REPORT OF THE REGIONAL COMMITTEE
19
ANNEX 6 REPORT OF THE SUB-COMMITTEE OF THE REGIONAL COMMITTEE ON TECHNICAL COOPERATION AMONG DEVELOPING COUNTRIES (TCDC) Manila, 13-14 June 1978 The Sub-Committee on Technical Cooperation among Developing Countries (TCDC) held its second meeting in Manila on Tuesday and Wednesday, 13 and 14 June 1978. The following attended: Dr E. Nakamura, Japan Dr Kyong-Shik Chang, Republic of Korea Dr J.M.J. Sup raman iam, Singapore (Chairman) The representative of Papua New Guinea was not able to be present. The following members of the Sub-Committee on the General Programme of Work attended as observers: Dr R. Cumming, Australia Dr J.B. Senilagakali, Fiji Dr T. Nose, Japan Dr Nguyen Ba Can, Socialist Republic of Viet Nam Miss Le Thi Tu Ha, Socialist Republic of Viet Nam (Interpreter) 1. In welcoming the members and opening the meeting, the Regional Director emphasized the importance of, and the commitment of the World Health Organization to, the principle of technical cooperation among developing countries. The Sub-Committee had before it resolution WHA31.41 a<:iopted by the Thirty-first World Health Assembly, a copy of which is attached as Appendix 1, together with a proposed regional schedule of aotion on TCDC as requested by the Sub-Committee at its initial meeting in Tokyo on 7 September 1977. 1 Discussions had been held between WHO Representatives and the relevant authorities in the following countries: Fiji, Lao People's Democratic Republic, Malaysia, Papua New Guinea and Republic of Korea. Information regarding the People's Republic of China and the Philippines came from a review of available project documents in the Regional Office. Information on the Socialist Republic of Viet Nam, although not received in time to be included in the paper, was taken into account during the discussion. ISee Report of the Regional Committee for the Western Pacific, twenty-eighth session, October 1977, Annex 5, pages 63-66.
80
REGIONAL COMMITTEE:
TWENTY-NINTH SESSION
As a result of the discussion, a plan of action (Appendix 2), a list of eXisting national programmes/projects having TCDC components (Appendix 3), and a list of those with potential for the development of TCDC (Appendix 4), were compil ed • In view of the broad scope of the subject, the Sub-Committee decided to discuss the promotion of TCDC in general, and to concentrate particularly on the TCDC aspects of two current priority areas: (1) primary health care (PHC) and (2) pharmaceutical and drug management and control. With regard to the former, the Sub-Committee also considered the primary health care aspects of appropriate technology for health including health laboratory serVices, health manpower development, and water supply and waste disposal systemB. The selection of primary health care as a priority area for discussion was most appropriate as it had also been chosen for consideration by the Sub-Committee on the General Programme of Work. The presence of members of that Sub-Committee proved useful in the deliberations. Specific TCDC activities to be undertaken in connexion with the two priority areas could be: study tours; exchange of information, experience, and research findings; collaborative research and development projeots; fellowships; adaptation of curricula for training of some categories of health manpower such as laboratory technicians and nursing personnel; and utilization of equipment and reagents in health laboratory services, The Sub-Committee recommended the following for the consideration of the Regional Committee: WHO should: (.1) promote the adoption of TCDC among Member States as a national policy, and request governments to take action to enhance their TCDC activities, so that mutual benefit can be derived through such collaboration; encourage governments to create national focal points in order to stimUlate TCDCj continue to gather information to enable the Organization to identify, with Member States, areas for further TCDC activities; consider primary health care as a high priority programme for TCDCj develop an impro.ved understanding of, and support for, the implementation of primary health care, which is of paramount importance to any national health programme. Areas in which such cooperation could be achieved include health manpower training, the coordination of immunization programmes, and stUdies to determine the applicability and acceptability of health activities in relation to the needs of the community. In conjunction with this and bearing the cost in mind, it is considered important for strengthening primary health care that appropriate technology,
(2) (3)
(4) (5)
REPORT OF THE REGIONAL COMMITTEE
81/82
including suitable equipment and techniques, be developed. A good and safe water supply and adequate waste disposal facilities are also essential prerequisites, as unsafe water and unsatisractory sanitation are responsible for many diseases; (6) consider pharmaceutical and drug policies management and control as of priority for Member States in the Region. The areas in which technical cooperation could be achieved are: (a) the bulk purchase of drugs on a competitive tender basis and the import of raw materials to be made into pills, tablets, ampoules, etc; the establishment of lists of essential drugs so as to decrease costs; the enactment of legislation for the control or medicines and to provide for the quality control of drugs dispensed to the community; making readily available biological products such as vaccines and antisera for use in emergency situations in Member States; establishing research and study projects on traditional medicine and the use and evaluation, on a scientific basis, or medicinal plants; and sharing the results of such studies and experience through a system of collaborative centres and cooperative relationships;
(b) (c)
(d)
(e)
(f)
(7)
ensure the strengthening of collaboration with all relevant agencies and institutions in carrying out TCDC activities in the Region.
The Sub-Committee proposed that the next programme to be considered should be health manpower development in general.
REPORT OF THE REGIONAL COMMITTEE
R1
APPENDIX 1 RESOLUTION OF THE WORLD HEALTH ASSEMBLY THIRTY-FIRST WORLD HEALTH ASSEMBLY
WHA31. 41
24 May 1978
TECHNICAL COOPERATION AMONG DEVELOPING COUNTRIES The Thirty-first World Health Assembly, Bearing in mind the resolutions of the United Nations General Assembly and Economic and Social Council on the importance of the·fullest possible economic and technical cooperation among developing countries, Mindful that many developing countrie.:, I~ttD!ber States of WHO, are developing and strengthening their programmes of health ne~~rk with the aim of attaining total population coverage in the shortest possible time that national conditions permit; Recalling resolutions WHA28.7S, WHA28.76, WHA29.48, WHA30.JO, WHAJO.43. EB60.R4 and EB61.R19 on programme budget policy and technical cooperation with developing countries; Convinced that technical cooperation among developing countries is an important instrument for technological liberation of developing countri.s particularly in the fields of research, development and training and exchange of experience and information on health care; Bearing in mind that health constitutes an integral component of overall development programmes of the developing countries for which appropriate mechani.ms of cooperation should be created at regional and interregional levels; Realizing that the developing countries have attained a degree of development allowing the establishment of profitable cooperation with mutual benefits,
, ..•
INVITES lhe Regional Committees: (1) to diacuss an~or reinforce at their 1978 sessions technical cooperation among. developing countries for the promotion of health care, and (2) strength~~ing
to set up appropriate regional and interregional mechanisms for developing and TCDC, in health;
2.
URGES Member states, and in particular the developing countries: (1) to cooperate among themselves for the development of their national health services;
(2) to collaborate actively within their regions in the establishment and effective use of national .research and training centres; (3) to collaborate with WHO in the development and promotion of TCDC and in ensuring support for its realL?;ation; 3. REQUESTS the Director-General: (1)
to strengthen WHO's programme of TCDC; ~he
(2) to collaborate with of TCDC;
developing countries for the establishment and promotion
\ 84
REGIONAL COMMITTEE:
TWENTY-NINTH SESSION
(3) to .upport in all po •• ibla way., with the mean. at hi. di.po.al, the establishment and maintenance of the centre. for rene referred to in operative paragraph 2 (2) above; (4) to attract extrabud.etary fund. for the .upport of technical cooperation among developing countrie. on health project.~ (5) to report to the Thirty-.econd World Health A•• embly on progre •• made in this re.pect.
Thirteenth plenary meeting. 24 May 1978 A31/VR/13
*
*
*
-c
I
,
.:,r
TECHNICAL COOPERATION AMONG IEVELOPING COUNTRIES PlAN OF ACTION People 8 Lao People s Papua Republic Republic Fiji Democratic Philippines Samoa Solomon Tonga Malaysia New of Korea Islands of China Republic Guinea
1.
TCDC as a national policy:
Formulated Accepted in J)rinciple Not yet officially accepted z
x x x x
x
x
x
2.
Sources of identification for the TCDC plan of action
UNDP country progra_ Country_health prograllDing Other sources (specify)
x x x
i x x
E3
J-:J
x x x
~
~ i
3.
Na tiona I TCDC At the Ministry of Health focal point In other ministries and departments created: Not yet created With the UNDP Resident Representative (INRES)1 With other United Nations Agencies With national agencies involved z
x x x
x
x
x x
x
x
~ I:"" (")
Cl
E=1
4.
Coordination for TCDC at the country level by the WHO Repreaentative 2 I
x x x
x x x
x
x
a t-I ~
~
Information Referral System for Technical Cooperation among Developing Countries
~ow WHO Programme Coordinator ~
> "1:1 00 VI "
~ ~ N
00
'"
"S;
/
" EXISTlNG NATIONAL PROGRAMMES/PROJECTS WITH TECHNICAL COOPERATION AKJNG IEVELOPING COUNTRIES COMPONENTS Su~estions
.~
Nature of the national pro 1ec ts/ proar8Dlles PEOPLE'S REPUBLIC OF CHINAl Prima!I health care A22ro2riate techno lOBI for health Health man20wer devel0e!!nt
Field for TCDC
Present WHO cooperation
National action
for imDrovement throuah Bilateral United Nations WHO Agencies ARencies
Exchange of infol'llllltlon Study tours/ meetings Training in acupuncture
Yes Yes Yes
g ...;
~
~
ffl (j)
~
f!:!! 1.
~ I:""
Fiji School of Medicine
Training of health manpower
Provision of staff, consultants, fellowships
+ +
+
+
+
i ~ toS
n
2.
Leprosy Training Centre, Fiji
Training of leprosy Provision of interworkers and country staff, research fellowships Intercountry visita, seminars Advisory services by country and intercountry staff, supplies and equipment ---
+
+
~
3.
Primary health care, Fiji
+
+
+
_L..-..----
--
--
- -
-
lInformation taken from a review of documentation available in the Regionsl Office.
."
> Z 0
." toS ~
-:
:>< w
EXISTING NATIONAL PROGRAMHES/PROJEC1S WID ;NTS TECHNICAL COOPERATION AMONG IEVELOPING COUNTRIES CQHlI(M (contin uation ) Field for TCDC LAO PEOPLE'S DEMOCRATIC REPUBLIC 1.
00 00
Presen t wm coo eratio n
roveme nf clIrou h Su estion s for Bilate ral s Nation United al Nation WHO Agenci es action
I~ (j)
Primar y health care - Develop a primary health care networ k Exchange of inform ation Study tours and meetin gs
IS + + +
I~ 1t:rJ .~
2.
Pharma ceutica ls and dru lI'.an3gem~nt and_co ntro). - Development of traditi onal medici ne Exchange of inform ation Study tours. meetin gs. suppli es and equipm ent
+
+
+
+
I~
~
12: MALAYSIA
I se~ices
:;1
Health
develop ment
I~ WHO partici pated in develop ment and operat ional researc h
- Rural health service s
I (Exchange of ( inform ation (
+
(Field observ ation Family health - Food and nutriti on programmes - Integr ation of family plannin g
I; en
I ( (
I~ Techni cal coope ra-' tion
t-4
(Exchange of ( inform ation (Field observ ation (Traini ng
+
+
+
•
~
l
\
'
"
'I
"'~1.1.
EXISTING NATIONAL PROGRAMMES/PROJECTS WITH TECHNICAl. COOPERATION AMONG DEVELOPING COUNTRIES COMPONENTS
(continuation) Nature of the national pro1ects/proRrammes Pharmaceutical and drug 20licies management and control - Drug policies and management - National drug control laboratory (Exchange of (inf orma tion (
Field for TCDC
Present WHO cooperation
Suggestions for improvement through Bilateral National United Nations WHO ARencies action Agencies
Technical cooperation
+
~ ';j o ~
(Fie ld vis i tI (
~
(Training Disease- 2revention and control - Control of dengue haemorrhagic fever - Disease surveillance - Expanded programme immunization ~n
ffl c;')
~
H
(Exchange of (informa tion (
Technical coopsration Fellowships
+
+
+
t"'
~ H
(")
(Pield viii tI (
(Training (
~ ~ t>j
Promotion of Environmental Health - Community water supply project - Excreta disposal. use of pourflush toUets - Getting community involvement ~
(
(Exchange of (information (
Technical cooperation
+
+
+
(Pield obserY.tion (
00 \0
o EXISTING NATIONAL PROGRAMMES/PROJECTS WITH TECHNICAL COOPERATION AMONG DEVELOPING COUNTRIES COMPONENTS (continuation) Nature of the national protecta/prograames Health man20wer devel02!!nt • Public Health Institute: training of health education speclaliaU - Training of a1dwives c~lty 'DUne/ ,
\0
Fleld for TCDC
Present WHO cooperation
Suggestions for improvement through Bilateral National United Nations WHO Agencies action Agencies
[:I C')
S ( ( t"'
~ n
(Exchanle of (1nfomatlon (
CoDlultanta Technical cooperatton
+
+
+
i I
(r1.1d vialt. ( (
a "
- Tralnlnl of traditioaal birth attendanta
I traininl of health personnel fre. other developinl cauotrie. Yes
PAPUA NEW GUINEA
.
Health mane ower devel0e!ent - Faculty of Hedicine. Univeraity of Papua New GulDea • Port Horesby Collele of Allied Health Science. - Madana College of Allied Health Sciences - P9rt Moresby Hatioul Dental School ~-
+
.
~ en + Australian Papua New Guinea Education and Training Scheme
drs
+
i
1-1
en en
till
~
I
I,
,
,
,~
.,.,
.,
EXISTING NATIONAL PROGRAMMES/PROJECTS WITH TECHNICAL COOPERATION AMONG I.:VELOPING COUNtRIES COMPONENTS
(continua tion) SU~2estions
Nature of the national ~_roj ec ts U>r~~rammes PHILIPPINES 1 Health maneower develo~ent
Field for TCDC
Present WIlO cocperation
National action
for im~rovement through United Nations Bilateral WHO Agencies Agencies
- Institute of Public Health: postgraduate training in public health, hospital administration, nutrition.
Training of health personnel
Consultantships, fellowships to Member States, general programme development and support Fellowships and consultantships Sponsors study . visits/observations
i I
= ~
~
I I
a C")
~ ~ ~
- Veterans Memorial Hospital - Ministry of Health
Training in anaesthesiology Exchange of information and technical documents, field observa tion, inservice training in various fields Produc tion of reagents and simple laboratory equipment
,
i
i >
t"'"
i ~-----
a tJr:.I
lInformation taken from a review of documentation available in the Regional Office.
'-0
\0 to)
UISTDIG RATIONAL PlWGIWImS/PllOJECl'S VIm TECHRICAL COOKlATI(II AlDiC IEVEIDPIBC COUNTRIES ~
(continuation) SuaaeaUons for blDro..-at through United Nations Bilateral Rational WHO Alleneie. action uenelea
= .... c:'l
t"4
~ n
Nature of the national pro1eets/proaraDmJes ~
Field for !CDC
Preaent WHO cooperation
i·
Primary health care
B Intercountry vi.ita, aeldnars Yea
+
+
+
+
SOWHClf ISLANDS
e ~ Yea
Prt.a!Z health care
Intercountry viai ta. a..iura
+
+
+
+
~ fI)
ds
~
en
fI)
till
Primarl health care ---
Intercountry visits, aeainara --_ ...
Yea -
_-
-
-_ .......
+ --
+ --
+ --~L..--
+-
i
....
J
i
~
.
,.
~
4,
~
1
., NATIONAL PROGlWH:S/PROJECl'S WIm POTENTIAL FOR THE DEVELOPMENT OF TCDC
Nature of the national pro1ects/pro~rammes
Field for TCDC
Prese!lt WHO coopera tion
National action
u22estions for im Uni ted Na tioIl8 Agencies
,~
WHO
Bilateral Agencies
llll - 1979-1980 - A project on drug policies and management - South Pacific countries To develop cooperative programmes on drug management and the bulk purchasing of drugs for some countries in the South Pacific To serve as a research and reference laboratory for the South Pacific countries Production of reagents and simple laboratory equipment - South Pacific Centre for Management Training/ Country Heal th PrograDllling To develop a centre where training programmes and advisory service. may be available to South Pacific countries or area. Yes Univerdty of South Pacific Yes New Zealand Medical Research Council WHO Collaborating Centre for Virus Reference & Research. Melbourne, Australia I
= ~ t-i
- Subregional research laboratory in Fiji (Wellcome Virus Laboratory)
~
i1 ,
t"4
~
~
(')
i
-
+
Institute of Social and Adm1nistrative Studies/ Universit}/ of the South Pacific
~
+
> 'V
~ ~
\0 ~
I-f
><
.po
NA'rIONAL PROGRAMHBS/PROJEC'rS WITH POTENTIAL FOIl
\0
,THE DEVELOPMENT OF TCDC (continuation) Suggestions for improvement thIDu h I United Nations Bilateral! WHO Agencies i Agencies ! ! ,
~
Nature of the national projects/progr81lllles LAO PEOPI.E' S
Field for TCDC
Present WHO cooperation
National action
DEMOCRATIC
REPUBLIC Prima!2 heal th care As from 1979 - Acupuncture - Teaching of traditional medicine in medical and paramedical schools - Teaching of acupuncture in medical and paramedicd schools - Training of • national doctor,in malariology' - Training of • national medical .ssistant in entomology Pharmaceuticals and druS 201icies manasement and control - Development of research components on medicinal plants in the Department of Traditional Medicine of the MOH/Vientiane Fundamental zesearch Consultants :' ~,
I i
rralDina TralDlDg
Fellowship CcmsuI tants
+ +
+ + +
+ +
I
+ + + I I
i rrainlDg Consultanta
I t:Iit
~
1=1 n
... + +
! I I
rralDlng rralniDa
Fellowship (l year) Fellowship (6 months)
+
-
-
I ~ fn
-
; +
pa fit fit
J
I
L
,
,
.~
I
1,
,
.,
NATIONAL PROClW1MES/PROJECTS WITH PO'JD1'rIAL FOR
THE DEVELOPMENT OF TCDC (continua tion) Sug~
Nature of the national projects
Field for TCDC
Present WHO cooperation
National action
estions for improvement through United Nations Bilateral WHO Agencies ~gencies
£: I
MAlAYSIA Prima!Z health care - Identification of underserved areas and local resources as basis for planning PRC strategy - Strategies for getting community involvement and participation - Health services research in underserved, served or over-served areas Health information slstem - Development of a health management information system Exchange of information Field observation ------.-------~---
.; O· ~
~
(Training {
Co-sponsoring national workshop
+
{Health {services (researel: (
S 1: G")
(Exchange of (information (
(Evalua( tion
i i n
t"'
(Field observation
a toll
ConauI tants
+
+
\0
VI
NATIc:ttAL PROGRAMMES/PROJECTS WITH POlDTIAL FOR THE DEVELOPMENT OF TCDC
\0 0\
(continuation) Suggestions for imProvement throu h Bilateral Uni ted Na tiona WHO AJ!:encies Agencies
Nature of the national projects/programmes PAPUA NEW GUINEA Ae2roeriate technoloBl for ~
Field for TCDC
Present "'HO cooperation
National action
t-f
~ ~ t'" n
- Malaria control programme Applied research for development of community participation in malaria control techniques - Institute of Medical Research. Goroka Field trial of pneumonia vaccination Applied research on impact of rural water aupply on reduction of dbeasea - Public Health Laboratory Services Department of Bea1 th Locally produced kits for collection of water and dairy products Production of reagents and simple laboratory equipment ------~
Yes
+
+
+
,
i
~ ~
Yea
+ +
-
+ +
United States of America Agency
Yea
-
I
I
I !i!
:it
Yes
+
-
+
a
= en en
,.
)
), ,
I
.<
., .'.
~
.
,
",
NATIONAL PROGRAMMES/PROJECTS WITH POTENTIAL FOR THE DEVELOPMENT OF TCDC (continua tion) Suggestions for improvement throu h I United Nations Bilateral I WHO A.8encies Agencies I
Nature of the national projec ts/programmes . - Department of Health
Field for TCDC Research on development of appropriate diagnostic techniques by using medical laboratory assistants at rural health centres To develop a national processing plant for drug tableting and packaging for domestic consumption as well as for supplying to neighbouring countries Prerequisite: A feasibility study
Present WHO cooperation Yes
National action
+
-
+
I .
~ ~
~
n Pharmaceutical and druS eolicies management and control Yes
+
+1 or
+
+1 or
-
-
i>
= .... t"f (")
i
i § tzJ -------------
--
--
,
-
---
-
-
-------
------
----
I Discussions on this particular aspect were inconclusive.
\0
"
\0
NATlmAL l'ROGlWIolES/PltOJECTS WITH PO'l'!NTIAL FOR
00
THE DEVEIDPHENT OF TCDC
(continua tion) Suggestions for i1lJl)rovement throu h Bilateral United Nations WHO AI!:e&'lcies A2encies
Nature of the national Droiects/Dro2rammes Water su~~ll and system dis~osal
Field for TCDC
Present WHO cooperation
National action
en t-4 n
E:
- Department of Health - Institute of Medical Research
Applied socloanthropological study on attitude of people towards water aupply and sanitary facilities
+
+
+
-
~ t"'
a tIa
~
t-4
Health manDower develOPment - National Malaria Training Training of health Centre personnel from other developiq - Planned diploma courae in countries education of allied health personnel (National teacher training centre) - Training courae fo~ medical laboratory aasiatants Adaptatia. bJ other countrt.. of the traini., . .terials. docuaents and approaches to auit their local needs Yea Will be
+
+
-
+ +
-
I
Australianl Papua New i Guinea I Education and Training Scheme
~ ~ ds
~ i
Ye.
+
+
-
= C'n C'n
.1
~
( (
,
.'
-1
, (continua tion)
\
"'
NATIONAL PROGIWH:S/PROJECTS WITH POTENTIAL FOR THE DEVELOPMENT OF TCDC
Nature of the national projects/programmes PHILIPPINES I Health manpower development - Institute of Public Health - College of Architecture, University of the Philippines - Institute of Health Sciences - Philippine Heart Center MinistrI of Health - Radiation Health Office Count!I health erosrammins collaboratina centre
Field for TCDC
Present WHO cooperation
National action
Suggestions for imProvement throu h United Nations Bilateral WHO Agencies Agencies
Training of sanitarian Training of architects in design of health facilities Training in primary health care Training in cardiology
Yes Fellowships
g to;
I"CI
~
~ Consultants and grants Consul tants and fellowships
gJ i> c;') t-I
~
t""
Training in repair of X-ray equipment Training in country health prograllDing and progr81lDe management Research and training Vaccine production (needs further assistance)
Consultants and fellowships Still being formed on WHO promotion and support
i
n
B
National Institute of Tuberculosis National Public Health LaboratorI
Consul tants Consultants \0 -~
...... t-' o o
\0
IInformation taken from a review of documentation available in the Regional Office.
REPORT OF THE REGIONAL COMMITTEE
101
ANNEX 7 REPORT OF THE SUB-COMMITTEE OF THE REGIONAL COMMITTEE ON TECHNICAL COOPERATION AMONG DEVELOPING COUNTRIES (TCDC) Manila, 24 August 1978 The Sub-Committee of the Regional Committee on Technical Cooperation among Developing Countries (TCDC) held its third meeting in Manila on 24 August 1978. The following attended: Mr Dr Mr Dr T. Yano, Japan M. Wainetti, Papua New Guinea Moo Geon Jeon, Republic of Korea Andrew Chew Guan Khuan, Singapore
Dr Andrew Chew Guan Khuan was elected Chairman. 1•
Terms of reference
The Sub-Committee considered the suggestion for the next subject of study made at the second meeting of the Sub-Committee (see page 81) and agreed that for the following year the subject of study should be the TCDC components of health manpower development in the Member States of the Region. 2. Method of work for the next year
The Sub-Committee endorsed close collaboration with the Sub-Committee on the General Programme of Work and agreed that there should be continuation of the desirable practice that members of one Sub-Committee should, as far as possible, be observers at meetings of the other. The Sub-Committee agreed that the next meeting of the Sub-Committee be held immediately before or immediately after the next meeting of the Sub-Committee on the General Programme of Work in late March 1979, a convenient timing to be decided by the Secretariat, who would also prepare appropriate background documentation for the meeting, after consultation with Member States in the Region. The Sub-Committee would decide at that meeting whether country visits were necessary. The Sub-Committee agreed that members would also provide to WHO any further information they had on existing and potential TCDC components in health manpower development and suggested that all countries be encouraged to do this. It was noted that the recommendations of the United Nations Conference on TCDC, to be held in Buenos Aires from 30 August to 12 September 1978, would probably be available to the Sub-Committee for its March 1979 meeting, and also the results of the Conference on Regional Cooperation in the WHO Fellowship Programme to be held in Manila in February 1979.
102
REGIONAL COMMITTEE:
TWENTY-NINTH SESSION
The Sub-Committee also noted that the Regional Committee had requested the continuation and enlargement of Appendix 4 to the report of the second meeting (pages 93 to 99)1. The Sub-Committee hoped that as far as proved feasible there would be continuity of the persons attending the Sub-Committee meetings.
lSee page 185 of this volume, Summary Record of the Sixth Meeting.