000 9 611 600 100.00 100.00 100.00

SUMMARY BY PURPOSE -OF- EXPENDITURE CODE, INDICATING PERCENTAGESOF TOTAL ESTIMATED EXPENDITURE UNDER TECHNICAL ASSISTANCE

Operating Programme Administrative Services TOTAL Percentage of total budget

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ US$ US$ US$ US$ US$ US$ US$ US$ % % %

Chapter

00 Personal services 1 825 405 2 591 211 2 640 713 136 394 138 121 134 061 1 961 799 2 729 332 2 774 774 49.32 60.53 60.76

10 Personal allowances 253 542 270 479 266 637 24 248 27 208 26 404 277 790 297 687 293 041 6.98 6.60 6.42

21 Duty travel 60 403 50 213 47 461 16 211 20 230 18 400 76 614 70 443 65 861 1.93 1.56 1.44

22 Travel of short -term consultants 49 007 82 721 83 990 49 007 82 721 83 990 1.23 1.83 1.84

23 Travel on initial recruitment and repatri-ation 267 462 194 741 100 299 2 494 1 315 1 237 269 956 196 056 101 536 6.79 4.35 2.22

24 Travel on home leave 121 328 144 882 307 019 2 572 9 910 5 190 123 900 154 792 312 209 3.11 3.43 6.84

27 Transportation of personal effects 2 880 805 1 540 2 656 573 538 5 536 1 378 2 078 0.14 0.03 0.05

30 Space And equipment services 14 857 13 915 13 335 12 210 11 007 11 508 27 067 24 922 24 843 0.68 0.55 0.54

40 Other services 28 987 27 689 28 071 22 438 21 980 21 954 51 425 49 669 50 025 1.29 1.10 1.10

50 Supplies and materials 341 599 203 316 194 485 2 241 2 217 2 327 343 840 205 533 196 812 8.65 4.56 4.31

60 Fixed charges and claims 21 568 8 781 7 116 21 568 8 781 7 116 0.54 0.20 0.15

70 Grants and contractual technical services 547 091 558 830 531 060 547 091 558 830 531 060 13.76 12.39 11.63

80 Acquisition of capital assets 221 813 129 242 123 168 221 813 129 242 123 168 5.58 2.87 2.70

TOTAL 3 755 942 4 276 825 4 344 894 221 464 232 561 221 619 3 977 406 4 509 386 4 566 513 100.00 100.00 100.00

18 OIHP FUNDS : SUMMARY

Vl

SUMMARY OF ACTIVITIES TO BE FINANCEDFROM FUNDS OF THE OFFICE INTERNATIONAL D'HYGIÈNE PUBLIQUE

Estimated Expenditure1954 1955 1956

US$ US$ US$

Grants and Contractual Technical Services and Other Forms ofResearch Co- ordination

CENTRAL TECHNICAL SERVICES

Smallpox, trials of dried vaccine 4 000 4 000 4 000Delineation of yellow -fever zones and yellow -fever research 4 000 4 000 4 000

ADVISORY SERVICES

Trachoma virus, laboratory studies 1 500 1 000 1 000Bilharziasis studies : determination of snail vectors and

diagnostic procedures 4 500 1 000 1 000Rickettsioses and virus diseases, including influenza : labora-

tory studies 2 000 4 000 4 000Brucellosis research 2 000 1 000Zoonoses, laboratory studies 3 000 1 500 1 500Plague, co- ordination of international research 3 000 1 000 2 000

24 000 17 500 17 500

Expert Committees and Conferences

ADVISORY SERVICES

Trachoma 4 591

TOTAL 24 000 22 091 17 500

ORGANIZATIONAL MEETINGS 19

PART I : ORGANIZATIONAL MEETINGS

1. WORLD HEALTH ASSEMBLY : NINTH REGULAR SESSION

(See below)

The estimates for the Ninth World Health Assembly are based on the assumption that it will be held in Geneva, andthat it will continue, as in p..;vious years, for 21 days. The actual cost of previous Health Assemblies has been taken asa basis. The total is $8500 less than the estimated expenditure for 1955 because no provision is made for printing an edition ofthe Handbook of Resolutions and Decisions.

2. EXECUTIVE BOARD AND ITS COMMITTEES

(See below)

Provision has been made for two sessions of the Executive Board to be held in Geneva. It has been assumed that therewill be a session of three weeks beginning in January and a short session following the Health Assembly.

In accordance with resolution WHA7.37, provision of $6920 has been made in both 1955 and 1956 for a session of theStanding Committee on Administration and Finance, which is expected to meet before the January session of the Board andsit for about a week.

3. REGIONAL COMMITTEES

(See below)

The cost estimates for regional committee meetings in 1955 and 1956 have been based on the information available as towhere they will be held.

ORGANIZATIONAL MEETINGS : COST ESTIMATES

Estimated Expenditure1954 1955

US $ US $1956US $

1. WORLD HEALTH ASSEMBLY 151 394 192 380 183 880

2. EXECUTIVE BOARD AND ITS COMMITTEES 87 429 97 230 97 230

3. REGIONAL COMMITTEES :

AFRICA

Personal ServicesSalaries and wages (temporary staff) 2 300 1 100 1 100

Travel and TransportationDuty travel 2 700 8 500 2 100Travel and subsistence of temporary staff 3 000 6 100 4 600

Other ServicesOther contractual services 1 500 1 500 1 500

Supplies and MaterialsSupplies 100 200 200

TOTAL - AFRICA 9 600 17 400 9 500

20 ORGANIZATIONAL MEETINGS

THE AMERICAS

Personal Services

1954US $

Estimated Expenditure1955

US $

1956

US $

Salaries and wages (temporary staff) 6 000 3 350 5 700Travel and Transportation

Duty travel 10 000 6 900Travel and subsistence of temporary staff 2 200 1 200 2 000

Space and Equipment ServicesRental and maintenance of equipment 400 1 000

Other ServicesOther contractual services 1 800 250 1 200

Supplies and MaterialsSupplies 1 800 1 900 1 900

TOTAL - THE AMERICAS 21 800 7 100 18 700

SOUTH -EAST ASIA

Personal ServicesSalaries and wages (temporary staff) 300 300

Travel and TransportationDuty travel 11 500Travel and subsistence of temporary staff 100 200

Space and Equipment ServicesRental and maintenance of equipment 700

Other ServicesOther contractual services 1 000

Supplies and MaterialSupplies 1 800 1 000 2 500

TOTAL - SOUTH -EAST ASIA 2 900 13 500 3 000

EUROPE

Personal ServicesSalaries and wages (temporary staff) 1 200 650 650

Travel and TransportationDuty travel 1 000 1 000 2 250Travel and subsistence of temporary staff 1 100 800 1 500

Space and Equipment ServicesRental and maintenance of equipment 1 150 1 100 1 100

Other ServicesOther contractual services 250 200 200


TOTAL - EUROPE 5 200 3 900 5 900

EASTERN MEDITERRANEAN

Personal ServicesSalaries and wages (temporary staff) 800 450 450

Travel and TransportationDuty travel 2 600Travel and subsistence of temporary staff 2 000 950 1 000


Other ServicesOther contractual services 300 550 550


TOTAL - EASTERN MEDITERRANEAN 4 100 6 000 3 200

ORGANIZATIONAL MEETINGS

WESTERN PACIFIC

Personal Services

1954

US $

Estimated Expenditure1955

US $

1956

US $

Salaries and wages (temporary staff) 380 500 500

Travel and TransportationDuty travel 3 000


Other ServicesOther contractual services 500 500

Supplies and MaterialsSupplies 4 650 1 000 1 500

TOTAL - WESTERN PACIFIC 5 800 5 000 3 500

TOTAL - REGIONAL COMMITTEES 49 400 52 900 43 800

TOTAL - ORGANIZATIONAL MEETINGS 288 223 342 510 324 910

21

22 CENTRAL TECHNICAL SERVICES

PART II : OPERATING PROGRAMME

4. CENTRAL TECHNICAL SERVICES

4.0 OFFICE OF THE ASSISTANT DIRECTOR -GENERAL

(See page 26)The work and duty travel of this office will be substantially as described in previous programme and budget documents.

4.1 EPIDEMIOLOGICAL AND HEALTH STATISTICAL SERVICES

Epidemiological Information and Morbidity Statistics - International QuarantineEpidemiological Intelligence Station, Singapore - Statistical Studies

International Classification of Diseases and Causes of Death

(See page 26)

With the development of the Organization's advisory and field services, and the increasing prominence of epidemiologyand statistics in the practice of public health, the epidemiological and statistical units are being associated to an increasing extentwith both the planning and the scientific reporting of programmes. Epidemiological studies in a wide variety of subjects alsoform a definite part of the work.

Consultants

Provision is made for consultants :(a) to advise and assist in epidemiological field studies on yellow fever, to investigate Aëdes species and to identify natural reservoirhosts ;

(b) to advise, should the need arise, on the application of the International Sanitary Regulations ;(c) to advise and assist in the application of the new revision of the International Lists of Diseases and Causes of Death, andin the preparation of texts in other languages ;(d) to undertake epidemiological studies associated with WHO programmes, where required.

Duty Travel

The amount provided for is to permit officers of the Division (a) to travel in order to assist in the strengthening of nationalepidemiological reporting services, thus improving at the same time the epidemiological intelligence service of the Organization ;(b) to visit field projects incorporating epidemiological studies.

Provision is also made for the Director of the Epidemiological Intelligence Station, Singapore, (a) to visit major ports andairports periodically in order to strengthen liaison with national and port health authorities and to study problems arising fromthe application of the International Sanitary Regulations, and, (b) to attend the meeting of the Committee on InternationalQuarantine.

Grants and Contractual Technical Services (see page 32)

The amount provided is to cover :(a) continuation of the investigation into dried smallpox vaccines, and the carrying out of field trials in endemic smallpox areas ;(b) the sponsoring of field research on the epidemiology of yellow fever, in particular to investigate local species of Aëdes asvectors of the disease ;(c) the grant to the WHO Centre for Classification of Diseases ; this grant is retained at the same level as in 1954 and 1955.

Expert Committees and Conferences (see page 49)

Committee on International Quarantine. Provision is made for the Committee to meet in order to carry out the annualreview of the International Sanitary Regulations and to study and make recommendations on other matters referred to it bythe Health Assembly.

CENTRAL TECHNICAL SERVICES 23

Expert Committee on Health Statistics. The proposed meeting will be concerned mainly with cancer, hospital, and morbiditystatistics, and the possible need for a code dealing with any surgical, radiological and administrative procedures. The meetingwill replace in part the meeting of the Expert Committee's Sub -Committee on Hospital Statistics, which was postponed from1951.

4.2 THERAPEUTIC SUBSTANCES

Biological Standardization - Pharmaceutical SectionAddiction- Producing Drugs - Health Laboratory Methods

Tuberculosis Research Office, Copenhagen

(See page 28)

The activities of the Division continue to develop and expand in almost all the sections. After the transfer of the activitiesrelated to the manufacture of antibiotics and insecticides from WHO to the United Nations Technical Assistance Administration,the former Section of Antibiotics and Insecticides was reorganized as a Section of Health Laboratory Methods, which gives adviceto governments on (a) scientific problems related to antibiotics and insecticides ; (b) health laboratory methods ; (c) problemsconnected with food additives, as instructed by the Executive Board at its thirteenth session (resolution EB13.R47). This reorgani-zation took place during the second half of 1954.

Consultants

Biological Standardization. Consultants will be required for assistance in the work of the International Centres for BiologicalStandards, the International Blood -Group Reference Laboratory, the International Salmonella and Escherichia Centre, andthe International Shigella Centres.

Addiction- Producing Drugs. A consultant will be required to enable the Organization to fulfil obligations arising from aresolution of the Economic and Social Council 1 inviting WHO, in consultation with the United Nations Secretariat, to prepareinformation on various properties of synthetic narcotics as compared with natural narcotics.

Pharmaceutical Section. Consultants will be required to assist in preparing for a session of the expert committee on theuse of specifications for pharmaceutical preparations and to assist in the revision of chemical monographs for the second editionof the Pharmacopoea Internationalis.

Duty Travel

Duty travel must be undertaken for the following purposes :(a) to visit the international centres for biological standards in London and Copenhagen, the Tuberculosis Research Office, andthe WHO centres for blood -grouping, Salmonella and Escherichia, and Shigella ;(b) to visit countries where work in biological standardization and related fields is in special need of support and guidance ;(c) to study specifications for pharmaceutical preparations and related legislation in various countries ;(d) to visit laboratories in various countries in order to study health laboratory methods.


No change is contemplated for 1956 in the grants to the various institutions where WHO- assisted centres have been established,namely : the Medical Research Council, London (blood -group reference laboratory ; biological standards), the Statens Serum -institut, Copenhagen (Salmonella and Escherichia Centre ; biological standards), the Shigella Centres in Atlanta (Georgia) andLondon, and the institute at which the collection of authentic chemical substances is to be maintained.


Biological Standardization. A meeting of the Expert Committee will be necessary in 1956. Existing international standardsare continually being depleted and require replacement. Also, standards for new substances need to be set up ; and the question ofestablishing standards for vaccines and other immunological substances has to be kept under constant review.

Drugs Liable to Produce Addiction. The Expert Committee will have to meet to carry out work arising from the obligations ofWHO under the Opium Conventions and the Paris Protocol.

International Pharmacopoeia. A meeting of the Expert Committee is necessary to continue the work on the International,Pharmacopoeia, especially for the preparation of the second edition.

Non -Proprietary Names. A meeting of the sub -committee dealing with international non -proprietary names will be necessaryto discuss names to be proposed for new substances, and to study problems of trade -marks and of the protection of proposedinternational non -proprietary names.

1 Economic and Social Council, sixteenth session, resolution 505 C (XVI)


Specifications for Pharmaceutical Preparations. Provision is made for a meeting to study definitions and principles of classi-fication of pharmaceutical preparations, and principles for the use of specifications, with a view to assisting countries asking foradvice in this field.

Health Laboratory Methods. Provision is made for a meeting of an expert committee on health laboratory methods, to studyways and means of recommending suitable methods to countries seeking advice.

Tuberculosis Research Office, Copenhagen

The total provision for 1956 is $222 500, equal to the revised 1955 budget and $11 000 less than the approved 1954 provision.Estimates are given separately for the Copenhagen Office and the six major groups of activities. To ensure the best use of personnel,it may be necessary from time to transfer staff members from one group of activities to another.

Copenhagen Office. Under this heading provision is made for the Director's Office, the administration, the secretarial andstatistical pools and other staff which cannot readily be charged to any specific group of activities (office expenses, maintenance ofpremises in Copenhagen, etc., are shown under Common Services, page 60). The staff of the Director's Office, the administrationand the secretarial pool, are working for all six groups of activities. They have been listed under the Copenhagen Office in thebudget estimates.

Group I - BCG Vaccine Studies. Provision is made for continuation of these studies.

Group II - Tuberculosis Control Methods in Tropical and Under -developed Countries. Investigations to determine the efficiencyof different methods of tuberculosis control are expected to continue in 1956.

Group III - Activities in Co- operation with WHO Tuberculosis Programmes. Provision is made for co- operative activitieswith the Tuberculosis Section of Headquarters, among them the planning, processing and evaluation of material collected by theregional BCG- assessment teams, and documentation of WHO BCG- vaccination programmes.

Group IV - Long -term Studies of Tuberculosis. The Madanapalle Field Research Station established in South India willcontinue during 1956 on a reduced scale.

Group V - Evaluation Studies in Finland and Denmark. The estimates for 1956 comprise the TRO contributions to the costsof keeping the rosters up -to -date, matching deaths and cases against the roster, and evaluating the results.

Group VI - Laboratory Activities. The estimates given for the laboratory activities relating to tuberculosis immunization andallied subjects are based on the assumption that the Tuberculosis Immunization Research Centre will continue activities at approxi-mately the same level through 1956 as in '1955.

4.3 EDITORIAL AND REFERENCE SERVICES

Documents and Official RecordsHealth Legislation - Library and Reference Services

Technical Publications - Translation

(See page 30)

No increases in staff are proposed for 1956, provision having been made as from 1955 for the additional, staff required toimplement the Seventh World Health Assembly's decision that the Official Records series, the final minutes of the Executive Board,and the reports of expert committees should be reproduced in Spanish.

The post of distribution and sales officer has again been included as part of the budget estimates. It is assumed that it will,as in the past, be financed from the Publications Revolving Fund.

The provision for the purchase of books for the library is retained at the level to which it was reduced in 1954.

The estimated total expenditure for printing has been maintained at approximately the same level as for 1955.

4. CENTRAL TECHNICAL SERVICES : SUMMARY 25

Regular Budget Technical Assistance

Numberof post

Estimated expenditure Numberof posts Estimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

Uss USS US ii us: us: USS

8 8 8 49 369 50 490 51 842 Office of the Assistant Director- General

Epidemiological and Health StatisticalServices:

2 2 2 15 011 16 020 16 385 Office of the Director20 20 20 87 408 95 186 97 139 Epidemiological Information and Morbidity

Statistics13 12 12 58 204 59 173 61 163 International Quarantine14 13 13 32 327 31 551 32 267 Epidemiological Intelligence Station,

Singapore5 5 5 20 449 28 454 28 990 Statistical Studies3 3 3 16 096 20 336 26 672 International Classification of Diseases

and Causes of Death

Therapeutic Substances:

2 2 2 15 143 15 667 15 855 Office of the Director4 4 4 29 002 31 513 31 259 Biological Standardization5 5 5 26 544 25 254 27 816 Pharmaceutical Section2 2 2 14 423 14 252 13 478 Addiction- Producing Drugs3 3 3 3 236 19 032 19 493 Health Laboratory Methods

52 52 52 147 967 159 150 167 438 Tuberculosis Research Office, Copenhagen

Editorial and Reference Services:

27 28 28 78 789 104 169 106 450 Office of the Director15 17 17 56 082 79 267 82 089 Documents and Official Records5 5 5 27 114 28 043 28 972 Health Legislation18 18 18 73 511 75 299 77 289 Library and Reference Services12 13 13 64 303 66 239 68 175 Technical Publications16 17 17 64 992 109 155 112 641 Translation

879 970 1 028 250 1 065 413 Sub -Total

171 315 214 450 225 209 Statutory Staff Costs73 665 76 665 76 665 Grants, Contractual Technical Services and

other Forms of Research Co-ordination180 230 196 643 196 613 Other Costa

132 175 150 675 146 467 Common Services: Headquarters6 250 6 250 6 250 Singapore

48 000 36 173 28 459 Copenhagen

1 491 605 1 709 106 1 745 076 TOTAL - CENTRAL TECHNICAL SERVICES

Add:

9 099 9 464 Staff turnover

Less:

10 057 6 745 Lapses in effecting replacements anddelays in filling new posts

226 229 229 1 491 605 1 708 148 1 747 795 NET TOTAL

26 4. CENTRAL TECHNICAL SERVICES

Regular Budget

Numberof posts Estimated expenditure

954 1955 1956 1954 1955 1956


Numberof posts

Estimated expenditure

1954 1955 1956 1954 1955 1956

2 2 2

8 8 8

1 1 1

1 1 1

1 1 1

3 3 3

2 2 2

1 1 1

1 1 1

4 4 4

5 5 5

1 1 1

20 20 20

uss Us $ Us $

15 00011 8004 800

3 9953 0802 801

5 054

40 998 46 530

8 371 3 960

49 369 50 490


15 000

11 8005 000

3 9953 1782 887

5 202

47 062

4 780

51 842

Assistant Director -General DGDirector -Consultant on Health Statistics D2

Administrative officer P2

Secretary 06Secretary G5

Secretary G4

Stenographic Pool

Clerk stenographers 03

Travel

Duty

Total established posts

T o t a l

4.1 EPIDEMIOLOGICAL AND HEALTH STATISTICAL SERVICES

(For text, see page 22)

OFFICE OF THE DIRECTOR

11 933 12 2003 087 3 185

14 789 15 020 15 385

222 1 000. 1 000

15 011 16 020 16 385

86 353

1 055

87 408

9 250 9 5008 520 8 770

7 300 7 52519 925 20 57510 000 10 000

3 728 3 838

3 485 3 56714 068 14 231

15 258 15 3952 652 2 738

94 186 96 139

1 000 1 000

95 186 97 139

DirectorSecretary

Travel

Duty


T o t a l

EPIDEMIOLOGICAL INFORMATION AND MORBIDITY

STATISTICS

D205

Chief of section P5

Epidemiologist P4

Medical officer P4

Statisticians P3

Statisticians P1

Visual media officer G6

Clerk stenographer 05

Clerks 05

Clerks 04Secretary G4

Travel

Duty


T o t a l

usa US$ usa



Numberof posts

Estimated expenditureNumberof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss USE usa usa uss USS

4.1 Epidemiological and health statisticalservices (continued)

INTERNATIONAL QUARANTINE

1 1 1 9 500 9 800 Chief of section P5

1 1 1 8 520 8 770 Technical officer P41 1 1 7 812 8 062 Medical officer P42 2 2 8 564 8 674 Technical assistants P11 Technical assistant (cartographer) P11 1 1 3 469 3 469 Clerk 052 2 2 6 038 6 210 Clerks ' 04

1 1 1 2 931 3 017 Secretary 04

3 3 3 7 339 7 561 Clerk stenographers 03

13 12 12 56 573 54 173 55 563 Total established posts

925 1 500 1 800 Consultants' tees

Travel

104 2 000 2 000 Duty602 1 500 1 800 Consultants

58 204 59 173 61 163 T o t a l

EPIDEMIOLOGICAL INTELLIGENCE STATION,

SINGAPORE

1 1 1 11 000 11 000 Director PS1 1 1 3 683 3 683 Secretary Special1 1 1 3 564 3 683 Statistical assistant Special1 1 1 2 258 2 376 Correspondence clerk S51 1 1 2 159 2.258 Statistical clerk 351 1 1 1 584 1 663 Correspondence clerk S42 1 1 1 584 1 663 Statistical clerk S42 2 2 2 258 2 416 Statistical clerks 331 1 1 420 436 Messenger 322 2 2 670 702 Messengers S11 1 1 371 387 Gardener 81


--- Travel

2 800 2 000 2 000 Duty

32 327 31 551 32 267 T o t a l

STATISTICAL STUDIES

1 1 1 9 146 9 396 Chief of section P51 ,1 1 6 000 6 200 Statistician P3

1 1 1 5 285 5 485 Statistician P21 1 1 3 092 3 092 Clerk 041 2 1 2 731 2 817 Secretary 04


600 600 Consultants' fees

Travel

710 1 000 800 Duty600 600 Consultants

20 449 28 454 28 990 T o t a l

INTERNATIONAL CLASSIFICATION OFDISEASES AND CAUSES OF DEATH

1 1 1 8 520 8 770 Chief of section P41 1 1 4 305 4 305 Technical assistant 061 1 1 2 311 2 397 Secretary G4

3 3 3 14 800 15 136 15 472 Total established poets

1 800 4 800 Consultants' tees

Travel

288 1 600 1 600 Duty1 008 1 800 4 800 Consultants

16 096 20 336 26 6 7 2 T o t a l



Estimated expenditure Number Estimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

UsS list uss USS uss uss

4.2 THERAPEUTIC SUBSTANCES



1 1 1 11 800 11 800 Director D21 1 1 3 097 3 195 Secretary 05


Travel

715 770 860 Duty

15 1 4 3 15 667 15 855 T o t a l

BIOLOGICAL STANDARDIZATION

1 1 1 9 436 9 686 Chief of section P51 1 1 8 000 8 250 Medical officer P42 2 2 6 687 6 773 Secretaries G4

4 4 4 23 451 24 123 24 709 Total established posta

1 800 2 400 2 400 Consultants, fees

Travel

1 951 2 590 1 750 Duty1 800 2 400 2 400 Consultants

29 002 31 513 31 259 T o t a 1

PHARMACEUTICAL SECTION

1 1 1 9 186 9 436 Chief of section P51 1 1 5 267 5 467 Scientist P21 1 1 2 831 2 917 Secretary 041 1 1 2 845 2 931 Clerk 041 1 1 2 755 2 755 Clerk typist 03


1 200 600 1 200 Consultants, fees

Travel

1 882 1 170 1 910 Duty1 200 600 1 200 Consultants

26 544 25 254 27816 T o t a l

ADDICTION -PRODUCING DRUGS

1 1 1 8 750 9 000 Chief of section PS1 1 1 2 882 2 968 Secretary 04


600 600 Consultants, fees

Travel

1 827 1 420 310 Duty600 600 Consultants

14 423 14 252 13 478 T e t a 1

1 1 1 8 750 9 000

HEALTH LABORATORY METHODS

Chief of section P5

,

1 1 1 7 300 7 525 Medical officer P41 1 1 2 652 2 738 Secretary 04


-------

Travel

330 230 Duty

3 236 1 9 032 19 493 T o t a l



[ postsEstimated expenditure

of

Numberposes


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USE USS USS USS US USS

4.2 Therapeutic substances (continued)

TUBERCULOSIS RESEARCH OFFICE, COPENHAGEN

Copenhagen Office

1 1 1 - - Director D21 1 1 4 167 10 167 Assistant medical director D1

1 1 1 9 800 10 100 Medical officer P5

1 1 1 1 796 1 875 Administrative officer C7

1 1 1 2 851 2 972 Assistant administrative officer C5

1 1 1 3 052 3 174 Accounting officer C51 1 1 1 894 1 998 Chief clerk 041 1 1 2 224 2 328 Administrative assistant 04

1 1 1 1 568 1 655 Statistical clerk C31 1 1 1 611 1 698 Accounts clerk C3

1 1 1 1 512 1 580 Statistical clerk C21 1 1 1 585 1 653 Assistant translator C2

3 3 3 4 316 4 518 Secretaries C2

1 1 1 1 580 1 647 Stenographer C2

5 5 5 6 096 6 339 Statistical clerks Cl1 1 1 1 190 1 239 Telephone operator Cl

2 725 2 842 Custodial staff

Group I - BCG vaccine studies

1 1 1 3 748 3 905 Research Assistant C7

1 1 1 3 509 3 648 Assistant statistician C61 1 1 2 454 2 576 Assistant statistician C52 2 2 3 092 3 266 Technical assistants C3

1 1 1 1 410 1 478 Statistical clerk C21 1 1 1 601 1 669 Driver C21 1 1 1 412 1 461 Statistical clerk Cl

Group II - Tuberculosis control methodsin tropical and under- developed countries

1 1 1 7 356 7 581 Medical officer P41 1 1 7 188 7 413 Medical officer P31 1 1 6 050 6 250 Research associate P31 1 1 4 850 5 050 Medical officer P21 1 1 3 650 3 850 Scientist P11 1 1 3 650 3 850 Statistician P11 1 1 959 1 005 Assistant statistician C51 1 1 2 059 2 163 Research assistant 042 2 2 3 092 3 266 Technical assistants C3

Group III - Activities in co- operationwith WHO tuberculosis programmes

1 1 1 3 957 4 113 Statistician C72 2 2 4 831 5 075 Assistant statisticians C51 1 1 1 941 2 008 Statistical clerk C21 1 1 1 178 1 227 Statistical clerk Cl

Group IV - Long -term studies of tuberculosis

Consultants (as per cost estimate below)

Group V - Evaluation studies in Finlandand Denmark

2 2 2 5 841 6 119 Assistant statisticians c61 1 1 1 543 1 591 Statistical clerk Cl


Regular Budget

Numberof posts

1954 1955 1956 1954


1955 1956


Numberof posts


1954 1955 1956 1954 1955 1956

52 52 52

1 1 1

3 9 9

16 10 10

27 28 28

1 1 1

4 6 6

6 6 6

1 1 1

1 1 1

1 2 2

1

15 17 17

USS USE USS

5 250

5 200

4 983

5 4505 400

5 183

121 506 138 771 150 382

(6 709) (9 321) (10 544)

114 797 129 450 139 838

4 400 2 400 1 700

25 000 25 500 24 3003 770 1 800 1 600

147 967 159 150 167 438

78 689

100

78 789

56 082

56 082

11 8006 267

6 0008 600

5 0004 800

3 742

4.2 Therapeutic substances (continued)

TUBERCULOSIS RESEARCH OFFICE, COPENHAGEN(continued)

Group VI - Laboratory activities

Bacteriologist P5immunologist P2Assistant bacteriologist P2Scientist P2


Cost -of- living adjustment

Consultants, fees

Travel

DutyConsultants

T o t a l

4.3 EDITORIAL AND REFERENCE SERVICES

11 9336 467

6 200

8 800

5 000

5 0003 840

3 970 3 97024 926 25 60224 644 25 218

99 749 102 030

4 420 4 420

104 169 106 450

8 250 8 50031 770 32 97024 972 26 172

5 000 5 0003 885 3 8855 390 5 562

79 267 82 089

79 267 82 089


OFFICE OF THE DIRECTOR*

Director D2

Distribution and sales officer++

P3Publications officer P2

Assistant publications officers P1

Administrative assistant P1

Distribution officer P1Secretary 05

Stenographic Pool

Special services officer G6

Clerk stenographers 04

Clerk stenographers G3

Total established posta

Temporary staff (clerk stenographers)

Travel

Duty

Total

DOCUMENTS AND OFFICIAL RECORDS

Chies of section P4

Editors P2Editors Pl.

Documents officer P1

Documents officer 06

Editorial clerks 04

Editorial clerk G3


T o t a l

USE USS USS

For estimated requirements for publications for the financial year 1956, see page 33.Financed from the Publications Revolving Fund



Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss uss uss uss

4.3 Editorial and reference services(continued)

HEALTH LEGISLATION


3 3 3 16 866 17 466 Editora P2

1 1 1 2 927 3 006 Editorial clerk G4

5 5 5 27 114 28 043 28 972 Total established poste

27 114 28 043 28 972 T o t a l

LIBRARY AND REFERENCE SERVICES


1 1 1 6 850 7 075 Librarian P3

3 3 3 18 183 18 783 Librarians P2

1 1 1 4 300 4 500 Library assistant P1

3 3 3 10 752 11 073 Library assistants G61 1 1 3 347 3 433 Secretary G44 4 4 12 837 12 923 Library clerks G4

4 4 4 10 780 11 002 Library clerks G3


Travel

202 Duty

7 3 511 75 299 77 289 T o t a l

TECHNICAL PUBLICATIONS

1 1 1 8 250 8 500 Chief of section P44 5 5 28 750 29 350 Editora P2.

6 6 6 25 850 26 850 Editors P11 1 1 3 389 3 475 Secretary G4


64 303 66 239 68 175 T o t a l

TRANSLATION

1 1 1 8 250 8 500 Chief of section P48 10 10 67 133 69 283 Translators P36 5 5 25 719 26 719 Translators P2

1 1 1 2 553 2 639 Secretary 04


5 500 5 500 Temporary staff (translators)

64 992 109 155 112 641 T o t a l

4.4 STATUTORY STAFF COSTS

150 514 184 870 188 334 Allowances'

5 174 6 770 1 400 Travel on initial recruitment and repatriation13 382 21 300 35 475 Travel on home leave2 245 1 510 Transportation of personal effects

171 315 214 450 225 209 T o t a l

+ Including allowances of the distribution and sales officer financed from the Publications Revolving Fund


Regular Budget - Technical Assistance

Numberof posts

Estimated expenditure of postsEstimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS usS USS use US USS

4.5 GRANTS, CONTRACTUAL TECHNICAL SERVICES,AND OTHER FORMS OF RESEARCH CO- ORDINATION

4 000+ 4000+ 4 000+ Delineation of yellow -fever areas and yellow -

fever research4 000+ 4 000+ 4 000+ Smallpox: Trials of dried vaccine9 000 9 000 9 000 WHO Centre for Classification of Diseases


3 000 3 000 3 000 Blood -group reference laboratory11 685 11 685 11 685 Statens Seruminstitut, Copenhagen20 000 20 000 20 000 Salmonella and Escherichia Centre, Copenhagen10 000 10 000 10 000 International Shigella Centre, Atlanta,

Georgia3 S00 3 500 3 500 Shigella Reference Laboratory, London8 480 8 480 8 480 Medical Research Council, London (biological

standards)2 000 2 000 Establishment of collection of authentic

chemical substances(For text, see page 23)

1 000 1 000 Medical abstracting and indexing services

73 665 76 665 76 665 T o t a l

4.6 OTHER COSTS

10 000 10 000 10 000 Epidemiological telegrams and broadcasts(Headquarters)

2 700 2 700 2 700 Epidemiological telegraphic expenses(Singapore)

200 300 300 Biological standard supplies250 250 Purchase of drugs

3 500 5 000 5 000 Contractual editorial services(including commissioned translations)

136 700 133 800 134 000 Printing of publications ++12 130 27 000 27 000 Printing of additional copies for sale15 000 15 000 15 000 Purchase of books for 14,Tary

2 593 2 363 Sales promotion material(For text, see page 24)

180 230 196 643 196 613 T o t a l

++ Financed from OIBP fundsFinanced from the Publications Revolving Fund


ESTIMATED REQUIREMENTS FOR PUBLICATIONS FOR THE FINANCIAL YEAR 1956

33

Title of Publication languageNumber ofissues

Number ofpages

Number ofcopies per

issue

Approx. costper copy

US $

Annual cost

US $

TECHNICAL PUBLICATIONS

Bulletin of the World Health Organization English)

French ) 12 2 000 2 600 0.71 22 000

Spanish)

Chronicle of the World Health Organization English 12 400 5 000 0.10 6 000

French 12 400 2 500 0.15 4 500

Spanish 12 480 3 000 0.16 5 800

Chinese 12 480 1 000 0.08 1 000

Supplements to Bulletin, monographs, occasional ( English 10 1 500 1 500 1.00 15 000publications ( French 10 1 500 1 000 1.30 13 000

( Spanish 2 300 2 500

United Nations printing charges 7 000

Sub -total 82 7 060 16 600 76 800

Technical Report Series

The cost of printing these reports is charged as partof the cost of the respective expert committees andother advisory bodies, and is thérefore not includedin the total figure under "Annual cost" English 18 600 2 800 )

French 18 600 1 200 ) 17 000

Spanish 18 600 800 )


Sub -total 54 1 800 4 800 19 000

HEALTH LEGISLATION

International Digest of Health Legislation English 4 800 1 300 1.00 6 200

French 4 800 800 1.63 5 200


Sub -total 8 1 600 2 100 13 200

EPIDEMIOLOGICAL AND STATISTICAL PUBLICATIONS

Weekly Epidemiological Record and Supplements Bilingual 52 600 2 000 0.09 9 000

Epidemiological and Vital Statistics Report Bilingual 12 450 2 500 0.40 12 000

Annual Epidemiological and Vital Statistics 1954 Bilingual 1 600 1 500 9.00 13 500

Weekly Fasciculus, Singapore English 52 900 750 0.21 8 000

United Nations printing charges - 1 500

Sub -total 117 2 550 6 750 44 000

E3


ESTIMATED REQUIREMENTS FOR PUBLICATIONS FOR THE FINANCIAL YEAR 1956 (continued)

Title of Publication LanguageNumber ofissues

Number ofpages

Number ofcopies perissue

Approx. costper copyUS $

Annual coat

US $

OFFICIAL RECORDS

The Official Records are shown below to indicate thecomplete publications programme, although provision fortheir cost is included in the estimates for the HealthAssembly and the Executive Board.

Annual Report of the Director -General English 1 250 2 600 1.73 4 500

French 1 250 1 200 2.83 3 400

Spanish 1 250 700 4.43 3 100

Proposed Prograimne and Budget Estimates English 1 350 2 300 1.57 3 600

French 1 350 1 200 2.42 2 930

Spanish 1 350 700 3.86 2 700

Annual Financial Statement and Report of External English 1 80 1 700 0.71 1 200

Auditor French 1 80 900 1.11 1 000

Spanish 1 80 b00 1.50 900

Proceedings of the Health Assembly English 1 450 1 800 3.06 4 900

French 1 450 800 4.62 3 700

Spanish 1 450 600 5.83 3 500

Supplement on International Quarantine English 1 90 1 800 0.67 1 200

French 1 90 900 0.89 800

Spanish 1 90 600 1.17 -700

Health Assembly Resolutions (preprint) English 1 50 500 0.60 300French 1 50 300 0.67 200

Spanish 1 50 200 1.00 200

Agenda for the Health Assembly English 1 8 900 0.09 80French 1 8 500 0.14 70

Spanish 1 8 300 0.17 50

Report of the Executive Board (January session) English 1 270 1 700 2.12 3 600

French 1 270 1 000 2.60 2 600

Spanish 1 270 700 3.57 2 500

Report of the Executive Board (June session) English 1 30 1 500 0.33 500

French 1 30 800 0.37 300

Spanish 1 30 700 0.43 300

Handbook of Basic Documents English 1 220 1 400 0.86 1 200

French 1 220 800 1.00 800

Spanish 1 220 600 1.17 700


Sub -total 30 5 394 30 300 62 000

TOTAL ANNUAL printing cost of publications excludingTechnical Report Series and OfficialRecords 134 000

ADVISORY SERVICES 35

5. ADVISORY SERVICES


(See page 41)

The work of this office remains substantially unchanged. The Assistant Director -General will require to visit various regionaloffices to discuss programmes with the regional directors.

5.1 COMMUNICABLE -DISEASE SERVICES

Malaria and Insect Control - TuberculosisVenereal Diseases and Treponematoses

Endemo- epidemic Diseases

(See page 41)

In 1956 it is proposed to transfer one post of secretary (G4) to the Division of Environmental Sanitation.

Consultants

Owing to the Division's wide field of activities provision is made for short -term consultants for matters on which expertadvice is unavailable or insufficient at Headquarters or in the regions.

Duty Travel

The staff of the Division will require to visit some of the field projects, and to represent the Director -General at technicalmeetings on the communicable diseases in regard to which the Organization has active programmes.


The total amount proposed is slightly less than for 1955. Most of the grants are for the continuation of work in subjects withwhich the Organization is actively concerned. A new item is proposed, a grant to cover the studies on filariasis which maybe required as a result of the recommendations of the study group on that subject to be held in 1955. The increase in the grant forplague research is to allow co- ordination of the investigations on endemic areas in the Eastern Mediterranean countries and to meetthe requirements of the new plan of operations agreed for the plague research project in India (investigation of the possible existenceof hitherto undetected sylvatiç plague among wild rodents). The remaining grants are for work on serological standardization,rickettsioses and virus diseases, influenza (World Influenza Centre), bilharziasis, poliomyelitis, trachoma and the zoonoses.

Study Groups (see page 47)

Venereal Diseases. The Health Assembly has decided that the Brussels Agreement of 1924 should be revised in the form ofinternational regulations to control the spread of venereal diseases. A study group of five experts is proposed, to examine all thedocumentation and make final recommendations for implementation by WHO.

Bilharziasis. Much work has already been done on the ecology and classification of snails and it is proposed, in 1956, toconvene a study group of five experts to examine available information and make recommendations on future work in this field.


Provision is made to convene in 1956 a meeting of the Expert Committee on Rabies to consider the results of a number ofstudies on rabies which are at present under way with WHO assistance, as well as recent developments in prevention and therapy.

36 ADVISORY SERVICES

5.2 ORGANIZATION OF PUBLIC -HEALTH SERVICES

Public- Health Administration - Nursing - Social and Occupational HealthHealth Education of the Public - Maternal and Child Health

Mental Health - Nutrition

(See page 42)

Increased recognition of the importance of promoting dental health programmes has resulted in the need for permanent expertadvice in this field being available at Headquarters. Provision is made for a dental health officer to be appointed to the staff of thisdivision, where he will be associated with the Social and Occupational Health Section. He will also advise the Division of Educationand Training Services on the planning and implementation of training programmes in dental health. Provision is also made for thenecessary secretarial assistance.

In view of the continuing demands for services in health education, provision has been made under the regular budget forthe post of health educator in 1955 and 1956.

Consultants

Public- Health Administration. A consultant will be required to collect and analyse information on practical aspects of theorganization and administration of rural health services.

Nursing. A consultant will be needed to advise on nursing services in psychiatric hospitals.

Social and Occupational Health. Consultants will be required to assist the Organization in fulfilling its obligations toco- operate with the United Nations and other specialized agencies in the field of medical rehabilitation and also to assist in thepreparation of the Joint ILO /WHO Committee on Occupational Health.

Health Education of the Public. A consultant will be required to study, in collaboration with UNESCO, existing and futureprogrammes for training in health education in colleges, universities and teacher -training institutions.

Maternal and Child Health. Provision has been made for two consultants to prepare for and assist with the Study Group onPaediatric Education. These consultants will deal respectively with the clinical and with the public -health and social aspectsof maternal and child health in paediatric education.

Menial Health. Consultants will be required for the continuation of the studies on psychiatric legislation and the planning ofmental hospital services ; and to prepare for the final meeting of the Study Group on the Psychobiological Development of theChild and for a study group on schizophrenia to be convened possibly in 1957.

Nutrition. A consultant will be required to report on, and assist in, the perfecting of the techniques used in the development offoods, other than milk, that are rich in protein. A consultant will also be required to study sociological factors which influencediet patterns. This study will be undertaken in an area other than South -East Asia, where one such study has already been carriedout.

Duty Travel

The staff of the Division will require to visit regional offices and certain field programmes ; they will also need to participate inregional conferences and seminars and to represent the Director -General at technical meetings with the United Nations, thespecialized agencies and international non -governmental organizations.


It is proposed to organize, jointly with the Division of Education and Training Services, a study group on paediatric education.This group will deal with the problems of teaching facilities, teaching staff, and the content of undergraduate and post graduatepaediatric education.

Provision is made for the final meeting of the Study Group on the Psychobiological Development of the Child, which was setup in 1953.


Mental Health. The Expert Committee will be convened in 1956 to consider the data assembled by the study on the planning ofmental hospitals and to make recommendations on this subject.

Occupational Health. A session of the Joint ILO /WHO Committee on Occupational Health will be devoted to the training ofpersonnel for occupational health services.

Organization of Medical Care. The committee will consider the organization of hospital care, ambulatory care in out -patientdepartments and clinics, and domiciliary-tnedical services, with special emphasis on co- ordination with the preventive health services.

Nutrition. Provision is made for a meeting of the Joint FAO /WHO Expert Committee on Nutrition, to consider furtherdevelopments in the field of protein malnutrition.

ADVISORY SERVICES' 37

5.3 ENVIRONMENTAL SANITATION

(See page 44)

Many of the problems of main concern to this division -the control of insect vectors, their resistance to insecticides, thetoxicity to man of pesticides, water and sewage treatment, composting and stream sanitation -demand for their intelligent solutionan understanding of the biological factors involved. Related activities receiving WHO guidance throughout the world entail theexpenditure of vast amounts of money. The services of a sanitary biologist conversant with the complex biological processesunderlying such work are therefore essential to the satisfactory functioning of the Organization in this field. Provision is madefor such a post ; the necessary secretarial assistance is assured by a transfer from Communicable -Disease Services.

To permit of the maximum use of the senior staff of the Division it is desirable that they be relieved of some of the workinvolved in analysing and making extracts from the literature, and similar duties. Provision has therefore been made for a technicalassistant to do this work.

Consultants

Consultants will be required for the following purposes :(a) 'to collect, analyse and arrange material resulting from the 1955 regional discussions on international drinking -water standards,in preparation for a study group on this subject ;(b) to prepare guides and manuals relating to the control of pollution of surface waters ;(c) to assist with the compilation and preparation of material for the study group on housing ;(d) to assist with the preparation of guides and manuals on food -handling sanitation, adapted particularly to conditions in under-developed countries ;(e) to carry out field investigations and give Member countries assistance on problems of the resistance of insects to insecticides.

Duty Travel

The attack on environmental sanitation problems involves action through the regional offices and close association with fieldoperations. This will necessitate wide contacts away from Headquarters, and budgetary provision for field travel is made accordingly.


Provision is made for grants to continue experimental work on insecticides, on insect resistance to them and on the transportof mosquitos on ships and aircraft.


WHO has been asked repeatedly for information on the relationship of housing to health and there is no readily availablesource from which it can be drawn. It is proposed to convene a study group to collate the results of current studies in this field andprovide technical guidance to the Organization.

WHO has been engaged in preparations for the establishment of international standards of drinking- water. Information oncurrent practices, obtained from most of the Member States, is being utilized during 1955 as a basis of discussion among regionalgroups ; it is proposed that a study group be organized with the object of finalizing the study.

On the instructions of the Fourth World Health Assembly, a study on the toxicity to man of certain pesticides was undertakenin 1952. This study, whilst meeting an urgent need, revealed that the health problems associated with the manufacture and formula-tion of highly toxic pesticides required considerably more study, and review. It is therefore proposed to convene a study group toreport on all aspects of the toxicity to man of pesticides.


Milk Hygiene. Provision has been made for an Expert Committee on Milk Hygiene to meet in order to make recommendationsrelating to the health aspects of milk production, processing, distribution and use.

Insecticides. Since the session of the Expert Committee on Insecticides in 1951, considerable research and experimentationhave been carried out on types of spraying and dusting apparatus. There is now a fuller understanding of the many problemsinvolved and it is proposed that the Expert Committee on Insecticides should meet in 1956 to collate the results of this research.


5.4 EDUCATION AND TRAINING SERVICES

Fellowships - Exchange of Scientific InformationAssistance to Educational Institutions

(See page 45)

Consultants

It is proposed to appoint a consultant to study in specific communities the effect that teaching programmes in preventivemedicine have had on medical practice and social conditions.

Duty Travel

The staff of the Division will require to travel for the purpose of promoting selected education programmes, assisting countriesand institutions in the formulation of long -range plans, co- ordinating and evaluating fellowship programmes, making contact withplacement officials, and visiting institutions utilized for inter -regional fellowships.


It is proposed that a grant in 1956 be made to the International Association of Universities, and /or other appropriate non-governmental organizations, in order to collect material on schools of public health and departments of preventive medicine.

It is also proposed to continue the grant to the Council for International Organizations of Medical Sciences.

In pursuance of a recommendation of the Fourth World Health Assembly, it is proposed to continue the programme ofexchange of research workers among institutions carrying out research in identical or closely related subjects of public healthimportance.


Many practitioners graduated before preventive medicine received due emphasis in the medical curriculum. It is thereforeproposed that a conference be convened in order to study the most suitable methods of transmitting to such practitioners a betterknowledge of preventive medicine.

5.5 REPORTS AND ANALYSIS

(See page 45)

The work of this office remains substantially the same as in previous years, the main effort now being directed to studying theapplication of standard methods for evaluating the assistance projects undertaken by the Organization at the request of govern-ments.

Duty Travel

Staff travel is foreseen for visiting certain regions in connexion with the application by project staff of methods of evaluationand analysis.

5.6 SUPPLY

(See page 46)

No change is proposed in the staffing of this office.

Duty Travel

Provision is made for duty travel under both the regular budget and Technical Assistance in order to permit of visits to suppliersof the numerous types of items which are required in the work of the Organization. Where such travel is undertaken in connexionwith supply services to Member States and to other agencies, the costs can be expected to be covered by the income derived from the3 % service charge on purchase orders.

5. ADVISORY SERVICES : SUMMARY

Regular Budget Technical Assistance Other Extra -Budgetary Funds

Numberof posts

Estimated expenditure Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS USS USS USS USS USS USS

HEADQUARTERS

16 16 16 54 384 61 337 63 418 Office of the Assistant Director- General

Communicable- Disease Services:

4 4 3 25 524 33 528 26 086 Office of the Director 7 200

5 5 5 44 446 32 215 33 359 Malaria and Insect Control

6 6 6 33 392 33 075 34 981 Tuberculosis

5 5 5 28 412 28 626 31 404 Venereal Diseases and Treponematoses 3 600

8 8 8 49 068 48 660 60 942 Endemo-epidemic Diseases 2 2 2 5 128 5 276 9 024

Organization of Public- Health Services:

2 2 2 18 677 16 597 16 440 Office of the Director 2 400

3 3 3 22 672 32 659 27 170 Public -Health Administration

3 3 3 30 527 22 528 24 561 Nursing 1 1 1 3 263 2 995 3 070

2 2 4 17 746 25 538 27 977 Social and Occupational Health 2 2 2 10 146 10 470 10 794

2 3 3 16 020 24 229 31 935 Health Education of the Public 1 9 125

5 5 5 36 597 40 106 42 940 Maternal and Child Health

3 3 3 37 168 41 424 33 321 Mental Health2 2 2 27 832 33 056 29 443 Nutrition

7 7 10 67 300 64 287 77 118 Environmental Sanitation 7 200

Education and Training Services:

2 2 2 18 604 23 170 25 650 Office of the Director4 4 4 26 682 24 823 24 624 Fellowships

3 3 3 14 434 17 824 18 994 Exchange of Scientific Information

3 3 3 24 485 24 017 24 467 Assistance to Educational Institutions 1 1 700

5 5 5 .34 614 33 589 32 663 Reports and Analysis 9 091 3 600 4 700

9 9 9 36 220 44 426 46 133 Supply 7 7 7 18 268 18 878 19 468

99 100 104 664 804 705 714 733 626 Sub -Total 14 12 12 56 721 50 819 57 856

5. ADVISORY SERVICES : SUMMARY (continued)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS uss Uss uss Ilse US$ uss uSS US$

.125 888 146 031 155 188 Statutory Staff Costs 11 861 7 556 10 628

130 460 53 000 51 500 Grants, Contractual Technical Services and _

other Forms of Research Co- ordination

12 000 38 400 35 000 Other Costs

91 873 91 860 92 895 Common Services 16 273 12 427 13 419

1 025 025 1 035 005 1 068 209 T o t a l 84 855 70 802 81 903

5 544 5 544 Add: Staff turnover ' 513 513

3 706 6 979 Less: Lapses in effecting replacements anddelays in filling new posta

- 152 152

99 100 104 1 025 025 1 036.843 1 066 774 Net Total - HEADQUARTERS 14 12 12 84 855 71 163 82 264

- FIELD ACTIVITIES

17 22 25 259 960 361 788 352 170 Africa 17 30 30 124 510 269 347 283 631 3 767 000 1 565 900

39 42 44 589 860 795 985 799 483 The Americas 66 73 70 672 980 805 828 777 659 181 179 168 2 074 577 2 800 011 2 495 111

97 108 99 653 530 902 755 908 337 South -East Asia 92 128 124 736 590 1 087 529 1 110 907 49 44 37 1 898 060 2 689 320 2 201 836

15 15 15 509 180 496 059 448 330 Europe 9 13 15 311 200 269 724 241 315 5 963 850 635 500 400 000

61 69 61 602 478 774 779 703 806 Eastern Mediterranean 94 112 114 977 815 1 123 423 1 086 435 39 30 22 494 735 1 445 370 1 447 559

30 41 38 408 390 559 750 557 312 °Western Pacific 46 46 38 562 910 551 342 553 750 12 13 7 491 647 474 892 .160 506

6 10 10 119 000 135 778 147 005 Region Undesignated 2 1 1 26 488 10 468 7 698

265 307 292 3 142 398 4 026 894 3 916 443 T o t a l 326 403 392 3 412 493 4 117 661 4 061 395 286 269 234 6 689 869 9 610 993 6 705 012

30 000 Add: (a) Project service allowance

11 760 12 936 - (b) Staff turnover

27 554 18 416 Less: (a) Lapses in effecting replacementsand delays in filling new poste

-

151 915 22 253 (b) Delays in implementation of new

projects

176 488 73 591

265 307 292 3 142 398 3 889 185 3 888 710 Net Total - FIELD ACTIVITIES 326 403 392 3 412 493 3 941 173 3 987 804 286 269 234 6 689 869 9 610 993 6 705 012

364 407 396 4 167 423 4 926 028 4 955 484 NET TOTAL 340 415 404 3 497 348 4 012 336 4 070 068 286 269 234 6 689 869 9 610 993 6 705 012

5. ADVISORY SERVICES 41

Regular Budget

Numberof posts


1954 1955 1956 1954 1955 1956


Numberof posts


1954 1955 1956 1954 1955 1956

1 1 11 '1 1

10 10 10

16 16 16

1 1 11 1 11 1 11 1

4 4 3

US S

52 884

1 500

54 384

USS USS

5.0 OFFICE OF THE ASSISTANT DIRECTOR- GENERAL

15 000 15 000

7 300 7 5253 645 3 7552 817 2 903

3 984 4 094

2 732 2 81824 459 25 199

59 937 61 294

1 400 2 124

61 337 63 418

11 800 12 0304 360 4 415

3 015 3 1132 853

21 644 22 028 19 558

250 4 800 2 400

3 630 1 900 1 7284 800 2 400

25 524 33 528 26 086

10 650 10 9508 250 8 5005 067 5 2673 570 3 5703 178 3 178

29 965 30 715 31 465

5200

6 553 1 500 1 894

2 728

44 446 32 215 33 359

(For tent, see page 35)

Assistant Director -General U0

Medical officer P4

Secretary G6Secretary 04

Stenographic Pool

Special services officer G6Clerk stenographer G4


Travel

Duty

Total established poste

T o t a l

5.1 COMMUNICABLE- DISEASE SERVICES



Director D2Administrative assistant P1Secretary G5Secretary - G4


Consultants, fees

Travel

DutyConsultante

T o t a l

MALARIA AND INSECT CONTROL

Chief of section P5

Medical officer P4

Technical assistant P2

Clerk stenographer G5

Secretary G4

Total established ports

Consultants' fees

Travel

DutyConsultants

T o t a l

US S US S USS

3 600

3 600

7200


Regalar Budget Technical Assistance

ofEstimated expenditure

bhp secEstimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss USS 'USS USS USS usS

5.1 Communicable- disease services(continued)

TUBERCULOSIS

1 1 1 9 950 10 250 Chief of section P5' 1 1 1 9 062 9 312 Medical officer P41 1 1 3 600 3 800 Technical assistant P11 1 1 2 773 2 859 Secretary G42 2 2 5 690 5 838 Clerk stenographers G3


1 200 Consultants' fees .

Travel -

2 344 2 000 2 922 Duty1 260 Consultants

33 392 33 075 34 981 T o t a l

VENEREAL DISEASES AND TREPONEMATOSES

1 1 1 9 825 10 125 Chief of section P51 1 1 8 625 8 775 Medical officer P41 1 1 4 334 4 534 Technical assistant P11 1 1 2 759 2 845 Secretary 041 1 1 2 583 2 657 Clerk stenographer 03


2 120 Consultants' fees 1 800

Travel

1 662 500 2 468 Duty1 757 Consultants 1 800

28 412 28 626 31 404 T o t a 1 3 600

ENDEMO-EPIDEMIC DISEASES

2 2 2 16 710 17 210 Medical officers P41 1 1 9 500 9 500 Scientist (Veterinarian) P41 1 1 7 300 7 525 Epidemiologist P41 1 1 3 092 3 092 Secretary G43 3 3 7 858 8 080 Clerk stenographers G3 2 2 2 5 276 5 424

8 8 8 36 338 44 460 45 407 Total established posta 2 2 2 5 128 5 276 5 424

1 800 5 400 Consultants' fees 1 800

Travel

7 791 4 200 4 735 Duty3 139 5 400 Consultants 1 800

49 068 48 660 60 942 Total 5 128 5 276 9 024

5.2 ORGANIZATION OF PUBLIC -HEALTH SERVICES



1 1 1 11 400 11 433 Director D21 1 1 3 497 3 595 Secretary G5

2 2 2 14'799 14 897 15 028 Total established posts

Consultants' fees 1 200

Travel

3 878 1 700 1 412 Duty

Consultants 1 200

18 677 16 597 16 440 T o t a l 2 400



Numberdiesels



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS Uso USS USS USS USS

5.2 Organization of public -health services(continued)

PUBLIC -HEALTH ADMINISTRATION

1 1 1 9 800 10 100 Chief of section P51 1 1 7 300 7 525 Public- health administrator P41 1 1 2 859 2 945 Secretary 04


5 175 4 800 1 800 Consultants' fees

Travel


22 672 32 659 27 170 T o t a l

NURSING

1 1 1 8 875 9 125 Chief of section P51 1 1 7 300 7 525 Public- health nursing administrator P41 1 1 2 853 2 939 Secretary G4

Clerk stenographer 03 1 1 1 2 995 3 070

3 3 3 17 329 19 028 19 589 Total established posta 1 1 1 3 263 2 995 3 070


Travel


30 527 22 528 24 561 T o t a l 3 263 2 995 30/o

SOCIAL AND OCCUPATIONAL HEALTH

1 1 1 ' 9 021 9 271 Chief of section P5

Medical officer P4 1 1 1 7 875 8 1251 7 300 Dental health officer P4

1 1 1 2 817 2.903 Secretary 041 2 435 Clerk stenographers G3 1 1 1 2 595 2 669

2 2 4 11 686 11 838 21 909 Total established posts 2 2 2 10 146 10 470 10 794


Travel


17 746 25 538 27 977 T o t a 1 10 146 10 470 10 794

HEALTH EDUCATION OF THE PUBLIC

1 1 1 9 800 10 100 Chief of section P5- 1 1 9 375 9 500 Health educator P4 11 1 1 3 354 3 440 Secretary G4

2

`3 3 12 768 22 529 23 040 Total established posts 1 9 125

2 100 Consultants' fees

Travel

3 252 1 700 4 695 Duty2 100 Consultants

16 020 24 229 31 935 Total 9 125



Numberof posts

Estimated expenditureP Numberof postsP


1954 1955` 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss IS1 USE Us1 us1 USS

5.2 Organization of public -health services(continued)

MATERNAL AND CHILD HEALTH

1 1 1 9 800 10 100 Chief of section P51 1 1 8 021 8 271 Medical officer P41 1 1 4 800 5 000 Technical assistant P11 1 1 3 264 3 264 Secretary 041 1 1 2 521 2 595 Clerk stenographer 03



Travel


36 597 40 106 42 940 T o t a l

MENTAL HEALTH

1 1 1 11 000 11 000 Chief of section P51 1 1 4 800 5 000 Technical assistant P11 1 1 2 824 2 910 Secretary 04



Travel


37 168 41 424 33 321 T o t a l

NUTRITION

1 1 1 9 625 9 925 Chief of section P51 1 1 2 931 3 017 Secretary 04

2 2 2 12 170 12 556 12 942 Total established posts--- ---

8 boo 9 000 7 200 Consultants' fees

Travel


27 832 33 056 29 443 T o t a l

5.3 ENVIRONMENTAL SANITATION


1 1 1 11 400 11 630 Director D21 8 750 Biologist P5

1 1 1 9 550 9 850 Public- health engineer P52 2 2 15 924 16 424 Scientists P4

1 3 600 Technical assistant P11 1 1 4 074 4 074 Secretary 052 2 3 5 539 8 650 Secretaries 04


6 200 5 400 3 000 Consultants' fees 3 600

Travel

9 523 7 000 8 140 Duty6 012 5 400 3 000 Consultants 3 600

67 300 64 287 77 118 Total 7 200



Numberof posts

expenditureofNumber

postsofEstimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss us US US US US

5.4 EDUCATION AND TRAINING SERVICES



1 1 1 11 800 11 800 Director D21 1 1 3 970 3 970 Technical assistant G6


2 400 3 600 Consultants. fees

Travel

3 234 2 600 2 680 Duty2 400 3 600 Consultants

18604 23170 25650 Total

FELLOWSHIPS

1 1 1 9 210 9 460 Chief of section P51 1 1 7 300 7 525 Medical officer P4

1 1 1 2 887 2 973 Secretary 041 1 1 2 126 2 200 Clerk stenographer G3


Travel

2 557 3 300 2 466 Duty

26682 24823 24624 Total

ETCHANGE OF SCIENTIFIC INFORMATION

1 1 1 10 625 10 925 Chief of section P51. 1 1 3 205 3 315 Technical assistant 061 1 1 2 894 2 980 Secretary G4


Travel

206 1.100 1 774 Duty

14 434 17 824 18 994 T o t a l

ASSISTANCE TO EDUCATIONAL INSTITUTIONS

1 1 1 9 725 10 025 Chief of section P51 1 1 8 521 8 771 Medical officer P41 1 1 3 471 3 471 Secretary 04

Clerk stenographer G3 1

3 3 3 21 299 21 717 22 267 Total established poets 1 1 700----- -Travel

3 186 2 300 2 200 Duty

24 485 24 017 24 467 Total 1 700

5.5 REPORTS AND ANALYSIS


1 1 1 11 000 11 000 Reports and analysis officer 951 1 1 6 000 6 200 Reports and analysis officer P21 1 1 5 000 5 000 Reports and analysis officer P11 1 1 3 469 3 469 Clerk G5

1 1 1 2 620 2 694 Clerk stenographer G3



Regular Budget


1954 1955 1956 1954 1955 1956

1 1 12 2 2

1 1 1

1 1 11 1 1

1 1 1

USS US$ USS

5 500

1 035

466

34 614

34 050

2 170

36 220

5 500 4 300

33 589

9 825

12 718

4 383

2 8452 625

2 825

36003 205

42 026

2 400

44 426

95 231 110 2219 15920 096 35 8101 402

3.25888

2000

2 500

4 0005000

1 000

32 663

10 12513 743

4 583

2 9312 711

2 825

3 8003 315

43 433

2 700

46 133

116 748

3 57033 6901 180

146 031 155 188

500

5.5 Reports and analysis (continued)

Consultants' fees

Travel

DutyConsultants

Total

5.6 SUPPLY


Chief of sectionSpecial services officers

Procurement assistantClerkSecretariesClerksClerk stenographerClerk stenographersClerk

Supply Services to Governments

Procurement assistantAdministrative assistant


Travel

Duty

T o t a l

5.7 STATUTORY STAFF COSTS


Numberof posts


1954 1955 1956 1954 1955 1956

Pl

G6

AllowancesTravel on initial recruitment and repatriationTravel on home leaveTransportation of personal. effects

T o t a l

2 2 2'

1 1 1

7 7 7

5.8 GRANTS, CONTRACTUAL TECHNICAL SERVICES,

AND OTHER FORMS OF RESEARCH CO- ORDINATION

Insecticides: studies on absorption by mudwalla

Examination of feeding habits of anophelinevector species

Staters Seraminstitut, CopenhagenStudies on immunological relationship oftreponemes, penicillin resistance anddevelopment of diagnostic methods

Statistical evaluation of serological resultsfrom co-operating laboratories

USS USO USS

5 473 1 800 1 800

1 1003 618 1 800 1 800

9 091 3 600 4 700

312!4. 32342 887 2 9732 353 2 4392713 28594 549 4 6972 292 2 366

17 388 17 978 18 568

880 900 900

18 268 18 878 19 468

7 959 6 926 7 098

292

3 520 630 3 53090

11 861 7 556 10 628


Budget ordinaire Assistance technique

Nombrede postes

Prévisions de dépenses Nombrede postes

Prévisions de dépenses

19M 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ uSS uSS US$ US$ US$

5.8 Grants, contractual technical services

and other forms of research co- ordination

(continued)

5 000 4 000 Serological standardization2 500 National influenza centres2 000* 1 000 Brucellosis research

2 000* 4 000* 4 000* Rickettsioses and virus diseases, includinginfluenza: laboratory studies

4 500* 1 000+ 1 000* Bilharziasis studies: determination of snailvectors and diagnostic procedures

3 000+ 1 500+ 1 5001 Zoonoses, laboratory studies

3 000 1 000 2 000 Plague, co- ordination of internationalresearch

6 460 5 500 5 500 World Influenza Centre: influenza strain -typing and study on antigens

13 000 3 000 3 000 Poliomyelitis: strain -typing centres1 000 Onchocerciasis

1 500* 1 000* 1 000* Trachoma virus, laboratory studies

3 500 Rabies3 000 2 000 Typhoid vaccines

1 000 Filariasis studies

2 000 Field trials of combined diphtheria /pertussisvaccines

2 000 Virus laboratories(For text, see page 35)

6 000 Nursing6 000 Study of paediatric education in Europe6 000 Infant and child feeding (British)6 000 Infant and child feeding (Indian)

2 000 Conduct of experiments on insecticidespecifications

1 000 1 000 Insecticide studies


500 Collection of data on dental education2 000 1 000 1 000 Collection of data on medical education

25 000 25 000 25 000 Council for International Organizations ofMedical Sciences

3 000 500 1 500 Exchange of research workers

10 000 Publication of the proceedings of the 'infantmetabolism seminar


130 460 53 000 51.500 T o t a l

5.9 OTHER COSTS (Study Groups)

3 000 Venereal diseases

5 000 Filariasis6 000 Leptospirosis

3 000 Hilharziasis


2 500 Health services in local areas3 000 Rehabilitation of the deaf and partially

deaf child6 000 Paediatric education

7 400 Epilepsy

8 500 9 000 9 000 Psychobiological development of the child(For text, see page 36)

6 000 3 000 International standards of drinking water4 800 Housing

4 200 Toxicity of pesticides

(For text, see page 37)11 000 36 400 33 000

1 000 2 000 2 000 Special literature

12 000 38 400 35 000 T o t a l

* Financed from OIHP funds

6.R

EG

ION

AL

OFFIC

ES : SU

MM

AR

Y

Regular Budget


Other Extra -Budgetary Funds

Nunber

1

Estim

ated expenditureNumber

ofposts

Estim

ated expenditureNumber

ofposts


1954

19551956

1954

1955

1956

1954

1955

1956

1954

1955

1956

1954

1955

1956

1954

1955

1956

USS

USS

USa

US$

US$

USS

USS

USS

USS

21

27

28

169 790

225

970

223

893

Africa

33

322 550

20 181

22 686

42

41

41

339 910

349

617

361

732

The Americas

12

12

11

69 540

68 153

69 605

145

139

139

1165

173 1 140 280 1

208

186

37

36

36

159 670

165

255

168

866

South -East Asia

26

26

26

45 694

48 230

49 429

22

23

33

138 620

171

433

210

072

Europe

66

620 920

21 268

21 163

34

34

34

198 520

204

115

207

849

Eastern Mediterranean

16

16

16

50 030

53 327

53 634

29

29

29

210 000

224

276

231458

Western Pacific

11

11

11

49 860

53 418

58 397

185190

201

1216 510

1340

666

1403

870

T o t a 1

74

74

73

258 594

264 577

274 914

145

139

139

1165

173 1 140 280 1

208

186

13

916

14

308

Add:

Staff turnover

1 568

1 568

17

180

20

107

Less:

Lapses in effecting replacements

and delays in filling new posts

1 656

1 656

1216 510

1337

402

1398

071

NET TOTAL - REGIONAL OFFICES

258 594

264 489

274 826

1165

173 1 140 280 1

208

186

EXPERT COMMITTEES AND CONFERENCES 49

7. EXPERT COMMITTEES AND CONFÉRENCES


(a) Expert Committees

1954US$


US$ US$

International Quarantine i 18 294 10 400 10 371Health Statistics 6 677 9 437


Biological Standardization 7 320 8 872 8 277Drugs Liable to Produce Addiction 5 475 5 621 6 393International Pharmacopoeia 7 197 \ 11 356 8 970Non -Proprietary Names 2 202 2 736 3 695Specifications for Pharmaceutical Preparations 6 393Health Laboratory Methods 6 393


Total - Expert Committees

(b) Conferences

47 165 38 985 59 929

Conference for the seventh revision of the International Listsof Diseases and Causes of Death 4 591

Total - Conferences 4 591

TOTAL - CENTRAL TECHNICAL SERVICES 47 165 43 576 59 929

ADVISORY SERVICES

(a) Expert CommitteesTuberculosis 8 016Serology and Laboratory Aspects (Venereal Infections and

Treponematoses) 5 449Trachoma 4 5911 -tBrucellosis 5 449Meat Hygiene (FAO /WHO) 5 220Rabies 6 313

(For text, see page 35)Nursing 7 481Hygiene of Seafarers (ILO /WHO) 3 587Occupational Health (ILO /WHO) 4 670Organization of Medical Care 6 313Midwifery Training 9 165Maternal and Child Health 5 621Mental Health 7 563 6 313Alcoholism 5 465Psychiatric Nursing 8 016Nutrition (FAO /WHO) 6 400 4 670


Environmental Sanitation 5 621Milk Hygiene 6 313Insecticides 7 207 5 621 6 313


Professional and Technical Education 7 160

Total - Expert Committees 52 088 55 544 40 905

i The " appropriate committee " in terms of resolution WHA4.77ft Financed from OIHP funds

E4

50 EXPERT COMMITTEES AND CONFERENCES

(b) Conferences

1954

US$


US$ US$

Malaria Conference, Western Pacific and South -East Asia 16 400Malaria Conference, the Americas 5 621Yaws Conference, Africa 8 016Conference on Prosthetic Appliances 6 683

Training Conference on Preventive Medicine and Public -Health Work 13 166


Total - Conferences 23 083 13 637 13 166

TOTAL - ADVISORY SERVICES 75 171 69 181 54 071

122 336 112 757 114 000Printing 13 000 19 000 19 000

TOTAL - EXPERT COMMITTEES AND CONFERENCES 135 336 131 757 133 000

ADMINISTRATIVE SERVICES 51


8.1 OFFICES OF THE DIRECTOR -GENERAL

For cost estimates of the Office of the Director -General, see page 55

r/ 8.1.1 EXTERNAL RELATIONS AND TECHNICAL ASSISTANCE(See page 55)

Though the Office of External Relations and the Office of Technical Assistance still remain separate units, for the purposes ofbudget presentation they have been combined. This does not affect the final organizational structure, which is still under considera-tion. The budget estimates are on the same basis as those for 1955.

Duty TravelDuty travel is required for the representation of WHO at meetings of the United Nations and of some of its component and

subsidiary bodies ; at inter -secretariat committees or working groups ; at meetings of the specialized agencies, and at those of acertain number of international non -governmental organizations. Attendance at the Technical Assistance Board, the TechnicalAssistance Committee, and related conferences will also be necessary.

8.1.2 PUBLIC INFORMATION 1-(See page 56)

The programme of work in Public Information planned for 1956 will follow the general pattern explained in previous pro-gramme and budget volumes. Emphasis will continue to be placed on the stimulation of outside production in all media, particularlyin the fields of press and film, and also in the case of photographs, for which there has been an increasing number of requests inthe last year. The equivalent of two consultant months is provided for short -term consultants and temporary advisers.

The amount budgeted for public information supplies remains at the same level as for 1955 and is divided as follows : printing,$15 000 ; exhibits, $2500 ; posters, $230Ó ; film footage, $3750 ; still photographs, $5200.

8.2 ADMINISTRATION AND FINANCE

The staffing pattern of the Department for the years 1951 -55 appears below :

Number of posts1951 1952 1953 1954 1955 1956

(a) (b) (c) (d) (d)OFFICE OF THE ASSISTANT DIRECTOR- Personnel Section

1951(a)

Number of Posts1952 1953 1954(b) (c) (d)

1955(d)

1956

GENERAL Regular budget 14 13 13 13 13 13

Regular budget 4 4 4 4 4 4 Technical Assistance 6 4 7 6 6 6Technical Assistance . . . 0 0 0 0 0 0 TOTAL 20 17 20 19 19 19

TOTAL 4 4 4 4 4 4 Conference and Office ServicesRegular budget 42 31 26 25 25 25Legal Office Technical Assistance 6 6 2 1 1 1Regular budget 4 4 4 5 5 6

48 37 28 26 26 26Technical Assistance . . . 2 2 2 1 1 0 TOTAL

TOTAL 6 6 6 6 6 6 DIVISION OF BUDGET AND FINANCE

Internal Audit Office of the DirectorRegular budget 6 5 5 5 5 5 Regular budget 2 2 2 2 2 2Technical Assistance . . . 2 2 3 2 2 2 Technical Assistance 0 0 0 0 0 0

TOTAL 8 7 8 7 7 7 TOTAL 2 2 2 2 2 2

Budget SectionDIVISION OF ADMINISTRATIVE MAN- Regular budget II 11 8 8 8 7

AGEMENT AND PERSONNEL Technical Assistance 5 6 5 3 3 3

Office of the Director TOTAL 16 17 13 11 11 10Regular budget 2 2 2 2 '2 2

Finance and Accounts SectionTechnical Assistance 0 0 0 0 0 0Regular budget 29 24 24 25 25 24

TOTAL 2 2 2 2 2 2 Technical Assistance . . 10 13 9 8 8 7

Administrative Management Section TOTAL 39 37 33 33 33 31Regular budget 5 5 6 6 6 6Technical Assistance 3 2 3 2 2 2 OFFICE OF SUPPLY (e)

Regular budget 10 10 11 9 9 9TOTAL 8 7 9 8 8 8 Technical Assistance 4 5 8 7 7 7

TOTAL 14 IS 19 16 16 16

(a) = See Off. Rec. Wld filth Org. 23(b) = See Off. Rec. Wld Hlth Org. 31 TOTAL - DEPARTMENT OF ADMI-

NISTRATION AND FINANCE(c) = See Off Rec. Wld Hlth Org. 50 Regular budget 129 Ill 105 104 104 103(d) = Revised from Off Rec. Wld Hlth Org. 50 to delete posts suppressed

in 1954(e) = Included in Appropriation Section 5 (Advisory Services)

Technical Assistance 38 40 39 30 30 28

TOTAL 167 151 144 134 134 131

52 ADMINISTRATIVE SERVICES

As a result of greater experience and improved methods of work, the Department has been able to reduce staff, and at the sametime provide better service, despite the fact that the workload has increased during the period shown in the above table.

The complications which arise in the work of the Department as a result of the financial, staff, legislative and other requirementsof the Expanded Programme of Technical Assistance are too well -known to require elaboration. The fluctuations in the amountsand the uncertainties concerning the actual availability of Technical Assistance funds also create serious problems for most partsof the Department, as, indeed, they do for almost the entire Organization.

8.2.0 OFFICE OF THE ASSISTANT DIRECTOR -GENERAL

(See page 57)The staff provision for this office remains the same as it has been since the office was established.

The Assistant Director -General, or his assistant, will attend meetings of various United Nations bodies (e.g., the Economic andSocial Council, the Technical Assistance Committee, the UNICEF Executive Board, and the Technical Assistance Board), and theAssistant Director -General will visit certain of the regions. It is proposed to charge the duty travel to the regular budget or toTechnical Assistance funds, according to the purpose of the particular journey.

8.2.1 LEGAL OFFICE

(See page 57)

All the posts in the Legal Office will, in 1956, be charged to the regular budget. At the beginning of WHO's participation inthe Expanded Programme of Technical Assistance, an identifiable part of the work was related to that programme ; however, withthe forms of Technical Assistance agreements, etc., becoming well -established and standardized, very little of the work of the Officeis expected in 1956 to be in connexion with Technical Assistance.

On the other hand, increasing demands are made on the Office for advice and assistance to regional offices, none of which(except for the Region for the Americas, which has such an officer paid from PASB funds) has a legal adviser. Technical sectionsat headquarters responsible for work relating to international conventions, regulations and procedures, are increasingly requiringlegal assistance and advice.

Provision has been made in the 1956 estimates for $1500 for consultants, so that the Organization may have recourse to certainspecialized legal advice without having to increase the staff of the Legal Office.

A small amount, based on experience in earlier years, has been provided for duty travel for consultations and negotiations.

8.2.2 INTERNAL AUDIT

(See page 57)

The practice of attaching some of the internal auditors to regional offices, normally for a two -year period, was established afew years ago : it has proved an economical method of doing the work and will be continued. The External Auditor continues torely in considerable measure on the detailed work carried out by the internal auditors, which results in a lesser external audit cost.

The amount provided for duty travel will enable the auditors to perform on- the -spot audits of the financial and administrativetransactions of various offices and will also be required for the transfer of internal auditors from region to region.

8.2.3 ADMINISTRATIVE MANAGEMENT AND PERSONNEL

Administrative Management - Personnel - Conference and Office Services(See page 57)

No change is proposed in the staffing of the Office of the Director. Provision is made under duty travel for attendance at theUnited Nations Joint Staff Pension Board and the Consultative Committee on Administrative Questions.

Administrative Management. No change is proposed in the staffing of this section. Provision has been made for travel to oneregional office for an administrative management survey in 1956.

Personnel. The staff of this section remains the same as in the two preceding years. Estimates for duty travel are based onexperience ; the travel will be in connexion with the recruitment of staff and for consultation with a regional office.

Conference and Office Services. The staff of this office remains the same as for the two preceding years. It is not expectedthat any duty travel will be required in 1956.


8.2.4 BUDGET AND FINANCE

Budget - Finance and Accounts(See page 59)

No change is planned in the staffing of the Office of the Director.

Provision is made under duty travel for consultation with one of the regional offices.

Budget. In 1956 the staff of the section is expected to be reduced by the post of one budget analyst (G6) under the regularbudget, as a result of the transfer of the Regional Office for Europe from Geneva. No provision is made for duty travel, as it is notexpected to be necessary for headquarters officers to assist regional offices with budget preparation in 1956.

Finance and Accounts. The Travel Office, consisting of two persons, formerly under Conference and Office Services, has beentransferred to this section. On the assumption that the Regional Office for Europe will no longer be in Geneva in 1956, there hasbeen a reduction of one post of accountant (P3) under the regular budget and one clerical post (G4) under Technical Assistance inthis section.

Duty travel is provided under the regular budget for travel to two regional offices, to ensure smooth operation of thedecentralized procedures for finance and accounts which have now been established. The duty travel provision under TechnicalAssistance is for attendance at the Technical Assistance Board's Working Party of Finance Officers.

COMMON SERVICES AT HEADQUARTERS

Chapter 30 - Space and Equipment Services

The total amount provided for rental and maintenance of premises is $152 626, an increase of $6420 compared with thecorresponding provision for 1955. This difference represents the cost of maintenance of the premises now occupied by theRegional Office for Europe, which is included in the Regional Office estimates until the end of 1955. The Regional Office isexpected to vacate these premises on its transfer to Copenhagen early in 1956, and it is proposed that they should then be allottedto services which until then will not have been given adequate space, such as the Spanish translation and editorial services.

The costs chargeable to Technical Assistance funds have been determined on the basis of the percentage shown for personnelfor 1956, i.e. approximately ten per cent.

(See page 60)

Chapter 40 - Other Services

The total amount of $82 600 provided for communications is based on experience in 1953 and 1954. This also applies to theprovision for " Other Contractual Services ", totalling $63 772, which also takes account of an expected increase in the reimburse-ment rate payable to the United Nations for the cost of distributing documents.

Efforts to effect economies in the transportation costs of material have continued. In expectation of continued success in thisregard the total provision for freight and other transportation costs for 1956 represents a reduction' of $2550 compared with therevised estimated costs for 1954.

Chapter 50 - Supplies and Materials

In anticipation of the transfer of the Regional Office for Europe to Copenhagen early in 1956, the total provision for admi-nistrative supplies and materials is reduced in 1956 to $42 280, compared with $45 690 for 1955, the decrease representing mainlythe cost of reproduction services for the Regional Office, which has hitherto been included in the estimates for Headquarters.

Chapter 80 - Acquisition of Capital Assets

An amount of $10 500 has been included under this chapter to cover the cost of replacing office equipment more than eightyears old as well as a service car which was purchased in 1947. The proceeds of the sale of obsolete equipment will be creditedto Miscellaneous Income.

54 8. ADMINISTRATIVE SERVICES : SUMMARY

Regular Budget Technical Ausisunce

NumberEstimated expenditure of 1e

PaEstimated expenditure

1954 1955 1936 1954 1955 1956 1954 1955 1956 1954 1955 1956

VSI USS USS USS USS USS

OFFICES OF THE DIRECTOR -GENERAL

8 8 8 67 766 71 008 71 650 Office of the Director -General 2 400 4 320 4 32014 14 14 78 167 84 982 86 868 External Relations and Technical Assistance 6 6 6 30 631 33 376 33 57615 15 15 80 563 84 493 86 700 Public Information 5 5 5 21 861 22 481 23 168

37 37 37 226 496 240 483 245 21B Sub -Total . 11 11 11 54 892 60 177 61 064

54 081 70 680 55 684 Statutory Staff Costs 12 814 13 679 13 06041 550 2B 750 28 750 Other Costs

322 127 339 913 329 652 TOTAL - OFFICES OF THE DIRECTCR- GENERAL 67 706 73 856 74 124

ADMINISTRATICM AND FINANCE

4 4 4 35 195 31 914 32 360 Office of the Assistant Director- General 2 369 2 200 2 2005 5 6 24 420 25 286 33 131 Legal Office 1 1 5 200 5 4005 5 5 39 379 38 410 42 900 Internal Audit 2 2 2 18 594 17 852 16 752

Administrative Management and Personnels

2 2 2 16 896 16 187 16 887 Office of the Director6 6 6 32 152 36 048 36 394 Administrative Management 2 2 2 7 515 7 789 8 06313 13 13 60 810 61 830 64 548 Personnel 6 6 6 21 000 21 769 22 53825 25 25 92 346 92 974 94 863 Conference and office Services 1 1 1 2 755 2 755 2 755

Budget and Finances

2 2 2 14 505 15 603 15 834 Office of the Director8 8 7 36 121 40 586 38 641 Budget 3 3 3 12 824 12 935 13 535

25 25 24 109 612 116 602 112 985 Finance and Accounts 8 8 7 27 456 28 591 26 602

95 95 94 461 436 475 440 488 543 Sub -Total 23 23 21 97 713 99 291 92 445

96 174 108 899 108 531 Statutory 19 156 23 18 682

557 610 584 339 597 074 TOTAL - ADMINISTRATION AND FUNCE 116 869 122 888 111 127

114 342 113 924 109 867 Common Services: Headquarters 36 889 35 204 35 78914 800 13 950 13 750 New York

1 008 879 1 052 126 1 050 343 TOTAL - ADMINISTRATIVE SERVICES 221 464 231 948 221 040

Adds

7 006 6 966 Staff turnover 1 888 1 775

Lesas

4 977 4 969 Lapses in effecting replacements 1 275 1 196

132 132 131 1 008 879 1 054 155 1 052 340 NET TOTAL 34 34 32 221 464 232 561 221 619......... ... .........

8.1 OFFICES OF THE DIRECTOR -GENERAL 55

Regular Budget

Numberof posts


1954 1955 1956 1954 1955 1956

2 2 2

8 8 8

US S US$ US S

20 00016 500

5 1343 8103 0732 977

5 064

56 136 56 558

11 63o 14 450

67 766 71 008

72 834

1 110

73 944

3 000

1 223

78 167


Numberof posts


1954 1955 1956 1954 1955 1956

8.1.0 OFFICE OF THE DIRECTOR -GENERAL

20 000

16 5005 3343 9203 1713 063

5 212

57 200

14450

71 650

Director -General UGDeputy Director -General UGAdministrative officer P2

Administrative assistant Fl

Secretary G5

Secretary G4

Stenographic Pool


Travel

Duty


Total

8.1.1 EXTERNAL RELATIONS AND TECHNICAL ASSISTANCE

11 800 11 80010 025 10 325

8 72011 7195 2673 6003 211

8 97011 9195 4673 8003 309

2845 2931

2 2254 267

4 4953 5172 939

2 279

4 4824 4953 668

3 039

74 63o 76 484

1347 1184

75 777

4 000

77 668

4 000

5 105 5 100100 100

84982 86868


DirectorMedical officer+Medical officerLiaison and reports officerLiaison and reports officersLiaison and reports officerLineaon and reports officersSecretariesSecretaryClerk stenographerClerk stenographerClerkAdministrative assistannt+Administrative assistant+SecretaryClerk stenographer+


Cost -of- living adjustment

Consultants' fees

Travel

DutyConsultants

T o t a l

USS USS USS

2 400 4 320 4 320

2 400 4 32o 4 320

1 1 1 8 250 8

1 1 1 6 400 6

1 1 1 4 800 5

1 1 1 3 611 31 1 1 2 808 2

1 1 1 2 787 2

6 6 6 28 194 28 656 29

2 437 4 720 4

30 631 33 376 33

500

400

000

709894

873

376

200

576

In New York office



Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1 1 1

Uss Uss

11 800

Uss

11 800

8.1.2 PUBLIC INFORMATION


Director D2

USS UsS USE

4 4 4 27 194 28 094 Information officers P3 1 1 1 6 758 6 9831 1 1 6 850 7 075 Information officer P32 2 2 10 500 10 900 Information officers P2

Photo specialist P1 1 1 1 3 900 4 100Administrative assistant G6 1 1 1 3 515 3625

1 1 1 2734 2832 Secretary 052 2 2 5 812 5 984 Secretaries G41 1 1 2 983 3 069 Clerk stenographers 04 1 1 1 3 145 3 2311 1 1 2646 2732 Clerk 041 1 1 2 237 2 311 Photo technician G3

Clerk G3 1 1 1 2 063 2 1291 1 1 3 493 3642 Secretary NY4


497 514 531 Cost -of- living adjustment

74 832 76 763 78 970

809 1 000 1 000 Consultants' fees

Travel

3 951 5 730 5 730 Duty 3 016 3 100 3 100971 1 000 1 000 Consultants

80 563 84 493 86 700 T o t a l 21 861 22 481 23 168

8.1.3 STATUTORY STAFF COSTS (Offices of the Director-General)

47 962 50 120 51 644 Allowances 8753 9 519 9730696 Travel on initial recruitment and

repatriation1 353

5 101 20 560 4 040 Travel on home leave 1 092 4 160 3 330322 Transportation of personal effects 1 616

54.081 70 680 55 684 T o t a l 12 814 13 679 13 060

8.1.4 OTHER COSTS (Offices of the Director- General)

31 550 28 750 28 750 Public information supplies and materials10 000 Illustrated booklet on WHO


41 550 28 750 28 750 T o t a l

In New York office

8.2 ADMINISTRATION AND FINANCE 57

Regular Budget

Numberof posts


1954 1955 1956 1954 1955 1956


Numberof posts


1954 4955 1956 1954 1955 1956

4 4 4

1 1 1

3 3 3

1 1 1

5 5 5

1 1 11 1 1

2 2 2

US S US$ US S

15 0008 250

3 3702 894

29 068 29 514

2 100

4 027 2 400

35 195 31 914

8.2.0 OFFICE OF THE ASSISTANT DIRECTOR- GENERAL

15 0008 500

3 4802 980

29 960

2 400

32 360

9 355 9 6056 850 7 075

5 600

3 315 3 4252 831 2 9172 435 2 509

24 246 24 786 31 131

750

174 500 500

750

24 420

33 075

25 286 33 131


Assistant Director- General OG

Assistant to Assistant Director -General P4

Secretary G6

Secretary G4


Consultants' fees

Travel

Duty

T o t a l

8.2.1 LEGAL OFFICE


legal officer P5

Legal officer P3

Legal officer P2

Legal assistant 06

Secretary 04

Clerk stenographer 03


Consultants' fees

Travel

Duty

Consultante

T o t a l

USS USS US S

2 369 2 200 2 200

2 369 2 200 2 200

5 200 5 400

8.2.2 INTERNAL AUDIT


9 800 10 100 Auditor P520 125 20 775 Auditors P3

4 300 4 500 Auditor P1

34 225 35 375 Total established posts

Travel

6 304 4 185 7 525 Duty

39 379 38 410 42 900 T o t a l 18 594 17 852 16 752

8.2.3 ADMINISTRATIVE MANAGEMENT AND PERSONNEL



11 800 11 800

3 987 3 987

15 387 15 787 15 787

1 509 400 1 100

16 896 16 187 16 887

Director'Secretary

Travel

Duty


T o t a l

0205



Numberopo Es timaed, expendure oó$P


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955r

1956

USS use USS

8.2.3 Administrative management andpersonnel (continued)

ADMINISTRATIVE MANAGEMENT

USS USS USS


3 3 3 17 250 17 650 Management officers P2 1 1 1 5 250 5 4501 1 1 3 425 3 535 Administrative analyst 061 1 1 2 773 2 859 Secretary 04

Clark stenographer 03 1 1 1 2 539 2 613


Travel

3 050 2 500 Ditty

32 152 36 048 36 394 T o t a l 7 515 7 789 8 063

PERSONNEL

1 1 1 9 800 10 100 Chief of section P53 3 3 20 138 20 813 Personnel officers P3 1 1 1 6 495 6 7203 3 3 13 000 13 400 Personnel assistants Pl 1 1 1 4 000 4 2001 1 1 3 784 3 894 Personnel assistants 06 1 1 1 3 645 3 7551 1 1

' 3 398 3 496 Clerk stenographer 051 1 1 2 959 3 045 Secretaries 04 1 1 1 2 945 3 0311 1 1 3 127 3 178 Clerk 041 1 1 2 193 2 267 Clerk typists 03 1 1 1 2 089 2 1631 1 1 2 601 2 675 Clerk stenographers 03 1 1 1 2 595 2 669


Travel

1 713 830 1 680 Duty

60 810 61 830 64 548 21 000 21 769 22 538

CONFERENCE AND OFFICE SERVICES

1 1 1 8 250 8 500 Chief of section P41 1 1 2 955 3 041 Secretary 04

Space and Conference Arrangements

1 1 1 6 000 6 200 General services officer P21 1 3 3 041 3 127 Clerk 04

Registry

1 1 1 5 450 5 650 Registrar P2

1 1 1 4 650 4 850 Cot cations and records office P11 1 1 3 885 3 885 Archives officer 061 1 1 3 970 3 970 Clerk 062 2 2 6 799 6 995 Clerks 052 2 2 5 968 6 140 Clerks G4

3 3 3 8 159 8 233 Clerks 03 1 1 1 2 755 2 7551 1 1 2 330 2 345 Clerk 02

Graphics Unit

1 1 1 6 000 6 200 Draughtsman P2

1 1 1 5 000 5 000 Draughtsman P1

1 1 1 3 885 3 885 Draughtsman 06

Travel Unit

2 2 2 5 580 5 580 Chauffeurs 43

Stenographic Pool

4 4 4 11 052 11 262 Clerk stenographers 03


Travel

1 300 Doty

9 2 3 4 6 92 974 9 4 863 T o t a lss=2=755

.........2 2755 2 755


Regder Budget Technical Assistance

Numberofposts

Estimated expenditure ofmPo


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ US$ US$ US$ - US$ USE

8.2.4 BUDGET AND FINANCE


OFF1C5 OF THE DIRECTOR

1 1 1 11 400 11 533 Director D21 1 1 3 203 3 301 Secretary G5


Travel

1 000 1 000 Duty

14 505 15 603 15 834 T o t a l

BUDGET

1 1 1 8 960 9 210 Chief of section P52 2 2 13 136 13 586 Budget officers P31 1. 1 5 550 5 750 Budget officer P21 1 1 4 433 4 633 Budget analysts P1 3 3 3 12 935 13 5351 1 3 205 Budget analyst G61 1 1 2738 2 824 Secretary G41 1 1 2 564 2 638 Clerk stenographer G3


Travel

Duty 489

36 121 40 586 38 641 Total 12 824 12 935 13 535

FINANCE AND ACCOUNTS

1 1 1 9 825 10 125 Chief of section P51 1 1 7 771 8 021 Assistant chief of section P42 2 1 13 525 7 750 Accountants P3 1 1 1 6 495 6 7203 3 3 15 802 16 402 Accountants P21 1 1 6 000 6 200 Disbursing officer P21 1 1 4 319 4 519 Disbursing officer P12 2 2 9 285 9 685 Accountants P1 1 1 1 3 600 3 8001 1 1 4 867 5 000 Administrative assistant P11 1 1 5 000 5 000 Travel officer P13 3 3 11 808 12 101 Clerks G6 1 1 1 3 885 3 8851 1 1 3 080 3 178 Clerks G5 1 1 1 3 570 3 5701 1 1 3 598 3 598 Secretary G43 3 3 8 067 8 325 Clerks G4 2 2 1 5 384 2 6322 2 2 6 097 6 269 Clerk stenographers G41 1 1 3 013 3 097 Clerk typist G41 1 1 2 755 2 755 Clerk typist G3

Clerk stenographers G3 2 2 2 5 067 5 215


Travel

1 330 1 790 960 Duty 590 780

109 612 116 602 112 985 T o t a 1 27 456 28 591 26 602

8.2.5 STATUTORY STAFF COSTS (Administration and Finance)

79 422 88 919 89 161 Allowances 15 495 17 847 16 8221 685 Travel on initial recruitment and repatriation 1 14114 838 19 980 19 370 Travel on home leave 1 480 5 750 - 1 860

229 Transportation of personal effects 1 040

96 174 108 899 108 531 T o t a 1 19 156 23 597 18 682


COMMON SERVICES


Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS USS uSS USE

HEADQUARTERS


Chapter

30 Space and Equipment Services120 903 131 853 137 363 31 Rental and maintenance of premises 16 964 14 353 15 2634 887 5 306 5 049 32 Rental and maintenance of equipment 633 539 560

40 Other Services62 665 63 998 64 755 41 Communications 19 485 17 819 17 84510 000 10 000 10 000 42 Hospitality55 965 52 132 54 282 43 Other contractual services 9 350 9 150 9 49022 300 20 450 20 400 44 Freight and other transportation costs 3 500 2 770 2 850

50 Supplies and Materials1 000 900 900 51 Printing

42 530 42 690 39 080 53 Supplies 3 230 3 000 3 200

60 Fixed Charges and Claims

7 500 6 000 6 000 61 Reimbursement of income tax1 150 650 900 62 Insurance

80 Acquisition of Capital Assets9 490 22 480 10 500 82 Equipment

338 390 356 459 349 229 T o t a 1 53 162 47 631 49 208

ALLOCATIONS

132 175 150 675 146 467 Central Technical Services91 873 91 860 92 895 Advisory Services 16 273 12 427 13 419114 342 113 924 109 867 Administrative Services 36 889 35 204 35 789

338 390 356 459 349 229 T o t a 1,

EPIDEMIOLOGICAL INTELLIGENCE STATION, SINGAPORE

53.162 47 631 49 208

1 500 1 500 1 500 30 Space and Equipment Services2 350 2 350 2 350 40 Other Services1 400 1 400 1 400 50 Supplies and Materials

20 20 20 60 Fixed Charges and Claims980 980 980 80 Acquisition of Capital Assets

6 250 6 250 6 250 Total

TUBERCULOSIS RESEARCH OFFICE, COPENHAGEN


786 1 050 900 60 Fixed Charges and Claims7 020 3 500 2 500 80 Acquisition of Capital Assets

48 000 36 173 28 459 T o t a l

LIAISON OFFICE WITH THE UNITED NATIONS


200 200 200 80 Acquisition of Capital Assets

14 800 13 950 13 750 T o t a l

Annex 2

REGIONAL SCHEDULES

THE REGIONS: SUMMARY


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS USS USS USa USa USS USS

REGIONAL OFFICES

21 27 28 169 790 225 970 223 893 Africa 3 3 3 22 550 20 181 22 68642 41 41 339 910 349 617 361 732 The Americas 12 12 11 69 540 68 153 69 605 145 139.139 1 165 173 1 140 280 1 208 18637 36 36 159 670 165 255 168 866 South -East Asia 26 26 26 45 694 48 230 49 42922 23 33 138 620 171 433 210 072 Europe 6 6 6 20 920 21 268 21 163

34 34 34 198 520 204 115 207 849 Eastern Mediterranean 16 16 16 50 030 53 327 53 63429 29 29 210 000 224 276 231 458 Western Pacific 11 11 11 49 860 53 418 58 397

1 216 510 1 340 666 1 403 870 Total 258 594 264 577 274 914 1 165 173 1 140 280 1 208 186

13 916 14 308 Add: Staff turnover 1 568 1 568

17 180 20 107 Less: Lapses in effecting replacementsand delays in filling new posts

1 656 1 656

185 190 201 1 216 510 1 337 402 1 398 071 - - NET TOTAL - REGIONAL OFFICES 74 74 73 258 594 264 489 274 826 145 139 139 1 165 173 1 140 280 1 208 186

FIELD PROJECTS

Malaria and Insect Control

2 2 1 500 49 084 35.776 Africa 10 9 9 77 370 84 100 82 424 247 000 882 900The Americas 22 22 18 172 360 197 241 175 661 9 7 5 411 680 123 482 373 201

6 6 6 12 150 24 528 32 217 South -East Asia 10 9 8 98 650 89 784 62 859 231 000 79 000 219 0006 200 Europe

1 1 13 068 12 987 Eastern Mediterranean 9 10 11 83 015 102 429 97 110 2 1 50 000 884 340 665 5751 1 1 22 092 18 801 19 916 Western Pacific 9 9 8 95 690 89 252 100 694 8 000 5 0001 1 1 9 400 9 587 27 005 Region undesignated

8 11 11 45 142 121 268 127 901 Total - Malaria and Insect Control 60 59 54 527 085 562 806 518 748 9 9 6 947 680 1 974 722 1 257 776

Tuberculosis

2 3 3 200 28 081 38 173 Africa 10 10 78 306 82 830 3 45 000

3 1 1 51 029 23 736 16 256 The Americas 4 56 800 3 3 107 500 51 985 10 00010 6 2 73 356 31 205 23 875 South -East Asia 16 36 39 189 100 285 888 299 607 17 15 4 305 060 214 197 151 995

3 760 7 650 Europe 1 3 4 47 090 56 002 67 006 1 29 000 5 0007 5 3 77 330 54 191 34 740 Eastern Mediterranean 22 18 12 211 190 164 970 93 674 32 19 10 265 195 215 888 203 0201 3 2 27 392 52 704 51 091 Western Pacific 1 3 500 14 000 12 340 6 6 97 250 60 128 15 000

21 17 11 236 067 197 567 164 135 Total - Tuberculosis 43 67 66 507 680 599 166 555 457 59 46 14 804 005 592 198 380 015

Venereal Diseases and Treponematoses

1 1 2 11 800 27 317 31 408 Africa 6 10 10 40 890 82 788 90 422 134 000 147 5001 2 3 9 970 27 420 35 596 The Americas 4 2 2 36 460 30 083 25 222 3 3 2 69 850 285 390 28 7102 1 1 13 956 22 736 14 150 South -East Asia 7 4 2 56 700 37 875 24 057 320 000 370 000 288 000

15 850 1 500 Europe 1 1 8 010 17 774 6 450 71 500 95 400 50 0004 2 1 35 160 13 953 15 908 Eastern Mediterranean 11 8 5 132 000 96 803 58 952 20 000 10 0007 7 4 71 092 68 852 68 703 Western Pacific 1 1 2 23 730 19 048 20 310 107 800 77 200 83 000

15 13 11 157 828 161 778 165 765 Total - Venereal Diseases and Treponematoses 30 26 21 297 790 284 371 225 413 3 3 2 703 150 995 490 459 710

THE REGIONS: SUMMARY (continued)


Numberof poste.




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 ' 1956

_US$ USS USS USS USS USS USE USS USS

- Endemo- epidemic Diseases

20 600 29 900 10 200 Africa 2 000 81 000 180 2001 2 2 19 759 52 774 47 034 The Americas 6 2 1 56 890 34 019 16 706 5 6 5 182 224 364 960 236 4912 4 4 24 300 51 801 43 025 South -East Asia 4 4 40 574 42 893 75 000 105 000

42 670 7 750 15 525 Europe 4 3 50 600 64 543 57 310 4 241 000 179 100 150 0008 6 2 - 65 500 76 736 42 634 Eastern Mediterranean 3 7 11 102 943 107 759 120 550 8 500 17 500 35 000

1 8 500 14 000 11 058 Western Pacific 3 3 3 49 030 29 736 59 458 - 50.000 71 0008 016 Region Undesignated

11 12 9 181 329 240 977 169 476 Total - Endemo- epidemic Diseases 12 20 22 259 460 276 631 298 917 9 6 5 562 724 887 760 526 491

Public- Health Administration

9 8 8 94 494 ' 86 051 86 503 Africa 4 600 2 200 14 80015 20 24 158 101 238 144 277 496 The Americas 22 41 45 262 860 469 951 512 124 88 89 86 739 366 1 212 170 1 198 010

33 32 31 200 762 223 095 221 423 South -East Asia - 19 20 19 134 600 176 315 192 998 5 000 223 000 259 000

10 10 10 141 310 77 414 86 360 Europe 1 31 550 11 400 7 05020 23 21 169 583 251 367 216 001 Eastern Mediterranean 11 22 33 161 560 256 450 379 08412 14 14 72 464 128 004 148 965 Western Pacific 1 1 2 90 530 27 460 32 459 36 000 27 000

5 7 7 109 600 94 535 91 344 Region Undesignated 1 11 150

104 114 115 946 314 1 098 610 1 128 092 Total - Public -Health Administration 55 84 99 692 250 946 176 1 125915 88 89 86 780 366 1 476 970 1 457 010

Nursing

3 860 2 500 Africa

3 6 7 34 669 101 066 132 356 The Americas 5 5 4 52 960 44 094 39 446 4 4 4 49 270 56 070 57 38019 19 19 126 232 145 464 157 383 South -East Asia 8 28 27 54 000 198 725 215 661 7 000 15 0001 1 1 15 602 27 639 30 819 Europe 2 2 2 65 350 23 646 9 725

5 3 3 34 910 54 958 51 481 Eastern Mediterranean 11 22 21 91 800 172 826 165 077 2 240 32005 7 7 45 402 82 306 88 831 Western Pacific 17 16 10 110 060 142 183 93 437 2 13 760

33 36 37 260 675 413 933 460 870 Total - Nursing 43 73 64 374 170 581 474 523 346 6 4 4 65 270 66 270 72 380

Social and Occupational Health

2 400 AfricaSouth -East Asia 3 710

1 1 1 43 442 45 839 17 419 Europe 24 770 6 650 7 200 1 000 4 000

Eastern Mediterranean 3 3 25 519 26 875

1 1 1 43 442 48 239 17 419 Total - Social and Occupational Health 3 3 24 770 32 169 37 785 1 000 4 000

18



Numberof posts



estimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

gist US$ US$ US$ US$ US$ US$ US$ US$

Health Education of the Public

1 5 700 25 200 Africa 3 0004 3 1 39 429 32 474 16 256 The Americas 30 0002 3 3 6 000 27 901 32 620 South -East Asia 1 3 3 10 500 27 262 27 228

11 810 1 000 1 550 Europe 1 6 7302 1 18 395 14 650 7 500 Eastern Mediterranean 2 2 2 18 110 19 214 18 4931 1 1 28 892 39 801 19 916 Western Pacific

Region Undesignated 1 1 1 15 338 10 468 7 698

9 8 6 104 526 121 526 103 042 Total - Health Education of the Public 5 6 6 53 678 56 944 53 419 30 000

Maternal and Child Health

10 520 1 600 1 200 Africa 65 000 295 5005 2 1 40 039 37 336 24 256 The Americas 3 34 650 5 600 70 000 247 000 50 0006 18 19 42 812 140 716 188 228 South -East Asia 20 8 6 125 200 70 683 66 559 32 29 33 1 021 000 1 658 623 1 101 3411 1 1 50 312 36 389 42 869 Europe 3 3 6 21 950 38 209 67 074 618 500 352 000 200 0006 13 13 47 460 106 289 102 361 Eastern Mediterranean 21 10 8 123 900 74 674 39 621 7 9 9 133 800 274 442 458 9971 1 1 28 972 18 801 24 916 Western Pacific 8 8 5 70 000 65 350 78 756 1 2 2 163 020 199 314 30 606

19 35 35 220 115 341 131 383 830 Total - Maternal and Child Health 55 29 25 375 700 254 516 252 010 40 40 44 2 071 320 3 026 879 1 840 944

Mental Health

4 800 1 200 Africa2 010 11 700 The Americas

3 3 3 7 000 47 574 47 528 South -East Asia1 1 1 91 562 51 589 39 719 Europe 2 8501 1 1 19 800 7 791 9 358 Eastern Mediterranean

25 100 10 350 6 000 Western Pacific1 1 11 820 14 478 Region Undesignated

5 6 6 145 472 145 624 118 283 Total - Mental Health 2 850

Nutrition

2 4 4 4 920 49 187 41 987 Africa 1 1 1 3 250 9 553 13 755 220 0006 840 The Americas 24 22 21 123 809 97 100 93 800

2 2 2 10 050 17 657 20 746 South -East Asia 2 1 1 18 600 5 390 12 358480 Europe

1 10 700 10 595 Eastern Mediterranean- 3 3 34 106 34 937

2 820 Western Pacific 5 0001 1 11 820 14 178 Region Undesignated

4 7 8 35 810 78 664 87 506 Total - Nutrition 3 5 5 21 850 49 049 66 050 24 22 21 343 809 97 100 93 800



Numberof posts

- Estimated expenditure Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss uss uss uss uss uss uss

Environmental Sanitation

5 5 5 66 206 72 768 78 123 Africa2 1 1 139 789 113 576 117 196 The Americas 1 24 840 8 500 1 12 060 21 0003 4 4 25 506 54 700 61 640 South -East Asia 1 7 7 3 000 60 262 68 512 16 000 62 500 62 5001 1 1 49 362 36 139 47 719 Europe 5 550

3 2 4 26 750 37 535 73 301 Eastern Mediterranean 4 5 2 53 300 47 727 19 9771 4 4 21 492 65 969 47 530 Western Pacific 2 4 4 25 290 61 077 40 684 7 000

15 17 19 329 105 380 687 425 509 Total - Environmental Sanitation 7 17 13 87 140 193 906 137 673 1 28 060 90 500 62 500

Regional Advisers in Education and Training

3 3 3 40 225 46 905 48 769 The Americas

1 11 056 South -East Asia

1 1 13 068 12 987 Eastern Mediterranean

1 1 1 16 892 18 801 19 916 Western Pacific

Total - Regional Advisers in

5 5 5 68 173 78 774 81 672 Education and Training

Other Education and Training Projects

42 860 2 400 2 400 Africa 10 000 10 000 20 0002 2 1 48 000 110 854 84 268 The Americas 44 45 45 308 818 340 854 417 5198 10 5 100 350 115 378 65 502 South -East Asia 8 8 8 46 240 94 771 94 465

43 020 196 950 166 350 Europe 49 600 51 500 19 500

5 11 10 96 890 131 173 113 953 Eastern Mediterranean 2 3 20 946 32 085 2 35 000 30 000 74 967

2 2 37 280 41 361 50 470 Western Pacific 5 4 3 95 080 103 236 110 612 3 5 5 15 817 28 250 31 900

Total - Other Education and

15 25 18 368 400 598 116 482 943 Training Projects 13 14 14 190 920 280 453 266 662 47 50 52 379 635 399 104 524 386

265 307 292 3 142 398 4 026 894 3 916 443 T o t a 1 326 403 392 3 412 493 4 117 661 4 061 395

30 000 Add: (a) Project service allowance

11 760 12 936 (b) Staff turnover

27 554 18 416 Less: (a) Lapses in effecting replacementsand delays in filling new posts

" 151 915 22 253 (b) Delays in implementation of newprojects

176 488 73 591

265 307 292 3 142 398 3 889 185 3 888 710 - NET TOTAL - FIELD ACTIVITIES 326 403 392 3 412 493 3 941 173 3 987 804 286 269 234 6 689 869 9 610 993 6 705 012

450 497 493 4 358 908 5 226 587 5 286 781 NET TOTAL - THE REGIONS 400 477 465 3 671 087 4 205 662 4.262 630 431 408 373 7 855 042 10 751 273 7 913 198......... ......... .........

AFRICA 67

AFRICA

REGIONAL OFFICE(See page 76)

With the expansion of the Region's activities some adjustments and increases in the Regional Office staff have been madeto meet the changing circumstances. In view also of the proposed move to the Cité du Djoué, which is expected to takeplace in April 1955, additional general services and custodial staff have become necessary. The additional posts provided forin 1955, and which it is proposed to maintain in 1956, include one maintenance supervisor, to be responsible for the generalmaintenance of grounds, office buildings, houses, roads, drainage ditches, street lighting, etc., and one telephone operator andreceptionist. The custodial staff will consist of one head gardener and some assistant gardeners, five cleaners, five messengers,eight chauffeurs, one canteen helper and one night watchman.

Duty TravelThe provision for travel, which has been made on the basis of a detailed costing of proposed journeys, is to enable

the Regional Director and his senior staff to visit field projects and to maintain essential contacts within the Region andoutside as necessary.

Common ServicesThe revised estimates for 1955 are based on the assumption that the Regional Office will move to the Cité du Djoué

in April 1955. The Cité du Djoué, recently the accommodation and offices of a public works enterprise, is situated some15 kilometres from Brazzaville. On the understanding that the Government will be responsible for certain services (electricityand water supply to offices and houses, installation of meters, drainage, anti -insect spraying, garbage collection, adequate dayand night police, and all capital costs in handing over to WHO the office buildings and staff houses in good repair, all roadsmetalled and asphalted, street lighting installed and working, internal and external telephone installations, houses fully furnishedwith refrigerators and fans), the estimates provide for the assumption by WHO of responsibility for the maintenance and repairof all houses and buildings, the maintenance of, and cost of electricity for, street and other lighting, the upkeep and repair ofroads and ditches, the cost of water, the provision of office furniture and equipment, and the entire upkeep of the groundsand gardens and open spaces of the Cité.

The estimates relating to space and equipment and other services represent the estimated net costs to WHO after allowingfor rent payable by the staff as well as costs expected to be recovered from staff members in respect of transportation services.

Whilst the common services costs have been estimated on the basis of the best information available at the time of preparationof the programme and budget estimates for 1956, it is possible that the estimates may require revision in the light of actualexperience following the removal to the Cité du Djoué.

REGIONAL ADVISERS(See page 78)

With the expansion of field and technical activities it has become necessary to build up gradually the staff of advisers atthe Regional Headquarters. It is accordingly proposed that a new post of adviser in health education of the public be establishedin 1956, in addition to the new posts of adviset in malaria and insect control and in venereal diseases and treponematosesprovided for in 1955.

Duty TravelProvision has been made on the basis of detailed costing of journeys proposed for the purpose of advising and assisting

the local authorities in the development of health programmes in the individual countries.

Common ServicesThe provisions for common services take account of the expected move to the Cité du Djoué in April 1955 and may,

as in the case of the corresponding estimates for the Regional Office, require revision in the light of experience following thetransfer.

AREA PUBLIC -HEALTH OFFICERS(See page 79)

The Region is divided into four areas : eastern, western, southern and central. The first three will be serviced by residentarea public -health officers. The central area will be covered from the Regional Office, and it is for the time being proposed notto establish an extra post of resident publichealth officer in this area.

Duty TravelProvision has been made on the basis of detailed costing of the journeys proposed to enable the area public -health officers

to confer with the health authorities of individual countries on the promotion and co- ordination of health activities.

68 AFRICA

Common Services

Provision has been made for office accommodation, postal and other communication services, the running and servicingof a multi -purpose vehicle for each of the area health officers, and sundry other expenses.

J1. Tuberculosis

BASUTOLAND(See page 80)

Tuberculosis Control (TA -I) Basutoland 2A team consisting of a medical officer and a public -health nurse is provided for from early in 1955 and throughout 1956 to

conduct a survey and form the nucleus of a tuberculosis control unit.

2. Nutrition

Nutrition Survey and Control Scheme Basutoland 1A nutritionist and a public -health nurse are provided for in 1955 and 1956 to conduct a survey of the incidence of

nutritional disorders in Basutoland.

BECHUANALAND

1. Malaria and Insect Control(See page 80)

Tsetse -Fly Control (TA -I) Bechuanaland 2The sum of $3000 is provided for a consultant to advise the Government on the methods of tsetse -fly control being employed.

A fellowship for overseas training in the subject is to be awarded in 1955.

2. Tuberculosis

Tuberculosis Control (TA -II) Bechuanaland 3Provision is made from the beginning of 1955 and throughout 1956 for a medical officer and two public -health nurses to

form the nucleus of a tuberculosis survey unit and institute a BCG campaign.

3. Venereal Diseases and Treponematoses

Non -venereal Treponematoses (TA -I) Bechuanaland 1

Provision is made for an expert to continue the present mass treatment campaign against " dichuchwa ", a non -venerealtreponematosis, and for a visit by a short -term consultant to advise and assist in the assessment of the campaign. UNICEFhas already given assistance in the form of supplies and equipment.

FEDERATION OF RHODESIA AND NYASALAND(See page 83)

1. Tuberculosis

Tuberculosis Control (TA -II) NYA 2Provision is made for a medical officer and a public -health nurse to assist in carrying out a tuberculosis survey in

1955 and throughout 1956.

2. Endemo- epidemic Diseases

(a) Fellowships FRN FlTwo fellowships of one year each, for overseas training in poliomyelitis control and in ophthalmology, are to be awarded in

1955.

(b) Bilharziasis Control (TA -II) NOR 1The visit of a short -term consultant to advise on control methods, originally planned for 1954, has been postponed till 1956

at the request of the Government.

3. Nutrition

.Nutrition Survey (TA -II) NOR 3At the request of the Government, a visit by a short -term consultant in nutrition, approved for 1954, has been postponed

until 1956.

AFRICA 69

FRENCH AFRICA


Pilot Project, French Cameroons (TA -I) French Africa 1

Provision is made for a malariologist and a sanitarian to continue the pilot project in the French Cameroons that beganin 1953. Supplies and equipment are being provided by UNICEF in 1955 as shown under Other Extra -budgetary Funds.

2. Nutrition

Fellowships French Equatorial Africa F2A fellowship is to be awarded in 1955 for overseas training in nutrition programmes.

GAMBIA(See page 85)

Endemo -epidemic Diseases

Leprosy ControlProvision is made for 1955 for a consultant to advise the Government on measures relating to the control of leprosy.

GOLD COAST


Malaria Control (TA -II) Gold Coast 1

In 1955 it is proposed to award a fellowship to enable the Government's malaria specialist to study control methods inother countries. Provision is made in 1956 for a visit by a short -term consultant to advise on control programmes initiatedby the Government.

2. Tuberculosis

Tuberculosis Control (TA -I) Gold Coast 2Provision is made for a visit by a short -term consultant to advise on tuberculosis control.

KENYA

Tuberculosis(See page 85)

Tuberculosis Control (Regular and TA -1) Kenya 4Beginning in 1955, a team consisting of a bacteriologist and a laboratory technician is to assist in a tuberculosis survey

and in starting control measures. A fellowship is also to be awarded in 1955 from Technical Assistance funds.

LLIBERIA

1. Malaria and Insect Control

Malaria Control (TA -I)

(See page 86)

Liberia 5This project has been in operation since 1953. Provision is made to continue it with the same team of a malariologist,

an entomologist and a sanitarian (estimated cost, $22 967), and with the part -time services of an administrative officer providedfor under the yaws control project (see section 3 below). Supplies and equipment at an estimated cost of $3000 are providedfor under Technical Assistance, and further supplies are expected to be provided from Other Extra -budgetary Funds in 1955.

1 The title " French Africa " covers French territories and trusteeship territories under French administration in the AfricanRegion.

70 AFRICA

2. Tuberculosis

Tuberculosis Control (TA -II) Liberia 8The services of a public -health nurse are provided for from the beginning of 1955 to assist in the public -health aspects of

tuberculosis control.


Yaws Control (TA -I) Liberia 3This project has been in operation since 1953 ; provision is made for its continuance under Technical Assistance with the

same international team of a venereologist, a serologist and a public -health nurse, at an estimated cost of $36 518 including anadministrative officer whose responsibilities will be divided between this project and the malaria project (see section 1 above).Supplies and equipment at an estimated cost of $3000 are provided for.

4. Other Education and Training Projects

Fellowships (TA -I) Liberia FIFour fellowships are proposed in 1955 and four in 1956 for undergraduate studies in preparation for professional training

in various medical fields.

V MAURITIUS

1. Tuberculosis(See page 87)

Fellowships Mauritius FIOne six -month fellowship for overseas training is proposed for 1955.

Tuberculosis Control (TA -I) Mauritius 2From the beginning of 1955, a team consisting of a medical officer and a public -health nurse will assist in conducting a

tuberculosis survey and in starting control measures. It is proposed to continue this assistance through 1956 (estimated cost,$15 401). In that year provision is included for further supplies and equipment at an estimated cost of $2000.

2. Endemo -Epidemic Diseases

Whooping -cough Control Mauritius 1A short -term consultant will visit Mauritius in 1955 to assist in the assessment of the vaccination campaign that began in

1954 with supplies from UNICEF.

NIGERIA


Malaria Control Nigeria 2An entomologist, expected to take up his post late in 1954, is to assist in a malaria -control campaign in Northern Nigeria.

Supplies are expected to be provided by UNICEF in 1955 as in 1954.

2. Tuberculosis

Tuberculosis Control (TA -I) Nigeria 7A visit by a short -term consultant is planned for 1955 to advise on plans for a pilot tuberculosis -control project. One six -

month fellowship is also to be awarded for overseas training.


Yaws Control (TA -I) Nigeria 1This project, which began in 1954, provides for the services of a medical officer and an assistant medical officer to assist in

a country -wide yaws campaign. Supplies and equipment are expected to be provided by UNICEF in 1955.

AFRICA 71

PORTUGUESE TERRITORIES


Fellowships Por. Ter, F1One three -month fellowship to study malaria control is proposed for 1955.

2. Tuberculosis

Fellowships Por. Ter. F2 and 10Provision is made for one four -month fellowship in 1955 and two six -month fellowships in 1956.


Fellowships

One six -month fellowship to study venereal diseases.Por. Ter. F3


Fellowships Por. Ter. F4 and 11In 1955, one three -month fellowship in poliomyelitis, in 1956, one four -month fellowship in leprosy and one three -month

fellowship in bilharziasis.

5. Nursing

FellowshipsOne twelve -month fellowship to study nursing techniques is proposed for 1955.

6. Maternal and Child Health

Fellowships

One four -month fellowship is proposed for 1955 and one three -month fellowship for 1956.

7. Mental Health

Fellowships

Provision is made for a three -month fellowship.

8. Nutrition

Fellowships

One five -month fellowship in 1955 and one six -month in 1956.

9. Environmental Sanitation

Fellowships

One fellowship for a year's training in sanitary engineering is proposed for 1956.

Y`SEYCHELLES


Por. Ter. 5

Per. Ter. 6 and 12

Por. Ter. F7

Por. Ter. F8 and 13

Por. Ter. F9

(See page 90)

Sanitation Programme Seychelles 1

Provision is made to continue the project that started in 1954. A public -health officer, a sanitarian and a public -healthnurse, at an estimated cost of $30 623, will conduct training courses and assist in various schemes for improving environmentalsanitation in the islands. Fellowships to the value of $2500 and supplies to the value of $2000 are also provided for.

SIERRA LEONE(See page 90)


Yaws Control Sierra Leone 1After a visit by a short -term consultant in 1955 to assist in planning and extending the Government's anti -yaws campaign,

the services of a medical officer will be provided in 1956. Supplies are expected to be provided by UNICEF in 1955.

72 AFRICA

SOMALILAND PROTECTORATE

Tuberculosis(See page 91)

Tuberculosis Control Somaliland Protectorate 2A short -term consultant is to visit the country in 1955 to help plan a tuberculosis project for which the services of a

medical officer will be provided in 1956.

TANGANYIKA

Nutrition(See page 91)

Nutrition Survey and Control, Buha (TA -I) Tanganyika 2Provision is made for retaining the services of a nutritionist, at an estimated cost of $7755 (with supplies and equipment

to the value of $2000), to assist in conducting a nutrition survey in the Buha area and in initiating measures for dietaryimprovement.

UGANDA `/(See page 92)


Venereal- Disease Survey and Control (TA -II) Uganda 5From 1955 onwards a team consisting of a medical officer, a cultural anthropologist and a laboratory technician will assist

in making a survey of venereal diseases and in expanding a control programme.

2. Nutrition

Nutrition Survey Uganda 4This project, expected to start late in 1954, will be continued in 1955 and 1956 with a field team of a medical officer

and a nutritionist. Personnel costs for 1956 are estimated at $18 836, and the sum of $1000 is provided for supplies andequipment.

UNION OF SOUTH AFRICA


Fellowships South Africa FIOne six -month fellowship in tuberculosis control is proposed for 1955.


Fellowships South Africa F2One six -month fellowship in poliomyelitis is proposed for 1956.

3. Public -Health Administration

Fellowships South Africa F3 and 10In 1955 it is proposed to award one six -month fellowship in public -health administration ; in 1956, one six -month fellowship

in epidemiology and statistics.

4. Social and Occupational Health

Fellowships

One six -month fellowship to study pneumoconioses is to be awarded in 1955.

5. Health Education of the Public

South Africa F4

Fellowships South Africa F5One six -month fellowship is proposed.

AFRICA 73

6. Mental Health

Fellowships

One six -month fellowship is to be awarded in 1955.

7. Nutrition

Fellowships

One six -month fellowship to study food hygiene is proposed.

S. Environmental Sanitation

Fellowships

South Africa F6

South Africa F7

South Africa F8Provision is made for one twelve -month fellowship in environmental sanitation and one six -month fellowship in rural

hygiene.


Fellowships

One six -month fellowship in medical training is proposed for 1956.

ZANZIBAR t

Public -Health Administration

South Africa F 1 1

(See page 94)

Fellowships Zanzibar FIIt is proposed in 1955 to award a fellowship for one year.

INTER -COUNTRY PROGRAMMES


(a) Malaria- Control Project, Amani (TA -I) East Africa 1

The services of an entomologist, a chemist and two field assistants are provided for to enlarge the staff at the MalariaInstitute and thus make it possible to carry out a residual spraying campaign in Northern Tanganyika and Southern Kenya.

(b) Malaria Training Course, Yaoundé (TA -I) AFRO 6Provision is made for 1955 for consultants' fees and travel for a course in malaria control for French -speaking candidates.

The course will be held at Yaoundé in the French Cameroons in connexion with the pilot projects that began in 1953.

(c) Malaria Conference AFRO 10The object of this 1955 conference is to assess progress in the light of knowledge and experience gained in practical malaria -

control projects since the Kampala Conference of 1951. Provision is made for supplies and equipment and for participants.

(d) Insect - Control Course, Rome AFRO 19It is proposed to send participants from the African Region to attend the course on insect control in Rome in May 1955.

(e) Malaria Control: Consultants' Tour AFRO S12Provision is made for one or more consultants to visit in 1955 and 1956 several countries that have requested assistance

in their plans to initiate malaria -control programmes.

2. Tuberculosis

Seminar AFRO 17Following the report of the visits of tuberculosis consultants from Headquarters in 1954, and the requests of various

governments for assistance in tuberculosis control programmes, it is planned to hold a seminar, at an estimated cost of $5000for participation and $500 for supplies and equipment, to discuss the problems and to co- ordinate plans for control campaigns.

74 AFRICA


Yaws Conference AFRO 9For an inter -regional conference on yaws control, to be held in Nigeria in 1955, provision is made for participants and supplies.


(a) Rabies Course and Seminar (WHO /CCTA) AFRO 5Provision is made for WHO participation (consultants) in a rabies -control seminar to be held in 1955 in co- operation with

and at the request of the African Bureau for Epizootic Diseases, a branch of CCTA.

(b) Bilharziasis Conference AFRO 11Provision is made for participants in a regional conference on bilharziasis, expected to take place in 1956. Towards assisting

the conference in the discussion of any problems peculiar to the African Region, it is proposed that a consultant should visitseveral countries to collect the necessary data in 1955.


Seminar AFRO 16Provision is made for participation in a seminar which it is proposed to hold early in 1956 to discuss the general problems

of health education and their particular application to the conditions in Africa. It is proposed in 1955 to engage a consultant,who will assist the Regional Office in the preparations for the seminar.

6. Nutrition

FAO /WHO Nutrition Course (French language) AFRO 15It is proposed to send participants from the African Region to this course, to be held in Marseilles during November 1955.


Seminar AFRO 14It is planned to hold a seminar in 1955 to discuss ways and means of stimulating the implementation of projects for improving

environmental sanitation in both the urban and the rural areas of Africa, as recommended by the Seventh World Health Assembly.Accordingly, provision has been made for four consultant months, for some supplies, and for travel of participants attendingthe seminar.

AFRICA : SUMMARY


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1954 1954 1955 1956

uss uss uss US$ uss uss uss US$ uss

21 27 28 169 790 225 970 223 893 REGIONAL OFFICE 3 3 3 22 550 20 181 22 686

FIELD ACTIVITIES

2 2 1 500 49 084 35 776 Malaria and Insect Control 10 9 9 77 370 84 100 82 424 247 000 882 9002 3 3 200 28 081 38 173 Tuberculosis 10 10 78 306 82 830 3 45 000

1 1 2 11 800 27 317 31 408 Venereal Diseases and Treponematoses 6 10 10 40 890 82 788 90 422 134 000 147 50020 600 29 900 10 200 Endemo-epidemic Diseases 2 000 81 000 180 200

9 8 8 94 494 86 051 86 503 Public-Health Administration 4 600 2 200 14 8003 860 2 500 Nursing

2 400 Social and Occupational Health1 5 700 25 200 Health Education of the Public 3 000

10 520 1 600 1 200 Maternal and Child Health 65 000 295 5004 800 1 200 Mental Health

2 4 4 4 920 49 187 41 987 Nutrition 1 1 1 3 250 9 553 13 755 220 0005 5 5 66 206 72 768 78 123 Environmental Sanitation

42 860 2 400 2 400 Other Education and Training Projects 10 000 10 000 20 000

17 22 25 259 960 361 788 352 170 Total - FIELD ACTIVITIES 17 30 30 124 510 269 347 283 631 3 767 000 1 565 900

38 49 53 429 750 587 758 576 063 Total - AFRICA 20 33 33 147 060 289 528 306 317 3 767 000 1 565 900

AFRICA : REGIONAL OFFICE (For text, see page 67)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss uss uss Liss uss Liss Liss

OFFICE OF THE REGIONAL DIRECTOR

1 1 1 15 000 15 000 Regional Director MI1 1 1 4 134 4 249 Secretary BZ6

1 3 286 Clerk stenographer BZ3

PUBLIC INFORMATION

1 1 1 6 283 6 494 Information officer P31 1 1 2 400 2 486 Secretary BZ4

HEALTH SERVICES

1 1 1 11 000 11 034 Deputy Regional Director (and Chief,Health Services)

Technical assistant (Fellowships) BZ6 1 1 1 4 115 4 2301 1 1 3 808 3 894 Secretary BZ51 1 1 '3 543 3 629 Secretary BZ4

ADMINISTRATION AND FINANCE

1 1 1 8 188 8 438 Administration and finance officer P4Administrative assistant BZ6 1 1 1 4 134 4 249

1 1 1 3 800 3 886 Secretary BZ5

Budget and Finance

1 1 1 6 000 6 200 Budget and finance officer P3

Accountant P1 1 1 1 3 600 3 8001 1 1 2 943 3 058 Accounts and budget assistant BZ61 1 1 3 543 3 629 Secretary BZ41 1 1 2 207 2 293 Accounts clerk BZ3

Personnel

1 1 1 4 834 5 034 Personnel officer P2

1 1 2 143 2 229 Clerk stenographer BZ3

AFRICA: REGIONAL OFFICE (continued)

Regular Budget. Technical Assistance Other Extra- Budgetary Funds

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956


General Services

1 1 1 5 134 5 334 General services officer P2 4

1 1 3 600 3 800 Translator P11 1 1 2 701 2 787 Registry assistant BZ5

1 1 2 657 2 743 Maintenance supervisor BZ51 1 1 2 400 2 486 General services assistant BZ41 1 1 2 400 2 486 Library clerk BZ4

1 1 2 143 2 229 Clerk stenographer BZ3 .

1 1 1 1 886 1 943 Clerk typist BZ21 1 1 1 886 1 943 Registry clerk BZ21 1 1 1 714 1 771 Clerk typist BZ1

1 1 1 685 1 742 Clerk BZl1 1 1 685 1 742 Telephone operator and receptionist BZi



14 320 18 016 18 399 Cost -of- living adjustment 1 440 1 080 1 140

89 580 141 310 147 821 10 900 12 929 13 419

Travel

6 300 10 920 10 520 Duty 4 460

Statutory Staff Costs

13 440 19 860 22 472 Allowances 1 520 2 612 2 67712 550 2 230 270 Recruitment and repatriation 2 680 600

800 2 170 7 470 Rome leave 3 3303 450 600 40 Transportation of personal effects 40 110

Other Costs

1 100 1 500 1 500 Public information (supplies and materials)

Coon Services

9 440 17 830 12 200 Space and equipment services 1 350 1 980 1 3107 880 12 940 13 660 Other services 1 120 1 440 1 4602 630 3 120 3 140 Supplies and materials 370 350 340

790 1 410 1 400 Fixed charges and claims 110 160 15021 830 12 080 3 400 Acquisition of capital assets

21 27 28 169 790 225 970 223 893 Total - REGIONAL OFFICE 3 3 3 22 550 20 181 22 686

AFRICA : REGIONAL ADVISERS (For text, see page 67)


Numberof posts

Estimated expenditureNumberof poste



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ uss uss USS uss uss uss uss uss

1 1 7 300 7 525 Malaria and insect control P4

1 1 7 300 7 525 Venereal diseases and treponematoses P4

1 1 1 8 896 9 146 Public -health administration P5

1 1 1 7 750 8 000 Public -health administration (sociology) P4

1 7 300 Health education of the publie P4

2 2 2 15 800 16 275 Environmental sanitation P4

Stenographic Pool

1 1 1 2 400 2 486 Secretary BZ4

2 1 1 2 265 2 350 Clerk stenographer BZ3

1 1 1 1 919 1 976 Clerk (sociology) BZ2


7 400 14 114 16 758 Cost -of- living adjustment

40 600 67 744 79 341

3 500 3 500 3 500 Temporary staff

4 600 Consultantst fees

Travel

3 800 10 100 10 400 Duty 4 600 2 200

5 800 Consultants


7 960 13 010 15 383 Allowances

2 100 2 300 1 150 Recruitment and repatriation

3 250 2 130 10 260 some leave

2 450 900 450 Transportation of personal effects

Common Services

3 590 5 940 4 350 Space and equipment services

3 000 4 320 4 880 Other services

1 000 1 1)40 1 120 Supplies and materials

300 470 500 Fixed chargea and claims

7 270 3 620 1 100 Acquisition of capital assets

8 9 10 89 220 115 074 132 434 Total - REGIONAL ADVISERS 4 600 2 200

AFRICA: AREA PUBLIC- HEALTH OFFICERS (For text, see page 67)

Regular Budget Technical Assistance Other Extra -Budgetary FundsNumberof posts Estimated expenditure Number

of posts Estimated expenditure Numberof posts Estimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

us OS US OS US USS USS USS USS

3 3 3 16 200 22 430 23 130 Public- health administration P4

Travel

1 300 7 590 7 590 Duty


3 310 4 575 4 679 Allowances2 300 Recruitment and repatriation1 420 3 620 Home leave

900 Transportation of personal effects

Common Services

100 450 450 Space and equipment services120 300 300 Other services100 150 150 Supplies and materials

50 450 - 450 Fixed charges and claims8 500 1 800 300 Acquisition of capital assets

3 3 3 34 300 37 745 40 669 Total - AREA PUBLIC -HEALTH OFFICERS

o

AFRICA: COUNTRY SCHEDULES


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss US uss uns uss uss uss uss CS

BASUTOLAND


TUBERCULOSIS

Tuberculosis control (TA -I) Basutoland 2 2 2 16 159 17 189

EMEND -EPIDEMIC DISEASES

Immunisation campaign Basutoland 3 23 000*

(Diphtheria/pertussie)

NUTRITION

2 2 17 331 17 351 Nutrition survey and control Basutoland 1scheme

2 2 17 331 17 351 Total -BASUTOLAND 2 2 16 159 17 189 23 000

Total - Estimated Government Contribution (34 132)

BECHUANALAND



Testes -fly control (TA -I) Bechuanaland 2 4 600 3 000

TUBERCULOSIS

Tuberculosis control (TA -II) Bechuanaland 3 3 3 18 982 20 514

* Allocated by the UNICEF Executive Board

AFRICA: COUNTRY SCHEDIJLES

Regular Budget.

Technical Assistance Other Extra -Budgetary Funds

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss

BECHUANALAND (continued)

uss UST Uns uss VSS uss,


1 10 600 Non -venereal treponematoses Bechuanaland 1 1 1 10 638 10 866 30 000* 6 000*

(TA -I)

ENDEMO- EPIDEMIC DISEASES

Diphtheria /pertussis immunization 15 000


2 130 Fellowships Bechuanaland F1

1 12 730 Total - BECHUANALAND 4 4 - 34 220 34 380 30 000 21 000

Total - Estimated Government Contribution - (36 627) (36 574) (41 516)

BELGIAN CONGOAND RUANDA -URUNDI


4 400 Fellowships (Malaria and Bel. Ter. F1

trypanosomiasis)

TUBERCULOSIS

1 700 2 400 Fellowships (Thoracic Bel. Ter. F2surgery) and 3


1 200 Fellowships (Maritime Bel, Ter. F4venereal- disease control)

* Allocated by the Dt1ICEF Executive Board


Regular Budget - Technical Assistance Other Extra -Budgetary Funds

Numberof posts

Estimatéd expesditareNumberof posts

Estimated ezpendurema ítNumberof posts

stEstimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USO USO USO USO USO USO USO USO USO

BELGIAN CONGOAND RUANDA -URUNDI (continued)


2 200 Fellowships (Virology and yellow fever)

PUBLIC- HEALTH ADMINISTRATION

2 000 Fellowships (Hospital Bel. Ter. F5construction)


2 500 Fellowships (Prenatal care) Bel. Ter. F6

MENTAL HEALTH

2 400 Fellowships Bel. Ter. F7

NUTRITION

Feeding programme Bel. Ter, 1 117 000*

OTHER EDUCATION AND TRAINING PROJECTS

11 700 Fellowships (various) Bel. Ter. FS

21 300 9 200 Total - BELGIAN CONGO AND RUANDA- URUNDI 117 000




Numberof pests




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

Uss USS uss USS USS USS USS USS USS

FEDERATION OFRHODESIA AND NYASALAND

(For text, see page 68'

TUBERCULOSIS

Tuberculosis control (TA -II) NIA 2 2 2 14 371 15 401

ENDEM0- EPIDEMIC DISEASES

4 800 Fellowships (Poliomyelitis and FRN F1onchooerciasis)

Malaria and bilharzíasis control FRB 3 24 200*Bilhareiaeis oontrol (TA -II) NOR 1 2 000

4 800 2 000 24 200


4 550 Study of Federal Medical FRN F2Administration


Maternal and child health services, FRN 1 62 500*Nyasaland

Maternal and child health services, FRN 2 39 500*Northern Rhodesia

102 000

NUTRITION

Nutrition survey (TA -II) NOR 3 4 000

4 550 4 800 Total - FEDERATION OF RHODESIA AND NYASALAND 2 2 14 371 21 401 126 200..a e.... ......... ...... ... ......... ......... ......... .........

* Allocated by the UNICÉF Executive Board



Numberof posts

Estimated expeadltare Numberof posts

Estimated expenditure Numbefof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS

2 600

US$

FRENCH AFRICA'



Pilot project, French Africa 1 2

2

2

2

2

2

USS us

19 700 18 297

USS

14 762

USS USS

110 000* 815 000*

USS

French Cameroon (TA -I)

ENDEMO-EPIDEMIC DISEASES

Leprosy control French Equatorial

19 700 18 297 14 762

100 000

Africa 2

5 200

NUTRITION

Fellowships French Equatorial

103 000*Africa F2

Feeding programme French EquatorialAfrica 1

5 200


Fellowships (various) French Equatorial

103 000

4 400 2 400

213 000 915 000

(311 428) (311 428)

Africa Fl

Total - FRENCH AFRICA'

Total - Estimated Government Contribution

4 400 10 200

# The title "French Africa" covers French territories and trusteeship territories under French administration in the African Region.

Allocated by the UNICEF Executive Board



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USE USS

1 300

UST

GAMBIA



Leprosy control Gambia 4

USS USS

1 200

USS

6 000

-

USS USS

¡ 28 600*

f 30 000

USS

1 500

1 300 Total - GAMBIA

GOLD COAST


MALARIA INSECT CONTROL

Malaria control (TA -II) Gold Coast 1

1 500 -

TUBERCULOSIS

Tuberculosis control (TA -I) Gold Coast 2 6 000


Maternal and child health services

Total - GOLD COAST

KENYA



Malaria control Kenya 6

1 200 12 000 58 600

47 000* 26 400*

*Allocated by the UNICEF Executive Board


Regular Budget Technical Assistance Other Extra-Budgetary Funds

Numberof posts

Estimated expenditurexpenNnmberof posts Estimated expenditurep

Numberof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2 2

2 2

USS

1 500

USS

15 381

USS

17 351

KENYA (continued)

TUBERCULOSIS

Tuberculosis control (Regular and TA -I) Kenya 4

3

4

3

1

4

3

1

4

USS US$

1 200

US$

25 967

US$

*65 000

USS us

1 200


Fellowships (Plague)


Fellowships (Prenatal and postnatalcare)

Health centres Kenya 7

26 800

1 200

25 356

3 600

3 600

Total - KENYA-

LIBERIA



Malaria control (TA -I) Liberia 5

65 000

6 300 15 381 17 351 112 000

25 000*

26 400

16 500*

TUBERCULOSIS

Tuberculosis control (TA-II) Liberia 8 5 823 6 325

14 000* 16 500*


Yaws control (TA -I) Liberia 3 33 910 33 421 39 518



Regalar Budget Technical Assistance Other Extra -Budgetary Funds

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

Uss

20 000

vas vss

LIBERIA (continued)


Development of school health Liberia 6

7 8

2

2

2

8

2

2

2

Uss uss

3 000

US$ US$ uss

39 000 33 000

(87 000) (50 000)

-

6 000*

USS

'

services (TA -II)


Fellowships (various) (TA -I) Liberia F1 10 000 10 000

20 000

2 400

Total - LIBERIA


63 710 74 600

16 371

81 810

17 401

MAURITIUS


TUBERCULOSIS

Fellowships Mauritius F1

Tuberculosis control (TA -I) Mauritius 2

2 400

ENDEMO -EPIDEMIC DISEASES

Whooping -cough control Mauritius 1

16 371 17 401

3 900

16 371 17 401

1 300


Fellowships Mauritius 52

6 000

(500) (12 000) (54 000)

Total - MAURITIUS


1 300 6 300




Numberof posts




1954 1955 1956 - 1954 1955 1956 1954 1955 1956 1954 1955. 1956 1954 1955 1956 1954 1955 1956

1

1

1

1

Usa usa

8 867

uss

10 176

NIGERIA



Malaria control (TA -I) 'Nigeria 2 1

2

3

2

2

2

2

usa

3 060

USa usa usa

40

usa usa

000* 25 000*

2 400

TUBERCULOSIS

Tuberculosis control (TA -I) Nigeria 7 5 400

90 000* 75 000*


Yaws control (TA -I) Nigeria 1 6 980 17 022 16 773


Fellowships (Rabies) Ni ria F1

10 040 22 422 16 773

75 000# 18 000*Leprosy control Nigeria 3

2 400

NURSING

Lagos School Nigeria 6

75 000 18 000

1 300

6 600*

3 700 8 867 10 176


Maternal and child health Nigeria 8

services

Total - NIGERIA


205

(953

000 124 600

078)4 031 170)(1 080 100)




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS Us uss Os USS USS USS USS US$




1 200 Fellowships Por. Ter. Fl

TUBERCULOSIS,

1 600 4 800 Fellowships Por. Ter. F2and 10


2 400 Fellowships Por. Ter. F3


1 200 2 800 Fellowships (Bilharaiasie, Por. Ter. F4leprosy and poliomyelitis) and 11


2 100 Fellowships (Sanitation)

NURSING

2 500 Fellowships Por. Ter. 5


1 600 1 200 Fellowships Por. Ter. 6and 12

MENTAL HEALTH

1 200 Fellowships Por. Ter. F?



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uSS usa uss uss uss uss uss uss

PORTUGUESE TERRITORIES (continued)

NUTRITION

2 000 2 400 Fellowships Por. Ter. FSand 13

ENVIRONMENTAL SANITATION

2 500 Fellowships Por. Ter. F9

2 100 10 100 17 300 Total - PORTUGUESE TERRITORIES

SEYCHELLES

(For text, see page 71)'


3 3 3 26 400 26 234 35 123 Sanitation programme Seychelles 1

3 3 3 26 400 26 234 35 123 Total - SEYCHELLES

SIERRA LEONE



1 3 900 11 208 Yaws control Sierra Leone 1 50 000*


Feeding programme 50 000

1 3 900 11 208 Total - SIERRA LEONE 100 000



Regular Budget Technical Assistance Other Extra- Budgetary Funds


ofg Estimated expenditure of po g Estimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS us US$ USS US$ USS USS USS USS

SOMALILAND PROTECTORATE


TUBERCULOSIS

3 900 10 522 Tuberculosis control SomalilandProtectorate 2


320 Training of auxiliary Somalilandpersonnel Protectorate 1

1 320 3 900 10 522 Total - SOMALILAND PROTECTORATE

Total - Estimated Government Contribution (2 800) (3 3601

SWAZILAND


Feeding programme 10 000

Total - SWAZILAND 10 000

TANGANYIKA



Maternal and child health Tanganyika 3 58 300*services




Nmnherof posts



Estimated expènditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956


TANGANYIKA (continued)

NUTRITION

Nutrition survey and control, Tanganyika 2 1 1 1 3 250 9 553 9 755Buha (TA -I)


6 200 Training of auxiliary personnel Tanganyika 1

6 200 Total - TANGANYIKA 1 1 1 3 250 9 553 9 755 58 300

Total - Estimated Government Contribution (31 013) (34 776) (34 776)

UGANDA



Venereal - disease survey and Uganda 5 3 3 21 701 23 265

control (TA-II)

NUTRITION

2 2 2 4 920 17 456 19 836 Nutrition survey Uganda 4


Training of auxiliary personnel Uganda 6 20 000*

2 2 2 4 920 17 456 19 836 Total - UGANDA 3 3 21 707 23 265 20 000

Total - Estimated Government Contribution (5 600) (5 600)

*Allocated by, the UNICEF Executive Board



Numberof posts



Estimated expenditure .

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ US$ uss uss Usa USS uss uss US$

UNION OF SOUTH AFRICA


TUBERCULOSIS

2 400 Fellowships South Africa Fl


2 400 Fellowships (Poliomyelitis) South Africa F2


2 400 2 400 Fellowships (Public -health South Africa F3administration, epidemio- and 10logy and statistics)


2 400 Fellowships (Pneumoconioses) South Africa F4


2 400 Fellowships South Africa F5

MENTAL HEALTH

2 400 Fellowships South Africa F6

NUTRITION

2 400 Fellowships (Food hygiene) South Africa F7



Number Estimated expenditure Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USE USS USS

4 900

UNION OF SOUTH AFRICA (continued)

ENVIBONMENTAL SANITATION

Fellowships South -Africa F8

USS USS US$ US$ USS

10 000

USS


Fellowships (various) South- Africa Fll2 400

Total - UNION OF SOUTH AFRICA

ZANZIBAR


PUBLIC-HEALTH ADMINISTRATION

Fellowships Zanzibar Fl

9 600

2 500

16 900

NURSING

Training of auxiliary Zanzibar 12 560personnel


Fellowships (Dentistry) Zanzibar 23 120Maternal and child health

services

Total - ZANZIBAR


3 12010 000

5 680 2 50010 000

(47 900)



Numberof pasts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss

8 5003 000

5 200

usa

7 800

INTER- COUNTRY PROGRAMMES



Malaria control project, East Africa 1 4

4

4

4

4

4

usa uss

15 110 28 147

12 700 6 500

uss

32 695

3

3

usa usa

25 000*

uss

Amani (TA -I)

Malaria training course, AFRO 6

Yaoundé (TA -I)

Malaria conference AFRO lÓInsect -control course, Rome AFRO 19Malaria control: Consultants, AFRO S12

tour

TUBERCULOSIS

BCG assessment team

Seminar AFRO 17

16 700 7 800 27 810 34 647 32 695 25 000

5 50C

.

45 000

5 500


Yaws conference AFRO 9

45 000

5 500

14 800

14 800

5 200

10 900 5 000


Rabies course and seminar AFRO 5

(WHO /CCTA)

Bilharziasis conference AFRO 11Conference on onchocerciasis AFRO 8

14 800 16 100 5 000


Study tour and conference on AFRO 7health statistics (in conjunctionwith COTA)



Heinle Budget Technical Assistance Other Extra- Budgetary Funds

Numberof poets

Estimated expeditors Numberof posts



1954 1955 1956. 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

tISS Ulf USS till US$ Ulf USS till USS

INTER- COUNTRY PROGRAMMES(continued)


5 700 5 000 Seminar ` AFRO 16

NUTRITION

7 200 FAO/WHO nutrition course AFRO 15(French language)


10 700 Seminar AFRO 14


240 Medical literature

15 040 61 900 23 300 Total - INTER -COUNTRY PROGRAMMES 4 4 4 27 810 34 647 32 695 3 25 000 59 800

Total - Estimated Goverment Contributions (107 253) (76 458) (76 458)

THE AMERICAS 97

THE AMERICAS

As in the past, the estimates for this region include detailed information on the public -health activities administered by thePan American Sanitary Bureau and financed by the Member States of the Pan American Sanitary Organization or from othersources, and the PASB estimates for 1956 represent the tentative proposals of the Director which will be considered in 1955.


No significant organizational changes are proposed for 1956.

Duty TravelProvision is made for duty travel to enable

(a) the Regional Director and senior staff to visit countries in Central and South America for the purpose of conferring withministries of health on various matters relative to the strengthening of health services and the assistance to be provided by theOrganization ;

(b) the Chief, Division of Administration and Finance, to visit WHO Headquarters to discuss various problems of an úadministrative nature ; Ti;

E(c) the Chief, Administrative Management and Personnel, to visit WHO Headquarters to discuss personnel problems andproblems relating to the Staff Rules ;(d) the Chief of the Supply Office to travel within the United States to undertake market investigations and inspect supplies


No changes in the staffing pattern for Regional Advisers are proposed for 1956.

Duty Travel

Provision in respect of duty travel has been made for visits to various countries in order to advise and assist governmentsin connexion with the development of health programmes, to supervise and co- ordinate the work in progress, and to evaluateresults.

ZONE OFFICES(See page 115)

No significant changes in the staffing pattern are proposed for 1956.

Duty TravelProvision has been made to enable the WHO staff in the zone offices to supervise, advise on and co- ordinate activities relating

to public health in the various zones.

ARGENTINA

1. Public -Health Administration(See page 120)

Local Health Services Argentina 7It is proposed that the Organization should co- operate with the Government in setting up a model health unit within the

state health programme. This unit will offer general public -health services based on local needs and facilities and will serve forthe training of health personnel for the expansion of the services, including the development of rural health services. Theinternational staff will consist of a publichealth adviser and a publichealth nurse, at an estimated cost of $20 503. Provisionis also made for a fellowship ($4000).

E7

98 THE AMERICAS

2. Nursing

Nursing Education Argentina 3During recent years the Government has set up many new hospitals and health centres, and thus the need for more trained

nursing staff has become intensified. A conservative estimate places the total number required at 48 000, along with at least 300instructors. (At present, to serve a population of eighteen million, there are just over 18 000 persons engaged in nursing activities,of whom a thousand are professional nurses.) The nursing adviser at the Buenos Aires Zone Office is collaborating in thedevelopment of a long -term programme of nursing education.. Provision is made for two fellowships in 1956 ($8000) and forsupplies and equipment to the value of $1000.


National University, Medical School Library Argentina 5The library of the Faculty of Medicine of the University of Buenos Aires has probably the largest collection of medical

books and journals in Latin America, but its usefulness, both nationally and as a regional centre, depends on the developmentof a specially trained staff and the introduction of improved methods of library operation. Provision is made in 1955 for anexpert to collaborate in revising methods and in the in- service training of staff. Provision is also made for the necessary suppliesand equipment.

BOLIVIA(See page 120)

1. Nursing

Nursing Education (Regular and TA -II) Bolivia 5Continuation of project included in the programme and budget estimates for 1955, the object of which is the reorganization

of the national School of Nursing- revision of the curriculum, development of the faculty, setting -up of field practice areas.The project began in 1952, and it is expected that assistance will continue to be needed throughout 1956. Provision is thereforemade for the retention of the three nurse educators ($23 949), for eleven long -term fellowships ($11 100), and for supplies andequipment amounting to $2000.


Study of Water Supply, La Paz Bolivia 6The Organization has in the past provided the Government of Bolivia with a short -term consultant to study the problem

of water supply in La Paz and to make recommendations for its improvement. It has also provided a small amount of suppliesand equipment, and a fellowship to train an engineer for operating the La Paz system. It is planned in 1956 to grant two furtherlong -term fellowships.

V BRAZIL

1. Public -Health Administration(Seepage 121)

National Drug Service Brazil 18It is proposed in 1955 to provide the services of a medical officer to collaborate in the planning, organization and develop-

ment of a national service for the control of chemical, biological and technical standards and for the labelling of drugs manufacturedin the country or imported. Provision is also made for a fellowship.


Fellowships Brazil 3During the past four years, the Government of Brazil, with the collaboration of the Organization and UNICEF, has been

operating a programme for the improvement of maternity and children's institutions throughout the north -eastern states of thecountry. The international assistance has, in the past, consisted principally of supplies provided by UNICEF. The Organizationhas provided, through its regular staff, technical advice on the establishment of maternal and child health services, in particularon their integration into the general public -health activities. It is proposed to continue these advisory services, and to providethree fellowships in 1955 and again in 1956.


School of Public Health, Rio de Janeiro Brazil 19A high priority has been given by the Ministry of Health to reorganizing and unifying courses in public health, with a view

to establishing a national institute for professional education in that subject. During 1954 the situation was reviewed by thestaff of PASB and recommendations made. Much depends on the passing of necessary legislation, already introduced in theCongress. On the assumption that definitive steps will be taken in 1956, provision is made for a short -term consultant for fourmonths, at an estimated cost of $5200, and for two fellowships $9000.

THE AMERICAS 99

BRITISH WEST INDIES'(See page 123)


Local Health Services, Barbados (TA -I) Barbados 2In 1953 a survey of the health services of Barbados was carried out by the Organization. The report, which made basic

recommendations for their reorganization, was accepted by the Government, which has now asked for the Organization's co-operation in developing a system of area health services, special importance being given to maternal and child health servicesand venereal- disease control as integral parts of the publichealth services. The project is to begin in 1955, and the provisionmade for 1956 is for a public -health administrator, a laboratory adviser, and a public -health nurse, at an estimated cost of $25 660.Supplies and equipment in the amount of $3000 are also proposed, and it is expected that further supplies and equipment forthe maternal and child health side of the project will be provided from Other Extra -budgetary Funds.

CHILE(See page 123)


Cardiolipin Production Centre Chile 11The Government has asked for assistance in setting up a cardiolipin production centre. It has agreed to introduce the

use of cardiolipin as a standard antigen for the serodiagnosis of syphilis and to sell the cardiolipin produced at the centre as cheaplyas possible to Chilean laboratories and eventually to the laboratories of neighbouring countries. This is in accordance with therecommendation of the Sub -Committee on Serology and Laboratory Aspects (Expert Committee on Venereal Infections andTreponematoses) for the establishment of cardiolipin -lecithin production centres which would work on a regional basis. Provisionis made for 1955 for a short -term consultant and for supplies and equipment.

2. Nursing

Advanced Nursing Education Chile 13The School of Public Health of the University of Chile is about to inaugurate a Department of Advanced Nursing Education,

which will give courses for graduate nurses who wish to train for supervisory and teaching posts. There are at present no facilitiesin any Spanish- speaking country in Latin America for such advanced nursing education. It is proposed that the Organizationshould co- operate by giving technical advice on the planning of the new department and by providing training abroad for membersof the teaching staff. Provision is therefore made for two fellowships and for supplies and equipment in both 1955 and 1956,at a cost in each year of $8000 and $2000 respectively.

'COLOMBIA

Public -Health Administration(See page 124)

Rural Health Services (TA -I) Colombia 4Extension of the maternal and child health project included in the programme and budget estimates for 1955. The original

plan envisaged the setting -up of a department of maternal and child health at the School of Hygiene in Bogotá, and by 1954 thedepartment had given three eight -month courses in midwifery nursing. The Government has expressed interest in developingmaternal and child health services within local health units and has asked for the Organization's co- operation. The original projecthas therefore been redefined to include assistance at Ministry level for the further development of the maternal and child healthsection of the Division of Public Health. It is planned to provide technical advice to the division on planning and reorganizingthe local health services, using for the establishment of the public -health nursing service the nursing staff already trained. It isproposed in 1955 to provide a medical officer, a veterinarian, a public -health nurse, and a nurse educator and to retain the staffin 1956 (except that the veterinarian will be replaced by a publichealth engineer), at an estimated cost of $31 621. A long -termfellowship is also proposed ($4000).

v COSTA RICA(See page 125)

Nursing

Nursing Education (TA -I) Costa Rica 3Continuation of the project included in the programme and budget estimates for 1955, the object of which is to strengthen

the school of nursing at the San Juan de Dios Hospital in San José in three aspects : the formation of graduate nurses, the trainingof auxiliary nursing personnel, and a post -graduate course of one year for nurse midwives. It is proposed in 1956 to retain fourof the nurse educators, at an estimated cost of $21 946 ; and to provide supplies and equipment amounting to $2400 and twolong -term fellowships ($4000).

1 For Jamaica, see under that name.

100 THE AMERICAS

DOMINICAN REPUBLIC

Malaria and Insect Control(See page 126)

Insect Control (TA -I) Dominican Republic 2Continuation of the project- included in the programme and budget estimates for 1955 -in which the Government, WHO

and UNICEF have been collaborating since 1952. In the course of the programme more than a million persons have been protectedin the malarious areas, and the eradication of Aëdes aegypti is progressing. The object in 1955 and 1956 will be to extend operationsover the whole country. Provision is made to retain the malariologist and the sanitarian.

VECUADOR


National Institute of Health (TA -I) Ecuador 11Continuation of the project included in the programme and budget estimates for 1955, in which the Organization co- operates

with the Government in establishing methods of work and advising on the organization of laboratory services and the trainingof personnel. It is proposed in 1956 to retain the services of the chemist who advises on food analysis and control.

(See page 127)

2. Public- Health Administration

Rural Health Services Ecuador 4Extension of the maternal and child health project included in the programme and budget estimates for 1955 and which

has as its object the establishment of new maternal and child health clinics as part of the local health services of the seventeenprovinces. In 1954 courses were held to train the doctors and auxiliary nurses required for the first seven clinics, and the firstfive provinces where they are to be set up were surveyed. In 1955, it is expected that clinics will be organized in the remainingprovinces, and a training programme for the necessary staff inaugurated. The same year will see the transition to the programmeof integrated health services. The provision made for 1956 is for a medical officer, a sanitary engineer, and a public- healthnurse, at an estimated cost of $31 902 ; for three long -term fellowships ($9800), and for supplies and equipment amounting to$1000.

J EL SALVADOR

Public -Health Administration(See page 127)

Health Demonstration Area (TA -I) El Salvador 5Continuation of the project included in the programme and budget estimates for 1955, and which started in 1951. The methods

developed in the demonstration area (in the San Andrés Valley) are being applied to other parts of the country and the personstrained there will be available for extending the rural health services. The Government is assuming increasing responsibility forthe project ; it is planned to continue it during 1956, when the staff required will be a medical officer, a sanitary engineer andtwo public -health nurses (estimated cost $36 453) .Supplies and equipment in the amount of $6000 are proposed, and also along -term fellowship (estimated cost $4000).

GUATEMALA

Public- Health Administration(See page 128)

Rural Health Services Guatemala 8Continuation of the project included in the programme and budget estimates for 1955, and whose plan of operations includes

the organization of model health units, a training programme, the application of modern public -health practices, and theorganization of a system of rural health units. It is also proposed to improve water supply systems and sewage disposal facilities.The provision made for 1956 is for a medical officer, a sanitary engineer and a publichealth nurse, at an estimated cost of $29 815 ;

supplies and equipment amounting to $6580 ; and three long -term fellowships ($9000). It is expected that UNICEF in 1955will provide some supplies and equipment for the maternal and child health side of the project.

Ai HAITI(See page 128)


Insect Control (TA -I) Haiti 4This project -included in the programme and budget estimates for 1955 -began in 1953 and uses residual spraying with

DDT in malarious areas and the perifocal method of eradicating Aëdes aegypti where no malaria is present. The work is progressing

THE AMERICAS 101

satisfactorily. It is proposed in 1956 to retain the adviser on insect control and the sanitarian attached to the project. Suppliesand equipment are expected from Other Extra -budgetary Funds.


Yaws Eradication and Syphilis ControlContinuation of the project included in the programme and budget estimates for 1955,

initial treatment of cases and contacts is expected to be completed during 1954. The resultsinfected cases have been encouraging and give firm grounds for believing that yaws will bea reasonable time. Provision is made for 1956 for two medical officers.

Haiti 1and which began in July 1950. Theof the survey to determine residualeradicated from the country within

3. Nursing

Training Course for Midwives , Haiti 10The neonatal and maternal mortality rates are of great concern to the health authorities of Haiti, since in the rural areas

of the country the majority of deliveries are conducted by untrained midwives. The Government has asked for the co- operationof WHO and UNICEF in organizing training courses for such midwives throughout the country. Consultants and fellowshipswill be provided in 1955. In 1956 a health officer and two nurse midwives will be sent abroad on travel grants to prepare them-selves for organizing and directing the programme, and to this end short -term fellowships are proposed. Supplies andequipment have been provided by UNICEF.

HONDURAS


Rural Health Services (TA -II) Honduras 4The Government, ' JNICEF, the Institute of Inter -American Affairs and the Organization are co- operating in a project for

assuring supplies of drinking -water and adequate facilities for sewage disposal to a selected group of the rural schools. This willbe coupled with the programme of school health services and may eventually become part of a wider programme for theimprovement of rural health services throughout the country. In the latter part of 1955 the Organization will provide a public -health engineer to advise on water supplies and sanitation facilities. By mid -1956 a public -health officer and a publichealth nursewill be added, to advise on the gradual expansion of the project. The estimated cost of personnel in 1956 is $25 358 ; and provisionis also made for two long -term fellowships ($8000). Supplies and equipment for the project have in the past been providedby UNICEF.

(See page 129)

I, ' JAMAICA(See page 129)


Department of Preventive Medicine, University College of the West Indies Jamaica 4The Medical Faculty of the University College of the West Indies, which has now been in operation for six years, has not

been able to offer adequate training in preventive medicine. The co- operation of the Organization will enable a departmentof preventive medicine to be set up. Provision is made for 1956 for a professor of public health for the Faculty (estimated cost$10 418) ; supplies and equipment amounting to $1200 ; and a long -term fellowship ($2450).

/MEXICO(See page 130)


Insect Control (TA -I) Mexico 53Continuation of the project included in the programme and budget estimates for 1955. Field operations, which started in 1954

in the south -east of Mexico, will be gradually extended and the entire country should be covered by late 1956. The project, whichis planned to continue for about five years, uses house -to -house residual spraying with DDT in malarious areas and the perifocalmethod where only Aëdes aegypti is involved. For 1956 provision is made for two advisers on insect control and two sanitarians.Supplies and equipment are expected from Other Extra -budgetary Funds.


Pinto Eradication Mexico 19According to the most reliable estimates, half a million persons in the States of Guerrero, Michoacan, Mexico, Oaxaca and

Veracruz are affected by this treponematosis. The Government is ready to undertake, in collaboration with the internationalorganizations, a programme of eradication of the disease. A survey will be made to determine the prevalence of the disease

102 THE AMERICAS

before field operations are undertaken, and Mexican staff will have the opportunity of observing similar projects in other areas.The provision made for 1956 is for a medical officer (estimated cost, $10 590) ; supplies and equipment ($2000) ; and two short -terms fellowships ($1110).


Rural Health Services Mexico 15The survey made in 1953 of rural areas in the state of Guanajuato (in a population of some 150 000 and over an area of

2000 square miles) showed the need for basic sanitation and improvement of the rural housing. The Government has alreadyobtained the technical and financial co- operation of WHO and UNICEF for the implementation of a maternal and child healthproject as part of a wider programme of rural health services. It is planned to integrate these activities into a single projectstarting in 1955. WHO will provide consultative services to the Government at state and other levels. UNICEF has previouslyprovided supplies and equipment, including teaching materials. One of the important features will be the provision of in- servicetraining for all types of health worker. The team for which provision is made in 1956 is composed of a publichealth administrator,a public -health engineer, a public -health nurse and a sanitarian.

NICARAGUA


(See page 131)

Rural Health Services (TA -I) Nicaragua 3Continuation of the project included in the programme and budget estimates for 1955, which was scheduled to start in the

latter part of 1954. It consists in the establishment of a model health unit, to be used as a training centre, and the developmentof a system of rural health centres in accordance with modern publichealth practices. In 1956 the international team will comprisea medical officer, a public -health engineer, two public -health nurses and a sanitarian (estimated cost, $36 865). Supplies andequipment in the amount of $6000 are proposed, and also three long -term fellowships ($10 000).

2. Nursing

School of Nursing Nicaragua 5A survey of the School of Nursing in Managua in 1953 showed that a general reorganization of the school is needed if the

additional trained graduate nurses required by the hospitals and public -health services are to be made available to the country.This will be done by improving the basic curriculum of the school and preparing a faculty of instructors. It is also proposedto improve the physical facilities of the school, including buildings, classrooms and laboratories. The project is planned tobegin in 1955 and take six years. The provision made in 1956 is for three nurse educators ($24 421), two long -term fellowships($8000), and supplies and equipment amounting, to $2400.

PANAMA


Rural Health Services (TA -I) Panama 1Continuation of the UNICEF /WHO- assisted project included in the programme and budget estimates for 1955, the object

of which is to strengthen the public -health services, especially in the rural areas. The second phase of field work' began in 1954in selected communities and will be extended throughout the country. A plan for reorganizing the central services, organizinghealth centres and training staff has been approved by the Government ; several national health workers who have been abroadon fellowships are now working on the project ; the central laboratory has been completed and those of various health centresare being developed. It is expected that the Government will be able to take over the project in 1957. In 1956 it is planned toretain the medical officer, the public -health engineer, and two public -health nurses (estimated cost, $34 476) ; to award threelong -term fellowships ($10 000) ; and to provide supplies and equipment in the amount of $6000. Further supplies and equipmentare being furnished in 1955 by UNICEF.

PARAGUAY(See page 132)


Public- Health Services (TA -I) Paraguay 10In view of the progress made in the various programmes carried out in co- operation with the Organization, the Government

has decided that conditions are ripe for consolidating these activities by developing basic units in the Central Services of theHealth Department and health units throughout the country. The control of communicable diseases, environmental sanitation,health education and statistics are the main fields of work proposed, and they will be closely co- ordinated with existing maternal

THE AMERICAS 103

and child health programmes. Training of personnel will continue to receive preferential attention and maximum use will bemade of existing and potential facilities within the country. From 1955 the Organization will co- operate in these plans withtechnical staff, supplies and fellowships. The provision in 1956 is for a team consisting of a medical officer, a maternal andchild health adviser, a sanitary engineer, three nurses, and a sanitary inspector, at an estimated cost of $55 112, consultants($7800), supplies and equipment to the value of $8580, and fellowships ($12 000).

PERU(See page 134)


Public -Health Services (TA -II) Peru 22In 1954 the Government of Peru, with the collaboration of the Organization, made a study of the health problems of the country

and an evaluation of the co- operative programmes over the past years which revealed the need for integration and co- ordinationof health services in the central administration, with consequent improvement of the local health services. It is proposed thatthe Organization help in setting up an office of planning and co- ordination, with national staff, which will advise the Director -General of Health and all divisions and will study and plan the co- ordination of health services at the local level. Provision ismade in 1956 for a medical officer, a sanitary engineer and a publichealth nurse, the estimated cost being $24 331 ; three long-term fellowships for the training of national counterparts ($8000) ; and supplies and equipment amounting to $1000.

URUGUAY


Rural Health Services (TA -II) Uruguay 5Beginning with maternal and child health services, the Government, with the collaboration of UNICEF and WHO, plans

to develop an integrated rural health programme in selected areas. This is a large -scale programme which will require at leastfive years and will eventually cover the whole country. It is planned to start with five health centres and fifteen rural auxiliaryunits. The training of personnel will be an important part of the project. The Organization will provide technical advice inplanning and operating the health services and in training personnel. Provision is therefore made for a public -health adviserand a public -health nurse, at an estimated cost of $15 783, and for a fellowship ($4000). UNICEF has previously providedsupplies and equipment.

2. Nursing

Fellowships Uruguay 4In an effort to meet the need for professional nurses in the country, the Government of Uruguay in 1952 instituted plans for

strengthening the " Escuela de Nurses Dr Carlos Nery " and requested the collaboration of the Organization. A survey pointedout the need for a long -term project, the immediate objectives being : (a) to reorganize the curriculum ; (b) to improve clinicalpractice ; and (c) to prepare instructors and supervisors in the several fields of nursing. Students at the school will be trainedin public -health nursing and as instructors in various branches of nursing. Provision is made for two fellowships in 1956, andin addition technical advice will be given by the nursing adviser attached to the Buenos Aires Zone Office.

,.

VENEZUELA(See page 136)


Onchocerciasis Investigation Venezuela 5In 1948 onchocerciasis was reported for the first time in the eastern part of Venezuela. Investigations by the Ministry

of Health revealed that the infection was present in an area comprising three districts of the State of Monagas and one districtof the State of Sucre. Of 883 persons examined in the course of a year, 217 were found to be infected -an incidence of 24.6%.It is interesting to note that no cases of blindness were found in this group. The area in question is the most southern regionin the Americas where onchocerciasis has been found, and the Government of Venezuela has expressed interest in receiving thetechnical co- operation of the Organization for a further study of the problem, with special emphasis on the exact determinationof the infected area and the development of suitable control methods. It is therefore proposed in 1955 to provide a short -termconsultant for three months.


Local Health Services (TA -II) Venezuela 1Continuation of project included in the programme and budget estimates for 1955, the object of which is to set up in the Tuy

Valley health services which besides improving the health of the people and thereby serving to develop the valley's potential re-sources, will also demonstrate a type of organization which can be copied by similar rural communities. The first phase of the

104 THE AMERICAS

project, a survey, was carried out in 1953. The second -the drawing -up of a programme for local health services adapted tolocal conditions -is expected to start in 1955. The provision made in 1956 is for a medical officer, a sanitary engineer, and apublic- health nurse (estimated cost, $25 887) and three long -term fellowships ($10 000).



(a) Insect Control, Central America and Panama (TA -I) AMRO 7

Continuation of the project included in the programme and budget estimates for 1955. Resources available so far have beeninsufficient to achieve the full objective of the programme, and operations are expected to continue through 1956, when provisionis made for the retention of the two medical officers and the three sanitarians (estimated cost, $50 697), for short -term fellowships($4000), and for supplies and equipment amounting to $6000.

(b) Insect Control, Caribbean Area (TA -I) AMRO 8

Continuation of the project included in the programme and budget estimates for 1955. In 1956 the Organization will needto continue its collaboration in this programme, which includes eradication campaigns in most of the Caribbean countries. Thepersonnel proposed for 1956 are a technical adviser and three sanitarians.

(c) Insect - Control Adviser, Zone IV Countries (TA -II) AMRO 69

Continuation of the project included in the programme and budget estimates for 1955, which consists of an adviser to help inthe planning and expansion of programmes for the eradication of Aëdes aegypti and control of malaria in the various countriesin Zone IV (zone office, Lima).


Yaws Eradication and Syphilis Control, Caribbean Area (TA -I) AMRO 47

Continuation of the project included in the programme and budget estimates for 1955 (eradication of yaws and control ofsyphilis in rural areas). A consultant provided by the Organization surveyed the problem in 1954. In 1955 and 1956 the Organiza -.tion will help governments in launching the programme, standardizing certain of its aspects, and introducing treatment schedules,training programmes, and laboratory methods. The house -to -house method for the treatment of cases and contacts will be used.In 1956 the staff required is a medical officer and a serologist (estimated cost, $24 822). Supplies and equipment to the value of$400 are also proposed ; some are expected to be provided by UNICEF in 1955.


(a) Leprosy Control, Caribbean Area AMRO 58

Leprosy is a serious problem for a number of countries in the Caribbean and the need for control programmes as part of thepublic -health services is recognized. The Government of Surinam has asked for the Organization's co- operation and this willprobably take the form of a survey followed by specific recommendations. There is a possibility that Surinam's leprosy servicecan be strengthened and eventually used for training personnel from other countries. In addition to a fellowship in 1955, provisionis made for an adviser (estimated cost, $11 728) and a fellowship in leprosy control (estimated cost, $1020) in 1956.

(b) Rabies Control AMRO 61

Rabies is a disease of considerable importance because of its case fatality rate in the human and its continuation in the sylvaticform, particularly in those areas where it may be endemic in vampire and other bats and where these animals are numerous. Thedisease has become of concern to health officials in the United States of America, Mexico, and countries of Central America andthe Caribbean. Owing to the movement of animals, both wild and domestic, co- ordination of national and international pro-grammes and studies is necessary if effective work is to be carried out.

The objects of this project (one aspect of which replaces a project now discontinued, Mexico 4) are to assist in developing orimproving national and local rabies -control programmes ; to co- ordinate these programmes on an international basis ; to guideand co- ordinate the study of the ecology of bats and their importance in the continued existence of rabies ; and to assist in thetraining of national officials for this work, including the conduct during 1956 of a training course. Technical advice and co- ordina-tion are to be provided by a specialist from the zone office. It is expected that short -term advisers and demonstrators provided byUnited States. government services will organize demonstrations in the destruction of predatory wild animals which harbour andspread the disease. A full -time mammalogist will be provided by the Organization in 1955 for the study of bat life. Fellowshipswill also be provided to train key personnel for national control programmes. In 1956 the budgetary provision is for two fellowships,at an estimated cost of $6000, supplies and equipment to the value of $3700 and duty travel ($4600).

THE AMERICAS 105

(c) Vaccine Testing AMRO 76Some of the projects in which the Organization co- operates are concerned with establishing facilities for the manufacture of

vaccines to be used in current vaccination campaigns. In order to help the new producing laboratories to maintain the high stan-dards of potency and safety that these vaccines require, testing services of proved quality have been obtained from the MichiganDepartment of Health Laboratories. Provision is made for a grant of $3730 to these testing laboratories in 1956 i.e., in the sameamount as for 1954 and 1955.

(d) Zoonosis Control (TA -I) AMRO 84In this project the Organization is to co- operate with the Governments of Argentina, Chile and Uruguay in the development

of their zoonosis -control programmes. Technical advice will be provided through the public -health veterinary consultant at thezone office in Buenos Aires, and in addition it is proposed to award three fellowships in 1955 and also in 1956 to the staff in thenational health departments who will take part in the programmes of zoonosis control.


(a) Inter -American Centre of Biostatistics (TA -I) AMRO 10Continuation of the project included in the programme and budget estimates for 1955. The centre is sponsored by the Govern-

ment of Chile, the World Health Organization and the United Nations, in accordance with an agreement signed in August 1952.The faculty of the School of Public Health of the University of Chile participates in the programme and since 1954 has had greaterresponsibility for the organization of the courses. The international experts act both as lecturers in the academic part of the courseand as consultants to the Government for the development of statistical services. In addition to the fellowships given by otheragencies, some ten to fifteen fellowship grants are required each year from WHO /PASB.

The budgetary provision in 1956 is for an expert in hospital statistics, an assistant co- ordinator, a translator, a secretaryand two technicians, at an estimated cost of $36 009 ; nine consultant months at $11 700 ; supplies and equipment at $2000 ;and fellowships in an amount of $30 000.

(b) Laboratory Biological Facilities AMRO 45Continuation of the project included in the programme and budget estimates for 1955. It is planned to provide specialists

for a short period to three different countries each year ; they will survey the state of animal colonies and biological facilities andrecommend remedial action. Attention will also be given to techniques for the study of diseases occurring in laboratory animalsand of certain zoonoses. In 1956 provision is made for six consultant months, supplies and equipment, and three fellowships, atan estimated cost of $7800, $300, and $4800 respectively.

(c) Training Course for Laboratory Technicians AMRO 82This course, to be held in 1955, is to train laboratory technicians from the Central American countries and Panama in

standard methods for the examination of water, milk and foods, and also of sewage, with a view to better control of diseasestransmitted through faulty environmental sanitation. The Government of Panama and the Board of Health Laboratories ofthe Canal Zone have expressed interest in serving as hosts for the course. Facilities available in Panama include the CentralPublic -Health Laboratory (see under that country) and training facilities at the National University. It is expected that additionalassistance may be secured from the Gorgas Laboratories in the Canal Zone.

(d) Clearing Centre for Classification of Diseases AMRO 85It is proposed to establish a centre to serve as a clearing point for problems arising in the application of the Spanish edition

of the Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death, for collecting material forsubsequent revisions of the Classification, and for checking the coding of samples submitted by countries in order to ensurecomparable coding procedures. The centre is also expected to provide short courses of detailed instruction in statistical codingfor the national staff responsible for this work in the various countries. The Ministry of Health of Venezuela- has indicated willing-ness to collaborate in the project. Provision is made in 1955 and 1956 for short -term fellowships, at an estimated cost of $6000,and supplies and equipment to the value of $1000.

(e) Health Statistician AMRO 86Provision is made for a statistician who will : (a) advise countries on the improvement of their vital and health statistics ;

(b) assist in the selection of students for fellowships, in the follow -up of students after attendance at the Inter -American Centre ofBiostatistics and other centres, and in the development of statistics seminars, " workshops ", etc. ; and (c) advise on the statisticalaspects of the Organization's projects and in compiling and analysing information from countries for programme planning.

(f) Andean Indian Mission (TA -I) AMRO 6During 1954 a medical officer was assigned by WHO to the Joint Field Mission on Indigenous Populations (Andean Indian

project) being undertaken jointly with several of the participating agencies under the Expanded Programme of Technical Assistance.This project is designed to accelerate the natural development of the peoples concerned and to enable them to be integrated withtheir respective national communities and enjoy the optimum conditions of health obtainable within the shortest possible time.The WHO expert will be responsible for operations at the Pillapi rural health centre and at the Santa Cruz centre. The latter centrewill be especially concerned with the conditioning of Indians who wish to change their place of residence from altitudes of 4000metres or more to 1500 metres or less. Officials regularly stationed in Lima will be available to assist at the Puno Highland portionof the project.

Provision is accordingly made for retaining the medical officer during 1955 and 1956, to deal with the health aspects of theproject.

106 THE AMERICAS

(g) WHO Medical Adviser to UNICEF Regional Office for Latin America

In conformity with the pattern established in other regions, provision has been made for this post from 1 January 1954. Theadviser represents the WHO Regional Director at the UNICEF Regional Office to ensure the application of agreed policies and theco- ordination of activities, and assists in negotiations with governments regarding UNICEF -assisted programmes in the Americas.

5. Nursing

(a) Regional Nursing Congress AMRO 23.4Since 1949 there have been three nursing congresses in the Americas. Governments in the Region have supported them by

sending one or more nurses and paying their expenses. These congresses provide opportunities for discussing professional problemsand ways of solving them and their educational value has proved to be considerable. An invitation has been received fromthe Government of Mexico to hold a fourth congress in Mexico City in September 1956. Budgetary provision is therefore madeto cover the estimated cost to WHO of the congress, namely $500 for conference services and $2000 for supplies and equipment.

(b) Course for Instructors in Communicable -Disease Nursing AMRO 28Continuation of the project included in the programme and budget estimates for 1955, the object of which is to train graduate

nurses as instructors in the nursing of communicable diseases. In 1956 it is proposed to award five fellowships, at an estimatedcost of $12 000. Provision is also made for teaching supplies and equipment to the value of $3000.

(c) Workshop on Nursing Curriculum AMRO 46.6Following on the four " workshops " on nursing already held (Santiago 1950, Guatemala 1951, Lima 1952 and Mexico City

1954) a fifth is to be held in 1956, possibly in Buenos Aires. The budgetary provision is for a short -term consultant for six weeks,at an estimated cost of $1830, and fifteen fellowships, at an estimated cost of $10 500.

6. Mental Health

Seminar on Mental Health AMRO 9.2.

Activities in mental health have included attendance by a number of delegates from the Americas at the Chichester seminaron mental health and child development in 1952, and by over thirty participants from five South American countries at a seminaron alcoholism held in Buenos Aires in May 1953. Interest has been shown by a number of official agencies and voluntary asso-ciations in the general field of mental health. A short -term consultant visited several countries during the latter part of 1953and the beginning of 1954 to assist in preparations for holding a seminar on mental health in 1955. Provision is therefore madein the latter year for a short -term consultant, supplies and equipment, and thirty fellowships.


(a) Training in Environmental Sanitation AMRO 1

Continuation of the project described in Official Records No. 44, page 173. The course for sanitary engineers at the Schoolof Sao Paulo (lasting eleven months, with two months' field training) received the first students under this project -five from asmany countries -in 1953. In the same year fifteen sanitary inspectors from thirteen countries were trained at the School of PublicHèalth of Chile in a four -and -a- half -month course. In 1954 four sanitary inspectors were trained at Sao Paulo and fifteen sanitaryinspectors from eleven countries at Santiago. For 1956, provision is made for nine consultant months, at an estimated cost of$11 700, supplies and equipment to the value of $10 000, and fifteen fellowships, at an estimated cost of $60 000.

(b) Waterworks Training Course AMRO 17

This course is one of a series to train water -plant operators in the better operation of existing plants, improvement of waterquality and maintenance of plant equipment. A course was held in 1953 in Central America and a second course will be heldthere towards the end of 1954. It is proposed for 1955 and 1956 that courses of four to six weeks be held in suitable places withlaboratory and training facilities ; the curricula will follow those of previous courses. The budgetary provision in 1956 is for sixconsultant months ($7800), fifteen fellowships ($5000), and supplies and equipment to the value of $1440.

(c) Seminar on Sanitary Engineering (TA -II) AMRO 64

Two sanitary engineering seminars have been sponsored by the Organization in the Americas, one taking place in 1952 inManagua, Nicaragua, and the other in 1954 in Caracas, Venezuela. They have proved most effective in promoting inter- Americanco- operation in the field of sanitátion, and have given excellent opportunities to discuss ways of improving the present status ofpublic -health engineering in the various countries and of integrating activities in that field into the general health programme. Itis proposed that in 1955 and 1956 further seminars be held, one for countries in Zone II (zone office, Mexico City), and the otherfor countries in Zone VI (zone office, Buenos Aires). The estimated cost of the 1956 seminar is $1000 for supplies and equipmentand $7500 for fifteen fellowships.

THE AMERICAS 107


(a) Medical and Public -Health Education AMRO 18

Continuation of the project included in the programme and budget estimates for 1955. Co- operation extended to schools ofmedicine and public health is to be continued in the future in various forms : services of short -term consultants ; interchangeof professors : fellowships to teaching personnel for further training in the universities of the Americas and countries outside theRegion ; travel grants to deans and senior members of faculties for observation of teaching methods and discussion of curriculumplanning ; and demonstration programmes. The project is closely related with a number of activities of the Organization in manycountries and with some inter- country projects such as AMRO I. It is also co- ordinated with the activities of a number of non-governmental and bilateral international agencies in the development of professional education. The Medical EducationInformation Center (operated by WHO /PASB) has been specially set up by agencies interested in medical education and trainingof health personnel to exchange information and co- ordinate their activities.

The budgetary provision in 1956 is for six consultant months ($7800), fifteen fellowships ($30 000), and supplies and equip-ment to the value of $10400.

(b) Veterinary Medicine AMRO 67

Continuation of the project included in the programme and budget estimates for 1955, under which co- operation is givento schools of veterinary medicine in matters of curriculum. Provision is made for 1956 for six consultant months.

THE AMERICAS : SUMMARY

Regular Budget Technical Assistance Other Extra -Budgetary Funds (including PASS)

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss US uss USS uss US US US

42 41 41 339 910 349 617 361 732 REGIONAL OFFICE 12 12 11 69 540 68 153 69 605 145 139 139 1 165 173 1 140 280 1 208 186

FIELD ACTIVITIES

Malaria and Insect Control 22 22 18 172 360 197 241 175 661 9 7 5 411 680 123 482 373 201

3 1 1 51 029 23 736 16 256 Tuberculosis 4 56 800 3 3 107 500 51. 985 10 000

1 2 3 9 970 27 420 35 596 Venereal Diseases and Treponematoses 4 2 2 36 460 30 083 25 222 3 3 2 69 850 285 390 28 710

1 2 2 19 759 52 774 47 034 Enderlin-epidemic Diseases 6 2 1 56 890 34 019 16 706 5 6 5 182 224 364 960 236 491

15 20 24 158 101 238 144 277 496 Public - Health Administration 22 41 45 262 860 469 951 512 124 88 89 86 739 366 1 212 170 1 198 010

3 6 7 34 669 101 066 132 356 Nursing 5 5 4 52 960 44 094 39 446 4 4 4 49 270 56 070 57 380

4 3 1 39 429 32 474 16 256 Health Education of the Public 30 C00

5 2 1 40 039 37 336 24 256 Maternal and Child Health 3 34 650 5 600 70 000 247 000 50 000

2 010 11 700 Mental Health6 840 Nutrition 24 22 21 123 809 97 100 93 800

2 1 1 139 789 113 576 117 196 Environmental Sanitation 1 24 840 8 500 1 12 060 21 000

3 3 3 40 225 46 905 48 769 Regional Advisers in Education and Training2 2 1 48 000 110 854 84 268 Other Education and Training Projects 44 45 45 308 818 340 854 417 519

39 42 44 589 860 795 985 799 483 Total - FIELD ACTIVITIES 66 73 70 672 980 805 828 777 659 181 179 168 2 074 577 2 800 011 2 495 111

81 83 85 929 770 1 145 602 1 161 215 Total - THE AMERICAS 78 85 81 742 520 873 981 847 264 326 318 307 3 239 750 3 940 291 3 703 297

THE AMERICAS: REGIONAL OFFICE (For text, see page 97)

Regular Budget Technical Assistance Other Extra- Budgetary Funds (including PASB)

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1

1

1

1

1

1

2

1

1

1

1

1

1

1

1

1

1

2

1

1

1

1

1

1

1

1

1

1

2

1

1

USS USS

15 000

3 687

7 9584 067

9 500

4 133

3 593

5 183

10 217

4 307

5 000

usi

15

3

8

4

9

4

3

5

104

5

000

827

000267

500

333

733

383

617467

000


Regional DirectorDeputy Regional Director -

Secretary -General

ConsultantLegal assistant

Reports officerAdministrative assistantSecretaries

Clerk stenographersClerk typist

PUBLIC INFORMATION

Information officerJunior information officerSecretary

Clerk typist

OFFICE OF CO- ORDINATION

Chief of officeAdministrative assistantAdministrative assistantSecretary

EDITORIAL AND REFERENCE SERVICES

Editorial Office

UG

UG

UG

UG

P2

P1

P1

WL8WL6WL5

P3

P1

WL6

WL5

P4

P2

P1

WL6

P4

P2

P1

WL8WL6WL5

P3

P2

WL7WL5

P3

Pl

WL6

5.116

WL5WL4

1 1 1

USS usi

5 183

uSI

5 383

1

1

1

1

1

1

2

2

1

1

1

1

1

2

3

1

1

3

1

4

1

1

2

1

1

1

1

1

1

1

1

1

2

2

1

1

1

1

1

2

3

1

1

3

1

4

1

1

2

1

1

1

1

1

1

1

1

1

2

2

1

1

1

1

1

2

3

1

1

3

1

4

1

1

2

1

1

1

USS USS USS

1 000 1 00015 000 15 00014 000 14 0008 400 8 400

5 483 5 6834 800 5 0005 000 5 0008 950 9 3107 035 7 3153 616 3 746

3 628 3 7683 258 3 388

5 800 6 000

8 167 8 41710 017 10 41712 616 13 0164 160 4 3403 488 3 628

9 514 9 905

6 367 6 58721 484 22 284

3 128 3 258

7 525 7 750

7 910 8 190

3 570 3 710

3 063 3 1932 760 2 875

Chief of officeEditors

Sub -editors

ClerkClerk stenographerClerk stenographers

Translation)

Chief translator

TranslatorsClerkClerk stenographer

Library

Chief librarian

LibrarianClerks

Clerk stenographerClerk typist

Clerk

The cost of personnel in this unit is included under Organizational Meetings in the PASS budget estimates but, in order to follow the pattern of the WHO budget, is here shown under theRegional Office.

THE AMERICAS : REGIONAL OFFICE (continued)

Regular Budget Technical Assistance Other Extra -Budgetary Funds (including PASB)

Numberof posts

d ntureEstimate a diNumberof posts

Estimated expenditure Num berof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956


HEALTH SERVICES

Division of Public Health

Office of the Chief S

Medical director D2 1 1 1 11 000 11 267

Secretary WL7 1 1 1 3 507 3 667

Clerk stenographer WL5 1 1 1 3 407 3 547

Health Promotion

Chief of branch P5 1 1 1 9 000 9 250

Dental officer. P4 1 1 7 300 7 525

Secretary WL6 1 1 1 3 990 4 130

Clerk stenographers WL5 1 2 2 6 105 6 365

Communicable Diseases

Chief of branch P5 1 1 1 9 396 9 675

Veterinarian P4 1 1 1 9 250 9 500

Secretary 116 1 1 1 3 208 3 348


Epidemiological and Statistical Milts

Technical officer P4 1 1 1 7 731 7 979

Statistician P3 1 1 1 6 067 6 267

1 1 1 5 583 5 783 Statisticians P2 1 1 1 6 200 6 400

Statisticians P1 2 2 2 9 933 10 000

1 1 1 3 920 4 100 Technical assistants WLS 1 1 1 3 890 4 070

1 1 1 3 675 3 815 Clerk stenographers WL5 2 2 2 6798 7 058

Environmental SanitationMedical officer P4 2 1 1 7 356 7 581

Sanitary engineer P4 1 1 1 7 375 7 600


Division of Education and Training

Office of the Chief

1 1 1 8 667 8 917 Administrative officer P4Secretary W17 1 1 1 4 360 4 529

Clerk stenographer WL5 1 1 1 3 128 3 258

Fellowships

Medical officer P4 1 1 1 7 375 7 600

Nurse P3 1 1 6 000 6 200

1 1 1 4 767 4 967 Administrative assistant Pl

2 2 2 6 833 7 093 Clerks 191,6 1 1 1 3 220 3 360

Clerk typist WL5 1 1 1 3 713 3 800

THE AMERICAS: REGIONAL OFFICE (continued)


Numberposts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss oss uss uss uss US$ US$ Oss uss

Professional Education

Chief of branch P5 1 1 1 8 833 9 083

Nurse educator P4 1 1 1 7 958 8 208

Secretary 1116 1 1 1 3 220 3 360Clerk 1116 1 1 1 3 500 3 640Clerk stenographer 1115 1 1 1 3 955 4 095


Office of the Chief

Director of Administration and Finance D2 1 1 1 it 667 11 800Secretary 1117 1 1 1 4 187 4 347

Administrative Management and Personnel

1 1 1 9 375 9 650 Chief of branch P5

Personnel officer P3 1 6 000

Administrative analysts P2 2 2 2 10 000 10 400Recruitment officer P2 1 1 1 5 267 5 401Operations officer P2 1 3. 5 133Personnel technician P1 1 1 1 4 347 4 507

1 1 1 4 000 4 160 Personnel technicians WL8 1 1 1 3 800 3 980

Secretary WL6 1 1 1 3 675 3 8151 1 1 3 267 3 407 Clerk 1116

Clerk 1115 1 1 1 3 943 4 0831 1 1 3 000 3 115 Clerk 1114

Budget and Finance

Chief of branch P5 1 1 1 8 875 9 125

1 1 1 6 050 6 250 Finance officer P3

1 1 1 6 333 6 550 Budget officer P3

Finance technician P3 1

Disbursement officer P2 1 1 1 4 800 5 000

Budget analysts P2 2 2 2 10 600 11 000

Senior accountants P2 2 2 2 10 766 11 166

3 3 3 13 767 14 167 Accountants P1 1 1 1 4 183 4 383

Junior accountant WL8 1 1 1 4 145 4 325Senior accounting clerks 1118 2 2 2 8 290 8 650

1 1 1 3 680 3 840 Accounting clerks 1117 1 1 1 3 440 3 600 1 1 1 3 640 3 800

1 1 1 3 477 3 617 Junior accounting clerk 1116

Secretary WL6 - 1 1 1 3 220 3 360Clerk stenographer 516 1 1 1 3 920 3 990

1 1 1 3 465 3 605 Clerk WL6Clerks 5115 2 2 1 5 986 3 128 3 2 2 6 744 7 004

THE AMERICAS: REGIONAL OFFICE (continued)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS US$ USS use U$$ USE USS US$ USS

General Services

Chief of section P4 1 1 1 7 712 7 958

Visual aids officer P3 1 1 1 7 075 7 300

1 1 1 5 333 5 533 General services officer P2

2 2 2 8 683 9 083 Special services officers P1 1 1 1 3 983 4 183

' Teohnician P1 1 1 1 5 000 5 000

Technician 118 1 1 1 4 880 4 880

Draftsmen 118 3 3 3 11 640 12 210

Technician 117 1 1 1 4 173 4 333Travel clerk 117 1 1 1 3 760 3 920

Secretary 116 1 1 1 3 547 3 687Switchboard supervisor 116 1 1 1 4 072 4 130

1 1 1 3 442 3 582 Clerks 116 5 5 5 18 211 18 806

Switchboard operator 115 2 1 1 3 269 3 399

Machine operator 8i5 1 1 1 3 096 3 226 1

Collator 116 2 1 1 2 966 3 096

1 1 1 3 247 3 378 Clerk stenographers 115 1 1 1 3 193 3 323

1 Clerks WL5 2 2 2 6 429 6 690 2 2 2 6 278 6 538

Clerks 114 2 2 2 5 703 5 933

1 1 1 2 770 2 885 Mail clerk 114

Chauffeur labourer 113 2 1 1 2 435 2 525

Handyman 113 1 1 1 2 915 2 915

Conference Office]

Chief P4 1 1 1 8 167 8 417

Planning officer P2 1 1 1 5 600 5 800

Documents officer P1 1 1 1 5 000 5 000

Conference assistant P1 1 1 1 4 333 4 533

Secretary 116 1 1 1 3 488 3 628

Clerk stenographer 1L6 1 1 1 3 745 3 885

Clerk stenographer 115 1 1 1 3 128 3 258

Clerk typist 115 1 1 1 3 204 3 334

Supply Office

Chief GO 1 1 1 8 400 8 700

Procurement officer P3 1 1 1 5 917 6 183

Procurement officer P2 1 1 1 6 700 6 700

1 1 1 3 950 4 150 Procurement assistants P1 1 1 1 3 966 4 167

Technical translator P1 1 1 1 5 000 5 000

1 1 1 4 027 4 187 Supply clerk 118

Supply clerk 117 2 1 1 3 600 3 760

Clerk 117 1 1 1 3 440 3 600

Clerks 816 3 2 2 6 918 7 198

1 1 1 3 085 3 215 Clerk stenographers WL5 2 2 2 6 668 6 928 1 1 1 3 161 3 291

1 1 1 2 722 2 837 Clerk typist 114

42 41 41 190 720 199 743 206 013 Total established posts 12 12 11 45 860 43 452 42 105 145 139 139 623 209 673 834 695 932

8 490 8 894 9 163 Cost-of- living adjustment 750 784 814 24 378 27 821 28 684

199 210 208 637 215 176 46 610 44 236 42 919 647 587 701 655 724 616

1 The cost of personnel in this unit is included under Organizational Meetings in the PASB budget estimates but, in order to follow the pattern of the 111) budget, is here shown under

the Regional Office.

THE AMERICAS : REGIONAL OFFICE (continued)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS USS US$ US$ USS USS USE

2 500 2 625 2 625 Temporary staff 700 825 825 8 680 8 700 8 700

Travel

10 000 11 330 11 330 Duty 3 370 6 700 31 971 40 850 40 850


30 790 35 148 36 085 Allowances 7 290 7 326 7 125 122 367 130 651 132 483

1 030 Recruitment and repatriation + + +1 100 1 690 4 440 Rome leave 41 156 17 790 31 060


36 100 29 937 31 636 Reimbursement of income tax 6 250 3 826 4 026 76 904 64 667 68 075

Other Costa

32 260 34 560 34 560 Public information (supplies and materials) 1 350 1 350 1 350 7 650 9 000 9 000

Library 4 750 4 750 4 750

Common Services

9 080 8 260 8 390 Space and equipment services 2 590 2 420 2 250 26 870 26 870 26 870

10 560 10 220 3.0 380 Other services 3 020 2 990 2 780 40 596 25 520 25 520

5 000 5 260 5 340 Supplies and materials 1 430 1 540 1 430 17 270 17 270 17 270

1 050 920 750 Fixed charges and claims 300 270 200 3 330 3 000 2 330

1 030 1 030 1 020 Acquisition of capital assets 3 700 1 200 1 200

Add: Special items related to PASB budgetestimates

Organizational Meetings

Meeting of the Directing. Council 72 842 22 857 49 962

Meetings of, the Executive Committee 19 000 19 000 19 000

Publications of PASB

PASB Bulletin 30 000 30 000 30 000

Weekly and quarterly epidemiological reports 1 000 1 500 1 500

Speoial publications -

5 000 10 000 10 000

AIDIS Journal 4 500 5 000 5 000

42 41 41 339 910 349 617 361 732 Total - REGIONAL OFFICE 12 12 11 69 540 68 153 69 605 145 339 139 1 165 173 1 140 280 1 208 186

The amount covers recruitment and repatriation, home leave and transportation of personal effects.

THE AMERICAS: REGIONAL ADVISERS (For text, see page 97)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956


1 1 1 7 394 7 619 Tuberculosis P4

1 1 1 7 812 8 063 Endemo- epidemic diseases P4

1 1 1 7 694 7 937 Nursing P4

1 1 1 7 375 7 600 Health education of the public P4

1 1 1 8 063 8 313 Maternal and child health P4

1 1 1 9 333 9 600 Environmental sanitation+ P5

1 1 1 11 400 11 633 Education and training D2 '

1 1 1 9 875 10 175 Education and training (fellowships)+ P5 .

1 1 1 7 375 7 600 Education and training (professionaleducation)

P4

Stenographic Pool

3 3 3 9 707 10 127 Secretaries WL62 2 2 6 713 6 973 Clerk stenographers W15



70 750 98 465 101 530

Travel

18 000 22 980 21 100 Duty


11 450 16 976 17 411 Allowances

11 600 Recruitment and repatriation

2 620 1 850 5 900 Home leave

2 220 Transportation of personal effects

13 300 10 643 11 269 Reimbursement of income tax

Common Services

3 030 2 820 2 860 Space and equipment services


1 670 1 800 1 830 Supplies and materials

350 310 250 Fixed charges and claims

270 270 280 Acquisition of capital assets

14 14 14 138 780 159 604 165 970 Total - REGIONAL ADVISERS

+ These posts are included under the heading "Regional Advisers in order to provide a basis for comparing the number of posts in the various regions; in this instance the incumbents of the

posts carry other responsibilities.

THE AMERICAS : ZONE OFFICES (For text, see page 97)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 - 1955 1956

USS uss uss USS USS UST use uss USS

MEXICO ZONE OFFICE

Zone representative D1 1 1 1 10 900 11 200Veterinarian P4 1 1 1 7 875 8 125

1 1 1 7 938 8 188 Public -health engineer P41 1 1 8 167 8 417 Medical officer P4

Public- health nurse P3 1 1 1 6 513 6 737Administrative officer P3 1 1 1 6 083 6 283Chief supervisor M17 1 1 1 1 954 2-008Accountant M17 1 1 1 1 901 1 954Accounting clerk ML5 1 1 1 1 347 1 382Clerk stenographers ML5 5 5 5 6 709 6 922Chauffeur M13 1 1 1 572 594Janitor ML1 1 1 1 332 350


Travel

4 540 4 520 4 140 Duty 7 590 7 600 7 600


3 650 4 815 4 890 Allowances 10 435 9 714 11 2752 000 Recruitment and repatriation 3 025

2 730 1 000 Rome leave 2 730 1 690 5 8501 280 Transportation of personal effects 1 500

Common Services

Space and equipment services 2 770 2 700 2 700Other services 4 200 3 800 3 800Supplies and materials 1 280 1 000 1 000Fixed charges and claimv 322 400 400Acquisition of capital assets 1 541 500 500

2 2 2 24 300 28 170 26 635 Total - Mexico Zone Office 14 14 14 78 180 71 590 78 680

GUATEMALA ZONE OFFICE

Zone representative Dl 1 1 1 10 900 11 200Medical officer P4 1 1 1 8 042 8 292

1 1 1 7 600 7 833 Sanitary engineer P4 1Public-health nurse P3 1 1 1 6 569 6 794Admihistrative officer P3 1 1 1 6 475 6 700Administrative assistant GL7 1 1 1 2 800 2 900Accountant GL7 1 1 1 2 800 2 900Records and communications clerk GL6 1 1 1 2 380 2 460Senior clerk GL5 1 1 1 1 840 1 920Accounting clerk OL5 1 1 1 1 873 1 954Secretary GL5 1 1 1 2 081 2 160Cleric stenographers GL4 3 3 3 5 025 5 205Junior clerk (123 1 1 1 1 370 1 430Janitor /messenger GL2 1 1 1 871 921

THE AMERICAS : ZONE OFFICES (continued)

Regular Budget - Technical Assistance Other Extra -Budgetary Funds (including PASE)

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss

Assistance to INCA?


Medical director P5 1 1 1 9 950 10 250Assistant director P4 1 1 1 7 525 7 750Editorial assistant GL7 1 1 1

-2 650 2 750


Travel

1 500 2 500 2 500. Duty 8 500 8 500 8 500


650 1 640 1 675 Allowances 14 852 15 849 15 894

1 800 Recruitment and repatriation 2 3451 200 Rome leave 1 800 3 520 1 500

660 Transportation of personal effects 1 495

Common Services

Space and equipment services 3 450 3 200 3 200.

Other services 4 870 4 760 4 760Supplies and materials 1 -100 1 100 1 100Fixed charges and claims 530 620 620Acquisition of capital assets 280 500 500

1 1 1 7 820 12 940 12 008 Total - Guatemala Zone Office 19 18 18 106 926 111 200 111 660

LIMA ZONE OFFICE

Zone representative D1 1 1 1 10 900 11 2001 Medical officer P4 1 1 1 7 619 7 854

Public -health engineer P4 1 1 1 8 167 8 417

1 1 7 319 7 544 Public- health veterinarian - P4 1

Public -health nurse P3 1 1 1 6 494 6 719

Administrative officer P3 1 1 1 6 285 6 494

Accountant LL6 1 1 1 2 171 2 259Accounting clerk LL5 1 1 1 1 630 1 696

Office service clerk LL4 1 1 1 1 236 1 300Secretary LL4 1 1 1 1 242 1 305Clerk stenographers LIA 5 5 5 6 679 7 010

Chauffeur LL1 1 1 1 644 644

Messenger LL1 1 1 1 388 430

Janitor LL1 1 1 1 448 490

1 1 1 8 750 7 319 7 544 Total established posts 1 6 270 17 17 17 47 861 53 903 55 818

Travel

1 750 2 500 2 500 Duty 2 000 9 440 9 500 9 500


Regular Budget - Technical Assistance Other Extra -Budgetary Funds (including PASB)

Numberof




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss usa use uss uss uss- uss


2 510 1 453 1 486 Allowances 3 020 10 191 12 247 11 822

1 150 Recruitment and repatriation 3 000 2 6981 490 1 100 Home leave 3 250 1 000 3 250

450 Transportation of personal effects 2 500 1 100

Common Services

Space and equipment services-

3 630 3 400 3 400

Other services 5 700 5 700 5 700Supplies and materials 980 1 000 1 000

Fixed charges and claims 340 350 350

Acquisition of capital assets 2 150 500 500

1 1 1 16 100 11 272 12 630 Total - Lima Zone Office 1 16 790 17 17 17 87 340 87 600 91 340

RIO DE JANEIRO ZONE OFFICE

Zone representative D1 1 1 1 10 900 11 200

Public -health engineer P4 1 1 1 8 104 8 354

Administrative officer P3 4 1 1 1 6 400 6 625

Secretary RL4 1 1 1 1 745 1 800

Clerk stenographer - - RL4 1 1 1 1 660 1 737

Accounting clerk RL4 1 1 1 1 745 1 800

Clerk RL3 1 1 1 1 400 1 448

Office assistant RL3 1 1 1 1 216 ' 1 274

Chauffeur RL2 1 1 1 870 907Janitor RL1 1 1 1 625 637

Total established posts 10 10 10 29 559 34 665 35 782

Travel

Duty 2 500 3 600 3 600


Allowances 5 350 7 465 7 028

Recruitment and repatriation -

4 436

Home leave 5 150 1 820

Transportation of personal effects 3 000

Common Services

Space and equipment services -

2 600 2 300 2 300

Other services -4 415 4 200 4 200

Supplies and materials 340 400 400

Fixed chargea and claims 140- 140 140

Acquisition of capital assets 500 500 500

Total - Rio de Janeiro Zone Office 10 10 10 52 840 58 420 55 770



Numberof posts




19541955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss

BUENOS AIRES ZONE OFFICE


Zone representative D1 1 1 1 10 900 11 2001 1 1 8 105 8 355 Medical officers P4 1 1 1 7 959 8 209

Public -health veterinarian P4 1 1 1 9 000 9 250Public -health nurse P3 1 1 1 6 588 6 812Administrative officer P3 1 1 1 6 475 6 700Accountant BAL7 1 1 1 2 891 3 055Accounting clerk BALS 1 1 1 1 677 1 814Secretary BALS 1 1 1 1 995 2 132Clerk stenographers BAL4 2 2 2 2 790 3 010Clerk typist BAL3 1 1 1 895 950Filing clerk BAL3 1 1 1 900 955Chauffeur BAL2 1 1 1 823 877Messenger BALI 1 1 1 768 823


Travel

2 390 2 400 2 400 Duty 7 500 8 000 8 000


2 160 2 016 1 954 Allowances 12 085 13 109 11 1833 300 Home leave 1 900 4 750 4 510

Common Services

Space and equipment services 5 115 5 200 5 200Other services 4 200 4 200 4 200Supplies and materials 1 380 1 400 1 400Fixed charges and claims 200 200 200Acquisition of capital assets

- 500 500 500

1 1 1 12 400 15 821 12 709 Total - Buenos Airee Zone Office 14 14 14 83 740 91 020 90 980

JAMAICA FIELD OFFICE

Area supervisor P5 1 1 1 9 000 9 250Secretary JL1 1 1 1 1 735 1 795Clerk stenographer JL1 1 1 1 1 630 1 690


Travel

Duty 3 000 3 000 3 000


Regular Budget Technical Assistance Other Extra-Budgetary Funds (including PASB)

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956



Allowances 2 875 2 845 2 925Recruitment and repatriation 1 800Home leave 1 080Transportation of personal effects 1 500

Common Services

Other services 1 274 1 100 1 100Supplies and materials 216 350 350Fixed charges and claims 100 100 100Acquisition of capital assets 500 100 100

Total -Jamaica Field Office 3 3 3 23 260 20 940 20 310

EL PASO FIELD OFFICE

Area supervisor P5 1 1 1 9 700 10 000Clerk stenographers EP13 2 2 2 5 070 5 242


Travel

Ditty 2 500 2 500 2 500


Allowances 2 566 2 617 2 682

Home leave 700

Common Services

Space and equipment services 225 225Other services - 920 920 920Supplies and materials 250 300 300Fixed charges and claims 3 017 2 588 2 731Acquisition of capital assets 300 300 300

Total - El Paso Zone Office 3 3 3 24 540 24 920 24 900

5 5 5 60 620 68 203 63 982 Total - ZONE OFFICES 1 16 790 80 79 79 456 826 465 690 473 640

THE AMERICAS: COUNTRY SCHEDULES

Regular Budget Technical Assistance Other Extra -Budgetary Funds (including PASS)Numberof posts Estimated expenditure Number

of postsEstimated expenditure of Estimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1

1

2

2

2

use

9 650

uSS usS

24 503

ARGENTINA



Aides aegypti eradication Argentina 51

USS uSS ' USS

2

2

1

2

1

1

3

1

2

1

1

3

USS VSI USS

14 440 24 200 22 750


Halbran Institute Argentina 4 1 080 9 720 16 160Fellowships Argentina iLooal health services Argentina 7

9 650 24 503

MUBSIMG

Nursing education Argentina 3

1 080 9 720 16 160

5 000 9 000

1 780 7 751


National University, Medical Argentina 5

School library

Total - ARGENTINA


11 430 12 751 33 503 15 520 33 920 38 910

(20 000) (40 000) (90 000)

( 5 600e

7 950 ( 22 000

BOLIVIA



Insect control Bolivia 4

wAllocated by the UNICEF Executive Board

THE AMERICAS : COUNTRY SCHEDULES


Numberof posts


Estimated expenditure Number' of posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USO USS USS use USS USS Uss USS

BOLIVIA (continued)


8 400Public - health services Bolivia 10 3 3 3 18 000* 118 150 29 810

NURSING

2 3 3 21 260 20 538 25 949 Nursing education (Regular and Bolivia 5 5 400 11 100TA -II)


6 400 2 000 5 000 Study of water supply, La Paz Bolivia 6

2 3 3 27 660 22 538 30 949 Total - BOLIVIA 5 400 11 100 4 4 3 34 350 145 750 29 810


BRAZIL


VENEREAL DISEASES AND TREPONEMATOSIS

Venereal -disease laboratory and Brazil 52 1 19 810 120 000training centre (Sao Paulo)


Department of endemo -epidemic Brazil 15 1 400

diseases

Hydatidosis control Brazil 17 4 000 4 000Tellow -fever laboratory Brazil 51 1 1 1 7 040 7 040 7 040Bilharziasis Brazil 53 16 220 8 600

1 1 1 24 660 19 640 11 040



Regular Budget- Technical Assistance Other Extra -Budgetary Funds (including PASB)

Numberof posts

Estimated enditureexi Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

_--

1

1

uss

4 600

uss

13 572

uss

BRAZIL (continued)


Fellowships Brazil 16

1

1

uss uss

16 340

uss

2 1 1

uss USS . US$

63 000

National drug service Brazil 18School services


Fellowships Brazil 3

4 600 13 572 63 000

8 000 8 000 60 000* 14o 000

14 200


Municipal refuse disposal (TA -II) Brazil 12

(1

104

565

2

470

000)(2

500*

279 640

261 000)(1

74 040

770 000)


School of Public Health, Brazil 19

16 340

-

Rio de Janeiro

Total - BRAZIL


4 600 21 572 22 200

BRITISH GUIANA

TUBERCULOSIS

BCG vaccination British Guiana 1

Total - BRITISH GUIANA


2

(92

500

000) (100 000) (108 000)




Number

of powEstimated expenditure Number

of postsEstimated expenditurep

Numberof posts

Estimated expenditureexPe

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss

2 950

uss USS

BRITISH WEST INDIES'


TUBERCULOSIS

BCG vaccination Leeward Islands 1

2

2

3

3

uss uss

27 783

uss

28 660

uss

1 000*

uss-

uss


Local health services Barbados 2 30 000(TA -II, 1955; TA -I, 1956)

Total - BRITISH WEST INDIES


27 783 28 660 1

(38

40

000

000)

000*

30 000

(138 000) (213 000)

CANADA


Fellowships Canada 1

2 950 Total - CANADA

CHILE


TUBERCULOSIS

Tuberculosis control (BCG) Chile 10

1 For Jamaica, see under that name.* Allocated by the UNICEF Executive Board



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1

1

UST USS

11 720

USS

CHILE (continued)

VENEREAL DISEASES AND' TREPONEMATOSES

Cardiolipin- production centre Chile 11

3 1

USS UST

27 B00 10 634

UST

1 1

US$

8

UST USS

000#

10 000 10 000

NURSING

Advanced nursing education Chile 13

8 000 13 700


Demonstration centre for care Chile 12of premature infants

Total - CHILE


8 000

320

35 420 10 000 48 000

(240 000) (85 000)

50 000

COLOMBIA



Insect control (TA -I) Colombia 5

TUBERCULOSIS

Tuberculosis control (BCG) Colombia 15 59 000* 20 735*


Yellow fever, Carlos Finlay Colombia 52 31 600 31 600 31 600Institute



Regular Budget Technical Assistance Other Extra -Budgetary Funds (including PASE)Numberof posts Estimated expenditurexpe Number

of postsEstimated expenditure Number

of posts Estimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uns usa usa uss usa uss uss uns uss

COLOMBIA (continued)

PUBLIC- AEALTH ADMINISTRATION

2 15 200 - Rural health services Colombia 4 4 4 36 130 35 621 100 000 90 000(TA -II, 1955; TA -I, 1956)

2 15 520 Total - COLOMBIA 3 5 4 27 800 46 764 35 621 1 1 90 600 152 335 171 600

Total - Estimated Government Contribution (543 000)(1 400 000) (500 000)

COSTA RICA



Poliomyelitis rehabilitation Costa Rica 11 6 600

NURSING

Nursing education (TA -I) Costa Rica 3 5 5 4 52 960 38 694 28 346


Health education Costa Rios 12 30 000


Supplies and equipment 37 000

Total - COSTA RICA 5 5 4 52 960 38 694 28 346 6 600 37 000 30 000




NumberOpole'




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss USS USS USS USS USS USS

CUBA


/aides aegypti eradication Cuba 1 2 2 2 22 610 30 170 29 970

Total - CUBA 2 2 2 22 610 30 170 29 970


DOMINICAN REPUBLIC



Insect control (TA -I) Dominican 2 2 2 8 400 13 548 15 692 85 000*

Republic 2


Venereal -disease control Dominican 1 1 1 14 620 12 430 13 840

Republic 52


Reorganization of local health Dominican 2 3 3 24 610 44 080. 81 400

services Republic 4 1 10 000Preparation of sanitary code Dominican 5 660

Republic 5

2 3 3 30 270 54 080 81 400

Total - DOMINICAN REPUBLIC 2 2 2 8 400 13 548 15 692 3 4 4 129 890 66 510 95 240




Regular Budget Technical Assistance Other Extra- Budgetary Funds (including PASS)

Numberof posts



Estimated expenditum

1954 1955 1956 1954 1955 1956 1954 1955.1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

'

1

3

3

US$

18 5004 800

uss

8 100

uss

ECUADOR


TUBERCULOSIS

Tuberculosis teaching centre Ecuador 5

2

2

2

4

5

5

2

2

2

4

4

1

1

1

4

4

uss uss

6 200

uss

2

2

2

2

uss uss uss

5 000

BCG laboratory Ecuador 6

23 300 8 100


Venereal- disease control, Bahia Ecuador 7

42 702


National Institute of Health Ecuador 11 8 370 22 019 4 706

(TA -I)

Plague control Ecuador 52


Rural health services Ecuador 4

8 370 22 019 4 706 5 000

14 570 22 019

64 100 48 269

4 706

46 453

14 460 28 410 30 000

23 300 8 100 42 702 Total - ECUADOR


19 460 28 410 30 000

(198 000) (260 000) (250 000)

30 000

EL SALVADOR



Health demonstration area El Salvador 5(TA -I)

Total - EL SALVADOR


64 100 48 269 46 453 30 000

(160 000) (250 000) (250 000)



Numberof posts

timEstimated expenditure Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2

1

3

1

3

3

2

3

3

2

USS

15 530

uss

37 779

USE

45 395

GUATEMALA



Rural health services Guatemala 8

2 2

use usS

14 938

USS

15 177 2

1

1

1

1

1

1

1

USS USS USS

( 17 600*

F 50 000 75 000


Garbage disposal Guatemala 106 920

67 600 75 000

(75 000) (300 000) (300 000)

20 860 150 000

22 450

7 970

37 779

15 700

45 395

21 896

Total - GUATEMALA


HAITI



Insect control (TA -I) Haiti 4


Yams eradication and syphilis Haiti 1 19 970 21 750 14 870

control


Local health services Haiti 26 110

14 930 14 520Public -health laboratory Haiti 9

6 110 14 930 14 520




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1 2 2

Use USS

5 100

us

2 500

HAITI (continued)

NURSING

Training course for midwives Haiti 10

2

1

1

2

3

3

USS USS

14 938

8 548

USS

15 177

33 358

4 2 1

USS USS USS

5 000*

14 080

5 275

20 800 24 396


Supplies and equipment

Total - HAITI


50 000

60 760 36 270 214 870

(300 000) (354 520) (354 520)

40 000* 35 000

HONDURAS



Rural health services (TA -II) Honduras 4

Total - HONDURAS


8 548 33 358 40 000 35 000

(100 000) (100 000)

JAMAICA



Fellowships Jamaica 5



Regder Budget Technical Assistance Other Extra- Budgetary Funds (including PASB)

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1

1

4 4

4 4

uss uss uss

14 068

-

JAMAICA (continued)


Department of Preventive Medicine, Jamaica 4

4 4 4

uss

23

use

060 33 295

US$

36 172

uss

200

US$ uss

(65 000) (35

000*

100

000)

000

University College of theWest Indies

Total - JAMAICA


5 275 14.

13

068

700

MEXICO



Insect control (TA -I) Mexico 53


Venereal- disease training course Mexico 13 1 250

Pinto eradication Mexico 19

13 700


Rural health services Mexico 15

1 250

3 725

39 707 35 635 1002

900* 100 000 63

600000

Hospital organisation Mexico 17

Fellowships Mexico 18

3 725 39 707 35 635 103 500 100 000 63 000



Regale. Budget - Technical Assistance Other Extra- Budgetary Funds (including PASS)

Numberof posta

Estimated.expenditure Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

Uss uss USS USS USS USS USS usa Usa

MEXICO (continued)

NURSING

Course for nursing instructors Mexico 11 1 3 760 14 200 17 600

National University, School of Mexico 12 3 4 4 26 510 41 870 39 780

Nursing

4 4 4 30 270 56 070 57 380


Consultants Mexico 15 2 000*

4 5 3 725 39 707 49 335 Total - MEXICO 4 4 4 23 060 33 295 36 172 4 4 4 337 020 156 070 220 380


NICARAGUA


TUBERCULOSIS

BCG vaccination 10 000


Rural health services (TA -I) Nicaragua 3 3 3 5 7 650 38 331 52 865 -

65 000

NURSING

2 3 29 792 34 821 School.of Nursing Nicaragua 5




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

UsS USS uSS uss uss USS usa uSs uss

NICARAGUA (continued)

NUTRITION

Public -health nutrition Nicaragua 4 3 300*

laboratory


Advisory services Nicaragua 51 1 8 910 21 OCO*

2 3 29 792 34 821 Total - NICARAGUA 3 3 5 7 650 38 331 52 865 1 8 910 24 300 75 000


PANAMA



Rural health services (TA -I) Panama 1 5 5 4 68 750 63 057 50 476 (g 20 000* 25 000t 20 Gao

Total - PANAMA 5 5 4 68 750 63 057 50 476 40 000 25 000

Total - Estimated Government Contribution (1 500 0001 500 000)(1 500 000)

PARAGUAY



Insect control Paraguay 1 1 6 480


THE AMERICAS : COUNTRY SCHEDULES,

Regular Budget - Technical Assistance Other Extra- Budgetary Funds (including PASB)

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

3

1

4

1

1

uss

18 630

us USS -

PARAGUAY (continued)

TUBERCULOSIS

Tuberculosis control Paraguay 2 4

4

2

- - -

4

4

11 7

11 11 7

VS

56

USS

800

.USS

2

2

2

2

2

2

USS USS USS

5 000* 19 650*BCG vaccination


Venereal disease control Paraguay 4

56 800 5 000 19 850

23 960

980 10 000

(Asunción- Villarrica)


Hookworm and smallpox control Paraguay 5 48 520

Leprosy control Paraguay 9


Public -health services (TA -I) Paraguay 10

48 520 980 10 000

110 926 83 492

20 000


Demonstration and trhining Paraguay 3

135 760 110 926 83 492

programme (Asunción- Villarrica)


Department of Preventive Paraguay 69 420 10 233

5 980 49 850

(475 700) (350 000) (300 000)

Medicine, School of Health

Total - PARAGUAY


28 050 10 233




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

USS

1 370

Uss USS

PERU


PUBLIC- HEALTH AIIMINISTRATION

Publie- health demonstration and Peru 13 2

'

2

3

5

1

1

1

3

3

3

uSS USS uss

38 990 16 602

33 331

usS

15 we

us

36 000*

63 000

Uss

training area, Callao (TA -I)

Extension of health services, Peru 19Arequipa

Extension of health services, Peru 20Upper Amazon

Public -health services (TA -II) Peru 22


Ica health centre Peru 11

38 990 16 602 33 331 15 000 99 000

34 650 5 600 50 000*

4 550


Maternal and child health and Peru 10related health services (TA -II)


Fellowships Peru 21

73 640 22 202 33 331 15 000

(245 700)

149 000

(215 000) (200 000)

5 920 Total - PERU





Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954. 1955 1956

USS usS USS

SURINAM

TUBERCULOSIS

BCO vaccination Surinam 3

2

2

USS USS USS

19 783

2 1

USS USS USS

11 400*

Total - SURINAM


11 400

(135 000) (155 000)

13 800

UNITED STATES OF AMERICA


TPI study (Health Research, United States 6Inc.)

Total - UNITED STATES OF AMERICA

URUGUAY



Control of arthropods Uruguay 51

13 800

21 320 8 090


Blood bank Uruguay 3 6 900

63 000

30 000* 30 000School servicesRural health services (TA -II) Uruguay 5

19 783 36 900 93 000

Allocated by the UNICEF Ereontive Board



Numberof posts


- Estimated expenditureNumberof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

vas uss uss uss uss usa USS USS USS

URUGUAY (continued)

NURSING

4 000 Fellowships Uruguay 4

4 000 Total - URUGUAY 2 19 783 2 1 58 220 8 090 93 000


VENEZUELA



Venereal-disease laboratory, Venezuela 52 1 400 13 610

Caracas

ENDER°- EPIDEMMIC DISEASES

4 700 Onohooeroiasis investigation Venezuela 5


Local health services (TA -II) Venezuela 1 3 3 36 331 35 887 50 000

School services 63 000

3 3 36 331 35 887 50 000 63 000


1 950 Fellowships Venezuela 4

1 950 4 700 Total - VENEZUELA 3 3 36 331 35 887 1 400 63 620 63 000



Regular Budget Technical Assistance Other Ext a- Budgetary Funds (including PASB)

Numberof posts

Estimated expenditurex Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

US1

14 000

USS us




Insect control, Central America AMRO 7 5

7

12

5

7

1

13

2

2

5

4

1

10

2

2

USE uss uss

39 150 49 781 60 697

67 470 61 957 34 868

13 088 13 055

1

1

1

1

uss uss

22 000* 15 000

9 700

7 80018 422

VSs

20 481

and Panama (TA -I)

Insect control, Caribbean Area AMRO 8

(TA -I)

Insect control adviser, Zone IV AMRO 69

countries (TA -II)

Course in Aëdes aegypti AARO 71.2eradication techniques

Malaria survey of the Americas AMRO 78Adviser on Aëdes aegypti ¡O88

eradication

TUBERCULOSIS

BCG statistician AMRO 31

106 620 124 826 108 620 39 500 33 422 20 481

6 300 30 083 25 222 17 600*

f 100 000

2 000


Venereal_disease laboratory and AMRO 21training centre

Yaws eradication and syphilis AMRO 47

control, Caribbean Area (TA -I)

2 000 6 300 30 083 25 222 117 600



Regular Budget Technical Assistance Other Extra -Budgetary Funds (including PASB)Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS US$ USS uss use Use uss usa USS

INTER -COUNTRY PROGRAMMES(continued)


2 620 Brucellosis training course AMBO 26Hydatidosis control AMBO 43 770 6 000 14 500Yellow -fever studies ASRO 57 3 3 3 39 870 48 570 47 420

1 6 800 12 748 Leprosy control, Caribbean Area ABRO 58Smallpox eradication AMRO 60 63 874 144 089

1 21 908 14 300 Rabies control ABRO 61 620Plague investigation ABRO 74 1 1 4 250 7 070

3 730 3 730 3 730 Vaccine testing AMRA 77Pan -American Zoonosis Centre ABRO 81 76 091 109 401Typhus control, Bolivia and Peru ASRO 83 1 1 4 000 21 900 22 530Zoonosis control (TA -II, 1955; ABRO 84 12 000 12 000

TA -I, 1956)

1 1 6 350 32 438 30 778 12 000 12 000 4 5 4 113 384 303 720 193 851


Inter- American Centre of Bio- AMRO 10 6 b 6 66 580 72 712 79 709

12 900 12 900statistics (TA -I)

Laboratory biological facilities A0RO 4515 200 Training course for laboratory ABRO 82

technicians7 000 7 000 Clearing centre for classification ABRO 85

of diseases1 1 10 595 10 537 Health statistician AMRO 86

Andean Indian Mission (TA -I) AMHO Ú 1 1 11 262 12 4891 1 1 16 340 14 305 15 177 WHO medical adviser, to UNICEF

Regional Office for Latin America

1 2 2 16 340 60 000 45 614 6 7 7 66 580 83 974 92 198


Regular Budget Technical Assistance Other Extra -Budgetary Funds (including PANE)

Numberposts

Estimated expenditure Numberof posts -



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2 2

uss uss

15 000

Ilse

2 50015 000

12 330

INTER- COUNTRY PROGRAMMES(continded)

NURSING

Regional Nursing Congress ABRO 23.4

uss uss

_

uss

24

24

22

22

21

21

uss uss uss

14 000

Course for instructors in com- AMR° 28

munioable- disease nursing

Workshop on nursing curriculum Amp 46.4Workshop on nursing curriculum liffir471.

15 000 29 830


" Cultura] anthropology ABRO 29

14 000

24 650 16 838

13 800 13 800 13 800

75 000 75 000 75 00035 009 5 000 5 000

2 02D 11 700

MENTAL HEALTH

Seminar on mental health AMRO 9.2

6 840

NUTRITION

Assistance to Institute of ABRO 54Nutrition of Central Americaand Panama (INCAP)

INCAP operations financed by member countriesINCA? projects financed from contributions

and grantsEndemic goitre survey ABRO 87

6 840 123 809 93 800 93 800



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ US$ US$ US$ US$ US$ US$ US$ US$



91 200 81 700 81 700 Training in environmental AMRO 1

sanitation8 000 14 240 14 240 Waterworks training course AMRO 17

Consultants AMRO 39 3 150

7 360 Seminar on sanitary engineering ABRO 4 8 500 8 500

(TA -II)

106 560 95 940 95 940 8 500 8 500 3 150


Fellowships (various) ABRO 35 74 758 54 640 55 480

23 800 56 200 48 200 Medical and public -health education AMRO 18Training centre for public -health AMR0 22 12 400nurses and sanitary inspectors,

Jamaica20 100 Seminar on teaching of preventive AMRO 49 4 000

medicine7 800 7 800 Veterinary medicine AMRO 678 770 Survey of paediatric education AMRO 68

Statistical education ABRO 75 19 600 19 600

Pan -American Foot and Mouth Disease AM40 77 44 45 45 230 060 266 614 330 039Centre

13 000 'Training course for statistical ABRO 79clerks

36 800 92 870 56 000 44 45 45 308 818. 340 854 417 519

4 5 3 215 550 324 786 258 162 Total - INTER -COUNTRY PROGRAMMES 18 22 19 179 500 259 383 246 540 72 73 71 602 661 889 396 725 651

Total - Estimated Government Contributions (1 200 000)(L 845 000)(2 170 000)

SOUTH -EAST ASIA 141

SOUTH -EAST ASIA


The staffing pattern of the Regional Office in 1956 remains the same as for 1955.

Duty TravelProvision is made for visits by the Regional Director and senior staff to various countries in the Region to discuss and advise

upon the development of health programmes.


A post of education and training adviser has been abolished from 1 January 1955 onwards. It is proposed to create a post ofregional adviser in health education from the same date.

Duty Travel

Provision is made for visits by the regional advisers to various countries in the Region so that they can assist health authoritiesand specialist advisers in the field in developing and promoting field activities.

AREA REPRESENTATIVES(See page 159)

No change in the number of posts of area representative is proposed for 1956.

Duty Travel

To enable the area representatives to fulfil their primary functions of liaison with governments, with United Nations agenciesand with bilateral agencies, and to achieve effective co- ordination of field activities in the countries concerned, provision is made forappropriate duty travel.

AFGHANISTAN


Malaria Control (TA -I) Afghanistan 11

The UNICEF /WHO- assisted project included in the programme and budget estimates for 1955 is now to be continued in thatyear by means of fellowships, and in 1956 it is proposed to provide a consultant for three months to assist in the assessment andfurther development of the work. It is expected that equipment and supplies will be provided from Other Extra -budgetary Funds.

2. Tuberculosis

Demonstration and Training Centre, Kabul (TA -1) Afghanistan 9Continuation of the project included in the programme and budget estimates for 1955 with a team consisting of a senior

adviser, a publichealth nurse, an x -ray engineer and a laboratory technician. By mid -1956 it is expected that the laboratory and thex -ray service will be well established. The x -ray engineer and the laboratory technician will then be withdrawn, the senior adviserand the publichealth nurse being left to consolidate the work and integrate it into the general health services. The estimated costof personnel in that year is $23 932, a further provision of $6000 being made for six consultant months; supplies and equipment,in the amount of $1000, are also budgeted for.


Manufacture of Vaccine (TA -1) Afghanistan 14After the survey carried out in 1953, the Government decided to improve facilities for vaccine production at the Government

Vaccine Institute. Regional fellowships were accordingly provided in 1954 for a group of five key personnel to study techniques ofvaccine production, and a laboratory specialist was available part -time from the maternal and child health /venereal disease project.It is proposed to ensure the consolidation of the work by retaining the services of the laboratory specialist for this project in 1955and 1956. lt'is expected that the supplies and equipment necessary for continuing this activity will be provided from Other Extra -budgetary Funds.

142 SOUTH-EAST ASIA


(a) Public- Health Adviser (Regular and TA -I) Afghanistan 6In continuation of the project included in the programme and budget estimates for 1955, it is proposed in 1956 to retain the

services of the publichealth adviser who assists the Government in training personnel and organizing health services (estimatedcost, $11 313) ; also to provide supplies and equipment amounting to $100, and a regional fellowship in public -health administrationfor twelve months ($2800), the latter being under Technical Assistance, priority I.

(b) Provincial Health Programme (TA -I) Afghanistan 10

The assistance given to the public -health laboratory, and in the field of maternal and child health and venereal- disease control,has stimulated the setting -up of provincial health units, and this project is the outcome. A provincial health programme is to beundertaken in Kandahar in 1955 with the help of a medical officer and a public -health nurse, suppliés and equipment beingprovided by UNICEF. It is proposed in 1956 to retain the services of the international personnel, at an estimated cost of $15 900 ;they will assist the Government in organizing provincial health units in two provinces of Afghanistan. In addition to a provision of$100 for supplies and equipment under Technical Assistance, further supplies are expected to be provided by UNICEF.

(c) Vital and Health Statistics (TA -II) Afghanistan 7In 1954 a national programme of training in elementary statistical techniques was set on foot and it is proposed that in 1955

and 1956 a specialist should assist the Government in developing the vital and health statistics section of the Health Directorate.The estimated personnel cost in 1956 is $9080, with supplies and equipment at $2000.

(d) Rural Health Unit (TA -II)A field training area for both sanitarians and other health personnel was to have been set up in 1954, but was postponed to

1955. It is proposed to continue the project in 1956. Provision is made for a public -health officer, a public -health nurse, and asanitarian, at an estimated cost of $21 725. The bulk of the supplies and equipment are expected to be provided from OtherExtra -budgetary Funds, a small provision ($100) being made under Technical Assistance.

5. Nursing

(a) School of Nursing (Male), Kabul Afghanistan 4

Continuation of the project included in the programme and budget estimates for 1955. It is expected that only one nurseeducator will be provided in 1955, as was the case in 1954, on account of budgetary difficulties. It is proposed in 1956 to continuethe training programme with the same post of nurse educator, at an estimated cost of $7463, and with supplies and equipmentin the amount of $200.

(b) School of Nursing (Female), Kabul (TA -I) Afghanistan 10Continuation of the project included in the programme and budget estimates for 1955 with two nurse educators. In 1956, it

is proposed to retain the nurse educators, at an estimated cost of $12 998, supplies and equipment in the amount of $200 beingprovided for.

(c) School of Midwifery Nursing, Kabul (TA -I) Afghanistan 10Continuation of the project included in the programme and budget estimates for 1955 with two nurse educators. In 1956 it

is proposed to continue these posts, at an estimated cost of $12 108, and to provide supplies and equipment amounting to $200.It is expected that by the end of that year WHO assistance will no longer be required.


Demonstration and Training Project (TA -I) Afghanistan 10

Several activities under the maternal and child health /venereal- disease -control project included in the programme and budgetestimates for 1955 have now widened into individual projects. Certain services will be sufficiently well established by 1955 for abroader maternal and child health programme to begin in that year. A maternal and child health adviser and a public -health nurseare therefore to be provided to assist the Government in developing a programme of work, and it is proposed to retain them in1956. Supplementary supplies and equipment 'are expected to be provided from Other Extra -budgetary Funds.


Environmental Sanitation Project Afghanistan 12

Continuation of the project' included in the programme and budget estimates for 1955. A public -health engineer has beenprovided to help in developing a sanitation programme and in organizing training for sanitarians and other health personnel, andthe programme should be consolidated by 1955. In 1956 it is proposed to retain the services of the public -health engineer, at anestimated cost of $17 624, and to provide a regional fellowship in sanitary engineering ($2800), and supplies and equipment ($500).It is expected that additional supplies and equipment will be forthcoming from Other Extra -budgetary Funds.



(a) Faculty of Medicine, University of Kabul Afghanistan 5 and 13Continuation of the project included in the programme and budget estimates for 1955. Six professors were originally proposed

in order to upgrade the Faculty of Medicine, but so far only the professors of anatomy and physiology have taken up their posts.It is proposed to add a professor of internal medicine ; all three will be retained in 1956, at an estimated cost of $40 234. The public -health adviser (see paragraph 4 (a) above) will also be available part -time for lecturing at the Faculty. Supplies and equipment inthe amount of $1000 are provided for.

(b) Refresher Course for Medical Officers

A three -month training course in public health is to be given to six Afghan medical officers in 1955 to enable them to undertakehealth work in provincial centres. The same course will be given in 1956 to a further number of medical officers and provision isaccordingly made for maintenance and travel costs.

(c) Training of Health Assistants (TA -I)

It is expected that by 1956, as a result of preliminary work during the previous year, it will be possible to undertake thesystematic training of auxiliary health workers. It is accordingly proposed in that year to provide a sanitarian, at an estimatedcost of $5823, with teaching equipment and supplies amounting to $1500.

V/ BURMA


(a) Demonstration and Training Project (TA -I) Burma 2Continuation of the project included in the programme and budget estimates for 1955, with staff consisting of a senior adviser,

an entomologist and a sanitarian. During 1954 the team, after completing its work in the Lashio area, moved to Maymyo toorganize the second training centre in Northern Burma. By June 1956 the operation in Maymyo should have been sufficientlystabilized for the team to be withdrawn and the Government to take over. Provision is therefore made for the three members ofthe team to be retained for a period of six months in 1956, the estimated cost being $13 545, with supplies and equipment ($100).Further supplies are expected from the Government.

(b) Malaria Adviser (TA -I) Burma 31

Continuation of the project included in the programme and budget estimates for 1955. A malariologist was provided in 1954to assist the Government in planning the national malaria -control programme undertaken with assistance from UNICEF in respectof supplies and equipment. His services will be continued in 1955 and 1956 in order to consolidate the work and develop theprogramme ; estimated personnel cost in 1956, $9975 ; supplies and equipment, $100.

2. Tuberculosis

(a) Demonstration and Training Centre, Mandalay (TA -I) Burma 18

Continuation of the project included in the programme and budget estimates for 1955. During 1954 the team (consisting of asenior adviser, an x -ray engineer, a laboratory technician and a publichealth nurse) moved to Mandalay. By June 1956 it isexpected that the Government will be in a position to take over complete operation of the centre, and accordingly provision forthe team has been made for only six months, the estimated cost being $15 243. Provision is also made for a regional fellowshipof twelve months for a publichealth nurse ($2900), for six consultant months ($6000), and a small provision ($100) for supplies andequipment.

(b) Country Adviser (Lecturer on Tuberculosis) (TA -1) Burma 10Continuation of the project included in the programme and budget estimates for 1955 under the heading " Medical College,

Rangoon ". Provision is made in 1956 to continue the services of the adviser in tuberculosis control provided at the Govern-ment's request in 1954 (estimated cost, $9094) ; a small amount for supplies and equipment, $100, is also proposed.


(a) Communicable- Disease Control (TA -I)

The Government has requested that certain problems connected with endemic diseases should be further investigated andthat control activities should be strengthened. It is therefore proposed to provide an epidemiologist for the Health Directoratein 1955 and to retain his services in 1956.

(b) Strengthening of Laboratory Services (TA -I)

In view of the importance of laboratory services for the expanding health programme of the country, it is proposed to extendthe facilities offered by the venereal- disease laboratory scheme to include laboratory services for general public -health work.Provision has accordingly been made in 1955 and 1956 for a laboratory specialist (estimated cost in 1956, $11 525). A smallprovision, $100, is made for supplies and equipment.

144 SOUTH -EAST ASIA


(a) Public -Health Adviser

Burma is undertaking major changes in its health administration and the Government has asked for a public -health adviserto assist the Health Directorate in planning and developing programmes. Provision has therefore been made for a consultantfor eight months in 1955 and for a further eight months in 1956.

(b) Rural Health Unit, Mandalay (TA -I) Burma 32

Continuation of the project included in the programme and budget estimates for 1955. The project, which began in 1954,is expected to continue through 1955, and is staffed by a public -health officer, a public -health nurse and a sanitarian. In 1956it is proposed that the team should be continued, at an estimated cost of $21 778. Provision is also made for a regional fellowshipof twelve months for a public -health nurse ($2900) ; and for supplies and equipment in the amount of $100.

(c) Vital and Health Statistics (Regular and TA -I) Burma 22

Continuation of the project included in the programme and budget estimates for 1955. This project began in 1954 with theprovision of a specialist in health statistics and a records analyst, but the proposal in 1956 is for the statistician only, the estimatedcost being $11 249 ; supplies and equipment, $100.

(d) Medical Stores Management

Continuation of the project included in the programme and budget estimates for 1955, for assistance in reorganizing andexpanding the central medical stores in the Health Directorate. It is proposed to continue the post of medical stores specialistthrough 1956, at an estimated cost of $9892 ; supplies and equipment in the amount of $100.

(e) District Health Programme (TA -I) Burma 4 and 6

It is intended to expand the venereal- disease side of the former maternal and child health /venereal- disease -control projectinto a district health programme, and provision has accordingly been made in 1955 for a public -health adviser and a public -healthnurse. The project will be continued in 1956 with the same international personnel (estimated cost, $15 409) and with equipmentand supplies from Other Extra -budgetary Funds (a small provision, $100, is made under Technical Assistance).

(f) Hospital Planning (TA -I)

The Government is undertaking a large -scale programme of hospital construction and has requested WHO's assistancein planning the hospitals. Accordingly provision has been made in 1955 for a specialist in the subject, whose services will continuein 1956 (estimated cost, $9075) ; supplies and equipment in the amount of $100.

5. Nursing

(a) Selected School of Nursing (Dufferin Hospital) Burma 7

Continuation of the project included in the programme and budget estimates for 1955. In 1956 it is proposed to continue theteam of two nurse educators until the middle of the year, at an estimated cost of $9514; equipment and supplies, $200.

(b) Post -graduate School of Nursing, Rangoon (TA -I) Burma 25

This project was originally part of the maternal and child health /venereal- disease -control project, but for 1955 separateprovision was made for the nurse educator in public health. It is now proposed to strengthen the general teaching programmeby adding a nurse educator in general subjects in 1955, and a further nurse educator, in midwifery, in 1956. The estimated cost ofpersonnel in 1956 is thus $19 229 ; supplies and equipment in the amount of $100. An international fellowship of twelve months isalso proposed, $4000.

(c) School of Nursing, Mandalay (TA -I) Burma 6

Continuation of the project formerly undertaken as part of the maternal and child health /venereal- disease -control project. Thisschool of nursing will continue to require assistance in 1956 and provision is accordingly made for two nurse educators in publichealth and a third in midwifery, at an estimated cost of $19 465. The bulk of the supplies and equipment are expected to be providedby UNICEF, a small provision ($100) being made under Technical Assistance.

(b) Refresher Course for Nurses Burma 23

A three -month refresher course in specialized nursing subjects for nine participants was provided for in the programme andbudget estimates for 1955. It is proposed to run a course of the same type in 1956.



Strengthening of Health Education Bureau, Health Directorate Burma 21

Continuation of the project included in the programme and budget estimates for 1955, the object of which is to strengthenthe health education bureau in the central administration. It is proposed in 1956 to continue the services of the health educatorwho began work there in 1954 (estimated cost, $9892) ; equipment and supplies to the value of $500 are also proposed.

7. Maternal and, Child Health

Refresher Course Burma 29

A national refresher course to give post -graduate training to six doctors and six nurses for three months was proposed in theprogramme and budget estimates for 1955. It is hoped to hold a similar course in 1956.

8. Nutrition

FAO /WHO Nutrition Project Burma 26Continuation of the project of assistance to the Government in its nutrition services, included in the programme and budget

estimates for 1955 and undertaken in collaboration with FAO. In 1956 it is proposed to continue the services of the medicalnutritionist and the biochemist technician, at an estimated cost of $19 746 ; equipment and supplies to the value of $1000.


Strengthening of Environmental Sanitation Bureau (TA -I) Burma 30In 1956 it is proposed to continue the services of the public -health engineer who is helping the Health Directorate to develop its

programme of environmental sanitation, and the sanitarian who is to be provided in 1955 to help train health workers (estimatedcost, $15 419). An international fellowship in public -health engineering is also to be awarded for twelve months (estimated cost$3650). A small provision of $100 is made for supplies and equipment, in addition to the amount provided by UNICEF for 1954.


(a) Assistance to Medical College, Rangoon (TA -I) Burma 28Continuation of the project included in the programme and budget estimates for 1955. The provision made in 1956 is for a

professor of public health, a professor of physiology, and a professor of pharmacology (estimated cost $27 263). Provision is alsomade for equipment and supplies amounting to $1000 ; and for two fellowships (one in pathology and the other in preventivemedicine) for twelve months each, at an estimated cost of $7300.

(b) Post -graduate Course in Public Health for District Medical OfficersIt is proposed to hold a three -month national refresher course for six medical officers in 1956 on the lines of the one planned

for 1955.

CEYLON


(a) Control Project, Colombo and Galle (TA -I)\ Ceylon 10 and 25Continuation of the project included in the programme and budget estimates for 1955 with the following personnel : a senior

adviser, a publichealth nurse, a radiographer and a laboratory technician. It is expected that the work at Galle will bewell established by the end of I955 and that the team can be withdrawn. In view, however, of the extensive work that is beingundertaken by the Government on a country -wide scale with the assistance of the Colombo Plan, it is proposed that the team beretained in 1956, with the exception of the laboratory technician. The three members will continue to assist the Government intraining personnel and organizing provincial centres (estimated personnel cost, $21 778). Consultants are also budgeted for($4000). A small provision, $100, is made for supplies and equipment.

(b) Adviser to Health Directorate Ceylon 36

In 1954 a country adviser went to Ceylon to help the Government to reorganize and expand its antituberculosis campaign.It is proposed to retain his services in 1956.

2. Endemo- Epidemic Diseases

(a) Leprosy Control Ceylon 26Continuation of the project included in the programme and budget estimates for 1955. In 1956 it is proposed to retain the

services of the leprologist and the occupational therapist for six months, at an estimated cost of $9273 ; supplies and equipmentamounting to $1000.

E 10


(b) Assistance to Health Directorate (TA -I)

In 1955 it is proposed to provide an epidemiologist for the Health Directorate, to assist in planning and developing a programmefor the control of communicable diseases and also to help with the Kalutara Public -Health Training Centre. His services will becontinued in 1956, at an estimated cost of $9075 ; supplies and equipment amounting to $1000 are also proposed.


(a) Fellowships (Hospital Administration) (TA -I)

It is proposed in 1956 to provide two international fellowships of six months each for senior medical officers, the subject ofstudy being hospital administration and planning of hospital services.

(b) Public- Health Training Centre, Kalutara (TA -I) Ceylon 4The provision made under Maternal and Child Health for 1954 and 1955 for a paediatrician and a public -health nurse will be

continued in 1956 under Public- Health Administration; and it is proposed to add a public -health administrator (estimated cost ofthe three posts, $24 036). The part -time services of the epidemiologist, health educator and publichealth engineer attached tothe Health Directorate (see paragraphs 2 (b), 5 and 7) will also be utilized. An international fellowship in public -health adminis-tration for twelve months is proposed (estimated cost, $3680). Supplies and equipment are expected from Other Extra -budgetaryFunds, a small provision ($100) being made under Technical Assistance.

4. Nursing

(a) Colombo School of Nursing Ceylon 8Continuation of the project included in the programme and budget estimates for 1955. The nurse educator in public -health

who will help to integrate public -health nursing into the general nursing curriculum will be required for a period of two years, andprovision is accordingly made for her services to be retained in 1956 for nine months, at an estimated cost of $5784. An inter-national fellowship for twelve months in publichealth nursing is also proposed (estimated cost, $4000) and there is a small provision($100) for supplies and equipment.

(b) Third A -Grade School of Nursing (TA -II)

This project, .the object of which is the establishment of a school to train nurses for hospitals and public -health units, wasoriginally under Technical Assistance priority III in the programme and budget estimates for 1955. It is now budgeted for in1956 under priority II, with three nurse educators (estimated cost, $18 975) and supplies to the value of $2000.


Health Education Project (TA -I) Ceylon 2Continuation of the fundamental education project in collaboration with UNESCO, for which WHO has provided the services

of a health educator since 1952. By agreement with the Government, the health educator will now assist the Health Directoratein upgrading the national programme of health education, while continuing to give guidance to the fundamental education project.Provision is therefore made for his services in 1956, at an estimated cost of $7754. A fellowship of four months is to be providedfor his national opposite number ($2000), and supplies and equipment to the value of $1000.

6. Mental Health

Advisory Services

The Government has asked for short -term consultants to help it in planning its mental health services in preventive psychiatry,child guidance and treatment of mental defectives ; provision is made in 1956 for six consultant months.


Pilot Project, Kurunegala (TA -I) Ceylon 35

Provision is made for 1955 for a public -health engineer to assist the Government in an environmental sanitation pilot projectat Kurunegala, and for a senior sanitarian to help with the in- service training of public -health inspectors : their services will beretained in 1956, at an estimated cost of $14 898. A small amount of supplies and equipment, $100, is also provided for ; furthersupplies and equipment are expected from Other Extra- budgetary Funds.

INDIA


(a) Demonstration and Training Centre, Madras (TA -I) India 53

This project, originally planned for 1954, is now expected to begin in 1955 with an international team consisting of a senioradviser, an epidemiologist, a laboratory technician, an x -ray engineer and a public -health nurse. Provision is made for the con-


tinuation of the team, less the epidemiologist, in 1956 at an estimated cost of $28050. Consultant months are also budgeted for($4000). A small provision, $100, is made for supplies and equipment, it being expected that further supplies will be provided by theGovernment.

(b) Demonstration and Training Centre, Nagpur (TA -I) India 42This project is planned to begin in 1955 with a team consisting of a senior adviser, a laboratory technician, an x -ray engineer,

a public -health nurse and an epidemiologist ; their services will be retained in 1956, at an estimated cost of $35 787. A smallprovision, $100, is made for supplies and equipment, it being expected that further supplies will be provided by the Government.

(c) Demonstration and Training Centres, Hyderabad and Agra (TA -II)A project for two undesignated centres was included in the programme and budget estimates for 1955. It is now proposed that

the following staff be provided in 1955 for each of two centres, at Hyderabad and Agra respectively : a senior adviser, an epidemio-logist, a public -health nurse, a laboratory technician and an x -ray engineer. Their services will be retained in 1956, at an estimatedcost of $71 574 ; a provision of $200 is made for supplies and equipment.

(d) BCG Demonstration and Training India 28Continuation of the UNICEF /WHO- assisted project included in the programme and budget estimates for 1955. It is proposed

that in 1956 two BCG nurses should be retained from the international team. Their cost, as well as that of supplies and equipment,is expected to be met from Other Extra- budgetary Funds.


Plague Research India 31Continuation of the project included in the programme and budget estimates for 1955. A short -term consultant was provided

in 1954 to undertake with the Government an evaluation of the present status of plague control and to make recommendationsfor the next two years. It is proposed, on the basis of those recommendations, to provide fourteen consultant months in 1955and the same number in 1956 (estimated cost, $9250). Supplies and equipment to the value of $2000 are also proposed.


Vital and Health Statistics (TA -II)This project, included in the programme and budget estimates for 1955, could not start in 1954 because of budgetary difficulties.

The statistical expert whose post is shown for 1955 will help set up a vital and health statistics machinery to serve as a model and atraining ground. The post will be continued in 1956 (estimated cost, $9078) ; a small amount of supplies and equipment, $100, isalso provided.

4. Nursing

(a) Calcutta Project India 19Continuation of the project included in the programme and budget estimates for 1955. Since the project was intended to last

for four years, the provision for the four nurse educators will be continued in 1956, at an estimated cost of $28 687 ; a small amountof supplies and equipment, $100, is also included.

(b) Bombay Project India 40Continuation of the project included in the programme and budget estimates for 1955. It is proposed in 1956 to continue the

provision for four nurse educators, at an estimated cost of $29 295 ; a small amount for supplies and equipment, $100, is alsoincluded.

(c) Ludhiana Project (TA -I) India 38Continuation of the project included in the programme and budget estimates for 1955. It is proposed to continue the two

posts of nurse educator in 1956 (estimated cost, $12 609) ; supplementary equipment and supplies in the amount of $200 arealso proposed.

(d) Post - graduate Course in Midwifery, Calcutta India 63Continuation of the project included in the programme and budget estimates for 1955. It is proposed to retain the nurse

educator (midwifery) in 1956, at an estimated cost of $7988, a small amount for supplies and equipment, $100, also beingprovided.

(e) Domiciliary Nursing and Midwifery (TA -I)

Continuation of the project included in the programme and budget estimates for 1955 under Technical Assistance priority III.It is now proposed to give it priority I, the provision made in 1956 being for a public -health nurse and a nurse midwife, at anestimated cost of $12 650, with a small amount ($100) for supplies and equipment. Further supplies are expected from OtherExtra -budgetary Funds.


(f) Refresher Course for Nurses India 58 and 65A refresher course for nurses has been planned for 1455, and it is proposed to repeat it in 1956. Provision is accordingly

made for maintenance and travel grants for participants at a three -month course.


Health Education Programme (TA -I)

It is proposed to provide two health educators to help the Government develop its health education programme. The estimatedcost in 1956 is $15 474 ; provision is also made for supplies and equipment, in the amount of $1000.


(a) Hyderabad Project (Maternal and child health /Nursing) India 49Continuation of the project included in the programme and budget estimates for 1955. The staff needed in 1956 will be a

maternal and child health officer, three nurse educators, a nurse educator in public health with midwifery experience, a paediatricnurse, and two nurse educators in midwifery. It is expected that the cost of the nurse and nurse educators, and of most of thesupplies and equipment, will be met from Other Extra -budgetary Funds. The estimated cost of the maternal and child healthofficer is $7931 and a provision of $100 is made for supplies and equipment.

(b) West Bengal Project (Maternal and child health /Nursing) India 55Continuation of the project included in the programme and budget estimates for 1955. Provision is made for 1956 for the

retention of the nurse educator (midwifery) and two public -health nurses, at an estimated cost of $24 015, and for supplies ($100).It is expected that a public -health nurse (school health) and further supplies and equipment will be provided from Other Extra -budgetary Funds.

(c) Bihar Project (Maternal and child health /Nursing) India 56Continuation of the project included in the programme and budget estimates for 1955. It is proposed that in 1956 WHO

should continue to provide a maternal and child health officer and a publichealth nurse (estimated cost, $18 762), and also supplies($100). It is expected that the cost of the remaining staff, and of further supplies and equipment, will be met from Other Extra-budgetary Funds.

(d) Uttar Pradesh Project (Maternal and child health /Nursing) India 57Continuation of the project included in the programme and budget estimates for 1955. It is proposed that in 1956 WHO

should continue to provide a paediatrician' and a paediatric nurse (estimated cost, $18 762), and also supplies ($100). A public -health nurse /midwife and a publichealth nurse will, it is expected, be provided from Other Extra -budgetary Funds, along withfurther supplies and equipment.

(e) Travancore -Cochin Project (Maternal and child health /Nursing) India 62Continuation of the project included in the programme and budget estimates for 1955. In 1956 it is proposed that WHO should

continue to provide a maternal and child health officer and a nurse educator (midwifery), at an estimated cost of $18 762, andalso supplies ($100). A nurse educator (public health) and a public -health nurse will, it is expected, be provided from Other Extra -budgetary Funds, as also further supplies and equipment.

(f) Mysore Project (Maternal and child health /Nursing) India 76Continuation of the project included in the programme and budget estimates for 1955. The personnel proposed for 1955 are

a health educator and a nurse educator (public health), and a nurse educator in midwifery is to be added in 1956, the estimatedpersonnel cost in that year being $25 324. It is expected that supplies and equipment will be forthcoming from Other Extra -budgetary Funds, in addition to the provision of $100 made in the regular budget.

(g) Bombay Project (Maternal and child health /Nursing)

This project has been under discussion for some time by the Government, UNICEF and WHO, and it is now proposed that itshould begin in 1955 and continue in 1956. The staff required will be a maternal and child health officer and two nurse educatorsand these, as well as the supplies and equipment, are expected to be provided from Other Extra -budgetary Funds.

(h) Madhya Pradesh Project (Maternal and child health /Nursing)Continuation of the project included in the programme and budget estimates for 1955. It is proposed in 1956 to continue it

with a maternal and child health officer, two nurse educators and a health educator, at an estimated cost of $36 172. Suppliesand equipment are expected from Other Extra - budgetary Funds, in addition to the provision of $100 in the regular budget.

(i) Saurashtra Project (Maternal and child health /Nursing)Discussions are proceeding with the central Government and the states for further implementation of state maternal apd

child health programmes, and the Government has asked that personnel be provided in 1956 for such a programme in Saurashtra.It is considered that a maternal and child health officer and three nurses will be required and it is hoped that the cost, as alsothat of supplies and equipment, will be met from Other Extra -budgetary Funds.


(j) All -India Institute of Hygiene and Public Health, Calcutta India 2Continuation of the project included in the programme and budget estimates for 1955. It is thought necessary in 1956 to

continue the posts of specialist in social medicine, paediatrician, paediatric nurse, publichealth nurse, public -health nurse withmidwifery experience, medical social worker, health educator and administrative officer -all reimbursable by UNICEF. Suppliesand equipment are expected to be provided from Other Extra -budgetary Funds.

(k) Consultants (Programme review) (TA -I)

In view of the extensive state projects in maternal and child health assisted by WHO and UNICEF which are being imple-mented throughout the country, it is proposed that provision be made for eight consultant months in 1956. The consultants willhelp in reviewing and developing certain aspects of the projects in operation.

(1) Paediatric Centre, Lady Hardinge Medical College (TA -II)This project was given Technical Assistance priority III in the programme and budget estimates for 1955. It is proposed to

assign it to priority II in 1956, provision being made for a paediatrician (estimated cost, $9075), and for a small amount ($100) ofsupplies and equipment.

7. Mental Health

All -India Institute of Mental Health, Bangalore India 71

Continuation of the project included in the programme and budget estimates for 1955 as India 13. In 1956 it is proposedin addition to an electrophysiologist and a psychiatric nurse (estimated cost, $18 762) to provide for six consultant months at anestimated cost of $7800, supplies and equipment in the amount of $100, and two fellowships ($7400).


Environmental Sanitation Project (Regular and TA -I)

Provision is made in 1955 for three public -health engineers to assist the Government in developing its environmental sanitationprogramme ; the posts will be continued in 1956, at an estimated cost of $27 225, with a small provision of $100 for supplies andequipment (Technical Assistance). In the same year it is proposed to run a training course for public -health engineers, similarto that to be held in 1955 ; the course is for thirty participants, will last three months, and is expected to cost $5300 (regular budget).Two international fellowships of twelve months each in public -health engineering are also proposed, the estimated cost being$7020 (Technical Assistance).

INDIA (former French Settlements)


Fellowships

A regional fellowship for twelve months in some branch of public health is proposed, to help in strengthening the basic healthservices.


Fellowships

A regional fellowship for twelve months is proposed, to help in strengthening the basic health services.

INDONESIA


(a) Demonstration and Training Project (TA -I) Indonesia 4Continuation of the project included in the programme and budget estimates for 1955. In that year the full team of a malario-

logist, an entomologist and a public -health engineer will undertake work in a new area yet to be decided, with equipment andsupplies provided by the Government. In 1956 it is proposed to continue only the malariologist and the entomologist, the estimatedcost being $19 127. A small provision, $100, is made for supplies and equipment.

(b) Assistance to Malaria Section, Ministry of Health (TA -I)Continuation of the project included in the programme and budget estimates for 1955 under the heading " Assistance to Malaria

Institute ". It is proposed in 1955 to provide a malariologist and an entomologist who will be attached to the Malaria Sectionof the Ministry of Health. They will be retained in 1956, at an estimated cost of $16 812. A small provision, $100, is madefor supplies and equipment.


2. Tuberculosis

(a) Demonstration and Training Centre, Bandung (TA -I) Indonesia 8Continuation of the project included in the programme and budget estimates for 1955. The demonstration and training

centre was intended to continue to the end of 1954 and to be used for an expanded programme for a whole district. It is nowproposed to postpone the district expansion programme for the present and to continue the centre in 1955 with three internationalpersonnel -a senior adviser, a public -health nurse and a laboratory technician. The team will be retained in 1956, at an estimatedcost of $28 197, and provision ($4000) is made for four consultant months. Supplies and equipment in the amount of $1000are also proposed.

(b) Demonstration and Training Centre, Area Undesignated (TA -II)It is proposed in 1956 to set up a tuberculosis demonstration and training centre in one of the islands other than Java, with

the following international staff : a senior adviser, an epidemiologist, a public -health nurse, a laboratory technician and x -rayengineer, the estimated cost being $33 252. Supplies and equipment are expected from the Government and only a small provision,$100, is made under Technical Assistance.

(c) BCG Demonstration and Training Indonesia 8Continuation of the UNICEF /WHO- assisted project included in the programme and budget estimates for 1955. The BCG

campaign will during 1955 have been extended to areas other than Java, and it is considered necessary to retain the medical officerand the nurse. The cost of these posts is expected to be met from Other Extra -budgetary Funds, from which equipment andsupplies are also expected.


Yaws Control (TA -I) Indonesia 1Continuation of the UNICEF /WHO- assisted project in the programme and budget estimates for 1955, which included

assistance to the Surabaya Institute. The provision made for 1956 is for the services of a consultant for three months to undertakewith the Government an assessment and evaluation of the yaws campaign. Supplies and equipment are expected from OtherExtra -budgetary Funds.


(a) Leprosy Control Indonesia 9Continuation of the project included in the programme and budget estimates for 1955. Provision is continued in 1956 for a

leprologist to collaborate with the Ministry of Health in carrying out a national antileprosy programme. The estimated personnelcost is $10 591 and a small provision, $100 , is made for supplies and equipment, the bulk of these being expected from OtherExtra -budgetary Funds.

(b) Trachoma Control (TA -I)

Provision has been made for 1955 for a short -term consultant for three months to investigate the facilities for establishing a pilotproject in trachoma control and to make recommendations for its implementation. In 1956 it is proposed to provide a consultantfor two months for this project, at an estimated cost of $2000. A provision of $1910 for a three -month international fellowshipis also made. Supplies and equipment are expected from Other Extra -budgetary Funds.


(a) Strengthening of Public -Health Services (TA -I)

Continuation of the project included in the programme and budget estimates for 1955 under the heading " Health Demonstra-tion Area ". It is proposed in 1956 to continue the two international personnel, an epidemiologist and a health educator, theestimated cost being $16 812. Supplies and equipment in the amount of $500 are also proposed.

(b) Vital and Health Statistics (TA -I)Continuation of the project included in the programme and budget estimates for 1955. It is proposed in 1956 to retain the

statistician who is helping the Ministry of Health to develop its health statistical services (estimated cost $9075), and to providesupplementary supplies and equipment in the amount of $200.

6. Nursing

(a) Fellowships (TA -I)

It is proposed in 1955 to award an international fellowship in nursing for twelve months to a nurse in the government service.

(b) School of Basic Nursing (TA -II)

Continuation of the project included in the programme and budget estimates for 1955 under priority III. It is proposed toassign it to priority II in 1956, provision being made for two nurse educators (estimated cost $12 650) and equipment and suppliesin the amount of $2000.


(c) Post -graduate School of Nursing, Bandung Indonesia 15Continuation of the project included in the programme and budget estimates for 1955, which began in 1954. It is proposed

to continue the provision for the three nurse educators in 1956, at an estimated cost of $24 905. A small amount of supplies andequipment ($200) is proposed.


Fellowshi ps (TA -I)

The Government is planning to set up an institute of occupational health, which it is proposed to assist by awarding an inter-national fellowship in this subject for twelve months.


(a) Maternal and Child Health Services (TA -I) Indonesia 2This UNICEF /WHO- assisted project is proposed as a substitute for that shown in the programme and budget estimates for

1955. It is now proposed in 1955 to provide a maternal and child health officer with experience in school health and nutrition toassist the Government in further developing its national projects in maternal and child health. The services of this officer will becontinued in 1956 (estimated cost $9075). Supplies and equipment are expected from Other Extra -budgetary Funds ; a smallprovision, $100, is made under Technical Assistance.

(b) Sumatra Project (TA -I)Continuation of the project included in the programme and budget estimates for 1955. The provision made for 1956 covers

$15 398 for personnel and a small amount of $100 for books and minor equipment. It is expected that the bulk of supplies andequipment will be provided from Other Extra -budgetary Funds.

9. Nutrition

Assistance to Nutrition Institute (TA -I) Indonesia 5The medical nutritionist assigned to the Nutrition Institute at Jakarta will complete his work during 1955. To follow up

the project it is proposed to award an international fellowship in nutrition for twelve months.


Environmental Sanitation Project Indonesia 20Continuation of the project included in the programme and budget estimates for 1955, intended to assist the Ministry of Health

in developing its programme of sanitary engineering and training sanitary inspectors. The provision made in 1956 is for a sanitaryengineer and a sanitarian, at an estimated cost of $18 466. A small provision, $100, is made for supplies and equipment.


(a) Gadjah Mada University (Regular and TA -I) Indonesia 13Continuation of the project included in the programme and budget estimates for 1955. Owing to budgetary difficulties, only

three professors, those of biochemistry, of pharmacy and pharmaceutical chemistry and of paediatrics, could be provided for 1954and 1955. As one of the professors will be finishing at the end of 1955, it is proposed in 1956 to make provision for only two,the estimated cost being $20 928 ; a small provision for supplies and equipment, $100, is also made (regular budget). UnderTechnical Assistance an international fellowship in social medicine for six months is proposed (estimated cost $2510).

(b) Medan Medical School (TA -I)This project was included in the programme and budget estimates for 1955 under Technical Assistance priority III, where it

consisted in the provision of three professors of pre -clinical subjects. As it is unlikely that these professors will be engaged during1955, provision is made in 1956 for only one professor in a pre -clinical discipline (physiology) ; the estimated cost is $8548. A smallprovision $100, for supplies and equipment is also included.

(c) Assistance to Medical Education (TA -II)It is proposed in 1955 to provide a professor of preventive medicine for a school of medicine in Indonesia. The post will

be continued in 1956, the estimated cost being $9075, with a small amount ($100) of supplies and equipment. Twointernational fellowships of twelve months will be awarded to professors in pre -clinical subjects ; estimated cost, $3710.

NEPAL(See page 172)


Demonstration and Training Project Nepal 1Continuation of the project included in the programme and budget estimates for 1955 and which is being undertaken in collabo-

ration with the United States Foreign Operations Administration. During 1955 operations and training activities are expected togo forward with the following staff : a malariologist, an entomologist, a malaria inspector and three laboratory and field assistants.


In 1956 it is proposed that the team should consolidate the work, and a provision of $32 117 is made for it to be retained. The bulkof the supplies and equipment are being provided by the Government, only a small amount ($100) being proposed under the regularbudget.

2. Nursing

Training of Nurses (TA -I) Nepal 2Continuation of the project included in the programme and budget estimates for 1955. A nurse educator is to be added in 1955

to the two already there in 1954. It is proposed in 1956 to continue the three posts (estimated cost $19 009), to award two regionalfellowships of one year each ($6000), and to provide supplementary equipment and supplies ($200).


Training of Health Assistants (TA -I) Nepal 3Continuation of the project included in the programme and budget estimates for 1955 and which was to begin late in 1954. In

1955 the training should be under way and provision has been 'made in 1956 to continue the international team, composed ofa medical specialist and a sanitarian, so that the work can be consolidated. The estimated personnel cost is $15 436, and a smallprovision, $100, is made for supplies and equipment.

THAILAND


(a) Demonstration and Training Centre, Bangkok (TA -I) Thailand 7Further to the assistance given by the Organization and completed in 1954, it is proposed in 1956 to provide a consultant

in the publichealth aspects of tuberculosis for three months to assess the situation in tuberculosis control and to help the Govern-ment in formulating plans for the expansion of the work.

(b) BCG Programme Thailand 15It is expected that supplies and equipment for the mass BCG campaign launched by the Government with WHO and UNICEF

assistance will be forthcoming in 1956 from Other Extra -budgetary Funds.


Yaws Control (TA -I) Thailand 2Continuation of the project included in the programme and budget estimates for 1955, a yaws -control programme which

receives equipment and supplies from UNICEF. In 1956, it is proposed to retain the venereologist and the public -health nurse(estimated cost $15 287) and to provide a consultant for two months (estimated cost $2000). It is also proposed to award an inter-national fellowship for one year to a medical officer for training in the public -health aspects of venereal disease (estimated cost,$3670). It is expected that supplies and equipment will be provided from Other Extra -budgetary Funds, and a further smallprovision, $100, is made under Technical Assistance.


Leprosy Control Thailand 18Continuation of the project included in the programme and budget estimates for 1955, providing for the services of a leprologist.

It is proposed to continue the post in 1956, the estimated cost being $10 711. It is expected that supplies will be provided fromOther Extra -budgetary Funds, a small provision of $100 being made under the regular budget.


(a) Rural Health Unit, Chiengmai Thailand 13It is hoped that supplies and equipment for the above health centre (a project shown under Technical Assistance in 1954

and 1955) will be provided in 1956 from Other Extra -budgetary Funds.

(b) School Health Project, Chachoengsao Thailand 5Continuation of the project included in the programme and budget estimates for 1955, and carried out in collaboration with

UNESCO. It is proposed to continue this project until two years of operation have been completed. Accordingly, provisionis made in 1956 for the school health physician and the school health nurse for six months, the estimated cost being $10 179;supplies and equipment in the amount of $100 are also proposed.

5. Nursing

(a) Post -graduate School of Nursing (TA -I) Thailand 21Continuation of the project included in the programme and budget estimates for 1955, which provided for two nurse educators

and for equipment and supplies for the Bangkok school. It is proposed to continue the services of the two nurse educators in 1956(estimated cost $13 157), and to provide supplementary equipment and supplies to the value of $200.


(b) Rural Health Programme (Nursing Supervision) Thailand 24This project began in 1954 ; its aim is to assist in the development of rural health services, including nursing. The project is to

continue for two years, and it is therefore proposed that the services of the public -health nurse should be retained until June 1956,the estimated cost in that year being $4227 ; supplies and equipment in the amount of $100.

(c) Refresher Course, Post -graduate School of Nursing

Provision was made in 1955 for a refresher course of three months for twenty -four participants ; it is proposed to make asimilar provision in 1956.

(d) School of Nursing, Korat (TA -I)

Continuation of the project included in the programme and budget estimates for 1955, providing for a nurse educator toassist in upgrading a nurse -training institute (then undesignated). In 1956 the provision made is for two nurse educators, at anestimated cost of $12 148, and for supplementary equipment and supplies amounting to $1200.

(e) School of Nursing, Vajira (TA -I)

In order to assist in upgrading the school of nursing at the Vajira Hospital, provision is made for a nurse educator ($5823),for supplies and equipment ($1000), and for two international fellowships for nurse educators ($7330).


Fundamental Education Project, Ubol Thailand 26

Continuation of the project included in the programme and budget estimates for 1955 in which WHO collaborates withUNESCO. It is proposed in 1956 to retain the public -health nurse (estimated cost $7978) ; a small provision, $100, is also made forsupplies and equipment.


Strengthening of Central Health Organization (TA -I)Continuation of the project included in the programme and budget estimates for 1955 for which a maternal and child health

officer and health educator were originally proposed. The request for a health educator has been withdrawn by the Government,and it is therefore proposed to provide for the maternal and child health officer in 1955 and to continue the post through 1956(estimated cost in 1956, $9075) ; provision is made ($100) for a small amount of supplies and equipment, and these are also beingsupplied by UNICEF.

8. Mental Health

Mental Health Clinic Thailand 17Continuation of the project included in the programme and budget estimates for 1955 providing for a psychologist. In 1956

it is proposed to continue the post of psychologist for six months, at an estimated cost of $5566 ; a small provision ($100)for supplies and equipment is also made.

9. Nutrition

Nutrition Programme (TA -I)

FAO has carried out some surveys of the status of nutrition and it is proposed that in 1956 WHO should providea medical nutritionist to assist the Government in its programme ; the estimated personnel cost is $8548, supplies andequipment, $100.


Fellowships (TA -II)

Fellowships were already provided for in the programme and budget estimates for 1955. They are intended to help theGovernment upgrade medical educational institutions, and some are also awarded in various branches of public health.Fellowships of this type will continue to be awarded in 1956.

INTER -COUNTRY PROGRAMMES(See page 174)

1. Public-Health Administration

(a) Rural Health Conference (TA -I)

It is proposed to call a three -week conference of public -health workers and administrators from all countries of the South -East Asia Region, and if possible those of the Western Pacific Region, to discuss the problems of organizing health services inrural areas. Provision is made for six consultant months (estimated cost $7800) and for participants ($7500).


(b) Dental Health (TA -I)

In accordance with the recommendations of the Regional Committee at its sixth session, and of the World Health Assemblyon various occasions, six consultant months in dental health are proposed. The consultant is to visit some of the countriesof the Region and advise on the furtherance of dental work in each of those countries.

2. Nursing

Regional Seminar for Nursing Leaders (TA -I)It is proposed to hold a seminar for three weeks in 1956 for all the countries of the South -East Asia Region. The

seminar will give nursing leaders an opportunity of discussing experience, progress and developments in all aspects of nursing,including nursing education. It is accordingly proposed that provision be made for the six consultant months which will berequired for preparation of the seminar (estimated cost $7800), and for twenty -four participants for three weeks ($8500).


Advisory Services for Programme Assessment

Six consultant months in maternal and child health are proposed, in order to provide advice, follow -up and assessmentfor those countries which now have large -scale maternal and child health programmes. In the light of the consultant's findings,the desirability of holding a conference will be considered.

4. Other Education and Training Services

Medical Literature and EquipmentThe provision made under this heading is to cover minor requests for medical literature and equipment.

SOUTH -EAST ASIA : SUMMARY

Regular Budget Technical Assistance Other Extra- Budgetary FundsNumberof posts


Estimated expenditure Numberof posts Estimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

usS uss uss USS USS USS USS us USS

37 36 36 159 670 165 255 168 866 REGIONAL OFFICE 26 26 26 45 694 48 230 49 429

FIELD ACTIVITIES

6 6 6 12 150 24 528 32 217 Malaria and Insect Control 10 9 8 98 650 89 784 62 859 231 000 79 000 219 00010 6 2 73 356 31 205 23 875 Tuberculosis 16 36 39 189 100 285 888 299 607 17 15 4 305 060 214 197 151 995

2 1 1 13 956 22 736 14 150 Venereal Diseases and Treponematoses 7 4 2 56 700 37 875 24 057 320 000 370 000 288 0002 4 4 24 300 51 801 43 025 Endemo-epidemic Diseases 4 4 40 574 42 893 75 000 105 000

33 32 31 200 762 223 095 221 423 Public -Health Administration 19 20 19 134 600 176 315 192 998 5 000 223 000 259 00019 19 19 126 232 145 464 157 383 Nursing 8 28 27 54 000 198 725 215 661 7 000 15 000

Social and Occupational Health 3 7102 3 3 6 000 27 901 32 620 Health Education of the Public 1 3 3 10 500 27 262 27 2286 18 19 42 812 140 716 188 228 Maternal and Child Health 20 8 6 125 200 70 683 66 559 32 29 33 1 021 000 1 658 623 1 101.3413 3 3 7 000 47 574 47 528 Mental Health2 2 2 10 050 17 657 20 746 Nutrition 2 1 1 18 600 5 390 12 3583 4 25 506 54 700 61 640 Environmental Sanitation 1 7 7 3 000 60 262 68 512 16 000 62 500 62 5001 11 056 Regional Adviser on Education and Training8 10 5 100 350 115 378 65 502 Other Education and Training Projects 8 8 8 46 240 94 771 94 465

97 108 99 653 530 902 755 908 337 Total - FIELD ACTIVITIES 92 128 124 736 590 1 087 529 1 110 907 49 44 37 1 898 060 2 689 320 2 201 836

134 144 135 813 200 1 068 010 1 077 203 Total - SOUTH -EAST ASIA 118 154 150 782 284 1 135 759 1 160 336 49 44 37 1 898 060 2 689 320 2 201836

SOUTH -EAST ASIA : REGIONAL OFFICE (For text, see page 141)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 ' 1954 1955 1956 1954 1955 1956

US USS USS USS USS USS USS USS USS


1 1 1 15 000 15 000 Regional Director IIG

1 1 1 1 629 1 717 Secretary ND5

PUBLIC INFORMATION

1 1 1 8 000 8 000 Information officer P31 1 1 1 156 1 219 Stenographers 111)4 1 1 1 887 940

HEALTH SERVICES

1 1 1 10 033 10 433 Director D11 1 1 2 586 2 674 Senior assistants ND5 1 1 1 1 541 1 6291 1 1 1 364 1 452 Secretary ND5

Stenographers ND4 2 2 2 2 138 2 246Typists ND3 2 2 2 1 349 1 450

1 1 1 1 629 1 717 Fellowships assistant ND51 1 1 1 156 1 219 Statistical assistant ND4


1 1 1 8 250 8 500 Administration and finance officer P41 1 1 1 364 1 452 Secretary ND5

Briefing secretary ND4 1 1 1 925 988

Budget and Finance

1 1 1 6 813 7 038 Budget and finance officer P31 1 1 5 600 5 800 Chief accountant P21 1 1 4 317 4 517 Budget analyst P12 2 2 2 955 3 106 Accountants ND5 2 2 2 2 677 2 8531 1 1 1 364 1452 Treasurer NUS2 2 2 2 186 2 312 Assistant accountants ND4 3 3 3 2 859 3 0481 1 1 925 988 Assistant treasurer ND41 1 1 1 020 1 083 Stenographers ND4 1 1 1 845 8951 1 1 794 845 Accounts clerk ND31 1 1 744 794 Typists ND3 1 1 1 605 656

Personnel

1 1 1 6 438 6 663 Personnel officer P32 2 2 2 816 2 993 Personnel assistants ND51 1 1 1 030 1 093 Stenographer ND41 1 1 744 794 Typist ND3

SOUTH -EAST ASIA : REGIONAL OFFICE (continued)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS

General Services

USS USS US$

-

USS USS USS


1 1 1 1 156 1 219 General services clerk ND4Stenographer ND4 1 1 1 887 940

1 1 1 731 782 Receptionist 1041 Travel clerk ND4

1 1 1 1 285 1 345 Library clerk ND4

1 1 1 1 156 1 219 Regislsy assistant P24Registry clerk ND3 1 1 1 790 840Sorting clerk 1603 1 1 1 586 630

1 1 1 794 845 Despatch clerk ND3 .

Filing clerk 103 1 1 1 794 8451 1 1 794 845 Typists ND3 5 5 5 3 529 3 783

Medical supply officer P2 1 1 1 5 150 5 3501 1 1 1 282 1 364 Senior assistant ND5

Typists ND3 2 2 2 1 399 1 501

3 424 3 564 Custodial staff 2 182 2 287


(510) (521) (534) Cost -of- living adjustment (36) (38) (40)

102 290 105 281 108 977 27 914 29 105 30 841

Travel

5 300 8 860 8 860 Duty 300 500 500


21 090 21 704 22 259 Allowances 7 080 7 385 7 648

4 200 Recruitment and repatriation 600

4 700 6 660 5 090 Home leave 950

2 500 Transportation of personal effects 250

Other Services


Conmon Services

4 300 4 300 4 300 Space and equipment services 3 100 3 100 3 1006 940 7 450 7 660 Other services 4 880 5 380 5 5302 020 2 300 2 300 Supplies and materials 1 420 1 660 1 660210 210 210 Fixed charges and claims 150 150 150



SOUTH -EAST ASIA : REGIONAL ADVISERS (Far text, see page 141)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS US$ US$ US$ USS USS USS USS USS

1 1 1 8 709 8 959 Tuberculosis P41 1 1 7 394 7 619 Venereal diseases and treponematoses P42 2 2 18 147 18 647 Public- health administration P51 1 1 7 319 7 544 Public -health administration P41 1 1 7 319 7 544 Public -health administration P4

(Statistician)1 1 1 7 731 7 980 Nursing P41 1 1 6 234 6 434 Nursing P32 2 2 15 882 16 357 Maternal and child health P41 1 1 7 319 7 544 Environmental sanitation P41 Education and training P4

1 1 7 300 7 525 Health education P4

Stenographic Pool

13 12 12 12 000 12 724 Clerk stenographers ND4


(520) (699) (721) Cost -of- living adjustment

77 980 104 655 108 156

Travel

17 000 23 730 25 440 Duty


14 990 20 126 20 643 Allowances10 200 1 150 Recruitment and repatriation11 500 4 500 17 760 Home leave4 400 450 Transportation of personal effects

Common Services

2 860 2 860 2 860 Space and equipment4 680 4 970 5 110 Other services1 360 1 540 1 540 Supplies and materials

140 140 140 Fixed charges and claims1 680 2 510 2 790 Acquisition of capital assets


SOUTH -EAST ASIA : AREA REPRESENTATIVES (Far text, ses page 141)

Regular Budget

-

Technical Assistance Other Extra- Budgetary FundsNumberof posts Estimated expenditure Number

of postsEstimated expenditure Number.

of postsEstimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

tls$ USS uss uss uns uss uss uss uss

5 5 5 46 351 47 696 Medical officers P53 3 3 5 141 5 317 Clerk stenographers ND41 1 1 970 996 Clerk stenographer RN41 1 1 823 885 Clerk stenographer CY4



(70) (72) (74) Cost -of- living adjustment

48 130 54 352 56 011

Travel

9000 9 120 9 120 Duty


14 290 16 912 17 160 Allowances4 400 Recruitment and repatriation1 600 1 130 4 760 Home leave1 050 Transportation of personal effects

Common Services

1 300 2 250 2 250 Space and equipment services1 800 2 200 2 200 Other services1 600 2 000 2 000 Supplies and materials

900 550 550 Acquisition of capital assets

10 10 10 84 570 88 514 9.+ 051 Total - AREA REPRESENTATIVES

SOUTH -EAST ASIA : COUNTRY SCHEDULES

Regular Budget

-


Numberof posts


Estimated expenditure Numberberof posts

Estimed expendituret

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 - 1956

4

1

1

1

1

1

1

1

1

1

1

1

1

Uss

31 800

USS USS

AFGHANISTAN



Malaria control (TA -I) Afghanistan 11 2

12

4

1

2

1

3

6

2

2

4

2

4

1

2

1

3

6

2

2

4

2

usa USS

22 700 6 200

usa

3 000

USS

66 000*

Usa

22 000*

USs

19 000

TUBERCJJLOSIS

Demonstration and training Afghanistan 9 31 529 30 932

20 000* 10 000

centre, Kabul (TA -I)


Manufacture of vaccine (TA -I) Afghanistan 14

12 650

7 000

9 043 11 413

8 461 8 108

PUBLIC -HEALTH ADMIINISTRATION

Public -health adviser Afghanistan 6 3 660

14 371

8 650

20 294

2 800

16 000

11 080

21 825

9 000*

10 000

9 000*

15 000

(Regular and TA -I)

Provincial health programma Afghanistan 10(TA-I)

Vital and health statistics Afghanistan 7(TA -II)

Rural health unit (TA -II)

NURSING

School of Nursing (Male), Afghanistan, 4

19 650 9 043 11 413 46 975 51 705 19 000 24 000

6 200 7 118 7 663

-

19 243

17 406

13 198

12 308

40 000* 40 000* 5 000

Kabul

School of Nursing (Female), Afghanistan 10Kabul (TA -I)

School of Midwifery Nursing, Afghanistan 10Kabul (TA -I)


Demonstration and training Afghanistan 10

6 200 7 118 7 663 '36 649 25 506

72 500 15 107 15 536project (TA -I)


ro



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

3

-3

10

1

3

3

6

1

3

3

i

uss

11 600

US$

8 279

US$

20 924

AFGHANISTAN (continued)


Environmental sanitation Afghanistan 12

project


Faculty of Medicine, Univer- Afghanistan 5

14

3

1

4

4

1

5

17

3

1

4

4

1

5

1

1

18

3

1

4

4

1

5

- uss uss uss

7 323

2

2

2

2

US$ uss Vss

25 000 25 000

22 000 29 683

1 330

41

1

234

070

106

165

000 126 000 83 000

000* 57 000* 200 000*

city of Kabul and 13Refresher course for medical

officers

Traioieg of health assistants (TA -I)

Total - AFGHANISTAN

BURMA



Demonstration and training Burma 2

22 000 31 013 42 304 7 323

91 250 55 453 82 304 95

26

. 7

200 144 921 142 110

000 26 313 13 645

950 12 388 10 075project (TA I)

Malaria adviser (TA -I) Burma 31

TUBERCULOSIS

Demonstration and training centre, Burma 18

33 950 38 701 23 720 165 000 57 000 200 000

52

3

600 35 378 24 243

500 11 767 9 19416 300 13 991

Mandalay (TAI)Country adviser (TA I) Burma 10BCG demonstration and training

56 100 47 145 33 437 16 300 13 991




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss uss uss uss uss uss Uss

BURMA (continued)


1 300 Fellowships (Leprosy)Communicable-disease control (TA -I) 1 1 11 148 9 175Strengthening of laboratory services (TA -I) 1 1 8 417 11 625

1 300 2 2 19 565 20 800

PUBLIC - HEALTH ADMINISTRATION

10 400 10 400 Public -health adviser

Rural health unit, Mandalay (TA -I) Burma 32 3 3 3 4 500 25 847 24 778 5 000*2 2 1 5 600 14 807 11 349 Vital and health statistics Burma 22 1 400

(Regular and TA -I)1 1 10 050 9 992 Medical stores management

District health programme (TA -I) Burma 4 10 2 2 90 000 15 134 15 509 194 000* 225 000*(previously maternal and child

health /venereal- disease control)

Hospital planning (TA -I) 1 1 11 098 9 175

2 3 2 5 600 35 257 31 741 13 6 6 94 500 53 479 49 462 5 000 194 000 225 000

NURSING

Nurse adviser (TA-I) 1 9 7902 2 2 12 000 13 933 9 714 Selected school of nursing Burma 7 2 000*

(Dufferin Hospital)Post- graduate School of Nursing, Burma 25 2 3 17 667 23 329

Rangoon (TA -I)

Schopl of Nursing, Mandalay (TA -I) Burma 6 3 3 20 131 19 565 5 000f1 150 920 Refresher course for nurses Burma 23

2 2 2 12 000 15 083 10 634 6 6 47 588 42 894 7 000


1 1 1 500 8 925 10.392 Strengthening of Health Education Burma 21 3 640Bureau, Health Directorate




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2

1

1

8.........

2

1

1

9

2

7

usa USS

2 100

use

1 700

BURMA (continued)

MATERNAL AND. CHILD HEALTH

Fellowships (Dental hygiene)

Refresher course Burma 29

1

2

2

25.........

2

3

3

28

2

3

3

28

USS usa Us

3 000 18 790 19 169

2.........

2

USS usa USS

19 000*

2 100 1 700

MENTAL HEALTH

Advisory services

NUTRITION

FAO/WHO nutrition project Burma 26

19 000

3 900

16 000*

10 050 16 007 20 746

12 000 10 434

1 840 1 170


Strengthening of Environmental Burma 30Sanitation Bureau (TA -I)


Health assistants' school Burma 20 5 200

3 300 28 282 35 563

221 300 271 991 425 000

(392 970) (370 734) (353 808)

(Regular and TA -I)

Assistance to Medical College, Burma 28

Rangoon (TA -I)

Poet- graduate course in public health for

district medical officers

Total - BURMA


12 000 12 274 1 170 3 300 33 482 35 563

40 150 94 846 76 383 190 850 262 390 225 045




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1

2

2

1

1

1

2

2

1

1

2

2

list

6 750

05$

9 060

uss

9 725

CEYLON



Training centre, Kurunegala Ceylon 9 1

4

4

4

4

1

1

3

3

1

1

3

3

us

11

uss

200

USs

1

1

1

1

US$ US$

28 000# 1 350#

US$

" TUBERCULOSIS

Control project, Colombo Ceylon 10 26 500 35 760 25 878

and Galle (TA -I) and 25Adviser to Health Directorate Ceyloñ 3bBCG demonstration and training


Colombo project Ceylon 14

6 750 9 060 9 725 26 500 35 760 25 878 28 000 1 350

2 100

9 548 10 075

3 5008 200 16 234 10 273


Fellowships (Virology)

Leprosy control Ceylon 26Assistance to Health Directorate

(TA -I)


Fellowships (Hospital administration)(TA -I)

Medical and sanitary services Ceylon 22

11 700 . 16.234 10 273 9 548 10 075

13 300 5 200

5 150

27 816Public- health training centre, Ceylon 4

Kalutara (Expansion of maternal andchild health, Kalutara) (TA -I)

13 300 5200 32 966



Regular Budget - Technical Assistance Other Extra- Budgetary Funds

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2

2

7

1

1

2

6

1

1

4

List

11 550

USS

6 240

USS

9 884

CEYLON (continued)

NURSING

Colombo School of Nursing Ceylon 8

3

3

1

2

11

3

3

6

1

2

2

16

3

3

1

2

13

USS

23

uss US$

500 18 503

19 969 20 975

1 1

Uss USS Us$

10 000*

-Kandy School of Nursing (TA -I) Ceylon 15Third A -grade school of nursing

(TA -II)


Health education project (TA -I) Ceylon 2

11 550 6 240 9 884 23 500 38 472 20 975

3 900 7 800

10 500 7 652 10 754


Maternal and child health centre Ceylon 4 3 900 15 157Kalutara (TA -I)

MENTAL HEALTH

Advisory services


Pilot project, Kurúnegala Ceylon 35 12 218 14 998 37 500*

37 500*

550(TA -I)


Training of anaesthetists and operating-room nurses

Total - CEYLON -


18 434

75 600 118 807 115 646

(1

28

990

000 48 850 37

780x2 451 8042 451

500

802)

45 950 59 068 37 682




NumberofP Estimated expenditure Number

of postsEstimated expenditure Nuínber


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

UST USS USa USS USS USS USS USS USS

INDIA


TUBERCULOSIS

Demonstration and training centre, India 53 5 4 42 300 39 552 32 150Madras (TA -I)

Demonstration and training centre, India 42 5 5 33 352 35 887Nagpur (1955, TA -II; 1956, TA -I)

Demonstration and training centres,Hyderabad and Agra (TA -II)

10 10 66 704 71 774

4 4 23 350 9 409 Thoracic surgery India 39400 Demonstration centres, Delhi and India

Patna and 11

BCC demonstration and training India 28 5 3 2 122 325* 91 590* 16 174e

74 000

4 4 23 750 9 409 20 19 42 300 139 608 139 811 5 3 2 122 325 91 590 90 174


Yaws control India 24 1 7 600 20 000* 20 000*300 Madras Medical College India 25

300 1 7 600 20 000 20 000


6 400 11 250 11 250 Plague research India 311 200 Trachoma pilot project, Uttar

Pradesh100 Cholera research India 20

7 700 11 250 11 250

PUBLIO - HEALTH ADMINISTRATION

Vital and health statistics (TA -II) 1 1 14 248 9 178Population studies India 30 2 7 700

2 1 1 7 700 14 248 9 178




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 19561954 1955 1956 1954 1955 1956

4 4 4

4 4 4

1 1

8 9 9

1 1

4 3 3

2 2

2 2

2 2

3 3

US US USS

29 250 25 527 28 78722 800 25 927 29 395

9 936 8 088

8 070 3 400 2 750

INDIA (continued)

NURSING

Calcutta project India 19

2 2 2

2 2

2 4 4

2 2

2 2

USS USS USS

4 500 15 205 12 809

11 746 12 750

[ 8 5 5

t 2 2

LC

I 1 1

1

8 4 4

2 2

2 2 2

6 1 1

1 1

USS USS USs

10 000

Bombay project India 40

Ludhiana project (TA -I) - India 38Post- graduate course in midwifery Ilia 33Calcutta

Domiciliary nursing and midwifery(TA -I)

Refresher course for nurses India 58


FellowshipsHealth education programme (TA -I) .


Fellowships

Hyderabad project (Maternal and India 49

10 0004 500 26 951 25 55960 120 64 790 69 020

(

t

114 000* 112 000** 93 983**12 280 16 010

*200 000* 106 Oit* 13 000**6 1

O4O0

8 005

i

107 000* 105 000* 32 020*80 000

12 280** 16 010**

96 000* 92 000* 16 010*

40 000

68 000* 46 140* 8 005*

39 000**6 140 8 005

100 000* 69 000*

15 970 16 4743 500

15 970 16 4743 500

12 350

5 066 8 031

5 100 18 520 24 115

15 107 18 862

15 107 18 862

15 107 18 862

17 494 25 424

child health/Nursing)

West Bengal project (Maternal and India 55

child health/Nursing)

Bihar project (Maternal and child India 56

health/Nursing)

Uttar Pradesh project (Maternal India 57

and child health/Nursing)

Travancore- Cochin project (Maternal India 62

and child health/Nursing)

Mysore project (Maternal and child India 76

health/Nursing)

**e Allocated by the UNICEF Executive Board

Coloabo Plan



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

4

2

1

1

19

3

16

2

1

1

32

4

17

2

28

us uss

26 743

"

USS

36 272

INDIA (continued)

Bombay project (Maternal and childhealth/Nursing)

Madya Pradesh project (Maternal and child

health/Nursing)

Saurashtra project (Maternal and child

health/Nursing)

All -India Institute of Hygiene India 2

1

1

1

1

4

9

1

1

3

1

1

2

33

1

1

3

30

US$ USS uss

8 000

8 648 9 175

8

32

37

3

8

29

32

3

4

8

33

35

US$

107

US$ US$

182 643* ( 26 144*

t

78 000* 38 000*

107 000* 84 579

000* 268 000* 220 000*

75 000* 34 000*

and Public Health, Calcutta

Consultants (Programme review) (TA -I)

Paediatric centre, Lady Hardinge MedicalCollege (TA -II)

MENTAL HEALTH

All -India Institute of Mental India 71

17 450 113 144 150 428 8 648. 17 175 692 000 1 308 623 882 341

4 500 26 807 34 062

29 254 34 345

834 325 1 420 213 982 515

Health, Bangalore


Environmental sanitation project(Regular and TA -I)


Fellowships (Anatomy)

School of Tropical Medicine (TA -I) India 29

6 620 5 300

500

11 800 10 628

8 640 8 648

12 3C0 7 486

7 80011 200

Physiotherapy School, Bombay India 41

Seth G.S. Medical College, Bombay India 52Trivandrum Medical College (TA -I) India 26

All -India Institute of Hygiene and India 34Public Health (TA -I)

Total - INDIA

12 300 10 628 39 940 16 134

129 620 242 648 270 060 102 040 250 813 242 542




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

... ... ...

List Uss Uss

2 700

-

INDIA(FORMER FRENCH SETTLEMENTS)



Fellowships


Fellowships

NUTRITION

Fellowships


Fellowships


Fellowships (Anaesthesiology)

Total - INDIA (former French Settlements)

INDONESIA



Demonstration and training Indonesia 4

.........

3

3

3

2

5

2

2

4

Uss

30

US

800 29 000

15 883

uss

19

16

227

912

...... ...

Uss Uss Uss

2 750

1 650

2 700

3 500

2 750 5 150 - 5 400

project (TA -I)

Assistance to Malaria Section, Ministryof Health (TA -I) -

30 800 44 883 36 139


Regular Budget Technical Assistance - Other Extra -Budgetary Funds

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1

1

USS

2 000

1 500

USS

10 824

USS

-Demonstration

10 691

INDONESIA (continued)

TUBERCULOSIS

and training Indonesia 8 3 3

3 3

2 1

2 1

2

1

3

3

5

8

2

1

3

USS USS

32 500 31 846

USS

33 197

33 352

3

3

3

3

2

2

USS USS USS

59 885* 59 979* 13 821

( 40 000*

centre, Bandung (TA -I)

Demonstration and training centre,area undesígnated (TA -II)

BCG demonstration and training Indonesia 8


Yaws control (TA -I) Indonesia 1

32 500 31 846 66 549 59 885 59 979 53 821

19 100 16 5773 600

3 000 -200 000* 250 000* 258 000*Evaluation of yaws- control work Indonesia 21


Leprosy control Indonesia 9

22 700 16 577 3 000 200 000 250 GOO 258 000

3 000 3 910

25 000 20 00020 000 50 000Trachoma control (TA -I)


FellowshipsStrengthening of public -health services (TA -I)Vital and health statistics' (TA -I)

Dental health

3 500 10 824 10 691 3 000 3 910 45 000 70 000

3 000

3 900

15 883

12 318

17 312

9 275

3 000 3 900 28 201 26 587




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956


INDONESIA (continued)

NURSING

Fellowships (TA -I) 3 710School of basic nursing (TA -II) 2 2 11 746 14 650

3 3 3 8 150 18 598 25 105 Post -graduate school of nursing, Indonesia 15Bandung

3 3 3 8 150 18 598 25 105 2 2 11 746 18 360 .


Fellowships (TA -I) 3 710


500 FellowshipsMaternal and child health Indonesia 2 2 1 1 9 200 8 648 9 175

200 000* 200 000* 114 000*services (TA -I)

Sumatra project (TA -I) 1 1 14 475 15 498

500 2 2 2 9 200 23 123 24 673 200 000 200 000 114 000

NUTRITION

Assistance to Nutrition Insti- Indonesia 5 2 1 18 600 5 390 3 710tuts (TA -I)


1 2 2 2 000 16 065 18 566 Enviromtental sanitation project Indonesia 20


Fellowships (Industrial health) (TA -I) 3 7006 700 Fellowships (various)

3 3 2 25 250 35 229 21 028 Gadjah Mada University (Regular Indonesia 13 2 100 2 510and TA -I)

Medan Medical School (TA -I) 1 8 648

Assistance to medical education (TA -II) 1 1 8 648 12 885

3 3 2 31 950 35 229 21 028 1 2 14 448 24 043

7 9 8 49 100 84 616 75 390 Total - INDONESIA 12 18 21 113 800 179 214 210 681 3 3 2 459 885 554 979 495 821




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss uss uss uss uss uss US

NEPAL



6 6 6 12 150 24 528 32 217 Demonstration and training project Nepal 1


900 Survey

NURSING

Training of nurses (TA -I) Nepal 2 2 3 3 9 100 18 203 25 209


Training of health assistants Nepal 3 2 2 2 3 000 18 707 15 536(TA -I)

6 6 6 13 050 24 528 32 217 Total - NEPAL 4 5 5 12 100 36 910 40 745

PORTUGUESE INDIA


1 650 Fellowships (Epidemiology)1 650 Fellowships (Baoteriology)

3 300 Total - PORTUGUESE INDIA



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2

2

1

1

1

1

2

2

1

1

1

1

2

2

1

1

1

uss USO

12 193

uss

10 811

THAILAND


TUBERCULOSIS

Demonstration and training Thailand 7 4

4

4

4

4

1

1

-

3

4

4

2

1

3

2

2

2

1

5

uss LIST

31 700

USO

3 000

3

3

3

3

USS'

40 000*

uss

25 681*

UST

8 000*

centre, Bangkok (TA -I)

BCG programme Thailand 15


Yaws control (TA -I) Thailand 2

31 700 3 000 40 000 25 681 8 000

26 400 21 298 21 057 100 000* 100 000* 30 000*


Leprosy control 18

32 400 33 412

10 000 25 000

" 15 400 16 438 10 279


Rural health unit, Thailand 13 10 000 10 000Chiengmai (TA -I)

School health project, Thailand 5

Chachoengsao

NURSING

Post- graduate school of Thailand 21

15 400 16 438 10 279 32 400 33 412 10 000 10 000

6 100 5 083

3 080

4 327

2 450

16 900 11 293

7 823

13 357

13 34814 153

i

5 000nursing (TA -I)

Rural health programme Thailand 24(Nursing supervision)

Refresher course (Post- graduate school

of nursing)

School of Nursing, Korat (TA -I)School of Nursing, Vajira (TA -I) -


Fundamental Education Thailand 26

6 100 8 163 6 777 16 900 19 116 40 858 5 000

2 000 6 240 8 078

Project, Ubol




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

5

1

6

1

6

USS

2 500

USS

12 967

USS

5 666

THAILAND (continued)


Bangkok project Thailand 6 4

4

17

1

1

11

1

1

1

9

USS

39

USS

600

8 648

USS

9 175

3

3

3

3

USS USS USS

70 000# 100 000* 100 000*Strengthening of central healthorganization (TA -I)

MENTAL HEALTH

Mental health clinic Thailand 17

39 600 8 648 9 175 70 000 100 000 100 000

8 648

210 000 245 681 178 000

(894 106) (891 125) (922 149)

38 550* 21 606*

20 400

NUTRITION

Nutrition programme (TA -I)


Fellowships (various) (TA -II)

Total - THAILAND

Total - Estimated Goverment Contribution

12 000 12 000

46 400

500

56 001

10 000

41 611 147 000 94 474 94 738



TUBERCULOSIS

BCG assessment team


Yaws conferenceAdvisory services (TPA test)

500 10 000




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS Uss uss ' US USS US USS US



1 400 Smallpox control


Rural health conference (TA -I) 15 300Dental health (TA -I) 7 800

23 100

NURSING

Regional seminar for nursing leaders (TA -I) 16 300


7 800 Advisory services for programme assessment


11 000 Seminar on environmental sanitation

300 Waterworks seminar

300 11 000


700 Fellowships1 000 1 000 1 000 Medical literature and equipment

1 700 1 OÓO 1 000

3 900 22 000 8 800 Total - INTER -COUNTRY PROGRAMMES 39 400 3 3 38 550 21 606


176 EUROPE

EUROPE


The staffing pattern proposed for the Regional Office in 1956 takes account of the recommendation of the Regional Committeethat the office should be transferred to Copenhagen, which transfer is expected to take place during the first half of 1956. Theadditional posts proposed would allow the office to function independently and adequately in its first year away from WHO Head-quarters.

The costs of the Regional Office as shown provide for cost -of- living adjustments to the salaries of internationally recruitedstaff and contain provision for posts to be filled by local recruitment on the basis of salary scales applicable to Copenhagen.

The Common Services costs are based on experience and on estimates of costs applicable in Denmark.

Duty TravelThe amount included for duty travel will enable the Regional Director and the Deputy Regional Director to visit various

countries in the Region for discussions with the health administrations. Provision has also been included for necessary travel byother senior staff.

REGIONAL HEALTH OFFICERS(See page 188)

No change in the number of health officers is proposed for 1956.

Duty TravelThe amount provided, based on experience, will permit of visits to various countries in the Region for the purpose of organizing

inter -country programmes and for discussions on direct services rendered by the Organization.

AUSTRIA(See page 189)

1. Endemo -epidemic Diseases

Serum and Vaccine Production Austria 4.10As a follow -up of previous work, provision has been made for one fellowship of six months for the study of the production

and control of sera and vaccines.


Rehabilitation of Handicapped Children Austria 4.5As a continuation of this programme, developed in previous years, provision has been made for one fellowship of six months'

duration.

3. Mental Health

Mental Health Services Austria 4.6In continuation of the programme begun in 1953, provision is made for two six -month fellowships, one of them in the field

of psychiatric nursing.


Fellowships

As in previous years, provision has been made for individual fellowships in various fields.

BELGIUM(See page 190)


Fellowships


EUROPE 177

DENMARK

1. Mental Health(See page 191)

Training Course in Psychiatry Denmark 8As part of a long -term programme of assistance in psychiatric training sponsored by the Danish Psychiatric Association, pro-

vision has been made for lecturers ($1300) and fellowships ($1800).


FellowshipsAs in previous years, provision is made for Danish participation in the individual fellowships programme.

V FINLAND


Fellowships


FRANCE

(See page 191)

(See page 193)1. Endemo- epidemic Diseases

Trachoma Project in Algeria (TA -II) Algeria 1

Following earlier consultants' visits, a project in the control of communicable eye- diseases is expected to begin earlyin 1956. A team composed of an ophthalmologist and a bacteriologist, at an estimated cost of $17 096, will be available forAlgeria at the beginning of that year. Provision has also been made for two fellowships ($1550) to familiarize Algerianspecialists with similar work performed in neighbouring countries.


(a) Fellowships

Provision has been made for individual fellowships in various fields. ñ2

(b) School of Public Health France 24 w

As a continuation of the assistance to the School of Public Health in Paris, which in 1955 took the form of a short -term fellow-ship for a staff member, provision has been made in 1956 for visiting lecturers ($1000) and for fellowships for teaching staff ($3100).

1/ GERMANY(See page 194)


(a) Fellowships


(b) Public- Health Training Centre Germany 11Assistance is proposed in 1956 to a publichealth training centre, through visiting lecturers, at an estimated cost of $950, and

fellowships for teaching staff ($1550).

GREECE


Tuberculosis Control (TA -I) Greece 6.1As a continuation of the programme initiated in 1953 for the training of tuberculosis personnel and the development

of dispensaries in rural areas, provision has been made in 1956, as in 1955, for a team composed of a medical officer and a nursespecialized in tuberculosis control.

E 12

178 EUROPE


(a) Maternal and Child Health Services (TA -I) Greece 4A UNICEF /WHO- assisted programme of two years' duration in maternal and child health started in the Thessaly region in

1954, when a consultant paid a month's visit to it. Provision has been made in 1956 for a repeat visit, also for one month,by a social paediatrician. He will follow up and evaluate the programme and discuss its possible extension to other partsof the country. Supplies and equipment are expected from Other Extra -budgetary Funds.(b) Rural Sanitation in Maternal and Child Health Project (TA -I) Greece 13

It is expected that the Government will request the assistance of UNICEF and WHO for the carrying out of a programme ofrural sanitation in selected areas. This programme will be combined with the maternal and child health programme mentionedabove ; its objectives will include safe water supplies and sewage disposal. Provision is made for a full -time medical officer($8548)and a consultant for six weeks ($1500) ; and an amount of $3100 is proposed for two six -month fellowships. Supplies and equip-ment are expected from Other Extra -budgetary Funds in 1955.


Fellowships

Provision has been made for individual fellowships in various fields.

ICELAND


FellowshipsProvision has been made for individual fellowships in various fields.

IRELAND


Fellowships


ITALY

(See page 195)

(See page 196)

(See page 196)1. Health Education of the Public

Perugia Project Italy 15As a continuation of a project begun in 1954 for the development of teaching methods in the province of Perugia, provision

has been made for a six -month fellowship in health education.


Rehabilitation of Handicapped Children Italy 5As a continuation of a UNICEF /WHO- assisted programme initiated in 1954, provision is made in 1956, as in previous years,

for a six -month fellowship.


(a) FellowshipsProvision is made for individual fellowships in various fields.

(b) School of Public Health Italy 9As a continuation of the assistance to the School of Public Health in Rome, provision is made for visiting lecturers ($1000)

and for two six -month fellowships for teaching staff ($3100).

MOROCCO (FRENCH ZONE)(See page 197)

1. Tuberculosis

Tuberculosis Control (TA -1) Morocco 7In connexion with the international BCG campaign, a project is expected to be designed for the strengthening of

tuberculosiscontrol services. Provision has been made for a full -time nurse ($5823) and a consultant for two months ($2000) ;and for three fellowships for teaching staff ($2850).

EUROPE 179


Venereal -Disease Control (TA -I) Morocco 2As a continuation of a UNICEF /WHO- assisted project begun in 1954, provision has been made for a consultant in serology

for a period of four months in 1956. It is expected that supplies and equipment will be provided from Other Extra- budgetaryFunds.


Trachoma Control (TA -I) Morocco 1The programme for the control of communicable eye diseases in Morocco, which was begun with UNICEF /WHO assistance

in 1953, will have reached an advanced stage in 1956. WHO support will by then be on a reduced scale, but becauseof the importance of this project as a closely controlled prototype for others, provision of $6864 is made to retain an ophthal-mologist in the field. One fellowship is also proposed, at an estimated cost of $750. In addition, provision has been made in1956 for the study, evaluation and supervision of this project by a full -time medical officer who will also serve the similar projectsin Spain, Tunisia, and Yugoslavia in the capacity of a short -term consultant. Budgetary provision of $4000 is made, on theassumption that he will spend four months of the year in Morocco. It is expected that supplies and equipment will be providedfrom Other Extra -budgetary Funds.


Child Nutrition (TA -II) Morocco 6In order to assist the Government in a survey of child nutrition, provision has been made for a consultant for a period of four

months ($4000) and two six -month fellowships ($3100). Supplies and equipment are expected from Other Extra -budgetaryFunds.


Fellowships


NETHERLANDS(See page 198)


(a) Fellowships


(b) Public- Health Training Centre Netherlands 4The combined resources of the Netherlands Institute of Preventive Medicine in Leyden, the Institute for Tropical Hygiene in

Amsterdam and the Institute for Tropical Medicine in Leyden are now being used to provide post -graduate training in public health.It is proposed to continue the assistance given in previous years to this training centre. Provision is accordingly made for visitinglecturers, at an estimated cost of $1300, and two fellowships of six months ($3100).

NORWAY


Fellowships


PORTUGAL


(See page 199)

(See page 200)

Course for Sanitary Engineers Portugal 12As a continuation of the assistance furnished since 1954 to the national training courses in environmental sanitation given in

Lisbon, provision has been made for lecturers ($1950) and fellowships ($1050).


Fellowships


180 EUROPE

SPAIN(See page 201)


Venereal -Disease Control (TA -I) Spain 8In continuation of a programme to be begun in 1955, provision has been made in 1956 for two fellowships of three and six

months' duration respectively.


Communicable -Disease Control, including Trachoma (TA -II) Spain 1This is a continuation of a programme begun in 1952 to provide assistance in the control mainly of rabies, Q fever, brucellosis

and leptospirosis ; assistance is particularly intended for public -health laboratories concerned with communicable diseases. Theaspect of the project concerned with trachoma control will be in its second year in 1956. Provision has been made for consultantsincluding one for trachoma (see under Morocco above) at an estimated cost of $3000, fellowships ($7500) and some teachingsupplies for laboratories ($1200). Operational supplies and equipment are expected from Other Extra -budgetary Funds.


Care of Premature Infants (TA -I) Spain 10Provision is made for a UNICEF /WHO- assisted programme, aspects of which will be concerned with premature infants and

congenital syphilis. The services of a short -term consultant are provided for in 1955 and fellowships in 1955 and 1956. Supplies andequipment are expected from Other Extra -budgetary Funds in 1955 and 1956, as in 1954.


Fellowships


SWEDEN


Fellowships


SWITZERLAND


Fellowships


TUNISIA

1. Tuberculosis

(See page 201)

(See page 202)

(See page 203)

Pilot Project, Sfax (TA -II) Tunisia 9In connexion with the international BCG campaign, a project is expected to be designed to assist the Government in

strengthening its tuberculosis -control services by developing a pilot demonstration area in Sfax. Provision has been made fora full -time nurse ($6325), a consultant for four months ($4000), and one six -month fellowship ($1550).


Trachoma Control (TA -I) Tunisia 3The medical officer to whom reference is made under Morocco above (paragraph 3) will serve as a consultant in Tunisia for

four months of the year. Supplies and equipment are expected from Other Extra -budgetary Funds.

EUROPE 181

3. Nursing

Training of Nurses (TA -I) Tunisia 10

This project, designed to expand the facilities for training nurses in Tunis, Sousse and Sfax, was to begin in 1954 and continuethrough 1955, when the provision made is for two nurse educators and two fellowships to enable Tunisian nurses to study teachingmethods abroad. In 1956 the nurse educators will be retained for six months.


Maternal and Child Health Services (TA -II) Tunisia 6It is planned to continue in 1956 the project for assisting the Government to strengthen the maternal and child health services.

Provision has been made for one social paediatrician and one publichealth nurse, at an estimated cost of $14 371, for aconsultant for one month ($1000), and for two fellowships of six months each ($3100). Supplies and equipment are expectedin both 1955 and 1956 from Other Extra -budgetary Funds.


FellowshipsProvision has been made for individual fellowships in various fields.

TURKEY(See page 204)

1. Nursing

Training of Nurses (TA -II) Turkey 8As a follow -up of the nursing project, to which full -time WHO personnel were assigned up to 1954, provision has been made

in 1956 for two fellowships for nurse -teachers for an academic year.


Industrial Health Services (TA -II) Turkey 26 and 28As a continuation of a programme initiated in 1954 with the aim of developing a centre for the promotion of occupational

health services, including the training of medical and technical personnel, provision has been made for a visiting consultant for onemonth (estimated cost, $1000) and for three fellowships of various periods ($4650).


Maternal and Child Health Centre (TA -II) Turkey 6The maternal and child health team, comprising a social paediatrician, a public -health nurse, and a nurse -midwife,

will terminate its second year of work at the centre in Ankara during the latter part of 1956. In addition, two fellowships fora physician and a nurse to study in Europe, each of six months' duration, are provided for. In 1956 the estimated cost ofthe team is $15 055, and of the fellowships $3100 ; provision is made accordingly. Supplies and equipment are expected fromOther Extra -budgetary Funds.


(a) Fellowships


(b) School of Public Health, Ankara (Regular and TA -II) Turkey 16It is proposed to continue in 1956 the assistance given in previous years to the School of Public Health in Ankara.

Provision has accordingly been made under Technical Assistance for visiting lecturers on various public -health subjects,at an estimated cost of $19 500, and under the regular budget for fellowships for teaching staff ($3100).

UNITED KINGDOM OF GREAT BRITAINAND NORTHERN IRELAND

(See page 206)Other Education and Training Projects

Fellowships


182 EUROPE

YUGOSLAVIA


Tuberculosis Control (TA -I) Yugoslavia 16.4

In continuation of a project started in 1953 to assist in the training of tuberculosis personnel, provision is made for a consultantfor four weeks at an estimated cost of $1500 and for five fellowships ($7500).


Control of Endemo- epidemic Diseases, including Trachoma (TA -I) Yugoslavia 16.1

Diphtheria, pertussis, enteric diseases and certain of the zoonoses remain problems in Yugoslavia. In continuation of theUNICEF /WHO- assisted programme, provision is made under Technical Assistance for a consultant for three months, at anestimated cost of $3000 and three fellowships of six months each ($4800). It is expected that WHO assistance to the aspect ofthe project which is concerned with the trachoma -control programme will in 1956, as in previous years, be limited to visits by theconsultant to whom reference is made under Morocco above (estimated cost, $2000) and a six -month fellowship ($1550).


(a) Institutes of Hygiene (TA -I) Yugoslavia 16.7In continuation of a project begun in 1953, to assist in the establishment of district health centres and provide help to institutes

of hygiene, provision has been made in 1956 for three fellowships of six months each (estimated cost, $4500) and some teachingequipment ($1000).

(b) Health Statistics (TA -I) Yugoslavia 16.11

Provision has been made for one fellowship of six months as a continuation of a programme begun in 1954.


Industrial Hygiene (TA -I) Yugoslavia 16.12

As a follow -up of a survey on occupational health initiated in 1952 by the visit of a consultant and reinforced in subsequentyears by the granting of fellowships, provision has been made for one six -month fellowship.


Maternal and Child Health Programme (TA -I) Yugoslavia 16.9An amount of $3000 has been budgeted for in 1956 for three consultant months for a follow -up and evaluation visit for the

UNICEF /WHO- assisted programme begun in 1954. Provision is also made for two fellowships of six months each, for studies inEurope, at an estimated cost of $3100.


Fellowships

Provision is made for individual fellowships in various fields.

COUNTRIES UNDESIGNATED(See page 208)

Other Education and Training ProjectsFollow -up of Regional Activities on a National Basis

A number of countries are indicating a growing interest in organizing national seminars or conferences closely associated withthe inter -country programmes of the Regional Office. In order that some limited assistance may be available for such activities,general provision has been made for visiting discussion leaders or lecturers.



(a) Study Group on Tuberculosis Control EURO 84In recent years mortality has decreased markedly, but the problem of morbidity still remains. It becomes increasingly

difficult to estimate requirements in tuberculosis facilities, and a small study group is planned for 1955, to consider new principlesin making such estimates. It is expected that those taking part will be public -health tuberculosis advisers and statisticians. Provisionis made for some ten people to attend the study group ($2750), for lecturers and temporary staff ($3400), and for the publishingof documentation, including the report ($1500).

EUROPE 183

(b) Tuberculosis Training Course, Istanbul (TA -II) EURO 56

- Assisted in previous years by WHO, Turkey has set up an international tuberculosis demonstration and training centre whichhas provided courses for physicians from Turkey and other countries. WHO provided assistance in the form of fellowships andforeign lecturers. For 1956 provision is made for similar assistance to the centre, through short -term consultants at an estimatedcost of $6000, and fellowships, $14 000.


(a) Poliomyelitis Training Course -EURO 97In the urgent circumstances arising from the appearance, in a number of countries, of poliomyelitis cases with bulbar

involvement, it is necessary to organize a special training course in 1955. This is designed to demonstrate new techniques developedin the Scandinavian countries in the management of patients with disturbances of the respiratory system and the swallowingmechanism. A training course of two months' duration is proposed, to be attended by twenty fellows (medical and nursingpersonnel). Provision is made under the regular budget for 1955 for the organizational costs of the training course and Membergovernments will be requested to find the means to cover the attendance of the fellows they nominate for training. Provision ismade for short -term consultants (lecturers) at an estimated cost of $1300 ; temporary staff, $850, and supplies andequipment; $350.

(b) Seminar on Virus and Rickettsial Diseases EURO 83The shifting pattern in communicable diseases has placed more emphasis on virus and rickettsial diseases, and public -health

laboratories are beginning to develop much -needed services for the latter group of diseases. The two -week seminar planned for1956 will bring together directors of public -health laboratories and their bacteriologists /serologists to discuss technical and adminis-trative aspects of laboratory methods for the diagnosis of such diseases as poliomyelitis, influenza, arthropod -borne viral encepha-litides, rabies, Q fever, typhus and others. Provision is made for a consultant for three months and four lecturers, at an estimatedcost of $5200 ; temporary staff, $1500 ; and supplies and equipment, $1200. Costs in respect of participants -of whom eighteenare expected -are estimated at $6075.


(a) Travelling Study Group EURO 12.4By means of travelling study groups on publichealth administration in 1951, 1952, and 1954, a thorough study was made of the

health services of seven European countries. A further study tour of two countries for a total period of five weeks is planned for1956, and provision has been made for the participation of twenty -five medical officers and sanitary engineers from Europeancountries, as well as for a discussion leader and servicing staff. Provision is made for temporary staff and short -term consultantsat an estimated cost of $4300, and for supplies and equipment, $1000. Costs in respect of participants are estimated at $12 ;50.

(b) Rural Health Training Courses EURO 61Training courses for various categories of health personnel will have started in the Soissons demonstration and training centre

in rural health during 1955. They will continue in 1956 ; it is planned that courses of a duration of one or two months will be given.The budget provides for continued assistance, including fellowships, to health personnel from European countries. Costs areestimated at $2600 for temporary staff (statistical) ; $500 for short -term consultants (lecturers) ; and $5000 for fellowships.

(c) Scandinavian Public -Health Training Courses EURO 60Training courses in public health have been organized jointly by the governments of the Scandinavian countries since 1953.

Assistance, on a decreasing scale, has been given by WHO in the form of visiting lecturers, fellowships and some teaching equipment.For the courses to be held in 1956, assistance by WHO will be limited to the granting of fellowships to health officers who attend.

4. Nursing

(a) Conference on Nursing Education EURO 87Previous conferences on nursing have repeatedly stressed the importance of continuously considering the education and training

of nurses with respect to content and methods of training. A meeting of a limited number of teachers, public -health administratorsand others responsible for such training is planned for 1956. Estimated costs include a figure of $2000 for temporary staff,$1000 for supplies and equipment, and $6500 in respect of participants.

(b) Postgraduate Training for Nurses EURO 77In order to further the development of nursing services and nurse training schools, provision has been made in 1956 for three

fellowships, of nine months each, for the post -graduate training of nurse educators.


Participation in Seminars and Conferences of the United Nations and other Agencies EURO 78 and 81The United Nations Division of Social Welfare, the specialized agencies and other international agencies may sponsor, as in

previous years, activities in the medico -social field of particular interest to the Regional Office for Europe. To meet requests for oneor more specialists as short -term lecturers, budgetary provision has been made for 1956 on the same basis as for previous years.

184 EUROPE


(a) Study Group on the Perinatal Period EURO 39.2As in a number of European countries health services are more and more concerned with the perinatal aspects of maternal

and child health, a study group is planned for 1956 to review the results of recent research and to give guidance on the developmentof such services. The provision made is for short -term consultants and temporary staff ($5500), for participants ($5250), andfor supplies and equipment ($1200).

(b) International Children's Centre: Training Courses EURO 90As in previous years, the expected participation by WHO in the training courses and seminars to be organized by the Inter-

national Children's Centre in 1956 will take the form of fellowships.

7. Meetal Health

(a) Study on Separation of Mother and Child EURO 64This study, jointly sponsored by WHO and the International Children's Centre, will be completed in its international aspects

in the course of 1955. An amount has been provided in 1956 to cover the production of a report.

(b) Study on Child Development EURO 91In an endeavour to bring the mother /child separation study into the perspectives of public -health practice, it is proposed to

institute a comparative study on this subject in different European countries. This will be carried out by a consultant for whomprovision has been made in 1956 for a period of six months.

(c) Survey on Alcohol Problems in Europe EURO 92The object of this survey is to collect and systematize material on all aspects of the problems of alcohol in European countries

and to make such comparative material available to governments, research workers and other interested persons. Provision hasbeen made for a consultant for eight months.


(a) European Seminar of Sanitary Engineers EURO 9.5In continuation of the programme developed in 1954, another seminar for sanitary engineers of one week's duration is proposed

for 1956. Participation has already been extended to include public -health administrators and other experts working in the field ofenvironmental sanitation. Provision is made for discussion leaders ($3900), participants from European countries ($12 500),the usual servicing staff ($2000) and the necessary equipment ($1000).

(b) Regional Study Group on Water Standards EURO 66The results of the first phase of this study are expected to be available in 1955. These concern mainly chemical and bacterio-

logical methods of analysis and the units in which they should be expressed. Another meeting of the group is proposed in 1956 toconsider minimum criteria for drinking -water quality in Europe.

(c) Training Course for Municipal Engineers EURO 93

In order to assist the development of sound and up -to -date practices in environmental sanitation in the Scandinavian countries,a training course fdr municipal engineers responsible for urban sanitation is proposed. Provision is made for short -term lecturers($3000) and fifteen fellowships for one month ($5000).


(a) Anaesthesiology Training Centre, Copenhagen EURO 52This centre is now established as an important and new resource in Europe, particularly adapted for group training in anaesthe-

siology. Provision is made in 1956 for one or two visiting instructors, the main responsibilities for teaching resting with the Danishinstructors. It is considered that at this stage in the development of the centre interested Member governments will be willing tosend candidates for training in anaesthesiology within the individual fellowship programme.

(b) Medical Literature

Provision is again made for medical literature and teaching supplies for seminars and conferences closely associated withthe inter -country programmes.

(c) Reproduction of Reports

To allow for the reproduction of sundry reports on inter -country activities which it is not possible to complete in the same yearas the activity itself, provision has been made for some printing costs ($2500) and for temporary staff as appropriate ($2000).

EUROPE : SUMMARY

Regular Budget Technical Assistance Other Extra-Budgetary FundsNumberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

Uss US$ uss uss US US$ US US uss

22 23 33 138 620 171 433 210 072 REGIONAL OFFICE 6 6 6 20 920 21 268 21 163

FIELD ACTIVITIES

6 200 Malaria and Insect Control3 760 7 650 Tuberculosis 1 3 4 47 090 56 002 67 006 1 29 000 5 00015 850 1 500 Venereal Diseases and Treponematoses 1 1 8 010 17 774 6 450 71 500 95 400 50 00042 670 7 750 15 525 Endemo-epidemic Diseases 4 3 50 600 64 543 57 310 4 241 000 179 100 150 000

10 10 10 141 310 77 414 86 360 Public- Health Administration 1 31 550 11 400 7 0501 1 1 15 602 27 639 30 819 Nursing 2 2 2 65 350 23 646 9 7251 1 1 43 442 45 839 17 419 Social and Occupational Health 24 770 6 650 7 200 1 000 4 000

11 810 1 000 1 550 Health Education of the Public 1 6 7301 1 1 50 312 36 389 42 869 Maternal and Child Health 3 3 6 21 950 38 209 67 074 618 500 352 000 200 0001 1 1 91 562 51 589 39 719 Mental Health 2 850

480 Nutrition1 1 1 49 362 36 139 47 719 Environmental Sanitation 5 550

43 020 196 950 166 350 Other Education and Training Projects 49 600 51 500 19 500

15 15 15 509 180 496 059 448 330 Total - FIELD ACTIVITIES 9 13 15 311 200 269 724 241 315 5 963 850 635 500 400 000

37 38 48 647 800 667 492 658 402 Total - EUROPE 15 19 21 332 120 290 992 262 478 5 963 850 635 500 400 000

EUROPE : REGIONAL OFFICE (Far text, see page 176)


Numberof poste

Es tedtima expenditureNumberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss Uss Uss uss uss uss Uss uss Uss

OFBICE CF THE REGIONAL DIRECTOR

1 1 1 15 000 15 000 Regional Director UG

1 1 1 3 435 3 304 Secretary 06

PUBLIC INFORMATION

1 1 1 6 625 6 850 Information officer P3

Secretary 04 1 1 1 2 424 2 385

PLANNING AND OPERATIONS

1 1 1 11 400 11 767 Deputy Regional Director D2

1 1 1 4 884 5 000 Administrative assistant P1

1 1. 1 3 446 3 238 Secretary G5

1 1 1 2 089 2 078 Clerk stenographers 0 1 1 1 2 583 2 248

Fellowships

1 1 1 7 854 8 104 Fellowships officer P4

1 1 1 5 200 5 200 Administrative assistant Pl,

1 1 1 2 505 2,457 Secretary G4

1 1 1 2 638 2 575 Records clerk 04

Clerk stenographer G3 1 1 1 2 730 2 378


1 7 300 Administration and finance officer P4

1 1 6 625 Administrative officer P3

1 1 1 2 909 2 546 Secretary 04

Budget and Finance

1 6 000 Budget and finance officer P3

1 3 600 Budget analyst P1

1 1 1 3 600 3 800 Accountant P1

1 3 600 Dieburaing officer P1

1 2 410 Accounts clerk 04

1 2 410 Secretary 04

1 2 058 Clerk G3

Personnel


1 1 1 2 909 2 546 Clerk stenographer 04

1 1 1 2 267 2 236 Records clerk 0

EUROPE : REGIONAL OFFICE (continued)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ US$ US$

General Services

US$ US$ US$ US$ US$ US$


Travel and supply records clerk G5 1 1 1 3 204 2 8201 1 1 3 106 2 734 Registry clerk G5

1 2 058 Secretary G3

1 2 058 Clerk typist G3

1 1 1 2 031 2 026 Clerk G3

1 2 058 Telephone operator G3

5 569 Custodial staff

Conference and Editorial

1 1 1 4 200 4 700 Technical assistant P2

1 1 4 800 5 000 Translator P2

1 3 600 Translator P11 1 1 2 886 2 817 Library clerk G6

Clerk stenographers G3 2 2 2 4 727 4 374


(11 509) Cost -of- living adjustment

98 780 110 726 136 415 16 120 15 668 14 205

Travel

7 100 5 400 5 400 Duty

Statutory Staff Costa

19 920 23 377 27 217 Allowances 2 410 2 750 2 43150 1 200 13 750 Recruitment and repatriation 942

2 620 1 900 3 700 Home leave 290 250 250650 220 5 550 Transportation of personal effects 845

Other Costs


Common Services

2 800 3 470 3 970 Space and equipment services 760 910 7203 750 4 540 5 870 Other services 1 020 1 190 1 070

1 170 1 930 3 510 Supplies and materials 320 500 640150 150 300 Fixed charges and claims 60130 17 020 2 890 Acquisition of capital assets


EUROPE : REGIONAL HEALTH OFFICERS (For text, see page 176)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ US$ US$ USS USS US$ US$ US$ USS

1 1 1 8 937 9 187 Public- health administration P5


1 1 1 7 413 7 638 Nursing P41 1 1 7 917 8 167 Social and occupational health P4

Health education of the public P4 11 1 1 7 854 8 104 Maternal and child health P41 1 1 7 544 7 769 Mental health P4


Stenographic Pool

7 7 7 20 602 18 575 Secretaries 041 1 1 2 995 2 882 Clerk stenographer 03

15 15 15 69 290 79 329 78 889 Total established posts 1 4 390

(6 437) Cost -of- living adjustment

69 290 79 329 72 452 4 390

Travel

12 000 12 400 12 400 Duty 540

Statutory Staff Costs .

13 470 16 100 15 933 Allowances 6501 620 6 450 Recruitment and repatriation

490 2 540 3 750 Home leave 8001 100 3 110 Transportation of personal effects

Common Services

1 910 2'270 1 810 Space and equipment services 1302 560 2 960 2 660 Other services 170

800 1 260 1 590 Supplies and materials 50

100 100 140 Fixed charges and claims80 8 800 1 110 Acquisition of capital assets

15 15 15 103 420 125 759 121 405 Total - REGIONAL HEALTH OFFICERS 1 6 730

EUROPE: COUNTRY SCHEDULES

RegWar Budget Technical Assistance Other Extra -Budgetary Funds

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS VSS USS us uss USS USS USS USS

AUSTRIA


TUBERCULOSIS

Tuberculosis control Austria 4.2 5 750


Venereal- disease control Austria 4.3 1 400


900 Fellowships Austria 8

1 550 Serum and vaccine production Austria 4.10 1 550 8 000#

900 1 550 1 550 8 000


3 700 Fellowships Austria 9


1 350 5 450 1 550 Rehabilitation of handicapped Austria 4.5 9 000* 25 000*children

MENTAL HEALTH

400 Fellowships1 300 2 000 3 100 Mental health services Austria 4.6

1 700 2 000 3 100


Fellowships Austria 4,4 4 000




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ uss

2 500

usa

3 750

AUSTRIA (continued)


Fellowships (various)School of Public Health Austria 4.1

uss - osa

5 600

Uss

i

US$ Uss

17 000 25 000

-

(1 500) (1 500)

USS

(6 000)

(1 500)

2 500 3 750

Total - AUSTRIA


5 600

7 650

1 900

9 950 9 950 18 300

BELGIUM



Fellowships Belgium 7

7 700



MENTAI- HEALTH



Fellowships (various)

Total - BELGIUM


7 100 7 100

10 500 7 100 7 100



Numberof posts Estimated expenditure Number



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss Ins USS USE USS USS USS

DENMARK



1 930 Fellowships Denmark 9


4 350 Fellowships - Denmark 7

MENTAL HEALTH

2 650 Fellowships Denmark 6

5 950 3 100 Training course in psychiatry Denmark 8

2 650 5 950 3 100


6 150 6 150 Fellowships (various)

8 930 12 100 9 250 Total - DENMARK

Total - Estimated Government Contribution- (3 500)

FINLAND

(For text, seepage 177)


Fellowships Finlasd 4.2 1 900



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

51SS US$ US$ US$ uSS UST UST US$ USS

FINLAND (continued)


Fellowships Finland 4.4 4 250

NURSING



300 Fellowships Finland 5


2 400 Fellowships Finland S



MENTAL HEALTH

2 350 Fellowships Finland 9





5 050 9 950 9 950 Total - FINLAND 14 400


ew EUROPE: COUNTRY SCHEDULES


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

liSt USt USS USS USS USS USS USS US$

FRANCE


ENDNMO- EPIDEMIC DISEASES

Trachoma project in Algeria Algeria 1 2 1 550 18 646 50 000 25 000

(TA -I, 19553 TA -II, 1956)


5 150 Fellowships France 25





MENTAL HEALTH

500 Fellowships France 23




12 350 11.000 Fellowships (various)

1 550 4 100 School of Public Health France 24

13 900 15 100

11 150 13 900 15 100 Total - FRANCE 2 1 550 18 646 50 000 25 000

Total -Estimated Government Contribution (18 000)



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USE USS US $ USS USS USS US

GERMANY



1 000 Fellowships Germany 10




650 Fellowships Germany 8





2 500 Public- health training centre Germany 11

12 350 13 500

9 450 12 350 13 500 Total - GERMANY

GREECE


TUBERCULOSIS

Tuberculosis control (TA -I) Greece 6.1 1 2 2 12 440 17 829 15 458

EUROPE : COUNTRY SCHEDULES


Numberof posts

Estimated expenditure Number_ of posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

tas USS US USs USS US US USS US

GREECE (continued)

PUBLIC- HEALTH Afl1INISTRATION

Fellowships Grecos 6 3 100


1 600 Fellowships Graeae 12


Maternal and child health services Grottos 4 1 300 1 000 50 000* 12 000* 50 000(TA -I)

11 200 Rehabilitation of handioapped Greece 3 25 000*children

Rural sanitation in maternal and Greece 13 1 13 148 100 000

child health project (TA -I)

11 200 1 1 300 14 148 75 000 112 000 50 000


4 000 3 100 Fellowships (various)680 Assistance to training inetitu- Greece 5

time

680 4 003 3 100

13 480 4 000 3 100 Total - GREECE 1 2 3 16 840 17 829 29 606 75 000 112 000 50 000......... ......... ......... ...........................

ICELAND

(For texts see page 178)



3 800 3 100 Total - ICELAND





Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

Uss uss US$ uss uss uss Uss USS uss

IRELAND



900 Fellowships Ireland 10

MENTAL HEALTH

4 360 Fellowships Ireland 9



5 260 7 500 7 500 Total - IRELAND


ITALY



6 000 Fellowships Italy 12


1 000 1 000 1 550 Perugia project Italy 15


Regular Budget

-


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS

850

US$

1 3001 550

US$

1 550

ITALY (continued)


Care of premature infants Italy 7

1

1

1

1

1

1

US$ US$ US$

10 673

USS US$ USS

43 000#

4 500#Rehabilitation of handicapped Italy 5

children


Fellowships (various)School of Public Health Italy 9

850 2 850 1 550 47 500

2 3005 4004 100

6 0004 100

47 500

(156 080) (3 200) (119 700)

71 500# 25 000 50 000

2 300 9 500 10 100

Total - ITALY


10 150

900

13 350 13 200

MOROCCO (FRENCH ZONE)


TUBERCULOSIS

Fellowships

Tuberculosis control (TA -I) Morocco 7

900


FellowshipsVenereal- disease control (TA -I) Morocco 2

10 673

9504 710 12 874 4 000

950 4 710 12 874 4 000 71 500 2 000 50 000




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USs

4 500

USs

4 500

MOROCCO (FRENCH ZONE)(continued)

ENDEMO- EPIL`EMIC DISEASES

Trachoma control (TA -I) Morocco 1

1

2

3

1

2

USs US4

15 000 23 759

USs

11 614 2

2

USs USs USs

83 000* 50 000 25 000


Child nutrition Morocco 6 4 000 7 100 50 000(TA -I, 1955; TA -II, 1956)



Total - MOROCCO (FRENCH ZONE)


19 710 40 633 33 387 154 500 75 000 125 000

(380 285) (301 000)

1 850

2 700

4 500 4 500

NETHERLANDS


ENDEMO- ENDEMIC DISEASES

Fellowships Netherlands 12

500



1 900






Numberof posts

Estimated expeaditure Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS USS USS UST USS USE USS

NETHERLANDS .(continued)


8 450 8 450 Fellowships (various)6 050 4 400 4 400 Public -health training centre Netherlands 4

6 050 12 850 12 850

11 150 12 850 12 850 Total - NETHERLANDS

NORWAY



13 150 Fellowships Norway 5


750 Fellowships

MENTAL HEALTH

1 500 Fellowships Norway 9

OTHER EDUCATION AND TRAINING PROJECTS '


15 400 8 000 8 000 Total - NORWAY




Numberof posts

Estimated expenditure -

Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss uss uss uss uss Uss uss uss

PORTUGAL


VENEREAL DISEASES AND TREPONENATOSES

2 100 Fellowships Portugal 9


1 420 Rabies vaccine production Portugal 10

HEALTH EDUCATION OFF THE PUBLIC

1 500 Fellowships Portugal 11


Supplies and equipment 50 000*


2 800 3 750 3 000 Course for sanitary engineers Portugal 12



7 820 8 350 7 600 Total - PORTUGAL 50 000

THE SAAR


3 000 Fellowships Saar 1

3 000 Total - SAAR



Regular Budget Technical Assistance Other Extia -Budgetary Funds

NumberP

Estimated expenditure Numberof posts Estimated expenditure Number


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

us

2 650

uss us

SPAIN



Venereal- disease control (TA -I) Spain 8

USS uss US

4 900 2 450

USS uSS

70 400d

uss


Communicable- disease control, Spain 1 14 400 9 600 11 700 50 000 19 600*

50 000including trachoma.(TA -I, 1955;TA -II, 1956)


Fellowships Spain 9

3 550 3 100 75 000 25 000

6 200 6 200


Care of premature infants (TA -I) Spain 10



Total - SPAIN


14 400 18 050 17 250 125

(25

000 115 000

000) (20 000)

50 000

(33 500)

2 650

2 250

6 200 6 200

SWEDEN



Fellowships Sweden 7



Regular Budget -

-


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS USS USS USS USS USS till

SWEDEN (continued)

NURSING

1 000 Fellowships Sweden 5



MENTAL HEALTH




-9 650 8 100 8 100 Total - SWEDEN


SWITZERLAND



3 100 Fellowships Switzerland 11


1 450 Fellowships Switzerland 6



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

Uss

1 000

USS USS

SWITZERLAND (continued)

MENTAL HEALTH

Fellowships Switzerland 7

1

1

2

1

1

USS USS

11 373

USS

11 875

2

USS USE

90 000* 50 000

USS

(1 500)

50 000


Fellowships(various)

Total - SWITZERLAND


4 350 4 350

5 550

500

4 350 4 350

TUNISIA


TUBERCULOSSIS

Fellowships Tunisia 2

Pilot project, Sfax (TA -I, 1955; Tunisia 9

TA -II, 1956)


Trachoma control (TA -I) Tunisia 3

500 11 373 11 875

550

6 100 19 984 4 000






Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss

1 360

uss uss

TUNISIA (continued)

NURSING

Training of nurses (TA -I) Tunisia 10 2 2

2

5 5

uss uss

6 000 23 646

uss

6 725

2

1

1

uss uss till

25 000 25 000



3 550 18 471

480


Maternal and child health services Tunisia 6(TA -I, 1955, TA -II, 1956)

NUTRITION


12 100 58 553

-

41 071 90 000 75 000 75 000

(285 000) (368 600)

,

29 000* 5 000*

4 500 4 500



Total - TUNISIA


2 890

1 250460

4 500 4 500

TURKEY


TUBERCULOSIS

Fellowships Turkey 18BCG vaccination Turkey 33

1 710


Fellowships Turkey 21

29 000 5 000

1 000




Numberof posts


Estimated expenditure -

Numberof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS

2 850

USS USS

TURKEY (continued)


Vital and health statistics Turkey 24, 1

2

3

6

3

3

3

3

USS USS

13 300

USS

1

USS USE

96 000*

USS

75 000'

NURSING

Training of nurses (TA -II) Turkey 8 20 750 3 000


Fellowships Turkey 196 970

10 900 4 100 5 650

Hospital construction Turkey 22

Industrial health services Turkey 26

(TA -I, 1955, TA -II, 1956) and 28

2 850


Academic course for health Turkey 15

17 870 4 100 5 650

5 000

11 750 21 009 18 155

educators


Maternal and child health centre Turkey 6

5 1003 100

6 200

3 100

(TA -I, 1955, TA-I1, 1956)


Fellowships (various)School of Public Health, Ankara Turkey 16 7 800 19 500 19 500

125 000 5 000

(500 000)

75 000

(Regular /TA -I, 1955; Regular/

TA -II, 1956)

Total - TURKEY


8 200 9 300 7 800 19 500 19 500

10 560 8 200 9 300 71 470 44 609 46 305

Alleeated by the UNICEF Executive Board



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

Liss

650

Liss US$

UNITED KINGDOM OF GREATBRITAIN AND NORTHERN IRELAND


TUBERCULOSIS

Fellowships United Kingdom 8

USS USS Uss Liss US$ Uss

(1 800)


Fellowships United Kingdom 92 700

800

NURSING




MENTAL HEALTH

Fellowships United Kingdom 111 600

8 100 8 100



Total - UNITED KINGDOM OF GREAT BRITAINAND NORTHERN IRELAND


6 450 8 100 8 100



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 t954 1955 1956

Liss

7 900

Liss Liss

YUGOSLAVIA


TUBERCULOSIS

Tuberculosis control (TA -I) Yugoslavia 16.4

UnS

6

Liss

900 6 800

Uns

9 000

Uns Liss

10 000*

Liss


Control of endemo -epidemic Yugoslavia 16.1 13 550 9 650 11 350diseases, includingtrachoma (TA -I)


Fellowships Yugoslavia 16.664

400 8 850

500 2 5505 500

1 550

316 000* 115 000*

Institutes of hygiene (TA -I) Yugoslavia 16.7Health statistics (TA -I) Yugoslavia 16.0

7 900


Industrial hygiene (TA -I) Yugoslavia 16.72

10 900 11 400 7 050

2 0006 200 6 200

6 900 2 550 1 550


Maternal and child health Yugoslavia 16.9 6 400 6 100 6 100

programme (TA -I)


Fellowships (various)Heart- disease centre, Zagreb Yugoslavia 2

44 650 36 500 35 050 326 000 115 000

(19 500) (22 100)

2 000 6 200 6 200

Total - YUGOSLAVIA


9 900 6 200 6 200




Numberof posts

Estimated expenditure Number Estimated expenditureof posts

Numberof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uSS

3 340

uss

2 200

uss

2 200

COUNTRIES UNDESIGNATED

(For texts see page 182)


Follow -up of regional activities on a

national basis

Total - COUNTRIES UNDESIGNATED




Insect- control training course EURO 46.2

USS uss

22 000 20 000

uss

20 000

USS USS US

3 340 2 200

6 200

2 200

TUBERCUIOSIS

Study group on tuberculosis con- EURO 847 650trol

Tuberculosis training course, EURO 56Istanbul (TA -II)


Rotterdam port demonstration centre EURO 59

7 650 22 000 20 000 20 GOO

12 800 1 500



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS vas USS UST USS USS USS



2 500 Poliomyelitis training course EURO 97 9 500

12 150 Conference on immunization EURO 47

13 975 Seminar on virus and rickettsia) EURO 83

diseases

15 600 Seminar on meat hygiene EURO 50

5 250 Advisory group on veterinary EURO 85

public health

27750 7 750 13 975 9 500


18 920 17 550 Travelling study group EURO 12.42 600 8 100 8 100 Rural health training courses EURO 6117 050 12 500 8 400 Scandinavian publichealth . 60

training courses

2 750 1 500 - Morbidity survey EURO 63

41 320 22 100 34 050

NURSING

9 500 Conference on nursing education EURO 87

6 050 Study group on nursing school EURO 86

curriculum

2 800 7 500 7 500 Post- graduate training for EURO 77

nurses

Teaching seminar for public- EURO 72 - 34 400

health nurses

,2 800 13 550 17 000 34 400



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US $ USS USS



US$ US$ US$ USS USS US$

6 250 3 000 Pilot study of family workers EURO 6 1000 4 00015 650 Conference on training and EURO 88

utilization of family healthand welfare workers

3 700 Ad hoc group on public -health 8880 89aspects of cardiovasculardiseases

5 800 Training course in occupational EURO 58health

730 3 600 3 600 Participation in seminars and EURO 78conferences of the United Nations and 81and other agencies

6 980 31 750 3 600 1 000 4 000


1 910 Preparatory committee for con- EURO 25.2ference on health education


9 100 Conference on school health EURO 40.2services

11 950 Study group on the perinatal EURO 39.2period

8 260 14 000 14 000 International Children's Centres EURO 90Training courses

17 360 14 000 25 950

MENTAL HEALTH

22 000 20 000 1 500 Study on separation of mother EURO 64 2 850and child

300 9 550 Study group on mental health in EURO 82public- health practice

7 800 Study on child development EURO 91



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ US$ US$ US$ USS US$ US$ US$ US$


Mental health (continued)

17 850 Conference on children in hospital EURO 435 000 Survey of children in Austrian EURO 73

refugee camps15 350 Seminar on treatment of alcoholism EURO 67

10 400 Survey of alcohol problems in EURO 92Europe

60 500 29 550 19 700 2 850


20 900 19 400 European seminar of sanitary EURO 9.5engineers

810 4 700 3 500 Regional study group on water EURO 66standards

2 000 2 500 Study of sanitary engineering EURO 65terms in Europe

7 450 Training course for waterworks EURO 45engineers

2 700 11 100 Symposium on training of sanitary EURO 94engineers

8 000 Training course for municipal EURO 93engineers

33 860 18 300 30 900


9 500 Conference on teaching of preven- EURO 22.4tive and social medicine

9 250 5 100 2 600 Anaesthesiology Training Centre, EURO 52 36 200 32 000

Copenhagen (Regular and TA -II)

2 350 22 300 Anaesthesiology Training Course, EURO 62. Paris

1 000 1 000 1 000 Medical literature16 050 4 500 4 500 Reproduction of reports

28 650 42 400 8 100 36 200 32 000

233 930 194 750 153 275 Total - INTER -COUNTRY PROGRAMMES 92 600 52 000 20 000 3 850 13 500

212 EASTERN MEDITERRANEAN



The staffing pattern for 1956 is the same as for 1955.

Duty TravelProvision for travel has been made on the basis of experience, and is to enable the Regional Director and his staff to

visit various countries in the Region for the purpose of conferring with the governments on the general planning, organizationand development of health services.

REGIONAL ADVISERS

(See page 230)From 1955, the posts for regional advisers in tuberculosis (BCG), and venereal diseases and treponematoses are replaced

by posts for public -health advisers. The posts of advisers in malaria and insect control and in education and training arere- established in 1955. No new posts are proposed for 1956.

Duty TravelProvision is made for the advisers to visit countries in the Region in order to advise and assist governments in developing

health programmes, co- ordinate the work and evaluate the results of existing activities, and discuss methods of integratingthose activities into the national health services.

AREA REPRESENTATIVES

(See page 231)It is proposed to retain the present area representative for Lebanon, Syria and Jordan and in 1956 to appoint another for

the Persian Gulf countries.

Duty TravelProvision is made for the representatives to visit the countries in their areas and advise and assist governments on matters

of publichealth administration.

CYPRUS(See page 232)

Nursing

School of Nursing, Nicosia (TA -I) Cyprus 1The Government has decided to establish a school of nursing in Nicosia to enable young women of the island to become

qualified nurses and gradually take charge of the hospital and public -health nursing services. It has granted a two -year fellowshipto the senior nurse instructor to study for a tutor's certificate and has requested the Organization to provide an instructor tobegin the development of the school. Provision for such a post is made for 1955 and 1956. In the latter year the estimatedcost is $5334, plus $500 for supplies and equipment and $2000 for fellowships.

V EGYPT


Demonstration. and Training Centre (TA -I) Egypt 20The tuberculosis -control demonstration and training centre project in Cairo was due to finish at the end of 1954. The Govern-

ment has, however, asked that the senior adviser be retained for six months in 1955 in order that he may act as adviser to thegovernment and undertake surveys which could not be carried out earlier because all efforts were concentrated on the centre.

EASTERN MEDITERRANEAN 213

2. Endemo- epidemic diseases

(a) Bilharziasis Control (TA -I) Egypt 10It is proposed to continue this project, included in the programme and budget estimates for 1955, through 1956, at an

estimated cost of $8189 for a public -health engineer, $3000 for a short -term consultant in malacology and $2000 forsupplies and equipment.

(b) Trachoma Control (TA -I) Egypt 25It is planned to continue, with an international staff of an ophthalmologist and a nurse, the project for developing in a limited

area control methods which can be applied throughout the country. Supplies and equipment are shown under OtherExtra -budgetary Funds.


(a) Health Demonstration Area (TA -I) Egypt 5A continuation of the project included in the programme and budget estimates for 1955, with an international staff of a

public -health administrator, a maternal and child health officer, a public -health engineer, an epidemiologist, a health educator,a hospital administrator, three public -health nurses (one senior), a midwifery nurse and a statistician, at an estimated cost of$91 502. Provision is also made for supplies and equipment at an estimated cost of $30 000, and for six fellowships, $10 000.

(b) Hospital Administration (TA -I) Egypt 15The survey approved for 1954 has been postponed. Provision is therefore made for one hospital administrator, at an estimated

cost of $8548, and for supplies and equipment ($240).

4. Nursing

Nursing Adviser (TA -II) Egypt 24

This project, included in the programme and budget estimates for 1955, has been modified. Now that the establishmentof the Regional Nursing College has diminished the need for instructors, the Government has asked for a senior adviser onnursing administration, national nursing education, registration and legislation, supervision of nursing services -especially public -health nursing under the Ministry of Health -and the organization of refresher courses for nurses. The post will be matched by anational senior nurse, who will take over at the end of the WHO nurse's term of service.


Industrial Health and Occupational Diseases (TA -I) Egypt 18This project, which was included in the programme and budget estimates for 1955, is expected to begin in that year

with a staff consisting of a public -health administrator and a public -health engineer, to which a publichealth nurse will be addedlater in the year. The cost of the team in 1956 is estimated at $24 475 and of supplies and equipment at $2400.

6. Nutrition

Nutrition InstituteIn addition to evidence of undernourishment in some sections of the population, there is a considerable incidence of pellagra,

nutritional anaemia and rickets. The Government therefore wishes to establish a nutrition institute to conduct research, analyselocally produced foodstuffs, train technical staff and organize nutrition education. It is proposed to send a nutritionist to advisethe Government on the establishment of the institute and later assist in its development.


Sanitary Engineering Course, Alexandria University Egypt 28The lecturer in sanitary engineering provided for Alexandria University is to be retained in 1956, at an estimated cost of $9589,

plus $500 for supplies and equipment and $5500 for fellowships.


Fellowships

Provision is made for fellowships in fields of study to be determined later.


ETHIOPIA


Malaria Control (TA -I) Ethiopia 17Whereas the highlands in Ethiopia are practically free from malaria, the disease is widespread in the lowlands and valleys,

where there is increasing agricultural settlement. Control measures are inadequate and knowledge of the epidemiology of thedisease is insufficient. A detailed survey followed by a control scheme will be carried out on the same lines as elsewhere in theRegion. It is proposed that the Organization should provide a malariologist, an entomologist and a sanitarian, at an estimated costof $21 606, and supplies and equipment to the value of $5000.

2. Tuberculosis

(a) Demonstration and Training Centre (TA -II) Ethiopia 6This project is to begin in 1955. The draft agreement is still under study with the Government, but broadly the plan is to

demonstrate methods of tuberculosis control through a centre or dispensary, and to train professional and auxiliary personnelin the work. This project, though associated with the BCG project that has been under way for some time, will beginindependently ; only when it is well established will the testing and vaccinating with BCG bé merged into it. The cost forthe WHO team, consisting of a medical officer, an x -ray technician, a laboratory technician and a nurse, is estimated at $28 050in 1956, and for supplies and equipment at $20 000.

(b) BCG Pilot Project for Mobile TeamsIn vast areas in Ethiopia there are practically no medical services available to the population. It is therefore proposed,

with the present BCG teams as a nucleus, to develop two or three mobile publichealth units to be staffed by the Government.These units will carry out simultaneous vaccination against several major communicable diseases, undertake DDT dustingagainst typhus, and see to such emergency cases as can be dealt with by a dresser. The international staff in 1956 willcomprise one medical officer and one public -health nurse, at an estimated cost of $16 966, which, together with the cost of suppliesand equipment, is shown under Other Extra -budgetary Funds.


Demonstration and Training Project (TA -I) Ethiopia 4Continuation of the project included in the programme and budget estimates for 1955. For 1956 one post, that of a

medical officer, is proposed.


Urban Health Unit (TA -II) Ethiopia 2The Government has recently requested aid for the establishment of a general -purpose health unit in Addis Ababa. This

unit will combine various health services as they develop, particularly services for environmental sanitation, maternal and childhealth, venereal- disease control and tuberculosis control, and will act as the headquarters of the co- ordinated services as wellas a centre for preventive medicine and in certain cases for treatment. The full plan is at present under study with theGovernment. It is estimated that in 1956 the cost to the Organization will be $29 462 for the team of a medical officer, a sanitaryengineer, a nurse and a midwife, and $15 000 for supplies and equipment.


Training of Auxiliary Personnel Ethiopia 9It is proposed that this project should be continued with a staff of one medical officer, one epidemiologist, two health

officers, one sanitary engineer and two nurses. Supplies and equipment are shown under Other Extra -budgetary Funds.

IRAN

1. Tuberculosis

Demonstration and Training Cintre (TA -I)

(See page 236)

Iran 9There is no essential change in this project (originally described in the programme and budget estimates for 1953), which

it is proposed to continue into 1956 with a team consisting of a senior adviser, an x -ray technician, a laboratory technicianand a public -health nurse, at an estimated cost of $15 413. The sum of $2000 is provided for supplies and equipment.



Demonstration and Training Centre (TA -I) Iran 4Continuation in 1955 of the project included in the programme and budget estimates for 1954, with the staff reduced to one

venereologist and one serologist. Provision is also made for further supplies and equipment.


Leprosy Control (TA -II) Iran 19The Government has renewed its request, first made in 1951, for assistance in the control of leprosy. The incidence of leprosy

in Iran is known to be high and, although exact figures are not available, it is generally accepted that the disease results in a seriousloss of manpower and that the maintenance of leprosaria is a considerable drain on the country's resources. It is proposed in 1955to provide the services of a consultant for six months, with supplies and equipment, to make a general survey of leprosy incidenceand to advise the Government on modern methods of treatment and control, including early diagnosis of the disease, treatmentin out -patient clinics, and the possibility of allowing certain patients to continue their occupations, so that they may participate inthe economic development of the country.


(a) FellowshipsProvision is made for fellowships in various fields of publichealth administration.

(b) Public- Health Laboratory Iran 26Continuation of the project included in the programme and budget estimates for 1955. The laboratory will be established

within the university and may later develop into an institute of hygiene. Provision is made for a medical officer and a laboratorytechnician, at an estimated cost of $18 250, and for supplies and equipment to the value of $2000.

(c) Cancer Iran 29Provision is made in 1955 for a cancerologist, with supplies and equipment, to advise the Government on the establishment

and development of a cancer centre in Teheran.

5. Nursing

Ashraf School of Nursing, Teheran (TA -I) Iran 8Continuation of the project included in the programme and budget estimates for 1955. The project has been removed from

Tabriz to Teheran. The team in 1956 is to consist of four nurse educators (one senior), at an estimated cost of $24 814. The sumof $1000 is provided for supplies and equipment.


Demonstration and Training Centre (TA -I) Iran 10The international phase of this project (included in the programme and budget estimates for 1955), will be continued in 1956

until 30 June with a reduced staff of one social paediatrician and one public -health nurse, at an estimated cost of $8101. Thesum of $1000 is provided for supplies and equipment and $3000 for fellowships.

7. Nutrition

Nutrition Institute (TA -I) Iran 7The project for establishing a nutrition institute in the University of Teheran, originally approved for 1954, is now expected

to begin in 1955. It will continue in 1956 with a staff of a nutritionist, a biochemist and a dietician, at an estimated costof $22 937. Requirements in supplies and equipment are estimated at $12 000.


(a) Radiology, Firousabadi Hospital Iran 22

The Firousabadi Hospital has been bequeathed additional x -ray equipment and radium but does not possess the necessaryexpert staff to use them to full advantage. It is proposed that in 1955 WHO should make available the services of an expertto operate the x -ray plant and use the radium, while training the staff to take over from him.

(b) Visiting Group of Scientists Iran 24The Government has requested that a second group of medical scientists should visit Iran in 1956. The first mission, sent in

1951, was fotind to be most useful in establishing closer relationships between Iranian scientists and those of Western countries,in stimulating interest in curative and preventive medicine, and in promoting scientific advancement in various branches ofmedicine. Provision is therefore made for the short -term consultants who will make up the group.


IRAQ


Demonstration and Training Centre Iraq 11It is proposed to continue this project from 1954 with the same team -a malariologist and a sanitarian -in 1955 and a

malariologist only in 1956. Estimated costs for this staff and for supplies and equipment are shown under Other Extra -budgetaryFunds.

2. Tuberculosis

Demonstration and Training Centre (TA -I) Iraq 7Continuation of the project in Baghdad (included in the programme and budget estimates for 1955), with a reduced staff

of a medical officer and a public -health nurse, until 30 June 1956. Costs are estimated at $9777, plus $3000 for suppliesand equipment.


(a) Bilharziasis Control (TA -I) Iraq 15Continuation of the project included in the programme and budget estimates for 1955. The estimated cost is $16 812 for

the staff of one malacologist and one public -health engineer and $6000 for supplies and equipment.

(b) Leprosy Control Iraq 5The Government has renewed its request, first made in 1951, for assistance in the control of leprosy. Although exact figures

are lacking, the number of people affected by the disease is known to be large and the existing leprosarium at Amara isalways overcrowded. The Government requires advice on whether it should extend the present premises or, alternatively, providetreatment facilities in out -patient clinics, so as to enable those patients who can safely be allowed to do so to continue theiroccupations and thus participate in the economic development of the country. Advice is also sought on the development of self -supporting units, on possible occupational activities, and on the provision of educational facilities for children and adults in theleper colony. Provision is made for the services of a consultant for three months in 1955 and three months in 1956, andfor supplies in 1955.

(c) Trachoma Survey Iraq 18Communicable eye diseases, including trachoma, are a major public -health problem in Iraq. A request for assistance has been

addressed by the Government to WHO. As a first step, it is proposed to provide a short -term consultant to carry out a survey inthe autumn of 1956. Supplies and equipment are shown under Other Extra -budgetary Funds.


(a) Fellowships

Provision is made for fellowships in various fields of public -health administration.

(b) Rural Health Centre (TA -I) Iraq 6This project, originally approved for 1953 and 1954, is now expected to begin in 1956. The Government is planning to

develop its provincial health services, and the aim of the project is to establish a model rural health unit as a demonstration andto develop techniques of public -health administration suitable to the country. Provision is made for a team consisting of a medicalofficer, a sanitary engineer and a statistician, at an estimated cost of $23 018, and for supplies and equipment to the valueof $10 000.

5. Nursing

Fellowships

Provision is made for a fellowship to enable a nurse to attend the Regional Nursing College.


Fellowships

Provision is made for a fellowship for attendance at the Fundamental Education Centre, Egypt.



Demonstration and Training Centre Iraq 8Continuation of the UNICEF /WHO- assisted project for 1954 and 1955. In 1955 one doctor and four nurses will be stationed

in Baghdad and one nurse -midwife in each of the centres to be opened in Mosul and Basrah. In 1956 the staff will be reducedto one doctor and three nurses. The estimated cost of the personnel and of supplies and equipment is shown under OtherExtra -budgetary Funds.

ISRAEL


(a) Fellowships (Regular and TA -II)The sum of $7500 is provided for fellowships in 1956 in various fields of publichealth administration under the regular

budget. In view of the large number of applicants expected, a further $6000 has been provided under Technical Assistance fortwo nine -month fellowships in 1955.

(b) Public- Health Laboratory Israel 18This project, which was to have been carried out in 1954, has been postponed. A laboratory technician is to be appointed

for one year from 1 July 1955. Some supplies were ordered in 1954.

(c) Dental HealthA short -term consultant on dental health visited Israel in 1954. The Government has requested WHO to provide a senior

dental adviser to advise it on the implementation of the recommendations of the short -term consultant and in general on thereorganization of its dental services, especially in the field of preventive dentistry in schools and other such institutions. The cost ofproviding the services of an adviser throughout 1956 is estimated at $8548, and of necessary supplies and equipment at $3500.

2. Nursing

Nursing Adviser (TA -I) Israel 7This project consists of several phases. In the first phase (7 November 1951 to 17 January 1952) a survey was made

by a nursing consultant ; in the second (1 September 1952 to 30 September 1953) a team of two nurses was appointed toadvise and teach in the field of nursing. The third phase has had to be postponed till 1955, when a senior nurse administrator isto be appointed to advise and assist the Government. The estimated cost in 1956 is $7737, plus $1000 for supplies and equipment.


Sanitary Engineering Course, Haifa University (TA -I) Israel 19This project for introducing sanitation subjects in the curriculum of engineers specializing in hydraulics and public works

began in autumn 1954 and is to continue through part of 1956. Provision is therefore made for retaining the services of thesanitary engineering instructor. Supplies and equipment are to be provided by the United States Foreign Operations Administration.

HASHEMITE KINGDOM OF JORDAN


Demonstration and Training Centre Jordan 5This project, approved for 1954, is now expected to begin in 1955, with a team consisting of a medical officer, an x -ray

technician and a nurse. Costs in 1956 are estimated at $22 740 for the staff, $9000 for supplies and equipment, and $3000 forfellowships.


(a) Trachoma SurveyBefore undertaking a programme of trachoma control it is proposed to carry out a survey in 1955. Provision is therefore

made for a consultant, and for supplies and equipment.

(b) Trachoma Control (TA -I) Jordan 11This project, included in the programme and budget estimates for 1955, is now expected to begin in 1956 after a

survey in 1955. The team will consist of an ophthalmologist and a nurse.



(a) Fellowships

Provision is made for fellowships in various fields of publichealth administration.

(b) Rural Health Unit (TA -II) Jordan 1This project as first conceived was to set up a rural health centre with special emphasis on maternal and child health.

Later it was considered advisable to combine the project with the urban maternal and child health programme and to includeall work in that field, both urban and rural. This development continued, but in 1953 it was decided to furnish an expertto advise on the rural health and sanitation aspects, leaving maternal and child health to become a separate project, which infact began in 1954 in Amman (see section 5 below). For financial reasons the expert in rural health was not recruited, andthe project was postponed, but it is now expected to begin in 1955 with a team consisting of a public -health administrator,a sanitary engineer, a nurse and a midwife. Costs for personnel in 1956 are estimated at $29 462 and for supplies and equipmentat $15 000.

4. Nursing

(a) Fellowships

Provision is made for a fellowship to enable a candidate to attend the Regional Nursing College.

(b) School of Nursing, Amman (TA -I) Jordan 2The Government has requested the services of a nurse educator for two years from January 1955 for a State school of

nursing and midwifery established in Amman with the assistance of the United States Foreign Operations Administration.Jordan, which has only two schools of nursing -one in Jerusalem (mainly for Palestine refugees) and the one in Amman -isgreatly in need of qualified nurse -midwives. The Amman school can train twenty nurse -midwives a year. The teaching staffof the school will work in close co- operation with the staff of the maternal and child health project in Amman in the teachingof both professional nurse -midwife students and the auxiliary health visitor students from the maternal and child health project.The provision made for 1956 is $7636 for the services of the nurse educator and $1250 for supplies and equipment.


Demonstration and Training Centre (TA -I) Jordan 3Continuation of the project included in the programme and budget estimates for 1955, with a staff consisting of a social

paediatrician and one nurse. Supplies and equipment are shown under Other Extra -budgetary Funds.

6. Mental Health

Mental Hospital Superintendent Jordan 10The expert provided to superintend the mental hospital took up his post in March 1954. It is proposed to retain his

services in 1956.

LEBANON


Epidemiological Survey (TA -I) Lebanon 16As the first phase in a tuberculosis -control project it is proposed to carry out a survey, conducted on a sampling

basis in different areas, to ascertain the prevalence of tuberculosis in the country. Provision is made for a short -term consultantand supplies in 1955.


Trachoma Survey (TA -I) Lebanon 18Communicable eye- diseases, including trachoma, are thought to be widespread in Lebanon, although no accurate figures

regarding incidence exist. It is proposed to carry out a survey as a preliminary to a programme for the control of communicableeye- diseases and provision is therefore made for the services of a consultant for three months.


(a) Fellowships

Provision is made for fellowships in various fields of public -health administration.


(b) Rural Health Centre (TA -I) Lebanon 4This project, included in the programme and budget estimates for 1955, is now expected to begin in 1956 with a reduced staff

of a public -health administrator, a sanitary engineer, a sanitarian and a public -health nurse, at an estimated cost of $28 742. Thesum of $19 000 is provided for supplies and equipment.

(c) Public- Health Laboratory Lebanon 13It is proposed to retain in 1956 the services of the laboratory technician provided by WHO for the project to set up a public -

health laboratory in Lebanon.

4. Nursing

Fellowships

Provision is made for a fellowship to enable a nurse to attend the Regional Nursing College.


Fellowships

It is proposed to award a fellowship for study at the Fundamental Education Centre, Egypt.


Handicapped Children's Centre Lebanon 14No essential change is proposed in this project (included in the programme and budget estimates for 1955), for which the

staff consists of a physiotherapist and a technician.

LIBYA(See page 243)


Fellowships

Provision is made for a fellowship for attendance at the Health Demonstration Area, Egypt.

2. Nursing

(a) Nursing Education (TA -I) Libya 3The Government does not yet have any qualified nurses. A school of nursing has recently been established in Tripoli, and

assistance is requested in developing it to provide the nurses and nurse -midwives that the country needs so badly. It istherefore proposed to make available the services of one nurse educator in 1955 and two in 1956. The budgetary provisionfor 1956 is $12 148 for personnel costs and $800 for supplies and equipment.

(b) School of Nursing, Benghazi (TA -I) Libya 8A request has been received for the services of a nurse educator for a small school of nursing set up in Benghazi Province

in 1952. The school, which started by training illiterate young men and women, is now able to recruit candidates who havereceived a few years' secondary education. This means that, given the international assistance required, the school can be madeinto a professional training institute able to provide the province of Cyrenaica with nurses who have received full training especiallyadapted to its health needs. The provision made comprises $6325 for the nurse educator and $400 for supplies and equipment.


Demonstration and Training Centre Libya 2Continuation of the project included in the programme and budget estimates for 1955. The staff in 1956 will consist of a

social paediatrician and four nurses. Supplies and equipment are shown under Other Extra -budgetary Funds.


Fellowships

Provision is made for two twelve -month fellowships for attendance at the course for sanitary inspectors in Egypt.


(a) Long -term Fellowship ProgrammeProvision is made to continue the long -term fellowship programme.


(b) Training of Auxiliary Personnel (TA -I) Libya 7The establishment of a corps of trained sanitarians is one of the first steps towards improving environmental sanitation in

Libya, and the Government intends to set up a school for the training of sanitarians in Benghazi. Provision is made in 1955and 1956 for two instructors (estimated cost in 1956, $12 650) and teaching material and equipment (estimated cost in 1956,$2800) for the school.

(c) School Health ServicesThe number of schools in Libya has rapidly increased in recent years, bringing to light many problems in child health,

including nutritional deficiencies. In addition to undertaking a school feeding programme, the Government has asked forassistance for a comprehensive programme of school health services, including trachoma control, sanitation and nutrition. Thecost of supplies and equipment for the programme, and of the services of a nurse to assist in organizing it, is shown underOther Extra -budgetary Funds.

PAKISTAN


(a) Demonstration and Training Centre, Dacca (TA -I) Pakistan 12Continuation of the project included in the programme and budget estimates for 1955, with a staff of one medical officer

and one nurse.

(b) Demonstration and Training Centre, Karachi (TA -I) Pakistan 2The project in Karachi is due to terminate on 31 December 1954. Owing, however, to a long period of illness suffered

by the present WHO adviser, it is felt that Pakistan has not derived the benefit reasonably to have been expected from his services.As there are still several problems to be solved and home visiting and social services to be placed on a firm footing, he hasbeen requested to remain in Karachi for a further three months in 1955.

(c) BCG Programme Pakistan 13During 1954 UNICEF provided funds for an international staff of ten for this project. A gradual reduction of international

staff will take place, one doctor, two nurses and a statistician working in 1955 and one doctor and one nurse in 1956. Thecosts for this staff are shown under Other Extra -budgetary Funds. UNICEF has already approved further funds for suppliesand equipment in 1956.


Demonstration and Training Centre, Chittagong (TA -II) Pakistan 16This project has been postponed and is to begin in 1955. The staff will consist of a senior adviser, a serologist and a nurse.

Costs in 1956 are estimated at $23 137 for the staff and $20 000 for supplies and equipment.


Fellowships

Provision is made for fellowships in various branches of public -health administration.

4. Nursing

(a) Fellowships

Provision is. made for a fellowship for attendance at the Regional Nursing College.

(b) School of Nursing, Dacca (TA -I) Pakistan 19Continuation of the project (included in the programme and budget estimates for 1955) for expanding the nursing school

attached to the medical college and hospital in Dacca. The staff in 1956 will consist of three nurse educators (one senior).


(a) Demonstration and Training Centre, Karachi Pakistan 9This project has been in operation, jointly assisted by WHO and UNICEF, since October 1953. With an experienced

staff of WHO advisers who were originally engaged on the Lahore project and under the guidance of a senior adviser whohas had previous experience in a similar project in Dacca, it has been making excellent progress. The project is designed bothas a demonstration and as a training centre for auxiliaries of the community -health- visitor type who are required in largenumbers to assist in the improvement of the standard of health of the people. The staff will consist of a social paediatrician,a public -health nurse, and three nurse educators (two of them specializing in midwifery), at an estimated cost of $36 177.Provision is also made for a fellowship at $4000. Supplies and equipment are shown under Other Extra- budgetary Funds.


(b) Demonstration and Training Centre, Dacca (TA -I) Pakistan 10This project, similar to the above, is to be continued for three months in 1956, at an estimated cost of $8275 for

the team of one social paediatrician and three nurses and $4000 for fellowships. UNICEF will be providing supplies in 1955.

(c) Children's Hospital, Karachi Pakistan 23The project for establishing a 200 -bed unit for children's diseases in the grounds of an Air Force hospital converted to civil

use was approved in the programme for 1954 but has been postponed till 1955. The staff in 1955 and 1956 will consist ofa senior paediatrician, a paediatric surgeon, a dietitian and two paediatric nurses. The entire cost of personnel, supplies andequipment and fellowships is shown under Other Extra -budgetary Funds.


(a) Assistance to Medical Schools Pakistan 20It is proposed to continue this project (assistance to the Government in staffing new medical colleges) from 1954. In 1956

the provision is for a professor of physiology.

(b) School of Physiotherapy, Karachi Pakistan 25At present no school of physiotherapy exists in Pakistan and it is therefore difficult to develop this branch of medicine. A

physiotherapist has recently been trained abroad and the Government proposes to use her services in a school of physiotherapyto be established in Karachi. The Organization has been requested to assist by sending two physiotherapy tutors and providingequipment for the school. In order that the school may open at the beginning of 1956 the equipment will be purchased in1955 and the tutors recruited for January 1956. The provision for 1956 is for the two physiotherapists (estimated cost $16 886)and for supplies and equipment ($8400).

'SAUDI ARABIA


Demonstration Centre (TA -I) Saudi Arabia 4It is proposed to continue in 1955 and 1956 the project for the control of malaria and the training of local teams. The

cost in 1956 is estimated at $25 267 for the team of a senior medical officer, a medical officer and a sanitarian and $1500for supplies and equipment.

2. Tuberculosis

BCG ProgrammeThis project is expected to begin in 1956 with a team consisting of a doctor and two nurses. The entire cost, including

supplies and equipment, is shown under Other Extra- budgetary Funds.


Demonstration and Training Centre (TA -I) Saudi Arabia 2Continuation of the demonstration and training project (included in the programme and budget estimates for 1955) for the

control in particular of syphilis among expectant mothers and congenital syphilis. The cost in 1956 is estimated at $4735 forthe staff of one medical officer and $1600 for supplies and equipment.


(a) Fellowships

Provision is made for fellowships in various fields of public -health administration, including one for study at the healthdemonstration area, Egypt.

(b) Settlement of Nomads (TA -II) Saudi Arabia 10A request has been received for advice on the health problems connected with the settlements which the Government is

establishing for nomadic tribes in the country. Provision is accordingly made in 1955 for a short -term consultant and for suppliesand equipment.


Fellowship s

It is proposed to award a fellowship for study at the Fundamental Education Centre, Egypt.



(a) Fellowships

Provision is made for two twelve -month fellowships for attendance at the course for sanitary inspectors in Egypt.

(b) Sanitary Engineering Adviser (TA -I) Saudi Arabia 5The Organization has been requested to assign a sanitary engineer to advise the Government, especially on water supplies,

disposal of human wastes and control of insect -borne diseases. Improved environmental sanitation is of great importance inSaudi Arabia not only for the local population but also in connexion with the annual pilgrimage. The cost of providing theservices of an adviser in 1956 is estimated at $8548 and of supplies and equipment at $500.

(e) Rodent ControlThis project for the control of sylvatic plague, included in the programme and budget estimates for 1955, has been postponed

till 1956. The team will consist of a medical officer and a sanitarian, at an estimated cost of $20 625, and provision is alsomade for supplies and equipment to the value of $6000.


(a) Anaesthesiology Saudi Arabia 8There is a lack of trained anaesthesiologists in Saudi Arabia. The Government has made an urgent request for an expert to

organize a training course in modern anaesthesiology techniques for doctors and nurses, following which the hospitals will be ableto organize their own course. Provision has accordingly been made for 1955 for an anaesthesiologist and for supplies and equip-ment.

(b) Blood Bank Saudi Arabia 9The Government wishes to establish a blood bank so that supplies of blood and plasma are available as required for the

main hospitals in the country. There is ample opportunity for securing donors for such a bank both among the people of thecountry itself and among the pilgrims who are in the country every year from June to September. The request from the Governmentis for staff and equipment for the project. Provision is accordingly made for 1955 for one medical officer and for supplies and equip-ment.

SOMALIA


Malaria Survey (TA -I) Somalia 2Malaria is considered to be the public -health problem most urgently requiring attention in Somalia. The country has benefited

to some extent from the work of the study and research centre at Mogadishu and of the malarialogists on the staff of the Italianadministration, but expansion of antimalaria activities is necessary. A request has therefore been made for the services of a short -term consultant for two to three months early in 1955 to assist the administration in drawing up malaria- control plans, suitable tothe conditions, needs and economy of the country.

2. Tuberculosis

BCG Programme Somalia 3The Government has established a basic tuberculosis service, which it wishes to expand, especially into rural areas. As a

first step in this expansion it has requested assistance in developing tuberculin testing and BCG vaccination throughout the countr y.The cost of supplies and equipment is shown under Other Extra -budgetary Funds.


Venereal- Disease Survey (TA -I) Somalia 4The Italian administration in Somalia has been endeavouring to tackle the problem of venereal disease, which, it is estimated,

affects nearly 40 per cent. of the population. Two experts have been appointed to the staff of the administration and awidespread campaign started in 1954. It is now realized, however, that there is need for further epidemiological informationand that a practical control programme must be devised ; the Government has sought the assistance of WHO and the participationof UNICEF. It is proposed early in 1955 to send a consultant for two or three months to help the administration in assessing theproblem and in drawing up an appropriate programme of control.


Fellowships (TA -I)Provision is made for two twelve -month fellowships for attendance at the course for sanitary inspectors in Egypt.


SUDAN l


Demonstration Centre (TA -I) Sudan 6Malaria is endemic over large areas of the Sudan and the Government is already carrying out extensive control measures.

Assistance has been requested from UNICEF and WHO in extending control by residual spraying of insecticides to the Nilevalley southwards from the Egyptian border. In this area control measures are at present mainly larvicidal. It is believedthat the known vectors will be susceptible to residual spraying methods and that ultimately a more or less self -contained andisolated population of 500 000 can be protected. The present project, which will begin in 1955 and continue in 1956, represents thefirst phase of control. The staff will consist of a malariologist and an entomologist.

2. Tuberculosis

BCG Programme Sudan 3UNICEF has approved funds for continuing the preliminary tuberculin survey and BCG vaccination in 1955. The cost of

a medical officer and a nurse, with supplies and equipment, in 1955, and of further supplies in 1956, is shown under Other Extra -budgetary Funds.


(a) Bilharziasis Demonstration Centre (TA -I)With the development of perennial irrigation and the extension of irrigation canals bilharziasis is becoming an increasing

public -health problem in the Sudan. Extensive control measures are already under way, especially in the Gezireh area.Following a visit by an expert from Egypt and a short -term consultant from WHO in 1954, further assistance is now requestedin developing effective and economic control methods. It is therefore proposed that in 1956 WHO should make available amalacologist and a publichealth engineer, at an estimated cost of $15 783, and supplies and equipment to the value of $10 000.

(b) Trypanosomiasis Control Sudan 8Following resettlement of a group of tribes in south -eastern Sudan there has been a recrudescence of trypanosomiasis,

particularly in cultivated areas and in settlements where local industries are being developed. The incidence is increasing andif unchecked it is estimated there will be some 500 to 600 cases by 1956.

Pending the establishment of slower but longer -term methods of control the Government proposes to set up a system ofchemoprophylaxis for which the existing administrative machinery is considered adequate. About 30 000 people are to beprotected. The request received is for a short-term consultant with experience in the use of the pentomidine group of drugsas chemoprophylactics and for assistance in providing the necessary drugs. The estimated cost in 1956 is $3900 for the consultantand $1600 for supplies.

4. Public -Health AdministrationFellowships

Provision is made for fellowships in various fields of public -health administration, in particular one for study in the healthdemonstration area, Egypt.

5. Nursing

(a) Fellowships

Provision is made for a fellowship for attendance at the Regional Nursing College.

(b) Nursing School, Khartoum Sudan 7The training of nurses has been developing steadily in the Sudan for many years. The Government wishes to establish a

new nursing school in Khartoum and further develop the curriculum on modern lines. At the request of the Government, itis proposed to make available the services of two nurse tutors, beginning late in 1955. The cost in 1956 is estimated at $16 694,plus $500 for supplies and equipment.


Fellowships

Provision is made for a fellowship for study at the Fundamental Education Centre, Egypt.


SYRIA(See page 250)


(a) Bilharziasis and Malaria Demonstration Area Syria 4Continuation of the project in the Jazira region, included in the programme and budget estimates for 1955. Only the

medical officer and the sanitarian will be retained in 1956, at an estimated cost of $16 334. Provision is also made for suppliesand equipment to the value of $5000.

(b) Trachoma SurveyThe survey that was to have been carried out in 1955 has been postponed until 1956. The estimated cost is $3900 for

consultants' fees and $100 for supplies and equipment.

(c) Ankylostomiasis Survey Syria 22It is proposed to provide the services of a consultant, at an estimated cost of $3900, to carry out a three -month survey

of the extent of ankylostomiasis in Syria and make recommendations for treatment and control. The sum of $100 isprovided for supplies and equipment.


(a) Fellowships

Provision is made for fellowships in various branches of public -health administration, in particular one for study in thehealth demonstration area, Egypt.

(b) Rural Health Unit (TA -I) Syria 16The Government wishes to develop its rural health services. WHO is already assisting in the training of community health

visitors at the maternal and child health centre in Damascus. In the present project, to begin in 1956, the Government hasrequested assistance in setting up a rural health unit to develop and demonstrate administrative and technical procedures suitablefor a health service in rural areas. The cost is estimated at $21 606 for the staff of a medical officer, a public -health engineerand a statistician, and $10 000 for supplies and equipment.

(c) Vital Statistics Syria 15At the request of the Government, it is proposed to assign an expert to advise on the development of a vital statistics section

in the Ministry of Health and the improvement of the statistical services in Syria. The cost is estimated at $9086, plus$750 for supplies and equipment.

3. Nursing

(a) FellowshipsProvision is made for a fellowship for attendance at the Regional Nursing College.

(b) Nursing Education, Damascus (TA -I) Syria 14The school of nursing at the University of Syria, Damascus, which has received assistance from the Organization since

1951, has improved its training facilities for nurses in the surgical, medical, and public -health fields. Whereas the existing WHOstaff is expected to complete its work in 1955, the Government has asked for a nurse educator to help organize the nursingservices in the paediatric wards of the newly built General Hospital in Damascus ; she will also be responsible for training studentnurses and auxiliary nursing personnel in modern methods of paediatric nursing care. Provision is made for such a post in1955 and 1956. In the latter year the estimated cost is $7616, plus $250 for supplies and equipment.

(c) Nursing Education, Aleppo (TA -II) Syria 12This project, in which teaching personnel will be provided for the new school of nursing established by the Government in

Aleppo, is now expected to begin in 1956. The cost in that year is estimated at $5823 for a staff of one nurse educatorand $4000 for supplies and equipment. The need for nurses in Syria is very great, and Aleppo is the most populous town inthe country, with a most useful reserve of young women for training if full facilities can be offered.


FellowshipsProvision is made for a fellowship for study at the Fundamental Education Centre, Egypt.


Food and Drug Analysis (TA -II) Syria 18Following recommendations made by the Sub -Committee on Nutrition of the Second Social Welfare Seminar for the Arab

States, held in 1950, the Government intends to set up a section of food and drug analysis in the publichealth laboratories


of the Ministry of Health as part of a national nutrition programme. A request . has therefore been made for the services ofa chemist expert in food analysis, particularly in relation to food hygiene and nutrition, and for basic equipment. It is

expected that this assistance will be required for approximately two years. The estimated cost in 1956 is $7235 for the servicesof the chemist and $4200 for equipment.

YEMEN


Demonstration Centre (TA -I) Yemen 4A wide range of vector species including Anopheles gambiae is known to exist in Yemen, and Plasmodium falciparum,

malariae and vivax have all been reported. Falciparum infections are more common at medium elevations and vivax on thehighlands. Infection is common in towns and vectors breed in open basins and cisterns. In different areas the spleen indexvaries from 2.7 % to 68.2 %. The Government has requested assistance from the Organization in making further surveys andinitiating control measures. It is therefore proposed, beginning in 1955, to appoint a team consisting of a malariologist, an ento-mologist and a sanitarian. The cost in 1956 is estimated at $21 925 for this personnel and $5000 for supplies and equipment.

2. Tuberculosis

Tuberculosis Survey (TA -II) Yemen 6Following a report by a consultant who made a public -health survey in Yemen in 1951 the Government has requested expert

advice before initiating a tuberculosiscontrol project. Provision is therefore made for a consultant for six months in 1955 to makea survey and submit recommendations. A small amount of supplies are included.


Demonstration and Training CentreThis project, included in the programme and budget estimates for 1955, is now expected to begin in 1956. The preliminary

investigation will be carried out by a regional adviser in 1955. The staff will consist of a venereologist, at an estimated cost of$10 908, and the sum of $5000 is provided for supplies and equipment.


Bilharziasis Control (TA -II) Yemen 5The Government has requested assistance in the control of bilharziasis. According to a report made by a consultant in

1951 both Schistosoma haematobium and S. mansoni are irregularly distributed throughout the country. According to thefindings of the United States Naval Medical Research Unit, Cairo, Egypt, S. haematobium is most prevalent along the coast whileS. mansoni is probably spread through communal ablution basins. As a first phase in the control scheme a pilot project isplanned, starting in the latter part of 1955 and lasting two years. The provision in 1956 is for a medical officer and a sanitarian(estimated cost $16 812) and for supplies and equipment ($10 000).


Public -Health Adviser Yemen 3It is proposed to retain the publichealth adviser in 1956, at an estimated cost of $9075. The sum of $500 is provided for

supplies and equipment.


Fellowships (TA -I)

Provision is made for two twelve -month fellowships in subjects to be notified later.



Regional BCG Assessment TeamThis projéct, included in the programme and budget estimates for 1954, is to be continued in 1955 and 1956. The team

will consist of a medical officer and two nurses. Expenses, including supplies and equipment, are shown under Other Extra -budgetary Funds. UNICEF has approved funds for 1955.

E 15



Smallpox VaccinationThe sum of $10 000 is provided for making small grants to production laboratories in 1955 to enable them to improve their

vaccine production and, if present trials warrant it, produce a dried vaccine of high potency.


Advisory Services (TA -I)Provision is made to retain the services of three medical officers to assist governments in the operation of Technical Assistance

projects, as well as in the discussions preliminary to the formulation of requests. This service ensures that technical requirementsare clearly set out from the start, so that projects can be expeditiously implemented when the formalities are completed. Theseofficers are stationed at Regional Headquarters but are available at all times for visits to countries and for supervising and directingfield work.

4. Nursing

Regional Nursing College (TA -I) EMRO 5No change is proposed in this project, which was included in the programme and budget estimates for 1955. The staff in

1956 will consist of five nurse educators (one senior), at an estimated cost of $40 420. Provision is also made for supplies andequipment to the value of $4000 and fellowships to the value of $4500.


Fundamental Education Centre (TA -I) EMRO 7The WHO staff for this joint UNESCO /WHO project consists of a public -health administrator and a health educator.


Maternal and Child Health Seminar EMRO 13The proposed conference on paediatric education of medical and nursing students is to be postponed to a future year. Instead

it is proposed to hold in 1956 a seminar on more general aspects of maternal and child health, covering problems common toMember countries in the Region, especially services in rural areas, use and training of auxiliary personnel, midwives and healthvisitors, weaning problems, and nutrition of infants and children of pre -school age. The cost, which is shown under OtherExtra -budgetary Funds, is estimated at $6500 for short -term consultants' fees and travel, $16 000 for participants, and $2500 forsupplies and equipment.


Environmental Sanitation ConferenceThe regional conference originally planned for 1954 has been postponed till 1956. The estimated cost is $2600 for a

short -term consultant, $400 for supplies and equipment, and $5500 for participants.


(a) Medical Literature and EquipmentA sum is provided to meet minor requests for medical literature and equipment.

(b) Meat Hygiene Seminar EMRO 12During a visit by a WHO consultant in 1953, countries expressed great interest in developing modern methods of slaughtering

and meat inspection. It is therefore planned in 1955 to hold a three -week seminar in Alexandria on slaughter -house practice andmeat inspection, using the local slaughter -house and laboratories. The consultant already mentioned and an assistant will organizethe seminar.

EASTERN MEDITERRANEAN : SUMMARY


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS. US$ US$ US$ US$ US$ US$ US$ US$

34 34 34 198 520 204 115 207 849 REGIONAL OFFICE 16 16 16 50 030 53 327 53 634

FIELD ACTIVITIES

1 1 13 068 12 987 Malaria and Insect Control 9 10 it 83 015 102 429 97 110 2 1 50 000 - 884 340 665 5757 5 3 77 330 54 191 34 740 Tuberculosis 22 18 12 211 190 164 970 93 674 32 19 10 265 195 215 888 203 0204 2 1 35 160 13 953 15 908 Venereal Diseases and Treponematoses 11 8 5 132 000 96 803 58 952 20 000 10 0008 6 2 65 500 76 736 42 634 Endemo-epidemic Diseases 3 7 11 102 940 107 759 120 550 8 500 17 500 35 00020 23 21 169 583 251 367 216 001 Public- Health Administration 11 22 33 161 560 256 450 379 0845 3 3 34 910 54 958 51 481 Nursing 11 22 21 91 800 172 826 165 077 2 240 3 200

Social and Occupational Health 3 3 25 519 26 8752 1 18 395 . 14 650 7 500 Health Education of the Public 2 2 2 18 110 19 214 18 4936 13 13 47 460 106 289 102 361 Maternal and Child Health 21 10 8 123 900 74 674 39 621 7 9 9 133 800 274 442 458 9971 1 1 19 800 7 791 9 358 Mental Health

1 10 700 10 595 Nutrition 3 3 34 106 34 9373 2 4 26 750 37 535 73 301 Environmental Sanitation 4 5 2 53 300 47 727 19 977

1 1 13 068 12 987 Regional Adviser in Education and Training5 11 10 96 890 131 173 113 953 Other Education and Training Projects 2 3 20 946 32 085 2 35 000 30 000 74 967

61 69 61 602 478 774 779 703 806 Total - FIELD ACTIVITIES 94 112 114 977 815 1 123 423 1 086 435 39 30 22 494 735 1 445 370 1 447 559

95 103 95 800 998 978 894 911 655 Total - EASTERN MEDITERRANEAN 110 128 130 1 027 845 1 176 750 1 140 069 39 30 22 494 735 1 445 370 1 447 559

EASTERN MEDITERRANEAN : REGIONAL OFFICE (For text, see page 212)


Numberof posts


Est ¿mated expenditureNumberof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS uns USs USS USS USS USS .


1 1 1 15 000 15 coo Regional Director DG

1 1 1 11 400 11 570 Deputy Regional Director D2 -

1 1 1 4 270 4 470 Administrative assistant P1

2 2 2 3 704 3 909 Secretaries EM5

EPIDEMIOLOGICAL INTELLIGENCE SERVICES

1 1 1 8 250 8 500 Epidemiologist P4

1 1 1 2 690 2 825 Epidemiological clerk EM6

1 1 1 2 085 2 185 Epidemiological clerk EM5

PUBLIC INFORMATION

1 1 1 6 725 6 950 Information officer P31 1 1 1690 1690 Secretary E9ll.

HEALTH SERVICES

1 1 1 l0 600 10 800 Director of Health Services D1Administrative assistant P1 1 1 1 4 400 4 600Secretaries EM5 3 3 3 5 800 6 115

Çlerk stenographers EMfe 2 2 2 2 770 2 910

Fellowships

1 1 1 3 800 4 000 Fellowships assistant P1

1 1 1 1 690 1 690 Clerk stenographer 1 4


1 1 1 8 250 8 500 Administration and finance officer P4

1 1 1 3 035 3 105 Clerk EM6

1 1 1 2 035 2 140 Secretary EM5

Budget and Finance

1 1 1 6 500 6 725 Budget and finance officer P3

1 1 1 5 483 5 683 Accountant P2

1 1 1 4 050 4 250 Budget analyst P1

Accounts assistants EM6 2 2 2 5 390 5 660

1 1 1 2 105 2 210 Clerks EM5 1 1 1 2 115 2 220

1 1 1 1 690 1 690 Secretary EM41 1 1 1 690 1 690 Clerk EM4

Personnel


1 1 1 1 930 2 035 Personnel assistant EM5

Records clerk EM4 1 1 1 1 420 1 490

EASTERN MEDITERRANEAN: REGIONAL OFFICE (continued)

Regular Budget Technical Assistance Other Extra -Budgetary FundsNumberof posts Estimated expenditure Number

of posts Estimated expenditure Numberof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USs USS Uns UST USS USS USS USS UST

General Services


Clerk 9216 1 1 1 2 550 2 6901 1 1 1 385 1 455 Clerk stenographer E224

Supply officer P2 1 1 1 5 200 5 4001 1 1 1 734 1 834 Supply assistant EMS

Clerk stenographer 9214 1 1 1 1 350 1 4201 1 1 4 335 4 535 Translator P11 1 1 2 355 2 450 Clerk translator EMS

Clerk EM4. 1 1 1 1 690 1 6901 1 1 2 540 2 680 Registrar E2í6

Senior file -clerk EM5 1 1 1 1 875 1 980Clerk EM4 1 1 1 1 345 1 415

1 1 1 1 690 1 690 Mail clerk E141 1 1 1 225 1 225 Documents clerk 9313

1 1 1 1 095 1 150 Clerk E243

1 1 1 1 120 1 175 Telephone operator E238 200 8 260 Custodial staff


(7 080) (7 491) (7 695) Cost -of- living adjustment (690) (720) (750)

130 420 138 077 141 993 33 510 35 185 36 840

Travel

9 000 8 930 7 050 Duty 1 100 480 480


27 780 29 688 29 966 Allowances 6 940 7 342 7 5942 100 Recruitment and repatriation6 400 5 130 6 090 Home leave 740 2 600 740


Other Costs

1 900 2 000 2 000 Public information (supplies and materials)5 000 5 000 5 000 Epidemiological broadcasting and telegraphic

expenses

Common Services

1 750 1 770 1 800 Space and equipment services 980 990 1 0109 000 8 990 9 130 Other services 5 030 5 030 5 1003 000 2 960 3 250 Supplies and materials 1 680 1 650 1 820

70 70 70 Fixed charges and claims 50 50 501 500 1 500 1 500 Acquisition of capital assets


EASTERN MEDITERRANEAN : REGIONAL ADVISERS (For text, see page 212)


Numberof posts


of posts Estimated expenditure

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS uss USS uss tins uss USS USS

1 1 7 300 7 525 Malaria and insect control P4Tuberculosis P4 1

1 BCO P41 Venereal diseases and treponematoses P41 3 3 21 919 22 594 Public- health administration P41 1 9 500 Liaison with UNICEF P41 1 1 7 525 7 750 Nursing P41 1 1 7 319 7 544 Maternal and child health P41 1 1 9 500 9 500 Environmental sanitation P4

1 1 7 300 7 525 Education and training P41 1 1 6 200 6 400 Statistician P3

Stenographic Pool

1 1 1 2.045 2 148 Pool supervisor EM55 5 5 7 159 7 504 Clerk stenographers EE4

14 16 15 66 800 85 767 78 490 Total established posts 1 4 000

(4 350) (5 745) (5 162) . Cost -of- living adjustment (300)

62 450 80 022 73 328 3 700


Travel

11 400 15'960 17 630 Duty 6004 500 5 400 1 800 Consultants

Statutory Staff Coats

13 260 16 995 15 405 Allowances 7403 200 5 600 Recruitment and repatriation5 600 1 750 10 950 Home leave800 2 250 Transportation of personal effects

Common Services

720 840 790 Space and equipment services 503 700 4 230 4 020 Other services 2701 230 1 390 1 430 Supplies and materials 90

30 30 30 Fixed charges and clolms500 500 500 Acquisition of capital assets

14 16 15 116 390 141 267 127 983 Total - REGIONAL ADVISERS 1 5 450

EASTERN MEDITERRANEAN : AREA REPRESENTATIVES (For teat, Bee page 212)


Number Estimated expenditure Numberof posts


,


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USE usa usa uss uss usa usa uss USs

1 1 2 8 771 17 771 Medical officers P51 1 2 1 276 2 552 Secretaries E144


Travel

800 1 200 2 400 Duty

Statutory Staff. Costs

980 1 912 3 858 Allowances2 000 1 550 Recruitment and repatriation

1 950 Rome leave580 580 Transportation of personal effects

Common Services

100 300 900 Space and egaipptent services200 240 480 Other services100 100 200 Supplies and materials100 100 600 Acquisition capital

2 2 4 10 060 13 899 32 841 Total - AREA REPRESENTATIVES

EASTERN MEDITERRANEAN: COUNTRY SCHEDULES

Regalar Budget Technical Assistance Other Extra -Budgetary Funds

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

USS

2 920

US

r

US

ADEN


Maternal and child health services

Total - ADEN

CYPRUS


TUBERCULOSIS

BCO programme

NURSING

School of Nursing, Nicosia Cyprus 1

5

5

1

1

1

1

3.

1

USS US

6 022

USS

7 834

US US USS

25 000

25 000

10 000

800*

(2 450)

10 000

(2 450)

(TA -7)

Total - CYPRUS


2 920

1200

700

47 850

6 022

7 233

7 834

EGYPT


TUBERCULOSIS

FellowshipsDemonstration and training centre Egypt 20

(TA -I)

BCG programme

1 900 47 850 7 233 800


EASTERN MEDITERRANEAN : COUNTRY SCHEDULES


Numberof posts




1954 1955 1956 1954 1955 1956 - 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

usa uss uss - Usa usa UST Usa Ills Usa

EGYPT (continued)


Bllharziasis control (TA -I) Egypt 10 1 1 1 22 110 17 202 13 1892 900 Trachoma research Egypt 6

2 3 970 Trachoma control (TA -I) Egypt 25 2 2 14 991 13 683 15 000 15 000

2 6 870 1 3 3 22 110 32 193 26 872 15 000 15 000


Health demonstration area (TA-I) Egypt 5 7 10 11 130 060 126 591 131 502Hospital administration (TA -I) - Egypt 15 1 8 788

7 10 12 130 060 126 591 140 290

NURSING

Nursing adviser (TA -II) Egypt 24 1 1 7 235 7 737


Industrial health and occupational Egypt 18. 3 3 25 519 26 875diseases (TA -I)


780 Fellowships


Maternal and child health services 90 000 75 000 75 000

MENTAL HEALTH

1 400 Fellowships



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 -1956 1954 1955 1956 1954 1955 1956

USS USS US$ US$ US$ US$ US$ USE. USS

EGYPT (continued)

NUTRITION

900 Fellowships

9 200 Pellagra control Egypt 211 10 595 Nutrition Institute

1 10 100 10 595


1 1 1 9 930 14 867 15 589 Sanitary engineering course, Egypt 28Alexandria University


2 450 5 000 5 000 Fellowships (various)Training of auxiliary maternal and childhealth personnel

1 34 995

2 450 5 000 5.000 1 34 995

3 1 2 33 430 19 867 31 184 Total - EGYPT - 13 18 19 200 020 198 771 201 774 1 90 800 90 000 124 995

ETHIOPIA

(For text, see page 214) -


Malaria control (TA -I) Ethiopia 17 3 26 606 30 000



Numberof Pegs


Estimated expendituretiNumberof posts


19541955 1956 1954 1955 1956 19541955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

3

3

4

7

7

7

7

7

7

Ilse

6 860

uss uss

ETHIOPIA (continued)

TUBERCULOSIS

Demonstration and training centre Ethiopia 6

3

3

4

4

2

1

4

5

11

4

4

1

4

4

12

uss uss

49 117

uss

48 050

5

5

5

3

3

3

2

2

2

uss Uss

71 370* 29 423*

uss

39 966

(TA -II)

EGG programme Ethiopia 8BCG pilot project for mobile teams


Demonstration and training Ethiopia 4

49 117 48 050 71 370 29 423 39 966

43 390 21 480 9 480

35 000 30 000 20 000

project (TA -I)


Public- health adviser (TA -I) Ethiopia 3 5 49842 429 44 462Urban health unit (TA -II) Ethiopia 2

6 860

NURSING

Fellowships


Fellowships (Vital and healthstatistics)

Training of auxiliary personnel Ethiopia 9

47 927 44 462

4 800

43 390 118 524 128 598

1 800

21 340 49 406 58 238

23 140 49 406 58 238

Total - ETHIOPIA

35 000 30 000 20 000

30 000 54 206 58 238 106 370 59 423 89 966




Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

3

3

12

1

4

2

2

USS

5 00022 680

13 700

USS

7 5009 55020 431

]2 363

USS

7 500

20 250

IRAN



Malaria programme Iran 1

4

4

3

4

4

4

4

2

4

4

4

4

4

4

USS USS

46 450 31 996

USS

17 413

3

3

2

2

USS USS USS

50 000 200 030

TUBERCULOSIS

Demonstration and training centre Iran 9

35 800* ( 18 000* ]0 000

]A 000

(TAI)BCO programme Iran 11

VENEREAL DISEASES AND TREPONFIEATOSES

Demonstration and training centre Iran 4

46 450 31 996 17 413 35 800 28 000 10 000

44 850 24 950

2 240*

(TA -I)

BEDEW- EPIDEMIC DISEASES

Leprosy control (TA -II) Iran 19 9 000


FellowshipsAdvisory team Iran _5

27 780 25 701 25 814

Public- health laboratory Iran 2

Cancer

NURSING

Ashraf School of Nursing, Teheran Iran 8

41 380 49 844 27 750

(TA -I)

Midwifery School, Teheran Iran 21

27 780 25 701 25 814 2 240




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

3

1

1

5 2

uss

6 000

US$

11 193

uss

7 400

IRAN (continued)


Demonstration and training centre Iran 10 3

4

18

2

3

3

4

20

2

3

13

uss uss uss

8 760 24 847 12 101

3 2

2 1

uss

38

(582

uss uss

040 78 000 210

500)(1 094 375)0.422

91 340* 10

000

500)

575

(TA -I)

NUTRITION

Nutrition Institute (TA -II, 1955; Iran 7 34 106 34 937TA -1, 1956)


Control of insect -borne Iran 2 53 300 38 842diseases (TA -I)

OTHER EDUCATION MID TRAINING PROJECTS

Fellowships (various)Radiology, Firousabadi Hospital Iran 22

181 140 189 442 90 265

20 385

Visiting group of scientists Iran 24

6 000 11 193 7 400

Total - IRAN


47 380 61 037 35 150

IRAQ



Demonstration and training centre Iraq 11

*Allocated by the UNICEF Executive Beard


Regular Budget Technical Assistance Other Extra - Budgetary Funds

Numberof posts




1954 1955 1956 1954 - 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS

900

1 600

USS

4 050

US$

3 9003 900

IRAQ (continued)

TUBERCULOSIS

Demonstration and training centre(TA -I)

BCG programme


Bilharziasia control (TA -I).

Ankylostomiasie surveyLeprosy controlTrachoma survey


Fellowships

Rural health centre (TA -I)

NURSING

Fellowships


Fellowships


Fellowships

Demonstration and training centreSchool health services

Iraq 7 4

4

-

4

4

2

2

2

2

2

2

3

3

uSS US$

48 740 31 284

Us$

12 777

2

2

5

5

1

1

7

7

4

4

US$ US$

12 170* 10 182*

US

Iraq 10

Iraq 15

48 740 31 284 12 777 12 170 10 182

35 783 22 812

20 000

Iraq 19Iraq 5

Iraq 18

2 500 4 050 7 800

Iraq 6

35 783 22 812 20 000

7 500 7 50033 018

24 280* 62 115* 34 93230 000

7 500 7 500

Iraq 8

33 018

4 500 4 500

1 500 1 500

2 500 8 000

2 500 8 000 24 280 62 115 64 932




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS USS USS USS USS US USS

IRAQ (continued)

MENTAL HEALTH

3 500 School for backward children Iraq 17


2 700 Fellowships (Anaesthesiology)

11 200 25 550 21 300 Total - IRAQ 6 6 7 .69 125 67 067 68 607 7 10 5` 36 450 163 637 95 507

ISRAEL


TUBERCUIDSIS

Demonstration and training centre Israel 11 2 2 16 810 9 810(TA -I) -


6 500 7 500 7 500 Fellowships (Regular and TA -II) 6 000

1 1 9 000 5 257 Rehabilitation of the physioally Iivael 8

handicapped1 1 8 000 13 473 3 963 Public- health laboratory Israel 18

1 12 048 Dental health

1 2 2 23 500 26 230 23 511 6 000

NURSING

Nursing adviser (TA -I) Israel 7 1 1 7 735 8 737



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

2 2

3

3

2

3

3

USS

2 530

USS USS

ISRAEL (continued)


Maternal and child health programme


Sanitary engineering course, Israel 19

2

1

4

-

1

2

USS USS

8 885

UST

7 429

2

2

2

2

Uss USS USS

40 000

40 000

(293 335) (64 167)

15 670# 21 201* 5 000

Haifa University (TA -I)


Fellowships (Medical education)

Total - ISRAEL


2 100

16 810 32 430 16 16628 ]30 26 230

38 664

24 011

34 740

JORDAN, HASHEMITE KINGDOM OF


TUBERCULOSIS

Demonstration and training centre Jordan 5BOO programme Jordan 8

38 664 34 740 15 670 21 201 5 000




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1 1 1

USS

3 500

USS

4 000

USS

JORDAN, HASHEMITE KINGDOM OF(continued)

ENDEhO- EPIDEMIC DISEASES

Relapsing -fever survey Jordan 12

3

3

4

4

1

1

3

3

2

2

4

4

1

1

2

2

USS USS USS

14 371

USS USS

10 000

USS

10 000

10 000

Trachoma surveyTrachoma control (TA -I) Jordan 11

3 500 4 000


FellowshipsPublic-health laboratory Jordan 9

14 371

3 3003 500 3 500

37 429 44 462Rural health unit (TA -II) Jordan 1

3 300 3 500 3 500

NURSING

FellowshipsSchool of Nursing, Amman (TA -I) Jordan 2

37 429 44 462

4 500 4 500

9 384 8 886

8'8864 500 4 500


Fellowships


Demonstration and training centre Jordan 3

9 384

5 000

9 820 19 656 15 245

8 600 7 791 9 358

(TA -I)

School health services

MENTAL HEALTH

Mental hospital superintendent Jordan 10

9 820 19 656 15 245 10 000 20 000



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2

_.....

4

1

1

4

1

1

us

3 700

US Uss

JORDAN, HASHEMITE KINGDOM OF(continued)



Total - JORDAN, HASHEMITE KINGDOM

LEBANON



Demonstration centre Iabanon 7

3

1

8 9

4

4

Uss

9 820

6 100

us

66 469

US

82 964 2 2

Uss uss

15 670 31 201

US

25 00024 100

10 800

58 455

7 000

7 878

52 098

7 000

7 940

TUBERCULOSIS

Epidemiological survey (TA -I) Lebanon 16 8 000


Trachoma survey (TA -I) Lebanon 18 3 900


FellowshipsRural health centre (TA -I) Lebanon 4 47 742

Public- health laboratory Lebanon 13

10 800 14 878 14 940

NURSING

Fellowships


Fellowships

47 742

1 500 1 500

1 500 1 500


Regular Budget

-

Technical Assistance Other Extra- Budgetary Funds

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2

2

3

2

2

3

Uss USS

17 358

USS

12 934

LEBANON (continued)

1ÉATEBNAL AND CHILD HEALTH

Handicapped ohildrente centre Lebanon 14

3

3

4

1

1

4

US$

20 600

USS USS

4 2

UST USS

20 000*

usS

Demonstration and training Lebanon 6centre

MENTAL HEALTH

Fellowships


Lecturer on preventive medicine, Lebanon 12

17 358 12 934 20 600 20 000

2 900

3 900

20 000

(259 010) (31 000)

17 990* 22 025* 5 000

13 700 35 236

1 500

30 874

1 500

Université Saint -Joseph (TA -II)

Total - LEBANON


26 700

1 900

11 900 51 642

LIBYA


TUBERCULOSIS

BCG programme Libya 5


FellowshipsAdviser Libya 1

1 500 1 500 1 900




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

US$ Uss USS IISS US USS US USS USS

LIBYA (continued)

NURSING

Nursing education (TA -I) Libya 3 1 2 - 6 623 12 948School of Nursing, Benghazi (TA -I) Libya 8 1 1 6 323 6 725

2 3 - 12 946 19 673


1 500 Fellowships

2 1 12 615 5 650 Health education programme Libya 4

2 1 12 615 7 150


Fellowships 3 020*5 5 27 912 36 263 Demonstration and training centre Libya 2 3 13 590 15 000 25 000

5 5 27 912 36 263 3 13 590 3 020 15 000 25 000


4 800 4 800 Fellowships (Sanitary engineering)


20 000 '10 000 10 000 Long -term fellowship programme6 100 Fellowships (various)

Training of auxiliary personnel Libya 7 2 2 17 046 15 450(TA -I)

School health services 1 19 972

26 100 10 000 10 000 2 2 17 046 15 450 1 19 972

2 6 5 38 715 51 362 52 563 Total - LIBYA 4 4 5 15 490 29 992 35 123 4 2 1 21 010 37 025 49 972




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS

3 200

UST USS

PAKISTAN



Malaria control Pakistan 1

4

2

6

3

3

2

2

2

1

3

3

3

2

2

3

3

USS USS

30 680 14 680

15 210 3 750

USS

15 434

10

10

4

4

2

2

USS USS USS

50 000* 600 000 250 000

TUBERCULOSIS

FellowshipsDemonstration and training Pakistan 12

79 635* 55 500* 17 198#

(30 000

centre, Dacca (TA -I)

Demonstration'and training Pakistan 2

centre, Karachi (TA -I)

BCO programme Pakistan 13


Demonstration and training Pakistan 7

3 200 45 890 18 430 15 434 79 635 55 500 47 198

4 000 4 000

22 040

36 606 43 137

8 500* 2 500*

centre, KarachiDemonstration centre, Pakistan 16

Chittagong (TA -II)


Cholera control, Dacca Pakistan 5

22 040 36 606 43 137

80 830

Typhus control


Fellowships

80 830 8 500 2 500




Numberof posts

Fatlmated expenditure Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

3

3

5

5

2

2

10.........

5

5

1

1

6

-

5

5

1

2

3

8

List

18 700

USS

4 800

USS

4 800

PAKISTAN (continued)

NURSING

FellowshipsSchool of nursing, Dacca (TA -I) Pakistan 19

1

1

5

3

8

20.........

3

1

4

4

4

14

3

3

4

4

12

USS USS

19 455

6 560 7 407

USS

19 787

10.........

4

5

5

7

USS USS USS

3 200*Nursing adviser, Karachi (TA -I) Pakistan 21

18 700 4 800 4 800



6 560 26 862 19 787 3 200

30 770 39 951 40 177

29 680 30 171

26 170

12 275

2 000* 5 000

3 500*

10 000* 15 000*50 000* 64 065

centre, KarachiDemonstration and training Pakistan 10

centre, Dacca (TA -I)


centre, PeshawarStipends for traineesChildren's hospital, Karachi Pakistan 23

30 770 39 951 40 177


Assistance to medical schools Pakistan 20

55 850 30 171 12 275 10 000 70 500 69 065

10 100 10 715

10 0007 029

25 286

211 170 112 069 90 633 148 135 731 700 366 263

School of Physiotherapy, Pakistan 25Karachi

Total - PAKISTAN

10 100 20 715 32 315

62 770 69 466 81 292




Numberof posts

Estimated expenditureof posts

EstimatedEstimated expenditure Numberof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

2

1

1

2

2

2

IISS

8 19311 400

USS

5 0004 804

9 237

USS

5 000

SAUDI ARABIA

(For text, sea page 221)


Demonstration centre (TA -I) Saudi Arabia 4 3

2

3

1

3

1

1

1

USS USS

23 730 26 002

USS

26 767

3

USS USS USS

37 466

TUBERCULOSIS

BCG programme


Demonstration and training Saudi Arabia 2 21 720 9 867 6 335centre (TA -I)


FellowshipsPublic-health adviser Saudi Arabia 3

8 050

Quarantine station for Saudi Arabia 1

PilgrimSettlement of nomads (TA -II) Saudi Arabia 10

19 593 19 041 5 000


Fellowships


FellowshipsSanitary engineering Saudi Arabia 5

8 050

1 500 1 500

9 048

4 800 4 800

26 625adviser (TA -I)

Rodent control

4 800 31 425 9 048



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2

1

1

2

4 2

Us5

1 500

USS

13 23111 928

USS -

SAUDI ARABIA (continued)


Fellowships (Vital and healthstatistics)

Anaesthesiology Saudi Arabia 8

5 4 5

USS USS

45 450 43 919

-

3 900

Iles

42 150 3

USS USS

.

USS

37 466

25 000

Blood bank Saudi Arabia 9

Total - SAUDI ARABIA

SOMALIA



Malaria survey (TA -I) Somalia 2

1 500 25 159

21 093 50 500 37 925

TUBERCULOSIS

BCG programme Somalia 3

3 900

14 000


Venereal- disease survey Somalia 4 10 000

(TA -I)


Fellowships (TA -I)

Total - SOMALIA

3 500

10 000 39 0007 800 3 500



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2

2

2

2

t,SS

400

USS

9 000

Uss

5 500

SUDAN



Demonstration centre (TA -I)

TUBERCULOSIS

BCG programme

MEMO-EPIDEMIC DISEASES

Bilharziasis surveyBilharziasis demonstration centre

(TA -I)

Trypanosomiasis control


Fellowships

NURSING

FellowshipsNursing school, Khartoum


Fellowships


FellowshipsMaternal and child health programme

Sudan 6 2

-

2

2

2

Liss UST

15 783

USS

16 812

2 2

USS USS

10 640* 19 704*

USS

5 000Sudan 3

25 783Sudan 5

50 000

Sudan 8

400 9 000 5 500

Sudan 7

25 783

4 500 4 500

4 500

15 7904 500

17 194

20 290 21 694

1 500 1 500

900

900 50 000




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

5

3

2

1

2

2

USS

1 400

USS USS

SUDAN (continued)

MENTAL HEALTH

Fellowships


Fellowships


Survey (Training in pharmacy) Sudan 4

3

2

2

4

USS

32 800

USS

15 783

16 350

USS

42 595 2 2

USS

10 640

USS

19

(68

143

704

926)

000

USS

55

(186

150

000

675)

000

1 000

400

Total - SUDAN


4 100

49 440

35

6

290

527

33 194

SYRIA



Demonstration centre (TA -I) Syria 2

TUBERCULOSIS

Demonstration and training Syria 10

10 000 10 000

centre


Control of bejel and syphilis Syria 321 870 13 953



Numberof posts Estimated. expenditure Number



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

4 4 2

2 2

6 6 2

USt

41 600

10 630

US$

35

14

532

154

USs

21

4

4

334

000

000

SYRIA (continued,


Bilharziasis and malaria Syria 4

3

3

1

1

3

3

3

3

1

1

2

uss us uss

31 606

2

2

2

2

uss us

6 500* 21 827

uss

15

50

000

000

demonstration area

Trachoma surveyAnkylostomiasis survey Syria 22School health services Syria 13

52 230 49 686 29 334


FellowshipsRural health unit (TA -I) Syria 16

8 500 8

9

500

836 Vital statistics Syria 15

8 500 18 336

NURSING

FellowshipsNursing education, Damascus Syria 14

31 606

1 500 1 500

25 090 23 016 7 866

9 823

(TA -I)

Nursing education, Aleppo '(TA-II) Syria 12

1 500 1 500


Fellowships


Demonstration and training centre Syria 5

25 090 23 016 17 689

1. 500 1 500

15 280Maternal and child health equip-ment

15 280. 6 500 21 827 65 000




Nambuof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

14 9 3

us

600

ust tics

SYRIA (continued)

NUTRITION

Fellowships


Fellowships (various)Food and drug analysis (TA -II) Syria 18

7 5

3

1

1

6

3

US US MS

11 435

2 2

UIt Uss USS

6 500 174 827 225 000

(525 169) (531 528) (404 252)

5 900

5 900

Total - SYRIA

Total - Estimated Government Contribution.

11 435

130 040 81 666 50 670

15 908

73 170 39 366

40 394

60 730

26 925

YEMEN



Demonstration centre (TA -I) Yemen 4

TUBERCULOSIS

Tuberculosis survey (TA -II) Yemen 6 9 100


Demonstration and training centre



Numberof posts



Estimated expenditure '

1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1

1

1

1

T

1

1

2

us

4 150

usa

9 048

USS

9 575

YEMEN (continued)


Bilharziasis control (TA -II) Yemen 5 2 2

5 5

usS USS

30 783

USS

26 812

31

4

3

3

3

3

USS USS

12 120# 29 853*

9 000#

USS

29 390


Public - health adviser Yemen 3

5 20011 800 5 200


Fellowships (various) (TA -I)

Total - YEMEN



TUBERCULOSIS

Regional BCG assessment teamRegional BOG statisticianRegional. bacteriologist


Smallpox vaccination

15 950

9 500

14 248

9 000

25 483 80 277 58 937

9 500 9 000 21 120 29 853 29 390

10 000




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1 1

LISS USS

13 000

USS



Advisory services (TA -I)

Public- health seminar EMR0 103 3 3

3 3 3

3 5 5

2 2 2

8 10 10

USS

29

USS USS

600 30 453 37 504

4 3 3

USS USS USS

25 000

13 000

NURSING

Regional Nursing College (TA -I) EMAO 5

29 600 30 453 37 504

2 000

32 370 53 925 48 920


Fundamental Education Centre (TA -I) MO 7 18 110 19 214 18 493


Maternal and child health seminar EMRO 13

80 080 103 592 104 917

MENTAL HEALTH

Consnitant EMR0 6

21 120 29 853 54 390


Environmental Sanitation conference


Medical literature and equimment

Meat hygiene seminar EMRO ]2

8 500

1 000 1 000

3 500

1 OCO

Total - INTER -COUNTRY PROGRAMMES

1 000 4 500 1 000

12 500 36 500 9 500

WESTERN PACIFIC 255

WESTERN PACIFIC


The staffing pattern for 1956 represents no change from that for 1955.

Duty Travel

The provision for duty travel is to enable the Regional Director and his senior staff, technical and administrative, to visitcountries in the Region in order to discuss and advise on the development of health services generally and take up withgovernment and field personnel technical and administrative problems.


No changes in staff are proposed for 1956.

Duty Travel

Provision has been made for the regional advisers to visit various countries in the Region to assist in the detailed planningand development of field activities, to co- ordinate and evaluate the results of existing activities, and to give field personnelboth technical and administrative advice.

AUSTRALIA


Fellowships (Strengthening of health services)

Provision has been made for two fellowships of twelve months each in 1956.

CAMBODIA


(See page 268)

(See page 268)

Malaria Control (TA -I) Cambodia 1

Continuation of project included in the programme and budget estimates for 1955, a demonstration and training projectin the vicinity of Phnom -Penh. Provision is made for the retention in 1956 of the malariologist and the sanitarian, at anestimated cost of $16 028. A fellowship for twelve months is also proposed, $4500.


Advisory Services Cambodia 2

Continuation of the project included in the programme and budget estimates for 1955, which consists in the provision ofa public -health administrator to assist the Government in organizing the health services ; the estimated cost of his services in1956 is $13 627. A fellowship is also provided in 1956, as in 1955, at an estimated cost of $4500.

3. Nursing

Training of Nurses Cambodia 3

Continuation of the project, included in the programme and budget estimates for 1955, for assistance to the trainingprogramme for nurses and midwives started by the Government at Phnom -Penh in 1947. It is proposed in,1956 to continuethe provision for four nurse educators (one senior, the other three in public health, general nursing and midwifery respectively).The Government has agreed to provide, among other things, a new school building.

256 WESTERN PACIFIC


Demonstration and Training Centre (TA -I) Cambodia 4Continuation of the project included in the programme and budget estimates for 1955. Provision is made to continue the

existing posts -those of a medical officer and a nurse -and to add a second medical officer from 1955 onwards, the cost ofthe three posts in 1956 being $23 426. Provision is also made in 1956 for two fellowships of twelve months each (one ofwhich has been deferred from 1955), at a total estimated cost of $8000. Supplies and equipment have been allocated byUNICEF for 1955. The Government has agreed, among other things, to arrange for the extension of a paediatric ward.


Royal School of Medicine (TA -I) Cambodia 5The Government has requested an extension of the project previously listed as School for Health Officers ( officiers de santé),

originally included in the programme and budget estimates for 1953 and implemented in 1954. It is proposed in 1956 tocontinue the two posts of lecturer, at an estimated cost of $18 752. Two fellowships of twelve months each are also proposed($9000), and a provision of $1200 is made for supplies and equipment.

!' CHINA


Malaria control (TA -I) China 7Continuation of the project included in the programme and budget estimates for 1955, the object of which is to train

staff and develop control measures against malaria and other insect -borne diseases. Provision is made in 1956 for a team of twoinstead of three (the malariologist and the entomologist being retained, but not the publichealth engineer), at an estimatedcost of $22 159 ; for three fellowships, one of twelve months and two of six months each ($10 000) ; and for supplies andequipment, $1500.

2. Tuberculosis

Tuberculosis Control China 17Continuation of the project included in the programme and budget estimates for 1955, the object of which is the strength-

ening of the Taipeh Tuberculosis Control Centre and of laboratory and x -ray services throughout the country. The staffprovision made in 1956 is for a tuberculosis specialist, at an estimated cost of $12 375. Two fellowships of twelve monthseach are also proposed, at a total cost of $10 000 ; and supplies and equipment in the amount of $5000.


Venereal- Disease Control China 1Continuation of the UNICEF /WHO- assisted project included in the programme and budget estimates for 1955 in which

year the team will comprise three members. The provision made in 1956, however, is for a medical officer only (estimatedcost, $7700), five fellowships, four for twelve months each and one for six months, the total estimated cost of these fellowshipsbeing $21 100, and supplies and equipment ($250). Supplies and equipment are also expected under Other Extra -budgetary Funds.


Trachoma Control (TA -II) China 13Assistance to the Government in controlling trachoma was already given in 1953. UNICEF has allocated a sum for supplies

and equipment in 1955, and has agreed to meet the cost of a consultant. In 1956 it is proposed to award a fellowship underTechnical Assistance.


Vital and Health Statistics China 5Continuation of the project included in the programme and budget estimates for 1955, which was to enable a government

officer to study modern systems of centralized statistical services. In 1956, however, in addition to a fellowship for twelvemonths (estimated cost, $5000), provision is also made for a consultant for four months (estimated cost, $4800).

6. Nursing

Training of Nurses (TA -I) China 6Continuation of the project included in the programme and budget estimates for 1955, the strengthening of the teaching

staff at the Hospital School of Nursing, Taiwan University. Provision is made in 1956 for the retention of the team, whichconsists of a senior nurse educator and four others -one in obstetrics and paediatrics, one in surgical nursing, and two ingeneral nursing ; the estimated cost of the team is $34 606. Provision is also made for four fellowships of twelve months each(two of which are deferred from 1955), at a cost of $16 000 ; and for equipment and supplies amounting to $1000.

WESTERN PACIFIC 257


Demonstration and Training Centre (TA -I) China 3

Continuation of UNICEF /WHO- assisted project included in the programme and budget estimates for 1955. Provision ismade in 1955 and 1956 for two of the international staff (the medical officer and the nurse midwife) to be retained, at anestimated cost in 1956 of $19 730. Two fellowships of twelve months each are also proposed ($8600).


Demonstration and Training Project China 14Continuation of project included in the programme and budget estimates for 1955, the object of which is the organization

of operational procedures and a training programme in environmental sanitation. It is now proposed to provide two public -health engineers in 1955 and 1956.

(See page 271)1. Nutrition


The Government has requested assistance in giving a nutritionist additional training in food technology, statistics, andteaching, methods. Provision has therefore been made for a fellowship for twelve months in 1956.


(a) Fellowships (Thoracic surgery) Fiji 3Provision has been made for two fellowships in thoracic surgery, one for twelve months, the other for six months.

(b) Central Medical School Fiji 2Continuation of project included in the programme and budget estimates for 1955 under the heading " Medical Education ".

The two lecturers for the Central Medical School (one in physiology and one in biology) are required for two years, theestimated cost in 1956 being $18 270.. In place of the original provision for fellowships, supplies and equipment in the amountof $2000 are now proposed.

HONG KONG

Maternal and Child Health(See page 271)

Demonstration and Training Project (TA -I) Hong Kong 4Continuation of UNICEF /WHO- assisted project included in the programme and budget for 1955, which is concerned with

training in paediatrics, public -health nursing and paediatric nursing. No full -time international staff is proposed for 1956 butinstead a consultant for three months (estimated cost, $3000). Provision is also made for two fellowships, one for nine monthsand the other for six months, at an estimated cost of $6500.

JAPAN t/1. Tuberculosis

(See page 272)

Fellowships (TA -II) Japan 15Provision has been made for a fellowship for six months in 1956 in lieu of that shown in the programme and budget

estimates for 1955.


Fellowships (TA -II) Japan 7The Government is anxious to make its venereal- disease -control programme more effective and is particularly interested

in the use of modern health education methods and the techniques of case -finding by means of contact tracing and interviewing.Provision has therefore been made for a twelve -month fellowship in these subjects in 1956.

3. Nursing

Training of Nurses Japan 14Continuation of the project included in the programme and budget estimates for 1955 and consisting in the provision of

a senior nurse educator to undertake the training of teachers for nursing schools ; the estimated cost in 1956 is $11 337. Inaddition to a fellowship in 1955, two fellowships of twelve months each are provided in 1956, the estimated cost being $10 000.Supplies and equipment in the amount of $1000 are also provided for.

E 17

258 WESTERN PACIFIC


Fellowships (Care of Premature Infants) (TA -II) Japan 2Provision is made for a fellowship for twelve months in the above subject.


(a) Pilot Project (TA -I) Japan 11Continuation of the project included in the programme and budget estimates for 1955, a pilot project for the hygienic

utilization of night soil for fertilizing crops. It is proposed in 1956 to continue the posts of public -health engineer and sanitarian.

(b) Environmental Sanitation Centre (TA -I) Japan 13Provision has been for a fellowship for twelve months in 1956 as part of a project included in the programme and budget

estimates for 1955.

(c) Water Pollution (TA -I) Japan 16Water pollution by industrial wastes is a serious problem in many urban areas of Japan. Provision has therefore been

made in 1956 for a consultant for five months to advise on methods of preventing water pollution (estimated cost, $5000) andalso for one fellowship for six months in the same field (estimated cost, $3500).


(a) Fellowships (Hospital statistics) (TA -I) Japan 8Provision has been made in 1956 for a fellowship of six months to enable a doctor to visit countries in which hospital

statistics are well developed, with a view to improving such statistics in Japan.

(b) Fellowships (Epidemiological statistics) (TA -I) Japan 8With a view to improving the morbidity reporting of chronic diseases and the follow -up of cases of such diseases, provision

has been made in 1956 for a fellowship of six months.

(c) Fellowships (various) (TA -II) Japan 8The Government has requested assistance in studying a revision of the pharmacopoeia and formulary, and in improving

the quarantine services. Provision has therefore been made for two fellowships, each of six months, in 1956.

(d) Institute of Public Health (TA -I) Japan 10Continuation of project included in the programme and budget estimates for 1955, the object of which is to strengthen

the Institute of Public Health in Tokyo. The provision in 1956, as in 1955, is for a consultant for three months on medicalsocial services ($3900) and for a small amount of supplies and equipment ($500).

(e) Hospital Administration (TA -I) Japan 17Modern hospital administration is relatively new in Japan, and in 1952 WHO assisted the Government by awarding two

fellowships in this field. This is to be followed up in 1956 by the provision of a short -term consultant (estimated cost,$2800) and a fellowship for six months (estimated cost, $3500), as a means of strengthening the Institute of Hospital Administration.

KOREA(See page 273)


Communicable -Disease Control (Regular and TA -II) Korea 5This is an extension of the fellowships programme included in the programme and budget estimates for 1955 and intended

to strengthen the National Institute for the Prevention of Infectious Diseases. The Government has revised its request toinclude in 1956 an epidemiologist who will help to formulate a programme for the control of communicable diseases ; the costof his services is estimated at $11 058. The cost of the fellowships (two for twelve months each) is to be met from TechnicalAssistance and is estimated at $11 000.


Fellowships Korea 5The Government recognizes the need for an adequate service of health statistics in developing a sound public -health

programme. Provision has therefore been made for two fellowships of twelve months each in that subject.


Therapeutic Substances and Insecticides (TA -II) Korea 5The Government has requested assistance in manufacturing pharmaceutical preparations, including antibiotics. Provision

has therefore been made for a specialist in the subject for twelve months ($8548) ; and for two fellowships of twelve monthseach for the study of microbiology and antibiotics ($9500).

WESTERN PACIFIC 259

VLAOS(See page 274)


Treponematoses Control (TA -I) Laos 2This project was originally due to finish at the end of 1954, but the work planned has not been completed. The Govern-

ment has asked that the project be extended to 1955 and 1956. The staff provided for in 1956 are a venereologist and a serologist.It is expected that supplies will be provided from Other Extra- budgetary Funds.


Fellowships (TA -I) Laos 4As for 1954 and 1955, fellowships in various branches of public health are proposed for 1956.

3. Nursing


Provision has been made for fellowships in general nursing, as continuation of the fellowship project.

MALAYA


Laos 3

(See page 275)

Rural Health Training Centre Malaya 9Continuation of UNICEF /WHO- assisted project included in the programme and budget estimates for 1955, a field training

centre for various classes of health workers. The provision made for 1956 is for a medical officer and a public -health nurse, esti-mated cost $15 701, and for supplies and equipment in the amount of $500.

2. Nursing

Training of Nurses (TA -I) Malaya 1Provision has been made for two fellowships of twelve months each in 1956 to continue the project in the programme and

budget estimates for 1955, the international personnel being withdrawn in 1955.

VNEW ZEALAND


Fellowships

The Government has asked for a fellowship so that a senior officer can study modern methods of public -health administrationin the United Kingdom and in North America. Provision has therefore been made for a fellowship of twelve months.

V NORTH BORNEO


Malaria Pilot Project (TA -I) North Borneo 5Continuation of the project included in the programme and budget estimates for 1955. Provision is made for the retention

of the malariologist and the entomologist in 1956.


Children's and Maternity Wards North Borneo 7Supplies and equipment are expected from Other Extra -budgetary Funds in 1956.


Water Supply and Sewage Disposal (TA -I) North Borneo 8Continuation of the project included in the programme and budget estimates for 1955, the aim of which is to give assistance

in planning water supplies and sewage disposal in urban areas. It is proposed to retain the two public -health engineers in 1956.

260 WESTERN PACIFIC

PAPUA AND NEW GUINEA


Fellowships (TA -II) Papua and New Guinea 4Provision has been made in 1956 for a fellowship for six months as continuation of the project included in the programme

and budget estimates for 1955 (fellowship to enable a malariologist to study at the Institute of Medical Research in Malaya).

2. Tuberculosis

Fellowships

The Government has launched an antituberculosis programme covering both BCG vaccination and institutional care of cases.A 500 -bed tuberculosis hospital has been established, another of the same size is under construction, and a third has been planned ;in addition, tuberculous cases are treated at seven other centres. To assist the Government, provision has been made for onefellowship for six months in tuberculosis control.

PHILIPPINES(See page 278)


Bilharziasis Pilot Project (TA -I) Philippines 9Continuation of project included in the programme and budget estimates for 1955, a pilot project on Leyte. Provision is

made in 1956 for the retention of the team, which consists of an epidemiologist, a zoologist and a public -health engineer, the esti-mated cost being $37 858. Supplies and equipment in the amount of $2000 are also provided for.


Advisory Services (TA -II) Philippines 32Implementation of the project included in the programme and budget estimates for 1955. The post of public -health adminis-

trator to assist the Department of Health, originally proposed for 1954, is now proposed for 1956.

3. Nursing

Midwifery Training (TA -I) Philippines 29Continuation of project included in the programme and budget estimates for 1955. Provision is made for the continuation

in 1956 of the post of the nurse educator who is assisting the Government with its programme of midwifery training.


(a) Fellowships (TA -I) Philippines 3Health statistics in the Philippines indicate that infant mortality and mortality in childbirth are still high, especially in those

rural areas of the country where services for prenatal and infant care are still lacking. Since these services have to be organizedin the many islands which compose the Philippines, additional experts are greatly needed. Provision has therefore been made fora fellowship for twelve months in 1956.

(b) Handicapped Children (Orthopaedic Care) Philippines 48The Government is conscious of the lack of facilities and trained personnel for the care of children suffering from orthopaedic

handicaps. Provision has therefore been made for a fellowship in this subject for twelve months in 1956. It is hoped that suppliesand equipment for the care of such children will be forthcoming from Other Extra -budgetary Funds.

5. Mental Health

Fellowships Philippines 4Provision has been made for a fellowship for twelve months, as continuation of the project of assistance to the child guidance

clinic included in the programme and budget estimates for 1953.


Advisory and Training Programme Philippines 43Continuation of project included in the programme and budget estimates for 1955. The public -health engineer originally

proposed for 1954, to advise the Government on problems of water supply and excreta disposal, is now to be provided in 1955 and1956.

WESTERN PACIFIC 261


(a) Medical Education (TA -II) Philippines 47At the request of the Government the project included in the programme and budget estimates for 1955 has been redefined

and the provision now made for 1955 is for a consultant in medical education who will review the situation in the private medicalschools and make recommendations to the Government.

(b) University of the Philippines (TA -I) Philippines 12The Government has requested extension of the project originally described in the programme and budget estimates for

1954. In addition to the - lecturers seconded from Johns Hopkins University, of whom five are proposed for 1955 and four for 1956(their salaries are shown under Other Extra -budgetary Funds, and their travel and entitlements, $14 084, under Technical Assistance),provision is made in 1956 for short -term consultants ($7990) ; the estimated cost of two fellowships, one in biostatistics and theother in epidemiology, is shown under Other Extra -budgetary Funds.

(c) Control of Drugs and Cosmetics (TA -II) Philippines 37The drug manufacture industry in the Philippines is growing rapidly, and it is considered essential to have an officer specially

trained in new developments in drug manufacture and control, including modern administration and legislation. Provisionhis therefore been made for two fellowships, one for twelve months, the other for six months, both in 1955.

SARAWAK

Malaria and Insect Control(See page 280)

Malaria Pilot Project (TA -I) Sarawak 5Continuation of project included in the programme and budget estimates for 1955. Provision is made for the continuation in

1956 of the two posts, a malariologist and an entomologist, the estimated cost being $25 745 ; supplies and equipment, $500.

SINGAPORE


Urban Health Centre Singapore 4Continuation of the project included in the programme and budget estimates for 1955 but with a nurse educator in public

health instead of the team originally proposed (estimated cost $9162). Provision is also made for a psychiatric consultant (estimatedcost $2400), and for three fellowships which are to begin in 1955 and last two years (estimated cost in 1956, $15 000).

2. Nursing

Training of Nurses (TA -I) Singapore 3Continuation of project included in the programme and budget estimates for 1955. The provision made in 1956 is for a senior

nurse educator and three others, to teach general nursing, midwifery, and orthopaedic nursing respectively. The Government hasagreed to provide, among other things, a school of nursing and a nurses' hostel.


(a) Fellowships (Hospital records) (TA -II) Singapore 9Provision has been made for a fellowship of twelve months for the study of modern methods of keeping hospital records ;

this is in place of the project approved in the programme and budget estimates for 1954, which provided for a hospital recordsofficer for twelve months.

(b) Fellowships (Quarantine services) (TA -I)The Government has requested assistance in the study of port health procedure and quarantine methods in general, and of the

pilgrim quarantine stations in the Middle East in particular. Provision has therefore been made for a fellowship for six months.

(c) University of Malaya (TA -I) Singapore 2This project, an exchange programme between the University of Malaya and the London School of Hygiene and Tropical

Medicine, replaces the original programme of assistance which terminates in 1955. Provision has been made for the transportationand all applicable entitlements of one staff member seconded from the London School to be borne by WHO ; the cost is estimatedat $4338. A provision of $5000 is also made to cover a fellowship of twelve months, to enable a University staff member to beseconded to the London School.

262 WESTERN PACIFIC

J

Nursing

Training of Nurses

TRUST TERRITORY OF THE PACIFIC ISLANDS(See page 281)

Pacific Islands T.T. 1

Continuation of project included in the programme and budget estimates for 1955. It is proposed in 1956 to retain the servicesof the nurse educator in midwifery.

VIET NAM


Tuberculosis Control (TA -I) Viet Nam 7This project, originally scheduled for 1953, was not implemented owing to circumstances beyond the control of the Govern-

ment and the Organization. It is now proposed in 1956 to provide the services of a tuberculosis specialist for work in two newtuberculosis clinics.


Advisory Services Viet Nam 2Continuation of project included in the programme and budget estimates for 1955. Provision is made in 1956 to continue the

posts of the public -health administrator and publichealth engineer, who will assist the Government in planning its health services.


Demonstration and Training Centre Viet Nam 3This project, originally planned for 1952 -54, is now to be carried out in 1954 -56. The staff required is a medical officer and

a public -health nurse /midwife, the cost of whom is shown under Other Extra -budgetary Funds. UNICEF has allocated suppliesand equipment for 1955.

WESTERN SAMOA(See page 283)


Refresher Course for Medical Practitioners Western Samoa 2The Government has asked for assistance in arranging a refresher course in preventive medicine and environmental sanitation

for Samoan medical practitioners. Provision has therefore been made for two consultants for three months each (estimated cost$6600) ; for ten fellowships to enable assistant medical practitioners from neighbouring territories to attend the course (estimatedcost $4500) ; and for supplies and equipment ($500). This course takes the place of the refresher course in ophthalmology anddermatology included in the programme and budget estimates for 1955.

f INTER -COUNTRY PROGRAMMES(See page 283)


Fiji 1, Western Samoa 1,Yaws Control Netherlands New Guinea 4, etc.

Continuation of the project included in the programme and budget estimates for 1955, with the extension of the programmeof yaws control to the British Solomon Islands, the Gilbert and Ellice Islands, and Netherlands New Guinea. A team of twoinstead of three is proposed for 1956 -a medical officer and a publichealth nurse. Supplies and equipment expected to be providedfrom Other Extra -budgetary Funds. All participant governments have agreed to provide technical and administrative personneland labour, transport in their respective countries, and premises.


Trachoma Control (TA -II) WPRO 10Continuation of project included in the programme and budget estimates for 1955, the object of which is the training of local

personnel in the diagnosis and treatment of trachoma. In 1956, as in previous years, it is proposed to provide short -term consul-tants. It is expected that participant governments will provide technical and administrative personnel, equipment and supplies,and premises.

WESTERN' PACIFIC 263


(a) Advisory Services (TA -I)Provision is made for the continuation in 1956 of the services of a public -health administrator to advise and assist government

health services in the development, co- ordination and implementation of health projects in their countries.

(b) Medical Literature and EquipmentContinuation of the provision made in 1954 and 1955 for procurement of publications, etc., for distribution to Member

governments.


Training Course (TA -II) WPRO 13This project (originally planned for 1954 but now to take place in 1955) consists of a training course in the techniques

employed in rural sanitation practice, for the key persons who have to apply these techniques. Provision is made for short -term consultants, for the attendance of some twenty -five participants, and for supplies and equipment.

WESTERN PACIFIC: SUMMARY





1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956


29 29 29 210 000 224 276 231 458 REGIONAL OFFICE 11 11 11 49 860 53 418 58 397

FIELD ACTIVITIES

1 1 1 22 092 18 801 19 916 Malaria and Insect Control 9 9 8 95 690 89 252 100 694 8 000 5 0001 3 2 27 392 52 704 51 091 Tuberculosis 1 3 500 14 000 12 340 6 6 97 250 60 128 15 0007 7 4 71 092 68 852 68 703 Venereal Diseases and Treponematoses 1 1 2 23 730 19 048 20 310 107 800 77 200 83 000

1 8 500 14 000 11 058 Endemo-epidemic Diseases 3 3 3 49 030 29 736 59 458 50 000 71 00012 14 14 72 464 128 004 148 965 Public-Health Administration 1 1 2 90 530 27 460 32 459 36 000 27 0005 7 7 45 402 82 306 88 831 Nursing 17 16 10 110 060 142 183 93 437 2 13 7601 1 1 28 892 39 801 19 916 Health Education of the Public1 1 1 28 972 18 801 24 916 Maternal and Child Health 8 8 5 70 000 65 350 78 756 1 2 2 163 020 199 314 30 606

25 100 10 350 6 000 Mental Health2 820 Nutrition 5 000

1 4 4 21 492 65 969 47 530 Environmental Sanitation 2 4 4 25 290 61 077 40 684 7 0001 1 1 16 892 18 801 19 916 Regional Adviser in Education and Training

2 2 37 280 41 361 50 470 Other Education and Training Projects 5 4 3 95 080 103 236 110 612 3 5 5 15 817 28 250 31 900

30 41 38 408 390 559 750 557 312 Total - FIELD ACTIVITIES 46 46 38 562 910 551 342 553 750 12 13 7 491 647 474 892 160 506

59 70 67 618 390 784 026 788 770 Total - WESTERN PACIFIC 57 57 49 612 770 604 760 612 147 12 13 7 491 647 474 892 160 506

WESTERN PACIFIC: REGIONAL OFFICE (For text, ace page 255)


Numberof posts

Estimated expenditurexP Numberof posts

Bstim9led expenditure Numberof posts


1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

UST USS USS USS USS USS USE USS USS


1 1 1 15 000 15 000 Regional Direetor D01 1 1 4 533 4 733 Administrative assistant P11 1 1 2 850 3 030 Secretary M5

PUBLIC INFORMATION

1 1 1 7 075 7 300 Information officer P3

Information clerk M6 1 1 '1 3 315 3 4951 1 1 2 610 2 760 Secretary M4

HEALTH SERVICES

1 1 1 11 600 11 800 Medical director D21 1 1 3 210 3 390 Secretary M5

Secretary 114 1 1 1 2 323 2 473

Fellowships

1 1 1 3 210 3 390 Fellowships assistant 116

1 1 1 2 210 2 360 Secretary 114

1 1 1 1 690 1 810 Clerk typist M3


1 1 1 7 896 8 146 Administration and finance officer - P41 1 1 3 920 3 920 Secretary 14

Budget and Finance

1 1 1 6 167 6 367 Budget and finance officer P3Finance officer P2 1 1 1 5 550 5 750Budget analyst P1 1 1 1 4 133 4 333

1 1 1 3 555 3 735 Accountant M61 1 1 4 010 4 190 Cashier M5

Assistant accountant M5 1 1 1 3 195 3 3751 1 1 2 460 2 610 Budget clerk M4

Accounts clerk M4 1 1 1 2 385 2 5351 1 1 1 770 1 890 Stenographer 113

Personnel

1 1 1 6 512 6 737 Personnel officer P3 -

1 1 1 4 160 4 340 Records clerk MS

WESTERN PACIFIC : REGIONAL OFFICE (continued)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss US$ US$ uss uss uss uss UST uss

General Services


Translator (French) P3 1 1 1 6 067 6 267

1 1 1 3 300 3 480 Translator (Chinese) 86

1 1 1 3 300 3 480 Clerk translator M6

Clerk typist 83 1 1 1 2 010 2 160

1 1 1 2 523 2 673 Registrar M4

Librarian M4 1 1 1 2 498 2 648

Registry clerk 83 1 1 1 2 048 2 198

1 1 1 2 010 2 160. Mailing clerk 83

1 1 1 1 990 2 135 Clerk typists 83 1 1 1 2 035 2 185

1 1 1 3 120 3 300 Procurement clerk 86

1 1 1 2 978 3 120 Travel clerk 84

1 1 1 1 890 2 010 Supply clerk 83

1 1 1 1 650 1 770 Clerk typist 83



17 230 - 19 195 19 645 Cost -of- living adjustment 4 400 4 725 4 905

142 950 156 222 162 374 37 970 40 284 42 324

Travel

4 300 6 500 6 500 Duty


23 830 26 014 26 584 Allowances 6 410 6 434 6 713

10 580 Recruitment and repatriation

8 000 10 870 15 130 Home leave 340 3 0002 500 3 800 Transportation of personal effects

Other Costa

1 800 2 000 2 000 Public Information (supplies and materials)

Common Services

1 220 1 530 1 530 Space and equipment services 510 630 630

8 650 9 410 9 410 Other services 3 580 3 900 3 900

2 850 3 920 3 920 Supplies and materials 1 18D _1 620 1 620

510 510 510 Fixed charges and claims 210 210 210


29 29 29 210 000 224 276- 231 458 Total - REGIONAL OFFICE 11 11 11 49 860 53 418 58 397

WESTERN PACIFIC: REGIONAL ADVISERS (For text, see page 255)


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

its usa usa uss uss OS OS US usa

1 1 1 8667 8 917 Malaria and insect control P4

1 1 1 8 646 8 896 Tuberculosis P4

1 1 1 8 583 8 833 Venereal diseases and treponematoses P4


1 1 1 7 937 8 187 Nursing P4

1 1 1 7 812 8 063 Health education of the public P4

1 1 1 7 771 8 021 Maternal and child health P4


1 1 1 7 412 7 637 Education and training P4

Stenographic Pool

1 1 1 2 323 2 473 Pool supervisor M4

6 6 6 11 664 12 480 Clerk stenographers M3



102 370 110 533 114 393

Travel

23 500 37 500 39 000 Duty


18 650 20 620 19 540 Allowances

3 320 Recruitment and repatriation10 430 6 670 13 540 Home leave

250 Reimbursement of income tax

Common Services

670 840 840 Space and equipment services


1 570 2 160 2 160 Supplies and materials280 280 280 Fixed charges and claims



WESTERN PACIFIC: COUNTRY SCHEDULES


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

us USE USS USE US$ USE US$ US US$

AUSTRALIA



10 000 10 000 Fellowships


10 000 Fellowships (Strengthening of healthservices)

10 000 10 000 10 000 Total - AUSTRALIA

BRUNEI

NURSING

2 870 Training of nurses Brttnei 1 1 2 960

NUTRITION

2 820 Consultant Brunei 4

5 690 Total - BRUNEI 1 2 960

CAMBODIA



Malaria control (TA -I) Cambodia 1 2 2 2 16 370 21 290 20 528



Numberof posts

Estimated expenditure Numberof pasts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

4

5

1

4

5

2

2

1

4

5

1

1

US

11 910

us

16 087

US$

18 127

CAMBODIA (continued)


Advisory services Cambodia 2

2

1

5

3

3

2

7

3

3

2

7

2

USS

16

USS

540 25 321

USS

31 426

USS

4

USS

000* 2 000*

US

572)

25 640 24 515 37 041

NURSING

Training of =ruts Cambodia 3

37

6

550

250

40

33

602

903

55

27

168

375


Demonstration and training Cambodia 4centre (TA -I)


Royal School of Medicine (TA -I) Cambodia 5 11 100 24 430 28 952

4

(114

10

000

285)

000*

2

(245

4

000

610) (134

000*

Total - CAMBODIA


44

43

010

120

71

32

041

798

80

33

906

659

CHINA



Malaria control (TA -I) China 7

TUBERCULOSIS

FellowshipsTuberculosis control China 17

BCG demonstration and training China 10

6 250 33 903 27 375 10 000 4 000


WESTERN PACIFIC : COUNTRY SCHEDULES


Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

4 3

2

4 7

1

2

4

115s

44 260

USS

23 476

USS

29 050

CHINA (continued)

VENEREAL DISEASES AND TREPONEIIATOSES

Venereal- disease control (Regular China 1

5

3

11

5

2

10

5

2

9

' USS USS

30 500

USS USS USS USS

,.

47 000* 30 000 18 000and TA -II)


Fellowships (Quarantine)Trachoma control (TA -II) China 13

2 500

3 500 50 000* 63 000*

2 500


Fellowships China 15

3 500 50 000 63 000

3 500 9 80040 500

25 000* 25 000*

Vital and health statistics China 5

3 500 9800

NURSING

Training of nurses (TA -I) China 6

40 500

6 750

45 000 38

°

641 51 606


Demonstration and training centre China 3 31 900 13 501 28 330(TA -I)

MENTAL HEALTH

Consultant China 20

5 450

132 000

(902 295)

122

404

000

364)(1

18 000

055 163)

4 600 30 590 20 574


Demonstration and training project China 14

57 610 98 219 86 799 Total - CHINA


165 970 95 440 117 095




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 4955 1956 1954 1955 1956 1954 1955 1956

2

2

2

2

2

2

US

500

USS USS

FIJI



Fellowships

NUTRITION



Fellowships (Thoracic surgery) Fiji 3

3

3

3

3

USS USS US

5 000

USS

15

2

UST

(5 060)

000* 25 000*

000*

US

(13 916)

22 361

8

20

600270

21 560 17 628

5

9

000

500

Central Medical School Fiji 2

Total - FIJI


22 361 28 870

500

2 600

22 361 28 870

HONG KONG



Fellowships


Demonstration and training Hong Kong 4project (TA -I)

Hospital equipment

21 560 17 628 9 500 17 000 25 000




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1 1

USS

18 000

USS USS

HONG KONG (continued)

MENTAL HEALTH

Assistance to mental Hong Kong 11

3 3

USS

21

3

US$

560 17 628

500

USS

9

3

4

500

500

000

USS

17

(415

13

US$ US$

,

000 25 000

877) (393 477) (350 877)

000* 4 000*

hospital

Total - HONG KONG


20 600

2 850

JAPAN


TUBERCULOSIS

Fellowships (TA -II) Japan 15


Fellowships (TA -II) Japan 7

PUBLIC -HEALTH ADMINISTRATICN

Fellowships (Vital and health Japan 8

3 500

statistics)

NURSING

Training of nurses Japan 1418 395 22 337

7 000

3 580


Fellowships (Care of premature Japan 2

infants) (AT -II)

Poliomyelitis and rehabilitation Japan. 1

of crippled children

10 580 3 500 13 000 4 000







1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss Uss uss uss UST US$ uss usa usa

JAPAN (continued)

MENTAL HEALTH

3 500 1 200 National Institute of Mental Japan 4

Health


Pilot project (TA -I) Japan 11 2 2 5 000 23 371 15 400Environmental sanitation centre Japan 13 5 000

(TA -I)

Water pollution (TA -I) Japan 16 8 500

2 2 5 000 23 371 28 900


Fellowships (Hospital statistics) Japan 8 3 500(TA -I)

Fellowships (Epidemiological Japan 8 3 500statistics) (TA -I)

12 000 Fellowships (various) (TA -II) Japan 8 7 0008 980 Institute of Public Health (TA -I) Japan 10 4 900 4 4007 000 3 500 National Institute of Health and Japan 12

National Hygiene LaboratoryHospital administration (TA -I) Japan 17 6 300

27 980 3 500 4 900 24 700

1 1 44 910 23 095 22 337 Total - JAPAN 2 2 8 500 28 271 64 600 13 000 4 000

Total - Estimated Government Contribution (6 060 630)(4 623 829)

KOREA


TUBERCULOSIS

Fellowships (TA -II) Korea 2 14 000



Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1

US uss

14 000

usa

11 058

KOREA (continued)

1 1

1

1

2

uss US uss

11 000

USS USS USS

(4 000)

10 000

ENDE140- EPIDEMIC DISEASES

Communicable- disease control Korea 5(Regular and TA -II)

National Institute for Prevention Korea 7

of Infectious Diseases


Fellowships Korea 5

14 000 11 058 11 000

10 000

12 500Health demonstration centre - Korea 8

National model health unit


Therapeutic substances and Korea 5

10 000 12 500

14 000 21 058

18 048

insecticides (TA -II)

Total - KOREA


12 500 14 000

23 730 8 548

29 048

16 310

LAOS



Treponematosis control (TA -I) Laos 2


Fellowships (TA -I) Laos 4 4 880 5 000 5 000


Regular Budget Technical Assistance _ Other Extra -Budgetary Funds

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

uss uss USS USS uss USS USS USS 11s5

LAOS (continued)

NURSING -

Fellowships (TA -II) Laos 3 2 500 2 500


1 500 Fellowships

1 500 Total - LAOS 1 1 2 28 610 16 048 23 810 10 000

Total - Estimated Government Contribution -- (15 057)

MALAYA



Yaws control Malaya 3 12 000* 11 000*


2 2 2 10 750 17 578 16 201 Rural health training centre Malaya 9 36 000* 7 000#

NURSING

Training of nurses (TA -I) Malaya 1 6 4 37 070 24 027 8 000

MENTAL HEALTH

3 600 Consultant

2 2 2 14 350 17 578 16 201 Total - MALAYA 6 4 37 070 24 027 8 000 48 000 18 000



, WESTERN PACIFIC : COUNTRY SCHEDULES

Regular Budget _ Technical Assistance Other Extra- Budgetary Funds

Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 ' 1956 1954 1955 1956 1954 1955 1956

USS

2 600

USS USS

NETHERLANDS NEW GUINEA


Fellowships


Fellowships Netherlands

USS

6 000

USS USS USS USS USI

3 500New Guinea 5

2 600 3 500

5 000

Total - NETHERLANDS NEW GUINEA

NEW ZEALAND



Fellowships

NURSING

Fellowships


Fellowships (Virology)

Total - NEW ZEALAND

6 000

-

5 000

4 000

4 000 5 000 5 000






1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USS USS USS

3 800

NORTH BORNEO



Malaria pilot project North Borneo 5

3

-

2

5

2

3

2

7

2

2

4

USS UST

15 783

USS

16 812

US

8

Oil

000* 5 000w

USE

(TA -I)

NURSING

Training of nurses (TA -I) North Borneo 6 18 150 16 975

15 000* 10 000 9 000


Children's and maternity North Borneo 7

14 840 15 706 11 784

wards


Water supply and sewage North Borneo 8 7 000f

disposal (TA -I)

Total - NORTH BORNEO


32 990 48 464

3 250

28

3

596

450

23

(22

000 22 000

318) (56 897)

9

(42

000

785)

PAPUA AND NEW GUINEA



Fellowships (TA -II) Papua and

New Guinea 4

TUBERCULOSIS

Fellowships




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 _ 1954 1955 1956 1954 1955 1956 1954 1955 1956

Uss

6 000

Uss usa

PAPUA AND NEW GUINEA (continued)


Fellowships Papua and

2

uss uss

2 500

usa uss uss till

(320 340)

23 450* 18 500*

New Guinea 3


Fellowships Papua and

2 500 3 250

10 440

3 450

New Guinea 1

6 000

4 250

3 800 Total - PAPUA AND NEW GUINEA


PHILIPPINES



Malaria pilot project Philippines 14

TUBERCUIDSIS

Fellowships Philippines 41BCG demonstration and Philippines 2

training and 17

4 250


Yaws control Philippines 15

23 450 18 500

35 000* 20 000* 20 000




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

USE

6 000

USS u8S

PHILIPPINES (continued)

ENDEMO_EPIDEMIC DISEASES

Bilharsiasis pilot project Philippines 9

-

3

3

3

3

1

3

3

1

1

USS

45

45

USS

550 24 636

USS

39 858

1

USS USS

8 000*

USS

(TA -I)

Leprosy pilot project


Advisory services (TA -II) Philippines 32

550 24 636 39 858 8 000

8 548

10 800*

NURSING

Midwifery training (TA -I) Philippines 29 7 874 6 446


Fellowships Philippines 37

6 000

70 000 31 000*

13 000*16 000 7 4005 000

5 000


Fellowships (TA -I) Philippines 3

Maternal and child health Philippines 16centres

Care of premature infants Philippines 24Handicapped children Philippines 48

(Orthopaedic care)

MENTAL HEALTH

Fellowships Philippines 4

6 000 83 000 47 600 7 400

6 000




Numberof posts




1951 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1 1

1 1

US$ Uss

16 578

Uns

7 040

PHILIPPINES (continued)


Advisory and Training Philippines 43

5

2

2

4

2

2

5

2

2

US$

46

US$

6 000

790 26 660

9 000

.

US$

22 074 3

3

4

5

5

5

4

4

4

US$

15

US$ US$

817 28 250 24 600

Programme


Medical education (TA -II) Philippines 47

10 250 16 578 18 040

University of the Philippines Philippines 12(TA -I)

Control of drugs and cos- Philippines 37antics (TA -II)

Total -PHILIPPINES


46 790 41 660 22 074 15 817 28 250 24 600

102

25

780 74 170

760 16 131

82 926

26 245

168

(938

(15

067 122 350 52 000

168) (869 860) (932 094)

270) (50 000) (250 000)

SARAWAK



Malaria pilot project (TA_I) Sarawak 5

Total - SARAWAK


25 760 16 131 26 245



Numberof posts

- Estimated expenditure Numberof posts



1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1

1

1

1

US USa

24 220

uss

26 562

SINGAPORE



Urban health centre Singapore 4

3

4

4

7

3

2

2

5

4

4

US

9

US$

840 19 166

USs

24 885

1

1

1

USS USs US

20 000*

3 800

NURSING

Training of nurses (TA -I) Singapore 3

7 300


Fellowships (Anaesthesiology) Singapore 6

37 190 24 646

5 000

2 500

9 338

Fellowships (Hospital Singapore 9records) (TA -II)

Fellowships (Quarantine services)

(TA -I)

University of Malaya (TA -I) Singapore 2

3 800-

Total - SINGAPORE


37 190 24 646 16 838 7 300

28 020

15 595

26 562

9 537

47 030 43 812 41 723

(1

20 000 7 300

258 362) (990 099)0.056 105)

TRUST TERRITORYOF THE PACIFIC ISLANDS


NURSING

Training of nurses Pacific

Islands T.T.1




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

1

1

1

2

2

1.

2

2

US$ uS$

11 700

US$

TRUST TERRITORYOF THE PACIFIC ISLANDS (continued)


Fellowships (Clinical Pacific

1

1

US$ US$ US$

8 840

1

1

1

2

2

2

2

2

2

US$ US$ Us$

(20 000) (20 000)

6 020* 45714* 14 206

40 000#

medicine) Islands T.T.2

4 090

27 295

17 234

9 537

25 160

Total - TRUST TERRITORY OF THE PACIFIC ISLANDS


VIET NAM


TUBERCULOSIS

Tuberculosis control (TA -I) Viet Nam 7


Advisory services Viet Nam 2

8 900


Demonstration and training Viet Nam 3

4 090 17 234 25 160

centre (TA -I)

Children's hospital Viet Nam 5

Total - VIET NAM


8 900 6 020 85 714 14.206

8 900 8 840 6 020 85 714 14 206

(32 203) (35 133) (51 033)




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2 3 2

US$ USS

2 400

USS

WESTERN SAMOA


MENTAL HEALTH

Fellowships (Psychiatry)


Refresher course for Western Samoa 2

US$ US$

3 480 5 100

USE

5 100

3

3

6

3

3

6

US$ US$

31 300* 21 841*

32 500* 15 787*

US$

15 000

11 600

medical practitioners

Total - WESTERN SAMOA



TUBERCULOSIS

BCG demonatracíon and training, Cambodia 6

9 940

2 400

26 575

11

19

600

737

Cambodia and Viet Nam Viet Nam 4

BOG assessment team WPRO 12


Yaws control Fiji 1

63 800 37 628 15 000

13 800* 16 200* 35 000

Western Samoa 1NetherlandsNew Guinea 4etc.

ENDSIé0- -EPIDKMIC DISEASES

Smallpox survey WPRO 166 000. Trachota control (TA -II) WPRO 10

6 000 3 480 5 100 5 100




Numberof posts




1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

2 3 2

Usa

500 -

Usa

1 000

list

1 000



Advisory services (TAI)Medical literature and equipmentUniversity of Malaya (DPH course)

NURSING

Nursing education seminar (TA -I) WPRO 1.

1 1 1

1 1 1

1 1 1

US

12

12

use

150 22 460

000

Usa

18 911

.

6 6

Uss

77

(49

Uss Usa

600 53 828 50 000

320) (45 000) (220 055)

500 1 000 1 000 24 150 22 460 18 911

21 000

33 000


Regional health education con - WPRO 20

22 000

ference


Training course (TA -II) WPRO 13

5 300


Dental health seminar WPRO 177 600Training course in statistics WPRO 3

(TA -II)

Total - INTER -COUNTRY PROGRAMMES

Total - Estimated Government Contributions

5 300 7 600

21 740 48 575 20 737 27 630 90 160 24 011

REGION UNDESIGNATED 285

REGION UNDESIGNATED



(a) Inter -Regional Malaria ConferenceProvision is made to convene a malaria conference which will discuss ways and means of helping countries, particularly in

the Eastern Mediterranean and European Regions, to achieve co- ordination of their national programmes, so that insecticidecampaigns can be discontinued in areas where malaria has already been controlled. The cost is estimated at $2600 for short -term consultants, $1500 for supplies, and $12 900 for expenses of participation.

(b) United Nations Relief and Works Agency for Palestine Refugees in the Near EastIt is proposed to retain the services of a malariologist for the health programme administered by UNRWAPRNE.


(a) Administrative OfficerProvision is made to continue the post of administrative officer to meet the need for assigning to certain regional or inter-

regional activities an experienced officer to deal with administrative and financial details.

(b) Liaison with UNICEFProvision is made to continue the services of the medical advisers stationed in Bangkok, New York and Paris, who are

responsible for liaison with UNICEF regional offices and headquarters.

(c) United Nations Relief and Works Agency for Palestine Refugees in the Near EastProvision is made to continue the services of the personnel responsible for the overall technical direction of the health

programme administered by UNRWAPRNE.


United Nations Relief and Works Agency for Palestine Refugees in the Near East (TA -I)Provision is made to continue the services of the health educator assigned to the health programme administered by

UNRWAPRNE.

4. Mental Health

Inter- Regional AdviserProvision is made to continue the services of the inter -regional adviser in mental health.

5. Nutrition

Inter- Regional Adviser

Provision is made to continue the services of the inter -regional adviser in nutrition.

REGION UNDESIGNATED


Number Number Numberposts




1954 1955 1956 1954 1955 1956 SUMMARY 1954 1955 1956 1954 1955 1956 1954 1955 1956 1954 1955 1956

VSS OS$ Us5 uss USS uss USE USX Us$

1 1 1 9 400 9 587 27 005 Malaria and Insect Control8 016 Endemo- epidemic Diseases

5 7 7 109 600 94 535 91 344 Public-Health Administration 1 11 150Health Education of the Public 1 1 1 15 338 10 468 7 698

1 1 11 820 14 478 Mental Health1 1 11 820 14 178 Nutrition

6 10 10 119 000 135 778 147 005 Total - REGION UNDESIGNATED 2 1 1 26 488 10 468 7 698




17 000 Inter - regional malaria conference1 1 1 9 400 9 587 10 005 UNRWAPRNE

1 1 1 9 400 9 587 27 005


8 016 Inter -regional training course onbilharaiasis


1 1 8 500 9 830 Administrative officer 1 11 150Liaison with UNICEF:

1 1 1 19 600 19 031 13 837 - Bangkok2 2 2 22 200 33 900 30 540 - New York1 1 1 14 200 12 755 16 122 - Paris1 2 2 53 600 20 349 21 015 UNRWAPRNE

5 7 7 109 600 94 535 91 344 1 11 150


UNRWAPRNE (TA -I) 1 1 1 15 338 10 468 7 698

MENTAL HEALTH

1 1 11 820 14 478 Inter -regional adviser

" NUTRITION

1 1 11 820 14 178 Inter -regional adviser

6 l0 10 119 000 335 778 147 005 Total - COUNTRIES UNDESIGNATED '2 1 1 26 488 10 468 7 698

Annex 3

SUMMARIES OF ESTIMATED EXPENDITURE FOR ACTIVITIES PROPOSED

UNDER TECHNICAL ASSISTANCE

TECHNICAL ASSISTANCE : SUMMARY BY PURPOSE -OF- EXPENDITURE CODE 289

ADVISORY SERVICES

Chapter 00 Personal Services


US $

1955


US $


US $

01 Salaries and wages 1 587 466 2 283 140 2 316 851

02 Short -term consultants' fees 64 215 131 250 143 900

Total - Chapter 00 1 651 681 2 414 390 2 460 751

Chapter 10 Personal Allowances11 Lodging, subsistence, and special monthly allowances 68 596 49 878 45 39212 Dependants a 89 685 123 965 130 848

13 Repatriation 4 808 2 900 1 70014 Pension Fund 43 418 37 306 31 35515 Staff insurance - 15 385 22 826 23 399

Total - Chapter 10 221 892 236 875 232 694

Chapter 20 Travel and Transportation21 Duty travel 54 543 45 863 39 78122 Travel of short -term consultants 49 007 82 721 83 99023 Travel on initial recruitment and repatriation 264 182 193 153 98 36924 Travel on home leave .120 298 140 742 299 699

27 Transportation of personal effects 2 590 115 115

Total - Chapter 20 490 620 462 594 521 954


32 Rental and maintenance of equipment 374 140 153

Total - Chapter 30 5 567 3 885 4 315


43 Other contractual services 3 302 2 387 2 58844 Freight and other transportation costs 1 071 723 777

Total - Chapter 40 10 337 7 759 8 231


53 Supplies 333 849 194 646 185 625

Total - Chapter 50 333 849 194 646 185 625

Chapter 60 Fixed Charges and Claims61 Reimbursement of incase tax 12 560 2 200

62 Insurance - 1 938 1 915 2 270

Total - Chapter 60 14 498 4 115 2 270

Chapter 70 Grants and Contractual Technical Services71 Fellowships 522 401 503 330 507 560

73 Participants in seminars and other educational meetings 24 690 55 500 23 500

Total - Chapter 70 547 091 558 830 531 060

Chapter 80 Acquisition of Capital Assets82 Equipment 221 813 729 242 123 168

Total - Chapter 80 221 813 129 242 123 168

Total - ADVISORY SERVICES 3 497 343 4 012 336 4 070 068

REGIONAL OFFICES


Total - Chapter CO 173 724 176 821 179 962

Chapter 10 Personal Allowances12 Dependants 6 190 6 538 6 538

13 Repatriation 580 1 500 1 40014 Pension Fund 23 206 23 841 24 256

15 Staff insurance 1 674 1 725 1 749 a

Total - Chapter 10

4!

< Tit31 650 33 604 33 943

E 19

290 TECHNICAL ASSISTANCE : SUMMARY BY PURPOSE -OF- EXPENDITURE CODE (continued)

Chapter 20 Travel and Transportation

1954


US $

5 860

3 2801 030

290

1955


US $

4 350

1 5884 140

690

1956


US $

7 680

1 9307 3201 425

21 Duty travel

23 Travel on initial recruitment and repatriation24 Travel on home leave27 Transportation of personal effects

Total - Chapter 20


10 460 10 768 18 355

2

6

800

4902 800

7 230

2

6

800220

31 Rental and maintenance of premises

32 Rental and maintenance of equipment

Total - Chapter 30

Chapter 40 Other Services

9 290 10 030 9 020

15

1

1

945492213

17 040

1 5941 296

16

1

1

963

587

290

41 Communications43 Other contractual services44 Freight and other transportation costs

Total - Chapter 40


18 650 19 930 19 840

2

1

4

368350032

2 708

1 3504 612

2

1

4

779350731

51 Printing52 Visual material

53 Supplies.

Total - Chapter 50


7 750 8 670 8 860

6 250

820

3 826840

4 026

820

61 Reimbursement of income tax62 Insurance

Total - Chapter 60

Total - REGIONAL OFFICES

ADMINISTRATIVE SERVICES

Chapter 00 Personal Services01 Salaries and wages

Total - Chapter CO

Chapter 10 Personal Allowances

7 070 4 666 4 846

258

136

594

394

264 489

138 121

274

134

826

061

136 394 138 121 134 061

3

18

1

550474

878

346

3 6532 800

19 3721 383

3

2

18

1

655

600

806

343

12 Dependants.

13 Repatriation14 Pension Fund15 Staff insurance

Total - Chapter 10

Chapter 20 Travel and Transportation

24 248 27 208 26 404

162

2

2

211494

572

656

20 230

1 3159910

573

18

1

5

400

237190

538

21 Duty travel

23 Travel on initial recruitment and repatriation24 Travel on home leave


Total - Chapter 20


23 933 32 028 25 365

11 771439

10 608

399

11 101

40731 Rental and maintenance of premises

32 Rental and maintenance of equipment

Total - Chapter 30

Chapter 40 Other Services

12 210 11 007 11 508

13

62

521488

429

13 170

6 7632.047

12

6

2

979902

073

41 Communications43 Other contractual services44 Freight and other transportation costs

Total - Chapter 40


22 438 21 980 21 954

2 241 2 217 2 32753 Supplies

Total - Chapter 50

Total - ADMINISTRATIVE SERVICES

GRAND TOTAL

2 241 2 217 2 327

3

221

977

464

406 4

232 561

509 386 4

221

566

619

513

TECHNICAL ASSISTANCE : SUMMARY OF PROGRAMMES FOR 1955 AND 1956 BY PRIORITIES 291

Region /Country Project1955 1956

I II I II

U5 $ US $ US $ US $

AFRICA

Basutoland Tuberculosis:Tuberculosis control Basutoland 2 16 159 17 189

Bechuanaland Malaria and insect control:Tsetse fly control Bechuanaland 2 4 600 3 000

Tuberculosis:

Tuberculosis control Bechuanaland 3 18 982 20 514

Venereal diseases and treponematoses:Non -venereal treponematoses Bechuanaland 1 10 638 10 866

15 238 18 982 13 866 20 514

Federation of Tuberculosis:Rhodesia and Tuberculosis control NYA 2 14 371 15 401

Nyasaland Erdemo- epidemic diseases:

Bilharziasis control NOR 1 2 000

Nutrition:Nutrition survey NOR 3 4 000

14 371 21 401

French Africa Malaria and insect control:Pilot project, French Cameroons French Africa 1 18 297 14 762

Gold Coast Malaria and insect control:Malaria control Gold Coast 1 1 200 6 000

Tuberculosis:Tuberculosis control Gold Coast 2 6 000

1 200 6 000 6 000

Eaff! Tuberculosis:Tuberculosis control Kenya 4 1 200

Liberia Malaria and insect control:Malaria control Liberia 5 25 356 25 967

Tuberculosis:Tuberculosis control Liberia 8 5 823 6 325

Venereal diseases and treponematoses:Yaws control Liberia 3 33 421 39 518

Other education and training projects:Fellowships (various) Liberia Fl 10 000 10 000

68 777 5 823 75 485 6 325

Mauritius Tuberculosis:Tuberculosis control Mauritius 2 16 371 17 401

Nigeria Tuberculosis:Tuberculosis control Nigeria 7 5 400

Venereal diseases and treponematoses:Yaws control Nigeria 1 17 022 16 773

22 422 16 773

>

Tanganyika Nutrition:

Nutrition survey and control, Baba Tanganyika 2 9 553 9 755

Uganda Venereal diseases and treponematoses:Venereal disease survey and control Uganda 5 21 707 23 265

Inter -Country Malaria and insect control:Programmes Malaria control project, Amani East Africa 1 28 147 32 695

Malaria training course, Yaoundé AFRO 6 6 500

34 647 32 695

TOTAL 202 664 62 083 203 926 77 505

THE AMERICAS

Bolivia Nursing:

Nursing education Bolivia 5 5 400 11 100

Brazil Environmental sanitation:Municipal refuse disposal Brazil 12 16 340

292 TECHNICAL ASSISTANCE: SUMMARY OF PROGRAMMES FOR 1955 AND 1956 BY PRIORITIES (continued)


I II I II

US $ US $ US $ US $

THE AMERICAS (continued)

British West Public -health administration:

Indies Local health services Barbados 2 27 783 28 660

Colombia Malaria and insect control:Insect control Colombia 5 10 634

Public -health administration:Rural health services Colombia 4 36 130 35 621

10 634 36 130 35 621

Costa Rica Nursing:Nursing education Costa Rica 3 38 694 28 346

Dominican Malaria and insect control: DominicanRepublic Insect control Republic 2 13 548 15 692

Ecuador Endemo -epidemic diseases:

National Institute of Health Ecuador 11 22 019 4 706

El Salvador Public- health administration:

Health demonstration area El Salvador 5 48 269 46 453

Haiti Malaria and insect control:Insect control Haiti 4 14 938 15 177

Honduras Public- health administration:

Rural health services Honduras 4 8 548 33 358

Mexico Malaria and insect control:Insect control Mexico 53 33 295 36 172

Nicaragua Public- health administration:Rural health services Nicaragua 3 38 331 52 865

Panama Public -health administration:

Rural health services Panama 1 63 057 50 476

Paraguay Public- health administration:Public- health services Paraguay 10 110 926 83 492

Peru Public- health administration:Public- health demonstration and trainingarea, Callao Peru 13 - 16 602Public- health services Peru 22 33 331

Maternal and child health:Maternal and child health and relatedhealth services. Peru 10 5 600

16 602 5 600 33 331

Uruguay Public- health administration:

' Rural health services Uruguay 5 19 783

Venezuela Public -health administration:

Local health services Venezuela 1 36 331 35 887

Inter -Country Malaria and insect control:Programmes Insect control, 'Central America and Panama AMRO 7 49 781 60 697

Insect control, Caribbean Area AMRO 8 61 957 34 868Insect -control adviser, Zone IV countries AMRO 69 13 088 13 055

Venereal diseases and treponematoses:Yaws eradication and syphilis control,Caribbean Area ABRO 47 30 083 25 222

Endemo -epidemic diseases:Zoonosis control ABRO 84 12 000 12 000

Public- health administration:Inter -American Centre of Biostatistics AMRO 10 72 712 79 709Andean Indian Mission AMRO 6 11 262 12 489

Environmental sanitation:Seminar on sanitary engineering Aà'.R0 64 8 500 8 500

225 795 33 588 224 985 21 555

TOTAL 636 108 169 720 622 645 155 014

TECHNICAL ASSISTANCE: SUMMARY OF PROGRAMMES FOR 1955 AND 1956 BY PRIORITIES (continued). 293

Region /Country Project

1955 1956

I" II I II

SOUTH -EAST ASIA

Afghanistan Malaria and insect control:

US$ US$ US$ US$

Malaria control Afghanistan 11 6 200 3 000Tuberculosis:

Demonstration and training centre, Kabul Afghanistan 9 31 529 30 932

Endemo-epidemic diseases:

Manufacture of vaccine Afghanistan 14 8 461 8 108

Public-health administration:

Public health adviser - Afghanistan 6 3 660 2 800Provincial health programme Afghanistan 10 14 371 16 000

Vital and health statistics Afghanistan 7 8 650 11 080

Rural health unit 20 294 21 825

Nursing:

School of Nursing (Female), Kabul Afghanistan 10 19 243 13 198

School of midwifery nursing, Kabul Afghanistan 10 17 406 12 308

Maternal and child health:Demonstration and training project Afghanistan 10 15 107 15 536

Other education and training projects:Training of health assistants 7 323

115 977 28 944 109 205 32 905

Burma Malaria and insect control:Demonstration and training project Burma 2 26 313 13 645

Malaria adviser Burma 31 12 388 10 075

Tuberculosis:Demonstration and training centre, Mandalay Burma 18 35 378 24 243

Country adviser Burma 10 11 767 9 194

Endemo-epidemic diseases:Communicable -disease control 11 148 9 175

Strengthening of laboratory services 8 417 11 625

Public-health administration:Rural health unit, Mandalay Burma 32 25 847 24 778

Vital and health statistics Burma 22 1 400District health programms Burma 4 and 6 15 134 15 509

Hospital planning 11 098 9 175

Nursing:

Nursing adviser 9 790Post- graduate School of Nursing, Rangoon Burma 25 17 667 23 329

School of Nursing, Mandalay Burma 6 20 131 19 565

Health education of the public:Strengthening of Health Education Bureau,Health Directorate Burma 21 3 640

Environmental sanitation:Strengthening of Environmental Sanitation

Bureau Burma 30 18 790 19 169

Other education and training projects:Health assistants' school Burma 20 5 200

Assistance to Medical College, Rangoon Burma 28 28 282 35 563

262 390 225 045

Ceylon Tuberculosis.Control project, Colombo and Galle Ceylon 10 and 25 35 760 25 878

Endemo-epidemic diseases:Assistance to Health Directorate 9 548 10 075

Public -health administration:

Fellowships (Hospital administration) 5 150

Public -health training centre, Kalutara Ceylon 4 27 816

Nursing:

Kandy School of Nursing Ceylon 15 18 503Third A -grade school of nursing 19 969 20 975

Health education of the public:

Health education project Ceylon 2 7 652 10 754

Maternal and child health:Maternal and child health centre, Kalutara Ceylon 4 15 157

Environmental sanitation:Pilot project, Kurunegala Ceylon 35 12 218 14 998

98 838 19 969 94 671 20 975

India Tuberculosis:

Demonstration and training centre, Madras . India 53 39 552 32 150

Demonstration and training centre, Nagpur . India 42 33 352 35 887

Demonstration and training centres, Hydera-bad and Agra 66 704 71 774

Public-health administrationsVital and health statistics 14 248 9 178

Nursing:Ludhiana project India 38 15 205 12 809

Domiciliary nursing and midwifery 11 746 12 750Health education of the public:Health education programms 15 970 16 474

294 TECHNICAL ASSISTANCE: SUMMARY OF PROGRAMMES FOR 1955 AND 1956 BY PRIORITIES (continued)_

Region/Country Project1955 1956

I II I II

U5 $ A5 $ U5 $ US $

SOUTH -EAST ASIA (cmtino

India (continued) Maternal and child health:Consultants (Programme review) 8 000

Paediatric centre, Lady Hardinge MedicalCollege 8 648 9 175

Environmental sanitation:

Environmental sanitation project 29 254 34 345Other education and training projects:School of Tropical Medicine Troia 29 8 648Physiotherapy School, Bombay India 41 7 486

127 861 122 952 152 415 90 127

Indonesia Malaria'and insect control:Demonstration and training project Indonesia 4 29 000 19 227

Assistance to Malaria Section, Ministry ofHealth 15 883 16 912

Tuberculosis:Demonstration and training centre, Bandung Indonesia 8 31 846 33 197

Demonstration and training centre, Areaundesignated 33 352

Venereal diseases ami treponematoses:

Yaws control Indonesia 1 16 577 3 000Endemo- epidemic diseases:Trachoma control 3 000 3 910

Public- health administration:

Strengthening of public - health services 15 883 17 312Vital and health statistics 12 318 9 275

Nursing:

Fellowships 3 710

School of basic nursing 11 746 14 650

Social and occupational health:

Fellowships 3 710Maternal and child health:Maternal and child health services Indonesia 2 8 648 9 175

Sumatra project 14 475 15 498Nutrition:

Assistance to Nutrition Institute Indonesia 5 5 390 3 710Other education and training projects:Fellowships (Industrial health) 3 700Gadjah Made University Indonesia 13 2 100 2 510Medan Medical School 8 648

Assistance to medical education 8 648 12 885

158 820 20 394 149 794 60 887

Nepal Nursing:Training of nurses Nepal 2 18 203 25 209

Other education and training projects:Training of health assistants Nepal 3 18 707 15 536

36 910 40 745

Thailand Tuberculosis:Demonstration and training centre, Bangkok Thailand 7 3 000

Venereal diseases and treponematoses:Yaws control Thailand 2 21 298 21 057


Rural health unit, Chiengmai Thailand 13 33 412

Nursing:

Post -graduate school of nursing Thailand 21 11 293 13 357

School of Nursing, Korat 7 823 13 348

School of Nursing, Vajira 14 153

Maternal and child health:Strengthening of central health organization 8 648 9 175

Nutrition:Nutrition programme 8 648

Other education and training projects:Fellowships (various) 12 000 12 000

82 474 12 000 82 738 12 000

Inter -Country Public -health administration:

Programmes Rural health conference 15 300

Dental health ... 7 800

Nursing:

Regional seminar for nursing leaders 16 300

39 400

TOTAL 883 270 204 259 894 013 216 894

TECHNICAL ASSISTANCE: SUMMARY OF PROGRAMMES FOR 1955 AND 1956 BY PRIORITIES (continued) 295

Region /Country project1955 1956

I II I II

Us $ Us $ Us 8 Us S

EUROPE

France Endemo- epidemic diseases:Trachoma project in Algeria Algeria 1 1 550 18 646

Greece Tuberculosis:Tuberculosis control Greece 6.1 17 829 15 458

Maternal and child health:Maternal and child health services Greece 4 1 000

Rural sanitation in maternal and childhealth project Greece 13 13 148

17 829 29 606

Morocco Tuberculosis:

(French Zone) Tuberculosis control Morocco 7 10 673

Venereal diseases and treponematoses:Venereal- disease control Morocco 2 12 874 4 000

Endemo -epidemic diseases:

Trachoma control Morocco 1 23 759 11 614

Maternal and child health:Child nutrition Morocco 6 4 000 7 100

40 633 26 287 7 100

Spain Venereal diseases and treponematoses:Venereal -disease control Spain 8 4 900 2 450

Endemo -epidemic diseases:Communicable- disease control, including

trachoma Spain 1 9 600 11 700

Maternal and child health:Care of premature infants Spain 10 3 550 3 100

18 050 5 550 11 700

Tunisia Tuberculosis:

Pilot project, Sfax Tunisia 9 11 373 11 875

Endemo- epidemic diseases:

Trachoma control Tunisia 3 19 984 4 000

Nursing:

Training of nurses Tunisia 10 23 646 6 725

Maternal and child health:Maternal and child health services Tunisia 6 3 550 18 471

58 553 10 725 30 346

Turkey Nursing:Training of nurses Turkey 8 3 000

Social and occupational health:Industrial health services Turkey 26 and 28 4 100 '5 650

Maternal and child health:Maternal and child health centre Turkey 6 21 009 18 155

Other education and training projects:School of Public Health, Ankara Turkey 16 19 500 19 500

44 609 46 305

Yugoslavia Tuberculosis:Tuberculosis control Yugoslavia 16.4 6 800 9 000


Control of endemo -epidemic diseases,

including trachoma Yugoslavia 16.1 9 650 11 350

Public -health administration:Institutes of hygiene Yugoslavia 16.7 8 850 5 500

Health statistics Yugoslavia 16.11 2 550 1 550

Social and occupational health:

Industrial hygiene Yugoslavia 16.12 2 550 1 550

Maternal and child health:Maternal and child health programme Yugoslavia 16.9 6 100 6 100

36 500 35 050

Inter -Country Tuberculosis:

Programmes Tuberculosis training course, Istanbul EURO 56 20 000 20 000

Other education and training projects:Anaesthesiology training centre, Copenhagen EURO 52 32 000

52 000 20 000

TOTAL 217 724 52 000 107 218 134 097

296 TECHNICAL ASSISTANCE: SUMMARY OF PROGRAMMES FOR 1955 AND 1956 BY PRIORITIES (continued)

Region /Country Project 1955 1956

I II I II


Cyprus Nursing:

US $ US $ US $ US $

School of Nursing, Nicosia Cyprus 1 6 022 7 834

Egypt Tuberculosis:

Demonstration and training centre Egypt 20 7 233 Endemo -epidemic diseases;

Bilharziasis control Egypt 10 17 202 13 189 Trachoma control Egypt 25 14 991 13 683

Public health administration:

Health demonstration area Egypt 5 126 591 131 502 Hospital administration Egypt 15 8 788

Nursing: Nursing adviser Egypt 24 7 235 7 737

Social and occupational health: Industrial health and occupational diseases Egypt 18 25 519 26 875

191 536 7 235 194 037 7 737

Ethiopia Malaria and insect control: Malaria control Ethiopia 17 26 606

Tuberculosis: Demonstration and training centre Ethiopia 6 49 117 48 050

Venereal diseases and treponematose s: Demonstration and training project Ethiopia 4 21 480 9 480

Public- health administration: Public -health adviser Ethiopia 3 5 498

Urban health unit Ethiopia 2 42 429 44 462

26 978 91 546 36 086 92 512

Iran Tuberculosis: Demonstration and training centre Iran 9 31 996 17 413

Venereal diseases and treponematoses: Demonstration and training centre Iran 4 24 950


Leprosy control Iran 19 9 000 Nursing:

Ashraf School of.Nursing, Teheran Iran 8 25 701 25 814

Maternal and child health:

Demonstration and training centre Iran 10 24 847 12 101 Nutrition:

Nutrition Institute Iran 7 34 106 34 937 Environmental sanitation:

Control of insect -borne diseases Iran 2 38 842

146 336 43 106 90 265

Iraq Tuberculosis: Demonstration and training centre Iraq 7 31 284 12 777


Bilharziasis control Iraq 15 35 783 22 812 Public -health administration:

Rural health centre Iraq 6 - 33 018

67 067 68 607

Israel Tuberculosis:

Demonstration and training centre Israel 11 9 810 Public -health administration:

Fellowships 6 000 Nursing:

Nursing adviser Israel 7 7 735 8 737 Environmental sanitation:

Sanitary engineering course, Haifa University Israel 19 8 885 7 429

26 430 6 000 16 166

Jordan, Hashemite Endemo -epidemic diseases: Kingdom Trachoma control Jordan 11 14 371

Public -health administration: Rural health unit Jordan 1 37 429 44 462

Nursing:

School of Nursing, Amman Jordan 2 9 384 8 886

Maternal and child health: Demonstration and training centre Jordan 3 19 656 15 245

29 040 37 429 38 502 44 462

TECHNICAL ASSISTANCE : SUMMARY OF PROGRAMMES FOR 1955 AND 1956 BY PRIORITIES (continued) 297

Region /Country project1955 1956

I II I II

US$ US$ US$ US$

EASTERN MEDITERRANEAN(continued)

Lebanon Tuberculosis:

Epidemiological survey Lebanon 16 8 000Endemo -epidemic diseases:

Trachoma survey Lebanon 18 3 900Public -health administration:Rural health centre Lebanon 4 47 742

Other education and training projects:Lecturer on preventive medicine, UniversitéSaint -Joseph Lebanon 12 3 900

8 000 3 900 51 642

Libya Nursing:

Nursing education Libya 3 6 623 12 948School of Nursing, Benghazi Libya 8 6 323 6 725

Other education and training projects:Training of auxiliary personnel Libya 7 17 046 15 450

29 992 35 123

Pakistan Tuberculosis:

Demonstration and training centre, Dacca Pakistan 12 14 680 15 434Demonstration and training centre, Karachi . Pakistan 2 3 750.

Venereal diseases and treponematoses:Demonstration centre, Chittagong Pakistan 16 36 606 43 137

Nursing:

School of Nursing, Dacca Pakistan 19 19 455 19 787Nursing adviser, Karachi Pakistan 21 7 407

Maternal and child health:Demonstration and training centre, Dacca Pakistan 10 30 171 12 275

75 463 36 606 47 496 43 137

Saudi Arabia Malaria and insect control:Demonstration centre Saudi Arabia 4 26 002 26 767

Venereal diseases and treponematoses:Demonstration and training centre Saudi Arabia 2 9 867 6 335


Settlement of nomads Saudi Arabia 10 8 050Environmental sanitation:

Sanitary engineering adviser Saudi Arabia 5 9 048

35 869 8 050 42 150

Somalia Malaria and insect control:Malaria survey Somalia 2 3 900

Venereal diseases and treponematoses:Venereal -disease survey Somalia 4 3 900

Environmental sanitation:Fellowships 3 500

7 800 3 500

Sudan Malaria and insect control:Demonstration centre Sudan 6 15 783 16 812


Bilharziasis demonstration centre 25 783

15 783 42 595

Syria Malaria and insect control:

Demonstration centre Syria 2 16 350Public -health administration:

Rural health unit Syria 16 31 606Nursing:

Nursing education, Damascus Syria 14 23 016 7 866Nursing education, Aleppo Syria 12 9 823

Other education and training projects:Food and drug analysis Syria 18 11 435

39 366 39 472 21 258

298 TECHNICAL ASSISTANCE : SUMMARY OF PROGRAMMES FOR 1955 AND 1956 BY PRIORITIES (continued)


I II I II

US $ US $ US $ US $

EASTERN MEDITERRANEAN(continued)

-

Yemen Malaria and insect control:Demonstration centre Yemen 4 40 394 26 925

Tuberculosis:

Tuberculosis survey Yemen 6 9 100

Endemo- epidemic diseases: -

Bilharziasis cóntrol Yemen 5 30 783 26 812

Other education and training projects:Fellowships (various) 5 200

40 394 39 883 32 125 26 812

Inter -Country Public -health administration:

Programmes Advisory services 30 453 37 504Nursing:

Regional Nursing College EMRO 5 53 925 48 920

Health education of the public:Fundamental Education Centre EMRO 7 19 214 18 493

103 592 104 917

TOTAL 849 668 273 755 850 517 235 918

WESTERN PACIFIC

Cambodia Malaria and insect control:Malaria control Cambodia 1 21 290 20 528

Maternal and child health:Demonstration and training centre Cambodia 4 25 321 31 426

Other education and training projects:Royal School of Medicine Cambodia 5 24 430 28 952

71 041 80 906

China Malaria and insect control:Malaria control China 7 32 798 33 659

Venereal diseases and treponematoses:Venereal -disease control China 1 10 500

Endemo-epidemic diseases:Trachoma control China 13 3 500

Nursing:

Training of nurses China 6 38 641 51 606

Maternal and child health:Demonstration and training centre China 3 13 501 28 330

94 940 1C 500 123 595 3 500

Fiji Nutrition:Fellowships 5 000

Hong Kong Maternal and child health:Demonstration and training project Hong Kong 4 17 628 9 500

Japan Tuberculosis:Fellowships Japan 15 3 500

Venereal diseases and treponematoses:Fellowships Japan 7 4 OCG

Maternal and child health:Fellowships (Care of premature infants) Japan 2 3 500

Environmental sanitation:Pilot project Japan 11 23 371 15 400

Environmental sanitation centre Japan 13 5 000

Water pollution Japan 16 8 500

Other education and training projects:Fellowships (Hospital statistics) Japan 8 3 500

Fellowships (Epidemiological statistics) Japan 8 3 500

Fellowships (various) Japan 8 7 000

Institute of Public Health Japan 10 4 900 4 400

Hospital administration Japan 17 6 300

28 271 46 600 18 000

TECHNICAL ASSISTANCE : SUMMARY OF PROGRAMMES FOR 1955 AND 1956 BY PRIORITIES (continued) 299

Region/Country Project1955 1956

L II I II

US $ US $ US $ U5 $

WESTERN PACIFIC

(continued)

Korea Tuberculosis:Fellowships Korea 2 14 000

Endemo-epidemic diseases:Communicable -disease control Korea 5 11 000

Other education and training projects:Therapeutic substances and insecticides Korea 5 18 048

14 000 29 048

Laos Venereal diseases and treponematoses:

Treponematosis control Laos 2 8 548 16 310


Fellowships Laos 4 5 000 5 000

Nursing:Fellowships Laos 3 2 500 2 500

13 548 2 500 21 310 2 500

Malaya Nursing:Training of nurses Malaya 1 24 027 8 000

North Borneo Malaria and insect control:Malaria pilot project North Borneo 5 15 783 16 812

Nursing:Training of nurses North Borneo 6 16 975

Environmental sanitation:Water supply and sewage disposal North Borneo 8 15 706 11 784'

48 464 28 596

Papua and New Malaria and insect control: Papua and NewGuinea Fellowships Guinea 4 3 250 3 450

Philippines Endemo- epidemic diseases:

Bilharziasis pilot project Philippines 9 24 636 39 858


Advisory services Philippines 32 8 548

Nursing:

Midwifery training Philippines 29 7 874 6 446

Maternal and child health:Fellowships Philippines 3 6 000

Other education and training projects:Medical education Philippines 47 6 000

University of the Philippines Philippines 12 26 660 22 074

Control of drugs and cosmetics Philippines 37 9 000

59 170 15 000 74 378. 8 548

Sarawak Malaria and insect control:Malaria pilot project Sarawak 5 16 131 26 245

Singapore Nursing:Training of nurses Singapore 3 19 166 24 885

Other education and training projects:Fellowships (Hospital records) Singapore 9 5 000

Fellowships (Quarantine services) 2 500

University of Malaya Singapore 2 - 24 646 9 338

43 812 36 723 5 000

Viet Nam Tuberculosis:

Tuberculosis control Viet Nam 7 8 840

Maternal and child health:Demonstration and training centre Viet Nam 3 8 900

8 900 8 840

300 TECHNICAL ASSISTANCE : SUMMARY OF PROGRAMMES FOR 1955 AND 1956 BY PRIORITIES (continued)

Region /Country Project

1955 1956

I II I II

ss $ Us s US t US s

WESTERN PACIFIC(continued)

Inter -Country Endemo- epidemic diseases:

Programmes Trachoma control WPRO 10 5 100 5 100

Public- health admini stratione

Advisory services 21 460 18 911

Nursing:

Nursing education seminar WPRO 1 33 000

Environmental sanitation:Training course WPRO 13 22 000

Other education and training projects:Training course in statistics WPRO 3 7 600

55 460 34 700 18 911 5 100

TOTAL 471 392 79 950 473 604 80 146

REGION UNDESIGNATED

Countries Health education of the public:Undesignated UNRWAPRNE 10 468 7 698

TOTAL 10 468 7 698

TOTAL - FIELD 3 271 294 841 767 3 159 621 899 574

Annex 4

SUPPLEMENTARY PROGRAMME WITH

COST ESTIMATES

SUPPLEMENTARY PROGRAMME WITH COST ESTIMATES

(to be implemented to the extent that funds are made available)

BASUTOLAND

1. Tuberculosis

AFRICA

Tuberculosis Control Basutoland 2The minimum requirements of project Basutoland 2 are

covered in the programme and budget estimates for 1956, butit is believed that the provision of a second medical officer anda second public -health nurse would contribute materiallyto the results expected from this project.

2. Nutrition

Nutrition Survey and Control Basutoland 1The addition of an assistant nutritionist to the team for

project Basutoland 1 would, it is believed, contribute materiallyto the results expected from this project. Provision coveringthe minimum requirements of this project has been includedin the programme and budget estimates for 1956.

FEDERATION OF RHODESIA AND NYASALAND


Public -Health Survey NOR 2A request has been made for a consultant to visit the country

for six months and advise on problems related to public -health administration.

2. Nursing

Nursing Instruction Nyasaland 3In 1953 a training school for midwives was opened in Zomba.

Supplies and equipment have been provided from severalsources, improving the material conditions of the school, butthe Government cannot provide a local midwife tutor. Theprovision by the Organization of a full -time nurse educatorwho should also have experience in public -health nursing,would enable the Government to use the existing facilities totrain local staff for teaching at the school, and thus ensure asupply of better -trained midwives for the country.

GAMBIA


Malaria Control Gambia 1The provision indicated would enable WHO to meet a

request for a team, composed of a medical officer, an ento-mologist, a sanitarian and a laboratory technician to assistin a malaria- control project which the Government is anxiousto implement.

2. Tuberculosis

Tuberculosis Control Gambia 5Pulmonary tuberculosis is becoming more common in

Gambia. In Bathurst it is one of the main health problems.Recently treatment of cases has been initiated and the responseis very promising ; the Government is seeking financialassistance from other sources for more drugs. However,preventive measures are also wanted : after tuberculin testing,a BCG vaccination campaign will be carried out, and, if theGovernment obtains the necessary assistance, the dispensariesof the preventive type are to be expanded. A request hastherefore been submitted for a team composed of a medicalofficer and a publichealth nurse.


(a) Leprosy Control Gambia 2The Government has requested the services of a medica

officer to conduct a country -wide leprosy survey and initiate aprogramme of treatment and control.

(b) Smallpox Control Gambia 6The services of a consultant on smallpox control have been

requested for two months.

(c) Trypanosomiasis Control Gambia 7The services of a consultant on trypanosomiasis control

have been requested for two months.

4. Nursing

Nurses' Training School Gambia 3The Government has requested the services of a nurse

educator to assist in the teaching at a training school fornurses in Bathurst.

5. Nutrition

Nutrition Survey and Control Gambia 4A request has been received for a nutritionist and an assistant

to conduct a survey of nutritional problems and initiate aprogramme of nutrition improvement.

KENYA

1. Tuberculosis

Tuberculosis Control Kenya 4In connexion with project Kenya 4, the Government has

requested a six -month fellowship.

2. Endemo -epidemic diseases

Billzarzia.sis Control Kenya 5Bilharziasis is one of the important endemo- epidemic

For cost estimates, see page 305. diseases prevailing in certain parts of East Africa. Much

- 303 -

304 SUPPLEMENTARY PROGRAMME WITH COST ESTIMATES

remains to be done in working out means of tackling it ona mass scale. Hence the request from Kenya for a highlyqualified specialist on a five -month assignment to assess thework already done, advise on methods of prevention, andpossibly initiate a campaign against the disease.


Occupational Health Kenya 8The Government has requested the services of a consultant

for four months to advise on problems of occupationalhealth.


Environmental Sanitation Survey Kenya 2The Medical Department of Kenya, in co- operation with

the Public Works and Town Planning Departments, hasworked out plans for experimental types of rural housing,using local material. Aqua privies and a new type of trenchlatrine are to be constructed. For this the assistance of aWHO expert is required for six months.

5. Other Education and Training ProjectsFellowships Kenya F1

A request has been received for three nine -month regionalfellowships in subjects to be notified later.

LIBERIA

1. Tuberculosis

Tuberculosis Control Liberia 8With a view to achieving optimum results, it is considered

that the staff for project Liberia 8 should comprise -in addi-tion to the public -health nurse already provided for -amedical officer, a laboratory technician and another public -health nurse.


Rural Health Centres Liberia 10A request has been received for assistance in establishing

three rural health centres, one in each of three regions of thecountry, and each to be started by a team consisting of onepublic- health administrator, one sanitary engineer, and onepublic -health nurse. It is estimated that the cost of staffwould be $83 784, and an amount of $3000 has been includedfor supplies and equipment. The aim is to establish a compre-hensive publichealth service integrated with curative services,the whole forming part of a more general scheme of communitydevelopment.

3. Other Education and Training ProjectsFellowships Liberia F2

A request has been received for six one -year regionalfellowships in subjects to be notified later.

SPANISH PROTECTORATE ZONE IN MOROCCO

1. Malaria and Insect ControlFellowships Mor. Span. F4

One six -month regional fellowship has been requested.

2. Tuberculosis

Fellowships Mor. Span. FlOne nine -month regional fellowship has been requested.

3. Venereal Diseases and TreponematosesFellowships Mor. Span. F2

A request has been received for two nine -month regionalfellowships in the subject of syphilis.


Fellowships Mor. Span F3 and F5The Government has requested one six -month regional

fellowship in rabies and one in eye diseases.

5. Other Education and Training ProjectsFellowships Mor. Span. F6

One six -month regional fellowship in anaesthesiologyhas been requested.

NIGERIA

1. Tuberculosis

Tuberculosis Control Nigeria 7It has been requested that the consultant provided for in

1955 under project Nigeria 7 be followed by a team composedof a medical officer, an x -ray technician and a public -healthnurse. The estimated cost is $24 375. The Government hasalso requested a nine -month fellowship ; this would cost$2500.


Fellowships Nigeria 10The Government is planning to obtain supplies and equip-

ment for medical installations and for rural health centresin the eastern part of Nigeria. The provision by WHO of afellowship would enable the Government to put the fellow, onhis return, in charge of the programme.

3. Nursing

Fellowships Nigeria F2A nine -month regional fellowship in public -health nursing

has been requested.


Fellowships Nigeria 8The Government is planning to procure supplies and equip-

ment for the maternal and child health services and fordomiciliary midwifery services. It has asked WHO for afellowship with a view to placing the fellow, on his return, incharge of the programme.


Sanitation and Water Supply Nigeria 11In some areas of Nigeria the water table is as much as 400

feet below the surface and water has to be carried many milesand stored in pots. It is believed that the provision of goodsources of potable water and comprehensive systems of distri-bution would greatly increase the potential for economicdevelopment by improving the general health of the population.The services of a consultant are required, to advise theGovernment on water supply systems.

6. Other Education and Training ProjectsAssistance to Schools of Hygiene Nigeria 9

At the four schools of hygiene in Nigeria -Kano (northernregion), Ibadan (western region), Aba (eastern region) andLagos (federal capital) -there is a need for improvement in

SUPPLEMENTARY PROGRAMME WITH COST ESTIMATES 305

teaching methods and in equipment. The Government hasasked WHO for two professors to advise the schools onorganization, curricula and teaching methods.


I. Malaria and Insect ControlFellowships Por. Ter. F19 and F25

A three -month fellowship has been requested for a studyvisit to Nigeria and Tanganyika, and a six -month fellowshipfor a study tour in Brazil.

2. Tuberculosis

Fellowships Por. Ter. F23 and F16The Government has requested one six -month fellowship

in tuberculosis control and one in thoracic surgery.


Fellowships Por. Ter. F15 and F24The Government has requested one six -month fellowship

for the study of bilharziasis control, and one eight -monthfellowship for the study of leprosy control in Bamako (FrenchWest Africa) and Brazil.

4. Public -Health AdministrationFellowships Por. Ter. F17 and F18

One four -month fellowship is requested in general public -health administration, and one six -month fellowship for thestudy of school health services.

5. NutritionFellowships

One six -month fellowship is requested.

6. Environmental SanitationFellowships

Por. Ter. F22

Por. Ter. F21The Government has asked for a one -year fellowship in

sanitary engineering.

7. Other Education and Training ProjectsFellowships Por. Ter. F20

The Government has asked for a fellowship to enable anurse to study blood transfusion.

SIERRA LEONE

Venereal Diseases and TreponematosesYaws Control Sierra Leone 1

Provision for a medical officer for this project is includedin the proposed programme and budget estimates for 1956.

The additional provision of a serologist would contributematerially to the achievement of optimum results.

TANGANYIKA

Nutrition

Nutrition Survey and Control, Buha Tanganyika 2It is believed that the provision of a physiologist for this

project -in addition to the nutritionist for whom provisionis included in the proposed programme and budget estimatesfor 1956 -would contribute materially to the results expectedfrom this project.

ZANZIBAR


Yaws and Syphilis Control Zanzibar 2The Government proposes a large -scale campaign against

yaws and syphilis, and WHO is asked to provide a medicalofficer, a laboratory technician and a public -health nurse. Themedical officer would be recruited first to make a generalsurvey and prepare the campaign.


Training of Auxiliary Medical Personnel Zanzibar 3The Government intends to initiate the training of rural

health workers, including sanitary inspectors, tuberculosishealth visitors, dispensary attendants, midwives and dispensers.Thirty sanitary inspectors will first be trained up to the standardof the Diploma of the Royal Sanitary Institute (East Africa) :for this purpose WHO is asked to provide a full -time tutor.Training of other categories of rural health worker will follow.The assistance will be of a type which will enable the Govern-ment to take over on its withdrawal.


Fellowships Zanzibar F3The Government has requested one nine -month fellowship

in a subject to be specified later.


Malaria and Insect Control

Fellowships (Antani project) East Africa 1Three nine -month fellowships are requested in connexion

with project East Africa 1.

COST ESTIMATES

Numberof

postsBasutoland

Tuberculosis

Cost estimatesUS $ US $

Numberof

postsFederation of Rhodesia and Nyasaland



2 Tuberculosis control Basutoland 2 18 981 18 981 Public -health survey NOR 2 7 800 7 800

Nutrition Nursing1 Nutrition survey and control Basutoland 1 10 908 10 908 1 Nursing instruction Nyasaland 3 8 591 8 591

3 TOTAL - BASUTOLAND 29 889 1 TOTAL - FEDERATION OF RHODESIA AND NYASALAND 16 391


Numberof

postsGambia


Malaria and Insect Control4 Malaria control Gambia 1 33 481 33 48I

Tuberculosis2 Tuberculosis control Gambia 5 18 397 18 397

Endemo- epidemic Diseases1 Leprosy control Gambia 2 10 116

Smallpox control Gambia 6 2 600Trypanosomiasis control Gambia 7 2 600 15 316

Nursing1 Nurses' training school Gambia 3 8 803 8 803

Nutrition2 Nutrition survey and control Gambia 4 17 397 17 397

10 TOTAL - GAMBIA 93 394

KenyaTuberculosis

Tuberculosis control Kenya 4 2 400 2 400

Endemo- epidemic DiseasesBilharziasis control Kenya S 6 500 6 500

Social and Occupational HealthOccupational health Kenya 8 5 200 5 200

Environmental SanitationEnvironmental sanitation survey . . Kenya 2 7 800 7 800

Other Education and Training ProjectsFellowships (various) Kenya Fl 7 500 7 500

29 400- TOTAL - KENYA

LiberiaTuberculosis

3 Tuberculosis control Liberia 8 25 194 25 194

Public- Health Administration9 Rural health centres Liberia 10 86 784 86 784

Other Education and Training ProjectsFellowships (various) Liberia F2 15 000 15 000

12 TOTAL - LIBERIA

Spanish Protectorate Zone in Morocco

126 978

Malaria and Insect ControlFellowships Mor. Span, F4 2 400 2 400

TuberculosisFellowships Mor. Span. Fl 2 500 2 500

Venereal Diseases and TreponematosesFellowships Mor. Span. F2

Endemo- epidemic DiseasesFellowships (Rabies) Mor. Span. F3 2 400Fellowships (Eye diseases)

Numberof

postsMaternal and Child Health

Fellowships

Cost estimatesUS$ US$

Nigeria 8 2 500 2 500

Environmental SanitationSanitation and water supply . Nigeria 11 5 200 5 200

Other Education and Training Projects2 Assistance to schools of hygiene . . Nigeria 9 20 030 20 030

5 TOTAL - NIGERIA 59 605

Portuguese Territories

Malaria and Insect ControlFellowships Por. Ter. F19 and F25 3 600 3 600

TuberculosisFellowships Por. Ter. F23 2 400Fellowships (Thoracic surgery) . Por. Ter. F16 2 400 4 800

Endemo- epidemic DiseasesFellowships (Bilharziasis) Por. Ter. F15 2 400Fellowships (Leprosy) Por. Ter. F24 2 500 4 900

Public -Health AdministrationFellowships Por. Ter. F17 1 600Fellowships (School health services) Por. Ter. F18 2 400 4 000

NutritionFellowships Por. Ter. F22 2 400 2 400

Environmental SanitationFellowships (Sanitary engineering) Por. Ter. F21 2 500 2 500

Other Education and Training ProjectsFellowships (Blood transfusion) . Por. Ter. F20 2 500 2 500

- TOTAL - PORTUGUESE TERRITORIES

i

1

Sierra Leone

24 700

Venereal Diseases and TreponematosesYaws control Sierra Leone 1 8 073 8 073

TOTAL - SIERRA LEONE 8 073

TanganyikaNutrition

1 Nutrition survey and control, Buha Tanganyika 2 9 915 9 915

1 TOTAL - TANGANYIKA 9 915

Zanzibar

5 000 5 000 Venereal Diseases and Treponematoses3 Yaws and syphilis control Zanzibar 2 27 054 27 054

Mor. Span. F5 2 400 4 800

Other Education and Training ProjectsFellowships (Anaesthesiology) . . Mor. Span. F6 2 400 2 400

- TOTAL - SPANISH PROTECTORATE ZONE IN MOROCCO

Nigeria

17 100

Tuberculosis3 Tuberculosis control Nigeria 7 26 875 26 875

Public- Health AdministrationFellowships (Medical installations) . . Nigeria 10 2 500 2 500

NursingFellowships Nigeria F2 2 500 2 500

Public -Health Administration1 Training of auxiliary medical personnel Zanzibar 3 9 595 9 595

Other Education and Training ProjectsFellowships (unspecified) Zanzibar F3 2 500 2 500

4 TOTAL - ZANZIBAR

Inter -Country Programmes

39 149

Malaria and Insect ControlFellowships (Amani project) . . . East Africa 1 7 500 7 500

- TOTAL - INTER -COUNTRY PROGRAMMES

37

7 500

TOTAL - AFRICA 462 094


BOLIVIA

Maternal and Child HealthChildren's Hospital, La Paz

THE AMERICAS 1

Bolivia 2This is a project for the organization of a children's hospital

which could be used as a training centre for social workers,paediatricians, paediatric nurses and other personnel. TheGovernment of Bolivia has taken responsibility for construct-ing the building, and the Organization has assisted in thepreparatory planning and in the training of key personnel.The Government has requested the services of a hospitaladministrator and a nurse supervisor to assist the nationalpersonnel in the first stage of operation ; the cost is estimatedat $18 755. The sum of $1800 is also required for equipmentand supplies.

CHILE

Endemo -epidemic Diseases

Communicable- Disease Control Chile 5To obtain maximum results from a general programme for

the control of communicable diseases in the province ofSantiago, the Government of Chile has asked for technicalassistance and some material help from the Organization.The plan of operations provides for close co- ordination withother health and welfare activities in the province, the fourteendistrict health authorities of which will be responsible for theimmunization, environmentalsanitation and health- educationaspects of the project. The Government has already madeprovision for the expenses of local personnel and the purchaseof equipment and supplies. The Organization is asked tofurnish an epidemiologist, at an estimated cost of $9828, aconsultant, at an estimated cost of $11 700, and equipmentand supplies not available locally to the value of $15 000.Three fellowships in communicable- disease control andenvironmental sanitation, at a cost of $12 000, would also berequired.

COLOMBIA

Environmental SanitationStudy of Water Supply, Medellín Colombia 14

The Government is engaged in a programme for the improve-ment of municipal water supplies throughout the country.The rapid increase of the population of Medellín, the mainindustrial centre of the country, in the last fifteen years hascreated numerous problems, including that of providing anadequate and safe water supply. The municipal authoritieshave made studies of the problem and are planning improve-ments in the system. The engineering staff of the RockefellerFoundation have been providing some technical assistancewhich has now been discontinued. The Organization has beenasked to provide the services of a waterworks expert for twoyears, a small amount of equipment to facilitate his work, anda fellowship to enable an engineer on the staff of the municipalwater -supply service to train abroad. The estimated costis $11 700 for the expert, $3000 for equipment, and $4000for the fellowship.

For cost estimates, see page 309.

CUBA


Reorganization of Local Health Services

There is an urgent need in Cuba for rural health services,but these must be supported by a strong central health depart-ment which will integrate the services already offered andexpand them. The Government has requested the servicesof an international team (a public -health officer, a public -health nurse and a public -health engineer) to plan a programmeof development of local health services after a survey of thehealth needs of the country. The cost is estimated at $33 264for the team, $3900 for a consultant, and $6000 for suppliesand equipment. A. fellowship in public -health nursing, atan estimated cost of $2500, is also required.

2. Nursing

(a) Nursing Education

It is proposed to carry out a three -year programme for thegradual modification of the present organization and admi-nistration of the School of Nursing in Havana, and at thesame time to modernize the curriculum to meet the needs ofthe country. Cuban nurses will be given travel grants andfellowships to study abroad the organization and adminis-tration of nursing schools. This project will be under theauspices of the National University of Cuba, with the co-operation of the Government and of the Organization. TheOrganization has been asked to provide two experts in nursingeducation, at an estimated cost of $18 868, supplies to thevalue of $1000, and two fellowships, at a cost of $8000.

(b) Seminar on NursingA seminar on nursing administration and supervision

is envisaged, the object of which would be to encourage arecognition among nurses of the need for preparation in thesesubjects and defining the problems encountered by nursingschools in training supervisors. During the seminar theteaching would be analysed, hospital and health units wouldbe observed from the standpoint of the nursing services, andan attempt would be made at a possible reorganization of thefield training of student nurses. The Organization would berequired to contribute a consultant on nursing education(estimated cost, $2600) and supplies to the value of $1000

ECUADOR


Veterinary Public Health Ecuador 9The Organization is asked to provide the services of a spe-

cialist, at a cost of $10 342, to help establish courses in veteri-nary public health at the schools of veterinary medicine inQuito, Guayaquil, Loja and Cuenca. Two fellowships totrain faculty members ($8000), and demonstration equipmentto the value of $3500 are also required. The programme isplanned to last two years.


HAITI


Local Health Services Haiti 2In Haiti there is an obvious need for rural health services,

and these will need the support of a central health structure.The basic local health services required at present are sani-tation, maternal and child health, communicable- diseasecontrol, public -health laboratory, and vital statistics.

This project will have various phases- organization ofservices, training of personnel, and consolidation of activities.The assistance requested of the Organization comprises theservices of two medical officers, a public -health engineer, astatistician, a publichealth nurse and a nurse -midwife, atan estimated cost of $59 346 ; supplies and equipment to thevalue of $4450 ; and four fellowships (in public -healthadministration, public -health nursing, public -health engineer-ing and statistics), at a cost of $16 000.

MEXICO


Border Health Project Mexico 7The Government of Mexico, with the assistance of the

Organization, is carrying out a venereal- disease -controlproject in Tijuana, and has asked that this activity should beextended to the entire United States and Mexico frontier. Toobtain a balanced health programme, a more general projectshould be instituted ; the improvement of environmentalsanitation, health education of the public, services to mothersand children, and the control of tuberculosis are also greatlyneeded. One of the objects of this programme will be to trainpersonnel and give technical advice to health units, so as tobuild up a local staff in each unit to carry on activities afterthe international personnel are withdrawn. The Organizationis asked to contribute the services of a medical officer, apublic- health nurse, a sanitary engineer and a health educator,at an estimated cost of $37 030, equipment and supplies tothe value of $10 000, and four fellowships (one in public -health engineering, two in public -health nursing, and one inpublic -health laboratory work), at a cost of $16 000.

2. Nursing

Assistance to Schools of Nursing Mexico 14As part of the Government's effort to improve nursing

education in Mexico, direct help to state schools is required.It is expected that an initial survey of needs will be completedat the beginning of 1956 and a modern teaching programmewill be established in some of the schools in the states, begin-ning probably with that in Chihuahua. The Organization isasked to provide two experts in nursing education, at anestimated cost of $17 202, four fellowships, at a cost of $16 000,and supplies and equipment to the value of $4000.

PERU


Veterinary Public -Health Services Peru 9Technical assistance has been requested in setting up a

service for the control of zoonoses, integrating its work withother activities, and training the necessary personnel. Thecost to WHO would be $10 188 for the services of a public-

health veterinarian, $4000 for a fellowship, and $3500 foressential equipment not available in the country.


Garbage Disposal Peru 17Within the field of environmental sanitation the Govern-

ment wishes to establish a programme for the improvementof garbage collection and disposal. It is planned to make acountry -wide study, beginning in Lima, to determine the mostsuitable and economical procedure under local conditions.Special consideration will be given to the possibility of usingthe composting method in places -such as some urbancentres -where climatic conditions are favourable and wherethere is a need for fertilizer for the nearby vegetable -growingarea. WHO is requested to provide the services of an expertfor six months, at an estimated cost of $7800, and two six -month fellowships ($6000) to enable two government techni-cians to study methods of garbage collection and disposalabroad.

VENEZUELA

1. Public -Health AdministrationVeterinary Public- Health Services Venezuela 3

During 1952, at the request of the Government, a surveywas carried out by the Organization with a view to makingrecommendations for a national veterinary public- healthservice which would be integrated with the other services ofthe Ministry of Health. This service is to be consultative innature, providing technical advice to the other divisions ofthe Ministry and helping local health services to train per-sonnel and plan programmes for the control of foods and ofthe diseases from animals Ministryof Health has approved the initiation of the programmerecommended. The Organization is requested to provide theservices of a technical adviser, at an estimated cost of $14481,one fellowship, at a cost of $4000, and equipment to the valueof $1000.

2. Environmental SanitationHousing Sanitation

The Government is at present developing an extensive planfor the construction of low -cost houses. The experienceobtained may well be of value for other tropical areas. Pro-vision of technical assistance to the Government, throughthe Ministry of Health, is envisaged for a study of the sanitationproblems connected with housing. For this it would benecessary for the Organization to provide the services of onesanitary engineer for two years. A fellowship is requiredto qualify a candidate to train Venezuelan sanitary engineersin the branch of public -health engineering which deals withhousing sanitation. The cost is estimated at $14 481 for theexpert, $9000 for equipment to facilitate his work, and $4000for the fellowship.


1. Venereal Diseases and TreponematosesSeminar on Venereal Diseases AMR() 66

It is thought desirable to hold a seminar of four to six weeksfor the discussion and teaching of modern techniques in thediagnosis and control of venereal disease, largely drawing onthe experience obtained in the venereal- disease campaign in


Paraguay. The estimated cost of WHO's contribution wouldbe $3900 for short -term consultants and $16 000 for partici-pation by representatives of the southern countries of SouthAmerica.


Brucellosis Training Course AMRO 26Courses were held in Chile (1952) and Mexico (1954) to

help the various national laboratories adopt standard diagnos-tic techniques for brucellosis. It is thought that another suchcourse might usefully be held and for this it would be necessaryto provide a short -term consultant (estimated cost, $3900),supplies and equipment to the value of $2065, and the expensesof twenty participants and incidental costs (estimated at$9405). The course would begin a second series, designed totrain staff in the field aspects of the control of the disease andin vaccine production.

3. Nursing

Assistance to Schools of Nursing AMRO 63Nursing schools not receiving assistance under individual

projects require help in the form of advice on curricula andthe provision of short -term consultants, fellowships to keyinstructors, teaching equipment and material. The durationof such a project cannot be anticipated, but it is expected thatassistance would be provided on an ad hoc basis and co-ordinated with the activities of other international agencies.It is estimated that the cost would be $7800 for short -termconsultants' fees and travel, $2000 for supplies and equipment,and $5000 for two fellowships.


(a) Fluoridation of Water AMRO 50Fluoridation of public water supplies has become recognized

as an effective and economical method of reducing dentaldecay. So far this process has been used almost exclusivelyin the United States of America, but other countries in theRegion are interested in making use of it. Information islacking in most countries on the concentration of fluorine innatural waters and laboratories are not equipped at presentto obtain this information. It would therefore be desirable to

assist countries in studying this matter and in establishing thefluoridation process in a few suitable places. These can serveas demonstrations to other communities in neighbouringareas. The assistance required would consist of : a consultant,at an estimated cost of $15 600 ; the sum of $2000 for purchas-ing a limited amount of laboratory supplies and equipment,defraying the cost of transport of water samples for fluorineanalysis, and providing a limited amount of fluoridationequipment ; and three travel grants of $2100 each for one -month visits to the demonstration installations.

(b) Housing Sanitation AMRO 62The Pan American Union, in collaboration with the National

University of Colombia and the Instituto de Crédito Terri-tonal, has founded the Inter -American Housing Center inBogotá, Colombia. This centre provides training for all theAmerican countries in various aspects of housing. It isplanned within the programme of the centre to give adequateattention to sanitation, and assistance has been requestedfrom the Organization. During 1955, the assistance whichwas provided by the engineering consultant of the LimaZone Office in the two previous years will be continued. Aconsultant in sanitary engineering for three months is nowrequested.


Seminar on Teaching of Public Health in Schoolsof Veterinary Medicine AMRO 48Hitherto, the academic training of veterinarians has con-

tained little or no specific study of public -health subjects.Various schools have indicated a desire to include public -health teaching in the undergraduate curriculum. A two -week seminar, to be attended by deans of schools of veterinarymedicine, for the purpose of discussing ways and means ofincorporating the new teaching in curricula, and with a viewto establishing a reasonable amount of standardization of thecourses, is envisaged. The cost of WHO's contribution isestimated at $1950 for two consultants to act as discussionleaders (one of whom will undertake the preliminary organi-zation of working parties and other preparatory work),$17 500 for the expenses of participants, and $500 for suppliesand equipment.

COST ESTIMATES

Numberof

postsBolivia

Maternal and Child Health


2 Children's Hospital, La Paz Bolivia 2 20 555 20 555

2 TOTAL - BOLIVIA 20 555

ChileEndemo- epidemic Diseases

1 Communicable -disease control Chile 5 48 528 48 528

1 TOTAL - CHILE 48 528

ColombiaEnvironmental Sanitation

1 Study of water supply, Medellin . Colombia 14 18 700 18 700

l TOTAL - COLOMBIA 18 700

Numberof

posts

Cuba


Public -Health Administration3 Reorganization of local health services 45 664 45 664

Nursing2 Nursing education 27 868

Seminar on nursing 3 600 31 468

5 TOTAL - CUBA 77 132

Ecuador

Other Education and Training Projects1 Veterinary public health Ecuador 9 21 842 21 842

1 TOTAL - ECUADOR 21 842


Numberof

postsHaiti


Cost estimatesUSS USS

Numberof

postsVenezuela

Public -Health Administrationl Veterinary public -health services . Venezuela 3


19 481 19 4816 Local health services Haiti 2 79 796 79 796

Environmental Sanitation6 TOTAL - HAITI 79 796 1 Housing sanitation 27 481 27 481

2 TOTAL - VENEZUELA 46 962

MexicoInter -Country Programmes

Public- Health Administration4 Border health project Mexico 7 63 030 63 030

Venereal Diseases and TreponematosesSeminar on venereal diseases . . . AMRO 66 19 900 19 900

Nursing Endemo- epidemic Diseases2 Assistance to schools of nursing . . . Mexico 14 37 202 37 202 Brucellosis training course AMRO 26 15 370 15 370

6 TOTAL - MEXICO 100 232 NursingAssistance to schools of nursing . . AMRO 63 14 800 14 800

Environmental SanitationPeru Fluoridation of water AMRO 50 19 700

Housing sanitation AMRO 62 3 900 23 600Public- Health Administration

1 Veterinary public -health services Peru 9 17 688 17 688 Other Education and Training ProjectsSeminar on teaching of public health

Environmental Sanitation in schools of veterinary medicine . . AMRO 48 19 950 19 950

Garbage disposal Peru 17 13 800 13 800 TOTAL - INTER-COUNTRY PROGRAMMES 93 620

I TOTAL - PERU 31 488 25 TOTAL - AMERICAS 538 855

SOUTH -EAST ASIA

BURMA

1. Public- Health AdministrationDental Health

The Government is planning to organize a school of den-tistry to be attached to the Medical College, Rangoon, andhas requested the services of a teacher. A specialist in dentalhealth (estimated cost $11 263) and a small amount ($100)for supplies and equipment is required.

2. NutritionFellowships Burma 26

In addition to the provision in the budget estimates, atwelve -month regional fellowship for a national counterparthas been requested.

CEYLON

Endemo -epidemic DiseasesFellowships

In connexion with the assistance to the Health Directorateprovided for in the budget estimates, an international fellow-ship of twelve months' duration is required to enable a Cey-lonese epidemiologist to study methods of communicable -disease control.

INDIA1. TuberculosisFellowships

Three international fellowships of twelve months each arerequired to assist state governments in training assistantdirectors in their health departments in tuberculosis control.

For cost estimates, see page 312.


Dental HealthThe Government has under consideration programmes for

strengthening dental health services in the country, and foran inquiry into present methods and practices in the teachingof dental science. The services of a dental health consultantfor six months (estimated cost $7800), to make recommenda-tions for a dental health service and for the improvement ofdental education, are required. Four international fellowships,each of six months' duration, at an estimated total cost of$10 000, would also be needed.


(a) Hyderabad Project(Maternal and Child Health /Nursing) India 49

In addition to the provision made for this project in thebudget estimates, three international fellowships in nursingeducation for one academic year are required.

(b) Bihar Project(Maternal and Child Health /Nursing) India 56

In addition to the provision made for this project in thebudget estimates, four international fellowships are requiredone fellowship for the academic year in public health (spe-cializing in maternal and child health) for a medical officer ;one, for six months, in paediatrics ; and two, each for theacademic year, in nursing education.

SUPPLEMENTARY PROGRAMME WITH COST. ESTIMATES 311

(c) Uttar Pradesh Project (Maternal andChild Health /Nursing) India 57

In addition to the provision made for this project in thebudget estimates, two fellowships are required, one in paedia-trics and paediatric teaching and one in nursing administration,for a medical officer (qualified in paediatrics) and a nurserespectively.

(d) Travancore- Cochin Project (Maternal andChild Health /Nursing) India 62

In addition to the provision made for this project in thebudget estimates, two international fellowships for nursesare required, one in supervision and administration, and theother in midwifery teaching.

(e) Mysore Project (Maternal andChild Health /Nursing) India 76

In addition to the provision made for this project in thebudget estimates, an international fellowship in nursingeducation is required.

(f) Bombay Project (Maternal and Child Health /Nursing)In addition to the provision made for this project in the

budget estimates, an international fellowship for a medicalofficer (specializing in maternal and child health) has beenrequested.

(g) Assam Project (Maternal and Child Health /Nursing)The budget estimates provide for a project in Saurashtra

-one of the two additional state -wide maternal and childhealth programmes requested by the Government for 1956.For the second project (Assam) a maternal and child healthand three nurses, at an estimated cost of $34 579, with a smallamount ($100) for supplies and equipment, is required. It isexpected that the bulk of the equipment and supplies for thisproject will be obtained from extra -budgetary sources.

4. Mental HealthAll -India Institute of Mental Health, Bangalore India 13

Additional to the provision made for this project in thebudget estimates, two international fellowships, each fortwelve months, are required.

5. Other Education and Training Projects(a) Physiotherapy School, Bombay India 41

In continuation of the project shown in the programme andbudget estimates for 1955, an international fellowship of sixmonths is required for the instructor at the above school ofphysiotherapy.

(b) Department of Social and Preventive MedicineAs part of the first five -year plan for the improvement of

medical education in the country, the Government has decidedto help five medical colleges to establish departments of socialand preventive medicine. No suitable professors in thisspeciality are at present available in India and the services offive professors of social medicine (estimated cost, $53 855)are therefore required, together with five international fellow-ships, each of twelve months' duration, at an estimated totalcost of $17 500. A small amount ($100) would be includedfor supplies and equipment.

INDONESIA

1. Public -Health Administration(a) Sanitation in and around Ports and Airports

Following the recommendations made by a WHO consul-tant, the services of a sanitarian (estimated cost $7789)and fellowships ($5060) have been requested. A small amount($100) would also be required for supplies and equipment.

(b) Fellowships (Dental Health)It is intended that the dental consultant provided for under

Inter -Country Programmes in the budget estimates shouldvisit Indonesia to help develop a dental health programme.In this connexion two international fellowships in publichealth and preventive dentistry are required, each for twelvemonths.

2. Nursing

Post- graduate School of Nursing, Bandung Indonesia 15In addition to the provision made in the budget estimates,

an international fellowship for the academic year for a nurseeducator is required.

3. Other Education and Training ProjectsFellowships

An international fellowship for twelve months in hospitaladministration has been requested.

NEPAL

Public -Health AdministrationVital and Health Statistics

The services of a consultant in vital and health statisticsare required, for four to six months ; he would introduce anelementary system of vital and health statistics.

PORTUGUESE INDIATuberculosis

Demonstration and Training CentreA medical officer, a laboratory technician and a public -

health nurse (estimated cost $27 054) have been requestedfor a demonstration and training centre for tuberculosiscontrol, a small amount ($100) being foreseen for suppliesand equipment. It is expected that the Government wouldprovide the bulk of the supplies and equipment required forthe project.

THAILAND

Public -Health Administration(a) Fellowships (Dental Health)

The short -term consultant in dental health whose servicesare provided for in the budget estimates under Inter -CountryProgrammes is expected to visit Thailand in 1956 in connexionwith the country's dental health programme. In addition,an international fellowship in dental health for six months isrequired.

(b) Assistance to School of Public Health, BangkokIn order to assist the Government in intensifying teaching

and training activities, a specialist in public health for theSchool of Public Health, Bangkok (estimated cost, $10 744)is required. An international fellowship of six months insocial medicine ($2470) and supplies ($100) would also benecessary.


Numberof

postsBurma

COST ESTIMATES


Public- Health Administration1 Dental health 11 363 I 1 363

NutritionFellowships Burma 26 2 850 2 850

1 TOTAL - BURMA 14 213

CeylonEndemo- epidemic Diseases

Fellowships (Communicable- disease control) . . , 3 600 3 600

- TOTAL - CEYLON 3 600

IndiaTuberculosis

Fellowships (Strengthening of state health depart-ments in tuberculosis control) 13 500 13 500

Puvlic- Health AdministrationDental health 17 800 17 800

Maternal and Child HealthHyderabad project (Maternal and child health/

Nursing) India 49Bihar project (Maternal and child health /Nursing)

India 56Uttar Pradesh project (Maternal and child health/

Nursing) India 57Travancore -Cochin project (Maternal and child

health /Nursing) India 62Mysore project (Maternal and child health/

Nursing) India 76Bombay project (Maternal and child health/

Nursing)4 Assam project (Maternal and child health /Nursing)

Mental HealthAll -India Institute of Mental Health, Bangalore

India 13

AUSTRIA

12 600

13 640

7 700

7 700

4 200

3 50034 679

Numberof

postsCost estimatesUS $ US $

Other Education and Training ProjectsPhysiotherapy School, Bombay . India 41 2 300

5 Department of Social and Preventive Medicine . 71 455 73 755

9 TOTAL - INDIA 196 474

IndonesiaPublic -Health Administration

1 Sanitation in and around ports and airports . . 12 949Fellowships (Dental health) 7 400 20 349

NursingPost -graduate School of Nursing, Bandung

Indonesia 15 3 700 3 700

Other Education and Training ProjectsFellowships (Hospital administration) 3 700 3 700

I TOTAL - INDONESIA 27 749

Nepal

Public- Health AdministrationVital and health statistics 7 800 7 800

TOTAL - NEPAL 7 800

Portuguese IndiaTuberculosis

3 Demonstration and training centre 27 154 27 154

3 TOTAL - PORTUGUESE INDIA 27 154

Thailand

Public -Health AdministrationFellowships (Dental health) .

84 019 1 Assistance to School of Public Health, Bangkok . 13 314 15 8142 500

1 TOTAL - THAILAND

7 400 7 400 15 TOTAL - SOUTH -EAST ASIA

EUROPE 1

1. TuberculosisTuberculosis Control

The Government has requested further assistance in thisfield, comprising the services of a short -term consultant inthe laboratory aspects of tuberculosis control (estimated cost$1300) and a fellowship for the study of the same subject($1550).

2. Endemo- epidemic DiseasesFellowships

Two fellowships are required for the study of the public -health laboratory aspects of the control of enteric diseases.3. Maternal and Child HealthFellowships

As a continuation of work initiated in 1953 and 1954 theGovernment has requested two fellowships, one six -monthand one three -month, for the study of maternal and childhealth services in Europe.

1 For cost estimates, see page 315.


15 814

292 804

Fellowships

To continue assistance in this field, one six -month fellow-ship is required for training in sanitary engineering in Europe.


Assistance to Training InstitutionsFurther assistance has been requested in strengthening

post -graduate training in public health ; it would comprisethe services of a consultant or visiting lecturer for one month(estimated cost $1300) and a fellowship of three months'duration ($1000).

FINLAND1. Tuberculosis

Fellowships

In continuation of assistance to a special demonstrationand training area, a six -month fellowship is requested.


2. Public -Health AdministrationFellowships

As a continuation of assistance provided in the past, twofellowships, for one year and six months respectively, havebeen requested.

3. Nursing

FellowshipsAs a continuation of a project initiated in 1954, a six -month

fellowship has been requested.

4. Maternal and Child HealthFellowships

In continuation of work initiated jointly with UNICEFfor the strengthening of maternal and child health services,a six -month fellowship for study in Europe is requested.

5. Environmental SanitationFellowships

To continue assistance provided in the past in developingnational training facilities, one six -month fellowship is requiredfor a candidate in a teaching position.


To assist in the development of national training institutions,two three -month fellowships have been requested for theteaching staff.

GREECE


Communicable DiseasesAs various communicable diseases remain a problem,

continued assistance, particularly in extending public -healthlaboratory services, is required. It would take the form of ashort -term consultant (estimated cost $1300) and two fellow-ships of six months' and three months' duration respectively($2650).


Public- Health ServicesTo continue a programme initiated in 1953 and 1954,

the services of a consultant in public -health administration(estimated cost $2600) and fellowships ($8000) are required.


Assistance to Training InstitutionsContinued assistance in post -graduate training in public

health, including planned expansion of training facilities inoccupational health, is requested ; it would comprise a short -term consultant ($2600), a fellowship of three months' duration($1550), and teaching equipment and supplies ($950).

MOROCCO (FRENCH ZONE)

Other Education and Training ProjectsAssistance to Training Institutions

In order to assist in the development of post -graduatetraining in an institute to be selected, the services of a short-

term consultant (estimated cost $1300) and a fellowship fora member of the teaching staff ($1550) are required.

NORWAY


Assistance to Training InstitutionsFurther assistance has been requested for the Medical

Faculty of Bergen or other appropriate training centres.This assistance would be in the form of short -term fellowships,at an estimated cost of $2250, and teaching supplies and equip-ment ($250).

PORTUGAL


Assistance to Training InstitutionsPost -graduate training facilities are being expanded in

Portugal. Courses for sanitary engineers have been held andit is proposed to hold others ; in addition, planning has beenproceeding for some time on the expansion of maternal andchild health services in which UNICEF is understood tohave expressed interest. Fellowships for the teaching staff($3000) and some teaching supplies and equipment ($500) arerequired.

SPAIN


Assistance to Training InstitutionsFurther assistance is requested for a school of public health

or similar institution for post -graduate training, in the formof short -term fellowships at an estimated cost of $2200 andteaching supplies and equipment in an amount of $300.

TURKEY


Epidemiological Survey and FellowshipsAs a continuation of a programme initiated in 1953, two

fellowships of six months and two of three months, at anestimated cost of $5500, are required, as well as a short -termconsultant (estimated cost $3900) to assist the Governmentin an epidemiological survey of endemo- epidemic diseases.


Public -Health ServicesTo follow up the work done by a public -health officer and a

public -health engineer appointed earlier, the Government hasrequested a short -term consultant for one month (estimatedcost $1300) and two twelve -month fellowships for basicpost -graduate training in public health ($5600).

YUGOSLAVIA

1. Mental Health

Organization of Mental Health ServicesIt has not yet been possible to follow up the earlier visit

of a WHO consultant on the reorganization of mental -healthservices in the country. It is now proposed, however, topursue selected aspects of mental health, for example, child


guidance work, or mentalhealth problems in an expandingindustry. Eight consultant months ($8000) and four three -month fellowships ($3500) are required.

2. Environmental SanitationInstitute of Hygiene

Following the visit of a consultant in 1952, a further short -term consultant (estimated cost $1300), fellowships ($4650),and some teaching equipment ($1000) have been requested.

3. Other Education and Training ProjectsAssistance to Training Institutions

In continuation of a general programme of co- operationwith medical educational institutions, including faculties ofmedicine, a consultant (estimated cost $ 1 300), short -termfellowships for the staff ($3750), and teaching supplies andequipment ($450) are requested.



(a) Training Course on Treatment of PoliomyelitisA two -month training course, similar to that provided for

in 1955, on the management of patients with bulbar paralysisis envisaged. This would entail the provision of lecturers (esti-mated cost, $1300). The estimated cost of attendance oftwenty fellows is $9500. Temporary staff ($850) and supplies($350) would also be needed.

(b) Study Group on Public- Health Laboratory ServicesTo determine how to get the best use from the expanding

services being provided by publichealth laboratories, a smallstudy group of twelve participants, to meet for one week, isrequired. The Organization would need to provide fortemporary staff ($850), participants' expenses ($4100), andsupplies and equipment ($1500).

(c) Meeting of Port and Airport Medical OfficersA meeting is envisaged to enable port and airport medical

officers who have to deal with the practical problems arisingout of the application of the International Sanitary Regulationsin Europe to exchange experiences. The meeting would lastfor a week and would be attended by twenty such officers.

2. Public -Health Administration(a) Conference on Statistical Methods

A point has been reached in a number of countries inEurope where it appears opportune to attempt to securegreater uniformity of statistical methods in selected fields.To this end a regional conference is envisaged, to be attendedby about twenty participants (estimated cost $7500) and fivediscussion- leaders (estimated cost $2450). Temporary staff($2750) and supplies and equipment ($500) would also beneeded.

(b) Seminar on Dental HealthRegional activities in dental health have been long delayed

because of the competing demands of other health problems.An appropriate beginning might be made by discussingselected topics in dental health -for example, the preventionof caries -at a seminar of about one week's duration, attended

by twenty -five participants (estimated cost $8500) and threediscussion -leaders (estimated cost $5200). Temporary staff($2400) and supplies and equipment ($2000) would also berequired.

(c) Symposium on Unification of Health Regulations in EuropeThere is an evident desire to achieve a greater unification

of health regulations in Europe as a step towards facilitatingcloser co- operation in public health. The problems involvedwould seem to be considerable, but they appear not to havebeen assessed previously in any great detail except betweencertain groups of countries in the Region. Without prejudiceto action which might subsequently be found to be practical,and primarily for the purpose of measuring the problem,a symposium on certain health regulations -for example,food sanitation or drugs -is envisaged. The symposiumwould last for a week and be attended by twenty -five parti-cipants (estimated cost $8500) and three discussionleaders(estimated cost $3750). Temporary staff ($2400) and suppliesand equipment ($500) would also be required.


(a) Training Course on Physically Handicapped AdultsIt has not yet been possible to repeat the training course

organized in Scandinavia jointly with the United Nationsin 1952. Since there is a considerable need for further trainingfacilities in this field, a course of two months' duration to beattended by twenty participants (estimated cost $13 000) isenvisaged. Short -term lecturers ($2800), temporary staff($1200), and supplies and equipment ($500) would also beneeded.

(b) Study Group on Human Factor in Traffic AccidentsThe Economic Commission for Europe has already sought

the assistance of WHO in this subject, particularly with refe-rence to the medical examination of drivers. The importanceof the human factor is fully recognized, but additional studyis clearly required and could appropriately be initiated inEurope. A small group of twelve with particular experiencein the medical problems associated with prevention of trafficaccidents might therefore be convened. In addition to theprovision for participants ($4000), a short -term consultant($2600), temporary staff (750), and supplies and equipment($1250) would be required.

(c) Study of Occupational Health in EuropeThe two seminars held in 1952 and in 1953 outlined some

of the more important problems arising from industrialexpansion in Europe and also produced some interestingalthough incomplete information on present trends in occu-pational health. This kind of information is not readilyavailable from other sources. Since it would be valuable tocomplete the study, the appointment of a consultant for aperiod of four months, at an estimated cost of $4600, is

required. Supplies and equipment ($1000) and temporarystaff ($750) would also be needed.

(d) Public- Health Aspects of Chronic DiseasesThe role and responsibilities of public -health services with

regard to some of the chronic killing and disabling diseasesrequire early study. Following the regional activity planned for


1955 in connexion with the cardiovascular diseases, the studyshould be extended to other diseases, e.g., cancer, and forthis purpose a consultant for six months is required.

4. Health Education of the PublicConference on Health Education

The first regional conference on health education took placein 1953. A follow -up conference is contemplated, on a selectedtopic, such as the training of personnel for health educationwork. Participants (estimated cost $10 500), short -termlecturers ($3900), supplies and equipment ($1000), and tem-porary staff ($1800) would have to be provided for.

5. Mental Health

(a) Training Course for Personnel of Alcoholics TreatmentCentres

The two seminars on alcoholism held in Copenhagen(1951) and in Noordwijk (1954) have stressed the importanceof specialized training for the staff of treatment centres.A training course of one month's duration, to be attended bytwenty fellows, is therefore envisaged. The estimates cover, inaddition to the fellowships ($8000), short -term lecturers($1400), supplies and equipment ($500), and temporary staff($1600).

(b) Conference on Human Relations in IndustryDuring the two seminars on occupational health one of

the most important problems which emerged was that ofindustrial psychiatry. This subject, which is of interest alsoto the International Labour Organisation, needs separateattention. A regional conference for about one week isenvisaged and the provision indicated would cover fivediscussion -leaders (estimated cost $4550) and twenty -fiveparticipants ($8500), together with temporary staff ($2000)and supplies and equipment ($1750).


(a) Fellowships

Facilities are now available in Europe for academic training(ten months) for sanitary engineers, and this will meet a greatneed. The provision of six fellowships is envisaged.

(b) Symposium of Chiefs of Blood - Transfusion LaboratoriesA symposium is contemplated for the purpose of reviewing

laboratory control aspects of blood -transfusion services andattempting to secure greater uniformity. It would last tendays and be attended by four discussionleaders and thirtyparticipants. The estimates cover, in addition to thediscussion -leaders ($1960) and participants ($11 000), suppliesand equipment ($2000) and temporary staff ($2800).


(a) Seminar on Medical LibrarianshipA seminar, designed primarily to meet the needs of European

medical libraries in strengthening and co- ordinating medical -library collections, is envisaged. The theme of the seminarwould be the organization of central medical libraries. Theestimates cover participants from European countries ($8100),short -term lecturers ($3900), temporary staff ($2500), andsupplies and equipment ($1500).

(b) Training in AntibioticsThe assumption by the United Nations Technical Assistance

Administration of responsibility for problems relating to theproduction of antibiotics leaves considerable areas of re-sponsibility to WHO in scientific aspects of the origin, beha-viour and use of the range of antibiotics which are nowavailable. It appears important to preserve the basic trainingfacilities in these aspects of antibiotics and for this purposethree fellowships are required.

COST ESTIMATES

AustriaTuberculosis


Tuberculosis control 2 850 2 850

Endemo -epidemic DiseasesFellowships 1 550 1 550

Maternal and Child HealthFellowships (Study of child health services in Europe) 2 850 2 850

Environmental SanitationFellowships (Sanitary engineering) 1 550 1 550

Other Education and Training ProjectsAssistance to training institutions 2 300 2 300

TOTAL - AUSTRIA 11 100

FinlandTuberculosis

Fellowships 1 550 1550

Public -Health AdministrationFellowships 4 650 4 650

NursingFellowships 1 550 1 550

Maternal and Child HealthFellowships 1 550 1 550



Fellowships 1 550 1 550

Other Education and Training ProjectsFellowships (Assistance to training institutions) . . . 2 000 2 000

TOTAL - FINLAND 12 850

GreeceEndemo- epidemic Diseases

Communicable diseases 3 950 3 950

Public - Health AdministrationPublic -health services 10 600 10 600


TOTAL GREECE 19 650

Morocco (French Zone)


TOTAL - MOROCCO (FRENCH ZONE) 2 850


NorwayOther Education and Training Projects


Inter -Country Programmes

Cost estimatesUS $ Us $

Assistance to training institutions 2 500 2 500 Endemo- epidemic DiseasesTraining course on treatment of poliomyelitis 12 000

2 500TOTAL - NORWAY Study group on public -health laboratory services . 6 450Meeting of port and airport medical officers 8 000 26 450

Portugal

Other Education and Training Projects Public -Health AdministrationAssistance to training institutions 3 500 3 500 Conference on statistical methods 13 200

Seminar on dental health 18 100TOTAL - PORTUGAL 3 500 Symposium on unification of health regulations in Europe 15 150 46 450

Spain Social and Occupational Health


Training course on physically handicapped adultsStudy group on human factor in traffic accidents .Study of occupational health in Europe

1786

500600350

Public -health aspects of chronic diseases 6 000 38 450TOTAL - SPAIN 2 500

Health Education of the PublicTurkey

Endemo- epidemic Diseases Conference on health education 17 200 17 200Epidemiological survey and fellowships 9 400 9 400

Mental HealthPublic- Health Administration Training course for personnel of alcoholics treatment

Public -health services 6 900 6 900 centres 11 500Conference on human relations in industry 16 800 28 300

16 300TOTAL - TURKEY

Environmental SanitationYugoslavia Fellowships (Training course for sanitary engineers) . 12 900Mental Health .

Symposium of chiefs of blood- transfusion laboratories 17 760 30 660Organization of mental health services 1 1 500 1 1 500

Environmental Sanitation Other Education and Training ProjectsInstitute of Hygiene 6 950 6 950 Seminar on medical librarianship 16 000

Training in antibiotics 10 950 26 950Other Education and Training Projects

214 460Assistance to training institutions 5 500 5 500 TOTAL - INTER -COUNTRY PROGRAMMES

TOTAL - YUGOSLAVIA 23 950 TOTAL - EUROPE 309 660


EGYPT


Cancer Statistics Egypt 26To implement a request made by the Government in 1952,

the services of an expert in cancer statistics are requiredfor assistance in sample surveys and in developing a system ofstatistical records, and for general assistance to the Govern-ment in all matters relating to cancer statistics. The estimatedcost is $10 685, plus $1000 for supplies and equipment.


Premature Infant Unit Egypt 30Although reliable statistics are not available, it is known

that, owing to several complex factors, prematurity is veryprevalent in Egypt. The Government has asked the assistanceof WHO in establishing at one of the university hospitals apremature- infant unit which could be used for demonstratingmodern methods of care and for training specialized staff.To meet this request a medical officer and a nurse specializedin this field (estimated cost $18 410) would be required,together with supplies and equipment to the value of $10 000.



The amount indicated is required to meet requests forfellowships in various fields of public health which cannotbe met within the necessarily limited provision alreadyincluded in the proposed programme and budget estimatesfor 1956.

ETHIOPIA

Other Education and Training ProjectsFellowships (long-term)

The Government has requested a long -term fellowship forundergraduate medical studies. It has not been possible tomake provision for this in the proposed programme andbudget estimates for 1956.

IRAN


Trachoma Control Iran 25The report of the WHO consultant who surveyed a large

part of Iran in 1953 indicates that about 55 per cent. of thepopulation show signs of trachoma, and that about half


of these have reached the scar stage. About four millionpersons need treatment. A team consisting of a medicalofficer and a nurse is therefore required in the southern partof the country, where trachoma is prevalent, to undertake aprogramme of topical application of antibiotics in school-children, due attention being paid to other aspects of trachomacontrol, namely environmental sanitation and health education.Three fellowships for the study of general ophthalmology andtrachoma control at Calioub, Egypt, are also required. Theestimated cost is $18 951 for the team and $2700 for the fellow-ships.

2. Social and Occupational HealthIndustrial Health and Occupational Diseases Iran 30

Following the report of a consultant jointly provided byILO and WHO, the Government desires assistance in organiz-ing consultative, laboratory- service and personnel- trainingfacilities in the fields of industrial hygiene and occupationaldisease control. This is important because industrializationis recent in Iran and the resultant problems are often stillto be met. An expert in industrial medical administrationis required to plan and organize a project for the demonstrationof modern industrial -hygiene techniques, in co- operationwith the Government and other organizations. The amountindicated would cover the cost of the expert ($10 893),plus $3000 for supplies and equipment.

3. Other Education and Training Projects(a) Fellowships

In order to meet requests for fellowships in various fieldsof public -health administration for which it has not beenpossible to make provision in the proposed programme andbudget estimates for 1956, the additional amount indicatedis required.

(a) Assistance to Medical Schools Iran 18There are three provincial medical schools in the country

and all are short of professors, particularly in the field ofpre -clinical studies. As the country is badly in need of doctorsit is important that medical schools already established shouldnot be discontinued for lack of teaching staff. The provisionof three professors is required to cover the period of emergency.The cost is estimated at $31 479, plus $9000 for teachingsupplies.

ISRAEL

Other Education and Training ProjectsFellowships

It has not been possible to make sufficient provision in theproposed programme and budget estimates for 1956 to meetthe request of the Government for fellowships in variousfields ; the amount indicated would cover, for the time being,the shortfall.

JORDAN

1. Malaria and Insect ControlDemonstration and Training Centre Jordan 6

Malaria is hyper- endemic in most parts of Jordan. TheGovernment has requested the services of a malariologistand a sanitarian to organize control work in those areas

not covered by such agencies as the United Nations Relief andWorks Agency for Palestine Refugees in the Near East andthe Yarmuk River Project.


Fellowships

The amount indicated is intended to cover the cost offellowships requested by the Government but for whichsufficient provision could not be made in the proposed pro-gramme and budget estimates for 1956.

LEBANON


Cancer Lebanon 19The Government has requested WHO to assist the Lebanese

Society for the Prevention of Cancer. An epidemiologicalsurvey of the cancer problem is required, with a view inparticular to developing reliable statistical methods and anorganized system of treatment. The assistance would comprisethe services of an expert for one year (estimated cost, $10 683),supplies and equipment ($1600), and one six -month fellowshipfor study in Europe ($1800).

LIBYA


(a) Bilharziasis and Malaria Control Libya 9The Government has requested assistance in carrying out

a pilot project for the control of bilharziasis and malariain the oases of the Fezzan. The assistance envisaged includesthe services of a consultant to study the incidence of thesediseases and help to organize control measures, and a medicalofficer, an epidemiologist and two sanitarians to demonstrateroutine control services. The cost is estimated at $35 645for personnel, $3900 for a consultant, and $30 000 forsupplies and equipment.

(b) Trachoma Control Libya 6

Communicable eye diseases are one of the main healthproblems in Libya, especially among young children. It isbelieved that the common forms of ophthalmia have animportant influence on specific eye infections, of which themost serious is trachoma. Many of these mixed eye infectionsresult in blindness, which is a heavy economic burden. TheGovernment has carried out in recent years a promisingcontrol programme among children, but for budgetaryreasons it has not developed as fully as was hoped. TheGovernment has therefore approached WHO for the provisionof a medical officer and two nurses to continue and extend it.


Training of Technical Personnel Libya 10The Provincial Government of the Fezzan, through the

Federal Government, has requested two instructors, one fororganizing and teaching laboratory techniques and one fororganizing and teaching in the x -ray department of theprovince. Both, if possible, should also have nursing quali-fications. The cost of providing this staff is estimated at$14 844, and of essential supplies and equipment at $4600.


SAUDI ARABIA

Maternal and Child HealthDemonstration and Training Centre Saudi Arabia 11

The shortage of qualified medical staff has so far preventedthe Government from initiating a proper maternal and childhealth programme, although the need for it is recognized.The Government has asked for assistance in establishing amaternal and child health demonstration and training centreat Jeddah, of the same type as has been set up in certain othercountries of the Region. The assistance required consists of theservices of a social paediatrician, a nurse -midwife and apublic- health nurse.

SOMALIA

1. Nutrition

Nutrition Adviser Somalia 6According to a WHO consultant who went to Somalia in

1951, only about a third of the population get a sufficientquantity of food. Particularly affected are the herdsmen,who constitute nearly half the total population and who livemainly on milk and milk products. The Government hasasked for assistance in improving nutrition generally and tothis end a nutrition adviser is required to help draw up aprogramme.


Fellowships

As it has not been found possible to make sufficient pro-vision in the proposed programme and budget estimates for1956 to meet the request of the Government for assistance intraining sanitary inspectors, the amount indicated is intendedto cover four fellowships.

SUDAN


Cerebrospinal Meningitis Sudan 1For this project, postponed from 1954, a team consisting

of an epidemiologist, a bacteriologist and six medical officersis required.

SYRIA


Demonstration and Training Centre Syria 2This project' was included in the programme and budget

estimates for 1955, but it was not possible, in the estimatesfor 1956, to meet the Government's request that the malari-logist and the sanitarian be retained in order to advise onthe extension of the malaria -control programme. The amountindicated would enable the Government's request to be met.


Control of Endemic Diseases Syria 21A request has been received from the Government for

assistance in establishing a technical department for the studyof endemic diseases and for carrying out research work onprotozoal, helminthic and insect -borne diseases. The servicesof one parasitologist and one laboratory technician arerequired. The estimated cost is $17 963 for this staff and$10 000 for supplies and equipment.

YEMEN


Control of Communicable Diseases, including PlagueYemen 2

A consultant went to the Yemen in 1951 at the request ofthe Government after plágue had been reported in the hinter-land ; he confirmed the presence of sylvatic plague in bubonicand pneumonic forms in the Khawlan Province borderingon Saudi Arabia, and also the existence of various othercommunicable diseases. To assist the Government in thecontrol of these diseases it is proposed to organize a public -health demonstration project, with emphasis on the investi-gation and simple control of diseases spread by arthropods,rodents and snails. For this purpose a team consisting of anepidemiologist and a sanitarian, at an estimated cost of$16 409, is required, and also supplies, equipment andtransport ($14 600) to permit of investigations and controlwork in remote areas. The team employed on this projectwould work closely with the malaria -control demonstrationteam (Yemen 4).

2. Maternal and Child HealthDemonstration and Training Centre Yemen 7

There is a need for maternal and child health work in theYemen and the Government is handicapped in its efforts byshortage of qualified medical staff. It has therefore requestedhelp in the establishment of a maternal and child healthdemonstration and training centre, of the type already setup in certain other countries of the Region. The staff requiredcomprises a social paediatrician, a nurse -midwife and apublic -health nurse.



Bilharziasis Training CourseBilharziasis is an important publichealth problem in many

countries of the Region and a potential problem in others.Methods of control are still far from satisfactory and thedisease even appears to be spreading to new foci. Controlwork has been carried out in Egypt for many years and aninternational team appointed by WHO has also been workingthere since 1952. An inter -regional course in bilharziasiscontrol is envisaged, the estimated cost being $3900 forconsultant lecturers, $3000 for supplies and equipment, and$8100 for participants from the various countries of theRegion.

2. Nursing

Seminar on Nursing EMRO 15Governments in the Region are showing an increasing

appreciation of the role well -qualified nurses can play in thedevelopment of thè national health services. At the same time,the number of schools of nursing, many of which are assistedby WHO, is steadily growing. It is considered that thismovement for the improvement of nursing education wouldreceive stimulus and encouragement from a seminar at whichthe main topic would be the development of a basic nursingcurriculum suitable to the needs of the country and the edu-cational and cultural background of the students. The pro-vision of a short -term consultant ($3900), the attendance oftwenty -five participants ($8600), and supplies and equipmentin the amount of $500 would be required.


COST ESTIMATES

Numberof

postsEgypt


Numberof

posts


Cost estimatesUS$ USS

Public- Health Administration 2 Training of technical personnel . . . Libya 10 19 444 19 444

1 Cancer statistics Egypt 26 11 685 11 6859 TOTAL - LIBYA 115 290

Maternal and Child Health2 Premature infant unit Egypt 30 28 410 28 410 Saudi Arabia

Other Education and Training Projects Maternal and Child HealthFellowships (various) 10 000 10 000 3 Demonstration and training centre

Saudi Arabia 11 28 203 28 20350 0953 TOTAL - EGYPT

3 TOTAL - SAUDI ARABIA 28 203

Ethiopia

Other Education and Training ProjectsFellowships (long -term) 10 000 10 000

1

SomaliaNutrition

Nutrition adviser Somalia 6 10 278 10 278

- TOTAL - ETHIOPIA 10 000 Environmental SanitationFellowships 8 000 8 000

IranEndemo- epidemic Diseases

1 TOTAL - SOMALIA 18 278

2 Trachoma control Iran 25 21 651 21 651Sudan

13 8931

Social and Occupational HealthIndustrial health and occupational diseases Iran 30 13 893 8

Endemo- epidemic DiseasesCerebrospinal meningitis Sudan 1 59 941 59 941

Other Education and Training Projects 8 TOTAL - SUDAN 59 941Fellowships (various) 5 000

3 Assistance to medical schools Iran 18 40 479 45 479Syria

81 0236 TOTAL - IRAN Malaria and Insect Control2 Demonstration and training centre . . . Syria 2 20 301 20 301

IsraelEndemo -epidemic Diseases

Other Education and Training Projects 2 Control of endemic diseases Syria 21 27 963 27 963Fellowships (various) 5 000 5 000

4 TOTAL - SYRIA 48 2645 000- TOTAL - ISRAEL

Jordan YemenEndemo -epidemic Diseases

Malaria and Insect Control 2 Control of communicable diseases, including plague2 Demonstration and training centre Jordan 6 18 801 18 801 Yemen 2 31 009 31 009

Public -Health Administration Maternal and Child HealthFellowships 4 200 4 200 3 Demonstration and training centre . . Yemen 7 24 909 24 909

2 TOTAL - JORDAN 23 001 5 TOTAL - YEMEN 55 918

LebanonInter -Country Programmes

Public -Health Administration1 Cancer Lebanon 19 14 083 14 083 Endemo -epidemic Diseases

Bilharziasis training course 15 000 15 00014 0831 TOTAL - LEBANON

NursingLibya Seminar on nursing EMRO 15 13 000 13 000

Endemo- epidemic Diseases -- TOTAL - INTER -COUNTRY PROGRAMMES 28 0004 Bilharziasis and malaria control . . . Libya 9 69 545

537 0963 Trachoma control Libya 6 26 301 95 846 42 TOTAL - EASTERN MEDITERRANEAN

CAMBODIA

Tuberculosis

Tuberculosis Control

WESTERN PACIFIC

Cambodia 7The control of tuberculosis, which is still one of the main

problems in Cambodia, has not as yet been undertakensystematically. The tuberculosis centre at Phnom -Penh is at


present the only one in Cambodia ; it gives, on an average,1600 consultations per month, and can take a maximum oftwenty -five patients. The Government proposes to enlargethe centre and, should the financial situation permit, constructa tuberculosis hospital outside the town. A tuberculosisspecialist (estimated cost, $10 908) and one twelve -monthfellowship ($5000) have been requested.


CHINA1. Nursing

Fellowships China 6In addition to the provision made for this project in the

budget estimates, four further fellowships have been requested.

2. Mental HealthFellowships China 20

In the 1955 budget estimates provision was made for theservices of a mental -health consultant for this project, whichis for assistance in the planning of training courses in mentalhealth. A fellowship for training abroad is now requested.

3. Other Education and Training Projects(a) Fellowships (Quarantine Services)

The Government has requested WHO's assistance inorganizing an in- service training course to improve its qua-rantine service. A fellowship is required to enable the seniorquarantine officer, who is to be responsible for the trainingcourse, to observe the operation of the quarantine services inneighbouring countries and territories.

(b) Fellowships ( Virology)Following recommendations of the Expert Committee on

Poliomyelitis, which were endorsed by the Executive Boardat its thirteenth session, the Government has requested twofellowships in virology for training abroad.

HONG KONGMental HealthFellowships Hong Kong 11

Fellowships for the training of mental -health workers havebeen requested.

JAPAN1. Nursing

Fellowships Japan 14In addition to the provision made for this project in the

budget estimates, a further fellowship, to enable a nurseto prepare herself for a teaching post, has been requested.

2. Mental HealthNational Institute of Mental Health Japan 4

WHO has already assisted the National Institute of MentalHealth by providing consultants, fellowships, and suppliesand materials. Reference materials for the library of theInstitute (estimated cost, $500), and a fellowship for six months($3500) are now required.

3. Environmental SanitationEnvironmental Sanitation Centre Japan 13

In pursuance of the Organization's policy of encouragingMember States to give due prominence to environmentalsanitation, it is proposed to assist the environmental sani-tation centre to develop new methods for the control ofdiseases, particularly enteric infections and infestations, andto train personnel. A fellowship is provided for the centre inthe budget estimates. In addition, the services of two public -health engineers, at an estimated cost of $25 416, and suppliesand equipment at an estimated cost of $7500, have beenrequested.

KOREA


Fellowships (Epidemiology and Entomology) Korea 5In addition to the provision made for this project in the

budget estimates, two further fellowships, one in epidemiologyand the other in entomology have been requested.

NEW ZEALAND

Other Education and Training ProjectsFellowships ( Virology)

The Government is anxious to develop laboratory servicesin virology and has requested a fellowship of one years'duration to train an officer in this subject.

PHILIPPINES1. Tuberculosis

(a) FellowshipsThe Government has requested that a fellowship for one

year be granted to an officer of the Quezon Institute of Tuber-culosis to study pulmonary physiology and the host -parasiterelationship in tuberculosis. The Quezon Institute is avoluntary institution, which forms one of the pillars of thenew national tuberculosis -control programme for which theGovernment has passed new legislation and provided2 500 000 Philippine pesos in its budget.

(b) Tuberculosis Control Philippines 41The Government wishes to expand and strengthen its

tuberculosis -control programme. It has prepared a schemebased on the approved WHO pattern and the Legislature haspassed a Bill which prepares the way for the implementationof the programme. A sum of $1 250 000 has been voted forthe purpose. The services of a tuberculosis specialist for oneyear (estimated cost $12 108) and two consultants -a bac-teriologist and a medical records keeper -for six months(estimated cost, $13 200) have been requested, as well assupplies and equipment for a diagnostic laboratory ($5000)and two fellowships, one to study home -visiting in Hong Kongand the other to study tuberculosis colonies in Malaya ($3500).


(a) Fellowships (Public - Health Dentistry)

The Department of Health requires the services of twodental -health officers to develop dental -health programmesin rural areas. Two fellowships of six months each haveaccordingly been requested to enable these officers to specia-lize in public -health dentistry and observe dental -health pro-grammes in other countries.

(b) Fellowships (Veterinary Public Health)The Department of Health requires the services of a trained

veterinarian to plan, advise on and execute health policyregarding the zoonoses, in order to reduce reservoirs of infectionand control the spread of diseases from animal to man. Asix -month fellowship in veterinary public health has thereforebeen requested.

3. Environmental SanitationSchool of Public- Health Engineers

There are very few publichealth engineers in the Philippinesin relation to the size of the country, and most of them havehad no advanced training, for which at present no facilitiesexist in the Region. The Organization has therefore been


asked to help establish a post -graduate course in public -healthengineering at the University of the Philippines, which hasboth a school of engineering and an institute of health. Pro-vision is required for two publichealth engineers to assist inplanning, organizing and conducting the course (estimatedcost, $24 216), for a fellowship for twelve months ($6100), andfor supplies and equipment ($2500).

SINGAPORE

1. Tuberculosis

Tuberculosis Survey Singapore 7The Government, the Singapore City Council, the University

of Malaya, and the Singapore Antituberculosis Associationare collaborating in a survey to ascertain the extent of tuber-culosis, its distribution, and the manner in which it is spreadin the country. The Government regards the project as impor-tant, as it is at present spending approximately US $1 000 000annually on tuberculosis control. It has asked for the servicesof a full team, able to undertake the whole survey, with thenecessary equipment, which should include a mobile x -rayunit, enough x -ray film for the project, and transport for theinternational personnel. This request would necessitate amedical officer and an x -ray technician, at an estimated costof $18 233, and also supplies and equipment at an estimatedcost of $20 000. The Government, in addition to the itemsnormally provided in connexion with WHO -assisted projects,is prepared to contribute $18 000 to the survey.


Artificial Limbs and Surgical AppliancesNowhere in Singapore are artificial limbs or surgical

appliances made. The Government is setting up a workshopfor the fitting and maintenance of artificial limbs and othersurgical appliances. The workshop will be under the generalsupervision of the professor of orthopaedic surgery of theUniversity of Malaya, but the Government needs a speciallytrained supervisor or foreman to take charge of the work inthe early stages and train local personnel. To provide suchan expert would cost $7699, and supplies and equipment inthe amount of $2100 would also be required.

VIET NAM


Two fellowships are requested to complement the WHOassistance in the form of international experts already beingprovided. The fellowships, one in publichealth administrationand one in environmental sanitation, are to enable the nationalcounterparts of WHO personnel to obtain further trainingabroad in their subjects.



Study Group on Venereal- Disease ControlThroughout the countries of the South -East Asia and

Western Pacific Regions, the incidence of the venereal infec-tions continues to be high. WHO has already given assistancein venereal- disease control to twelve countries in this partof the world, and an inter -regional training course for workersin this field is now envisaged. Members of WHO field staffin the regions concerned would assist in the training. The

course would last four weeks and provide training in moderntechniques of venereal- disease control. The provision indicatedcovers four short -term consultants, at an estimated Cost of$9200, the expenses of participants from Member States,estimated at $22 000, and supplies and equipment ($3000).


Study Group on Insect -Borne Virus Diseases

One of the major developments in the last decade has beenthe advance in laboratory techniques, leading to a betterunderstanding of the epidemiology of virus diseases and tomethods of control. The matter is one of great importanceto the Western Pacific, and it is thought desirable to inviteexperts in the Region to prepare papers on virus diseases,with a view to holding a seminar at a later date. The provi-sion required would be $3500 for three short -term consul-tants to prepare the papers and to act as discussion leaders,and $17 000 for participants in the seminar. A small amount($100) would also be necessary for supplies and equipment.


(a) Conference and Study Tour

A proposal to hold a conference and study tour for expe-rienced publichealth administrators in the Region was con-sidered at the third session of the Regional Committee, butthe project had to be postponed. The Regional Committeeat its fifth session resolved that the importance of such aproject and the benefit to be derived from it were such that,as far as possible, funds should be allocated for a conferenceto be attended by one senior representative from each Membercountry of the Region and a six -week study tour to variouscountries in the Region for the participants.

(b) Rural Health DemonstrationIn connexion with a demonstration, in a selected rural

area, of health and medical services and the training of per-sonnel, the services of a medical officer, a public -health engineerand a public -health nurse are required, at an estimated costof $28 576 ; supplies and equipment in the amount of $3000would also be needed.

(c) Dental HealthIn order to follow up the work of the dental -health seminar

held in Wellington, New Zealand, in 1954, the services of ashort -term consultant in public -health dentistry are required.His work would be to assist the countries of the Region whichwere represented at the seminar by discussing its effects andadvising governments on their dental -health programmes.

(d) Quarantine Seminar

The continued existence of a number of quarantinablediseases in some countries, and the lack of immunity tothem of certain populations, is a matter of concern to thegovernments of the Region. The increase in volume and speedof travel in the Western Pacific area, and the experience so fargained in connexion with the International Sanitary Regu-lations, make it necessary to hold a quarantine seminar assoon as possible. The provision indicated would cover theservices of two short -term consultants, at an estimated cost of$2600, and the travel and per diem of participants ($12 000).An amount of $1000 is also included for supplies and equip-ment.


4. Maternal and Child HealthSeminar on School Health

School health services are of primary importance in thefuture development of most of the countries of the Region.The implementation of the school health programme hasoften been fragmentary and ill- balanced, with too muchemphasis on physical needs and too little understanding onthe part of the teacher and the school authority of their rolein the programme. A seminar which would afford an opportu-nity to education and health authorities alike to join in a studyof their common problems, assisted by specialists in educationand public health, is envisaged. The provision indicatedcovers two short -term consultants for three months each, atan estimated cost of $7800 ; supplies and equipment, at anestimated cost of $2000 ; and the expenses of participantsin the seminar ($24 000).

5. Mental Health

(a) Mental - Health Services

The services of a short -term consultant who can advisegovernments, at their request, on the planning, administrationand strengthening of mental -health services are required.

(b) Community Mental Hospital, Study GroupIn view of the tendency to copy the pattern of mental

hospitals usual in Western countries -a practice which hasbeen shown to be undesirable -it is considered necessarythat a seminar be held, under the direction of an experiencedconsultant, to enable countries to solve their problems onthe basis of local experience. The provision indicated wouldcover a consultant ($2550), the expenses of participants($14 500), and supplies and equiment ($200).

(c) Care of Deprived ChildrenIn many countries of the Region the problem of caring for

children deprived of normal home life is causing concern andthere is need of expert advice in this field of child welfare.Laws concerning adoption, and the provision of services

related to the procedure for selecting adoptive parents andfor giving assistance and guidance in the management ofadopted children, are under consideration in various countries.The services of a consultant in the care of deprived childrenneed to be made available.

(d) Development of the Pre -school Child

During the last few years there has been a growing aware-ness, in many countries of the Region, of the importance ofthe development of the pre- school child in relation to thevarious social problems and also a growing demand forguidance as to the facilities which should be provided bycommunity, governmental and voluntary agencies for thecare of this age -group. A consultant on the subject, to studyconditions and advise governments, has become an obviousnecessity.


Regional Study Group on Water StandardsIt is considered that a regional group of bacteriologists,

chemists and engineers qualified in the field of water treatmentand water analysis, to consider the problem of water standardsin the Western Pacific area, should be convened.


Study Group on Social and Preventive MedicineConsiderable advances in medical education have been

made in the last five years and it is considered opportune totake stock of teaching methods and curriculum planning inrelation to the problems of the Region. A study group istherefore envisaged, at which medical educationalists maydiscuss the teaching of social and preventive medicine atundergraduate and post -graduate levels in the medical schoolsof the Region. - The provision indicated covers a two -weekmeeting attended by one educationalist and one administratorfrom each country in the Region which has a medical school(estimated cost, $15 000), and supplies and equipment ($300).

COST ESTIMATES

Numberof

postsCambodia

Tuberculosis


Numberof

postsJapan

Nursing


1 Tuberculosis control Cambodia 7 15 908 15 908 Fellowships Japan 14 6 000 6 000

1 TOTAL - CAMBODIA 15 908 Mental HealthNational Institute of Mental Health Japan 4 4 000 4 000

China Environmental SanitationNursing 2 Environmental sanitation centre . . Japan 13 32 916 32 916

Fellowships China 6 24 000 24 00042 9162 TOTAL - JAPAN

Mental HealthFellowships China 20 5 000 5 000 Korea

Other Education and Training ProjectsFellowships (Quarantine services)Fellowships (Virology)

2 50010 000 12 500

Endemo- epidemic DiseasesFellowships (Epidemiology and entomology)

Korea 5 10 000 10 000

- TOTAL - CHINA - TOTAL - KOREA 10 00041 500

New ZealandHong Kong

Mental Health Other Education and Training ProjectsFellowships Hong Kong I I 10 000 10 000 Fellowships (Virology) 5 000 5 000

- TOTAL - HONG KONG 10 000 - TOTAL -- NEW ZEALAND 5 000


Numberof

postsPhilippines

TuberculosisFellowships


6 000

Numberof

postsInter -Country Programmes



1 Tuberculosis control Philippines 41 33 808 39 808 Study group on venereal -disease control . 34 200 34 200

Public -Health Administration Endemo -epidemic DiseasesFellowships (Public- health dentistry) 7 000 Study group on insect -borne virus diseases . 20 600 20 600Fellowships (Veterinary public health) 3 500 10 500

Public- Health AdministrationEnvironmental Sanitation Conference and study tour 19 100

2 School of publichealth engineers 32 816 32 816 3 Rural health demonstrationDental health

315

576200

3 TOTAL - PHILIPPINES 83 124 Quarantine seminar 15 600 71 476

Maternal and Child HealthSingapore Seminar on school health 33 800 33 800

2Tuberculosis

Tuberculosis survey Singapore 7 38 233 38 233Mental Health

Mental- health services 7 800Community mental hospital, study group . . 17 250

Other Education and Training Projects .

Care of deprived children . . . . . . 7 8001 Artificial limbs and surgical appliances 9 799 9 799 Development of the pre -school child 7 800 40 650

3 TOTAL - SINGAPORE 48 032 Environmental SanitationRegional study group on water standards 16 950 16 950

Viet Nam Other Education and Training ProjectsStudy group on social and preventive medicine . 15 300 15 300

Public -Health AdministrationFellowships 10 000 10 000 3 TOTAL - INTER -COUNTRY PROGRAMMES 232 976

- TOTAL - VIET NAM 10 000 12 TOTAL - WESTERN PACIFIC 499 456