xv PAN :AMERAN sANITARY. CONZEESi OF THE …hist.library.paho.org/English/OD/47481.pdf · Dr. Jorge Doria Medina Df. ... Dr. Henriq.ue Rodrigues Valle Dr. Frederico Carlos Carnauba

xv PAN :AMERAN sANITARY. CONZEESi

VI MEETING OF THE REGIONAL COMMITTEE FOR--T-E

AMERICAS OF THE WORLD HEALTH ORGANIZATION

FINAL ACT

Santiago, Chile,

7-22 October 1954.

oFiOIA'L DOCUMENTSN9 10

PAN AMERICAN SANITARY BUREAU

.Regional Office of the World Hlealth Organization

Washington, D. C.

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FINAL ACT

OF THE

XIV PAN AMERICAN SANITARY' CONFERENCE,

VI MEETING OF THE REGIONAL COMMITTEE FOR THE

AMERICA$ OF THE WORLD HEALTH ORGANIZATION

Santiago, Chile

7-22 October 1954

__ I __

Docurnent CSP14/102 and Annrex I (Eng.).

Original: English-Sparvish was issued in .mimeographed form.

TABLE OF CONTENTS

PageRlsolutlona Approvad:

I. Annual Report of the Chairman of the Executive Committee 14II. Reports of the Director of the Pan American Sanitary Bureau 14

MI. Financial Report of the Director and Report of the ExternalAuditor for 1953 .................. 1.............15

IV. Report of the `Permanent Subcommittee on Buildings and,Installations ..................................... 15

V. Revision of the StaWff Rules of the Pan American Sanitary,Bureau ................................... .... 15

VI. Working Capital Fund ............................ 18VII. Reimbursement of Travel Expenses of Representatives to

Regional Committee Meetings ...................... 17VIII. Expenditure from the Emergency Revolving Fund in Connec-

tion with a Flood Disaster in a Member Country ........ 17IX. Financial ¡Participation of France, the Netherlands, and the

,United Kingdom, on Behalf of their Territories in theReglon of the Americas, in the Bud.get .of the Pan AmericanSanitary Organization .................. 1...... 17

X. Status of the Collection of Quota iGontri'butions ........... 18XI. Proposed iProgram and Budget of the Pan American. Sani-

tary Bureau for 1955 ............... ............. 18XTI. Budget Appropriation ; .................. 9....... 19

XIII. Utilization of Surplus Funds from 1953 . ............. 20XIV. Election of the Director of the Pan American Sanitary

Bureau and Nomination of the Regional Director for theAmlericas of the World Health Organization .0.. ..... 20

XV. Election of Two Member Countries to Fill the Vacancies ontbhe Executive .Committee Created 'by the Termination ofithe Periods of Office of Ecuador and MVexico . ....... 21

XVI. Statistics Required in Health Programs . ............. 21XVII. Population Statistics ........................... 22

XVIII. Vital Statistics. ........................ 22XIX. Morbidity Statistics.............................. 23XX. Statistics on Resources and Services ................ 24

XXI. Socio-Economic Statistics Related to Health ............. 24XXII. Statistical Services in Health Administrations .......... 25

X=XI. ¡Dissemination and Teaohing of Statistics Applied to Health 26XXIV. Sunmmary of Reports of the ,Member States for 1954-1957... 27XXV. Methods of Improving the Reliabllity of Raw Statistical Data

Required for Health Progranss .................. 7..XXVI. Application of Heallh Education Methods in Rural Areas in

Latin America................................ 28XXIV. Crontrol of Infant Diarrheas .............. 29

i

iv rABLE OF CONTENTrr

PageXXVIII. Relations between the ,Pan American Stnitary Organization

and Nongovernmental Organizaticns ................ 29XXIX. Program and Budget of the Region of the Americas, .World

Health Organization, and Sumimary of the ProposedProgram and Budget of the Pan American Sanitary Bureaufor 196........ ............................ 31

XXX. .Modification in the 1955 Program and Budget of the WorldHIealth Organization .......................... 32

XXXI. Functions of the Executive Committee in the ,Preparation ofPan American Sanitary YMLeetings.. 32

XXXII. Future Fonrn cf Presentation of bhe 'Proposed Program and,Budget of the Pan American Saritary Bureau .... .. 33

XXxm. Stipends Paid to *Recipients of Fellowships from the PanAmerican Sanitary Bureau ..................... .. 33

XXXV. Prcgramni of Economies and Decuntralization of the PanAmerican Sanitary Bureau ... 34

XXXV. Selection of Topics lor Techmical Discussions during the VIIIMeeting of the Directing Cauncil, VII 'Meeting of theRegional Coimmittee of the World Health Organization(195S) ................................... 34

XXXVI. Inter-American Congress of 'Pubiic Health ............ 35XXXVII. Environmental Sanitation ...................... 35XXXVIII. Place and Dat. of the XV Pan American Sanitary Conffer-

ence .. ..... ......... ..................... 36XXXIX. Policy on Accepting Amendments to the Constitution of the

Pan American Sanitary Organization.............. 36XL. Constitution of tfle Pan American Sanitary Organization .... 36

XLI. Treponematoses .................. ............ 37XLII. Eradication of Malaria in the Americas .......... .. 37

XLIII. Utilization of FunCs for the Intensification of AntimalariaActivities... ............................. 38

XIIV. Votes of Thanls ................................ 39

FINAL ACT OF TIIE XIV PAN AMERICAN SANITARY CONFERENCE,VI MEETING OF THE REGIONAL COMMITTEE FOR THE AMERICAS

OF THE WORLD HEALTH ORGANIZATION,

The XIV Pan American Sanitary Conference was held in Santiago,Chile, pursuant to Resolution XXV, approved at the VII Meeting ofthe Directing Council, which accepted the invitation extended by theGovernment of Chile. The Government of Chile and the Director ofthe Pan American Sanitary Bureau, by common accord, set 7 - 22 Oc-tober 1954 as the dates of the Conference.· The Director of the Bureau sent the letters of convocation, in com-

pliance with Article 7 of the Constitution of the Pan American Sani-tary Organization, and the Government of Chile transmitted Invita-tions to the Member Governments of the Organization to send repre-sentatives tq the Conference.

PRELIMINARY SESSION

The Preliminary Session, at which the Chiefs of Delegations dis-cussed general matters and questions of protocol relating to the Con-ference, was held on 6 October 1954.

INAUGURAL SESSION

The Inaugural Session was held in the "Salón de Honor" of theNational Congress on Thursday, 7 October, at 11:00 a.m.

His Excellency Carlos Ibáñez del Campo, President of the Republicof Chile, delivered the opening address of the Conference. Dr. IgnacioMorones Prieto, Minister of Public Health and Welfare of Mexico, re-plied on behalf of the delegations. Addresses were also delivered byDr. M. G. Candau, Director-General of the World Health Organiza-tion, and Dr. Fred L. Soper, Director of the Pan American SanitaryBureau.

RULES OF PROCEDURE OF THE CONFERENCE

At the.First Plenary Session, held 8 October, the Proposed Rules ofProcedure suggested by the Executive Committee at its 22nd Meeting(Resolution VII), and appearing as Annex I of Document CE22/11,were adopted for the Conferenoe.

PRECEDENCE

The order of precedence of the delegations was determined by lot,as follows:

PAN AMERICAN SANITARY ORGANIZATION

1. Colombia 2. Costa Rica 3. United States of America 4. DominicanRepublic 5. Venezuela 6. Argentina 7. Uruguay 8. El Salvador9. Ecuador 10. Haiti 11. Mexico 12. Nicaragua 13. Netherlands 14. France15. Panama 16. Chile 17. Cuba 18. Guatemala 19. Peru 20. Bolivia 21.BrAzl 22. United Kingdom 23. Paraguay.

COMMITTEE ON CREDENTIALS

In accordance with Article 32 of the Rules of Procedure of the Con-ference, three delegates representing Mexico, Panama, and Chile wereappointed as the Committee on Credentials.

The Committee on Credentials chose Dr. Alberto Bissot, Jr.(Panama) as Chairman and Dr. Jorge Torreblanca (Chile) as Rappor-teur, the remaining member being Dr. José Zozaya (Mexico).

The Committee met on 8 and 11 October to examine the creden-tials presented by the delegations and considered as duly accreditedto the XIV Pan American Sanitary Conference the following:

DELEGATIONS

Colombia:

Costa Rica:

United States ofAmerica:

Dr. Bernardo Henao Mejía

Dr. Jorge Jiménez GándicaDr. ,Gonzalo Montes DuqueDr. Andrés Rodríguez GómezDr. Marcos L. VillegasDr. Jaime EscallónDr. Oscar Vargas Méndez

Dr. Fernando EscalantePradilla

Dr. Jorge Salas CorderoMiss Elena Quesada SaborioMiss Graciela Carrillo CastroMr. Germán Sojo AriasDr. W. Palmer Dearing

Dr. Frederick J. BradyMr. Howard B. CalderwoodDr. Roy AnduzeMr. William BeltonDr. E. Ross JenneyDr. Juan A. PonsMr. Walter W. Sohl, Jr.Miss Demetra Panagos

Miss Dorothy A. Schmidt

Chief of Delega-tion

DelegateDelegateAlternateAdviserAdviserChief of Delega-

tion

DelegateDelegateAlternateAlternateAlternateChief of Delega-

tionDelegateDelegateAdviserAdviserAdviserAdviserAdviserMember of

StaffMember of

Staff

2

BANITARY CONFERENOE

Dominican Republic: Dr. Ramón Bergés Santana

Dr. Hipólito Sánchez BáezMr. Franz Baehr, Jr.Dr. Daniel Orellana

Dr.Dr.Dr.Dr.Dr.Argentina:

Uruguay:

El Salvador:

Ecuador:

Halti:

Mexico:

Nicaragua:

Netherlands:

Darlo CurielPastor OropezaArnoldo GabaldónSantiago Ruesta M.Raúl C. Bevacqua

Dr. Gerardo SeguraDr. Francisco J. MartoneDr. Antonio Delio KralyDr. Waldemar T. WildeDr. Luis Alfredo UslenghiDr. Angel ForteDr. Juan Carlos CostaMr. Orlando V. FagloliMr. Osvaldo PifieroMr. Carlos Torres GigenaDr. Ricardo Cappeletti

Dr. Juan Allwood Paredes

Dr. Alberto Agullar RivasDr. Carlos Grunauer Toledo

Dr. Juan Montalván CornejoMr. Armando Espinel Elizalde

Dr. Lucien Pierre Noel

Dr. Richard NemorinDr. Ignacio Morones Prieto

Dr. Manuel E. PesqueiraDr. José ZozayaDr. Luis Vásquez Campos

3


DelegateDelegateChief of Delega-

tionDelegateDelegateAlternateAdviserChief of Delega-

tionAlternate ChiefDelegateDelegateAdviserAdviserAdviserAdviserAdviserAdviserAdviserChief of Delega-

tionChief of Delega-

tionDelegateChief of Delega-

tionDelegateSecretary of De-

legationChief of Delega-

tionDelegateChief of Delega-

tionDelegateDelegateAdviser

Dr. Miguel A. Bravo Becherelle AdviserDr. Leonardo Somarriba Chief of Delega-

tionDr. Manuel Antonio Sánchez

Vigil AlternateDr. Alejandro Robleto Pérez AdviserDr. Nicolaas H. Swellengrebel Chief of Delega-

tionDr. E. Van der Kuyp DelegateDr. G. E. van Beek : Delegate

Venezuela:


Dr. R. G. Hyronimus Chief of Delega-tion

Dr. Hervé Floch DelegateDr. Bonamour AlternateMr. Pierre Carraud AlternateMr. René Crouy-Chanel AlternateDr. Alberto Bissot, Jr. Chief of Delega-

tionDr. Sergio Altamirano P. Chief of Delega-

tionDr. Guillermo Valenzuela

LavIn DelegateDr. Abraham Horwitz B. DelegateDr. Jorge Torreblanca D. AlternateDr. Waldemar Coutts AlternateDr. Oscar Jiménez Pinochet AlternateDr. Alejandro Garretón Silva AdviserDr. Eduardo Cruz Coke AdviserDr. Benjamin Viel Vicuña AdviserDr. Amador Neghme R. AdviserDr. Nacianceno Romero y O. AdviserDr. Roberto Muñoz U. AdviserDr. Marcos Charnes W. AdviserDr. Hernán Romero AdviserMr. Guillermo Torres O. AdviserMr. Enrique Gómez AdviserMr. René Sotomayor Diaz AdviserDr. Hugo Behm AdviserDr. Teodoro Zenteno AdviserDr. Jerjes Vildósola AdviserDr. Arturo Scroggie AdviserDr. Anibal Ariztia AdvJserDr. Adalberto Steeger AdviserDr. Arturo Baeza AdviserDr. Francisco Mardones AdviserDr. Carlos Allende Gaete AdviserDr. Avogadro Aguilera AdviserDr. Sergio Ibáñez AdviserDr. Alfredo Taborga AdvizerDr. Rolando Armijo AdviserDr. Jorge Bravo Murphy AdviserDr. Jorge Román AdviserDr. Guillermo Adriasola AdviserDr. Raúl Ortega AdviserMr. Mario Rodriguez

Altamirano AdviserDr. Félix Hurtado Chief of Delega-

tlon-Dr. Alberto Recio y Forns DelegateDr. Pedro Nogueira Rivero DelegateDr. Roberto Villa León Alternate

4France:

Panama:

Chile:

Cuba:

SANITARY CONIFEENCE

Guatemala:

Peru:

Bollvia:

Brazil:

United Kingdom:

Paraguay:

(Dr. Jiosé FajardoMr. Humberto Olivero, Jr.Dr. Armando Montes de

PeraltaDr. Carlos Lazarte Echegaray

Dr. Jorge Doria Medina

Df. Antonio Brown L.Dr. Henriq.ue Rodrigues ValleDr. Frederico Carlos CarnaubaDr. J. W. P. Harkness

Dr. L. W. FitzmauriceDr. A. A. PeatDr. J. P. O'MahonyDr. Enrique Zacarías Arza

Dr. Claudio PrietoDr. Julio Martinez QuevedoDr. Antonio MennaDr. J. R. Cazal

DelegateDelegateChief of Delega-

tionDelegate


DelegateDelegateAdviserChief of Delega-

tionDelegateDelegateAlternateChief of Delega-

tionDelegateDelegateAlternateAlternate

OFFICIAL OBSERVER

Canada: Mr. Hector Theodore W. Blockley.

WORLD HEALTH ORGANIZA` IONDr. M. G. Candau, Director-General.

PAN AMERICAN SANITARY BUiLEAU

Dr. Fred L. Soper, Director (member ex officio); Dr. Carlos L. Gon-zález, Assistant Director; Dr. Miguel E. Bustamante, Secretary General;Mr. Harry A. Hinderer, Chief, Division of Administration; Dr. MyronE. Wegman, Chief, Division of Education and Training; and Dr. Emi-lio Budnik, Representative, Zone VI.

OBSERVERS

Organization of American States

Dr. Francisco de Abrisqueta and Dr. Tulo Montenegro.

United Nations and Specialized Agencies

United Nations:Miss Laura Vergara.and Dr. Octavio Cabello.

Food and Agriculture Organization:Dr. Arturo Vergara,.

5

PAN AMERICAN SANITARY ORGIANIZATXOR

Internatlonal Labour Organization:Mr. Moisés Poblete Troncoso.United Nations International Children's Fund:Mr. Robert L. Davée.

'Nongovernmental ,Organizations

American College of Chest Physicians: Professor H. Orrego Puelma.International Council of Nurses: Miss Rebeca Torrealba Gómez.International League against Rheumatism: Dr. Manuel L. Losada.International Society for the Welfare of Cripples: Dr. José Perroni.International Union against Cancer: Professor Alberto Rahausen.International Union against the Venereal Diseases and the Trepone-

matoses: Mrs. Philip Riley.League of Red Cross Societies: General Agustín Inostroza Pérez.Pan American Medical Confederation: Dr. Héctor Rodriguez Hernán-

dez.Rockefeller Foundation: Dr. Robert B. Watson, Dr. John N. Weir,

and Miss Mary Elizabeth Tennant.World Federation for Mental Health: Dr. Carlos Nassar.World Medical Association: Dr. Héctor Rodriguez Hernández.

HONORARY PRESIDENT AND VICE-PRESIDENTSThe Conference unanimously designated as Honorary President of

the XIV Pan American Sanitary Conference His Excellency CarlosIbáñez del Campo, President of the Republlc of Chile, and as Honor-ary Vice-Presidents, the Ministers of Public Health of the MemberGovernments of the Organization.

ELECTION OF PRESIDENT AND VICE-PRESIDENTS

At the First Plenary Session, the Conference unanimously electedDr. Sergio Altamirano P., Minister of Public Health and Welfare ofChile, as President of the Conference.

Dr. W. Palmer Dearing, Delegate of the United States, and Dr. OscarVargas Méndez, Delegate of Costa Rica, were elected Vice-Presidentsof the Conference.

ESTABLISHMENT OF THE MAIN COMMITEES

At the Second Plenary Session, held 8 October, the following maincommittees were established: (a) Committee I, on Technical Matters;(b) Committee II, on Administration, Finance, and Legal Matters;and (c) the General Committee.

Dr. Juan Montalván Cornejo, Delegate of Ecuador, and Dr. FélixHurtado, Delegate of Cuba, were unanimously appointed Chairmen ofCommittee I and Committee II, respectively.

Dr. José Zozaya, Delegate of Mexico, and Dr. Gerardo Segura, De-legate of Argentina, were appointed members of the General Com-mittee.

The membersltp o! the main conmmttees was as tolows:

6

SANITARY CON1EMENOEB

GENERAL COOdrfDL

Chairman:

Vice-Chairmen:

Members:

Ex OfficioMember:

Secretary:

COMMI'-EE1 IChairman:

Vlce-Chairman:BRapporteur:Seeretary:

COMM :'TEE IIChairman:Vice-Chairman:Rapportenr:Seeretary:

Dr. Sergio Altamirano P.Dr. W. Palmer DearingDr. Oscar Vargas MéndezDr. Juan Montalván

CornejoDr. Félix HurtadoDr. .Tosé ZozayaDr. Gerardo Segura

Dr. Fred L. Soper

Dr. Miguel E. Bustamante

Dr. Juan MontalvánCornejo

Dr. Ricardo CappelettiDr. Abraham Horwitz B.Dr. Emilio Budnik

Dr. Félix HurtadoDr. José FajardoDr. José ZozayaMr. Harry A. Hinderer

ChileUnited StatesCosta Rica

EcuadorCubaMexicoArgentina

Director,Pan AmericanSanitary Bureau

Secretary General,Pan AmericanSanitary Bureau

EcuadorUruguayChilePan American

Sanitary Bureau

CubaGuatemalaMexicoPan American

Sanitary Bureau

AGENDA

The following agenda was approved:

Title

1 Inauguration of the XIV Pan AmericanSanitary Conference.

2 Adoption of the Rules of Procedure ofthe Pan American Sanitary Conference

OSP14/3CE22/11 andAddendum I

3 Election of the Committee on Creden-tials

4 Establishment; by Lot, of the Order of CSP14/45Precedence of the Delegations

TopicNumber

DocumentNumber

7

PAN AMEIICAN SANITARY ORGANIATION

TopicNumber Title

5 Election of President and two Vice-Pre-sidents

6 Establishment of the General Committee

7 Adoption of the Agenda

8 Adoption of Program of Sessions

CSP14/1, Rev. 2and Addendum I

CSP14/2CE22/13

9 Annual Report of the Chairman of the CSP14/25Executive Comnmittee

10 Reports of the Director of the PanAmerican Sanitary Bureau:A. Annual Report of the Director for CSP14/4

1953B. Four-Year Report of the Director CSP14/5

11 Technical Discussions:A. Reports of the Member States on Pub- CSP14/17

lic Health Conditions and ProgressAchieved during the Period betweenthe XIII and XIV Pan American Sa-nitary Conferences

B. Discussion of the Topics Selected Lythe Executive Ccmmittee:

(i) Methods of Improving the CSP14/26Reliability of Raw Statistical CSP14/19 Rev. 1 a n d

Data Required for Health Pro- Coe renaum Igrams

(ii) Control of Infant CSP14/27 and.Diarrheas in the Light of Addenda I and II

Recent Scientific Progress CSP14/66(iAi) Application of Health Education CSP14/28

Methods in Rural Areas in Latin CSP14/65America

12 Proposed Program and Budget of the CSP14/19Pan American Sanitary Bureau for 1955 CE22/47, Rev. 1

13 Proposed Program and Budget of theRegion of the Americas, World HealthOrganization, and Summary of the Pro-

CSP14/29 and Add. ICE23/2CE23/13

DocumentNumber

8

SANITARY CONFERENOE

Topil DocumentNumber Title Number

posed Program and Budget of the Pan CSP14/77American Sanitary Bureau for 1956 CSP14/89

14 Future Form of Presentation of the Pro- OSP14/30posed Program and Budget of the Pan CE23/3American Sanitary Bureau

15 Revision of the Constitution of the Pan CSP14/18American Sanitary Organization CSP14/78Membership and Associate' Membershipin the Organization CSP14/38(Proposal of the Government of Cuba)Change in the Names of the Organiza- CSP14/39tion, the Conference, and the Bureau;and Change in the Composition andMeetings of the Executive Committee(Articles 13 and 14 of the present Con-stitution)(Proposal of the Government of Cuba)

16 Financial Report of the Director and CSPI4/§Report of the External Auditor for 1953 CE22/4

17 Report on the Financial Participation CSP14/16of France, the Netherlands, and the CE22/12United Kingdom on Behalf of theirTerritories in the Region of the Ame-ricas, in the Budget of the Pan Amer-ican Sanitary Organization

18 Status of the Collection of Quota Con- CSP14/31 andtributions Corrigendum I

19 Utilization of Surplus Funds for 1953 CSP14/14CE22/17

20 Report of the Permanent Subcomnittee CSP14/8on Buildings and Installations CE22/10

21 Report on the Revision of the Staff CSP14/12Rules of the Pan American Sanitary Bu- CE22/5reau as Confirmed by the 22nd Meeting CE22/37of the Executive Committee

22 Report on the Program of Economies CSP14/32and Decentralization of the Pan Amer- CE23/5ican Sanitary Bureau

9,


Topic DocumentNumber Title Number

23 Relations between the Pan American CSP14/7Sanitary Organization and Nongovern-mental Organizations

24 Treponematoses: General Basis for the CSP14/33Establishment of an Epidemiological CSP14/88Campaign(Proposal of the Government of Chile)

25 Unification of Action in Public Health CSP14/34Programs in the Region of the Americas CE22/16

26 Selection of Topics for Technical Discus- CSP14/11sions during the VIII Meeting of .the Di-

recting Council, VII Meeting of the Re-gional Committee of the World HealthOrganization (1955)

27 Election of the Director of the Pan CSP14/9American Sanitary Bureau, and Nomi-nation of the Regional Director for theAmericas of the World Health Organi-zation

28 Election of Two Member Countries, to CSP14/10Fill the Vacancies on the Executive Com-mittee Created by the Termination ofthe Periods of Office of Ecuador andMexico

29 Place and Date of the XV Pan American CSP14/23,Sanitary Conference Rev. 1

30 Stipends Pald to Recipients of Fellow- CSP14/35ships from the Pan American Sanitary CE23/6Bureau

31 Working Capital Fund CSP14/15

32 Eradication of Malaria in the Americas CSP14/36CSP14/81 andAddenda Iand IICSP14/82Corrigendum

33 Reimbursement of Travel Expenses of CSP14/13Representatives to Regional CommitteeMeetings

10

SANITARY CONFERENCE 11

Topic DocumentNumber Title Number

34 Modification in the 1955 Program and CSP14/37Budget of the World Health Organiza-tion

35 Technical Assistance Program for 1955 CSP14/21CSP14/90

36 Environmental Sanitation CSP14/22

37 Organization of a Service Unit in Me- CSP14/20xico City during the VIII World HealthAssembly (Topic proposed by the Gov-ernment of Cuba)

38 Inter-American Congress of P u b 1 i c CSP14/24Health (Topic proposed by the Govern-ment of Cuba)

39 Emergency Revolving Fund CS9P14/40CE23/8CSP14/59

40 Functions of the Executive Committee CSP14/42in the Preparation of Pan AmericanSanitary Conferences(Proposal of the Executive Committee,Resolution IX of the 23rd Meeting)

The Conference agreed, at the Tenth Plenary Session, not to adoptany resolution on Topic 25, Unification of Action in Public HealthPrograms in the Region of the Americas (Document CSP14/34), or onTopic 35, Technical Assistance Program for 1955 (Document CSP14/21).It decided that the, draft resolution on this last topic (DocumentCSP14/90), presented by the Working Par.ty appointed at the NinthPlenary Session and composed of the Delegates of the United States,Uruguay, Ecuador, and Cuba, should be included in the Proceedingsof the Conference.

PROGRAM OF SESSIONS

The program of sessions was approved, with such changes as theGeneral Committee considered necessary for the coordination of thework of the Conference.

The Director of the Pan American Sanitary Bureau, in compllancewith Resolution IV, adopted by the Executive Committee.at.its.22nd


Meeting, organized the Secretariat as provided in the draft programof sessions (Document CSP14/2). The Secretariat comprised seven serv-ices, under the Secretary of the Conference, Dr. Miguel E. Bustaman-te, and his assistant, Mr. Guillermo A Suro: minutes, Spanish trans-lation, and Journal of the Conference; documents and English trans-lation; simultaneous interpretation; library; information; press; andadministrative services.

TECHNICAL DISCUSSIONS

Committee I established five Working Parties.Working Party A was charged with the study of methods of im-

proving the reliability of raw statistical data required for health pro-grams. Dr. Darlo Curiel (Venezuela) was named Moderator, and Dr.Hugo Behm (Chile), Rapporteur; Dr. Ruth R. Puffer (Pan AmericanSanitary Bureau) served as Secretary. The introductory statement wasby Dr. Enrique Pereda, Chief, Subdepartment of Statisties, NationalHealth Service of Chile.

Working 'Party B studied the control of infant diarrheas in thelight of recent scilentific progress. Dr. Juan Allwood Paredes (El Sal-vador) was named Moderator; Dr. Adalberto Steeger (Chile), Rappor-teur; and Dr. Myron E. Wegman (Pan American Sanitary Bureau).Secretary. The introductory statement was by Dr. Albert V. Hardy,Director, Bureau of Laboratories of the Florida State Board of Health,United States.

Working Party C dealt with the application of health educationmethods in rural areas in Latin America'. Dr. Carlos Grunauer Toledo(Ecuador) was named Moderator; Miss Graciela Carrillo Castro (Cos-ta Rica), Rapporteur; and Dr. Rigoberto Rios Castro (Pan AmericanSanitary Bureau), Secretary. The introductory statement was by MissMaria Zalduondo, of the Bureau of Health Education, Department ofHealth' of Puerto Rico.

Working Party D studied the topic concerning eradication of ma-laria in the Americas. Dr Nicolaas H. Swellengrebel (Netherlands)acted as Moderator, and Dr. Arnoldo Gabaldón (Venezuela), as-Rap-porteur. Dr. C. A. Alvarado (Pan American Sanitary Bureau) present-ed a report on the status of the antimalaria campaign n- the Amer-Icas. The Working Party established a Drafting Committee composedof Dr. Oscar Vargas Méndez (Costa Rica), Dr. Juan Montalván Cor-nejo (Ecuador), Dr. Hervé Floch (France), and the Rapporteur. Dr.E. J. Pampana, of the World Health Organization, and Dr. C. A. Al-varado .(Pan American Sanitary Bureau) cooperated in the work ofthis Committee.

Working Party E was established to study the treponematoses. Dr.Waldemar E. Coutts (Chile), who presented a paper on'the generalbasis for thé establishment of an epidemiological campaign, :was

12

SANTrARY CONFE':NCM

named Moderator, and Dr. Alberto Bissot, Jr. (Panama), Rapporteur.Dr. Santiago Ruesta M. (Venezuela) and Dr. Francisco J. Martone(Argentina) were also members of the Working Party.

REVISION OF THE CONSTITUTION

Committee II established a Working Party to examine the Final Re-port of the Permanent Committee on Revision of the Constitution ofthe Pan American Sanitary Organization and the Revised Draft Cons-titution (Document CSP14/18 and Annex A) prepared by that Com-mittee. Dr. Gerardo Segura (Argentina) was elected Chairman of theWorking Party, and Dr. Freder.co C. Carnauba (Brazil), Rapporteur.Mr. Howard B. Calderwood (United States), Dr. Hipólito Sánchez,Báez(Dominican Republic), Dr. José Zozaya (Mexico), and Dr. AbrahamHorwitz B. (Chile) were also members of the Working Party.

FOUR-YEAR REPORTS OF THE MEMBER STATES

All the Member States presented four-year reports on public ,healthconditions and the progress achieved during the period between theXIII and XIV Pan American Sanitary Conferences. These reports weradistributed by the Pan American Sanitary Bureau prior to the Con-ference.

In addition, the Bureau prepared and included in the Conferencedocuments a summary of the statistical data that appeared in thosereports, with a view to facilitating the study of the main problemsof public health in the Americas.

Finally, the delegations presented at plenary sessions of the Con-ference summaries of the reports of their respective countries, in thefollowing order: Colombia, Costa Rica, Venezuela, the Dominican Re-public, Argentina, Uruguay, El Salvador, Ecuador, Haiti, France, theNetherlands, Panama, Chile, Guatemala, Peru, Bolivia, the UnitedKingdom, Paraguay, the United States, Cuba, and Nicaragua.

SESSIONS OF THE CONFERENCE

The Conference held an inaugural session and ten plenary sessions;there were two sessions of the Committee on Credentials, ten sessilonaof the General Committee, six sessions of Committee I, eight. sessionaof Committee II, and two joint sessions of Committees I and II.

The closing session was held on 22 October 1954.

.11


RESOLUTIONS APPROVED

The Conference approved, in plenary session, the following resolu-tions:

RESOLUTION I

ANNUAL REPORT OF THE CHAIRMAN OF THE EXECUTIVECOMMITTEE

THE XIV PAN AMERICAN SANITARY CONFERENCE,

Having examined the annual report of the Executive Committee,presented by Dr. Gerardo Segura, Delegate of Argentina and Chair-man of the 22nd Meeting of that Committee,

RESOLVES:

To approve the annual report of the Executive Committee and ex-press its satisfaction at the work accomplished.

RESOLUTION II

REPORTS OF THE DIRECTOR OF THE PAN AMERICAN SANITARYBUREAU

TEE XIV PAN AERICAN ANITARY CONFERENOE,

Having examined the annual report of the Director of the PanAmerican Sanitary Bureau for 1953 and his four-year report on theactivities of the Pan American Sanitary Organization during the pe-riod between the XIII (1950) and the XIV (1954) Pan American San-itary Conferences,

RESOLVES:

To approve the annual report of the Director of the Pan AmericanSanitary Bureau, Regional Office of the World Health Organizationfor the Americas, for 1953, and the report of the Director to theMember Governments of the Pan American Sanitary Organizatiof.January 1950-December 1953, congratulating him on the effective workaccomplished and the form of presentation of the reports, and ex-tending the-congratulations to the staff of the Bureau.

14

8ANITARY CONF~3NCE

RESOLUTION III

FINANCIAL REPORT OF THE DIRECTOR AND REPORT OF THEEXTERNAL AUDITOR FOR 1953

TRE XIV PAN AMERICAN SANITARY CONFERENCE,

Having studied the Financial Report of the Director and Reportof the External Auditor for 1953 (Document CE22/4); and

Noting that the Executive Comnmittee approved the aforesaid re-ports at its 22nd Meeting,

RESOLVES:

1. To approve the Financial Report of the Director and Report ofthe External Auditor for 1953.

2. To congratulate the Director of the Pan American Sanitary Bu-reau and his associates on the manner in which the reports werepresented.

RESOLUTION IV

REPORT OF THE PERMANENT SUBCOMMITTEE ONBUILDINGS AND INSTALLATIONS


Having studied the report of the Permanent Subcommittee onBuildings and Installations (Document CE22/10); and

Noting the action taken by the Executive Committee on thUasubject at its 22nd Meeting

RESOLVES:

1. To approve the action taken by the Permanent Subcommlttee.2. To express its appreciation to the members of the Permanent

Subcommittee on Buildings and Installations, who will continue togive collaboration to the Director of the Pan American Sanitary Bu-reau.

RESOLUTION Y

REVISION OF THE STAFF RULES OF THEPAN AMERICAN SANITARY BUREAU

THIE XIV PAN AMERICAN SANITARY CONFERENCE,

Considering the action taken by the Executive' Committee at ita22nd Meeting regarding the revised Staff Rules of the Pan AmericanSanitary Bureau;

15


Having been informed that the Seventh World Health Assemblymade no changes in the revision of its Staff Rules;

Noting that, in accordance with the instructions contalned in thefirst paragraph of Resolution XVIII adopted by the Executive Com-mittee at its 22nd Meeting, the Director put the revised Staff Rulesof the Pan American Sanitary Bureau into effect on 1 June 1954,the date on which those of the World Health Organization came in-to force; and

Considering that Article 12.2 of the Staff Regulations of thePan American Sanitary Bureau provides that "the Director shallreport annually to the Directing Council such staff rules and amend-ments thereto as he may make to implement these regulations afterconfirmation by the Executive Committee",

RESOLVES:

To take note of the adoption of the revised Staff Rules of the PanAmerican Sanitary Bureau (Docurment CE22/5, Annex A) as recom-mended by the Director and confirmed by the Executive Committeeat its 22nd Meeting.

RESOLUTION VI

WORKING CAPITAL FUND


Considering the previous decisions of the Directing Councll and therecommendations of the Director and the External Auditor that anamount of $ 1,200,000 is sufficient to carry out the purposes of theWorking Capital Fund;

In view of the Financial Regulations, which stipulate that theWorking Capital Fund shall be established in an amount and forthe purpose to be determined from time to time by the DirectingCouncil; and

Considering the recommendation of the 22nd Meeting. of the Execu-tive Committee,

RESOLVES:

To establish the level of the Working Capital Fund at $ 1,200,000until such time as the budgetary position of the Bureau warrantsa change.

16

SANTTARY COIMERCE

RESOLUTION VII

RIMBURSEMENT OF TRAVEL EXPENSES OF REPRESENTATIVESTO REGIONAL COMMITTEE MEETINGS

THE XIV PAN AMERICAN &ANITARY CONpERENCE,

Having reviewed the action taken by the Seventh World HealthAssembly on the subjects: "Sessions of Regional Committees at Re-gional Headquarters" and "Payment of Travel Expenses of Represen-tatives to Sessions of the Regional Committees" (Resolutions WHA7.26 and WHA7.27, respectively),

RESOLVES:

To take note of the decision taken by the Seventh World HealthAssembly to the effect that the travel expenses of Representativesto Regional Committee Meetings shall not be reimbursed by theOrganization.

RESOLUTION VIII

EXPENDITURE FROM THE EMERGENCY REVOLVING FUNDIN CONNECTION WITH A FLOOD DISASTER IN A

MEMBER COUNTRY

THE XIV PAN AMERICAN SANITARY CONPERENCE,

RESOLVES:

To take note of Resolution II adopted by the Executive Committeeat its 23rd Meeting, approving the expenditure of $ 4,661.97 fromthe Emergency Revolving Fund in connection with the flood disasterin a Member Country and authorizing the Director to reimburse thePund in that, amount' from the general funds of the Pan AmericanSanitary Bureau for the year 1954.

RESOLUTION IX

FINANCIAL PARTICIPATION OF FRANCE, THE NETHERLANDS,AND THE UNITED KINGDOM, ON BEHALF OF THEIR TERRITO-RIES IN THE REGION OF THE AIERICAS, IN THE BUDOET OF

THE PAN AMERICAN SANITARY ORGANIZATION

THE XIV PAN AMERICAN 8ANITARY CONPERJENC,

Having noted the provisions of Resolution XL of the V Meeting ofthe Directing Council; and

Oonsidering the report (Document CE22/12) submnitted by the Di-rector to the 22nd Meeting of the Executive Committee, pursuantto the aforesaid resolution, and the declsion of the said Committeeon this matter (Resolution XIII),

17

PAN ADMERICAN SANITARY O]OGANIZATION

RESOLVES:

1. To take note of the report of the Director on the financia! par-ticipation of France, the Netherlands, and the United Kingdom, onbehalf of their territories in the Region of the Americas, in thebudget of the Pan American Sanitary Organization.

2. To instruct the Director to present future reports to the Execu-tive Committee when circumstances so require.

RESOLUTION X

STATUS OF THE COLLECTION OF QUOTA CONTRIBUTIONS


Noting the decision of the Directing Council at its VII Meeting,which instructed t'he Director to request, in its name, that MemberGovernments make the necessary financial arrangements for pay-ment of all arrearages and the maintenance of future years' contri-butions on a current annual basis;

Recognizing that delays in the recelpt of contributions limit thedevelopment of long-range programs to be undertaken in the Amer-icas; and

Noting the report submitted by the Director, reflecting the currentstatus of outstanding contributions,

RESOLVES:

To request Member Governments having outstanding quota balanc-es to make the necessary financial arrangements for the paymentthereof, and to emphasize the importance of maintaining futurecontributions on a current annual basis.

RESOLUTION XI

PROPOSED PROGRAM AND BUDGET OF THE PAN AMERICANSANITARY BUREAU FOR 1955

TREZ XIV PAN AMERICAN SANITARY CONFRER.i'CE.

Having examined the Proposed Program and Budget of the PanAmerican Sanitary Bureau for 1955 submitted by the Director; and

Taking into account the report of the Working Party (DocumentCE22/47, Rev. 1) appointed by the Executive Committee at its 22ndMeeting to study the afore-mentioned Proposed Program and Budget,

RESOLVES:

To approve the Proposed Program and Budget of the Pan Ameri-can Sanitary Bureau for 1955 (Document CE22/2).

18

8ANITARY CONFERENCE

RESOLUTION XII

BUDGET APPROPRIATION

THE XIV PAN AMERICAN SANITARY CONFERENCE

RESOLVES:

1. To appropriate for the financial year 1955 an amount of$ 2,100,000, as follows:

Purpose of Appropriation

PART I PAN AMERICAN SANITARY ORGANIZATION $ 139,796PART II PAN AMERICAN SANITARY BUREAU-HEAD-

QUARTERS ............ ... ............... 899,200PART III PAN AMERICAN SANITARY BUREAU-FIELD

AND OTHER PROGRAMS ................ 1,061,004

Total-All Parts ....................... $ 2,100,000

Less: Miscellaneous Receipts ............... $ 77,723Contributions on behalf of Non-Self-Gover-

ning Territories of France, the Netherlands,and the United Kingdom ...... ......... 22,277

Total Estimated Receipts ... .... ................ 100,000

Total for Assessment ..................... ..... $ 2,000,000

2. Amounts not exceeding the appropriations noted under para-graph 1 shall be available for the payment of obligations in accor-dance with the Financial Regulations of the Bureau during the pe-riod 1 January to 31 December 1955, inclusive.

3. The appropriations as noted above shall be financed by contri-butions from Member Governments according to Article LX of thePan American Sanitary Code; from contributions on behalf of theterritories of France, the Netherlands, and the United Kingdomaccording to Resolutions XV and XL the V Meeting of the DirectingCouncil, and miscellaneous income accruing to the Pan AmericanSanitary Bureau.

4. The Director is authorized to transfer credits between parts ofthe budget, provided that such transfers of credits between parts asare made do not exceed 10% of the part from which the credit lstransferred. Transfers of credits between these parts of the bugdet inexcess of 10% may. be,made with .the concurrence of the ExecutiveCommittee. All transfers of budget credits shall be reported to theDirecting Council.

19

PAN Ar~ICAN SNITAARY ORGANIZATIOt

RESOLUTION xm

UTILIZATION OF SURPLUS FUNDS FROM 1953

TEZ XIV PAN A~MRICAN SANWTARY CONPFRENCE,

Noting that the surplus funds from 1953, in the amount of $ 144,089,were placed in a Special Fund at the disposal of the Pan AmericanSanitary Conference; and

Considering the recommendation of the Director regarding theutllizat.on of this Fund for the intensification of the campalgnagainst smallpox, and the decision thereon taken by the ExecutiveCommittee at its 22nd Meeting,

RESOLVES:

To authorize the Director to use the surplus funds from 1953, Inthe amount of $ 144,089, for the intensification of the campaignagainst smallpox in the Americas.

RESOLUTION XIV

ELECTION OF THE DIRECTOR OF THE PAN AMERICAN SANITARYBUREAU AND NOMINATION OF THE REGIONAL DIRECTOR FOR

THE AMERICAS OF THE WORLD HEALTH ORGANIZATION

T~E XIV PAN AMERICAN SANITARY CONFIENCE.

OONSIDERING:

Article 4-E of the Constitution of the Pan American SanitaryOrganization, which provides that the Confierence shall elect theDirector of the Pan American Sanitary Bureau by a two-thirds voteof the countries represented and with the right to vote;

Resolution III of the XII Pan American Sanitary Conference, whichprovides that the term of office of the Director of the Pan AmericanSanitary Bureau shall be four years; and

Article 4 of the Agreement between the World Health Organizationand the Pan American Sanitary Organization and Articles 49 and52 of the Constitution of the World Health Organization, whichestablish the procedure for the appointment of the Regional Directorof the World Health Organization,

ERSOLVES:

1. To reelect, by acclamation, Dr. Fred L. Soper, as Director ofthe Pan American Sanitary Bureau, for the term of office commenc-ing 1 February 1955.

2. To apprise the Executive Board of the World Health Organizationof the above designation of Dr. Fred L. Soper, for appointment asRegional Director for the Americas.

20

SANITARY CONFERI~NJOE

RESOLUTION XV

ELECTION OF TWO MEMBER COUNTRIES TO FILL THEVACANCIES ON THE EXECUTIVE COMMITTEE CREATED BY THE

TERMINATION OF THE PERIODS OF OFFICE OF ECUADORAND MEXICO

TE. XIV PAN AMERICAN SANITARY CONFERENCE,

Considering the provisions of Article 13-A of the Constitution ofthe Pan American Sanitary Organization; and

Bearing in mind that the terms of Ecuador and Mexico expireimmediately following this Conference,

RESOLVES:

To elect the Governments of Paraguay and Colombia to membershipon the Executive Committee for a period of three years, and toexpress the appreciation of the Conference to the Governments ofEcuador and Mexico for the services they have rendered to theOrganization.

RESOLUTION XVI

STATISTICS REQUIRED IN HEALTH PROGRAMS

TRE XIV PAN AMERICAN SANITARY CONFERENCE,

CONSIDERINO:

That health is in itself an indivisible whole, and, moreover, isclosely linked to the economic, social, and cultural development, ofthe community;

That public health encompasses all activities concerning thepromotion, protection, and preservation of health;

That the disproportion between the magnitude of health problemaand the resources usually made avallable for their solution makes itnecessary to classify these problems in proper order, so that theymay be dealt with according to their relative importance and theresources utilized in such a way as to yield the maximum returns;and

That basic statistical data are essential to health programs, toensure their proper planning, develop-ment, evaluation, and improve-ment,

RESOLVES:

To recommend that the Member States, to the extent that. theireconomic, social, and cultural development permits, extend andimprove the collection, processing, analysis, and timely publicationof statistics on population, vital statistics, morbidity statistics, sta-tistics on health resources and services, and socio-economic statisticsrelated to health.

21

PAN AMERICAN SANITARY ORoANIZATION

RESOLUTION XVII

POPULATION STATISTICS


Considering that a knowledge of the different groups making upthe population is of fundamental importance in health programs,

RESOLVES:

To recommend to the Member States that their health agencies:

<a) Promote and cooperate in the provision of timely and reliabledemcgraphlc statistics;

(b) Participate in the planning of population censuses, so as toensure that they include the maximum of data essential forhealth programs; and

(e) Make use of public health surveys, when necessary, to provideadditional data on population.

RESOLUTION XVIII

VITAL STATISTICS


CONSIDERING:

That it is a basic task of health agencies to know, at both thelocal and the national levels, the vital facts regarding the peoplewhose hEalth problems they wish to solve;

That, among these vital facts, it is particularly important in healthprograms to have the most thorough knowledge possible of the causesof deaths in the population;

That, for these purposes, there are available detalled internationalrecomrmendations of the World Health Organization and the UnitedNations; and

That, nevertheless, vital statistics are still subject to error incollection, inadequate analysis, and delays in publication, all of,which interfere with their proper use in the planning, development,evaluation, and improvement of health programs, and with thecomparability of data on a national and international scale,

RESOLVES:

1. To recommernd that the Member States, thr<ough their nationalagencies, improve the use of:

22

BANITARY CONFERENCE

(a) '"Principles for a Vital Statistics System" of the United Nations,stressing the collection and processing of those data thatspecifically serve the alms of health; and

(b) Regulations N9 1 of the World Health Organization, regard-ing the use of the "International Statistical Classification ofDiseases, Injuries, and Causes of Death"'.

2. To recommend that, in the use of the above, special attentionbe given to improving the procedures for collection of basic statis-tioal information at the local level.

RESOLUTION XIX

MORBIDITY' STATISTICS


CONSIDERING:

That morbidity statistics are essential in the planning, development,evaluation, and improvement of health programs;

That the collection of this information is a complex process, andthe quantity and detall in which it can be obtained depends in largemeasure on the level of economic, social, and cultural d.evelopment;

That it is apparent that, in most of the countries, informationexists on diseases of certain population groups, such as hospitalstatistics, data on insurance against illness, accidents. industrialhazards, etc., wh!ch should be developed, standardized, and utilized;

That a thorough description of the importance. tyDe. sources anduses of morbidity statistics is contained in the Third Report of theExpert Committee on Health Statistics of the World Health Organ-Ization; and

That to cover the special group of communicable diseases -acomplete and ti;nely knowledge of which is of local. national. andinternational importance- there are legal provisions in the variouscountries and detailed international recommendaticns. in spite ofwhich these statistics still suffer from inaccuracy, and the provisionsregarding their transmittal and publication are not complied withfully,

RESOLVES:

1. To recommend that the Member States promote utilization ofgeneral morbidity statistics for the purposes of health programs,and that they take permanent measures te comply with therecommendations of the Third Report of the Expert Committee onHlealth Statistics of the World Health Organization.

2. To recommend that the Member States take immediate stepsto improve the reporting of communicable diseases, through theuse of:

23


(a) Regulations N9 2 of the World Health Organization (Inter-national Sanitary Regulations);

(b) "Basic Procedures for the Reporting of Communicable Diseases"(Scientific Publications, N9 8, Pan American Sanitary Bureau);and

(c) "Guide for the Reporting of Quarantinable and Other Com-municable Diseases in the Americas" (Miscellaneous Publica-tions, N9 5, Pan American Sanitary Bureau).

RESOLUTION XX

STATISTICS ON RESOURCES AND SERVICES

TEr XlV PAN AMERICAN SANITARY CONFERENCE,

CONSIDERINO:

That health programs require a knowledge of the economicresources and resources in personnel and equipment, both public andprivate, that the country provides specifically for such programs;

That an evaluation of the yield and cost of public health programsis of basic importance, and that, for this purpose, statistics onresources and on services provided are indispensable; and

That, in spite of their importance, statistics of this type have notbeen dtveloped sufficiently in the majority of the American countries,

RIWOLVES:

To recommend that the Member States take measures to obtainstatistics on the national resources devoted to health and on theservices rendered to the community, so that this information mayfacilitate the planning, development, evaluation, and improvement ofhealth programs.

RESOLUTION XXII

SOCIO-ECONOMIC STATISTICS RELATED TO HEALTH

THE XIV PAN AMERICAN SANITARY CONFENCE,

CONSIDERINO:

That there is a close interdependence between the economic,cultural, and social development of the community and its healthproblems;

That health programs should, therefore, form part of a compre-hensive governmental plan for the improvement of the living condi-tions of the population;

That those in charge of health programs should have availablesoclo-economic statistics to help give them an over-all view of thoproblems confronting the community; and

24

BANMTARY OONM~RBMO 2

That, despite the fact that information of this type exists in themajority of the ccuntries, it is not used sufficiently by the healthagencies,

RESOLVES:

To recemmend that the Member States promote the use by healthagencies of socio-economic statistics related to health, in order tounify the activities designed to raise the living standards of thepopulation.

RESOLUTION XXII

STATISTICAL SERVICES IN HEALTH ADMINISTRATIONS

THE XIV PAN AMERICAN SANITARY CONFERE~NCB,

CONSDERINO:

That some of the basic statistical data required by health adminis-trations should be subject in those administrations to such asystem of collection, processing, and analysis as will ensure theirconstant and timely use in the planning, development, evaluation,and imp.rovement of health programs;

That, in addition to the statistical information mentioned above,use should be made of the statistical data produced by other nationaladministrations; and

That, if health programs are to make proper use of statisticaldata, statisticians having a basic knowledge of health must collaborateclosely with those who conduct such programs,

RECOMMEND6:

1. Tlhat the Member States create, or stimulate and strengthen,the statistical services in health administrations, providing themwith material facilities and adequately trained statistical personnel.

2. That, in order to coordinate the various administrations produc-ing statistics of health interest, the Member States promote theestablishment and development of National Committees on Vital andHealth Statistics, in accoraance with the Report of the First Inter-national Conference on National Committees on Vital and HealthStatistics.

3. That, in order to produce reliable basic data essential for vitalstatistics, local coordination be established between health services,.civil registration, and statistical services.

25


RESOLUTION XXIII

DISSEMINATION AND TEACHING OF STATISTICS APPLIEDTO HEALTH


CONSIDERING:

That to improve the reliability of the statistical data needed inthe planning, development, evaluation, and improvement of healthprograms, it is necessary to train the professional workers for suchprograms (physicians, nurses, sanitary engineers, social workers,health educators, etc.) in statistical methods and their applicationto health;

That, to the same end, it is equally necessary that the technicalknowledge of statistical personnel be increased; and

That it is advisable to stimulate the progressive development ofa trained group of statisticians and statistical officials,

REOLVES:

1. To recommend that the Member States, with respect to profes-sional health workers:

(u) Include in the curriculum of the schools of medicine, nurs-ing, social work, etc., the teaching of statistical methodsapplicable to health; and

(b) Orient the teaching of statistics given in schools of publichealth toward their practical application in health programs.

2. To recommend to the Member States that, with respect toofficials in statistical services and according to national needs, theyearry out teaching programs on the following levels:

(a) University courses for education of statisticians, with afoundation in mathematics and specialization in variousf!elds, including health;

(b) Graduate courses for health statisticians who already havecompleted their undergraduate university education;

(e) Courses at an intermediate level in the schools of public healthfor employees in statistical services who have completedsecondary education; and

(d) In-service training for employees who work in local or centraloffices in the collection and utilization of original statisticaldata.

3. To recommend to the Member States that they establish aprofessiónal statistical career, in which there is provision for properclassification of positions and adequate salaries.

26

SANITARY CONFERENCE

4. Tc recommend to the Member States that they stimulateteamwork of professional health workers and statisticians, so as toencorrage the application of statistical methods in health programsand clinical research.

RESOLUTION XXIV

SUMMARY OF REPORTS OF THE MEMBER STATES FOR1954-1957


CONSIDERING:

That the "Summary of Reports of the Member States 1950-1953",preparec' by the Pan American Sanitary Bureau, is a valuabledocument for providing knowledge of the health problems of theAmericas and fer coordinating health programs, inasmuch as itcontains statistical data on population, births, deaths, cases of com-municable diseases, personnel and organization of health services,and d scription of programs; and

That it is evident that the data In these reports are not strictlycomparable, because of differences in definitions and proceduresfollowed by the various countries,

RESOLVES:

To recommend that the Member States:

(a) Immediately begin the improvement of these statistical data,in accordarce with the recommendations of internationalorganizations; and

(b) Agree to increase the statistical information that their reportsto the next Pan American Sanitary Conference should contain,and decide upon the procedures for obtaining such informa-tion and the methods for ensuring international compara-bility, with the active cooperation of the Pan American SanitaryBureau and through seminars and other activities for theexchange of ideas and procedures.

RESOLUTION XXV

METHODS OF IMPROVING THE RELIABILITY OF RAWSTATISTICAL DATA REQUIRED FOR HEALTH PROGRAMS

THE XIV PAN AMERICAN ANITARY CONIPEREN,

Considering the importance of statistles in the planning, develop-ment, evaluation, and improvement of health'programs; and

27


Taking into account the discussions held in the Working Partyappointed to study this topic, and the report and recommendationsproposed by that Working Party,

RESCLVES:

1. To recommend that the Director of the Pan American SanitaryBureau encourage, insofar as possible, the implementation of thetechnical recommendations contained in the report of the ad hocWorking Party on "Methods of Improving the Reliability of RawStatistical Data Required for Health Programs", and to inform theDirecling Council, in his annual reports, of the steps taken by theBureau with respect to this matter.

2. To request the Pan American Sanitary Bureau to give MemberStates as much assistance as possible in the development of programsfor education and training in statistics applied to health.

3. Tn instruct the Director of the Bureau to give wide distributionto the study prepared by Dr. Enrique Pereda (Document CSP14/26)and the report of the ad hoc Working Party (Document CSP14/69,Rev. (1).

RESOLUTION XXVI

APPLICATION OF HEALTH EDUCATION METHODS IN RURALAREAS IN LATIN AMERICA

TRE XIV PAN AMERICAN 8ANITARY CONPERENCE,

Considering the importance that should be given to health educa-tion in all phases of public health and activities related thereto; and

Taking into account the discussions held in the Working Partyappointed to study this topic, and the report and recommendationsproposed by that Working Party,

RESOLVES:

1. To approve the text of the prearnble and the recommendationssubmitted by Committee I on the topic "Application of HealthEducation Methods in Rural Areas in Latin America" (DocumentCSP14/79, Rev. 1). (1)

2. To instruct the Director of the F'an American Sanitary Bureauto encourage, insofar as possible, the promotion and implementationof the recommendations contained in the afore-mentioned document,and to inform the Directing Council, in his annual reports, of theateps taken with respect to this matter.

(1) This documaent wlll apear in the Proceedin~s of the XIV PanAmerican Santary Conference.

28

SANITARY CONFERINCE

3. To recommend that the Director of the Bureau give widedistribution to the complete text of Document CSP14/79, Rev. 1, forthe information of all the countries.

RESOLUTION XXVII

CONTROL OF INFANT DIARRHEAS

TEE XIV PAN AMERICAN SANITARY CONFERENCE,

Considering the importance of infant diarrheas as a predomi-nant cause of sickness and death in many countries of the Americas;and

Bearing in mind the discussions held in the Working Partyappointed to study this topic. and the report and recommendationsproposed by that Working Party,

RESOLVES:

1. To approve the technical recommendations on control of Infantdiarrheas set forth in the report of the ad hoc Working Partly, asinodified by Committee I (Document CSP14/79, Rev. 1).

2. To recommend that the Director of the Bureau6 encourage,Insofar as possible, the implementation of the technical recom-mendations contained in the above-mentioned report, and informthe Directing Council, in his annual reports, of the steps taken withrespect fo this matter.

3. To instruct the Director of the Bureau to give wide distributionto the paper prepared by Dr. Albert V. Hardy (Document CSP14/27,Addenda I and II) and to the report of the ad hoc Working Party(Document CSP14/79, Rev. 1). (1)

RESOLUTION XXVIII

RELATIONS BETWEEN THE PAN AMERICAN SANITARYORGANIZATION AND NONGOVERNMENTAL

ORGANIZATIONS

THE XIV PAN AMERICAN SANITARY CONF~ CE,

Considering that collaboration in matters of common interestto the Pan American Sanitary Organization ana ot-er internationaland inter-American organizations contributes to the fulfillment ofthe objectives of the Organization, as stated in the Pan AmericanSanltary Code and in the Constitution of the Organization,

(1) These documents will appear in the Proceedings of the XIV PanAmerican .inltary Conference.

29

PAN AMERICAN 8ANITARY ORCANIZATION

RESOLVES:

That the Pan American Sanitary Organization establish andmaintain cooperative relations with other international and inter-American organizations in the manner that it deems appropriate.

That the criteria given below be observed when the Pan AmericanSanitary Organization establishes cooperative relatlons with anyother internatlonal and inter-American organizations.

That these relations be establishecl or maintained in accordancewith the provisions set forth in Article 23 of the Constitution.

ORITERIA

1. The organization shall be concerried with matters falling, wlthlnthe competence of the Pan American Sanitary Organization.

2. The aims and purposes of the organization shall be in confor-mity with the spirit, purposes, and principles of the Pan AmericarSanitary Code and the Constitution of the Pan American SanitaryOrganization.

3. The organization shall be of recognized standing and shall repre-sent a substantial proportion of the persons organized for thepurpose of participating in the particular field of interest inwhich it operates. To meet this requirement, a group of organi-zations may form a joint committee or other body authorizedto act for the group as a whole.

4. The organization shall have a directing body and authority tospeak for its members through its authorized representatives;evidence of this authority shall be presented ii requested.

5. The organization shall normally be inter-American in Its struc-ture and scope, with members who exercise voting rights in rela-tion to its policies or action.

68. Save in exceptional cases, a national organization that is affili-ated to an inter-American nongovernmental organization cover-ing the same subject on an international basis shall presentits views through its govelrnment or through the inter-Americannongovernmental organization to which it is affiliated. A nationalorganization, however, may be included in the list after con-sultation with, and with the consent of, the Member Governmentconcerned, if the activities of the organization are not coveredby any international organization or if it offers experience uponwhich the Pan American Sanitary Organlzation wishes to 'draw.

30

SANITARY CONFERENCE

RESOLUTION XXIX

PROGRAM AND BUDGET OF THE REGION OF THE AMERICAS,WORLD HEALTH ORGANIZATION, AND SUMMARY OF THE

PROPOSED PROGRAM AND BUDGET OF THE PANAMERICAN SANITARY BUREAU FOR 1956

THE XIV PAN AMERICAN SANITARY CONFERENOE,

Having seen Document CE23/2, submitted by the Director ofthe Pan American Sanitary Bureau and containing the ProposedProgram and Budget of the Region of the Americas, World HealthOrganization, and Summary of the Proposed Program and Budgetof the Pan American Sanitary Bureau for 1956;

Bearing in mind that the Proposed Program and Budget of the ,Re-gion of the Americas is submitted to the Conference, as Regional Com-mittee of the World Health Organization, for review and submittal tothe Director-General of the World Health Organization for considera-tion in drafting his budget for 1956; and

Taking into account the fact that the Summary of the ProposedProgram and Budget of the Pan American Sanitary Bureau for1956 is a provisional draft that will serve as the basis for the prepa-ration of the proposed prógram and budget to be submitted by theDirector to the 25th Meeting of the Executive Committee for reviewand revision, and to the VIII Meeting of the Directing Council ofthe Pan American Sanitary Organization in 1955 for approval,

RESOLVES:

1. To endorse the Proposed Program and Budget of the Regionof the Americas, World Health Organization, for 1956, and to requestthe Director of the Pan American Sanitary Bureau to transmit it tothe Director-General of the World Health Organization, so that hemay take it into consideration when preparing the WHO budgetfor 1956.

2. To approve the Summary of the Proposed Program and Budgetof the Pan American Sanitary Bureau for 1956 as a provisional draftthat will serve as the basis for the proposed budget to be submnittedby the Director to the 25th Meeting of the Executive Committee. (1)

3. To express its appreciation to the Director of the Pan Ameri-can Sanitary Bureau for the accomplishments of past years and forthe continuing evidence of well-designed programs, as shown in theProposed Programs and Budgets for 1956.

(1) Resolution XLM, paragraph 2, adopted subsequently at the Tenth Ple-nary Session, authorizes an inorease of $ 100,000 over the present budgetarylevel, this increase to be alloted specificanll for the intensification of theantimalaria activities of the Bureau. (~Eplanatory note included by decisionof the General Committee, Ninth Session, 20 October, 1954.)

31


RESOLUTION XXX

MODIFICATION IN THE 1955 PROGRAM AND BUDGETOF THE WORLD HEALTH ORGANIZATION


Having been requested ,by the Director-General of the WHOfor an expression of opinion on the maintenance of a satisfactorybalance between the major subject headings in the 1955 RegionalBudget for the Americas;

Having noted that the original total for 1955 of $ 1,342,418 forthe Region was reduced to $ 1,137,783 as a result of the action ofthe Seventh World Health Assembly; and

Having noted that, when this reduction was effected, a satisfactorybalance was maintained between the major subject headings in theRegional Budget for the Americas,

RESOLVES:

To request the Director, serving as Regional Director of the WHO,to inform the Director-General that the regional portion of the over-all reduction of $ 811,100, amounting to $ 204,635, was effected in anappropriate manner and a satisfactory balance was maintained be-tween the major subject headings in the 1955 Program and Budget ofthe Region of the Americas.

RESOLUTION XXXI

FUNCTIONS OF THE EXECUTIVE COMMITTEE IN THEPREPARATION OF PAN AMERICAN SANITARY MEETINGS


Considering that the Executive Committee has the authority,in conformity with Article 7-D and Article 12-B and D, Chapter IV,of the Constitution of the Pan American Sanitary Organization, todraw up the agenda of the Pan American Sanitary Conference.andto advise the Directing Council, on its own initiative, regardingmatters relating to its activities; and

Bearing in' mind that in the preparation of the agendas of the PanAmerican Sanitary meetings and in their organization, there are ainumber: of questions that are difficult to resolve and the solution ofwhich will facilitate the work of the said meetings,

RESOLVES:

-1. To approve the measures adopted by the Executive Committeeat its 23rd Meeting to facilitate the work of the XIV Pan.AmericanSanitary Conference.

32

SANITARY CONFER~ GE

. 2. To authorize the Executive Committee to take those measuresit deems necessary in relation to the preparation of future meetingsof the Directing Council. and of the Pan American Sanitary Confe-rence, in situations not specifically provided for in the Constitu-tion of the Pan American Sanitary Organization or in their respec-tive rules of procedure, in order to facilitate the conduct and toexpedite the work of the meetings.

3. The Executive. Committee will, in due course, advise the PanAmerican Sanitary Conference or the Directing Council of the measurestaken.

RESOLUTION XXXII

FUTURE FORM OF PRESENTATION OF THE PROPOSED PROGRAMAND BUDGET OF THE PAN AMERICAN SANITARY BUREAU

THI XIV PAN AMERICAN SANITARY CONFEREnNC

RESOLVES:

To'take note of Resolution I approved by the Executive Committeeat its 23rd Meeting, concerning the future form of presentation ofthe proposed program and budget of the Pan American SanitaryBureau.

RESOLUTION XXXIII

STIPENDS PAID TO RECIPIENTS OF FELLOWSHIPS FROMTHE-PAN AMERICAN SANITARY BUREAU

THE XIV PAN AMERICAN SANrIARY CONFERENCE,

*'.Having examined -Document CE23/6 presented by the Directorof..the' Pan American Sanitary Bureau, "Stipends Paid to Recipientsof Fellowships: from .the Pan American Sanitary Bureau", and recog-nizing that a detailed study of the topic has been made, showingclearly the present difficulty of taking into account the differentfactors involved in the granting and use of fellowships,

RESOLVES:

1. To recommend to the Director:

(a) That he continue studying the possibility of establishingclassifications of fellowships, wilh different stipends, afterconsultation with the national and international organi-zations concerned; and

as


(b) That if the conclusions reached in these studies so justify,they be included in draft general fellowship regulations,which will set forth also the basic conditions and require-ments for awarding fellowships, such provisions to besufficiently flexible to make them applicable within theMember Countries.

2. To instruct the Director to present these regulations to the25th Meeting of the Executive Committee.

RESOLUTION XXXIV

PROGRAM OF ECONOMIES AND DECENTRALIZATION OF THEPAN AMERICAN SANITARY BUREAU

THRE XIV PAN AMERICAN SANITARPY CONFERENCE,

Taking into ,account that the VII Meeting of the Directing Councilrequested the Director to present a detailed report to this Conferenceonthe program of economies and decentralization of the Buireau; and

Considering that the Executive Committee, in Resolution V adopt-ed at its 23rd Meeting, stated that the documents presented bythe Director had fulfilled its wishes in this matter, took note ofthe report, and transmitted it to the Conference with the recommen-dation that it be adopted,

RESOLVES:

To approve and express its satisfaction with the report presentedby the Director (Document CE23/5 and the Informational StatemensCE23/10) on the program of economies and decentralization of thePan American Sanitary Bureau.

RESOLUTION XXXV

SELECTION OF TOPICS FOR TECHNICAL DISCUSSIONS DURINGTHE VIII MEETING OF THE DIRECTING COUNOIL, VII MEETING

OF THE' REGIONAL COMMITTEE OF THE WORLD HEALTHORGANIZATION (1955)

THE XIV PiAN AMERI N SANITARY CONEENCE,

Deeming it desirable that the Directing Council meetings con-tinue to serve as the occasion for holding technical discussions onmatters of regional interest related to the activities of the Pan Amer-ican Sanitary Organization; and

In view of the adVisability of taking into account past experienceand, specifically, the decisions adopted in Resolution XXXI of the VMeeting of the Directing Council and Resolution X of the 22nd Meetingof .the. Executive Committee,

34

SANITARY CONF53RENCE

RESOLVES:

1. To select, because of their general lnterest, the followingtopics for the technical discussiorns to be held at the VIII Meetingof the Directing Council, VII Meeting of the Regional Committee:

(a) Methods of Improving the Education of Public HealthPersonnel.

(b) Medical Care in Rural Areas.

2. To recommend that the Director of the Pan American Sani-tary Bureau inform the public health ministries of the MemberGovernments of the Organization, of the topics selected for the tech-nical ,discussions.

3. To authorize the Director to designate experts to present intro-ductory statements on the topics selected.

RESOLUTION XXXVI

INTER-AMERICAN CONGRESS OF PUBLIC HEALTH

THE XIV PAN AMEdAN SANITrrARY CONFERENCE,

Having noted the proposal of the Delegation of Cuba, that "atthe time the Pan American Conference of Public Health takes place.the Inter-American Congress of Public Health will hold an officialmeeting, which will be organized by the Pan American Office ofPublic Health",

RESOLVES:

To postpone consideration.of the proposal presented by the Dele-gation of Cuba until the X Meeting of the Directing Council, scheduledfor. 1957.

RESOLUTION XXXVII

ENVIRONMENTAL SANITATION

THE XIV PAN AMERICAN SANITARY CONFERENOE,

Having examined Document CSP14/22, submitted by, the Direc-tor of the Pan American Sanitary Bureau, at the request of theDirector-General of the World Health Organization,

RESOLVES:

To take note of Resolution 53 adopted by the-Seventh World HealthAssembly and Resolution 21 of the Fourteenth Session of its Execu-tive Board, dealing with environmental sanitation.

35


RESOLUTION XXXVm

PLACE AND DATE OF THE XV PAN AMERICAN SANITARYCONFERENCE


Taking into account the terms of Article 7-A of the Constitutionof the Pan American Sanitary Organization,

RESOLVES:

To express its appreciation to the Government of the United Statesof America, and to accept its invitation to have the XV Pan AmericanSanitary Conference held in the city of San Juan, capital of theCommonwealth of Puerto Rico.

RESOLUTION XXXIX

POLICY ON ACCEPTING AMENDMENTS TO THE CONSTITUTIONOF THE PAN AMERICAN SANITARY ORGANIZATION


Considering that Article 25 of the Constitution provides that"The Conference or the Directing Council may approve and put intoforce, in accordance with policies which they may 'determine, amend-ments to this Constitution",

RESOLVES:

That the approval of the proposed amendments to the Constitutionrecommended by Committee II of this Conference shall require theaffirmative vote of a two-thirds majority of those participatinggovernments entitled to vote that are represented and present whenthe vote is taken by the Conference in plenary session.

RESOLUTION XL

CONSTITUTION OF THE PAN AMERICAN SANITARYORGANIZATION


Having effined the final report of the Permanent Committeeon Revision of the Constitution of the Pan American Sanitary Orga-nization (Documnent CSP14/18 and Annex A); and

Taking into account the modifications proposed by the ad hoc Work-ing Party of Committee II presented in Document CSP14/78, and themodifications introduced by Committee II (Document CSP14/85,Rev. 1),

86

SANITARY CO'ZRENCE

RESOLVES:

Not to approve the proposed amendments to the Constltution ofthe Pan American Sanitary Organization.

RESOLUTION XLI

TREPONEMATOSES


CONSIDERING:

That the treponematoses are still important in many countries ofthe Continent as infecto-contagious diseas.es;

That many people in the Americas' are still suffering from someof the treponematoses in a contagious phase;

That the transmission of the treponematoses is effected only byhuman beings, and therefore the campaign against the propagationof these diseases is limited exclusively to man; and

That it is necessary to take all measures to encourage the prophy-laxis and control of the aforesaid diseases, through concrete andbasic preventive programs,

RESOLVES:

1. To recommend that the Member States, in accordance withtheir possibilities, resources, and conditions, develop medico-preventiveprograms, based on the use of penicillin or the application of methodsor techniques that science may recommend in the future for thecontrol and eradication of these diseases.

2. To recommend that, inasmuch as experiments in mass treatmentwith penicillin have proved successful in endemic areas of yaws,this procedure be applied to achieve eradication.

RESOLUTION XLHI

ERADICATION OF MALARIA IN THE AMERICAS


CONSIDERING:

That in the course of the technical discussions on the topic "Eradi-cation of Malaria in the Americas" it was made evident that:

(a) The experience of those countries that have achieved eradi-cation of malaria shows that, once transmission is inter-cepted, the infection in human beings disappears within afew years, as tíle result of the natural death of the parasite;

37


(b) Recent observations indicate the development of resistanceby some anopheline specie S to certain insecticides, a pheno-menon that, in time, may cause serious difficulties and evenfailures in antimalaria camTpaigns; and

(c) The eradication of malaria in some countries calls attentionto the international problem of preventing the importationof new cases into areas already free from infection.

RESOLVES:

1. To declare that it is of the utmost urgency to carry out theterms of Resolution XVIII of the XIII Pan American Sanitary Con-ference, which recommends that the Pan American Sanitary Bureaupromote the intensification and coordination of antimalaria work,with a view to achieving the eradication of this disease in the West-ern Hemisphere; and that the Member Governments should convertall control programs into eradication campaigns within the shortestpossible time, so as to achieve eradication before the appearance ofanopheline resistance to insecticides.

2. To instruct the Pan American Sanitary Bureau to take stepsto implement the aforesaid resolution and to study international'measures to ensure the protection of those countries or territoriesthat have achieved eradication of the disease.

3. To authorize the Director of the Pan American Sanitary Bureauto secure the financial participation of public or private organiza-tions, national or international, in order to further the aims setforth in this resolution.

RESOLUTION XLIII

UTILIZATION OF FUNDS FOR THE INTENSIFICATION OFANTIMALARIA ACTIVITIES

THE XIV PAN AMERICAN SANrTARY CONFERENOE,

Bearing in mind the resolution on eradication of malaria in theAmericas, approved at the present meeting; and

Considering that it is necessary to provide the Pan AmericanSanitary Bureau with the financial resources that will enable it tocarry out the functions assigned to it by the aforesaid resolution,

RESOLVES:

1. To authorize the Director of the Pan American Sanitary Bureauto obligate up to $ 100,000 of the surplus funds available as of 31December 1954 for the intensification of the antimalaria activities ofthe Bureau designed to eradicate this disease in the Western Hemis-phere.

2. 'To approve the preparation by the Executive Committee of aproposed budget for 1956, for consideration by the Directing Council,to include an increase of $ 100,000 over the present budgetary level,this increase to be alloted specifically for the intensification of theantimalaria activities of the Bureau. -

38

.BANTARY. CONFRNOE9

RESOLUTION XLIV

VOTES OF THANKS

THE XIV PAN AMERICAN SANITARY CON11ERENCE

Expresses its appreciation to His Excellency the President of theRepublic of Chile, to the President of the Senate, and to the nationalauthorities, particularly to the Ministers of Foreign Affairs andPublic Health, for the generous hospitality aceorded the delegationsand the staff of the Conference, and for the facilities provided tomake the meeting a success;

To the Municipalities of Santiago and Vifia del Mar, the Universityof Chile, the Chilean Public Health Society, and the other publicand private institutions that offered so many courtesies to all thedelegations;

To the members of the Chilean Organizlng Committee of the Con-ference for their valuable collaboration both before and during theConference, and to the Committee of Women for the attentions shownto the women members of the delegations;

To the press and radio of Chile for the excellent publicity given tothe activities of the Conference; and

To the staff of the Secretariat, especially those of the interpreta-tlon service, for their effective work, which made it possible for theConference to perform its work successfully. (1)

(1) In accordance with the decision of the Tenth Session of the GeneralCommittee, a list o! the members of the Conference Secretariat has been

sXiued as ea Amnex to the Fnai Act.

39

PAN AMERIuON SANITARY OROANIZATICN

IN WITNESS WHEREOF, the Delegates to the Conference, the

Director of the Pan American 'Sanitary Bureau, and the Secretary

sign the present Final Act in the English and Spanish languages,

whose texts shall be equally authentic.

DONE in Santiago, Chile, this twenty-second day of October,

one thousand nine hundred and fifty-four. The Secretary shall de-

posit the original texts in the archives of the Pan American Sanitary

Bureau, and shall send copies of these texts to the Member

Governments.

COLOMBA, n^ .

COSTA RICA

UNITED STATES OF AMERICA: /

DOMINICAN REPUBLIC/

VENEZUELA:

*C~;__"41 _-Ú..~~Y

40

SANITARY CONFIENM C

ARGENT INA:

URUGUAY:

EL SALVADOR:

ECUADOR : ; ?-_

HAITI:

MEXICO:

PICARAGUA:

NETHE S RLN

41

�ók"a-%J

h - ti. ^ i2 a...We..

PAb AmEICAN sAN1rARY ORGANIZATION

FRANCE:

PANAKA:

CHILE:

CUBA:

GUATEMALA:

PERU:

BOLIVIA;

BRAZIL:,

07

4 6/< f1

42

Q4i··-

0

BANITARY CON7FENIE4

UBI$ETD IWNGDOM

~9i_-_

PARAGUAY: ZIe

PAN

REGIONAL OFFICE FOR

AMERICAN SANITARY BUREAU

THE AMERICAS OF THE WORLD HEALTH OROANIZATION

re rMember of

the Confe ence

Secretary GeneralSecretary of -

the Conference

43

á&NirAR3t O CON'FtNNO

ANNEX

CONFEBRENCE SECRETARIAT

OFFICERS OF THE PAN AMERICAN SANITARY BUREAU

Director: Representative, Zone VI:Dr. Fred L. Soper

Dr. Emilio BudnikAssistant Director:

Dr. Carlos L. ,González Chief, Epidemiology and Sta-tistics Section:

Secretary General: Dr. Ruth R. PufferDr. Miguel E. Bustamante

Consultants:Assistant: Dr. Carlos A. Alvarado

Mr. Guillermo A. Suro Dr. Rigoberto Ríos

Chief, Division of Administra- Assistant to the Officers of thetion: Bureau:Mr. Harry A. Hinderer Miss Ann Tierney

Chief, Division of Education and Secretary to the Director:Training:Dr. Myron E. Wegman Miss Dinorah López-Molina

SECRETARIAT SERVICES OF THE CONFERENCE

Secretary: Assistant to the Secretary andDr. Miguel E. Bustamante Chief of Secretariat Services:

Mr. Guillermo A. SuroSecretary:

,Mrs. Mabel Fariña de Reus

MINUTES, SPANISH TRANSLATION, AND JOURNAL OF THECONFERENCE

Chief: Mr. Luis EspinozaMr. José Quero Molares Miss Ofelia Fernández

Mr. Samuel MardonesAssistant Chief: Mr. Enrique Oyarzún

Mr. Pedro Beitia Mr. Eugenio Rojas

Verbatim Minutes Reviewer:Chief: Mr. Alfredo Mendizabal

Mr: René VuskovicEditor:

Verbatim Reportes:Mr. Gustavo. Covacevich Mlss Sofia Krlsill~

PAN AMEICAN SANITARY OROAÑIZATIO

Précis MinutesPrécis Writers:

Mr. Ricardo BarroilhetMr. Jorge JobetMr. Marcos LibedinskyMr. Fernando MartinMr. Aislán RitterMr. José Rodríguez OlazábalMr. Miguel SaavedraMr. Jorge Vivas

Spanish Stenographers:Miss Lumy MardonesMr. Jorge Zamorano

English Stenographers:Miss Cecilia BrunaMiss Joan Cooper

Typlst:Miss Maria Angélica Zegera

Tape RecordingOperators:

Mr. Leopoldo JoignantMr. Carlos Joignant

Dictaphone Transcribing:Mrs. Mabel Monteith

Spanish TranslationReviewer:

Mr. José RoviraTranslators:

Mr. Enrique EspiroMr. Carlos Montoya

DOCUMENTS AND ENGLISH TRANSLATION

Chief: Mrs. Alicia de MourguetMr. Carlos E. Urrutia Miss Eliana Peñaloza

Mrs. Adriana de PopeDocuments Section Miss Maria I. RojasDocuments Control Miss Carmen Silva

Miss Lilia SuárezDocuments Officers: Miss Emilia Susaeta

Mr. Ulises ConsuegraMr. Edward P. Davis ReproductionMiss Dorothy King

Chief:*Proofreaders: Mr. Armando Lagunas

Mrs. Catalina de BarrigaMrs. Iris de Haverbeck Shift Supervisors:Miss Juana Hurtado Mr. Enrique PalominosMrs. Lucy A. de Soto Mr. Fernando QuevedoMiss Beatriz Weinstein Mr. Ricardo QuevedoMiss Luise Wulf

Mimeograph Operators:Stenographic Pool Mr. Luis Caroca

Mr. Carlos LastarriaShift Supervisors: Mrs. Digna Leiva

Miss Irma B. Cruz Mr. Leoncio OrellanaMrs. Francoise Esquerré Mr. Arturo OrtizMiss Alicia Treacy Mr. René Uribe

Bilingual Typists: Collators:Mr. William Addison-Smith Mr. Raúl BenussiMr. Ernesto Arauco Mr. Antonio BermudesMiss Graciela Arnao Mr. Guillermo EscalanteMiss Ana ,Maria Bellido Mr. Abelardo IbáñezMrs. Ana María Berrios Mr. Juan JaraMiss Mlaría Angélica Carr Mr. Sergio LibedinskyMrs. Alma Ciorba Mr. Romeo PonceMrs. Ada de Ciuffardi Mr. Gustavo QuirozMiss Berta Colomés Miss Alicia RootmanMiss iSelma Cuello Miss Sonia SilvaMrs. Lina GianottiMrs. Raquel Giles Distribution and StockroomMrs. Alicia de GonzálezMrs. Nilda Hermosilla Supervisors:Miss Carmen Holzhauer Mr. Carlos AlcántaraMiss Ximena Lorca Mr. José E. Ortiz

481

SAN TARY CONFERENCE

Distribution Clerks:Miss Silvia BascourMiss Marta BonetMrs. Marta EgañaMiss Mireya ElbergMiss Sylvia FariñaMiss Ximena FrankeMrs. Mary K. de GroveMr. Leonardo Ibáñez

English TranslationChief:

Miss Claire Harley

Reviewers:Miss Bernice MatlowskyMiss Beatrice Newhall

Translators:Mrs. Kennie BletzMrs. Annette FluggerMrs. Evangeline GalasMr. Frank HebblethwaiteMrs. Dorothy HuneeusMiss Eileen Mund

SIMULTANEOUS INTERPRETATION

Chief:Mr. Alvaro Galván

Interpreters:Miss Yolanda ArnoldiMr. Henry L. ComasMr. Sergio FigueroaMr. Luis GardelMr. Pierre F. HovelaqueMiss Crisantemo LiouMrs. Eliana LópezMrs. Georgina de Saint

Blanquat

Mr. Eric SimhaMr. Emilio StevanovitchMr. Antonio Villaplana

IBM Simultaneous Interpreta-tion Equipment:

Technician:Mr. Eric G. Sommer

Assistants:Mr. Daniel GalvánMr. Julio Zavala

LIBRARY

In Charge:Miss Amelia Cozzi

INFORMATION

In Charge:Mrs. Emma Elliot de Echenique

PRESS

In Charge:Miss Graciela Mandujano

Secretaries:Mrs. Beatriz CrightonMiss Adriana ParedesMiss Beatriz PolancoMiss María Teresa Ticozzl

ADMINISTRATIVE SERVICES

(Personnel, Accounting, Communications, Supplies and Equipment)

Mr. Mario CasablancaMr. Boris Ibáñez

Secretaries:Miss Hortensia GibsonMiss Blanca Fernández

Supply Room:Mr. Julio Estay

Assistant:Mr. Raúl Bocca

41