Progress report January - December 1974 : submitted by World Health Organization as executing agency for the programme

tt PAPER NO. 1 Page I of 1l pages WORLD HEALTH ORGANIZATION ORGANISATON MONDIALE DE LA SANTE ONCHOCERCIASIS CONTROL PROGRAMME IN THE VOLTA RIYER BASIN AREA PROGRESS REPORT January - December L974 Submitted by the World Health Organization as Executing Agency for the Piogranme A INTRODUCTION 1. The Onchocerciasis Control Programme was launched on 1 January L974. The main objectives of the Programme for 1974 were the preparation for and commencement of the actual control operations in Ghana, Ivory Coast, MaIi and Upper Votta covering the Como6, Bandama, Banifing and Black Volta River basins, and the implementation of studies on the economic development of the areas freed from onchocerciasis. 2. During 1973 preparations were completed for the launching of the Programme including the finalization of the Report of the Preparat ory Assistance Mission to Governments (PAG) together with its technical annexes. Soon after the release of this report on 20 August 1973, the strategy of the proposed Programne was presented by a joint IBRD/trVHO Mission to each of the seven Participating Governments and its implications were discussed. 3. This was followed by the Accra Inter-governmental Participating Governments and the sponsoring agencies, I November 1973, which endorsed the PAG Mission Report. Agreement governing the operations of the P'rogramme was countries and WHO 4, The Wor1d Bank, on behalf of the four sponsoring agencies, approached potential donors for financlng control operations and commitments were made by a number of Governments. At the same time, lrNDP, under its regional programme for Africa, approved a provision of US$1.2 mi}llon for the years L974-76 for the Applied Research (Epidemiology and Chemotherapy) and Training component of the Programme. The donor Governments together with LINDP, IBRD and WHO entered into an interim Onchocerciasis Fund Agreement for Lg74 , lnvolving US$7.5 milIion, which became effective on I March L974. Pending finalization of this Agreement the World Bank made available on g January L974 an advance of USg37S.OOO to enable immediate implementation of the Programme. Meeting of the seven held from 30 October to At this meeting an signed by the seven Paper No. I Page 2 of II pages 6. The World Bank, as Administrator of the Special Fund for Onchocerciasis, taken steps to assure the financing of the Programme for the first six years Agreement covering the period 1925-29 has been prepared. e has and an I B. MANAGEMM.IT STRUCTURES 7. The Operationhl Agreement signed at Accra on I November 1973 set out the basic arrangements for the management of the Programme. It was recognized, however, that these arrangements might require amplification at a later date. FoIlowing consultations withthe donor governments and other parties concerned, a revised organizationat chart,providing for the establishment of a flexible machinery to give general guidance on the Programme, i.e. the Joint Coordinating Committee was prepared by the Steering Comnittee and presented to the paris Meeting of donor and participating governments in June L974. These proposals received the general agreement of that meeting and a draft Memorandum of Understandi ng , rJescribing the principat features of the management .trr.EIilFfh" Proglramme, has been prepared for consideration and approval. This document defines the role of the Joint Coordinating Committee, the Steering Committee, and the new advisorybodies such as the Technical Advisorv Committee and Economic Development Advisory PaneI, whose role and terms of reference are not covered by the operational Agreement. 8. In accordance with the unanimous d.ecision was approached by ilre lVorld Bank regarding the Coordinating Committee . of the Paris Meeting, Dr M. Independent Chairmanshi pof G. Candau the Joint 9. The Steerin Coruni ttee for Onchocerciasis Control 1n the VoIta River Basin area Iestablished 1n I972 times during )-974 to sponsbring agencies sessionscenterecl on , Programme. by the Executive Heads of UNDp, FAO, IBRD and WHO, met four review and coordinate the action belng undertaken by the four in the implementation of the programme. Discussions at recent economic deveropment, management structures and financing of the 1o. FoIIowing discussions with the Governments concerned, the lndividual CountryProtocols supplernenting the operational Agreement and reflecting contributions by theParticipating Countries in staff, i.nfrastructure, cash, services, etc. were prepared by WHo and signed by the four countries involved in Phase I, as follows: Ghana -5 JuIy L9Z4;Ivory Coast - 2I June L974i MaIi - 21 June L974; Upper Vo1ta - 22 June Lg74. protocolsfor the subsequent phases are in preparation. 11. By mid-1924 eactt National Onchocerciasi of the Parti s Committee cipating Countries had formally established a (NOC) . These committees, grouping representatives of valuable coordinating machinery at the national leveIkey Ministries have proved to be a and an important Llnk between the Government and the programme Headquarters, affordingthe opportunity to review progr€.'ss in the implementation of the programme, and reach agreement on matters of mutuar concern. They have prayed a major role in resolvingIogistical problems; this role wiII have increasing importance as the settlement anddevelopment of onchocerciasis freed areas gets underway. t Paper No. I Page 3 of Il .pages 12. The Ecological Panel , which was established on the recommendation of the Steering Committee to study ecological problems connected with the Programme and report to the Committee thereon, met in January and in June 1974. At these meetings the Panel reviewed in depth the environmental aspects of the control operations and the WHO programme for monitoring the effects of the insecticide on the environment. The Panel expressed its satisfaction with the Organization's approach and indicated its intentlon to collaborate closely with WHO in evaluating the effectiveness of the monitoring Programme. A visit to the Programme area by the Panel is planned for late February 1975 in order that members may view control- operations and have discussions with Programme staff. Particular attention wiII be paid not only to environmental monltoring but also to the problems of settlement in the areas freed from the disease. 13. As provlded for in the Operational Agreement, steps were taken by WHO to set up a Scientific Advisory PaneI (SAP). To date about I5O scientists throughout the world working in fields related to onchocerciasis and its controt have accepted membership of the Panel for an initial period of five years. It is anticipated that this scientific network will expand progressively over the coming months as replies from widely scattered research workers continue to be received. A Working Group composed of members of the Panel met from 28-29 November in Geneva to consider the chemothera of onchocerciasis, drug efficacy and toxicity. Simllar working groups are planned to study other aspects of Programme research activlties 14. In line wlth the general agreement reached at the L974 ParLs Meeting, twelve members of the Scientlfic Advisory Panel, specialized in the main sclentj-fic and technical fields concerned by the Programme activlties, were invited to serve on a Technlcal Advisory Committee. This Commlttee of lead ing experts has been established to assist the Organization by undertaking a continuous independent scientific and technical evaluation of the plans and operations of the Programme, and its associated training and research activities. 15. The first meeting of the Committee was held on 18-19 December L974 to inform members of the progress made in implementation of the Programme, and to review with them the control strategy and research and training activities. The Report of this Committee containing its views and recommendations wiII be presented at the Joint Coordinati-ng Committee meeting. 16. To assure the continuous review of informatlon relating to the economic development aspects of the Programme an Economic Development Advisory PaneI is under establishment by the World Bank in consultation with the other sponsoring agencies C. IMPLEMENTATION OF THE PROGRAMME 17. In the early part of lg74 activities were largely devoted to organizi-ng the programme Headquarters, which is located at Ouagadougou, Upper VoIta, and comprises Simulium Control, Epidemiological Evaluation, and Economic Development Units backed by Administrative Services. The selectionrrecruitment, and traini.ng of staff, both technicat and administrative, together with the procurement of equlpmentrreceived priority. During the second half of the year efforts were directed towards the establishment of the entomological surveillance network and preparatlon for the aerial spravi- ng operations origlnally planned to commence in November. In view of the exceptionally heavy rainfaII, these operations, which are reported in a separate document, were postponed and spraying began on 10 December. I Paper No. I Page 4 of 1l pages 18. Office of the ramme D irector : The Programme Director formally assumed his functions in Ouagadougou on I January L974. The establishnent of the Programme Headquarters and infrastructure necessitated close liaison with WHO/HQ and the Regionat Office for Africa and involved visits to Geneva ar.d Brazzaville, to participate in meetings for the review and coordination of action. o ) I9. During the year, the Director visited each of the Participating Countries National Onchocerciasis Committees of the progress made and to reach agreement nature and importance of the Countries' contributions to the Programme. to lnform on the 20. The Director also participated in meetings at inter-country leveI, and attended Steering Connnittee sessions when Programme demands permitted. 2L " Liaison was maintained with locaI representatives of the other sponsoring agencies, and in particular with LINDP representatives, on matters ranging from development projects to salary scales. Contact was made with bilateral and multilateral institutions 1n the area engaged in work or studies related to Programme activities. 22. Throughout the year the Director received and arranged visits to the Progranme area for Government officials from the participating and donor countries, representatives from the other sponsoring agencies and from bilateral aid institutions, as well as iournallsts and independent research workers. 23. The post of Information Communications Officer was filled in the second half of L974. FoIIowing an intensive briefing in WHO Headquarters and Regional Office, and FAO Headquarters, the Information Officer assumed his functions in Ouagadougou in December. 24. The post in the early of Administrative Officer in the Programme Director's Office wiII be filled part of 1975. 25. Simulium Control Unit: The key professional staff in this Unit - the Chief of the Unit and the two entomotogists ln charge of aerial operatlons and entomological surveillance and environment protection - were appointed. The fourth entomologist wilI be appointed in early 1975. Other supporting staff,inctuding two Operations Officers, a cartographer, an Admlnlstrative Assistant and a secretaryrwere also recruited. 26. During 1974 the staff of the Unit travelled widely throughout the Phase 1 control area setting up the infrastructure required for the aerial spraying operations. Store- rooms for fuel and insecticide, workshops and other facilities were constructed where necessary. 27 . The actual spraying equlpment, developed in L973 | was tested on a fixed wing aircraft hired for that purpose, and proved satisfactory. 28. A simulation trial of the treatments to be undertaken during the Phase 1 rainy season was subsequently carried out with this alrcraft on the various watercourses under different hydrologlcat condi-tions. Despite the deviations necessary for refuelllng and the unfavourable meteorological conditions, the entire operation was completed in 18 hours IO minutes flying time and the suitability of this type of alrcraft for the Programme operations was confirmed. I Paper No. IPage 5 of 11 pages I 29. Advantage was taken of the availability of the aircraft and equipment to conduct airport for the benefit ofa demonstration flight and treatment at Ouagadougou Government officials, agency representatives, etc. 30. In preparation for the insecticide treatment , river sections were coded to enable the code wlth a correspondingthe p1lots to communicate their situation and movements; map was distributed to airport authorlties. 31. Hydrological data, essenti.al to the efficiency of the treatment operations, are being obtained from stations in Ghana, Ivory Coast, MaIi and Upper Volta. As a result of agreements concluded with ORSTOM hydrologlsts and national services additionat stations are being established in Upper Volta and Ivory Coast. 32. Pending the installation of the radiocorununlcations network, in February-March 1975 , an alternative mobile system was temporarily estabtlshed for the collection and coordination of entomological and hydrological data whlch, fotlowing analysis, are used for the preparation of flight plans. r/ is obtained through ASECNAJat Bobo Dioulasso33. Meteorological information and and MaIi.Ouagadougou. It is planned to establish similar links in Ghana, Ivory Coast 34' The fixed wing alrcraft, helicopter, supporting staff and equipment arrived in Upper Volta during the month of October. Airstrips were surveyed by Programme staff, and by the pilots, and were found usable in all weathers for the type of alrcraft selected. Spraylng equipment for the helicopter (rapid release system) and for the fixed-wing aircraft (boom and nozzle) was fitted, tested and calibrated. 35. Prior to the start of spraying operations, the aircraft were used to survey water courses 1n the Phase I area, to inspect Sectors and Subsectors, to familiarize thepilots with the area and methodology and to collect tarvae for susceptibitity tests and cytaxonomic research. 36. The day to day evaluation of the effectiveness of the insectj-cide applications is an important integral part of the Programme. This evaluation is carried out by gn1tqmelogleql surveillance teams which continuously monitor the adult and larvaI vector populations on a weekly basls. 37. For this purpose the Programme area has been divided into seven Sectors and 24 Subsectors. Buildings were provided by the Governments concerned, or rented by the Prrcgramme, to serve as offices; modifications were carried out where necessary. The posts of Sector and Subsector Chiefs for Ghana, Upper Volta and Ivory Coast were filled by nationals of the Participating Countries; the Chief of the MaIi Sector is under recruitment. Adequate supporting staff ( technicians , clerks, insect collectors, etc. ) were also employed although recruitment in this category continues as control actlvities expand. The network required for the L974-75 control operations (Phase l) i.e. 3 Sectors and 8 Subsectors, became operational 1n the second half of 1974. yl A'gence pour Ia S6curit6 de ta Navigation A6rienne en Afrique et i Madagascar. Paper No. I Page 6 of 11 pages 38. The entomological survelllance teams are also responsible for recording the level of the watercourses, and this information, together with the entomological results, is communj.cated to the senior entomotogists who determine the weekly flight plans and the amount of insecticide to be dropped at each treatment point. 39. The activities of the Simuliun Control Unit atso included staff trai-ning, the preparation of numerous maps and documents concerning control evaluation, insecticide treatment, flight routing, etc. the setting up of a record system, installation of the staff and equlpment of the aerial spraying contractors, and the distribution of fuel and insecticide in the phase I area. A helicopter safety manual was also prepared in English and French and widely distributed. 40. Administrative Services Unit: The work of this Unit was concentrated on the establishment of an administrative machine capable of providing the necessary support to the field operations, and on the training of locally recruited personnel, particular, in the field of budget and finance. Close contact is maintalned with the support servlces in wuo/HQ and diplomatic pouch and telex services between Ouagadougou and Geneva were set up for this purpose. 4L. Initially the senlor administrative posts were flIled by experienced WHO staff temporarily detached from WHO Headquarters and Regional Offices. Although support and training continues to be provided by such staff, the Chlef of the Admlnistrative Services Unlt, the Finance Officer, the Supply Officer, the Administrative Services Officer and Assistant Personnel Officer have been appointed. J 42. Nearly 2OO General Service posts (secretaries, coltectors, drivers, custodial staff, etc.) have been recruited from the Programme area. Reviews of salary collaboration with UNDP and some adjustments made. clerks, technicians, vector fiIled mainly by personnel scates were carried out in requlred for the 1974 spraying operations was sectors. An additional 20 OOOO litres has been the remaining quantity required for 1975 ' at 43. Procedures were established for payment of sataries and per diem and the handling of financial accounts by the Sector offices. These procedures are closely monitored b; the staff of the Budget and Finance unit who regularly visit sectors and local banks to control and coordinate alI activities. 44. The basic equipment and vehicles required in L974 for Programme Headquarters and the sectors were received, lnventoried and distributed. Moreoverr supplies for 1975 were ordered at an early date and a steady flow of material continues to arrive at Ouagadougou. An Adninistrative Assistant was recruited by the Programme to handle customs fonnalities in Abidjan and expedite the onforwarding of material to Ouagadougou. 45. The 20 OOO litres of insecticlde received and distributed throughout the ordered as reserve pending purchase of present estimated at 7O OOO l-itres. t t Paper No. I Page 7 of 1I pages 46. A workshop for vehicle maintenance and repair has been set up at Programme Headquarters. 47. Epidemiological Evatuation Unit: Recrultment of the Chief of the Epidemlological Evaluation Unit is underway. In the meantime consultants in epidemiology and ophthalmology were engaged to establish this unit, which wiIl plan and supervise the epidemiological evaluatlon of the Programme. This evaluation witl be based on periodic examination by mobile teams of the inhabitants of selected villages throughout the Programme area. 48. Discussions took place between the consultants and health officials in Upper Volta and Ghana on cooperation, and possible coordination of activities. Eye clinics in the Programme area were visited. Following an lnitial revlew of the situation in the Programme area, vislts were made by the consultants to research institutions in Europe and to WHO/IA where a meeting was held to discuss the epidemiologlcal evaluation strategy of the Programme and research work to be rurdertaken. Agreement was reached on the approach to be foltowed by the fietd teams in association wlth national institutions. At the same time the method of data processing was defined. The questionnaire to be used in evaluation work was revised. 49. Training has begun of the staff of the first ophthalmological-parasitological Evaluation Team in which the posts of sociologist and ophthalmologist have already been fiIled. Two assistants were trained as laboratory technicians at OCCGE, Bobo-Dioulasso, Upper Volta. The parasitologist and operations offlcer in this team will assume their functions early in 1975. The second mobite evaluatlon team wilI be established during r975. 50. Economic Development Unit: FAO, i.n consultatlon with the ltlorld Bank, approached It isseveral senior candidates regarding the post of economist to head this Unit anticipated that a selection will be made early in 1975. 5I. Buildings: The Programme Headquarters is installed in four separate villas rented for the purpose in Ouagadougou. In November L974 a property of 3 375 ,rF, comprising two buildings I a garage and a workshop was purchased at a cost of US$47,OOO (CFA II,OOO,OOO). Plans were drawn up for additional offices and modifications to the existlng buildings and a caII for tenders sent out to a number of firms within the Programme area. When completed this new property will serve as Programme Headquarters and replace the rented accommodation, thus centralizing aII Programme Units. D. WHO HEADQUARTERS SUPPORT TJNIT 52. The special unit established in WHO Headquarters to ensure conti-nuous administrative, technical and sclentific support to the Programme has been functloning for two years in close collaboration with the WHO Regional Office for Africa as weII as with the various WHOAa Units, Services and Divisions involved in the Programme activlties. Since January 1974 the Headquarters Support Unit has been working in close cooperation with the Programme Director. Paper No. I Page 8 of Il pages 53' During the first part of 1974 most of the Unit's activities were ctevoted to theadministrative backstopping of the Progranme, pending the estabrishment and smoothrunning of the Programrne Administrative Services. Since these services became opera t iona Ithe Support Unit has been able to devote a much greater part of its time to thetechnical and scientific aspects of its duties including the establishment of theScientific Advi sorv Panel and Techn ical Advisory Committee ; and to the preparation ofresearch agreements. For this purpose visits were pald to research institutions, anddiscussions were hetd with research workers, a number of whom were engaged to reviewthe situation in the field and advise on the studies to be undertaken. 54' In the Iight of the experience gained in the launching of the programme, and in view of the development of Programme activities, the terms of reference of the supportunit were redefined during the second half of Lg74 and its staffing adjusted accordingly 55. In preparation for the aeriar operations a circular Ietter setting out the require ments of the programme and inviting aerial spraying companies to provide information regarding the number and type of aircraft they operate, previous work undertaken, anddetairs of their staff ' was sent by the wHo to about 7oo companies. The replies were examined by a technicar committee of aviation and spraying experts which drew up a shortrist of companies whose equipment and staff met the requirements of the programme.These companies were then sent an invltation to tender and a draft contract. J 56. A public opening of bids took consideration of alL financial andfor the purpose, and counting among firm Evergreen Helicopters Inc. and and the Organizatlon on 2l JuIy. place at WHO Headquarters on 16 JuIy. After technical aspects, a Commi.ttee speciatty appointed its members a representative of ICAO, selected the a two year contract was signed between this -company 57. ( ITU) t97 4 60' At the end of August approximately 2OO Sclentists working in fields onchocerciasis and its control, whose interest in receiving and exchanginghad been ascertaj-ned by means of a questionnaire, were sent an lnvj-tation Forlowing preriminary discussions with the Internationar Terecommunications uniontowards setting up a radio network, it was decided to hold a meeting on 1I-12 June seven countries of the Programmein Abidjan of telecommunicati ons speciallsts of thearea together with rru and the programme representatives. 58' The country representatives unani.mousty accepted the principre of creating a speciarradiophonic network of 20 stations for the Programme and proposed 12 frequencies whichmight be suitabre. Foltowing a study of the rFRB Register 4 frequencies were retained. 59' In Iine with the recommendations of the meeting, and in consultation with ITU,a contract was concluded with a firrn of radio-engineers to undertake a study of thetelecommunications required, including equipment, for the programme, to conducttransmission triats in the Programme area for the selection of 2 frequencies, and toestablish the network. Following an internationat tender radio equipment has beenordered and is expected to reach the programme area in earry rgz5. related to informa tion to serve on theScientific Advis PaneI for a period of 5 years. 6I. The }SO-odd on the Programme. periodica Ily . Paper No. I Page 9 of 11 pages scientists who accepted this invitation received background information Information on Programme activities wiIl be sent to PaneI members 62, Contacts with the Headquarters of the other international agencies are channelled through WHO Headquarters and on the recommendation of the Ecological Panel an approach was made to the World Meteorological Organization to obtain information on global climatic patterns and to set up an inforrnation exchange system reLevant to the Programme needs. 63. The activities of the Support Unit in 1974 also included the preparation ' in consultation wi.th the Governments concerned, of the Country Protocols of the four countries involved in Phase I of the Programme; preparation of the Protocol for monitoring of the aquatic environment; the organization of and preparation of documents for meetings, including Steering Committee sessions, the Telecommunications Meeting, the SAP Working Group, and the TAC meeting. Documents were also prepared for the WorId Heatth Assembly in May and the Paris Meeting in June. Research agreements were drawn up in consultatlon with Programme Headquarters and other technical units concerned in WHO Headquarters. E. APPLIED RESEARCH A].ID TRAINING 64. Apptied research activities closely linked with the Progranme needs are being implemented as a distinct Programme component. Under the UNDP provision for Applled Research and Training, an amount of US$31?'OOO was allocated for L974. Funds were also set aside for research work in the overall Programme budget and studies are underway in the following fields: (a) Epidemiotogy and chemotherapy: An agreement was concluded on 22 Octobet L974 with the Royal Commonwealth Society for the Blind (UK) for provision of a team to undertake a research programme on the epidemiology, transmission and chemotherapy of onchocerciasis. This work is being carried out in Ghana in close collaboration with the Epidemiological Evatuation Unit of the Programme. A second agreement with the Nationat MobiIe Ophthalmological Team, Upper Volta has been submitted for signature by the Mlnistry of Public HealthrUpper Volta. Under this agreement trials of diethylcarbamazine and suramin for use in mass chemotherapy are planned in the region of Banfora and the Black Volta. (b) Insecticide Evaluation: In connexion with an agreement with OCCGE established on 14 September 1974 and in collaboration with the Centre for Disease Control, Atlanta, USA, a contract was concluded with Air Lloyd on 8 October 1974 for aerial spraying trials of new formulations of lnsecticide. These trials were carried out during the period.October-November. Staff from WHO Headquarters participated 1n the preparation and implementation of the trials and a consultant biologist was employed to assist in the evaluation of the 3 different formulations of Abate and two alternative larvicides tested. One of the formulations of Abate was found to be as effective as the standard formulatlon currently in use. i"t Paper No. I Page 10 of 1I pages (c) Susceptibillty of the vector to lnsecticides An agreement was established wlth ORSTOM on 27 September L974 for studies on the susceptibility of S. damnosum to insecticides. A consultant entomotogist was also engaged to assist in the development of a suitable methodology for susceptibility testlng and collection of base-Iine data in the Phase I control area. (d) Vector populatlon sampling: A further agreement was established with ORSTOIvI S. damnosum population sampling methodson 27 September 1974 for both larvae and research. for the development of adults. Two entomotogists are presently employed in this (e) Cytotaxonomy of the S. damnosum comptex: Studies in this fietd began early in 1974 and are continuing under an agreement with OCCGE concluded on 2 October 1974. A consultant taxonomist cooperated in the collection of material in the Phase I control area for identification. So far the distribution of the various cytotypes present in Ivory Coast and part of Upper Volta has been plotted. (f) Aquatic Monitorlng Followlng endorsement by the Ecological PaneI of the Programme for Aquatic Monitoring, prepared in May L974 by WHO staff with the assistance of hydrobiologists, chemists and ecologists, a mission was undertaken during August-September 1974 by two consultants to try out the methodology recommended and finatize the proposed programme in consultation with OCP staff, ORSTOM, OCCGE and the Institute of Aquatic Biotogy (Ghana). Agreements to cover the monitoring work and retated research in Ghana, Ivory Coast, and Upper Volta are in preparation between WHO and the Institute of Aquatic Biology, ORSTOM Hydrobiological Unit (Bouak6) and the University of Salford (United Kingdom). 65. As a result of a recent meeting in the WHO Regional Office in Washington and the SAP Working Group held in WHO Headquarters in November, detailed studles on all existing drugs, both in the laboratory and in the field, are planned. 66. Prior to these meetings visits were made by a WHO staff member to several drug manufacturing companies in Europe in an attempt to stimulate interest in the development of new drugs. Similar visits to laboratories in other parts of the world are envisaged. 67. Training: The training of personnel, particularly from the Participating Countries, is one of the objectlves of the Programme. A detailed training programme i-n entomology was prepared by OCP staff and an Agreement was established between OCCGE, ORSTOM and WHO in ApriL L974. Under this agreement six technicians (four from Ivory Coast and two from Upper Volta), one entomologist (Ivory Coast) and one assistant entomologist (Upper Volta) underwent training at the Bouak6 Entomology Centre. 68. In additlon a fellowship was awarded to a national of Dahomey, on I October L974, for studies in medical entomology. 69. It is planned to lntensify training activities in 1975 and a further agreement has atready been concluded providing for the training of one entomologist, three assistant entomologists and ten techniclans. , t Paper No. IPage II of lt pages PROSPECTS FOR I975 70. In r975 vector contror operations and entomological surveillance wiII continue inthe Phase I area. These operations will be extended at the end of the year to includethe Red and White Voltas and the River Daka (Phase II), After six to nine months ofinsecticide treatment an evaluation of the results wiII be carried out. The aerial spraying operations and, in particular, the suitability of the type of aircraft used will be carefully reviewed before preparation of the international tender for the next aerial spraying contract commencing in 1976. At the same time the efficacity of the surveillance network wilI be evatuated. 7L' The Epidemiological Evaluation Unit will commence investigations in the phase I area at the beginning of 1975. The second rnobile evaluation team wlII be establishedduring the year and in late 1975 work wiII be extended to the phase rr area. TheEconomic Development unit will be set up. Research activities begun in I9Z4 will be ontinued and extended; training, which was Iimited in Lg74 to entomorogical and administrative personnel wilt include medical and para medical personnel. 72' rn addltion to these activities the Programtrewil} commence technical and administrative preparatlons for the extension of the area of insecticide treatmentin Ghana and Upper vorta incruding recruitment of personner; modification of agreementsto cover the additional infrastructure required; instarlation of equipment and ground supportr creation of a new entomological surveillance network; development of the networkof hydrological stations, etc. Equipment for 1976 wilr be ordered and steps taken toset up the infrastructure for the entomorogical surveillance network for the phase rrI which involves the entire programme area. 73. Construction of the new Programme Headquarters wiII be undertaken. a, t ($) worto Htlt?H oicAxlliltloxorcail3aTrox loxotlLE cr Ll sarta t PAPER NO 2 Dccenber lg?1 BUDGET FOR THE ONCHOCERCIASIS CONTROL PROGiAMrlE IN THE VOLTA RIVER BASIN AREA wEo l, a Ir,Nclt()crriilAsls co\t'RoL Pn()clLL\l\!E lN'l'lll: \'ul,r\ lll\LR iL\sl\ .',Rl:\ INT[()DUCl l0N l. 'llic ircetrng uf tronol' at)d PartrcrPatlllg uo\'('l'nn(,r)ts an(l .\:crrJ1.-s li('.i.(l rt) i).rl +-,, Ju,'L' LG-L7 , 'L!,i,1 -;rcc(l ll,Jt thc .io-lri- CoorJri)f trng CormtLtcc would, amongst otlicr'$, l'c\ros rir.i -rrr:1..f,I l)r..:-:('i- .,i r',. !\irr'r)r,ccr( !is, r ,'i,nLroi i'r( jrii.-ie TL.c L.rlal cost oi trrc Pr()gramnrc for the pcrrod I1l7l-1070 lra.l lrJL'[ i,..s('ni(J to ti',' r'ar'li iic!i,r ,S -,rr ..is . slr..Jt.-rl J: r'.i':--:.::if,:uiy LS$ 5l nrrltron. i'llc ycir 19, I lrr. bcL.n used by rillo, Lir.r isec'g!r;,.: ,i:..n,,'. to o}E.rirr..' t:,.i l,,,.paiJLuiy r.::r l!:-::rg to the start of acrrll, slrrayrDg ope!'atiorrs rn Dcuc;,5cr I9?l rnd otlr(r r'{'r,rr-\l !as,.s. r( -or(lrngli, -rrjl-:'5:;;n!s naJc by $llO durrng tl,e ],car Ml rcllcct inrtral a:iiJL'itJiLuic.s mrr:tI\ .iJr'sL.rff ri\l cctu-,x:ir,l. il,e \(-r ,-:;5 \rlL 5e th', Iirst IuII ycar of operatrolrs, rn acc(rldance \rth t,le l.lc mrssrcn.jI.,i't. frrd i(rnl(ri.Civ r, rs tlr!- Du(l;(.t for th(')!ar IC,75 rvhrclr is now subErttcd Ior rcurow l,y the.,orr:t Coordrnatr::g ConiuLtcc. 2-. lr) rosl)cct of the year l9/- I total cbllE.rirons c'ipcrtcC t.) l.)e incurtcrl Jr.' ii$ 3 I.iii OJO. lvi.rl ..r.rirrrt:icntr to be lncLrrlcd rn l{)75 are cstrmated at uS$ 7 132 .1OJ: ior "lrc- pelr((l l1)7G-l(l;9 il,or arc osi.r..,ar(,1 .rr I sg t.i 3l).j ;,)(.). -Accorulr;lv tlrc bu(lget for the p€riod I9?{-1979 renarns at thc -[iSure of LSS 5ll r]i.i rrr) ]u(.\e'r'.(.rl .r! !1,(.i,,r,ra;i(ctl:tg as folloBs, tstrmal cd ubl rgrrlon-s I 1r7{ r 975 r 976 t!t7 7 r 978 t 079 Total US$ US$ US$ uS$ r;S $ USS Annual Costs US$ Programe Headquarters Vector Control Opcrations Epidenlol ogrcal Eva luatlon Tcchnical Support and Llaison: IJIIO IIQ and rclglonal ollice FAO HQ and regronal olrice Rcscarch Contracts and Training Total ./rnnual Costs Caprtal Itens Bui L dr nBs Furnr ture Vchrclcs Tcchnlcal Equrpnent Total Canltal Itcms Sub-TotaI aon t 1n g('ncy TOT.{L 505 000 550 000 57 000 630 3()0 00.J sco 2 SI2 Sl(Jo 1 io-l 6OC l7r 9oo 533 300 753 300 790 60() 6 .lt3 800 0 377 0()0 33r 300 5l{ 800 850 300 7 15G I C)O ;23 2cO I 2()1 300 27 076 7o0 2 621 800 355 000 532 000 .t5 .loo 67 300 )A7 -rOO I O33 7OO 567 800 7,1 IoO I J7i 3CO 3;O 000 gc Goo 030 :oo c7r 300 87 100 7C5 000 ?I9 300 03 coo 699 00C 3 5;.6 3C(J -l:3 600 3 ':Cr 500 r30 000 73 OOO :?2 000 9? OOO r39 zC,O 85 70C 297 21() 367 ?CO 30 cco ,23 COC 33 300 I i7 3CO ,,o eoo 2C 00c :153 Sclro lr 5 {oo 120 000 lig 000 ?87 ?CO cc3 !roo 3 i:9 9CO 5 G30 GCO 7 ?93 ?30 0 31t -100 9.tlr.8CO lO O4r 700 lt 169 IOO 621 000 6G6 000 I I 727 c)oo 8il8 900 I230 froo 18r:oo ?17:- o 18,-) 300 3 sol cco 3 l.4ii SIOO 7 132 4OO I42I 3OO lO 9/2,-'CO ll OI9 8OO :l :'3(l ..'o 53 a-. CCC 3 I 16 900 6 179 5CO - 652 000 I /i21 GOO 796 700 I 73'.t 7()0 I 2't9 :t()O I 659 lL ) i-1 a3o !\ry1 I 35O 7Oo I 'l 13 ?r)C i8 163;OO ::"4:co +.lal -a r. ?n: _ !,,) narn !)rogrcnm.r a( LJi/rtrcs !s .unmarrzc(l Ln the cllaptcrs whtclt rollo$ ranoth/ l' \'! i \ ./r,.^i ,!r/ lrr ototrrtrn,' r),il(lllrlr(_'s r1r ful[rs ...].rS tt l)as,)C3n r-.i,6. i 'r\^. lr L t./, .f I..r, (-cnt tr',r ,,ia\ f,)r l,lt :(l|r.; ,csts ,O pcr ,,'a.,, a'l .c -'xt prl.as ,,- , .,f "UI Jr! r<_,.,. 1,, irr. t^.j I,[.i . rl.rr i) , -r D-i 7 1 c:. cont. l)er :,,ctr. UYHO a _.r:.'.1 ( : -r I grJ I 076-79 Tot.1I O74 3 146 9@ l@.o43 393 700 53 673 000? r32 {@3 146 900 us0 48 163 7@ 5 509 3@ 89. ? lo.3 6 479 5@ 652 9@ 38 537 300 4 856 4@ 848 9m 431 3@ zrt 800 1@ @O us$ lr 261 7@ I 34r 800 4 e77 3@ 3 398 300 3 9lO 9oo 2 4r8 7@ 2 753 0@ I O55 400 {20 000 us0 14 012 .8@ I lge @o 5 503 5@ 5 40r 5@ q7t44@ 3 90{ 600 3 320 300 r 4b7 600 520 @O 26 ,1 ri.r IO.4 to. r E.8 727 0@ 116 0@ r40 4@ 7.4 6.2 2.6 l.o 786 l@ L32 go7 235 @o @o @o 5@ ooo US I 963 73? 4U r o95 565 t too 200 o@ 700 5@ PzEe 2 3. prelcntsd dltt€rently, ttre tjpec ot enpondlture envl.r3.d undpr thr Prolraue tor tie period 1974-19?9 rre rs tolloi!: Personal t€rvlcea Aerlrl spr.ylng Ins6ctlcldo Rese$ch rnd tnlnlnl Rentrl, supplies md lrlntenrnoc Capltal lt€Et, lncludlnt vohlcle. rnd bulldrngs Operatlonrl Trrvrl Consultrnt3, lncludlng FAO rupPort Me6tingt Provlslon tor contlngenclo! 1. , nr€ tinrnclng ol the €.tlrrted co.t ol the Progr!8lc 1111 teite placc tra (a) the Spcct.l Account estlbllsh€d by tie *orld Srnk (b) tunds provlded by th6 Untt€d Nrtions D€v€Iop.nt ProgrEEc rnd (c) contrlhrtlons ln cr.h or ln Llnd ueocfUy ptrtlclprttng GovarNctrt!. Tlrc rerpectlvc contrlbutlon! rre eaP.ctcd to b€ E.dc ra lollors: 5. The brerkdom by crlendrr yerr ol th€ estlErt.d requlreients df the crchocercirsis control Programe rellects the esttrated cost of goods rnd s€rvicos to b€ d€lrverod to the ProBrme-OJrlnS tha crlcndar ye!r. Acturl payncnt 'or the3e goods and services wi1l be nrde rttbr dollvery and accordingly the trersury requlrenmts uill dl?far frm the budget estlmates. These trersury requireDonts rre estiErted as follows. lncluding worklng bank balances: o I Janurry I January I Jrnurry I April - 3I Dec€ob€r Ig74 - 3I DeceEber 1973 - 3I Mrrch 1976 30 June 1976 us$ 3 000 000 us$ 6 800 000 us$ r ?oo o@ us$ 2 000 000 us$13 5@ ooo ns rn lhc case of ttte bu(tget estinrtes, Einor varratlon In the trelsury r€qulr€trents trom one pcrrrod to the next may oL'cul' Atthough the.roint Coordtnrtrng Connltte€ will be J)rin.rlly concerned ?tth datr relatlng to the year L975/lot tlr(- sake ot(:larrty. datr rre rlso shorn tor prlor rnd subs€qusnt perlod3' Sp€cl.l Account 'rltad Nrtlonr llevsloD!€nt PrognEo PartlclprtlnS GovorN€nt. TOTAL Le?1 1 975 r 976-79 Totrl us$ 2 769 mO 317 000 60 000 US s us$ 41 405 4@ I 648 300 340 @O us$ 50 773 000 2 400 0@ 500 @o 6 597 700 a34 700 roo o@ 3 146 900 7 r32 4@ 43 393 ?OO 53 673 0@ wEo I I I Page 3 DETAILS OF PROGRAMME ACTIVITIES PROGRAMME HEAMUARTERS During 1974 the cer,tral adDlnlstretive support necessrry for backstopplng Phas€ I 9f thc Progrme hls been established at proBraDne Headqurrters. This central adnj,nrstratlve support includes servlces responslbl'e for personnel, budget, finrnco and accounts, suppllcs procureEent, equipm€nt rnd vchlcles as vell rs tlre general admrnistratlve servlces ol traveL, Dtlntenance of bulldlngs and equlpmcnt, and comEunicrtlons includrnt telex services and pouches. These services have in th€ course ot the yerr recruited over I85 staff tor duty throughout the Programe and tlrey have purclrased the necessary supplies and equlpDent tor the Progrme. Land vrth sone constructron alread)' on rt lras been purchased ln Ouagadougou and dralt plans developed for the constructron ol the Protrame l{eadquarters buiLdrng. In Ig75 wlth the exprnsion into Phase II of the Programe the adnrnrstrative support unlts are expected Eo be at fuII strength and able to neet the needs of opening a turther sector and srx sub-soctols ln the Progrme rrea. Thrs adBlnrstrrtive work Is expected to involve the r€crultnent,of sone 2OO addrtronal stafl and thc drstrrbutron of supplres and equlpDent to the additlonal sev€n sector3 tnd sub-sectofs. The Progranne Headqurrters buildrng plans are cxpected .to be finlshed, the constructlon contr.ct let rnd tho buildrng well under way to copletron. Th€ stalt of the progru&e Hetdqu$ters comprlses: (a) the oflice of the Director, with a progranme dlrector, inforEatton otticer, rn adElnlstrrtlve gsrvlces otlicer, a secretary and a drlveri (b) an econonic developtrent lrarson unlt wlth an econoDist to be appolnted by FAO, a secrettry and r drlver; and (c) the 3upporting admj.nrstrative services vlth a senror adDinistratlve otflcer, 2 budget and finlnce otflcers,2 persomel otficers, a supply olflcer, an adminrstntive services otticer, together with 49 loctllyrecrult€d statf (adminlstratlve asslstants, clerks. typists, Dechanics. drivers, messeng€rsi skllled labourers). Tnvel by strff o, Progratr[e Headquarters is tores€n not only wrthln the area of operatlon, but also tor visits to G6nevr, Wa3hington rnd the Regtonrl Otfice for Atrica (Brazzlvilte). pendlng cmplstion.of th€ constructlon of the Pro8rame Headqurrters bullding, nov foreseen lor 1976, otllc€! will be rented ln Ouagrdougou and th€ estlD.tes lnclude provislon lor rental and utilltlcr. The estlnrtes also include provlsion ' tor oftlco strtlon€ry, supplles, oqulpnontr otflce fuErltur€, Ealntenance md runnlng costs ol vehicles. us$ us$ usi us$ us$ US us$ 300 @o 60 000 35 mO 437 400 64 900 72 @O 463 700 65 800 ?9 2oo 498 400 66 4@ 86 400 525 000 6? 3@ 93 600 2 786 rOO 392 600 467 000 361 600 68 200 roo aoo 505 000 630 3oo 668 800 ?53 300 796 600 850 200 4 2U 2@ 15 000 35 000 60 000 34 800 10 000 rr 200 38 rOO 10 000 12 000 34 tOO 30 000 38 000 36 500 34 000 40 200 38 900 37 000 43 700 197 400 156 000 205 loo 60 000 35 000 32 000 22 0@ 200 000 600 5 000 20 000 29 000 5@O 20 000 2 4o0 5 000 500 @o ?5 000 65 20C 47 oo0 240 000 5 000 I 200 5 000 149 000 245 000 205 6m 54 @O 6 200 27 4@ 6A? 2o0 654 000 875 300 874 4@ 807 300 802 800 8?7 600 4 891 400 EstlD.ted Obllgrtlons r.978 19? 9I 975 I 9?6 tgilT1974 Totrl Ofllce rentr utllltlet and bulldlng ntlntenancc Supplles operatiotr! and Dtlntenance Total Annual Costs Caplta1 Iteros BuiIdlnE FUrnlture Vehlcles Technical EquipEent Total Caprtal Items fn"'.t Consul TOTAL Annual Costs Pergonrl servlces lonrl Travel turts L wEr o aVECTOR CCT.ITROL OPEMTIONS I 975 ll I 977 t3 Pase 4 I 079 I3 t 978 I3 490 503 In the course of 1974 rmplenontrtlon o! Phase I _ol the Progranme has bcen rnitratsd; ,trrs phrac tnvorvos theestabrrshDent and op€rltlon of tllree sectors end elght subisoctors oxtcndrng rnto lour of tho courtrlos ot the prolr.mG area, Ghana, rvory coast, l\tf,rl and uppdr voltr. stafl, vehrcles, supplres, equrpner)tr rnsecticrdos and tuel hrvs beenasslgned to these sectors and sub-sectors and premrs€s lncludrng offrces, laborltorles, stores and worl(shops olther Drd€avallable by prrtrcrpatrng goverment!, rented or constructed to house the activj,tras of the progrmme. As plamed onerrxed rving arrcralt llong wlth one helrcopter were tn the Programnc area early rn the fourtlr qurter or the year, rerdyto comnence thg aerral spraying ol lnsectrcrde. Phase Ir of the Progranne lnvorvln8 expanslon of actrvrtles rn Ghatra and upper volta \rrI be inplcme,lted durrng1975' Thi's virl requlre the establrshnent lnd operatron ol one addrtronrl sector lnd srx nddrtionar sub-scctors, rncludrngthe provlsron of staff' vehicres, aupplres, equrpment, insectrcrde and luet-along wrth orrrces, rdboratorres, stores andworkshops to carry out the activltres o, the Programne. Also rrm the begtnnl,ng ot ro75 an addrtlonar helrcopter vrll bern the Progr@e area tor aerlrl sprrylng of rnsectrclde. 'Ihe vector control operations conprtae the follovtng stall: I 974 IO I 976 Profess 1ona1 Ceneral Servtces l3 40() 503 The operatton rnd strtl uder this headtng rre concorned with vector control oF,errtions and entmologrctl survellrlnce operatlons. The terEs operattng in the sectors wrll be conposed ol an entoDoloBlst, tnternatlonalty recrulted, and o, locrlly recrurted assistsnt entmologists, technrcians, senror clerks, Dochurca, drlvgrs, laboratory aurllarles, storeoen' skllled and uf,gkillcd lrbourers, rs well as radro aperltors. Provtgion has been Erde lor travel of the vlrrousteaEs wlthrn the arer. Th€ ostlartes lnclude thg rentrl tnd operatlon o, alrcraft sorvlcG ,gr the aerlal trertEent rn the followrnB estlmtod nubor o, hour!: r.e7s r 916 rs77 r iza r e7 e Hours 2OOO 3600 6420 6470 6470 It ls envlsaged that tor the operatlon an lnltrar 90 ooo lltres ot lnsectlcldes will be requtred rn r925, lncrelsln8to l5O OOO lor 1976 rnd 2OO OOO tor each ot the years I9?Z to 1929, I I constructron of olllce ud Iaboratory space ln lo locatlons lnd stores tnd workshops rn 32 rocations is expeted tobe'c@plEted wlthln l9?5 ed 19?6. For purpoges of the vector Sontrol operatlon provj-sron has been made tor the purchase of land rover statlon *agons,land rover pick ups, trucks, nlnlbuses, boats etc. as required f or the progr@e. The estiEat6 lnclude provrslon lor rent 1n soEe sub-sectors, as well as tor the cost of utrrrtres ln those sub-tors where operatrons wlll trke plece. The technical equlpEent provisron wlll cover the cost ol nrcroscopes equrpEent, tools, relrlgerators, workshop equlpnent, radros and gLassware, generltors, cmplng equlpnent. Iaboratory us$ LIS '5 US us$ US$ us$ 400 so3 490 503 r92 202 3r9 330 Annual Costs Pcrsonal servtces Operatronal Trevel Aerrrl TreatEent Servlces Oftlce rent and utrlrtres Operatrons and natntenance SuppLres (lncludrng .."."tr.rd"")(t) ooo ooo ooo ooo ooo ooo I 538 528 2 296 66 619 r 376 500 300 ooo 900 900 200 500 500 ooo 600 200 2o0 400 7o0 ooo ooo 900 400 5@ 500 ooo 500 200 ocro 200 30 100 5 r60 477 757 79 293 512 500 2o0 800 400 700 ooo L 644 528 2 286 73 678 r 366 7 770 52A 2 550 8t i46 l.4'79 7 306 2 364 9 r99 360 2 AAA 5 854 600 I 275 5oo 460 2o,0- I 2r9 600 54 500 494 2(J0 960 Total Annual Costs Ca tal. I tems tlul ldrng I.u rn r ture Vch rcles 'l'echnrcal Equtpnent T.,t.I CaDltal Items r(l'tlt 60 000 36 000 330 000 60 000 384 000 r39 200 6,1 600 466 000 296 600 24G 4@ 317 400 11 800 550 000 2 8r2 !)oo 4 464 600 6 4r5 800 6 577 000 7 t56 400 27 976 7@ l'.li 300 .18 lOO 35r 400 93 1c)0 oro ooo 36 000 580 !00 524 300 486 000 58? 800 I oo9 000 32s z.n I 94 400 444 8(rO .t o5l 200 t ()36 orx) 3 4oo 7oo 5 473 600 6 715 ooo 6 ?71 1oo 7 6()l :(\) .lt (r.t7 o(r) Estrnrted Obltgrttons t9'14 r 975 I 976 I97t1 19? 97 Total ln"lurlr \ lor lns,..-tr.jr.l,,\ t I l'l,.,tt l1 t.r7.rr 'l'12 (ltt(t rrr l!r74: TltJ4 OOO ttt tll75: 9ln7 iroo rn l(l7ri. \l t2() (f)o rD I'r77 rn(t l!r78. erd wHo US i Ol t Paae 5 EP I DEIII I OLOG I CAL EVAI,UATI OI{ Durrng 1974 rn epidoniologLpal evrluatlon unlt has been establlshed at ouegedougou. Tltis has lnvolved the pro\,lsri of staft, vehrcles and premises elong vith supplres and equlpm€nt tncludlng drugs, raborrtqry and olrthalmrc equtpnent. contal and dlscusslons heve been held wlth hoalth ruthorltros ln ordor to ensure co-operation and co-ordtnation of eltorts. An evaluataon ol ophtlraLnological baseline dltr has b€on undertrken and a study o, eye clinics rn the area carried out. In I975 the unrt wlll be strengthened wlth rdditlonrl ttrtf, vehlcles, aupplres and equrpnent. Ihe work wlll tnvolr.the selectlon ot virlages and census trklng ln the phrse I rrer of the prograue t As fron I975 there ylll be (a) an epldeElolo5r rnd publrc health unlt conprlsrng an lnternati.onally rc.cruit.d epldemiologist, and two operattons oflrcers, and logelly recruttad Fecretary, clerk-stenogrrl)hcr. clerk-typrst and drtver; an((b) two epidentologlcrl €valultlon unlts €ach wj.th an ophthalnologlst, parasltologrst arrd soclologlst, rnternatronall,y recruil and a statrstlcran, a nurse rnd ! c€nsus officer, a laboratory rsslctlnt. tro drivcr.s and an urskillcd Labourer, tocally recrul ted. The personnel estrblishEont for th6 period 1075-19?9 is 16 follows: r 97t I 976 t977 I 978 r 079 Prolessional posts General service I8 l8 Travel to the various sectors hes b@n toreseen for the eprdenioLogical evaluatron personnel. Provision lor the repllc@ent tor the vehlcles purchased in I9?4 has been made in l9??. In addj.tlon to the provlslon nade tor runntng costs under operatlons tnd nllntGnance, thu estlortes rnclude thepurchase of varrous suppllss (lrborltory suppli.es, drugs ror treatEent, oftlce supplres) and tortechnical equrpment (tield camprng equlpEent, Ercroscopes, ophthalnoscopes etc.). It is exp€cted thlt in certlin localltl€s r€nt tor oflrce spacd wlll need to be provtded ln rddltron to tho cost olpubllc utilitlss. Estiuted Obligations L974 1 975 L976 L977 I 978 1379 Totrl US us$ us$ US US$ US$ US 0 I I8 27 2527 I8 27 l8 26 36 0@ I OOO 4 000 50@ lI ooo 313 65 lo 39 {I 900 8@ 900 500 800 34r a2 II 43 44 ooo 500 900 4c)0 800 3tr ,to G it 1B 4lf,o 50() CCO 800 (xlo 500 2@ 2o0 500 400 328 74 I 57 55 ooo 3@ ooo EOO IOO 327 76 7 52 51 691 380 48 246 252 800 300 600 ooo loo 57 000 47t 900 523 600 l 'fr,o 5t{ 800 523 2@ 2 621 800 IO OOO ? ooo 60 0@ 10 000 |,fo , -t r.) ro ooo 7 000 r.1 I 600 67 600I1 IOO ll 300 87 000 lt too lt 300 Il 7()0 12 000 ,,)o tI 700 12 oco 226 zoc' r.44 000 483 000 534 9l]0 i,2 I ilru 526 500 535 200 2 848 000 Annual Costg Personal servlces Operationrl Travel Oftlce Rent rnd Utll.ltte! Jeratrons and Maintenance Supplles Total AnnuaL Costs Capital Itens Bu r ldi ngs Furnfture Vehacles Technrcal Equrpnent Total Capital Itere TOTAL wBo I PTEG G TECH.\ICAL SUPPORT AND LIAISCN (r) llllo UQ AND RECIoNAL oI'FIcE Supportlng servlcos lor the Programe rro provlded rt WHO HQ ln Geneva and in tho Reglonal Offlce for Atrict }n Bnzzrvllle. Ttose conrlct ol three prolcsrlonrl and olaven generll aervlces strft rt lferdqurrtorr and onoprofesslonal md r generrl servlces atall tn Brazzrville. AII post3 except lor r protesslonal staft rt Herdqulrtor.s and lor th€ post3 in Brrzzavlllo heve been fllled. In addltion to th€ support p€rlonnel, provlslon ls nade in erch yerr for 2rl consultarrt nan-nonths Travel ls provided tor vlrlts lroE Cenevr to OJrgadougou rnd Brazzavllle rnd from Bra.zt\ille to Ouagadougou. Under thls heldlng are ll.o rncluded estlDrtes tob two [eetlngs per y6rr for ttrolve mcnbers of the Technlcrl Advlsory Comittee, inclusrve of sit€ vi,sltr. (iI.) FAO HQ AND REOIONAL OFFICE The provislon under thls hoadlng conslsts ol 21 consultrnt nan-Donths tor erch o, the yEars 1975 to 1079. for tnvel tn an mount of approxlDrtely $4 OOO per lnnu rnd lor Dlnor 1t6os of luppllcs ln ln tnout of $ I OOO per lnnuD. (i) WHO HQ AND RECIONAL OFFICE us0 us$ usl USE us$ us$ us$ Amurl Colta o I Perronrl !€rvlccs Conlultrnts rnd rdvlrers Oporrtlonal Trrv€l Supplle3 and lsrvlccs Me6tlng! Total Annurl Costrl- clDltrl Item# Tochnlcrl EqulpEent Total CrDltrl ItcEt TOTAT (1r) FAO HQ AND REGIONAL OFFICE 250 60 25 "2 o@ o@ ooo ooo 2@ @o 800 o@ @o 363 79 29 I6 100 400 2@ 2@ ooo ooo 8@ 400 700 ooo @o 4@ 6@ 3@ o@ @o 6@ 8@ 900 ooo ooo 4@ o@ 900 mo ooo 336 72 27 r6 roo 392 86 30 l6 lo5 424 g, 32 16 ro5 458 loo 33 l6 lro 2 225 492 I78 loo 520 355 000 552 000 387 8@ 630 900 671 300 7r9 300 3 516 300 5 000 5@O 5 000 5@O 5 000 3 000 30 000 5 000 5 000 5 000 5 000 50@ 5 000 30 000 360 000 557 000 592 Eoo 635 900 676 300 724 3@ 3 546 300 EstlDlted Obllgrtlons Lgr4 I 9?5 I 070 tvtT I 9791978 Totrl Estlnated Obllgrtlons t974 I 975 I 9?6 LgitT r 978 I979 TotrI Annual Costs consul tants,/Advl s€rs Operationel travel Supplies and services Total Annual Costs TOtAI, us$ us$ us$ us$ us$ us$ US$ 41 3@ 3 roo I OOO 63 0@ 38@ lo@ 6e 300 3 800 10@ 75 600{ ooo lo@ 81 900 4 2o,0 ro@ 88 200 4 loo I OOO 419 300 23 300 6 000 45 400 67 800 74 IOO 80 600 87 loo 93 600 448 600 4s 400 67 8@ 74 I@ 80 6@ 87 1@ 93 600 il48 600 wHo .t ] t 'lESEARCII AND TRAININC In L974 several visrtlrrg sclentlsts lrave assist,ed rn discussions srth the Programe. In add1tl(rr. technical meetlngs have b€en hcld to seek research agreements have becn sl8ned c;verlng tor tho nost part entomology. environment. but includlng sone in epldeniology and chonoth€rapy. Trainlng emploved by the Programe have been held at the OCCCE Onchoc€rcLasls Centre lage 7 on the regearch tt> lte. ( arrted out ln connectton guldqnce on research. [n the course ot Ig74 rnsecticrde evaluatlon and monitoring of the courses for entonologists and technlclans Bouak6. During 1975 rt is plrmed to contlnue and expand the r€search work b€lnt carrred out for the Programe especrally as concerns the Eedlcal aspects ol th6 probl€!. The trrinlng prolnmme too wlll be stc.ppcd up and fellowships awardod to partrcrpatrng coutries' natlonllt. RXSEARCH vector Ecology S. DaElosun CoDplex S. DilnosuE Sa[pling Sub-TotrI Vector Control s. Damosu susc€ptrblllty to lnsectlcides Biodetrrdrbillty ot lnsectlcldeg Insecticlde safsty lor EaE[rIs Insecticlde eveluatlon EqulpD€nt tor lnsectlclde rpplicrtron Sub-Totrl Envlronoent ProtoctlonT-- AFute eflects ol lnsectlclde forilulatlon on I non-trrget spocleg Long-teE ollectr of lnsectlcldes Sub-TotrI -Chdoth€rrpy rrd Epld€plology TRAINING TOTAL Estrmated Oblrgatrotrs Lvt4 I 97t 1 9?6 L977 IOTE r979 TotaI us$ us$ us$ us$ us$ us$ us$ 91 4@ 79 400 IO2 000 89 000 102 m0 89 000 ro2 000 80 000 ro2 000 89 0oo 5l ooo il4 0()0 550 40J 470 400 170 800 r9r ooo I9l ooo I9r ooo I9r ooo 95 000 I O20 800. 3G 39 6 L26 60 900 400 2o0 500 800 -11 14 7 I41 69 ooo ooo ooo o@ ooo 4t 44 7 r4l 34 ooo ooo ooo ooo 500 8 000 l1 000 7 000 35 000 34 5@ I OOO lr ooo 7 000 35 000 I OOO 1l ooo 7 000 35 0oo 142 160 4l 513 198 900 400 200 500 800 269 800 302 000 26? 5o,0 05 500 61 0oo 6r ooo r 056 Eoo 20 000 120 900 33 @O 135 000 33 000 135 000 8 000 135 000 8 000 r35 000 E OOO r35 000 rl9 000 795 gCO 149 900 168 0()0 168 0@ 143 000 r43 000 r43 00d 914 900 3r7 000 434 7@ 448 300 400 000 {oo ooo 400 000 2 400 000 907 500 r o95 ?oo r 074 800 820 500 795 000 699 000 5 40r 500 wBo li i, i"r*! $ I