Final report of the tenth session of the Regional Committee for the Western Pacific

WORLD HEALTH ORGANI%A TION IIGIOMAL COMMIT1EE FOR THE WESTERN 'Acme mmt SISSION T.\IPEl t 16 ~ro 2l SEP1'E~tBItR 1959 REPORT OF THE ReGIONAL COMMITTU MINUTES OF THE PLENARY SESSIONS MINUTES OF THE SUI-COMMITTEE ON PROGRAMME AND IUDGET ~fA.:'lIL.' OCTOBER 1959 WORLD HEALTH ORGANIZATION REGIONAL OOMMtTTEE FOR THE HE STERN PACIFIC TENTH SESSION Taipei, 16 to 22 September 1959 REPORI' OF THE REGIONAL COMMITTEE MINUTES OF THE PLENARY SESSIONS MINUTES OF THE SUB-COMMITTEE ON PROGRAMME AND -BUDGET MANILA October 1959 NCJ.rE The tenth session of the Regional Committee for the Western Pacific was held in the City Hall, Taipei, from 16 to 22 September 1959, under the chairmanship of Dr. C.K. Chang, with Dr. E. Valencia as Vice-Chairman. Dr. L.J. Clapham and Dr. Le-Cuu Truong were the Rapporteurs. The Regional Committee met on 16, 17, 21 and 22 September. The report of the Committee will be found in Part I of this document on pages 1-56, the minutes of the plenary sessions in Part II on pages 63-192, and the minutes of the Sub-Committee on Programme and Budget, which met on 16, 18 and 21 September, will be found in Part III, pages 195-225. - ii - CONTENTS IM RonumI ON ••.••......•••.•••••.•.....•......•....•...•• 1 I ANNUAL REPORr OF THE REGIONAL DlREcrOR ••••••••••••••••••• , II PROPOSED PROGRAMME AND BUDGET ESI'IMATES FOR 1961 ...•••..•••....•.....•.•••..•...•........••..•.•• 4 III RESOL'l1.rIONS OF REGIONAL INrERESI' ADOPTED BY THE 't-lORLD HEAI.JrH ASSEMBLY AND EXECUTIVE BOARD ............ 5 IV OI'HER ~ERS •••••••••••••••••••••••••••••••••••••••••••• 9 1. Progress reports from governments on heal t.ll. acti vi ties .................................... 9 2. Technical Discussions •••••••••••••••••••••••••••••••• 10 3. Field visits .•.•...•••••..•.••...•••.....•..•••...... 11 4. Other business •....•.•••.••....•••••.•••..•...••••••• 11 V RESOL'l1.rIONS ADOPTED BY THE COMMITTEE ••••••••••••••••••••• 12 lVP /RC10.Rl .• .Annual report of the Regional Director •••••• 12 'IVP /RC10.R2 Accommodation for the Regional Office ••••••• 1, WP/RC10.R' Method of aPPOinting Regional Directors ••••• 1, v~/RC10.R4 Convention on the privileges and immunities of the Specialized Agencies: status of accessions to the Convention and to Annex VII thereof ..................................... 14 v~/RC10.R5 Time, place and duration of the eleventh and twelfth sessions of the Regional Connni ttee ..••.•.•.•..•....•.•.•••..•.•..•••. 14 lVP/RC10.R6 Place of the fourteenth session of the Regional Committee •••••••••••••••••••••••••• 15 ~~/RC10.R7 Malaria eradication ••••••••••••••••••••••••• 15 WP/RC10.R8 Environmental sanitation .................... 17 ~VP/RC10.R9 The establishment of the Special Fund by the General Assembly of the United Nations £reSOlutions 1219 (XII) and 1240 ( nIl)] ................................ l8 - iv - 1 2 3 4 5 CONTENI'S ~iP/RC10.R10 International Health and Medical Re search Year ......•......•................. 19 v~/RC10.Rll Modifications to the 1960 regular programme and budget •••••••••••••••••••••••• 19 y~/RC10.Rl2 1961 regular programme and budget estima.tes. 20 1iP/RC10.R13 Supplementary list of projects •••••••••••••• 20 WP/RC10.R14 1960 and 1961 programme and cost estimates under the Expanded Programme of Technical Assistance .................................. 21 WP/RC10.R15 vlliO participation in the Expanded Programme of Technical Assistance ••••••••••••••••••••• 22 ,-]p /RC10 .Rl6 Technical Discussions ••••••••••••••••••••••• 22 WP/RC10.Rl7 National Disaster ••••••••••••••••••••••••••• 23 v~/RC10.R18 Smallpox eradication •••••••••••••••••••••••• 23 i-lP /RC10. Rl9 Re solution of appreciation •••••••••••••••••• 24 WP/RC10.R20 Adoption of the report •••••••••••••••••••••• 26 ANNEXES Agenda .................................................. List of ParticipBllts ................................... . Report of the Sub-Committee on Programme and Budget ••••• TeChnical Discussions •..•••...•.••.•.•..••..•..•.•.••••. List of doctunents .............•......................... - v - 27 29 35 45 53 (WP/RC10/17 Rev.l) REPORr OF THE REGIONAL COMMrrTEE INTRODUOl'ION The tenth session of the Regional Committee for the Western Pacific was formally opened at the City Hall, Taipei, Taiwan, by His Excellency the Vice-President of the Republic of China. Speeches were given by the Vice-President, Mr. Cheng Chen, and the Minister of the Interior, Mr. C.C. Tien. As the Director-General of the World Health Organization was unable to be present, the Regional Director read his message. A telegram was also received from the Governor, Mr. C.J. Chow, wishing the Committee success in its delibera- tions. The meeting was attended by representatives from all Member States in the Region, with the exception of Laos, and of the Governments of France, the Netherlands, Portugal, the United Kingdom of Great Britain and Northern Ireland, and the United States of America, responsible for territories in the Region. Representatives of the United Nations, the United Nations Children's Fund, the United Nations Technical Assistance Board, the South Pacific CommiSSion, the International Committee of Military Medicine and Pharmacy and five non-governmental organizations in official relations with WHO were also present. The Committee elected the follOwing officers: Chairman Dr. C.K. Chang (China) Vice-Chairman Dr. E. Valencia (Philippines) 2 REGIONAL COMMI'ITEE: TENTH SESSION Rapporteurs in English in French Dr. L. J. Clapham (united Kingdom) Dr. ~-Cuu-Truong (Viet Nam) Formal statements were nmde by the representatives of the South Pacific COmmission, the International Committee of Military Medicine and Pharmacy, and five non.governmental organizations in official relations with HHO. The agenda is given in Annex 1 and the list of participants in Annex 2. At its first plenary session the Committee established its SUb. Committee on Programme and Budget, composed of representatives from the following countries: Cambodia, China, Federation of Malaya, Japan, New Zealand, Philippines, the United Kingdom and Viet Nam. The Sub. Committee held three meetings, following which it submitted a report to the main Committee. Further details are given in Part II and Annex 3 of this report. The eleventh session of the Regional Committee, in accordance with the principle of rotation, will be held in Manila. The Committee accepted an invitation from the Government of New Zealand to hold the twelfth session in Wellington. The Committee also considered and accepted an invitation from the Government of the Commonwealth of Australia to hold its fourteenth session in 1963 at Port MOresby in the Territory of Papua and New Guinea. REPORr OF THE REGIONAL COMMITTEE In the course of six plenary sessions the Committee adopted twenty resolutions, which are set out in Part V. PART I. ANNUAL REPORr OF THE REGIONAL DIREa.rOR The Committee examined in detail the ninth annual report of the Regional Director (documents vTP/RC10/2, HP/RC10/2 Add.l and vrP/RC10/2 Corr.l). The following were the main points of discussion. The Committee noted with satisfaction the trend towards long-term health planning and the fact that considerable progress had been made with regard to the integration of l·mO-assisted projects into the national health services. It was pOinted out that progress assessment of current projects had resulted in the withdrawal of international personnel from five I1HO-assisted projects and it was considered that the inclusion of short evaluation summaries on such projects in the Annual Report was of value not only to the governments concerned but to other governments with similar programmes. It was felt that satisfactory progress had been made during the period under review and that study of the report had enabled representatives to compare what other governments were doing in similar fields and that this information would help in the implementation of their own programmes. Particular attention was paid to the ever-increasing co-oper~tion with the South Pacific Commission and the growing understanding of the role which the Organization and the Commission had to play in the field of health in the South Pacific. :3 4 REGIONAL COMMITTEE: TENTH SESSION The Committee emphasized the importance of the services rendered by the Epidemiological Intelligence Station in Singapore and the hope was expressed that under no circumstances should this activity be diminished or its importance lessened. Governments were urged to ensure that the Station was informed immediately of any outbreak of quarantinable diseases and also of the last case, and the responsibility of the health authorities in this regard was stressed. A question was raised as to the feasibility of establishing a training centre for personnel involved in smallpox eradication campaigns and it was agreed that the best method of dealing with this problem was to send WHO fellows from the Western Pacific Region for training in countries Where many clinical cases existed. The Committee discussed briefly the problem of Japanese B. encephalitis and the need for a comprehensive study of its epidemio- logy if the disease was to be controlled. Reference was made to the extensive research work being done in a number of countries, and the opinion expressed that the time was now appropriate to hold a seminar or conference to exchange information on this infection and other arthropod-borne encephalitis. ~e Committee unanL~ously adopted resolution iiP/RClO.Rl. PARI' II. PROPOSED PROGRAMME AND BUOOET EsrlMATES FOR 1961 The Sub-Committee on Programme and Budget (established in accordance with resolution WP/RC7.R7 adopted by the Committee at HEPOR[' OF THE REGIONAL COMMIT'fEE 5 its seventh session) held three meetings, during which it made a detailed examination of the proposed programme and budget estimates in the Western Pacific Region. The discussion was broken dO\ID into four parts: (a) review of the regular programme and budget for 1960 in the light of present budgetary adjustments and consideration of amendments proposed by Member countries; (b) proposed programme and budget estimates for 1961 - regular programme; (c) supplementary list of projects; and (d) Technical Assistance programme. The report of the Sub-COmmittee, Which is contained in Annex 3, was considered and approved by the main Committee. The Committee recommended that, in addition to the general priorities established by the Regional Committee at its ninth session, the Regional Director should be asked to utilize savings for those priorities which were recommended by the World Health Assembly and secondly, for projects in developing rather than developed countries. (See resolutions WP/RCIO.R11 to WP/RCIO.Rl5 inclusive.) PARI' III. RESOLl1rIONS OF REGIONAL INrEREsr ADOPrED BY THE WORLD HEAIU'H ASSEMBLY AND EXEGurlVE BOARD The Committee considered the following resolutions adopted by the twenty-third and twenty-fourth sessions of the Executive Board and the Twelfth World Health Assembly: 1. Method of appOinting Regional Directors (resolution EB23.R51, document WP/RCIO/6) The Committee noted the resolution of the Executive Board (see resolution WP/RCIO.R3). 6 REGIONAL COMMITTEE: TENrH SESSION 2. Convention on the Privileges and Immunites of the Specialized Agencies: status of accessions to the Convention and to Annex VII thereof (resolution WHAl2.42, documents WP/RC10/6 and Add.l) The Committee noted resolution 1~2.42 and urged Members not yet parties to the Convention on the Privileges and Immunities of the Specialized Agencies to accede to this convention and to its Annex VII and, pending such accession, to accord to the \-lorld Health Organization by executive action the benefit of the privileges and immunities which this convention and its annex provide (see resolution WP/RC10.R4). 3. Malaria eradication programme and Malaria Eradication S ecial Account resolutions WHAl2.l5, WHA12. 9, EB23.R 2, EB23.R 3, EB23.R64 and documents WP/RC10/7 and Add.l) The Committee noted with concern the report of the Regional Director that the main vector in the Philippines Anopheles minimus flavirostris had become resistant to dieldrin and that malaria trans- mission was actually recurring in several areas from which it was thought to be cleared. Its attention was also drawn to the fact that there had been a disappointing response to the appeal for contributions to the Malaria Eradication SpeCial Account funds. It adopted a resolution urging Member governments to assure that personnel, money and material were made available to support the programme and that the progress of the campaigns 'TaS rigorously assessed to ensure that speedy action was taken to counter unexpected factors which might arise and obstruct the campaign. The Regional Director was requested to keep governments informed of any further cases of resistance arising in the Region, to circulate to governments at the earliest possible date information on the experience gained with trials of medicated salt, REPORI' OF THE REGIONAL COMMITTEE to make budgetary provision for a malaria training course for students from French-speaking countries, and to collect and circulate to governments in the Region information on the economic benefits of a malaria eradication programme. The Committee drew the attention of governments to the fact that the theme of the next llorld Health Day was IIviorld Malaria Eradication Effort" and that this provided an opportunity to seek contributions for the Malaria Eradication Special Account (see resolution IV!' /RCIO.R7) • 7 4. Environmental sanitation (resolution lmAl2.48, document WP/RCIO/8) The Committee endorsed the recommendation of the Twelfth World Health Assembly and the principles set forth in the report of the Regional Director. It recommended to the health authorities of Member states that they stimulate the initial installation and orderly growth of public water supplies, that they take the necessary steps to ensure representation by the health authorities on the national and local policy-making bodies on such subjects as water resources, water usage and water supply development, and that they prepare a long-term programme for the organization of national projects in the development of community water supplies, including small water supply projects for rural areas. Interest was also expressed in the proposed regional conference on community water supply and it was suggested that public health workers and public works administrators should be among the participants (see resolution HP/RClO.R8). 8 REGIONAL COMMITTEE: TENTH SESSION of the The Committee noted the report of the Regional Director relating to the establishment of the Special Fund by the General Assembly of the United Nations, and drew the attention of Member governments to the fact that industrial or agricultural development projects often had obvious health implications and that the health aspects of such projects should not be overlooked. It endorsed the action taken by the Regional Director (see resolution lJP/RC10.R9). 6. International Health and Medical Research Year (resolutions lJHAl2.28, EB23.R72, EB24.R22 and document 'VP/RC10/10) In view of the differences of ~pinion on the proposed International Health and Medical Research year, the Committee decided to transmit the minutes of the discussions to the Director-General for his consideration and any necessary action (see resolution vJP/RC10.R10). 7. of Technical Assistance The Committee considered a report of the Regional Director on the distribution of funds from the Expanded Programme of Technical Assistance to health activities in the Region and expressed its concern at the smaller amounts allotted to health activities. It adopted a resolution urging Member states to ensure that positive action was taken to increase the amounts allotted to health activities (see resolution viP /RC10 .R15) • REPORr OF THE REGIONAL COMMITTEE 8. Smallpox eradication (resolution WHAl2.54, documents WP/RCIO/12 and Add.l) The Committee noted that, although requests for assistance had 9 been received from some countries in the Region, eradication campaigns had not yet been started in all the countries where endemic foci existed. It noted that smallpox-free countries had also a part to play in the global smallpox programme. It adopted a resolution emphasizing the urgency of achieving world-wide eradication and recommending to the health administrations of those countries where the disease was still present,that they make provision for the availability of a potent stable vaccine and they organize and conduct as soon as possible eradication progranunes. It urged all Member countries to give attention to the need for strict observance of quarantine regulations and stressed the importance of the maintenance of the highest possible 1.evel of immunity in the population. It also requested the Regional Director to consider arranging for an inter-regional seminar on quarantine control of smallpox (see reso1.ution WP/RCIO.R1.8). PARr IV. CYI'HER MATTERS 1. Progress reports from governments on health activities The Chairman acknowledged the fo1.lowing progress reports which had been transmitted to the Regional Director: (1) AUSTRAIdA - Report on the progress of health activities during 1.958 (2) CHINA (TAIWAN) - Report on the progress of health activities during the fiscal year 1959 10 REGIONAL COHMITTEE: TENTH SESSION (3) FEDERATION OF MALAYA - Report on the progress of health activities during 1958/1959 (4) HONG KONG - Report on the progress of health activities during 1958/1959 (5) JAPAN - A brief report on public health adnlinistration in Japan, 1959 (6) KOREA - Report on the progress of health activities (7) NETHERLANDS NEW GUI~~ - Report on the progress of health activities during 1958/1959 (8) NE'-l CAIEDONIA AND DEPENDENCIES - Report on the progress of health activities during 1958 (9) NORTH BORNEO - Report on the progress of health activities during 1958 (10) PHILIPPINES - Report on the progress of health activities (fiscal year 1 July 1958 to 30 June 1959) (11) SARAWAK - Report on the progress of health activities during 1958/1959 (12) VIET NAM - Report on the progress of health activities 2. Technical Discussions The subject of' the Technical Discussions was -Tuberculosis Control", vnth emphasis on the control of this communicable disease as a part of the integrated health services of a community, and based on precise knowledge of the prevalence of tuberculosis in specif'ic areas and districts of the country concerned. The subject was dealt with under three headings, viz. Prevention, Prevalence Surveys, and Domiciliary Chemotherapy. The first topic vlaS presented by a member of' the REPORI' OF THE REGIONAL COMMITTEE 11 Secretariat, and three discussion groups then considered the subject. The second was presented by a panel including a public health administra- tor and three experts, after which discussion took place from the floor. A panel presentation also introduced the third topic, and general discus- sion followed. The group concluded that many countries could now embark on tuberculosis control activities as the result of the new trends in control of this disease. A report on the Technical Discussions is contained in Annex 4. The Committee selected 'The organization and administration of rural health services lt as the subject of the Technical Discussions in 1960. 3. Field visits Special field visits ","ere arranged by the courtesy of the Chinese Government to Wulai Health Station where representatives saw the methods of drug distribution to "open cases· and aborigines, as "Tell as the way in which examination of direct smears of sputum is used as a case-finding method. A visit was also paid to Pan-chiao where representatives were able to see community participation in a case-finding survey. FollOwing a meeting of Lin leaders, representatives where twten to see a mobile X-ray unit operating with the civilian cOlnmunity, and subsequently a clinic to see the way in which suspect cases are further handled, and treatment on an ambulatory basis is provided. 4. Other business The representative from Portugal proposed that a resolution should be adopted congratulating the Public Health Administration on the prompt and effective medical care and preventive measures t~en against the 12 REGIONAL COMMrTTEE: TENrH SESSION possible outbreak of epidemic diseases following the recent considerable damage caused by typhoons, floods and earthquake. This was agreed unanimously by the Committee (see resolution WP/RC10.Rl7). PARr V. RESOLlJrIONS .ADOP.rED BY THE COMMITTEE WP/RC10.Rl ANNUAL REPORr OF THE REGIONAL DIREcrOR The Regional Crnmnittee, Having reviewed the Annual Report of the Regional Director on the work of WHO in the Western Pacific during the period 1 July 1958 to 30 June 1959, NOTES with satisfaction: (1) the trend towards long-term health planning and the integration of villO-assisted projects into the national health services; ."l (2) the progress made in all WHO-assisted projects during the period under review; (3) the inclusion in the report of short eValuation summaries on completed projects; (4) the ever-increasing co-operation with the South Pacific Commibsion; 2. REQUESI'S the Regi.onal Director: (1) to conoider the possibility of makinG arrangements for fellows from the Western Pacific Region to be trained in countries where many clinical cases of smallpox exist; HEPORI' OF THE REGIONAL COMMrTTEE 13 (2) to give priority to the organization of an inter-regional seminar to exchange information on Japanese B. encephalitis and other arthropod-borne encephalitis; 3. EMPHASIZES the importance of the services rendered by the EPidemiological Intelligence Station in Singapore and urges governments to ensure that the Station is informed immediately of any outbreak of quarantinable diseases and also of the last case; 4. CONGRATULATES the Regional Director and his staff on the preparation of a comprehensive and detailed report; 5. ADOPrS unanimously the report. WPR Handb.Res., 1st ed., 2.2.9 Third meeting, 21 September 1959 WP/RCIO.R2 ACCOMMODATION FOR THE REGIONAL OFFICE The Regional Committee 1. NOTES the report on accommodation for the Regional Office for the western pacific;l 2. THANKS the Member governments for their generous contributions towards the costs of construction of the Regional Office building; and 3. ACCEPTS the report. WPR Handb.Res., 1st ed., 6.1 Third meeting, 21 September 1959 WP/RCIO.R3 METHOD OF APPOINrING REGIONAL DIRECI'ORS The Regional COmmittee, Having considered resolution EB23.R51 adopted by the Executive Board at its twenty-third session, 1 Unpublished doctunent vJP /RC10/5 14 REG! ONAL COMMITTEE: TENTH SESSION NOTES the decision of the Board that it is not necessary to make any changes in the practice followed so far in appointing regional directors. WPR Handb.Res., 1st ed., 6.4 Third meetinG, 21 September 1959 WP/RC10.R4 CONVENTION ON THE PRIVILEGES AND IM1'ruNITIES OF THE SPECIALIZED AGENCIES: srATUS OF ACCESSIONS TO THE CONVENTION AND TO ANNEX VII THEREOF The Regional Committee 1. NOTES resolution vJHAl2.42 on the Convention on Privileges and Immunities of the $pecialized Agencies, and 2. URGES Members not yet parties to the Convention on the Privileges and Immunities of tile $pecialized Agencies to accede to this convention and to its Annex VII and, pending such accession, to accord to the World Health Organization by executive action the benefit of the privileges and immunities which this convention and its annex provide. WPR Handb.Res., 1st ed., 8.1 Third meeting, 21 September 1959 HP/RC10.R5 TIME, PLACE AND DURATION OF THE ELEVENTH AND TWELFrH SESSIONS OF THE REGIONAL COMMITTEE The Regional Committee, Having considered the report of the Regional Director on the time, date and place of the eleventh and t'felfth sessions of the Regional committee,l 1. DECIDES that the eleventh session of the Committee will be held for six working days in Manila in 1960; lUnpublished documents vTP/RC10/13 and Add.l REPORr OF THE REGIONAL COMMITTEE 15 2. AUTHORIZES the Regional Director to determine the time of year during which the session will be held in consultation with the Director-General; 3. EXPRESSES its appreciation for the invitation made by the Government of New Zealand that the twelfth session of the Regional Committee be held in New Zealand in 1961; 4. ACCEPrS this invitation; and 5. DECIDES that, subject to consultation with the Government of New Zealand, the Regional Committee will meet for six working days during September. WPR Handb.Res., 1st ed., 5.2.2 Fifth meeting, 22 September 1959 WP/RCIO.R6 PLACE OF THE FOURI'EENTH SESSION OF THE REGIONAL COMMITTEE The Regional Committee 1. EXPRESSES its appreciation for the invitation made by the Government of the Commonwealth of Australia that the fourteenth session of the Regional Committee be held in Port Moresby, Papua 1 and New Guinea in 1963; and 2. ACCEPTS this invitation. WPR Handb.Res., 1st ed., 5.2.2 Fifth meeting, 22 September 1959 WP/RCIO.R7 MALARIA ERADICATION The Regional COmmittee, Having considered the report of the Regional Director on the malaria eradication programme in the Western Pacific RegiOn,2 ~npublished document WP/RCIO/13 Add.2 ~npublished documents WP/RCIO/7 and Add.l 16 1. REGIONAL COMMITTEE: TENl'H SESSION NOTES with concern: (1) that the main vector in the Philippines Anopheles minimus flavirostris has become resistant to dieldrin; (2) that more rigorous assessment in several countries in the Region has revealed that malaria transmission is actually recurring in several areas from which it was thought to be cleared; (3) that there has been a disappointing response to the Director-General's appeal for Malaria Eradication $pecial Account funds and that the success of the malaria programme must mainly depend on national contributions; 2. URGES Member governments undertaking malaria eradication campaigns: (1) to assure that personnel, money and material are made available to support the programme; (2) that the progress of the campaigns is rigorously assessed to ensure that speedy action is taken to counter unexpected factors which may arise and obstruct the campaign; 3. REQUESTS the Regional Director: (1) to keep governments informed of any further cases of resistance arising in the Region; (2) to circulate to governments at the earliest possible date information on the experience gained with trials of medicated salt; (3) to make budgetary provision at the earliest possible REFORI' OF TEE REGIONAL COMMITTEE date for a malaria training course for students from French-speaking countries; 17 (4) to collect and circulate to governments in the Region information on the economic benefits of a malaria eradication programme; 4. DRA1.J'S the attention of governments to the fact that the theme of the next World Health Day is "World Malaria Eradication Effort II and that this provides an opportunity for seeking contributions to the Malaria Eradication Special Account; and 5. INVITES governments to make every effort possible to contribute to the Malaria Eradication Special Account. WPR Handb.Res., 1st ed., 1.2.1 Fifth meeting, 22 September 1959 iVP /RC10 .R8 ENVIRONMENTAL SANITATION I. The Regional Committee, Having considered the resolution of the Twelfth World Health Assembly on the provision of safe and adequate water supplies for communitiesl and the report of the Regional Director; 2 Recognizing that the provision of community water supplies depends upon the closely co-ordinated efforts of public health authorities and public works departments, 1. ENDORSES the recommendations of the Twelfth Horld Health Assembly and the principles set forth in the report of the Regional Director; ~e601ution WHAl2.48 2Unpublished document WP/RC10/8 18 REGIONAL COMMITTEE: TENTH SESSION 2. REQUESTS the Regional Director to give as much assistance as possible to Member states undertaking projects to provide adequate and safe supplies of water to the inhabitants of their communities; II. 1. RECOMMENDS to the health authorities of Member States: (1) that they stimulate the initial installation and orderly growth of public water supplies; (2) that they tru~e the necessary steps to ensure representation by the health authorities on the national and local policy-making bodies on such subjects as water resources, water usage and water supply development; (3) that they prepare a long-term programme for the organization of national projects in the development of community water supplies, including small water supply projects for rural areas; and 2. EXPRESSES interest in the proposed regional conference on community water supply and suggests that public health workers and public works administrators should be among the participants. WPR Handb.Res., 1st ed., 1.4 Fifth meeting, 22 September 1959 WP/RCIO.R9 THE ESTABLISHMENT OF THE SPECIAL FUND BY THE GENERAL ASSEMBLY OF THE UNITED NATIONS ~RESOLUTIONS 1219 (XII) AND 1240 (XIII)J The Regional Committee 1. NOTES the report of the Regional Director relating to the establishment of the Special Fund by the General Assembly of the United Nations;l lunpublished document I-IP /RC10/9 REPORr OF THE REGIONAL COMMITTEE 2. DRAWS the attention of Member governments to the fact that industrial or agricultural development projects often have obvious health implications and that the health aspects of such projects should not be overlooked; and 3. ENDORSES the action taken by the Regional Director. 19 }~R Handb.Res., 1st ed., 9.4.1 Fifth meeting, 22 September 1959 WP/RC10.RlO INrERNATIONAL HEAIlrH AND MEDICAL RESEARCH YEAR The Regional Committee, Having considered the report of the Regional Director on the International Health and Medical Research yearl and the background documentation issued during the Twelfth Horld Health Assembly, DECIDES to transmit the minutes of the discussion during the meeting to the Director-General for his consideration and any necessary action. WPR Handb.Res., 1st ed., 10.4.2 Fifth meeting, 22 September 1959 WP/RC10.Rll MODIFICATIONS TO THE 1960 REGUlAR PROGRAMME AND BUDGE'r The Regional Cowaittee 1. NarES the modifications made in the regular programme and budget for 1960, including those brought forward during the meeting by the Governments of China and the Philippines; and 2. REQUESTS the Regional Director to implement the programme as amended. WPR Handb.Res., 1st ed., 3.1.2 lUripublished document WP/RC10/10 Fifth meeting, 22 September 1959 20 REGIONAL COMMITTEE: TENTH SESSION lrJP /RC10. R12 1961 REGUIAR PROGRAMME AND BUDGET ESTIMATES The Regional Committee, Having examined the regular programme and budget estimates proposed for the Western Pacific Region in 1961 and the report of the Sub-Committee on Prosramme and Budget, 1. CONSIDERS that the programme is well conceived and that a satisfactory balance has been maintained among subject headings; 2. NarES with satisfaction the programmes proposed for implementation under the Malaria Eradication Special Account; 3. REQUESTS the Regional Director to transmit the proposals to the Director-General for his consideration for inclusion in his proposed programme for 1961, the implementation of which is subject to the necessary funds being voted by the World Health Assembly. ~WR Handb.Res., 1st ed., 3.1.1 Fifth meeting, 22 September 1959 1rJP /RC10.Rl3 SUPPLEMENTARY LIST OF PROJECTS The Regional Committee, HaVing, as part of its consideration of the proposed programme and budget estimates for 1961, reviewed the supplementary list of projects which were requested by governments, including those brought forvTard during the meeting, but could not be accommodated within the resional allocations for 1960 and 1961, 1. BELIEVES that the projects in the supplementary list should be considered part of the regional programme and should therefore be forwarded to the Director-General for submission to REPORr OF THE REGIONAL COMMITTEE 21 the Executive Board and the Horld Health Assembly; 2. REQUEsrS the Regional Director to implement as many of the projects in the supplementary list as possible and that in so doing he should take into consideration not only the general priorities recommended by the Regional Committee at its ninth session but also those recommended by the World Health Assembly and that assistance should be given to developing rather than developed countries. WPR Handb.Res., 1st ed., 3.1.3 Fifth meeting, 22 September 1959 WP!RC10.Rl4 1960 AND 1961 PROGRAMME AND cosr EsrIMATES UNDER THE EXPANDED PROGRAMME OF TECHNICAL ASSISI'ANCE The Regional Committee 1. NarES the projects proposed by governments in the Western Pacific Region for implementation under the Expanded Programme of Technical Assistancej 2. REITERATES its previous opinion that much benefit can be derived from inter-country programmes; and Considering that the following projects can best be carried out on an inter-country basis: Conference on rural health services Nursing administration seminar Food sanitation seminar, 3. RECOMMENDS that Member governments wishing to partiCipate in any of the above projects should indicate their support when submitting their 1961 country submissions to the Technical Assistance Board; 4. EXPRESSES the hope that these projects .rill be approved by the Technical Assistance Board and Technical Assistance Committee; and 5. REQUEsrS the Regional Director to draw the attention of 22 REGIONAL COMMITTEE: TENl'H SESSION the Director-General to the importance attached by the Committee to the benefit which can be derived from inter-country programmes. ~VPR Handb.Res., 1st ed., 4.2.3 Fifth meeting, 22 September 1959 ~VP /RC10.Rl5 l·rno PARrICIPATION IN THE EXPANDED PROGRA..MME OF TECHNICAL ASSISTANCE The Regional Conmittee, Having considered the report of the Regional Director on the distribution of funds from the Expanded Programme of Technical Assistance to health activities in the Region,l 1. EXPRESSES its concern at the smaller amounts allotted to health activities; and 2. URGES Member States to ensure that the distribution of Technical Assistance funds for health activities does not continue to decline but that positive action is taken by all governments to increase the amounts allotted to health programmes. l'IPR Handb .Res., 1st ed., 4.1 Fifth meeting, 22 September 1959 WP/RC10.R16 TECHNICAL DISCUSSIONS The Regional Committee 1. NarES the report on the Technical Discussions j 2. DECIDES that the subject of the Technical Discussions in 1960 should be 'The organization and administration of rural health services "; and 3. ACCEPTS the report. }IPR Handb.Res., 1st ed., 5.4.2 Fifth meeting, 22 September 1959 ~npublished document vIP /RC10/ll REPORI' OF TEE REGIONAL COMMITTEE 23 1<]P /RC10. Rl7 NAT! ONAL DISASTER The Regional Committee, Being aware of the recent emergency which has arisen in Taiwan as a result of the considerable damage caused by typhoons, floods and earthquake, 1. CONGRATUIATES the public Health Administration on the protII.J?t and effective medical care and preventive measures taken against the possible outbreak of epidemic diseases; 2. EXPRESSES the hope that the magnificent efforts being undertaken by the Government and the sacrifices being made by the people of Taiwan vTill result in a rapid return to normal conditions; and 3. REQUESTS the Regional Director to transmit this resolution to the Government of the Republic of China. Fifth meeting, 22 September 1959 l-JP /RC10.Rl8 SMALLPOX ERADICATION The Regional Committee, Having considered the resolution of the Twelfth World Health Assemblyl and the report of the Regional Director on smallpox eradication; 2 NoiJing: (1) that although requests for assistance have been received from some countries in the Region, eradication campaigns have not yet been started in all the countries 1 Resolution WHA12.54 2 Unpublished documents 1-JP/RC10/12 and Add.l 24 REGIONAL COMMITrEE: TENTH SESSION where endemic foci exist; (2) that smallpox-free countries have also a part to play in a global smallpox programme, 1. EMPHASIZES the urgency of achieving world-wide eradication; 2. RECOMMENDS to the health administrations of those countries where the disease is still present that they make provision for the availability of a potent stable vaccine and that they organize and conduct as soon as possible, eradication programmes; 3. CALLS attention to the concern of health administrations in smallpox-free countries and urges all Member countries to give attention to: (1) the need for strict observance of quarantine regulations including issuing valid certificates of vaccination; (2) maintenance of the highest possible level of immunity in the population; (3) the avoidance of serious outbreaks following the introduction of an imported case by such methods of mass vaccination as may be applicable, taking into account the development of the health services of the country; 4. REQUESTS the Regional Director to consider arranging for an inter-regional seminar on quarantine control of smallpox. 1']PR Handb.Res., 1st ed., 1.2.2 Sixth meeting, 22 September 1959 1.JP /RC10 .R19 RESOLUTION OF APPRECIATION The Regional Committee EXPRESSES its appreciation and thanks to: REPORT OF THE REGIONAL COMMITTEE (1) His Excellency, the President of the Republic of China, for receiving the representatives and members of the Secretariat; (2) the Vice-President for having formally opened the tenth session of the Regional Committee; (3) the Minister of the Interior, the Governor of Taiwan, the Mayor of Taipei, and the many other persons for the hospitality offered; (4) the staff of the Provincial Tuberculosis Centre and the Health Centre for the arrangements made in connexion with the field visits to Wulai and Panchiai; (5) the staff of the Shihmen Development COmmission, the Veterans General Hospital, the Yangminshan Administration, and the Taiwan Handicraft Promotion Centre, for having received the participants; (6) the National Preparatory Committee for the excellent arrangements made in connexion with the meeting, in particular the Executive Secretary, Miss Elizabeth A.C. Hsu, who did so much to ensure that everything would run smoothly; ~::{) the Chairman, Vice-Chairman, Rapporteurs and the Chairman of the Technical Discussions; (8) the representatives of the inter-governmental and non- governmental organizations who made statements; (9) the Regional Director and the Secretariat for their work in connexion with the organization of the session. 25 Sixth meeting, 22 September 1959 REGIONAL COMMITTEE: TENTH SESSION WP/RC10.R20 ADOPrION OF THE REPORr The Regional Committee 1. NarES the report on the tenth session of' the Regional Committee f'or the Western Pacif'ic; and 2. ADOPrS the report. Sixth meeting, 22 September 1959