Executive Board Seventh Session Held in Geneva from 22 January to 5 February 1951

OFFICIAL RECORDS OF THE WORLD HEALTH ORGANIZATION No. 32

EXECUTIVE BOARD SEVENTH SESSION HELD IN GENEVA FROM 22 JANUARY TO 5 FEBRUARY 1951

PART I

RESOLUTIONS AND DECISIONS ANNEXES

WORLD HEALTH ORGANIZATION EALAIS DES NATIONS GENEVA

April 1951 ABBREVIATIONS he following abbreviations are used in the Official Records of the World Health Organization :

ACC Administrative Committee on Co-ordination CCICMS CouncilfortheCo-ordinationofInternationalCongresses of Medical Sciences ECAFE -- Economic Commission for Asia and the Far East ECE Economic Commission for Europe FAO Food and Agriculture Organization IBE International Bureau of Education ICAO International Civil Aviation Organization ICITO Interim Commission of the International Trade Organization ILO International Labour Organisation (Office) IMCO Intergovernmental Maritime Consultative Organization IRO International Refugee Organization ITU International Telecommunication Union OIHP Office International d'Hygiène Publique PASB Pan American Sanitary Bureau PASO Pan American Sanitary Organization TAB - Technical Assistance Board TAC Technical Assistance Committee TAED Technical Assistance for Economic Development UNESCO United Nations Educational, Scientific and Cultural Organization UNICEF United Nations International Children's Emergency Fund UNRRA United Nations Relief and Rehabilitation Administration UNRWAPRNE - United Nations Relief and Works Agency for Palestine Refugees in the Near East WFUNA World Federation of United Nations Associations NOTE

This volume contains the resolutions and decisions ( with relevant annexes) taken by the Executive Board at its seventh session.The Board's comments and recommendations on the proposed programme and budget estimates for 1952, together with its review of the organizational structure and administrative efficiency of the Organization, will be found in Official Records No. 33. The minutes of the session have been deposited in mimeographed form with the depart- ments of health of Member Governments.

11623 C. _

TABLE OF CONTENTS

In this table of contents the resolutions are grouped by title under broad subject headings.In the volume they appear in the order in which they were finally approved by the Executive Board.

Resolution Page, Introduction

REGIONS

Preliminary organization of the Office for Africa EB7.R10 3 Regional Organization for the Americas (Pan American Sanitary Organization) EB7. R21 6 Reappointment of the Director of the Regional Office for the Americas EB7.R23 7 Relations with the Pan American Sanitary Organization EB7. R9 3 Admission of the staff of the Pan American Sanitary Bureau into the United Nations Joint Staff Pension Fund EB7. R25 9 Site of the Regional Office for the Americas EB7. R48 19

Regional Organization for South-East Asia EB7. R11 4

Regional Organization for Europe EB7. R7 3 International Anti-Venereal-Disease Commission of the Rhine EB7.R24 7

Regional Organization for the Eastern Mediterranean EB7.R8 3 Eastern Mediterranean Regional Conference on Health Statistics EB7.R12 4 Assistance to refugees in Turkey EB7.R52 21 Regional Organization for the Western Pacific EB7.R14 4

EXPERT COMMITTEES

Draft Regulations for Expert Advisory Panels and Committees EB7.R82 34

Appointments to expert advisory panels and committees EB7. R74 30

Reports of expert committees EB7.R80 34 Biological Standardization :report on fourth session EB7.R63 27 Brucellosis (Joint FAO/WHO) : report on first session EB7. R81 34 Insecticides :report on second session EB7.R77 32 International Epidemiology and Quarantine :report on third session EB7. R86 37

Legal Sub-Committee :first, second, third and fourth reports . EB7.R67 28 Section on Quarantine :report on second session EB7.R65 27 - V - Resolution Page Malaria : report on fourth session and report of the Malaria Conference in Equatorial Africa EB7. R76 31 Mental Health :report on second session EB 7. R64 27 Occupational Health (Joint ILO/WHO) :report on first session EB7.R68 29 School Health Services :report on first session EB7. R62 26 Tuberculosis :report on fifth session EB7. R83 35 Unification of Pharmacopoeias :report on seventh session EB7.R79 33

Sub Committee on Non-Proprietary Names : report on first session . EB7. R73 30 Venereal Infections and Treponematoses, Sub-Committee on Serology and Laboratory Aspects :report on second session EB7. R66 28 Zoonoses (Joint WHO/FAO) :report on first session EB7. R78 32

TECHNICAL ASSISTANCE FOR ECONOMIC DEVELOPMENT

Technical assistance for economic development of under-developed countries . . EB7.R84 36

RELATIONS WITH THE UNITED NATIONS AND OTHER INTERNATIONAL ORGANIZATIONS Relief to the civilian population in Korea EB7.R50 20 Relationship between the World Health Organization and the United Nations Relief and Works Agency for Palestine Refugees in the Near East EB7.R42 16 Continuing needs of children and relations with UNICEF EB7.R60 24 International research laboratories EB7.R15 4

Development of arid land EB7.R20 6 Uniformity of postal regulations on transmission of biological and pathological materials EB7.R19 6

Refugee physicians and world shortage of medical personnel EB7.R22 7

Membership in the specialized agencies EB7. R18 6

Relations with non-governmental organizations EB7. R47 18 Health Information Centre of the Pacific Science Council EB7. R69 29

PROGRAMME OF THE ORGANIZATION

General programme of work covering a specific period EB7.R57 23

Concentration of efforts and resources EB7.R17 5

Programme of publications EB7.R16 5 Tuberculosis Research Office, Copenhagen EB7.R85 36

Inclusion of Tanganyika Territory in the African endemic yellow-fever area. . EB7. R2 1 Designation of laboratories for international certification of immunity against yellow- fever EB7.R3 2 Kamaran Quarantine Station EB7. R88 37

Establishment of pilot public-health centres EB7. R4 2

- VI - Resolution Page Waiving of customs duties on insecticides EB7. R49 19 Tropical ulcer EB7. R5 2

Leprosy EB7.R1 1 Supplies for governmental programmes EB7. R37 13 Supplies to governments EB7.R53 22

PROGRAMME AND BUDGET Proposed programme and budget estimates for 1952 39

HEALTH ASSEMBLY AND EXECUTIVE BOARD Biennial Health Assemblies EB7. R26 9 Provisional agenda for the Fourth World Health Assembly EB7. R54 22 Procedure for consideration of the 1952 programme and budget at the Fourth World Health Assembly EB7. R28 10

Technical discussions on special subjects at the Fourth World Health Assembly . EB7.R51 21

Representation of the Executive Board at the Fourth World Health Assembly . EB7. R29 10 Appointment of an ad hoc committee to examine, before the meeting of the Fourth World Health Assembly, the report of the External Auditor on the accounts of the World Health Organization for 1950 EB7. R90 38 Date of the Fifth World Health Assembly EB7. R70 29 Place of meeting of the Fifth World Health Assembly EB7. R46 17 Date and place of the eighth session of the Executive Board EB7. R72 30 Reports to the Executive Board by its representatives at the Third World Health Assembly EB7.R75 30 Report of the Standing Committee on Administration and Finance EB7. R59 24 Use of Spanish at WHO meetings EB7. R44 16

ADMINISTRATION AND FINANCE

Status of contributions EB7. R32 12 Currency of contributions EB7.R39 14 Scale of assessments :Israel, Korea and Viet Nam EB7. R40 14 Level of expenditure for 1951 :funds transferred from the Office International d'Hygiène Publique EB7. R30 11 Measures for improving the financial position of the Organization EB7. R41 15 Additional funds for the budget of the World Health Organization EB7. R89 38 Acceptance of gifts or bequests on behalf of the Organization EB7. R27 9 World Health Defence Fund EB7. R6 2 Issue of special World Health stamps, labels and flags EB7. R33 12 Proposed Financial Regulations EB7. R38 14

- VII - Resolution Page Provision of funds by governments for payment of field service allowances to staff of the World Health Organization EB7.R58 23 Use of local personnel in demonstration projects EB7. R56 23 Staff Regulations EB7. R31 11 Amendments to Staff Rules EB7. R34 13 Changes in salaries EB7.R35 13 Salary, allowance and leave systems EB7. R36 13 Differential rate for salaries in Geneva EB7.R55 22 Tax reimbursement for 1951 EB7. R43 16

OTHER RESOLUTIONS Message to the President of the Swiss Confederation EB7.R13 4 Form of annual reports from Member States EB7.R71 29 Establishment of national WHO committees EB7. R45 17 Third award of the Darling Medal and Prize EB7. R61 26 Report of the Léon Bernard Foundation Committee EB7.R87 37

ANNEXES

1. List of attendances 41 2.Membership of committees and working parties 42 3.Establishment of pilot public-health centres in under-developed countries 43 4.International research laboratories 45 5.Programme of publications 47 6.Concentration of effort and resources 48 7.Development of arid land 51 8. Admission of the staff of the Pan American Sanitary Bureau into the United Nations Joint Staff Pension Fund 52 9.Place of meeting of the Fifth World Health Assembly 54 10. General programme of work covering a specific period 55 11.Long-range activities for children and relations with UNICEF 63 12.Report of the Darling Foundation Committee to the Executive Board 66 13.Report of the Expert Committee on International Epidemiology and Quarantine sitting in corpore for its Section on Quarantine 67 14.Reports to the Executive Board by the representatives of tho Board at the Third World Health Assembly 68 15.Progress report on technical assistance for economic development 71 16.Report of the Léon Bernard Foundation Committee 81

17.Administrative co-ordination with the United Nations and other specialized agencies . . 82

- VIII - INTRODUCTION

The seventh session of the Executive Board was held in the Palais des Nations, Geneva, from22January to 5 February1951,under the chairmanship of Dr. H. S. Gear, with Professor M. De Laet and Lt-Col. M. Jafar as Vice-Chairmen.Professor G. A. Canaperia was elected Rapporteur for the session, assisted by Dr. F. J. Brady, Rapporteur of the Standing Committee on Administration and Finance.The list of attendances will be found in annex 1 and the membership of the committees and working parties in annex2. The Board considered an agenda which included the proposed programme and budget estimates for 1952(together with the report of its Standing Committee on Administration and Finance) ; the reports of regional committees ;the reports of expert committees ;technical assistance for economic development ; relations with the United Nations and other international organizations ; the revised programme for1951 ; and other financial, administrative, and programme matters. In the course of 17 meetings, the following resolutions and decisions were adopted.

EB7.R1 Leprosy

The Executive Board I.NOTES with satisfaction that an expert advisory panel on leprosy has been set up from which an expert committee is to be convened in1952 ;

2. REQUESTS the Director-General to place on the agenda of the meeting of the expert committee the following topics for consideration :

(1)the status of sulfone therapy - the effectiveness of the different preparations in use, their dosage, side effects and manner of administration, especially as regards undernourished patients ; (2)the adoption of a generally acceptable classification of the disease ; (3)the adoption of fundamental principles as a guide in selecting methods of control in countries where the disease is endemic, and (4)the public-health significance of the changing of the lepromin reaction from negative to positive either by the application of sulfones or by BCG vaccination ; 3.RECOMMENDS that work on leprosy be carried on in close collaboration with the International Leprosy Association. (Adopted at the second meeting, 22 January 1951)

EB7.R2 Inclusion of Tanganyika Territory in the African Endemic Yellow-Fever Area

The Executive Board APPROVES the inclusion of Tanganyika Territory in the African endemic yellow-fever area. (Adopted at the second meeting, 22 January 1951) 2 EXECUTIVE BOARD, SEVENTH SESSION, PART I

EB7.R3 Designation of Laboratories for International Certification of Immunity against Yellow Fever The Executive Board APPROVES the Stanleyville Laboratory, Belgian Congo, for the carrying out of sero-protection tests required for the international certification of immunity against yellow fever. (Adopted at the second meeting, 22 January 1951)

EB7.R4 Establishment of Pilot Public-Health Centres The Executive Board

1. NOTES the proposal submitted by the Government of the Philippines for the establishment of pilot public-health centres in selected areas, to demonstrate the organization of a well-balanced unit of public- health services for both urban and rural communities ; 2.CONSIDERS this form of assistance to Member States to be a useful technique for strengthening their public-health services, and

3. REQUESTS the Director-General to take this suggestion and the discussion in the Board 2 into account when planning services with governments and in developing the health demonstration areas proposed in the 1952 programme. (Adopted at the second meeting, 22 January 1951)

EB7.R5 Tropical Ulcer The Executive Board, Recognizing that tropical ulcer is a chronic and incapacitating disease which is refractory to treatment, is endemic in many countries, and hampers economic development ; Recognizing that studies of its prevention, control and treatment should be encouraged ; Considering, however, that budgetary limitations do not permit the World Health Organization to subsidize research on this disease,

1. REGRETS that it cannot lend financial assistance to work on tropical ulcer in 1952 ; 2.ENCOURAGES laboratories to study this disease. (Adopted at the second meeting, 22 January 1951)

EB7.R6 World Health Defence Fund The Executive Board

1.NOTES that the International Bank for Reconstruction and Development and the International Monetary Fund have advised the Director-General that they will inform him if there should be any developments in the future which would have a favourable bearing on the plan for finding ways and means of providing the financing necessary to assist in meeting the health needs of the world, and Considering that further progress in this matter is not at present possible,

2.TRANSMITS this information to the Fourth World Health Assembly. (Adopted at the third meeting, 24 January 1951)

1 Annex 3, section 1 = See annex 3, section 2. RESOLUTIONS AND DECISIONS

EB7.R7 Regional Organization for Europe The Executive Board 1. NOTES that European governments, whilst favouring the principle of regionalization, continue to express reservations on the early establishment of a regional office ; 2.CONSIDERS that action for complete regionalization of Europe should be postponed, and 3.RECOMMENDS that a consultative committee of representatives of the European governments be convened at a suitable time in 1951 for the purpose of discussing the future programmes of the World Health Organization in Europe. (Adopted at the third meeting, 24 January 1951)

EB7.R8 Regional Organization for the Eastern Mediterranean The Executive Board 1. NOTES with satisfaction the progress shown by the Regional Organization for the Eastern Mediter- ranean, as set out in the report of the third session of the Regional Committee, held in Istanbul, Turkey, from 4 to 7 September 1950 ; 3 2.NOTES the results of the negotiations for an agreement concerning the privileges, immunities and facilities to be accorded to the World Health Organization, in particular with regard to the regional arrangements in the Eastern Mediterranean area ; 3.REQUESTS the Director-General to submit a report on these negotiations and the agreement for approval by the Fourth World Health Assembly. (Adopted at the third meeting, 24 January 1951)

EB7.R9 Relations with the Pan American Sanitary Organization The Executive Board, Recalling the provisions of Article 54 of the Constitution of WHO, NOTES with satisfaction the development of closer relations with the Pan American Sanitary Organ- ization and the adoption of administrative practices common to the Pan American Sanitary Bureau and the World Health Organization.4 (Adopted at the third meeting, 24 January 1951)

EB7.R10Preliminary Organization of the Office for Africa The Executive Board 1. NOTES the establishment in November 1950 of the Office for Africa ;

2.NOTES the report on activities in the African Region ;5 3.NOTES with interest the statement by the United Nations observer on the activities with regard to Africa carried on by the United Nations Division of Information from Non-Self-Governing Territories ; 5 and 4.REQUESTS the Director-General to communicate to the Secretary-General of the United Nations the assurance of the continued interest of the World Health Organization in the co-ordination of activities in that area. (Adopted at the third meeting, 24 January 1951)

3 Mimeographed document EB7/50, not reproduced in this volume 4 See Off. Rec. World Hlth Org. 33, annex 15. 5 Given orally at the third meeting of the Executive Board, seventh session (see mimeographed document EB7/Min/3 Rev. 1, section 10). 4 EXECUTIVE BOARD, SEVENTH SESSION, PART I

EB7.R11Regional Organization for South-East Asia The Executive Board NOTES with satisfaction the progress shown by the Regional Organization for South-East Asia, as set out in the report of the third session of the Regional Committee, held in Kandy, Ceylon, from 22 to 26 September 1950.6 (Adopted at the third meeting, 24 January 1951)

EB7.R12Eastern Mediterranean Regional Conference on Health Statistics The Executive Board 1. NOTES the report of the first Regional Conference on Health Statistics of the Eastern Mediterranean Region, held in Istanbul, Turkey, from 8 to 9 September 1950,7 and 2.REQUESTS the Director-General to transmit this report to the Fourth World Health Assembly for information. (Adopted at the third meeting, 24 January 1951)

EB7.R13Message to the President of the Swiss Confederation The Executive Board REQUESTS its Chairman to convey to the President of the Swiss Confederation its profound sympathy for the Swiss people in the suffering and loss of life caused by the recent disastrous avalanches. (Adopted at the third meeting, 24 January 1951)

EB7.R14Regional Organization for the Western Pacific The Executive Board, Having considered the activities of the temporary Office for the Western Pacific Region, 1. NOTES that the facilities of this Office are being expanded as rapidly as possible ; 2.DECIDES, in view of the present situation in that area, that the proposed meeting in 1951 of the Regional Committee for the Western Pacific should be postponed, and 3.EXPRESSES to the countries of the region the deep regret of the Board that conditions are such as to make this postponement necessary. (Adopted at the third meeting, 24 January 1951)

EB7.R15International Research Laboratories The Executive Board, Noting the action taken by the Economic and Social Council and UNESCO on plans for establishing international research laboratories,8 and Recalling the resolutions of the Second World Health Assembly on this subject,6 which included the principle that the Organization should not consider establishing such laboratories under its own auspices,

6 Mimeographed document EB7/49, not reproduced in this volume 7 Mimeographed document EB7/64, not reproduced in this volume 8 See annex 4. 9 Resolutions WHA2.19, WHA2.32, WHA2.5, WHA2.6 RESOLUTIONS AND DECISIONS 5

1. ENDORSES the statement on this subject made by the Director-General at the eleventh session of the Economic and Social Council as being in conformity with the policy of the World Health Organization ; 2.WELCOMES the interest shown by the Economic and Social Council and UNESCO in research in fields related to health ; 3.PLEDGES the assistance of WHO to UNESCO in carrying out its programme in these fields ; 4.APPROVES the policy on the specific projects which are envisaged ;

5. CONSIDERS it desirable that the extension of medical and health research should be encouraged in as many national institutes as possible, and 6.CALLS upon other international organizations interested in such research to give all possible assistance to these institutes. (Adopted at the fourth meeting, 24 January 1951)

EB7.R16Programme of Publications

The Executive Board

1. NOTES the report submitted by the Director-General on measures adopted in application of resolution WHA3.63 ; 1° 2.NOTES the Director-General's statement on proposed measures for improving translations ;

3.EXPRESSES satisfaction with the improved quality and quantity of publications issued in 1950 ; 4.APPROVES the Director-General's proposals for increasing the frequency of publication of the Bulletin of the World Health Organization in 1951, and 5.RECOGNIZES that the possibility of a further increase in the frequency of publication of the Bulletin in 1952, and of the inclusion of abstracts in its bibliographical section, may be affected by budgetary limitations. (Adopted at the fourth meeting, 24 January 1951)

EB7.R17Concentration of Effort and Resources

The Executive Board

1.NOTES that the resolutions of the General Assembly and the Economic and Social Council of the United Nations on the subject of the concentration of effort and resources, and the suggested criteria for priorities between programmes," are in general accord with the policy of the Organization ; 2.POINTS OUT, however, that quantitative demonstrable results are not always obtainable in public-health programmes ;

3.FORWARDS this information to the Fourth World Health Assembly so that it may take it into account when planning the programme of the Organization. (Adopted at the fourth meeting, 24 January 1951)

10 Annex 5 11 See annex 6. 6 EXECUTIVE BOARD, SEVENTH SESSION, PART I

EB7.R18Membership in the Specialized Agencies

The Executive Board

NOTES the resolution adopted by the United Nations General Assembly12expressing the hope that Members of the United Nations not participating in the specialized agencies will assume or resume full participation in these agencies as soon as possible. (Adopted at the purth meeting, 24 January 1951)

EB7.R19Uniformity of Postal Regulations on Transmission of Biological and Pathological Materials

The Executive Board, Noting that variations in national postal regulations cause delays in the shipment of perishable biological and pathological materials and thus impair their value for diagnostic and research purposes, REQUESTS the Director-General (1)to confer with officials of the Universal Postal Union and other interested agencies with a view to encouraging governments to establish postal regulations which will ensure the rapid transmission of such specimens, and (2)to report the results of his efforts to one of the future sessions of the Board. (Adopted at the fourth meeting, 24 January 1951)

EB7.R20Development of Arid Land

The Executive Board

1. NOTES the resolution of the United Nations General Assembly on the development of arid zones ;13

2.PLEDGES its support to UNESCO in this field ;

3.EMPHASIZES the importance of early planning of programmes to prevent the introduction or aggravation of disease hazards caused by the development of such zones ; 4.CALLS the attention of the Fourth World Health Assembly to this problem. (Adopted at the fourth meeting, 24 January 1951)

EB7.R21Regional Organization for the Americas (Pan American Sanitary Organization)

The Executive Board

1. NOTES with satisfaction the programme, administrative and other arrangements made by the Regional Organization for the Americas, and the progress shown therein, as set out in the report of the second session of the Regional Committee, held in Ciudad Trujillo, Dominican Republic, from 25 to 30 September

1950 ;14

12At its 314th plenary meeting on 1 December 1950 (UN document A/1591). 13Reproduced in annex 7. 14Mimeographed document EB7/58, not reproduced in this volume RESOLUTIONS AND DECISIONS 7

2.NOTES the evidence provided in the report of the increasing integration of the work of the Pan American Sanitary Organization with that of the World Health Organization ; and

3.PROPOSES to the Fourth World Health Assembly that the fiftieth anniversary of the founding of the Pan American Sanitary Bureau might suitably be recognized by sending a special representative of the World Health Organization to the First Inter-American Sanitary Congress to be held in Havana, Cuba, in 1952. (Adopted at the sixth meeting, 26 January 1951)

EB7.R22Refugee Physicians and World Shortage of Medical Personnel

Having considered a communication from the International Refugee Organization pointing out the obstacles to the professional resettlement of refugee physicians arising from national legislation or, in some cases, the lack of national legislation, The Executive Board

1. DRAWS the attention of Member States to the existence of these anomalies ;

2. RECOMMENDS to Member States the adoption of such legislation as would enable the services of duly qualified medical personnel acceptable to them to be satisfactorily utilized ; and furthermore 3.POINTS OUT that a medical register has been prepared by IRO which gives personal details and quali- fications of each refugee screened as medically qualified by IRO. (Adopted at the fifth meeting, 26 January 1951)

EB7.R23Reappointment of the Director of the Regional Office for the Americas

Having considered the nomination of the Regional Committee for the Americas at its second session, The Executive Board REAPPOINTS Dr. Fred L. Soper as Director of the Regional Office for the Americas for a period of four years as from 1 February 1951. (Adopted at the sixth meeting, 26 January 1951)

EB7.R24International Anti-Venereal-Disease Commission of the Rhine

The Executive Board, Having regard to the Agreement respecting Facilities to be accorded to Merchant Seamen for the Treatment of Venereal Disease, signed at Brussels on 1 December 1924 ; Having regard to the duties and functions exercised by the World Health Organization and the International Labour Organisation by virtue of the above-mentioned agreement and to Article II of the Agreement between these organizations ; Considering the resolutions adopted by the International Union against Venereal Diseases at its annual general assemblies in 1947 and 1948, requesting the World Health Organization and governments to take urgent steps which would again permit strict application of the Brussels Agreement and to collaborate in the creation of a technical commission for the control of venereal diseases with respect to navigation on the Rhine ; 8 EXECUTIVE BOARD, SEVENTH SESSION, PART I

Considering the request made by the representatives of Belgium, France, the Netherlands, Switzer- land and the American, British and French occupation zones of Germany at a preparatory meeting held at Geneva on 30 and 31 May and 1 June1949for the creation as soon as possible of an anti-venereal-. disease commission for the Rhine river area ; Considering the resolution of the fourth session of the Executive Board concerning the report of the above-mentioned preparatory meeting ; 15 Considering the report of the preparatory meeting held at Rotterdam on 18 and19December1950 ; RESOLVES as follows : There is hereby created an anti-venereal-disease commission for the Rhine river area, to be known as the " International Anti-Venereal-Disease Commission of the Rhine ", hereinafter referred to as " the Commission ", with the following terms of reference : (1)The Commission, acting within the framework of the policies of the World Health Organization, and in accordance with the terms of the Brussels Agreement of1924,shall, provided that the Com- mission takes no action in respect to any Country without the agreement of the Government of that Country ; (a)initiate the co-ordination of the anti-venereal-disease services in Belgium, France, Germany, the Netherlands and Switzerland, with a view to strengthening the fight against venereal disease among Rhine river boatmen ; (b)initiate the establishment of diagnostic and treatment centres in the principal river ports which do not as yet possess dispensaries or specialized consultation services ; (c)participate in the application of the principles approved by the World Health Assembly to assure the functioning of venereal-disease services, especially : (i)free medical examination, treatment and hospitalization when necessary, not only for nationals but also for foreigners ; (ii)distribution to patients of an individual treatment card free of charge in accordance with the model drawn up by virtue of the Brussels Agreement of1924 ; (iii)international tracing of infectious contacts through exchange of epidemiological information, where appropriate by direct communication between the medical authorities concerned ; (iv)development or creation of social services, preferably specialized, so that epidemiological action can be taken and social assistance be given to patients ; (v)distribution of an international booklet giving a list of treatment centres with addresses and consultation hours.

(2) The members of the Commission shall, in the first instance, consist of Belgium, France, the Netherlands and Switzerland, provided that any State in the area which may hereafter become a Member of the World Health Organization shall be thereupon admitted as a member of the Commission. - (3)The Allied High Commission in Bonn and the German Government in the area may be represented by observers.

(4) The Commission may invite representatives of specialized agencies and of inter-governmental or non-governmental organizations in official relationship with the World Health Organization to participate in a consultative capacity in its consideration of any matter of particular concern to that agency or organization. (5)The Commission is empowered to make recommendations on any matters within its competence directly to the Governments of members concerned. (6)The Commission shall submit to the Executive Board once a year a full report on its activities and plans.

15 Off.Rec. World HIM Org. 22,section 1.4.1 RESOLUTIONS AND DECISIONS 9

(7)The Commission shall adopt its own rules of procedure. (8)The Director-General shall, within the limits of the provisions of the Constitution and the programme and budget of the World Health Organization, furnish necessary staff and assistance to the Commission. (9)The Director-General shall convene a meeting of the Commission once in each year.He may convene additional meetings upon the request of the Chairman of the Commission or of a majority of its members. (10)The Commission shall establish an administrative secretariat in Strasbourg and a technical and medico-social secretariat in Rotterdam. (11)The Executive Board shall review the work of the Commission annually with a view to determining whether the Commission should be terminated or continued, and if continued what modification, if any, should be made in its terms of reference. (Adopted at the fifth meeting, 26 January 1951)

EB7.R25Admission of the Staff of the Pan American Sanitary Bureau into the United Nations Joint Staff Pension Fund The Executive Board, Having considered the report submitted by the Director-General on the proposed agreement with the Pan American Sanitary Bureau, which serves as the World Health Organization's Regional Office for the Americas, for the inclusion of its staff in WHO lists, for the purpose of admission into the United Nations Joint Staff Pension Fund," 1. APPROVES the proposed action, and 2.AUTHORIZES the Director-General to conclude the agreement incorporating the principles outlined in this report. (Adopted at the sixth meeting, 26 January 1951)

EB7.R26Biennial Health Assemblies The Executive Board, Noting that the Third World Health Assembly requested the Director-General to study the arrangements necessary for implementing the principle of biennial Health Assemblies ; 17 Considering that further study of the problem involved is required by the Director-General and the Executive Board, AUTHORIZES the Director-General to report to the Fourth World Health Assembly that, in the opinion of the Executive Board, this study should be continued and a report made to the Fifth World Health Assembly. (Adopted at the ninth meeting, 29 January 1951)

EB7.R27Acceptance of Gifts or Bequests on behalf of the Organization The Executive Board RESOLVES that, pending the adoption by the Fourth World Health Assembly of revised Financial Regulations, gifts or bequests offered to the Organization, whether or not in cash, may be provisionally accepted by the Director-General subject to the provisions of Article 57 of the Constitution. (Adopted at the ninth meeting, 29 January 1951) 16 Annex 8 " See resolution WHA3.96 10 EXECUTIVE BOARD, SEVENTH SESSION, PART I

EB7.R28Procedure for Consideration of the 1952 Programme and Budget at the Fourth World Health Assembly

The Executive Board, Having noted the request of the Third World Health Assembly in resolution WHA3.106 that the Board submit to the Fourth World Health Assembly proposals for an improved procedure for the consideration of the programme and budget by the Health Assembly, RECOMMENDS to the Fourth World Health Assembly that it adopt the following resolution on the procedure for the consideration of the programme and budget for 1952 : The Fourth World Health Assembly I.INSTRUCTS the Committee on Programme to make a broad appraisal of the proposed programme, together with the comments and recommendations of the Executive Board ; 2.INSTRUCTS the Committee on Administration, Finance and Legal Matters to consider and recommend the scale of assessments for 1952 and to review the broad financial aspects of the programme and budget, together with the comments and recommendations of the Executive Board ; 3.INSTRUCTS the Committee on Programme and the Committee on Administration, Finance and Legal Matters : (1)to meet jointly early in the session, in order to make joint recommendations on the total amount of the budget, and (2)to establish a joint working-party, composed of 12 members, to make a detailed examination of the programme and budget as early as possible during the session, and to report on its findings and recommendations to the Committee on Programme and the Committee on Administration, Finance and Legal Matters meeting in joint session ; 4.INSTRUCTS the Committee on Programme and the Committee on Administration, Finance and Legal Matters to meet jointly to consider the report and recommendations of the working party and to make joint recommendations to the Health Assembly on the programme and budget for 1952, including in particular the amounts of the total budget to be devoted to each part of it, i.e. PartI - Organizational Meetings PartII - Operating Programme Part III - Administrative Services.

(Adopted at the ninth meeting, 29 January 1951)

EB7.R29Representation of the Executive Board at the Fourth World Health Assembly

The Executive Board, Having considered the procedure for examining the 1952 programme and budget, and Noting the instructions of the Third World Health Assembly on this subject, including those for a review of the organizational structure and administrative efficiency,18 I.DECIDES that the consideration of the programme and budget estimates for 1952 by the Fourth World Health Assembly will be facilitated if the Board submits a complete report on its own examination and review of the programme and budget, and also arranges for the Board to be officially represented at the Health Assembly ;

18 See resolutions WHA3.106 and WHA3.89. RESOLUTIONS AND DECISIONS 11

2.REQUESTS the Director-General to arrange for the printing of the report of the seventh session of the Board in two parts, one part to be devoted exclusively to the Board's comments and recommendations on the programme and budget estimates for 1952, including its review of the organizational structure and administrative efficiency ; 19 and 3.DECIDES further that the Board shall be officially represented at the Fourth World Health Assembly by : Dr. H. S. Gear ; Dr. A. Stampar ; Professor G. A. Canaperia (Alternate). (Adopted at the ninth meeting, 29 January 1951)

EB7.R30Level of Expenditure for 1951 : Funds transferred from the Office International d'Hygiéne Publique

The Executive Board, Noting that there have been no significant changes since the level of expenditure for 1951 was considered by the Board at its sixth session ; 29 Having considered the latest available information concerning the anticipated income for 1951 ; Considering it necessary to provide for certain functions to be carried out in 1951 with the funds transferred to the Organization by the Office International d'Hygiène Publique, RESOLVES that the expenditure level for 1951 shall remain at $6,150,000 plus the amount of $82,057, transferred from the Office International d'Hygiène Publique, making a total of $6,232,057. (Adopted at the ninth meeting, 29 January 1951)

EB7.R31Staff Regulations

The Executive Board RECOMMENDS the following resolution for adoption by the Fourth World Health Assembly : The Fourth World Health Assembly, Reiterating the desirability of arriving at uniform staff regulations for the United Nations, the World Health Organization and other specialized agencies, and Noting that staff regulations, as developed by the Administrative Committee on Co-ordination, with such modifications as are necessary to meet the special requirements of the World Health Organization, have been recommended by the Executive Board,

1.DECIDES to adopt as the Staff Regulations of the World Health Organization the regulations attached ; 2.DECIDES further that, pending completion of negotiations for the use of the United Nations Administrative Tribunal, the World Health Organization shall continue to utilize the services of the Administrative Tribunal of the International Labour Office ; 3.REQUESTS that in accordance with Article XV, paragraph 3(c), of the Agreement between the United Nations and the World Health Organization, the Director-General be represented at meetings of the United Nations Advisory Committee on Administrative and Budgetary Questions when it studies the proposed United Nations staff regulations, in order to participate in the discussions and present the views of the World Health Organization. (Adopted at the ninth meeting, 29 January 1951)

19 Part II of the Executive Board's report is published as Of. Rec. World Hlth Org. 33. 20 See resolution EB6.R22. 21 Reproduced in Ojr. Rec. World 111th Org. 33, annex 17. 12 EXECUTIVE BOARD, SEVENTH SESSION, PART I

EB7.R32Status of Contributions

The Executive Board, Having considered the status of contributions to the budget and assessments to the Working Capital Fund of the Organization,

1.NOTES that certain Members are still in arrears for the years 1948 and 1949 and that the position, as at 31 December 1950, in respect of the year 1950 is not satisfactory ;

2.CALLS upon these Members to pay their contributions as quickly as possible ;

3.REQUESTS the Director-General to supplement the next monthly statement on the " Status of Contribu- tions " by a further statement summarizing the arrears position at 31 December 1950, and

4.DRAWS to the attention of Members the fact that : (1)default or delay in payment of contributions may result in a severe drain on the Working Capital Fund and place undue liability on other Member States ; (2) WHO programmes can be carried out only to the extent that funds are available and that failure of Members to pay their assessed contributions may result in the abandonment or curtailment of certain programmes ; (3)the financial difficulties which beset some Members are appreciated, but that the work of the World Health Organization is of worldwide importance and can continue and progress only through the constant support of Members ;

REQUESTS all Members (1)to pay their outstanding contributions in full ; (2)to provide in their national budgets for regular payment of annual contributions to the World Health Organization ; (3)to pay such contributions as early as possible after they are due ; and

6.REQUESTS all Members in arrears to advise the Director-General, prior to 1 May 1951, of the action taken or to be taken in this respect in order that a full report may be submitted to the Fourth World Health Assembly in accordance with resolutions WHA3.73 and WHA3.74. (Adopted at the ninth meeting, 29 January 1951)

EB7.R33Issue of Special World Health Stamps, Labels and Flags

The Executive Board, Having considered resolution WHA3.97 of the Third World Health Assembly on the issue of World Health stamps ; Noting that there is a precedent for the principle of governments issuing special stamps on behalf of international organizations in the case of the so-called Nansen Stamps issued at the request of the League of Nations ; Considering that it would not be feasible for the Organization itself to promote the sale of World Health stamps, labels or flags on an international basis, because of the costs involved and possible conflict with existing campaigns carried out both by governments and by non-governmental organizations ; Realizing, however, that the issue of such stamps, labels or flags would stimulate public interest in the work of the Organization, RESOLUTIONS AND DECISIONS 13

1.SUGGESTS to Member Governments that where possible they should consider issuing special World Health stamps and that the monies raised by the surcharge on such stamps and by sales to philatelists should be divided between the World Health Organization and the national health-administrations on an agreed basis ; 2.SUGGESTS further that if it is not feasible for Member Governments to issue special stamps, they consider the issuing of labels and the sale of flags under analogous conditions ; 3.SUGGESTS, finally, that any agreement entered into between the Organization and a Member State regarding the sale of WHO stamps, labels and flags should contain a provision that the sums retained by the national health-administration of that State would be used for purposes in general conformity with the principles set forth in the Constitution of the World Health Organization ; 4.REQUESTS the Director-General to circulate this resolution to all Member Governments. (Adopted at the ninth meeting, 29 January 1951)

EB7.R34Amendments to Staff Rules The Executive Board CONFIRMS the changes in the Staff Rules as reported by the Director-Genera1.22 (Adopted at the ninth meeting, 29 January 1951)

EB7.R35Changes in Salaries The Executive Board, Noting that the United Nations General Assembly approved increases in the salaries of its Assistant Secretaries-General, CONCURS in the proposal of the Director-General to increase the salary of the Deputy Director- General from $15,000 to $16,500 and to increase the salaries of the Assistant Directors-General and Regional Directors from $13,500 to $15,000. (Adopted at the ninth meeting, 29 January 1951)

EB7.R36Salary, Allowance and Leave Systems The Executive Board

1. CONCURS in the proposals made by the Director-General with regard to the application by the World Health Organization of the changes in salary, allowance and leave provisions adopted by the United Nations ; 2.APPROVES the transitional arrangements proposed by the Director-General to give effect to these changes.23 (Adopted at the ninth meeting, 29 January 1951)

EB7.R37Supplies for Governmental Programmes The Executive Board, Having considered resolution WHA3.42 of the Third World Health Assembly concerning supplies for governmental programmes, and having examined the report on this subject submitted by the Director- General,

23 See Off. Rec. World Hlth Org. 33, annex 18. 23 See Off. Rec. World filth Org. 33, 33. 14 EXECUTIVE BOARD, SEVENTH SESSION, PART I

NOTES the comments of the Director-General ; 24 2.APPROVES the preliminary actions so far taken, and 3.REQUESTS the Director-General to complete his examination and to submit a report and recommendations, either to the Fourth World Health Assembly or to a later session of the Executive Board.

(Adopted at the ninth meeting,29January1951)

EB7.R38Proposed Financial Regulations The Executive Board, Having considered the report of the Director-General on the adoption of uniform financial regulations as approved by the Administrative Committee on Co-ordination ; Noting that financial regulations have been approved by the United Nations General Assembly, which also requested the specialized agencies to adopt similar financial regulations with such alterations as are required to meet their constitutional provisions and organizational structure, RECOMMENDS to the Fourth World Health Assembly the adoption of the following resolution : The Fourth World Health Assembly, Considering it desirable to adopt financial regulations which are as uniform as possible with those of the United Nations and the specialized agencies with only such alterations as are required to meet the constitutional provisions and organizational structure of the World Health Organization, DECIDES to adopt the proposed Financial Regulations 25 as the Financial Regulations of the World Health Organization. (Adopted at the ninth meeting,29January1951)

EB7.R39Currency of Contributions The Executive Board, Having considered the report of the Director-General on the currency of contributions," I.NOTES that this problem is being considered jointly with the United Nations and the other specialized agencies, and 2.REQUESTS the Director-General to continue his study of the problem and to report on any further developments to a future session of the Executive Board.

(Adopted at the ninth meeting,29January1951)

EB7.R40Scale of Assessments : Israel, Korea and Viet Nam The Executive Board, Having examined the scale of assessments for Israel, Korea and Viet Nam as requested by the Third World Health Assembly in resolution WHA3.91 ; Noting that the scale of assessment for Israel to the United Nations has not been altered ; Considering that the state of hostilities in Korea has rendered valueless most of the information on that country at present available ; Noting that there has been no change in the available information affecting the criteria on which the assessment of Viet Nam was originally based,

24 See Off. Rec. World Hltlz Org. 33, annex 9. 25 See Off. Rec. World Hlth Org. 33, annex 6. 26 See Off. Rec. World Hlth Org. 33 , 22, paragraph 97. RESOLUTIONS AND DECISIONS 15

RECOMMENDS to the Fourth World Health Assembly the adoption of the following resolution : The Fourth World Health Assembly, Noting the information contained in the resolution of the Executive Board at its seventh session,

RESOLVES (1)that the definite assessment of Israel for the years 1949, 1950 and 1951 shall be 14 units, and (2)that, subject to review in respect of future years, the scale of assessments for Korea and Viet Nam for 1952 shall be as follows :

Korea . . . 5 units, Viet Nam . . 25 units. (Adopted at the ninth meeting, 29 January 1951)

EB7.R41Measures for Improving the Financial Position of the Organization The Executive Board, Desiring to remedy the present financial difficulties brought about by the fact that certain Member States are no longer interested in the Organization ; Considering that the proposal by the Director-General for improving the financial position of the Organization 27 is sound,

1. REQUESTS the Director-General to circulate his proposal, together with this resolution, to all Member States for their consideration prior to the Fourth World Health Assembly ; 2.RECOMMENDS to the Fourth World Health Assembly the adoption of the following resolution : The Fourth World Health Assembly, Having considered a report made by the Executive Board at its seventh session on the financial position of the Organization ; Notwithstanding the decision of the First World Health Assembly concerning the Working Capital Fund, 1.RESOLVES to transfer the 1948 budgetary surplus from the Working Capital Fund to the suspense account established by the Third World Health Assembly ; 2.REQUESTS the Director-General : (1)to meet, from the 1948 budgetary surpluses transferred to the suspense account, the cash deficits for the years 1948 and 1949 resulting from the non-payment of contributions by certain Members, and (2)to effect an appropriate charge against the suspense account ; it being nevertheless understood that this action will in no way relieve the Member States concerned of their obligations to the Organization in respect to their contributions ;

3. RESOLVES (1)to revoke the decision of the Third World Health Assembly in respect to the establishment of a building fund by cancelling paragraphs 5, 6, 7 and 8 of resolution WHA3.105 ; (2)to authorize, by the transfer of $233,645 from the 1948 budgetary surpluses transferred to the suspense account, the establishment of a building fund, which shall remain available until the completion of the building operation and liquidation of all obligations, notwithstanding the provisions of the Financial Regulations, and (3)to authorize, upon the completion and liquidation of the outstanding obligations, the return of any remaining balances to the suspense account ;

27 See Off. Rec. World Hlth Org. 33, annex 2. 16 EXECUTIVE BOARD, SEVENTH SESSION, PART I

4.RESOLVES to suspend the application of Financial Regulations 13 and 16 (e) for 1952 and future years until the financial position of the Organization is such that these surpluses can be used in accordance with the Regulations ; 5. DECIDES that the status of the suspense account should be reviewed by each Health Assembly, and 6.DECIDES further that, notwithstanding the decision of the Third World Health Assembly on the amount of the Working Capital Fund, the Working Capital Fund is hereby established at $3,192,032.85. (Adopted at the ninth meeting,29January1951)

EB7.R42Relationship between the World Health Organization and the United Nations Relief and Works Agency for Palestine Refugees in the Near East The Executive Board

1. APPROVES the extension of the Agreement between the United Nations Relief and Works Agency for Palestine Refugees in the Near East and the World Health Organization until 31 December 1951 or until the dissolution of the Agency, if this should take place before that date ; 2.REQUESTS the Director-General to make the necessary arrangements with the Director of the Agency for this purpose, and 3.RECOMMENDS to the Fourth World Health Assembly that it authorize the Director-General to extend the Agreement further until 30 June 1952, if the Agency is not to be dissolved before that date.

(Adopted at the fifth meeting,26January1951)

EB7.R43Tax Reimbursement for 1951 The Executive Board AUTHORIZES the Director-General to reimburse staff members for national taxes, including state taxes which they are obliged to pay, on salaries and allowances received from the World Health Organiza- tion during 1951. (Adopted at the ninth meeting,29January1951)

EB7.R44Use of Spanish at WHO Meetings I.The Executive Board RECOMMENDS to the Fourth World Health Assembly the adoption of the following resolution : The Fourth World Health Assembly, Having examined the proposals made by the Executive Board on the amendment of Rules 66 and 67 of the Rules of Procedure of the World Health Assembly ; Having noted the high proportion of Members whose national language is Spanish ; Recognizing the desirability of having interpretation of speeches in French and English from and into Spanish at sessions of the World Health Assembly, the Executive Board, expert committees and other advisory bodies, 1.RESOLVES that Rules 66 and 67 of the Rules of Procedure of the World Health Assembly be amended to read as follows : Rule 66 Speeches made in either of the working languages shall be interpreted into the other working language and Spanish.Speeches made in Spanish shall be interpreted into both working languages. RESOLUTIONS AND DECISIONS 17

Rule 67 Speeches made in any of the other official languages shall be interpreted into both working languages and into Spanish. 2.RESOLVES further that Rule 13 of the Rules of Procedure for Expert Committees be amended to read as follows : Rule 13 The working languages of the committee shall be English and French.Speeches made in Spanish shall be interpreted into both working languages ; speeches made in either of the working languages shall be interpreted into the other working language and into Spanish. If requested, arrangements shall be made, if possible, for the interpretation of any other language used by any expert during the session.

11.The Executive Board, Pending the adoption by the Health Assembly of the proposed amendments to Rules 66 and 67 of the Rules of Procedure of the World Health Assembly, RESOLVES to amend provisionally Rules 23 and 24 of the Rules of Procedure of the Executive Board to read as follows : Rule 23 Speeches made in either of the working languages shall be interpreted into the other working language and into Spanish.Speeches made in Spanish shall be interpreted into both working languages. Rule 24 Speeches made in any of the other official languages shall be interpreted into both working languages and into Spanish. (Adopted at the ninth meeting, 29 January 1951)

EB7.R45Establishment of National WHO Committees The Executive Board NOTES that the Director-General has been maintaining contact with governments, non-governmental organizations and various individuals on the subject of national WHO committees and that he will report to a future session of the Board on the results of his inquiries. (Adopted at the eleventh meeting, 31 January 1951)

EB7.R46Place of Meeting of the Fifth World Health Assembly The Executive Board, Having examined the results of the negotiations undertaken by the Director-General with the Government of the United States of America, as requested by the Executive Board at its sixth session ; 28 Considering that the holding of the Fifth World Health Assembly in the United States of America would result in an additional cost to the Organization of approximately $200,000, DECIDES, in view of the heavy financial burden which would be placed on the Organization if it were decided to hold a Health Assembly away from headquarters in the absence of firm proposals from Member States, not to put forward to the Fourth World Health Assembly a recommendation as to the place of meeting of the Fifth World Health Assembly. (Adopted at the eleventh meeting, 31 January 1951) 28 See annex 9. 18 EXECUTIVE BOARD, SEVENTH SESSION, PART I

EB7.R47Relations with Non-Governmental Organizations

I. New Applications The Executive Board

DECIDES (1)To establish official relations with the following organizations on the basis of the criteria laid down in Official Records Nos.25,page65,and28,page67 : (a)the International Association of Microbiologists ; (b)the International Society for the Welfare of Cripples ; (c)the International Paediatric Association ;

(2) Not to establish official relations with : (a)the International Union of Family Organizations, since this organization does not have a strictly medical scientific character but is mainly concerned with social problems.However, working relations should be established whenever possible, as WHO is interested in the aims of the organization ; (b)the International Ling Gymnastic Federation, because this organization covers only part of the question of physical training ; (c)the Association for Parodontopathic Research since it covers only part-though a highly specialized part-of the field of stomatology, and WHO is already in official relationship with the International Dental Federation with whom ARPA are in contact ; (d)the World Organization for Early Childhood Education, for the same reasons as under 2(a) above. Excellent working relations have already been established with this organization and should be continued and developed ; (3) To postpone discussions on the Sovereign and Military Order of Malta in order to allow time for the members of the Standing Committee on Non-Governmental Organizations further to consider the application at their leisure, as it was presented too late for study before the meeting, and because of the complexity of the problem, and also in order to allow the Secretariat to obtain additional information and to find a more concrete form for its presentation.

II.Reconsideration of Former Applications The Executive Board

DECIDES (1) To establish official relations with the Central Council for Health Education, and with the American College of Chest Physicians on the basis of section (vi) of the criteria ;

(2) To postpone consideration in the following cases : (a)International Committee on Military Medicine and Pharmacy-until the ninth session of the Executive Board, pending the report to the Congress of Military Medicine and Pharmacy in June1951 ofthe committee set up by the last Congress in1949to consider the possible relationshipofthe Congress, or its international committee, with other international organizations ; (b)International CommitteeofCatholic Associations of Nurses and Medico-Social Workers -until a later session, while taking noteofthe first two paragraphsofthe letter from the committee of 3 January 1951,29 since the Executive Board, for practical reasons, considers it desirable

29 These read : " During the Fourth Congress held at Rome in September last, the Executive Committee of the International Committee of Catholic Associations of Nurses and Medico-Social Workers gave very careful consideration to the proposal to establish joint representation with the International Council of Nurses made to us in your letter of 11 July. " The Executive Committee did not feel that it could adopt this proposal, particularly since the principle of single representation by field of activities does not seem to correspond to the aims and directives of the Constitution of WHO." RESOLUTIONS AND DECISIONS 19

to have only one association in any particular field of medicine in official relationship, and in the hope that this non-governmental organization may further consider affiliation with the International Council of Nurses which is already in relationship, and which has agreed to bring the question to the notice of its Board of Governors at its next meeting in August 1951 ; (c)International College of Surgeons-pending further clarification as to (i) whether this organization represents the colleges of surgeons of the countries listed in its summary of information, or individual members of those countries, (ii) the form of organization of its branch or regional headquarters, (iii) the answer to question 5 of the questionnaire, and (iv) the meaning of the words "Chapters and representatives " in the answer to question 6 of the questionnaire.

III. Possible Establishment of Second Category of Relationship The Executive Board, Considering that there are certain non-governmental organizations whose primary interests lie outside the health field and yet which might be of considerable usefulness to WHO in the accomplishment of its functions, REQUESTS the Director-General to study the possibility of establishing some form of relationship with these organizations.

IV. Co-operation of Non-Governmental Organizations The Executive Board, Having reviewed the progress report of the work of WHO in collaboration with non-governmental organizations, EXPRESSES its satisfaction at the development of co-operation with those organizations at present in official relationship. (Adopted at the eleventh meeting, 31 January 1951)

EB7.R48Site of the Regional Office for the Americas The Executive Board NOTES that the Pan American Sanitary Conference, serving as the WHO Regional Committee for the Americas, has decided to retain Washington as the site of the headquarters of the Pan American Sanitary Organization, and that, as agreed with the United Nations,30 the Regional Office for the Americas will therefore continue to be located in Washington. (Adopted at the eleventh meeting, 31 January 1951)

EB7.R49Waiving of Customs Duties on Insecticides The Executive Board, Considering the growing importance of insecticides in the control of malaria and other insect-borne diseases , Considering therefore that measures should be taken to ensure a free flow of insecticides and of apparatus for their application in public-health work, and Believing that an international agreement on the importation of insecticides, whereby Member Governments would undertake not to apply customs duties or other related charges to the importation of insecticides and apparatus for their application when intended exclusively for public-health purposes, may be an effective means of attaining this objective,

3° At the tenth session of the Administrative Committee on Co-ordination, New York, 17 October 1950. 20 EXECUTIVE BOARD, SEVENTH SESSION, PART I

1. REQUESTS the Director-General to circulate, for the consideration and comments of Member States, the draft agreement and a statement of the alternative procedures possible for its adoption ;

2.POSTPONES any recommendations on the procedure to be adopted, pending the receipt of comments from governments, and

3.REQUESTS the Director-General to report on this matter to the eighth or ninth session of the Executive Board, which will then give it further consideration in the light of the views of governments.

(Adopted at the eleventh meeting, 31 January 1951)

EB7.R50Relief to the Civilian Population in Korea

The Executive Board, Having endorsed the commitments made by the Director-General in 1950 to the Secretary-General of the United Nations in connexion with relief for the civilian population in Korea ; Having examined the supplemental budget estimates for 1951 submitted by the Director-General, which are designed to continue these commitments in 1951 ; Considering that the financing of the supplemental budget estimates can be handled either through supplemental assessments against Member States or by utilizing any existing unused balances, and Noting that Korea is one of the countries which was eligible to receive aid from UNRRA,

1. AUTHORIZES the Director-General to withdraw the unused balances of the allotments to inactive Members,31 plus any further sums which may become available from the same source, and to place the entire amount in the suspense account established by the Third World Health Assembly in resolution WHA3.105, II, paragraph 4 ;

2.CONSIDERS that the best method of financing these estimates would be to make available for the purpose from the suspense account such amount as may be necessary ;

3.DECIDES, under the authority of resolution WHA3.105, I, paragraph 3, that, pending a decision by the Fourth World Health Assembly concerning the method of financing the supplemental estimates for Korea, the Director-General should draw on the Working Capital Fund for this purpose, and that any advances so withdrawn should be replaced in accordance with any decision relating thereto taken by the Health Assembly, and

4.RECOMMENDS to the Fourth World Health Assembly the adoption of the following resolution : The Fourth World Health Assembly, Having considered the report of the Executive Board on the supplemental budget estimates for 1951 to cover the expenses of WHO for relief to the civilian population in Korea ; Having considered ways and means in which this supplemental budget can best be financed ; Recalling that Korea is one of the countries which was eligible to receive aid from UNRRA ; Noting that the Executive Board at its seventh session authorized the Director-General to withdraw the unused balances of allotments to inactive Members of the Organization and to place the entire amount in the suspense account established by the Third World Health Assembly in resolution WHA3.105, II, paragraph 4,

31 See Of. Rec. World Hlth Org. 33, annex 3. RESOLUTIONS AND DECISIONS 21

1. APPROVES the supplemental budget for 1951 by increasing Appropriation Section 5 of Part II of the Appropriation Resolution for the financial year 1951 (WHA3.109) in an amount not to exceed $245,344 ; 2.DECIDES that the funds in the suspense account shall be used, inter alia, for financing the supplemental budget, and 3.AUTHORIZES the Director-General to transfer an amount not to exceed $245,344 from the suspense account as an addition to the other income available for the financing of the Appropriation Resolution for the financial year 1951 as amended above. (Adopted at the ninth meeting, 29 January 1951)

EB7.R51Technical Discussions on Special Subjects at the Fourth World Health Assembly The Executive Board, Noting the report of the Director-General on the technical discussions on special subjects to be held during the Fourth World Health Assembly ; Considering that arrangements for this Assembly will allow for discussion of only one of the two subjects proposed by the sixth session of the Executive Board in resolution EB6.R37, 1. DECIDES that the subject for discussion shall be " the education and training of medical and public- health personnel 2.POSTPONES the discussions on the " economic value of preventive medicine " ; 3. RECOMMENDS the following arrangements for the proposed discussions : (1)Convocation of a general informal meeting of delegates in the second half of the first week of the Health Assembly,32 called by the President of the Health Assembly or a convener nominated by him, such meeting to (a)consider a suitable division of the subject-matter for discussion by three smaller groups, and (b)nominate conveners for each group ; (2)Convocation of group-meetings during the last days of the first week of the Health Assembly and, finally, (3)Convocation of a second general informal meeting for discussion of the reports of the three groups ; 4. INVITES Member States to contribute to the technical discussion on the subject selected by sending, in good time, the background information requested,33 and by including in their delegations to the Fourth World Health Assembly specially qualified persons to participate in the discussions, and 5. DECIDES to reconsider at a future session the question of technical discussions at World Health Assemblies, in the light of the experience gained during the Fourth World Health Assembly. (Adopted at the eleventh meeting, 31 January 1951)

EB7.R52Assistance to Refugees in Turkey The Executive Board, Noting the request from the Government of Turkey for assistance in solving the health problems presented by the recent and continuing influx of refugees into that country ;

32 These discussions would be open to those persons normally privileged to take part in the deliberations of the World Health Assembly, and the Rules of Procedure of the World Health Assembly would apply except when suspended by decision of the informal meeting. 33 In circular letter 57, sent to governments on 26 October 1950. 22 EXECUTIVE BOARD, SEVENTH SESSION, PART I

Considering that this situation constitutes an emergency as defined in Article 58 of the Constitution, and By virtue of the authority contained in the Working Capital Fund resolution of the Third World Health Assembly (WHA3.105, I, paragraph 3),

1. AUTHORIZES the Director-General to withdraw a sum not to exceed $55,000 from the Working Capital Fund in order to provide medical supplies to help in meeting this emergency ; 2.DECIDES that the use of these supplies should be supervised by a public-health officer, provided through the Regional Office for the Eastern Mediterranean ; 3.REQUESTS the Director-General to consult with the United Nations, the International Refugee Organiza- tion, the League of Red Cross Societies or any other appropriate organization, on the provision of assistance in this emergency ; further 4.REQUESTS the Director-General to discuss with these agencies, other relevant specialized agencies, and non-governmental organizations, the action to be taken on future requests of this kind, bearing in mind that the World Health Organization is not equipped or financed to deal with such situations ;

5. CALLS UPON the Director-General to ask for information from the Economic and Social Council on the action which it proposes to take with regard to resolution WHA2.33 of the Second World Health Assembly on the health problems of displaced persons in different parts of the world ; and finally, 6.POINTS OUT that its authorization of supplies for this particular emergency should not constitute a precedent. (Adopted at the thirteenth meeting, I February 1951)

EB7.R53Supplies to Governments

The Executive Board NOTES the memorandum of the Government of Lebanon on the subject of medical supplies.34 (Adopted at the thirteenth meeting, I February 1951)

EB7.R54Provisional Agenda for the Fourth World Health Assembly

The Executive Board APPROVES the proposals of the Director-General for the provisional agenda for the Fourth World Health Assembly, as amended.35 (Adopted at the ninth meeting, 29 January 1951)

EB7.R55Differential Rate for Salaries in Geneva

The Executive Board, Desiring that WHO practices should, in so far as possible, accord with those of the United Nations, but finding insufficient evidence on the differences in costs of living in New York and Geneva,

34 See Off. Rec. World Hlth Org. 33, annex 7. 33 Unpublished working document EB7/66, circulated in amended form as document A4/1. RESOLUTIONS AND DECISIONS 23

1.DECIDES that the differential of minus 5 % applied by the United Nations to its Geneva staff should not be applied to the staff of the World Health Organization, pending a joint survey by the United Nations and interested specialized agencies of the actual cost of living in Geneva to the staff concerned ; 2.REQUESTS the Director-General to make representation to the Secretary-General of the United Nations that he should institute such a survey at the earliest possible moment so that the results may be available for consideration by the next session of the Executive Board, and further

3. REQUESTS the Director-General to ask the Secretary-General of the United Nations to continue cost- of-living surveys in all cities where the Organization has offices. (Adopted at the ninth meeting, 29 January 1951)

EB7.R56Use of Local Personnel in Demonstration Projects

The Executive Board REQUESTS the Director-General to examine the procedure involved in the use of local technical personnel in WHO demonstration teams and health demonstration areas, and to report thereon to the Fourth World Health Assembly or to the eighth session of the Executive Board. (Adopted at the fifteenth meeting, 2 February 1951)

EB7.R57General Programme of Work covering a Specific Period

The Executive Board

1. APPROVES the general programme of work covering a specific period, as amended,36 and 2.TRANSMITS it to the Fourth World Health Assembly. (Adopted at the fourteenth meeting, 2 February 1951)

EB7.R58 Provision of Funds by Governments for Payment of Field Service Allowances to Staff of the World Health Organization

The Executive Board, After examining resolution XX of the second session of the Regional Committee for the Americas (fourth meeting of the Directing Council of the Pan American Sanitary Organization),37 RECOMMENDS tO the Fourth World Health Assembly that it adopt the following resolution : The Fourth World Health Assembly, Having considered the problem which has arisen with regard to the requirement that governments provide the funds to pay field service allowances of staff of the World Health Organization, and Noting that some governments are unable to comply with this requirement because of economic difficulties or certain legislative restrictions,

" Annex 10 37 See report of the Regional Organization for the Americas (document EB7/58, not reproduced in this volume). 24 EXECUTIVE BOARD, SEVENTH SESSION, PART I

1. DECIDES that governments should be required to provide the funds to pay field service allowances of staff of the Organization only in circumstances where they are willing and able to do so ; 2.CONSIDERS it desirable that this same principle be applied to the technical assistance programme ; and therefore 3. REQUESTS the Director-General to transmit this resolution to the Technical Assistance Board and to the Technical Assistance Committee for consideration of this problem in connexion with the technical assistance programme. (Adopted at the thirteenth meeting, 1 February 1951)

EB7.R59Report of the Standing Committee on Administration and Finance Whereas the Second World Health Assembly directed (in resolution WHA2.62) that the Executive Board in its review of the annual budget estimates should include consideration of : (1)the adequacy of the budget estimates to meet health needs ; (2)whether the programme follows the general programme of work approved by the Health Assembly ; (3)whether the programme envisaged can be carried out during the budget year ; (4)the broad financial implications of the budget estimates with a general statement of the information on which any such considerations are based ; and Whereas the Third World Health Assembly requested the Executive Board (resolution WHA3.89) to instruct its Standing Committee on Administration and Finance to examine critically, inter alia, the organization of the Secretariat at headquarters and at the regional offices and to take into consideration changes which might be made by the Director-General as a result of the requirements of the Organization, including the technical assistance programme and the progress of decentralization ; and Whereas the Executive Board at its sixth session (resolution EB6.R24) re-established the Standing Committee on Administration and Finance, instructing it to meet at least 14 days prior to the seventh session of the Executive Board for the purpose, inter alia, of reviewing the expenditure level for 1951 and the programme and budget estimates for 1952, and continuing its study on the organizational structure of the Secretariat, and to report to the Executive Board its conclusions and recommendations thereon ; The Executive Board, Having considered the report of the Standing Committee on Administration and Finance,38

1.EXPRESSES its appreciation to the Standing Committee on Administration and Finance for its exhaustive study ; 2.ADOPTS the report of the Standing Committee on Administration and Finance as amended by the Executive Board ; 3.ADOPTS the specific resolutions and decisions contained therein. (Adopted at the twelfth meeting, 1 February 1951)

EB7.R60Continuing Needs of Children and Relations with UNICEF 3 9 Whereas the First World Health Assembly adopted a resolution establishing the Joint Committee on Health Policy, UNICEF/WHO, and laying down its terms of reference ; 4

39 Mimeographed document EB7/73, which served as a basis for the second part of the Executive Board's report, Official Records No. 33. 39 By adopting this resolution the Board approved the Director-General's statement on long-range activities for children and relations with UNICEF, given as annex 11 (see minutes of the fourteenth meeting, EB7/Min/14 Rev.1, section 2). 40 See Off. Rec. World Hlth Org. 13, 328 RESOLUTIONS AND DECISIONS 25

Whereas the Third World Health Assembly considered, inter alia, that ...in the future development of international programmes for children, the principle should be adopted of utilizing to the maximum the services of the appropriate permanent specialized agencies, and that any special machinery required by the United Nations in this field should be limited to what is necessary for fund raising, for co-ordination of programme planning and, to the extent agreed between the agencies concerned, for the procurement and shipment of supplies (resolution WHA3.50) ;

Whereas the United Nations General Assembly, in a resolution on the Continuing Needs of Children," decided that UNICEF should be continued with a reconstituted Executive Board ; Whereas Article I of the Agreement between the United Nations and the World Health Organization states that the United Nations recognizes the World Health Organization as the specialized agency responsible for taking such action as may be appropriate under its Constitution for the accomplishment of the objectives set forth therein ; Whereas the Second World Health Assembly approved (resolution WHA2.24) and the Third World Health Assembly reaffirmed (resolution WHA3.46) the principles adopted by the Joint Committee on Health Policy, UNICEF/WHO, at its third session, which govern ...the co-operative relationship between the World Health Organization as the United Nations specialized agency recognized as the directing and co-ordinating authority on international health work, and UNICEF, with regard to both health programmes approved by the Joint Committee on Health Policy, and any new health programmes which may be developed for its consideration ; Whereas on behalf of the Director-General of the World Health Organization a statement of policy was delivered to the last meeting of the UNICEF Executive Board ; 42 Whereas arrangements have been concluded between the Director-General of WHO and the Executive Director of UNICEF concerning the BCG programme and the provision of funds to WHO for services beyond the limitations of its resources (resolutions WHA3.46 and WHA3.108), The Executive Board, Having noted the various resolutions adopted by the United Nations General Assembly and Economic and Social Council on the problem of the proliferation and overlapping of the programmes of the United Nations and of specialized agencies and also the repeated requests of the General Assembly and specialized agencies to secure the requisite co-ordination of effort,

1. APPROVES the statement of policy delivered on behalf of the Director-General at the last meeting (in November 1950) of the UNICEF Executive Board, the action taken by the Director-General in the recent negotiations with UNICEF on the BCG programme, and the agreement on the provision of funds by UNICEF to WHO for services provided by the latter beyond the limits of its resources ; 2.EXPRESSES its appreciation of the fact that many international health programmes have been inaugurated because of UNICEF/WHO co-operation ; 3.WELCOMES the additional indications of close co-operation with UNICEF and increasing co-ordination at the planning stage in assisting governments to develop their health programmes ; 4.RESOLVES to draw the attention of the Fourth World Health Assembly to the resolution of the United Nations General Assembly on " Continuing Needs of Children : United Nations International Children's Emergency Fund ", particularly to those provisions governing (1)responsibilities of the Economic and Social Council and its Social Commission ;

41 Adopted at its 314th plenary meeting on 1 December 1950 (see UN document A/1597, reproduced in annex 11). 42 See Off. Rec. World Hlth Org. 33, 10.

WORLDFIEALTPI ORGAMSATIO"I Cr. If. MONDIALE 26 EXECUTIVE BOARD, SEVENTH SESSION, PART I

(2)the new composition of the UNICEF Executive Board ; (3)consultations between the Economic and Social Council and specialized agencies to support " national programmes designed to aid children within the framework of existing United Nations activities for promoting the economic and social development of under-developed areas (4)the ensurance of " close collaboration between the Administration of the [Children's Emergency] Fund and the specialized agencies ", and (5)a function of the Administration of the Fund, which " shall, as appropriate, obtain from intergovernmental and non-governmental organizations having a special interest in child and family welfare the advice and technical assistance which it may require for the implementation of its programmes ";

5.RECOMMENDS to the Fourth World Health Assembly the uninterrupted continuation of the Joint Committee on Health Policy, UNICEF/WHO, with its present terms of reference ; 43

6.AUTHORIZES the Director-General, in agreement with the Executive Director of UNICEF, to arrange for meetings of the Joint Committee on Health Policy, UNICEF/WHO, during World Health Assemblies, sessions of the Executive Board, or other periods, should he consider such meetings of the committee to be desirable ; and, finally, 7.REQUESTS the Director-General to transmit this resolution to the UNICEF Executive Board and to continue to co-operate with the United Nations, relevant specialized agencies and appropriate non- governmental organizations, so as to assure the fullest possible co-ordination of all health activities in accordance with the Constitution of WHO and its Agreement with the United Nations. (Adopted at the fourteenth meeting, 2 February 1951)

EB7.R61Third Award of the Darling Medal and Prize The Executive Board

I . NOTES the report of the Darling Foundation Committee,44 and 2.CONCURS with its recommendation that the medal and prize of the third award be presented jointly to Professor H. E. Shortt and Dr. P. C. C. Garnham, and that Sir Gordon Covell be asked to make this presentation on behalf of WHO during the forthcoming meeting of the Royal Society of Tropical Medicine and Hygiene, in London. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R62Expert Committee on School Health Services : Report on First Session The Executive Board, Having considered the report of the Expert Committee on School Health Services on its first session, 4 5 I.THANKS the members of the committee for their work ;

2.AUTHORIZES publication of the report ; 3.RECOMMENDS that adequate distribution be arranged, and

4.CONSIDERS that the committee has completed the task assigned to it. (Adopted at the sixteenth meeting, 3 February 1951)

43 See Off. Rec. World filth Org. 13, 328. " Annex 12 45 World HIM Org. techn. Rep. Ser. 1951, 30 RESOLUTIONS AND DECISIONS 27

EB7.R63Expert Committee on Biological Standardization : Report on Fourth Session The Executive Board

1. NOTES the report of the Expert Committee on Biological Standardization on its fourth session ; " 2.THANKS the members of the committee for their work ;

3.AUTHORIZES the publication of the report ;

4.REQUESTS the Director-General to study : (1)the recognition of an international blood-grouping reference laboratory ; (2)the conversion of the International Salmonella Centre at the Statens Seruminstitut, Copenhagen, to an International Salmonella and Escherichia Centre ; (3)the establishment of international shigella centres at Atlanta (Georgia, USA) and Oxford (United Kingdom), and to report to the Board at a later date. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R64Expert Committee on Mental Health : Report on Second Session The Executive Board, Having considered the report of the Expert Committee on Mental Health on its second session,"

1.THANKS the members of the committee for their work ; 2.AUTHORIZES publication of the report, and 3.RECOMMENDS its distribution ; 4.DRAWS the attention of the Expert Committee on Professional and Technical Education of Medical and Auxiliary Personnel to the first paragraph of section 15.3 of the report ; 5.NOTES the recommendation in the second paragraph of section 15.2.3, and

6.REQUESTS the Director-General, within the present budgetary provision, to study existing experiments in the training of public-health mental hygiene specialists and to place this subject on the agenda of a future meeting to the Expert Committee on Mental Health. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R65Section on Quarantine of the Expert Committee on International Epidemiology and Quarantine : Report on Second Session The Executive Board

1. NOTES the report of the Expert Committee on International Epidemiology and Quarantine, sitting in corpore as its own Section on Quarantine ;4 8 2.THANKS the members of the committee for their work, and

3.REQUESTS that the report be circulated to Member States. (Adopted at the sixteenth meeting, 3 February 1951) 48 World HIM Org. techn. Rep. Ser. 1951, 36 47 World Hlth Org. techn. Rep. Ser. 1951, 31 48 Annex 13 28 EXECUTIVE BOARD, SEVENTH SESSION, PART I

EB7.R66Sub-Committee on Serology and Laboratory Aspects of the Expert Committee on Venereal Infections and Treponematoses : Report on Second Session

The Executive Board, Having considered the report of the Sub-Committee on Serology and Laboratory Aspects of the Expert Committee on Venereal Infections and Treponematoses on its second session and the recommendations presented by the expert committee itself,49

1.THANKS the members of the sub-committee for their work ; 2.AUTHORIZES the publication of the report ; 3.ENDORSES the recommendations that descriptions of cardiolipin and lecithin be included in the Pharmacopoea Internationalis and that preliminary standards for cardiolipin and lecithin be established ; 4.WELCOMES the appropriate steps taken by the Expert Committees on the Unification of Pharmacopoeias and on Biological Standardization in this respect ;

5. ACCEPTS postponement of the International Serodiagnostic Laboratory Conference until pilot experiments on the usefulness of freeze-dried sera for evaluation of serological tests have been studied, realizing that the plans for the conference might be changed if dried reference sera of various levels of sensitivity from syphilitics and non-syphilitics are proved to be valuable for an estimate of the merit of serological tests ; 6.NOTES that the pilot study is under way ; 7.DRAWS attention to the progress of the inter-laboratory work on exchange of samples, and

8.ENDORSES the convening of the Sub-Committee on Serology and Laboratory Aspects in 1952.

(Adopted at the sixteenth meeting, 3 February 1951)

EB7.R67Legal Sub-Committee of the Expert Committee on International Epidemiology and Quarantine : First, Second, Third and Fourth Reports

The Executive Board

1. NOTES the first, second, third and fourth reports of the Legal Sub-Committee of the Expert Committee on International Epidemiology and Quarantine ;99 2.THANKS the sub-committee for its work ;

3.REQUESTS the Director-General to make these reports available to the Special Committee established by the Third World Health Assembly to consider the draft International Sanitary Regulations ; 4.REQUESTS the Director-General to invite the chairman of the sub-committee to attend the session of the above-mentioned Special Committee, and

5.AUTHORIZES the Director-General to convene the sub-committee after that session in order formally to establish the relationship between the articles of the new Regulations and those of the preceding Inter- national Sanitary Conventions which they are to replace.

(Adopted at the sixteenth meeting, 3 February 1951)

49 World Hlth Org. techn. Rep. Ser. 1951, 33 50 Mimeographed documents WHO/Epid/33, 34, 39, 56 RESOLUTIONS AND DECISIONS 29

EB7.R68Joint ILO/WHO Expert Committee on Occupational Health : Report on First Session The Executive Board, Having considered the report of the Joint ILO/WHO Expert Committee on Occupational Health on its first session,51

1. THANKS the members of the committee for their work ; 2.DECIDES that this report, because of its predominantly administrative character, need not be published in the World Health Organization : Technical Report Series but should be circulated to Member States and interested organizations for information ;

3.DRAWS the attention of the Expert Committee on Professional and Technical Education of Medical and Auxiliary Personnel to the recommendation that adequate instruction in occupational health be given to all medical and auxiliary personnel ; 4.ACCEPTS the principles of co-operation set forth in the report ;

5.REQUESTS the Director-General to continue to develop the co-operation with the International Labour Organisation on matters covered by the joint committee so as to assure the fullest possible co-ordination of all health activities in accordance with the Constitution of the World Health Organization. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R69Health Information Centre of the Pacific Science Council The Executive Board NOTES with satisfaction the establishment of a Health Information Centre by the Pacific Science Council, Pacific Science Association. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R70Date of the Fifth World Health Assembly The Executive Board DECIDES that the Fifth World Health Assembly shall be convened during the first days of May 1952. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R71Form of Annual Reports from Member States The Executive Board, In pursuance of the resolution taken at its fifth session,52

1. NOTES the report submitted by the Director-General on the results of his consultation with Member States regarding a list of headings for annual reports to be transmitted in compliance with Article 61 of the Constitution ; 53 2.AGREES that, as stated in its previous resolution, the transmission by Member States of the annual reports published by their health administrations meets their obligation under this article ;

51 Mimeographed document WHO/Occ. Health/2 52 Off. Rec. World Hlth Org. 25, section 1.4 53 Mimeographed document EB7/72 30 EXECUTIVE BOARD, SEVENTH SESSION, PART I

3.DECIDES that Member States which do not publish and transmit such reports in one of the official languages should be asked to supply simple accounts of action taken and progress achieved or such mono- graphs on special subjects as may be desirable ; 4.RECOMMENDS that the regional organizations use their influence to obtain information from the Mem- bers of the regions, in the form of uniform or comparable annual reports and statements suitable for incorporation in the records of WHO. (Adopted at the fifth meeting, 26 January 1951 ; and the seventeenth meeting, 5 February 1951)

EB7.R72Date and Place of the Eighth Session of the Executive Board

The Executive Board DECIDES tentatively to hold its eighth session at Geneva, Switzerland, the opening meeting to be held on 4 June 1951, at 10 a.m. at the Palais des Nations. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R73 Sub-Committee on Non-Proprietary Names of the Expert Committee on the Unification of Pharma- copoeias : Report on First Session

The Executive Board

1. NOTES the report of the Sub-Committee on Non-Proprietary Names of the Expert Committee on the Unification of Pharmacopoeias on its first session ; 54 2.THANKS the members of the sub-committee for their work, and 3.AUTHORIZES the publication of the report. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R74Appointments to Expert Advisory Panels and Committees

The Executive Board NOTES the report of the Director-General on appointments to expert advisory panels and committees. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R75Reports to the Executive Board by its Representatives at the Third World Health Assembly

The Executive Board

1. THANKS its representatives for their work in representing the Board at the Third World Health Assembly, and 2.NOTES their reports 55 and the observations and recommendations contained therein. (Adopted at the sixteenth meeting, 3 February 1951)

54 World Hlth Org. techn. Rep. Ser. 1951, 35, 23 55 Annex 14 RESOLUTIONS AND DECISIONS 31

EB7.R76Expert Committee on Malaria : Report on Fourth Session and Report of the Malaria Conference in Equatorial Africa

I.The Executive Board

1. NOTES the report of the Expert Committee on Malaria on its fourth session ; 6 2.THANKS the members of the committee for their work ;

3. AUTHORIZES the publication of the report ; 4.APPROVES the recommendations on the malaria policy of WHO, and

5.REQUESTS the Director-General to implement them as far as possible ;

6. REQUESTS the Director-General to draw the attention of the competent authorities of the Member Governments responsible for the administration of African territories to the desirability of initiating experimental schemes of malaria control and eventually vector-species eradication, indicating WHO's willingness to consider giving technical assistance to an approved scheme ; 7.NOTES the recommendation concerning the free flow of insecticides and requests the Director-General to implement it as far as possible ; 8. REFERS the report, and in particular the section dealing with insecticides,57 to the next session of the Expert Committee on Insecticides, and

9. REQUESTS the latter to prepare, for the use of the Director-General, a specification chart of spraying apparatus ; 10. TRANSMITS to the Special Committee established by the Third World Health Assembly to consider the draft International Sanitary Regulations, the recommendation concerning the prevention of the spread of anopheline vectors of malaria by international air transport ; 58 11.INSTRUCTS the Director-General to appoint a working party from the Expert Advisory Panel on Malaria to prepare, by correspondence, a short monograph on the therapeutics of malaria ; 12.APPROVES, in principle, the recommendation that a drafting group on standardization of procedure in epidemiological inquiries be convened, and 13.REQUESTS the Director-General to implement this recommendation when finances permit.

II.The Executive Board

1. NOTES the report of the Malaria Conference in Equatorial Africa ; 59 2.THANKS the experts who attended the conference ; 3.EXPRESSES its appreciation to the Commission for Technical Co-operation in Africa South of the Sahara and to the relevant governments for sending experts to the conference ; 4.REQUESTS the Director-General, when transmitting the recommendations of the Malaria Conference in Equatorial Africa, to recommend to the competent authorities of the governments responsible for the administration of African territories the implementation of the recommendations.

(Adopted at the sixteenth meeting, 3 February 1951)

56 World Hlth Org. techn. Rep. Ser. 1951, 39 57 World Hlth Org. techn. Rep. Ser. 1951, 39, section 3.1 58 World Hlth Org. techn. Rep. Ser. 1951, 39, section 7.6 59 World Hlth Org. techn. Rep. Ser. 1951, 38 32 EXECUTIVE BOARD, SEVENTH SESSION, PART I

EB7.R77Expert Committee on Insecticides : Report on Second Session The Executive Board

1. NOTES the report of the Expert Committee on Insecticides on its second session ; 2.THANKS the members of the committee for their work ; 3.AUTHORIZES the publication of the report ; 4.POINTS OUT that sections 1 and 2 contain recommendations submitted to the Expert Committee on International Epidemiology and Quarantine at a joint session of the two committees in terms of the resolution taken by the Executive Board at its fifth session ;61 5.REQUESTS the Director-General to communicate that part of the report bearing on international quarantine to the Special Committee established by the Third World Health Assembly to consider the draft International Sanitary Regulations, for its information ; 6.REQUESTS the Director-General to initiate investigations on the subjects recommended in sections 1.1.11 and 1.2 of the report along the lines suggested by the expert committee ; 7.APPROVES the recommendations contained in section 8 of the report stressing the importance of increasing fundamental research in the use of insecticides for disease-vector control ; 8. REQUESTS the Director-General to bring this to the attention of the competent authorities, and 9.APPROVES the establishment of a sub-committee, drawn from the Expert Advisory Panel on Insecticides, to consider specifications for insecticides and their formulations. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R78Joint WHO/FAO Expert Group on Zoonoses : Report on First Session The Executive Board

1. NOTES the report of the Joint WHO/FAO Expert Group on Zoonoses on its first session ;62 2.THANKS the members of the group for their work ; 3.AUTHORIZES the publication of the report ; 4.CALLS the attention of the competent authorities to the appreciable contributions to public health and national economy which can be effected by practical measures against bovine tuberculosis, hydatidosis, and anthrax, where these diseases are prevalent ; 5. STRESSES the importance of establishing satisfactory arrangements in national administrations so that special attention may be given to animal diseases transmissible to man, and to the inspection and hygiene of foods of animal origin ; 6.AGREES that the World Health Organization, in collaboration with other specialized agencies and international organizations, wherever possible, should undertake further study and co-ordination of international efforts to combat the major zoonoses for which activities have not already been undertaken, particularly the virus encephalitides, tularaemia and leptospirosis ;and 7.REQUESTS the Director-General to provide assistance to governments in combating zoonoses of major public-health and economic importance, in improving food hygiene practices and in the training of personnel for veterinary public-health work. (Adopted at the sixteenth meeting, 3 February 1951)

60World Hlth Org. techn. Rep. Ser. 1951, 34 61Off. Rec. World Hlth Org. 25, 5 62World Hlth Org. techn. Rep. Ser. 1951, 40 RESOLUTIONS AND DECISIONS 33

EB7.R79Expert Committee on the Unification of Pharamacopoeias : Report on Seventh Session

T. Having noted the report of the Expert Committee on the Unification of Pharmacopoeias on its seventh session,63 The Executive Board

1. EXPRESSES its gratitude to the members of the committee for their work, and 2.AUTHORIZES the publication of the report.

II.Having noted with satisfaction the agreement between the Belgian Government and the World Health Organization whereby the World Health Organization is henceforth to constitute the permanent International Pharmacopoeia Secretariat, The Executive Board

1. PAYS TRIBUTE to the spirit of international collaboration shown by the Belgian Government, and 2.RECOMMENDS to the Fourth World Health Assembly the adoption of the following resolution : The Fourth World Health Assembly APPROVES the taking-over by the World Health Organization, in application of Article 72 of the Constitution, of the functions of the permanent International Pharmacopoeia Secretariat previously performed by the Belgian Pharmacopoeia Commission.

III.Considering that the publication of the first volume of the first edition of the Pharmacopoea Inter- nationalis authorized by resolution WHA3.10 of the Third World Health Assembly and the adoption of all or part of its provisions by a greater or lesser number will in future show what modifications to the Agreement revising the Agreement respecting the Unification of Pharmacopoeial Formulas for Potent Drugs, signed at Brussels, 20 August 1929, should possibly be proposed, The Executive Board REQUESTS the Director-General to continue his study of this question and to report to the Executive Board in due course.

IV.Considering the complexity of the problem of the protection of international non-proprietary names, The Executive Board REQUESTS the Director-General to continue his study of the question, to explore the possibilities offered by the International Union for the Protection of Industrial Property, Berne, and to report in due course to the Executive Board on the result of his inquiries and of the steps taken.

V.Considering that it might be desirable for a meeting of representatives of administrations responsible for the control of drugs in the various countries to be convened to consider the advantages of more uniform methods for the control of drugs in the various countries in the interests of health and international commerce, The Executive Board REQUESTS the Director-General to continue his study of this question and to report in due course to the Executive Board on the result of his inquiries and of the steps taken. (Adopted at the sixteenth meeting, 3 February 1951) 63 World Hlth Org. techn. Rep. Ser. 1951, 35 34 EXECUTIVE BOARD, SEVENTH SESSION, PART I

EB7.R80Reports of Expert Committees The Executive Board DECIDES to adopt, for each report, a resolution or series of resolutions to be published with the report, taking into consideration the following points : (a)expression of appreciation to the committee ; (b)authorization for publication of the report ; (c)distribution of the report to governments and through other channels ; (d)examination from the administrative aspect ; (e)instructions to the Director-General ; (f)recommendations to the World Health Assembly ; (g)views on continued work in the same fields. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R81Joint FAO/WHO Expert Panel on Brucellosis : Report on First Session The Executive Board

NOTES the report of the Joint FAO/WHO Expert Panel on Brucellosis on its first session ;64 2.THANKS the panel for its work ; 3.AUTHORIZES the publication of the report ; 4.RECOMMENDS that the activities of the FAO/WHO brucellosis centres be developed, where possible, in research and training and in the co-ordination of field and laboratory procedures used in brucellosis ; 5.REQUESTS the Director-General to report on these centres to the next session of the Executive Board ; 6.NOTES the recommendation that a worldwide survey should be made under the aegis of FAO and WHO on the prevalence of brucellosis in livestock and the measures being taken in various countries to combat this disease ; 7.RECOMMENDS that, where possible, this survey should be carried out through the FAO/WHO brucellosis centres ; 8.DRAWS the attention of the competent authorities to the advisability of systematic reporting of incidence of brucellosis in man and animals, and 9.REQUESTS the Director-General to give assistance, in collaboration with other specialized agencies and international organizations, wherever possible, to governments in controlling and eradicating brucellosis in countries where this disease is prevalent. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R82Draft Regulations for Expert Advisory Panels and Committees The Executive Board

1. DECIDES that Regulation 10.7 of the draft Regulations for Expert Advisory Panels and Committees 65 shall read as follows : 10.7The Executive Board shall (a) consider and take appropriate action in regard to recommendations to the Organization ;and (b) within its discretion, authorize publication of the report.

64 World HIM Org. techn. Rep. Ser. 1951, 37 65 See Off. Rec. World HIM Org. 29, annex 9. RESOLUTIONS AND DECISIONS 35

2.DECIDES further that the following regulation shall be added : 10.7.2The Executive Board may direct to the attention of the chairman of an expert committee any statement of opinion in its report that the Board may consider prejudicial to the best interests of WHO or any Member State. The chairman may, at his discretion, delete such statement from the report, with or without communicating with members of the expert committee or, after obtaining their written approval, may modify the statement.

3.DECIDES further that Regulation 2.3 shall be amended to read : 2.3Their conclusions shall not commit the Organization. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R83Expert Committee on Tuberculosis : Report on Fifth Session

I.The Executive Board,

Having considered the report of the Expert Committee on Tuberculosis on its fifth session,66

1. THANKS the members of the committee for their work ; 2.AUTHORIZES the publication of the report ; 3.ENDORSES the recommendation that international field staff be trained at special centres, to the extent that funds may be available within the present budget allocations for tuberculosis ; 4.CONSIDERS that a meeting of a sub-committee on chemotherapy should not be called in 1951 but that the Director-General should report to the eighth session of the Executive Board on the desirability of convening such a meeting in 1952 when additional data on current hospital trials and laboratory research will be available ; 5. REQUESTS the Director-General to take the recommendations concerning future plans for BCG- vaccination programmes into account in his negotiations with UNICEF and the Joint Enterprise on joint activities in this field ; 6. REQUESTS the Director-General to take into account the relevant recommendations when considering future activities in tuberculosis research ;67 7.DECIDES that the recommendation concerning international co-operation in the institutional care of the tuberculous should not be implemented by WHO for the present in view of the administrative and financial difficulties involved, and 8. REQUESTS the Director-General to prepare a guide for protection against tuberculosis not only for nursing personnel serving the tuberculous but for all nursing personnel.

II.The Executive Board, Having authorized the publication of the report, REQUESTS the Director-General to submit it to the expert committee before publication for review

of the second paragraph of section 8 in the light of the opinion expressed by the Board.68 (Adopted at the sixteenth meeting, 3 February 1951)

66World HIM Org. techn. Rep. Ser. 1951, 32 67See also resolution EB7.R85. 68The expert committee having signified its approval, the Board's suggestions have been incorporated in the published report. 36 EXECUTIVE BOARD, SEVENTH SESSION, PART I

EB7.R84Technical Assistance for Economic Development of Under-Developed Countries

The Executive Board, Having examined the progress report on technical assistance for economic development submitted by the Director-Genera1,69

1. ENDORSES the statement of obligations and principles set out therein ; 2.EMPHASIZES the responsibility of the World Health Organization in encouraging government authorities to plan those health projects which will be of the greatest value in developing health services competent to shoulder the burdens resulting from economic development ; 3. NOTES that many projects under technical assistance for economic development may require financing for not less than two or three years, and that fully integrated programmes need to be established for each country and, where possible, for each region ; 4.DRAWS the attention of the Technical Assistance Committee to the desirability of examining the necessity for long-term planning, and, in particular, for contributors to technical assistance funds to undertake to continue their contributions over a period of several years, which would enable the participating organizations to initiate and carry out longer-term projects ; 5.NOTES with pleasure that the Technical Assistance Board has recognized that an economic analysis of these programmes at periodic intervals would be desirable ; 6.REQUESTS the Technical Assistance Committee, in view of the increasing difficulties in obtaining supplies for the execution of international health programmes, to call on all governments to ensure that such supplies be made available where the need is greatest, and 7.DRAWS the attention of participating organizations to the necessity of assisting governments to become self-sufficient in the matter of essential health supplies. (Adopted at the sixteenth meeting, 3 February 1951)

EB7.R85Tuberculosis Research Office, Copenhagen

The Executive Board RECOMMENDS to the Fourth World Health Assembly the adoption of the following resolution : The Fourth World Health Assembly, Recognizing that the work undertaken by the Tuberculosis Research Office is of great importance to the World Health Organization and to international health ; Recognizing that, in order to ensure definite results, such work should be continued for a reasonable period,

1.DECIDES that the Tuberculosis Research Office should be maintained, subject to review of the situation by the Executive Board every two years ; 2.REQUESTS that special emphasis be given to control studies for determining the value of BCG vaccination, the duration of its effect, and related technical field and laboratory studies, limited to those bearing directly on evaluation and practice of vaccination, and 3.REQUESTS the Director-General to review the budget in the light of the above considerations. (Adopted at the fifteenth meeting, 2 February 1951 ; and the seventeenth meeting, 5 February 1951)

69 Annex 15 RESOLUTIONS AND DECISIONS 37

EB7.R86Expert Committee on International Epidemiology and Quarantine : Report on Third Session The Executive Board

1. NOTES the report of the Expert Committee on International Epidemiology and Quarantine on its third session ;70 2.EXPRESSES its thanks to the committee for its work ; 3.REQUESTS the Director-General to transmit this report to governments and those international agencies invited to attend the Special Committee established by the Third World Health Assembly to consider the draft International Sanitary Regulations in April 1951 ; 4.RECOMMENDS that the Fourth World Health Assembly adopt the following resolution : The Fourth World Health Assembly CALLS to the attention of Member Governments the desirability of keeping in force the provisions contained in paragraph 2 of Article XVII of the 1944 International Sanitary Convention for Aerial Navigation until the entry-into-force of WHO Sanitary Regulations covering the risk of conveying insect vectors of malaria by aircraft on international flights ; 5.REQUESTS the Director-General to explore arrangements for the preparation of such regulations and report thereon to a future session of the Board ;

6.NOTES the committee's statement that the main task entrusted to it has been completed ; 7.NOTES the recommendation regarding alteration of its structure and mandate, and 8.POSTPONES to the eighth session of the Board consideration of this recommendation in the light of the action taken by the Fourth World Health Assembly on the draft International Sanitary Regulations. (Approved at the sixteenth meeting, 3 February 1951)

EB7.R87Report of the Léon Bernard Foundation Committee The Executive Board

1. NOTES the report of the Léon Bernard Foundation Committee,71 and 2.TRANSMITS it to the Fourth World Health Assembly. (Adopted at the seventeenth meeting, 5 February 1951)

EB7.R88Kamaran Quarantine Station The Executive Board, Recognizing the responsibility of the World Health Organization as the international body entrusted with the administration of the International Sanitary Conventions, which contain a specific reference to Kamaran ; and Appreciating the necessity for emergency action by the World Health Organization should the need arise,

1.NOTES the situation which has developed regarding the Kamaran Quarantine Station ; 2.NOTES with approval the action initiated by the Director-General ;

" Mimeographed documents WHO/Epid/51 and 52 71 Annex 16 38 EXECUTIVE BOARD, SEVENTH SESSION, PART I

3.AUTHORIZES the Director-General, in the event of an emergency, to take whatever steps are considered by him to be necessary, and for this purpose to draw on the Working Capital Fund, under the provisions of paragraph 2 (b) of Resolution WHA3.105, I, and 4.RECOMMENDS that the Special Committee established by the Third World Health Assembly consider the desirability of preserving the Quarantine Station at Kamaran, and make appropriate recommendations to the Fourth World Health Assembly. (Adopted at the seventeenth meeting, 5 February 1951)

EB7.R89Additional Funds for the Budget of the World Health Organization The Executive Board RECOMMENDS to the Fourth World Health Assembly the adoption of the following resolution : Considering that an increase in available funds for the budget of the World Health Organization is highly desirable in order to carry out the programme which will progressively devolve upon the Organization ; Acknowledging that the setting-up of a World Health Defence Fund cannot be envisaged in the present international financial situation, The Fourth World Health Assembly REQUESTS the Director-General (1)to study the possibilities of obtaining additional funds for the budget of the World Health Organization proportionate to the essential requirements of its programme and, in particular, to explore the possibility of arranging an agreement with Member States, or with some of them, for the imposition of a tax on certain products, and (2)to report on this subject to a later session of the Executive Board. (Adopted at the seventeenth meeting, 5 February 1951)

EB7.R90Appointment of an Ad Hoc Committee to examine, before the meeting of the Fourth World Health Assembly, the Report of the External Auditor on the Accounts of the Organization for 1950 72 Considering that there will not be a formal session of the Executive Board between the time of the receipt of the report of the External Auditor on the accounts of the Organization for the year 1950 and the date of the convening of the Fourth World Health Assembly, and Considering the requirements that the comments, if any, of the Board on such report be made to the Fourth World Health Assembly, The Executive Board RESOLVES that an ad hoc committee of the Executive Board, consisting of Dr. A. L. Bravo Dr. J. A. Höjer Lt-Col. M. Jafar is authorized to meet one day before the date of the convening of the Fourth World Health Assembly to consider the report of the External Auditor on the accounts of the Organization for the year 1950 7 3 and to submit to the Fourth World Health Assembly on behalf of the Board such comments, if any, as it deems necessary. (Adopted at the thirteenth meeting, 1 February 1951) 72 Through an oversight this resolution was not included with the resolutions submitted for final approval at the last meeting of the Executive Board on 5 February 1951. 73 Off. Rec. World Hlth Org. 34 RESOLUTIONS AND DECISIONS 39

Proposed Programme and Budget Estimates for 1952 The full report and the recommendations of the Executive Board on the proposed programme and budget estimates for 1952 are published in Official Records No. 33, section I. No formal resolution was passed by the Board but the following extract, paragraphs 20-25 inclusive of the full report, give the main recommendations on this subject. 20.The Board reviewed various considerations that would influence its recommendation on the size of the assessment budget for 1952, including the following (which are not listed in order of importance) : (1)the size of the budget necessary to ensure the orderly development of WHO as the directing and co-ordinating authority on international health work ; (2)the expenditure level in 1950 of $6,300,000 and in 1951 of $6,232,057 (including $82,057 OIHP) ; (3)the need for money in the regular budget of WHO to enable it to accept its responsibilities in carrying out UNICEF/WHO programmes ; (4)the need for a regular budget that would permit increased assistance in training urgently needed health personnel ; (5)the influence of money received from the United Nations special account for the technical assistance funds for carrying out programmes for economic development ; (6)the rise in the cost of maintaining the present staff and in the cost of supplies ; (7)the concern at the increasing cost of international work expressed in the Fifth Committee of the United Nations General Assembly by the representatives of the several Members, which concern was embodied in a resolution adopted by the General Assembly at its 314th plenary meeting,7 4 which recommended that the specialized agencies should stabilize their budgets ; (8)the substantial increase in some national budgets, which has occurred in the case of several Members on account of the current tensions in the world, and the effects of which expenditure may in some instances result in improving the current financial position in some parts of the world while contributing adversely to the financial position in others ; (9)the need for a budget that would allow WHO to continue as an international agency promoting health, which is a necessary component to the economic and social advancement of the nations of the world ; (10)the resolution of the Regional Committee for South-East Asia which indicated that the Director- General's budget estimates should be increased by 20 % ; (11)some difficulty which still exists in collecting contributions from some Members, although the situation has improved ; (12)the availability of competent personnel ; (13)the complications which develop as a result of continuing to assess the inactive Members. 21.The Board wishes to bring to the notice of the Health Assembly the effect on the scale of assessments of a decision not to assess the inactive Members. The effect of restricting assessment to a smaller number of Members would of course be to increase the share of each of the remaining Members. The customary basis on which to distribute this increase among the remaining Members would be in proportion to their existing assessments. But the position is complicated since by resolution WHA2.68 of the Second World Health Assembly it was recognized that the contribution of the largest contributor should not exceed one third of the regular expenses for any year and no other Member should contribute more per capita than the largest contributor, and it was decided that this principle should be made effective, as world economic conditions improve, in gradual stages, starting in 1950.The Third World Health Assembly, in resolution WHA3.91, fixed the assessment of the largest contributor for 1951 at 35 %. A number of Members are thus protected from paying more than their present percentage of the total budget and the increased assessments would therefore fall wholly on other Members, and primarily on Members with large populations and small per capita incomes.

74 See UN document A/1587 40 EXECUTIVE BOARD, SEVENTH SESSION, PART I

22.The Board notes that the proposed programme and budget estimates of the Director-General provide for an increase of $2,147,596 as compared to the 1951 expenditure ceiling or working budget. The Board further notes that this increase will require an increase in the assessments of active Members of $1,947,852 if the Health Assembly should decide not to assess the inactive Members in 1952. Having carefully weighed the above factors, the Board believes it is in the best interests of the Organization to provide for a more limited expansion than is proposed by the Director-General. The Executive Board, therefore, recommends to the Health Assembly the adoption of a budget for 1952 which will have the effect of reducing the assessments of active Members by an amount of $701,872 below the assessments of such Members which would be required if the Director-General's recommendations were adopted. 23.The Board noted that the operation of many of the projects of the Organization will be expanded with funds provided for technical assistance for economic development. It is realized that these funds have restrictions on their use, but they may be used to extend existing programmes or introduce new programmes into areas which might not otherwise be served. The Board also noted that the technical staff needed on joint UNICEF/WHO projects have, to a large extent, in 1950 and 1951 been financed with funds provided by UNICEF. Without such funds these projects could not have been undertaken, since the budgets of the Organization for those years did not include provision for these technical personnel. The Director-General has included provision in the 1952 regular budget estimates for expenditure of $143,000 and also under technical assistance funds 75 for all such technical staff for which UNICEF has provided the necessary financing. 24.Taking all the above considerations into account, the Executive Board recommends to the Health Assembly that the total assessed budget for 1952 be approximately $8,600,000. Should the Health Assem- bly decide not to assess certain Members of the Organization in 1952, the assessment budget should be $7,200,000 ;the difference in amounts being the assessment of the ten inactive Members of the Organiza- tion. 25.The assessed budget will be augmented by $477,782, provided that the Health Assembly adopts the proposals set forth in this report.The sum of $477,782 consists of funds received from OIHP, from UNRRA, from miscellaneous income, from the assessment of new Members, and from the availability of previously allocated funds.

[Extract from Official Records No. 33].

75 See Off. Rec. World Hlth Org. 33, paragraphs 34 and 30 respectively. Annex 1

LIST OF ATTENDANCES

1.Members, Alternates and Advisers Professor G. A. CANAPERIA, Chief Medical Officer, Dr. H. S. GEAR, Deputy Chief Health Officer for the Office of the High Commissioner for Hygiene and Union of South Africa, Cape Town, Union of Public Health, Rome, Italy South Africa, Chairman Dr.S.DAENGSVANG, Deputy Director-General, Department of Public Health, Bangkok, Thailand Professor M. DE LAET, Professeur à l'Université de Bruxelles, Secrétaire general du Ministère de la Dr. J. A. HöJER, Director-General of Public Health, Santé publique et de la Famille, Brussels, Belgium, Stockholm, Sweden Vice-Chairman Dr. H. HYDE, Medical Director, US Public Health Alternate: Service,Federal Security Agency, Washington Dr. C. VAN DEN BERG, Director-General of Inter- D.C., United States of America national Health Affairs,Ministry of Social Affairs, The Hague, Netherlands Alternate: Mr. H. B. CALDERWOOD, Office of United Nations Adviser : Economic and Social Affairs, Department of Baron F. DE KERCHOVE D 'EXAERDE, Délégué State,WashingtonD.C.,UnitedStatesof permanent de la Belgique auprès de l'Office America européen des Nations Unies, Geneva Advisers : Lt-Col. M. JAFAR, Director-Generalof Health, Dr. F. J. BRADY, Medical Director, US Public Government of Pakistan, Karachi, Pakistan, HealthService,FederalSecurityAgency, Vice-Chairman Washington D.C., USA

Dr.J.ALLWOOD-PAREDES, Director-Generalof Mr. A. ROSEMAN, US Representative for Spe- Public Health, San Salvador, El Salvador cialized Agency Affairs, Geneva Dr. D. Boil* Directeur de l'Hygiène publique et des Dr. N. KARABUDA, Deputy Under-Secretary, Ministry Hôpitaux, Ministére de la Santé publique et de la of Health and Social Welfare, Ankara, Turkey Population, Paris, France (Alternate to Professor J. Parisot, absent) Dr. C. K. LAKSHMANAN, Director, All-India Institute of Hygiene and Public Health, Calcutta, India Advisers: (Alternate to Sir Arcot Mudaliar, absent) Dr. L. BERNARD, Chef du Bureau chargé des Relations extérieures au Ministère de la Santé Dr. Melville MACKENZIE, Principal Medical Officer, publique et de la Population, Paris, France Ministry of Health, London, England M. J. FOESSEL, Administrateur civil au Ministère Alternates : du Budget, Paris, France Mr. T. LINDSAY, Principal Assistant Secretary, M. B. TOUSSAINT, Conseiller d'Ambassade, Délégué Ministry of Health, London, England permanent de la France auprès de l'Office Dr. A. M. W. RAE, Deputy Chief Medical Officer, européen des Nations Unies et des Institutions Colonial Office, London, England spécialisées,Genève Adviser : Dr. A. L. BRAVO, Executive Vice-President, Compul- Mr.F.A.MELLS,Senior ExecutiveOfficer, sory Social Insurance Fund, Santiago, Chile Ministry of Health, London, England - 41 - 42 EXECUTIVE BOARD, SEVENTH SESSION, PART I

Dr. G. H. DE PAULA SOUZA, Director, Faculty of INTERNATIONAL LABOUR ORGANISATION Hygiene and Public Health, University of Sffo Dr. A. GRUT, Chief, Industrial Hygiene Division, Paulo, Brazil Geneva Dr. A. STAMPAR, President of the Yugoslav Academy of Sciences and Arts, Professor of Public Health FOOD AND AGRICULTURE ORGANIZATION andSocialMedicine,Universityof Zagreb, Dr. J. M. LATSKY, Nutrition Representative for Yugoslavia Europe, Geneva Dr. A. VILLARAMA, Secretary (Minister) of Health, Department of Health, Manila, Philippines UNITED NATIONS EDUCATIONAL, SCIENTIFIC AND CULTURAL ORGANIZATION 2. Members Absent Mr. P. C. TERENZIO, External Relations Officer, Members designated by Poland and Venezuela Paris, France

INTERNATIONAL TELECOMMUNICATION UNION 3.RepresentativesoftheUnitedNationsand Specialized Agencies Mr. H. TOWNSHEND, Assistant Secretary-General, Geneva UNITED NATIONS Mr. A. LETHBRIDGE, Head of Administrative and INTERNATIONAL REFUGEE ORGANIZATION Financial Services, Geneva Dr. J. B. PETRIE, Acting Director of Health, Geneva Mr. B. PICKARD, Liaison Officer, Non-Governmental Organizations, Geneva INTERIM COMMISSION OF THE INTERNATIONAL TRADE ORGANIZATION Mr. J.SZAPIRO,Director,InformationCentre, Geneva M. J. E. ROYER, Deputy Executive Secretary, Geneva

Annex 2

MEMBERSHIP OF COMMITTEES AND WORKING PARTIES

1.Standing Committee on Administration and Finance 2.Standing Committee on Non-Governmental Orga- nizations Dr. A. Stampar, Acting-Chairman Dr. G. H. de Paula Souza, Chairman Dr. F.J. Brady (Alternate to Dr. Hyde), Mr. H. B. Calderwood (Alternate to Dr. Hyde) Rapporteur Lt-Col. M. Jafar Dr. C. van den Berg (Alternate to Professor Dr. N. Karabuda De Laet) Dr. A. M. W. Rae (Alternate to Dr. Mackenzie) Dr. D. Boidé Dr. C. K. Lakshmanan 3.Darling Foundation Committee Dr. Melville Mackenzie Dr. H. S. Gear (Chairman of the Executive Dr. A. Villarama Board), Chairman ANNEX 3 43

Professor M. De Laet (Vice-Chairman of the Lt-Col.M.Jafar(Vice-Chairmanofthe Executive Board) Executive Board) Lt-Col.M.Jafar(Vice-Chairmanofthe Professor M. De Laet (Vice-Chairman of the Executive Board) Executive Board) Sir Gordon Covell (Chairman of the Expert Committee on Malaria at its fourth session) 5. Working Party on Expert Committee Reports Dr.Brock Chisholm,Director-Generalof Dr. H. Hyde, Chairman WHO, SecretarytotheCommittee and Dr. J. Allwood-Paredes, Rapporteur Administrator of the Foundation Dr. D. Boidé Dr. A. L. Bravo 4. Léon Bernard Foundation Committee Professor G. A. Canaperia Dr. A. Stampar, Chairman Dr. S. Daengsvang Dr. D. Boidé (Alternate to Professor Parisot) Dr. J. A. Hojer Dr. H. S. Gear (Chairman of the Executive Dr. N. Karabuda Board) Dr. Melville Mackenzie

Annex 3

ESTABLISHMENT OF PILOT PUBLIC-HEALTH CENTRES IN UNDER-DEVELOPED COUNTRIES 1

1. PROPOSAL OF THE GOVERNMENT OF THE REPUBLIC OF THE PHILIPPINES [EB7/16] 15 December 1950

It is suggested that the most effective and cheapest from among local officials who would then receive method of implementing WHO's policy of helping modern practical field-training inall aspects of under-developed countriestoorganize adequate public-health administration and practice, in order public-health services would be to set up model or to enable them to continue the work after the end of pilot public-health demonstration centres in such the demonstration programme.In other words, Member countries.The centres would serve an except for the consultant and any assistants he might urban and a rural district (with a population of bring with him in cases where local personnel is approximately 20,000 and 50,000 respectively) where not immediately available and who would be paid the sanitary conditions and facilities leave much to by WHO, all personnel would be contributed by the be desired and could be improved.An expert in Member country,which should also meet the public-healthadministrationshouldbemade maintenance and operation expenses of the centres, available to advise the centres and should be allowed including the provision of supplies and equipment to choose, after a preliminary survey and with due available locally.Essential equipment not available consideration to the recommendations of the Member locally should be provided by WHO. Government, the locality in which they should be The duration of the projects might be from three established. He would select the necessary personnel to five years, depending upon the rate at which the government is able or willing to absorb and adopt 1 See resolution EB7.R4. the system instituted in the model centres. 44 EXECUTIVE BOARD, SEVENTH SESSION, PART 1

2. EXTRACT FROM THE MINUTES OF THE SECOND MEETING OF THE EXECUTIVE BOARD AT ITS SEVENTH SESSION [From EB7/Min/2 Rev.1] 22 January 1951

A discussion took place on the proposal submitted programmeoftechnicalassistanceforunder by the Government of the Philippines (document developed countries. The Organization should EB7/16), during which there was general agreement provide assistance in developing measures for the on the importance of setting up pilot public-health protection of the health of the people in those areas demonstration centres in under-developed countries, which were being helped in their economic develop- within the plan approved for the Organization's ment. 1952 programme for the development of health demonstration areas. The DIRECTOR-GENERAL stated, in reply to a question by Dr. Hyde, that the 1952 programme and Dr. LAKSHMANAN stressed that such centres should budget of the Organization provided, under the be organized so that the expense of continuing the technical assistance budget, for a number of demon- work after the demonstration teams left could be stration areas, including three-in Egypt, El Salvador borne by the countries concerned ; he felt that the and South-East Asia (the latter probably in Ceylon) communities selected should have a population of -which it was planned to initiate early in 1951. more than the 20,000 and 50,000 recommended in In the preliminary work in connexion with the project, the memorandum of the Government of the Phi- there had been close collaboration with the Social lippines, but agreed that any project should be Affairs Department of the United Nations, with continued for four or five years. UNICEF and with FAO. It was expected that when such demonstration areas were established the work Dr. ALLWOOD-PAREDES spoke of what had been would be undertaken, under the technical assistance done in connexion with the establishment of demon- programme,jointlybyalltheorganizations stration centres in South American countries under concerned. the aegis of the Rockefeller Foundation.Those He added that in view of the complications of centres of which he had personal knowledge had relations with all the agencies and the governments been successful and inexpensive, calling for an co-operating, it would be advisable for the demon- expenditure in each case of about $7,000. stration areas to be carefully planned.

Dr. STAMPAR thought that, whilst the Philippine Dr. JAFAR suggested that the Board should note the proposal was a good one, it should be elaborated Philippine proposal, as it would be implemented and clearly defined.If the Organization were to when the health demonstration areas were brought embark on a large project of pilot centres, taking into existence. into consideration only the health of the population, Decision : The B oard noted the proposal of the such a project was bound to fail.Rural life was Philippine Government, the principles of which so interwoven that all aspects should be taken into had been accepted at previous sessions ; considered consideration, the health of farmstock no less than it to be a useful technique for strengthening public- that of persons, and the co-operation of farmers, healthservices ;suggestedthattheDirector- agriculturists and teachers should be secured. General take the observations made into account when discussing services with governments and Dr. BRAVO considered the proposal of the Phi- developing health demonstration areas in the lippine Government to be of the greatest importance, 1952 programme ; and requested the Rapporteur especially in view of the United Nations expanded to draft a resolution along these lines. ANNEX 4 45

Annex 4

[From EB7/47] 9 January 1951 INTERNATIONAL RESEARCH LABORATORIES 1

1. The Economic and Social Council on 10 August which might be taken to expand such centres or 1948, in resolution 160 (VII), recommended that to promote a greater degree of co-ordinated UNESCO convene a small committee of experts in research among such centres ; the basic sciences to examine the question of the (c)a thorough analysis of the need for the possibleestablishmentof internationalresearch establishment of specific regional or United laboratories, as well as the advisability of convening Nations laboratories, and of the functions they an international conference of scientists to report to mightperform ;including,ifappropriate, the Council on this subject. detailed plans for staffing ; an appraisal of the required physical facilities ; and an analysis of 2.The Committee of Scientific Experts on Inter- alternative methods of financing both the initial national Research Laboratories was convened jointly establishment and continuing operation ; and by the United Nations and UNESCO in August (d)an examination of the role of the other 1949 and prepared a report 2 which the Economic specializedagencies and other international and Social Council considered at its eleventh session organizations in assisting scientific research in at the 410th and 411th plenary meetings. WHO their respective fields and in facilitating the was represented at those meetings.The committee dissemination of scientific knowledge in those considered the enquiry made by UNESCO in 1947, fields ;and and recommended priorities in the fields surveyed. It also recommended convening an international Invites the United Nations Educational, Scien- conference of scientists not later han 1951. tific and Cultural Organization to transmit to an early session of the Council a report on the 3.The Economic and Social Council on 14 August implementation of this resolution... 1950 adopted resolution 318 (XI) on International In the same resolution the Council approved the Research Laboratories in which, interalia,the establishment by UNESCO of an International Council Computation Centre, and decided to postpone its ... Requeststhe United Nations Educational, decision on the convening of an international ScientificandCulturalOrganization,inco- conference of scientists. operation with the United Nations and the 4.During the discussion by the Council of the report appropriate specialized agencies, and in consultation with such experts as may be desirable, to of the Committee of Scientific Experts on International ResearchLaboratories,the Director-Generalof make : WHO re-stated the position taken by WHO in this (a)an appraisal in an order of priority of the matter.He pointed out that the proposed Inter- outstanding problemsofscientificresearch national Computation Centre would doubtless be referred to in the report of the Committee of most useful ;that the Organization felt there was Scientific Experts ; no urgency for setting up an institute for research on the brain ; and that since the most important (b)an evaluation of the ability of existing research centres to deal adequately with such problem was that of human behaviour, where problems and recommendations for measures knowledge was far ahead of practical application, research in this field should be carried out on an international and perhaps even a supranational 1 See resolution EB7.R15. basis.The text of the relevant summary record is 2 UN document E/1694 appended hereto. 46 EXECUTIVE BOARD, SEVENTH SESSION, PART I

5.On 1-2 December 1950 UNESCO convened a and Social Council, (2) continue " to study the committeeto examinetheimplicationsfor establishment of an international institute of research UNESCO's programme of the above-cited ECOSOC on the brain..." and (3)execute the proposals resolution.The United Nations and the interested concerning the International Computation Centre specialized agencies and non-governmental organi- and arid zone research. By the resolution concerning zations were represented. At the end of its meeting thesocialsciences,the Director-General would the committee recommended resolutions for inclu- be authorized to propose the creation of international sion in UNESCO's draft programme for 1952 in the research and training centres or institutes in the social natural sciences and social sciences. By the resolu- sciences and also the major problems which such tion concerning the natural sciences, the Director- centres might study and to organize a survey of research General of UNESCO would be authorized to (1) institutionssimilartothe survey recommended undertake the survey requested by the Economic under the programme for the natural sciences.

Appendix

STATEMENT MADE BY THE DIRECTOR-GENERAL OF WHO AT THE ELEVENTH SESSION OF THE ECONOMIC AND SOCIAL COUNCIL

(Extract from the minutes of the 410th meeting)

72.Dr. CHISHOLM (World Health Organization) emphasized of the world. It should be remembered that there was always the fact that his Organization was devoting a considerable a temptation for any scientist to give up the teaching side of part of its budget to the promotion of international research his activities in order to concentrate on advance research. in the sphere of health. Much valuable work was being done Yet such research could be of benefit only if the scientist in in connexion with the potential threat of an epidemic of question kept in constant touch, through having to teach, influenza, and a chain of laboratories had been set up through- with the fundamental elements of his particular science. out the world to work on that problem. International research was also being promoted by WHO in connexion with the BCG 75.Funds which could be made available by the United vaccination programme and the fight against malaria. Nations for setting up new and at times redundant international laboratories would be infinitesimal compared with 73.It was clear, therefore, that his Organization's attitude the money which was being spent in the world for purposes to international research was far from being negative. WHO of scientific research.Consequently, the international labo- believed, however, that at appropriate stages of their national ratories would never be able to compete with similar national development countries should develop their own research institutes.Those United Nations funds, however, would be institutes.Another point to be remembered was that no of very great value if used to help some of the deserving problem could be regarded as purely international. For national laboratories. instance, the brain could not be separated from the central 76.The World Health Organization believed that the Inter- nervous system, which could not be separated from the national Computation Centre would be extremely useful for peripheral nervous system, which could not be separated all countries and all sciences. It was in the social field, however, from the body, which, in its turn, could not be separated from that the most useful work could be done. The United Nations the social environment in which the person in question should tackle such work with all the energy at its command, in happened to be living.That might illustrate why even the order to ensure that scientific knowledge already available study of the brain could not be regarded as a purely inter- should be applied to everyday life. Much was known about national problem and had to be undertaken in the light of inter-human relations, but very little of that knowledge was various social factors prevailing in given areas. being applied. The studies undertaken by UNESCO on the subject were most promising, and itshould always be 74.Furthermore, one should not lose sight of the teaching remembered that the results of any work in that field might and even inspirational value of great scientists at the places outweigh by far the results of all the other research undertaken where they happened to teach and work.It would be dan- by the United Nations. gerous, therefore, to collect great scientists from all over the world and segregate them in so-called international labora- 77.In conclusion, he said that his Organization believed, tories. Far too many scientists had already been so segregated first, that the proposed International Computation Centre and were losing touch with the social and political problems would be most useful ; secondly, that there was no urgency ANNEX 5 47 for setting up an International Institute for Research on the 78.Countries should be left free to develop their own Brain ; and thirdly, that the most important problem was that research with whatever aid they could get from the United of human behaviour, where knowledge was far ahead of Nations. If expert scientists were in danger of being segregated practical application. Research in the field of human behaviour ininternationallaboratories,nationalinstitutionsmight should be carried out on an international and perhaps even start doing much of their research in secret for fear of losing supranational basis. their scientists.

Annex 5

PROGRAMME OF PUBLICATIONS 1 [EB7/68] 22 January 1951 Report on Measures adopted in application of Resolution WHA3.63

The Director-General was requested by the Third English or in French, according to the language World Health Assembly, in resolution WHA3.63, in which they are submitted, with summaries to submit to the Executive Board and to the Fourth in both working languages of the Organization ". World Health Assembly " a special report on the For budgetary reasons it was not possible to measures adopted in application " of that resolution. fill the post of Chief of Editorial Section in 1950, The Health Assembly also requested " the Executive nor will it be possible in 1951. Provision for filling Board to submit its observations and comments on such a post has, however, been made in the this report to the Fourth World Health Assembly ". Proposed Programme and Budget Estimates for The following observations refer to the principles 1952 (Official Records No.31).While every contained in the annex to resolution WHA3.63. attempt will be made to increase the frequency of publication of the Bulletin in 1952, it is not Bulletin of the World Health Organization possible to give a definite undertaking to publish it monthly until the financial position of the Every attempt has been made to include in the Organization in that year is known and a closer Bulletin texts " chosen on the grounds of high forecast can be made of the amount of high- technical or scientific quality combined with as priority work (especially the Technical Report wide an international appeal as possible ".The Seriesandessentialnon-serialpublications) four numbers published in1950 contained a which will fall to the staff of the unit responsible variety of papers on subjects directly within the for technical publications. Organization's field of interests.Many of the An important new departure is the Monograph studies published were from laboratories which Series which will consist of reprints of fundamental regularly collaborate with WHO, and a high studies initially published in the Bulletin.The proportion of the authors were internationally purpose of this series is to make such studies recognized authorities on their subjects. available for sale in a convenient and attractive It is anticipated that at least six, and possibly form.Special efforts will be made to bring these eight, numbers will have been issued by the end studies to the attention of the world's technical of 1951.This increased output will be facilitated press and, in certain cases, of important general by the decision (EB6.R9) of the Executive Board newspapers. The first two studies to be published that the Bulletin should henceforth be published in this series are on " Maternal Care and Mental in a single edition " containing articles either in Health " (184 pages) and " Psychiatric Aspects of Juvenile Delinquency " (92 pages).These will 1 See resolution EB7.R16. both appear in the first quarter of 1951. In both 48 EXECUTIVE BOARD, SEVENTH SESSION, PART I

cases separate editions in English and French are resolution WHA3.63 have been closely followed. being published, as summaries of studies of such The only departure from them is that, as a result broad scope are of relatively little value. of a decision (EB6.R19) of the Executive Board, The bibliographical section of the Bulletin is an edition consisting of separate fascicles is not still confined to references with a bearing on the published. pestilential diseases.While itis hoped that it may be possible in the future to extend the scope Chronicle of the World Health Organization of this section, the inclusion of an abstracting The Chronicle has kept " to the role of publicity section which would make a significant contribu- and general information for which it was originally tion to the existing network of abstracting services intended " and has maintained its monthly rhythm seems to offer insuperable difficulties.However, of publication with no increase in the number it should be borne in mind that the Bulletin has of pages. included, and will continue to include, a number However, attempts are constantly being made of critical and well-documented reviews of litera- to give more effective coverage in the Chronicle ture, with full bibliographies.In 1950, critical of regional activities. reviews with bibliographies were published on BCG vaccination (135 references), trachoma (194 refer- The number of separate publications, the diversity ences), lymphogranuloma venereum (116 refer- of subjects covered, and the need for working in ences), Q fever (84 references), juvenile delin- more than one language, are causes of complex quency (137references),andbrucellosis(93 publishing problems. However, by comparison with references). 1949, the output and quality of WHO technical publications have risen considerably.Methods and procedures are under constant review, and further International Digest of Health Legislation improvements are to be anticipated as a natural Four numbers of the Digest were published in consequence of increasing maturity of the Organi- 1950, and the principles enunciated in the annex to zation.

Annex 6 [From EB7/31] 3 January 1951 CONCENTRATION OF EFFORT AND RESOURCES

1.Decisions of the Economic and Social Council Expresses its conviction that the co-ordination of the projects of the United Nations and specialized The Economic and Social Council, at its eleventh agencies at the point of their initiation is essential session, adopted resolution 324 (XI), on relations to the effective concentration of effort and available with and co-ordination of specialized agencies, of resourcesadvocatedintheabove-mentioned which section B is, in part, as follows : resolution ; The Economic and Social Council, Requests the Secretary-General, through the Administrative Committee on Co-ordination, to Noting the General Assembly resolution 310 (IV) enlist the co-operation of the executive heads of on the problem of the proliferation and over- thespecializedagencies concerned in making lapping of the programmes of the United Nations suitable arrangements to ensure : (a) that, in so far and of the specialized agencies, as possible, all proposals for surveys, meetings or programmes which concern more than one organi- I See resolution EB7.R17. zation shall be the subject of inter-agency consulta- ANNEX 6 49

tion prior to their adoption by the competent (c)Will the States concerned be in a position to commissions, Councils or Assemblies concerned, carry on the proposed activities after they have with a view to achieving the full utilization of the ceased to be under international auspices ? co-ordinated resources of the various interested bodies ;(b) that the results of this consultation (d)Will the proposed action assist and stimulate are put before the competent organs of the United national action so as to ensure that the inter- Nations and the specialized agencies when they national effort expended produces the maximum consider such projects ; results at the national or regional level ? (e)Will the proposed action assist a significant number of those Member States or those people In addition the Council adopted the report of its whose needs for economic and social advancement Co-ordinationCommittee,which recommended are greatest ? the following criteria for priorities : (f)Will the proposed action further significantly Criteria for Priorities the total effort of the United Nations and the specialized agencies for the promotion of the Urgency: Is there a pressing need for action of the economic and social objectives outlined in the kind proposed ? Charter ?

Feasibility: 2.Decisions of the General Assembly of the United Nations (a)Can qualified personnel be made available ? The General Assembly of the United Nations at (b)Are local conditions likely to be favourable ? its fifth session 2 considered the report of the Eco- (c)Will the Governments concerned participate ? nomic and Social Council 3 and adopted a resolution on Concentration of Effort and Resources, of which Scope : the operative clauses are as follows : (a)Will the proposed action benefit directly or The General Assembly, indirectly a significant number of Member States ?

(b)Will the proposed action benefit directly or 1. Requests each specialized agency to review its indirectly a significant number of people ? 1952 programme during 1951, using the criteria set forth in the report of the Co-ordination Com- Preparation and Co-ordination: mittee as adopted by the Economic and Social Council ; (a)Have the necessary preliminary studies and preparations been made ? 2.Requests the Economic and Social Council (b)Has full account been taken of work already and the specialized agencies 'to indicate, when new carried out in this field by other organizations ? projects are adopted, which current projects may be deferred, modified or eliminated to ensure that (c)Have the possibilities of action or financing the economic and social work of the United from sources other than United Nations and the Nations and thespecializedagencieswill be specialized agencies been fully explored ? carried on most effectively ;

(d)Is the organ or agency concerned best suited 3.Requests the Economic and Social Council : to undertake the proposed action ? (a)To review, during 1951, the 1952 pro- (e)Can the proposed action be integrated into grammes of the United Nations and the specia- other projects in the same field ? lized agencies, using the criteria set forth in the report of the Co-ordination Committee as Results: adopted by the Economic and Social Council ; (a)Are results likely to be significant in relation (b)To seek, in reviewing the programmes, the to the outlay of effort and financial resources and assistanceof theAdvisory Committee on are they likely to accrue within a reasonable time ? 2 314th plenary meeting, see UN document A/1589. (b)Will those results be demonstrable ? 3 UN document E/1810 50 EXECUTIVE BOARD, SEVENTH SESSION, PART I

Administrative and Budgetary Questions on the The priorities mentioned by the Administrative administrative and financialaspectsof this Committee on Co-ordination,5 with the exception matter ; of full employment, which does not directly concern (c)To report to the sixth session of the General WHO, are incorporated in the programme of the Assembly on the results of these reviews ; Organization. In order to facilitate the task of the Fourth World 4.Requests the Secretary-General, in co-opera- Health Assembly in examining the Proposed Pro- tion with the administrative heads of the specialized gramme and Budget Estimates for 1952 in the light agencies, to include in annex IV to the Secretary- of the criteria suggested by the Economic and Social General's budget estimates a summary schedule of Council, the Board may wish that the attention of the estimated costs of the projects provided for health ministers of the Member States be called to in the budget of the United Nations and of the the report of the Co-ordination Committee. specialized agencies ; and, further, Having noted the steps taken and progress made (2)Review by the Economic and Social Council of by the Economic and Social Council, the Secretary- the programme of WHO for 1952 General, the Administrative Committee on Co- The Board will recall that pursuant to Articles 55, ordination and the specialized agencies ; 58, 62 and 63 of the Charter of the United Nations, and to Article IV (Recommendations of the United 5. Urges that the efforts which are being made to Nations) of the Agreement between the United ensure the fullest co-ordination of the programmes Nations and WHO, the Economic and Social and activities of the United Nations and the Council has examined each year the programmes of specialized agencies be vigorously pursued. work of WHO and other specialized agencies, with a view to making recommendations for the co- ordination of the policies and activitiesof the 3.Implication for WHO of the General Assembly specialized agencies. Resolution The Board will remember also that pursuant to The Director-General brings particularly to the Article XV (Budgetary and Financial Arrangements), attention of the Board the paragraphs of the General paragraph 3 (b), of the Agreement between the Assembly resolution which appear to require action United Nations and WHO, the General Assembly or a decision of policy by the Board, namely : through its Fifth Committee and with the advice of its Advisory Committee on Administrative and (1)Review of the 1952 programme of WHO in the Budgetary Questions has examined each year the light of the criteria of the Economic and Social administrativebudgetsof WHO, asofother Council specialized agencies. The programme and budget of WHO for 1952 Paragraph 3 (b) of the resolution adopted by the was drafted in the light both of the criteria recom- GeneralAssemblyestablishesaprecedentin mended by the Economic and Social Council and requesting the Economic and Social Council " to those which were adopted by the Executive Board seek, in reviewing the programmes [of the United and the Third World Health Assembly in resolutions Nations and the specialized agencies], the assistance on the General Programme of Work covering a of the Advisory Committee on Administrative and Specific Period.4 Budgetary Questions on the administrative and financial aspects of this matter ".

4 Off. Rec. World Huth Org. 25, annex5,adopted by 5 In the report on its tenth session, paragraphs 5 to 7 resolution WHA3.1 (UN document E/1865) ANNEX 7 51

Annex 7 [EB7/46] 9 January 1951 DEVELOPMENT OF ARID LAND 1

1. The General Assembly of the United Nations 3. Calls upon the Economic and Social Council to adopted on 20 November 1950, at its 312th plenary examine the report and, with a view to facilitating meeting, a resolution on the development of arid and encouraging the development of arid land, land of which the text is as follows : to consider such measures as : (a)Devoting sufficient technical and financial The General Assembly, means to the study of the relevant scientific Considering that : and practical problems ; (a)One of the basic reasons for the low standard (b)Promoting and co-ordinating the activities of living in certain under-developed countries is of the United Nations and thespecialized the inadequate extent of the areas at present under agencies to that end ; cultivation, (c)Furnishing appropriate technical assistance (b)The continual increase in the populations of to the Governments concerned. these countries requires the adoption of appro- 2.In view of the very great interest shown in this priate and urgent measures for the development subject during the debate by the General Assembly, of their resources, the Director-General believes that the Executive (c)It is essential in the above circumstances, if Board and the World Health Assembly may wish the equitable distribution of land is to be promoted to keep the resolution in mind in considering the and the standard of living raised, that, among programme of WHO. other measures, the areas at present under culti- 3. While the programme of WHO does not refer vation be increased by the development of arid specifically to the problems of arid zones, account zones, is taken of these problems in the appropriate sections (d)The Economic and Social Council, in reso- of the work. WHO is likewise collaborating with lution 324 D (XI) of 9 August 1950, has recom- other United Nations agencies in this field. mended an intensification of scientific research to promote the economic and social progress of 4.UNESCO, in 1949, began a series of consulta- mankind and has recognized the necessity for tions with scientists and representatives of international agencies, which resulted in the setting up of co-ordinating the efforts of the various competent theInterimInternationalArid Zone Research bodies of the United Nations and the specialized Council. WHO took part in these consultations. agencies in order to study the problems of the At its meeting of 20 to 23 November 1950,2 the arid zones both in their scientific and in their Interim Council recommended that, pending the practi cal aspects, establishment of the permanent Council, there be 1. Recommends that the Secretary-General pre- set up an Advisory Committee on Arid Zone Research pare,incollaborationwiththecompetent composed of seven experts of different nationalities. specialized agencies, a report on the practical The committee would advise UNESCO and, upon measures adopted for the study of the problems of request, Member States or other United Nations arid zones and on the technical and financial agenciesonscientificandtechnicalquestions means employed by the specialized agencies for concerning arid zones.The United Nations and this purpose ; interested specialized agencies should send represen- 2.Invites the Secretary-General to submit his tatives who would participate in the discussions of report on thismatter not later than to the the committee, without the right to vote. WHO will fourteenth session of the Economic and Social take part in the work of the Advisory Committee. Council ; Furthermore, the first of a series of informal meetings

1 See resolution EB7.R20. 2 See UNESCO document 25 EX/11 and annex. 52 EXECUTIVE BOARD, SEVENTH SESSION, PART I

between staff members of UNESCO and WHO took irrigation and other water-control projects. Arrange- place on 28-29 October 1950 for joint preliminary ments have been made for the two organizations to planning of relevant parts of their programme. co-operate in this problem. 5.In September 1950, the Director-General called 6. A similar proposal will be placed before the informally to the attention of the Director-General Economic Commission for Asia and the Far East of FAO the concern of WHO regarding diseases and its Bureau of Flood Control at their meetings in which may be introduCed or spread as a result of January and February 1951.

Annex 8 [EB7/76] 25 January 1951 ADMISSION OF THE STAFF OF THE PAN AMERICAN SANITARY BUREAU INTO THE UNITED NATIONS JOINT STAFF PENSION FUND

1. In accordance with instructions given to him by into the UN Pension Fund,' the Director-General the Executive Committee of the Pan American agreed to take the envisaged action only on the Sanitary Organization, the Director of that organi- condition that PASB guarantees to reimburse WHO zation requested the Director-General of WHO to for all payments into the Pension Fund made by the enter into negotiations with the United Nations with latter in respect of PASB staff. a view to the admission of the Pan American Sanitary Bureau staff into the UN Joint Staff Pension Fund. 2.The Executive Committee of PASO at its meeting held from 20 to 23 September 1950 gave its approval PASO, not being a specialized agency brought to the presentation by WHO of a request for the into relationship with the United Nations, could not, admission of PASB staff into the Pension Fund, by as such, be a participating organization in the fund. adoptingtheresolutionthetext Its staff members could, therefore, only be admitted of whichis into the fund if for this purpose they were to be reproduced in the appendix to this annex. considered as forming part of WHO staff.Basing 3.TheDirector-General'srequestthat PASB himself on Article 2 of the Agreement of 27 May 1949 staff be included with WHO staff for the purposes entered into with the Pan American Sanitary Organi- of the Pension Fund, addressed to the United zation 2 according to which PASB shall serve as the Nations on 29 August 1950, was considered by the Regional Office of WHO for the Americas, the UN Joint Staff Pension Board at its first session held Director-General, in a letter addressed on 29 August from 16 to 25 October 1950 and the Board adopted 1950 to the Director of PASB, expressed his readiness the following resolution : to enter into negotiations with the United Nations with a view to including PASB staff with WHO The Joint Staff Pension Board, staff for the purpose of their admission into the UN Having noted the statement made on behalf of Pension Fund.As, however, the inclusion in the the World Health Organization that the staff WHO lists of the PASB staff would amount to WHO of the Pan American Sanitary Bureau serves as the assuming in regard to that staff all the obligations Regional Office of the World Health Organization under the Pension Fund Regulations and under the in the Americas, and that the World Health Agreement with the United Nations of 20 April Organization considers this staff as eligible for and 8 May 1950 concerning the admission of WHO admission to the Fund under Article 2 of the Regulations ;

I See resolution EB7.R25. 3 Off. Rec. World Hlth. Org. 29, annex 11 2 See Off. Rec. World Hlth. Org. 21, 382. 4 Resolution 23 (I) ANNEX 8 53

Has no objection, in the light of this statement, to (h)PASB shall make available to WHO, if the admission of these staff members as partici- appropriate, in a proportionate share, any pay- pants. ments, contributions or expenses other than those mentioned in the preceding paragraphs, payable 4.Negotiations are now proceeding between the under the Regulations of the Fund or any agree- Directorof, PASB and the Director-General of ment made by virtue thereof to which WHO is a WHO to conclude an agreement on the following party. basis : (i)Should WHO be declared in default by the (a)Full-time staff members of PASB shall be UN Joint Staff Pension Board, staff members of eligible for admission into the UN Joint Staff Pen- PASB participating in the Fund shall be treated sion Fund on the same conditions as staff members under the same conditions as staff members of of WHO, provided that certain staff members, WHO in accordance with Article 8 of the Agree- participants in the pension fund of the Organi- ment for the admission of WHO into the UN Joint zation of American States (approximately 15 in Staff Pension Fund,5 provided that if PASB is number), may be excluded from such participation nevertheless in a position to continue the payment by common agreement between the two Organi- of contributions in respect of its own staff members zations. WHO shall make every endeavour to maintain the (b)The earliest date from which employment with pension rights of those staff members under the PASB can be reckoned for the purpose of partici- Regulations of the Fund. pation in the Pension Fund will be 1 July 1949. (j)Should PASB for any reason interrupt or (c)Upon the entry into force of the agreement, cease to make its payments under the Agreement, PASB shall make available to WHO for payment WHO and PASB shall immediately consult together into the Fund its own and the participants' concerning suchinterruptionorcessationof contributions, as provided in the Regulations of payments.Should PASB be unable to resume the Fund, for the period commencing 1 July 1949 payments, the two organizations will take such (or a later date of admission agreed to by the two action as may be required to terminate the parti- organizations) up to the last day of the month cipation of PASB staff members in the Fund, preceding the date of entry into force of the provided that if PASB should later be in a position agreement. to resume payments thepartieswillconsult concerning the re-admission of staff members of (d) PASB shall make available monthly to WHO PASB into the Fund. its own and the participants' contributions for that month. (k)PASB shall incorporate in its Staff Regula- tions and Rules those provisions of the WHO (e)PASB shall similarly make available to WHO such sums as may be required under Article 17 (b) Staff Regulations and Rules relating to pensions of the Regulations of the Fund to maintain the and similarly it shall incorporate any amendments Fund in a position to meet the obligations in made thereto. respect of participants to whom the provisions (1)PASB shall be bound by the Regulations of of Article 3 of the Regulations of the Fund apply. the Fund, the Administrative Rules of the Fund, (f)All such sums shall be made available to and by the Agreement for the Admission of the WHO in such manner as WHO may from time World Health Organization into the UN Joint to time designate. Staff Pension Fund, and by any interpretation placed thereon or amendment made thereto by the (g)Should WHO be called upon to make good bodies authorized to make such interpretation any deficiency shown by actuarial valuation of the or amendment. Fund under Article 19 of the Fund's Regulations, PASB shall make available thereupon to WHO an (m)The agreement is to come into force upon amount proportionate to the total contributions signature by the Director-General of WHO and paid by PASB under Article 17 of the Fund's by the Director of PA SB. Regulations during the three years previous to the date of the actuarial valuation. 5 Off. Rec. World Hlth Org. 29, annex 11 54 EXECUTIVE BOARD, SEVENTH SESSION, PART I

Appendix

RESOLUTION ADOPTED BY THE EXECUTIVE COMMITTEE OF THE PAN AMERICAN SANITARY ORGANIZATION AT ITS llth MEETING (20 TO 23 SEPTEMBER 1950)

V.UNITED NATIONS JOINT STAFF PENSION PLAN

WHEREAS : Hemisphere, within the provisions of the Constitution The Executive Committee in its Tenth Meeting directed of the World Health Organization. In deference to tradi- the Director to negotiate with the United Nations through tion, both organizations shall retaintheir respective the World Health Organization for the admittance of the names, to which shall be added ' Regional Committee Pan American Sanitary Bureau Staff into the United Nations of the World Health Organization 'and' Regional Joint Staff Pension Plan ; Office of the World Health Organization 'respectively. Certaindifficultiesinvolved in such action have been (b)The Pension Plan be made mandatory for all staff of discussed in correspondence between the Director and the the Pan American Sanitary Bureau serving as the Regional World Health Organization, Office of the World Health Organization, except that approximately fifteen staff members of the Pan American THE EXECUTIVE COMMITTEE Sanitary Bureau havingseveralyearsofserviceand contributions in the pension plan of the Pan American RESOLVES : Union, or demonstrating other hardships, may be excluded 1.That the Director continue negotiations with the United from the United Nations Pension Plan. Nations through the World Health Organization to assure the (c)The effective date of entry into the United Nations presentation to the next session of the United Nations Joint Joint Staff Pension Plan shall be I July 1949, the date of Staff Pension Board of a request for admission of staff members entry into force of the agreement between the World Health of the Pan American Sanitary Bureau on the following basis : Organization and the Pan American Sanitary Organization, (a)The Agreement between the World Health Organization subject to availability of funds for payment of the Pan and the Pan American Sanitary Organization signed 24 May American Sanitary Organization share of the cost of 1949, effective 1 July 1949, states : crediting service since that time. The Pan American Sanitary Conference through the 2.To authorize the Director to consummate any agree- Directing Council of the Pan American Sanitary Organi- ment which may be requtred in order to enter the United zation and the Pan American Sanitary Bureau shall serve Nations Joint Staff Pension Plan and to report to the Executive respectively as the Regional Committee and the Regional Committee on the status of negotiations at its Thirteenth Office of the World Health Organization for the Western Meeting.

Annex 9 [EB7/79] 26 January 1951 PLACE OF MEETING OF THE FIFTH WORLD HEALTH ASSEMBLY 1

In accordance with resolution EB6.R32 of the Health, Massachusetts Department of Public Health. sixth session of the Executive Board, an examination Physicalfacilitiesinand around Boston were of the possibility of holding the Fifth World Health examined and those at the Massachusetts Institute of Assembly in Boston in 1952 was carried out with the TechnologyinBoston andatTuft'sCollege, close co-operation and assistance of the US State Medford, someshortdistanceout of Boston, Department and of the Commissioner of Public were found to be adequate.It has been learned recently, however, that the former cannot be made 1 See resolution EB7.R46. available. ANNEX 10 55

Sources of financial assistance which might be chusetts and the City of Boston have indicated that provided from within the United States of America moderate assistance can be provided. This assistance, have been investigated. Such assistance by the however, is only a fraction of the $212,000 estimated Government of the United States of America would as the additional cost of holding the meetings of the requirethepassageof speciallegislationand, World Health Assembly and the Executive Board in apart from other considerations, the necessity for Boston instead of Geneva. obtaining a final decision early enough to submit firm proposals to the Fourth World Health Assembly No invitations for a future Health Assembly to be in May 1951 does not allow sufficient time to put held on their territory have so far been received from through such special legislation. The State of Massa- Member States.

Annex 10 [EB7/81Rev.1] 2 February 1951 GENERAL PROGRAMME OF WORK COVERING A SPECIFIC PERIOD 1

The Executive Board under Chapter VI, Article not normally be operations carried out directly 28 (g), of the Constitution of the World Health by the Organization.Such services as demonstra- Organization is obliged " to submit to the Health tion programmes will clearly be joint operations Assembly for consideration and approval a general by the government and WHO. These services programme of work covering a specific period ". will be supplied to governments only on their The Second World Health Assembly called the specific request. Board's attention to this matter and the Board submitted such a programme to the Third World (c)Services should be such as to foster the Health Assembly.2The Health Assembly approved greatest possible degree of self-reliance and ini- this in general and in resolution WHA3.1 requested tiative in national and community health-services the Executive Board " further to examine the pro- and to be suitable for integration into the social, gramme in the light of the discussion in the Com- constitutional and administrative structure of the mittee on Programme and the recommendations of people and government concerned. the regional committees, and to present to the Fourth (d) WHO should not as a rule carry out direct World Health Assembly a more detailed document medical or scientific research as such, but should along the same general lines as are set out in Official endeavour to stimulate and to co-ordinate work Records No. 25 ". done in these fields. (e)Services shall be available toall Member 1.General Principles States without discrimination. The programme of work is drawn up in the light of the following general principles : 2.Specific Period (a)All countries, including trust and n on-self- The specific period is at present defined as the should participateinthe governing territories, four years 1952 to 1955 inclusive.Each year the work of the Organization. Executive Board, taking into account the advice (b)Services provided to governments to assist of the regional organs, will examine the general them in developing their health services should programme and make recommendations to the World Health Assembly on any changes thought necessary 1 See resolution EB7.R57. as a result of experience or new knowledge, and in 2 See Of. Rec. World Hlth Org. 25, annex 5. order to assure a smooth and orderly evolution. 56 EXECUTIVE BOARD, SEVENTH SESSION, PART 1

3.Form and Content of the Programme of Work the receipt of governmental requests.3There is no sharp dividing line between the responsibilities The programme of work should supply broad of headquarters and those of regional organizations. general lines of policy which will serve the Director- Many headquarters services are also services to General as a framework for the orderly development governments ;and many of the regional services of the annual and detailed programmes and budgets must be dependent on the ability of headquarters withinthe period chosen.With thesedetailed to estimate the extent to which requests can be met, programmes and budgets prepared as far in advance in terms of the resources of experts and knowledge. as they are, it is clear that a detailed version of the The progressive transfer to regional offices of general programme and budget for the succeeding responsibility for framing the programmes of the two years is almost permanently in preparation Organization must necessarily entail the transfer to both at headquarters and by the regional organs. those offices of some measure of responsibility for In view of the rapidity of the evolution of medical deciding relative priorities among projects suitable science at the present time, the general programme fortheirregions.The regional committees,in should be flexible and open to periodic review. deciding those priorities,will take into account New problems may arise and new techniques and (a) the importance for public health in the country methods of approach to current problems may be concerned of the various projects ; (b) whether those developed in the course of the next few years. projects form part of a larger scheme of co-ordinated Problems which today do not appear to recommend action by several agencies ; and (c) the ability of themselves for action on the international plane the national government to continue and complete may, as the result of discoveries at present unpredict- work started with the aid of WHO. able, become suitable for such action, or even call It might also be advisable for the regional commit- for action, before the end of the specific period. tees to take into account the extent to which the pro- With the system of periodic review, any change jects selected for their region form a whole which will of emphasis rendered necessary by experience gained provide them, on the one hand, with a wide experience or by new scientific developments may be recom- of different types of project and, on the other hand, mended annually to the World Health Assembly. permit a comparison with the results of different This system is preferable to reviewing the programme projects in adjoining areas, or with the same type only at the end of the specific then trying of project in different countries or different regions. to draw up a new programme for a subsequent The regional organs will profit by the experience period. of each individual country, the Organization will Details of methods to be employed should be profit by the experience of all the regions, and all the responsibility of the Director-General, and be countries will profit by the total experience. based on policies prescribed by the World Health The work of the Organization in providing assist- Assembly and the Executive Board, and on the ance to governments should be based on the prin- recommendations of the regional organizations, in ciple of efficient decentralization. It is clear that such accordance with the requirements of the various pro- decentralization will be carried out through the regio- grammes at any particular time.Use will also be nal machinery provided for in the Constitution. One -made of non-governmental organizations, expert of the main reasons for establishing regional machi- committees, advisory panels and consultant or study nery is that many of the services provided should be groups. planned on the spot in the light of local needs and This document contains statements of the expected conditions, and should reach the people of the coun- course of programmes for which the Organization try concerned through an agency which is close to (by itself or in co-operation with other agencies) them.The fact of setting up regional offices does has either a major responsibility, as for example not necessarily mean that decentralization has been biological standardization and unification of phar- accomplished, it is only an essential step towards it ; macopoeias,or apartialresponsibility,asfor the regional committees have now been given, and example the prevention of crime and the treatment of offenders. 3 These responsibilities have meant considerable difficulties for the regional organizations in carrying out the task entrusted to them by the Third World Health Assembly in resolution WHA3.I. One region has attempted to carry it out but the 4.Regionalization and Decentralization other two have not yet been able to do so. Moreover there are at present only three regional offices, although there are six regions.Consequently it has not been possible to give in Among the responsibilities of the regional organi- such detail those programmes for which the regional organs zations are the assessment of national needs and are responsible. ANNEX 10 57 must take over the responsibility for completing the Organization accomplished which would not have process and for achieving the maximum amount of been done without it ?The activities selected for decentralization compatible with efficiency. this first specific period should therefore, as far as Certain functions of the Organization do not lend possible, be capable of yielding results which can themselves to decentralization and have to be carried (at the end of the period) be demonstrable to, and out mainly at headquarters.It is clear, too, that readily understood by, governments.For example, allpolicies pursued throughout the Organization activities which will show a dramatic fall in the should be such as to ensure the continuance and incidence of certain diseases, or in maternal and strengthening of the worldwide character of the infant mortality in a given area, will be readily Organization so clearly laid down in the Constitution. appreciated by the public.This kind of criterion In the first stage of its development WHO, at will become progressively less important in the that time necessarily highly centralized, based its choiceof programmesforsubsequentspecific programme on certain world priorities.At the periods.At the same time, much work in the field present stage, which is that of rapid and progressive of health must be undertaken irrespective of the regionalization, the programme isbased on the possibility of demonstrating results. needs of the various countries at the regional level. At first glance it would seem that there has been 5.3Scope qf the Proposed Field of Action a change of orientation in the general policy of the Fields of action should be chosen which are Organization but, in fact, the projects included in likely to benefit either directly or indirectly the the programmes established by the regional offices largest possible number of Member States and are for the most part concerned with activities which people.However, not only global but also regional the Organization had already defined as priorities. and local desiderata must all be taken into account. It will be seen, therefore, that the policy of the The regional committees have undertaken, and must Organization, far from having been disrupted, is in the future increasingly undertake, the important continuing along the lines established at the outset responsibility of surveying regional problems, bring- by the World Health Assembly. ing them to the attention of headquarters, and arranging for regional machinery.They must also 5.Criteria for the Selection of Fields of Action to be draw the attention of governments to problems of included in the Programme of Work purely local significance. In view of the vast range of work in which the 5.4Availability of Qualified Personnel Organizationmightlegitimatelyengage,certain criteria are necessary by which to determine the Before an item is given a place in the general selection or rejection of proposed activities. programme of work for a specific period, full consideration should be given to the availability of 5.1 International Feasibility and Acceptability qualified personnel to carry out the work proposed. WHO will embark only upon such programmes 5.5Prerequisites to Action as are internationally acceptable and for which the techniques are considered to be sound.The fact No commitment for action can be given unless : that certain activities are likely to be desired or the necessary preliminary studies and preparation requested by Member States is not sufficient reason have been made ;full account has been taken of for their selection.Except in the case of emergency work already carried out in the particular field by action, activities selected must be ones in which the other units of the Organization, other national or States in which they may be carried out can par- international organizations or by national administra- ticipate both morally and materially ; which they can tions or institutes ;the possibilities of action or continue after the cessation of the work undertaken financing from sources other than the United Nations by WHO ; and from which the population concerned and the specialized agencies have been ascertained ; appears to be sufficiently evolved to be able to the question as to whether WHO is the agency benefit.Certain programmes, however worthwhile, best suited to initiate or undertake proposed action may be impracticable because of internal or inter- has been carefully examined ;and the possibility national economic and political factors. of integrating the proposed action with other projects relatedintype has been investigated.Clearly, 5.2Possibility qf Demonstrating Results these prerequisites apply to any proposal from what- The question isoften asked-and itwill un- ever source it may come.4 doubtedly be asked with increasing frequency during 4 See resolution 324 (XI) B of the Economic and Social the next five years :What has the World Health Council, reproduced in annex 6. 58 EXECUTIVE BOARD, SEVENTH SESSION, PART I

5.6Permanent Worldwide Services duty of headquarters constantly to review and assess such developments and bring them to the attention The maintenance and development of activities of the Executive Board so that the Board may which can be performed only through an inter- review each year the evolution of the programme national health organization-and which may be of the Organization. comprehensively defined as international information, standardization and co-ordination-will always With regard to the implementation of this phase remain a major responsibility of WHO. These of the Organization'sactivitiesat the regional services are further defined in paragraph 6.3 below. level, it is important to realize that the strengthening of health administrations of Member Governments is essential to the success of international health 5.7Co-operative Services activities such as epidemiological intelligence, col- WHO is a party to certain agreements under lection of statisticalinformation, application of which itcollaborates with the United Nations, international standards and international sanitary specialized agencies and non-governmental organiza- regulations,etc.Such international services will tions in international activities in the field of health, only become fully effective when the health services and which will enable it to contribute significantly of all Member States are more fully developed. to the total effort of those bodies for thepromotion The type of health activities to be initiated or of the economic and social objectives outlined in developed will depend on the health problems of the Charter of the United Nations. the country, its economic situation, and the availability of local technical personnel.However, the 5.8Financial Feasibility long-term objective must always be a balanced The funds available to the Organization are programme with emphasis on prevention of disease recognized to be, and have always been, small in and promotion of health. comparison with the number and magnitude of the Since specialized health services, such as those tasks which itis asked to undertake.This has for maternal and child health, health education, become even more true in 1950 owing to the demands nutrition, mental health, health statistics, social and upon the Organization arising outof greatly increased occupational health, and the investment by governments in the field of inter- communicable diseases (e.g. tuberculosis, malaria, national health as a result of international and venereal disease, plague, cholera and others) should bilateraltechnicalassistance programmes.Itis be integrated into the general programme in a way clear that in such conditions of relative financial suited to local resources and needs, the initiation stringency only careful application of the criteria of any specialized activity should be carefully con- outlined above will enable such a choice of action sidered in terms of the expenditure involved and the to be made as will ensure the optimumutilization effect on the health of the mass of the people. of the funds available.The expanding responsibilities necessarily imply a progressive expansion In many cases ithas been thought justifiable of the resources made available to the Organization. during the initialstages of development in the organization of health activities to start with projects in specialized fields such as those mentioned above. Such projects should be a stage towards the ultimate 6.Major Headings of the Programme of Work goal-a balanced and integrated health programme for the country. 6.1 Strengthening of National Health-Administra- tions Governments will be encouraged toestablish health units, wherever possible, in connexion with The planning and implementation of this phase theothersocialservicesand with educational of the Organization's activities will lie mainly with centres for teaching and demonstration purposes. the regional organizations and will be in the form These will employ the minimum number of inter- of assistance to governments on theirrequest. national personnel and will take full advantage of Headquarters will give technical guidance, and will consultation with local experts. co-ordinate and assess the work as a whole. New problems may arise and new methods of The absorptive capacity of the country for these approach to current problems may be developed forms of technical assistance will also be taken in the course of the next few years.It will be the into consideration.Inhealth,as in any other ANNEX 10 59 field, there is at any given time an optimum amount it may well be possible to assess at the end of a four- of assistance which can be used and which will year period of intensive effort. be of service to a country.Among the factors which determine this optimum is the ability of the The programme for education and training consists government tomeet theadditionalexpenditure of a series of activities, of which some can be carried arising from the assistance, and the existence of out only centrally, others only regionally and locally. enough trained personnel, at the intermediate as The problem of agreed minimum international well as at the executive level, to carry on the pro- standards in professional training is worldwide, as gramme and ensure its continuity. is also the question of the orientation of medical and related education in connexion with social developments.However, studies will be based on local experience and programmes directly aiming at 6.2Professional and Technical Education of Medical the development of educational institutions and and Auxiliary Personnel 5 training.The work on standards of training will be carried out mostly in regions and countries. The disproportion between the advances made in medical science in recent years and the small per- A statement on the general aims and anticipated centage of the world's population which benefits achievements over a five-year period, including the from them, can be reduced only by expansion and expected increase in knowledge of the problem, a development of training resources and by adaptation series of special projects, and the working means of nationalhealthprogrammes. Tothisend, to be adopted, will be found in the report of the each country must have at least a nucleus of health first session of the Expert Committee on Professional workers who have acquired the necessary modern and Technical Education of Medical and Auxiliary skills and knowledge to impart to their colleagues Personnel. 6 and students, who in their turn will bring them within reach of the community. The teaching of health personnel should not only 6.3Permanent Worldwide Services be adapted to the existing level of scientific and There are services for certain aspects of which social knowledge but should also produce personnel major responsibility may be expected to lie with who will be capable of the adjustments which pro- headquarters, while many of what may be called gress in medical and social knowledge, and social the implementation aspects will be carried out by change will render necessary in the coming years. the regional organs.For example, it is clear that This will include a re-orientation of the teaching, the production of an international classification of in the direction of increased emphasis on modern diseases, injuries and causes of death is a task public-health (including preventive and social) aspects properly to be carried out by headquarters, whereas of medicine. the actual work of assisting governments to imple- Each country should attempt to reach an agreed ment such a classification will place responsibilities minimum level compatible with its stage of develop- on the regional offices.For convenience, therefore, ment when modernizing its training courses for these worldwide services are classified as below, in doctors and other health workers. each case reference being made to the aspects of the work which will normally be treated by head- Extension of professional and technical education quarters or by regional organs. by such methods as the granting of fellowships and the promotion of wider teaching facilities,is an investment which gives returns out of all proportion to the original outlay, and to which governments 6.3.1Health Statistics should give much greater weight in their planning The provision of basic international statistical and budgeting.International collaborationisa documentation will be progressively extended to useful stimulant to, and component of, national cover all the various sectors of health statistics-both efforts.The above are activities the result of which morbidity and mortality-and will be complemented by proper analysis and studies, from the inter-

5 This topic is scheduled for special discussion at the Fourth World Health Assembly and is, therefore, not treated here at very great length. ° World Hlth Org. techn. Rep. Ser. 1950, 22, annex 1 60 EXECUTIVE BOARD, SEVENTH SESSION, PART I national standpoint, on the prevalence of disease Organization (IMCO) will be followed so that, when and on the trends and changes which have taken that organization has dealt with the subjects covered place in the morbidity and mortality situation. in annex B of the draft International Sanitary Regu- lations, proposals for the deletion of that annex can 6.3.2Epideiniological Intelligence be submitted to the appropriate expert committee. During the four years under consideration, it is Transition from International Sanitary Conventions proposed to improve the existing system of epide- to International Sanitary Regulations.Many and miological intelligence by : varied problems and difficulties will, it is expected, (a)publishing a worldwide epidemiological code be inherent in this transition and will doubtless with cartographic supplement ; necessitate prolonged explanations to, and discussions with national health-administrations and other (b)completing the existing network of wireless parties concerned.The extent and implications of stations which broadcast WHO epidemiological the problem of reservations cannot at present be bulletins by arranging for transmissions to Central accurately forecast. Africa and parts of South America ; (c)assisting, in collaboration with regional offices, Delineation of yellow-fever zones.The WHO- national services to speed up their epidemiological sponsored immunity surveys, planned to determine notifications and information. more accurately than has hitherto been possible the southernmost boundary of the African yellow-fever 6.3.3International Epidemiology and Quarantine endemic area, will continue during 1951 and 1952 -an undertaking which will necessitate the closest Daily epidemiological radio-bulletins broadcast from co-operation between the responsible officers of the Geneva.Efforts will be made to ensure worldwide appropriatesectionof theSecretariat and the receptionof the dailyepidemiologicalbulletins medical and laboratory officers of the territories broadcast from Geneva by enlisting theactive actively participating in the project's implementa- co-operation of governments which possess and tion.Thus the results of mouse protection-tests operate suitably situated transmission facilities, and will, as they become available, be correlated and an by otherwise extending the network of transmitting evaluation made in order that the WHO Yellow- stations. Fever Panel may be in a position to recommend a International Sanitary Regulations.After the entry new delineation.It is anticipated that on completion into force of these regulations it will be necessary of the delineation in question, a delimitation of the todraft recommendedpractices,methods and northern boundary of endemicity will be planned. procedures (disinsectization, disinfecting and derat- ing, standards for vaccine, etc.) the adoption of which by nationalhealth-administrations would 6.3.4Addiction-Producing Drugs facilitate the discharge of their obligations under the regulations. WHO is under obligation to the United Nations to furnish technical information on the addiction- Additional WHO regulations. The drafting of producing character or otherwise of drugs submitted additionalregulationsfor the control of insect by governments under the provisions of existing vectors other than those specifically mentioned in international conventions and under the new unified the draft International Sanitary Regulations will be convention which WHO isassisting the United undertaken.More than one set of regulations may Nations todraft. WHO willalso keep under be required. constant survey the latest scientific developments in Mecca pilgrimage.The progress made by Saudi connexion with addiction to alcohol, coca, marihuana Arabia in providing, in its sea and airports, the and new synthetic addiction-producing drugs. requisite sanitary safeguards for the pilgrimage, will be observed with a view to submitting to the expert committeedealingwiththedraftInternational 6.3.5International Standards Sanitary Regulations proposals for the abrogation Biological standardization. The establishment of of the special measures now incorporated in annex A biological standardsfor drugs which cannot be of draft WHO Regulations No. 2. defined by means of chemical or physical tests is Welfare and safety on pilgrim ships.The develop- of recognized value.The use of drugs of this ment of the Intergovernmental Maritime Consultative character by no means diminishes once the trend ANNEX 10 61

of medicine is in the direction of prevention. On the Adoption of standard methods of laboratory contrary, immunizing preparations,all of which analysis of water, sewage, and chemicals used and must be standardized biologically, come more and useful in sanitation practice.(The development of more to the fore.Antibiotics and hormones also an internationally acceptable standard technique and require biological standardization.As before, the languageforlaboratoryproceduresshouldbe development inallthesefieldswill be closely initiated, so that workers everywhere may be able observed, and proper action taken as and when to exchange and interpret laboratory procedures required.The danger of transfusion with incom- and data on sanitation according to a common patible blood is well known, and it has been found standard.) desirable to set up international standards for the Adoption of international standards for evaluating identification of the different blood groups.In the the bacterial, chemical and physical qualities of future, standards will be provided for blood groups water, air and wastes, and the application of such which have only recently been recognized. universally acceptable criteria to any assistance which may be provided to countries. Establishment of a series of standards for records Pharmacopoea Internationalis.In accordance with and for the necessary equipment and supplies for Articles 2 (u) and 21 (d) of the Constitution, standards public-health laboratories, health centres and small for the composition, strength, potency and purity hospitals. of the more important new drugs are to be established Establishment of a series of standard records for and published at regular intervals in the Pharmaco- health examination, and healthcriteriafor the poea Internationalis and its Supplements, in English, selection of migrants. French and Spanish. Establishment of a series of standard forms for International non-proprietary names are to be health assessment on an international, national and selected and communicated by WHO to national community basis. authorities in accordance with resolutions WHA3.11 Preparation of international standard nomen- and EB6.R29. clature in the field of psychiatry, in association with the World Federation for Mental Health. Arrangements are to be made for a conference on drug standards in1953, to be attended by representativesof drugadministrationsof the various countries. 6.3.6Co-ordination and Stimulation of Research in Public Health Standardization of international classification prac- The rapid development of medical and allied tice in morbidity and mortality.Action justifiable scientific research makes it impossible to plan in from an international standpoint will be undertaken detail a four-year programme in the co-ordination with a view to increasing the international com- and stimulationof research.The Organization parability of vital and health statistics, e.g. standard- must be in a position to use its available resources ization of basic definitions in morbidity and mortality for this work, at a time and in a direction indicated concepts, establishment of international classifica- by the best possible appraisal of current means tion lists of diseases and their revision, standardiza- and needs. tion of coding practices and of procedures of ap- It is obvious, for instance, that the studies now praisal in medical problems from a statistical angle. being made of streptomycin as a means of treating tuberculosis may have to be diverted to other chan- nelsif,as may reasonably be expected, a more Other forms of international standardization effective drug is discovered in the near future.In the past, the discovery of residual insecticides drove Adoption of standard methods for routine public- into the background active immunization for the health laboratory tests.(An early diagnosis of control of typhus.Similarly, the efficacity of strepto- infectious diseases requires amongst other things mycin and chloroamphenicol in curing plague has accurate and comparable laboratory tests.Stand- profoundly modified the orientation of the fight ardization of the reagents used in such testsis against that disease. therefore essential.Work to this end has started Co-ordination entails the collection, review and and international preparations will be made avail- publication of the information available at any able in the coming years.) given moment ;also, with the above reservations 62 EXECUTIVE BOARD, SEVENTH SESSION, PART I in mind, the planning of research directed towards studyof public-healthaspectsof population obtaining new and more effective methods of control problems-with the United Nations ; of disease and promotion of health.Such research is being vigorously pursued by workers on a world- development of training centres and seminars on wide front and the need for co-operation, co-ordina- such subjects as biostatistics and social welfare tion and interchange of information can be met only -withtheUnitedNationsandspecialized through various means provided by WHO, in agencies ; particular technical committees and conferences. The subjects on which such co-ordination or research studies of health problems related to the develop- is undertaken cover a very wide range-from malaria ment of arid zones-in collaboration with the control to approved methods of nursing, and from United Nations, UNESCO and FAO ; environmental sanitation to leprosy. studies of infant and maternal mortality-as part 6.3.7Publications of the UN study on the wastage of human life ; In considering the development of WHO's docu- studies on the mental-health problems of early mentary services,it must be borne in mind that childhood and methods for their prevention-with they can never constitute more than a small element the United Nations and UNESCO ; of the vast complex of medical publishing, indexing, abstracting and other bibliographic services which studies on the psychiatric examination of offenders exists today.Taking advantage of its international and on the use of psychotherapy in prisons-as machinery, WHO should overcome linguistic and a contribution to the UN programme on preven- other barriers to the exchange of ideas, and provide tion of crime and treatment of offenders ; health administrations and public-health workers throughout the world with the technical, epidemio- studies on prevention of juvenile delinquency logical and statistical information which they require. -with the United Nations ; The most valuable type of information will no doubt be the statements of methods and techniques deve- study of the health education aspects in funda- loped by experts and approved by the Organization. mental education projects-with UNESCO ; By the end of 1955 the Organization will have published a substantial amount of material on health studies on the rehabilitation of the physically questions of international interest.This will include handicapped-with the United Nations and spe- up to 50 numbers of the Bulletin, 12 issues of the cialized agencies ; Monograph Series, at least 100 of the Technical Report Series and the 26th number of the Inter- studies for the promotion of the welfare of the national Digest of Health Legislation.The Weekly aged-with the United Nations ; Epidemiological Record,monthly Epidemiological and Vital Statistics Report, and annual volumes of studies on the hygiene of seafarers-with ILO ; Epidemiological and VitalStatisticswillprovide information needed by healthauthorities.The study of the health aspects of migration-with history of the Organizati on's work and development ILO ; will be provided through the Chronicle and the Official Records. studies on nursing education ; studies on social and economic conditions in the 6.4Work in Co-operation with Other Organizations nursing profession which influence the number of The Organization's programme includes projects applicants to schools of nursing-with ILO ; in co-operation with the United Nations, the specialized agencies in question and, in each case, the study of functions of community health and appropriate international non-governmental organi- welfare workers-with the United Nations Social zation where such exists.These projects include : Activities Division ; development and co-ordination of, and co-opera- development of standards for water quality of tion in international science and research-with streams and rivers, applicable for use on an inter- the United Nations, UNESCO and CCICMS ; national basis-with ECOSOC and FAO ; ANNEX 11 63

development of international standards for quality studies on brucellosis, bovine tuberculosis and of milk and other food products-with FAO ; other zoonoses-with FAO. The development, planning and co-ordination of development of standard methods for the labo- these projects are essential functions which have to ratory analysis of milk and other food products- be carried out by headquarters. with FAO ;

development of schedules for the assessmentof 6.5Other Activities nutritional status of populations-with FAO ; WHO will continue to discharge its obligations development of international nutritional standards to co-ordinate and give technical supervision to inter- for populations in different cultural settings-with national health work in connexion with programmes FAO ; sponsored by the United Nations, UNICEF and other agencies, and will continue to play its full studies on the relationship between malaria and role in the expanded programme of technical assist- food production-with FAO ; ance for economic development.

Annex 11 [EB7/45] 8 January 1951 LONG-RANGE ACTIVITIES FOR CHILDREN AND RELATIONS WITH UNICEF 1

1. On 11 August 1950 the Economic and Social 3.The text of the resolution is as follows : Council adopted Resolution 310 (XI) on long-range activities for children.An informal inter-secretariat The General Assembly, meeting of the United Nations, ILO, FAO, UNESCO Having considered resolution 310 (XI) of the and WHO was held at Geneva on 23 and 24 August Economic and Social Council in the light of 1950 to discuss the implications of this resolution. resolutions 57 (I) and 318 (IV) of the General The various organizations were in complete agree- Assembly, ment on the policies relating to long-range activities for children and co-operation with UNICEF. The Recognizing the necessity for continued action working document on the resolution of the Economic to relieve the sufferings of children, particularly and Social Council which the Secretary-General in under-developed countries and countries that prepared for the General Assembly incorporated have been subjected to the devastation of war important parts of the policies discussed at the and to other calamities, above meeting. 1. Reaffirms its approval of the policy of the 2.The General Assembly considered, in addition Executive Board of the United Nations Inter- to the resolution of the Economic and Social Council, national Children's Emergency Fund to devote a draft resolution proposed by its Third Committee. a greater share of the Fund's resources to the On 1 December 1950 it adopted the latter resolution, development of programmes outside Europe ; as amended in the plenary session of the General 2.Expresses again its gratitude to Governments Assembly by Bolivia, Canada, Ecuador and the and individuals for their generous contributions Netherlands, under the title " Continuing Needs of enabling the Fund to carry out its tasks ; Children :United Nations International Children's Emergency Fund ". 3.Renews its appeal to Governments and private persons to continue their contributions to the 1 See resolution EB7.R60. Fund, and to the various official and private 64 EXECUTIVE BOARD, SEVENTH SESSION, PART I

internationalorganizationsinterestedinchild between the Administration of the Fund and welfare to collaborate with the Fund in every the specialized agencies, pursuant to the agree- possible way ; ments between the United Nations and the specialized agencies ; 4.Recommends to Member Statesthat they develop and improve their national child welfare (d)That the Administration of the Fund shall, services, providing, if possible, the necessary funds as appropriate, obtain from inter-governmental for that important purpose under their respective and non-governmental organizations having a budgets ; special interest in child and family welfare the advice and technical assistance which it may 5.Requests the Economic and Social Council, requireforthe implementation of itspro- in consultation with the appropriate specialized grammes ; agencies : (e)That the General Assembly willagain (a) To give greater emphasis in support of consider the future of the Fund at the expiration national programmes designed to aid children of three years, with the object of continuing within the framework of existing United Nations the Fund on a permanent basis. activities for promoting the economic and social development of under-developed areas ; 4.The policy of the World Health Assembly and (b)To explore the means of procuring and the Executive Board on the matters treated in this financingsuppliesincidentaltosuchpro- resolution is set out, notably in the resolution of grammes, especially those needed for demon- the First World Health Assembly on UNICEF,2 stration purposes ; in resolution WHA3.50 on continuing needs of children, in the resolution on co-ordination and 6.Decides : planning to promote the health and welfare of (a)That the Executive Board of the Fund children, adopted by the Executive Board at its shall be reconstituted as from 1 January 1951 fourth session 3 and in the Board's resolution on to consist of the Governments of the States continuing needs of children adopted at itsfifth represented on the Social Commission and the session.4In addition, the policies of WHO on co- Governments of eight other States, not neces- ordination, notably those set out in the general sarily Members of the United Nations, to be resolution of the First World Health Assembly on designated by the Economic and Social Council co-ordination 5and resolution EB6.R10 of the forappropriate terms,with due regard to Executive Board on co-ordination and implementa- geographical distribution and to the representation of international health activities, are relevant tion of the major contributing and recipient to this decision, particularly in view of the obligation countries ; placed upon WHO by resolutions 324 (XI) B of the Economic and Social Council and the resolution (b)During the period of the Fund's existence, adopted by the General Assembly on 1 December as provided in paragraph 6 (e), the Board, in 1950 on concentration of effort and resources.6 accordance with such principles as may be laid down by the Economic and Social Council and its Social Commission, shall, with due regard to 5.Itisclear that the decision of the General the urgency of the needs and available resources, Assembly on continuing needs of children and formulatethepolicies,determinethepro- UNICEF affects directly the maternal and child grammes and allocate the resourcesof the health programmes of WHO and indirectly a number Fund for the purpose of meeting, through the of other advisory services.The resolution of the provisionof supplies,training and advice, General Assembly is the more significant because emergency and long-range needs of children it concerns a field of action which isgenerally and their continuing needs particularly in under- recognized as having priority.The Administrative developed countries, with a view to strengthening, wherever this may be appropriate, the permanent child health and child welfare pro- 2 Off. Rec. World Hlth Org. 13, 327 grammes of the countries receiving assistance ; 3 Off. Rec. World Hlth Org. 22, item 2.2 4 Off. Rec. World Hlth Org. 25, item 6.2.2 (c)That the Executive Board shall take all 5 Off. Rec. World Hlth Org. 13, 329 necessary steps to ensure close collaboration 6 See UN document A/1589. ANNEX 11 6S

Committee on Co-ordination reported at its tenth agencies, would appear to ensure the co-ordination sessionthat, along with economic development, of the relevant programmes through the existing full employment and aid to Korea, " the importance machinery. of international action to meet the continuing needs of children has received special emphasis in the 7.2Paragraph 5 (a).The activities of the United organs of the United Nations and the specialized agen- Nations toassist national programmes of child cies ".7The Member Governments have debated welfare were concentrated at first in the war-devas- this action, in the various organs of the United tated countries of Europe, since, like the work of Nations and the specialized agencies, since the time UNICEF, theywereinheritedfrom UNRRA. of the WHO Interim Commission and it appears Increased emphasis on activities to aid children in evident that their divergent policies have not yet under-developed areas may be expected to supple- been fully reconciled.The Director-General con- ment the resources with which WHO, through its siders it essential that these differences of opinion regional offices, is able to offer assistance to pro- should in no way hamper the development of grammes of governments outside Europe. adequate and well co-ordinated services within the United Nations and the specialized agencies to 7.3Paragraph5 (b).With respect tosupplies, assistgovernments increatingor strengthening steps have already been taken in certain cases, national programmes for the benefit of children. particularly in the programmes of technical assistance for economic development,toco-ordinate 6. The relevant programmes of the United Nations, assistance given to governments by the United including those of the Department of Social Affairs Nations organizations with that given through other and UNICEF, and of ILO, FAO, UNESCO and international arrangements, notably the Common- WHO, would, when fully co-ordinated, constitute wealth Plan and the various technical assistance a reasonably comprehensive and coherent plan for programmes of the United States of America.Such international assistance in this field.In executing co-ordination may sometimes enable governments WHO's part of this plan, in pursuance of the deci- to obtain supplies from sources outside the United sions of the Health Assembly and the Executive Nations system for use in programmes for which Board, the Director-General proposes to emphasize they have requested technical assistance from the primarily the common objectives of such a plan ; United Nations or the specialized agencies.The consultation within the United Nations system, in Director-General intends to explore the possibility respect of specific requests from governments, to of resources becoming available through co-ordina- determine those services which might well be offered tion of this type, for programmes in which WHO jointly by the competent organizations ; and effective may assist governments either in co-operation with methods of co-operation among regionaloffices otherorganizationsof theUnited Nationsor and regional representatives of the international independently. organizations.In short, every effort will be made to obtain co-ordinated results by ensuring that WHO 7.4Paragraphs 6 (c) and 6 (d) :Provision for con- and the other interested agencies work together sultation and collaboration between UNICEF and both in planning projects with governments and in other organizations was made in the original terms assisting governments in the execution of the projects. of reference of the Fund as follows : The Director-General considers that it is incumbent upon the administrations of international organi- General Assembly Resolution 57 (I), paragraph 3 (c): zations to give the example of co-ordinated action, ...The [UNICEF Executive] Board may,as especially in relation to programmes for children, occasions arise, invite representatives of specialized since the needs of children cannot be met by any agencies for consultation on matters within their one technical service acting independently. competence.

7.The following paragraphs of the resolution of General Assembly Resolution 57 (I), paragraph 4 (c): the General Assembly appear to call for comment : To the maximum extent feasible, the utilization 7.1Paragraph 5.The fact that this recommenda- of the staff and technical assistance of specialized tion is addressed to the Economic and Social Council, agencies, in particular the World Health Organi- which is to act in consultation with the specialized zationoritsInterim Commission,shallbe requested, with a view to reducing to a minimum See UN document E/1865, paragraph 5. the separate personnel requirements of the Fund. 66 EXECUTIVE BOARD, SEVENTH SESSION, PART I

Economic and Social Council Resolution 44(1V), concerned at the meeting of 23-24 August 1950 (see annex : paragraph 1 above). Relation to other activities 7.6Subject to reservation concerning the prin- C. ciples to be laid down by the Economic and Social The Fund shall maintain close relations with Council, the Director-General considers that para- other relief agencies and in particular with the graphs 6 (c) and 6 (d), together with the resolutions of other activities of the United Nations, including the General Assembly and the Economic and Social appropriate specialized agencies and the Depart- Council on concentration of effort and resources, ment of Social Affairs ... lay down satisfactory principles for collaboration between UNICEF and WHO within the framework 7.5The provisions made in paragraph 6 (c) and of the whole plan of action of the United Nations 6 (d) appear to be consistent with the position adopted and specialized agenciestoassistnational pro- by the United Nations and specialized agencies grammes for children.

Annex 12 [EB7/90] 1 February 1951 REPORT OF THE DARLING FOUNDATION COMMITTEE TO THE EXECUTIVE BOARD 1

The DarlingFoundationCommittee metat P. C. C. Garnham, and the other to Dr. Arnoldo 10 a.m. on 30 January 1951, at the Palais des Nations, Gabaldón. Geneva, to consider the nominations submitted by The committee agreed unanimously to award the the fourth session of the Expert Committee on Darling Medal andPrizejointlytoProfessor Malaria for the third award of the Darling Medal H. E. Shortt and Dr. P. C. C. Garnham, and decided, and Prize. also unanimously, that the second nomination made The following members were present : by the expert committee could not be accepted because the requirements of Article 2 of the Statutes Dr. H. S. Gear (Chairman of the Executive Board), of theDarling Foundation were not complied Chairman with. Professor M. De Laet (Vice-Chairman of the The committee recognized the outstanding merits Executive Board) of the nominee, Dr. Arnoldo Gabaldón, for the Lt-Col. M. Jafar (Vice-Chairman of the Executive splendid work he had achieved in malaria control Board) in Venezuela and asked the Director-General to Sir Gordon Covell (Chairman of the Expert Com- express to Dr. Gabaldón its regret that his nomina- mittee on Malaria at its fourth session) tiondid not comply with theStatutes of the Dr. Brock Chisholm (Director-General of WHO), Foundation. Secretary to the Committee and Administrator The committee further recommended that the of the Foundation. medal and prize for Professor Shortt and Dr. Garnham be solemnly awarded to them at a forth- The Expert Committee on Malaria had recom- coming meeting of the Royal Society of Tropical mended that two awards be made, as follows : one Medicine and Hygiene, and that Sir Gordon Covell, to be given jointly to Professor H. E. Shortt and Dr. member of the Darling Foundation Committee, be asked to make this presentation on behalf of the 1 See resolution EB7.R61. World Health Organization. ANNEX 13 67

Annex 13 {WHO/Q/38 Rev.1] 26 October 1950 REPORT OF THE EXPERT COMMITTEE ON INTERNATIONAL EPIDEMIOLOGY AND QUARANTINE SITTING IN CORPORE FOR ITS SECTION ON QUARANTINE IN GENEVA, MONDAY, 16 OCTOBER 1950 1

Members Present 3. The committee retained on its agendaitems 3 Dr. G. L. Dunnahoo, Chief, Foreign Quarantine and 4 : Division, US Public Health Service, Washington Item3. Complaints by theGovernments of D.C. (Chairman) India and Pakistan at the anticholera measures Professor G. H. de Paula Souza, Director, Faculty imposed by the Government of Saudi Arabia on of Hygiene and Public Health, University of sao pilgrims desiring to proceed from India or Eastern Paulo (Vice-Chairman) Pakistan to the Hedjaz ; Dr. R. Dujarric de la Rivière, Sous-Directeur de Item 4.Protest by the United Kingdom at the l'Institut Pasteur, Paris new regulationsintroduced bytheEgyptian Dr. H. S. Gear, Deputy Chief Health Officer for the Government in regard to passengers disembarking Union, Union Health Department, Cape Town in Egypt after having passed through, or embarked Professor A. Halawani, Director, Fouad I Research in, cholera areas. Institute and Hospital of Tropical Diseases, Cairo 4.The discussion of these cases was preceded by Dr. L. J. M. Lentjes, Medical Director, Stoom- a statement of the Secretary of the committee out- vaartmaatschappij Nederland, Amsterdam lining the action taken since the last meeting of the Dr. Melville Mackenzie, Principal Medical Officer, Section on Quarantine (December 1949)-namely, Ministry of Health, London furnishing technical advice on quarantine matters Dr. K. C. K. E. Raja, Director-General of Health to 30 countries, and dealing with 20 complaints. Services, Government of India, New Delhi Of these complaints12 had beensatisfactorily Dr. M. T. Morgan, President of the Permanent Com- settled by the Secretariat acting on its own initiative, mitteeof theOfficeInternationald'Hygiène and six were in the process of settlement by the Publique, Paris, ex officio same means ; two had had to be placed on the agenda of the committee as no solution could be reached, Secretary either by action of the Secretariat or even by discus- Dr. G. Stuart, Chief, Sanitary Conventions and Qua- sions in the Third World Health Assembly. rantine Section, WHO, Secretary to the Section on Quarantine of the expert committee. 5.Before hearing the parties concerned, the committee considered carefully all the relevant articles 1. The Expert Committee on International Epi- of the existing International Sanitary Conventions. demiology and Quarantine sat in plenary session, in lieu of its Section on Quarantine, as decided on 5.1Item 3 9 October 1950.There was therefore no need to elect a new Chairman. In considering this item, the committee heard full statements from Colonel Jafar, representing the 2.The committee decided to sit in closed session Government of Pakistan and Dr. Pharaon, represent- and to invite representatives of the goveinments ing the Government of Saudi Arabia.The Secretary involved in the disputes mentioned in the agenda to of the committee had been requested to present make statements on their cases and to answer ques- the point of view of India in case of need.This tions that the committee might wish to put to them. was not necessary, however, as Dr. Raja, Director-

1 See resolution EB7.R65. 2 Mimeographed document WHO/Q/37 68 EXECUTIVE BOARD, SEVENTH SESSION, PART I

General of Health for India, felt that the presenta- Government for stool examination of pilgrims tion of the case for Pakistan by Colonel Jafar prior to departure, with appropriate certifications, adequately covered the points which were of interest was in excess of the provisions of the existing to India. sanitary conventions.It also decided that present Having considered Articles 13 (1), 91 and 92 of epidemiologicalevidencedidnotjustifythe the International Sanitary Convention of 1926, the imposition of this requirement. committee agreed that stool examination of pilgrims proceeding to Mecca prior to embarkation was not The committee appreciated the willingness of the provided for in the convention unless among the Government of Saudi Arabia to abide by the com- pilgrims were actual cholera cases and contacts. mittee's technical recommendations in the absence The 1933 Convention for Aerial Navigation made of obligation on its part under the conventions. no distinction between pilgrims and travellers and 5.2Item 4 allowed stool examination to be required on arrival, during surveillance, but not prior to departure. The committee considered the action taken by the Egyptian health administration in requiring healthy Colonel Jafar considered that there was no scientific persons coming from or passing through cholera- evidencetoprove the need for bacteriological infected areas and wishing to enter Egyptian territory, examination of stools prior to departure. to undergo two stool examinations on arrival. Dr. Pharaon agreed that the present conventions Decision.The committee took the view that such did not provide for the measures which the Hedjaz examinations are permitted under Article 33 of required, but the Hedjaz health authorities were the International Sanitary Convention, 1926, and prepared to lift all restrictions on incoming pilgrims Article 30 read with Article 26 of the International if given a clear lead by the committee to that effect. Sanitary Convention for Aerial Navigation, 1933. Decision.In view of the evidence advanced by The committee nevertheless considered that such thetwo Government representativesand by examinations should be confined strictly to persons several members of the committee, the latter coming from infected local areas and should in decided that the requirement of the Saudi Arabian any case be employed with due discretion.

Annex 14 [EB6/12] 1 June 1950 REPORTS TO THE EXECUTIVE BOARD BY THE REPRESENTATIVES OF THE BOARD AT THE THIRD WORLD HEALTH ASSEMBLY

In accordance with the resolution of the Executive that Sir Arcot Mudaliar and Dr. Zozaya should Board at its fifth session,2 we were nominated to attend the meetings of the Committee on Programme, represent the Executive Board at the Third World while Dr. Gear would represent the Board at the Health Assembly.In conformity with this decision meetingsof the Committee on Administration, we held, on arrival in Geneva, a preliminary discus- Finance and Legal Matters. sion amongst ourselves as to the best manner in We had also to take account of the fact that we which we could discharge our duties.It was decided were not delegates to the Health Assembly and could that Sir Arcot Mudaliar should, as Chairman of the not therefore participate more directly in the discus- Executive Board, be the spokesman of the Board sions of the committees.Nor did we fail to realize at the plenary session of the Health Assembly, that it was the privilege of the Chairman of the committee to explain to the meeting items on the 1 See resolution EB7.R75. agenda, and that our rôle was, with the consent 2 Off. Rec. World HIM Org. 25, item 1.8.3 of the Chairman, to put forward what we considered ANNEX 14 69 the viewpoint of the Executive Board and, where of the Executive Board on several occasions.His we thought it necessary and desirable, to explain report is set forth hereunder : the implications of any resolution or suggestion in so far as it related to the Executive Board. The following comment arisesout of my attendance as one of the three members nominated We wish to express our grateful thanks to the by the Board to represent it at the Third World President of the Assembly and to the Chairmen of Health Assembly.In this capacity I attended the committees for their unfailing courtesy in helping the meetings of the Committee on Administration, us to perform our somewhat difficult task at this, Finance and Legal Matters. My comments are the first session whereat this experiment was being based on personal views, supplemented by discus- tried. sions with various delegates. A number of questions arose both at the plenary and the main committee meetings where it was 1. Method of Representation necessary for us to express our views on behalf of the Executive Board. Where the Health Assembly is based on two main committees, two Board representatives should We were also invited to a ttend the meetings of the General Committee and were glad to do so. suffice.If there are more than two committees it will still be inadvisable, for reasons of economy Here, however, there was no occasion or need for and availability of persons, to increase representa- us to participate in the discussions. tion. In the Committee on Programme one of the major It was represented to me that persons with a high issues was the manner in which reports of expert degree of objectivity are necessary to interpret the committees were to be handled.There was some policies and opinions of such a body as the Exe- criticismregarding commentsof theExecutive cutive Board, in the circumstances associated with Board on such reports and a suggestion that such the Assembly. comments should not be printed with the text of the reports.These were made during the discus- 2. Technique of Representation sion of the reports of the Expert Committees on Environmental Sanitation and on Antibiotics.The I have attempted to follow the following prin- suggestions put forward on behalf of the Executive ciples : Board were finally accepted and the Chairman of the committee suggested that the reports of the (a)only to take part in the proceedings when expert committees and sub-committees and of the (i)introducing (when necessary) proposals ad hoc committee of the Executive Board should or other specific Executive Board items placed be referred to the Board for the maximum action on the Assembly agenda ; possible. (ii)explaining or defending Executive Board In the course of the debate on programme, there decisions where misunderstandings or conflict were several occasions when the viewpoint of the in the committee tended to develop ; Executive Board had to be elaborated in the course of discussion. (iii)answering questions on Executive Board items on the agenda ; The discussion on the budgetary ceiling proposed, and on the manner in which the programme could (b)to avoid becoming involved in discussion be adjusted, brought out the differing viewpoints of Executive Board matters of the future, or of the delegations and the hope was generally of items once general debate was opened.This expressed that the Executive Board would look into I did to avoid : this question carefully and evolve a satisfactory It was felt that the (i)underminingtheChairman'srightful procedure for future sessions. control and direction of discussion ; budget as presented should be more self-explanatory and that the manner in which amounts were to be (ii)giving the impression that the Executive allocated to different items might be mentioned in Board wished to dominate its own superior greater detail. body-the Assembly ; In the Committee on Administration, Finance and (iii)suggesting thatI was exploiting my Legal Matters, the representative of the Executive special position to favour particular delega- Board, Dr. Gear, had to put forward the viewpoint tions. 70 EXECUTIVE BOARD, SEVENTH SESSION, PART I

3. Results of Representation Letter to the Chairman of the Executive Board from Dr. Zozaya, dated 25 May 1950 The Committee on Administration, Finance and Legal Matters, in debate, suggested that it was The Executive Board, at its fifth session, appointed prepared to accept the experiment but with limited me as one of its representatives at the Third World representation only.In personal discussion, for Health Assembly. Having accomplished this mission, what it was worth, I learned that a number of I would like to make some observations concerning delegations seemed to feel the device was useful this first experiment, which may be useful to others but would require careful control and develop- in future representation of the Board at the Health ment. Assembly. I, personally, found my changed role from a free 1. At the beginning of the Health Assembly we delegate to a representative feeling his way in a divided our work as follows : new restricted technique rather frustrating.On the whole, however, I think the new arrangement (a)Sir Arcot Mudafiar-Plenary meetings and assisted in securing a smooth working of the Committee on Programme ; committee, a better understanding of the Board's (b)Dr. Gear-Committee on Administration, position, and a more suitable relationship between Finance and Legal Matters ; the committee and the Secretariat. (c)Dr.Zozaya-CommitteeonProgramme. Not being a member of a delegation, I was somewhat handicapped in being without assistance of 2.Certain principles that I feel should be observed a personal kind.The assistance provided by the in our work are : Secretariat was magnificent but I was somewhat (a)to speak only when asked to do so by the loth to make direct demands when I was aware chairman of the committee or one of its members ; of the burden their usual duties made on them. (b)to speak only on resolutions and subjects In general I suggest that the part of the Executive which have been discussed in the Executive Board ; Board experiment which concerned the Committee on Administration, Finance and Legal Matters (c)to be as brief as possible, avoiding putting justified the retention of the experiment for the forward our own views ; future. (d)to be careful not to usurp the privileges of the chairman of the committee,by,for instance, In conclusion, the representatives of the Executive summarizing long discussions ; Board wish to thank the Board for the confidence (e)not to quote many documents, but to try it placed in them in nominating them as its represent- to put the views of the Board in one's own lan- atives at the Third World Health Assembly.They guage. (Documents are available to all members.) deeply appreciate this honour and think that the experiment is worthy of being continued.They I feel that the representation of the Executive feel, however, that in future it would be sufficient Board in the Health Assembly is a valuable thing, if two members of the Executive Board were so and that it could be carried out by two representatives nominated, one of whom would attend the plenary only, one of whom should be the Chairman of the meeting of the Assembly and one of the main com- Board (who would attend the plenary meetings and mittees, while the other would attend the other the Committee on Programme), and the other the main committee. Chairman of the Standing Committee on Administra- tion and Finance.I suggest that secretarial help (signed) ARCOT L. MUDALIAR should be supplied to these two persons, to take H. S. GEAR care of documents, etc. J. ZOZAYA (signed) José ZOZAYA ANNEX 15 71

Annex 15 [EB7/82] 27 January 1951

PROGRESS REPORT ON TECHNICAL ASSISTANCEFOR ECONOMIC DEVELOPMENT

Submitted by the Director-General

1.Introduction must be provided by appropriation by the World Health Assembly for its regular programme.It Now that we have had further experience with the is also their duty to make sure that these funds are expanded programme of technical assistance for the handled in a proper manner, according to administra- economic development of under-developed countries tive and financial standards which will satisfy the certain information, in particular the obligations contributing countries that their contributions have involved by this programme, should be put before been efficiently and adequately managed. In addition, the Executive Board. the World Health Organization, as one of the parti- One is that this is a programme financed by a cipating organizations, has the duty of ensuring that special fund made up of voluntary contributions the services rendered to governments shall be of the from Member Statesof the United Nations or highest possible technical quality.The Director- of the specialized agencies who are disposed to General believes that the Organization also has the assist the economic development of under-developed responsibilityof encouragingthegovernmental countries. This means that the World Health Assembly and the Executive Board do not have any authorities to plan those health projects which will be (This of the greatest value to the development of health responsibility for appropriating these funds. services competent to undertake the burdens resulting is in sharp distinction from the regular programme.) from economic development. The responsibilities of the governing bodies of the Bearing in mind the fact that many projects under World Health Organization, and of the Director- technical assistance are likely to require financing General acting in accordance with the resolutions for a period of not less than two or three years, the of the World Health Assembly, are defined by Executive Board may wish to draw the attention resolution 222 (IX) of the Economic and Social of the Technical Assistance Board to the desirability Council, which is the governing resolution in this of an examination by the Technical Assistance Com- matter. mittee of the whole problem of long-term planning. Although the technical assistance projects outlined A commitment to contribute funds for technical in Official Records No. 31 do not constitute pro- assistance over a period of years (perhaps five), thus gramme and budget estimates in the ordinary sense, enabling the participating organizations to arrange they serve to show those projects which are already for longer term projects, might also be studied. in operation, and those for which requests have been The expanded programme of technical assistance received and are under consideration, or which have for economic development still consists of several been discussed and approved by regional committees. distinct programmes which the various agencies It is the duty of the Director-General and of the are offering to governments. To a greater or lesser governing bodies of the Organization to make sure extent amongst the agencies, these programmes also that the technical assistance funds are expended on consist of a summation of requests from govern- projects requested by countries to forward their ments.The complexity of the task should not be economic development.It should be clearly under- underrated. When the Technical Assistance Board stood that these funds are available for the purpose has before it the consolidated economic analysis, of supplementing, and not of replacing, funds which by countries, of the programmes being carried out, it will be in a much better position to give the proper 1 See resolution EB7.R84. 2 See Off. Rec. World Hill: Org. 23, 23, and Off. Rec. World kind of advice to the agencies and to the Technical HIM Org. 29, 1 . Assistance Committee for the integration of these 72 EXECUTIVE BOARD, SEVENTH SESSION, PART I programmes. WHO can assist the Technical Assis- 2.Technical Assistance Conference tance Board and the Technical Assistance Com- In June 1950 the Secretary-General of the United mittee in this matter. The Executive Board or the Nations convened a conference of all governments Health Assembly might call attention to the necessity who were members of the United Nations and/or for a fully integrated programme, certainly in the the specialized agencies co-operating in the expanded planning with each individual country, and might programme.This conference, which was attended alsocallattentiontothenecessityforan by representatives of more than 50 nations, pledged economic analysis at periodic intervals. Perhaps not a sum equivalent to $20,012,500 to the UN Special only the Economic and Social Council but also the Account for financing the technical assistance pro- conference of each specialized agency should, in gramme for the first financial period, i.e., up to 1952, debate the topic of economic and related social 31 December 1951. Thereafter the calendar year will development, atthe same time inviting experts be adopted as the normal financial period. in economics to contribute their views on the methods In accordance with the decision of the Economic of financinglarge-scaleeconomicdevelopment. and Social Council and the Technical Assistance The Council would then be in a position to discuss Conference, WHO will automatically receive 22 % the whole subject of technical assistance for economic of the first ten million dollars, and 22 % of 70 % of development in the light of the opinions of the the second ten million.WHO's allocation of the various conferences and assemblies, which, in turn, promised contribution for the first financial period will have been based on information as to the (up to the end of 1951) will therefore be just over whole picture, rather than on isolated programme $3,740,000 ; the remainder will be distributed among proposals. the participating organizations by the Technical Taking into consideration the present increasing Assistance Board. Up to 15 January 1951 the allo- difficulties in obtaining supplies, the Executive Board cation which could be made available to WHO out may wish, through the Economic and Social Council, of the contributions received by theSecretary- to request the aid of the latter's economic com- General was $1,510,599.06 (see appendix 1). missions in asking member governments to ensure It should be noted that a portion of the sums that existing supplies for international health pro- promised and received are either non-convertible grammes be made available where they are most or have limited convertibility, thereby placing a required. In view of the increasing demand for health certain limitation on the manner in which the supplies which will result from economic develop- programme can be carried out. ment, the Executive Board may also wish to draw the attention of the participating organizations to the 3.Technical Assistance Committee necessity of assisting governments to become self- A standing Technical Assistance Committee of the sufficient in the matter of essential supplies. Economic and Social Council (TAC), consisting of the members of the Council, has been established ; The question of the countries' absorptive capacity it is authorized to sit while the Council is not in for technical assistance should also be taken into session.The Technical Assistance Committee will consideration.There is in health, as in any other make a critical examination for the Council of acti- field, at any given time an optimum amount of vities undertaken and results achieved under the assistance which can be used and will be of service expanded programme of technical assistance.3 The to a country.Among factors determining this committee has so far held one meeting, in August optimum, one is the ability of governments to meet 1950, at Geneva. the additional expenditure arising from the expanded programme, another the existence of enough trained 4.Technical Assistance Board personnel, in the intermediate as well as at the execu- The Technical Assistance Board (TAB) consists of tive level, to carry out the programme and ensure the executive heads, or their representatives, of the continuity. United Nations, the International Labour Organi- The Executive Board may consider it advisable sation, the Food and Agriculture Organization, the itself to give, or call upon the Fourth World Health United Nations Educational, Scientific and Cultural Assembly to give, further guidance to countries Organization,theInternationalCivilAviation drawing up their programmes for economic develop- Organization, and the World Health Organization ment, or further broad principles in the field of 3 For the terms of reference of TAC, see Off. Rec. World health that can be enunciated at this time. 111th Org. 23, 27, paragraph 6. ANNEX 15 7.3

called the " participating organizations ". The tion both inside and outside the Organization and Secretary-General,orhisrepresentative,isthe advises on all matters relating to the technical assis- Chairman of the Board. The International Bank for tance activities of the Organization.The Director Reconstruction and Development and the Inter- of the Division is the Chairman, and the head of the national Monetary Fund are also represented on the unit is the Secretary to the Directors' Committee on Board.These two organizations,although not Technical Assistance.This committee consists of members of TAB, have pledged their fullest co- the five directors of the divisions mainly concerned operation in promoting the objectives of the technical with technical assistance, but other directors can assistance programme. The Technical Assistance Board is notified of all be co-opted as required. requestsfortechnicalassistancereceived from Regional directors are now responsible for the governments by the participating organizations.It preparation of the programmes and for the approval reviews programmes, arranges, where necessary, for and implementation ofallprojectsrelatingto joint action between organizations, approves major technical assistance in the regions. projects, develops common procedures and standards, allocates funds, and, in general, co-ordinates the activities of, and maintains liaison with, organizations 7.RequestsreceivedundertheProgramme of working in the field of technical assistance. WHO has Technical Assistance for Economic Development fully and effectively participated in all meetings of TAB, which met seven times during 1950. Requestsarenormallyreceivedby regional offices. When a request is received it is summarized 5.Status of Resident Technical Assistance Repre- and forwarded to TAB for circulation to the parti- sentatives cipatingorganizations. Within a three weeks' period, the other agencies may declare an interest Resident technical assistance representatives have been appointed in several countries where a large in the request, in which case consultation takes amount of technical assistance is in view.Their place between the agencies concerned. Certain primary responsibility will be to assist the govern- requests are of such a nature (comprehensive or ment in co-ordinating its plans for economic develop- involving a large sum of money) that they are declared ment. The specific terms of reference for each " important " by the Secretary-General of the United residenttechnicalassistancerepresentativeare Nations or the Executive Secretary of TAB ;in drawn up to meet the requirements of the parti- which case they are discussed by TAB. cular case. A total of 51 requests from 35 countries, for assis- WHO has emphasized that this arrangement should tance under the provisions of ECOSOC resolution not interfere in any way with the direct relationship 222 (IX), had been received by WHO by 20 January encouraged and maintained by the Organization 1951. WHO is further engaged, as one of the parti- with the health authorities. The resident technical assistance representative cipating organizations of the Technical Assistance should not concern himself with technical matters Board, in fulfilling its responsibilities with a view to and projects to be agreed upon by each participating the development of an integrated programme for organization with the relevant ministry, within the the implementation of comprehensive and long- general plan. Representatives of the specialized term projects for technical assistance received by agencies should keep him informed of plans and the United Nations or other participating organiza- progress and should consult him on questions con- tions.These " important " requests are discussed cerning the co-ordination of programmes. by the Technical Assistance Board to ensure co- Information concerning resident technical assis- ordination.In addition, WHO has signified its tance representatives who have been appointed in interest in certain requests received by other par- certain countries is included, under each region, in ticipating organizations, with a view to examining paragraph 7 below. thepossibilitiesof meeting health requirements involved in requests for assistance in other fields. 6.Arrangements within WHO Requests received by WHO, " important " requests A smalltechnicalassistanceunithasbeen in which WHO is concerned, and requests in which established in the Division of Co-ordination of WHO has expressed " interest " are enumerated Planning and Liaison. This unit ensures co-ordina- under the WHO regions below. 74 EXECUTIVE BOARD, SEVENTH SESSION, PART I

I.AFRICAN REGION " Important" requests. Three requests were declared important : two from El Salvador, integrated demon- One request under technical assistance for economic development has been received by WHO from stration project and rural development (SAL-3 and SAL-4) in which the United Nations, ILO, FAO, a country in this region-Liberia-in the field of UNESCO and WHO are interested ; and one from public health (LIR-3).It called for 23 experts to assist the Bureau of Public Health and Sanitation ; Colombia, a comprehensive request including social strengthen health centres, hospitals, nursing school security and public-health administration (CoL-3 and laboratory ;control malaria and other com- and C0L-3/Add.1). municable diseases.Subsequently the number of WHO " interest"was expressedinarequest experts was reduced to seven, in consideration of received by FAO from Mexico for assistance in the absorptive capacity of the country. fundamental education and training of teachers " Important " request. Before the above was received, (MEx-2) concerned with problems of rurallife ; WHO had expressed interest in a request received WHO proposes to contribute a health educator for from Liberia by UNESCO for fundamental education nine months. WHO interest was also expressed in (LIR-1), later declared an " important " request. a request from Ecuador to the United Nations for child welfare services (Ecu-4) ; in a request for the Implementation.Representatives of ILO, UNESCO and WHO visited Liberia at the same time in organization of social security received by the ILO from El Salvador (SAL-2) ; and in a request received September 1950.Recently the Chief of the Office for Africa visited Liberia with a view to studying by UNESCO from Bolivia for fundamental education the situation and co-ordinating plans with represen- (B oL-2). tatives of US bilateral technical assistance. Implementation.A special general agreement for technical assistance to Colombia has been signed by TAED funds allotted : None the Secretary-General of the United Nations, as Chairman of the Technical Assistance Board, for II.REGION OF THE AMERICAS the United Nations and the participating organi- In this region 17 requests were received from 11 zations, including WHO. A supplemental agreement countries-Chile, Colombia, Costa Rica, the Domi- for WHO to provide for an adviser in public-health nican Republic, Ecuador, Guatemala, Haiti, Para- administration for one year is under consideration. guay, Peru, El Salvador and Venezuela-as shown It is expected that this appointment will be made in table 1 below. early in 1951. TABLE 1 Total (1)Health demonstration areas Chile (CHI-3) Colombia (COL-6) Ecuador (Ecu-11) Haiti (HAI-2) Peru (PER-4) El Salvador (SAL-3) Venezuela (VEN-3) 7 (2)Communicable diseases : Insect control Dominican Republic (D om-2) Insect control Peru (PER-8) Tuberculosis control Ecuador (Ecu-3) Tuberculosis control Ecuador (Ecu-10) BCG work (to be withdrawn) Guatemala (GuA-2) 5 (3)Public-health services : Assistance to nursing school Costa Rica (Cos-1) Training of medical and nursing personnel in public health Peru (PER-7) Maternal and child health Colombia (C oL-7) Maternal and child health Paraguay (PAR-3) 4

(4)Health programme including (1) (2) and (3) . . Guatemala 1 ANNEX 15 75

A preliminary joint survey by FAO and WHO is for the selection of projects, and the suitability of being made in El Salvador and a WHO short-term certain proposed areas. public-health consultant in the field is assisting the Three other requests from countries in the South- government in preparing a detailed plan of opera- East Asia Region were declared " important " tions. WHO is contacting ILO and UNESCO with one from Ceylon (CEv-3) received by UNESCO a view to their sending representatives to El Salvador covering several fields, of which fundamental educa- in order to co-ordinate plans in the field. tion (health-education aspects), juvenile delinquency, Preliminary surveys are planned early this year of and irrigation were of concern to WHO ; a request the health demonstration areas proposed in Chile for economic development from Indonesia (INs-1) to and Haiti. The programme of insect control in the the United Nations ;and another to the United Dominican Republic (Dom-2), tuberculosis-control Nations and FAO from Afghanistan for economic programme and training centre in Ecuador (Ecu-10), and agricultural development, requesting a UN and the public-health nursing project in Costa Rica residenttechnicalassistancerepresentativeand (Cos-1), are expected to commence early in 1951. seven experts (A.Eo-3). The Government of Peru has been asked to formulate WHO " interest" was signified in two requests a detailed plan for insect control (PER-8). received by UNESCO from Thailand for the training A resident technical assistance representative of of teachers (THA-4) and for fundamental education the Secretary-General of the United Nations was (THA-10), in both cases in relation to health educa- appointed in Haiti during the first half of 1950. tion ;and in one received by ILO from India TAED funds allotted: $5,600 (El Salvador). (IND-6) for training the staff of the Employees State Insurance Corporation. Implementation. The recommendations of the joint III.SOUTH-EAST ASIA REGION FAO/WHO working party on food production and Ten requests have been received by WHO for malaria control (see above) gave priority in this region technical assistance for economic development in to the requests from the Governments of Ceylon and six countries-Afghanistan, Burma, Ceylon, India, India, where surveys are being made and negotiations with the Governments undertaken, the resultsof Indonesia, and Thailand-as shown in table 2 below. which will be reported to the next meeting of the " Important " requests.Five of the above requests joint working party scheduled for February 1951. were declared " important " :the joint FAO/WHO WHO participated (with experts from the staff of projects were examined by a joint working party the United Nations and specialized agencies) in the of the two Organizations held in Washington in joint exploratory mission to Indonesia.A basic October 1950, with a view to determining criteria and supplemental agreement has been signed by the

TABLE 2 Total Joint FAO/WHO projects for food productionand malaria control Afghanistan (AFG-I) Burma (BUR-I) Ceylon (CEY-1) India (IND-2) Thailand (THA-2) 5

(2)Insect control Indonesia (INs-4) 1

(3)Public-health services : Public-health administration Afghanistan (AEG-5) Maternal and child health Ceylon (CEv-9) Maternal and child health Thailand (THA-12) 3

(4)Establishment of antibiotic production plant (India)

(Formal request from Government awaited) . . . India (IND-7) 76 EXECUTIVE BOARD, SEVENTH SESSION, PART I

Secretary-General of the United Nations, on behalf UnitedNations, FAO andotherparticipating of theinternationalorganizations membersof organizations under TAED. WHO has concurred TAB, and the Government of Indonesia for technical in the appointment of a resident technical assistance assistance under the expanded programme. It representative, requested by that Government. provides for the appointment of a resident technical TAED funds allotted : None assistance representative and eight senior experts, one of whom is to be supplied by WHO. However, IV. EUROPEAN REGION implementation of the first phase by WHO-the Two requests have been received for technical appointment of a senior public-health expert to assistance for economic development in this region : assist the Government in planning and co-ordinating one from Yugoslavia (YuG-7) for assistance to the numerous health programmes proposedin epidemic-controlcentres,and one jointly from Indonesia-has had to be postponed, at the request Norway and Sweden in the field of communicable of that Government. A plan of operations is being diseases, a survey of port health programmes (hygiene preparedfortheinsect-controlprogrammein of seafarers) (SCA- 1). Indonesia which will not be started before July An" important " request was received by the United owing to delays in the procurement of supplies. Nations from Greece in many fields, including public Co-ordination has been ensured with UNESCO health (GRE-2). from the initial planning stages of fundamental Implementation. WHO isnegotiatingwiththe education projects in Ceylon and Indonesia ;it is Government of Greece concerning requirements envisagedthat WHO willcontribute ahealth- which might be met under the technical assistance education expert for each project. programme. In response to the request from the Afghanistan TAED funds allotted : None Government, recruitment is being carried out by WHO for the first phase of technical assistance-the V.EASTERN MEDITERRANEAN REGION appointment of an experienced public-health expert Nineteen requests for technical assistance were to assist the Government in improving the public- received by WHO from ten countries - Egypt, health services of the country and developing plans Ethiopia, Iran, Iraq,Israel,Lebanon,Pakistan, as regards health in new community projects pro- Saudi Arabia, Syria and Turkey - and one regional posed by Afghanistan with the assistance of the request, as shown in table 3 below.

TABLE 3 (1)Communicable diseases : Total Venereal-disease control ...... Ethiopia (ETH-4) Venereal-disease control Iran (IRA-7) Venereal-disease control Syria (SYR-5) Venereal-disease control Turkey (TuR-8) Insect control Iran (IRA-5) Malaria control Syria (SYR-1) Cholera control Pakistan (PAK-9) Quarantine station for pilgrims Saudi Arabia (SAu-2) 8 (2)Joint FAO/WHO food production and malaria controlPakistan (PAK-5) Joint FAO/WHO food production and malaria controlLebanon (LEB-9) Environmental sanitation Lebanon (LEB-6) 3 (3)Public-health services : Public-health administration Turkey (TuR-6) Assistance to public-health school Lebanon (LEB-5) Industrial health (with ILO) Israel (IsR-4) Medical teaching mission Israel (IsR-5) Assistance to Royal Medical College Iraq (IRQ-6) (4)Health demonstration area Egypt (EGY-1) Rural health survey Iraq (IR Q-7) 2 (5)Training-course in vital and health statistics (with Egypt as host government) Regional (MID-2) 1 ANNEX 15 77

" Important " requests. Three of the above requests In agreement with the Government of the Lebanon, weredeclared" important " :Egypt-1,Syria-1 it was decided to amalgamate the two requests from and Turkey-6. Moreover, WHO isconcerned that country into a single one for a rural health in six requests which have been received by other centre with environmental sanitation, malaria control, participating organizations and declared " impor- etc., FAO participating in agricultural aspects.ILO tant ".They are shown in table 4 below. and UNESCO may also co-operate in the project. The Pakistan and Lebanon request for assistance in WHO " interest" has been expressed in a request food production and malariacontrol,together received by ILO from Egypt in the field of occupa- with that of Syria for malaria control, were examined tional diseases (EGY-10). WHO has also signified by the joint FAO/WHO working party (see South- its " interest " in a request received by the United East Asia Region above) which gave favourable Nations from Somalia (S0m-1) for a general survey of preliminary consideration in this region to Syria economic and social needs, which suggested that the and Lebanon. proposed mission include a health expert ; and in a The report of the UN Preparatory Mission on request from Israel to the United Nations for Technical Assistance to Libya was supplemented by expert advice and fellowships in many fields (IsR-7). that of a WHO consultant.The first phase of Implementation.The request for integrated public- implementation of the recommendations made by health services in the proposed health demonstration the UN mission as regards health began with the area in Egypt is being examined by two short-term appointment of a public-health administrator to consultants in the field-a public-health administrator Libya to develop plans and advise the authorities. (who is making a survey and in the light of whose The appointment of other experts in specific fields recommendations further implementation will be awaits his recommendation. A special basic agree- considered) and a public-health education expert- ment was signed by the Secretary-General of the as part of a regional survey in co-operation with United Nations, as Chairman of TAB, for the UNESCO's programme of fundamental education. participating organizations and by the Government Preliminarydiscussionshavetakenplacewith of the United Kingdom, for the provision of technical FAO and UNESCO representatives with a view assistance to Libya. to the preparation of a co-ordinated plan. At the request of the Government of Pakistan, a resident technical assistance representative of the A short survey was also made by a WHO expert Secretary-GeneraloftheUnitedNations was in health education at the end of 1950 to examine the appointed in Karachi, with the concurrence of the possibilities of carrying out a more extensive survey participating organizations. A Technical Assistance in co-ordination with UNESCO in the Dujailah Board liaison officer was sent to Iran. area of Iraq (IRQ-9). WHO has also agreed in principle to the appoint- In November 1950 a field survey was made of the ment by the United Nations Technical Assistance insect-control project in Iran, co-ordinating it with Administration of a resident technical assistance the Government Malaria Service and the WHO representative in Turkey to assist in the formulation malaria team's activities. of specific projects.

TABLE 4

Egypt Rural demonstration area-request received by FAO EGv-4 Iran Various programmes in the seven-year plan with teacher training, health centres, assistance to bacteriological institute and tuberculosis-control equipment-request received by UNESCO IRA-3 Iraq Fundamental educationinDujailahland-developmentscheme-request received by UNESCO IRQ-9 Libya Survey for long-term development plan-request received by United Nations LIB-1 Turkey Comprehensive request with wide health programme-received by United Nations TuR-5/Rev.1 Turkey Designation of resident technical assistance representative-request received by United Nations...... TUR-13 78 EXECUTIVE BOARD, SEVENTH SESSION, PART I

A WHO consultant on public health was included in 8.Funds contributed by Governments the mission sent to Turkey by the International Bank. TAED funds allotted :$5,600 (Egypt) Of the $20,046,552 (dollar equivalent) pledged by governments, the contributions received as at 30 No- VI. WESTERN PACIFIC REGION vember 1950 amounted to $6,962,888 (dollar equiva- Four requests have been received from countries lent).Of this total $4,025,400 is fully convertible ; in this region, one from China (Formosa) for a port $2,756,822 of limited convertibility by special agree- demonstration project in communicable diseases ment thecontributinggovernment ;and (CHA.-1) ; another from Viet Nam for public-health with administration (VIE-2) ; and two from Korea.The $180,666 (equivalent) non-convertible. latter were received before hostilities began and have since been referred by WHO to the United Nations Amounts allocated to the World Health Organi- Korean Reconstruction Agency ;they are conse- zation as at 15 January 1951 are given in appen- quently not included in the total mentioned in the dix1 below, which gives both dollar equivalent first paragraph of this section. ($1,510,599.06), actual currency, and details of any TAED funds allotted : None limitation on convertibility.

Appendix 1 AMOUNTS ALLOCATED FROM TECHNICAL ASSISTANCE FUNDS TO THE WORLD HEALTH ORGANIZATION AS AT 15 JANUARY 1951

WHO ALLOCATION Name of country Currency Remarks US dollar Local currency equivalent

Australia E A 26,290.- 58,893.37 Limitedconvertibilityonly by special agreement Austria Austrian Sch. 22,000.- 846.15 Non-convertible Canada Canadian $ 187,000.- 170,000.00 Convertible into sterling or in sterling area f US $ 220.- 220.00 Fully convertible Ceylon 1 Ceylon Rs. 14,707.- 3,081.94 Non-convertible China US $ 2,200.- 2,200.00 Fully convertible Denmark Danish Kr. 72,600.- 10,511.08 Non-convertible Egypt £, E 6,270.- 18,006.89 Non-convertible Finland Finnish Mks. 254,100.- 1,100.00 Non-convertible France French Frs. 22,000,000.- 62,857.14 Partlyconvertibleand by agreement except into US $ or Swiss francs Luxembourg Belgian Frs. 27,720.- 554.40 Non-convertible Netherlands Fl. 22,000.- 5,789.47 Limitedconvertibilityonly by special agreement New Zealand £. N.Z. 9,900.- 27,310.34 Non-convertible Norway Norwegian Kr. 55,000.- 7,699.84 Non-convertible United Kingdom £. 110,000.- 308,036.46 Non-convertible United States of America . US $ 829,400.- 829,400.00 Fully convertible Venezuela US $ 968.- 968.00 Fully convertible Yemen ...... Indian Rs. 4,400.- 923.98 Limitedconvertibilityonly by special agreement Yugoslavia US $ 2,200.- 2,200.00 Fully convertible

TOTAL 1,510,599.06 ANNEX 15 79

Appendix 2

LIST OF TAED REQUESTS BY REGIONS, INCLUDING REQUESTS RECEIVED BY WHO, " IMPORTANT " REQUESTS IN WHICH WHO IS CONCERNED, AND REQUESTS IN WHICH WHO HAS EXPRESSED " INTEREST "

Note :This list is compiled from tlre original requests and does not include information on subsequent modifications.

Identification symbol Date Country and subject received

I.AFRICAN REGION

Liberia L1R-3 Strengthening of public-health services 13.9.50 **LIR-1 Fundamental education (UNESCO) 2 7.50

II.REGION OF THE AMERICAS

Bolivia *B0L-2 Fundamental education (UNESCO) 11.1.51 Chile Cm-3 Health demonstration area 24.10.50 Colombia **CoL-3 Comprehensive plan, including social security 11.8.50 COL-3/ Add. 1Public health COL-6 Health demonstration area 25.10.50 CoL-7 Maternal and child health 17.11.50 Costa Rica Cos-1 Assistance to School of Nursing, San José 27.1.50 Dominican Republic Dom-2 Insect control Sept. 1950 Ecuador Ecu-3 Tuberculosis control 27.3.50 *Ecu-4 Child welfare services (UN) Ecu-10 Tuberculosis training centre and control 19.11.50 Ecu-11 Health demonstration in Los Rios Province 15.9.50 Guatemala GuA-2 BCG programme 3 6.50 Insect control programme, public-health and nursing training. Request received by Regional Office for the Americas 10.1.51 Haiti HAI-2 Health demonstration area 25.10.50 Mexico *MEx-2 Fundamental education materials and training of teachers (FAO) . - Paraguay PAR-3 Maternal and child health 2 1.51 Peru PER-4 Health demonstration area 27.10.50 PER-7 Training of medical and nursing personnel in public health 21.11.50 PER-8 Control of insects transmitting malaria, yellow fever, plague and typhus .21.11.50 El Salvador *SAL-2 Organization of social security (ILO) - **SAL-3 Integrated demonstration area project (WHO and FAO) 26.9.50 **SAL-4 (UN) 20.10.50 Venezuela VEN-3 Health demonstration area 25.10.50

III.SOUTH-EAST ASIA REGION

Afghanistan **AFG-1 Food production and malaria control (FAO/WHO) - **AEG-3 Economic and agricultural development (UN/FAO) 20.8.50 AEG-5 Public health 2 10.50

* Requests received by other specialized agencies in which WHO has expressed " interest " ** Requests declared " important " 80 EXECUTIVE BOARD, SEVENTH SESSION, PART 1

Country Identification symbol Date and subject received Burma **BuR-1 Food production and malaria control (FAO/WHO) 28.1.50 Ceylon **CEv-1 Food production and malaria control (FAO/WHO) 25.11.49 **CEv-3 Broad programme including fundamental education, irrigation, flood protection, juvenile delinquency (UNESCO) 5 6.50 CEv-9 Maternal and child health training programme 17.11.50 India **IND-2 Food production and malaria control (FAO/WHO) 15.12.49 *IND-6 Training staff of Employees' State Insurance Corporation (ILO). . 17.5.50 IND-7 Establishment of antibiotics production plant 21.10.50 Indonesia **IN5-1 Economic development (UN) 15.3.50 INs-4 Malaria-control demonstration 17.10.50 Thailand **THA-2 Food production and malaria control (FAO/WHO) 5 1.50 *THA-4 Training of teachers (UNESCO) 25.5.50 *THA-10 Fundamental education (UNESCO) 6 11.50 THA-12 Maternal and child health demonstration and training 17.11.50

IV.EUROPEAN REGION

Greece **GRE-2 Various fields, including public health (UN) 21.11.50 Norway and Sweden ScA-1 Hygiene of seafarers-port programme 13.12.50 Yugoslavia YuG-7 Assistance to epidemic-control centres 17.11.50

V.EASTERN MEDITERRANEAN REGION

Egypt **EGy-1 Health demonstration 10.5.50 **EGy-4 Rural demonstration area (FAO) July 1950 *EGy-10 Occupational diseases (ILO) 9 12.50 Ethiopia ETH-4 Venereal-disease control 13.9.50 Iran **IRA-3 Various projects under seven-year plan (UNESCO) July 1950 IRA-5 Insect-eradication demonstration 7 9.50 IRA-7 Venereal-disease control 11.9.50 Iraq IRQ-6 Assistance to Royal Medical College 7 9.50 IRQ-7 Rural health survey 7 9.50 **IRQ-9 Fundamental and technical education in Dujailah land-development scheme (UNESCO) 15.10.50 Israel IsR-4 Industrial health survey (with ILO) 7 9.50 IsR-5 Medical teaching mission 27.12.50 *IsR-7 Expert advice and fellowships in many fields (UN) 3 1.51 Lebanon LER-5 Public-health school in Beirut 25.5.50 LER-6 Environmental sanitation 11.5.50 LER-9 FAO/WHO food production and health standards 11.5.50 Libya **LIR4 Survey to produce long-term development plan, including health and medical services, maternal and child health (UN) 16.6.50 Pakistan PAK-5 FAO/WHO food production and health standards 6 5.50 PAK-9 Cholera-control demonstration team, East Pakistan 7 9.50 Saudi Arabia SAu-2 Quarantine station for pilgrims 7 9.50 Somalia *50m-1 General survey of economic and social needs (UN) 20.11.50 Syria **SvR-1 Malaria control 21.3.50 SvR-5 Bejel/syphilis control 11.9.50

* Requests received by other specialized agencies in which WHO has expressed " interest " ** Requests declared " important " ANNEX 16 81

Identification symbol Date Country and subject received Turkey **TuR-5 Rev.1 Comprehensive plan including health and social assistance (UN) .. . Jan. 1950 **TuR-6 Advice on public-health administration, medical aspects of social security and environmental sanitation 11.10.50 TuR-8 Venereal-disease control 11.9.50 **TuR-13 Designation of resident technical assistance representative (UN) . . . 19.12.50 Regional MID-2 Vital and health statistics training course 18.9.50

VI.WESTERN PACIFIC REGION

China (Formosa) CHA-1 Venereal-disease control Jan. 1950 Viet Nam V1E-2 Public-health administration 13.12.50

* Requests received by other specialized agencies in which WHO has expressed " interest " ** Requests declared " important "

Annex 16 [EB7/96] 2 February 1951 REPORT ON MEETING OF THE LEON BERNARD FOUNDATION COMMITTEE

The Léon Bernard Foundation Committee, in nomination by governments, foreseen by article 5 conformity with resolution WHA3.52 of the Third of the Foundation's statutes, should be based on the World Health Assembly, met on 30 January 1951 recommendations of national Léon Bernard Founda- to propose a candidate for the award of the Léon tion committees. These committees, to be established Bernard Foundation Prize by the Fourth World by the appropriate health authorities of each govern- Health Assembly. ment, should consist of In accordance with a resolution passed by the (a)experts from the national health-administra- Executive Board at its sixth session (EB6.R7), the tion, committee consists of Professor J. Parisot and Dr. A. Stampar, in addition to the Chairman (Dr. H. S. (b)members of the medical faculties of the Gear) and the two Vice-Chairmen of the Executive universities, Board (Professor M. De Laet and Colonel M. Jafar). (c)members of academies of medicine. In the absence of Professor Parisot, Dr. D. Boidé The nomination of the governments should be attended the meeting, as decided by the Executive limitedto one candidate only and should be Board at its meeting of 29 January 1951. The com- accompanied by full justification of the proposal and mittee elected Dr. Stampar as its Chairman. six copies of the most important of the nominee's The committee notedthattheaccumulated publications or of the report on the work executed interest on the Foundation's capital amounted to by him which justifies the award. Sw. fr. 4,158.90 on 31 December 1950. In addition to these nominations from govern- The committee discussed the question of nomina- ments, the committee urged that suggestions be tions of candidates and concluded that in future the obtained from former holders of the Léon Bernard Foundation Prize and from members of the Executive 1See resolution EB7.R87 Board. 82 EXECUTIVE BOARD, SEVENTH SESSION, PART I

The committee, having noted the summary of the for award during a plenary session of the Fourth replies received from governments to the request for World Health Assembly in May 1951. submission of candidatures, examined the proposals In Geneva the 31 January 1951. in detail. The Committee : The committee decided unanimously to propose (signed) A. Stampar, Chairman to the Fourth World Health Assembly that the Léon D. Boidé Bernard Foundation Prize be awarded to Professor M. De Laet René Sand (Belgium) for his extremely valuable H. S. Gear contribution to the field of social medicine. M. Jafar The committee requested theDirector-General The Administrator of the Foundation to take necessary action so as to have available the and Secretary of the Committee : medal and the sum of one thousand Swiss francs (signed) Brock Chisholm

Annex 17 [EB7/43] 8 January 1951 REPORT ON ADMINISTRATIVE CO-ORDINATION WITH THE UNITED NATIONS AND OTHER SPECIALIZED AGENCIES

1. The UN Joint Panel of Auditors, of which the the development of a model budget form for use by External Auditor of the World Health Organization the United Nations and the specialized agencies. is a member, met in October 1950 to organize itself, 4.That part of the report of the Advisory Com- exchange views on audit principles, and make plans mittee on Administrative and Budgetary Questions for work during the next year. which refers to its examination of the 1951 budget 2.The UN Joint Staff Pension Board, on which of the World Health Organization is reproduced as the World Health Organization is represented, held appendix 2. its first session in October 1950, under the chairman- 5.Inorderthatthe Advisory Committee on ship of Mr. Cristobal, of the Philippine delegation Administrative and Budgetary Questions and the to the United Nations. General Assembly of the United Nations might be informed concerningtheuseof administrative 3.During 1950, the Consultative Committee on services in common in Geneva, the statement which Administrative Questions, on which the World appears in appendix 1 was presented to them. Health Organization is represented, developed agreed Arrangements have been made for a further study standardfinancialregulationsanda common of services which might efficiently and economically pattern of staff regulations. The Administrative be used in common by the international agencies. Committee on Co-ordination decided that these proposed standard regulations should be submitted 6. The General Assembly of the United Nations, to the appropriate governing bodies for considera- at its 314th plenary meeting on 1 December 1950, tion. The salary, allowance and leave scheme adopted the following resolutions which affect the which has been adopted by the United Nations was World Health Organization : the subject of a separate document submitted to the Board.1 (1)AdministrativeBudgetsoftheSpecialized Agreement hasalso been reached on model Agencies budget justifications, standard budget summaries for 1951, and methods for showing estimates of The General Assembly, reimbursementsforservicesrenderedbyother Having received the sixth report of 1950 of the international organizations. Work is continuing on AdvisoryCommittee onAdministrativeand Budgetary Questions (A/1441) on the budgets of 1Mineographed document EB7/32 the specialized agencies for 1951, ANNEX 17 83

1. Urges the specialized agencies to intensify their 6.Requests the Secretary-General, after consul- efforts to stabilize their regular budgets by the tation with the heads of the specialized agencies elimination or deferment of less urgent projects ; and with the Advisory Committee on Administra- tive and Budgetary Questions, to report to the 2.Draws the attention of all States Members of the United Nations and of the specialized next regular session of the General Assembly in agencies to the necessity for prompt payment respect of progress made in achieving a common salary system, in developing common budgetary of contributions to assure the adequate financing in of budgets approved by them ; policies and a common form of budget, increasing the utilization of soft currencies,in 3.Requests specialized agencies participating in efficiencies and economies to be achieved through the technical assistance programme to provide further development of common services, and in information concerning the estimates for expen- dealing with arrears in contributions ; diture of technical assistance funds, as well as 7.Requests the specializedagencies and the funds,intheirregular other extra-budgetary United Nations to make every effort, during 1951, budget documents, and to agree to the transmittal to meet as fully as possible demands for expert to the General Assembly of the United Nations, assistance in Korea and other operational pro- for examination and approval, of the audit reports grammes where the need is urgent, by deferment of relating to expenditure of technical assistance funds allocated from the Special Account after approval less urgent projects. of the appropriate audit reports by the general conferences of the specialized agencies ; (2)Utilization of the Services of the United Nations 4.Requests the specialized agencies to consider Investments Committee by Specialized Agencies at an early date the adoption of common financial The General Assembly, regulations and staff regulations modelled on Noting that certain specialized agencies may those adopted by the General Assembly, so far as require advice on the nature and extent of invest- their constitutional arrangements will permit ; ment of their funds, 5. Requests the Secretary-General, in consulta- 1. Authorizes the United Nations Investments tion with the' heads of the specialized agencies, Committee to provide advice to a specialized to pay particular attention, in 1951, to the further agency at the request of that agency ; development of satisfactory arrangements for the provision of common services,particularly in 2.Requests the Secretary-General to inform the respect of regional and branch offices of the specializedagenciesthattheUnited Nations United Nations and specialized agencies, with a InvestmentsCommitteeisavailableforthis view to achieving greater efficiency and economy ; purpose.

Appendix 1

STATEMENT ON BEHALF OF THE DIRECTOR-GENERAL OF THE WORLD HEALTH ORGANIZATION TO THE UNITED NATIONS ADVISORY COMMITTEE ON ADMINISTRATIVE AND BUDGETARY QUESTIONS

Regarding Paragraphs 217 and 316 of that Committee's Second Report of 1950 to the General Assembly 2

The World Health Organization has made and will continue " to determine (a) which among them are susceptible to to make consistent efforts to utilize services in Geneva in consolidating ; and (b) whether the European Office or a common with the European Office of the United Nations and specialized agency is better adapted to operate a common with other specialized agencies with offices there. WHO would service on a reimbursement basis ". WHO suggests that this agree with the suggestion contained in paragraph 26 of the study might well be made as a joint management survey by report of the Board of Auditors on the 1949 accounts of the the United Nations and the specialized agencies concerned, United Nations 3 that a study be made of services which are and would welcome an opportunity for WHO to participate common to the United Nations and the specialized agencies in such a study. It is recognized that the statements which appear in paragraphs 217 and 316 of the Second Report of 1950 to the 2 UN document A/1312 General Assembly made by the Advisory Committee on 3 UN document A/1256, page 31 Administrative and Budgetary Questions are of a general 84 EXECUTIVE BOARD, SEVENTH SESSION, PART 1 nature, and WHO wishes the Advisory Committee and the (b)Printing services. Printing of all WHO publications is General Assembly to have specific information regarding its undertaken through the UN Printing Division, which contracts use of services in common with other agencies in Geneva. The with the printers and supervises their work with regard to Director-General therefore submits that information, and quality and rapidity of ekecution.It is also responsible for would like it distributed to members of the General Assembly. first correction of proofs, preparation of purchase orders, It is believed that this statement might appropriately be incor- checking of printers' invoices and purchase of paper supplies. porated in the report of the Advisory Committee on its examination of the WHO programme and budget for 1951 (c)Document distribution and sales services. The UN and that the Advisory Committee may prefer to have it Distribution Service undertakes both free and paid distribution reach the members of the General Assembly in that form. of WHO publications, including distribution to members of Details of the use made by WHO of services in common WHO secretariat.The UN Sales Service is responsible for with other agencies in Geneva are given below : executing all orders for WHO publications, for correspondence relating to sales and for the maintenance of accounts in connexion therewith.

1. Travel and Transportation

Arrangements have recently been made for a travel agency 5.Space to be installed in the Palais des Nations, which will carry out all the arrangements for travel, at a considerable saving to The United Nations provides all building maintenance and WHO. The travel agency will provide its own staff, and operation services for WHO ; even in the temporary buildings will handle all travel and hotel reservations without service occupied only by WHO, UN carries out all such services. charge. WHO is using UN services for packing, shipping, reception and handling of all official freight by rail, sea or air. 6.Employment of Conference Staff

2.Procurement The United Nations supplies interpreters for WHO meetings and conferences. The only problem in using UN interpreters is that such staff need to have a working knowledge of medical WHO is co-operating with the United Nations and other material and of WHO procedure. To meet this problem, WHO agencies in Geneva in a study of markets and exchange of expects to reach an agreement with the United Nations to information about rates, prices, etc. WHO uses UN services ensure that, wherever possible, the latter will supply the same in some instances for the purchase of its administrative supplies interpreters for various meetings and that it will supply all the and equipment. WHO and UN are jointly studying this interpreters required for the Executive Board and the Health problem, including that of storekeeping ; WHO would be Assembly, so that WHO will not have to employ " free-lance " disposed to agree to the establishment of a supply service in interpreters in addition to those supplied by United Nations. common with the other agencies, if the study reveals that an The position regarding the employment of minute-writers is economy will result. the same as that for interpreters.

3.Translation 7.Mailing Service

WHO has made occasional use of the UN Translation All WHO mail is handled by the UN service. Service for the translation of non-technical material.The United Nations has shown every willingness to co-operate, but has accepted the work only on the condition that it be revised by WHO staff, since 500/o of the translation work of WHO is technical, 350/e is semi-technical and only 150/e is of 8.Library Services general text ;translators need therefore to be in close and uninterrupted contact with the special fields and work of WHO. It is the normal practice at universities and similar insti- It should be noted that any agency can be excepted to require tutions to establish the medical library separately from the specially trained staff to deal with its special technical transla- general library, in order to provide the specialized service tion work.In some cases, it has been found desirable to and information required by medical people.Even with the commission translation of technicalmedicaltexts from separate library,speciallyserviced, the present situation, outside medical experts who have the necessary linguistic whereby the WHO library is at some distance from the offices proficiency. of the medical staff, has been very awkward.When new accommodation arrangements are made after completion of the new construction, it is planned to locate the medical library as nearly as possible to the centre of the space given 4.Reproduction and Document Distribution over to WHO. Although WHO and UN maintain separate librarians in Geneva, thereis in fact no duplication of (a)Reproduction of documents. The United Nations pro- services between the two organizations. Daily use is made vides mimeograph, multigraph and photostat service for by the WHO library of services provided by the UN library, WHO ; the arrangement works very satisfactorily. including reference to the UN library catalogue, bibliogra- ANNEX 17 85 phical works, books and periodicals.There is a reciprocal (2)supervision and guidance of personnel activity at arrangement whereby the UN library borrn-s books and offices away from headquarters ; and periodicals in the WHO library. It is unnec.,sary for WHO to purchase general reference books which would otherwise be (3)direct personnel services at headquarters. necessary or for UN to purchase medical reference works which it might require. WHO is prepared to make a further The first and second of these activities are an integral part study of the possibility of further joint action, and to make of the general administrative responsibilities of the Director- such additional arrangements as appear necessary. General and can be performed only by staff intimately familiar with the work of the Organization. In connexion with the third type of activity, it should be The Advisory Committee on Administrative and Budgetary noted that important progress has been made in co-ordinating Questions suggested that common disbursement and personnel personnel activities among the several organizations in Geneva. services may be desirable. WHO wishes to make the follow- The United Nations, ILO, ICITO and WHO have, in the past ing comments on these suggestions : six months, completed a survey of local employment conditions in Geneva and have tentatively agreed upon uniform salary, Disbursement functions allowance and tenure arrangements for staff locally engaged. This is the essential foundation for any joint personnel activity. WHO believes that the question of a joint disbursement The same agencies, plus the IRO, have recently established service should be studied carefully and in detail, with a view an inter-agency recruitment committee to co-ordinate recruit- to determining whether such joint service would result in a ment activities among the agencies.This committee has greater economy and efficiency and, if so, which agency should already begun functioning and is currently developing plans provide the service. for joint stenographic examinations.The United Nations, ILO and WHO have for several years operated a single Personnel functions medical service for their agencies. WHO believes that the question of joint personnel services As is evidenced by the joint activities now carried on, requires careful examination in the light of the types of per- consideration has been given to personnel activities which can sonnel activity carried on at the headquarters of WHO. These profitably be undertaken jointly. WHO, in accordance with are, in general terms : the policy which it has consistently followed, will continue to participate in joint agency studies of personnel adminis- (1)policy and planning functions for the whole Organiza- tration, and will urge and participate in such joint action as tion ; is found appropriate and desirable.

Appendix 2

ADMINISTRATIVE BUDGETS OF THE SPECIALIZED AGENCIES FOR 1951 Extract from the Sixth Report of 1950 of the Advisory Committee on Administrative and Budgetary Questions

World Health Organization 1951 1950 Dollars (US) Dollars (US) Dollars (US) I - Meetings 277,758 266,858 1951 appropriation 7,300,000 II - Personal services 4,423,530 4,450,923 1950 appropriation 7,501,500 III - General services . 1,432,021 1,499,167 4,776,608 1949 expenditure IV - Special projects and activities 1,033,933 1,073,533 46.The figures recorded above in respect of the years 1950 and 1951 represent the budgetary totals approved by the World V - Equipment purchases . 132,758 211,019 Health Assembly.In view, however, of the unsatisfactory 7,300,000 7,501,500 status of contributions, the Executive Board of WHO has found it necessary to establish an expenditure ceiling of $6,300,000 for 1950, and of $6,150,000 for 1951. 48.The establishment of expenditure ceilings points to the 47.The estimated expenditure for 1951 is distributed under difficulties experienced in collecting the total of assessments the following main heads, as compared with the corresponding made against the members of WHO. The planning of expendi- figures for 1950 : ture in such a manner as to obviate an excess of expenditure 86 EXECUTIVE BOARD, SEVENTH SESSION, PART I over income is in accordance with recommendations made by encountered in this field, and the Committee took note that, the General Assembly in 1949.Nevertheless, in the case of in spite of these difficulties, WHO has at certain points made WHO, the difference between the approved budget and the progress towards a fuller use of services in common with the expenditure ceiling-$1,150,000-tends to make the budgetary European Office of the United Nations and with other agencies estimates unrealistic. situated in Geneva.While the text of the statement is too lengthy for reproduction in the present report, it can, on 49.The Advisory Committee notes that WHO has adopted request, be made available to the General Assembly. the practice of printing some of its documents in countries other than Switzerland.Since this procedure increases the proportion of expenditure incurred in soft currencies, the 51.Nevertheless, WHO has recently made arrangements for Committee suggests that every effort should be made to the accommodation in the Palais des Nations of a travel develop and extend the practice. agency, which will handle travel and hotel reservations in return for office space and other services.The Committee 50.As regards the co-ordination of common administrative feels that such arrangements may be open to objection and services in Geneva, a statement was made to the Advisory that, in the specific case under consideration, continuation Committee on behalf of the Director-General of WHO of the common travel service with the European Office of concerning the use made by this organization of such services. the United Nations would have been preferable in the interest The facts presented were helpful in pointing out the difficulties of co-ordination.