XXVIII Meeting of the PAHO Directing Council XXXIII ...hist.library.paho.org/English/OD/30811.pdf · OFFICERS The President, the two Vice Presidents, and the Rapporteur were elected

XXVIII Meeting of the PAHO Directing Council

XXXIII Meeting of the WHO Regional Committee for the Americas

FINAL REPORT

El texto españiol aparece en laspáginas 3-51.

CONTENTS

Page

PREAMBLE ............................................ 59

RESOLUTIONS

I. Admission of St. Vincent and the Grenadines in the PanAmerican Health Organization ..................... 63

II. Admission of the Commonwealth of Dominica in the PanAmerican Health Organization ..................... 64

III. Annual Report of the Chairman of the Executive Com-mittee .......................................... 64

IV. Annual Report of the Director of the Pan American San-itary Bureau ..................................... 65

V. Amendments to the Rules for Technical Discussions .... 65

VI. PAHO Award for Administration, 1981 .............. 66

VII. Appropriations for the Pan American Health Organiza-tion for 1982-1983 ................................ 67

VIII. Assessments of the Member Governments and Partici-pating Governments of the Pan American Health Orga-nization for 1982-1983 ............................. 68

IX. Amendments to the Rules of Procedure of the DirectingCouncil ......................................... 70

X. Election of Three Member Governments to the ExecutiveCommittee on the Termination of the Periods of Office ofGuatemala, Peru, and the United States of America ..... 71

55

XI. Plan of Action for the Implementation of Regional Stra-tegies of Health for All by the Year 2000 .............. 72

XII. Study of the Functions of the Area Offices of the PanAmerican Sanitary Bureau ......................... 74

XIII. Seventh General Program of Work of WHO (1984-1989Inclusive) ....................................... 75

XIV. Report on Implementation of the Directing Council'sRecommendations on WHO's Structures in Light of itsFunctions ....................................... 75

XV. Five-year Regional Plan of Action on Women in Healthand Development ................................. 76

XVI. Provisional Draft of the Proposed Program and Budget ofthe Pan American Health Organization for the Biennium1984-1985 ....................................... 78

XVII. Report of the PAHO Advisory Committee on MedicalResearch ........................................ 80

XVIII. Interim Financial Report of the Director for the Year1980 and ,eport of the External Auditor .............. 80

XIX. Caribbean Food and Nutrition Institute .............. 81

XX. Capitalization of the Revolving Fund of the ExpandedProgram on Imnmunization ......................... 82

XXI. Study ofthe Aedesaegypti Problem ................... 83

XXII. Offer of Fellowships by Spain ....................... 83

XXIII. Caribbean Epidemiology Center .................... 84

XXIV. Latin American Center for Perinatology and HumanDevelopment .................................... 85

XXV. Appointment of the External Auditor ................. 86

XXVI. Selection of the Topic for the Technical Discussions to beheld in 1983 during the XXIX Meeting of the DirectingCouncil of PAHO, XXXV Meeting of the RegionalCommittee of WHO for the Americas ................ 87

56

XXVII. Criteria for Granting Observer Status to NonregionalGovernments .................................... 87

XXVIII. Request of the Inter-American Institute for Cooperationon Agriculture (IICA) for Admission into Official Rela-tions with the Pan American Health Organization ...... 88

XXIX. Governor Shepherd Building ............ : .......... 89

XXX. Institute of Nutrition of Central America and Panama... 92

XXXI. Report on the II Inter-American Meeting, at the Minis-terial Level, on Animal Health ...................... 93

XXXII. Proposed Plan of Action to Establish Dependable Sourcesof Financing for the Pan American Zoonoses Center andthe Pan American Foot-and-Mouth Disease Center Out-side the Regular PAHO Budget ..................... 94

XXXIII. Collection of Quota Contributions ................... 95

XXXIV. Coordination of Social Security and Public Health Insti-tutions ........... ............................... 96

XXXV. Costs of Administering Extrabudgetary Funds ......... 97

XXXVI. Service Charge for Procurement Services and Incomefrom the Sale of Publications ........................ 98

XXXVII. Salary of the Director of the Pan American Sanitary Bu-reau ............................................ 99

XXXVIII. Oral Health .................................. 99

XXXIX. Technical Discussions: "Sanitary Control of Food". . 100

XL. Tentative Provisional Agenda of the Sixty-ninth Sessionof the Exe¿utive Board of WHO: Items of Interest to theRegional Committee .............................. 102

XLI. Health Care of the Elderly .......................... 102

XLII. Resolutions of the Thirty-fourth World Health Assemblyof Interest to the Regional Committee ................ 103

XLIII. International Year of Disabled Persons ............... 104

57

FINAL REPORT

The XXVIII Meeting of the Directing Council of the Pan American HealthOrganization, XXXIII Meeting of the Regional Committee of the WorldHealth Organization for the Americas, was held at the Headquarters of theOrganization in Washington, D.C., from 21 September to 1 October 1981, asconvened by the Director of the Pan American Sanitary Bureau in accordancewith Resolution 11 adopted by the Executive Committee at its 86th Meeting.

PARTICIPANTS 2

The Directing Council began its work under the provisional presidency ofDr. Jorge Michelsen Rueda (Colombia), Vice President of the XXVIIMeeting of the Directing Council. The Governments of the following coun-tries were represented: Argentina, Bahamas, Barbados, Bolivia, Brazil,Canada, Chile, Colombia, Costa Rica, Cuba, Dominican Republic,Ecuador, El Salvador, France, Grenada, Guatemala, Guyana, Haiti, Hon-duras, Jamaica, Kingdom of the Netherlands, Mexico, Nicaragua, Panama,Paraguay, Peru, Saint Lucia, Suriname, Trinidad and Tobago, UnitedKingdom, United States of America, Uruguay, and Venezuela.

At the second plenary session Dominica and St. Vincent and the Grena-dines were admitted as new Members of the Pan American Health Organiza-tion, and from then on their Governments were represented in the Meeting.

In accordance with Rule 14 of its Rules of Procedure, the Executive Com-mittee was represented by its Chairman, Dr. Ramón Alvarez Gutiérrez(Mexico), and Dr. Christine Moody (Jamaica), a member of the Committee.

Dr. Méropi Violaki-Paraskeva, President of the Thirty-fourth WorldHealth Assembly and Honorary Director-General of Health of Greece, waspresent at the Meeting.

Also present as Observers were representatives from Spain, the CaribbeanCommunity (CARICOM), the Hipólito Unanue Agreement, the Inter-American Development Bank (IDB), the Inter-American Institute for Coop-eration on Agriculture (IICA), the International Committee of MilitaryMedicine and Pharmacy, the Organization of American States (OAS), and 22nongovernmental organizations.

1PAHO Official Document 178 (1981), 34.2The complete list of participants appears in the annex, p. 109.

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OFFICERS

The President, the two Vice Presidents, and the Rapporteur were electedpursuant to Rule 18 of the Rules of Procedure of the Directing Council. Theofficers were as follows:

President:Vice Presidents:

Rapporteur:Secretary

ex officio:

Dr. Miguel Coello FernándezDr. Lyall M. BlackDr. Carmelo Calvosa ChacónDr. José Arturo CotoDr. Héctor R. Acuiña

EcuadorCanadaCosta RicaEl SalvadorDirector, Pan

American Sanita-ry Bureau

COMMITTEE ON CREDENTIALS

Pursuant to Rule 27 of the Rules of Procedure, the Committee on Creden-tials was composed of the following members:

President: Mr. Errol Small Trinidad andTobago

Rapporteur: Mr. Jorge Soruco BoliviaMember.: Dr. Jorge Aldereguía Valdés-Brito Cuba

GENERAL COMMITTEE

The Representatives of Bahamas, Peru, and the United States of Americawere elected to the General Committee, which, in accordance with Rule 28 ofthe Rules of Procedure, was composed as follows:

Dr. Miguel Coello FernándezPresident of the Council

Dr. Lyall M. BlackVice President of the Council

Dr. Carmelo Calvosa ChacónVice President of the Council

Dr. José Arturo CotoRapporteur of the Council

Ms. Veta BrownRepresentative

Dr. John D. BryantRepresentative

Dr. Juan Ponce de LeónRepresentative

Ecuador

Canada

Costa Rica

El Salvador

Bahamas

United States ofAmerica

Peru

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AGENDA

In accordance with Rule 10 of its Rules of Procedure, the Directing Councilat its first plenary session adopted the provisional agenda (Document CD28/1,Rev. 4)3 submitted by the Director, after deleting Item 11 (c) (ProvisionalDraft of the Program Budget of the World Health Organization for theRegion of the Americas for the Biennium 1984-1985).

WORKING GROUPS

Seven working groups were established. The first, composed of the Repre-sentatives of Argentina, Barbados, and Panama, was entrusted with the studyof the application of Article 6-B of the Constitution concerning suspension ofthe voting privileges of any Government more than two years in arrears in thepayment of its quotas.

The second, consisting of the Representatives of Brazil, DominicanRepublic, and Haiti, was entrusted with the preparation of a list of not morethan three topics from which, in accordance with Rule 8 of the Rules forTechnical Discussions, the topic would be chosen by the Directing Council, inplenary session, for the Technical Discussions to be held during the XXIXMeeting of the Directing Council of PAHO, XXXV Meeting of the RegionalCommittee of WHO for the Americas, to be held in 1983.

The third, composed of the Representatives of Colombia, Cuba, Nicara-gua, and Venezuela, was instructed to draft a new text for Rule 52 of theRules of Procedure of the Directing Council.

The fourth, composed of the Representatives of Brazil, Canada, Chile,Cuba, Jamaica, Nicaragua, and the United States of America, was instructedto draft a proposed resolution on the provisional draft of the program andbudget of PAHO for the biennium 1984-1985.

The fifth, comprising the Representatives of El Salvador, France, Nicara-gua, and Panama, was entrusted with the drafting of a proposed resolution onthe Institute of Nutrition of Central America and Panama.

The sixth, whose members were the Representatives of Chile, DominicanRepublic, and the United States, was given the task of drafting a proposedresolution on oral health.

The seventh group, made up of Representatives of Argentina, Canada,Cuba, France, Jamaica, Mexico, the United Kingdom, and the UnitedStates, was entrusted with the drafting of a proposed resolution on the resolu-tions of the Thirty-fourth World Health Assembly of interest to the RegionalCommittee.

3AIl1 documents designated with the prefix "CD28" were printed in mimeographed form for

the XXVIII Meeting of the Directing Council.

61

SPECIAL MESSAGE

The Directing Council, informed of the abduction in his own country of Dr.Roquelino Recinos Méndez, Minister of Public Health and Social Welfare ofGuatemala and President of the XXVII Meeting of the Directing Council,decided at the eighth plenary session to send a message appealing to his cap-tors, for humanitarian reasons, to return him safe and sound to his family.

EXPRESSION OF CONDOLENCE

On a motion of the Representatives of Bolivia, Colombia, Ecuador, andPeru, all those present at the fourteenth plenary session camrne to their feet andobserved one minute of silence as an expression of condolence at the death ofVenezuelan statesman, Mr. Rómulo Betancourt.

TECHNICAL DISCUSSIONS

The Technical Discussions were held on 25 and 26 September 1981 anddealt with the topic "Sanitary Control of Food." 4

The following officers were appointed:

Moderator: Dr. Edith de Bethancourt PanamaRapporteur: Dr. Mauricio García Sainz MexicoTechnical Dr. Harold B. Hubbard Pan American

Secretary: Sanitary Bureau

Group I

Moderator.:Rapporteur:Technical Secretary.

Dr. Edward EllisDr. Juan Ponce de LeónDr. A. E. Olszyna-Marzys

CanadaPeruPan American

Sanitary Bureau

Group II

Moderator:Rapporteur:Technical Secretary:

Dr. Leonardo Marranghello Bonifati

Mr. Frederick SymesDr. Roberto Bobenrieth

Costa RicaDominicaPan American

SanitaryBureau

4 See PAHO Scientific Publication 421 (1982).

62

The Report on the Technical Discussions was submitted to the fourteenthplenary session, which approved a resolution on the subject.

SESSIONS

The Directing Council held a preliminary session, 15 plenary sessions, anda closing session.

The Committee on Credentials met four times and the General Committeemet four times.

RESOLUTIONS APPROVED

During the Meeting the Directing Council approved the following 43resolutions:

Resolution I

Admission of St. Vincent and the Grenadines in thePan American Health Organization

The Directing Council,

Having examined the formal request for membership in the Pan AmericanHealth Organization made on behalf of the Government of St. Vincent andthe Grenadines by the Minister of Foreign Affairs in a communication dated12 May 1981; and

Considering that the Government of St. Vincent and the Grenadines hasdeclared its readiness to accept all the obligations established in the Constitu-tion of the Pan American Health Organization, to comply with the provisionsof the Pan American Sanitary Code, as amended by the Additional Protocol of24 September 1952, and to contribute by means of a specified quota assess-ment to the financial support of the Organization,

Resolves:

1. To approve with satisfaction the request of the Government of St. Vin-cent and the Grenadines for membership in the Pan American Health Orga-nization.

2. To instruct the Director to transmit this decision to the MemberGovernments of the Organization.

(Approved at the second plenary session,21 September 1981)

63

Resolution II

Admission of the Commonwealth of Dominica in thePan American Health Organization


Having examined the formal request for membership in the Pan AmericanHealth Organization made on behalf of the Government of the Common-wealth of Dominica by the Prime Minister (Minister of External Affairs), in acommunication dated 14 May 1981; and

Considering that the Government of the Commonwealth of Dominica hasdeclared its readiness to accept all the obligations established in the Constitu-tion of the Pan American Health Organization, to comply with the provisionsof the Pan American Sanitary Code, as amended by the Additional Protocol of24 September 1952, and to contribute by means of a specified quota assess-ment to the financial support of the Organization,

Resolves:

1. To approve with satisfaction the request of the Government of the Com-monwealth of Dominica for membership in the Pan American Health Organi-zation.

2. To instruct the Director to transmit this decision to the MemberGovernments of the Organization.

(Approved at the second plenary session,21 September 1981)

Resolution III

Annual Report of the Chairman of the Executive Committee


Having examined the Annual Report of the Chairman of the ExecutiveCommittee (Document CD28/10) on the work of the Committee from Octo-ber 1980 to date, the period during which the 85th and 86th Meetings wereheld; and

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

64

Resolves:

1. To take note of the Annual Report of the Chairman of the ExecutiveCommittee (Document CD28/10).

2. To commend the Chairman and the other members of the Committeefor their excellent work.

(Approved at the fourth plenary session,

22 September 1981)

Resolution IV

Annual Report of the Director of thePan American Sanitary Bureau


Having examined the Annual Report of the Director of the Pan AmericanSanitary Bureau for 1980 (Official Document 177); and

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

Resolves.:

1. To take note of the Annual Report of the Director of the Pan AmericanSanitary Bureau for 1980 (Official Document 177).

2. To commend the Director and the staff of the Bureau for the workaccomplished during the period covered by the Report.

(Approved at the sixth plenary session,23 September 1981)

Resolution V

Amendments to the Rules for Technical Discussions


Having examined the amendments to the Rules for Technical Discussionsproposed in Annex II to Document CE86/22, included in Document CD28/9;and

Considering the recommendation made by the Executive Committee in

65

Resolution XXVII 5 of its 86th Meeting that the proposed amendments to the

Rules for Technical Discussions be approved,

Resolves:

To approve the amendments to the Rules for Technical Discussionspresented in Annex II of Document CE86/22, included in Document CD28/9.


Resolution VI

PAHO Award for Administration, 1981


Having reviewed the report of the Award Committee of the PAHO Awardfor Administration (Document CD28/28), and Resolution XXI6 of the 86thMeeting of the Executive Committee; and

Bearing in mind the regulations set forth in the procedure and guidelinesgoverning the PAHO Award for Administration,

Resolves.:

To declare Dr. Frederick BurnsAward for Administration, 1981.

Roth of Canada winner of the PAHO


5PAHO Official Document 178 (1981), 57.

6PAHO Qfficial! Document 178 (1981), 53.

66

Resolution VII

Appropriations for the Pan American Health Organizationfor 1982-1983

The Directing Council

Resolves.:

1. To appropriate for the financial period 1982-1983 an amount of US$102,797,300 as follows:

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

Program of Services .......................Development of the Infrastructure ..........Administrative Direction ..................Governing Bodies ........................Increase to Assets .........................Special Fund for Health Promotion ..........

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

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

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

2. That the appropriation shall be financed from:

a) Assessments in respect to:Member Governments and Participating Govern-ments assessed under the scale adopted by the Orga-nization of American States in accordance with Arti-cle 60 of the Pan American Sanitary Code or in ac-cordance with Directing Council and Pan AmericanSanitary Conference resolutions .................

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

Total ............................................

$ 32,867,70039,082,60016,696,900

1,172,800

500,000

$ 90,320,000

12,477,300

$102,797,300

$100,797,300

2,000,000

$102,797,300

In establishing the contributions of Member Governments and Par-ticipating Governments, their assessments shall be reduced further by theamount standing to their credit in the Tax Equalization Fund, except thatcredits of those governments which levy taxes on the emoluments receivedfrom the Pan American Health Organization by their nationals and residentsshall be reduced by the amounts of such tax reimbursements by PAHO.

67

3. That, in accordance with the Financial Regulations of PAHO, amountsnot exceeding the appropriations noted under Paragraph 1 shall be availablefor the payment of obligations incurred during the period 1 January 1982 to31 December 1983, inclusive. Notwithstanding the provision of thisparagraph, obligations during the financial period 1982-1983 shall be limitedto the effective working budget, i.e., Parts I-VI.

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

(Approved al the seventh plenary session,24 September 1981)

Resolution VIII

Assessments of the Member Governments and Participating Governmentsof the Pan American Health Organization for 1982-1983


Whereas, Member Governments appearing in the scale adopted by theOrganization of American States are assessed according to the percentagesshown in that scale, in compliance with Article 60 of the Pan American Sanita-ry Code; and

Taking into account that other Member Governments and ParticipatingGovernments are assessed on the basis of percentages which would be assignedto such countries if they were subject to the OAS scale,

Resolves:

To establish the assessments of the Member Governments and ParticipatingGovernments of the Pan American Health Organization for the financialperiod 1982-1983 in accordance with the scale of quotas shown below in thecorresponding amounts.

68

(2) (3)

GrossOAS scale assessment

% (US$)

ArgentinaBarbadosBoliviaBrazilChileColombiaCosta RicaCubaDominicaDominican RepublicEcuadorEl SalvadorGrenadaGuatemalaHaitiHondurasJamaicaMexicoNicaraguaPanamaParaguayPeruSaint LuciaSurinameTrinidad and

TobagoUnited States of

AmericaUruguayVenezuela

7.48 7,001,8930.08 74,8870.18 168,4959.37 8,771,0870.82 767,5870.99 926,7210.18 168,4951.17 1,095,2160.02 18,7220.18 168,4950.18 168,4950.18 168,4950.03 28,0820.18 168,4950.18 168,4950.18 168,4950.18 168,4957.03 6,580,6560.18 168,4950.18 168,4950.18 168,4950.54 505,4840.03 28,0820.14 131,051

0.18 168,495

66.00 61,781,4090.36 336,9893.60 3,369,895

866,7389,270

20,8571,085,739

95,017114,71520,857

135,5722,317

20,85720,85720,857

3,47620,85720,85720,85720,857

814,59520,85720,85720,85762,572

3,47616,222

20,857

7,647,67841,715

417,147

6,135,155- 65,617- 147,638

- 7,685,348- 672,570

6,000 818,006- 147,638- 959,644

~- ~ 16,405- 147,638

- 147,638- 147,638- 24,606- 147,638- 147,638- 147,638- 147,638- 5,766,061- 147,638- 147,638- 147,638- 442,912- 24,606- 114,829

- 147,638

3,000,000 57,133,731- 295,274

35,000 2,987,748

100.00 93,608,196 11,587,390 3,041,000 85,061,806

(2) This column includes the OAS percentages adding up to a total of 100 per cent and the equiv-alent percentages applicable to other Member Governments and Participating Governments.The OAS scale used herein was approved by the OAS General Assembly on 27 November1980.

(5) This column includes estimated amounts to be received by the respective Member Govern-ments in 1982-1983 in respect of taxes levied by them as staff members' emolumentsreceived from PAHO, adjusted for any difference between estimate and actual for prioryears.

69

(1)

Country

(4)

Credit fromTax Equaliza-

tion Fund(US$)

(5)Adj. for taxes

imposed byMember Govts.on emolumentsof PAHO Staff

(USS)

(6)

Netassessment

(USs)

Equivalentpercentages

Other MemberGovernments

BahamasCanadaGuyanaSt. Vincent and

the Grenadines

ParticipatingGovernments

FranceKingdom of the

NetherlandsUnited Kingdom

Subtotal

Total Assessments-All Countries

0.07 65,5257.04 6,590,0150.18 168,495

0.03

0.18

28,082

8,111815,752

20,857

- 57,414- 5,774,263- 147,638

3,476 24,606

168,495 20,857 147,638

0.07 65,525 8,111 - 57,4140.11 102,967 12,746 - 90,221

7,189,104 889,910 - 6,299,194

100,797,300 12,477,300 3,041,000 91,361,000

(Approved at the eighth plenary session,24 September 1981)

Resolution IX

Amendments to the Rules of Procedure of the Directing Council


Having considered the amendments to the Rules of Procedure of the Di-recting Council recommended 7 by the Executive Committee contained inAnnex III to Document CE86/22, included in Document CD28/9; and

Considering the desirability of facilitating the conduct of business atmeetings of the Directing Council,

Resolves.:

To adopt, for the Rules of Procedure indicated below, the following word-ing:

7 Resolution XXXIV. PAHO Official Document 178 (1981), 62-63.

70

Rule 43

For the purpose of these Rules, "Governments present and voting" meansGovernments casting a valid affirmative or negative vote; or in an election, avalid vote for a person or a Government eligible in accordance with theConstitution of these Rules of Procedure. Governments abstaining fromvoting or who cast blank ballots or invalid votes are considered as not voting.In computing a majority, any fraction shall be counted as a whole number.

Rule 44

Motions shall be considered adopted when they have received the affirma-tive vote of a majority of the Governments present and voting, except whenthe Constitution or these Rules of Procedure provide otherwise. If the votesare equally divided on a matter other than an election, the motion shall beregarded as rejected.

Rule 52

In an election, each Government, unless it abstains, shall vote for thatnumber of candidates equal to or less than the number of elective places to befilled. Any ballot paper on which there are more names than there are electiveplaces to be filled, or on which the name of any candidate appears more thanonce, or which is illegible or signed or which reveals the identity of the voter,shall be considered null and void.

(Approved at the eighth plenary session,24 September 1981)

Resolution X

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

Guatemala, Peru, and the United States of America


Bearing in mind the provisions of Articles 9-B and 15-A of the Constitutionof the Pan American Health Organization; and

Considering that the Governments of the Dominican Republic, Panama,and Uruguay were elected to serve on the Executive Committee on the termi-nation of the periods of office of Guatemala, Peru, and the United States ofAmerica,

71

Resolves.:

1. To declare the Governments of the Dominican Republic, Panama, andUruguay elected to membership of the Executive Committee for a period ofthree years.

2. To thank the Governments of Guatemala, Peru, and the United Statesof America for the services rendered to the Organization during the past threeyears by their representatives on the Executive Committee.

(Approved at the eighth plenary session,

24 September 1981)

Resolution XI

Plan of Action for the Implementation of Regional Strategiesof Health for All by the Year 2000


Having examined the Plan of Action for the Implementation of RegionalStrategies (Document CD28/14) prepared by the Director and reviewed andapproved 8 by the 86th Meeting of the Executive Committee, in compliancewith Resolution XX9 of the XXVII Meeting of the Directing Council;

Considering that Resolution XX makes specific recommendations toGovernments, the Organization, and the Director; and

Taking into account the Global Strategy of Health for All by the Year 2000(Document A34.5 of the World Health Assembly), approved by ResolutionWHA34.36,1 0

Resolves:

1. To approve the Plan of Action to implement the regional strategies(Document CD28/14).

2. To recognize the urgency of pursuing the regional process of health forall by the year 2000, linked with the PAHO programming and budgetingcycles and with PAHO and WHO monitoring and evaluation periods, in sucha way that it is in full development by the beginning of 1984.

3. To emphasize that the Organization concentrate its efforts and resourceson the objectives and priorities contained in the Plan of Action.

8 Resolution XIX. PAHO Official Document 178 (1981), 50-52.9 PAHO Official Document 174 (1981), 81.

1 0Document WHA34/1981/REC/1, 37-38.

72

4. To urge the Governments to:

a) Evaluate and adjust on a timely basis their national health plans inkeeping with their own national strategies, as well as with the regionalstrategies and Plan of Action, so as to contribute to the attainment ofthe regional objectives and goals;

b) Formulate, during the process of evaluation and modification of thenational plans, the reprogramming of external cooperation and ofthe country's participation in Technical Cooperation in DevelopingCountries;

c) Introduce the necessary modifications both in the development of thenational information systems and in the periods of evaluation of thenational health plans, so as to permit national evaluation, and con-tribute to the regional process of monitoring and evaluation;

d) Give priority to comprehensive health education beginning in child-hood;

e) Instruct their respective Ministers of Health to formally reaffirm atthe XXI Pan American Sanitary Conference the commitments of theGovernments to develop the necessary activities which will ensure theimplementation of the regional Plan of Action, and to report on thedecisions and progress accomplished in carrying out this Plan ofAction in their respective countries.

5. To request the Director to:

a) Review and orient, with the participation of the Member Govern-ments, the PAHO program of technical cooperation with the aim ofensuring maximum and appropriate support of the preparation anddevelopment of the national and regional processes of health for all bythe year 2000;

b) Promote and support the development of the national and regionalmonitoring and evaluation systems, in accordance with the globalprocess of health for all by the year 2000;

c) Inform the XXI Pan American Sanitary Conference on the state ofthe process of health for all by the year 2000, including measuresadopted to strengthen the catalytic role of the Organization in theexchange of experience and cooperation among the Member Coun-tries.

(Approved at the ninth plenary session,28 September 1981)

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Resolution XII

Study of the Functions of the Area Offices of thePan American Sanitary Bureau


Considering that the administrative and technical strengthening of theOffices of Country Representatives is a policy approved by the Governing

Bodies of PAHO;Bearing in mind that significant progress has been made in this direction in

recent years;Considering that the functions and responsibilities on both the technical and

the administrative levels of some of the Offices of Area Representatives havebeen reduced concurrent with the expansion of those of the Offices of CountryRepresentatives;

Noting that about 8.4 per cent of the regular budget of the Organization is

allocated every year to the Offices of Area Representatives; andConcerned that the funds of the Organization be put to the best possible

use,

Resolves:

To request the Director:

1. To draw up methodological guidelines for evaluating the effectiveness ofmeasures entrusted to the Areas that make up the Pan American HealthOrganization;

2. That in each Area a working group in formal consultation with repre-sentatives of its constituent countries be set up within the budgetarylimits approved by the Directing Council to make this evaluation in ac-cordance with the established guidelines;

3. To consolidate and issue a report on the progress of that evaluation forthe XXI Pan American Sanitary Conference.

(Approved at the eleventh plenary session,

29 September 1981)

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Resolution XIII

Seventh General Program of Work of WHO (1984-1989 Inclusive)


Having examined the material for the preparation of the Seventh GeneralProgram of Work of the World Health Organization (1984-1989 inclusive)(Document CD28/6, Corr. 1);

Bearing in mind that the Director-General of WHO has submitted thismaterial to the Regional Committees to ensure that their views are properlytaken into account by the Program Committee of the Executive Board in thepreparation of the draft for the Seventh General Program of Work; and

Considering that the Plan of Action for the implementation of the regionalstrategies of health for all by the year 2000 is consistent with the proposedstructure of the Seventh General Program of Work of WHO,

Resolves:

1. To take note of the material for the preparation of the Seventh GeneralProgram of Work of WHO submitted by the Director-General for considera-tion by the Regional Committees.

2. To consider the Plan of Action for the implementation of the regionalstrategies as the contribution of the Region of the Americas to the preparationof the Seventh General Program of Work of WHO (1984-1989 inclusive).

3. To request the Director to forward the Regional Plan of Action and thesummary record of the discussions on the Seventh General Program of Workby the Regional Committee for the Americas to the Director-General, fortheir submission to and consideration by the Program Committee of the Ex-ecutive Board of WHO.

(Approved at the eleventh plenary session,29 September 1981)

Resolution XIV

Report on Implementation of the Directing Council's Recommendationson WHO's Structures in Light of its Functions


Having examined the report on the implementation of the Directing Coun-cil's recommendations on WHO's structures in the light of its functions(Document CD28/26); and

75

Considering the provisions of Resolution X 1 of the XXVII Meeting of theDirecting Council,

Resolves:

1. To take note of the report presented by the Director on the implementa-tion of the Directing Council's recommendations on WHO's structures in thelight of its functions.

2. To commend the Director for the way he is carrying out Resolution X ofthe XXVII Meeting of the Directing Council.

3. To request the Director to:

a) Continue to implement the provisions of Resolution X of the XXVIIMeeting of, the Directing Council, particularly taking into accountthe structural requirements of the Plan of Action for the regionalstrategies for implementation of health for all by the year 2000adopted by the XXVIII Meeting of the Directing Council;

b) Report to the XXI Pan American Sanitary Conference on the furtherprogress made in the implementation of these recommendations.

(Approved at the eleventh plenary session,29 September 1981)

Resolution XV

Five-year Regional Plan of Action on Womenin Health and Development


Endorsing the decision of the Executive Committee to increase the composi-tion of the Special Subcommittee on Women in Health and Development tothree members appointed for overlapping periods of three years; 12

Recognizing the importance of actively involving women in all levels ofdevelopment, particularly in light of the health goals and priorities set for thesecond half of the United Nations Decade for Women;

Acknowledging the need to make equal opportunities available to women inpolicy making, professional, managerial, and technical positions in the healthsector so that they may participate fully in decision-making relating to the pur-suit of health for all by the year 2000 at the national, subregional, and regionallevels;

1 1 PAHO Official Document 174 (1981), 67-69.1 2 PAHO Official Document 178 (1981), 58.

76

Noting the importance of women in all activities aimed at achieving the goalof health for all by the year 2000;

Complying with Resolution XV11I3 of the XXVII Meeting of the Di-recting Council, which calls for the development of an implementation planbased on the World Plan of Action but specifically tailored to the health needsof this Region;

Having reviewed the draft Five-Year Regional Plan of Action on Women inHealth and Development prepared by the above-mentioned Special Subcom-mittee of the Executive Committee and revised and approved by the ExecutiveCommittee (Document CD28/15);

Recognizing the importance of the integration of the Five-Year RegionalPlan of Action on Women in Health and Development into the Plan of Actionto achieve health for all by the year 2000; and

Noting that the objectives of the draft Five-Year Regional Plan of Action onWomen in Health and Development are in accordance with the emphasis onhealth as part of overall development,

Resolves:

1. To thank the Special Subcommittee of the Executive Committee onWomen in Health and Development for preparing, in cooperation withPAHO, the draft Five-Year Regional Plan of Action on Women in Healthand Development.

2. To adopt this Plan as revised by the 86th Meeting of the Executive Com-mittee as the Five-Year Regional Plan of Action on Women in Health andDevelopment.

3. To recommend that Member Governments:

a) Adopt the Five-Year Regional Plan of Action on Women in Healthand Development and establish appropriate mechanisms for its suc-cessful implementation during the second half of the United NationsDecade for Women;

b) Integrate the activities of the Five-Year Regional Plan of Action onWomen in Health and Development into the national plans of actionand activities being developed to attain health for all by the year2000, and into emerging socioeconomic development policies, to en-sure that the particular needs and requirements of women are incor-porated in an ongoing manner and that the health levels of womenare substantially improved;

c) Establish appropriate means to measure success in overcoming fac-tors that inhibit equal opportunities for women in health and develop-ment activities.

13PAHO Official Document 174 (1981), 76-78.

77

4. To request that the Director:

a) Ensure the integration of the Five-Year Regional Plan of Action onWomen in Health and Development into the Regional Plan of Actionalready approved in order to reach the goal of health for all by theyear 2000;

b) Provide cooperation and support at regional, subregional, and na-tional levels for the implementation of the Five-Year Regional Plan ofAction on Women in Health and Development;

c) Take responsibility within his Office for implementinrg those actionsaddressed to the Secretariat in the Five-Year Regional Plan of Actionon Women in Health and Development;

d) Convene the Special Subcommittee of the Executive Committee onWomen in Health and Development at least twice a year to monitorthe progress made in implementing the Plan of Action and achievingits goals;

e) Continue to intensify the selection and recruitment of women for pro-fessional posts, including those at the highest levels, and to promoteleadership abilities of women within PASB, particularly in policymaking positions;

f) Present an annual report to the Directing Council on the progressachieved in conducting the activities proposed in the Five-YearRegional Plan of Action on Women in Health and Development andpresent a report to the XXX Meeting of the Directing Council on theprogress made toward reaching the goals of the United NationsDecade for Women.

(Approved at the eleventh plenary session,

29 September 1981)

Resolution XVI

Provisional Draft of the Proposed Program and Budget of thePan American Health Organization for the Biennium 1984-1985


Having examined Official Document 169, submitted by the Director, contain-ing the provisional draft which will constitute the basis for preparation of theproposed program and budget of the Pan American Health Organization for1984-1985 amounting to US$106,680,000;

Noting that the provisional draft of the proposed program and budget is notstructured in accordance with the components of the Plan of Action for the Im-plementation of Regional Strategies of Health for All by the Year 2000

78

adopted by the XXVIII Meeting of the Directing Council; andAcknowledging that 1982-1983 is a transitional period,

Resolves.:

1. To request the Director to formulate the draft program and budget for1984-1985 so that it:

a) Conforms to the structure established in both the Regional Plan ofAction and the Program Classification System to be established byWHO under the Seventh General Program of Work;

b) Takes into account the comments and concerns expressed byMember Governments at the XXVIII Meeting of the DirectingCouncil with respect to inflationary costs;

c) Ensures that priority be given to the regional baseline target areasestablished in Chapter 6 of Part II of Official Document 173 (Health forAll by the Year 2000- Strategies);

d) Develops, within the context of global, regional, and national strate-gies of health for all by the year 2000, a rational foundation for theallocation of resources among country programs in a manner thatreflects;i) the relative health needs among countries;, and

ii) the relative capacities of countries to implement global andregional priority programs within their national health systems;

e) Gives priority to the allocation of resources for the delivery of pro-grams and services to countries relative to the area program, andreduces to a minimum the cost of administration and program sup-port costs;

f) Incorporates the results of further consultations with national author-ities in the reformulation of country program and budgets in accor-dance with (d) above.

2. To direct the Executive Committee to review and revise, as necessary,the draft program and budget for 1984-1985 in accordance with the aboveguidelines.

3. To express its concern over the number of Member Countries that aredelinquent in their quota payments to the PAHO regular budget, and to re-quest that Member Countries bring their contributions up to date at theearliest opportunity.

(Approved at the twelfth plenary session,

29 September 1981)

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Resolution XVII

Report of the PAHO Advisory Committee on Medical Research


Having examined the report of the PAHO Advisory Committee on MedicalResearch for 1980-1981 (Document CD28/13);

Taking note of the emphasis being placed on stimulating and promotingresearch in such areas as diarrheal diseases, nutrition, health services research,socio-epidemiological research, mental health, and acute respiratory diseases;and

Being aware that these subjects represent priority health problems for theMember Countries,

Resolves:

1. To commend the PAHO Advisory Committee on Medical Research forits efforts in advising the Director on some of the important research problemsto be addressed and ways of solving them.

2. To commend the Director for having initiated those activities necessaryfor the implementation of the recommendations of the Advisory Committeeon Medical Research.

(Approved at the twelfth plenary session,29 September 1981)

Resolution XVIII

Interim Financial Report of the Director for the Year 1980and Report of the External Auditor


Having examined the Interim Financial Report of the Director for the year1980 and the Report of the External Auditor (OfficialDocument 175 and 175-A);,and

Recognizing that the Organization continues to be in a sound financialsituation,

Resolves:

1. To take note of the Interim Financial Report of the Director for the year1980 and of the Report of the External Auditor (Official Document 175 and1 75-A).

80

2. To commend the Director for having maintained a sound financial situa-tion and to thank the External Auditor for the report presented.

3. To request the Director to give due priority to the final establishment ofan efficient financial management system.

(Approved at the twelfth plenary session,29 September 1981)

Resolution XIX

Caribbean Food and Nutrition Institute


Having examined the final report of the Evaluation Team and the attach-ment containing the summary matrix of government responses regarding theCaribbean Food and Nutrition Institute (CFNI) (Document CD28/16);

Taking into account Resolution XVII114 of the 86th Meeting of the Execu-tive Committee; and

Recognizing that the Organization, through CFNI, has emphasized inte-gration of the Institute's operations within the broader context of primaryhealth care in the Caribbean, in accordance with appropriate programpriorities,

Resolves:

1. To thank the Governments that have expressed their positions on thefuture role of the Institute.

2. To thank the Director for the evaluation report and the summary of theviews and policies of the Institute's member countries.

3. To request the Director, after further consultation with the MemberGovernments, to support and implement, as appropriate, the findings andrecommendations of the Evaluation Team.

4. To request the Director to enlist the cooperation of the participatinggovernments in establishing the Policy Advisory Committee and the Scientificand Technical Advisory Committee of the Institute, in addition to the ongoingmechanism for membership in those bodies, and, as recommended by theEvaluation Team, to convene their meetings as soon as possible.

5. To request the Director, with the support of the member governments ofCFNI, to seek funding from appropriate institutions or external fundingsources for a suitable building for the Institute.

(Approved at the thirteenth plenary session,30 September 1981)

14PAHO Official Document 178 (1981), 49-50.

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Resolution XX

Capitalization of the Revolving Fund of theExpanded Program on Immunization


Having analyzed the report of the Director on the alternatives for full capi-talization of the Revolving Fund of the Expanded Program on Immunization(EPI) (Document CD28/32);

Recognizing that the limited capitalization of the Fund is hampering itssmooth operation;

Noting that cancellation of orders and delays in reimbursement by partici-pating countries have placed an additional burden on the operations of theFund;

Considering that the EPI Revolving Fund is of crucial importance for theimplementation of this high priority program; and

Having considered the alternatives presented by the Director for the fullcapitalization of the Fund and a short-term alternative to assure its presentoperations,

Resolves.:

1. To thank the Governments of the Netherlands and Barbados for thedonations made to the Fund, and to the Government of Cuba for its pledgeddonation.

2. To commend the Governments of Argentina, Colombia, and Peru forthe advance payments occasionally made to the Fund, which have allowed it tooperate in critical times.

3. To urge the countries participating in the Fund not to cancel ordersmade through it, and to make reimbursement in a timely manner.

4. To commend the Director for the efforts being made to assure efficientoperation of the Fund with the limited amount of capitalization available.

5. To authorize the Director, in order to seek the full capitalization of theFund, to pursue various alternatives proposed, as long as they do not involvethe use of the PAHO regular budget.

6. To authorize the Director to use the Working Capital Fund, on the con-dition that long-term projections show no higher priority requirements forsaid Fund, in order to assure smooth operation of the EPI Revolving Funduntil such time as its full capitalization is established.

(Approved at the thirteenth plenary session,30 September 1981)

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Resolution XXI

Study of the Aedes Aegypti Problem


Aware that the presence of Aedes aegypti in many American countries, theendemicity of dengue in some of them, the emergence of hemorrhagic formsof the disease, the persistence of sylvatic yellow fever, and the intensifiedmovements of people and goods within and between countries pose a real riskof both an outbreak of dengue epidemics that could spread into hitherto un-touched areas, and a recrudescence of urban yellow fever,

Resolves:

1. To request the Director to organize a technical group comprised ofrepresentatives.of the most severely affected countries to study the problemand propose possible alternative courses of regional action for the eradicationof Aedes aegypti, as well as other approaches to controlling dengue and dispel-ling the threat of urban yellow fever in the Hemisphere.

2. To request the Director to present the proposals of the technical group tothe XXI Pan American Sanitary Conference.

(Approved at the fourteenth plenary session,30 September 1981)

Resolution XXII

Offer of Fellowships by Spain


Bearing in mind the report of the Representative of Spain, PermanentObserver to the Council;

Apprised of the offer of 10 fellowships for advanced health studies in 1982and of the setting aside of 60 residencies of several years' duration for thestudy of various medical specialties in Spain for Ibero-American universitygraduates; and

Aware of the importance of the cooperation among countries for the attain-ment of the goal of health for all by the year 2000,

83

Resolves:

1. To thank the Government of Spain for its valuable and disinterested col-laboration in improving the qualifications of professionals from the countriesof the Americas.

2. To exhort other governments to assess the possibility of their offeringcollaboration such as that offered by Spain to further the attainment of thegoal of health for all by the year 2000.

(Approved at thefourteenth plenary session,30 September 1981)

Resolution XXIII

Caribbean Epidemiology Center


Having examined the evaluation and mid-term review of the CaribbeanEpidemiology Center (CAREC) (Document CD28/33);

Acknowledging that the CAREC Council and the Seventh Conference ofMinisters Responsible for Health in the Caribbean recognize the achieve-ments of the Center in the first five years of the Multilateral Agreement;

Taking note of the policies and guidelines for the future of CAREC beyond1984, prepared by the VII Scientific Advisory Committee Meeting and ap-proved by the CAREC Council, in compliance with Resolution XXIXi 5 ofthe XXVII Meeting of the Directing Council of PAHO;

Acknowledging receipt of the independent evaluation of CAREC by theGovernment of Trinidad and Tobago commending the Center's technicalperformance, expressing views on its management and future role, and in-dicating its intention to adhere to the terms of the Multilateral Agreement of1974;

Mindful of Resolution 29 of the Seventh Conference of Ministers Responsi-ble for Health in the Caribbean, which gives a clear commitment by theGovernments of the Caribbean region for the continuing of CAREC as aregional institution up to and beyond 1985 and requests the Director of PASB,in association with the Secretary-General of CARICOM, to begin negotia-tions with the Participating Governments for the development of a new agree-ment for CAREC beyond 1984; and

Taking note of the budgetary problems of the Center as a result of theUnited Kingdom Government's revision of its contributions to CAREC,

1 5 PAHO Official Document 174 (1981), 91-92.

84

Resolves:

1. To thank the participating Governments and institutions that expressedtheir views on the evaluation of the Center.

2. To thank the Director for making available the evaluation report and therecommendations of the CAREC Council.

3. To take note of CAREC's budgetary level for 1982-1983 (US$793,400),as set out in the proposed program and budget (Official Document 169), and thebudget projection for 1980-1985, approved by the CAREC Council and theSeventh Conference of Ministers Responsible for Health in the Caribbean.

4. To request the Government of the United Kingdom to adhere to thespirit of the 10-year commitment of the Multilateral Agreement for CAREC.

5. To request the Director, in association with the Secretary-General ofCARICOM and the CAREC Council, and taking into consideration thereport of the Government of Trinidad and Tobago, to initiate negotiationswith all signatories of the present Multilateral Agreement and other interestedGovernments and donor agencies, for the development of a new agreement forCAREC beyond 1984.


Resolution XXIV

Latin American Center for Perinatology and Human Development


Having seen the report on the evaluation of the Latin American Center forPerinatology and Human Development (CLAP) (Document CD28/30);

Considering the provisions of Resolutions XXXI of the XX Pan AmericanSanitary Conference and XXXI16 of the XXVI Meeting of the DirectingCouncil, and the recommendations of the 86th Meeting of the ExecutiveCommittee; 17

Mindful that the Agreement between the Government of Uruguay and thePan American Health Organization remains in effect until 31 December1982; and

Considering the growing importance being given to perinatal care in thecountries of the Region,

1 6PAHO Official Document 162 (1978), 82-83 and 167 (1980), 78, respectively.

17Resolution XVI. PAHO Official Document 178 (1981), 47-48.

85

Resolves.

1. To take note of the report on the evaluation of the Latin American

Center for Perinatology and Human Development and to thank the Director

for it.2. To recommend to the Director that the Organization maintain and in-

crease its activities in connection with perinatal health and that it structure a

regional perinatology program in accordance with the Regional Plan of

Action.3. To recommend to the Director that the present structure and functions

of the Center be continued until the end of 1982.

4. To request that the Director form a group in 1982 with the Government

of Uruguay as a member, which will draw up the next agreement and establish

the future structure and functions of the Center.

5. To request that the Director promote a network of collaborating centers

for perinatal health in different countries of the Region.

(Approved at thefourteenth plenary session,

30 September 1981)

Resolution XXV

Appointment of the External Auditor


Bearing in mind that it has been the practice of the World Health Organiza-

tion and the Pan American Health Organization to have the same External

Auditor, and that the holder of the office of Comptroller and Auditor General

of the United Kingdom of Great Britain and Northern Ireland, who has been

appointed External Auditor of the World Health Organization for the finan-

cial period 1982-1983, has expressed a willingness to serve as External Auditor

of the Pan American Health Organization,

Resolves:

1. To appoint the holder of the office of Comptroller and Auditor General

of the United Kingdom of Great Britain and Northern Ireland External

Auditor of the accounts of the Pan American Health Organization for the

financial period 1982-1983 and to request him to conduct his audits in accor-

dance with the principles set forth in Article XII of the PAHO Financial

Regulations, with the proviso that, should the need arise, he may designate a

representative to act for him in his absence.

86

2. To express its thanks to Sir Douglas Henley for the work he has per-formed as External Auditor for the Organization.


Resolution XXVI

Selection of the Topic for the Technical Discussions to be Heldin 1983 During the XXIX Meeting of the Directing Council ofPAHO, XXXV Meeting of the Regional Committee of WHO

for the Americas


Considering that the provisions of Rules 7, 8, and 9 of the Rules for Techni-cal Discussions have been followed in the selection of the topic for the 1983Technical Discussions,

Resolves.:

To declare "Policies for the Production and Marketing of Essential Drugs"selected as the topic for the Technical Discussions to be held in 1983 duringthe XXIX Meeting of the Directing Council of PAHO, XXXV Meeting ofthe Regional Committee of WHO for the Americas.


Resolution XXVII

Criteria for Granting Observer Status toNonregional Governments


Bearing in mind the interest expressed at the XXVII Meeting of the Di-recting Council in a review of the methods of receiving observers from non-American States having no territories within the Americas at meetings of theGoverning Bodies of PAHO;

Having reviewed the study on this subject prepared by the Director (Docu-ment CD28/31); and

87

Having studied the procedures established by the World Health Organiza-tion to be followed regarding observers at meetings of the WHO ExecutiveBoard and at meetings of WHO Regional Committees,

Resolves.:

To adopt the following policies regarding non-American Member States ofthe World Health Organization having no territories within the Americas:

1. To welcome any such Member State to attend, without the right tospeak or vote, any public sessions of the Governing Bodies of PAHO.

2. To permit any such Member State to attend as an observer, with theright to speak but without the right to vote, at a public session of aGoverning Body of PAHO during the deliberation of any matter of par-ticular concern and unique relevance to that State, including a matterinvolving a financial or technical contribution to PAHO by that State,under conditions to be established by the Chairman of the meeting,upon the determination in advance by the Director of PASB after con-sultation with the Director-General of WHO that special circumstancesexist whichjustify this participation, provided that the costs of participa-tion are covered by the State concerned.

3. To apply these policies and procedures to any such Member State whichmay apply hereafter for observer status to meetings of the GoverningBodies.


30 September 1981)

Resolution XXVIII

Request of the Inter-American Institute for Cooperation onAgriculture (IICA) for Admission into Official Relations

with the Pan American Health Organization


Having examined the request submitted by the Director of the Inter-Ameri-can Institute for Cooperation on Agriculture (IICA) and Resolutions XIV ofthe XIV Pan American Sanitary Conference and XXXVIIII 8 of the XXVIIMeeting of the Directing Council;

1 8 PAHO Official Document 10 (1954), 29 and 174 (1981), 99-100.

88

Considering that the decision on requests of this kind rests with the Confer-ence or the Directing Council, in accordance with Article 26 of the Constitu-tion of the Pan American Health Organization; and

Taking note of Resolution XXVIII 19 of the 86th Meeting of the ExecutiveCommittee,

Resolves:

1. To approve the request submitted by the Director of the Inter-AmericanInstitute for Cooperation on Agriculture for admission into official relationswith the Pan American Health Organization.

2. To ask the Director to transmit this decision to the Director of theInstitute.


30 September 1981)

Resolution XXIX

Governor Shepherd Building


Noting that the Governor Shepherd Building, 2121 Virginia Avenue,N.W., Washington, D.C., 20037, owned by the Pan American Health Orga-nization, requires substantial and costly repairs and replacement of operatingsystems, including heating, ventilating, electrical power, plumbing, andelevators;

Considering that a consulting firm of architects, engineers, and plannershas conducted a feasibility study of development possibilities for the GovernorShepherd property, and has recommended a number of options for develop-ment;

Having examined the report of the Executive Committee (CD28/37), andhaving heard the recommendations of the Working Group established byResolution 120 of the 85th Meeting of the Executive Committee;

Noting that certain details of the proposed project cannot be placed in finalform at this time; and

Considering that the present members of the Working Group have

1 9 PAHO Official Document 178 (1981), 57.20 PAHO OJficial Document 178 (1981), 18-19.

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thorough background knowledge and are fully informed of the factors to beconsidered in the development of the Governor Shepherd site, and that con-tinuity of membership in the Group is important,

Resolves.

1. To thank the Director, the Executive Committee, and its WorkingGroup for the work done in relation to the Governor Shepherd site.

2. To approve the Working Group's recommendations for development ofthe Governor Shepherd site.

3. To establish a Subcommittee of the Directing Council on the GovernorShepherd site, which will consist of the present members of the WorkingGroup, i.e., the Representatives of Chile, Jamaica, and the United States ofAmerica; and will be responsible to:

a) Advise the Director and the Governing Bodies of PAHO on mattersrelating to the project;

b) Submit its reports to the Executive Committee, and inform the Di-recting Council of its activities.

4. To authorize the Director to take the necessary action to develop theproject, demolish the existing Governor Shepherd Building, and construct thenew building which will provide the following amenities:

a) At least 60,000 square feet shall be reserved for present and possiblefuture use by the Organization; the portion of this space not used bythe Organization shall be rented at prevailing rates for office or otheraccommodations in accordance with zoning requirements;

b) At least 60,000 square feet of space shall be devoted to residentialapartments to be sold or otherwise disposed of as expeditiously aspossible in order to finance part of the cost of construction;

c) The remainder of the building may be devoted to other appropriatepublic or private uses, including lease or sale of commercial space, asspecifically approved by the Executive Committee.

5. To authorize the Director:

a) To acquire and take title to one or both of the adjacent propertiesstudied by the Working Group and to incorporate such adjacent pro-perty into the project, provided that the acquisition can be accom-plished in a timely fashion, and will ultimately enhance the overallfinancing terms, value, and use of the project, and provided that theExecutive Committee specifically approves the final terms of such ac-quisition;

b) To undertake negotiations with foundations, international organiza-tions, financial institutions, commercial banks, and other possiblesources of revenue, in order to develop financing for the project onthe best possible terms, provided that the terms so negotiated shall

90

impose no special assessment on Member Governments and shallhave no negative impact on the regular budget or the effective con-duct of the Organization's program, and provided that the ExecutiveCommittee specifically approves the final financial arrangements;

c) To execute and deliver on behalf of the Organization all documents,instruments, and agreements necessary for the project, including, butnot limited to, the necessary borrowing of funds and any necessarysale of Organization property or ownership rights related to the proj-ect, as specifically approved by the Executive Committee.

6. To authorize the Executive Committee:

a) To review and approve, within the terms of this resolution, thedocuments, instruments, and agreements, and final financial arrange-ments related to the project, the design of the building, and any pro-posal for significant adjustments in the proportionate use of space inthe building;

b) To have full power and authority to act on behalf of the Organizationregarding the project;

c) To delegate to the Subcommittee on the Governor Shepherd site anyand all of its powers and authority regarding the project (except asspecifically described in paragraphs 7 and 8 below), including thoseset forth in this resolution and in PAHO Financial Regulation 6.9.

7. To further request the Director, in the event that he determines thatfinancial or other circumstances will render the project described in this reso-lution impossible or not in the best interests of the Organization, to makefurther proposals regarding the use or other development of the GovernorShepherd site to the Subcommittee, for its advice and thereafter to the fullExecutive Committee, for its decision.

8. To request the Executive Committee to report to the XXI Pan AmericanSanitary Conference and the Directing Council on the status of this project.

(Approved at thefifteenth plenary session,1 October 1981)

91

Resolution XXX

Institute of Nutrition of Central America and Panama


Having examined the report (Document CD28/17) on the steps taken bythe member governments of the Institute of Nutrition of Central America(INCAP), with the cooperation of PAHO, to proceed with the restructuring ofthe Institute in accordance with the recommendations of the Special Evalua-tion Group (Documents CD27/23, Add. III and CE84/19, Add. III);

Taking note of Resolution IV of the XXXI Meeting of the INCAP Councilestablishing the Study Group on INCAP and related reports;

Considering Resolution I of the Special Meeting of the INCAP Councilheld on 5 December 1980, which reaffirms the principle that INCAP is asubregional institution in the service of Central America and Panama;

Bearing in mind the decision of the INCAP Council that the Instituteshould be reorganized as an agency of Central America and Panama, outsidethe organic and administrative system of the United Nations and PAHO; and

Recognizing the need for continued PAHO support to the work of INCAPunder the new arrangements imposed by its new political, institutional, andadministrative structure,

Resolves.:

1. To recognize the effort, interest, and decision of the member govern-ments of INCAP to continue supporting and strengthening its operation, inconjunction with the technical and financial cooperation of PAHO.

2. To take note of the work done on the restructuring of the Institute,which will culminate in the signing and ratification of a new Basic Agreementof INCAP.

3. To approve the principle of the final transfer of INCAP to its new politi-cal and administrative management as an agency of Central America andPanama, and to approve the participation of PAHO/WHO as a member ofINCAP.

4. To request that the Director continue to support the restructuring ofINCAP until it is finally completed.

5. To request that the Director keep the Directing Council informed on theprogress of these important measures.

(Approved at the fifteenth plenary session,1 October 1981)

92

Resolution XXXI

Report on the II Inter-American Meeting, at theMinisterial Level, on Animal Health


Having considered the report on the II Inter-American Meeting, at theMinisterial Level, on Animal Health 21 (Document CD28/21);

Bearing in mind that the Inter-American Meetings, at the MinisterialLevel, on Animal Health are convened, in accordance with Resolution XIX2 2

of the XVII Meeting of the Directing Council and Resolution XII23 of theXII Inter-American Meeting, at the Ministerial Level, on Foot-and-MouthDisease and Zoonoses Control, for the purpose of reviewing the proposed pro-gram and budgets of the Pan American Foot-and-Mouth Disease Center andthe Pan American Zoonoses Center and for discussing the overall Program ofAnimal Health of PAHO;

Being aware that the Inter-American Institute for Cooperation on Agricul-ture (IICA) has established a program on animal health and production;

Recognizing the adverse effects of animal diseases on the health and socio-economic development of the countries of the Hemisphere; and

Taking into account the common interest of the Ministers of Health and ofAgriculture in continuing their successful cooperation in programs of preven-tion and control of zoonoses and foot-and-mouth disease,

Resolves.:

1. To take note of the report on the II Inter-American Meeting, at theMinisterial Level, on Animal Health (Document CD28/21).

2. To authorize the Director to convene the III Inter-American Meeting, atthe Ministerial Level, on Animal Health in 1983 and on alternate yearsthereafter.

3. To recommend to the Ministers of Agriculture that, in order to avoidduplication, special emphasis be placed on the joint analysis of the animalhealth program and budgets of PAHO and IICA.

4. To urge the Governments and the international, bilateral, and privateagencies of the Region to increase their efforts to control the principalzoonoses by providing the political, technical, and financial support necessaryto attain the goals set by each country.

21See PAHO Sczentiic Publication 414 (1981).22 pAHO Official Document 82 (1967), 74.23PAHO ScientiJic Publication 391 (1980), 30.

93

5. To congratulate the Ministers of Agriculture on their efforts to improvethe health of the peoples of the Americas through the prevention and control ofanimal diseases that affect the well-being and economy of the countries of theHemisphere.


Resolution XXXII

Proposed Plan of Action to Establish Dependable Sources of Financingfor the Pan American Zoonoses Center and the Pan American

Foot-and-Mouth Disease Center Outside theRegular PAHO Budget


Considering that the Pan American Zoonoses Center (CEPANZO) and thePan American Foot-and-Mouth Disease Center (PANAFTOSA) play a fun-damental role in the promotion, support, and coordination of animal healthand veterinary public health programs in the Hemisphere;

Aware of the effects of zoonoses and foot-and-mouth disease on the generalhealth of human beings, and in particular, on food production;

Bearing in mind the recommendations of the report of the External Evalua-tion Team of CEPANZO and PANAFTOSA, appointed by the Director ofPASB; and

Having reviewed the "Proposal for a Five-Year Comprehensive Programfor the Control and Eradication of Zoonoses and Foot-and-Mouth Disease inLatin America and the Caribbean" (Document CD28/22, Annex I),

Resolves:

1. To endorse the objectives, activities, and guidelines established in the"Proposal for a Five-Year Comprehensive Program for the Control andEradication of Zoonoses and Foot-and-Mouth Disease in Latin America andthe Caribbean" (Document CD28/22, Annex I).

2. To recommend to the national and international financial aid agenciesthat they give favorable consideration to any requests they may receive in con-nection with this Program.

3. To urge all Member Countries, through the Ministries of Agriculture,to consider making extraordinary contributions to the Centers, under specificagreements with PAHO, in connection with the cooperation they require.

94

4. To request the Director to investigate the possibilities of financing theProgram through various international, regional, and national sources ofcredit.


Resolution XXXIII

Collection of Quota Contributions


Having reviewed the report of the Director on the collection of quota con-tributions (Document CD28/23 and Add. I);

Considering the importance of prompt and full payment of quota contribu-tions in ensuring the financing of the authorized program and budget andmaintaining the Organization in a sound financial position; and

Noting the report of the working party on the application of Article 6-B ofthe PAHO Constitution, relating to the suspension of voting privileges ofGovernments that fail to meet their financial obligations,

Resolves.:

1. To take note of the report of the Director on the collection of quota con-tributions (Document CD28/23 and Add. I).

2. To permit the Representatives of the countries mentioned in the reportof the working party which studied the application of Article 6-B of the Consti-tution (Document CD28/SR/2) to vote at the XXVIII Meeting of the Di-recting Council.

3. To thank the Governments that have already made payments in 1981and to urge the other Governments whose legal circumstances so permit to paytheir current quotas as early as possible in the year in which they are due, sothat the work of the Organization may continue and the financial burden of itsprogram be shared among all Members.

4. To request the Director to continue to inform the Governments of anybalance due.


95

Resolution XXXIV

Coordination of Social Security and Public Health Institutions


Having examined the report of the Director on coordination of social securi-ty and public health institutions (Document CD28/34);

Mindful that the national and regional strategies and Plan of Actionadopted for attaining the goal of health for all by the year 2000 give priority tothe analysis and recasting of the structure of the health sector so as to improvethe participation of its institutions in the decision- and policy-making pro-cesses and to maximize their efficiency and effectiveness;

Considering the importance of strengthening institutional relations withinthe health sector by, among other means, seeking fresh approaches to coor-dination;

Cognizant of the urgency of devising and implementing new health servicefinancing strategies that will give the sector a reliably distributive role andassure the provision of the funds needed to extend the coverage of health ser-vices to the entire population and attain the goal of health for all by the year2000; and

Aware that in several countries of the Region, institutional responsibilityfor the delivery of personal health services to substantial segments of thepopulation is vested in social security institutions, and that they are expectedto participate to a steadily increasing degree in such programs,

Resolves.:

1. To take note of the report of the Director on progress and trends in thecoordination of social security and public health institutions in the countriesand on the Organization's technical cooperation with social security agencies.

2. To reiterate to the Governments the advisability of implementing therecommendations made in Resolution WHA33.1724 of the Thirty-thirdWorld Health Assembly in reviewing the functions of their Ministries ofHealth and in designing institutional coordination machinery.

3. To recommend that the Governments establish or restructure the bodiesfor interinstitutional representation in the health field in order to define areasof responsibility and give these institutions a role in decision-making, so as tomaximize the efficiency of their services.

4. To recommend that the Governments include representatives of socialsecurity agencies and other health sector institutions in delegations to themeetings of the Organization's Governing Bodies.

2 4Document WHA/33/1980/REC/1, 14.

96

5. To request the Governments to direct institutional coordination effortstoward priority problems whose solution will help universalize health servicescoverage at maximum effectiveness.

6. To urge the Governments to make sectoral studies of the financing ofhealth services, including the analysis of alternative means of raising andchanneling funds.

7. To request that the Director take the necessary action to promote andsupport the measures referred to above, including the formulation and im-plementation of specific programs for cooperation with national and interna-tional social security agencies.

8. To request that the Director report to the XXX Meeting of the DirectingCouncil on the work done and progress made in this matter.


Resolution XXXV

Costs of Administering Extrabudgetary Funds


Having reviewed the Organization's current policies on program supportcosts established by the Director and approved in 1978 by ResolutionXXXII 2 5 of the XX Pan American Sanitary Conference;

Considering the WHO Executive Board's Resolution EB67.R212 6 and theadoption by the Thirty-fourth World Health Assembly in ResolutionWHA34.1727 of a standard 13 per cent charge as partial reimbursement forthe cost of technical and non-technical support and of technical cooperationservices under the United Nations Development Program and all other extra-budgetary sources of funds; and

Bearing in mind that the establishment of a standard 13 per cent chargedoes not cover the full program support cost,

Resolves.:

1. To maintain the general policy established by the Director that the fullcost of technical and administrative services or support for the efficient and ef-fective implementation by PAHO of projects financed from extrabudgetaryfunds should be financed from such funds as long as possible.

25PAHO Official Document 162 (1978), 83-84.2 6 Document EB67/1981/REC/1, 22-23.2 7 Document WHA34/1981/REC/1, 18-19.

97

2. To authorize the Director to apply, from 1 January 1982, a standardminimum 13 per cent program support cost rate, the enforcement of which isto be waived only under very exceptional circumstances.

3. To authorize the Director to negotiate higher program support cost rateswhenever this is acceptable to donors or funding institutions.


Resolution XXXVI

Service Charge for Procurement Services and Incomefrom the Sale of Publications


Having considered the recommendation of the Executive Committee 28 andthe changes in the Financial Regulations proposed in Document CD28/20;and

Taking into consideration that changes in the Regulations are necessary topermit the Director to use income generated by the 3 per cent service chargeon procurements and from the sale of publications to partially defray staffcosts and other costs related to these procurement/publications functions,

Resolves:

1. To approve the changes in the Financial Regulations of the PanAmerican Health Organization as they appear in Document CD28/20.

2. To permit the Director to use income generated by the 3 per cent servicecharge on procurements and from the sale of publications to defray part of thestaff costs and other costs related to these procurement/publications functions.


2 8 Resolution XXV. PAHO Official Document 178 (1981), 55.

98

Resolution XXXVII

Salary of the Director of the Pan American Sanitary Bureau


Considering the revision made to the schedule of salaries of the professionaland higher categories of staff in graded posts, effective 1 January 1981;

Taking into account the decision by the Executive Committee at its 86thMeeting to adjust the salaries of the Deputy Director and the Assistant Direc-tor of the PASB (Resolution XXIV);29

Having noted the recommendation of the Executive Committee concerningthe salary of the Director of the Pan American Sanitary Bureau (ResolutionXXIII); 30 and

Bearing in mind the provisions of Staff Rule 330-3,

Resolves.:

1. To establish the salary of the Director of the Pan American SanitaryBureau at US$55,637 (dependency rate) or US$50,497 (single rate) per an-num, effective 1 January 1981.

2. To note that, consequent upon the salary adjustment for the Director,appropriate reduction will be made of the post adjustment rate.


Resolution XXXVIII

Oral Health


Having considered the Plan of Action for the implementation of the re-gional strategies (Document CD28/14) and Document CD28/38 presented bythe Government of the Dominican Republic in connection with the incorpo-ration of oral health into the strategies of primary care and the goal of health

for all by the year 2000;Aware of the magnitude of the oral/dental problem in the majority of the

population of the Member Countries, and the urgent need to find appropriatesolutions to the great demand in the Region for dental services; and

Recognizing the need for effective, efficient, and efficacious programs in

29PAHO Official Document 178 (1981), 54-55.30Ibid, 54.

99

line with comprehensive health criteria in the areas of primary care, genera-tion of knowledge, and manpower at the promoter, auxiliary, and universitylevels, and for the provision of oral health services for the people of the

Region,

Resolves:

1. To recommend that the Member Governments carry out the oral healthprogram at the national level within the framework of their health policies,following the guidelines for extending coverage by means of the primary care

strategy.2. To endorse the recommendations submitted to the Directing Council in

Document CD28/38 for the development of technical cooperation by PAHOat the Areas and countries.

3. To recommend that technical cooperation follow the Plan of Action forthe implementation of the regional strategies and be directed toward the pro-motion of programs for prevention, training of auxiliary personnel, genera-tion of local knowledge and technology, and organization of a dental informa-tion system in the Region.

4. To request the Director to adopt suitable measures within the availableresources for the dynamic and efficient execution of those recommendations.

5. To recommend to the Director that he endeavor to obtain extrabudget-ary funds from international financing agencies to assist in the efforts beingmade by the Member Countries and PAHO to improve oral health in theAmericas.


Resolution XXXIX

Technical Discussions: "Sanitary Control of Food"


Having examined the Report (Document CD28/DT/3, Rev. 1) of theTechnical Discussions on the "Sanitary Control of Food" held during theMeeting, which had before it Document CD28/DT/1;

Bearing in mind the importance of safe, wholesome food in health care andthe need to make this food more available to all sectors of the population;

Noting the constant losses of food due to contamination and the consequentmorbidity and the mortality from food-borne illnesses;

Recognizing the impact of the food supply system on health care and con-sidering the national and international elements of that system; and

100

Convinced of the need for a coherent national food protection policy toaddress these concernris, and of a comprehensive food law to enforce thatpolicy,

Resolves:

1. To take note of the Report of the Technical Discussions (DocumentCD28/DT/3, Rev. 1) and to express its satisfaction with it.

2. To recommend that the Member Governments:

a) Develop and maintain coherent national food protection policies withcorresponding legislation, giving special attention to preventiveaspects;

b) Support the development of institutions and the training and continu-ing education of inspectors and other specialized personnel at alllevels;

c) Initiate educational programs on all aspects of food safety, especiallythose at the community level, emphasizing participation of womenand schoolchildren;

d) Explore new sources and mechanisms for the internal and externalfinancing of national food protection programs through specializedinternational lending agencies, and by incorporating the programsinto the financial planning process.

e) Strengthen the health sector's participation in the management andsurveillance of the production, storage, distribution, manufacture,and marketing phases of the food supply system.

3. To request the D)irector to:

a) Continue, as a priority, to collaborate with Member Governments inimproving the wholesomeness of food, which includes the formula-tion of national policies for food safety; optimization of cooperationand linkages with all agencies involved in food protection and trade;strengthening of food protection programs; and community partici-pation in the sanitary handling of food with emphasis on primaryhealth care for underserved populations;

b) Distribute the report of the Technical Discussions to MemberGovernments, national and international agencies, and other con-cerned parties;

c) Take into consideration the Report of the Technical Discussions andthis Resolution in the implementation of the regional strategies andPlan of Action on the subject.


101

Resolution XL

Tentative Provisional Agenda of the Sixty- ninth Session of the ExecutiveBoard of WHO: Items of Interest to the Regional Committee


Having examined the tentative provisional agenda of the Sixty-ninth Ses-sion of the Executive Board (Document EB69/1, annexed to DocumentCD28/5) made available to it by the Director-General of WHO,

Resolves:

1. To take note of the tentative provisional agenda of the Sixty-ninthSession of the Executive Board of WHO (Document EB69/1, annexed toDocument CD28/5).

2. To thank the Director-General of WHO, through the Regional Direc-tor, for making available this valuable advance information.

3. To urge Member Governments to review carefully the issues to be con-sidered by the WHO Executive Board, and to make their views known to theDirector and to the Members of the Executive Board from the Region in orderto ensure that regional views are fully reflected at the Board's session.

(Approved at thefifteenth plenary session,

1 October 1981)

Resolution XLI

Health Care of the Elderly


Having examined the report on health care of the elderly (DocumentCD28/19), previously submitted by the Director to the 86th Meeting of theExecutive Committee (Document CE86/12), in compliance with ResolutionXVI31 of the XXVII Meeting of the Directing Council;

Recognizing, within the context of the regional strategies for achieving thegoal of health for all by the year 2000, the growing importance of the elderlyamong those special groups with greater vulnerability; and

Taking into consideration Resolution XXX 3 2 of the 86th Meeting of theExecutive Committee,

31PAHO Official Document 174 (1981), 74-75.32PAHO Official Document 178 (1981), 60.

102

Resolves:

1. To endorse the recommendations of Resolution XXX of the 86thMeeting of the Executive Committee.

2. To urge the Member Governments to identify the proper action relatedto the health care of the elderly in their national health plans, along the lines ofthe Plan of Action for the implementation of the regional strategies to achievehealth for all by the year 2000.

3. To commend the Director for the report on health care of the elderly(Document CD28/19) and the Executive Committee for the constructive com-ments made during its 86th Meeting, which were incorporated into the docu-ment.

(Approved at thefifteenth plenary session,

1 October 1981)

Resolution XLII

Resolutions of the Thirty- fourth World Health Assemblyof Interest to the Regional Committee


Having examined the resolutions of the Thirty-fourth World HealthAssembly brought by the Director of the Pan American Sanitary Bureau tothe attention of the Directing Council as Regional Committee of the WorldHealth Organization for the Americas (Document CD28/8 and Adds. 1 and

II);Having also examined Resolution WHA34.38 33 on the function of the

physician and other health workers in the maintenance and promotion ofpeace as the prime factor in the attainment of health for all; and

Having been informed by the Director of the activities being carried out inthe Region in the various fields,

Resolves:

To take note of the resolutions of the Thirty-fourth World Health Assemblycontained in Document CD28/8 and Adds. I and II, as well as Resolution

3 3 Document WHA 34/198/REC/1, 40-41.

103

WHA34.38 on the function of the physician and other health workers in themaintenance and promotion of peace as the prime factor in the attainment ofhealth for all, and to request the Director to act to ensure that their intent andpurpose are conveyed to Member Governments.


Resolution XLIII

International Year of Disabled Persons


Having examined the report presented by the Director on the InternationalYear of Disabled Persons (Document CD28/29);

Considering Resolution 31/123 of the United Nations General Assemblyproclaiming the year 1981 as "International Year of Disabled Persons;" and

Recalling Resolutions WHA31.39 and WHA34.30 34 of the World HealthAssembly recommending that Member States increase their efforts to ensurethe success of the Year and develop permanent programs for the disabled aspart of the goal of health for all by the year 2000, and requesting the Director-General of WHO to collaborate in programs of disability prevention andrehabilitation within the primary health care context and to enhance coopera-tion with United Nations agencies, intergovernmental organizations, andnongovernmental organizations in the implementation of such programs,

Resolves:

1. To thank the Director for the information provided on the InternationalYear of Disabled Persons.

2. To urge Member Governments to continue to increase their efforts toensure the success of the International Year of Disabled Persons and, on thebasis of those efforts, to establish permanent programs for disabled persons asan integral part of the health services.

3. To urge Member Governments to promote the provision of primaryrehabilitation services at the community level.

3 4WHO Offical Records 247 (1978), 27 and Document WHA34/1981/REC/1, 33.

104

4. To request the Director to continue to cooperate with Member Govern-ments in assessing the problems produced by disability and adopting policiesfor their solution.

5. To recommend that the subject be re-examined at the XXX Meeting ofthe Directing Council of PAHO, XXXVI Meeting of the Regional Com-mittee of WHO for the Americas, to be held in 1984, with a view to evaluatingthe progress made.


IN WITNESS WHEREOF, the President of the Directing Council and theSecretary ex officio, Director of the Pan American Sanitary Bureau, sign thepresent Final Report in the English and Spanish languages, the two texts be-ing equally authentic.

DONE in Washington, D. C., United States of America, on this first day ofOctober, nineteen hundred and eighty-one. The Secretary shall deposit theoriginal texts in the archives of the Pan American Sanitary Bureau and shallsend copies thereof to the Governments of the Organization.

(In the absence of the President)

Lyall M. BlackVice President of the Directing Council

Representative of Canada

Héctor R. AcuñaSecretary ex officio of the Directing Council

Director of thePan American Sanitary Bureau

105

ANEXO

ANNEX

Annex

Participantes

GobiernosGovernments

ARGENTINA

Representante-Representative

Dr. Enrique O. Adorni, Subsecre-tario de Promoción, Asistencia yRehabilitación de la Salud, Minis-terio de Salud Pública y MedioAmbiente, Buenos Aires

Suplentes-A lternates

Dr. César E. Leppén, Director Na-cional de Establecimientos Sanita-rios, Ministerio de Salud Públicay Medio Ambiente, Buenos Aires

Sr. Ramón Villagra, Primer Secreta-rio, Misión Permanente de la Ar-gentina ante la Organización de losEstados Americanos, Washington,D.C.

Participants

Suplentes-A Iternates

Mr. Harold Munnings, PermanentSecretary, Ministry of Health andNational Insurance, Nassau

Dr. Vernell Allen, Acting ChiefMedical Officer, Ministry ofHealth and National Insurance,Nassau

Ms. Veta Brown, Acting DeputyPermanent Secretary, Ministry ofHealth and National Insurance,Nassau

BARBADOS


Dr. Lloyd B. Brathwaite, Ministerof Health, Ministry of Health,Bridgetown

Suplentes-A lternatesBAHAMAS


Dr. Perry G. Christie, Minister ofHealth and National Insurance,Ministry of Health and NationalInsurance, Nassau

Mr. Allison Daniel, Permanent Sec-retary, Ministry of Health, Bridge-town

Dr. Jean L. Harney, Chief Medical.Officer, Ministry of Health,Bridgetown

109

Anexo

BOLIVIA


Sr. Jorge Soruco, Ministro Conse-jero, Misión Permanente de Boli-via ante la Organización de losEstados Americanos, Washington,D.C.

Suplente-A Iternate

Srta. Grace Bedoya, Primer Secre-tario, Misión Permanente de Bo-livia ante la Organización de losEstados Americanos, Washington,D.C.

BRASIL (BRAZIL)


Dr. Waldyr Mendes Arcoverde, Mi-nistro de Estado da Saúde, Minis-tério da Saúde, Brasília, D.F.


Dr. Germano Mostardeiro Bonow,Secretário da Saúde e do Meio-Ambiente do Rio Grande do Sul,Rio Grande do Sul

Dra. Valerie Rumjanek Chaves,Coordenadora de Assuntos Inter-nacionais da Saúde, Ministério daSaúde, Brasília, D.F.

Dr. Germano Gerhardt Filho, Di-retor, Divisáo Nacional de Pneu-mologia Sanitária, Secretaria deProgramas Especiais, Ministérioda Saúde, Brasília, D.F.

Sr. Joáo Frederico Abbott Galváo,Jr., Secretário, Missao do BrasilJunto á Organizacao dos EstadosAmericanos, Washington, D.C.

CANADA


Dr. Lyall M. Black, Assistant De-puty Minister, Medical ServicesBranch, Department of NationalHealth and Welfare, Ottawa, On-tario


Mr. Michel Careau, Acting Direc-tor, International Affairs Division,Department of National Healthand Welfare, Ottawa, Ontario

Dr. Edward Ellis, Medical Officer,Alberta Department of Social Ser-vices and Community Health, Ed-monton, Alberta

Mr. Ian C. Inglis, Special Adviser tothe Assistant Deputy Minister,Medical Services Branch, Depart-ment of National Health and Wel-fare, Ottawa, Ontario

Dr. Gérard Martineau, Chief, In-fectious Diseases Division, Min-istry of Social Affairs of Quebec,Quebec, Quebec

Mr. Michael K. Warren, First Sec-retary and Alternate PermanentObserver, Permanent ObserverMission of Canada to the Organi-zation of American States, Wash-ington, D.C.

110

COLOMBIA


Dr. Jorge Michelsen Rueda, Vice-ministro de Salud, Ministerio deSalud, Bogotá


Dr. Héctor Gómez, Director, Vigi-lancia y Control, Ministerio de Sa-lud, Bogotá

Dr. Rodrigo Bustamante, Jefe, Ofi-cina de Planeación, Ministerio deSalud, Bogotá

Dr. Eduardo Solano Guerra, Direc-tor de Investigaciones, Ministeriode Salud, Bogotá


Dr. Jorge Aldereguía Valdés-Brito,Viceministro, Ministerio de SaludPública, La Habana


Dr. José Antonio Pagés, Jefe, De-partamento de Organismos Inter-nacionales, Ministerio de SaludPública, La Habana

Dr. Arnaldo Tejeiro Fernández, Ase-sor, Dirección de Estadística Sani-taria, Ministerio de Salud Pública,La Habana

Sr. Plácido Marrero Rodríguez, Ter-cer Secretario, Misión de Cubaante las Naciones Unidas, NewYork, N.Y.

COSTA RICA

CHILE


Dr. Carmelo Calvosa Chacón, Mi-nistro de Salud, Ministerio de Sa-lud, San José


Dr. Leonardo Marranghello Boni-fati, Director General de Salud Al-terno, Ministerio de Salud, SanJosé

Dr. Carlos Castro Charpentier, Sub-gerente Médico de la Caja Costa-rricense de Seguro Social, SanJosé


Contralmirante Hernán Rivera Cal-derón, Ministro de Salud Pública,Ministerio de Salud Pública, San-tiago


Dr. Guillermo Delgado, Asesor, Mi-nisterio de Salud Pública, Santiago

Dr. Manuel Borgoñio Domínguez,Coordinador Internacional, Mi-nisterio de Salud Pública, San-tiago

111

CUBA

Dr. Juan Giaconi, Jefe, Departa-mento de Planificación, Minis-terio de Salud Pública, Santiago

Arq. Isabel Rosés Palacios, Departa-mento de Recursos Físicos, Minis-terio de Salud Pública, Santiago

DOMINICA


Mr. Charles Maynard, Minister ofEducation and Health, Ministry ofEducation and Health, Roseau

Suplente-A lternate

Mr. Frederick Symes, PermanentSecretary for Health, Ministry ofEducation and Health, Roseau

ECUADOR


Dr. Miguel Coello Fernández, Mi-nistro de Salud Pública, Ministeriode Salud Pública, Quito


Dr. Carlos Henríquez Coello, Direc-tor General de Salud Pública, Mi-nisterio de Salud Pública, Quito

Dr. Eduardo Navas Vacas, Coordi-nador Ejecutivo, Consejo Nacionalde Salud, Ministerio de Salud Pú-blica, Quito

EL SALVADOR


Dr. José Arturo Coto, Director Ge-neral de Salud, Ministerio de Sa-lud Pública y Asistencia Social,San Salvador

Suplente-A Iternate

Dr. J. Guillermo Trabanino, Mi-nisterio de Salud Pública y Asis-tencia Social, San Salvador

ESTADOS UNIDOS DE AMERICA(UNITED STATES OF AMERICA)


Dr. Edward N. Brandt, Jr., AssistantSecretary for Health, Departmentof Health and Human Services,Washington, D.C.


Dr. John H. Bryant, Deputy Assis-tant Secretary for International

Health, Department of Health and

Human Services, Washington,

D.C.

Mr. Neil Boyer, Director, Healthand Narcotics Programs, Bureau

of International Organization Af-fairs, Department of State, Wash-

ington, D.C.

Dr. Claude Lenfant, Associate Di-

rector for International Research,National Institutes of Health, De-

112

partment of Health and Human

Services, Washington, D.C.

Asesores-Advisers

Dr. Jorge Chiriboga, Director, En-

vironmental Biomedical Science

Institute, Medical Science Cam-

pus, University of Puerto Rico,

San Juan, Puerto Rico

Ms. Marlyn Kefauver, Director,

Office for the Americas, Office of

International Health, Department

of Health and Human Services,

Washington, D.C.

Ms. Linda Morse, Chief, Health and

Nutrition Division, Bureau forLatin America and the Caribbean,

Agency for International Devel-

opment, Washington, D.C.

FRANCIA (FRANCE)


Dr. Jeanne Broyelle, Inspecteur Gé-

néral de la Santé, Ministere de la

Santé Publique et de la Sécurité

Sociale, Paris

GRENADA


Dr. Bernard E. Gittens, Secretary forHealth, Ministry of Health andHousing, St. George's


Ms. Dessima Williams, Ambassador,Permanent Mission of Grenada tothe Organization of AmericanStates, Washington, D.C.

Mr. John Samuel, Counsellor, Alter-nate Representative, Mission ofGrenada to the Organization ofAmerican States, Washington,D.C.

Mr. Wyvern Ferguson, Administra-tive Attaché, Embassy of Grenada,Washington, D.C.

Ms. Cecile La Grenade, Microbio-logist, Ministry of Agro Industries,St. George's

Ms. Carrol S. Akanegbu, PersonalAssistant to the Ambassador, Mis-sion to Grenada to the Organiza-tion of American States, Wash-ington, D.C.

GUATEMALA


Lic. Gustavo Santiso Gálvez, Emba-jador Representante Permanenteante la Organización de los Esta-dos Americanos, Washington,D.C.

GUYANA


Mr. Patrick Pahalan, Second Secre-tary, Embassy of Guyana, Wash-ington, D.C.

113



Dr. Gérard Désir, Secrétaire d'Etatde la Santé Publique et de la Pop-ulation, Départment de la SantéPublique et de la Population, Port-au-Prince


Dr. Francisque Milord, Directeur del'Unité d'Exécution et de Coor-dination, Départment de la SantéPublique et de la Population, Port-au-Prince

Dr. Joseph Adé, Administrateur duDistrict Sanitaire de St. Marc,Départment de la Santé Publiqueet de la Population, Port-au-Prince

HONDURAS


Dr. Juan Andonie Fernández, Mi-nistro de Salud Pública y Asisten-cia Social, Ministerio de Salud Pú-blica y Asistencia Social, Teguci-galpa

JAMAICA

Mr. Donald Miller, Permanent Sec-retary, Ministry of Health,Kingston

Dr. Christine Moody, PrincipalMedical Officer, Primary Care,Ministry of Health, Kingston

Ms. Cherrie J. Orr, Minister Coun-sellor, Mission of Jamaica to theOrganization of American States,Washington, D.C.

Ms. Cecile Clayton, Counsellor,Mission of Jamaica to the Organi-zation of American States, Wash-ington, D.C.

MEXICO


Dr. Ramón Alvarez Gutiérrez, Di-rector General de Asuntos Inter-nacionales, Secretaría de Salubri-dad y Asistencia, México, D.F.

Suplente-A lternate

Dr. Rodolfo de Mucha Macías,Coordinador General de Planea-ción, Secretaría de Salubridad yAsistencia, México, D.F.

Asesores-Advisers


Dr. Kenneth Baugh, Minister ofHealth, Ministry of Health,Kingston

Dr. Mauricio García Sainz, DirectorGeneral de Control de Alimentos,Bebidas y Medicamentos, Secreta-ría de Salubridad y Asistencia,México, D.F.

114

HAITI

Dra. Martha Barquín, Jefe, Depar-tamento de las Américas, Unidadde Asuntos Internacionales, Secre-taría de Salubridad y Asistencia,México, D.F.

Dr. Francisco Pizarro Suárez, Direc-tor de Control de Alimentos y Be-bidas, Secretaría de Salubridad yAsistencia, México, D.F.

Sr. Francisco Cabrera Valadez, Se-gundo Secretario, Misión deMéxico ante la Organización delos Estados Americanos, Wash-ington, D.C.

NICARAGUA


Dr. Joaquín Solís, Viceministro deSalud Pública, Ministerio de SaludPública, Managua

Suplente-A Iternate

Lic. Ramón Meneses, Consejero,Representante Alterno de la Mi-sión Permanente de Nicaraguaante la Organización de los Esta-dos Americanos, Washington,D.C.

PANAMA


Dra. Edith de Bethancourt, Vice-ministra de Salud, Ministerio deSalud, Panamá


Dr. Adolfo Name, Director Provin-cial de Salud, Ministerio de Salud,Santiago, Veraguas

Lic. Minerva Samuels, Directora deAsuntos Internacionales, Ministe-rio de Salud, Panamá

PARAGUAY


Dr. Adán Godoy Jiménez, Ministrode Salud Pública y Bienestar So-cial, Ministerio de Salud Públicay Bienestar Social, Asunción


Dr. José Efraín Alderete, DirectorGeneral de Salud, Ministerio deSalud Pública y Bienestar Social,Asunción

Ing. Guillermo Martínez, Director,Servicio Nacional de SaneamientoAmbiental, Ministerio de SaludPública y Bienestar Social, Asun-ción

PERU


Dr. Juan Ponce de León, DirectorGeneral, Oficina de IntercambiosInternacionales, Ministerio de Sa-lud, Lima

115


Sr. Miguel Palomino, Segundo Se-cretario, Misión Permanente dePerú ante la Organización de losEstados Americanos, Washington,D.C.

REINO DE LOS PAISES BAJOS(KINGDOM OF THE NETHERLANDS)


Mr. Theo Evers, Attaché for Healthand Environmental Protection,Royal Netherlands Embassy,Washington, D.C.

REINO UNIDO(UNITED KINGDOM)


Dr. Penelope J. Key, Medical Ad-viser, Overseas Development Ad-ministration, London

Suplente-A Iternate

Dr. Orlando Smith, Chief MedicalOfficer, Ministry of Health, Tor-tola, British Virgin Islands

REPUBLICA DOMINICANA(DOMINICAN REPUBLIC)


Dr. José Rodríguez Soldevilla, Se-cretario de Estado de Salud Pú-blica y Asistencia Social, Secretaríade Estado de Salud Pública y Asis-tencia Social, Santo Domingo

Lic. Rafael de Lancer, Subsecretariode Estado de Planificación y Desa-rrollo, Secretaría de Estado de Sa-lud Pública y Asistencia Social,Santo Domingo

SANTA LUCIA(SAINT LUCIA)

Representante-Representative.

Mr. Fitzgerald Louisy, PermanentSecretary, Ministry of Health andLocal Government, Castries

SAN VICENTE Y GRANADINAS(ST. VINCENT AND GRENADINES)


Mr. Peter Ballantyne, Minister ofHealth, Ministry of Health,Kingstown


Mr. Owen Cuffy, Permanent Sec-retary for Health, Ministry ofHealth, Kingstown

Mr. John McBride, Health ServicesAdministrative Adviser, Ministryof Health, Kingstown

SURINAME

*Representante-Representative

Dr. Bradisein Sital, Minister ofHealth, Ministry of Health, Para-maribo

116

Suplente-Alternale


Dr. Ferdinand Siem Tjam, Directorof Health, Ministry of Health, Pa-ramaribo

Dr. André de Rooy, Inspector ofHealth, Ministry of Health, Para-maribo

TRINIDAD Y TABAGO

(TRINIDAD AND TOBAGO)


Mr. Victor McIntyre, Ambassador,Representative of Trinidad andTobago to the Organization ofAmerican States, Washington,D.C.

Suplentes-A liternates

Mr. Hubert Blackett, PermanentSecretary, Ministry of Health andEnvironment, Port-of-Spain

Mr. Errol Small, Agricultural At-taché, Embassy of Trinidad andTobago, Washington, D.C.

URUGUAY


Dr. Armando López Scavino, Sub-secretario de Salud Pública, Mi-nisterio de Salud Pública, Mon-tevideo


Dr. Juan José Bacigalupi, Director

General de Salud, Ministerio deSalud Pública, Montevideo

Sr. Juan Carlos Lourido, Ministrodel Servicio Exterior, Ministeriode Relaciones Exteriores, Emba-jada del Uruguay, Washington,D.C.

VENEZUELA


Dr. Jorge Rodríguez Díaz, Jefe, Ofi-cina de Salud Pública Internacio-nal, Ministerio de Sanidad y Asis-tencia Social, Caracas

Suplente-A lternate

Dr. Horacio Rosales Gil, Jefe, Divi-sión de Higiene de los Alimentos,Ministerio de Sanidad y AsistenciaSocial, Caracas

Asesores-Advisers

Dr. Pedro Guedez Lima, Adjunto alDirector de Salud Pública, Minis-terio de Sanidad y Asistencia So-cial, Caracas

Dr. Rogelio Valladares, ConsejeroCientífico, Embajada de Vene-zuela, Washington, D.C.

Comité Ejecutivo del Consejo DirectivoExecutive Committee of the

Directing Council

Dr. Ramón Alvarez Gutiérrez, Pre-sidente

117

Dra. Christine Moody, Miembro

Oficina Sanitaria PanamericanaPan American Sanitary Bureau

Dr. Héctor R. Acuñfia, Director, Se-cretario ex officio del Consejo

Dr. S. Paul Ehrlich, Jr., DirectorAdjunto

Dr. Eusebio del Cid Peralta, Subdi-rector

Dr. Luis Carlos Ochoa Ochoa, Ge-rente de Operaciones

Sr. William E. Muldoon, Jefe deAdministración

Dr. Jorge Litvak, Jefe, División dePrevención y Control de Enfer-medades

Dr. Mário V. Fernandes, Jefe, Pro-grama Especial de Salud Animal

Jefe, Departamento de Conferenciasy Ser-vicios Generales

(Chief, Department of Conference andGeneral Services)

Sr. Luis Larrea Alba, Jr.

Jefe, Servicios de Secretaría

(Chief Secretariat Services)

Sr. Carlos L. García

Sr. Frank Butrico, Jefe, División deProtección de la Salud Ambiental

Dr. José Roberto Ferreira, Jefe, Di-visión de Recursos Humanos eInvestigación

Dra. Sumedha Khanna, Jefe, Divi-sión de Servicios Integrados deSalud

Organización Mundial de la SaludWorld Health Organization

Dra. Méropi Violaki-Paraskeva,Presidenta, 34a Asamblea Mundialde la Salud, Directora General Ho-noraria de Salud, Ministerio deServicios Sociales, Atenas, Grecia

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ObservadoresObservers

GOBIERNOSGOVERNMENTS

ESPAÑA (SPAIN)


Dr. Luis Valenciano Clavel, Director General de Salud Pública, Ministerio deSanidad y Seguridad Social, Madrid


Sr. José María Segovia de Arana, Director del Fondo de Investigaciones deSalud, Ministerio de Sanidad y Seguridad Social, Madrid

Sr. Eduardo Cerro, Observador Permanente Alterno de España ante la Or-ganización de los Estados Americanos, Washington, D.C.

ORGANISMOS INTERGUBERNAMENTALESINTERGOVERNMENTAL ORGANIZATIONS

Banco Interamericano de Desarrollo (Inter-American Development Bank)

Dr. Abraham Drobny, Jefe de la Unidad de Salud Pública, Departamento deAnálisis de Proyectos, Washington, D.C.

Comité Internacional de Medicina y Farmacia Militares (International Committee ofMilitary Medicine and Pharmacy)

Tte. Cnel. Dr. Carlos Díaz Coller, Profesor de Administración de Salud Pú-blica, Facultad de Medicina del Ejército, México, D.F., México

Comunidad del Caribe (Caribbean Community)

Dr. Philip Boyd, Jefe, Sección de Salud, Georgetown, Guyana

Convenio Hipólito Unanue (Hipólito Unanue Agreement)

Dr. Roberto Acosta Borrero, Secretario Ejecutivo, Lima, Perú

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Organización de los Estados Americanos (Organization of American States)

Sr. O. Howard Salzman, Director, Oficina de Cooperación Internacional,Washington, D.C.

Sra. Joan H. Irañeta, Jefe, Unidad de Enlace y Coordinación, Oficina deCooperación Internacional, Washington, D.C.

Dra. Julieta de Morales Macedo, Presidenta, Comisión Interamericana deMujeres, Washington, D.C.

Srta. Elia del Carmen Guerra, Secretaria Ejecutiva, Comisión Interameri-cana de Mujeres, Washington, D.C.

Sra. Marijane E. Peplow, Secretaria Ejecutiva Adjunta, Comisión Interame-ricana de Mujeres, Washington, D.C.

Dr. Pedro Acha, Asesor Especial del Director General para Asuntos de Sa-lud Animal, Instituto Interamericano de Cooperación para la Agricultura,Washington, D.C.

Sr. Michael Moran, Asesor Especial para Asuntos Externos, Instituto Inter-americano de Cooperación para la Agricultura, Washington, D.C.

Sr. Philip Huber, Asesor, Departamento de Desarrollo Social, Alimentación yRecursos Humanos, Washington, D.C.

ORGANIZACIONES NO GUBERNAMENTALESNONGOVERNMENTAL ORGANIZATIONS

Asociación Interamericana de Ingeniería Sanitariay Ambiental (Inter-American Associa-tion of Sanitary and Environmental Engineering)

Ing. José M. Carrillo Rodríguez, Presidente, Caracas, Venezuela

Asociación Internacional de Logopedia y Foniatría (International Association of Logo-pedics and Phoniatrics)

Dr. Louis La Borwit, Chief, Speech and Language Pathology, Department ofPhysical Medicine and Rehabilitation, American Speech-Language-Hear-ing Association, Georgetown University Hospital, Washington, D.C.

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Asociación Internacional de Médicas (Medical Women's International Association)

Dr. Margaret W. Bridwell, American Medical Women's Association, NewYork, N.Y.

Asociación Internacional de Pediatría (International Pediatric Association)

Dr. Allan B. Coleman, Chairman, District III, American Academy of Pe-diatrics, Washington, D.C.

Asociación Médica Mundial (World Medical Association)

Ms. Eileen McGinn, Associate, Director, National Council for InternationalHealth, Washington, D.C.

Comisión Médica Cristiana (Christian Medical Commission)

Dr. John Karefa-Smart, Washington, D.C.

Consejo Internacional de Enfermeras (International Council of Nurses)

Dr. Rachel Booth, Associate Dean, Undergraduate Program, School ofNursing, University of Maryland, Baltimore, Maryland

Consejo Internacional de Sociedades de Patología (International Council of Societies ofPathology)

Dr. Donald E. Henson, Pathologist, National Institutes of Health, Bethesda,Maryland

Consejo de Organizaciones Internacionales de las Ciencias Médicas (Councilfor Interna-tional Organizations of Medical Sciences)

Dr. Murillo Belchior, Presidente, Conselho Federal de Medicina, Rio deJaneiro, Brasil

Federación Dental Internacional (International Dental Federation)

Dr. Ariel O. Gómez, Vicepresidente, Buenos Aires, Argentina

Federación Internacional de la Diabetes (International Diabetes Federation)

Ms. Kathleen Gutowski, American Diabetes Association, Washington, D.C.

121

Federación Internacional de Hospitales (International Hospital Federation)

Dr. José González, Secretary, Washington, D.C.

Federación Internacional de la Industria del Medicamento (International Federation ofPharmaceutical Manufacturers Associations)

Mr. Richard R. Saul, Jr., Regional Director for Latin America, Pharmaceu-tical Manufacturers Association, Washington, D.C.

Federación Internacional de Organizaciones de Registros Sanitarios (International Federa-tion of Health Records Organizations)

Ms. Carol A. Lewis, Vice President, Bethesda, Maryland

Federación Latinoamericana de la Industria Farmacéutica (Latin American Federation ofthe Pharmaceutical Industry)

Sr. Pablo Dupit, Buenos Aires Argentina

Federación Mundial de Asociaciones de Salud Pública (World Federation of Public HealthAssocialions)

Dr. Alfred Gerald, Deputy Director, Washington, D.C.

Dr. Susi Kessler, Executive Secretary, Washington, D.C.

Federación Mundial de Ergoterapeutas (World Federation of Occupational Therapists)

Ms. Wilma L. West, Regional Representative, Regional Office for the Ame-ricas, New York, N.Y.

Federación Mundial de Fabricantes de Medicamentos de Marcas Registradas (World Fed-eration of Proprietary Medicine Manufacturers)

Dr. Joseph M. Pisani, Vice President, Medical and Scientific Affairs, TheProprietary Association, Washington, D.C.

Federación Mundial de Veteranos de Guerra (World Veterans Federation)

Ms. June Willenz, Executive Director, American Veterans Committee,Washington, D.C.

122

Organismo Internacional de Prevención de la Ceguera (World Councilfor the Welfare ofthe Blind)

Dr. Susan T. Pettiss, Director of Blindness Prevention, New York, N.Y.

Unión Internacional de Arquitectos (International Union of Architects)

Mr. Roger C. Mellem, International Union of Architects, Washington, D.C.

Unión Internacional de Ciencias de la Nutrición (International Union of NutritionalSciences)

Dr. David B. Coursin, Lancaster, Pennsylvania

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HEALTH FOR ALL BY THE YEAR 2000

In 1977, the World Health Assembly decided that the main social target of thegovernments and ofWHO should be the attainment by all people of the world by theyear 2000 of a level of health thatwould permnit them to lead a socially and economically productive lie, that is, the goal popularlyknown as "health for all by theyear 2000."

In 1978 the International ConJerence on Primary Health Care (Alma-Ata, USSR) declared that,as a centralJunction oJ' the national health system and an integral part of economic and social devel-opment, primary health care was the key to achieving that goal. Subsequently, the governments com-mitted themselves-at the global level at the World Health Assembly, and at the regional level atineetings of J'the PAHO Governing Bodies-to implement the resolutions adoptedJor attaining health

Jfor all. In the Americas the high point of these mandates was reached on 28 September 1981 when theDirecting Council of PAHO approved the Plan ofAction Jfor implementing the regional strategiesfJorhealth Jor all by theyear 2000. These strategies had been approved by the Directing Council in 1980(Resolution XX) and today constitute the basis of PAHO's policy andprogramming, and represent inaddition the contribution of the Region o'f the Americas to the global strategies of WHO.

The Plan of Action approved by the Directing Council contains the minimum goals and regionalobjectives, as well as the actions governments of the Americas and the Organization must take in orderto attain healthJor all. The Plan, continental in nature, is essentially dynamic and is addressed notonly to current problems but also to those likely to ariseJfrom the application of the strategies and the

Jfulfillment of regional goals and objectives. It also defines priority areas that will serve as a basis, indeveloping the program and the necessary infrastructure, Jfor national and international action.

The exchange and dissemination of inJormation constitutes one of the priority areas of the Plan ofAction. PAHO's publication program-including periodicals, scientif'c publications, and officialdocuments-is designed as a means of promoting the ideas contained in the Plan by disseminatingdata on policies, strategies, international cooperation programs, andprogress achieved in collaborationwith countries of the Americas in the process of attaining health for all by theyear 2000.

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