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UNITED NATIONS NATIONS UNIES WORLD HEALTH ORGANISATION MONDIALE ORGANIZATION DE LASANTE SEVENTH WORLD HEALTH A;,)EMBLY A7 /P&B /4 1 March 1954 Provisional agenda item: 6.8 ORIGINAL: ENGLISH FIRST REPORT OF THE COMMITT E ON INTERNATIONAL QUARANTINE 1. In accordance with decisions of the Executive Board at its thirteenth session 1 the first report of the Committee on International Quarantine, to which is annexed the second report of the Expert Committee on YellowFever,2is transmitted to the Seventh World Health Assembly for its consideration. 2. In view of their in;_ ,>rtance and in order to permit a full study being made of the recommendations of the Committee on International Quarantine, two of the basic documents considered by the Committee are also transmitted to the Assembly, viz: - the Director- GeneralJs First Annuaï Report on the working of the International SanitaryRegulations,3and Suggestions for Improvement and Proposed Amendments to the Text of the Internati'mal SanitaryRegulations.4 3. Arising out of its consideration of the report of the Committee on International Quarantine the Executive Board also: (i) recommended to the World Health Assembly the adoption of regulations for the Committee on International Quarantine which appear as Annex 2 to the 7,ommittee's report; (ii) authorized the Director -General, subject in each case to the satisfactory completion of the technical procedure now established, to grant approval to yellow -fever vaccines for the issue of International Certificates of Vaccination and Revaccination against Yellow Fever. 1Document WHO /IQ /13 ( attached) 2Document WHO /YF /25 Rev.ï (attached) 3Document WHO /IQ /9 and Addenda 1 & 2 (attached) 4 Document WHO /IQ/10 and Addenda 1 & 2 (attached) a UNITED NATIONS NATIONS UNIES WORLD H E A L T H ORGANISATION MONDIALE ORGANIZATION DELASANTÉ CCUMITTEE ON WHO /IQ/13 INTERNATIONAL QUARANTINE 30 November 1953 ORIGINAL: ENGLISH FIRST REPORT Introductory Statement by the Director -General The Sixth World Health Assembly in resolution UHA6.20, requested the Director General, in convening the Committee on International Quarantine, to take note of the need for : (1) making available appropriate expert advice on, inter alia, epidemiology, port and airport sanitation, quarantine procedure, international' law, shipping or aviation, as required for the prcper consideration of the items on the agenda for each session; (2) ensuring continuity of thought and action; an_'. (3) providing for the Committee the technical co- operation and advice of appropriate WHO expert committees and study groups. The Director- General, bearing in mind the importance of the task assigned to this Committee, paid due regard to the request of the Assembly as worded above, and to appropriate geographical distribution of the Committee. The Committee members who accepted invitations and attended are indicated below. In addition, a legal consultant was present at all meetings. Besides the above experts, three members of Expert Advisory Panels attended the session of the Committee during the discussion of certain items on the agenda; one from the Expert Advisory Panel on Insecticides, one from that on Malaria, and one from the Panel on International Quarantine with special knowledge of aviation matters. WHO/IQ/i3 page 2 The Committee was composed of the following members : Dr. André Jean BOYER, Médecin Inspecteur de la Santé, Chef du Service de Contrôle sanitaire aux frontières, Ministère de la Santé publique, Paris, France. Mr. Howard B. CALDERWOOD, Office of the United Nations Economic and Social Affairs, Department of State, Washington, D.C., USA. Dr. A. CASTRO, Director of the National Anti- Plague Service, Ministry of Education and Health, Rio de Janeiro, Brazil, . Dr. M. JAFAR, Director -General of Health and Joint Secretary to the Government of Pakistan, Ministry of Health and Works, Karachi, Pakistan. Dr. H.N.C.V. KELAART, Senior Medical Officer of Health (Epidemiology), Colombo, Ceylon. Lt..Col. C.K. LAKSHMANAN, Director -General of Health Services, New Delhi, India, Dr. F.S. MACLEAN, Director, Division of Public Hygiene, Department of Health, New Zealand, Dr. M.T. MORGAN, Medical Officer of Health, Port of London, United Kingdom of Great Britain and Northern Ireland Dr. M.A. SANCHEZ-VIGIL, Technical Assistant Minister of Public Health, Ministerio de Salubridad, Managua, Nicaragua, Mr. Knud STCANMA,N, International Health Representative, United States Public Health Service, Washington, D.C., USA. Special Advisers : The Committee had, during its consideration of "Control of Insect Vectors on International Air Traffic"the specialized advice of: Sir Gordon COVELL, Member of the Expert Advisory Panel on Malaria; Malaria Research Laboratory, United Kingdom of Great Britain and Northern Ireland. Mr, S.W. SIMMONS, Member of the Expert Advisory Panel on Insecticides; Scientist Director, Communicable Disease Centre, United States Public Health Sert - ce, 'al-JO/IQ/13 page 3 Six Harold WHITTINGHAM, Chairman of the medical committee of the International Air Transport Association; Director of Medical Services, BOAC. Observers : Economic Commission for Europe of the Economic and Social Council of the UN: Mr. K.W. CUPERUS, Transport Division International Civil Aviation Organization: Mr. R.J. MOULTON, Chief, Facilitation Branch Dr. F.E. de TAVEL, Medical Adviser Secretariat : Dr. L.H. MURRAY, Chief, Section of International Quarantine, acted as Secretary to the Committee. M. T. HOSTIE, ,Legal Consultant Dr. Y. BIRAUD, Director, Division of Epidemiological and Health Statistical Services Dr. P.H. BONNEL of the Section of International Quarantine. Secretary of the Expert Committee on Yellow Fever Mr. F. GUTTERIDGE from the Legal Office Dr. A.N. RICA, Chief, Branch of Communicable Diseases, Pan American Sanitary Bureau - WHO Regional Office for the Americas Dr. W. OMAR, Epidemiologist, WHO Regional Office for the Eastern Mediterranean Dr. W.W. YUNG, Director, Singapore Epidemiological Intelligence Station The Committee met on the morning of 19 October 1953. Dr. M.T. MORGAN was unanimously elected Chairman and Dr. F.S. MACLEAN Vice -Chairman, The Chairman was requested to act as Rapporteur. WHO /IQ /13 page 4 The session continued until 4 November 1953 and the Committee prepared and approved the following report. SUGGESTED IMPROVEMENTS AND PROPOSED AMENDMENTS TO THE TEXT OF THE REGULATIONS 1. The Committee decided to deal first with "Suggested Improvements and Proposed Amendments to the text of the International Sanitary Regulations" (documents WHO /IQ /10 and addenda 1 and 2). The Committee endorsed the views expressed on pages 2 and 3 and in particular the statements of the Chairman of the Working Party of the Fifth World Health Assembly and of the Chairman of the Working Party of the Sixth World Health Assembly, The Committee took the view that while it might be found expedient to consider, and even to recommend amendments of the present text, every endeavour should be. made to retain the terms of the Regulations for a further period of time until experience has been gained in their application. Such experience cannot yet be considered sufficient. Suggested improvements to the text made by the Director -General: 2, Article 14, paragraph 3 The Committee is satisfied with the English text, but considers that the French text could be improved and recommends the following wording: "Tout aeroport doit disposer d'un système efficace pour évacuer et rendre inoffensives les matières fécales, les ordures managères, les eaux usées, ainsi que les denrées alimentaires et autres matières reconnues dangereuses pour la santé publique." 3. Article 20, _paragraph 3, sub- paragraph (b) The Committee understood that the interpretation of this sub -paragraph in the French text is the same as that of the English text. Furthermore, there is no alternative interpretation and consequeiitly no need to amend the text. WHO/IQ/13 page 5 Article. 28 . f The Committee considered that the words "des vivres de consommation et des approvisionnements" were included by clerical error and that they should be deleted from the French text. 5. Article 77, paragraph 1(a) The reference to Article 67 which appears in sub -paragraph (a) paragraph 1 of this Article should be a reference to Article 74, This clerical error, which appears in earlier editions of the French text, has been corrected in later editions and the official version should be corrected accordingly. 6. Article 83, paragraph 1 It would appear that the word "valid" in relation to a certificate of vaccination, in the third line of the English official version, has been inadvertently omitted. A similar omission occurs in the French official text. Since (a) the definition of 'valid certificate' applies equally to the three certificates in Appendices 2, 3 and 4 to the Regulations; (b) the text of the model refers to the validity of the certificate, and (c) paragraph 2 of Article 83 mentions a 'valid certificate'. It would appear that the absence of the word "valid" can only have arisen from a fault in drafting which should be corrected. The Committee considered that the correction of this fault does not constitute an amendment of the Regulations. 7. Article 104 (a) The Committee agreed that the words "more effective and less burdensome" in paragraph 1 could be improved in the sense that agreements concluded under this Article should result in the.Regul.ations becoming less burdensome but at the same time no less effective. The Committee recommended to the Assembly that the