t-A:>RLD HF.4L1'H ORGANIZATION RIDIONAL COMMI'ITEE
fUXRONA.t OFFICE WJlBTiRN PACIFIC
Fourth Session Tokyo 3rd to 8th September 1953
WP/RC4/Minl4 Rev.1/corr.1
Corrigendum to the Sunnaq Minutes of the Fourtb MeetinS
Page 9:
Change To
11 Dr.
Marcel favoured. the proposal as he thought ttat Regional Connittees should be supported." Marcel believed that the tra"Velling expenses of all representatives or at least of one representative ot each countcy should be borne by the Organization as was the case at World Health Assemblies."
''Dr.
*******
HOFa:.D HEALTH ORGANIZATION REGIONAL COMMITTEE
1-/P/.ctC4/Minj4 · l'e¥.. l 2) October 1'953 l.JESTERN PACIFIC RIDlON
Fourth Session
Tokyo 3rd to 8th September
1953
SU.MJ:IulliY MINUTES OF l'HE FOURTH MEE!'IHG HELD AT ·roKYO ON 7TH Stl'TEJ:.fi3Flt 1953 at 3:00 p.m.
33. PROGIW1ME AND BUDGET (continued) Dr. H. B. T\u-bott 1 Chief' Representative of New Zealand, moved the adoption of the foll.ow.i.ng resolution : The Regional Comnrl. ttee HAVING STUDIED the financial situation confronting too Organization APPRECIATING Rl!J.l.LIZING
to implement all of tre requests rec'-dved
tha. t there :is an
insuffici~ncy
of .fu.nds with which
that there is also a c:ontirnwd w1certainty regarding the amount of Teohnical ~ssistance Funds which will be available that tl~:t 5fJcretarie.t in t.rn.s si tuaticn cannot adrnin;_ star the pr·:;grcunmc efficiently the. t t.hc >-10rk of t lK Org!ln:'.'za:tion t1hould receive i'u.r.ther support :li.1dthat 1t vmuld be :c:..t! advantage to tbj Rsg).onal Office t,,) know i!! advance wmt funds would b~ availabl9 tha.t. i•.lembcr Government:: ..~f t.h('; Il.egion g:i vE; consider-t£tion llo. inore!ls1ng and stabilizing the resources by an,y of the followtng means
11EALIZING BiLil!;lliNG
RECOM11.i1:lU>S
tne
a. b. o.
d. e.
increasing the rogu.la.:c r: .'r. tributions, or, making Regional appropri!\tions, or, increasing eontributions to t. he Techn:l.oal Assistance for Economic Dev~::lopmc.nt Funds or making contrl butions directly to the Organization, or• · making special co nt:.ributions to the Organi• zation, or, . making reimbursements for services rend8red ard
tha. t the R<::gional Director be informed of thG decisions taken before l December 1953.
/Too
a d1,;,ption of
WP/RC4/Min/4 Page 2 Too adaption of tre draft resolution was seconded by Dr. Regino Padua, Chief Repr.esentative of the Philippines. A vote was taken wlt h the following resuJ. ts:
In favour Against Abstentions 34~
6 -
4
jl95$ PROGRAMME PRIORITI:&>
Dr. John T. Gunther, Chief Repr~sentativc of Australia, moved the adoption of a draft resolution conct~rned with nrj.orities for the 1955 programme. While copies of tre resolution were being typed, the discussion was postponed.
35. ADDENDA AND COnRIGENDUN TO THE 19.54 aoo 195'5
PROGRAMH~
The Secretary explained that because of eircumst.ances beyond the control of two Governments, rectuest,s for t'ffiO assistancE: in 1955 had not been received in June• .· He also stated that the Committee had authorized him to use his discretion in oert~in circumstances in regard to this matter.
Dr. John T. Gunt~r, Chief Representative of Australia, referred to the fellowships which he l1DUld lika to ba.ve made avails.ble to the Territory <::£ Papua and N61-1 \lui.nea. He stated that he fully \mderst.oQd that they should IB.v.J been aullnit.ted eal·lier and that ·hc-1 ,,rould1 tltee.tore, understand if tb ey CQuld not be iropl~e~ted. The Chai:man rtif'erred to t hb fact that t~,;o of the requests conoeftled aubjects which the Co~ttee had agr~ should r.;:cdve priorit:i.~s. Vr. M. Doraisingna.tl, Hep:resentat:ive of the;; United Kingdom, r0:ferred too Qonattee to pages t-e, .(:J.) & 70 of Qi:.t.!l.UD(l,.t \'ff/HCl•/7. C~rt.z~in rE><:..lUe~-;ts he tr..SbQd to lpe transfarrt.;d from 19.54 to 1955. ~n place of :t ~lbcrculoais speo:f.al.iat1 the S1n""pora Gove~-..nt ....r.Lshad to l1aV~: J. surv~y ;t0am. re~.:Jtt.ed
Dr. H,J,T• Bijlmer, Chi&f Reptesent.flt:lve cf tha i~Jath~J:ancls, that requasts front his Ten1.tory bad nett b~?en ·submitted earlAer am requested that two fellowehtr•s be .a:ddo;;;d to tht:! 1955 Programare 'l'hv Cam!Uttee noted 'the addanclum (.WfJROf~J7tl\dd. l) and tho tv.l'(J comgenda (Wf'/RdJ/1/Corr• l :llld wP/P.£h/Uear,.. 2).
36. 195>
PROOW+Ji PRIOHITIES (continued)
::..:!d preTiQusly suggf.' -'"ecl• With the agPeement of Dr •. Gunther, the draft ..-U.~ ~a# al\ered an4 pr~~ntecl io th: ~ittee ae follows:
A-. H.B. Turbott, i:h!ef R~~esenta t:t.e ot New ZQ.llandr stated ~ 611'af\ re~ltttion subntitt~c1 'by Dr. Jobn 'l'e Guntla~l', Chi.~f lie~ PI"U~AiiA"~e fll A•iral.k \see secticn .34) ~d no\ $.qcl'* ~l. t~\ ~
tn•'
/'l'be
Mgio¥1. (;o1tJml. tt(;e •
UP/hC4/Nin/4 Hev. 1 ?a.ge
3
The
i.~egional
Committee
GIVES the Regional Director authority to csta.blish priorities in 1955 fbr proj•.:cts of regj_onal significance, or those planned and in vthich Governments have made commitments or where conunitments in a project have involved other international organizations subject to tho availability of adcti t.ional funds;
(1) (2) (3)
To continue· to assist in Atrengthening national health administrations; To continue assis~ance to education and training prograrrmes; Both the above should be related where poss:ihle to Regional-wide disease control prog~~~es; and allocating priorities to th~se programmes, high priori ties ehould be given to ensuring the 1na.x:imu.m aid for the control of 311allpox, tuberculosis, malaria and yawa.
(4) In
Dr. Hasayochi Y.."UUlaguchi, Chief :tt.::;present.ative of Japan, requested the Secretary to explain whetht3r Articles 1 and 2 of the draft resolution ·aould be deemed to emphasize the importance of strengthening health administrations arxl educatlon and training as opposed to disease control program.'Tles. The Secretary considered that they did,
Dr. Hegino Padua, Chief .iiepresi;Jntativa of t!10 Philippines, sUggested that beca 1lse of too importance o.f nutrition: re.fe:rence to it should be m~;d::; in thv li ~>t of p~iorit.i.cs. Dr. c. H.Ycn1 .C!J.ief ilepresl.iJlthtive of cr~ina, wish<7d tc have subs'11d.tuted a r (:;:f ;;;r tmOe to venernal disotses and tr~po nematoses for thr.J "rord "ya'l-n:i"• · ·
'!'hF.J Chairman ~ok ~ vot,e on thes~:: tl\•o suggGst:i.ons as the result of whlOli he deolarod tha~ both "nutritional diseases" and "venereal diseases" would' 6 c· naded to Article 4 of the draft resolution. Following a disoussion concerning ths incluoion of a reterenoo to maternal and ch.Ud haaltb programme.i 1 it was decided, as a rr;;sult of a vote 1 that tht1 ex!sting wording of th\) draft resolution could b.a d':::cmed to cover maternal and child he"llth pro gra.mmes.
The-: Chairman then took a "rot.e on tre motion as amended by the addit.ion of too words "nutritional dis(3a.s es'' and "venereal diseasas"• /The Chairman declared
WP/RC4/Mi.n/4 Rev. 1 Page 4
The unanimousl.v.
Chairman declared that the resolution had been adopted HEFUG~
37 • HEALTH ?h:...,BLE.MS OF
·rhe Chainnan directed the attention of the C,mmlittee to Docu• ment WPf.rtC4/lO. Dr. Regino Padua, Chief Representative of the Philippines, moved the adoption of a draft resolution.
Dr. c. H. Yen, Chief HeprEJsentatiive of China, n,oved an a."tlendme...J.t "U!>·: th'e dlraft resolution. Dr. ?adua accepted the amendment.
Dr. Horace DeLieri., Chief Representative of t.he United States, then seconded the amendad draft resolution which read as follows: The Regional Committee REALIZilm the sad plight of the refugees of Korea as reported by the Ninister of Health of Korea KNO\VING that, as a consequence of t.he war, multiple hEJal th problems have arisen, such as those of malnutrition, communicable diseases, sanitation, maternal and infant care, medical attention to the sick and injured, the a?ed, etc.
CCJNSCIQUS that .il\ such national disa:~ters othl~l" int.ernational agt:mcies are invariably extending :m terial aid to the sut:'erers and that lJHO is to furnish technical advisory and consultative services DSl'RUC'!'S the itegional Dii·uctor w g:tve t.ecl1i:loal advio,,; and tG assist in t~ co--ord:l.na tion ol inte:t-m tional ass:i.s tance to Goveinments in. sol\'"ing refugee heaJ.th probl8111S vith~.n their t·~r:ri tories in t:·ri.s Region. The Chainnan then tock a vote• the results~ which were;:, as
follot¥s: In favour·
9 l
Against Abstanti.Qn
!'he.Cha1nnan declared t.he 38. TRAV4. STuDY fOUR
resolut~o~ ..•Qop;t~.
The Chairman invited the Cownittee to study Document 't•JP/RC4/ll. Dr. Rsgi110 ~dua, Chief R•presentativc of t.he Philippires, moved the adoption of a draft re~clllt:Wn. /The Chairman commented
WP/RC4/Min/4 Hev. 1 Page
5
The Chairman commented !.!fr·. Akira
favourab~
on the proposal and
Saita, Representative of Japan, said that his· Government
continued to support such proposals and would second tho adoption of the draft resolution. The Secretary made a state111Ent to the H.Geting in Hhich he referred to t.'1. r.:~ :naller costs of arranging such a tour in a. Region, such as the Europenn Region, as compared wi t.h the ~i<;Jsturn Pacific Rogion where the distanc es were so great•
Dr. Padua referred to an alternative way of implementing the proposal, whereby there would be a smaller cost spread ever several ~rears~ Dr, H, B, Tu..'l"()ott, Chief Representative of Net-r Zealand,. referred to fue financial di.ffictilt.ies and proposed an amendment which was acc8ptt.>d by Dr. Padua, Tho draft resol ".ltion then read as follolvs: The Regional Corr~ttee
Rl'..ALIZI:OO the importance of and ben~fits to be derived from. group conferences and study tours in the countries included in tbe '.'Jestern Pacifj_c Region R.&.IU.ii..STS the Regional Director to give coGsidtlra·tion1 ·iv"hcre funds are available, to th<: provision of study tours in the countries of the Western Pacific ~i.egion.
The Chairman t.hen took a vote o:n the r esolution and the results 'Were a~; follows: In faw~U'
8 •
A.gainst Abstentions The Chairman daclar~d
4
the r,;Sf)lutivn adoptt:d. -
.39. .P!J3T GRADUATE CCURSE IN S'I'ATISTICitJ.
s . ~VICi!S
..
-
The Chairman i.'lt.rodueed thf.\ sub;jeet by r~ml. nding the Committee that rhe propc.1sed eourse ha~ h!;en included in the Pro gra~~~M~ am Budgut, nt~. :i:'iasayoshi Yamaguehi 1 Chief l~pres antative of Japan• moved the adoption of a draft r..:.so!nt~.on which ~~ as second<::d by .ih'• Regino Padua, Chief Repr~s ~ntative of the ?hilippin0s,
Dr, John 'l'e Gunther, Chief Representati.v;.; of Australia, referr ed to the cost of th8 prt)J)osed ec_.urse ani the f~~t that a 4SimUar cou!":JE: had bQon held. in Tokyo the p1•avio1.1S y~ar.
NP/RC4/Nin/4 Rev. 1 Page
6
Dr. Henri Marcel, Chief aepres.;;ntati ve of Viet-Na1·n, strongly supported the propo~al ani refe:cred. to the importance of u1z subject in public health administration. The
draft resolution proposed read as·follows:
The Regional Committee HAVING S'l'UDIID the proposal, "Organization of a Postgraduate Course in Statistical Services in one of the Cities of the \-Testern Pacific Region" prGsented by Viet-Nam
INSTRUCTS
the Regional Director to give a h:igh priority to the propt)aed inter-country project,· Statistics Training Course, contained in Document ~fP/RC4/7. Tho Chairman took a vote .and the results were as follows:
In favour Against .Abstentions
8 2
2
The Chairman declared the resolution adopted.
40.
CAMPAIGN AGAINST SMALLPOX
The Chairman I'efer:::·ed tm Committee to .il::>cument WP/RC4/l3, which contained a resume of previous resolutions on the subject and a table sho~ving the incidence of smallwox in various countries of tht:.~ Region and the adjacent countries in South .East Asia over thf.J r.c,riod 1949 to 1953. A draft resolu·iiion on the subject wa:;: also contaiaed in the
document. Dr• Regino Padua, Chief Repr·esentat.ive of the Philippines, referrGd to the in.portance of the projoct and moved that. t.he dro..ft resolution be adopted• The resolution '~s
as follows:
The Regional Committee NOTES the reso~utions of the ~ixth World Health assl3llbly (;'11'HA6,18) and the Tl-mlftb Session of the U'icutiye Boa:rd '.iSl2.RlJ) regarding smallpox REAFFJRMS the desirability of Wldertak-ing the regional sur'vey authorized
by the Third Session of the Regional Committee ~JSTP..UCTS
t:1e H.egior.....:.. Dil·6ctox· to proceed With the swovey greatest expedition possible, 'and
1£l th
the
J.ID.~U.ECTS
the S;r;cretary to irt:t'onn th ll D:i.reo~.;;ln..;;ral tm t tll"cl Comi t tee Colllidcrs that U will not be in a position to Jurnish· suggestions
/and infa l'l'TB tion to
WP/RC4/Nin/4 Rev • 1 Prt ;t,G
7
and information to the Exbcutive Board i~ any completC;; manner before t.he conclusion of t.h€ rGgional surve;y-, Dr. John T. Gunther, Chief seconded th<J resolution, ii
Ropresentativo of Australia,
vote was taken and tht: results w-are as follot-rs:
In favour Against Abstentions
11 1
4J..
RIGH'iS Ai· ID OBLIGATIONS OF .ti..SSOCIA'TE l'til~IBffiS Th~
Secretary opened the lv8 r6,
disc~ssion
by providing a short
s\l1l'illal'y of th~ previous discussions on the subj t:.ct and invi tod the Committee to study Dooumer.t \VP/R.Cl~/14. He also confirmed 11r..• S.'l.·i ta •s West~rn
undr:rstanding that thorc Pacific.
at
presE~rrt 1
no Associate H8I1De.rs in th3
'ihe Secretary in reply to comnHmts b:~· Dr. J .H. Liston, Representative of the United Kingdom, am Dr. C,H, Yen, Chief RepresentativG of China, stated that tile.6th \vorld H..:alth Assembly had specifically invited Regional CommitteQs to conwent on the advisability of ch9.nges being made,
Dr. H.B. Turbott, Chief Repre:sent.ative of' Now Zoaland 1 referred to previous discussions at Mo~ting.s o.f the ~~outjive Board and ·11orld Health AssGmblias. He could not und.:;rstand why tl:k As:::..o:mbly considered th0· ma.kin.g of any changes premature arrl poin",,ed \1Ut th-3. t no C1xplanc'1tions had bcc-:n given of the allogcd prematurity. Dr. Turbott 't-i.:<S
strGngly in favaur . of
ha.Vil1;~!
cmnges I!k'l dc so
he would.not press this latter point. Ht; ur~d thu B..3g1:.>m<.l Committee t;o report back to the Ass embly tha1.. it 't-Jas in f<.'. vour of ;;ivin ~; ful.l voting rights to il.Ssociato M~~nbt:;rs. :Ie also poin'i:bd out t.hat there were a number of oountr.i.l>s in the ;:iostern P-1ci.fic Region whi.ch eitl~1· were, or soon would be, ~ligible · for ngmination as Assoc:I.n.tc 1-kimb,'l!'Se Dr. J.A.R. Ca,bra.l, Chif::f Jhpr8sant. atj_ve of Port:ugal, statnd that, according to tho Por·t14guese ConstJ:tution, equal rights wt:re possessGd by all Portuguese Tarritori~s.
tb.r:1.t Associate l•J.:mb~)rs ''~' '' ,ld h-'lv,, full voting rights. HG vias also in favour of hn.ving 'CG:·1tributior~s be.ing :r1ade by Ji.ssoGiate .i'-1cmbers 1 but
Dr. H.cgino .l!adua 1 Chief Representative of th\:l Philippines, agre<;d with tbe views ;,f Dr. Twbott and propodGd t hat tl1 u Committee adopt. a draft reeol·ltion stating that Associato Mt.mbE.rs should ha ve vot:i,.ng rights at ·Lhe Regional level.
/Dr.
John 'f. Gunther
W""P/RC4/Min/4 Rev. 1 Page
8
Dr. John T. Gunther, Chief Representative of Austm.lia, thought that the Cozmnittee should comment as requested and he would favour the increase in rights, ~ccompanied by financial obligations, which he thought could be at an assessment of four units. The Chai.rman summarized the position and agreed tba t the· Com·mittee should make comments.
Mr. Akira. Saita, Representative of Japan, favoured an increase in rights at the Regional level and also agreed with Dr. Gunther's proposal t.hat the rights shpuld be accompanied by financial obligations. Dr. Henri Marcel, Chief Representative of Viet-Nam, thought that in the fight against diseases, peopl~ of all countries should work together, and he therefore supported both the draft I'esolution proposed by Dr. Padua and the amendment concerning financial obligations proposed by Dr. Gunther. Dr. C. H. Yen, Chief Representative of China., thought that there were many fr:ctors involved in making a change a.11d he questioned tho wisdom of adopting a resolution~ the tems of which w8r,~ very d.:Jfir..ite.
Dr. Padua said that, as a result of further discussions, he had t:Lppreciated that there were more implications to th•3 proposal than he had originally considered and ~~at the doubts hG had had in accepting ¥~. Saita 's amendment vmre now accentuated. He requested that his· resolution be ~vithdrawn• Mr. Saita, in reply to the Chairman, said that as he .b.ad·s(3Conded a proposal made by Dr. Padua and as Dr. Padua had now sal, he would co-opf.:ra te and ·withdraw his support. ~rithdra.wn
.
:hi.lp propo-
Dr. Turbott summarized the poi.n;;,s in favour of the proposal and point-.;d out once again that ;;o one had yet explained wh::..t, vias Pleant by prematurity. He th.:;n moved the adoption o.f th<~ following draft rc:::olution: The Regional Committee NO'i'ES the rr:.solut:l,on passed by tho 6th .il.ss<::rnbly and that ~ssociate l1ilmbers be given full voting ri.ghts at Regional Cow.mi t tee Heetings • Dr. John X. G\mther, Chiof Repr<osc;n-.,ativo oi' "mstralia 1 seconded the resolution.
A vote was taken an:i the r,jsul ts were as follows:
In
favo~
Against Abstentiorur
5 3 '
/Tho Chairman
HP/H.Ci~/Hin/4 R0v • 1 Pugo 9
Tho Cha:irman declared the resolution adoetod.
42.
REU1BURSI!l'1ZNT OF HEPRE.SEl'HATIVES t TfuWE!.LHm EiCPJiNSF.S
Tht=1 Secretary summarized the position a.rrl dre-rr the attention of Representatives to the eet~tes of the costs in• volved, which were included in Doo\lllent ~1Pj,RC4/l5.
Dr. Richard K.c. Lee, Represen~ative of the United States, moved the adoption of ~ draft resolution, und3r the terms of ~~ich Representatives would have their travell~ng eA~enses paid by their own Government. Dr. John T. Gunther, Chief Representative of Australia., strongly support,c;d t.h;:"l v L•.rc r; xprt.:lz~ sed by Dr. L~·.:: ::..n d po:i.nt-,;d (..ut t.h::: t further funds wu•.-·ld thus be available for the work p,rogramrne.
Dr. H.B. Turbott., Chief' Representative of New Ze::land, stat.ed that at a 1-leeting o±' the it'""ecutive Board, he h.:.\d strongly supported the proposal tln t ·t he travelling expenses of one Representative from each country should be borne by the Qr.;anization. He sumrnarized the arguments in favour of the proposal. Among the points mentioned wt--s the n&C~o"lssity of supporting reg-lonalization. If fares could be paid by the Organization to en~ble delegates to attend meetings of only either Assemblies or Regional Committees, then he thought that the payments should be made in respect o f Regional Comm:i.ttees. He also ref'errr;ld to the key positions occupied by Regional Cornrnittees in the administrative structure of the Orgardza.tion. The Secretary pointed out that thE: ex~e nses of Regional Neetings had been fairly stabilized and that the pn;vment of travelling uxpeneos 1 '1 ould incrf=· ::tSe Regional cos t s. Dr. Turbett dl.sa.greed on thi:' ;rrounds . that the costs of Regional Committee Heetings were incorporated in the Headquarters budget. The Secretary _ provided furt he1' informat.ion to Dr. Lee and to Dr. H(mr1 Marcel, the Chit::..f' Representative of Viet-Nam.
Dr. Mn.rcel f!l.Vollred the pro~sal as he thought that Regional Comrni t.tees should be supported. The Chai!'lllan poi nt.ed out that wh€rever t li12 ros ts were listed in the Organization's budget, approval of the proposal would mean an extra cost to the Orgtmizati.one The resolution tren oonsiderc;.>d by tht:: Commi tt~e read as follows: /Th~ R~gional Committee
loJP/RC4/Mtn/4 Rev. l Page 10 The Regional Committee CONSIDERING the decision made concerning the 1955 ?ro gramme and Budget, the need for funds for programme purposes, l!ld the recognition by Representatives of the changing fiscal picture of the Organization's Regional Progran~e that the travelling expenses of Representatives of Member and Associate ~kmber States for attendance at Sessions of Regional Committees be borne by the Manber and Assoiiate Member Governments. The Chairman then took a vote, the results of vilich werd as fol.lows: In favour Against Abstentions
RECm1MN'Jl\S
7 2
3
The Chairman declared the resol U:tion adopted.
43.
RBX>GNITION OF UNICEF ASSIS'faNCE
Dr• G.H. Yen, Cr~ef Representative of China1 stated that he was sure Qther Repres entatives shared his viel-TS in regard both to their appreciation of the generous assistance fnrn:.;.shed by UNIC:i!F and also the fine .co-operation which existed bet'\'mG.Jl the O:rganh a t ion and UNICEF in the \/estern Pacific Region. He moved the adoption of the foll,o-v:i ng dra.ft resolution:
The Regional Committee HAVll~G
NOTiD the sta t ements of . the D:Lr(~ctor-General of the W orld Health Organizat ion concerni ng t he close co..operati on b c.d:.w c en WHO and m.rr CEF1 .
CONSIDERING
the significance of this do:-oper .: \tion bet.r,reen .the two Organi zations a nd the 'ilnpo·r:tance of UNICEF 1 s contributi on to health progra.'nlllaa in the' Western Pa cific Regio~• to UNICEF the gr a titude ·o f the MezOO er . $ta:bus of the \/est;;;rn Pacifie R~ gion for ita who1e·hearted participation, and
EXPRESSES
R.l!QUliSTS
the Director-General to t,ransmit the text of this resolutj.cn to UNICEF.
Dr. Regino Padua,· Chief Representative of the Philippines, s econded the resolution a nd Dr. You Chhin, Ch.i~ f Representative of C.ambodia• also spoke in favour of its adoption.
The. Chfoji.n9an took a unanimo\lSll•
vot~
and declared the Ieswtion adoptecl
The Chairman adjourned
th~ Meeting
4\ 6:00 p.m.