OfIcial Documents

of the .* i f - . . I . . :. RARY. . I Pan American Health Organization LIERARYS No. 140 WAY 2 z '1976 i

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INIDEX 2 Financial Report of the Director and Report of the External Auditor 1 January-31 December 1975

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PAN AMERICAN HEALTH ORGANIZATION Pan American Sanitary Bureau, Regional Office of the WORLD HEALTH ORGANIZATION April 1976 Official Documents of the Pan American Health Organization No. 140 ' j IIII.DEnTp -D

Financial Report of the Director and Report of the External Auditor 1 January-31 December 1975

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PAN AMERICAN HEALTH ORGANIZATION Pan American Sanitary Bureau, Regional Office of the WORLD HEALTH ORGANIZATION 525 Twenty-third Street, N.W. Washington, D.C. 20037, U.S.A. CONTENTS REPORT OF THE DIRECTOR

Page

Letter Of Transmittal v

Introduction 1

REPORT OF THE EXTERNAL AUDITOR 9

PAN AMERICAN HEALTH ORGANIZATION FINANCIAL STATEMENTS

Exhibit 1 Statement Of Appropriations And Obligations For The 19 Year 1975 Relating To The Effective Working Budget

Exhibit 2 Statement Of Income And Expenditure For The 1975 Budget 21

Exhibit 3 Statement Of Assets And Liabilities As Of 31 December 1975 22

Exhibit 4 Statement Of Income, Expenditure And Balances Of Funds 24 For The Year 1975

Schedule 1 Working Capital Fund 25

Schedule 2 Time Deposits And Investments As Of 31 December 1975 26

Schedule 3 Statement Of Quota Contributions Due From Member 27 And Participating Governments

Schedule 4 Tax Equalization Fund - Status Of Member Governments 31 Accounts As Of 31 December 1975

Schedule 5 Statement Of Procurement Services Effected On Behalf Of 32 .Government Administrations, Public Institutions, etc.

Schedule 6 Emergency. Procurement Revolving Fund Statement Of 33 Activity During 1975

Schedule 7 Community Water Supply Fund - Statement Of Income 34 And Expenditure - Year Ended 31 December 1975

Schedule 8 Medical And Nursing Textbook Programs - Statement Of 35 Income, Expense And Funding For The Year 1975

Schedule 9 Medical And Nursing Textbook Programs - Statement Of 36 Assets And Liabilities As Of 31 December 1975

Schedule 10 Distribution Of Textbooks As Of 31 December 1975 37 - ii -

Page

Schedule 11 The Governor Shepherd Apartments - Income And 38 Expenses 1975

Schedule 12 The Governor Shepherd Apartments - Statement Of Financial 39 Position As Of 31 December 1975

Exhibit 5 CFNI - Statement Of Caribbean Governments Budget Support- 40 Income And Expenditures For 1974 and 1975

Exhibit 6 CFNI - Statement Of Assets And Liabilities As Of 31 41 December 1975

Schedule 13 CFNI - Statement Of Trust Funds As Of 31 December 1975 42

Schedule 14 CFNI - Statement Of Quota Contributions Due From Member 43 Countries As Of 31 December 1975

Schedule 15 Status Of Trust Funds As Of 31 December 1975 45

INSTITUTE OF NUTRITION OF CENTRAL AMERICA AND PANAMA

Exhibit 7 Statement Of Regular Budget Appropriations And 51 Obligations For The Year 1975

Exhibit 8 Statement Of Income And Expenditure For The 1975 Budget 52

Exhibit 9 Statement Of Assets And Liabilities As Of 53 31 December 1975

Schedule 16 Statement Of Quota Contributions Due From Member 54 Countries As Of 31 December 1975

Schedule 17 Statement Of Trust Funds As Of 31 December 1975 55

CARIBBEAN EPIDEMIOLOGY CENTER

Exhibit 10 Statement Of Income And Expenditure For The 1975 Budget 59

Exhibit 11 Statement Of Assets And Liabilities As Of 31 December 1975 60

Exhibit 12 Statement Of Trust Funds As Of 31 December 1975 61

Schedule 18 Statement Of Quota Contributions Due From Member 62 Countries As Of 31 December 1975 - iii -

Page FINANCIAL REPORT OF THE PAN AMERICAN HEALTH AND EDUCATION FOUNDATION

Introduction 67

Report Of The Auditors 71

Exhibit 13 Medical Textbook Program - Comparative Statement Of Income 73 And Expense For The Years Ended 31 December 1974 And 1975

Exhibit 14 Medical Textbook Program - Comparative Statement Of 74 Assets And Liabilities As Of 31 December 1975

Exhibit 15 Comparative Statement Of Medical Textbook Program Funding 75

Schedule 19 Statement Of Book Purchases - Medical Textbook Program 76

Schedule 20 Distribution Of Medical Textbooks As Of 31 December 1975 78

Exhibit 16 Statement Of Resources And Expenditures - Trust Funds 79 And General Funds As Of 31 December 1975

Exhibit 17 Statement Of Assets And Liabilities - Trust Funds And 80 General Funds As Of 31 December 1975

Schedule 21 Statement Of Health Program By Grantor Or Other Source 81 Of Funds As Of 31 December 1975

INFORMATIONAL ANNEX - SUMMARY AND DISTRIBUTION OF EXPENDITURES

Summary Of Expenditure By Source Of Funds 87

Summary By Object Of Expenditure - All Funds - 1975 88

Summary By Object Of Expenditure - 1975 Budget 88

Statement Of Expenditure And Sources Of Funding By Budget And 89 Individual Project - All Funds - 1975

Percentage Execution In 1975 Of Projects By Countries For The 107 Regular Budgets Of PAHO And WHO i -v -

LETTER OF TRANSMITTAL

In accordance with the provisions of Article XI of the Financial Regulations, I have the honor to submit the Financial Report of the Pan American Health Organization for the year 1 January to 31 December 1975.

The details of the presentation of the statements will be found in the Introduction.

Héctor R. cuna Director Pan American Sanitary Bureau FINANCIAL REPORT OF THE DIRECTOR

Introduction

The Financial Report of the Director and the Report of the External Auditor for the year 1975 are presented in the following sequence:

The Report of the External Auditor

PAHO Regular, Special and Trust Funds

Institute of Nutrition of Central America and Panama

Caribbean Epidemiology Center

Financial Report of the Pan American Health and Education Foundation (PAHEF)

Informational Annex - Summary and Distribution of Expenditure

Financial Activities in 1975

To facilitate an analysis of combined activities of the Pan American Health Organization and the World Health Organization, Table A presents a comparison of estimated amounts shown in the budget document (Table 1, page 6, of Official Document No. 134) with amounts actually available during the year, and amounts obligated. It is noted that, for all PAHO funds, the amount available was 102.9 per cent of the budget figure. Obligations amounted to 95.1 per cent of funds available under PAHO.

PAHO Regular - Income

As shown in Exhibit 2, total income for 1975 is $24,076,579 compared to $23,589,886 for 1974. Current year's quota collections of $22,633,032 were 91.1% of $24,856,494, the current year's assessments. This compares to 89.1% collected in 1974, 85.5% in 1973, and 84.4% in 1972. The promotion of prompt payment of quotas by the Governments continues, with deferred payment plans in effect for those'member countries most in arrears. Total income during 1975, from sources other -2-

than quotas, amounted to $584,862 compared to $1,036,019 in 1974, $819,812 in 1973, and $648,872 in 1972. The decline in miscellaneous income for 1975 was in large part due to adverse currency exchange adjustments.

PAHO Regular - Obligations

Obligations of Organizational Programs for the year amounted to $22,783,484. This amount does not include the $250,000 annual repayment to the W. K. Kellogg Foundation, which is made through a transfer to the Special Fund for Health Promotion, or the appropriation of $550,000 as an increase to the Working Capital Fund.

Detailed expenditure information appears in Official Document No. 141, 1975 column, of the Program and Budget document.

PAHO Other Funds Expenditure

Community Water Fund expenditures were $984,172 compared to $707,343 in 1974, $495,925 in 1973, and $292,047 in 1972. Contributions to this fund are from Government Agencies desiring consultant services from PAHO in the planning, administration and operation of water supply Systems.

Expenditures from Grants and Other Contributions were $3,490,163 compared to $3,707,290 in 1974, and $4,242,956 in 1973. Many private foundation grants are given to PAHEF. Expenditures from PAHEF trust funds increased to $1,632,419 from $1,394,617 in 1974, and $1,269,834 in 1973.

INCAP expenditures were $3,013,216 compared to $2,576,792 in 1974, and $2,000,035 in 1973.

Other Expenditures

In addition to expenditures shown under the respective sources of funds, the Organization disbursed an amount of $2,124,682 for supplies and equipment purchased on behalf of Governments and Public Institutions in the Americas (Refer to Schedules 5 and 6). This compares to $1,497,087 expended in 1974, and $2,067,464 in 1973.. On behalf of WHO Headquarters, other WHO Regional Offices, and other Agencies, some $2,618,000 was dis- bursed compared to $2,577,287 in 1974; these disbursements are principally in connection with payments for WHO fellows from other Regions, that are studying or traveling in the Americas and for procurement of supplies and equipment for use on projects outside the Americas. -3-

Working Capital Fund

As shown in Schedule 1, and Table B, the 1975 surplus of $493,095 and the budgeted increase in Assets (Table C) of $550,000, resulted in a $1,043,095 increase in the balance of the Working Capital Fund. As can be seen in Table C, the Fund is 36.14% of the following year's budget, slightly below the 1974 figure of 36.36%.

Tax Equalization Fund

As shown in Schedule 4, reimbursement to the Fund during the year exceeded disbursements by $468,653. Conversely, the balances owed by the affected Member Governments decreased from $635,205 in 1974 to $166,552.

Textbook Program

Financial aspects of the PAHO Textbook Program are shown in Schedules 8, 9, and 10. Net assets available for this program total $505,414 compared to $477,503 at the end of 1974.

A separate Financial Report of PAHEF included in this document provides details of the Medical Textbook Program financed with the loan from the Inter-American Development Bank.

Building Fund

Payback of funds invested in Headquarters Building No. 2, the Governor Shepherd Apartments, continues as anticipated. Through 1975 net rental incomie of $678,337 has been collected. Of this amount, $88,689 was used to reduce the mortgage on the building, and $95,252 to pay for improvements. The net rental income balance of $494,396 was returned to investment in securities. As shown in Schedule 12, net cash outlay was reduced from $581,001 to $478,672.

Caribbean Epidemiology Center

Starting with the year 1975 PAHO accepted responsibility for the administration of the Caribbean Epidemiology Center at Port Of Spain, Trinidad and Tobago. Partially supported by the Governments of the Caribbean and the United Kingdom, this Center specializes in the regional epidemiology of the Caribbean countries. - 4 -

Pan American Health And Education Foundation (PAHEF)

The financial report and report of the auditors of PAHEF are shown in a separate section of this document. Financial statements appear as Exhibits 13, 14, 15, 16, and 17.

Other

As requested by the Executive Committee a statement showing, Percentage Execution in 1975 of Projects by Countries for the Regular Budgets of PAHO and WHO is included in the Informational Annex of this document. -5-

T A B L E A ALL FUNDS - COMPARISON OF BUDGET WITH AVAILABLE FUNDS AND OBLIGATIONS (Expressed in U. S. Dollars)

(1) (2) (3) (4) (5) 1975 Percent Percent Amount Of Amount Col. (2) Amount Of Col. -(4) Fund Budget 1/ Available To Col. (1) ObliRation To Col. (2) $ $ % $ % PAN AMERICAN HEALTH ORGANIZATION

PAHO - Regular 2/ 23,653,019 23,653,019 100.0 23,583,484 99.7

PAHO - Special Fund For Health Promotion - 491,588 120,000 24.4

PAHO - Community Water Supply 1,558,182 1,388,184 89.1 984,172 70.9

PAHO - Special Fund For Research - 1,785 1,785 100.0

PAHO - Grants And Other 4,542,435 4,042,516 89.0 3,490,163 86.3

INCAP And Other Related Grants 2,115,079 3,225,211 152.5 3,013,216 93.4

Sub-total - PAHO 31,868,715 .32,802,303 102.9 31,192,820 95.1

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION 3/ 1,684,548 2,271,856 134.9 1,632,419 71.9

WORLD HEALTH ORGANIZATION

WHO - Regular 10,730,400 10,610,400 98.9 10,611,371 100.0

WHO - UNDP 10,659,043 9,020,041 84.6 6,264,373 69.4

WHO - UNFPA 6,505,617 6,529,772 100.4 5,773,331 88.4

WHO - Others 367,514 265,071 72.1 126,066 47.6

Sub-total - WHO 28,262,574 26,425,284 93.5 22,775,141 86.2

Total - All Funds 61,815,837 61,499,443 99.5 55,600,380 90.4

1/ As shown in Official Document No. 134. 2/ Includes amounts budgeted for increase to assets. -3/ Does not include Textbook Program. -6-

TABLE B PAHO REGULAR - APPROPRIATION, INCOME AND OBLIGATION 1966 - 1975 (Expressed in U. S. Dollars)

Authorized Income (Quotas Percent of Percent of Surplus or Year Appropriation and Other) Appropriation Obligations Appropriation (Deficit) $ $ % $ % $

1966 8,080,000 8,568,019 106.04 8,080,000 100.00 488,019 1967 9,115,680 9,463,073 103.81 9,115,680 100.00 347,393 1968 11,392,836 11,757,889 103.20 11,018,547 96.71 739,342 1969 12,592,836 10,341,354 82.12 12,144,534 96.44 (1,803,180) 1970 13,852,119 14,520,769 104.82 13,833,821 99.87 686,948 1971 16,520,323 16,534,850 100.09 16,147,243 97.74 387,607 1972 17,821,855 17,934,398 100.63 17,811,558 99.94 122,840 1973 19,583,540 20,044,037 102.35 19,567,932 99.92 476,105 1974 21,522,310 23,589,886 109.61 21,520,710 99.99 2,069,176 1975 23,653,019 24,076,579 101.79 23,583,484 99.71 493,095 Total 154,134,518 156,830,854 101.75 152,823,509 99.15 1/ 4,007,345 2/

1/ Percentage average for the period 1966-1975 2/ Excess of income over expenditure for the period 1966-1975

TABLE C PAHO REGULAR - WORKING CAPITAL FUND 1966 - 1975

Change During Budget Provision Year from to increase the Balance Authorized Operational Working Balance Year 1 January Budget Surplus or Deficit Capital Fund 31 December $ $ $ $ / 1966 2,839,420 35.14 488,019 40,437 3,342,876 1967 3,342,876 36.67 347,393 300,000 3,990,269 1968 3,990,269 39.16 739,342 575,898 5,280,509 1/ 1969 5,280,509 41.93 (1,803,180) 3,477,329 1970 3,477,329 25.10 686,948 150,000 4,314,277 1971 4,314,277 26.12 387,606 250,000 4,951,883 1972 4,951,883 27.79 122,840 350,000 5,424,723 1973 5,424,723 27.70 476,105 400,000 6,300,828 1974 6,300,828 29.28 2,069,176 230,000 8,600,004 1975 8,600,004 36.36 493,095 550,000 9,643,099 1976 9,643,099 36.14

1/ Figure excludes $25,000 transferred to Emergency Procurement Revolving Fund. REPORT OF THE EXTERNAL AUDITOR 1 -9-

Stockholm, Sweden 1 May 1976

Sir,

I have the honour to transmit to you the financial statements of the Pan American Health Organization with respect to the year 1 January to 31 December 1975, which were submitted to me by the Director of the Pan American Sanitary Bureau and which were examined by me.

In addition, I have the honour to present my audit report with respect to the accounts for the above mentioned period.

Accept, Sir, the assurance of my highest consideration.

Lars Lindmark External Auditor

The President Directing Council Pan American Health Organization 1 - ll -

I. REPORT OF THE EXTERNAL AUDITOR ON THE AUDIT OF THE ACCOUNTS OF THE PAN AMERICAN HEALTH ORGANIZATION FOR THE FINANCIAL YEAR 1975

TERMS OF REFERENCE

The audit of the accounts for the financial year 1975 was carried out in accordance with my instructions as set forth in Article XII of the Financial Regulations of the Organization.

In accordance therewith, I have performed such an audit of the accounts of the Pan American Health Organization including all trust funds and special accounts as I deemed necessary in order to satisfy myself:

(a) that the financial statements are in accord with the books and records of the Organization;

(b) that the financial transactions reflected in the statements have been in accordance with the rules and regulations, the budgetary provisions, and other applicable directives;

(c) that the securities and monies on deposit and on hand have been verified by certificate received direct from the Organization's depositories or by actual count;

(d) that the internal controls, including the internal audit, are adequate in the light of the extent of reliance placed thereon;

(e) that procedures satisfactory to me have been applied to the recording of all assets, liabilities, surpluses and deficits.

According to Article XII of the Financial Regulations, I am required to conduct the audit in conformity with generally accepted common auditing standards and may make observations with respect to the efficiency of the financial procedures, the accounting system, the internal financial control and, in general, the administration and management of the Organization.

SCOPE OF 1975 AUDIT

My audit of the accounts included a general review of the accounting procedures and systems of internal financial control, in addition to such tests of the financial transactions and accounting records as I considered necessary in the circumstances. - 12 -

I have reviewed the program and audit reports of the Internal Audit. The scope of my audit was coordinated with that of the Internal Audit. As in previous years, the internal auditors have examined selected areas of the financial and other operations at Headquarters as well as in the field.

The following financial statements, numbered and properly identified as follows, and supporting schedules have been examined by me:

PAN AMERICAN HEALTH ORGANIZATION:

Exhibit 1: Statement of Appropriations and Obligations for the year 1975 relating to the Effective Working Budget.

Exhibit 2: Statement of Income and Expenditure for the 1975 Budget.

Exhibit 3: Statement of Assets and Liabilities as of 31 December 1975.

Exhibit 4: Statement of Income and Expenditure and Balances of Funds for the year 1975.

INSTITUTE OF NUTRITION OF CENTRAL AMERICA AND PANAMA:

Exhibit 7: Statement of Regular Budget Appropriations and Obligations for the year 1975.

Exhibit 8: Statement of Income and Expenditure for the 1975 Budget.

Exhibit 9: Statement of Assets and Liabilities as of 31 December 1975.

CARIBBEAN EPIDEMIOLOGY CENTER

Exhibit 10: Statement of Income and Expenditure for the 1975 Budget.

Exhibit 11: Statement of Assets and Liabilities as of 31 December 1975.

Exhibit ..12: Statement of Trust Funds as of 31 December 1975. - 13 -

CARIBBEAN FOOD AND NUTRITION INSTITUTE

Exhibit 5: Statement of Caribbean Governments' Budget Support - Income and Expenditure for 1974 and 1975.

Exhibit 6: Statement of Assets and Liabilities as of 31 December 1975.

Traditionally, the audit report has supplemented the Financial Report with various statistical data on the financial situation of PAHO, the payments of arrears in quota contributions, etc. I am of the opinion that information of this kind should preferably be presented in the Financial Report itself. PAHO might consider reshaping this report so as to give the general reader a better overall picture and at the same time present all relevant facts necessary for the assessment of PAHO's activities from the economic point of view. Furthermore, the various exhibits and schedules should, in my opinion, be given a more uniform format.

COMMENTS ON THE FINANCIAL STATEMENTS

Exhibit 1:

An amount of $668,000, chiefly to cover increased administrative costs, was transferred from Parts I, II and IV in the Budget to Part III. The transfers were covered by specific resolution or were within the limits of the Financial Regulations.

The costs for Administrative Direction, Exhibit 1 Part III, were $4,597,369. However, due to the change made in the budget classification, this figure is not directly comparable to Headquarters' costs in the Financial Report for 1974 ($4,825,720).

The total obligations 1975 from all funds under PAHO's administration amounted to $55,600,380 (1974: $47,042,458). This is an increase of 18% compared to 1974.

Exhibit 2:

Quota contributions due from Member Governments and Participating Governments showed the following balances at year end 1973-1975: Balances of Contributions Current Year Prior Years Total

31 December 1973 2,917,845 2,578,437 5,496,282 31 December 1974 2,423,457 1,791,358 4,214,815 31 December 1975 2,223,462 1,752,656 3,976,118 - 14 -

During 1974 there was a substantial reduction in outstanding con- tributions and also in 1975 a certain reduction has been achieved. The net reduction of arrears for "prior years" was $38,702 during 1975.

Since PAHO continues to carry an amount of $483,233 as an outstanding accounts receivable as to a Member Government which does not recognize it as a quota contribution, a decision should be taken by PAHO on how to settle the amount.

Exhibit 3:

The conversion of local currencies to US Dollars has been made in conformity with UN official conversion rates. The amount of local currencies shown as cash is $1,102,138; however it should be noted that variations in convertibility as well as exchange rates may cause sudden changes in the situation. Out of the Time Deposits PAHO had the equivalent of $30,000 invested in non-convertible currency in the Dominican Republic.

The value of non-expendable inventories at Headquarters as of 31 December 1975 totalled $1,361,854.22. Although it is not reported in the amounts as an asset, inventory lists are prepared, both at Headquarters and in the field, in order to assure an effective custody of the physical assets of the Organization.

The composition of the amount for Land and Buildings total in Exhibit 3 is:

Location Dollar Value

Headquarters Building 6,819,518.96 Zone I Building 208,644.79 Zone III Building 96,391.60 Zone IV Building 125,940.35 Zone V Building 100,000.00 Zone VI Building 116,560.82

Total 7,467,056.52

In accordance with recommendations in previous audit reports satisfactory.action has been taken to reduce certain advances to employees.

The Special Fund for Health Promotion is covering the losses on the Medical and Nursing Textbook Program. The sale of textbooks has not produced sufficient margin to cover costs. Expenses exceeded income in 1975 by $92,089, which is somewhat more than in 1974.

The Working Capital Fund amounts to $9,643,099 as at 31 December 1975 or about 36% of the following years budget, which is satisfactory. - 15 -

OTHER QUESTIONS

Observations made during the year and in connection with the year-end audit have been taken up directly with the Administration and settled accordingly.

During my audit I have obtained all the information requested, and I wish to express my appreciation for the assistance rendered by the officers of the Organization.

AUDIT OPINION

I have examined the financial statements, numbered Exhibit 1 to 12 properly identified, and relevant schedules of the Pan American Health Organization for the year ended 31 December 1975.

My examination included a general review of the accounting pro- cedures and such tests of the accounting records and other supporting evidence as I considered necessary in the circumstances.

As a result of my examination, I am of the opinion that the financial statements properly reflect the recorded financial trans- actions for the year, which transactions were in accordance with the Financial Regulations and legislative authority and present fairly the financial position as at 31 December 1975.

Lars Lindmark External Auditor

Stockholm, Sweden 1 May 1976 1

1 PAN AMERICAN HEALTH ORGANIZATION FINANCIAL STATEMENTS 1 - 19 -

Exhibit 1

PAN AMERICAN HEALTH ORGANIZATION STATEMENT OF APPROPRIATIONS AND OBLIGATIONS FOR THE YEAR 1975 RELATING TO THE EFFECTIVE WORKING BUDGET (Expressed in U. S. Dollars)

Appropriations Obligations Purpose of Appropriations Original Transfers Effective Liquidated Unliquidated Total

PART I - PROGRAM OF SERVICES 10,250,506 (378,000) 9,872,506 9,355,113 517,379 9,872,492

PART II - DEVELOPMENT OF THE INFRASTRUCTURE 8,256,899 (279,000) 7,977,899 7,431,785 476,985 7,908,770

4,597,369 PART III - ADMINISTRATIVE DIRECTION 3,929,614 668.000 4,597,614 4,235,707 361,662

404,853 PART IV - GOVERNING BODIES 416,000 (11,000) 405,000 392,472 12,381

/ 550,000 PART V - INCREASE TO ASSETS 550,000 550,000 550,000 1

PART VI - SPECIAL FUND FOR HEALTH PROMOTION 250,000 - 250,000 247,164 2,836 250,000

TOTAL EFFECTIVE WORKING BUDGET (PARTS I - VI) 23,653,019 2/ 23,653,019 22,212,241 1,371,243 23,583,484

1/ Transferred to the Working Capital Fund. 2/ Does not include Part VII - Staff Assessment which is the tax equalization net credits against the gross assessments.

For the Director Pan American Sanitary Bureau

William H. Childress, Jr. Chief,.Department of Budget and Finance 1

0 - 21 - Exhibit 2

PAN AMERICAN HEALTH ORGANIZATION STATEMENT OF INCOME AND EXPENDITURE FOR THE 1975 BUDGET (Expressed in U.S. Dollars)

INCOME

Contributions from Member and Participating Governments (Schedule 3)

Receipts from 1975 Assessments 22,633,032 Less: Transfer to Tax Equalization Fund 19-75 1,603,475 21,029,557 Receipts from Prior Years' Assessments 2,462,1'60 23,491,717

Miscellaneous 1/ Investment Income 546,701 Service Fees for Procurements 57,683 Sale of Equipment 8,843 Sale of Publications 20,905 Return of Pension Contributions for Terminated Staff 131,058 Currency Exchange Adjustments (375,532) Sundry 2/ 53,574 443,232

Excess of Reserve for Unliquidated Obligations 1974 141,630

Total Income 24,076,579

EXPENDITURE

Personnel Costs 17,417,025 Duty Travel 847,291 Fellowships 452,993 Seminars 369,903 Project Supplies and Equipment 585,475 Project Grants and Other 740,913 Non-Project Supplies and Equipment 1,167,661 Non-Project Common Services and Other 1.202,223 22,783,484

Excess of Income over Expenditure 1,293,095

Less: Appropriations - Contribution to Special Fund for Health Promotion (Part VI) 250,000 To Increase Working Capital Fund (Part V) 550,000 800,000

SURPLUS - Transferred to Working Capital Fund 493,095

1/ Does not include $122,883 Net Rental Income from the Governor Shepherd- Apartment Building. Income from this building is retained in a Special Account, pending accumulation equal to cost of the building. 2/ Proceeds from various refunds and adjustments for items expended in prior years.

For the Director Pan American Sanitary Bue~

William H. Childress, Jr. Chief, Department of Budget and Finance - 22 -

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Schedule 1

PAN AMERICAN HEALTH ORGANIZATION WORKING CAPITAL FUND (Expressed in U. S. Dollars)

Unreturned Gross Working Cash Outlay Net Capital Fund Governor Shepherd Available

BALANCE 31 DECEMBER 1974 8,600,004 (581,001) 8,019,003 Add: Net Cash Return Governor 102,329 102,329 Shepherd Apartménts Budget Provision 1975 550,000 550,000 (Exhibit 2) Excess of Income over Expense 493,095 493,095 (Exhibit 2)

BALANCE 31 DECEMBER 1975 L471,6721 - 26 -

Schedule 2

PAN AMERICAN HEALTH ORGANIZATION TIME DEPOSITS AND INVESTMENTS AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

Description Amount

TIME DEPOSITS U. S. Dollars Maturing 27 January 1976 at 5.50% 700,000 Maturing 27 January 1976 at 5.50% 1,300,000 ;Maturing 3 February 1976 at 5.50% 1,000,000 Maturing 12 February 1976 at 5.50% 500,000 Maturing 25 February 1976 at 5.875% 700,000 Maturing 25 February 1976 at 5.875% 1,500,000 Maturing 2 March 1976 at 5.75% 700,000 Maturing 19 March 1976 at 6.00% 1/ 1,400,000 7,800,000

Dominican Republic Pesos (On Call) at 7.50% 30,000

U. S. OF AMERICA TREASURY BILLS Maturing 8 January 1976 198;401 Maturing 29 April 1976 491,227 689 628 Sub-total 8,519,628 REPURCHASE AGREEMENT 31 December 1975 - 2 January 1976 at 3.75% 1,130,000 31 December 1975 - 2 January 1976 at 3.75% 3,965,000 5,095,000

Sub-total 13,614,628

NET INVESTMENT GOVERNOR SHEPHERD 2/ 478,672

Total Funds Invested 14,093,300

1/ Pledged as security for the IADB loan to PAHEF. 2 / See Schedule 12. - 27 - Schedule 3

PAN AMERICAN IfEALTH ORGANIZATION STATEMENT OF QUOTA CONTRIBUTIONS DUE FROM MEMBER GOVERNMENTS AND PARTICIPATING GOVERNMENTS 1975 BUDGET AND PRIOR YEARS (Expressed in U. S. Dollars)

Member And Participating Amount Due Collected Balance Due Governments Year 1 January 1975 During 1975 31 December 1975

Argentina 1975 1,598, 739 1,598.739

Bahamas 1975 12,963 12,963 1974 11,832 11,832 24, 795 24, 795

Barbados 1975 17,284 17, 284

Bolivia 1975 41,049 41,049 1974 63,140 63,140 1973 57,501 57,501 1972 54,065 14,877 39,188 1971 46,171 46,171 1970 41,808 41,808 1969 7,044 7,044 310, 778 109, 900 200,878

Brazil 1975 1,598,739 1,598,739 1974 1.280,563 1,280,563 2,879,302 1,280,563 1,598,739

Canada 1975 1,471 271 1,471,271

Chile 1975 291,662 291,662 1974 321,620 321,620 1973 197,893 197,893 811, 175 197, 893 613,282 Colombia 1975 334,005 334,005

Costa Rica 1975 41,049 26,368 14,681 1974 42,879 42,879 83 928 69, 247 14,681

Cuba 1975 229,009 225,682 3,327 1974 27,181 27, 181 256,190 252,863 3,327 - 28 -

Schedule 3 (continued)

Member and Participating Amount Due Collected Balance Due Governments Year 1 January 1975 During 1975 31 December 1975

Dominican Republic 1975 41,049 41,049 1974 63,140 63,140 1973 57,501 57,501 1972 54,065 54,065 1971 46,171 46,171 1970 41,808 41,808 1969 37,981 8,559 29,422 1968 34,444 34,444 1967 27,654 27,654 1966 8.490 8,490 412, 303 79, 147 333,156

Ecuador 1975 41,049 41,049 1974 10,751 10,751 51,800 51, 800

El Salvador 1975 41,049 41,049 1974 63,140 63,140 1973 53,813 53 813 158,002 53,813 104 189

France 1975 41,049 41,049

Guatemala 1975 62, 653 62, 653

Guyana 1975 41,049 41,049

Haiti 1975 41,049 41,049 1974 63,140 63,140 1973 43,534 43,534 1972 54,065 54,065 1971 46,171 46,171 1970 41,808 41,808 1969 37,981 32,773 5,208 1968 34,444 34,444 1967 1.725 1,725 363. 917 68,942 294 975'

Honduras 1975 41,049 41,049 1974 2,085 2,085 43, 134 43, 134 - 29 -

Schedule 3 (continued)

Member and Participating Amount Due Collected Balance Due Governments Year 1 January 1975 During 1975 31 December 1975

Jamaica 1975 41,049 41,049

Kingdom of the Netherlands 1975 41,049 41,049

Mexico 1975 1,786,698 1,786,698 1974 125,801 125,801 1,912,499 1,912,499

Nicaragua 1975 41,049 41,049 1974 63, 140 63, 140 104,189 104,189

Panama 1975 41,049 41,049 1974 26, 225 26, 225 67,274 67, 274

Paraguay 1975 41,049 41,049 1974 63,140 63,140 1973 57,501 57,501 1972 54,065 54,065 1971 46,171 42,076 4,095 1970 22, 973 22, 973 284,899 65,049 219,850

Peru 1975 144,751 144,751 1974 73,131 73,131 217, 882 217, 882

Trinidad & Tobago 1975 41,049 41,049

United Kingdom 1975 41,049 32,686 8,363 1974 10,081 10,081 51,130 42, 767 8,363

United States 1975 15,862,028 15,862,028 Of America 1968 483,233 483,233 16,345,261 15,862,028 483,233 - 30 -

Schedule 3 (continued) 1 Member and Participating Amount Due Collected Balance TDue Governments Year 1 January 1975 During 1975 31 December 1975

Uruguay 1975 125,307 23,862 101,445 1974 112,468 112,468 1973 101,278 101,278 339,053 237, 608 101,445

Venezuela 1975 664,601 664, 601

Total 29,071,309 25,095, 191 3.976. 118

Amount Consisted Of:

Current Year 24,856,494 22,633,032 2,223,462 Prior Years 4,214,815 2,462,159 1,752,656

Total 29,071,309 25,095,191

DEFERRED PAYMENT PLANS 1/ (Amounts Due Under Plan) (Expressed in U. S. Dollars)

Balance Due Total Due Received in 1975 Current Installment in 1975 in 1975 Under Plan

Bolivia 41,049 26,973 68,022 68,022 Haiti 41,049 16,143 57,192 57,192 Paraguay 41,049 24,385 65,434 65,049 385 Dominican Republic 41,049 37,126 78,175 78,175 Uruguay 125,307 21,375 146,682 146,682

1/ The deferred payment plans consist of an installment on all arrears to be paid in addition to the current years quota. Those payments received in excess of the amount called for under the plan, are reflected in the Collected Column of Schedule 3. Schedule 4 - 31 -

PAN AMERICAN HEALTH ORGANIZATION TAX EQUALIZATION FUND STATUS OF MEMBER AND PARTICIPATING GOVERNMENTS ACCOUNTS AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

Credits Apportionment Available From Tax To To Cover Tax Taxes Balance Due Equalization Member Reimbursements Reimbursed Balance Due Member Governments 31 December 1974 Fund Governments To Staff To Staff 31 December 1975

Colombia 259 54,187 52,893 1,294 760 (275)

United States of America 641,573 2,322,322 719,322 1,603,000 1,131,520 170,093

Venezuela (6,627) 108,376 109,195 (819) 2,542 (3,266)

Other Members and Participating Governments 1 302 256 l',302 256

Total 3.787,141 2,183 666 - 32 - Schedule 5

PAN AMERICAN HEALTH ORGANIZATION - PROCUREMENT FUND AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

Balance Balance Source of Funds 31 December Received Expendi.ures Refunds 31 December 1974 1975 I975 1975 1975 1/

Argentina 147,359 58,495 49,876 9,250 146,728

Belize 43 3 40

Bolivia 25,085 120,574 16,7-30 128,929

Brazil 227,621 187,140 312,519 4,120 98,122

British Virgin Islands - 572 572

Chile 64,659 21,140 7,830 77,969

Colombia 498,935 153,058 509,518 5,913 136,562

Costa Rica 14,015 54,943 63,642 118 5,198

Cuba 35,267 43,206 54,849 23,624

Dominican Republic 12,741. 20,988 16,810 16,919

Ecuador 650,827 454,771 557,778 4,668 543,152

El Salvador 13,373 161,137 88,018 86,492

Guatemala 3,811 11,237 5,961 9,087

Guyana 3,610 66,965 59,413 11,162

Haiti 37,969 37,657 210 102

Honduras 1,351 12,360 2,217 143 11,351

Jamaica 139 139

Mexico 119,166 59,370 30,222 70 148,244

Montserrat 512 145 367

Netherlands Antilles 222 222

Nicaragua 4,652 74,611 36,545 42,718

Panama 13,791 257,360 200,354 70,797

Paraguay 2,609 10,103 12,712

Peru 3,312 7,576 7,077 3,811

St. Vincent 413 413

Surinam 214 214

Trinidad and Tobago 882 282 600

Uruguay 3,987 2,097 656 5,428

Venezuela 41,680 13,818 43,365 12,133

West Indies 671 671

Artificial Electronic Larynx Revolving Fund 9.157 6,244 6.778 87 8.536 Total 1,938,073 1,797,765 2,108,245 24,579 1,603,014 ======_ ======

1/ This net balance reflects $8,423 due from and $1,611,437 due to separate Ministries of Governments. - 33 - Schedule 6

PAN AMERICAN HEALTH ORGANIZATION EMERGENCY PROCUREMENT REVOLVING FUND STATEMENT OF ACTIVITY DURING 1975 (Expressed in U. S. Dollars)

Balance Due Transfer To Balance Due 31 December Expenditure Reimbursement Procurement 31 December Country 1974 During 1975 During 1975 Fund 1975

Bolivia 13,099 10,315 2,784

Chile 5,502 5,502

Dominican Republic (1,223) 3,920 1,223 (3,920)

El Salvador 4,719 4,719

Nicaragua 1,354 1,354

Paraguay 3,338 3,338

Surinam 539 539

Uruguay 5,928 5,928

Venezuela

Total

STATUS OF FUNDS AS OF 31 DECEMBER 1975

Authorized Emergency Fund 125,000 Less: Net Amount Due PAHO 3,583 121,417 Unliquidated Obligations 37, 393 Net Available for Purchases 84,024 - 34 - Schedule 7

PAN AMERICAN HEALTH ORGANIZATION COMMUNITY WATER SUPPLY FUND STATEMENT OF INCOME AND EXPENDITURE FOR THE YEAR 1975 (Expressed in U. S. Dollars)

BALANCE AS OF 31 DECEMBER 1974 237,432

INCOME RECEIVED OR RECEIVABLE

Bolivia 11,318 Brazil 732,262 Colombia 41,697 Costa Rica 55 Dominican Republic 89,320 Ecuador 35,040 Honduras 74,806 Jamaica 52,480 Nicaragua 27,992 Venezuela 42,177 1,107,147

Interest Earned 16,474 Miscellaneous Income 115 Excess of Reserve for Unliquidated Obligations; Year 1973 9,891 Year 1974 17,125

Total Available 1,388,184

EXPENDITURES Personnel Costs 775,506 Duty Travel 110,095 Fellowships 8,490 Seminars 15,728 Project Supplies and Equipment 3,551 Project Grants and Other 70,802

Total Expenditures 984,172 1/ BALANCE AS OF 31 DECEMBER 1975 404,012

1/ Amount consists of : Disbursements 915,840 Unliquidated Obligations 68,332 984,172 - 35 - Schedule 8

PAN AMERICAN HEALTH ORGANIZATION MEDICAL AND NURSING TEXTBOOK PROGRAMS STATEMENT OF INCOME, EXPENSES AND FUNDING FOR THE YEAR 1975 (Expressed in U. S. Dollars)

INCOME

Sale of Textbooks 1/ 65,906 Less: Cost of Books Sold 2/ 51,561 14,345 Investment Income 26,023 Income from Excess of Reserves for 1974 Unliquidated Obligation -- 147 40,515

EXPENSES

Personnel Costs 78,385 Short Term Consultants 14,598 Duty Travel 7,798 Contractual Services 19,329 Supplies and Common Services 9,569 Books Lost and Damaged 717 Books Used for Promotion 566 University Services 1,642 132,604 3/ FUNDING

Special Fund for Health Promotion to Cover Operating Expense

INREASE IN NET AVAILABLE ASSETS

1/ Includes 1974 sales reported late and does not include some 1975 sales not reported at closing.

2/ Cost of Books 49,067 Freight 2,069 Exchange Differences 425 51,561

3/ Includes $120,000 Support to PAHEF Textbook Program - 36 - Schedule 9

PAN AMERICAN HEALTH ORGANIZATION MEDICAL AND NURSING TEXTBOOK PROGRAMS STATEMENT OF ASSETS AND LIABILITIES AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

ASSETS

Funds On Deposit With PAHO 270,830 Accounts Receivable From Students 1/ 3,406 Inventory of Textbooks 252,943

Total Assets 527_179

LIABILITIES

Payable to Universities 2,363 Collections Without Sales Reports 346 Payable to Publishers 19,056 Total Payables 21,765

PROGRAM NET EQUITY 505,414

Total Liabilities and Equity 527_179

PROGRAM NET EQUITY

Balance as of 31 December 1974 477,503 Net Increase for 1975 27,911 Total 31 December 1975 505,414

1/.Net of Reserves for uncollectables $127 Schedule 10 - 37 -

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PAN AMERICAN HEALTH ORGANIZATION THE GOVERNOR SHEPHERD APARTMENTS INCOME AND EXPENSES - 1975 (Expressed in U. S. Dollars)

RENTAL INCOME 308,016 1/

Less:

Expenses-

Payroll and payroll taxes 48,282 Utilities 62,714 Telephone (Net) 2,896 Insurance 3,180 Repairs - Maintenance 30,566 Licenses 92 Other Expenses 10,602 158,332 2/

Sub-total 149,684

Less:

Management Fee 8,787 3/ Interest on Mortgage 18,014 26,801

Net rental income 122,883

1/ Includes-$34,800 PAHO office rents 2/ This schedule is presented to show for the period the net cash 3/ return toward repayment of the original cash outlay for purchase of the building, thus no depreciation is included. 3/ Health Facilities Administration management (HFA) fee 2.85%. The HFA management was discontinued on 1 June 1975 and the building is now under independent management. - 39 - Schedule 12

PAN AMERICAN HEALTH ORGANIZATION THE GOVERNOR SHEPHERD APARTMENTS STATEMENT OF FINANCIAL POSITION AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

ASSETS

Accounts Receivable 1,767

Office Equipment 320

Land and Building: Closing Cost 1,410,834 Improvements 95,252 1,506,086 1/

Total 1.508.173

LIABILITIES AND EQUITY

Accounts Payable 2,087

Mortgage Payable 349,077

PAHO Equity: Original net cash invested 973,068 Improvements 95,252 Reductions in Mortgage 88,689

Total 1,50-8 17-

1/ A second trust dated 5 February 1971 in the amount of $1,040,000 has been placed on the property as security for the Textbook Loan under the PAHEF-IADB-RIGGS BANK agreement.

RECOVERY OF INVESTMENT

Initial Cash Outlay 973,068 Net Income from Operations 678,337 Less: Outlay for Improvements 95,252 Payment on Mortgage 88,689 494,396

Unreturned Cash Outlay 478, 672 Exhibit 5 - 40 -

CARIBBEAN FOOD AND NUTRITION INSTITUTE ADMINISTERED BY PAN AMERICAN HEALTH ORGANIZATION STATEMENT OF CARIBBEAN GOVERNMENTS BUDGET SUPPORT INCOME AND EXPENDITURES FOR 1974 AND 1975 (Expressed in U. S. Dollars)

1974 1975

Income

Contributions From Caribbean Governments-

Receipts From Current Assessments 26,772 23,200

Receipts From Prior Years Assessments 11,654 26,436

Total Available 38,426 49,636

Expenditures

Personnel Costs 63,190 82,373

Seminar Costs 3,598 1,452

Common Services 5,445

Total Expenditures 72,233 83,825

Net Results From Operations 1/ (33,807) (34,189)

1/ Advanced from PAHO Funds

For the Director Pan American Sanitary Bup-eau_

CARIBBEAN FOOD AND NUTRITION INSTITUTE ADMINISTERED BY PAN AMERICAN HEALTH ORGANIZATION STATEMENT OF ASSETS AND LIABILITIES AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

ASSETS

Cash On Hand And In Banks 9,179 Accounts Receivable- Quota Contributions Receivable (Schedule 14) 38,960 Less: Reserves for Uncollected Contributions 38,960

Project Expenditures Awaiting Reimbursement 40,480

Total 49,659

LIABILITIES

Accounts Payable - PAHO 93,471 Advance Quota Payments - CFNI 97,100

TRUST FUNDS (Schedule 13) 28,088

WORKING CAPITAL FUND

Balance 31 December 1974 (41,340) Excess of Expenditures over Income 1975 (34,189) (75,529) 1/

Total 49,659

1/ Includes $36,569 charged to the 1975 PAHO Regular Budget.

For the Director Pan American Sanitary Bur 7

William H. Childress, Jr. Chief, Department of Budget and Finance - 42 - Schedule 13

CARIBBEAN FOOD AND NUTRITION INSTITUTE ADMINISTERED BY PAN AMERICAN HEALTH ORGANIZATION STATEMENT OF TRUST FUNDS AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

Unobligated Received Or Contribution Adjustments Unobligated Balance Receivable To Project And Balance ,< Grants 31 December 1974 During 1975 Costs Transfers 31 December 1975\

Ford Foundation

Caribbean Food and Nutrition Institute 22,229 20,000 28,501 13,728

Freedom From Hunger Campaign, United Kingdom Committee

Caribbean Food and Nutrition Institute 789 789

NICEF

Caribbean Food and Nutrition Institute 63,051 63,051

Nutrition Training Program 7,123 7,123

Caribbean Food and Nutrition Institute (Maurice Pate Award) 15,000 640 14,360

Total 23,018 105,174 99,315 789 28,088 - 43 - Schedule 14

CARIBBEAN FOOD AND NUTRITION INSTITUTE ADMINISTERED BY PAN AMERICAN HEALTH ORGANIZATION STATEMENT OF QUOTA CONTRIBUTIONS DUE FROM MEMBER COUNTRIES AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

Amount Due Collected Balance Due Member Countries Year 1 January 1975 During 1975 31 December 1975

Antigua 1975 477 477 1974 240 240 717 717

Barbados 1975 4,982 4,982 1974 4,982 4,982 1973 4,982 4,982 14,946 14,946

Bermuda 1975 562 562

Belize 1975 477 477 1974 477 477 1973 477 477 1,431 477 954

British Virgin Islands 1975 101 101

Cayman Islands 1975 101 101

Dominica 1975 477 477 1974 435 435 912 912

Guyana 1975 6,572 6,572

Grenada 1975 477 477

Jamaica 1975 19,610 14,433 5,177 1974 19,610 19,610 1973 5,177 5,177 44,397 39,220 5,177

Montserrat 1975 159 159 1974 159 159 1973 159 159 477 477

St. Kitts -Nevis- Anguilla 1975 477 477 1974 477 455 22 1973 477 477 1,431 932 499 - 44 -

(Schedule 14 cont)

Amount Due Collected Balance Due Member Countries Year 1 January 1975 During 1975 31 December 1975

St. Lucia 1975 477 477

St. Vincent 1975 477 477 1974 477 477 1973 477 477 1,431 1,431

Trinidad & Tobago 1975 14,310 14,310

Turks & Caicos Islands 1975 85 85 1974 85 85 1973 84 84 254 254

Total 88, 596 49,636 38,960

Amounts Consisted of:

Current Year 49,821 23,200 26,621 Prior Years 38,775 26, 436 12,339 Total 88,596 49,636 38,960 - 45 - Schedule 15

PAN AMERICAN HEALTH ORGANIZATION STATUS OF TRUST FUNDS AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

Unobligated Received or Adjustments Unobligated Balance Receivable And Project Balance Particulars 31 December 1974 During 1975 Transfers Costs 31 December 1975

GRANTS AND CONTRIBUTIONS FOR HEALTH PROJECTS

American Cancer Society

Survey On Smoking Patterns In Latin America 262 262 2/

Government Of Argentina

Contribution To Pan American Zoonoses Center - 96,260 - 96,260 - Latin American Center For Medical Administration 159,893 47,058 - 188,523 18,428

Asociaci6n Demográfica Costarricense

Family Health And Population Dynamics 22,403 - 22,403

Government Of Bahamas

Development Of Health Services 839 - - 839

Government Of Barbados

Waterworks Administration 6,000 - - 6,000

Benficencia Cundinamarca

Hospital Administration In Cundinamarca 2,352 - 2,352

Government Of Brazil

Library Of Medicine 235,727 - 200,834 34,893 National Veterinary Reference And Training Laboratory 249,377 - 6,386 242,991 Development Of Human Resources 27,652 - 27,652 - Symposium On Trypanosomiasis Research 8,264 - 8,264 Technical Assistance And Training In Foot-And-Mouth Disease 22,197 - 22,197 - Veterinary Public Health 93,728 - - 56,553 37,175

Government Of Cameron

Emergency Relief And Rehabilitation Services (Nicaragua) 2,250 - - - 2,250

Góvernment Of Canada

Health Planning 39,031 - 39,031 Conference On Health Manpower Planning 5,447 14,418 - 19,865

Canadian International Development Authority

Caribbean Basin Water Management Program - 97,000 - 8,123 88,877 Conference On Health Manpower Planning 6,308 - 37 6,271 Emergency Assistance In Honduras 18,084 - - 18,084 Nutrition 20,025 26,950 - 30,024 16,951 Water Supply And Sewerage System In Belize City 121,158 73,648 - 194,806

CILAC

Epidemiology Of Chronic Diseases 2,000 - 2,000

Government Of Colombia

Development Of Health Services 2,291 - 2,291 Medical Care Administration 62,536 - 62,536

Commonwealth Fund

Library Of Medicine 15,448 - - 15,448

Companhia Estadual De Tecnologia De Saneamento Basico (CETESB)

Research On Environmental Pollution Control Program In Sgo Paulo 6,000 6,000

Corporaci6n Aut6noma Regional Del Cauca

Development Of The Río Cauca Waterehed - Colombía 12,990 19,429 13,700 18,719 - 46 - Schedule .15 (Cont.)

Unobligated Received or Adjustments Unobligated Balance Receivable And Project Balance 1975 Particulara 31 December 1974 During 1975 Transfers Costs 31 December

Government Of Dominican Republic

Nursing Education 6,000 6,000

Government Of Ecuador

Malaria Eradication - 2,640 - 2,640 26,812 70,188 Medical Care Services 4,800 92,200 - Planning And Equipping Of Hospitals And Other Health Facilities - 25,200 - 11,550 13,650

Escola Paulista De Medicina

Library Of Medicine - 4,201 - 4,201 -

Ford Foundation

Latin American Center For Perinatology And Human Development 16,212 - - 15,361 851

Government Of Guatemala

Unified Food Control Laboratory 531 55,000 - 54,527 1,004 25,000 - VIII Ricaz Meeting - 25,000 -

Government Of Guinea

Emergency Relief And Rehabilitation Services (Nicaragua) 1,955 690 1,265

Friends Of Honduras

Emergency Assistance (Honduras) 1,898 - 1,898 -

Honduras Emergency Committee

Emergency Assistance (Honduras) - 29,000 29,000

Government Of Honduras

Hospital Planning And Administration 85,094 - 85,094

Instituto Ecautoriano de Obras Sanitarias

Medical Care Administration - 8,000 - 8,000

Instituto Ecuatoriano de Seguridad Social 994 Health Services 7,805 - - 6,811 15,150 - Medical Care Services 15,150 - -

Inter-American Development Bank

136 - 136 - Water Meters 69,108 - Vaccine Production Plant - 69,108 -

International Research And Development Center

Evaluation of El Imperial Water Treatment Plant - 10,353 - - 10,353

International Sugar Foundation

Dental Epidemiology 2,487 8,937 - 11,424 -

International Union Against Tuberculosis

Tuberculosis Control - 3,000 - - 3,000

Johns Hopkins University

Health Planning And Organization (Zone I) 300 - 300 -

Medical Research Council

Effects Of Iodine Deficiency And Its Correction On The Mental Performance Of Children 5,118 - 5,118

Medtronic 7.188 Symposium On Trypanosomiasis Research 23,729 16.541 - 47 -- 4 7 Schedule 15 (Cont.)

Unobligated Received or Adjustments Unobligated Balance Receivable And Project Balance Particulars 31 December 1974 During 1975 Transfers Costs 31 December 1975

Merck Sharp and Dhome International

Control of Cardiovascular Diseases - 10,484 1,677 8,807 Conference On The Use Of South American Primates For Biomedical Research - 26,000 23,836 2,164

National Academy Of Sciences

Census of Primates 28,000 28,000

OrRanization Of American States

Emergency Assistance - Bolivia 26 - - - 26 Emergency Assistance - Chile 95,100 - - 95,100 - Emergency Assistance - Honduras 85,000 - - 56,259 28,741 Emergency Assistance - Paraguay 675 - - - 675 Emergency Preparedness 2,604 3,000 - 5,604 -

Government Of Paraguay

Foot-And-Mouth Disease Control 36,174 27,068 45,436 17,806 Veterinary Public Health - 16,294 16,294 -

Government Of Peru

Pan American Sanitary Engineering Center 73,326 87,232 120,439 40,119 Nutritional Health Laboratories - 26,500 - 18,568 7,932

Research Corporation

Development of Nutrition Recuperation Centers in Peruvian Highlands 1,516 - 1,516 1/ - - Nutrition - Portoviejo, Ecuador 8,863 - 8,863 1/ - -

Government Of State Of Sao Paulo

Library Of Medicine - 80,454 - 80,454 -

Government Of Surinam

Aedes Egypti Eradication 6,000 6,000 -

Government Of Thailand

Emergency Relief And Rehabilitation Services -Nicaragua 685 - - 685

Government Of Trinidad And Tobago

Health And Maintenance Services 13,843 13,843

UNESCO

Study Of Foreign Medical Students In Latin America 3,697 - 3,697

UNICEF

Education And Training Of Paramedical Personnel - Caribbean 9,663 - - 2,083 7,580 Social Pediatrics Program In Central America 36,426 48,000 - 64,189 20,237 National Food And Nutrition Policies - 10,154 - 10,154 - Needs And Conditions Of The Working Woman In Latin America - 10,000 - 9,206 794

United Nations Environment Program

Seminar On Bioenvironmental Control Of Malaria - 6,300 - 5,111 1,189

United Nations Economic Commission For Latin America

Pan American Sanitary Engineering Center 1,212 - 1,212 - University Of Oklahoma

Pan American Sanitary Engineering Center - 6,193 - 6,193 - 48 - Schedule 15 (Cont.)

Unobligated Received or Adjustments Unobligated Balance Receivable And Project Balance

v«L L sSusoL 31 December 1974 During Transfers Costs 31 December 1975

U. S. Department Of The Army

Conference On Mycology 2,925 2,925 Infectious Diseases Along The Trans Amazon Highway 42,897 42,897 Infectious Diseases Along The Trans-Amazon And Cuiraba-Santarem Highways 69,685 427,200 282,817 214,068 Mycology Research Training 2,336 2,336 Investigation And Control Of Dengue Fever - Colombia 218 218 1/ -

U. S. Department Of Health. Education And Welfare

Center For Disease Control- Rabies Control Mexico - United States Border 70,543 70,543 National Institute Of Mental Health And National Institute On Alcohol Abuse And Alcoholism- Epidemiology In Alcoholism 152,458 152,458 National Institutes Of Health (NIH) Latin American Cancer Research Information Center 10,570 10,570 Conservation Of Non-Human Primates 3,732 3,732 General Funding By National Institutes Of Health 178,922 (152,458) 3/ 26,464

Government Of Venezuela

National System Of Maintenance And Engineering Of Health Care Facilities 8,770 8,770 Veterinary Public Health (Program Of Animal Health) 362,236 168,890 193,346 Standards In Nursing Practices 3,505 3,505

The Wellcome Trust

Conference On Mycology 4,780 1,663 3,117 Research Training On Biomedical Sciences 1,847 1,847 Symposium On Research And Control Of Onchocerciasis 5,061 1,183 3,878 Symposium On Trypanosomiasis Research 3,525 3,525

World Health Organization

Pan American Sanitary Engineering Center 6,000 5,000 11,000

Total 1,313,605 10952 8 O38 27 1,176,298

1/ Refunds 2/ Adjustments 3/ Transfer From.NIH General Funding To PAHO Specific Projects INSTITUTE OF NUTRITION OF CENTRAL AMERICA AND PANAMA 1 - 51 - Exhibit 7

INSTITUTE OF NUTRITION OF CENTRAL AMERICA AND PANAMA ADMINISTERED BY THE PAN AMERICAN SANITARY BUREAU STATEMENT OF REGULAR BUDGET APPROPRIATIONS AND OBLIGATIONS FOR THE YEAR 1975 (Expressed in U. S. Dollars)

Regular Budget For 1975

Appropriations

Assessments 250,000 Miscellaneous Income

Total

Obligations And Provisions

Liquidated 366,188 Unliquidated Obligations and Provisions

Total

For the Director Pan American Sanitary Bureau

William H. Childress, Jr. Chief, Department of Budget and Finance - 52 - Exhibit 8

INSTITUTE OF NUTRITION OF CENTRAL AMERICA AND PANAMA ADMINISTERED BY THE PAN AMERICAN SANITARY BUREAU STATEMENT OF INCOME AND EXPENDITURE FOR THE 1975 BUDGET (Expressed in U. S. Dollara)

INCOME

Contributions from Member Governments Receipts from 1975 Assessments 115,500 Receipts from Prior Years' Assessments 117,099 232,599

Miscellaneous Income Education and Training in Nutrition 42,594 INCAPARINA Services 10,388 Sale of Publications 1,614 Sale of Laboratory Animals and Farm Produce 13,710 Laboratory Analyses 46,383 Sale of Equipment 2,565 Sundry 9,067 126,321

Total Income 358,920

EXPENDITURES

Personnel Costs 205,620 Duty Travel 4,363 Supplies and Equipment 41,895 Common Services 115,486

Total Expenditures 367,364

NET RESULT FROM OPERATIONS ( 8,444)

For the Director Pan American Sanitary Bu~~i-i

William H. Childress, Jr. 7 Chief, Department of Budget and Finance - 53 -

Exhibit 9

INSTITUTE OF NUTRITION OF CENTRAL AMERICA AND PANAMA ADMINISTERED BY THE PAN AMERICAN SANITARY BUREAU STATEMENT OF ASSETS AND LIABILITIES AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

ASSETS LIABILITIES

CASH ACCOUNTS PAYABLE In Banks and on Hand: Unliquidated Obligations in respect'to: U. S. Dollar Currency 526 Appropriations for Budget 1975 1,176 Other Currencies 2,594 3,120 Sundry Debtors 16 840 18,016

INVESTMENTS PROVISION FOR ACCRUED ANNUAL LEAVE, Securities at Cost: TERMINAL, AND OTHER ENTITLEMENT PAYMENTS 63,362 Fixed Term Time Deposit PROVISION FOR STAFF INCOME TAX REIMBURSEMENT (Interest Rate 6 3/4 % 14,393 Maturing 17 June 1976) 500,000 ACCRUED PROVIDENT FUND Municipal Water Shares 478,659 (Market Value $10,500) 10,380 510,380 TRUST FUNDS (Schedule 17) 207,179 ACCOUNTS RECEIVABLE Quota Contributions Receivable PAN AMERICAN HEALTH ORGANIZATION (Schedule 16) 1,022,407 (Balance due to PAHO Inter-Office Less!, Reserve for Uncollected Funding of Activities) (Exhibit 3) 87,046 Contributions Sundry Debtors and Deferred WORKING CAPITAL FUND Charges 635,242 Unrestricted balance as of Less: Reserve for Doubtful 31 December 1974 192,082 Accounts 64,442 570,800 Excess of Expenditure over Income ( 8,444) Returned from Staff Provident Fund 166 SUPPLIES INVENTORY 54,340 Contributions received against assessment to increase Fund (Schedule 16) 6,181

CAPITAL ASSETS Unrestricted balance as of 31 December 1975 189,985

Reserved for Building Improvements 55,678 Equipment 30,000 Less: Reserve for Building Reserved for Supplies and Inventory 50,000 269,985 Improvements

Total Total 1.138.640

For the Director Pan American Sanitary Bureau

William H. Childress, Jr. Chief, Department of Budget and Finance - 54 - Schedule 16

INSTITUTE OF NUTRITION OF CENTRAL AMERICA AND PANAMA STATEMENT OF QUOTA CONTRIBUTIONS DUE FROM MEMBER COUNTRIES AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

Balance Due Assessments Collected Balance Due Member Countries 31 December 1974 1975 Durina 1975 31 December 1975

REGULAR BUDGET

Costa Rica 227,613 35,000 35,031 227,582 El Salvador 170,000 42,500 31,250 181,250 Guatemala 78,250 78,250 Honduras 291,273 26,000 19,819 297,454 Nicaragua 299,454 31,000 31,000 299,454 Panama 37,250 37,250

Total Regular Budget 1.005 740

WORKING CAPITAL FUND INCREASE

Honduras 14,515 6,181 8,334 Nicaragua 8, 333 8.333 Total Working Capital Fund Increase

GRAND TOTAL 1,011.188 250,000 238,781 - 55 - Schedule 17

INSTITUTE OF NUTRITION OF CENTRAL AMERICA AND PANAMA ADMINISTERED BY THE PAN AMERICAN SANITARY BUREAU STATEMENT OF TRUST FUNDS AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

Unobligated Received or Transfers Contribution Unobligated Particulars Balance Receivable and to Project Balance 31 December 1974 During 1975 Refunds Costs 31 December 1975

GRANTS

A. I. D.

Evaluation of Sugar Fortification with Vitamin 'A' 30,300 30,300 Conference on the Nutritional Improvement of Corn and Corn Fortification 154,337 154,337 Analysis of Nutrition Data from Central America and Panama 10,384 10,384 Influence of Maternal Nutrition on Infant Mortality and Morbidity 14,042 14,042

Asociacion de Azucareros de Costa Rica y Guatemala

Premix of Sugar with Vitamin 'A' 29,392 11,564 17,828

Development Research Center - Canada

Development of Practical and Economic Rations for Cattle and Swine Using High Levels of Coffee Pulp 20,700 81,517 57,094 45,123

Ford Foundation

Development of a Nutrition-Oriented Social Science Program 103,930 95,631 8,299 Latin American Symposia on Nutrition 5,001 685 4,316

Government of Guatemala

Influence of Nutrition on Different Health Aspects of Agricultural Laborers 18,000 52,500 70,500

Government of Honduras

Technical Assistance to Honduras 24,000 24,000

Government of Nicaragua

INCAP Technical Assistance to Nicaragua 4,598 4,598

Harvard University

Monkey Colony 24,089 24,089

Josiah Macy. Jr.. Foundation

Training in Pediatrics, Nutrition and Public Health 5,286 59,714 57,519 7,481

Nestle Foundation

Nestle Fellowships 4,000 3,238 762

Noel W. Solomons

Special Tutorial Training in Clinical Nutrition 7,910 7,910

Organization of American States

Utilization of Coffee Pulp for Feeding Bovine Cattle 2,325 2,325

Pan American Health and Education Foundation

Food and Nutrition Policies 33,515 33,515 Applied Nutrition 175,301 175,301 Strengthening and Integration of Nutrition Program 34,478 34,478 Training and Research in Food Sciences and Animal Nutrition 418,144 418, 144 Cross-Cultural Studies in Cognitive Development 54,097 54,097 Symposium on Agricultural and Economic Development of Nutrition in the Tropics 22,129 20,901 1,228 Effect of Modern Health Practices on Infant Health 49,858 49,764 94 Anemia, Physical Performance and Productivity 2,819 2,819 - 56 - Schedule 17 (Cont.)

INSTITUTE OF NUTRITION OF CENTRAL AMERICA AND PANAMA ADMINISTERED BY THE PAN AMERICAN SANITARY BUREAU STATEMENT OF TRUST FUNDS AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

Unobligated Received or Transfers Contribution Unobligated Particulars Balance Receivable and to Project Balance 31 necember 1974 nurlng 1975 Refinds CoPt, 31 Tecemhpr 1975 Pan American Health and Education Foundation (Cont.)

Interventions in the Health Sector 1,626 1,626 Nutrition and Productivity of Agricultural Workers 3,586 3,586

Rockefeller Foundation

Social Science and Biomedical Interrelation- ship among Nutrition, Child Health and Development, and Fertility 191,943 191,943

Rutgers University 2,500 4,500 6,340 660

United Nations Children's Fund

Vitamin 'A' Premix Production Plant 16,774 16,774

University of North Carolina

Studies of Intestinal Malabsorption 239,344 217,382 21,962

U.S. Army Medical Research and Development Command

Investigation of the Forces of Infection Acting on the Central American Population 1,793 17 28 1,782

U.S. Department of Health, Education, and Welfare National Institutes of Health

Analysis of Data from an Ecological Study in a Guatemalan Village 10,907 10,907 Interaction Between Malnutrition and Infection Studiesa 32,780 32,780 Nutrition Study on Growth and Development 688,247 688,247 Amino Acid Requirements of Pre-school Age Children 51,760 51,760 Malnutrition, Infection and Human Leucocyte Metabolism 8,125 8,125 Assessments of Nutritional Losses due to Malabsorption 21,457 21,457

World Health Organization

Human Testing of Protein-Rich Food Mixtures 341 22,500 12,962 9,879 Protein Requirements of Pre-School Children 2,803 10,000 7,798 5,005- Studies on Iron Supplementation and Fortification of Food 1,842 12,000 13,842

CONTRIBUTIONS

Fund for Education 537 295 832

TRANSFERS

Pan American Health Organization

Assistance to Applied Nutrition Training and Research Program 98. 248 10 222

Total Total2 588.536 277.755 13.260 22.645.85 645 852 CARIBBEAN EPIDEMIOLOGY CENTER 1

j - 59 -

Exhibit 10

CARIBBEAN EPIDEMIOLOGY CENTER ADMINISTERED BY THE PAN AMERICAN HEALTH ORGANIZATION STATEMENT OF INCOME AND EXPENDITURE FOR THE 1975 BUDGET (Expressed in U.S. Dollars)

INCOME

Contributions From Member Governments

Receipts from Current Assessments (Schedule 17) 205,531 Receipts from Prior Years Assessments 205,531

Total Income 205,531

EXPENDITURE

Personnel Costs 135,305 Duty Travel 4,979 Supplies and Equipment 58,643 Common Services 26,788 Total Expenditures 225,715

NET RESULT FROM OPERATIONS (20,184)

For the Director Pan American Sanitary Bureau

William H. Childress, Jr. Chief, Department of Budget and Finance - 60 - Exhibit 11

CARIBBEAN EPIDEMIOLOGY CENTER ADMINISTERED BY THE PAN AMERICAN HEALTH ORGANIZATION STATEMENT OF ASSETS AND LIABILITIES AS OF 31 DECEMBER 1975 (Expressed in U.S. Dollars)

ASSETS LIABILITIES

CASH QUOTA CONTRIBUTIONS RECEIVED IN ADVANCE

In Banks and on Hand Government of the United Kingdom 5,520 U.S. Dollar Currency 5,108 Other Currency 10,253 15,361 ACCOUNTS PAYABLE

Unliquidated Obligations in respect ACCOUNTS RECEIVABLE to Appropriations for Budget 1975 11,293

Quota Contributions SPECIAL FUNDS Receivable (Schedule 17) 20,172 Less: Reserve for Uncol- Trust Funds (Exhibit12 ) 5,467 lected Contributions 20,172 Provident Fund 4,878 Housing Fund Project Expenditures Opening Balance 1iD,955 Net Rental Earned Awaiting Reimbursement 50,503 1975 6,055 17,010 27,355 Unreimbursed Procurement for the Government of PAN AMERICAN HEALTH ORGANIZATION Trinidad & Tobago 2,178 Balance due to PAHO Inter-Office Funding of Activities (Exhibit 3) 8,109

WORKING CAPITAL FUND

Balance as of 31 December 1975 35,949 Net Result from 1975 Operations (20,184) 15,765

TOTAL 68,042 TOTAL 68,042

For the Director Pan American Sanitary Bureau

William H. Childress, Jr. Chief, Department of Budget and Finance - 61 - Exhibit 12

CARIBBEAN EPIDEMIOLOGY CENTER ADMINISTERED BY THE PAN AMERICAN HEALTH ORGANIZATION STATEMENT OF TRUST FUNDS AS OF 31 DECEMBER 1975 (Expressed in U.S. Dollars)

Received or Contribution Unobligated Receivable To Project Balance Particulars During 1975 Costs 31 December 1975

Commonwealth Caribbean Regional Secretariat

For the Development and Imple- mentation of the Plan for Caribbean and Epidemiology Surveillance 50,503 50,503

Rockefeller University

Salary for Laboratory Assistant 3,467 3,467

Pan American Health Organization

Assistance for t'e Study of Hepatitis B in the Caribbean 2,000 2,000

TOTAL 55,970 50,503 5,467

For the Director Pan American Sanitary Bureau

William H. Childress, Jr. Chief, Department of Budget and Finance - 62 - Schedule 18

CARIBBEAN EPIDEMIOLOGY CENTER ADMINISTERED BY THE PAN AMERICAN HEALTH ORGANIZATION STATEMENT OF QUOTA CONTRIBUTIONS DUE FROM MEMBER COUNTRIES AS OF 31 DECEMBER 1975 (Expressed in U.S. Dollars)

Amount Due Collected Balance Due Member Countries Year 1 January 1975 During 1975 31 December 1975

Antigua 1975 651 651

Bahamas 1975 4,352 4,352

Barbados 1975 6,819 6,819

Belize 1975 651 651

Bermuda 1975 768 768

British Virgin Islands 1975 138 138

Cayman Islands 1975 138 138

Dominica 1975 651 651

Grenada 1975 651 651

Guyana 1975 8,994 8,994

Jamaica 1975 26,840 26,840

Montserrat 1975 217 217

St. Kitts-Nevis- Anguilla 1975 651 651

St. Vincent 1975 651 651

St. Lucia 1975 651 651

Trinidad & Tobago 1975 102,764 86,180 16,584 - 63 - Schedule 18 (Cont.)

Amount Due Collected Balance Due Member Countries Year 1 January 1975 During 1975 31 December 1975

Turks and Caicos Islands 1975 116 116

United Kingdom Overseas Development 1975 70,000 70,000

Total 225,703 205,531 20,172

FINANCIAL REPORT OF THE PAN AMERICAN HEALTH AND EDUCATION FOUNDATION 1 1

1 - 67 -

FINANCIAL REPORT PAN AMERICAN HEALTH AND EDUCATION FOUNDATION

Introduction

The financial report for the year 1975 for the Pan American Health and Education Foundation (PAHEF) is presented as follows:

Medical Textbook Program

Exhibit 13 Statement Of Income And Expense

Exhibit 14 Comparative Statement Of Assets And Liabilities

Exhibit 15 Comparative Statement Of Medical Textbook Program Funding

Schedule 19 PAHEF Book Purchases

Schedule 20 Distribution Of Medical Textbooks

Trust Funds And General Program

Exhibit 16 Statement Of Resources And Expenditures

Exhibit 17 Statement Of Assets And Liabilities

Schedule 21 Statement Of Health Program By Grantor Or Other Source Of Funds.

With the permission of the Director of the Pan American Sanitary Bureau and in accordance with the Financial Rules of PAHEF, this report is published in PAHO Official Document No. 140.

PAHEF is a non-profit foundation incorporated under the laws of the United States to mobilize financial and human resources for improvement of health and education. Under its Articles of Incorporation, the Foundation is committed, among other purposes, "to advance the fundamental objectives of the Pan American Health Organization."

PAHEF has been determined (June 1970) by the U. S. Internal Revenue Service to be exempt from federal income tax under Section 501 (c) (3) of the Internal Revenue Code. Donations to PAHEF are deductible with respect to U. S. federal income, estate, and gift taxes. In addition, PAHEF has been classified (December 1972) as a non-private foundation because it is an organization described in the Internal Revenue Code Section 509 (a) (1).

The Foundation has a close cooperative relationship with PAHO, which is embodied in the basic agreement signed by the Director of PASB and the President of the Foundation in April 1970. The two most important provisions of the agreement are that the Foundation will seek the technical approval - 68 -

of PAHO for its projects, and that the two organizations will undertake joint programs to be carried out under the technical and administrative supervision of PAHO.

The program administration and the financial management of PAHEF are carried out according to program policies and financial rules established by its Board of Trustees.

Medical Textbook Program

The objective of this program is to purchase medical textbooks, which have been selected on the recommendation of outstanding professors nominated by schools of medicine, in mass quantities for sale at cost to medical students in Latin America. The program is carried out jointly with PAHO. It is financed from a loan of $2,000,000 from the Inter-American Develop- ment Bank (IDB) (5 February 1971) to create a revolving capital fund which is replenished by income from book sales. By agreement, PAHO has made an annual contribution of $120,000 for operations during the first five years and will contribute $100,000 annually for the next twenty years to repay the loan principal.

The first book purchase contracts were signed in November 1971. By the end of 1975, 426,843 copies had been purchased, including finished books bought from publishers and books printed under contract. Twenty-eight different textbooks in 16 disciplines are involved (See Schedule 19). To achieve lowest possible cost for students books are purchased in as large quantities as possible, after taking into consideration the following factors: Number of books which can be sold before appearance of a new edition or selection of another text; availability of capital; and costs of warehousing, insurance and interest on capital. As a consequence of this effort to keep purchase costs low, the inventory may appear rather high in relation to annual sales. Also the size of the inventory reflects the fact that it includes books in the publisher's warehouse waiting to be shipped, books in transit, and books in schools until they are sold and the sales reported to Washington.

Significant cost savings for the benefit of students have been achieved for some books by buying printing rights and contracting for the printing. Where printing rights are not available, finished books are purchased from publishers. Because the program is achieving its objective of expanding the use of textbooks, publishers have benefited from the enlarged market and have cooperated willingly.

Sales to students started in the fall semester of 1972 and had reached 223,242 by the end of 1975 (See Schedule 20). Compared to 1973, the first full year of sales, the volume in 1974 increased by 76%. Sales in 1975 in- creased by 40% over 1974. A further substantial rise in sales is expected because of an increasing proportion of students buying books, which was a key objective of the program. Also universities in Argentina began active participation late in 1975. The capacity of the program to meet student demand will depend on obtaining additional capital since currently avail- able capital is being fully used. - 69 -

The financial reports (See Exhibits 13, 14, and 15) show that the program is in sound financial condition. The program volume reached a level in 1975 whereby income will meet operational costs without the PAHO subsidy which, under the agreement, stopped at the end of January 1976.

The projected program increases in the next three to four years, in order to meet estimated demand, will require double the present capital to finance purchases and maintain inventory pending receipt of income from sales. The XIX Pan American Sanitary Conference instructed the Director to negotiate with the Bank for an additional loan and authorized the Executive Committee to approve the loan, if satisfied that the terms are the best available, and to pledge PAHO assets as necessary to guarantee such loan. The Directing Council, at itsXXIII Meeting, emphasized the need for expanding the Textbook and Medical Instrument Program and requested the Director to continue his negotiations to obtain additional loan capital. A proposal for an additional loan is under consideration by the IDB.

Bearing in mind the subject priority given to primary health care by the Directing Council, and in response to the desire expressed by several delegations, expansion of the Textbook Program to include books and instructional materials for the training and functioning of professional, technical and auxiliary personnel is being studied. PAHO is studying the books and training materials to be recommended, including manuals and instructional materials oriented to the specific locations where they are to be used. PAHO and PAHEF are jointly studying how to establish such a program on a self-financing basis and where to obtain capital.

Trust Funds and General Program:

Trust Funds

Contributions from any source are accepted by PAHEF, provided they are given for projects which are found by the Board of Trustees to be consistent with the objectives of the Foundation and which have the technical approval of PAHO. All grants and donations made for specified activities are treated as trust funds and are used exclusively for the purposes given and accounted for separately. PAHEF receives and administers such funds to support health and education projects to be carried out under the technical and administrative supervision of PAHO. Contributions come from a variety of private and public foundations and organizations, national and international agencies, private corporations, and individuals. The funds for these projects are treated as trust funds and are identified separately in the financial report, in Exhibits 16 and 17. The grantors and donors, and the individual projects are listed in the Statement of Trust Funds, Schedule 21.

The Trust Fund Program for 1975 included 46 projects costing $1,467,224. Over 70% of the Program was in nutrition, with projects in training, research, and applied nutrition being carried out at the Institute of Nutrition of Central America and Panama (INCAP), the Caribbean Food and Nutrition Institute (CFNI), and in various countries. Thirteen percent of the Program was for education and training, comprised mainly of the PAHO Regional Library of Medicine (BIREME) - 70 -

in Sao Paulo and two centers of technology producing educational materials in health sciences in Brazil and Mexico. The remainder of the Program was dis- tributed among family planning, communicable diseases, dental health, medical care and hospital administration, nursing, and other. Among the grantors and donors, the two largest were the W. K. Kellogg Foundation and the Research Corporation.

General Funds

The general funds available for projects are very modest, but projects costing $34,285 were financed in 1975, as shown in Schedule 21. PAHEF is not financially able to support large programs with its general funds, but its strategic location and contacts with health activities enable it to identify situations where a small amount of money can supply the impetus or fill a critical gap to produce effective health programs.

General funds also are used to meet administrative costs. Adminis- trative expenses paid byTPAHEF amounted to $45,241. Services and facilities provided by PAHO were valued at $85,669, making a total of $130,910 as reflected in Exhibit 16. - 71 -

HOWELL AND COMPANY MEMBERS AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS

SUITE 917 1010 VERMONT AVENUE WASHINGTON. D. C. WASHINGTON. D. C. 20005 NEW YORK, NEW YORK (202) 783-3871

To the Board of Trustees Pan American Health & Education Foundation Washington, D.C.

REPORT OF THE AUDITORS

We have examined the following financial statements and supporting schedules of the Pan American Health and Education Foundation:

EXHIBIT 13: Comparative Statement of Income and Expense - Medical Textbook Program - as of 31 December 1974 and 1975

EXHIBIT 14: Comparative Statement of Assets and Liabilities Medical Textbook Program - as of 31 December 1974 and 1975

EXHIBIT 15:. Comparative Statement of Medical Textbook Program Funding 1971 through 1975

EXHIBIT 16: Statement of Resources and Expenditures - Trust Funds and General Program for year ended 31 December 1975

EXHIBIT 17: Statement of Assets and Liabilities - Trust Funds and General Program - as of 31 December 1975

Our examination was made in accordance with generally accepted auditing standards and accordingly included such tests of the accounting records and such other auditing procedures as we considered necessary in view of the terms of the restricted and unrestricted trust funds made avail- able to the Foundation, the provisions of the Inter-American Develop- ment Bank loan for the medical textbook program, the PASB/PAHEF agreement of April 1970, and the PAHO and PAHEF Financial Regulations.

In our opinion, the above-cited Exhibits present fairly the financial position of the foundation.

Howell and Co

April 15, 1976 1 1 - 73 - Exhibit 13

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION MEDICAL TEXTBOOK PROGRAM COMPARATIVE STATEMENT OF INCOME AND EXPENSE FOR THE YEARS ENDED 31 DECEMBER 1974 AND 31 DECEMBER 1975 (Expressed in U. S. Dollars) 1974 1975 INCOME From Sales of Textbooks 849,905 1,460,267 Less: Cost of Books Sold 639,027 1,108,590 Gross margin from sale of books 210,878 351,677

Investment Income 20,290 261,514 371,967

OPERATING EXPENSES Personnel Costs 113,532 140,871 Contractual Services 35,891 19,329 Selection Committee Expenses 30,627 14,648 Travel Expense 12,599 7,249 Promotion Expense 6,670 22,386 1/ Currency Exchange Differences 6,417 5,773 Textbooks Lost or Damaged 2,360 29,135 2/ Payment to Universities 21,390 36,507 2/ Service Costs and Office Expense 5,500 5,759 Supplies and Equipment 5,077 7,809 Miscellaneous 3,000 3 428 243,063 292,894 Less: PAHO Contribution 120,000 120,000 123,063 172,894 Financing Costs- Interest, Commitment and Inspection Fees 54,347 60,345 177,410 233,239

NET INCREASE IN OPERATIONS ACCOUNT 84,104 138,728

1/ Includes $17,646 worth of books used for promotion. 2- Includes $26,350 of books lost in transit during the years 1972, 1973, and 1974. 3/ Payment to schools of medicine, or individuals responsible for textbook administration designated by them, as an incentive to promote sales and improve administration.

Executive Secretary

Assistant Treasurer - 74 - Exhibit 14

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION MEDICAL TEXTBOOK PROGRAM COMPARATIVE STATEMENT OF ASSETS AND LIABILITIES AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

1974 1975

ASSETS

Cash in bank 2,782 2,786 Accounts Receivable- Medical Students 17,632 11,842 PAHO 1/ 503,343 144,362 Prepaid Air Freight of Books 26,994 33,676 Inventory of Books 1,509,490 2,199,497 Printing Contract in Process 235,944 318,100 Total 2,296.185 2,710,263

LIABILITIES

Short Term (payable within one year)- On Finished Books 23,766 150,294 On Books in Process 90,347 163,408 On Purchase of Rights 80,472 42,171 On Newsletter and Procedural Manuals 914 Accrued Interest and Commitment Fee 22,493 22,711 Accrued Amounts Payable to Universities 21,390 42,611 Sub-total 238,468 422,109

Long Term- Freight, Insurance and Warehousing on Finished Books 23,656 46,460 IADB Loan 2/ 1.791,646 1,860,551 Sub-total 1,815,302 1,907,011

Short and long term payables 2,053,770 2,329,120

OPERATIONS ACCOUNT 242,415 381,143 Total 2,296,185 2,710,263

1/ Invested by PAHO on behalf of PAHEF 2/ Status of IADB Loan Credit- Total $2,000,000 Withdrawals 1,860,551 Available $ 139,449

Executive Secretary

Assistant Treasurer - 75 - Exhibit 15

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION COMPARATIVE STATEMENT OF MEDICAL TEXTBOOK PROGRAM FUNDING (Expressed in U. S. Dollars)

Total 1971 1972 1973 1974 1975 To Date

FUNDS WERE PROVIDED BY

IADB Loan Withdrawals 307,900 488,118 546,299 449,329 68,905 1,860,551

PAHO Contribution 110,000 120,000 120,168 120,000 120,000 590,168

Investment Income - 4,730 55,030 50,636 20,290 130,686

Transfer of Inventory to PAHO - - - - 100,011 100,011

Proceeds from Sale of Books - 159,942 456,015 849,905 1,460,267 2,926,129

Total Funds Provided 417,900 772,790 1,177,512 1,469,870 1,769,473 5,607,545

FUNDS WERE APPLIED

Operating Expenses 79,959 102,792 1 129,468 2/ 234,252 3/ 251,017 4/ 797,488

Financing Cost 9,191 34,769 42,197 54,347 60,345 200,849

Payments for Books 193,020 439,159 542,221 1,469,829 1,837,635 4,481,864

Net of Cash, and Receivables Less Payables 135,730 196,070 463,626 ( 288,558) (379,524) 127,344

Total Funds Applied 417,900 772,790 1,177,512 1,469,870 1,769,473 5,607,545

1/ Does not include non-cash expenses of $308 2/ Does not include non-cash expenses of $1,646 3/ Does not include non-cash expenses of $8,811 4/ Does not include non-cash expenses of $41,877

Executive Secretary

f Assistant Treasurer - 76 - Schedule 19

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION BOOK PURCHASES MEDICAL TEXTBOOK PROGRAM 1971 - 1975 (Expressed in U. S. Dollars)

Contract Price No. Of Storage And Balance Title Author Books Postage Payment Due

PRINTED BOOKS

Anatomia Gardner 15,000 160,500 160,500 Bioquimica Laguna 16,739 96,712 93,888 2,824 Embriologia Langman 22,000 101,564 100,102 1,462 Embriologia 1/ Langman 5,000 24,225 24,225 Epidemiologia, Tomo I Armijo 3,200 15,808 13,440 2,368 Farmacologia Kuschinsky 22,261 52,826 49,823 3,003 Fisiologia Medica Ganong 10,000 77,100 75,000 2,100 Fisiologia Humana Houssay 17,315 185, 306 149,126 36,180 Ginecologia 1/ Novak 2,000 22,000 22,000 Ginecologia Novak 22,000 235,936 234,309 1,627 Histología Ham 31,000 453,574 441,675 11,899 Medicina Interna Cecil-Loeb 27,000 350,640 346,172 4,468 Medicina Interna Harrison 25,272 361,420 300,793 60,627 Microbiologia Jawetz 30,070 181,448 175,114 6,334 O Companheiro do Estudante de Medicina, Volumen I 1/ Passmore 2,000 37, 500 37,500 Obstetricia 1/ Rezende 10,000 155,550 155,550 Obstetricia Williams 19,000 226, 750 226,750 Patologia Correa 13,404 120, 362 88,063 32,299 Patologia Estructural Robbins 26,416 281, 105 279,828 1,277 Patologia Quirurgica Davis 28,000 501, 720 491,711 10,009 Parasitologia Clinica Craig-Faust 18,000 195,000 195,000 Pediatria Nelson 21,998 301,409 301,409 Quimica Fisiologica Harper 4,760 23,042 16,881 6,161 Tratado de Ensenanza Integrada de la Medicina Volume I Passmore 12,052 128,996 124,790 4,206 Volume II Passmore 12,356 124,535 117,130 7,405 Volume III-Part 1 Passmore 5,000 72,000 72,000 Volume III-Part 2 Passmore 5,000 72,000 72,000 Sub-Total 4.559,028 4,364,779 194,249

1,000 Juegos Diapositiva -Histologia Ham

PRINTING IN PROCESS 2/

Fisiologia Medica Ganong 10,000 95,500 36,000 59,500 Pediatria Nelson 5,000 77,500 31,000 46,500 Obstetricia-Spanish Williams 4,000 58,000 23,200 34,800 Embriologia-Spanish Langman 6,000 35,760 13,152 22,608

Sub-Total 25,000 266,760 103,352 163,408

1/ Portugeuse - All others in Spanish 2/ Contracted during the year but not completed as of 31 December 1975. - 77 - Schedule 19 (Cont.)

Contract Price No. Of Storage And Balance Title Author Books Postage Payment Due

PURCHASE OF RIGHTS TO PRINT BOOKS

Quimica Fisiologica Harper 6,000 12,225 9,169 3,056 Epidemiologia, Tomo I Armijo 4,000 6,240 6,240 Tratado de Ensenanza Integrada de la Medicina Volume III Part 1 and 2 Passmore 7,000 32,875 32,875

Sub-Total 17,000 3/ 51,340 9,169 42,171

Total 468,843 4,881,692 4,481,864 399,828

3/ Estimated number of books to be printed. - 78 -

Schedule 20

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION DISTRIBUTION OF MEDICAL TEXTBOOKS AS OF 31 DECEMBER 1975

Number of Books Number of Books Sold Total Disposition Title Author Purchased 1972 1973 1974 1975 Sold Cumulative 2/ Inventory

Anatomia Gardner 15,000 1,014 2,136 4,053 3,699 10,902 225 3,873 Bioquimica Laguna 16,739 1,393 2,043 2,541 3,532 9,509 82 7,148 Embriologia Langman 22,000 1,243 2,325 5,549 7,419 16,536 216 5,248 Embriologia 1/ Langman 5,000 661 792 736 1,200 3,389 72 1,539 Epidemiologia, Tomo I Armijo 3,200 3,200 Farmacologia Kuschinsky 22,261 2,513 4,165 6,071 3,564 16,313 446 5,502 Fisiologia Medica Ganong 10,000 1,330 1,330 175 8,495 Fisiologia Humana Houssay 17,315 1,467 2,592 5,288 3,457 12,804 91 4,420 Ginecologia 1/ Novak 2,000 2,000 Ginecologia Novak 22,000 2,173 4,658 7,305 14,136 133 7,731 Histologia Ham 31,000 778 4,713 2,796 6,328 14,615 6,553 3/ 9,832 Medicina Interna Cecil-Loeb 27,000 3,574 5,480 8,043 6,322 23,419 610 2,971 Medicina Interna Harrison 25,272 7,991 7,991 153 17,128 Microbiologia Jawetz 30,070 1,930 3,526 4,589 7,181 17,226 191 12,653 O Companheiro Do Estudante De Medicina, Volumen I 1/ Passmore 2,000 99 99 80 1,821 Obstetricia _/ Rezende 10,000 1,694 1,665 2,144 5,503 35 4,462 Obstetricia Williams 19,000 5,273 5,575 10,848 169 7,983 Patologia Correa 13,404 178 614 792 137 12,475 Patologia Estructural Robbins 26,416 1,603 4,392 7,329 7,541 20,865 276 5,275 Patologia Quirurgica Davis 28,000 4,387 8,589 12,976 433 14,591 Parasitologia Clinica Craig-Faust 18,000 2,032 4,222 6,254 134 11,612 Pediatria Nelson 21,998 3,507 4,510 7,682 15,699 187 6,112 Quimica Fisiologica Harper 4,760 1,108 1,108 3,652 Tratado De Ensenanza Integrada De La Medicina Volume I Passmore 12,052 553 553 7 11,492 Volume II Passmore 12,356 375 375 6 11,975 Volume III-Parte 1 Passmore 5,000 179 4,821 Volume III-Parte 2 Passmore 5,000 179 4,821

Total 426,843 16,176 39,538 69,698 97,830 223,242 10,769 192,832

ji Portuguese - All others in Spanish. 2/ Includes books lost, damaged and used for promotion. Y/ Includes 195 books lost, damaged and used for promotion - 79 - Exhibit 16

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION STATEMENT OF RESOURCES AND EXPENDITURES TRUST FUNDS AND GENERAL FUNDS AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

General Program Trust Fund and Program Admini8tration Total

BALANCE AS OF 31 DECEMBER 1974 895,162 275,905 1,171,067

CONTRIBUTION 1975 PAHO 95,669 1/ 95,669 Grantors 1,539,712 1,539,712 Other 14,931 14,931

MISCELLANEOUS INCOME AND ADJUSTMENTS Excess Reserve for Unliquidated Obligations of Prior Years 6,322 6,322 Refund of Expenditure in Prior Year 5,979 5,979

INVESTMENT INCOME

Total Resources 2 447 175 2 936 507

EXPENDITURES

Project Costs 1,467,224 34,285 1,501,509 Administration Expenses 130,910 1/ 130 910

Total Expenditures 165 195

AVAILABLE RESOURCES AS OF 31 DECEMBER 1975 979,951 1 304 088

j1 Includes value of services and facilities provided by PAHO calculated at $85,669.

Executive Secretary

A-Assis tant Treasrer - 80 - Exhibit 17

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION STATEMENT OF ASSETS AND LIABILITIES TRUST FUNDS AND GENERAL FUNDS AS OF 31 DECEMBER 197.5 (Expressed in U. S. Dollars)

Trust Funds General Funds Total

ASSETS

Cash in Banks 13,877 13,877

Accounts Receivable:

PAHO 1/ 1,183,197 311,158 1,494,355 Sundry 2/

Total

LIABILITIES

Unliquidated Obligations 217,878 898 218,776

Available Balances as of 31 December 1975 979,951 il 304 088

Total 1,197,829

1/ PAHO invests these funds on behalf of PAHEF 2/ Funds expended in 1975 in advance of receipts from grantors expected in 1976, and miscellaneous cash item.

Executive Secret

Assistant Treasurer - 81 - Schedule 21

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION STATEMENT OF HEALTH PROGRAM BY GRANTOR OR OTHER SOURCE OF FUNDS AS OF 31 DECEMBER 1975 (Expressed in U. S. Dollars)

Unobligated Adjustments Contribution Unobligated Balance Received and to Project Balance a/ -aLCl~ 31 December 1974 During 1975 Transfers Costs 31 December 1975

TRUST FUNDS

W. K. Kellogg Foundation

Latin American Center for Medical Administration (PH/6-ARG/5200) 1,462 15 1,477 Latin American Center of Educational Technology for Health, Brazil (PH/34-BRA/8700) 101 41,400 41,432 69 Dental Health Program - Univ. del Valle (PH/52-COL/6601) 5,000 4,952 48 Nursing Education and Services in Mexico (PH/59-MEX/6300) 58,000 7,364 b/ 65,364 Latin American Center of Educational Technology for Health, Mexico (PH/35-MEX/8700) 73,306 48,733 122 111,235 10,926 Educational Technology in Dentistry (PH/46-MEX/8701) 21,983 25,368 30,187 17,164 Dental Education (PH/22-PER/6600) 16,533 212 70 16,675 Maternal and Child Health Development (PH/50-AMR/1373) 80,937 42,925 32,780 91,082 Interventions in the Health Sector (PH/72-041/1430) 76,280 76.280 Nutrition and Productivity of Agricultural Workers (PH/49-051/1430) 59,295 59,295 Applied Nutrition (PH/25-820/1430) 195,154 5,979 178,955 22,178 Food and Nutrition Policies (PH/25-821/1430) 160,480 33,515 126,965 Improvement of Medical Care Administration (PH/4-AMR/5273) 7,629 1,294 8,923 Library of Medicine (PH/21-AMR/8570) 26,079 16,569 (1) 42,647 Educational Technology in Nursing (PH/41-AMR/8770) 47,938 24,778 18,131 54,585

Research Corporation

Endemic Goiter Control Program in Bolivia (PH/26-BOL/1700) 292 292 Nutrition - Haiti (PH/18-HAI/1400) 12,874 7,934 1,749 15,755 6,802 Assistance to Research and Training Programs and Technical Information -Services of CFNI (PH/38-090/1411) 90,038 141,975 2,800 154,017 80,796 Training and Research in Food Science and Animal Nutrition (PH/15-740/1430) 281,457 343,463 418,234 206,686 Strengthening and Integration of Nutrition Program (PH/19-750/1430) 40,661 16,530 34,478 22,713 Application of Modern Data Processing Techniques in Nutrition Research (PH/39-860/1430) 11,935 11,935 Interactions between Fetal Viral Infection, Immunity and Mainutrition (PH/48-911/1430) 1,866 13,475 11,941 3,400 Int'l Symposium on Agricultural and Economic Development in Nutrition in the Tropics (PH/57-940/1430) 2,629 2,629

Canadian International Develonment Aeencv

Water Supply and Sewerage in Belize City (PH/64-BLZ/2101) 44,585 44,585

Universidad del Valle

Dental Health Program (PH/52-COL/6601) 2,113 130 86 2,157

University of Detroit

Coordinated Dental Program between University of Detroit and Universidad del Valle (PH/54-COL/6602) 5,000 5,000 - 82 - Schedule21 (Cont.)

Unobligated Adjustments Contribution Unobligated Balance Received and to Project Balance a/ Particulars 31 December 1974 During 1975 Transfers Costs 31 December 1975

Facultad de Odontología, Universidad San Carlos, Guatemala

Dental Equipment (PH/78-GUT/8400) 915 905 10

Emergency Assistance

Honduras (PH/67-HON/5102) 13,110 8,547 4,563

University of Yucatán

Human and Material Resources in Dentistry (PH/56-MEX/1602) 1,037 472 1,005 504

Asociaci6n Mexicana de Facultades y Escuelas de Odontologia (AMFEO)

Dental Educational Material (PH/73-MEX/8400) 2,000 2,000

Universidad Aut6noma Metropolitana - Mexico

Dental Equipment for Universidad Aut6noma Metropolitana (PH/74-MEX/8401) 26,780 15,867 10,913

Claneil Foundation, Inc.

Maternal and Child Health Program in Cayman Islands (PH/71-WIN/1304) 10,000 4,241 5,759

American Leprosy Missions, Inc.

International Center for Research and Training in Leprosy and Related Diseases (PH/28-AMR/0500) 7,565 1 4,308 3,258

Instituto Latinoamericano de Fisiología de la Reproducción

Perinatal Aspects of Reproduction (PH/14-030/1370) 4,000 4,000

Centro Latinoamericano de Biología de la Reproducci6n

Pharmacology of the Contractility on the Human Uterus (PH/32-060/1370) 9,967 7,796 2,171

Human Reproduction Unit - WHO

Pharmacology of the Contractility of the Human Uterus - Echoview Laminography System (PH/32-060/1370) 27,000 27,000 Relationship of Oxytocin and Ovarian Contractility in the Rat (PH/58-100/1370) 6,909 6,909

Population Council

Research on Isolation and Characterization of Biological Function of a New Human Placental Hormone (PH/45-090/1370) 4,188 4,188

Sandoz S.A.

Effect of Oxytocin and Deamino-oxytocin on Ovarian Contractility in Rats and Rabbits (PH/58-101/1370) 7,440 632 6,808 - 83 - Schedule 21 (Cont.)

Unobligated Adjustments Contribution Unobligated Balance Received and to Project Balance a/ Particulars 31 December 1974 During 1975 Transfers Costs 3i December 1975

Programa Latinoamericano de Investigaci6n en Reproducci6n Humana (PLAMIRH-Colombia)

Isolation and Characterization of Biological Function of a New Human Placental Hormone (PH/68-110/1370) 6,000 5,120 -880 Effect of Immunization with Human Chorionic Somatomamotropin (PH/69-120/1370) 5,793 c/ - 5,793 -

Grant Foundation, Inc.

Cross-cultural Studies in Cognitive Development (PH/27-830/1430) 34,076 38,803 54,098 18,781

Case Western Reserve University - Research Corp.

Effect of Modern Health Practices on Infant Health (PH/43-870/1430) 34,600 61,940 - 49,857 46,683

Massachusetts Institute of Technology

Int'l Symposium on Agricultural and Economic Development in Nutrition in the Tropics (PH/57-940/1430) - 19,500 19,500

Precision Control Products

Fluoridation (PH/7-AMR/1671) 2,073 - - 2,073

L. D. Caulk Company Johnson and Johnson Lee Pharmaceuticals National Institute of Health Penwalt Corporation S. S. White Company

Dental Health - Laboratory for Control of Dental Products (PH/1-AMR/1672) 11,319 11,319

Johnson and Johnson

Communication and Information in Dental Health (PH/30-AMR/1674) 5,098 2,387 2,711

Hoffman-La Roche Inc.

Training of Latin American Physicians in the Use of Levodopa (PH/47-AMR/5272) 3,200 2,582 618

World Federation for Medical Education

Medical Education (PH/66-AMR/6271) - 2,000 1,949 51

Mrs. Lorna H. Scheide

Nursing Education (PH/40-AMR/6300) 2,000 9,415 d/ 11,415

Various Contributions

International Center for Research and Training in Leprosy and Related Diseases (PH/28-AMR/0500) 20 20 - Newborn Unit - CLAP (PH/23-050/1370) 450 - 450 Fluoridation (PH/7-AMR/1671) - 5,000 - 380 4,620 Development of Human and Material Resources in Dentistry Revolving Fund (PH/53-AMR/1673) 832 1,486 - 273 2,045 Rural Water Supply and Sanitation (PH/75-AMR/2172) - 266 266 - - 84 - Schedule 21 (Cont.)

Unobligated Adjustments Contribution Unobligated Balance Received and to Project Balance al Particulars 31 December 1974 During 1975 Transfers Costs 31 December 1975

(continued)

Institutional Development (PIDES-AMR/2173) 3,429 (266) 3,163 Abraham Horwitz Award for Inter-American Health (PH/61-AMR/5003) 8,181 8,181 DLM/PAHO-WHO Staff Community Aid Fund (PH/51-AMR/5005) 2,434 885 96 3,223 Training Program in Hospital Statistics (PH/42-AMR/6770) 400 416 e/ 624 192

Total Trust Funds 895,162 1,539,712 12,301 1,467,224 979,951

PAHEF GENERAL FUNDS

Pan American Health and Education Foundation

Tuberculosis Control - Health Education (PH/60-AMR/0400) 16,304 16,304 Anemia Physical Performance and Productivity (PH/49-910/1430) 2,819 2,819 PAHEF General Program Support (PH/70-AMR/5008) 599 599 Medical Letter (PH/55-AMR/8701) 5,619 5,619 Recuperation of Resources from Waste Materials (PH/63-AMR/8702) 8,944 8,944

Total PAHEF General Funds 34,285 34,285

GRAND TOTAL 895,162 1,573,997 12,301 1,501,509 979,951

a/ To be expended in 1976, or refunded, or deducted from 1976 grants according to the terms of the respective grants. b/ Accounts receivable of $7,364 c/ Includes accounts receivable of $93 d/ Includes accounts receivable of $4,415 e/ Includes accounts receivable of $200 INFORMATIONAL ANNEX SUMMARY AND DISTRIBUTION OF EXPENDITURE

( -> - 87 -

SUMMARY OF EXPENDITURE BY SOURCE OF FUND (Expressed in U. S. Dollars)

PAN AMERICAN HEALTH ORGANIZATION

PAHO - Regular 23,583,484 1/

PAHO - Special Fund For Health Promotion 120,000

PAHO - Community Water Supply 984,172

PAHO - Special Fund For Research 1,785

PAHO - Grant And Others 3,490,163

INCAP- And Related Grants 3,013,216

Sub-Total PAHO 31,192,820

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION 1,632,419 2/

WORLD HEALTH ORGANIZATION

WHO - Regular 10,611,371

WHO - UNDP 6,264,373

WHO - UNFPA 5,773,331

WHO - Others 126,065

Sub-Total WHO 22,775.140

Total All Funds 55,600,379

1/ Includes the $250,000 Regular Budget Provision for Special Fund for Health Promotion and $550,000 for increase in assets. 2/ Does not include Textbook Program expenditures. - 88 -

SUMMARYBY OBJECT OF EXPENDITURE All FUNDS - 1975 (Expressed in U. S. Dollars)

Project Project Non-Project Non-Project Personnel Duty Supplies And Grants And Supplies And Common Services Funds Costs Travel Fe.Llowships Seminars Equipment Other Equipment And Other Total

PAHO - Regular 17,417,025 847, 291 452,993 369,903 585,475 740,913 1,167,661 1,202,223 22,783,484 1/

PAHO - Special Fund For Health Promotion 102,557 11,082 - - ó6,361 * - - 120,000

PAHO - Community Water Supply 759,650 48,435 8,489 15,728 74,301 77,569 - - 984,172

PAHO - Special Fund For Research 1,785 1,785

PAHO - Grants And Others 1,166,993 63,985 133,563 247,026 1,057,116 821,480 3,490, 163

INCAP - Related Grants 1,397,942 133,503 98, 103 321,476. 1,062,192 3,013,216

Sub-total - PAHO 20,845,952 1,104,296 693, 148 632,657 2,044,729 2,702,154 1,167,661 1,202,223 30,392,820

PAN AMERICAN HEALTH AND EDUCATION FOUNDATION 645, 208 51,410 73.988 55,545 348, 556 369, 893 87,819 1.632,419

WHO - Regular 5,830, 189 548,541 1,500,391 477,014 842,360 672,905 467,838 272,133 10,611,371

WHO - UNDP 3,298,760 - 527,177 54,470 1,964, 393 419,573 - - ó6,264,373

WHO - UNFPA 771,481 71,263 156,817 637,689 965,407 3,170,674 - - 5,773,331

WHO - Other 68, 26 4,483 4,343 13, 365 21,Z48 14,500 - - 126,065

Sub-total - WHO 9,968,556 624,287 2,188,728 1,182,538 3,793,408 4,277,652 467,838 272,133 22,775,140

TOTAL - ALL FUNDS 31,459, 716 1,779,993 2,955,864 1,870,740 6,186,693 7,349,699 1,635,499 1,562,175 54,800,379

1/ Does not include PAHO contribution of $250,000 to the Special Fund For Health Promotion and $550,000 budgeted increase in assets.

PAN AMERICAN HEALTH ORGANIZATION SUMMARYBY OBJECT OF EXPENDITURE 1975 BUDGET (Expressed in U. S. Dollars)

PART I PART II PART III PART IV Development Program Of The Administrative Governing Object Of Expenditure Of Services Infrastructure Direction Bodies Total

Personnel Costs 8,168,847 6,335,100 2,686,509 226,569 17,417,025

Duty Travel 425,954 401,298 20,039 847, 291

Fellowship 192,046 260,947 452, 993

Seminars 107,537 129,846 132,520 369,903

Project Supplies And Equipment 526,467 59,008 585,475

Project Grants And Other 451,641 289,272 740,913

Non-Project Supplies And Equipment 69,805 1,052,092 45,764 1,167,661

Non-Project Common Services And Other 363,494 838,729 1,202, 223 9 Total 9,872,492 7,908,770 4,597,369 404,853 22,783,484 1

1/ Does not include PAHO contribution of $250,000 to the Special Fund for Health Promotion and $550,000 budgeted increase in asseta. - 89 -

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