RCC)Held Its Nineteenth Meeting in the WHO Regional Office in Alexandria, Egypt, on 25 and 26 May T 995
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REGIONAL COMMflTE3B FOR EMIRC4U12-B THE EASTERN MEDrnRRANEAN Octobr 1995 Original: Arabic REPORT OF THE FORTY-SECOND SESSION OF THE REGIONAL COMMITTEE FOR THE EASTERN MEDITERRANEAN WORLD HEALTH OROANIZATION REGIONAL OFFICE FOR THE EASTERN MEDITERRANEAN Alexmdrla, Hgypt 1995 Q World Hed th Organization, 1995 This document is not issued to the general public and all rights are reseryed by the World Health Organization (WHO), The document mg not be reviewed, abstracted, quoted, reproduced or translated, in part or in whole, without the prior written permission of WHO, No part of this document may be stored in a retrieval system or transmitted in any form or by any means- electronic, mechanical or other-without the prior written permission of WHO. The mention of specific companies or of certain manufacturers' products dmnot imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature which are not mentioned. Hrrors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. 1, INTRODUCTION 2. OPENING MEETING AND PROCEDUM MATTERS 2.1 Opening of the Session 2.2 Address by the Director-General of WHO 2.3 Address by the Regiod Director 2.4 Address by the Minister of Health of Egypt 2.5 Message of the Prime Minister of Egypt 2.6 Election of Officers 2.7 Adoption of the Agenda 3. REPORTS AND STATEMENTS 3.1 The Work of the World Health Organization in the Eastern Mediterranean Region-Annual Report of the Regional Director for the Year 1994 3.2 Report on the Nineteenth Meeting of the Regional Consultative Committee 4. TECHNICAL MATTERS 4.1 Technical Paper: Promotion of Quality Assurana of Health Care, Within the Context of Health for All, and With emphasis on Primary Health Caq 4,2 Technical Paper: Prevention and Control of Blindness in the Region 4.3 Technical Paper: Ethics of Medicine and Health 4.4 Technical Paper: Elimination of Leprosy 5. TECHNICAL DISCUSSIONS Health Systems Management, including Specid Chapters on Health Legislation and Hospital Management 6. OTHER MATTERS 6.1 Resolutions and Decisions of Regional Interest Adopted by the Forty-eighth World Health Assembly and by the Executive Board at its Ninety-fifth and Ninety-sixth Sessions 6.2 Nomination of a Member State to the Management Advisory Committee of the Action Programme on Essential Drugs 6.3 Nomination of a Member State to the Joint Coordinating Board of the UNDPIWorld BankNHO Special Programhe for Research and Training in Tropical Diseases 6.4 Subjects for Technical Discussions and Technical Papers in 1996 and 1997 6,5 Regional Office Accommodation 6.6 Dr A,T. Shousha Foundation Prize and Fellowship 6.7 Place and Date of the futwe Sessions of the Regional Committee 7. CLOSING SESSION 7.1 Review of DraR Resolutions, Decisions and Report 7.2 Adoption of ResoIutions and Report 7,3 Closing Session 8. RESOLUTIONS AND DEClSIONS 8.1 Resolutions 8.2 Decisions Annex 1 Agenda Annex 2 List of Representatives, Alternatives, Advisers of Member States and Observers Annex 3 Address by Dr Husmin A, Gezairy, Regional Director, WHO Eastern Mediterranean Region Annex 4 Address by Dr Hiroshi Nakajima, Director-Gened, World Health Organization Annex 5 Final List of Documents, Resolutions and Decisions The Forty-second Session of the Regiond Cornmitke for the Eastern Mediterranean was held in the Conference Hall of the Nile Hilton Hotel, Cairo, Egypt, from 1 to 4 October 1995. The Technical Discussions on "Health Systems Management" were held on 2 October. The Session was attended by Dr Hiroshi Nakajima, Director-Omera1 of WHO. The following Member States were represented at the Session: Afghanistan Morocco Bwhrain Oman Cyprus Pakistan Djibouti Palestine Egypt Qatar Iran, Islamic Republic of Saudi Arabia Iraq Sudan Jordan Syrian Arab Republic Kuwait Tunisia Lebanon United Arab Emirates Libyan Arab Jamahiri ya Republic of Yemen In addition, observers from the Tatarstan Republic of the Russian Federation, as well as representatives of the United Nations Children's Fund, the United Nations Development Programme, the United Nations Environment Programme, and of a number of intergovernmental, nongovernmental and national organizations attended the Session (see Annex 2 for a list), 2.1 Opening of the Session Agenda item I His Excellenby the Minister of Health of Cypm, Mr Manalis Christofides, the Second Vice-Chairman of the Forty-first Session of the Regional Committee, opened the Forty-second Session, in the absence of the Chairman and the First Vice-Chairman. He thanked the Minister of Health and the Government of Egypt for hosting the Forty-second Session of the Regional Committee for the Eastern Mediterranean, under the patronage of the Prime Minister, Professor Atef Sedky. The Minister noted that hedth was tlie basis of human happiness, He cited the words of a number of philosophers and politicians, who, over the Aturies, had extolled the value of good health. This wisdom has been absorbed and transmuted in recent decades. It became the cornerstone of WHO'S mission, and was enshrined in its Constitution. The challenges facing a number of countries in the world may seem to cast a doubt on their ability to attain health-for-dI goal in the next few years. However, some of the global achievegents cave been remarkable indeed. He noted that the eradication or elimination of some anciknt diseases was within our grasp in the next few years. At the same time, it should also be remembered that the achievements were rfot uniform throughout the world, The health gaps became continuously wider and tragedies of premature death, disability and disease affected the developing countries to a greater extent than the developed countries. WHO'S vision of health for all remained a much-needed ideal expected to bridge the gaps between the strong and the weak, the rich and the poor, the developed and the least developed. Only if there was a deep desire and a high spirit of solidarity within the international community could this ideal be pursued, Otherwise, the continuous successes and developments in scientific knowledge and technology would further widen the existing health gaps- He was happy at the presence at the Session of Dr Nakajima, Director-General of WHO. The contribution and the ever-helpful effort of the Regional Director, Dr Hussein A. Gezairy, was very well known to all. Be thanked His Royal Highness Prince Abdulaziz Bin Ahmed Bin Abdulaziz Al-Saud for his valuable contribution in the international fight against blindness. Finally, with the signing of the agreement on self-rule in the West Bank, the Palestinians would be able to conduct their own internal affairs with dignity and wisdom. In conclusion, he expressed the wish that there could be real peace in his country and that universal declarations and international laws prevailed. 2.2 Address by the DirectolcCenenl bf WHO Tke Director-General thanked the Egyptian Government for hosting the Forty-second Session of the Regional Committee and praised the political and social efforts exerted by Egypt under the leadership of President Hosni Mubarak at the global level. He referred in this respect to the constructive role played by Egypt in the peace process in the Eastern Mediterranean Region, and Egypt's important role dking the International Conference on Population and Development. Dr Nakajima considered the hosting of the present meeting of the Regional Committee as a complement to these efforts, and addressed to the health sector. Dr Ndcaj ima then referred to the first World Health Report, published earlier this year, which, he said, was an effective and widely disseminated tool for suppIying all partners of WHO with information, backed up by figures, on the world's health needs, on the major epidemiological trends and their determining factors, on the level and utilization of resources, and on the results achieved. Within WHO,the Report would help in evaluating the relevance and efficacy of WHO's actions in relation to all major epidemiological, economic and social trends. In 1995, the health gaps, in terms of disease, suffering and death, were widening, Through this report, WHO had stated its determination to bridge the gaps in health and show how they related to other gaps in the fields'of epidemiology, population, economic development and the environment. At Alma-Ata, primary health care had been defined as the necessary means and strategy for action and now it was necessary to get results. If development was to be sustainable it had to be both human and social and it had to gwantee dignity and quality of life for everyone, and foster self-reliance without compromising solidarity. Health was at the heart of this requirement, and it was both the prerequisite and the outcome of human development. WHO's mission was not just technical or medical, but also social and intrinsically ethical. One important aspect of WHO'S work was to follow up on the 1994 International Conference on Population and Development, To this end, he had decided on the functional integration and coordination of WHO'S activities related to family health and reproductive health by combining them within a unified programme area. Changes in population structure were being seen in age-group distribution, urbanization and population flows. The aging of the population had become a worldwide phenomenon, which, in years to come, would become even more pronounced in developing countries. Its consequences were already reflected in the epidemioLogica1 profiles of some countries needing new requirements for medical and social care; The recent outbreaks of plague, cholera, etc., and the HIV/AIDS pmdemic, had shown increased potetitid of spread and the difficulty of monitoring and coping. The emergence of new infectious diseases and return of some old ones pointed to the need to maintain fully operational epidemiological surveillance, laboratory and rapid intervention services, and to be able to rely on international networks for information exchange and cooperation.