Final report of the forty-fifth session of the Regional Committee for the Western Pacific

, , WORLD HEALTH ORGANIZATION REGIONAL COMMITTEE FOR THE WESTERN PACIFIC FORTY-FIFTH SESSION Kuala Lumpur, 19-23 September 1994 REPORT OF THE REGIONAL COMMITTEE SUMMARY RECORDS OF THE PLENARY MEETINGS Manila November 1994 WORLD HEALTH ORGANIZATION REGIONAL COMMITIEE FOR THE WESTERN PACIFIC FORTY -FIFTH SESSION Kuala Lumpur, 19-23 September 1994 REPORT OF THE REGIONAL COMMITIEE SUMMARY RECORDS OF THE PLENARY MEETINGS Manila November 1994 PREFACE The forty-fifth session of the Regional Committee for the Western Pacific was held in Kuala Lumpur, Malaysia, from 19 to 23 September 1994. Dr Abu Bakar bin Suleiman (Malaysia) and Dr Edward Tambisari (Vanuatu) were elected Chairman and Vice-Chairman, respectively. Dr Linda Milan (Philippines) and Dr Ngo Van Hop (Viet Nam) were the Rapporteurs . The Regional Committee met on 19, 20, 21, 22 and 23 September. The Report of the Regional Committee is in Part I of this document, on pages 1-58; the summary records of the plenary meetings are in Part II, on pages 59-241. - ii - CONTENTS PART I - REPORT OF THE REGIONAL COMMITTEE INTRODUCTION AND SUMMARY ............................................................. 3 I. REPORT OF THE REGIONAL DIRECTOR COVERING THE PERIOD 1 JULY 1993 TO 30 JUNE 1994 ........................................ 5 II. PROGRAMME BUDGET .................................................................... 6 1. 2. Budget performance, 1992-1993 (final report) .................................. . Proposed programme budget, 1996-1997 ......................................... . 6 7 III. NEW HORIZONS IN HEALTH ............................................................. 8 IV. SUB-COMMITTEE OF THE REGIONAL COMMITTEE ON PROGRAMMES AND TECHNICAL COOPERATION ..................................................... 9 1. Country visits: Report of the Sub-Committee, Part I .......................... . 9 2. Third monitoring of the Strategy for Health for All by the Year 2000: Report of the Sub-Committee, Part II ............................. . 10 3. Collaboration with nongovernmental organizations: Report of the Sub-Committee, Part III ......................................................... . 10 4. WHO Response to Global Change: Report of the Sub-Committee, Part IV ................................................................................... . 11 V. OTHER AGENDA ITEMS .................................................................. 12 1. 2. 3. 4. Annual report on AIDS, including sexually transmitted diseases ............ . Eradication of poliomyelitis in the Region: progress report ................. . Quality assurance in health services ............................................... . Regional Action Plan on Tobacco or Health for 1990-1994 12 14 15 15 5. Correlation of the work of the World Health Assembly, the Executive Board and the Regional Committee ............................... 16 6. Selection of topic for the Technical Discussions in conjunction with the forty-sixth session of the Regional Committee ........................ 16 7. Time and place of the forty-sixth and forty-seventh sessions of the Regional Committee ......................................................... " 16 - 111 - CONTENTS VI. RESOLUTIONS ADOPTED BY THE REGIONAL COMMITTEE ................ 17 WPRlRC45.Rl WPRlRC45.R2 WPRlRC45.R3 WPRlRC45.R4 WPRlRC45.R5 WPRlRC45.R6 WPRlRC45.R7 WPRlRC45.R8 WPRlRC45.R9 WPRlRC45.RlO WPRlRC45.Rll WPRlRC45.RI2 WPRlRC45.RI3 New horizons in health ...................................... . Progranune budget for 1996-1997 ......................... . AIDS and sexually transmitted diseases .................. . Global Progranune on AIDS: Membership of the Management Committee ..................................... . Eradication of poliomyelitis in the Region ............... . Country visits: Report of the Sub-Committee of the Regional Committee on Progranunes and Technical Cooperation, Part I .............................. . Membership of the Sub-Committee of the Regional Committee on Progranunes and Technical Cooperation ....................................... . Third monitoring of the implementation of the Strategy for Health for All by the Year 2000: Report of the Sub-Committee of the Regional Committee on Progranunes and Technical Cooperation, Part II .......................................... . Collaboration with nongovernmental organizations: Report of the Sub-Committee of the Regional Committee on Progranunes and Technical Cooperation, Part III ......................................... . WHO Response to Global Change: Report of the Sub-Committee of the Regional Committee on Progranunes and Technical Cooperation, Part IV ...... . Quality assurance in health services ....................... . Special Progranune of Research, Development and Research Training in Human Reproduction: Membership of the Policy and Coordination Committee ...................................................... . Special Progranune for Research and Training in Tropical Diseases: Membership of the 10int Coordinating Board ........................................... . - iv - 17 18 18 20 20 22 23 24 25 25 27 28 28 WPRlRC45.RI4 WPRlRC45.RI5 WPRlRC45.RI6 WPRlRC45.RI7 WPRlRC45.RI8 CONTENTS Action Programme on Essential Drugs: Membership of the Management Advisory Committee ...................................................... . Action Plan on Tobacco or Health ......................... . Selection of topic for the Technical Discussions in 1995 .......................................................... . Forty-sixth and forty-seventh sessions of the Regional Committee .......................................... . Resolution of Appreciation .................................. . ANNEXES 29 29 30 31 31 1. AGENDA........................................................................................ 33 2. LIST OF REPRESENTATIVES ............................................................ 37 3. LIST OF NONGOVERNMENTAL ORGANIZATIONS WHOSE REPRESENTATIVES MADE STATEMENTS TO THE REGIONAL COMMITTEE AND SUBMITTED STATEMENTS FOR CIRCULATION TO MEMBERS .................................................... 57 PART II - SUMMARY RECORDS OF THE PLENARY MEETINGS ...................... 59 - v - PART I REPORT OF THE REGIONAL COMMITIEE (wpRlRC45/21) INTRODUCTION AND SUMMARY The forty-fifth session of the Regional Committee for the Western Pacific was held in Kuala Lumpur, Malaysia, from 19 to 23 September 1994. The session was attended by representatives from Australia, Brunei Darussalam, Cambodia, China, Cook Islands, Fiji, Hong Kong, Japan, Kiribati, Lao People's Democratic Republic, Macao, Malaysia, Federated States of Micronesia, Nauru, New Zealand, Niue, Papua New Guinea, Philippines, Republic of Korea, Samoa, Singapore, Solomon Islands, Tokelau, Tonga, Tuvalu, Vanuatu and Viet Nam, and by representatives of France, Portugal, United Kingdom of Great Britain and Northern Ireland and United States of America as Member States responsible for areas in the Region. It was the first time for Nauru and Niue to attend as Members and for Macao to attend in its own name. An observer from Canada also attended. The Honourable Dato' Seri Mahathir bin Mohamad, Prime Minister of Malaysia, welcomed the members of the Committee and other guests at the opening ceremony. The agenda appears as Annex 1 and the list of representatives as Annex 2. Representatives of the United Nations Development Programme, the United Nations Office of the High Commissioner for Refugees and 33 nongovernmental organizations in official relations with WHO attended the session. Formal statements were made by the representatives of 12 nongovernmental organizations. Written statements were received for circulation to Member States from seven nongovernmental organizations (see Annex 3). The Committee elected the following officers: Chairman: Dr Abu Bakar bin Suleiman (Malaysia) Vice-Chairman: Dr Edward Tambisari (Vanuatu) 4 REGIONAL COMMITTEE: FORTY-FIFTH SESSION Rapporteurs in English: Dr Linda Milan (Philippines) in French: Dr Ngo Van Hop (Viet Nam) The report of the Regional Director on the work of WHO during the period 1 July 1993 to 30 June 1994 was presented to the Committee and discussed at its first meeting (see Section I). The Committee reviewed the budget perfonnance for 1992-1993 at its second meeting and the proposed programme budget for 1996-1997 at its second and third meetings (see Section II and resolution WPRJRC45.R2). Also during the second meeting, the Regional Director presented his document New horizons in health, which was endorsed (see resolution WPRJRC45.Rl). At the fifth meeting, the Sub-Committee of the Regional Committee on Programmes and Technical Cooperation reported on its visits to Solomon Islands, Singapore and the Philippines to review WHO's collaboration in the field of health and sustainable development - environmental health. The Sub-Committee also reported on the third monitoring of the implementation of the Strategy for Health for All by the Year 2000, and on collaboration with nongovernmental organizations. At the sixth meeting, the Sub-Committee presented its report on the WHO Response to Global Change (see Section IV). The representatives of Japan, Malaysia, Tuvalu and the United States of America (Northern Mariana Islands) were appointed as members of the Sub-Committee of the Regional Committee on Programmes and Technical Cooperation, to replace Cook Islands, the Lao People's Democratic Republic, the Republic of Korea and Samoa, whose three-year period of tenure ended at the forty-fifth session (see resolution WPRJRC45.R7). The tenn of Fiji as a member of the Global Programme on AIDS Management Committee was extended until 31 December 1995 (see resolution WPRJRC45.R4). New Zealand was selected to represent the Region on the Policy and Coordination Committee of the Special Programme of Research, Development and Research Training in Human Reproduction (see resolution WPRJRC45.RI2). REPORT OF THE REGIONAL COMMITTEE 5 Papua New Guinea was selected to send a representative to the loint Coordinating Board of the Special Programme for Research and Training in Tropical Diseases (see resolution WPRlRC45.R13). Cambodia was selected as the Member State to represent the Region on the Management Advisory Committee of the Action Programme on Essential Drugs (see resolution WPRlRC45.R14). The Committee appointed Dr loao Claro (Macao) as Moderator of the Technical Discussions on "Drug quality assurance". In the course of eight plenary meetings the Committee adopted 18 resolutions, which are set out in Section VI. I. REPORT OF THE REGIONAL DIRECTOR COVERING THE PERIOD 1 JULY 1993 TO 30 JUNE 1994 (Documents WPRlRC45/2 Rev.l and Corr. 1) Representatives praised the report's clear presentation and concise, accurate account of activities undertaken. Although the comments were wide-ranging, there were three particular areas of common interest and discussion: the progress in key areas of disease prevention and control; the contribution of the Fiji School of Medicine in developing human resources for health in the Region; and, in the context of resource limitations and changing health profiles in the Region, the shift in orientation and emphasis in several countries and areas towards lifestyle-related approaches to health. The achievements of Member States in working towards the goal of zero cases of poliomyelitis in 1995 were commented on, in particular the national and subnational immunization days in which five countries had been very actively involved. The commitment of the Committee to eradication and the necessary steps to certification was stressed. Two major conferences that had taken place in the Region were mentioned; the Tenth International Conference on AIDS, hosted by Japan, and the International Conference on the elimination of leprosy, jointly sponsored by WHO and the Sasakawa Memorial Foundation. It was recognized that there had to be multisectoral cooperation and coordination to mobilize the general public in the control of sexually transmitted diseases and AIDS. 6 REGIONAL COMMITTEE: FORTY-FIFTH SESSION The role of WHO as catalyst in resource mobilization for priority health programmes was raised. The malaria control programme in Cambodia, funded by the Overseas Development Administration of the United Kingdom was cited as an example of extrabudgetary resources being put to good effect. In a related issue, attention was called to the urgent need of South Pacific countries and areas to coordinate vector control. The revitalization of the Fiji School of Medicine, from which 24 primary care practitioners and 30 dental assistants had graduated in 1993, was noted by six representatives, who thanked donors and partners, and stressed the important role the School was playing in the Region in training medical personnel. It was, they said, the most rational solution to the needs of the South Pacific islands. Attention was also drawn by the representative of Cook Islands to the role of the Faculty of Medicine of the University of Papua New Guinea. In the context of the need to use resources in the most effective way possible, the Committee urged WHO to continue to search for the most practical and feasible programmes, balancing resources and priorities while preserving its commendable transparency and flexibility. Several representatives noted the development in programmes and activities of an emphasis on individual or personal responsibility for health and lifestyles. The Committee noted with pleasure the increase in the number of Member States entitled to designate a member to serve on the Executive Board, from three to four. In that context, representatives also encouraged a continued exchange of information in the Region. II. PROGRAMME BUDGET 1. Budget performance. 1992-1993 (final report) (Document WPRlRC45/3) The Committee noted that the monetary implementation of the regular programme budget of US$ 56 953 100 had been 100% as at 31 December 1993. The Regional Director explained the combination of factors that had led to th.e need to cut back on the implementation of activities, among which were: the 10% withheld by headquarters; recosting to overcome past underbudgeting; and the inclusion of a number of planned activities carried over from the previous biennium. He recalled the two prioritization exercises which had resulted in the operating budget presented to the Committee at the forty-fourth Regional Committee. REPORT OF THE REGIONAL COMMITTEE 7 Appreciation was expressed of the cooperation of Member States in making difficult choices in the light of the reduced allocations in 1992-1993. Several representatives praised the careful management that had allowed full monetary implementation despite the difficulties of the financial situation. In particular, the representative of the Philippines emphasized the need for a realistic cost increase estimate in future, and with the representative of Tonga, the need for all Member States to pay their assessed contributions on time. The representatives of Australia, Japan. France and Solomon Islands called attention to the role played by extrabudgetary resources in supplementing the regular budget. The Committee stressed that the lessons learnt from the implementation of the 1992-1993 budget should be applied to the 1996-1997 proposed programme budget. and that there should not be an overreliance on extrabudgetary funding. The representative of the United States of America commended the useful inclusion of an additional column showing the "other sources of funds implemented". The representative expressed concern at the application of the 10% reduction in allocation. noting that such cuts had been applied only to the regions and not to headquaners. and that such a practice was not acceptable to Member States. The Regional Director committed to maintain transparency in the budgeting process and to develop an increased role for WHO as a catalyst in stimulating voluntary contributions. Regarding the 4.2% withheld by headquaners for the 1994-1995 programme budget. he reponed that a good proponion of the funds withheld would be returned to the Region. He proposed to allocate all of the 4.2% withheld from country programmes once the funds were received. 2. Proposed programme budget. 1996-1997 (Document WPRlRC45/4) The Committee noted that the proposed regional programme budget for 1996-1997 amounted to US$ 71 531 000 - the same level as the approved budget for the previous biennium. Cost increases would be added after the World Health Assembly had approved the budget and the cost increase ceiling for the period. The proposed budget had been prepared at current cost levels. necessitating a transfer and redistribution of US$ 4 million from the country budget allocation to cover past underbudgeting at regional and intercountry levels. Representatives praised the high quality and transparency of the document. which had been presented in a revised format. The proposals were said to be practical and clear. Concern was expressed and clarification given on a number of points in the document where 8 REGIONAL COMMITTEE: FORTY-FIFTH SESSION major shifts in proportion of funding had taken place. Twelve representatives spoke on various points of the document. The representative of New Zealand stressed the need to make explicit linkages between WHO's strategic documents and the budget-setting exercise. He, and others, also queried areas where there had been little or no budgetary allocation, such as emergency and humanitarian action, or AIDS prevention and control. The Regional Office was requested to align future programme budgets with the regional strategies and priorities agreed upon by the Committee. The representative of Japan warned against reducing the regular budget for items such as emergency and humanitarian action; essential drugs; vaccines and other supplies; and leprosy control, on the assumption that extrabudgetary funds would make up the difference. The representative of the United States of America recommended, inter alia, that WHO should not spread its funding over too many individual programmes, and should concentrate its resources to make real progress. Member States must continue to be involved in decision- making and determining of priorities. Health-for-all indicators should be used as benchmarks for resource allocation. The concern of the representative of Tonga that, with the redistribution of funds proposed, the country allocation for 1996-1997 would fall below the statutory 60% stipulated in resolution WHA29.48 was met by an assurance from the Regional Director that the true level of technical cooperation at country level, taking all elements into account, was nearer 85%. Under discussion of section 3. Health systems development, the representative of Papua New Guinea's request for support to establish bulk purchasing mechanisms for essential drug supplies was noted, with Pacific island countries and areas encouraged to consider reviving their earlier letter of intent in the matter. The Committee adopted resolution WPRlRC45.R2. III. NEW HORIZONS IN HEALTH (Documents WPRlRC45/20 and Add. I) The initiative of the Regional Director in preparing the document was warmly recognized by the Committee, which commented at length on the conceptual aspects of the presentation, REPORT OF THE REGIONAL COMMITTEE 9 endorsing the forward-looking approach. Twenty representatives spoke in detail on this supplementary item. Representatives noted with pleasure the many ways in which the document's approaches linked with and reinforced developments in their own countries. The shift from disease- orientation to health and human development was noted as being important. Many countries were concerned with ways to support the growth of health promotion and health protection, looking for greater intersectoral coordination and cooperation, and an increased role for individuals, families, and communities. The influence of the epidemiological and demographic transitions taking place in the Region had been taken into account in the analysis, and a perspective given on their impact on health. People as a focus of development was recognized as being an important concept, which would guide health strategies through to the next century. The Committee emphasized that it would be vital to clarify how the proposal would affect the current budget and existing health programmes. It would be necessary to develop strategies to put the new approach into practice. New indicators needed to be developed, which could be integrated and reconciled with the existing health-for-a1l indicators which continued to be useful and necessary. The Regional Director noted that the proposal for the 1996-1997 programme budget had reflected elements of the new approach to health and human development, and that consequently each programme could already be related to the New horizons in health document. Changes resulting from the Committee's discussions would be instituted first in the Regional Office after which there would be consultation with the Member States on how the approach might fit their individual situations. The Committee adopted resolution WPRlRC45.RI, endorsing the document. IV. SUB-COMMITTEE OF THE REGIONAL COMMITTEE ON PROGRAMMES AND TECHNICAL COOPERATION I. Country visits: Report of the Sub-Committee. Part I (Document WPRlRC45/8) The report covered the visits of the Sub-Committee to Solomon Islands, Singapore and the Philippines to review cooperation in the field of health and sustainable development - 10 REGIONAL COMMITTEE: FORTY-FIPrH SESSION environmental health. The Committee endorsed the report and its recommendations, including the suggestion that the subject of the next year's visit should be WHO's collaboration in the field of healthy lifestyles with focus on tobacco-or-health activities. The countries to be visited were Australia, China and Singapore. The representatives of the Philippines, Singapore, and Solomon Islands reported positive actions taken to follow up the visits and recommendations of the Sub-Committee to their countries. Other representatives, such as the representatives of Brunei Darussalam and France, emphasized the importance of high-level political commitment to promoting health and sustainable development and improved collaboration with institutions responsible for health, environment and development, such as the South Pacific Commission. The Committee adopted resolution WPRlRC45.R6. 2. Third monitoring of the Strategy for Health for All by the Year 2000: Report of the Sub-Committee. Part II (Documents WPRlRC45/9 Rev. 1 and Corr.l) The Sub-Committee presented its report, which was a synthesis of 22 national monitoring reports. Significant progress had been made in improving the health status in the Region but public health gains could be further improved, especially in terms of a coordinated approach to regional strategies on malaria, tuberculosis and HIV/AIDS. Noting the Committee's concern at the low rate of response to the survey and the request for support to countries or areas requiring help in preparation, the Regional Director suggested that the WHO representatives could provide support, although the main purpose of the exercise was to strengthen the health infonnation systems of the countries and to stimulate the development of the monitoring and evaluation mechanisms. The Sub-Committee had noted that most countries and areas had embarked on significant health refonn initiatives that would. produce a long- lasting impact on the health system in future. The representatives of China and Papua New Guinea reminded the Committee that it would be essential that governments allocate a sufficient proportion of national resources to the health services, and that those resources were managed more rationally and economically. The Committee adopted resolution WPRlRC45.R8. 3. Collaboration with nongovernmental organizations: Report of the Sub-Committee. Part III (Document WPRlRC45/1O) The Committee endorsed the Sub-Committee's recommendations that WHO should continue to foster working relations with nongovernmental organizations, that such relations REPORT OF THE REGIONAL COMMI1TEE 11 would not need to be fonnalized if flexible working arrangements were adequate and effective, and that regional and national databases should be developed. The representatives of Australia, Macao and Malaysia commented on the usefulness of nongovernmental organizations in a wide variety of fields. The importance of maintaining close links during the transition to the Joint and Cosponsored United Nations Programme on HIV/AIDS was stressed. The Committee adopted resolution WPRlRC45.R9. 4. WHO Response to Global Change: Repon of the Sub-Committee. Pan IV (Document WPRlRC45/11) The Committee reviewed the repon and recommendations of the Sub-Committee, noting that the Repon of the Executive Board Working Group on the WHO Response to Global Change had initiated a process of change and evaluation that should be ongoing within both WHO and the Committee. Eighteen representatives spoke on this issue, endorsing the recommendations of the Sub-Committee. The Regional Director's document New horizons in health was commended as pan of the growing and evolving refonn process and an illustration of the transparent way in which the Region worked. The chief point of debate was the Committee's position on whether or not the selection process for the Director-General and regional directors might be revised to incorporate a search committee. The representative of Tonga was opposed to such a move, as it would, he felt, compromise the rights of the members of the Committee. The representatives of the Federated States of Micronesia, Japan and Kiribati were similarly opposed. The representative of Cook Islands mentioned that the Sub-Committee had feared that the establishment of a search committee might weaken the role of the Regional Committee. The representatives of Australia, New Zealand and the United States of America advocated the search committee as a management option. It did not reflect on the abilities of the present incumbent but encouraged the candidacies of well-qualified people and enhanced the selection process. The representatives of France and China felt that dialogue should be kept open on the existing system until a better alternative was found. The Regional Director quoted the chainnan of the Executive Board as saying that if the selection system was to be changed, it should be for a good reason. 12 REGIONAL COMMITTEE: FORTY-FIFTH SESSION The Committee mandated the Sub-Committee to monitor and assess the regional implications and progress of the ongoing reform process within WHO, studying in particular the alternative procedures for selecting the Director-General and regional directors. The Sub-Committee was then to report its findings to the Committee at its forty-sixth session. The Committee adopted resolution WPRlRC4S.RlO. V. OTHER AGENDA ITEMS 1. Annual report on AIDS, including sexually transmitted diseases (Document WPRlRC4S/S) The Committee was informed that the incidence of new cases of HIV infection was declining while many countries and areas within the Region were experiencing significant increases in numbers of new infections. The number of reported cases of AIDS in the Region was about 6600. The main methods of transmission in those countries were unsafe heterosexual intercourse and unclean injecting equipment. Appropriate case management of sexually transmitted diseases; health education; and health promotion interventions which focus on the sexually active and the young, were the areas of emphasis for the Region. The Committee endorsed the report's recommended areas of action. The Committee expressed support for the Joint and Cosponsored United Nations Programme on HIV/AIDS, to be established by January 1996, recognizing the need for an effective and transparent transition process with full consultation. The need for strong political support to the new Programme was also noted. Although it was agreed that a well coordinated approach to prevention and control must be actively pursued, the proper role of the Organization according to its constirutional mandate, particularly the roles of the Regional Office and the WHO representatives, needed to be clearly defined, together with the related roles of other United Nations agencies in the effort. Eleven representatives expressed concern over how the programme would operate at country level. The Regional Director gave further details on the planned structure and implementation of the new Programme, including the resolution adopted by the United Nations Economic and Social Council (E/1994/24). He noted that it would be important to continue to view HIV / AIDS as primarily a health problem, although it was recognized that there were important political, economic and social implications. Change in the role of WHO or the health REPORT OF THE REGIONAL COMMITTEE 13 ministries with respect to AIDS management could also affect future activities in the prevention and control of sexually transmitted diseases. Concern over the managerial and reporting responsibilities of the WHO representatives was also expressed. The Regional Director was requested to report to the Committee at its forty-sixth session on significant developments relating to the Programme. Twenty-seven representatives gave detailed reports of the status of AIDS prevention and control activities. Among the developments reviewed in the Region, the representative of Hong Kong noted the significance of the International Conference on AIDS having been held in the Region in 1994. She also drew attention to the essential role of the community in making local activities and interventions work, mentioning the project grants provided to 21 community-based projects by the AIDS Trust Fund and the plan to develop an AIDS Education and Research Centre. The representative of Australia supported the proposed establishment of a technical agency in Bangkok, Thailand, to be administered by WHO until the Joint and Cosponsored United Nations Programme on HIV/AIDS was in place. He also drew the Committee's attention to the fact that tests had shown an extremely high prevalence of hepatitis C virus among injecting drug users in Australia. Programmes focusing on intravenous drug abusers would receive greater attention as a result. The representative of China reiterated the importance of giving attention to other infectious diseases linked to AIDS, such as hepatitis B and C, and tuberculosis. The lack of knowledge among schoolchildren in the Commonwealth of the Northern Mariana Islands was raised as a concern by the representative of the United States of America; it illustrated the education needs of the smaIl island nations and the requirement for support to develop local resources in AIDS prevention, even when there were no HIV / AIDS cases. The representative of Japan, noting the expected dramatic increase in HIV infections and AIDS cases in the Region, reminded the Committee that Japan had committed US$ 3 billion in official development support up to the year 2000, including its contribution to WHO, which was recognized as the specialized agency for health in the Region and elsewhere. The representative of Tokelau called for a study of the factors that had led to a decrease in some countries of the numbers of cases of HIV infection and AIDS, so that the lessons could be applied elsewhere. The medical officer for the Global Programme on AIDS, Western 14 REGIONAL COMMITTEE: FORTY-FIFTH SESSION Pacific Regional Office, confinned that that was being done, and that the Regional Office was focusing on targeted interventions in four priority areas to achieve similar decreases elsewhere. The World Swrunit on AIDS to be held in France on 1 December 1994 was described by the representative of France, with the hope that heads of government from the Region would also attend. These and other issues raised by representatives were reflected in resolution WPRlRC45.R3 adopted by the Committee. 2. Eradication of poliomyelitis in the Region: Progress report (Document WPRlRC4517) Progress towards poliomyelitis eradication continued, with a total of 1214 cases reported in 1993; a further reduction of 40% from the 1992 total of 1912 cases. The vital contribution of the national and subnational immunization days to the effort was acknowledged and the activities in Cambodia, China, the Lao People's Democratic Republic, the Philippines, and Viet Nam, were reviewed. Thorough, timely surveillance and investigation of acute flaccid paralysis was imperative; every case must be reported and investigated, with specimens tested in the laboratory and followed up after 60 days. The representatives of 17 Member States commented on this agenda item. The cooperation and coordination among countries was evidenced by the discussions, in which Japan's contribution in terms of project teams to China, participation in the advisory and coordinating committees, and contribution of vaccine was mentioned, together with Malaysia's donation to the eradication effort at the opening ceremony of the session, and work in establishing the epidemiological and laboratory systems for the eventual certification of eradication. Gratitude was expressed for the generous contributions of donors, and appeals made for continuation of support even after eradication. The Regional Director infonned the Committee that for 1994 a total of 515 million doses of vaccine was required for the campaigns planned. With support from the international community, and the local production of 16 million doses of vaccine in Viet Nam, the required number of doses was available. The 1995 vaccine requirements were 525 million doses. There was still a shortfall of 186 million doses, although it was hoped that commitments from Japan, Australia and others would meet the needs. The Committee adopted resolution WPRlRC45.R5. REPORT OF THE REGIONAL COMMITTEE 15 3. Quality assurance in health services (Document WPRlRC45/12) The Committee heard that there had been a significant increase in the number of quality assurance activities undertaken by countries; most countries and areas were involved in some level of quality assurance. It was clear that success depended in part on having a national-level focus and some type of central-level monitoring. The characteristics of successful work in quality assurance were described so that other countries could assess what might be most applicable to them. Fifteen representatives spoke on this item, providing further information on the status of quality assurance in their countries, and endorsing the report. In particular, the representative of Malaysia drew attention to the section of the report dealing with the need to increase technical resources and staff capabilities from within the Region, and endorsed the establishment of collaborating centres on quality of care. The representative of France added that the training of staff was essential. Specific facilities and procedures should be available. Joining other speakers from South Pacific island nations, the representative of Tokelau noted the importance of quality assurance to small islands, and requested guidelines on drawing up suitable mechanisms. The representative of New Zealand outlined her country's exploration of the best possible way of achieving quality assurance in health care, and said New Zealand was willing to share those experiences with others. The role of the Fiji School of Medicine in quality assurance efforts was raised, including the efforts to upgrade expertise, supplies and services at curative and preventive levels. The greatest need was improvement in management and leadership capabilities, which was part of the School's training for medical service personnel. The Committee adopted resolution WPRlRC4S.Rll. 4. Regional Action Plan on Tobacco or Health for 1990-1994 (Document WPRlRC45/13) In addition to reviewing the Action Plan on Tobacco or Health for 1990-1994, the Committee also reviewed the proposed Action Plan on Tobacco or Health for 1995-1999. The second plan continued emphasis on the five main areas of interest and concern: comprehensive national policies and programmes; data collection; health advocacy and experience; and unified commitment to tobacco control. The Committee learnt that although there had been 16 REGIONAL COMMITTEE: FORTY -FIFTH SESSION much worthwhile progress, there were substantial challenges ahead, in view of the interest of tobacco companies to increase sales in the Region, and the trend among young women to take up cigarette smoking. Representatives reported important activities in their countries, such as the extension of a smoking ban in Brunei Darussalam to all government buildings and facilities; Macao's plans for a massive anti-smoking campaign in 1995; the passing of new legislation in Malaysia; the development of a new national action plan in Japan; and the Republic of Korea's preparation of a new Health Promotion Act, including regulating tobacco advertising and sales. The Committee adopted resolution WPRlRC45.R15. 5. Correlation of the work of the World Health Assembly. the Executive Board and the Regional Committee (Documents WPRlRC45/17 and Add.l, and WPRlRC45/18 Rev. I) The attention of the Committee was drawn to document WPRlRC45117 containing four resolutions of relevance to the Region, adopted by the Forty-seventh World Health Assembly. The Regional Director suggested that representatives interested in the Health Assembly resolution on the International Decade of the World's Indigenous People might wish to present comments during the discussion of the Regional Director's Report in 1995. The Committee also reviewed document WPRlRC45/18 Rev.I, showing the correlation between the Committee's current agenda and items to be discussed at the ninety-fifth session of the Executive Board and the Forty-eighth World Health Assembly. There were no comments. 6. Selection of topic for the Technical Discussions in conjunction with the forty-sixth session of the Regional Committee (Document WPRlRC45/19) The Committee, after reviewing document WPRlRC45/19, decided to select the topic "Occupational health risks in the workplace" as the subject for the Technical Discussions in conjunction with the forty-sixth session of the Regional Committee. It was decided to include a presentation on the subject by an expert in the field as a preliminary to the discussions (see resolution WPRlRC45.RI6). 7. Time and place of the forty-sixth and forty-seventh sessions of the Regional Committee The Committee decided that the dates of the forty-sixth session should be 11-15 September 1995, at the Regional Office in Manila. REPORT OF THE REGIONAL COMMITTEE 17 The Committee accepted the offer of the Republic of Korea to act as host to the forty-seventh session in 1996 (see resolution WPRlRC4S.RI7). VI. RESOLUTIONS ADOPTED BY THE REGIONAL COMMITTEE WPRlRC4S.Rl NEW HORIZONS IN HEALTH The Regional Committee, Having considered the document New horizons in health as part of the overall refonn in WHO in the context of global change;1 Applauding the initiative that emphasizes individual responsibility in the context of supportive health and socioeconomic envirorunents that facilitate healthy choices; Recognizing the need for a multisectoral and multidisciplinary approach to health refonn and to the emerging health issues of the Region; 1. ENDORSES the document New horizons in health; 2. REQUESTS the Regional Director: (1) to work closely with Member States to develop the strategies and budgets for implementation of the approaches outlined in the document; (2) to report to the forty-sixth session of the Regional Committee on the progress of implementation of this resolution; (3) to transmit this document to the Director-General as part of the contribution of the Western Pacific Region to the updating of WHO's policy and mission being undertaken by WHO headquarters. I Document WPRlRC45/20. Sixth Meeting, 22 September 1994 WPRlRC4SISRl6 18 REGIONAL COMMITTEE: FORTY -FIFTH SESSION WPRlRC45.R2 PROGRAMME BUDGET FOR 1996-1997 The Regional Committee, Having examined the proposed programme budget for the biennium 1996-1997 to be financed from the regular budget and other sources of funds; I Noting with pleasure the quality and transparency of the new format of the proposed programme budget 1996-1997 document; Noting also, with concern, the disruption to the implementation of the approved programme budget resulting from the effects of past underbudgeting; REQUESTS the Regional Director: (1) to ensure that the Regional Committee's views and concerns expressed during the review of the proposed programme budget for 1996-1997 should be fully taken into account in the implementation of the programme budget; (2) to ensure also that the biennial programme budgeting is aligned to the strategies and priorities agreed to by the Regional Committee; (3) to convey to the Director-General the Regional Committee's wish that the level of cost increase for the proposed programme budget for the financial period 1996-1997 will be realistic so as to enable full implementation in both financial and programme terms; (4) to transmit the Regional Committee's proposals to the Director-General for consideration and inclusion in his proposed programme budget for the financial period 1996-1997. Sixth Meeting, 22 September 1994 WPRlRC45/SRl6 WPRlRC45.R3 AIDS AND SEXUALLY TRANSMITTED DISEASES The Regional Committee, Having considered the annual report on AIDS, including sexually transmitted diseases;2 Acknowledging with concern the rapid spread of HIV infection, the changing trends in modes of transmission and its serious multisectoral implications; Noting the emphasis given to the development of appropriate case management for sexually transmitted diseases, health education interventions for youth, and health promotion interventions for other high-risk behaviours and practices such as commercial sex activities and injecting drug use; IOocument WPRlRC45/4. 200cument WPRlRC4515. REPORT OF THE REGIONAL COMMITTEE 19 Noting also the urgent need for effective coordination required to minimize the spread of the epidemic and the current restructuring of the Global Progranune on AIDS with the intent of improving progranune delivery and financing; Recognizing the response to the WHO Executive Board resolution EB93.R5, providing for the establishment of the Joint and Cosponsored United Nations Progranune on HIV/AIDS; Reaffirming the WHO constitutional mandate to act as the directing and coordinating authority on international health work; Recalling the constitutional role of the Regional Office and the importance of fully involving it in the execution of the Joint and Cosponsored United Nations Progranune on HlV/AIDS; 1. URGES Momber States: (1) to provide strong political suppon to the HIV/AIDS and sexually transmitted diseases prevention and control progranune and the Joint and Cosponsored United Nations Progranune on HIV/AIDS, recognizing the need for an effective and transparent transition process with full consultation; (2) to take effective action in reducing the spread of HIV infection, focusing panicularly on four areas: sexually transmitted diseases, injecting drug use, commercial sex activity, and women and youth, involving all sectors of society, including nongovernmental organizations; (3) to promote safe sex behaviours through health education, promotion of condom use, and other interventions; (4) to suppon the development of appropriate management for sexually transmitted diseases using a public health approach as a major strategy for HIV / AIDS prevention; (5) to play an active role in the effective integration and coordination of the full range of country AIDS prevention and control activities in the future within the context of the Joint and Cosponsored United Nations Progranune on HIV/AIDS; (6) to request the Joint and Cosponsored United Nations Progranune on HIV / AIDS to provide a level of financial and other suppon at least equivalent to that provided at present by WHO; 2. REQUESTS the Regional Director: (1) to collaborate with Member States on technical aspects of regional and country management of sexually transmitted diseases as a strategy for HlV I AIDS prevention and control; (2) to develop and apply indicators to measure the actual impact of interventions on the spread of HIV infection and sexually transmitted diseases; (3) to ensure the involvement of the Regional Office of WHO, in accordance with its constitutional role, in the Joint and Cosponsored United Nations Progranune on HlV/AIDS; (4) to secure a leading technical role for the WHO country offices within the framework of the Joint and Cosponsored United Nations Progranune on HIV/AIDS; 20 REGIONAL COMMITTEE: FORTY -FIFTH SESSION (5) to report to the forty-sixth session of the Regional Committee on significant developments relating to the Joint and Cosponsored United Nations Programme on HIV/AIDS. Sixth Meeting, 22 September 1994 WPRlRC451SRl6 WPRlRC45.R4 GLOBAL PROGRAMME ON AIDS: MEMBERSHIP OF THE MANAGEMENT COMMITTEE The Regional Committee, Noting that the term of Fiji as a member of the Global Programme on AIDS Management Committee expires on 31 December 1994;1 Noting also that the Joint and Cosponsored United Nations Programme on HIV I AIDS is scheduled to start in January 1996; Recognizing the adoption, by the Management Committee, of the recommendation to the Director-General to extend the mandates of the Chairperson and the memberships of the four regional members whose mandate would normally terminate at the end of 1994; and that consequently no new members would need to be selected by the Regional Committee;2 Considering the proposal to extend the term of Fiji for another year; DECIDES that the term of membership of Fiji is to be extended up to 31 December 1995. Sixth Meeting, 22 September 1994 WPRlRC451SRl6 WPRlRC45.R5 ERADICATION OF POLIOMYELITIS IN THE REGION The Regional Committee, Recalling resolutions WPRlRC39.RI5, WPRlRC4l.R5, WPRlRC42.R3, WPRlRC43.R3, and WPRlRC44.R4, which call for the eradication of poliomyelitis in the Western Pacific Region by the year 1995, and resolution WHA46.33, which reaffirms WHO's commitment to the eradication of poliomyelitis as one of its highest priorities for global health work; 1 Document WPRlRC45/6. 2GPAlGMC(IO)/94.14. REPORT OF THE REGIONAL COMMITTEE 21 Having considered the progress report of the Regional Director on the eradication of poliomyelitis in the Region; 1 Acknowledging achievements made by Member States in eradicating poliomyelitis; Recognizing and appreciating the energetic leadership provided by the Regional Director; Noting the decrease in the number of reported poliomyelitis cases in 1993 to a provisional total of 1214, the lowest ever reported to the Western Pacific Regional Office; Noting also that Member States are optimistic of reporting zero poliomyelitis-confirmed cases by the end of 1995; Recognizing the dramatic progress towards poliomyelitis eradication made during the last year, with national immunization days held in China, the Lao People's Democratic Republic, the Philippines and Viet Nam, and subnational immunization days held in Cambodia, and with improved disease surveillance and laboratory systems; Recognizing also that the poliomyelitis eradication initiative is further strengthening the routine immunization programme and other disease control initiatives, including neonatal tetanus elimination; 1. EMPHASIZES that it is essential to accelerate the momentum of efforts to eradicate poliomyelitis in the Western Pacific Region by 1995; 2. URGES all Member States which are still reporting poliomyelitis cases: (1) to maintain a high level of political commitment to poliomyelitis eradication; (2) to continue to conduct national immunization days during the months of low transmission achieving high coverage in all areas; (3) to give equal priority to improving acute flaccid paralysis surveillance and laboratory confirmation of all cases; 3. URGES also all Member States which are not reporting poliomyelitis cases to develop surveillance systems capable of detecting any poliomyelitis cases and of demonstrating the absence of circulation of wild poliovirus; 4. THANKS the many partners who have continued to collaborate and provide resources to the Expanded Programme on Immunization and the poliomyelitis eradication initiative, particularly UNICEF, Australia, Canada, France, Japan, Malaysia, and the United States of America, the Centers for Disease Control and Prevention (United States of America), and Rotary International and other nongovernmental organizations; 5. REQUESTS the Regional Director: (1) to continue to support Member States in urgently improving surveillance and laboratory systems, in strengthening the Expanded Programme on Immunization, and in conducting properly planned supplementary immunization activities; 1 Document WPRJRC4517. 22 REGIONAL COMMITTEE: FORTY -FIFTH SESSION (2) to continue to collaborate with partner agencies in mobilizing additional resources for poliomyelitis eradication; (3) to continue to share experiences on poliomyelitis eradication with other regions in order to strengthen the global poliomyelitis eradication effort; (4) to build on the success of the poliomyelitis eradication initiative to strengthen the Expanded Programme on Immunization, including other disease control initiatives; (5) to identify the necessary procedures in establishing the process of certification of eradication; (6) to further strengthen collaboration and technology transfer, strengthening links with technically excellent institutes in the Region to promote self-sufficiency in vaccine production, including strengthening national capabilities in quality control, aiming at meeting WHO standards; (7) to ensure the ready availability of vaccines to all Member States for the continuation of immunization beyond 1995. Sixth Meeting, 22 September 1994 WPRlRC451SRl6 WPRlRC45.R6 COUNTRY VISITS: REPORT OF THE SUB-COMMITTEE OF THE REGIONAL COMMITTEE ON PROGRAMMES AND TECHNICAL COOPERATION, PART I The Regional Committee, Having considered Part I of the report of the Sub-Committee on Programmes and Technical Cooperation on its visits to the Philippines, Singapore and Solomon Islands to review WHO's collaboration in the field of health and sustainable development - environmental health,! 1. ENDORSES the recommendations in the report on country visits of the Sub-Committee of the Regional Committee on Programmes and Technical Cooperation; 2. URGES Member States: (1) to provide the strong political leadership required to achieve environmentally sound and sustainable development; (2) to strengthen the involvement of the health sector in environmental management and development planning processes; (3) to make specific provisions for effective intersectoral coordination to more clearly focus and resolve issues of health and sustainable development; ! Document WPRlRC45/8. REPORT OF THE REGIONAL COMMITTEE 23 3. REQUESTS the Regional Director: (1) to ensure that the resources of the environmental health progranune are used appropriately to support the activities of other agencies and the work of other progranunes in the Organization; (2) to encourage the use of national expertise in collaborative environmental health activities throughout the Region; (3) to vigorously apply the new focus provided by the Regional Strategy on Health and Environment, particularly in the area of the integration of health and environment concerns in sustainable development; 4. THANKS the Sub-Committee for its work; 5. REQUESTS the Sub-Committee, as part of its terms of reference in 1995, to review and analyse the impact of WHO's cooperation with Member States in the field of healthy lifestyles with a focus on tobacco-or-health activities; 6. DECIDES that the countries to be visited in connection with the review are Australia, China and Singapore. WPRlRC45.R7 Sixth Meeting, 22 September 1994 WPRlRC45fSRl6 MEMBERSHIP OF THE SUB-COMMITTEE OF THE REGIONAL COMMITTEE ON PROGRAMMES AND TECHNICAL COOPERATION The Regional Committee, Noting that the periods of tenure of four members of the Sub-Committee of the Regional Committee on Progranunes and Technical Cooperation end at the forty-fifth session of the Regional Committee, 1. DECIDES to appoint the representatives of Japan, Malaysia, Tuvalu and the United States of America (Commonwealth of the Northern Mariana Islands) as members of the Sub-Committee for three years from the forty-fifth session, recalling that the other four members, whose periods of tenure expire in 1995, are the representatives of Australia, China, the Federated States of Micronesia and the Philippines; 2. THANKS the representatives of Cook Islands, the Lao People's Democratic Republic, the Republic of Korea and Samoa for their services to the Sub-Committee. Sixth Meeting, 22 September 1994 WPRfRC45fSRl6 24 REGIONAL COMMITTEE: FORTY-FIFTH SESSION WPRfRC45.R8 THIRD MONITORING OF THE IMPLEMENTATION OF THE STRATEGY FOR HEALTH FOR ALL BY THE YEAR 2000: REPORT OF THE SUB-COMMITTEE OF THE REGIONAL COMMITTEE ON PROGRAMMES AND TECHNICAL COOPERATION, PART n The Regional Committee, Having considered Pan II of the report of the Sub-Committee on Programmes and Technical Cooperation on the monitoring of progress in implementing national strategies for health for all by the year 2000; 1 Noting the views expressed by the Sub-Committee and by the representatives during the current session which indicate that the information provided by Member States on their monitoring process gave a clear picture of their health status and progress in continuing to review and implement sound health development programmes; I. URGES Member States: (I) to keep up their efforts to implement national strategies for health for all. exercising the strong leadership role of health authorities which has characterized the health development programmes in so many of the countries and areas of the Region; (2) to continue to improve the timeliness and quality of both monitoring and evaluation as pan of the overall management of the health system in the light of the rapid and complex changes that are now a pan of most health systems in the Region; (3) to use the information obtained from monitoring to review and update their health-for-aU strategies; (4) to promote technical exchanges between countries using the information from the monitoring exercise; 2. REQUESTS the Regional Director: (1) to support Member States in their efforts to refine, implement. monitor and evaluate health-for-aU strategies in a timely manner; (2) to encourage Member States to share their experiences in achieving progress towards health for all; (3) to transmit the progress report to the Director-General together with the comments of the Committee. 1 Document WPRlRC4519 Rev.l. Sixth Meeting, 22 September 1994 WPRfRC451SRf6 REPORT OF THE REGIONAL COMMITTEE 25 WPRlRC45.R9 COLLABORATION WITH NONGOVERNMENTAL ORGANIZATIONS: REPORT OF THE SUB-COMMITTEE OF THE REGIONAL COMMITTEE ON PROGRAMMES AND TECHNICAL COOPERATION, PART III The Regional Committee, Having considered Part III of the report of the Sub-Committee on Programmes and Technical Cooperation on relations with nongovenunental organizations;! Recalling resolution WPRlRC40.RII on collaboration with nongovenunental organizations; Recognizing the important role played by nongovernmental organizatiOns in national health development in the Region; Noting that collaborative activities have been expanded with 94 regional and national nongovenunental organizations according to the guiding principles adopted by the Regional Committee at its fortieth session in 1989; REQUESTS the Regional Director: (1) to continue to foster harmonious working relations with selected nongovenunental organizations; (2) to develop regional and national databases on nongovernmental organizations with a view to facilitating information exchange and collaboration; (3) to review working relations with nongovenunental organizations and report to the Regional Committee in 1999. Sixth Meeting, 22 September 1994 WPRlRC451SRl6 WPRlRC45.RlO WHO RESPONSE TO GLOBAL CHANGE The Regional Committee, Recognizing the ongoing need for reform of the organization and operations of WHO in response to dynamic global conditions and to ensure WHO's continued leadership in health; Noting the continuing need for greater accountability and efficiency in the operation and management of WHO's limited resources, as well as the need to define more clearly the impact on health of the resources used; 'Documenl WPRJRC4SIIO. 26 REGIONAL COMMITfEE: FORTY-FIFTH SESSION Having considered the Report of the Sub-Conunittee of the Regional Conunittee on Programmes and Technical Cooperation on the WHO Response to Global Change; 1 Noting the need to make a report on its views to the Executive Board in January 1995; ~. . ~NDORSES the report and rec~mmendations of the Sub-Conunittee on the regional ImplicatIOns of the Report of the ExecutIve Board Working Group on the WHO Response to Global Change; 2. REAFFIRMS the essential role of a strong regional office in working effectively with Member States to fulfil the mandate of the Organization and to intprove the health status of people; 3. RECOGNIZES the complexity of the change process and the overriding need for effective leadership performance; 4. COMMITS itself to continuing to review its own methods of work in the light of changing circumstances and health needs in the Region; 5. REQUESTS the Sub-Conunittee of the Regional Conunittee on Prograntmes and Technical Cooperation, in consonance with the recommendations that the current procedures for selecting the Director-General and regional directors are presently appropriate to carry out the Organization's mission; and that in view of rapidly changing health needs throughout the world, the dialogue among Member States regarding this issue should continue: (1) to monitor and assess the regional implications and progress of the ongoing reform process within WHO; (2) to study, in particular. the alternative procedures for selecting the Director-General and regional directors, including the use of a search conunittee; and (3) to report its findings to the Regional Committee at its forty-sixth session; 6. URGES Member States: (1) to include, in their respective delegations to the Regional Committee, members of the Executive Board, to strengthen linkages between the governing bodies; (2) to ensure that all participants or representatives to all forums dealing with WHO's Response to Global Change are well-briefed and ready to present the views or position of the Region; 7. REQUESTS the Regional Director: (1) to continue intplementing the applicable recommendations of the Executive Board Working Group Report, bearing in mind the discussions by the Regional Committee; (2) to ensure that available regional and subregional forums are fully utilized to develop concensus for change and to enhance coordination of programme efforts; I Document WPRlRC45/11. REPORT OF THE REGIONAL COMMITTEE 27 (3) to transmit to the Executive Board, through the Director-General, a repon which includes the Sub-Committee Repon and the summary record of its discussions at the fony-fifth session of the Regional Committee. Eighth Meeting, 23 September 1994 WPRlRC45/SRl8 WPRlRC45.Rl! QUALITY ASSURANCE IN HEALTH SERVICES The Regional Committee, Having reviewed the Regional Director's progress repon on quality assurance in health services; I Noting the significant progress that has been made by Member States since the 1992 repon in increasing awareness of the importance of quality of care in the planning and implementation of health services; 1. URGES Member States: (1) to further strengthen their policies and strategies on quality assurance; (2) to continue to provide a wide variety of learning opportunities for health workers on quality assurance; (3) to increase their effons to share experiences on progress in implementing quality assurance activities with other countries; 2. REQUESTS the Regional Director: (1) to cooperate with Member States in devising progranunes that promote quality of care as a component of health development; (2) to support the training of health personnel in quality assurance; (3) to facilitate the exchange of information among Member States on their experiences in implementing quality assurance progranunes. I Document WPRJRC45/12. Eighth Meeting, 23 September 1994 WPRlRC45/SRl8 28 REGIONAL COMMITTEE: FORTY -FIFTH SESSION WPRlRC45.RI2 SPECIAL PROGRAMME OF RESEARCH, DEVELOPMENT AND RESEARCH TRAINING IN HUMAN REPRODUCTION: MEMBERSHIP OF THE POLICY AND COORDINATION COMMITIEE The Regional Conunittee, Noting that the period of tenure of the representative of the Government of Viet Nam as a member of the Policy and Coordination Conunittee of the Special Programme of Research, Development and Research Training in Human Reproduction expires on 31 December 1994,' 1. SELECTS the Government of New Zealand to nominate a representative to serve on the Policy and Coordination Conunittee of the Special Programme of Research, Development and Research Training in Human Reproduction for a period of three years from 1 January 1995 to 31 December 1997; 2. THANKS the representative of the Government of Viet Nam for serving on the Conunittee. Eighth Meeting, 23 September 1994 WPRlRC45/SRl8 WPRlRC45.RI3 SPECIAL PROGRAMME FOR RESEARCH AND TRAINING IN TROPICAL DISEASES: MEMBERSHIP OF THE JOINT COORDINATING BOARD The Regional Conunittee, Noting that the period of tenure of the representative of the Philippines as a member of the Joint Coordinating Board of the Special Programme for Research and Training in Tropical Diseases expires on 31 December 1994,2 1. SELECTS the Government of Papua New Guinea to send a representative to meetings of the Joint Coordinating Board for a period of three years from 1 January 1995 to 31 December 1997; 2. THANKS the representative of the Government of the Philippines for serving on the Board. 'Document WPRfRC45114. 2Document WPRlRC45/IS. Eighth Meeting, 23 September 1994 WPRlRC45/SRl8 REPORT OF THE REGIONAL COMMlTfEE 29 WPRlRC45.RI4 ACTION PROGRAMME ON ESSENTIAL DRUGS: MEMBERSHIP OF THE MANAGEMENT ADVISORY COMMITIEE The Regional Committee, Noting that the tenn of China as a member of the Management Advisory Committee of the Action Programme on Essential Drugs expires on 31 December 1994,( l. SELECTS Cambodia as the member of Ihe WHO Western Pacific Region whose representative shall be a member of the Management Advisory Committee to serve for a period of three years from 1 Ianuary 1995 to 31 December 1997; 2. THANKS the representative of China for serving on the Committee. Eighth Meeting, 23 September 1994 WPRlRC451SRl8 WPRlRC45.RI5 ACTION PLAN ON TOBACCO OR HEALTH The Regional Committee, Having considered the Regional Director's report on the progress made on the regional Action Plan on Tobacco or Health for 1990-1994 as well as the proposed Action Plan on Tobacco or Health for 1995-19992; Recalling resolutions WHA46.8 and WPRlRC43.R6; Noting that, despite encouraging progress made in the implementation of the Action Plan on Tobacco or Health for 1990-1994, the per capita tobacco consumption is still increasing in the Western Pacific Region; Realizing that tobacco use will continue to be a major public health concern in the Region; Noting also that the draft Action Plan on Tobacco or Health for 1995-1999 provides a reliable framework for continued concerted action by all countries and areas in the Region; l. ENDORSES the Action Plan on Tobacco or Health for 1995-1999; 2. URGES Member States to take all steps necessary to implement the Action Plan on Tobacco or Health for 1995-1999, bearing in mind the varying circumstances of different countries and areas in the Region, especially with regard to establishing comprehensive national tobacco control policies and programmes; data collection; advocacy and education; legislation; and pricing policies; (Document WPRlRC45/(6. 2Document WPRlRC45113. 30 REGIONAL COMMITTEE: FORTY -FIFTH SESSION (1) sparing no effort in implementing policies and legislation that ban tobacco advertising in all media and the sponsorship of sports and cultural events, thus supporting the call for a tobacco-advertising-free Region by the year 2000; (2) applying a percentage of tobacco tax to fund health promotion activities as well as sports and cultural activities as an alternative source of sponsorship to tobacco industry funding; 3. REQUESTS the Regional Director: (1) to cooperate with Member States in implementing the Action Plan on Tobacco or Health for 1995-1999; (2) to develop a mechanism to facilitate and coordinate the exchange of information which is integrated into the health-for-a11 and New horizons in health strategies in the Region; (3) to monitor annually the implementation of the Action Plan on Tobacco or Health for 1995-1999; (4) to seek extrabudgetary sources of funding to support: (a) the implementation of the Action Plan on Tobacco or Health for 1995-1999 in the Region; and (b) a study on the socioeconomic impact of tobacco use in the Region; (5) to report to the Regional Committee in 1997 on the status of implementation of the Action Plan on Tobacco or Health for 1995-1999. Eighth Meeting, 23 September 1994 WPRlRC45/SRl8 WPRlRC45.RI6 SELECTION OF TOPIC FOR THE TECHNICAL DISCUSSIONS IN 1995 The Regional Committee, Having considered the topics suggested for the Technical Discussions in conjunction with the forty-sixth session of the Regional Committee,l DECIDES that the subject of the Technical Discussions in 1995 shall be "Occupational health risks in the workplace", and that the discussions will be preceded by a presentation by an expert in the field. lDocument WPRlRC45/19. Eighth Meeting, 23 September 1994 WPRlRC45/SRl8 WPRlRC45.RI7 REPORT OF THE REGIONAL COMMITTEE FORTY-SIXTH AND FORTY-SEVENTH SESSIONS OF THE REGIONAL COMMITTEE The Regional Committee, Recalling resolution WPRlRC24.RlO, 31 1. NOTES that no invitation has been received for the forty-sixth session of the Regional Committee; 2. DECIDES that the forty-sixth session shall be held at regional headquarters in Manila from 11 to 15 September 1995; 3. EXPRESSES its appreciation to the Government of the Republic of Korea for offering to act as host to the forty-seventh session of the Regional Committee, which is proposed to be held in Seoul, from 9 to 13 September 1996; 4. ACCEPTS the invitation of the Government of the Republic of Korea provided a satisfactory agreement is concluded between the Government and WHO by 31 March 1996. Eighth Meeting, 23 September 1994 WPRlRC451SRl8 WPRlRC45.RI8 RESOLUTION OF APPRECIATION The Regional Committee, EXPRESSES its appreciation and thanks to: (1) the Government of Malaysia for: (a) having acted as host to the forty-fifth session of the Regional Committee; (b) the excellent arrangements and facilities provided; (c) the generous welcome and the hospitality received; (2) the Chairman and other officers of the Committee; (3) Dr Claro for accepting to act as Moderator of the Technical Discussions; (4) the representatives of the nongovernmental organizations for their oral and written statements. Eighth Meeting, 23 September 1994 WPRlRC451SRl8 32 REGIONAL COMMITIEE: FORTY-FIFfH SESSION REPORT OF THE REGIONAL COMMITTEE 33 ANNEXl AGENDA 1. Opening of the session 2. Address by the retiring Chairman 3. Election of new officers: Chairman, Vice-Chairman and Rapporteurs 4. Address by the incoming Chairman 5. Adoption of the agenda WPRJRC45/1 6. Address by the Director-General 7. Report of the Regional Director WPRJRC45/2 8. Programme budget 8.1 Budget performance, 1992-1993 (fmal report) WPRJRC45/3 8.2 Proposed programme budget, 1996-1997 WPRlRC45/4 9. AIDS 9.1 Annual report on AIDS, including sexually transmitted diseases WPRJRC4515 9.2 Global Programme on AIDS: Membership of the Management Committee WPRJRC45/6 10. Eradication of poliomyelitis in the Region: Progress report WPRlRC4517 34 REGIONAL COMMI1TEE: FORTY-FIfTH SESSION Annex 1 11. Sub-Committee of the Regional Committee on Programmes and Technical Cooperation 11.1 Country visits: Report of the SUb-Committee, Part I WPRlRC45/8 11.2 Membership of the Sub-Committee 12. Third monitoring of the Strategy for Health for All by the Year 2000: Report of the Sub-Committee, Part II WPRlRC45/9 13. Collaboration with nongovernmental organizations: Report of the Sub-Committee, Part III WPRlRC45/10 14. WHO Response to Global Change: Report of the Sub-Committee, Part IV WPRlRC45/11 IS. Quality assurance in health services WPRlRC45/12 16. Regional Action Plan on Tobacco or Health for 1990-1994 WPRlRC45/13 17. Special Programme of Research, Development and Research Training in Human Reproduction: Membership of the Policy and Coordination Committee WPRlRC45/14 18. Special Programme for Research and Training in Tropical Diseases: Membership of the Joint Coordinating Board WPRlRC45/15 19. Action Programme on Essential Drugs: Membership of the Management Advisory Committee WPRlRC45/16 REPORT OF THE REGIONAL COMMI1TEE 35 Aooex 1 20. Correlation of the work of the World Health Assembly. the Executive Board and the Regional Committee 20.1 Consideration of resolutions of the Forty-seventh World Health Assembly and the Executive Board at its ninety-third and ninety-fourth sessions WPRlRC45/17 20.2 Consideration of the agenda of the ninety-fifth session of the Executive Board WPRlRC45/18 21. Selection of topic for the Technical Discussions in conjunction with the forty-sixth session of the Regional Committee WPRlRC45/19 22. Time and place of the forty-sixth and forty-seventh sessions of the Regional Committee 23. Statements by representatives of the United Nations, the Specialized Agencies and intergovernmental and nongovernmental organizations in official relations with WHO 24. Closure of the session 36 REGIONAL COMMITIEE: FORTY-FlFfH SESSION AUSTRALIA BRUNEI DARUSSALAM REPORT OF THE REGIONAL COMMITTEE LIST OF REPRESENTATIVES I. REPRESENTATIVES OF MEMBERS Dr Anthony Irvine Adams Government Chief Medical Advisor Department of Hwnan Services and Health Canberra FAX: (616) 285 1994 TEL: (616) 289 8408 Mr Lundy Keo Acting Head International Programs Unit Department of Hwnan Services and Health Canberra FAX: (616) 289 7087 TEL: (616) 289 8343 Dato Paduka Hj A wang Chuchu bin PA Dato Paduka Hj Abdullah Permanent Secretary of Health Ministry of Health Bandar Seri Begawan FAX: 673 2 240980 TEL: 226640 Dr Hajah Intan bte Hj Md SalJeh Deputy Director of Health Services Ministry of Health Bandar Seri Begawan FAX: (673) 2 240980 TEL: 226640 Dr Awang Zainal Ariffin bin Haji Awang Yahya Scientific Officer Ministry of Health Bandar Seri Begawan FAX: (673) 2 240980 TEL: 226640 37 ANNEX 1 (Chief Representative) (Alternate) (Chief Representative) (Alternate) (Alternate) 38 Annex 2 BRUNEI DARUSSALAM (continued) CAMBODIA CHINA REGIONAL COMMITIEE: FORTY -FIFTH SESSION Dayang Hajah Siti Mariam binti Hj Md Jaafar Phannaceutical Chemist Ministry of Health Bandar Seri Besawan FAX: (673) 2 240980 TEL: 226640 Dr ~ Narong-Rith Sous-Secretaire d'Etat Ministere de la Sante Phnom Penh FAX: (855) 232 6841 TEL: (855) 232 6841 Dr Nhonh Bun Yay Directeur Adjoint du Departement de la Sante Ministere de la Sante Phnom Penh FAX: (855) 232 6841 TEL: (855) 232 6841 Professor Chen Minzhang Minister of Health Ministry of Health Beijing FAX: (861) 401 4332 TEL: (861) 401 4332 Professor Li Shichuo Director-General Department of International Cooperation Ministry of Health Beijing FAX: (861) 401 4332 TEL: (861) 401 4332 Dr Liu Yuliang Director Office of the National Patriotic Health Campaign Committee Beijing FAX: (861) 401 4332 TEL: (861) 401 4332 (Alternate) (Chief Representative) (Alternate) (Chief Representative) (Alternate) (Alternate) CHINA (continued) REPORT OF THE REGIONAL COMMITTEE Mr Zhou Fengming Deputy Director Department of General Administration Ministry of Health Beijing FAX: (861) 401 4332 TEL: (861) 401 4332 Dr Han Tieru Chief Division of International Organizations Department of International Cooperation Ministry of Health Beijing FAX: (861) 401 4332 TEL: (861) 401 4332 Dr Zhang Zhijun Deputy Chief Division of Phannaceutica1 Registration Bureau of Phannaceutical Administration Ministry of Health Beijing FAX: (861) 401 4332 TEL: (861) 401 4332 Dr Wang Yang Officer Department of General Administration Ministry of Health Beijing FAX: (861) 401 4332 TEL: (861) 401 4332 Dr Niu Shengli Officer Department of International Cooperation Ministry of Health Beijing FAX: (861) 401 4332 TEL: (861) 401 4332 Dr Liu Zhentian Officer Department of International Cooperation Ministry of Health Beijing FAX: (861) 401 4332 TEL: (861) 401 4332 39 (Alternate) (Alternate) (Alternate) (Advisor) (Advisor) (Advisor) 40 Annex 2 COOK ISLANDS Fill REGIONAL COMMITTEE: FORTY-FIFTH SESSION Minister Dr Joseph Williams Minister of Health Ministry of Health Rarotonga FAX: (682) 25664 TEL: (682) 22664 Dr George Koteka Secretary of Health Ministry of Health Rarotonga FAX: (682) 25664 TEL: (682) 22664 Mrs Seruwaia Hong Tiy Minister for Health and Social Welfare Ministry of Health and Social Welfare Suva FAX: (679) 306 163 TEL: (679) 306 177 Mr Apisalome Tudreu Permanent Secretary for Health Ministry of Health and Social Welfare Suva FAX: (679) 306 163 TEL: (679) 306 177 Dr Asinate Boladuadua Director for Primary and Preventive Health Services Ministry of Health and Social Welfare Suva FAX: (679) 306 163 TEL: (679) 306 177 Mr S. Naivalu General Manager. Public Rental Board Ministry of Health and Social Welfare Suva FAX: (679) 306 163 TEL: (679) 306 163 (Chief Representative) (Alternate) (Chief Representative) (Alternate) (Alternate) (Alternate) REPORT OF THE REGIONAL COMMITTEE 41 Amlex2 FRANCE Monsieur Michel Buillard (Chief Representative) Ministre de la Sante, et de la Solidarite de I'Habitat du Gouvemement de la Polynesie Fr~se Papeete, Tahiti FAX: (689) 430 974 TEL: (689) 430 074 Monsieur Chenepa Boewe (Alternate) President de la Commission de la Sante de la Province Nord Noumea FAX: (687) 430 974 TEL: (687) 430 074 Dr Richard Wong Fat (Alternate) Conseiller special aupres du Ministre de la Sante et de I'Habitat Papeete, Tahiti FAX: (689) 430 974 TEL: (689) 430 074 Dr Bernard Montaville (Alternate) Ministere des Affaires etrangeres Direction generale des Relations culturelles, scientifiques et techniques Conseiller sante et affaires sociales Paris FAX: 43176877 TEL: 4317 7790 Dr Michel Germain (Alternate) Medecin inspecteur de la Nouvelle-Calooonie BP 3278 Noumea FAX: (687) 277 346 TEL: (687) 286 678 HONG KONG Mrs Katherine Fok (Chief Representative) Secretary for Health and Welfare Health and Welfare Branch Central Government Offices Hong Kong FAX: (852) 8694376; 8400467 TEL: (852) 810 2650 42 Aunexl HONG KONG (continued) JAPAN REGIONAL COMMITTEE: FORTY -FIFTH SESSION Dr Margaret Chan Director of Health Department of Health Hong Kong FAX: (852) 836 0011 TEL: (852) 961 8888 Mr Tony Dickinson Principal Assistant Secretary Health and Welfare Branch 11F Main Wing Central Govenunent Offices Lower Albert Road Hong Kong FAX: (852) 8694316; 840 0461 TEL: (852) 8102650 Dr Ma Po-ling Consultant (Community Medicine) Department of Health 2l1F Wu Chung House 213 Queen's Road East Wanchai Hong Kong FAX: (852) 8360011 TEL: (852) 961 8888 Dr Constance Chan Senior Medical and Health Officer Department of Health 211F Wu Chung House 213 Queen's Road East Wanchai Hong Kong FAX: (852) 836 0011 TEL: (852) 961 8888 His Excellency Mr Taizo Nakamura Ambassador Extraordinary and Plenipotentiary to Malaysia Dr Masaharu Ito Councilor for Science and Technology and for Children and Family Minister's Secretariat Ministry of Health and Welfare Tokyo 100 FAX: 03 (3503) 0183 TEL: 03 (3501) 4854 (Alternate) (Alternate) (Alternate) (Alternate) (Chief Representative) (Alternate) JAPAN (continued) REPORT OF THE REGIONAL COMMITTEE Mr Hideyuki Sakai Director International Affairs Division Minister's Secretariat Ministry of Health and Welfare Tokyo FAX: (813) 3501 2532 TEL: (813) 3591 8983 Dr Osamu Doi Director Narcotics Division Pharmaceutical and Supply Bureau Ministry of Health and Welfare Tokyo FAX: (813) 3501 2532 TEL: (813) 3591 8983 Mr Daisuke Matsunaga First Secretary Embassy of Japan in Malaysia Dr Jinichi Suzuki Deputy Director International Affairs Division Minister's Secretariat Ministry of Health and Welfare Tokyo FAX: (813) 3501 2532 TEL: (813) 3591 8983 Mr Kazuaki Miyagishima Deputy Director International Affairs Division Minister's Secretariat Ministry of Health and Welfare Tokyo FAX: (813) 35012532 TEL: (813) 3591 8983 Mr Jun Sakamoto Advisor on International Cooperation Office of International Cooperation International Affairs Division Minister's Secretariat Ministry of Health and Welfare Tokyo FAX: (813) 3501 2532 TEL: (813) 3591 8983 43 ADnex2 (Alternate) (Alternate) (Alternate) (Alternate) (Alternate) (Alternate) 44 REGIONAL COMMITTEE: FORTY -FIFTH SESSION Annex 2 JAPAN Mr Makio Shichiio (Alternate) (continued) Second Secretary Embassy of Japan in Malaysia Dr Soichi Koike (Alternate) Medical Officer Office of International Cooperation International Affairs Division Minister's Secretariat Ministry of Health and Welfare Tokyo FAX: (813) 3501 2532 TEL: (813) 3591 8983 KIRIBATI Mr Tekiree Tamuera (Chief Representative) Speaker of Parliament Council of State Tarawa FAX: (686) 28152 TEL: (686) 78100 Mr Meita Beiabure (Alternate) Secretary Ministry of Health, Family Planning and Social Welfare Bikenibeu Tarawa FAX: (686) 28152 TEL: (686) 28100 Dr Takeieta Kienene (Alternate) Chief of Curative and Hospital Services Ministry of Health, Family Planning and Social Welfare Bikenibeu Tarawa FAX: (686) 28152 TEL: (686) 28100 LAO PEOPLE'S Dr Bounkouang Phichit (Chief Representative) DEMOCRATIC Vice-Ministre REPUBLIC Ministere de la Sante publique Vientiane FAX: (856) 214 003 TEL: (856) 214 003 LAO PEOPLE'S DEMOCRATIC REPUBLIC MACAO REPORT OF THE REGIONAL COMMI'ITEE Dr Philaysak Naphayyong Chef, Planification et statistiques Ministere de la Sant~ publique Vientiane FAX: (856) 214 008 TEL: (856) 214 008 Dr Ana Maria Basto Perez Secr~taire de la Sant~ et des Affaires sociaIes Macao FAX: (853) 510 878; 510 879 TEL: (853) 510 878; 510 879 Dr 10ao Maria Larguito Claro Directeur des Services de Sant~ Macao FAX: (853) 713 105 TEL: (853) 713 104 Dr Carlos Manuel Nogueira da Canhota Sous-Directeur des Services de Sant~ Macao FAX: (853) 713 105 TEL: (853) 713 105 Dr Liu Guo-bin Conseiller du Cabinet Secr~taire de la Sant~ et des Affaires sociaIes . Macao FAX: (853) 343 805 TEL: (853) 510 878; 597 3201 Mme Maria Lourdes Silva Chef du D~partement de Planification et des Resources humaines Departement des Services de Sant~ Macao FAX: (853) 710430 TEL: (853) 390 7123 Mme Lau Iut I Pharmacienne des Services de Sant~ Macao FAX: (853) 713 105 TEL: (853) 314080 45 (Alternate) (Chief Representative) (Alternate) ( Alternate) (Alternate) (Alternate) (Alternate) 46 Annexl MALAYSIA REGIONAL COMMITTEE: FORTY-FIFTH SESSION Dato' Lee Kim Sai Minister of Health 50590 Kuala Lumpur FAX: (603) 298 5964 TEL: (603) 298 5176 Tan Sri Dato' (Dr) Abu Bakar bin Suleiman Director-General of Health Ministry of Health 50590 Kuala Lumpur FAX: (03) 291 1436 TEL: (03) 292 5196 Dato' Dr Megat Burhainuddin bin Megat Abdul Rahman Deputy Director-General of Health (Medical) Ministry of Health 50590 Kuala Lumpur FAX; (603) 298 5964 TEL: (603) 291 9040 Dato' Dr Wan Mahmud bin Othman Deputy Director-General of Health (Public Health) Ministry of Health 50590 Kuala Lumpur FAX: (603) 298 5964 TEL: (603) 298 5176 Dato' Dr M. Jegathesan Deputy Director-General of Health (Research and Technical Support) Ministry of Health 50590 Kuala Lumpur FAX: (603) 292 0675 TEL: (603) 298 9820 Dato' Syed Sidi Idid Deputy Secretary-General (Management) Ministry of Health 50590 Kuala Lumpur FAX: (603) 298 5964 TEL: (603) 292 6237 Mr Michael Loh Kee Ming Senior Confidential Secretary Minister of Health Ministry of Health 50590 Kuala Lumpur FAX: (603) 298 5964 TEL: (603) 292 2266 (Chief Representative) (Alternate) (Alternate) (AI ternate) (Alternate) (Alternate) (Alternate) REPUBLIC OF THE MARSHALL ISLANDS) FEDERATED STATES OF MICRONESIA NAURU NEW ZEALAND REPORT OF THE REGIONAL COMMITTEE Mr Jefferson B. Benjamin Administrator Division of Health Care Services Department of Health Services Palikir, Pohnpei FAX: (691) 320 5263 TEL: (691) 3202643/2619/2872 Dr Kiki Thoma Director of Public Health Nauru FAX: (674) 555 4254 TEL: (674) 555 4438 (674) 555 4302 Mr Christopher Lovelace Director-General of Health Ministry of Health Wellington FAX: (644) 496 2383 TEL: (644) 496 2381 Ms Lynne Dovey Manager Health Sector Development Ministry of Health Wellington FAX: (644) 496 2158 TEL: (644) 496 2158 Ms Gillian Grew Chief Nursing Advisor Ministry of Health P.O. Box 5013 Wellington FAX: (644) 496 2340 TEL: (644) 496 2286 1 No representative attended the session. 47 (Chief Representative) (Chief Representative) (Chief Representative) (Alternate) (Alternate) 48 REGIONAL COMMITTEE: FORTY -FIFTH SESSION Annex 2 NEW ZEALAND Dr Gillian Durham (Alternate) (continued) Chief Executive Public Health Commission Wellington FAX: (644) 495 2258 TEL: (644) 495 2250 NIUE Mrs O'Love Tauveve Jacobsen (Chief Representative) Minister of Health, Education and Conununity Affairs Niue FAX: (683) 4265 TEL: (683) 4100 Dr Fui Sipeli (Alternate) Director of Health Niue FAX: (683) 4265 TEL: (683) 4100 PAPUA NEW Dr Timothy Pvakalyia (Chief Representative) GUINEA First Assistant Secretary Primary Health Services Department of Health P.O. Box 3991 Boroko FAX: (675) 250 826 TEL: (675) 248 681 Dr Nicholas Mann (Alternate) Assistant Secretary Specialist Medical Services Secondary Health Services Department of Health Boroko FAX: (675) 250 826 TEL: (675) 248 681 PHILIPPINES Dr Linda L. Milan (Chief Representative) Assistant Secretary of Health Department of Health Manila FAX: (632) 711 9582 TEL: (632) 711 6735 PHILIPPINES (continued) PORTUGAL! REPUBLIC OF KOREA REPORT OF THE REGIONAL COMMlTIEE Dr Conrado K. Galsim Regional Director Regional Field Office No. 1 Department of Health San Fernando, La Union FAX: 072 412 190 TEL: 412 190; 413395; 413 478 Dr Ethelyn Nieto Regional Director Regional Field Office No. IV Department of Health Manila FAX: (632) 721 6447 TEL: (632) 785 268 Ms Reynalita Cruz Attache Philippine Embassy Kuala Lumpur Mr Kyung-Shik Joo Vice Minister Ministry of Health and Social Affairs Seoul FAX: (822) 504 6418 TEL: (822) 503 7568 Dr Dong-Mo Rhie Director General Bureau of Public Health Ministry of Health and Social Affairs Seoul FAX: (822) 504 6418 TEL: (822) 503 7568 Mr Young J ai Cho Minister Embassy of the Republic of Korea Kuala Lumpur I Portugal was represented by Macao. 49 (Alternate) (Alternate) (Alternate) (Chief Representative) (Alternate) (Alternate) 50 Annex 2 REPUBLIC OF KOREA (continued) SAMOA SINGAPORE REGIONAL COMMIITEE: FORTY-FIFrH SESSION Mr Byung-lo!Jmg Director International Cooperation Division Bureau of Technical Cooperation Ministry of Health and Social Affairs Seoul FAX: (822) 504 6418 Mr Dong-Ik Shin First Secretary Embassy of the Republic of Korea Kuala Lumpur Mr Hee-Seog Kwon Deputy Director Division of Human Rights and Social Affairs United Nations System Bureau Ministry of Foreign Affairs Seoul FAX: (822) 720 2686 TEL: (822) 723 8934 Dr Eti Enosa Director-General of Health Apia FAX: (685) 21440/26550 TEL: (685) 23330 Brigadier-General George YB Yeo Minister for Health Ministry of Health Singapore FAX: (65) 224 1677 TEL: (65) 223 7777 Dr Kwa Soon Bee Permanent Secretary (Health)1 Director of Medical Services Ministry of Health Singapore FAX: (65) 224 1677 TEL: (65) 223 7777 (Alternate) (Alternate) (Alternate) (Chief Representative) (Chief Representative) (Alternate) REPORT OF THE REGIONAL COMMITfEE SI Annexl SINGAPORE Dr~AiJu (Alternate) (continued) Deputy Director of Medical Services (Hospitals) Ministry of Health Singapore FAX: (65) 224 1677 TEL: (65) 223 7777 Dr Ling Sing Lin (Altemate) Director Family Health Services Ministry of Health Singapore FAX: (65) 224 1677 TEL: (65) 223 7777 SOLOMON Mr Nathaniel Waena (Chief Representative) ISLANDS Minister of Health Ministry of Health and Medical Services Honiara FAX: (677) 20085 TEL: (677) 23402 Mr Benedict Kinika (Alternate) Deputy Speaker and Member of Parliament Honiara FAX: (677) 23866 TEL: (677) 22732 Dr Ezekiel T. Nukuro (Adviser) Undersecretary - Health Improvement Ministry of Health and Medical Services P.O. Box 349 Honiara FAX: (677) 20085 TEL: (677) 23404 TOKELAU Mr Salesio Lui (Chief Representative) Minister of Health clo The Office of Tokelau Affairs P.O. Box 865 Apia FAX: TEL: Dr Iuta Tinielu (Alternate) Director of Health clo The Office for Tokelau Affairs Apia 52 REGIONAL COMMIITEE: FORTY-FIFTH SESSION Annex 2 TONGA TUVALU UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELANDl UNITED STATES OF AMERICA Dr S. Tapa Minister of Health Ministry of Health Nuku'aIofa FAX: (676) 24291 TEL: (676) 23200 Mr Faimalaga Luka Minister for Health, Sports and Human Resources Development Funafuti FAX: (688) 20832 TEL: (688) 20832 Mrs Annie Homasi Chief Nursing Officer Ministry of Health, Sports and Human Resources Development Funafuti FAX: (688) 20832 TEL: (688) 20751 Dr Isamu J. Abraham Secretary of Health Department of Public Health and Environmental Services Dr Torres Hospital P.O. Box 409 LK Saipan Commonwealth of the Northern Mariana Islands 96950 FAX: (670) 234 8930 TEL: (670) 234 8950 I United Kingdom was represented by HOII8 KoIl8. (Chief Representative) (Chief Representative) (Alternate) (Chief Representative) UNITED STATES OF AMERICA (continued) VANUATU VIETNAM REPORT OF THE REGIONAL COMMITTEE Dr Kenneth J. !l!!l Associate Director for Medical and Scientific Affairs Office of International Health United States Public Health Service Department of Health and Human Services Washington. D.C. 20201 FAX: (1 301) 443 4549 TEL: (1 301) 443 0936 Miss Ann S. Blackwood Agency Directorate for Health and Transportation Bureau of International Organization Affairs Department of State Washington. D.C. 20520 FAX: (202) 647 8902 TEL: (202) 647 1044 Dr Edward Tambisari Minister of Health, Environment, Population and Rights of Children Port Vila FAX: (678) 26113 TEL: (678) 22512/23104 Mr Yves Niowenmal Director of Health Department of Health Port Vila FAX: (678) 26204 TEL: (678) 22512/23104 Professor Nguyen Van Thuong Vice-Ministre de la Sante Ministere de la Sante Hanoi FAX: (844) 264 051 TEL: (844) 264 050/243 463 Dr Ngo Van Hop Directeur Department de la Cooperation internationale Ministere de la Sante Hanoi FAX: (844) 264 050 TEL: (844) 264 0511243 463 53 (Adviser) (Adviser) Chief Representative (Alternate) (Chief Representative) (Alternate) 54 Annex 2 CANADA REGIONAL COMMI1TEE: FORTY -FIFTH SESSION II. OBSERVER Dr Jean Lariviere Senior Medical Adviser International Affairs Directorate Ministry of Health Ottawa Canada FAX: (613) 952 7417 TEL.: (613) 957 7315 m. REPRESENTATIVES OF THE UNITED NATIONS AND RELATED ORGANIZATIONS UNITED NATIONS DEVELOPMENT PROGRAMME (UNDP) Ms Ameerah Haq Regional Representative of the United Nations Development Programme in Brunei Darussalam. Malaysia and Singapore 50782 Kuala LlllJ!Pur Malaysia UNITED NATIONS OFFICE OF THE HIGH COMMISSIONER FOR REFUGEES (UNHCR) Miss T. Haugsdal United Nations High Commission for Refugees in Brunei Darussalam and Malaysia P.O. Box 10185 50706 Kuala Ll1l1!Pur Malaysia III. REPRESENTATIVES OF NONGOVERNMENTAL ORGANIZATIONS INTERNATIONAL SOCIETY OF BLOOD TRANSFUSION Dr G. Duraisamy REPORT OF THE REGIONAL COMMITTEE 55 Annex 1 INTERNATIONAL SOCIETY AND Mr Mohammed Sultan FEDERATION OF CARDIOLOGY INTERNATIONAL DENTAL Dr Low Teong FEDERATION WORLD FEDERATION FOR MEDICAL Dr H.J. Walton EDUCATION Professor Masahisa Nishizono NETWORK OF COMMUNITY -ORIENTED Professor Dr Sharifah Hapsah EDUCATIONAL INSTITUTIONS FOR Shahabudin HEALTH SCIENCES INTERNATIONAL EPIDEMIOLOGICAL Professor Lee Hin Peng ASSOCIATION INTERNATIONAL FEDERATION FOR Ms Chung Sing Kwan FAMILY LIFE PROMOTION WORLD ORGANIZATION OF NATIONAL Dr Eddie T. Chan COLLEGES. ACADEMIES AND ACADEMIC ASSOCIATIONS OF GENERAL PRACTITIONERSI FAMILY PHYSICIANS WORLD ASSOCIATION OF GIRL GUIDES Mrs Lucy Lee AND GIRL SCOUTS INTERNATIONAL COUNCIL FOR Dr C.G. Lopez STANDARDIZATION IN HAEMATOLOGY INTERNATIONAL FEDERATION OF Mr P. Arunasalam HEALTH RECORDS ORGANIZATION WORLD FEDERATION OF HEMOPHILIA Dr G. Duraisamy INTERNA TIONAL HOSPITAL FEDERATION Dr Samsi Jacobalis MALAYSIAN COUNCIL OF NGOS Ms Marina Mahathir ON AIDS INTERNATIONAL ASSOCIATION OF Mr Kam Fong Kwong MEDICAL LABORATORY Mr Mohd Ghazali bin Mohd Esa TECHNOLOGISTS INTERNATIONAL ASSOCIATION FOR THE Professor M. Balasegaram STUDY OF THE LIVER COMMONWEALTH MEDICAL ASSOCIATION Professor W. Chandrasekharan ASSOCIATION MEDICALE DU COMMONWEALTH 56 REGIONAL COMMITTEE: FORTY-FIFTH SESSION Annex 2 INTERNATIONAL CATHOLIC COMMITTEE OF NURSES AND MEDICO SOCIAL ASSISTANTS INTERNATIONAL COUNCIL OF NURSES INTERNATIONAL UNION OF NUTRITIONAL SCIENCES WORLD FEDERATION OF OCCUPATIONAL THERAPISTS INTERNA TIONAL FEDERATION OF OTO-RHINO-LARYNGOLOGICAL SOCIETIES INTERNATIONAL MEDICAL SOCIETY OF PARAPLEGIA INTERNATIONAL PLANNED PARENTHOOD FEDERATION INTERNATIONAL PHARMACEUTICAL FEDERATION INTERNATIONAL FEDERATION OF PHARMACEUTICAL MANUFACTURERS ASSOCIATION INTERNATIONAL UNION OF PHARMACOLOGY WORLD CONFEDERATION FOR PHYSICAL THERAPY WORLD FEDERATION OF PROPRIETARY MEDICINE MANUFACTURERS WORLD PSYCHIATRIC ASSOCIATION WORLD ASSOCIATION FOR PSYCHOSOCIAL REHABILITATION SOROPTIMIST INTERNATIONAL INTERNATIONAL UNION AGAINST THE VENEREAL DISEASES AND THE TREPONEMATOSES WORLD VETERANS FEDERATION Mr Richard Lai Pong Chong Ms Mahani Bte Ismail Dr Ismail Noor Mr Nathan Vytialingham Dr Suchitra Prasansuk Dr Theva Raj Ponnudurai Mrs S. Paranjothy Mr lohn A. Ware Mr Zainal Abidin Majid Dr Syed Mohsin Mrs Sandra Moore Mr Chew Soon Keong Professor M.P. Devax Professor M.P. Devax Dr Kathryn Tan Professor Yun Fong Ngeow Senator A. Ibrahim REPORT OF THE REGIONAL COMMITIEE S7 ANNEX 3 LIST OF NONGOVERNMENTAL ORGANIZATIONS WHOSE REPRESENTATIVES MADE STATEMENTS TO THE REGIONAL COMMITI'EE AND SUOMI 1'1 ED STATEMENTS FOR CIRCULATION TO MEMBERS At the invitation of the CHAIRMAN. statements were presented by the following nongovernmental organizations: World Federation for Medical Education Network of Community-Oriented Educational Institutions for Health Sciences International Epidemiological Association International Council for Standardization in Haematology International Council of Nurses World Federation of Occupational Therapists International Federation of Oto-Rhino-Laryngological Societies International Medical Society of Paraplegia International Pharmaceutical Federation World Psychiatric Association World Association for Psychosocial Rehabilitation International Union against the Venereal Diseases and the Treponematoses Statements were received for circulation to Members from the following: International Society of Blood Transfusion World Organization of National Colleges. Academies and Academic Associations of General Practitioners/Family Physicians World Federation of Hemophilia International Association of Medical Laboratory Technologists International Association for the Study of the Liver International Union of Nutritional Sciences International Planned Parenthood Federation 58 REGIONAL COMMITTEE: FORTY-FIFTH SESSION