EB 7/11
Programme and Budget Estimates for the Regular Operating
Programme and the Expanded Programme of Technical Assistance for Economic Development for the Financial Year 1952 -
WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
Programme et previsions budgetaires concernant le programme ordinaire d'execution et le programme elargi d,assistance
technique en vue de developpement economique ur l'exercice 1952
Palace of Nations, Palais des Nations, Geneva Gen~ve December 1950 D~embre 1950 UNITED NATIONS NATIONS UNIES
WORLD HEALTH ORGANISATION MONDIALE ORGANIZATION DE LA SANTt CONSEIL EXECUTlF EB7/18 .Corr.3 19 janvier 1951 ~~tie~e Session - ORIGINAL : ANGLA.IS PROGRAMME ET PREVISIONS BUDGETAIRES CONCERNANT LE PROGRAMME ORDINAIRE D1.0PERATIONS ET LE PROGRAMME ELARGI D'ASSISTANCE TECHNIQUE EN VUE DU DEVELOPPEMENT ECONOMIQUE POUR L1 EXERCICE 1952
CORRIGE·NDUM
3 Inserer entre le premier et le second paragraphe, le paragraphe ci-dessous
11 !1 y a lieu de souligner que les tableaux relatifs aux regions, soumis dans .le present document, indiquent .les programmes sanitaires que les pays souhai tent mettre a ex8cution, avec 1' aide de l' Organisation, en 1952. Les facteurs principaux qui exerceront une influence sur le volume
de l 1assistance fournie sur les fends ordin~ires, en vue de la realisation de ces programmes., seront en reiation avec le montant du budget adopt.& par la Quatrieme Assemblee Mondiale de la Sante et avec le stade de developpe ment des plans particuliers d 1 operations. La mesure dans laquelle l'ensemble des programmes nationaux pour lesquels une aide a ete demandee pourra etre mis a execution dependra egalement des credits que le FISE rendra disponibles et des fends de 11 Assistance technique qui seront fournis a cette fin".
27 Inserer le paragraphe suivant entre le premier et le deuxieme paragraphe, apres les mots "la responsabilite technique" :
"Dans certains cas, le FISE n'a pas encore approuve les programmes, mais une approbation prealable provisoire, relative a la nature des programmes, a ete obtenue. Il incombera aux gouvernements interesses de soumettre des demandes fermes d'aasistance au FISE en vue de la mise a execution des programmes EB7/18/Corr.3 Page 2
sanitaires pertinents. A ce moment, on escompte que des evaluations plus precises du prix des fournitures et du materiel seront fournies. Pour cette
r~i~oi;t; les montants provisoires indiques au titre.des fonds.du FISE sont
inscrits en caracte~differents. Les programmes ayant deja reQu llappro
bation du ~onseil d 1 administration du FISE, qui figurent dans les tableaux des regions, sont marques d'un asterisque".
677 "Le montant de~ 7.400 indique en 1951 pour 1 1Assistance technique, en regard des "Bourees d 1 etudes",,doit se lire comme etant de 0 27.500.
Les montants suivants doivent figurer sous 1 1Assistance technique, pour des fins "non specifiees".
.1952 Service des Maladies transmissibles 92.500 Administration de la Sante publique 36.500 102.500 Aide aux etablissements d'enseignement 55.000
Ces rectifications, ainsi que les ajustements des tableaux sommaires pertinents, figureront dans l'edition imprimee du Budget. UNIT~D NATIONS NATIONS UNIES
WORLD HEALTH ORGANISATlON MONDIALE ORGANIZATION DE LA SANTE
CONSEIL EXECUTIF EB7/18 Corr.2 15 janvier 1951
ORIGINAL ~ ANGLAIS
- . . PROGRAMME ET PREVISIONS BUDGETAIRES POUR LE PROGRAMME ORDINAIRE D' EXECUTION ET IE PROGRAMME ELARGI D'ASSISTANeE TECHNIQUE EN VUE DU DEVELOPPEMENT ECONOMIQUE POUR L 1 EXERCI~E FINANCIER 1952
_...... -·-·
Il eonvient d 1 ins0rer la page-oi-jointe-dans l~_dce~~·EB1/~8, dont elle eonstituera la page 48 a. '- EB7/l8 Page 48 a ' ·,
. -·,
ANNEXES AYANT UN ClffiACTERE D' INFORMATION·
INFORMATIONS DETAILLEES CONCERNANT LE PROGRAMME ET LES PREVISIONS BUDGETAIRES UNITED NATIONS NATIONS UNIES
WORLD HEALTH ORGANISATION MONDIALE ORGANIZATION DE LA SANTE IaE0tJnVE BO.ABD EB?/18 21 December 1950 Seventh Session ORIGINAL: ENGLISH
l'ROGR.;'.Iv.IME AND BUDGET ESTIMt'tTES
FOR THE FINANCIAL YEAR 1952 i
T A B L E o: F C 0 N T E N T S Po.ce Lettar of Transmittal, and Authority ...... INTRODUCTION • ...... • • • ...... 2 Distribution of proposed 1952 activitias under resular, UNICEF and technical assistnnce funds • • • • • . . . . . 6 Comparative table'of employment, showing number of posta in 1950, 1951 Estimated total expenditure under regular, UNICEF and technic~l assistance funds, with percentaces by major units • • • • 17 ...... ,. .... Estimated total staff under recular, UNICEF and technical assistance funds,"with percentages by'major units •••• . . . 17 NOTES ON THE PRESENTATION. OF THE PROGRAMME AND BUDGET ...... 18 SUM!vL'l.RY OF BUDGET. ESTiuL-.TES FOR THE FINANCIJ.L YEAR 1 JANUJ.RY TO 31 DECEMBER 1952 • • • • • • • • • • • • • 23 PROPOSED APPROPRIATION RESOLUTION ...... 31 PROPOSED WORKING C.<'.PIT. .'l.L FUND RESOLUTION • 34 ~ ...... ..GENEru~L ·s'hTEMCNT 'OF THE PROGRAMME CENTR.l'.L TECHNIC.'.L SERVICES ,Epidemiolocical Services • 35 ·Health Statistics ...... 42 Therapeutic Substances ...... 45 Editorial and Reference Services. •. • • . . . 56 ADVISORY SERVICES . . . ...... 59 i Organization of Public-Health Service's 71 ,.. . ' ...... 'Education and Training • • • • • • • • ...... 84 do-ordination of Planning and Liaison . . . ..• ' ' ! • . • • . . . 91 fublic· · In!"Orrn.:Ition I I • ~ • ·.~ . 93 ' i ...... • • • • ,.. . .. " .. .._ ii PROPOSED D:CTJ.ILED PROGR.t'.MME ;lND BUDGET ESTIMJ.TES Page Cost Text Estimates . ' . ~ .... Summar,y of Total Estimated Costs of Activities, by ! • Organizational Units ~ • • • • • • • . • • • .• ~ . . . 95(a) Estimates of.~r~o~e~of-ExPenditure Codes, indicating Percentat;:es of Total Budget • • • • • • • • • • • .• 95(e) ..... ORGANIZl\.TION.AL MEETINGS ...... 96 9? CENTRAL .TECHNICAL SERVICES • . . . . • • . . . . . 106 Office of. the Assistant Director-General • • • •• 10? 108 Epidemiological Services .. Office of the Director ...... 1()1 110 Sanitary conventions'and Quarantine • • • • • • . . 111 11.3 . . Technolocical Services . . . " . ' ' ' . . • • • • 114 115 Co-ordination of Research •• • '! • ' • • . . . . • 116 121 Epidcmiolocica1 Information • ...... • • 12.3 124 Epidemio1oeical Intellicence Station, Singapore • 125 126 Health ·statistics Office of'the'Director . ... • • • . . • • • • 12? 128 Statistical Studies •·• • • • • . . •.• 129 1.30 Morbidity Statistics • • • • • • • •...... • 1.31 1.32 · International. Sta.tist.ical c.1assification of Diseases and Causes of Death •. • • • , ~. • 1.3.3 1.34 ~ •...... )- _. . . Therapeutic. Substances· Office of the Diredtor· • • • • . ~ . . . . • 1.35 136 Biological Standardi~ation • 1.3? JJ9 • • ' '. • tl • . . . I iii Pnce . '' ""' .. ' .. ~ '', ...... Cost ~£!1._ t Es_!?~~~e~ . ' •. •...... "\ . PharmaceutiCCl.l Section •••• ...... 140 142 143 144 . .~ ·...... l.ntibiotics and In~-o~ticid~s · • · ·• · • ·• ·• ...... 145 146 Tuberculosis Research Office, Copenhagen . ... 147 151 .. . . . •. . •. ' Editorial.. and. Refersnpe. Spryi~e~. . Offi.ce. of the Dire et or . . . . ~ . . . . . 153 156 EditoriaJ. Sectio.n . • • ·• • ...... 157 160 Translation Section· . . . 161 163 Library and Reference Services . . . . . 164 166 ;.c!.visury Services ...... 167 Office of. thG i~ssist<:mt. . . Director-General...... 169 170 Communicable. Disea?a. ·S!3"rvi,ce~ Office of the Director • • .. . . 171 172 r.fularia . ~ ...... 173 175 Tub.3rculosis • • .: .· . . . . . 177 179 Venereal Diseases . . . . 181 183 . . Other Communicable Diseases ...... 185 186 Organization of Public.:.H.3alth Services ...... 188 189 Public-HeJ.lth /~dministration ...... 190 192 Enri.ropm~n:taJ- ?ani:tati?n: • • ,.• • 194 196 ~ . . " ~ ' . Nu,rs;i~ ,. •. •. •. •. : ,; ~. •. • ...... 198 200 . ' . . . ~ Sqc~a~ and. Ocq_upat:ionill ...... -.He'c1tn ...... 202 204 Health Education of-the 'Public ...... 206 208 · iv Paee f Cost T!l_!1.__fst~tes Maternal and ·child Hcialth "'f'' ... -.. f e - • I • I a • •.• .210 211 Mental Health ...... • • 213 215 Nutrition ·• ·• • • . ·, ·...... •...... 21? l 219 Education and Trainine Services Office of the Director • • • • • • • • • • • • • • 221 223 Fellows!:lips • .. 224 225 ...... • • • • • • • ~ssistance .to Educational Institutions • .226 22? ...... Exchanec.of Scientific Information ...... •• 229 231 ... REGIONAL OFFICES: SuMiiARY OF· ESTD.t-.TES ...... 232 EXPERT COMMITTEES J'... ND CONFERENCES: SUMMARX 9F .ESTI1Li.TES 234 iillMINISTR:.TIVE SERVICES , • • • ., • • • • • • ...... 236 orrice of the Director-General • • • • • • • • • • • 237 Co-ordination pf Planning and Liaison • • • • • • • • 238 241 Public Inf.or.mation· . . . . . • • • • • • • • • • 243 245 •:... DMINISTR: ... TION 1...N.D FINl... NCE Office of the Assistant Director-Goneral • • • • • • 246 247 Lecc;.l Office • • · , • • • • • • . • , • .. , • • • • • • 248 249 Office of Interiml ..i.udi t ·• ·• .- • • • • • • • • • • • .250 251 ~llininistrativ~ ~a~agement and Personnel Office of the Director • • • • . . • • • • • . . . • .252 .253 ...... •, . . . 254 256 Personn~l . . ' ...... • •• 257 260 V Page Cost Text Estimates Budget and Finance Budeet Section • • • . . . . • • • 261 263 Finance and Accounts • • ...... 264 266 Conference and General Services • ...... 267 271 Common Services at Headquarters • • . . . . 273 276 SUMMARY OF ~i.CTIVITIES TO BE FINANCED FROM OIHP FUNDS • 0 277 THE REGIONS • • • • • ...... 278 279 Africa •• • • • tli • • • • • • • • • • 283 284 The Americas • ...... 290 289 South-East Jl.sia ...... 348 347 Europe • • • • • • • • • ...... 419 418 Eastern Mediterranean ...... 474 473 Western Pacific ...... 555 554 UNITED NATIONS NATIONS UNIES WORLD HEALTH ORGANISATION MONDIALE ORGANIZATION DE LA SANTE EB?/18 page 1 LETTER OF TRANSMITTAL, AND AUTHORITY In accordance with the requirements of the. Constitution, the Director-General of the World Health Organization has the honour to transmit the proposed programme and budget estimates for the financial year 1 January - Jl December 1952 •. Brock CHISHOLM, M.D., Director-General ''' EB?/18 .. page 2 ;•, I INrRODUCTION By the Director--General The Progra1rume and Budget for the year 1952 which I have the honour to submit to the Fourth World Health Assembly is at the same time an indication of progress achieved so far in fulfilling the functions which under its Constitu tion are the prerogative of the World Health Organization, whereby it is empowered 1. to act as the directing and co-ordinating authority on international health work; 2. to place at the disposal of 'all countries advanced knowledge and techniques for the promotion of health and the prevention of illness; and 3. to adapt to local needs and conditions whatever assistance is needed for strengthening public-health servicos of individual countries. The summary table which immediately follows_ this introduction shows clearly one of the most important aspects of the Organization's efforts in co ordination. .After various attempts, made over a period of about thirty months, it is now possible to propose an international health programme, irrespective of the source of funds. The appropriation requested under the regular budget of the Organization, the funds which it anticipates receiving as its share in the United Nations Expanded Programme for Economic Development, and the allo cations expected to be placed at the disposal of governments by UNICEF for ~ealth programmes, have bean merged in the planning of an integrated international health programme for 1952. The advantage of this met~od of presentation is self-evident. It is the only way in which this organization can discharge its responsibility for preven ting unnecessary duplication of effort, and for securing the best possible use of all available resources for hoalth prograrmnes. FUrthermore, it is the only manner in which WHO can ensure that the experience and the skills so sorely needed for the betterment of health standards everywhere are used as effectively and as economically as possible. EB?/18 page 3 0 WHO's growing concern with the need to adapt its means to the actual con ditions and requirements of the various Member States is refle"cted in the present document. The development of the policy of decentralization, which has been steadily evolving in the Organization since its establishment as a perm anent agency, leading towards the strengthening of regional organizations, has resulted in an intensification of survey work in the field and a substantial increase in the number of consultations carried out with the various governments • .All this has developed a greater amount of information on various regional and locRl health problems. The progrc.rmnG proposed in this documGnt is a consolidation of programmes prepared by the regional organizations and is conceived as a direct contribution to the solution of some of their problems. The regional programmes were submitted to the regional committees and in some cases specific P!ojects in countries in the region were endorsed. Thus for the first time the. Health 0 Assembly will deal with regional programmes based on the best possible appraisal so far of the types and degre,es of assistance requested by the various countries to take care of their urgent and most important needs. Because of these developments in co-ordination and regionalization, the nature of activities planned for 1952, when compared to those of preceding years, will be found to have changed substantially. In the first place it is obvious that sinc·e adjustment to local conditions was the unvarying criterion in .plan ning, it became decreasingly possible to think in terms of the llworld-wide prioritiesn which guided operations during the first years. of WHO 1 s existence. It became necessary to think in terms of what was immediately needed for each indi~idual country in order to enable it to take the next appropriate step in establishing or improving its own health services. This explains the differences which appear in the staffing of the regional offices, in the number and the nature of expert, consultant and advisory services provided to health adminis trations, and finally in the field projects themselves which are to be carried out in the various countries. Demonstration projects or, tn a more generalized form, the demonstration areas indicate the progress so far achieved in planning for the development of well-integrated national public-health services. The proposals for publio-health administration co-ordinators, demonstration areas and health centres, assistance EB?/18 ~ge 4 to educational institutions and traininJ are planned as contributions to ~overn ments in strencthenin:;; their local and national health ad1ninistrations as well as controllinc~ major health prr:blems such as malaria, venereal disease, tuberculosis etc. Increas1ng stress is beine laid by WHO on all types of assistance which will ameliorate the world-wide sh'>rtaGe, and in many places the low standards, of medical and auxiliary personnel. This emphasis is reflected in the relatively laree nwnber of educational projects proposed for 1952. They provide for the 'utilization of a variety of techniques which promote the exchanc;e of knowledge '. and skills - individual fellowships, aid to medical institutions, study-c;roups, seminars, conferences etc. For instance, in the European region a series of con ferences and.study-:::;roups has been planned to deal ·with topics such as infant metabc)lism, alcoholism, animal diseases transmissible to man, public-health nursin..;, mental health trainiiB, public-health enc;ineerinG, and industrial hygiene,· Similar projects desic;ned to meet local needs havo also been planned by each of· the other regions. The fundamental role which the Department of Central Technical Services occupies in WHO's work is well understood and therefore hardly requires special emphasis here. Whether one considers the statistical studies carried out by this department, its work in epidemioloc;ical intellic;ence, its achievements in connexion with biological standardization and the unification of pharmacopoeias, its role in formulatinc tho new International Sanitary Rec;ulations, ·or the many scientific publications which it issues, all these activities are obviously services to e;ovornmcmts in the same dezreo as are the other services r~mdered by the Organization. Services such as these have always been, and will continue to be, an essential part of any international effort toward imprcvinc ·and i:naj,.n...: tainin:=; health. Therefore, without t:;oin3 into detail, I should merely like to ' call attention to the assistance which vVHO and UNICEF jointly will ~ive to India in the establishment of a penicillin plant, since this project represents a very important ste? in the Or~anization' s general plan to help t_;overnments in research on and the proclnct~Lon of antibiotics. I should also liko t0 invito attention especially to the expanded proc:ramme of work which is proposed with rec;ard to parasitic infections .which arc serious causes of disease er ill-health, and EB?/18 ~ge 5 therefore of lowered productivity, and with regard to certain animal diseases communicable to man. In reviewing the health needs of the world and paying the requisite amount of attention to thosa areas whose economic development has not been as rapid as elsewhere, the inevitable conclusion is dravm that two distinctly separate but nevertheless parallel courses must be followed in order to achieve those objectives for which this Organization was called into being. Governments must be assisted as rapidly as possibl8 to meet thGir most pressing public-health problems by making available to them up-to-date technical knowledge concerning modern methods of dealing with these probl0ms, training faclliti~....s and technical staff to assist in impl8m<:mting programmes. However, this assistance without the sut;plies and equipment to implement prograrrnnes is not enough. Medical supplies and equipment must complement the technical knowledge made available to governments by the World Health Organization and it is here that 1iHO, by using technical assistance funds in order to provide the essential technical personnel, and UNICEF, by furnishing supplies and equipment where ap}Jropriate, can best co-operate in assisting governments in their 8ndeavours to cope with their most pressing health needs. Many international undertakings for health and social improvement have been launched - some of them serving emergency purposes, others permanent but pursuing rather limited objectives - all of which are necessary and welcome. But side by side with this short-term approach there must be the steaQy march towards orderly and continued development of national health administrations. Our constant preoccupation must be to assure a proper balance between these two approaches if we are to avoid the pitfalls and dangers of development which is out of proportion to the economic capacity .J.nd the; availability of personnel in the country concerned. Taking the long view, the most important function of the Organization is to help tho development from within of balanced health services on a permanent basis. It is with this in mind that, in submitting an integr~ted programme and budget for 1952, I have included as a charge against. regular funds those activities which Will best contribute to this aim. Only by assisting governments to train health workers at all levels and to organize their health services on a sound basis, can we ensure that sufficient nHtional personnel will be available to enable them to expand their health programmes further. This is the long-term role which WHO must play in joining those forces uniting in common effort towards the building of a better world. D.L2T~aBUTI._,u JF P~I.OfuS.GJ 1952 ..CTIVITL.S i·1 o_._~£- J20 st..§_ ~stifla.tt-d eXfl.:J.Il.sli..!-.llr~ I ~~..=,C,.UL..R. UNIC.Lf.F T1...SD H.J~GUL....:(. UlHCEF T.~0 TOT •• L 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1950 1951 1952 m! 1952 rno 1951 1952 ~' ! :. 01•/}"·" JJ.L.,.Tivi.l.L . .G.GTIUGS >7orli.l Hc~lth .. ssw:~bly 124,300 155,885 135,888 L:JX~cutivv Board c\c its CorKlitt02s 51,270 76,780 76,780 J.,.sg:J..ono..l Coe itt.:-~.;s 21,900 33,900 37,200 TUT.L . 01tCi.. lJI2. .. TIJ1~· i:L.:;i,TI1JGd 127.1!±.'10 266.56~ 2~21868 ::-1.9. 7 ,1!79 26.hl.Q.§. 242..,._8£>..§. ------___ , ------C.Lu;T;.i. J_, T~C . .i:IC .L Sd1'JIC~0 8 7 8 Offic;.. of th0 .. sst. uir,:;ct:.;r-:kiH:::r'l 33,440 38,590 50,377 3,1?0 2,900 33,440 41,780 53,277 ~~p~. ·-:::.2.-~~:o l_C: g~ c_~-.1 .. _S c;~~ _c::- ~ 2 2 2 OffiC·_; _;f th\:: Diroctor 19,315 19,803 20,122 19,315 19,803 20,122 t 10 11 10 :l"nitary Conv-.:,nti)ns :·.n ... ~UE\.r: htlne 82,922 111,377 101,347 82,92.G 111,.377 101,347' 8 6 8 5 5 Co-or .. ~inc..tL1n ,)f ~~·~S. ",rCh 146,097 95,3~3 152,316 94,085 99,741 146,v97 189,438 252,057 4 "'4 4 'l\~ chno lo _-::;i ca1 SGrViC0S 19,725 26,957 22,876 19,725 26,957 22,876 ' 9 9 9 JCJpid. , ·t ·=.tistics ·.. l Inforr:l:>.ti::m 36,415, 41,6S'1 45,346 36,415 41,6':11 ·45,346 -·~ . ;.::ingc:cporc- ...:.pidcr:d.ological 14 ·. 14 ... :L4 Inte1lig.:nc..:: -"tat ion 35,300 40,641 40,343 35,300 4u,64l 40,343 Hc;~_th ;Jte.jJ.sti_~ 2 2 2 Office of thE: 0ir"'ctor 35,955 36,689 16,945 25,606 23,816 35,955 62,295 40,761 4 4 4 ;.)te.tistica1 .. :tuc.:L)S 1:3,195 27,357 30,579 565 880 18,195 27,922 31,459 9 9 9 llorbidi ty (it~tis-Lics 35,825 45,703 51,973 35,825 45,703 51,973 Internc,tion.J.l .-)tr-~tistj c;.l C1assif'icction ,· f lJis::.as.ss & 4 4 4 Caus;.;s o.f Do2.th ll,730 31,842 30,037 11,730 Jl,8h2 30,037 }_hg_:raps; u,ti_c. Sup~_t _!lp.c_c_s_ 2 2 2 Officu of tho Dir0ctor 12,720 17,000 19,082 1,000 1,000 12,720 li:s,J00 20,082 2 3 3 .Siolo;ico.l 3tJ.nGc'.rdi zation 56,134 63,920 70,816 1,000 1,00U 56,134 64,920 71,816 4 5 5 Phc."..r;nacoutical 29,905 45,228 46,035 29,905 45,228 46,035 2 2 2 .. c~Ji.ction Proiucing Drugs 20,655 20,962 20,180 20,655 20' 962 20,180 3 3 3 ..ntibi::>tics & Inscctici.J,;s 21,2.25 6,364 35,426 41,809 21,225 35,1,{2. .6 48,173 Tuberculosis 11esce.rch Offico, 47 52 54 Copc;nhagon 250,0UO 219,7~,3 254,553 250,o0J 219,793 254,553 2_~}tqri_a_G:.. ~~_o;f\!'...::ll.CCS_ So:J;:_vicE.s 20 17 17 OfficG of thCJ Dir-sctor 61,655 65,929 68,834 61,655 65,929 68,834 27 28 30 FubJ..i. c.:ctions ~ Oth...,r .L:d.itorial :3c;,s249, 200 299,868 335,702 249,200 299,853 335,702 10 10 10 'l'ransl,·.ti. :·n.s 61,010 68,788 70,064 61,010 68,783 70,064 19 19 17 LibrJ.ry ::r. c~c:f,_,r,_nc.., ~crvicos 93,480 96,744 97,097 93,480 96, 7M, 97,097 Cor.~rrnon ~) ~rvic,:s 190,2~..2. 126.938 1551030 190.2~.2. ill..,l60 K -~w ~ ~ 't. ~_'::_?:JS::..E_CJ.T:t.~_r_~ lli.3Q4 ---- ·~~' - ~ ~ 210 210 214 ~- 8 TJ'L,L C-" TJ.L.L TwCHl7I~.L SC.GS. _1,521,1Jg 1, 541.173 1 1706.s...Ol8 162122& 1'121420 J._,j~L1'12 h19~. 46~ 1, es1..J!J§. ,.JVI80~~y 02J:£WlCL.,:. -•l'iD H~SION •. L OFFIC,.:,S t~.:::,,_Jc~2.Lt.°F_~ (incl. :.Jxp~rt Cor..mri.tt..:;<.:..s /{, "--"~ Confcr..:.ncos) 18 18 18 OfficG of th0 .. sst .llibctor-General 97,475 92,843 98,847 10,0\.JO 10,000 97,475 102,3h3 108,847 Oor::u;mni c J,bl...; ~isvasos 3ervicGs -~-· ~._.._. ... - ---· . .., "- _.. _ _.... • --·- r ~~ --·~-- - 2 3 3 Office of th0 Dir'-'ctor 21,120 27,462 26,102 22,695 24,495 21,120 50,1)7 50,597 I 6 0 6 Hu.1aria r:mu. Insect Control 84,970 52,950 57,799 84,970 52,950 57,799 4 5 5 Tub~rculosis 34,890 46,047 45,257 34,.890 46,047 45,257 I 6 0 6 Vuner~a.l DisGasos 71,260 65,947 64,767 71,260 65,947 64,767 1 2 2 0th8r Cor.1ihunic :·.bl.G 0isc;:ases 2,845 17' 908 19,339 2,845 17' 938 j_ >)' 3J ';/ 9£_g_ani z. ;. '17:3 DIS'I'• ..IBUTJ.Oi~ OF P~..OPG..:i_,-'J..l 1952 .. C'l'IVI·.i.TL"u EJ37 /18 :pa5e U6lJ ..<.lt ~,.uGuL .... U!\liCi;F .j~.LJ 'J..uC "-i·JIC .• L . ..30I.:J'LuCJi, F tl:.LJS 7 l~o. of Posts ~Jti;,12..t.__J oxpl,;nditur..:- ----··~---- "'1.2G1JL..:r~ UiaC..:..F T•• 0D R.JJ1JL..!t mac ...JF 'L....,D TOT . .L --~ -··~------1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 2 2 3 2 1 Publlc HG~lth ..cl:ri.nistr:-.tir:m 22,760 22,376 37,923 27,986 1~,296 22,760 50,362 56,219 2 2 2 1 1 Znvironm.;;nt:;.l 0mit-~tion 17,900 24,160 24,288 17,123 17,046 17,900 41,233 41,334 3 3 3 1 1 Nursing )2,285 42,792 51,450 8,398 8,615 32,285 51,190 60,065 2 2 2 Soci~ :m .. Occupco.ti.Jnal Hv.•l th 11,480 27,329 24,289 2,500 2,500 J.l,480 29,829 26,789 3 3 2 1 1 H.;c:~th ~ducatic.... _·lf th.... fublic 26,0J5 32,"424 29,423 17,123 15,796 26,u05 49,547 45,519 5 5 5 :t-htern:-~1 anll Child He··lth 53,835 46,963 42,433 2,500 2,500 )3, 835 49,463 44,933 3 3 3 Iionto.l Hcc.l th 50,890 54,643 43,493 50' <:.-90 54,643 43,493 2 2 2 1-.utritiJn 19,500 28,670 26,165 2,500 2,500 19,500 31,170 28,665 ~ .6duc<.:tion and '_;_'r~!.ining :Jervic0s 3 3 3 Office :>f the Dir.:.;ctor 25' 540 30,376 32,264 10,195 10,195 25,540 40,571 42,459 7 7 7 f'cl1mJsh.Lps 37,410 40,403 41,897 37,4lu 40,403 4l,o97 ..ssist::-•nc" to .GJucr;,tiona1 2 3 3 1 Institutbns 16,060 30,447 41,511 16,294 5,40v 16;J60 46,741 46,,11 .2 '2 2 E.xch~'.ng.::: of .. ~ci.:::ntific Inf. 51,220 53,364 53,023 51,220 5~,364 53,023 ____ .. ____ C.::L1r.10n Sorvicc.s c::.t Ik:: 86 002 7'1,840 _§8,13..2 ------28122? _19~ 1 _]~12. 211]7 ~4.2_2 TuT ..L i{."' __ iJ\~U .• r~'I'El~..J 84Q.25bt, 385,725 ------~.J1. - _91._ 81 =-- = = 6 ·- ~ ~lli --·------156.~j3_ 11s, sp~ 8~_3 175~ =~96,9Jll, 7 1, 021! ~31. :.,e_giJns •• F~l.IC .• 3 3 3 Supc:rviso!"J Office 8,135 24,524 28,758 8,135 24.524 28,758 ---Lib::;ria Public 1-Ieelth .• uui~1istration 8,500 90,000 120,000 8,500 90,000 120,CJ00 C0untrics undGsign~ted !•blaria ~md Insect Control 12,600 22,800 90,000 200,000 12,600 90,000 222,800 Othur Cornnunicable JJisc:~.scs 11,400 45,000 100,0u0 45,00() 111,400 9 9 Public Health .l.dainistrdi::m 66,750 60,231 66,750 60,231 Nutrition 4,100 4,100 ------.t:J.uc ~-tion & Tre.i.ning lli.§OO 101,200 ~600 ------;::1201000 ~201000 2L§_OO 1}01 ~00_ l:t:Z~ 1600 TOT ..L 1.Fii.J:G,:. -=-3 12 12 =- ====-= 8),1).2. 101,711: 2:Z8178:1 3451000 :Z40 ,000 85111.2 ~.J'lb. 1,018 .:Z89 , J:.Sll.IC ..S 34 41 55 10 18 Regional Office 183,000 250,434 327,684 43,034 84,335 183,000 293,468 412,019 11 9 19 6 6 i:tegicna1 .. J.visers 86,025 128,332 301,446 83,638 83~158 86,025 211,970 384,604 Bu1i vie>, 4 Tuberculosis 48,000 38,637 86,637 Othc r Cor.TIJ.uni cab1~ Diseases 39,000 16,0JO 39,0u0 16,000 Brazil Haterm.l c,nd Child He.:llth 50,000 lDO,OOO 50,000 100,000 Bducc-.tion and Trnining 11,655 15,600 1-.J ,400 15,600 22,055 British Hondura.s Othc:r CorJLlunic .. ble .iJiseases 22,000 22,000 ·Chile Oth6r Co; ~-_,_unicablc Disee.ses 9,100 49,000 33,000 58,100 33 ,O·.JO 1 5 Public l·k2.lth .~di.tinistr.?ction 15,000 3,886 87,849 3,886 102,849 ~nvironmcnta1 :3ani tation 3,300 3,300 L:tkrnal & Child He!'..lth 75,000 50,000 75,000 50,000 £,"13 7/18 DIS T~U.SUTI \.Ji'J OF PhO.::os"""'D 1952 .• C'.L'IVITI"""'o page 8 UND:..;;~LBGlf.L •.L, UIUC:i.F .. ~m T .!1Ci1,.JIC .• :L .. ;.,l:·:r'L.lWc; FU1~DS .-' [ t~c. of Posts --... ·~Estir~r:.tGci- bXpcngi ture EEGUL..~t_ ----UNIC.:2;F T. ..c..D l'i..f.~,.:.U:L .• .L~ Ui~IC....~? T• ....;..;D TO'LL l-.2.2Qllil1.2.212.2Q12.21~l221~ 1950 1951, J-.25~ . 12)0 1.25.1 1.2.22 12.21 1-.2.2. 192Q 12.21 1952 Colonbia---- • 2- V0n0ral Disc::r.sos 26,000 18,944 44,944 Other Co; J.:J.unic"J.blo Dise;.:-:.scs 60,0u0 40 000 . 60,000 40,000 .l 3 Public }L.,.nJ_th _,clninistr.:.tion ' ' 3,886 65,678 3,886 65,678 Costr. :LiicG l'iaL1rin "nd Insect Control 54,00\..J 35,000 54,000 35 ,OvO Publi.c H.:-<>.lth . .~.1-:.linistr:-ctJ..o•-~ 1,800 2,100 1,800 2,100 3 3 ~du.cr·.tbn cc Tr:?.ining 30,880 26,048 30,880 26,048 DoLfi.~ican R.c:eublic J 3 l1bl13,ria &. Ins0ct Control 45,000 45,000 49,130 59,146 94,130 104,146 2 2 Vcnorc:2.l iJis-.:.ascs 15,538 18,376 44,400 29,600 59,938 47,976 \-,.' • _L Ecuador 5 5 ~Tut;~rculo si s 127,000 85,000 44,550 44,374 171,550 129,374 l Venereal Visoases 11,500 11,500 Other Cor,u.~unicable Diseasos 2,500 2, 500 El .,)21 vc:..dor --~-PL--0 -- !Ialaria & Insect Control &o,ooo 40,000 60,000 40,000 4 4 Tuberculosis 32,500 35,576 32,500 35,576 7 7 Public Hv•.lth .• duinistrstion 123,664 96,862 123,664 96,862 Guatenala .. l'1alaria & Insect Control 56',000 38,000 56,000 38,000 Haiti 3 3 --Halaria & Insect Control 124,130 134,146 124,130 134,146 l l Tuberculosis 23,710 19,114 23,710 19,114 4 4 5 Vener'.-:::!.1 Diso8.ses 18,000 32',359 25,849 192,000 128,000 210,000 160,359 25,849 2 2 2 4 4 Public Heel th ;.cl:ninistr·:tion 25,800 14,799 17,864 74,820 86,079 25,800 89,619 103,943 Hondures --..-- Hal e..ria & Ins E. et Control 50 ,JOO 36,000 50,000 36,000 Hexico---- 1 Health Zducdion of the f'ub~.i c 9,865 9,865 --·Janaica l l Tuberculosis 23,710 17,941 23,710 17,941 Nicar~!E_Ua Na1ari a & Ins 8 et Co;1trol 72,000 49,000 72,000 49,000 l Tuberculosis 23,710 23,710 Po.r2.gUaJ:: 4 Tub..:;rculosis 80,145 80,145 2 Venereal Diseases 28,620 28,620 l Othc;r Cor,munic'3.b1c Diseases 45,000 30,000 10,210 45,000 40,210 EB?/18 DISTRIBUTION OF PROPOSED 1952 ACTIVITIES page 9 U1WER REGULAR UNICEF AND TECHNICAL ASSISTANCE FUNDS No. of Eosts Estimated expenditnre REGULAR UNICEF · 'l1AED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 )952 1951 1952 1950 1951 1952 1950 1951 1952 195J- .. 1952 1950 1951 1952 ------Peru·· l 1 Tuberculosis 23,710 . 10,210 33;920 l Venereal Diseases 15,937 15)937 0ther.Co~~unicab1e Diseases 56,000 37,000 58,000 37,0GO l 8 Public Health Administration 26,000 . 3,886 129,480 _'=l' 8'?6 155,480 Trinidad l 1 Tuberculosis 23,710 17,941 23,71~ 1?,941 Uruguay _2 Tuberculosis 30,67() 30,670 Venezuela 5 5 Public Health Aruni~stration 67,215 87,798 67,21) 87:798 Countries Undesi~nated · 1\Ialaria and Insect Control· 480 147,000 480 JA7 J 000 Other Cor:rrftunicable Diseases 73,000 ?3,000 Public Health Administration 4, 200 240,000 4,200 240,000 Health Education of the Public 4,200 8,400 4> 200 8,400 Maternal and Child Hualth 5,450 700 12,600 3,415 8,865 700 12,600 Mental Health 4,200 9,800 4,200 9,800 Nutrition 6,0(10 4,200 12,600 6,000 4,200 12,600 Education and Training l52z300 139,200 200 2000 25,000 93,000 321,500 l 77' 200 _2~-~1...300 --221' 50Q 56 62 91 -2 6 50 79 Total -· AJ'!lERICAS 537,655 635,838 1,080,841 790,415 975,130 498,086 745,7191,844,454 1,328,070 2,356,68"( 3,,+:<.3.~381 SOUTH E.AS T ASIA 44 53 53 2 2 Regional Office 134,600 150,229 153,418 21,137 16,263 134,600 171,366 169;681 6 7 8 1 1 2 2 Regional Advisers 53,255 81,299 94,355 11,130 11,130 27,598 23,970 64,385 120,027 118)325 Af~hanistar~ 3 3 2 Malaria and Insect Control 48,100 54,878 20,495 48,100 54,878 20)495 6 7 Tuberculosis 50,160 60,967 50)160 60,967 Other Communicable Diseases 8,400 8;400 1 l Public Health AdminLstrdion 19,985 8,911 19:985 8,911 2 7 8' Maternal and Child Health 8,400 4,055 152,244 62·,200 59,914 4,055 152,244 l30,514 Nutrition 8,400 8;400 2 3 Education and Training ' 11,000 19,317 19,043 11,000 19,3::..7 19~043 Burma 4 4 Malaria and Insect Control 59,871 - 60,668 59,871 6o, 668 8 3 1 Tuberculosis 84,014 42,920 8,625 84,014 51,545 3 3 Venereal Diseases 53,052 17,480 22,894 53,052 40,374 Other Communicabl~ Diseases 4,200 4,200 3 1 l Public Health Administration 25,044 11,331 9,975 11,331 J5J019 1 6 5 ~~ternal and Child Health 3,604 62,636 1Q,400 29,215 3;604 62;63( 39)615 Nutrition 4,200 4;200 2 3 Education and Training 14,516 30,095 1,000 15:516 _10) 095 ~7/18 DISTRIBUTION OF PROPOSED 1952 ACTIVITIES page 10 UI:i!DER REGULAR UNICEF AND TECHNICAL A.':iSISTANCE FUNDS No. ef posts Estimated expenditures REGULAR UNICEF TAED ,REGULAR UNICEF TAED TOTAL 1950 l951 1952 1950 1951. 1952 1951 1952 1950 1952 1950 1951 1952 1950 B~ma-Geylon-Thailand Education and Training 4,285 59,000 4, 235 59,000 Ceylon 4 4 2 Tubercul~sis 60,694 46,005 16,536 60,694 62,541 2 4 1 1 Venereal Diseases 16,617 33,479 37,768 26,512 6,032 8,941 62,417 68,932 Other Communicable Diseases 4,200 4,200 Public Health Administration 158,161 119,750 158,161 119,750 7 ' 86 Maternal and Child Health 79,824 .8,250 .35,366 79,824 4),61~ Nutrition 8,400 8,400 1 3 1 1 Education and Training 6,757 21,545 2,500 19,258 11,431 26,015 35,476 India t 6 2 Malaria and Insect Contr~l 62,440 39,561 157;500 105,000 15,002 8,400 219,940 159,563 8,400 9 12 Tuberculosis 296,284 65,000 258,772 296,284 .323,772 4 .3 Venereal Diseases 63,340 •23, 541 98,944 3,700 6.3,340 122,485 3,700 Other Communicable Diseases 9,920 10,000 40,000 9,920 10,000 40,000 Public Health Administration 5,600 5,600 5 5 Antibiotics Production Plant 500,000 350,000 1.35,.393 162,360 635,.39.3 512,360 4 9 17 8 Education and Training 59,195 59,349 119,887 1,032,900 15,500 10,200 50,717 59,195 1,102,449 186,104 • Indonesia 4 4 Malaria and Insect Control 34,938 29,540 .34,938 29,540 Tuberculosis 84,430 84,430 1 2 .3' 3 Venereal Diseases 10,242 15,200 122,788 100,000 21,416 15,200 122,788 131,658 Other Communicable Diseases 8:,400 8,400 4 1 Public Health Administration 40,102 9,975 40;102 9,975 1 1 Environmental Sanitation 8,80') 7,378 8,809 ?,378 2 6 Maternal and Child Health 44,765 741,577 528,765 1 Education and Training 10,957 10,957 Thailand 4 5 wfularia and Insect Control 29,500 26,000 27,506 29,500 53,506 1 .3 Tuberculosis 10,505 84,052 67,665 84,052 78,170 2 .3 3 Venereal Diseases 21,430 59,577 23,600 23,862 21,430 59,5?7 4?,462 ' Other Communicable Diseases 8,400 8,400 1 4 Public Health Administration 11,331 35,354 11,3.31 .35,354 1 Environmental Sanitation 30,718 ,30,718 1 Nursing 6,757 3,000 9,?57 2 1 .3 l~ternal and Child Health 15,214 6,757 132,788 72,000 48,725 148,002 127,482 1\lfental Health 4,200 4,200 1 .3 2 l Education and Training 1C·,391 26,407 25,861 11,000 10,044 16,320 46, 21)6 .37,407 Portuge se India Education and Training 500 500 Countries undesignated N~laria anJ Insect Control 3,200 3,200 Venereal Diseases 1,255 8,400 1,255 8,400 Other Comrnunicable Diseases 3,540 3,540 10 1.3 Public Health Administration 153,138 165,700 153,138 165,700 Nursing 1,,480 Health Education of the Public 8,400 Nutrition 7,325 ?,325 Education and Training 151,200 77,182 220,857 21zOOO 151,200 77,182 241,857 74 !1 -]:14 - 88 17 54 112 TOTAL - SOUTH EAST ASIA 664,075 616,651 966,62.3 212,919 778,436 1,354,841 876,994 5,299,610 .3,790,463 D!STfiiJ3UTfO~r Pli' PROPOSED J-952 AGT:J:VIH_I£S ¥m7/la Pl;i-$~ H UND~ ~pq~~ ~~C~ AND T~G¥N+9AL AS~~STANG~ FUND~ • No~ P{ ;&1D8t.Q - - Eati~~t~2 ~~~e~!1~2 ~~;quw _,,,. up_:tgf.t, .' TAED ~OD!&! ~ T!'i_ :' 't~~·~- ! .. -fi~SL l~s~· 1952 ~- ~ ,., .. .., -1'·' #~~~ ~,,_ ~2.'i•' ~c ": ~2,i~ ~92~ *2~l ~952 ,.. ·' ~ Tt~~J ~ :a;URPPJJ; ., ~ ~ ~~ Re~~onal Office 28,1f.~ 45,2+6 +4~,~:1:.:1 28~815 4~~~~ ~4'{~t? ~egiqpal Adv~~ers ~~,,~e 5'1~7el a?,,PQ :W~l,ll4 ;t~_.p3? 2-'.,JA' I 4Q_ ~,~~,~ ' l - ~ ' ' ~~t~~~ ~ ~ + ·us ri~ - ' · _ l'~:rculo£ilj,.!3 ~~4Q() ~~~p,~ V~pereal Pi~eases • t',-~5Q ~f)Q~ Ma~er.na:l a?ld Child Heal-~h ~~4oq 1'~·~~ Q9 l,~~ M:~qtal H~~~ · · - 40g '·!i~. ~ . •': ~f~ ' - o'z~Qilll~~ovakia _ Educatioli th!d '!'raining 450 450 • Denmark ~ ' _ Education and !raining 20,000 28,400 29,400 20,0CO 28,400 29,400 Finland ·Tuberculosis 2,180 2,800 45,000 30,000 47,180 30,000 2,800 Venereal Diseases 2,035 1,400 21,000 14,000 23,035 14,000 1,400 Environmental Sanitation 2,800 -- 2,800 Maternal.and Child Health 1,400 4,200 1,400 43,000 22JOOO 11400 47,200 23,400 Education and Training 12,000 19,200 12,000 19,200 France Tuberculosis 70,005 46,200 70:005 46,200 Maternal and Child Health 1,400 1,400 4,300 175,400 81,6o0 5,700 175,400 83,000 i•liental He.al th 15,000 15,000 Education and Training 10,100 10,100 Greece Tuberculosis 2,800 57,000 57,000 2,b00 Venereal Diseases . 1,400 10,000 10,000 1,400 ·1 Nursing 7,750 7,750 Maternal and Child Health 1,400 1.~400 40,000 1,400 40,000 1,400 Nutrition 1,400 1,400 • 1,400 l,L.-00 Ireland Mental Health 1,400. 2,800 1,400 2,£00 Nutrition 1,41i0 2,800 1,400 2,800 :j:taly Tuberculosis 21,000 21,000 Venereal Diseases 1,400 63,600 42,400 • 63,600 42,400 1,400 1 Public He~lth Administration 1,335' 1,335 Environmental Sanitation 2,700 4,583 2,700 4,583 Maternal and Child Health 1,400. 1,400 95,000 1,400 95,000 1,400 Nutrition 2,800 2,800 Monaco Educating and Training 6,000 s,ooo Netherlands 1 1 Venereal Diseases 2,550 11,25'2 11,283 2, 550 11,252 11,283 Environmental Sanitation 3,700 3,7°0 ~ducation and Training 9,800 3J300 5!1200 9,800 3,300 5,200 Norway f .. Mental Health 2,800 . 2Jeoo 7,400 Education and Training 7,400 ·- ... . - .. - EB?/18 page 12 DISTRIBUTION OF PROPOSED 1952 ACTIVITIES UNDER REGULAR UNICEF AND TECHNICAL ASSISTANCB FUNDS No. of posts Estimated expenditure ~EOULAR UNICEF TAED REGULAR UNICEF TAED TOTAL 950 1951 1952 1950 1951 1952 I95I 1952 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 -~----_...,.._--- Fo:-tugal Nc.rsirig 4,200 4,200 4;200 4,200 Education and Training 4,500 4,341 4,500 4,341 Sweden • Environmental Sanitation 1;400 1,400 Education and Training 4,395 31j)OO 4,395 31,.300 United Kingdom Other Comm:;nicab1e Diseases 2,800 5,600 2,800 5,600 Ed~cation and Training 8,600 5,021 8,600 5,021 Yu~os1avia 1,:a1aria and Insect Control 37,000 .37,000 Tuberculosis 87,000 58,000 87,000 58,000 VenereQl Diseases 4,735 2,100 224,400 149,600 229,135 149,600 2,100 Other Communicable Diseases ~,800 2,800 90,000 92,800 2,800 Social a~d Occu~ational Health 105,600 70,400 105,600 70,400 lVIa ternal and Child Health 1,000 1,400 25,000 1,000 25,000 1,400 Mental Health 2,100 2,100 Education and Training 20,155 7,800 6,800 20,155 ?,800 6,800 Oountr~es ~ndesignate~ Tuberc~losis 3,720 3,720 1 2 Other Comr:mnioable Diseases 2,000 10,149 41,089 2,000 10,149 41,089 Public Haalth Administration 5,800 8,400 5,800 8,400 2 Nursing 3,330 16,115 15,491 3,330 16,115 15,491 Mental Health 6,800 6,800 2 Education and Training 213,606 150,025 279z364 32.!500 117,600 335J318 246,106 267z625 614,682 9 15 34 2 5 Total EUROPE 403,651 353,164 720,000 690,405 1,068,800 109,200 137,923 .388,4461,094,056 1,559,887 1,21?,646 EASTERN VSDITERRA1~AN .. 29 32 32 6 6 Regional Office 144,800 168,202 170,890 .34' 688 31,842 144,800 202,890 202,7.32 7 8 10 1 Regional Advisers 51,880 91,015 115,578 9,913 51,880 100,928 115,578 Aden 3 3 Tuberculosis 12,688 22,089 12,688 22,089 Egypt 2 5 Tuberculosis 70,000 16,000 6,7,5 3.3,814 76,?95 49,814 4 4 4 Venereal Diseases 35,000 26,154 35,115 JO,ooo 20,0JO 35,000 56,154 55,115 2 Ot.her Comm:unicable Diseases 41,082 41,082 5 12 Public Health Administration 119,575 13.3,262 119,575 133,262 2 Social and Occupational Health 25,223 25,223 2 Education and Training 3,950 1.3,000 72,182 3,950 85,182 Ethiopia 3 Tuberculosis 47,3~5 47,.355 3 3 Venere.al Diseases 20,000 20,000 36,8.32 32,894 56,832 52,894 1 Other Communicable Diseases 15,285 15,285 1 1 Public Heal t~l Administration 10,285. 8,941 10,285 8,941 / / ' Education and Traintng 5, 500 5,500 Iran 3 .3 1 1 Malaria and Insect Control 23,400 23,702 28,545 20,000 1.3,000 7,0.35 5,843 23,400 50,?37 47.a38S .3 3 5 3 Tuberculosis 54,355 30,627 37,704 21,347 92,059 51,974 1 Other Communicable Diseases 10,285 10,285 2 4 ~blic Health Administration 2,800 8,400 19,797 41,295 22,597 49,695 JI::JTRIBUTI0£1 OF ?RO:'OSE.D :195 2 ,;~CTIVITIZS EB?/18 page 13" UN.DER ll3Gt~~R UNIC2F .~N.D TECHNIC ...:..L li.SGISTl.NCE FUN:DS .,\ Estinatod E:cponJ.i turo No. of oasts . - 11-:SGUUR UNICEF - T.:..ED R:::GUll.R U:iUC:SF ~ TOT.:~t 1~50 192·1 1952 1950 1951 1952 1951 1952 .1950 . l.2.7l- 1952 ·_12.2Q 1951 1952 .illl 1952 1950_ llli. 1952 . . ' . 5 5 5 Ma-ternal 2..nd. Child. Health 54~ 221 25 ~ 000 25,00. 17' 259 J5' 85.9 42~ 259 -11~,.08{) 1 Nutrition 10, 2G5 10,285 3 ~ducation and Tra.inin0 17' 500 36~427 53' 927 ]rag, '· 3 3 :.:c.1arie.. c.nd Ins vet Control 12~000 15,000 13,814 18,377 25,814 33,377 3 3 5 ~ Tuberculosis 51,501 27~968 33,697 18,481 85,198 46,449 .3 3 3 Vcnoroal Disoasus J,6,8oo s,ooo 145,000 100,000 25~076 5,000 161,800 125? 076 1 Other Co3.::unioab1o IJiB'-e..SOS 14,041 14,041 5 Public HoaJ. th .Llninistration 70,000 5,600 35 7 724 5,600 105,724 Social .:;.nd Occu~ationa1.Tiealth ll' 200 11,200 Hoalth :;ducat ion of the ·Public 2,800 2,800 4 ~:a. to rnal and. Child. Health 15,000 27,731 42,731 Education and Trc.ining 4,450 4,450 Israel !ialaria. a.nC: In soot Controi 2,800 2,800 ;1 ' 4 -r Tuberculosis. 307000 10,000 11,260 21,927 41,260 31,927 Othor Cor.1:.1Unica.bl o Ilicoasos 2,800 19 7 600 22,400 Public ~io&.l th l.. dninistration 5,600 5,6oo I::a.tornal and Child Health 50,000 5C,OOO Ecluoation e..nd Train;i,ng 11,500 4,400 ll ,500 4,400 JorJ.an 2 :~alaria and Insoct Control 28,959 28,959 -3 3 Tuhorculosin 16 ~ 68'6 2?.,089 16,686 22,089 . '4- Ptib'li·c: Healt-h -kJ.rninis.tration 22,000 29~870 51,870 5 ::ator1:~l and ~hilcl lioa.l th 48,666 48,666 Education and Tr·a.iniri.c 9,600 9,600 Lob anon 3 3 J'.~alaria arid Insect Control .36 5 018 3'2,162 36,ois .329162 8 :i'ublio =:roa.l th .'..drninistration 115, Goo 115,600 Health Ed~cation of th~ ?ublic 10,500 10,500 .3 3 lia t o:~;nal and Chil cl :tiea.l th 7,300 26,000 18,000 9,644 19,616 42,944 37,616 1 ~du'c2..tion a.ml Trainins 1,475 29, lOO 27,.331 1,475 56,4.31 :t..ibua ; .) 5 Public Health ~dministra.tion 20,393 37' 119 20,393 37 '119 ::?akistan 3 :3 Ivl:ala.ria and lnsuct Control 24,000 10,246 24~000 10,246 9 6 Tub0rculo8is 174,420 ~2,000 47,190 174,420 59,190 6 Venor0a.l J)isoe.Jiles 300,000 53,:04 353,664 4 1 Othor Cor:~.munioablo J)isoases 5,600 15,000 59,066 l0,2J5 59,066 30,885 10 Public IIoal.th ,.;.JL.:inistra t ion 25,000 111,170 1.36,170 .3ocial and Occu)ational Health 2,800 2,800 10 10 r.:aterna.l an \-·~_et l~a.m 2 2 ~';alaria and Insoct Control 19,99.3 17,829 19,9:?3 17,829 5 5 Public Health Administration 4.3,305 .36,926 43,.305 36)926 5 7 Educ:1tion and Training 15;000 15,000 41,1.36 58,225 56,1.36 7.3,225 Ccuntriec Undesignated Tubercu1-Jsis 670 670 ~enereal Diseas8s 5, 600 5) 600 Public E:;2.l th .,d rrri.nist-raticn 6,420 6,42C Health BJuc~tion of the Public .:)600 7,000 5~Soo 7,CC:O j_V!enJ.al ?ca1·0~1 900 4,200 900 4,200 r:utriti0n 5, 600 5,600 Education and Training 82,800 22:500 33,000 60,000 54,700 54,700 7,400 100,000 142,800 84,600 187,700 ------27 53 87 20 39 12 45 . 6.3 TOTAL vJE,S·_;_· t~R.N P.... CIFIC 23o~ 66o - 471~.386 1~,475 791.280 ~94 f ; 508~792 646)25~ 422,1.35 ~,771..±?._~ 1,8:22,.339 68lzj8~ ~-· EB7/18 DISTRIBUTION OF PROPOS"~D 1952 ACTIVITIES page 15b UNDER REGULAR UNICEF AND TECHNICAL ASSISTANCE FUNDS No. of Eosts Estimated E~enditure REGUI.AR UNICEF TilED REGULAR UNICEF TAED TOTAL ~'50 1951 1952 1950 1951 1952 1951 1952 1~5C 195U. 1951 1950 1951 1952 1951 1952 1950 193.1. 1952 ~egion undesi~nated 5 2 2 Tuoerculosis 38,650 19,607 19,762 38,650 19,607 19,762 .'uo1ic Health .~-.drninistration 3 2 2 1 1 UNlCEF Liaison 43,!,.40 23,765 24,793 10,474 10,474 43,440 34,259 35,267 2 2 2 mJ£hli.PRNE 75,700 63,579 68,745 75,700 63,579 68,745 Education and Training 6 220 6~220 10 6- b I- 1 Total - REGION UliDB.:::n:GlLTED 16(~:010 106,971 113,300 _10,474 10,474 164,010 117,445 1231774 TOTAL - ADVISORY SERVICES 305 373 490 31 171 57 225 426 .AliJD REGIONAL OFFICES 3,409,668 3,666,011 5,6s6,o46 ~890,214 ?,94~~09 3,823,816 ~,354,458 6,835,122 5' 299' 882 14' 963,276 16' 344' 984 ======Admini strative Bervi ce s Office of the Director-Gener~l 8 8 8 DirGctor-Genera1 1 s Office 64,671 86,307 87,793 64,671 86,307 87,793 Co-ordination of rlanning & Liaison 17 12 12 5 5 Geneva 98,335 7'6,851 81,179 39,308 37,725 9b,335 118,159 118,904 8 8 8 Nevu Iork 56,200 69,540 6. .:;, 621 56,200 69,540 64,621 -12 10 ll 1 2 Public Information 66,994 71,908 85,073 22,100 12,964 66,994 94,008 98,03] 45 J8 39 -8 1 Total - OFFICE OF THE DIRECTOR-GENERAL 286,200 306, 6_96 318,666 61,408 50,689 286,200 368,014 369,355 Administr,ati~n~Pnd~inaD~e. 4 {1 4 Office of lit; .t~ssistant Director-General 51,005 Ll9,218 41,471 2,950 2,950 51,005 52,168 44,421 4 4 4 2 2 Legal Office 22,680 23,720 24,995 10,705 11,067 22,680 34,425 36,062 5 5 5 2 2 Internal Audit 29,620 39,441 42,266 20,912 22,236 29,620 6o,353 64,502 Administrative Management & Personnel 2 2 2 Office of the Director 24,940 17,427 20,301 24,940 17,427 20,301 5 5 5 2 2 Administrative ~ilanagement 17,800 28,453 27,920 9,867 10,569 17,800 38,320 38,4o9 13 13 13 4 4 Personnel 57,650 65,976 65,730 17,435 18,701 57,650 83,411 84,431 Budget and l''ir.ance 11 ll 11 6 6 .3udget 57,565 69,305 73,758 29,435 30,995 57,565 98,740 104,753 27 24 24 10 13 Finance and 1i.ccounts 115,785 113,071 116,237 42,057 55,427 115,785 155,128 171,664 43 41 41 1 11 Conferences and General Services 167z955 167~932 18lz309 39zl?O 49l441 167z955 207z 102 230~750 114 109 109 35 40 Total - i,m:r .IS TR.i.TION & FINANCE 545,000 574,543 593,987 172,531 201,386 545,000 747,074 795,373 = = = - - Common Services at Headquarters 192,829 122,500 148,666 23,779 25,109 192,829 146,279 173,?75 m 148 43 47 TOTI1.L - lu:JlilNISTRL.TIVE SERVICES 1,024,029 r,oo3,649 1,061,319 257,718 277,184 1,024,029 1,261,367 1,338,503 159 ------674 730 852 31 171 57 276 481 705 . 7 77 1,390 GRAND TOTJ..L 6,152z299 6,4?'7 ,401 8, 703,251 1,890 J 214 7 /)42,809 3, 823,816 3, 77?,468 ? '287' 726 8,042, 513 18,197' 678191814, ?93 - = - EB7/18 page .16 COMPARATIVE TA:SLE OF EM.PLOYiV.IENT SHOWING. ;Nq~v~;tm OF POSTS._ ;EN. 1950, 1951 AND 1952 ' ' t o :. < ' ' ' • ' l,, I ~ \ : ' ' ' '' ' ' ' ' ' ' 'I ·REGULAR BUDGET .. .:_· ....'.: .: : :.~ .~ ~ .. . .. Office of the-- Dil'ectdr-Genera.l. ·: .:45- _.. :)8 39 45 .-ss·. .:39 Central Technical Services 149 144 146 61 66 68 21(1 210 211.;. Advisory Services 77 81 81' 104 '131 . 213 181 2.L-S 29~~ A&u.inistrat·ion and Finance 114 109 109 - l.J..i~ 109 109 Regional qffice for: Africa 3 3 3 3 3 3 Amer.icas 34 hl 55 34· ~1- 55 South E~st Asia 44 53 53 4l+ 53 . 53 Europe 5 :7 24 5 • '1 24 Eastern Mediterranean 29 32 32 29 ·32 '32 Western Pacific ----· ·- _____ 2__ !2_ ___?~- ___ 2.:.. _!~--- _29_ Total 385 . 21£_ 3'72_ 289_ ,358 •477 '_ 6t4:__ ]2Q_ 85_?.__ UNICF.iF .. Office o.f the Director-General Centr~l Technical Services Advisory Services 31 171 57 31 171 57 Administration and Finance Regional Office for: Africa Americas South East Asia Europe Eastern Mediterranean Western Pacific Total ______.2.L 171: __ 57_ 31 .. 1?1 57_ TECHNICAL ASSISTANCE ,..., Office of the Director-General 8 ! 8 7 Central Technical Services 8 8 8 8 Advisory Services 6 4 - 199 394 - 205 398 A~uinistration and Finance 35 40 35 40 Regional Office for: Africa Americas South East Asia Europe Eastern Medi terreXI'l':\.ll. Western Pacific Total _-_ __.2L ...2.2_ -=- 219 _422 ---=-- 5]6- 481 EB7/18 .. page 16(a) COMPARATIVE Tfil3LE:· OF EMPLOYMENT SHOWING NUt(BER OF POSTS IN 1950, 1951 AND 1952 Headquarters All Other ~ 1229. 19:21 1952 1950 1951 1952 1950 1951 1952 . ALL FUNDS Office of the Director-General 45 46 46 45 46 46 Central Technical Services 149 152 154 61 66 68 210 218 ·222 Advisory Services 77 87 85 135 507 664 212 594 749 A~inistration and Finance 114 144 149 - 114 144 149 Regional Office for: Africa 3 3 3 3 3 3 Americas 34 51 73 34 51 73 South East Asia 44 55 55 44 55 55 Europe 5 7 24 5 7 24 Eastern Mediterranean 29 38 38 29 38 38 Western Pacific _:___:__:__L_..1!_...dl:.___2__E.L...LL Total 385 429 434 320 748 956 705 1,171 1,390 IIJfll.l page 17 E.STTl'-'·.TED TOT,..• L K>Cfll:!:NDIJ'URE UNDER REGULAR, illUCEF i.ND TECHlifiC.<.L .A.SSISTi.NCE FUNDS ;.ND L·:DIC.~TmG PERCENT •• GES BY III..JOR UNITS TO TOT,.L ::UDGET Regular UNICEF TAED Total 1950 1950 -1951 1950 ORGi ..i'UZJ.TION.il - MEETINGS 197,470 3.21 266,568 4,12 249,868 2.87 -----=------=------= ------H&.D:lU.bi.RTERS Central Technical · Services 1~156,592 18.80 1,215,615 18.77 1,297,421 14.91 165,294 4.37 175,420 2.41 1,156,592 14•38 1,380,909 7.59 1,472,841 ?.44 ~dvisory Services 703,542 11.43 748,450 11.55 814,938 9.36 ---- 156,653 4.15 135,500 1.86 703,542 8.75 905,103 4.98 950,438 4.78 Sub-·total - Operating Services at Headquarters 1,860,134 Office of the D.G, - 340/i74 .... d.min & Finance 683,255 Sub-Total - Admin ____ ..,.. __ _ Services l,Q21,Q22 !6~62 1 Q0~~42 15~42 1,Q6l,212 12~12 ______~52 21Q _6~83 _ 371 !8~ _3~8Q £2i Q22 12~72 l 136!,z61 6.93 1,338,503 6.?6 1 1 1 l 1 1 --- Total - HDlDQUARTERS 2,884,163 46.88 2,967,714 45,81 3,173,678 36.46 ---- 579,665 15.34 588,104 8.07 2,884,163 35.86 3,547,3?9 19.50 3,761,782 18.98 EXPERT COMMITTEES 179,450 2.92 156,928 2.42 184,488 2.12 179,450 2.23 156,928 0.86 184,488 0.93 1-.~.11 OTHERS ---- Regional Offices 540,500. 8,78 744,924 11.50 959,124 11.02 113,265 3.00 144,134 1.98 540,500 6.72 858,189 4.72 1,103,258 ;.57 Central Technical Services 285,300 4.6~ 260,434 4,02 294,896 3.39 285,300 3.55 260,434 1.43 294,896 1.49 ~dvisory Services 2,065,416 33.57 2,080,833 32.13 3,841,197 44,14 1,890,214 ~ 7,942,809 100 3,823,816 1££ 3,084,538 81.66 6,555,488 89.95 3,955,630 49.18l3,108,180 72.0314,220,501 ?1.?7 Total -aLL OTHERS 2,891,216 46.99 3,086,191 47.65 5,095,217 58.55 1,890,214 122~~2 1 809 ~ 3,823,816 !££ 3,197,803 84.66 6,699,622 91.93 4,?81,430 59.45 14,226,803 ?6.18 15,618,655 ?8.83 TOTb.L 6,152,299 100,oo 6,477 1 401 lOO.oo 81 703,251 100,oo 1,~90,214 100.,1 942,809 100 3,823,816 lOO 3,777,468 100.oo 7,287,726 100.oo 8,042,513 lOO.o 18,197,678 100,o 19,814J?93 lOO.oo ======- ======::::::::======:....-=== ESTIMb.TED TOT.n.L STJF UNDER R.ZGU:W.Jt, UNICEF AND TBCHNIGi..L .L.SSIST •• NC.L FUIIJDS ~J.iJD INDIC~.Tn\jG PLRCZNT.;~GES BY l~ii .. JOR UNITS TO TOT.-.. L BUDG..:.;T H&.wubRTERS Central Technical 11.08 149 22.11 144 146 2.90 8 1.6? 149 21.14 152 12.92 154 Services ___ _JJ_ 0,83 10.92 ..ffl. 7.39 __.?2 6.12 Advisory Services 11.42 81 81 2.1? 4 77 Sub ..tota1 - Operatin5 Services 14 12 226 12.!.02 ~32 ~0.!31: 17.!.29. at Headquarters 226 2)~51 225 30.82 227 ~6!.62. 2.·9_7 --- -- 8 2.90 45 6.38 46 3.91 3.31 Office of the D,G. 45 6.68 38 5.21 39 " 4.58 7 35 12.68 40 114 16.17 144 ~ 10.?2 b.dmin & Finance 114 16.91 109 14.93 109 12 .. 79 - Sub-total - ~dmin 43 3_2.!.51 1.99. J:6.:.li !>.2 Services !52. g3 .!.52. 142. 20.14 148 !7!)7_ 1.5.:.5~ !1. --- -- 57 20.65 59 54.61 429 36.45 434 Total - HEhDQU~TEriS 385 57.12 372 50.96 375 44,02 ;J.L OTHER 20 7.25 28 5.82 124 17.59 175 14. f:f7 224 16.11 Regional Offices 124 18.40 155 21.23 196 23.00 Central Technical 61 8.65 66 68 4.89 Services 9.05 66 9.04 68 lOO 57 d:QQ. 199 72.10 394 135 19 .. 15 221. 664 :!l..m ~dvisory Services 15.43 m ~ 213 !92. - - 68.77 - Total - .!iLL OTHER 42.88 358 49.04 477 lOO ±2£ 21 ~ 219 79 .. 35 422 320 45.)9 748 TOT.H.L lOG.oo 730 lOO.oo 852 lOO.oo lOO.oo 171 lOO.oo 57 lOO.oo 276 lOO.oo 481 100.oo 705 lOO.oo 1,177 100.00 l, 390 ]00'.-0G:I === --- EB7/l8 • page lB NOTES ON THE P.l1ESENTATION OF 'i'HE PROGl1..:..Ml.viE Al'.J"'D BUDGET 1. Form and Presentation l Following instructions from the Third World Health Assembly, the Executive Board at its sixth session studied modifications likely to improve the form and presentation of the annual programme and budget estimates for the Organization and 2 established certain guiding principles. Subsequently the General Assembly of the 3 United Nations adopted a resolution in which it requested specialized agencies1 inter alia, to provide in their regular budget documents information concerning the estimates for expenditure of technical assistance funds, as well as other extra-budgetar,y funds. In this connexion a promising factor has arisen which augurs well for the future of a co-ordinated international health programme. Following discussions with UNICEF, both organizations have agreed that the World Health Organization should present, as far as possible, proposals for an integrated international health programme. In general this means that, where appropriate, ~~0 would use its available resources to provide the international personnel required and UNICEF would use its available resources to furnish requisite suppliGs and equipment. Therefore, the regional schedules requested by the Executive Board at its sixth session indicate the total anticipated international health programme envisaged at the time the programme and budget for 1952 was prepared. The main emphasis being on country programmes, the regional schedule is presented by countries and an indication is given of the individual projects proposed for each countr,y as 'N:cll as the anticipated source of funds. Thus in many instances a project within a country may be proposed for financing under at least two funds, e.g. personnel from regular or technical assistance funds, and supplies and equipment from UNICEF funds. This demonstrates the scope and extent of the international health programme proposed for 1952 for which WHO may be expected .to have the technical responsibility~ 1 Rosolution WHAJ .107, Off. Rec, World Hlth Org. 28, 63 2 Resolution EB6.R20, Off. Rec. ~orld Hlth Org, 29, 10 3 .Document A/1587 EB?/18 page 19 In order clearly to reflect the funds which the Health Assembly will be asked to appropriate towards this co-ordinated programme, all the projects it is proposed to finance from regular funds have been extracted from the regional schedule and have been presented under the established informational annexes for the regular budget. 2. Headquarters All existing posts or posts proposed for establishment have been listed under the various activities with an indication of functional title, grade an~ salary. Actual salaries. have been shown and, where applicable, increments have been included. An indication has been given of the type of work performed by each organizational unit at headquarters with workload statistics whore available. Justification for the establishment of additional posts has been included. Justifications have also been presented for all grants and each expert committee meeting proposed. Estimated expenditure for each proposed activity at headquarters has been shown under suitable headings, accompanied b,y justifications for duty travel. 3. Regional Schedules The regional schedules reflect the transl~tion of the pr9gramme drawn up by regional offices and in some cases endorsed by regional crunmittces, into financial terms. All field activities have been shown b,y countries but owing to differing legislative practices it has still not been possible to show local funds which it is expected will be contributed to each activity by governments. The estimated expenditure for each proposed activity has been shown under relevant headings. It has not been thought necessai'IJ to justify any travel other than dut;)" trnvel, because all other travel expenses are statutory. Since no duty travel has been provided within proposed country projects, no travel justification appears, Justifications for the continuation or establishment of field activities, with n short statement of prevailing and anticipated conditions, have been included. Although it cannot be said that the complete details requested by the Executive Board have been furnished, if this form is maintained in future years, it can be expected that as more experience is gained, the presontation will be improved. Existing posts or all posts proposGd for establishm0nt have been listed under the various activities with indication of functional title1 gr~de and salary. EB?/18 page 20 Actual salaries have been shown and, where applicablej increments have been included.and deductions resulting from revaluation of currencies have been effected. To avoid duplication, workload statistics and functional statements for organizational units at regional offices have not been included since, in 4 accordance with a resolution adopted b,y the Third World Health Assembly, a separate report on this matter is being submitted to the Standing Committee on Administration and Finance of the E.xecutive Board. Proposals for duty travel for regional offices and regional advisers are accompanied b,y justifications prepared by regional directors. Where proposed activities cover more than one region or where activities in a region are directly supervised by headquarters, as in the case or the United Nations Relief and Works Agency for Palestine Refugees in the Near East, they have been shown under Region Undesignated. The regional schedules include columns for the thre·e main sources of funds from which the programme is expected to be financed i.e. regular, technical assistance and UNICEF. In agr:eement with UNICEF, provision has been indicated under UNICEF funds for all supplies for projects falling within its terms of reference. Similarly where UNICEF-assisted health projects which include international personnel have already been approved by the UNICEF Executive Board, or where it was anticipated that such approval.would be given, provi~ion has been indicated under UNICEF funds for continuing these personnel in 1951, although in 1952 in general, provisi'on for such personnel has been made under the regular or the technical assistance budget. Since it is expected that UNICEF will bear the costs of BOG campaigns, all expenditure in connexion with proposed BCG field teams has been indicated under UNICEF funds. 4. Personnel Costs Salaries have been computed on the basis of the salary scale included in this document. Staff costs have been computed individually, In addition to the. exact salary, including provision for salary increments, actual allowances 4 Resolution WHA3,89, paragraph 5, Off. Rcc, World Hlth Org. 28, 54 EB7/18 page 21 and1 where applicable, costs of travel on home leave, have been 2pplied to each fiGld posto In estimating tha costs of vacant posts the salary of the proposed grades h~s beon applied, taking into account revaluation as aboveo All other personnel costs, including travel, have been computed on the basis of avoracos~ The tables shovm in Official Records Noo 23, paeos 5 to 8, c~escribinc; the averages usod in cc.mputing the; 1951 estimates, and which were approved by the St.?,ndir..g Committee on .~c.lrninistro.tion and Finc.nce at the fifth session of the Executive Board have been reviewed, and in the liGht of increased experience cortdn minor cho.nges hc.vo been rnadG ., It has bean found that the c:mounts allowGd for trnvel on initinl recruitmant and repatriation and fc,r tr2val on home leave in groups 4 and 5, covering grades 9 to 11 and 1 tQ 8 respectively~ wore too hi~h 2nd these h2ve new been reduced. Similarly, the amount for tr<;nsportation uf personal effects in croup 3, covering grades 12 to 15, has been revised and the average travel ccst, including per d~em, for short-term consultants has beon reduced froin '~ 655 to .: 600 per montho Averages have ne loncer been used in computin~ duty travel~ as the estimates for this purpose are based on individual journeys proposed and the firm costing of each trip. The following te1ble indicates the allowances cmd travel e..vere..ges used in preparing the cost estimates: Table I - 1~llowances installation Installation Childrenls Educetion E?g?c.triation Group Grades Allowance Grant J.1lowance Gre..nt L.llowance us.:;; us.) us.:, us.~ us:~ II 19-16 633 182 233 75 342 III 15-12 564 181 182 75 316 IV 11-9 . 318 131 6o 75 182 V 8-1 255 103 21 75 137 EB7/18 page 22. . . Table II - Travel Travel on initial Travel on Transportation of Qroup Grades recr¥~tment and - ;repatriation home leave personal effects us-~ us ·~ us :~ Headquarters and Regional Offices li l'i-l6 l,lll 1,666 478 III 15:..12 .394 . 662 445 IV ll-9 160 '285 111 V 8-1 50 90 98 Field 782 1,.17.3 250 5• Staff Turnover Turnover has been computed on the basis of actual experience to date at an average of about 10%. Suitable provision for this has also bean made under installation allowance and installation grant and under travel on initi~l recruitment and repatriation. EB(/18 page 23 Sl.Jrl.unARY OF BUDGET ESTL•.IATES ]fOR TRE FINANC~~\l- "YEAR *. JANUJ~Y - 31 DEGEJ.v!BER 1952 ...._ ...... - ··!.'. :., PART I - ORGANIZATIONAL J.•iEETlNGS 19?0.' . - 1951 1952 Approved Expend- hpproved Expend- Estimated Budget iture ~udget iture expenditure ceiling ceiling Section 1 . J •• ' ~ ~ •• 1 ·.. 'WORLD. HE.hl~TH ASSEMBLY ... _ . 00 Personal Services 01 Salari~s & w~ges (temporary 26,4S3 93,6'00 '26,q.S3 36,S20 2S,020 staff) Total Chapter 00 26 24S3 ,23,600 '26 1 ~3 36,S20 2S!_02Q 20 Travel and TranS£Ortation' 21 Duty TraveL. .. : 9,500 5,150 9,500 6,000 f1,ooo 25 Travel of Delegates 47,850 33,050 47,850 35,000 35,000 26 Travel and subsistence of temporary staff 2?220 lz250 · 2 1 220 2 1000 ~~oq_ Total Chapter 20 d9 1 570 39 !450. 29 1 570 43 1000 42,000 30 SEace and Eguipm~nt Services ' ... 31 Rental & .maintenance of premises '7 ,600' 6,095 7,600 .. 9,_520 7,000 32 Rental & maintenance of equipment 600 '·-oo -.' 3SO Total Chapter 30 7 2600 6 247d . 7 ,6oo 10,120 __l.z§_oo ·. 40 Other Services 41 :;ommunications .2,000 1,025 2,000 1,300 l,OOC 42 Rospitali ty - 1 750 1,000 43 Other Contractual Services 1,000 1,000 500 44 Freight and other transportation costs 1,500 1 500 000 .. 2 2225 2 5 1 900 21 Total Chapter 4o 4 2500 6 1 220· 4,200 9 1 450 7,000 50 duEElies and Materials 51 Printing 24,625 25,125 24,625 26,300 25,000 52 Visual Materi~ls 1,46o 2,000 2,000 . ······ ...... 3,500 3,500 53 S'lpplies 33 ,000" 20 1 720 ;23,000 26 1 69S 21176S Total Chapter 50 61 2125 47 1 305 61,105 24 99S 4S z 768 So Acguisition of Capital Assets S2 Equipment 1,000 1 1 220 1,000 1 1500 1 1 500 Total Chapter So 1,000 1,220 11000 1 1500 __ l,SOQ TOTAL SECTION 1 16o,27S 124,300 160,£78 155,S83 135,S88 EB7/18 page 24 1950 1951 1952 Approved Expend- Approved Expend- Estimated Budget iture Budget ~ expenditure Sectlon 2 EXECUTIVE BOJJID AND ITS COMJ.VliTTEES 00 Personal Services 01 Salaries and wages ( te.uporo.ry staff) 5.000 7,855 5,000 17,378 17,3 8 Total Chapter 00 5,000 7 855 _ __...5.._,o_o_o ~7 &378 17,378 20 Travel and Transportation 21 Duty Travel 6,360 . 2,3/5 6,360 1,200 1,200 25 Travel of members 25,720 28,265 25,720 39,320 39,320 26 Travel and s·,··bsistence of temporary staff 65 8oo Boo ---- _,...... ,,__~ ------'~ Total Chapter 20 32,080 30,705 32z08o 41,320 41,320 30 Space and Equipment ServiCe! 31 Rental and maintenance of premises 1,400 1,400 . 2, 557 2,557 32 Rental and maintenance of equipment ---- ____2..... 5 ----___.... 5..... 0 ______.5;..;;.0 TJtal Chapter 30 1,400 1,390 1,400 2,607 2,60] 40 Other Services 41 Communications 1,000 1,000 43 Other Contract.~al Services 300 1,305 300 4oo 400 44 Freight and other transportation costs ----___.-20.., ----- ______7.._5 ___..... 7,5 Total Chapter 40 1,300 1 '325 l' 300 ___4_...7~5 ___4..... 7 .... 5 50 Supplies and Material5 51 Printing 8,000 5,945 8,000 19,000 10,000 53 S'~P·Jlies 21,000 4,050 21,000 5 '000 _ __.5'-''...;.0...;.0.-0 Total Chapter 50 29 '000 ____9,{,J., 9;..;::;.9...,5 29,000 15,000 15,000 TOTAL SECTION 2 68) 780 51,270 68,780 76,780 76,780 EB7/18 page 25 1950 1951 1952 Approved Expend- Approved Expend- ----·---Estiwated Budget iture Budget it..cre ex~_end_~i?_!re ceiling ceiling Section 3 REGIONAL CO~liTTEES 00 Personal Services 01 Salaries and wages (t~porary staff) 1' 500 4 050 __1,_, 7,__0_0 __4_720 _ __d..z.2_J:2. Total Chapter 00 1' 500 _ __;_4,l..;.,0;;...::5..;..0 __1,_, 7,__0_0 4' 720 ~__2.45 20 Travel and Transportation 21 Il ty Travel 26,010 12,.350 34,400 17,550 19,805 25 Travel of Delegates 3,790 6,000 4,500 2,680 26 Travel and subsistence of temporary staff 31150 ------~3-'-',98Q _ _2L~_l~-- Total Chapter 20 29,BOO 15,500 4o,4oo 26,030 30 Space and Equipment Services 31 Rental and maintenance of premises 1,900 700 1,900 900 Boo 32 Rental and maintenance of equipmen-~ 6oo ---- T tal Chapter 30 2, 500 ____,7'-"0_;;.0 __2_.,'""5_0...;.,.0 ----"9_0_0 ____§_o_o 40 Other Services 41 Communications 550 6oo 43 Other Contractual Services 1,150 1,100 1,200 44 Freight and other transportat~on costs Boo ---- Boo ---- Tvtal Chapter 40 2,500 __1, _.__ lOO __2-',_6_0_0 50 Supplies and Materials 53 Supplies 1' 500 ---""5'-"'5..:...0 __1"'-", 5'--0_0 ___7'-'7-"-5 ____§_~Q Total Chapter 50 __1""", 5'--0_0 _,__ _.5:;...:5_0 __1"'-", 5'--0_0 ___:,7_,_7'5 ---~50 TOTAL SECTION 3 37 ,Boo 21,900 4B,700 33,900 37,200 ------ TOTAL P A R T I 266 B5B 197,470 277,75B 266,568 249,B68 ======------==--==------EB7/18 page 26 PART II - OPERATING PROGRJJVllvJE 1950 1:952 Approved Expend Approved Expend- Est iwated Budget iture Budget i ture expenditure ceiling ceiling Section 4 CENTRAL TECHNICAL SERVICES 00 Personal Services 01 Salaries and wages 8~8' ~'46 635,640 868,113 749.683 811,408 02 Short-term ConsultantsJ Fees 22.500 17' ~30 __,.._. ~--' ~QQ 10,926 16,900 Total Chapter 00 851 246 6~3rl70 890.013 '{60 ,609 828 308 10 Personal Allowances 11 Installation 29,163 12 425 19,05~ 14,668 12,487 12 Dependants 29,429 13,015 30,961 ., 20,962 22,468 13 Expatriation 40,282 24,615 46,808 28,334 29,424 14 Pansion F'Jlld 116,024 84,525 121,536 102,672 111,735 15 Staff Insurance 6,216 -~5...... :5=0..;:.0 6,511 6 '693 __7'-l,., "'-"39~2 Total Chapter 10 221,114 140,080 224,868 173,329 183,506 20 Travel and Transportation 21 D ty Travel 6( ,694 56 945 62,916 36 006 40,819 22 Travel of Jhort-term Consultants 3 394 6,800 7,194 4,750 7,900 23 Travel on initial recr:-itment and repatriation 22,590 7,500 14, T77 9 498 8,622 24 Travel on Home leave 3 ,0·72 4,950 36,496 26,430 25,818 27 Transportation of personal · effects 7, 582 _ ___;6;....!,-=1;.::.0.:..5 20,745 8 544 5,934 Total :.··:1apter 20 104.332 82,300 142,128 85,228 89,093 30 Space and Equipment Services 31 Rental and maintenance ·of premises 41, 741 52,293 42,260 53,468 65,636 32 Rental and malnteuance of. eq•;ipment 1,295 4 737 1, 350 51 145 _ _..5:::..~.-1,..:;..;59::_4_ Total Chapter 30 43,036 __27 030 43,610 I 58,613 71,280 40 Other Services 41 Communications 37,005 46,238 36 921 51,383 53,39:J 42 Hospitality 3,333 2,329 3,333 4,061 4,446 43 Other Contract.tal Services 39 327 63,607 30,174 36,632 41,783 44 Freight and other transportation costs 4,759 14,314 4,800 11,033 13,964 Total Cha:Jter 40 84,424 126,488 75,22~ 103,109 __11~ 50 Suppli~nd ~aterials 51 Printing 162,900 121,694 134,150 140,343 156,322 52 Tis al Materials 3,173 857 3,200 5,019 11,226 53 Supplies 51 596 -~158 46 396 ____2~,.620 31 633 Total Chapter 50 l!J;i,i r r J.o pc.ge 27 1950 Approved Expend- Approved Expend Esti:u•c.ted B dget it re Budget iture expenditure ceiling ceiling Section 4 CENTRAL TECHNICAL SERVICES (continued) 60 Fixed C~arges and Claims 61 Reimb rsement of Income Tax 2, 317 2, 368 62 Insurance ---=9:...... 6_8 __...... :9~5-"-9 2;204 1' 135 ---'-1"-",3:.....1_8 Total Chapter 60 968 --"'-"95'-"-9 2,204 3,452 3,686 {0 Grants and Contracted Technical Services 72 Contracted techniCal services 75,190 116,363 50,040 87,600 70,145 Total Chapter 70 75,190 -50,040 87,600 ro ,145 So Acquisition of Capital Assets 81 Library Books 20,000 21,100 20;000 20,200 20,200 82 Equipment 50,063 74 693 21 ' 992 _ _.;::...9 "-"'9;..;;;;2~7 13,333 Total Chapter 80 70.063 95' (93 41,992 30,127 33 533 TOTAL SECTION 4 1,668 ,0.42 1,441,892 1,653,829 1,476,049 1,592,317 Section 5 ADVISORY SERVICES 00 Personal Services 01 Salaries and wages 1,178,359 784,823 1;138,113 1,191,596 1,655,550 02 Short-term Cons,llta.nts 1 Fees 189,281 133,735 184,200 140,000 335,334 Total Chapter 00 1,367,640 918 J 558 1' 322,913. 1' 331,596 l. 990' 884 10 Personal Allowances 11 Installation 70,162 40,962 26,105 32,902 55,742 12 Dependants 41,855 26,433 45,236 50,460 65,213 13 Ex atriation 47,271 47,121 45,201 72,896 84,328 14 Pension Fund 164,970 110,172 181,744 172,418 240,602 15 Staff Insurance 12,962 20,524 14,280 42,067 49,944 Total Chapter 10 3Yr ,220 245,212 312,566 370,743 495,829 20 Travel and Transportation 21 Duty Travel 79,000 133,293 90,152 144' 645 • 222' 510 22 Travel of Short-term Consultants200:556 139,431 192,337 103,910 262,450 23 Travel on ini~ial recruitment and repatriation 73,543 71,201 30,839 54,254 90,124 24 Travel on Home leave 7,877 11,596 70,398 25,933 78,186 27 Transportation of personal effects 17,959 15.835 27,129 15,798 23,661 Total Chapter 20 378 935 371,356 410,855 344,)40 676,931 30 Space and Equlpment Services 31 Rental and maintenance of · premises 24,176 22,044 24,356 25,890 32,478 32 Rental and maintenance of equipment __..... ;_~_1 __....;8;.;;2;.;;;.2 ___.3:...... 4_4 ___.7'-"'5=1 __...;8;;..:7...:;.6 Total Chapter 30 24,517 22,866 24,700 26,641· 33,354 EB7/18 po.ge 28 l9i0 1951 1952 Approved Expend· J~.pproved--EePend- Est.~.mated Budget ~ Budget ~ expenditure ceiling ceiling Section 5 ADVISORY SERVICES 40 Other Services 41 Communications 10,6)2 13,648 10,'771 13,942 14,885 42 'Hospitdity 3,333 713 3,333 2,145 2,189 43 Other Contract .•al S..:;rvices 4,948 18,978 4,885 7,615 8,756 44 Freight and other Transportation Costs 3,C..71 2,978 32094 2 1574 2z202 Total Chapter 40 22,044 36z317 22 1183 26 2276 22z~~2 50 Supplies and Materials 51 Printing 855 107 109 52 Visual Mate·, ials 2,047 430 2,063 2,789 6,228 53 Supplies 130,456 174 030 181,196 59,092 230,153 54 Supplies for Governmental · Programmes 112 1000 100 2000 100,000 Total Chapter 50 247 2203 272 1315 283 1229 61 2988 236,490 6o Fixed Charges and Claims 61 Reimbursement of Income Tax 9,427 16,113 62 Insurance _ ___;1;;;...:7..;:;.8 ---=1;;_j,7.;::;..3 __...;1:;...:7..::..9 __....:1~2;,;;;.2 __....:1;;;.;;2;;...;..4 Total Chapter 60 _ ____,;1-..:7....;;.8 173 179 9, 249 16 123 7 70 Grants and Contracted Technical s~rvices · 71 Fellowships 666,500 666,500 630,500 510,182 893,857 72 Contracted Technical Services 133,000 110,200 67,200 118,057 141,057 Total Chapter 70 799,200 776,700 697.700 628,239 1,034,914 80 Acquisition of Capital hssets 82 Equipment 42,968 122,461 62,302 29 2711 142 2164 Total Chapter 80 42,968 122 2461 62,302 29,711 142,164 TOTAL SECTION 5 3,220,505 2,768,958 3,139,657 2,829,283 4,656,135 Section 6 REIIONAL OFFICES 00 Personal Services 01 Salaries and w~ges 426 062 306,360 429:037 444!992 272:901 Total Chapter 00 . 456,065 306,360 459,037 444,992 212,907 lO Personal Allowances 11 Installation 24,173 6,255 12, 769 3,907 5,154 l~ Dependants 13,618 10,163 11,819 17,337 18,418 13 Expatriat ... on 32,403 14,845 31,858 27,170 3},951 14 Pension Fund 63,849 42,606 64,265 62,233 8o,887 15 Staff Insurance ~ 2 420 ~.176 3!443 2,260 7:917 TJtal Chapter lO 13 7 1 46 3 __lL.Q!±.?. 124 1154 116 2607 146 1327 EB7/18 page 29 1950 1951 1952 Approved Expend- Approved Expend- Estimated . Budget i ture Budget iture expenditure ceiling ceiling Section 6 BEGIJ~::;.:;-, 0FFIOES ~ (continued) 20 Tra~el and Transportation 21 Duty Travel 59,480 26,418 50,577 39,464 47,968 23 Travel on initial recruitment and repatriation 33,664 11,952 12,8h;) 4,097 3,420 24 Travel on home leave 3,859 2,660 J.6,050 13;399 14,832 27 Transportation of personal ef'fecty8, 584 3,615 9,896 2.611 2 447 Total Chapter 20 115,587. 44,645 89,369 59,591 68,71! 30 Space and Equipment Services 31 Rental and maintenance of premises 41,145 20,650 31,440 24,780 33,028 32 Rental and maintenance of equipment 580 5 t 192 __..... 58;...;...;.0 6,205 8,257 Total Chapter 30 41,725 25,842 32,020 30,985 41,285 40 Other Services 41 Communications 17,424 31,307 16,628 31,720 45,705 42 H spitality 4,250 3,6oo 5,000 5,000 5,500 43 Other Contractual Services 8,301 1,043 8,110 1,060 1,500 44 Freight and other transportation costs 3 '310 .__ 2_._, 4-"'3'--6_ 3,310 2 466 3,578 Total Chapter 40 33,285 38,386 33,048 40,246 56,283 50 Supplies and Materials 51 Printing 3,181 4,055 5,050 52 Visual Materinls 1,060 1,352 1,685 53 Supplies 31,145 16 '967 _.-:::..3..;;....0'-'' 8-..4o~_2 __ 1._, 6-"3'-"-5 26,955 Total Chapter 50 31,145 . . 21,208 30,840 27,042 33,690 60 Fixed Charges and Claims 61 Reimbursement of income tax 26,74o 6,405 20,950 11,050 15,745 62 InsUTance 1 420 ___4:...;:;0..;;..0 1 '318 ___4....;.0..,_9 ___4.;...;6~3 Total Chapter 60 28,160 6,805 22,268 11,459 16,208 80 Ac~uisition of Capital Assets 81 Library Books 3,750 3,000 4,000 82 Equipment 59.105 16,459 18,390 11,012. 16,707 Total Chapter 80 59,105 20,209 18,390 14,01~ 20,707 \ TOTAL SECTION 6 902,535 54o,500 809.126 744,924 ~59,124 :B;B'f/18 pu.ge .30 ·~ 1951 1952 1\;.Jproved Expend- Approved Exp~nd------F.stimeted B~:dget iture Bud~et iture expendi t .·,re celling, ~ning Section '7 EXPERT CO~~ITTEES AND CONFERENCES 00 Per s onc.l s,_rvices 01 Salaries end vuges (te4J.porary staff) 3! 776 15,032 4 1 32~ ___1_9~163 ~Q..._641 Total Chapter 00 3,7t'6 15 2035 4,324 10 2!63 10~41 20 Travel and Transportation 21 Duty Travel (permanent staff) 11,368 10,600 11,07 14,.734 16,198 25 Travel and SJ.bsistence of members 242,444 119,375 240,357 104,320 126,165 26 Travel o.nd subsistence of temporary staff 2 1 600 6!960 2 1540 3 1 260 3 1740 Total Chapter 10 226,412 136 1 935 253 1 974 122 2814 146!103 30 Rental and maintenance 31 Rental and maintenance of premises 1,800 2,225 2 1 300 489 561 Total Chapter 30 1 1800 2 1 225 2 2 300 489 561 40 Other Services 41 Communications 859 550 1,305 43 Other contractual services 359 4,340 802 1,304 1 1 496 Tvtal Chapter 60 1,218 4,890 2,110 1,304 1,496 50 SupElies and Materials 51 Printing 6,800 14,010 9,800 12,000 15,500 53 Supplies 4 1 207 6,352 13 1 328 10 1128 10,137 Tvtal Chapter 50 11,007 20,365 23,158 22,158 25,687 TOTAL SECTION 7 2~4,213 179,450 285,866 156,928 184,488 TOTAL PART II 6,065,295 4,930,300 5 888,478 5,207,184 7,392,064 iill;jL PART III - ADMINISTRATIVE SER~ICES page 30(a) 195l JJ~g ~~E~;r)_d- EstiLmted iture Hure ceiling_ Section 8 cei~~~ ADMINISTRATIVE SERVICES 00 rcrsonal Services 01 Salaries and wages 702,380 581,3·~ ij 657,969 612,360 646J44o 1 02 2::.·~,~ .. : ·· i::erw Cons·~l tc.nts fees ~Loo --~.L990 15' 000 ___14 1 40Q. 13 /100 Total Chapter 00 715.880 592,)20 672,.969 626,76Q. ___§~9,540 10 Personal .Allm-m.nces 11 Installation 14,288 12,304 11,213 9,411 9,858 12 Dependants 22,533 11,170 23,989 12,562 12,915 13 Expatriation 33,734 30,740 _70,964 32,849 33,552 14 Pension Fund 98,333 8o,68o 92_.116 85,666 90,498 15 Staff Insurance 5,268 4 286 4,935 4,661 5,004 16 Representation 6,500 ---~.L;oo 6z500 6,200 __6,500 Total Chapter 10 180,656 142,680 ~9;717 -~51,649 _;158,32( 20 Travel and Transportation 21 Duty Travel 88,443 51,395 93.797 45,965 50.,274 22 Travel of Short-te:-m Cons1- Total Chapter 20 116,081 24~soo 168 1820 95,70~ ~.256_ 30 Space and Eq1;_ipment Servicec; 31 Rental and maintenance of premises 38,261 45,0(0 38,464 46 222 57,392 32 Rental and maintenance of equipment ---"'-")_40 ____h§_;hg_ 542 1,30l+ __;t-,514 Total Chapter 30 _38. 801 46 682 _3_2.t2Q6 -~~ __ _23' 906 40 Other Services 41 Comrn ni~ations 16,921 30,075 16 278 28,009 29,391 42 Hospitality 3,334 1,658 3,334 4,226 4,284 43 Other Contractual 0ervices 7,830 14 ,0'16 7,542 13,472 15,406 44 ·Freight o.nd other Trnnsportation• Costs 4,860 6,298 4,886 4,~-'(2 6/054 ------___,... ____ ':L otal Chapter 40 50 JupJ?.lies and Mater_1-_als 51 Printing 8,500 2,194 8,033 l,G36 1 1 039 52 Visual Material 3,2hO 858 3,257 4,841+ 10,765 53 Suppli.:>s ~1..:2_2~ 38,6_69 _55,4_~~ ---- 21 1 266 _ 2~L')83 Total Chapter 50 ~8' 3)1 _ _!±_l_:J2]: 36 'r(34 -- _s:W. 146 __32.z.38] EB7/18 page 30 (b) 1950 1951 195.2 Approvea---Ixpend- Approve_d_ Expend- Estiiilated Budget - iture Budget iture expendi 98Ti"irig ceTIIiig ture Section 8 ADMINISTRATIVE SERVICES (continued) 60 Fixed Charges and Claims 61 Reinbursement of Income Tax 7,490 7,674 .2,.236 .2,.270 6.2 Insurance .280 338 28.2 .21.2 .214 Total Chapter 6o 7,770 -- 338 7,956 .2,448 .2,484 80 Acquisition of Capital Assets 8.2 Equipment 38,883 6o,681 6' 5.2.2 .2,.236 3,784 Total Chapter 80 38,883 ----60,681 6,5.2.2 .2,.236 3,784 TOTAL SECTION 8 1,169,347 1,0.24,0.29 1,133,764 l,003J649 1,06~319 TOTAL P A R T III 1,169,347 1,0.24,0.29 1,133,764 1,003,649 1,06~319 ======.::.:=:======-- T 0 TA L ALL P A R T S 7,501,500 6,15.2,.299 7,300,000 6,477,401 ~ ';03,.251 Deduct: Assets of OIHP 8.2,057 43,846 Supplemental estimates for participation in United Nations operations in Korea 1) .245' 344 ---- 7,501,500 6,15.2,.299 7,300}000 6,150,000 8,659,405 Available from UNRRA Special Fund 400,000 369,990 .20.2,475 30,010 Miscellaneous income 47,500 47,500 8,500 .23.2,501 Assessments on new members from previous years 54,000 54,000 10.2,989 501,500 471,490 .210, 975 .210 ..-975 365,500 N E T T 0 T A L 7,000,000 5,680,809 7,089,0.25 5,939,0.25 8,.293,905 ======------l) To reimburse advances made from the Working Cap~tal Fund EB?jlfi 'page 31 PROPOSED APPROPRLATION RESOLUTION FOR TEE FINANCIAL YEAR 1952 The Fourth World Health Assembly RESOLVE5 to apprcpriate for the financial year 1952 an amount of $ as follows: I. Appropriation Purpose of Amount Se·:\tion Appropriation us $ Part I. ORG. .'\NIZATIONAL MEETINGS 1 World Health Assembly ...... 2. Exeoutive Board and its Committees ...... 3. Regional C~mmittees Total Part I Part II. OPERAT:m:1 PROGRAMME 4 ~entral Technical Services...... 5. Advisory Servic3s ...... ,· ...... Regional Offices ...... 7 Expert Committees and Jonferences Total Part II Part III .. A:DMIN!.STRATTIE SERVICES 8. Administrative Services ... Total Part Ill TOTAL ALL PART8 II. Amounts not ex~eeding the appropriations voted unaer paragraph I shall be available for the payment of obligation~ incurred during.the: period 1 January 1952 to 31 December 1952. 'l EB7/18. page -,-::: ·: .. III The appropriations voted under paragraph I shall be financed by contributions from Members after dedu1tion of - ( i) the amount of $ availaole from the .UNRRA Special Fund, ( ii) the amount of -$ av~ilo.qle from the transfer of o.ssots from the OIHP, tmd ( iii) the amount of $ *, representing miscellaneous inoome f', avo.iluble for this purpose . IV. The Director-Genero.l is'authorized,•··' with the prior concurrence of the Execut·ivo Bo·e;rd or of o.ny' comm:itt'ee to' ·which it may· delegate appropriate authority, tu trnrrsfer credits 'between sections . v. Notvrl thstu.nding the· provisions of the Financial Regulations, the Director-Gonero.l is authori~ed to transfer to the ensuing year the unexpended bulc.ncc of the allotments ntade to countries (in· accordance with the provisions of. the. :Fin~n-c;i.al. Regulations) for. Fellowships Under section 5, chapter 70, item. 71. , VI. Wit~_r<:)spect t9 operc.t;i.onal supplies.provided for under section 5, chapter 50, i~cm 53, ~d with respect to operational equipment provided for under section 5, chapter 80, item 82, the Director-Jcneral shall, in consultation uith the roceiving;.governments, take steps to recover the depreciated value of non-expendable equipinent which wa~ b~ left.~n the . ' ' . . . country ·u:rt·er a demons~rc.tio:q team completes its work and such part of the coet ··of 'e:Xpondable materic.ls c.:.nd supplies as the governments are willing to repay, which rept-.~~nt may be mede by governnents in their own currencies. The Director-Jenerel :prior to the furnishing of these eervic·es should, if . .. .. ' . , ~ ' . . ' . possible, reach o.greom.ant in advnnce es to the willingness: of ' . ' . . governments t-_) mc.ke su~h payments 1.ll1der the .provisions of this paragraph. · * Including asscf;sment.s of ne•r members ·._·: 1950 EB7/18 'page 33 VII With respect to ?rinting of Publications provided for under section 4; chapter 50, item 51, notwithstanding the provisions o~ the Financial Regulations, the Director-G~nernl is authorized to charge.to the budget of 1952 the cost of publications for which complete .. manuscripts shall have been delivered to and recieved by the printer prior to 3l.December 1952. ~.~1/•'~ ~-·34" PROPOSED WORKING CAPI?r\.1 FUND FESOLU'I·ION' The Fourth World Health Assembly 1 RESO~VES that the Workin~ Capital F1md be maintai.ned for 1952 as established by the Third Hor ld Health Assembly in its resolution WHA3 '105;1 2. AUTSORIZES the Director ·General (a) to advance from the wo:r·dng Cop::tD.L Yund su.ch sums as may be necessar.t to finance the appr:ll-,zL.tl.ons for ·the financial year 1952, pending :receipt of contrlbut:ions from Members,; sums so advanced shall be reimbursed to ·che Working Capital Fund as contrlbutions are avail<.:D2_c; (b) to advance such s1.uns in 1952 as may be ::1ecessary to meet unforeseen or extraor·dinary expenses, providing that :not more than US $250,000 may be used fo::.· st~ch purposes, ex·:ept that, with the prior conc"Lrre':l .. e of the Execu":ive .Soard, a total of US $500,' 00 may be used. The Director-General shall report to the next convening Health Assembly all advances marle under this clause and "the circumstances relating thereto, and shall make provision in the estimates for reimbursements cf t:.~.e Work:i r;g ':api t.a::. Fund except when such advances are re·::::>varable from some othe:':' source; 3. AUTHORIZES the Ex2cutive Bva.rd to use, not to exceed US $300,000 of the Work1ng Capital ::rund u:., tr.e spec1al fund to be used at the discretion of the Board to meet emergenc~.es flnd unforeseen contingencies, this authoriz.at:on being ruarie to comply vit!l Art1c.:!..e 58 of the Constitution. Any amounts usGd under this 'uuthorizction are to be replaced by making specific pJ ovis1ons the~:·efor ill -~,he next year; s annual budget, except '·rhen expencU turos mc.or; UT1dcr thi. s authority are recovere.ble from some ot.her 3ou:..·ce ------·-- l The established size of the .io::-idng Cap1 taJ Fu~d 'N"iJ.~ depend on the action taken by the Fo,•rth r,.;o:r:d Hr>...,"'.,th ~s.:c;chly with regard to the suggestions made by t.he D~- ~·r. t ~ Ge··:1eral rcgrtrill ng the 19!.1-8 budgetary surpl1J 5 and the C1ll01-'J1t of the effective 01.• C!.3...; L a:J voted for 1952. This paragraph may need. to be revised in the light of such decisions. EB7/18 ~ge 35 EPIDEMIOLOGICAL Sli.RVICES The programme for epidemiological services for 1952 may be considered under two heads : the administration of International Sanitar,y Conventions, including epidemiological notification and the ooming-into-force of the WHO Regulations, intended to replaoe the existing Conventions, and oo-ordination of research on infectious and parasitic diseases: EB?/18 page 36 Epidemiological Services INI'ERNATIONAL SANITARY COmJ"ENTlONS AND 'fHEIR REPLACEMENT ._ .;.,. BY WHO REGUlATIONS It is expeqted. that the. ~ourth World Health ;Assembly ·:Will, in May 1951, adopt the new WHO Reg11lat:l.ons which have· been 'in course· of. preparation s.ince ' -··. ' .. ,' . ·1947 and ~e intended to replace t~e existi~g International Sanitar,y Conv~ntions. The Regulations can therefor~ be ,expected to come into force :l.n tho. mi~e of 1952. One of the essential tasks of the Organization during that year will be to explain to health administrations the purposes arrl method of application of the Regulations, so as to meet ar:w possible objections which might militate against acceptance of the Regulations. The lack of consistenqy hitherto existing, as between one state and another, in the matter of sanitary obligations, has led to difficulties for travellers and transport companies, and too often has resulted in international disputes which have come to WHO for settlement. The general adoption of the Regulations, in replacement of a series of conventions to which various groups have been parties, some with reservations, should do much to prevent the recurrence of such situations. It is expected that the Expert Committee on International Epidemiology- and Quarantine will further contribute to the general acceptance of the Regulations by preparing a number of supplementary regulations and by ~firdr•[~: spooific .ways in which certain obligations laid down in tho R-16.t1:~t5.on.s may be discharged efficiently. Among the first to be considered in this connexion will be regulations on the disinsecting of aircraft and ships which will be based on the specific advice of the Expert Committee on Insecti~ides with the help of spe~ialists in aircraft construction and operation and of other experts on shipping. In the following years consideration will be given to additional or complementary regulations and "recommended practices" on othor sub~ octs in the I light of the needs revealed by the applicatjon of the new Regulations. With the help of experts drawn from panels en yeD.ow-fever, cholera, plague, etc. as the occasion may warrant, technical advice will be given in the settlement EB?/1~ page 37 of international disputes arising out of the application of the International Sanitary Conventions or Regulations •. Delineation of Yellow-Fever Endemic areas for Internation~l Quarantine Purposes It is expec~ed to complete in 1952 the surve,y, begun at the end of 1950, of yellow-fever in:nnu.nity among peoples in the tropical belt of Africa, with a view to the delineation of the southern boundary of the yellow-fever endendc area. The sera collected will be submitted to the mouse-protection test in the laboratories select~d £or the purpose • ... i1G. Yellow-Fever Panel will discuss th0 results obtained and ma¥ formal proposals to vVHO with_ regard to delimiting the yeilow-fov8r endemic area for the purposes of internntional quarnntine. The connnittee may also discuss scientific matters brought to light by tho survey, such ·as thJ role of jungle animals in the maintenance of yellow-fever endemicity, Epidemiolo. cal Intelligence Services The routine work of collect~ng and prompt~ distributing epidemiological intelligence at headquarters, in the Singapore Station and in the epidemiological units of the regional offices in A.lexandria and Washington will of course ' continue. Notifications to and from WHO are provided for in the new Regulations, as they were in the former Conventions, but the efforts to speed up notifications and improve their distribution to interested services must be continued, particularly through the use of regular epidemiological broadcasts, relay stations being used to serve areas in which the present net-work of stations is not satisfactori~ heard. Radio-telegraphic bulletins will continue to be confirmed and supplemented by printed week~ bulletins, issued by and airmailed from the various WHO epidemiological units, to quarantine stations and health administrations in the areas they serve. These weekly publications will continue to in.clude notifications. concerning the occurrence of "pestilential" diseases, they will also contain quarantine measures taken or cancelled by governments, and details EB7/18 page 38 -.;._ · ~f ·vaccinations required from travellers. _ They will continue to provide information on epidemics of the more important communicable diseases, such as __ ~nfluen~a, _polionuelitis, cerebrospinal meningitis, etc. The latter information, ~ ~ I • L • t although not entailing measures at nationa~ boundaries, enables health administrations to take protective measures on their own territories against such diseases. The description of an outbreak of an epidemic disease, contained for instanae in the Weekly. Epidemiological Record, or in the Weekly Fasciculus of the Singapore Station, o~ assumes its full significance when considered in the light of the incidence of that pisease, observed in the previous monthsor years, in the countries concerned. This incidence is given on a monthly basis for nearly every country of the world in the tables and articles contained in the monthly Epidemiological and Vital Statistics Report. The sruno material, once oheaked and completed b,y the health and statistical administrations concerned, eventually forms the Annual Epidemiological an:l Vital Statistics. This document constitutes a unique source of reference and study of the geographical distribution, and of the seasonal and secular movements of epidemic diseases. L'''' ,' . EB?/18 page 39 1 1 CO-OP~INATION OF RESEARCH The Organization acts as a clearing house for the excpange of knowladge on a wido variety of infectious and parasitic diseases-and makes arrangements with interus~cd health administrations for the required.field trials of nsw therapeutic Rnd prophylactic methods, It also arr~ngos for the furnishing of ap~aratus, voccines or sera needed for the experiments and which could not be obtain0d oth~r~ise qy the institutes participating-in the research. Expert committees or study-groups are already dealing with cholera, plague, sm~llpox, yellow fever, typhus fever end other rickettsioses, trachoma, rabies, brucellosis and other zoonoses, bilharziasis, the prophyla~s of common communicable diseases of childhood, and·insecti?ides. The World Health Assembly has rocaThncnded tho establishment of others, including committees on leprosy and infectious hepatitis • .t\s the World Health Assembly recommended for study many problel!I.S .in relation to communicable- diseases it will be neces-sary to stagger the work over a period of years and to post:pone the meetings of some committees, Funds inherited from the Office International dtHygiene Publique have fortunatc~y helped to tide over the financial obstacles to epidemiological work in 1951 .:md will again permit the convening of several expert committees in 1952. The work for 1952 is outlined below. , Field and laborat·ory research nlready ~tarted in former years in cholerc: end0micity, epidemiology., retrospectivo diagnos~s and on the cholera carrier •, problem will [?e continu~d and intensified. Fiuld and laboratory research in plague will be stimulated, and also studies on w·ild rodent plague, interhuman transmission, the physiology and transport possibilities of infected fleasJ chem9p~ophylaxis and chemotherapy, field trials with vaccines. The application of rodenti.cides in ships examined. With reeard to bilharziasis, studies will bG made on sn~il vectors, ii10lluscocides ond modern methods of tr'oatment. · ' 1 These functions were formerly_ designated under the heading 11 epidemiolog1ool Studies 11 • The functions have now been redefined and are being listed under this new hce":ding. The ·use of the term »co-or:dination of Research" as formerly applied in the Division of Therapeutic Substance's has now been su~essed. ;:. 'i, ·~..-,_, ... r page 40 'l'}h) development of research in relation to trypanosomiasis will be followed~ With n~ard. to smqllpox, the Org.:mization will continue field trials with dry calf lymph :~nd chick-embryo vaccines. Cont-act will be llUlintained with hedth and veterinary departments for large scalc experinnntal vaccination of dogs, c:.nd further ecological studies will be pursuud to discover new animal r8servoirs. Field tri~ls with hyperimmune serum will be continued; research on the purification of vaccihes, and on the duration lJf ir.lli1unity nfter vc::ccino.tion with o.vianized virus, will be encouraged. Through the ~a-operation of n world-wide network of influenza centrus and obsuvers the Organization is in ~ position repc.::.tedl;'/ to·, detect new epidumics and id"mtify the rc;sponsible strains. Specific resenrch problems will be studied in sorllC of the regional influenza centres as well as in the World Influenza Centre in Londcn. Studies of the epidemiology of ·poliomyelitis wil1·be undertaken, and studies will .also be made on epidelilic and serum hepati t.is. Co-ordin::tion of rcsec~rch and recommendations on preventive and curative methods will be 1mdortaken on trachoma, onG of the ~mportant diseases in the Eastern Mediterranean region and in "12ny other arec.s. Co-or4incction of research work on typhus nnd other ricke.ttsioses has been ii;Skbli::>hed :i.n A;frica; simihr developm ;1mrim .::nd tick-borne typhus will be ~?tudied, The effectiveness of certain rvpollonts 2nd products for the destruction of ticks and nutes will be investigated, All thG work in zoonosos is done in close co-ordination or jointly with FAO• One of the E12in activities is to promotG c;ffecti vc co-operation between Ministries of He.::~lth nnd Agricufture and to r..:.c0l:'U1lend and outline co-ordinated proernmmos for public hed th nnd veterinary servicos • Co-ordination of research has oocn estDblishod in the 14 FAO/YilHO region.:l brucellosis centres which serve as teaching c~mtrc:s, and work on the standardization of laboratory procedures and exchange infurm2tion on recent progress •• Advice on research on bovine tuberculosisJ hydatidosis and Q fever will be provided 2.ccording, to the decisions of the T'hird World Health .Wsembly j the .fornml:: tio~ of effective control measu,re.s ·will be undertaken through correspondence rii th institutes.. an'd. research workers, und the study of this literatura • EB7/18 page 41 Internation~l sanitary and qunrnntine regulations for zoonoses will be one of the subjects for consideration by the FAO/:lJHQ Expert Group on Zoonoses. Durine 19511 in close co-operation, alroacty in the planning stage, with the Internctional Leprosy Association, through correspondence with panel members and research institutes, preliminary steps will have; bean taken to prepare for the meeting of the expert cornmi ttee in 1952. Great emphasis is laid on research in the thorap~utic field, and the treatment of patients in dispensaries, rathar tha·n in leprosaria. Reference to aspucts of the work on insecticides will be found in the section on therapeutic substances, under the head, "Insecticides". EB7/18 . page 42 HEALTH STATISTICS One of the essential requirements in the field of vital and health statistics is the maintenance of continuity not.only in the ascertaining and recording of facts but also in the efforts to improve the quality of the data. This basic prinCiple must be observed in international work on vital and health statistics. If progress is to be achieved, oi ther nationally or ~.::iternationally, frequent and haphazard changes of direction must be avoided. Analysis and study of public-health statistics ~annct be deferred indefinitely until perfection in the recording and assembling process is achieved; deductions should be draWn from the statistical material available in so far as its quality permits, care being taken at the same time to point out its limitations. Substantial advances in health statistics must depend on parallel advances in public-health organization, and the basic responsibility for both rests essentially with national administrations. The first objective of the Organization is to help national health administrations to improve their health statistics. It will provide governments, at their request, with consultants on vital and health statistics, where appropriate in co-operation with other United Nations agencies. In the case of the administratively more developed countries such consultants may be required to advise on a very specialized subject. In countries where statistical services are still rudimentary the assistance ~~-·::on will be of a mare comprehensive nature. Visits by members of the staff of regional offices or specialist personnel from headquarters can also be provided. Fellowships will be available for training in the theory and practice of vital and health statistics~ National committees on vital and health statistics are of special importance and their recommendations on co-ordination may considerably improve national statistics. The Organization will follow achievements of such corrunittees and make a.vailable to other national comrni ttees (or their Pq1L1. valonts) any information which may be of interest to them. EB7/18 page 43 Progress towards the second objective - the improvement of international comparability of vital and health statistics - will be made in the foll~ling ways: (a) The Organization will follow up continuously the application of the International Statistical Classification of Diseases, Injuries and Causes of Death in the countries which adopt it, an~ the study and analysis of problems arising in connexion therewith. This work will facilitate the revision of the classification on a more rational basis than would be possible in a brief period of days at an international conference held every 10 years. It will be c~rried out in conformity. with the recommendations of the Expert Committee on Health Statistics. (b) Work on the standardization of definitions and working methods will be continued. Two important definitions proposed by the Sub-Committee on the Definition of Stillbirth and Abortion were adopted by the Third World Health Assembly. Their acceptance by a number of governme~ts will mark an important stage in the progress of health statistics. Other ways of promoting uniformity in statistics have been proposed or are now under study by the Sub-Committee on Registration of Cases of Cancer as well as their Statistical Pr6sentation and the Sub-Committee on Hospital Statistics. A series of handbooks are in preparation which vdll swmnarize the position in different countries regarding the collection of health statistics. These handbooks vnll help to show the discrepancies in present methods of collecting and compiling statistics. The third objective of the Organization is tilG provision of international statistical documentation on the different sectors of health statistics. The following activities will be either initiated or continued: (a) Regular publication, in the Epidemiolsgical and Vital Statistics Report, of data on birtJ;ls, deaths, and causes of death, classified by countries and by large cities. (b) Publication of statistical demographic information relating to the war-period, 1939 to 1946, as rocon~onded by the Expert Committee on Health Statistics. EB7/18 page 44 (c) Regular publication of data on mortality by age and sex for the more important diseases, together with corresponding population figures_for certain selected countries, as recommended by the expert committee. (d) Special studies such as that on the evolution of mortality in Europe during the first half of the twentieth century, cancer mortality, etc. (e) Collection and public~tion of data on medical and public-health institutions and personnel. This documentation will be assembled in connexion with the annual reports. submitted by Member States in fulfilment of Article 61 of the Constitution. Continued collaboration with the U~tod Nations and the specialized agencies in statistical matters of common concern, such as the proposed joint study on wastage of human life from the particular aspect of infant and child mortality, or joint studies on population problems in so far as they affect health, will be continued. EB?/18 page 45 Therapeutic Substances BIOLOGICAL STANDARDIZATION Each year the catalogue of substances for therapeutic and diagnostic use, available to the clinician, pharmacologist or bacteriologist, will be found to include new vitamins, hormones, enz:Ymcs, test procGdure in the detection of bacteria {such as Tubercle ba~~lli) or minimum EB?/18 page 46 ' I ' requirements for the production of certain vaccines (as in the case of BCG and S.inallpox vaccine) •. DisQove~ of new biologically active principles or improv~nent in methods of purification b,y 1952 will necessitate the establishme~t of new standard prepara tions during that year. Moreover, no test method can remain permanently defined. Constant revision in the light of further. knowledge. will. be required. Interna- tional reference preparations will give way to international standards: these will become exhausted and need .to be replaced, uqtil,. with the advent of ~nthetic production or of a truly homogeneous preparation, the· standards themselves become obsolete. It is impossible to foresee whether this will ever be the case for all standard preparations, but, if so, we may be certain that it will only be in the distant future • EB7/18 page 47 Therapeutic Substances INTERNATIONAL PHAPJviACOPOEIA AND DRUGS STMmARDS The establisl~ent of standards for the purity and the potency of important drugs aims at protecting public health. Such standards are set up in a number of nation8l phnr~~copoeins which, however, may vary from one to another. Moreow;r, many countries h:::~ve :not yet at their disposal facilities for issuing their own pharmacopoeia. The need for an International Pharmacopoeia has th,;refore been felt for many decades and that need is now more acute than ever, because of the development of travel and international commerce, and the intense research leading to the production of new important synthetic drugs. Considerable work has already been done by the Orgnnization through its Expert Committee on the Unification of Pharmacopoeias in collaboration with intern2tional non-governmental organizations working in related fields (e.g. International Union of Chemistry, World Medical Association, International Pharmac.:mtical Focieration). Volume I of the First Edition of the Pharmacopoea Internationalis will have been publishod early in 1951, and will be followed by Volume II and later by supplements at regular intervals. Rosearch has continually to be made on new drugs produced and put on the markets of the world; these drugs have to be selected and assayed in collabora tion with ths members of the o~ert cormnittee, national drug administrations and pharmacopoeial commissions, in order that monographs and appendices may be drafted for tho supplements and subsoquent additions to the Pharmacopoea Internationnlis. The multiplicity of non-proprietar~y names for the same drug is a source of confusion; l!VHO hc.s been requested and ho.s underte.ken to approve international non-proprietary names for new important drugs which might be described in the ~o.rr11acopo..oa Internationalis c:tnd its supplements. On subjects relating to the control of drugs, labelling, CJ.dYertising, methods of control c:nd .:mo.lysis, esto.blishment of standards, there arc a number of differences between countries which could be eliminated to the advantage of public health. Surveys will be mc:tde of the legislation and of the methods used in different countries, with a view to promoting intergovernmental co-operation o.nd preparing for a conference of represent2.tives of hGalth authorities, dealing EB?/13 page 48 with these matters. The main objects of the programme arc therefore: l. To complete publication of Volume; II of the first Pharmacopoea Internntionnlis in English, French c.nd Spanish nnd to establish texts of mono grc,phs c::rrl np;)ondiccs for tha first and following supplements to the Phnnn3copooa Internationalis. 2. To carry out studios and propnre draft monographs, appendices and reports for the supplc;ments to the Pharmacopoea Intermtionalis. J. To prepare, in accordanc0 with the principles approved by the Third World Health Assembly in resolution WHAJ.ll, lists of international non proprietary names for important n0w drugs which mcy be included in the .!:har:rnacopooa Internationalis as prepared by WHO with the Sub-Conunittee on Non-Proprietary Names, send the lists to governments and request their protection for those names. 4. To compile for publication lists of synonyms of drugs included in the first and following supplements to the Pharmacopooa Internationalis. 5. To promote intergovernmental co-operation and exchange of experience in matters connected with the control and establishment of standards and regula tions for drugs. 6. To survey and rt,;port on the legislation 7. To prepare for a conference on the control of drugs, to bo convened by WHO and attended by representatives of health authorities dealing with such control. EB7/l8 page 49 Therapeutic Substances ADDICTION-PRODUCTNG DRUGS The creation of new synthetic substances vvhich might show improved thera peutic properties, i.e., stronger analgesic effects and less side-reactions than those available at the moment of the Pethidine and Methadone type, ·may result in an increaso in'the number of drugs found to be addiction-producing. New deriva- ' tives of morphine arc also expected. Substances of the morphinan type particu larly warre.nt attention because of their very close chemical and seeming pharma cological relationship to morphine, lffuen a synthetic substance capabie of sub stitution for codein0 has been found the situation may change fundamentally; a.t · present it is necessary to obt~in opium for extracting morphine in order to trans fonn over 80% of it into codeine. If this assessment of the situation is correct, the activities of WHO in noting now trends and deciding whether new substances of the kinds mentioned are addiction-producing or not >vill be on a much larger scale than hitherto. These duties, not only in regard to the existing international conventions but also from the point of view of public health in g.aneral, may confront WHO with difficult problems ·;rhich will need intensive collaboration vdth chemists, ph.TI"macologists and clinicians in many countries, not to mention the social and economic questions involved which must also be considered from the standpoint of public health. Theso views, elthough extending beyond the ~~ediate future arc justified by developments observGd during thG last few years and the knowledge that two new series of synthetic substances, chemically independent from the existing ones, aro already under oxperbnont. The now single convention on narcotic drugs w'hich is being prepared and which differs considerably from the previous conventions provides another bnportant task for v~HO in its capacity of treaty organ, namely, to transfer suitably the obligations of the old conventions to the nevr one. Close collaboration in this connoxion is already est.-cblishod with the Narcotics Commission of ECOSOC and the Narcotics Division of the United Nations, The problem of coc,q-leaf chewing in South .Am.erica is not yet resolved. It is mainly a mGclico-social nnd economic problam in which public health aspects are Ein/18 page 50 to the fora. Invo stiga.tions in this mat ·cer, vd'lich were stnrtod: so ne time ago w'ill be .oontinucd. Rognrding lnarihuana, the problem is still unsolvJd, ~s rucent invcstig~tion carried out nit.hin the orbit of YVHO shows. Moru material has been collectocl and ro s.J,3.rch on tho same lines will bo continued in close collab9ration vdth the countries concerned, particularly in North and South Ainerica') The noxious infiu enc Fttrthonnoro., it might be desirable to intonsi~J work on other subst~ces, in partic;:ular thoso of the amphetamine type, whose abuse is causing alarm in many countries. The question of how far this abuse leads to a genuine addiction has not yet boun dccidedo . As to the question of the addictivo properties of barbiturates, up to now thoro has be0n no international co-operation. The abuse of ~~rbituratos taken with alcohol (which custom seumingly is spreading), the:: stimulntivo .effect of some barbiturates, the role of barbit~ates in n~rco-analysis and related problems deserve close investigation also. Other matters regarding the effects of alcohol (apart from the purely psychiatric side of alcoholism) which shouid be studied internationally are, for example, tho metabolic eff0ct of alcohol in the body; the question of how far alcoholism is a real addiction; the definition of tho various forms of alcoholism with rufuronco to the known pharmacological and patholqgical facts; tho different m.ca.n:1..J.1gs of terms in different countrio:!!; the evaluntion, practical value and rJlinbility or various tests for Qssossing alcohol content in the blood, breath and urine; and th·:J dete;rmination of the time Vvhich should clap so between drinkin13 alcohol and driving. Tho6;.'l itoms could give rise to a fruitful international Q;i.scussion ruaong 'WHO experts. It is intonded in 1952 to start work on an international survey of national legislation of the medico-social aspi3Cts of alcohol and alcoholism and on a sini.lar survey corwerning the treatment of drug c.dclicts. EB?/lG pnc;e 51 Therapeutic Subst.:mces ANI'IBIOriCS Though penicillin is still a drug of outstanding value, the discovery of newer antibiotics with a wider field of action is continuously enriching this field of therapeutics. Governments are increasingly recognizing that these important tools for fighting disease should be available in adequate quantities to their health organizations for service to their people. There is also an increasing demand for the assistance of WHO to enable gove~nments to meet their need. The needs of the various governments in this respect are as different as their economic development, their industrial activity, their scientific advanoe and the magnitude of their health problems. WHO, therefore, has to organize I assistance, within its resources, to meet these varied needs. The central principle of WHO's programme for 4ntibiotics is that new knowledge, advances in methods of production, and facilities for the training of scientific and technical personnel for research work and for production, should be at the disposal of all countries. To this end a number of national research institutes named by the Expert Committee on Antibiotics are being linked into an international group to conduct research in the closest possible collaboration, by sharing knowledge, by sharing research problems and by the exchange of personnel. The existence of such an acti Te international research group will also ensure that efforts of such governments as undertake production will not be hampered by the lack of new knowledge and improved production methods. It is also considered important that official cultures of approved quality for production and testing of antibiotics should be easily availab2e to laboratories and those engaged in production. A selected number of well established type-culture centres is expected to undertake this service. To assist the governments, which, for a variety of reasons, must rely almost exclusively on their own production of antibiotics to implement their health projects, vrno will provide extensive training facilities for technical personnel. WHO is planning to collaborate with UNICEF and other agencies to set up centres for production and training in Asia, Europe, the Ndddle East and EB7/l8 pace· 52 South .America in conjunction with governments prepared to initiate and take over such activity. It is proposed to ost,ablj_sh the first centra for Asia in India where surveys and advanced studies havo been made and where the Government is anxious to collabor·ate and boar a major part of the e:x:penditu.re. This centre will provide facilities for the •lt,ilization of new knowledge coming from the international research group mentioned above and will be used as an international training centre for technical staff .for other centres. INSECTICIDES The problem o~ making available DDT and other insecticides to the countries requiring them has been discussed on numerous occasions by various bodies - the WHO Expert ConJJ1Ii.ttee on Malaria, FAO: and tho Economic and Social Council. . The Organization has recognized the need to advi~e countries on how to over c Thernpautic Substances TUBERCULOSIS RESEARCH OFFICE From the very beginning of the organization of the international BCG programmes, it was realized ·that there are wide gaps in our knowledge regarding tubercul i.n-tcsting, BCG vaccine, Since the establishment of the Tuberculos~J Research Office in February 1949, it has assL~ed the responsibility of directing and supervising the statistical work in the field as well as preparing the statistics for documontation of- the campaign. A special section Yias set up for this purpose. It has been ros'ponsible for compiling the monthly statistics giving the number of persons tested and vaccinated in each of the participating countries. Experience has strikingly justified the-need for further study on vaccination problomsJ 2.nd shovm the wisdom of ?-nticipating that important critical questions would arise. At the time of·the BCG conference in Copcru1agen in the autumn of 1949, the first organized revlow of operations and programme was made by the technical_staffs of the headquarters of the campaign and the participating countries. Among the critical problems discussed, it was broug11t out that the expected high percentage of tuberculin conversions following vaccination was apparently nou being uniformly realized. From observations available at that time, it was thought that the most serious deficiencies occurred in vaccinations made during the summer, and that they might be due to a failure to use sufficiently fresh vaccine~ to difficulties in keeping the vaccine cold, nr possibly to a reduction in the potency of the vaccine. In ,-::_mv of those possibilities certain changes were made in the production and handling of the ·v-accine made by the Statens Seruminstitut, Copenhagen, and currently being used in the car11paigns. At the same time plc;ms to investigate such problems wore i:mrnocliatoly accola::.'nted and arrang•Jments made for intensive study, especially of questions i:olating to potency EB?/18 page 54 of BCG vaccine and the effects of various physical factors, particularly temperature and duration of storage. The requirements for an adequate investigation of these questions are not easy to obtain. At the outset, it had to be decided whether purely laboratory studies would suffice, whether assaying of the yaccine o~ human subjects would be needed, or if both approaches would be required. Review of ~he matter made it quite clear that both laboratory and field data, with appropriate correlation of the results of the two, would be essential and would in the end save time and money. Accordingly, the decision was made to undertake a comprehensive investigation on a scale sufficient to furnish both preliminary and long-range answers. The most important requirements for such studies are obviously adequate facilities for l~boratory research and a large homogeneous group of h~n subjects for tuberculin testing, vaccination and frequent follow-up examination. A further significant consideration in the planning of the research involved the selection of criteria for assaying and evaluating vaccines. There can be no doubt that the most desirable criteria would be obtained in terms of protection against illness and death from tuberculosis. Equally evident, however, is the fact that such assays require long periods of observation, too long to satisfy the need for :i.nforJTJ£..tion on vaccines already being widely used. It became necessary to decide, therefore, that for the present, studies of the criteria for evaluating vaccine in the field would be in terms of periodic observat~ons on post-vaccination tuberculin allergy and en the local reaction to vaccination. The laboratory work would include estimates of the number and viability of BCG organisms contained in vaccinos at the time of actual use, study of t~e vaccination lesions and of the post-vaccination allergy in laboratory animD..ls. As planned, the research programme has certain evident advantages and, as well, certain weaknesses which must not be overlooked. Thus, the opportunity to co-ordinate laboratory and field observations can be expected to furnish information which should lead to the development of improved laboratory techniques for assaying vaccine and eventually to eliminate t-he need for extensive, costly and complex field evaluation. On the other side it must be made quite clear that no evaluation of BCG can be considered satisfactory, short of the measurement of actual protection of. human populations against tuberculosis. Only part of the story can be obtained EB?/18 paee 55 from a study of bacterial counts, potency tests, vaccination reactions, allergy production, otc. The correlation botwoon such factors and true protection against tuberculosis nny be derived from other investigations. EBI/18 p<1[;6 56 EDIT ORII,L A!IJ"D REFBRENCE SERVICES 11 To i.rd'or;n nat,iona1 health au-l,horitieG on matters of fact, to documcn-0 then on_ 1nethods of solv-lng their techn:Lcal problems, 1 and to affor·ll t,hem such direct assist.ance as they may requirert. · Dvcumentation on t8clm}.cal problemc o:C health is om of the essential functions of an inte::-na.tionaJ" health organi.zation. Vfd0 1 s Editorial and Referer.ce;: Services include a complete range of docwn8ntat.ion services in the special fields with yfl:L:oh tho Organization is cor.cE>rnod - the maintenance of a spodal library; thiS' undc:rtaldng of b;_.bliog:raphical se;:arr.hes, translation of technical a1ld offic::t:-d te:;cr,s i.nto the two V'JCij_•:dng l;:::.ng-l.lB.ges of the Organization, ancJ. tlw odJ tiE?, ~c!1d l):C'0.~Y3.rrri;J.on for pres~' uf the Organization! s technical and 'l'hsse se:.:·vic&s; sc;.netimes singly a:D.rl sometimes in combination, provide an effective me~::.ns nf b.l."h~ing the ViCl'k and aims of WHO to the notice of health adm.ini:Jtrations and .JJHl.fessional health y,"'rl~e:.:"'s. The functicn of publ:i..ca+/:..c,ns is threr3fol.d < fi.l"'st; to acsist in the propagation of .ideas vvhir.h are of value in :c,hs raising of standards of' health J.l1Cl. in the devs1(.1p;u:;nt oi' heaJ..t?l services; svcond, to provide information which contr:ih1J.-ues to a vvider u.:.Yiorc;tandi;-Jr~ of l1ealth p:rob1e>11~<: in different rogico:.:; o1' t,r1e world.? vhb'd. 1 to extend knowlEdt:;e of tec.h:niques rL'he selection uf Jn,rterial for pttbl3.co:!:.i0n will be influer.:.ct:d by the need to publicL.;e technical. '>olicios anl methods r8comm3nd·ad by the Q-.cgc.tnization., to provide doc1.~.errt::ri:;j (In on t.he (>-2gRrLi.z:xi,ion1.s t9chrrLcal act:i.·"<'itl.s0.l and to make available ir.:.Corm<:.:.L.ic,n on tllo roglonnl hGa.l.th p:-:>obleras .?end ar~.hievements vfhich may be of wld.or .i.rr0oresiJ o.nd applic2.biJ.i{:;y , In pa:cticlll2..r, J.tt,empts begun :Ln 195(' to :ink "l;he BuUetin more closely Trith the work of the techni::aJ. sections of WHC'J anrl to plan special numbers and aymposia vr.1.th those cect:.ons, vri.lJ. be con1:].:rn::d. It is exp3cted that,, by this El.Oa.'1s.1 the Bulletin wi11 pl8.~r a.n increasingly dynaHtic role in the rleveloproerrt 1 teagu.e of Natir'LR (l:Y~)) ~ ~!::~;e_o~~~~ .. ~:..~ .~.l!~!Y~E£ ?f -·~~.fJ_ .:f::'a~n~ .. ~~~~!J? t~i.:. . .!~> Geneva EB?/18 pClge 57 In order to obtain tho w·idest i)Ossible distr:-~bu·tion of important studies initially published in the ~u.lleti!! 2 ospedally such studies as are the direct outcome of the Organi~.:.c.:t.ionj s work on pCJ.rti:;ulnr probler11S .• they vvill be reprinted in t{1e Monogr.:1ph. Ser=i:_~~- for sale and distribu+Jion separntely. In the case of studi(3s whh:h have c.ciginally bccm publishBd ln the ~ulle~in_ either in English, or in French_. an.d v Atterr.pts will be ril[;l.de tu develr;p the sales of tlh-:: lillon~K~§:.Ph_Series by systematic distribution of review, copies. In accordance with ";:,he ·Nis:L1 of tl1e Eual-'.:.h Asst:mb.ly th2.t "·lihe Ql]_._~_9~1icle .·-' should keep to the role of pu.blic.i.ty al1d ge!lerP.l ir.f01."mation for which it was origina:qy intendedii (VIf~lX? .63), no ir,creas8 in the size of this pu1Jlication is proposed, although every attempt will. be JJJ ·, anticipated that a more com}J!"'eh•ansi.":ro selection of ma.t.er~_al •~'in progressively increase its utDi-Ly to heaJt.h administr:1tion3 and he.3.lth officers, although no quantitat,i ve incre2se has been p:.:-c:?osecL The T-e~hni_Ea~-~~E?..E:t ___Ser~_9E, wh.:.c:h conta.ins the reports of expert committees;, study groups ard ether e:cpc.~.'J.:, ud•Jisoxy bodies will be continued in the same form as hi:0J-Jerto, but prov"isior: has ber-m made for a slight increase in the number oi.' issues in 1952 as co::-,p::D::-ecl vr::L-:h 1950 and 1951. Estimates for Official R.ccords r•.nc~ otbe1.' official pub1ica":,ions are essentially the same a:-:; those of previo<.ls yea:':'s. Plans for epidemioloGical and s~at.J.sti.:::al pub::Lcdions are referred to Although the prograliune ouijliner1 above io a sul);:;·C.'lnt:i.al o::c.o, t.ho publications and ot.her documentary servlc.os o:': 'VVHu can nover be moro than a small part of the vast complex of merJic1J f/:Ibl.i,Jr!w;, iu·1ex;-Lr.t=;, nnr'l abstracting services which <.::nd frl:,s touay ~ concern has been expressed at the 5.nr;:re1.slr.:.=~ d iffieul7.y vih5 .. ch all scientific .;·· EB7/18 poce 58 and professional workers are experiencing in maintaining contact with the literature on their own special subjects. By its editorial and reference services - which include the publication of well-documented reviews, translations, and ·~ibliographical services - the Organization helps to make more easily available recent knowledge on the subjects within its sphere of .interest. Since 1949, it has also participated with UNESCO in attempts to promote a greater measure of co-ordination between the GXisting abstracting and indexing services in the medical ancl biological sciences 0 Continuation of this joint work with UNESCO is proposed for 1952. The 1Jill-IO Library will continue its functions of providing special services to the Secretariat and to national health institutions and administrations, procuring medical books and periodicals requested by Member States and constituting a reference service on documents arrl publications· of WHO and other UN bodies. .EB?/18 pae;e 59 COMMUNICABLE DISEASE SERVICES · ., The control of communicable diseases has always been one of the principal tasks of any department of public health and by tradition an activity in which the international approach is required and accepted. Plans for research and field studies on those diseases for which dependable methods of control are lacking are described elsewhere.1 It is also a function of the Organization to assist governments in developing and implementing progra~nes for the actual control of the diseases. The type of assistance to be given for the control of communicable disease~ will vary according to such circumstances as the disease concerned, its prevalence in the endemic form or in epidemic outbreaks, the extent to which it represents a serious health problem for the country itself or for other countries, the existence of specific and/or dependable methods of control, the suitability of such methods for local conditions, the organization of communicable disease services in the country concerned, and the availability of medical and auxiliary personnel and related facilities. In some cases the services of a consultant are needed to assist in establishing, strengthening or expanding the national communicable disease services, or to organize a control programme for a specific endemic condition or an epidemic outbreak. In other cases, assistance is needed to establish, improve or expand laboratories and plants for the production of sera, vaccines, insecti cides or drugs. Or again it is sometimes preferable to provide a demons\ration team or to establish a pilot project in connexion with a specific situation. On some occasions a symposium of experts or a seminar for workers in a particular disease, or a special field in the control of that disease, will be the most suitable way of giving the assistance or the advice required. It is anticipated that in 1952 vVHO will be called upon to undertake consider able activity under the technical assistance programme for economic development, particularly in tropical countries, and that many projects, in addition to the 1 Under co-ordination of research EB7/18 par;e 6o health demonstration areas and the joint FAO/WHO schemes for increasing food production and raising standards of health, will entail the control of communicable diseases in general and especially of the 11 tropical11 diseases. EB7/18 p2~~·e 61 Co~nunicable-Disease Scrvi~es MALARIA If one takes stock of the present world situation in malaria, and considers those countries in which, only some five years ago, malaria was a very important public-health problem, one finds that they can to~ay be placed in three categories: (a) those in which malaria has been controlled on a nation-wide scale, so that it has ceased to be a public-health problem or even to occur at all, except for cases of rcl~pse follm~ng previous infection~ (b) those in which malo.rin·-control projects have been started on an experimental or pilot basis, at the most over a very limited area; (c) those in which modern methods of. control have not yet been applied • . The conditions under (b) and (c) are to-day found almost only in countries with a warm clii;Jate • As for the areas where malaria continues to rage as it has done for centuries, and -Nhere malaria control with modern methods has nat yet been attempted, the statement made some fifteen years ago by the Inter govcrl"JJIOntal Conference on Ruro.l fzy'giene held in Bandoeng, Java, is still appli cable: In those areas rvhere malaria is the outstanding social and health problem, the resources of the health administration, spe1ially augmented where necessary, should be directed chiefly t"'Wards malaria control, oven if this should entail the restriction cf other publir health activities, until malaria is no longer of major importance. At that time, there wore no means which would allow the control of rural malaria economically; to-day, however, it is a well-knovm fact that this possibility does exist. It would seem natural then, that in such circumstances health services would tr,y to eliminate from the list of their numerous problems V1,:; o.l.J ~.hich so often occupies the first position in order of importance and l Report of the Intergovernmental Conference of Far Eastern Countries on Rural fzy'giene, Bnndoeng, Java, J-13 August 1937, Health Organization, League of Nations, document h.l9.1937.III EB?/18 p.:~ge 62 which) i.n ll1ost aro ·It is clear· that in these circumstances international assistance could solve the problem. 'WHO has played its pa:.."t in the field since 1948 and the experience gathered during those years seems to show that its polic,y has been satisfactory, and that it should be continued in 1952Q The same experience indicates .1 hovrever, that the selection of the type of assistance to be rendered to requesting countries is oftcm n clifficuJ.t mDtter. In many cases the services of a consu~tant may be preferable to those of a demonstration tea.mo In others it might be well worth~hile to set up a small pilot-team to car17 out an experiment for a couple of years, if such an experiment would be sufficient to decide whether residual insecticide methods (and which of them) could succeed in controlling malaria in a country where thu biology of the local vector~ is such as to raise doubts as to the efficaqy of residual insecticideso In some instances, instead of sending consultants to one country, a. symposium of ma1a.riologists of the region O't' of the sub-region might be co::wencd in an appropriate area, to allow the CAChange of experience and views among specialists. In CYther count"ries a demonstration team might . . still prov"ic1e the l;>est type of help_, both as an experimentaJ. 'l.Uldertakir..g and as a training centre to enable the country to cru."cy on the f:ight when ·the team withdraws. Of course_, an essential condition far the success of such· projects is the interest of the country in .lwing the team for t.r Jovernmcmts s~ortod othel' projects· with personnel tr.?.ined by UNICEF/WHO team.sa Thoro is an increasinc; realizal:.ton that measurer. for mr'i <1:;:·i~. ccmt::-ol should also sor.ve in contrulli.ng otho::.~ inc: .:.c:: \:..10-'~.~- ~i "1~",">"''"'8 EB?/18 pace 6.3 insecticide sprayings, as employed in malaria control, have proved ·highly· eff~ctive in controlling A0c.los .:c::-:yE..t~i~, plague-:-carrying fleas and sandflies. . . . Hence .. an.timalaria · sorvi ces are already carrying out a largo-:--scale destruction of dangerous insects. In all probability it would require only a small . increase of effort to enable them to carry out a programme of general insect control. In maey countries the national malaria services have expanded or arc expanding into services for the control of insect-borne diseases in general. The same principle has been observed by malaria~control demonstration teams of WHO; in the course of their normal activities they have naturally come to give attention to the control of plague, kala-az.ar and .filariasis, and they have boon consulted in the problem of reducing mosquito nuis~ce in a non malarious city of South-East Asia. ~·:· j(.cts vrhi.ch w~.Y'(; st.::crtcd· iXl.l950 in six co:untrL}S cf· Ccntr.:cl America, with insecticides and equipment supplied by UNICEF to the amount of half a million dollars, and which were supervised by '\VHO, were f'rom the beginning malaria and insect control projoctso In planning for 1952, the possibility of covering general problems of major insect-borne diseases has boon cons:i.dered in connexi.on with assistance gi von to countries far malaria control, so as to avoid duplication ani irrational utilization of personnel and supplies. ' In the long-term planning of worldwide malaria control the suggestions of the Export Corrnnittee on Malaria at its second session have been followed,. They are: first, th2.t an adequate anti:malaria service should be sot up within . 5 years in all countries whore malaria is a major public-health problem; and secondJ.y, that vrl.thin the same period, a malaria-control project using modern methods should have been established in each of them., WHO can obviousJ.y help in the realization of these aims, not only by direct participation in projects, as described in the budget, but indirectly by providing suitable advice and technical help. It is foreseen th2.t in 1952 WHO vdll be cr:Uled upon to undertake great activity in the .fJ.old. of technical asEdstance for ocononri.o dovolop•ilent, and that many of the proj 8cts will :l.J17olvJ control of IJ18.l:1.ria - and of other insect- EB?/18 page 64 borne diseases. Many of .the projects approved fort echnical assistance will be executed in tropical countries, and maey will in fact, if no safeguards are provided, create conditions liable to increase the ma.lariousness of certain areas,.. The cost of malaria. control in such cases nust how·ever, be financed by technical assistance funds, in the same way as the joint FAO/WHO projects for increasing food production and raising standards of health, EW/18 page 65 Communicable-Disease Services TUBERCULOSIS While the progra1mae in 19 52 will be necessarily influenced by the experience of imnediately preceding years, general policy as expressed in long-range planning will continue to derive from the recommendations of the Expert Comnittee on TUber culosis. Main responsibilities will continue to be : (a) The evaluation of the tuberculosis problem in countries, at their request, by the provision of consultant services; Tho prcvision of demonstration ~ncl training services when requested, such services to cover all aspects of prevention, diagnosis and treatment of the disease; (c) Special attention to the training of local personnel in the essential aspects of tuberculosis control; (d) The sett.ing-up of special centres within the regions, so that doctors and ancilla~J staff normally resident in those regions can be trained locally under conditions similar to those in which they are called upon to work; (e) The provision of fellowships, especially to senior v.orkers, who are intended to participate activ€ly in schemes operating in their own countries. In the Annual R3port of the Director-General for 1950 it is pointed out that the initial experience gained, particularly in demonstration and training centres, has been satisfactory and although many modifications may have to be made as experience accwnulates, it is nevertheless felt that this type of service is likely to produce more lasting effects than any other type of project in tuber culosis control which could be carli ed out by lNHO. The methods applied vary from centre to centre,but normally a demonstration team consists of a doctor, a public health nurse, an ~-ray technig~an and a laboratory technician, ~orking together as a team and adapting their methods to suit as far as possible the condit,ions prevailing in different regions. Perhaps the main principle underlying the policy of the Organization in tuberculosis control is that of bringing ~0 bocx all measures of control rather than embarking on any one special measure to the exclusion of others. ·whilst the expert comnittee emphasized the neod for tuberculin testing and BOG vaccination, and for mass radiography, it has in its reports repeatedly stressed the need for EB?/18 par;e 66 achieving n well-balanced programme. This makes the follow-up of known cases an essential procedure, and one which cnn only be accomplished if the centres est~blished are in a position to provide adequate laborato~ and X-ray services ·ill1der the general supervision of a physician experienced in tubercuiosis diagnosis and treatment, There has been close collaboration with UNICEF in tuberculosis control work• The plans elaborated by gcvernments with the assistance of VlliO for demonstration centres in India, Burma and Thailand, and plans which are likely to be accepted for other centres in Asia and Latin America will, it is anticipated, be approved b,r UNICEF as health projects conforming to its policy and to be financed from its funds, and for which WHO will assume the technical responsibility in operation. This stdo3ment refers only to the work of the Tuberculosis Section at. headquartars and in the fiGld, The programme of the Tub~rculosis Research Office, Copenhagen, will be found under the section of that name. EB?/la pa.ge 6? Communicable-Disease Services VENEREAL INFECTIONS AND TREPONEMATOSES IP. considering the pr.::sent world situation in regard to the treponemal diseases (syphilis, bejel and ymrs) one finds that: (a) During the five years following the Second World Vvar the public-health problem of early syphilii has bevn brought to a practical degree of control in certain countries in Europe, North Al'Ierica, and Australia and in limited areas elsewhere, There are still larGe reservoirs of infectious syphilis in other regions and the J.:i.k:-11 i.hood of transmi.ssion to C~.roas of lo:v :;:•rov[llcnce is increased by the rapidity and volume of modern transport. (b) Reservoirs of bejel and yaws are also found in tropic."l.l and semi-tropical areas. In a limited nwnbor of countries pilot projects and mass cainpaigns against syphilis, bejel and yaws are under way. (c) In a great nwnbor of countries modern control methods have not yet bean applied on any significant scale, if at all. It is pointed out in the Annual Roport of the Director-General for 1950 that largo-scale control progrffilli~os based on the use of penicillin are practicable against s,yphilis, bejel and yaws in areas with a high prcv~loncc of disease. An estimatud two million ca~es .will hnv>J cone under treatment in 1950 and 195.1 inJ the camp2.igns supported lby ·viJHO and UNICEF. Some health adninistrations in areas with a high prevalence of treponemal disease :nay not have taken action because they are unable to finance such ca-.1pnigns, they are unfamiliar with recGnt methodology, they lack trainod personnel, or thoy are not convinced that now methods are appli cable in thoir particular conditions. Under those circm1stances WHO ·will in 1952 continue to stimulate the combating ...,p o~7hilis and other treponem"ll disc3nso:::; in order ::0 ostnblish a practical degree of control. The 1952 programme will be based on the experience gained since 1949 in the different regions and on the advice of tho Export Con~ittee on Venereal Infections and Treponematoses. l The First World Health Assembly decided to place the emphasis in the VfflO progranuno against venereal diseases on the early infectious stages of syphilis, -..mich, from the point of view of public hoalth, are the most import~nt. EB7/18 page 68 Whila the.· services of a consultant may sometimes bo morG usoful than those of a domonstro..tion teain, pilot proj-.;cts ·with intGrnational personnel hnvG, in many instancGs, been requested by health administrations for ·th0 oste.blishmGnt · of training contres or pilot arGGS which would enable ne.tional tee.Ds to carry the larger progranuno forYvard when acquainted with rucent methodology in clinical, laboratory and other aspGcts. In other instnnces thu convcning of a syruposium on the special· aspects of treponemal diseases, or laboratory work l1li. thin a rogion, may bo more useful than advisory sorvicos. Experionco h<'.s shmm thnt some training ccntro.s ~nd pilot projects mvo svrvod several countries in the region, particularly as regards laboratory aspects. A major factor introducing uncertainty into any treponematosis programr.ID in ·the past has.been the lack of uniformity in serodiagnostic procoduros in syphilis c.nd tho C~ccurronco of false positive reactions, particularly in tr"Jpical and smni tropical areas. With the introduction of cardiolipin antigons and the establishing of an international .standard for both cardiolipin and purified lecithin through the co-operative undertaldng of the E.:pert Corrnilittoo on Biological Standardization and the SUb-coiiunittee on Serology and Laboratory Aspucts of the Expert Cormnittec on Voncroal Infoctions and Trepono~atosos, a definite stup forward will have· been taken. Efforts to establish reference stnndards of freeze-dried syphilitic sGra at different levels of titre reactivity will be continuod and the determination and selection of test methods with a high degree of specificity and sensitivity, and suitable for univ.Jrsal use, should then follow. In 1952 the laboratory prograinme will include the increased exchange of sGrul.l sru:1plos for control of antigens and sura mnong a nuraber o.f nationel laboratories, in an effort to establish regional laboratory reforenco centres. The international treponematosis study c-1.rried out in co-operation with tho WHO-supported International Troponcmatosis Laboratory Contra in Baltimore USA will be continuod in an effort to clarify further ·by weans of trep.onGma antibody technique the ralationship between the various tr0ponemal diseases. Long-torm planning for th0 ostablishnent of <' pmcticnl degree of control of syphilis and othor troponemal diseases Yvill follovr tho sugsostions of tho Expert. Corm1littee on VenororJl Inf0ctions and Treponematoses. E1~1phasis hC'.s been plnccd on the neGd for assuring that follow-up sarvicos arc established in countries whore EB?/18 page 69 J:l."'ss carapaigns .:!.ro started o.gainst ·infectious yaws, bojel and S"JPhilitic disaaso; that in such prot;rB.lumes adequate labore.tory sGrvi c-:. s ~re incluC:.vd in the minii:mm machinury to bo established for the control of rGlaps~Js, roinfoctions and reintro duction of disease and that training facilities arc dovelopod or maintained in order to onsur..; long-term health bonofi ts. WHO CClll .:cssist health administrations in the realization of those aims by its advice and by co-oporating directly in the projects through provision of tem;1s, advisors <:md consultants. During 1950 and 1951 1"JBO will havo co-opor.:!.tod with UNIOEF in extensive trep,onomatosis prograrm;1os in tropical .:md s..;mitropicnl aruas, sor.1o ,·;f which programmes arC:J oxpectod to axtcmd into 1952 and boy•_md. Plans hava been dravm up for participl'.tion in th.:: technicc:.l nssistance progranmo for oconor:dc development, in roalization of the: fact that som.J troponur:ml clisoasos are of economic consequence in agriculture (yaws), in industry .(s.rphilis), and in shippi~~ (syphilis, vcnoreal dis.Jnse control at ports). In 1952 .iliO will continue to co-oporato with ILO in the fiold Jf hygiene of svafarors, including tho furth0r c2nsi00ration of tho revision of the Brussels Agrour,10nt of 1924. EB7/18 page 70 Communicable-Disease Services OTHER COMMUNICABlE DISEASES The Organization undertakes projects requested by governments not only for the control of those communicable diseases on which it already has extensive procrn~nes - malaria, tuberculosis, venereal diseases and treponematoses - but also for· others. In 1952 the work under the headine of other communicable diseases will include demonstration projects and provision of cons.ultants for the control of cholera, lep~osy bilharziosis, filariasis, smallpox, brucellosis, typhus,;le~shmaniasis and trachoma. Collcborotivn in the c9ntrol of these diseases is also foreseen in connexion vrith thG hec.lth demonstration areas nnd the joii)t FAO/VlliO projects for in'creasL.g food production and·raising standards of he.1lth. EB7/l8 page 7l Organization of Public-Health Services PUBLIC-HEALTH Arn~INISTRATION One of the functions of the Organization, under the Constitution, is to assist governments, upon request, in strengthening health services. The objectives of the IVHO programme, therefore, include assistance to governments (1) in the formulation and planning of long-range health programmes, ba?ed on assessments of the conditiJns in their countries) (2) in developing health demonstration programmes; (3) in co-ordinating various efforts, national or international, towards an effective national health service. Modern public-health concepts have developed beyond the stage of looking only to police powe~ for the enforcement of sanitary laws, and have become a part of the social and economic system of the country. Such concepts facilitate the application of the newer scientific knowledge concerning the prevention of diseases and promotion of health. Much of the assistance to governments for the strengthening of health services will be given by the Organization through its regional offices. Regional advisers, during their visits to governments, will discuss the major health problems in the country concerned and give help in pl~nning long-range health programmes, in developing health demonstration programmes and in co-ordinating the health work. WHO will implement requests for assistance as·pnrt of the countryls lone-ranee proeramme. The Organization will analyse reports of health surveys in different countries and, in collaboration with the regional offices, make studies on major health-administration problems. Seminars or group-studies on public-health administration, as planned for 1951 in the European Region, will be continued in other regions, Members of the Expert Advisory Panel on Public-Health Administration will be invited to lead discussions in the seminar. An expert committee on rural health will be con vened to discuss the various aspects of rural health problems; including social and economic factors. EB?/18 page 72 In co-operation with the United Nations and other specialized agencies, joint studies or program.1nes will be developed to improve the standard of health of people in rural and resettlement'areas. Efforts will be made to continue co-operation with non-governmental organizations in studies related to public health administration, including medical and dental care. EB7/18 page 73 Organization of Public-Health Services ENVIRONMENTAL SANITATION 'I'he programme of the Organization in environmental sanitation is based on the premiSe tho.t this subject is c;t necessary and integral part of any weD- and balanced health programme. WHO has, therefore, attempted to ~o- ordinate its envirom.ental sanitation activities with tho:::e i1~ .'3l"Jt.. C!. fields. The ravages of wa:.er--.borne, insect-carried and excreta-~transmitted diseases outw,_,igh j_n_ econanic and publ:lc.-heal th importance those of almost any other group of diseases 1 Their control rests upon universally a::::cept-ed principles of sanitation a.. 1d hygiene~ Th~?;ir origins are non·~debatablc, their epidemiology has long been knm~'n; their costs of correction, although significant, are often not immperc.ble if ingenuity and imagination are applied. With the limited funds at i·~-.3 disposal WHO will continue to assist Member States in improving envirornnental saDitation, for it i8 evident that this is work which will yield very la~ge returnsc The success of the sanitation programme in a country is obviously governed verJ largely by the numbers and quality of the personnel concerned; hence the Organization is attempting to assist Member States in the training cf their personneL- The type of training offered by countries varies widely 0 Many of the less developed areas need trained s~nitatiori.personnel at both the lmrcr and highc~ levels~ Although local training of the canparatively 1:3.rge munbe,.rs of lowel'\-level personnel has evident financial and other advantages, provision of traini~g in every country for the relat_ively small number of high.... level personnel will probabzy never be economically feasiblt,. The training of such personnel should, haNeve.c, be carried out in conditions as similar as possible to those of their mm <.:ountry, With these considerations in mind, WHO plans t.o assist. as far as possible in supporting and increasing training facilities in areas where sanitation training is most urgen·[;ly needed., In addition, it is planned to gr~nt fellc'i·rships for the training of sanitation personnel more widely in the future, and each year to hold one or more international sanitation seminars in which high... level scientil'ic personnel wiJ.:l. participate 0 • EB·;/lo page 74 Organization of Public-Health Services NURSING '£he objective in nursing - to help governments to raise the standard ot nursing service available to their people - includes both qualitative and quantitative improvement of the service. The long-·term plan for the development of nursing services within a country should be based on a study of the existing supp~ of each type of personnel and an estimate of the number of each type needed; it IID.lst also take account of the factors which interfere with the securing of candidates for training and of those which hamper the.effective use of nursing resour~es. Plans have been made to help governments roquo~tine assistance for such a study. The lack of qualified·teachers and of physical facilities for schools of nursing are among the main .causes of the shortage of nurses in many aountries. As. in 1951 the Organization, in collaboration with other international agencies, will continue to assist in the development of basic nursing education programmes in schools of nursing in many countries by supplying teaching personnel. To prepare the nurse for effective participation in health service programmes, the basic course must give due emphasis to the prevent.ive aspect, both physical. and mental, of medicine. The nurse must be enabled to put into practice the knowledge she acquires ; therefore the Organization has planned to include in its assistance to.schools public-health personnel who will assist in the development of a centre to provide field experience far nursing students~ Further study is noed~d on the content of curricula for the basic preparation of nurses (see also under Education and Training). Schools in several countries are at present conducting experimental programmes, and for 1952 there is proposed a working conference of leading nurse educators from these arrl other schools, to make recommerrlations for the most effe.ctive basic programme of nursing. Some attention must be given to programmes for the preparation of teachers, supervisors and administrators of nursing. The International Council of Nurses, .~ r '-•"' .I '' EB7/1S· page 75 assisted by a grant from WHO, is engaged on a study of present post-basid nursing education courses and will. prepare a guide for the drawing up of· adequate curricula. The study on the best typo of worker to meet the basic health heeds of · fainilies, and on the trB.ining of such workers., will be oorrbinued in 1952, The result' will serve as a guide in the provision of assistance to countries in the. development of effective health services and in training workers for .them. - ·- EB?/18 page 76 Organization of Public-Health Services SOCIAL AND OCCUPATIONAL HEALTH Activities relating to occupational h~alth, including a ·stuqy of the problems of living conditions and the welfare of workers and their :frunilies, will be continued in close co-operation with ILO. Special attention will be paid to reh~bilitation an~ to th~ problem of the older worker. In under-developed areas where technical a~sistance results in increased in~ustriali~ation the importance of occupatj,.onal health will also. increase. Following t?o re.cornmendations made by the Join:t ILO/WHO Comrnit.toe on Occupational Health in .1950, .further action will bo taken to develop the co-ordination of occupational health activities with public health services. The second session of the joint co~nittee is planned for 1952. It will probably recommend the joint study of certain subjects at secretariat level, and thu assembling of information to be sent to Member States on request. The living conditions of certain professional groups will be studied, SP,ecial attention being given to the hygiene of seafarers, in accordance with the recom mendations of the Joint ILO/WHO Committee on the Hygiene of Seafarers. With regard to the physically and mentally handicapped (from both congenital and acquired causes), activities will be continued and extended the guiding prin ciple being to reduce the nmnbers of handicapped persons by the prevention of accidents nnd chronic diseases. Work will also be continued to facilitate the socinl rehabilitation of the physically handicapped, especially in its medical aspect. It will include co-operation with thE:J United Nations and with ILO in the matter of soci~l rehabilitation and legislation; with ILO in connexion with re education and re-employm~:mt, including vocational guidance; with UNESCO in conne.xion with education; 'With UNICEF where handicapped children are concerned; and with the international authority called upon to deal 'With the problem of refugees. The following aspacts of social and occupational health will receive appro priate attantion: recreation, including physical training, as a factor in social health; the social-health problems of the various groups within the community; the health problems of the aged, vrith spe cinl reference to the maintennnce of their part in social life, due attention being given to the change in ago-distribution of the population; the problems of wmen and young workers; the medica.l aspects of social security, with particular reference to the contributlon of modico-social workers (the last two in co-operation with ILO). EB//18 page 77 Org~nization ot Publie-~eaith Services HEALTH EDUCATION The evolution of effective health-education programmes for children, parents, teachers or the general public must be governed to a large extent by the probleTis, circumstances and outlook of the people concerned. It is also . important to study existing or potential training resources in health education for health personnel, school staffs and related groups. For some countries much of this information is lacking. In 1952 the Organization will continue to collect and exchange information and lnaterials on health-education aspects of organized health vmrk. During 1951, as in 1950, WHO received requests from governments for assistance of health-education specialists in carrying out overall field studies of health education. The field studies have dealt particularly with possibilities for strengthening health-education services among school-age children, parents, teaching personnel and community groups; organization, aCL~nistration and conduct of school and adult health-education programmes; study of various types of training courses in health education required for health personnel and related workers, and review of various health-education methods and materials needed in this field. Plans have been made to extend this service in 1952 to other governments desiring this type of assistance. For countries where there is insufficient leadership for the organization and developma~t of sound health-education programmes, in-service courses on health-education aspects of school and community health work on a regional basis aro contompl.:1tcd. A regional working conference on health education is planned. The Organization also plans to give assistance in the development of hGalth-education asp0cts of training ofiered by institutes or schools of public health. During 1951, considerable further joint planning and activity is being carried forward between WHO and UNESCO in co-operation with the respective governments concerned on a number of fundamental education projects. At the international~vel WHO has continued to assume responsibility for ... ""/','" .. EB?/18 .·, page 78 providing technical guidance, assistance and personnel in helping to implement the health education aspects of these projects. Joint activities with UNESCO in fundamental education include the fundamental education projects in Haiti, Indonesia and Ceylon, the Latin-AnGrican production and training centre programme in Mexico, and a survey of fundamental education needs in the Arab States. It is proposed that in 1952, as in 1951, WHO co-operation be extended with the aid of funds provided for technical assistance. EB?/JJ3 page '79 Organization of Public-Health Services lfJ~TERHAL Al\J-n Cl-HID lillAL'l'H The long--ter;n progranune for improvinc; the health of mothers and children is to assist c;overnments in the develo~!ment of maternal and child health ser vices ·within the framework of a general public-health programme In -such a prograrmne, pursued in co-operation 1rith other international organizations, the improvemer;t of economic and social conditions is em1)hasized as a prerequisite to the development of the best health services for mothers and children In many countries the high maternal and infant mortality rates call for intensive large-scale activity in all fields of public heG.lth Thus the activities of WHO planned for 1952 in the fields of environmental sanitation, nutrition, malaria, tuberculosis, venereal disease and e-ther comrL1tmicable diseases are of direct and fundamental importance to maternal and child health. In those areas where the general health level is sufficiently high, special services for mothers and children are given increasing attention, Such special services concern p.:1rticularJ.y, for example, the work of the paediatrician, tho obstetrician, the public health nurse in the field of maternal and child health, the mental hygienist, the health educator and the maternal and child health specialist In 1952 WHO will continue to give assi~tance to countries in those special services as a regular part of its programme. The services will include immunization campaigns, crip?led children1 s programmes, training for midwives, school health projects, maternal and clTI.ld health demonstrations, and advice on premature baby services. WHO has based its continuing proe;ram.mo for maternal and child health on the recormnendations made by the Export Cmmnittee on Maternal and Ch:i..ld Health 1 in January 1949 , Specialized aspects of the problem have been ftrrthor studied by experts, and in 1952 a joint committee of experts from the United Nations, UNESCO and WHO vdll meet to discuss the pro-school child. Basic requirements for the effective implementation of the long-term prograrmne arc knowledge of conditions in each country, continuous exchange of inforrnation and ideas about maternal and child health practicos, and the use of 1 Off. Roe. World Hlth. Org. 19, 35. EB7/1S page BD adequate methods for providing the right kind of assistance, This type of knowledge will continue to be collected in 1952, by surveys and studies, from governments, from literature and ex~erts It will be disseminated through WHO publications, the regional offices, consultants and team personnel. Through fellowships and through its demonstr.:ttion tec.~ms and training centres, developed for the most part with UNICEF assistance, w:m 'l11Iill continue to help countries to build up the trained leadership essential to continued progress. In 1952 WHO plans to continue its 1Jrograrnmo of stimulating an awareness of maternal and child health needs in all areas, of co-operating with governments, the United Nations and other spccial~zcd agcncioG in 3tudJ~ng those needs and assisting the countries to meet them, EB?/18 page 81 ~rganization of Public-Health Services \ MENTAL HEALTH The Organizationi s long-term prc;erai111ne fc~· mental hccil. th is based on tho re 1 conu7tondations made by the Expert Colillllittee on Montcc.l Health in 1949 ; it aims to encourage public-health services to accept responsibility fort ho promotion of the l7tental as well as the physical health of the poopie in their care. In . additi )n it sets out to promote the development of training facilities for workers in clinical psychiatry :~.:~ :;l~. 1'-:lgio;.;J.s mr'. gives particular emphasis to the psychiatry of chlldhood. The Organization has collaborated in seminars on these subjects and plans to continue this activity in 195Z. As far as possible the prograi1llne is carrioc~ out not as an isolated activity but as an aspect of all VffiO programmes concerned with the organization of nealth services, Consultants have been made available to a variety of countries on request, in sol7to cases to assist in the preparation of plo.ns for general mental health work and in others to provide services on specific aspects of such work. These services 'Will be developed on the request of governments. Work on alcoholism, as a problem in prevention and treatment, began with the convening in 1950 of the Alcoholism Sub-Committee of the Expert CoJ1U1littee on Mental Health, as was recomiilendcd by the First World Health Assembly. This aspect of the mental health progranme will be deyoloped during 1952 by a regional seminar on alcoholism as a public-health problem.. I17tportant contributions have alroac1y been made by technical surveys t.o certain aspects of tho United Nations progrmfu~e for the prevention of crime and treatment of delinquents. It is planned to make further such contributions at the request of the United Nations to these progrrulli~Cs in 1952. · In addition, at the request of UNESCO, the Organization plans to co-op~r.:lte with this agency in 1952 in its conference on the relation between mental hygiene and education. 1 Yvorld IU.th Org. techrt. Rep. Ser. 1950, ~ .t:.:.G'l/lo page s-~ Organization of Public-Health Services NUTRITION Since nutrition is a single whole which cannot be broken down into a series of separate and distinct categories, it follows that almost every practical progrf;liilll1e of nutrition has aspects of interest to bath FAO and WHO, However, in order to achieve maximum collaboration between the two organiza tions, and to prevent duplication 9f effort, the Joint FAO/WHO Expert Co~ttee on Nutrition at its first scsston recognized that in the work of FAO the emphasis was on nutrition in relation to the production, distrib~tion and consumption of food, whereas WHO placed it on nutrition in relation to the maintenance of health and the prevention of disease. The first requirement in aey nutrition programme is a know1odge of the nutritional status of the population of the countr,y. For some countries comprehensive records are available, for others : cuch information is still to be collected, During 1950 WHO assisted goverrunents to collect information on nutritional status and has studied methods for its assessmento This work is going forward in 1951 and will be continued into 1952. In many countries there are too few men and women with suffi.cient modern knowledge of nutrition to give leadership in the development of an effective nutrition progranun.e. The provision of'; training courses in the regior~s, ' preferably for groups of countries with similar fobd cultural pat_t0rns, is one effective w~ of overcoming this deficien~o Exchange of i1~ormation through short visits by nutrition e:x:parts to a 0ountr,y helps the local . authorities in the solution-of their problems D During 1950 WHO, in collaboration ·with FAO, assisted one government to . conduct a regional training centre in nutrition. Plans are in band for . similar training courses in two other regions in 1951 and for a travelling seminar in another region, WHO and FAO will each provide lecturers in the fields of their interests as detailed above to assist the local authorities in these training programmes. It is proposed that this kind of work should be continued in 1952. EB7/18 page 8) Some nutrition problems are common to a number of countries and discoveries or developments in one country or area will immediately benefit other ·areas. WHO took an active interest in two such problems in 1950, on which work will continue. Ono of these problems is tho prevention of endemic goitre in those parts of the world where free-flmving table salt is not used. WHO has assisted a number of countries to make surveys of the extent of endemic goitre and has initiated studies on the iodization of crude salt. It is proposed that this work should be continued in 1952. Another problem is the need to develop satisfactory diets for the feeding of infants after the weaning period and for young children in those areas where there is insufficient milk. It is proposed that during 1952 WHO should continue both to stimulate work on this problem and, where desirable, actua.J.:cy assist in investigations. The clinical aspects of these prpblems will be studied by vVHO, and their food-production aspects by FAO. EB7/18 pace 84 ·EDUCATION AND TRAINING The educational. programme .. for 1952 follows the principal lines of devel 1 opment laid down by the Second and T~ird World Health Assemblies . It is also guided by the Outline for a Long-feriod Programme worked out in ·collaboration with the Expert Committe~ on Professional and Technical Education of Medical 2 and Auxiliary Personnel and is~ therefore, consider~d as an annual portion of the long-term programme, Certain activities have ~een planned as the contin uation of the work to be accomplished in 1951. 1. Progress in the Knowledge of the Problem It is anticipated that a considerable. body of data and of opinions on medical education {particularly in regard to the preventive and sociological aspects of medicine) and nursing education will be collected during 1951 in connexion with the technical discussion at the Fourth World Health Assembly. The formulation by the expert committee of its views on a well-balanced medical curriculum is also expected in 1951. The work in 1952 will be to supplement these data by information from individual institutions and from the members of the expert advisory panel, and to compile a review of trends in medical and nursing education in the various countries and areas of the world. It is intended by 1952 to complete the enquiry into the types of auxiliary personnel to be found in various, mostly under-developed, areas and on the types and numbers of such personnel required by those areas. This enquiry should lead to some reduction of the diversity· in types of training and to an increase in collaboration between training institutes in the various territories Regional advisers in professional and technical education in some of the regions are expected to play a major role in this project Emphasis will be placed on direct exchange of experience between teaching personnel in different countries, and study-groups of such personnel are planned. 1 official Records No.l8, page 118, No,23, pages 157-168, and No.28 2Technical Report Series, 1950, 22, annex I ED'?/18 pnge 85 Professional non-governmental organizations will be encouraged to study methods of teaching various sp2cial subjects, including mental health, child health and certain other subjects, clinical and i.Jre-clinical This and other work on education anc:_ training will be carried out in collaboration with other UN. organizatlons, esvecially L~SCO, and ~~lth non-eovernmental organizations such as the World lvicdical Association, the International Universities Bureau etc The ~:-reparation of indicative lists of minimum teaching equipment for the various departments of schools of medicine, of j_Jublic health, and of nursing Yvill be co,nplt:Yted (in collaboration with UNESCO) i these lists should be helpful for institt:tcs to be set up, ·particularly in the less-developed areas 2. Progress in International Understanding and Collaboration International understanding will be promoted through the spread of infor mation material and the exchange of experience envisaged in $action 1 above_ In addition assistance vd.ll be continued to :i.nternational associations and congrer;sos vd.th a view to increo.sing the efficiency of international scientific collaboration through better technical organization of international scientific meetings. Courses connected with international congresses made an encouraging start in 1950 and it is ~)rO)uSod to promote them by moans of the Council, for Co-ordination of International Congresses of Medical Sciences. The same applies to the symposie. on S8luctcd subjects, bringing together sciantists able to contribute to tho discussion from the standpoint of their own specialty. TliTcc to four such symposia are envlsagod. 3 Institutions will bo fm~thcr encouraged and, if no cossury, assisted to take into account international neods in thoir training progranu~es lv1orc cO-Ofrorati ve training program.111es arc l)rO£)Osod in 1952 along with short-term activi tius such as courses, seminars and study-groups Travelling study-groups in public health aro pln.nned, to give advanced workers an opportunity of studying the structure and functions of their branch of public health in other countries and of discussing Yii th their colleagues in those countries their problems and experiences 3 The subjects to be announced later by the CCICI!S EB?/18 page 86 In view of the interest shown by several delegations to the Second and Third World Health Assemblies in the problem of international recognition of medical and related qualifications, prOJ?OSals for 1.ll1iform.i_ ty Of baSiC training requirements in the curriculum will receive attention WI10 will facilitate the exchange of information and opinion3 and, if possible, the formulation of a set of minimum standard requirements for training institutes similar in char acter. In approaching this problem, the differences in cu:}..turai, social and economic conditions which determine to a considerable degree both the type of· health personnel needed and their training, will be kept in mind. The development of group-~raining activities which took place in 1950 and 1951, mostly in Europe, will be extende~ to other regions with ·suitable· adjust ment to meet the particular needs -~f th~se regions (see the list of projects in Part II of this document). The following methods of international exchange of scientific information are proposed for 1952: (a) Improve~ utilization of existing library facilities General availability of medical literature of all countries is a funda mental requirGment, but the medical-litera turo and teacbing":".equipment programme of the Organization can rneet.only a fraction of the most urgent needs of Member States for current books and periodicals. In a great many countries, however, there is need not only for more of the current literature than is nmv available, but also for publications that can be found only in libraries of a certain standing . Such libraries, whilG. relatively scarce, can yet be found throughout the world in pro)dmity to co1.ll1tries where similar facilities arc non-existent. It is planned to make such resources more generally accessible The Expert ·Committee on Professional and Technical Education considered the existing sit uation and its potentia~itios and recommemed that WHO 11 givo as~istance (to libraries)" where a nucleus of material existed so as to ensr!!'e that such material become available to a large a;rea 11 ~ thus making those libraries 11 focal points for the collection and distribution of ~cientific information11 in the various regions, EB7/18 p2.ge 87 (b) Clearing house for medical information, In most of the natural sciences, some of which aro basic to medicine (physics, chemistry, biology, etc_), UI'·~SCO already·provides clearing-house facilities For a number of special-ties there aro organizational units at WHO headquarters where pertinent scientific information is exchanged in the course of routine activities However, the majority of medical specialties are not served by such units. By systematic collection of data on dependable sources of information for all spocialties in all parts of the world, by compiling files of information on medical schools, research institutes, sciE:mtific societies, and by establishing increasingly adequo. te contacts with leading scientists in all fields and all localities, a clearinG-house service in the medical sciences has boon instituted and is being further developed. (c) Exchange of audi o-visval teaching aids and of documentary material. Data on national efforts are being colloctocl at headquarters preparatory to a concerted effort by WHO for the r;ff:_cient usu of important scientific material of this t~pe on an international scale" ' Arrangements vrlll be made in 1952 for exchange of teachinr~ films and other audio-visual aids among regions, (d) Radio and television The possibility of using international radio-panel dlscussions on public health and medicine, and of using television for international exchange of sci entific information, will be explo:':'ed (e) Other methods Promotion of translation of textbooks and monographs on "a very selective basis" was considered 11 a very necessary servicoi1 by the Export Committee on Professional and Technical Education Lists of suitable texts for translation dealing vdth various branches of public health and medicine will be prepared in 19520 Co-ordination of existing organizations publishing medical abstracts of ono kind or another, as recommended by the expert conmli ttoe, is already being attempted in co-operation Yvith UI'BSCO Further improvements in abstracting by EB?/18 page 88 re;;;ions would be, possible if certain libraries - 11 focal points11 mentioned under 2 (a) above - could provide a greater selection of abstracts from local or regional literature than is now available to abstracting publications. 3. Direct Collaboration with Individual Countries The main goal for 1952 will be to assist countries which are in need of more and better health personnel and training institutions to work out long term national progra!Jllil9S. These will provide the basis for the co-ordination of assistance from abroad, including tl~t of vVHO and other sources, and avoid the wastage of haphazard and incidental assistance which does not fit into the national programme Headquarters and regional staff and short-term consultants will work on this ~~t of the progran~e The regional advisers on professional and technical education provided in some regions under the technical assistance programme are Gxpccted to put special emphasis on this work and on the co ordination of training assistance given by other UN bodies (Ul'fiCEF, UNESCO), and campaigns such as the technical assistance programme, bilateral assistance programmes and non-governmental co-operative campaigns. Various forms of assistance and collaboration which have been progrcssi vely tried out in previous years will be utilized in 1952. They are a advice and dj_ssemination of informa tion on the organization of training, teaching methods, equipment of institu tions etc.; provision of lecturers and consultants for the actual teaching or for the organization of teachingi provision of to~chine equipment and of medical literature; fell~rships; assistance in the organization of group training (courses, seminars, study-groups), To develop local training institutions will be the guiding principle of the educational programmeso According to countries 1 requests, and the recommendations of regional committees where such exist, assistance has bean planned for schools of public health, of medicine and of nursing Special attention -~till be given in the 1952 programrae to assistance in tho training of at~iliary personnel, but. several projects under the technical assistance programrno vdll already have started in 1951. EB7/18 pae;e 89 Sinoe fellowships are of particular importance in helping goverrunents to strehgthen their health services and educational institutions, the manner in which such fellowships may be~t be used to further that aim has undergone constant review. Planl}ing for future ,operations is taking place broadly along .the following lines: (1) Fello~ships are regarded as a service which is available to, and must be operated in common with, the various programmes of the Organization, rather than as an independent programme. (2) In order to give the maximum benefit to the receiving country, fellowships are awarded as an adjunct to the execution of a specific health or training project in that country. (3) Since the value of group training, from both the point of view of effectiveness and that of economy, is being increasingly recognized, fewer fellowships for individual training are being granted (see resolution vVHA2.7 of the Second World Health Assembly, Official Records No. 21, page 20). (4) The career of every ex-Fellow will be followed up with a view to assessing the contribution he is making to his country's health programme, and the possibility of utilizing his services in future joint projects of the government and of 'WHO. Fel~owships for undergraduate studies will be given to candidates from countries w,hich have not the resources for traininG their own medical and nursing pers~nnel at home, in th~ hope of creating the nucleus .of the local profession and eventually the basis for a teaching institution. In contrast to the pr2ctice in·previous years, funds for fellowships will be transferred to the regional offices, with which tho main responsibility for planning and budgeting will lie. The ratio between intra-regional and inter-regional individual fellowships will be determined by each regional director, in consultation with governments, and will vary according to training facilities available in tho regions. VlliO is prepared to co-operate with other United Nations agencies and, if required, to continue the administration of UNICEF fellowships. The services of the Organization will continue to be at the disposal of governments who wish for assistance in the exchange of personnel. Among the services which will be made available to governments in 1952 to assist them in establishing and developing institutes or courses are also: material assistance in the form of medical literature and teaching equipment; EB?/18 page 90 advice on standard basic teaching equipment. This assistance is required for the encouragement of training of an international character in national institutes, ~nd .for new institutes in economically less-developed countries. The Organization, in co-operation with Member Governments, will explore the needs of institutions and establish priorities with regard to beneficinry institutes and teaching equipment to be supplied. Considerable experience has been acquired over the past years in implementing the programme for the supply of medical literature and teaching equipment to governments. Information on a world-wide scale as to specifications for and suitability of teaching equipment in the various countries will be collected centrally and furnished to the regions and countries as required. In order to promote the idea of assistance to teaching and research institutes in public health and medicine in the less-developed countries, WHO will encourage various private institutions (foundations, benevolent societies) and individuals to organize co-operative campaigns in favour of worthy institutes handicapped in thoir development b,y lack of equipment. The first example of such action is an arrange ment reached with the Co-operative for American Remittances to Europe, Inc. (generally known as CARE). 5 WHO will indicate institutes to ~eceive approved equipment and/or supplies with the money collected b,y CARE. There is a similar arrangement between CARE and UNESCO with regard to educational, scientific and cultural books. 5 This activity is expected to be extended to cover regions other than Europe EB'?/18 pnge 91 CO-QRDINA TION OF PLANNING AND LIAISON For many programmes the effective ~e·.of the Organization's resources and personnel depends upon co-ordinated planning and the maintenance of liaison with the United Nations, specialized agencies, other inter-governmental bodies and, to a certain extent, non-governmental organizations. 'Ihe attitude adopted by WHO in the past with regard to co-ordination between 1 the various organs of the United Nations has recently been 8onfirmed by the Economic and Social Council and the United Nations General Assembly. In their decisions these bodies recognize the necessity for co-ordination of the programmes of the various specialized agencies and of the United Nations from the r.10r.1ent of their inception, and for consultation between the interested organizations 2 before the adoption of any proposal of common interest. Related to such decisions are the criteria adopted by the Economic and Social Council for the guidance of the United Nations and specialized agencies in their choice of activities. The maintenance of relations with certain non-governmental organizations is also of benefit to several aspects of ·wHO's progr.amme. Collaboration with such organizations normally becomes progressively more technical as relations are developed, and of greater assistance in the furthering of the organizations' programmes. Co-ordination and liaison with other specialized agencies will ~2come of increased importance in the planning of the Organization's work as the various technical assistance programmes are developed. The existence of the Technical ,.·Lssistance Board makes such liaison obligatory, 8ither through the Board itself and its executive secretary, or directly between organizations participating in the 1 See particularly resolution adopted by the First and Third World Health Assemblies: Off. Rec. World Hlth Org. 13, 324, 329; 28, 1 and 25, Annex 5 2 See UN document A/1547 ER7/18 pttGG 92 j ,· \ I '~, < Technical Assistance progr~ame. In order to provide a measure of progress for the Organization and a n8~.ns of evaluating particular projects, studies have been carried out with· a view to the establishment in 1951 of a new system of reports, which will be 'd(.)veloped in 1952. EB7/18 pace 93 Work planned for 1952 in the field of public information is centred on the continuation and further development of methods and channels for provid~ng the general public with a factual representation of the objectives, activities and problems of the Organization. It should be noted that the public-information programme does not aim merely at publicizing I!VHO as such but also seeks generally to enlist public support for the cause of international co-operation in raising levels of ~ealth. In the implementation of this programme every effort will be made to utili~e as fglly as p0ssible all the various information-media, including press and publications, radio, still photographs, film-strips, and films. However, it is anticipated that budgetary considerations will continue in 1952 to be a primary obstacle to the fulfilment of the minimum programme, i.e. of satisfying ~he total number of actual requests which the Organization receives for informational mqterial designed to be used in the various media. It is hoped that these limitations may be compensated in part by; 1. Further strengthening of the information units of the regional offices, prDnarily by providing them with greater amounts of material issued at headquarterr, 2. !llaximum utilization of the method of personal contacts between- public information staff and representatives of press, publications, radio,· films, etc. in an increasing .number of countrie~; 3· · Continued efforts to make full use of the facilities afforded by the UN Department of Public Information and by certain of the specialized agencies for. the distribution of material on international health problems; 4. Further development of contacts with the information units of non governmental organizations ~ctive in various types of health workJ 5· Utilization·of the information channels of national WHO Qommittees, or similar bodies, of which a number may have been established before or during 1952. Although the public-information programme for 1952 will, in general, correspond to the pattern established for previous y~ars ,(cf. Official Records No •.18, page 33, and No. 23, pages 194 and 195), certain significant changes in emphasis and ·several new projects, or modifications to existing ones, should be mentioned. . ' . EB7/18 page 94 On the basis of the numerous requests for photographs, posters, exhibits, etc. which have been received in the past, and taking into account certain suggestions made by various UN Information Ce~tres in this connexion, special stress will be laid on realizing the possibilities inherent in fuller use of the visual media. Among the reasons which have contributed to the decision to lay particular emphasis on·the ::Visual media is the fact that they are considered to be especially valuable in presenting to the peoples of less-developed countries a variety of essential information on ~ctiyities undertaken in the expanded programme of Technical Assistance for Economic Development. Efforts wiil be made to assure a greater range of still photographs dealing with field projects. Wider distribution of such photographs depicting all aspects of the Organization's work, will be made in order· to utilize press, magazine and wire service!! as fully as possible. Special attention will be devoted to the stimulation of conunercial sponsorship f_or the production of films and fi~.-strips which can be used in both the general and the regional infon~tion-programmes. It is anticipated that by the second half of 195? a stock of visual materials will have been established on a scale sufficiently large to meet a majority of requests from member countries for such materials. These will include posters, photo~raph~, illustrative panels, graphs, charts, fiL~-strips etc. Basic materials for these purposes will be produced under contract by free-lance professional photographers, artists, exhibition-designers, film-r,1akers, etc. As a source of information material on the Organization's work, grdup-training activities, expert committees, and other meetings will, where appropriate, be drawn upon to an increasing extent. This type of information-work has, of course, been carried out in the pa,st; but its intensificA.tion is regarded as advisable both on account of the intrinsic importance which such m~etings and activities have in the Organization's total progrRmme and because of the special opportunities which they offer.for developing press and public-relation services in the countries where they are held. The various publications hitherto issued for distribution to the general public will be supplemented in 1952 by a. further illustrated booklet.. The first booklet of this kind, published early in 1951, is devoted to certain broad aspects of world health and the role of 1VHO in its improvement.. Subsequent booklets in the series EB'7/l8 pace 95 are intended to deal with particular phases of the Organization's ar.tivities or with work being carried out in individual regions. In view of the fact that radio is an increasingly important medium of mass communication, even in many of the less-developed regions, provision-ha~ bee~ made for the extensive use of special portable recording-equipment•· This eqtupment, assigned to the regional offices, will ehabie ·staff tO' 'record 'increasingly in the field certain material for broadcasts dealii).g. With. tr~iniil.g. and demoastraticn projects. Such recordings will make it possible. for information on the Orgnn~zationls work to be placed more effectively in the programmes of a greater number of radio ·broadcasting networks and individual stations • .. } ~" ,:b ...;-J J..t; f~}t, It is anticipated that by 1952 plans drawn up aurl~~ the second half of 1950 · ! · :~ ·· . ; .. '-'';:<),1 Jb\t:r··wi,:<' r. ,,:., at a special session of the UN Consultativ~~€lp~t~~Sl:r carr·ied out as a jo~t. .undertaking of the various participating organizations, for providing the general public with information on the activities of the United Nations and specialized agencies in technical assistance for economic development. ~10 is prepared to contribute its full share to the implementation of this joint informational programme. EJYJ/18 p~go 95a SUMMARY OF TOTAL ESTIH.i1.TED COSTS OF J,CTIVITIES BY ORGANIZJJ.TIONAL UNITS No. of Posts ESTHLlTED EXPENDITURE 1950 1952 .!22.! 1950 1951 1952 ORGA.NII.tTIONAL MEEfiNGS World H~alth Assembly 124,300 155·,888 135,888 ,, Executive Board and its Committees . 51,270 . 76,780 . 76,780 Regional Committees: Africa 7,500 Americas 7,600 . 9,500 13,050 Seutb East. Asia 6,000 7,000 7,500 ~ope 3,400 2,150 laatern··flicH:.t$"'anean. . 8,Joq 7,500 2,500 We.tern Pacitic 6,500 4,500 TOTAL 197,470 266,568 249)868 . ' ) EB7/18 page 95b No. of Posts ESTIHA TED EXPENDITURE 1950 1951 1952 -1950 1951 1952 CENTR:1.L TECHNICAL SERVICES 8 7 8 Office of the Assistant Diroctor-Goneral 33,440 38,590 50,377 Epidemiological Services 2 2 2 Office of the Director 19,315 19,803 20,122 10 11 10 Sanitary Conventions and Quarantine 67,777 107,970 94,234 8 6 8 Co-ordination of Research 119,907 84,996 88,670 4 4 4 Technological Services 19,725 26,957 22,876 9 9 9 Epidemiological StD.tistics and Information 36,415 41,691 45,346 14 14 14 Singapore Epidemiological Intelligence Station 35,300 4"0,641 40,373 Health Statistics 2 2 2 Office of the Director 26,905 17,775 16,945 4 4 4 Statistical Studies 18,195 27,357 30,579 9 9 9 Uorbidity Statistics 35,825 45,703 51,973 International Statistical Classification of Diseases 4 4 4 and Causes of Death 11,730 31,842 30,037 Therapeutic Substances 2 2 2 Office of the Director 12,720 17,000 19,082 2 3 3 ·Biological Standardization 51,484 55,977 58,084 4 5 5 Pharmaceutical 14,305 25,643 27,058 2 2 2 Addiction Producing Drugs 14,715 16,044 15,311 3 Antibiotics and Insecticides 18,560 47 53 54 Tuberculosis Research Office, Copenhagen 250,000 219,793 254,55.3 Editorial and Reference Services 20 17 17 Office of the Director . 61,655 65,929 68,834 27 28 30 Publications and other Editorial Services 249,200 299,868 335,702 10 10 10 Translations 61,010 68,788 70,064 19 19 17 Library and References Services 93,480 96,744 97,097 Common services at Headquarters 190,229 126,938 155,030 - - 210 210 214 TOTAL 1,441,892 ~476,049 1,592,317 --- EB7/18 page 95c No.of Posts ESTIHATED EXPENDITURE 19;>0 1951 1952 1950 - 19_2J: ··---19~.? ADVISORY SERVICES 18 18 18 Office of.the Assistant 97,475 92;843 98,847 Director-General Communicable Diseases Services 2 3 3 Office of the Director 21,120 27 ~t,62 26,102 30 23 16 Hahria 259,140 19.3,895 167,199 19 18 23 Tuberculosis 165,665 174,484 304,398 23 26 32 Vencreal.Disenses 251,054 257,842 32t1,905 3 3 5 Other Communicable Diseases 40,600 71,030 185)145 Organization of Public Health Services 4 4 4 Office o.f the Director 28,015 32;599 39,153 29 43 50 , . Public Health 306,205 t.64. 755 56'7) 131 Admi.nistr2.tion " 6 8' 10 Envirorunontal Sanitation 55,100 97_, 257 148,854 6 9 14 Nursing 47,565 86,061 141;252 2 2 4 Social and Occupational 7,8C5 19,762 48,193 Health 3 4 4 Health Education of the 49,005 52,383 89,094 Public 10 13 28 Maternal and Child Health 116;221 144.;~955 .331) 23C 3 5 6 Mental Health 5i,240 \ 78,s398 92,386 2 2 8 Nutrition 3.9~350 38,509 111,105 Educa.tion and Training Services . 3 3 3 Office of the Director 18,290 23;945 25,899 7 7 7 Fellowships 703,910 550)585 935,754 9 25 57 Assistance to Educational 361,686 298,633 880 5 ~63 Institutions 2 2 2 E.1cr-.bange of Soienti."':i c 51,220 5J,.364 53;02.3 Information · Common Services at 98,292 70,521 86,002 Headquarters ___ ... ____ -----~- --M-·---·· 181 218 294 TnTAL -2,768,958 2;829,283 4J656,135 ----- ·~-- -··--.. -·- -·~·----·- REGIJNAL rFFICES .3 3 3 Africa 8,135 21).;527 28,758 34 41 55 Americas 183' ~~·,{) 250,434 .327,684 "44 53 53 South East Asia 1.34,600 150,229 15.3~418 5 7 24 E:ur.ope 28,815 45,216 14.3 .• 917 29 32 32 Eas.tern Mediterranean 144,8CKJ 168,202 170,890 9 19 29 Western Pacific 41,150 106,.319 134,457 _.., _____ .. ------124 155 196 TOTAL 540,)GO 't'+ :;. !J ';124 95CJ." 1~4 ______,.. ___ ..__ ------~ EXPERT COI.1MIT'rEES 179,450 l56)928 184,488 AND CONFEHENCES ------···---~------·- EB7/18 page 95d No. of Posts ESTIMATED EXPENDITURE 1950 1951 1.952 1950 1951 1952 ADMINISTRATIVE SERVICES Office of the Director-General 8 8 8 Director-General's Office 64,671 86,307 87,793 Co-ordination of Planning and Liaison 17 12 12 Geneva 98,335 78,851 81,179 8 8 8 New York 56,200 69,540 64,621 12 10 11 Public Information 66,994 71,908 85,073 45 38 39 Sub-total 286,200 306,606 318,666 Administration and Finance Office of the Assistant 4 4 4 Director-General 51,005 49,218 41,471 4 4 4 Legal Office 22,680 23,720 24,995 5 5 5 Internal Audit 29,620 39,441 42,266 Administrative Management and Personnel 2 2 2 Office of the Director 24,940 17,427 20,301 5 5 5 Administrative NJ.anagement 17,800 28,453 27,920 13 13 13 Personnel 57,650 65,976 65,730 Budget and Finance ll 11 11 Budget 57,565 69,305 73,758 27 24 2'4 Finance and Accounts 115,785 113,071 116,237 43 41 41 Conferences and General Services 167,955 167,932 181,309 114 109 109 Sub-total 545 ,ooo 574,543 593,987 Common services at Headquarters 192,829 122,500 148,666 159 147 148 TOTAL 1,024,029 1,003,649 1,061.,319 674 730 852 GRAND TOTAL 6,1~2,299 6,477,401 8,703,251 === c===:======EB7/18 page 95(e) r:;y ~STI~ -::.~J.,~L~S - I'U~U'OSE-OF-::=:G':GI!DITUTC~ CODES -DIDICLTING F':RCENT.".G::!;S OF TOT:.L DUD GET ------·--·------p.L·}o.nT PEnCENTLGES I PLRT II F:Jl.T III TOTJ.L OF Oi.W:Jn--:,;..TIOILL : 3l~TINGS SE~lVIC:;::;S Or:2;1l!.TlNG ~':UOGilL: ~ !E :.Dlllj'ISTi.lLTIVE TOT:.L BUDGET 1950 1951 1952 1950 1951 1952 1950 1951 1952 1950 1951 1952 1950 1951 1952 SUJ.JJU.RY -r- 00 Personal Services 35,505 58,918 51,343 1,89.3,123 2, 5L:.7 ,363 3, 405,740 592,320 626,760 659,540 2,520,9L,8 3,233,041 4,116,623 40.98 49.91 47.30 10 Personal L1lormnces 462,337 660,679 825,662 11,5,680 151,6L,9 158,327 608,017 812,328 983,989 9.88 12.54 11.30 20 Travel and Transportation 85,655 110,350 112,280 635,236 612,153 980,844 . 84,500 95 '705 87,256 805,391 ~as, 200 1,180,380 13.09 12.6.3 13.56 30 Space and equ;p~ent Services 8,565 13,627 11,007 107,963 116,728 146,480 46,632 47,526 58,906 163,210 177,881 216,393 2.65 2.75 2.49 40· Other. Services 8,6?5 11,400 9,120 206,081 170,9.35 200,696 52,107 50,179 55,635 266,863 232,514 265,451 4 •.34 .3.59 .3 .05 50 Supplies and Hnterials 57,850 70,773 64,618 486,597 285,170 4-95' 048 41,721 27,146 35,387 586,168 383,089 595,053 9.53 5.91 6.84 60 Fixed charges nnd claims 7,9.37 24,460 .36,131 338 2,448 2,484 8,275 26' 9o:::l 38,615 0.13 0.42 0.44 70 Gran~s and contracted t0chnical sorvicos 893,063 715,G39 1,105,059 893,063 715,839 1,105,059 14.52 11.05 12.70 80 i.cquisition of capital assets 1,220 1,500 1,500 238,463 73,857 196,404 60,681 2,236 3,784 300,364 77,593 201,688 4.88 1.20 2,32 --. ------______, ______, ______- TOTJ,_L 197,470 266,568 249,868 4,930,800 5,207,184 7,392,064 1,024,029 1,003,649 1,061,319 6,152,299 6,477,401 8,703,251 100.00 100.00 100.00 ,_ ------00 Personal Services 01 Salaries and ~ages 35,505 58,918 51,343 1,741,858 2,396,437 3,053,506 581,330 612,360 646,L:-40 2,358 J 693 3,067,715 3,751,289 .38 .34 47.36 43.10 02 Short-tor1:1 Consul tapts I feos 151~265 150~926 352,234 10,990 14,400 132100 162~255 165,326 365,334 2.64 2,55 4.20 35~505 58~918 51,343 1~893,123 2,547,363 3,405,740 592,320 626,760 659,540 2,520,948 3~233,041 4~116,62.3 40.98 49.91 47,30 10 Personal ..:·.11orrances 11 Installation 59,642 51,477 73,383 12,.304 9,411 9,858 71,946 60,888 83,241 1.17 0.94 0.95 12 Dependants 49,611 88,759 106,099 11,170 12,562 12,915 60,781 101,321 119,014 0.99 1.56 1.37 13 Expatriation · 86,581 128,400 147,703 30,740 32,849 3.3,552 117,321 161,249 181,255 1.90 2.49 2,08 14 Pension J?und 2.37 _,303 337,323 43.3,224 80,680 85,666 90,498 317,983 422,989 523,722 5.17 6.53 6.02 1.5 Staff Insurance 29,200 54,720 65,253 4,286 4,661 5,004 33,486 59_,381 70,257 0.54 0.92 0,81 16 Represcntntion 6l500 6~500 6,500 6,500 6,5QQ_ 6,500 0.11 0,10 0.07 462,3.37 660,679 825,662 lL,5, 680 151,649 158,327 608' 017 812,328 983_,989 9.88 12.54 11.30 20 Travel and TransEortntion 21 Duty travel 19,875 24,750 27,005 227,256 23L,,849 327,495 51,395 45,965 50,274 298,526 305,564 404,774 4.85 4.72 4.65 22 Travel of short-term Consultants 146,231 108,660 270,.350 2,460 148,691 108,660 270,350 2.42 1.68 3.11 23 Travel on initial recruitment and 90,65.3 67,849 102,166 ~-,295 6,416 6,754 94,948 74,265 108,920 1.54 1.15 1.25 repatriation. 24 Travel on Home leave 19,206 65,762 118,886 19,030 .35,185 25,795 38,2.36 100,947 1L,4,681 0.62 1.56 1.66 25 Travel of Delegates 61,315 78,820 77,000 119,.375 104,820 126,165 180,690 183,640 203,165 2.94 2.8.3 2.33 26 Travel and subsistence of tenp.staff 4,465 6,780 8,275 6,960 3,260 3,740 11,425 10,040 12,015 0.19 0.15 0.14 27 Transportation of Personal effects 25,555 26.953 32,042 7~320 8,139 L:-,433 32,875 35,092 36,475 0.53 0.54 0.42 85~655 110,350 112~280 635' 2.36 612,153 980,844 GL,,500 95,705 87,256 805_,391 818,208 1,180,380 1.3. 09 12,6_3 13.56 30 Space and EguiEment Services 31 Rental and maintenance of premises 8,160 12,977 10,357 97,212 104,627 131,753 45,070 46,222 57,392 150,442 163,826 199' 502 2.44 2.53 2.29 32 Rental and maintenance of equipment 405 650 650 10,751 12~101 14~727 1.!612 1,304 1,514 12~768 14,055 16,891 0.21 0.22 0.20 8,565 13,627 11,007 107,963 116,728 146,480 46,682 47,526 58,906 163,210 177,881 216_,393 2.65 2.75 2.49 EB7/18 pQgo 95(f) PJ.RT I PL.. RT ?EilCENTLG~ Pi..TIT II III TOTl.L OF ORGi.NIZJ.TIONl.L ~1EETINGS OP::J'J.TING PROGD.l.: 1~E :..D:tiiNISTRLTIVE SETIVICES TOTJ.L BUDGET 1950 1951 1952 1950 1951 1952 1950 1951 1952 1950 1951 1952 1950 1951 1952 L.r) Other Sorviccs ,1.,1 Cor:n:nmications 1,025 1,300 1,000 91,743 97,045 113,982 30,075 28.,009 29,891 122,843 126,.354 144,873 2.00 1.95 1.66 ' ..42 Hospito.1ity 1,750 1,000 6,642 11,2o6 12,1.35 1,658. 1+,226 l-~o,284 8,.300 17,182 17,419 0.13 0.27 0.20 _4.3 Other Contracted .Sor..vicos 2,405 2,375 2,045 87,968 46,611 5.3,5.35 14,076 1.3,472 15,406 104,449 62,458 70,9~6 1.70 0.96 0.82 L:./,. li'rcir;ht and other transportatic·n costs 5,245 5,975 5,075 19,728 16~073 21~044 6,298 /,, ~!+72 6,054 31~271 26,52() .32,17.3 0.51 0.41 0,37 8,675 11,400 9,120 206,081 170,935 200,696 52,107 50,179 55,635 266,863 2.32,51.4 265,451 4 •.34 3.59 3.05 1-50 Supplies <:mcl 1:Jrttcrials 51 Printing 31,070 36,.300 35,000 1.39,740 156,505 176,981 2,194 1,0.36 1,0.39 17.3,004 193,841 213,020 2.81 2.99 2,45 52 Visu.:J. 1:1:..'1 tcrials 1,460 2,000 2,000 2,347 9,160 19,1.3) 858 4,8L~ 10,765 4,665 16,004 .31,904 0.08 0.;25 0.37 53 Supplies 25,320 32,473 27,618 241~-,510 119,505 298,928 .38,669 2~,266 23,583 308,499 173,244 350,129 5,01 2.67 4.02 54 Supplies for Governmental proero.nmes lOO 000 lOO 000 1.63 57,850 70,773 64,618 O!:B 5.91 6.84 486,597 285,170 495, ... 41,721 27,146 35,387 586,168 383,089 595,053 9.53 60 Fixed charges and clains 61 I1oimbursomcnt for incor.1o ta.,'(a tion 6,405 22,794 J4,2?6 2,236 2,270 6,405 25,030 36,496 0.10 0.39 0.42 62 Insurance 1 5.32 1 666 1 905 3.38. 212 214 ~870_ 1,878 2~119 0.03 0..02 0.02 7,937 24,~60 36;131 3.38 2,448 2,L:-84 8,275 26 '~ )8 38,615 0.13 0.42 0.44 70 Grants and-contracted Technical Services 71 Fcllorrships 666,500 510,182 893 ,~~57 666,500 510,182 893,857 10.84 7.88 10,27 72 Contracted technical Services 226,563 202_,657 211~202 226,563 205 657 211,202 3.68 3.17 2.43 89.3...,?.0_§3 715~839 1,105,059 89.3,063 715,839 1,105,059 14.52 11.05 12.70 QO Lc9.uisition of Capital Lssots e1 Library books 24,850 23,200 24,20(; 24,850 23,200 24,200 0.40 0.36 0.28 82 Equipment 1~220 lz500 1.!500 213~,.613 50,..§57. .. 172,204 60,681 2,236 3,784 275,514 54139.3 177,488 4.48 0.84 2.04 1,220 1,500 1,500 238,463 7.3,857 196,404 6o,681 2,236 3,784 300,364 77,593 201,688 4.88 1.20 2.32 TOTl:..L 197,470 266,568 249,868 4,930,800 5,207,184 7,392,064 1,024,029 1,003,649 1,061,319 6,152,299 6,477,401 8,703,251 100.00 100.00 100.00 EB7/18 page 96 ORGANIZATIONAL MEEI'INGS Fifth Regular Session of the Health Assembly The estimates for the fifth regular session of the Health Assembly are based on the assumption that it will be held in Geneva and vrlll continue, as in previous years, for 21 days. The estimates are based on actual costs of previous Health Assemblies, augmented by the cost of providing interpretation into Spanish in addition to English and French, and; SimUltaneous (instead of consecutive) interpretation for co~nitteos. Should it be decided to hold the session away from Geneva, supplementar,y estimates will have to be submitted. Executive Bon.rd and its Oonnnittees Provision has been made for two armual sessions of the Executive Board and its co~~ttees, to be held in Genova during 1952. I~ has been assumed that, as in previous years, one session of the Executive Board will take place imnediately after the regular session of the Health Assembly. The estimates are based on actual costs of previous Executive Board sessions, plus provision for simultaneous interpretation and for interpretation into Spanish in addition to English and French. Additional provision has been made to cover the travel of members who are not delogatesto the Health Assembly. Should the fifth regular session of the Health Assembly be held away from Geneve1, supplementary estimates ·will have to be submitted for the tenth session of the Board. Regional Co~~ttees An amount of 137,200 has be0n provided for regional committee meetings in 1952. It has been assumed that an inaugural meGting of the Regional Committee for Africa will take place in 1952. The r.emainder of the sum will be for routine annual meetings. EB7/18 page· 97 Organizational Meetings SUlVJlV.i.ARY Estimated expend.g.~ 1950 1951 1952 World Health Assembly 124,300 :· .. :55,. J.~~s 135,888 Executive Board and its Committees 51,270 76,780 76)780 Regional Co~ittees Africa 7,500 Americas 7,6on 9;500 13,050 South East Asia 6,ooo 7,000 7,500 Europe 3 ,l~oo 2,150 Eastern Mediterranean 8~3CO 7,500 2,500 Western Pacific 6J500 4,;oo Total 197,470 2651'560 249,868 ------·-- EB7/18 pare 9~ Organizational Meetings ivORLD HEJ.LTH ASSEMBLY ~~timated Expenditure 1950 1951 1952 .-.- ....,._.~ -- · Personal Services Salaries and wages (Temporary Staff) 23' f:iJ:J .36,820 28_,020 Travel Qnd Tr~ps,eortation Duty Travel 5,150 6,ooo 6,ooo Travel of delegates 33,050 35,000 35,000 Travel and subsistence of Temporary Staff 1J250 2,000 2,000 S,eace and Equi;emez:!.~.Services Rental and maintenance of premises 6,095 9,520 7,000 Rental and maintenance of equipment 380 t:Do 600 Other SerYices Communications 1,025 1,300 1,000 Hospitality 1,750 1,000 Other Contractual Services 500 Freight and Other Transportation Costs 5,225 5,900 5,000 Supplies__ ::nd l1~t~~!~ Printing 25,125 26,JOO 25,000 Visual Material 1,460 2,000 2,000 .Supplies 20,720 26,698 21,768 .hcquisi~l-_on of Capita.!, ilssets ~dministrative Equipment 1,220 1, 500 1,500 TOTHL WORLD lhlrl.LTH h.SSEilfillLY 124)300 155,888 JJ5,888 --·_,.._. EB7/18 page 99 Organizational Meetings EXECUTIVE BOARD fill]) Ill'S CVJ.vJJ.vLITTEES Estima!ed e~enditure 1950 12.21 1952 Personal Services Salaries and wages (Temporary Staff) 7,855 17,37~ 17,378 Travel and Transportation Duty Travel 2,375 1,200 1;200 Travel of lfumbe~rt 28,265 39,320 39,320 Travel and subs~8tence of temporary staff 65 Boo Boo GRace and Egui:ese~t Servic~-\ Rental and maintenance of premises 1,365 2,557 2,557 Rental and maintenance of equipment 25 50 50 Other Services Uther contractual services 1,305 400 400 Freight and other transportation costs 20 75 75 Supplies and Materials Printing 5,945 10,000 1\.J ,ooo Visual Material Supplies 4,050 5,000 5,000 TOTAL EXECUTIVE RQABD AND ITS COMJ.v!ITTEES 51,270 76, 7BO 76,7BO .. ' EB7/18 page 100 Organizational Meetings REGIONAL ~Qlvli.VJ.!TrEES Af'rica Estimated expenditure ~ 1221. ~ Personal Services Salaries und wages (Temporary Staff) 1,100 Travel and Transportation Duty Travel 1,975 Travel of delegates 2,~0 Travel and subsistence of temporary staff . 1,;'350 Space and Equipment Services Rental and maintenance of premises 100 Other Services Other contractual services 195 Supplies and Materials Supplies lCO TOTAL AFRICA 7,500 EB'( /18 page 101 Organizutionnl Meetings REGIONAL COiviJ.VliTTEES Americas Estimo.~~d expenditure 1950 1951 1952 Personal Services Salaries end wages (Temporary Staff) 1,100 1,120 Travel o.nd Transportation Duty Travel 4,900 6,500 9,330 Travel and subsistence of temporary staff 1,000 1,280 2,000 Space and Equipment Services Rentnl and maintenance of premises 200 200 200 Other Services Other contractual services 250 250 250 Supplies and Materials Supplies 150 150 150 TOTAL AMERICAS 7,600 9,500 13,050 EB7/18 page 10~· Organizational l.\leetings REGIONAL COlV!l' South East Asia Personal Ser'lrices Salaries nr.d wages (Temporary S~nff) 1,000 1,200 Travel and Transportation Duty Travel 3,500 4,500 4,500 Travel and subsistence of temporary staff 900 850 1,000 Space and~!~ent Se!vices Rental and maintenance of premises 200 lOO 200 Other Services Other contractual services 250 250 400 §EEElies nnd M~teriaJ.s Supplies 150 100 150 TOTAL SOUTH EAS11 ASIA 6,000 7,000 EB7 /18 Org~nizutionai Meetings page 103 REGIONAL COJ!llVJITTEES Europe Estimated expenditure _;1.950 1951 1952 Personal Services Salaries. ,and wages .(Temporary Staff) 4oo. Travel and Transportation Duty Travel 1,000 Travel of d8legates ·2,500 ..... Space and -~~Lvm~_nt _Se~~~ Rental anc. r:aintenance of premises 150 ioo Other Serv:i.c:,~~ OthGr contract,lal services ·- 200 . 125 SuE.eJ.ies ·and ~~~1_;_~ Supplies 150 75 TOTAL. J.!~UROPE 3,400 2,150 EB7/18 ~~{)4 Organizational Meetings REGIONAL CO~ES Eastern Mediterranean ~~~ed e;eenditure 1950 !2.21 ~ Personal Services Salaries and wages (Temporary Staff) 1,950 1,600 1,.225 Travel and TransKortation Duty Travel 3,950 3,550 Travel and subsistence of temporary staff 1,250 1,250 525 Space and Equipment Services Rental and maintenance of premises 300 250 Other Sel;'vices Other contractual services 6oo 6oo 500 Supplies and Materials Supplies 250 250. 250 TOTAL EASTER.'i MEDITERRANEAN 8,300 7,500 .2,500 EB7/18 page 105 Organizational Meetings REGIONAL COMMITTEES hlestern Pacific Estimated expenditur~ 1950 1221. 1952 ~nal Ser~ Salaries and 1.!ages (Tomporflry Staff) 400 400 ~~L..ru:!d Tran.2lli'lrtB~ion. Duty Tra.vel 3,000 3,000 Travel of delegates 2,000 Travel and subsistence of temporary staff 600 600 Space and~:i_pmen.:LServiC£..§ Rental and maintenance of premises 200 200 Q.ther~vi£.§!§ Other contractual services 175 175 §uppbies and Mat~ls Supplies 125 125 TOTAL ,,JESTERN PACIFIC 6,500 4,500 Total Regional Committees 21,900 33,900 37,200 ======------ TOTAL ORGANIZATim!AL MEETINGS 197,470 246,568 249,868 ======. ------=:::======-'"..:li / J..._; page 106 Central Technical Services BUM:MiiliY Ne. of Posts 195\t 1951 1952 195C 1951 1952 8 7 8 Cffice of the Assistant Director- 33,440 38,590 5C,377 General ~pidemiolo::;ical Services 2 2 2 Cffice of the Directnr 19,315 19,8C3 2t ',122 lC' 11 1(· Sanitary Conventions & •:' 82,922 111,377 1Cl,347 Quarantine 8 6 8 Go~ordination of Research 146,C:97 95,353 152,316 4 4 4 Technological Services· 19,725 26,957 22.r,876 .9 9 9 Epid. Statistics & Inf. 36,415 41,691 45,346 14 14 14 Singapore Epideminlogical 35,30'-' 4C,641 4l',343 Intelli~ence Station Health Statistics 2 2 2 Cffice of the Director 35,955 36,689 16,945 4 4 4 Statistical Studies 18;195 27,357 3C,579 9 9 9 Morbidity Statistics 35,825 45, 7C 3 51,973 4 4 4 International Statistical 11,73(• 31,842 3( ,c 37 C1assificatic.n of Diseases & Cavses of Death Therapeutic Substances 2 2 2 uffice Gf the DirectC'r 12, 72l 17,r,-. 19,( 82 2 3 3 Bio1o~ical Standardizati0n 56,134 63' 92( 7 ·, ,816 4 ·5 5 Pharmaceutical 29,9\5 45,228 46,C.35 2 2 2 ;.ddic ticn Prcclucing Drugs 2~- ,655 2C ,962 2l ,18() ·3 Antibiotics & Insecticides 21,225 6,364 47 52 54 · Tuberculc·sis Research (ffice- 2Y ,: cc. 219,793 254,553 00pe·r·hae;en Editnrial & Reference Services 2( 17 17 Cffice of the Director 61,655 65,929 68,834 27 28 3C. Publications & lther 249,2(l 299,868 335 '7C12 Editrria1 S8rvices 10 lC 1(· Translations 61,<'1( 68,788 7l- ,C64 19 19 17 Library & neference 93' 48(· 96,744 97 ,C97 Services Ccrrrrnon Services at Headquarters 190,229 126,938 155,030 --- 21C 210 214 Total - Central Technical 1,521,132 1,541,173 1,7n6,r18 ~=~ Services EB7/18 page 107 Central Technical Services OFFICE OF THE ASSISTANT DIRECTOR-GENERAL Ty,pe of Work: The Assistant Director-General supervises and co-ordinates the work of four divisions: Epidemiological Services, Health Statistics, Therapeutic Substances and Editorial ani Reference Services. He advises the Director-General on major poliqy questions and, together with the Assistant Director-General, Department of Advisor,y Services, ensures the necessary liaison between the two technical departments. The scientific work of the department covers a group of research activities which call for group discussions, studies and planning. In addition administrative work of the department is attended to, New Personnelt The need for an administrative officer in the Department of .. Central Technical Services has long boon evident and has been budgeted for in earlier years. With the development of the department tho appointment· of. this officer cannot be further delayed and provision for the post has therefore been made in 1952. Duty Travel: The Assistant Director-General must maintain close contacts with the centres working on the standardization of drugs, the international [,troup of national laboratories engaged in antibiotic research, the ~uberculosis Research Office, and organs of other research activities in the department. Under technical assistance and in collaboration with UNICEF largo development is being planned in connexion with antibiotics plants. This development rrru.st be directed and supervised from headquarters by personal visits of the Assistant Director-General, EB?/18 page loB Central Technical Services . . . - ·- ~··- OFFICE OF THE ASSISTANT DIRECTOR-GENERAL No. of Eosts Estimated E3eenditure 1950 1951 1952 Grade !219. :1951 -1952 1 1 1 Assistant Director-General .... 13,500 13,500 ... 1 Administrative Officer 12 5,045 1 1 1 Secretary 7 3,290 3,470 1 1 1 Clerk-Otenographer 5 2,420 2,670 Stenographic Pool 5 4 4 Clerk-Stenographer a 4 9,550 9,930 8 7 8 Total established posts 27,990 28,760 34,615 - = - Allowances Installation 545 4i5 1,219 Dependants 257 Expatriation 1,085 1, 250 1,566 Pension F·und 2,240 4,027 4,847 Staff Insurance 200 217 259 Travel Dut,: 925 3,120 4,100 Recruitment & repatriation 455 300 738 Home leave 205 2,550 Transportation of personal effects - 296 226 Total - OFFICE OF TEE .ASSISTANT DIRECII'OR..QENERAL 33,440 38,590 50,377 H'P //18 ~"' I p. Epidemiological Services OFFICE OF THE DIRECTOR Type of Work: ' ' The Director of the Division of Epidemiological Services is in charge of the following four sections at headquarters, 'Sanitary Conventions and Quarantine Section Epidemiological Information Section Technological Section Co-ordination of Research Section and ·the Epidemiological Intelligence Station, Singapore, He has also to co-ordinate the work in connexion with epidemiological intelligence an:i internati.onal quarantine carried out by the epidemiological units in the Regional Offices. Besides the nonnal duties mentioned above, it is expected that, in 1952 as in the.past, the Director of the division will serve as secre~ary to certain expert comnittees of the Co-ordination of Research Section, ~ning to shortage of medical officers in that section. New Personnelt No increose in staff is proposed. Duty Travela In order to improve co-ordination between tho various epidemiological units at headquarters, those in regional offices, and the Singapore Epidemiological Intelligence Station, the Director plans to visit either the epidemiological w1it in the Regional Office for the Eastern Mediterr~nean, that in the Regional Office for the Americas, or the Singapore Station. The choice will depend on conditions prevailing in 1952, in particular on possibilities of combining such a visit with another mission. EB'( /118 page 110 Epidemiological Services OFFICE OF THE DIRECTOR No. of Posts Estimated Expenditure 1950 1951 1952 Grade 1950 195Q -1952 1 1 1 Director 19 11,250 11,250 1 1 1 Secretary 6 2,960 3,120 2 2 2 Total established posts 14_,020 14,210 14,370 --- - = Allowances Installation ll8 118 Dependants 1,200 1,800 1,800 Expatriation 600 500 500 Pension l''und 1,960 1,990 2,012 Staff Insurance lOO 107 109 Travel a Duty 1,435 570 1,070 Hecruitment & repatriation 86 86 Home leave 365 Transportation of personal effects 57 57 Total - OFFICE OF THE 19,315 19,803 20,122 DIRECTOR EB7/lS page 111 Epidemiological Services SANITARY CONVENTIONS AND QUARANTINE Type of Ylork The Sanitary Conventions and Quarantine Section administers the Inter national Sanitary Conventions. ~~-ork entailed by this statutory obligation co1:1prises: Operation of a system of notifications on the occurrence of pestilential diseases and quarantine measures in force, by means of telegr~~s, wireless bulletins and a Weekly Epidemiological Record - in this connexion the personnel of the Notifications Unit abstracts and disse~i~qtes data on pestilential diseases from the 6500 reports received annually. Settlement of disputes on quarantine ~tters. Up to the beginning of 1951 some 50 disputes had been settled. The Section on Quarantine of the Expert Co~~ittee on International Epidemiology and Quarantine, to which some of the disputes are referred, is serviced by the section. Delineation of yellow fever areas and arrangements for the testing, approval and control of vaccines against yellow fever. In this connexion the section acts as secretariat for the Yellow-Fever Panel. The section is 'llso responsible for the preparation of ~'JHO RGgulations to replace the uxisting Intornation1l Sanitary Conventions and for the purpose acts as Secretariat of the Expert Committee on International Epidemiology and Quarantine and its Legal Sub-Committee. New Personnel: No increase in staff is proposed. Duty Travel: A medical officer fro~ the section will be required to visit Johannesbur;s for the scheduled mGcting of the Yellow-Fever Panel. Consultants: None proposed. Grants-in-Aid and Contracts: None proposed. EB'I/18 page 112 Expert Committees The following 11liJC. tings ~,rG considsrcd nece:::snry in 1952: Expert Cor;:;:_:i t tu a on Interm tLll1nl Epidm:U_ology and Quarantine - The committee should meet to drnrt additional regulA-tions and "recommended pr,g_ctices 11 to f,'lcili t=tto thu discharge by countries of their obligations under tho now WHO Sanitary R8::;ul3.tion::::,. It will also be required to make r..,;comrnend3.tions for the settlenont of difficultiGs arising out of the ontry-into-forco and application of these regulations and to examine any intornatione.l qu:trantine disputes not settled by the Secretariat. -~ bound:1ry of the onder:ri.c yellm1-fever area in .-~.frica. In visw of the subjects to be; discussed at the session, it is proposE.;:d that the panel should r:10et in Juhcnnesburg. EB'( /ld page 113 Eptdemiological Services SANITARY CONVENTIC'NS AND QUARANTINE No. of 12osts Estimated expenditure 1950 1951 1952 Grad~ ~950 1951 1952 1 l l Chief of Section 17 ~975 ~525 2 2 1 Medical Officers 15 13,760 7,240 1 1 l Technical Offi.cer 13 6,520 6,850 1 l Technical Ass~stant 9 3 J 87 0 4' 07 0 1 1 l Statistician 9 3,870 4,C70 l 1 l Clerk 6 3,120 3,280 1 1 l Clerl-:: 5 2,670 2,810 l 1 l Secretary 5 2,670 2,810 l . l. 1 Clerk-Stenographer 4 2,415 2,535 l l 1 Clerk-Typist 4 2,295 2,415 ----- 10 11 10 Total established posts 41,700 50,165 44' 60'5 ----- Short-term Consultants' Fees 3,6oo 5,200* 9,600 * 45,300 55,365 54,205 Allowances; • Installation l' 04f) 650 591 Dependants 1,230 1,8oo 1,8co Expatriation 2,0 0 2,750 2,250 Pension Fund 4,812 7' 0~4 6,247 Staff Insurance 320 378 336 Travel: Duty 923* 923* Short-term Consvlt~nts 1,360 3,600 . 1,200 Recruitment and repatriJ.tion 195 757 429 Home leave 1,890 475 Transporta t1on of Pe.rsonal effects 1,338 283 Grants and Contracted Technical Services ------··~------Delineation of Yellow Fever Endemi.c Area.-.. 12,000 * 6,000 * ~emi.olog__ical__';£~-~ee-.r_~m-~&-~J:'-~a_9-_c_2sts 11,500 19,495 19,495 67:777 107,970 94,234 ------~ert .Q2!!J._gJ._i_!._~~~_s Expert Committee on International Epj_demiology and Quar::mtine 11,195 7,113 Legal C:,mmi ttee on International Epidemiology & Quarantine 3,950 3,407 Total ·· SMTITARY COl~il.Gl·il'lON;:, & QUARAN'l'Il'JE 82,922 111,377 1:1,347 * P9.rtly OIHP Funds EB7/1.8 page 114 Epidemiological Services TECHNOLOGICAL SERVICES :rliX3 of Work: 'l'ho soct~on serves, in technological matters, the operating sections of the. Division of Epidemiological Services, particularly as regards: (1) Wir~less - Broadcasting stations for the epidemiological bulletins are selGckd and arrangements made regarding wavelengths for epidemiological broadcasts, their relay and.timing. (~) ;e+egraphic Code - The world~ride cable code for epidemiological telegrams, developed by the section, is being constantly kept up to date, and this work will continue in 1952. . (3) .Geo~raphical matters - Tho map supplement to the abovementioned epidemiological cable code, prepared by the section in 1950 and 1951, will be revised in 1952, with a view to the publication of a new edition of the code in 195.3. The section supplies maps of the distribution of diseases for the epidemiological publications of WHO, ~_E!SO!ille~; No ne:w staff are proposed. Du~y _!r:_avel: None proposed. ----·----Consultants: None proposed. grants·:~-~:!.ic!_ ar?_gontracts: None proposed. EXPert CoR~ittees: Ncne proposed • .,._,,,~~~~---••••••P "'"-·-· '"''"~ ~"- EB7 /118 page 115 ~pidemiological Services TECHNOLOGICAL SERVICES Nil• of.Ji'ostw Estimated Expenditure 1950 1951 1952 Grade 1222. 1951 .!.22 1 1 l Chief of Section 15 7,630 7,630 1 1 1 Technical Assistant 9 3,870 4,070 1 ·1 1 l'echnical Assistant 7 2,970 3,350 1 1 1 Secretary 5 2,670 2,810 4 4 4 Total established posts 14,130 17,140 . 17,860 = = .z:=ar Allowances: Installation 425 237 237 Dependants 400 400 400 Expatriation 990 1,250 1,250 Pension Fund 1,980 2,400 2,500 Staff Insurance 100 129 134 Travel: Recruitment & repatriation 25 172 172 Home leave 2,765 210 Transportation of personal effects 330 309 113 '..__:r-· ...- Grants· and Contracted Technical Services: Compilation of CODEPID 1,345 2,155 -- lotal - TECHNOLOGICAL19,725 26,957 22,876 SERVICES EB?/18 page 116 Epidemiological Services CO-ORDINATION OF RESEARCH .. Type of vJor}} ~ The Co-ordination of Research Section makes studies an_d'· enrrve.(y~c,:~f /' ,, . recent literature on infectious and parasitic diseases r.:nd serves as secretariat for ,expert committees on such of these diseases as a.-re not ppedfically dealt with by other sections of the Secretaria:t. It co-ordinates research undertaken under t!,le: a~gis pf tbe expert:-committees, in 'the flt;ld, in specialized laboratories or in recognized regional centres, The section also fur-niF:hes, on :request, technical advice on the diseases 1-Tith which it is concerned, to WHO units engaged· on field .... L programmes and to governments and specialized workers and institutions. New· Personnel ~--- One medical officer is proposed to replace a consultant on plague and cholera who has beenwor;king for the section in 1950 and 1951 and wiJ~ be no longer employed in 1952; one secretory, for the medical officer; one stenog~apl~r-typist, considered necessary owing to the increase in the work of the section. Provis:.on was made under the Technical Assistance Programme for 1951 for the following posts. It is proposed that these posts be continued in 1952. Medical Parasitolo_gist (Headquarters): The medical parasitologist proposed for headquarters would concern himself with the -.;·mrld a.spects of parasi_tic diseases such as bilharziasis, filariasis and hookworm, which o.re an important cause of poor health and lowere-d productivity in large sect ions of ·the popu~at-ion of economically underdeveloped countries. Veterinary Officer (Headqua:::-ters)~ In o.ssisting the economic development of various countries, prime considera:d.on must b2 given to diseases of food-producing animals communicable to man, The mo8t important of these are brucellosis, bovine tuberculosj_s, anthrax and hydatidosis. This officer would be co!lcelned with programmes under technical assistance for the prevention of these diseases, and the organiza.tio;,1, in the vaTious courrtries1 of food :t11spec-tion and hygiene. Provision has been made for two clerk-stenogra;Jbers, on8 for each of the a.bove-men7,ioned officers. EB?/18 page 117 Duty Travel: Medica.lofficers and scientists of the Section of Co .. ordination of Reseaxch will have to attend con_ferences and congress, visit institute's and centres participating in reseaxch co-ordinated by WHO, and make personal contact with investigators in the field. Some of their journeys will be for the co-ordination of reseaxch significant in the prevention of di~eases that hamper economic: development. Consultants Short-term consultant-s will be needed for many diseases falling within the scope of this section. Requests from countries for such consultants' have been dealt with by the regions concerned, but in many cases research is necessary and it will not be possible for persons at headquar:.ers to deal with all such requests for research. Certain experts may therefore ha:ve to be called in, either to advise on reseaxch or to be actively engaged thereon. For that reason it is necessaxy that some consQ1tant months be provided for. Consultants were provided for in 1951 under the technical assistance programme, and a similax provision of consultant months is proposed for 1952, in accordance with the following schedule: Bi.lha.rziasis: Nine consultant months are proposed for research work in the Eastern Mediterranean region, Africa and the Western Pacific, where bilhaxziasis is an important J?X'.:>blem and where agricultural projects are schedulai to be caxried out. Filariasis: Four consultant months are proposed for reseaxch work in the Western Pacific and South East Asia regions to advise on measures against this disease. Hookworm: Three consultant months a.re proposed for investigations in the South East Asia and Western Pacific regions, where this disease is endemic. Anthrax: Six consultant months are proposed for reseaxch work in South East Europe, the Middle East and South East Asia, where anthrax causes enormous economic losses in livestock and livestock products (hides, wool, etc), and provides an important source of infection of human beings. Brucellosis: Six consultant months axe proposed for research work in brucellosis control. Besides causing protracted and incapacitating illness in human beings, this disease is a. cause of· considerable loss in production in food-producing animals. South East Europe, the Middl.e. East and South East Asia are the axeas concerned. EB?/18 page 118 Hydatidosis: Three consultant monihs are proposed for investigations in South East Europe, the Middle East and South East Asia. This disease causes great losses in meat, besides infecting large groups of the agricultural population. Rabies: Six consultant months are proposed for the study of local problems in the Middle East and South East Asia, to advise governments on rabies control programmes. Besides the threat to human beings, outbreaks of rabies cause appreciable losses in livestock. Food Hygiene: Six consultant months are proposed for work in South East Europe, the Middle East, South East Asia. and the Western Pacific, to investigate local food hygiene and inspection practices. Grants-in-Aid and Contracts. The Expert Committee on Plague has recommended research on plague which could be best executed in India. A grant to an institute in India is proposed for this purpose. As the Expert Committee on Plague also recommended research into the chemotherapy of plague, especially pneumonic plague, this type of research should a~so be covered by the same grant. The Joint OIHP/WHO Study Group on Bilharziasis in Africa emphasized the need ·of better identifica.tion of snails responsible for the spread of bilharziasis. Aa WHO must be in a position to give sound advice on preventive methods against this disease, it is essential that some institutes devote themselves to the task of improved classification, based on the specimens collected during the bilharziasis survey in Africa and the Eastern Medi terranea.n region begun in 1950. The Joint OIHP/WHO Study Group on African Rickettsioses recommended that specific rickettsial antigen suspensions be prepared for use in regional and local laboratories in Africa. The central laboratories suggested for this preparation are the Pasteur Institute in Paris and the South African Institute for Medical Research, Johannesburg. An appropriation for brucellosis is requested for distribution amongst the WHO/FAO Brucellosis Centres in order to purchase essential litera~ure, bacteriolog ical media. and biological products, since some of these laboratories would be unable to make such purchases because of lack of foreign exchange. By providing these materials basic support is given to the brucellosis programmes being put into effect in the various countries and regions~ EB7/l8 page 119 The World Influenza. Centre, which is the central institute for strain typing and study of antigenic composition, is in receipt of an annual grant to support this work. The continuation of this contractual o"bligation. in 1952 is provided for. A further provision is requested of small grants (of a. few hundred dollars each) to regional influenza. centres. Certain regional influenza. centres are in need of special equipment to fulfil the task of strain typing efficiently and it is for this purpose that these small amounts are to be utilized. Expert Conuni ttee s: The following meetings of expert co:rnrlittees a.re considered necessary in 1952: Plague: It will be necessary to reconvene this committee (which last met in 1949) in order to evaluate the results of three yearsi laboratory ancl field studies and to reommencl further action. The meeting might well take place in India., where much of the research work is being done. Leprosy; In 1952 sufficient material will have been prepared on the comparison of ambula:tory treatment with treatment i.n leprosaria and the results of modern therapeutic methods to warrant discussion of these two questions by an expert committee. It may be mentioned that a meeting of an expert committee on leprosy was recommended as early as 1949 by the Second World Health Assembly. Bilharziasis: A meeting of the expert committee, successor to the OIHP/WHO Study Group on Bilharziasis in Africa., will be required to study the results of the bilharziasis survey in Africa. and the Eastern Mediterranean area. and to take stock of.the results of trials of the new drugs for the treatment of the disease and the new chemicals for the destruction of vector molluscs. The meeting should preferably take place in a country a.ffected by Schistosoma. japonicum.. ------~-~~~ Influenza; The Third World Health Assembly emphasized the importance of influenza and no expert con~ittee could be established in 1950 or 1951 and a. meeting is therefore proposed for 1952. Zoonoses: This committee is to extend the work of the WHO/FAO consultant group on bovine tuberculosis and other zoonoses, me~;tin&, in December 1950. Emphasis a.t the 1952 meeting is to be placed on diseases not considered at the 1950 meeting, such a.s the virus encephalitides, leptospiroBis, tularemia., leishmar, La.sis and· other parasitic diseases of man of which animals constitute the reservoir. Preparatory EB?/18 page 120 work ~a.rried out un the establishment of international sanitary and quarantine regula.t~ons with refer-ence to zoonoses v;ill be considered and efforls made tq bring such regulations into effect. Brucellosis~ The committee is to review standardized techniques in the diagnosis of brucellosis in man and animals, reco:u"llnended a.t the meeting of the committee in 1950. It will also study the results of surveys and evaluate the advances in lmowlede:;;e of bruc.eD.o8is, pa.rticulru-ly a.s regards diagnostic techniques and chemoth~ra.py, Rabiesg This committee, which last met in 1950, should be reconvened to an~yze th~ !'estuts of the field trials of hyper-immune serum in man, carried out in IraJJ., and the vaccination of dogs wlth avianized vaccine, carried out in Israel. The committee will also be required to evaluate ~eoearch work on rabies now being undertaken and to make a. recommen~~n a.s to the necessity for convening an international congress on rabies in 1953· EB'( /lt3 pae;e 121 Epidemiological Services CO-oRDINATION OF RESEARCH No. of Posts Estimated Expenditure -950 1951 1952 Grade 1950 1951 1952 1 1 1 Chief of Section 17 10,525 10,525 1 1 1 Veterinary Officer 15 8,480 8,480 1 Epidemiologist 15 6,880 1 1 1 Medical Officer 13 5,600 5,900 2 2 2 ::>ecretaries 5 5,340 5, 620 3 1 2 Clerk~tenographers 4 2,415 4,720 8 6 8 Total established posts 35,880 32,360 42,125 -= -= -= Short-term Consultants' fees 4,350 3,726 2,400 40,230 36,086 44,525 Allowances1 Install"" tion 180 355 1,576 Dependants 1,670 2,600 3,053 Expatriation 2,410 2,000 2,453 Pension Fund 5,288 4,5 31 5,899 Staff InsUrance 300 243 321 Travelt Duty .5,615 2,440 4,370 Short-term consultants l,SOO Recruitment & repatriation 55 332 787 Home leave .... 3,280 Transportation of personal effeets 170 169 226 Grants and Ccntracted Technical Services Belgann Institute - Production of Smallpox l~cpbh 2,198 ...... Institute in India- Research in Plague and Chemotherapy of Plague - 5,000 Pasteur Institute, Paris and others- Typhus - Hiological Standardization and diagnosis - 2_,000 WHO/FAO Brucellosis Centres - Brucellosis Research 8,791 2,000 2,000 World Influenza Centre, London ~ Influenza Strain typing and study cf antigen composition 5, 500 5,460 5,460 Regional Influenza Centres - Influenza Research 31,500 2,500 EB'l /18 page 122 E~idemiological Services CO-oRDINATION OF RESEARCH No. of Posts Estimated Expenditure, · ---1950 1951 1952 Grade 1950 1951 1952 Grants and Contracted Technical uervices (continued) Field Triale ··of Trachoma Treatments 21 000* Survey on Bilharziasis in Africa and Eastern Mediterranean Area 12,500 1~ 1 000* Species determination of Bilharziasis Snail Vectors 1,000 1,500* 1,500* Species determination of MOlluscocides Field 1rials .... 3,800* ... Smallpox - Trials of Dry Vaccine 2,200* 'Rickettsiosis- Preparation and distribution of Antigens 1,ooo Q Fever Antigen and Sera Tests 1,500 ... Total 119,907 84,996 88,670 (h .. ... E!f6rt Committees Expert Commit tee on " 11 Cholera 4,917* I!• 11 Plague ... 5,618* 11 11 Y;llow Fever 6,364* 11 11 Bilharziasis - 6,364* 11 11 Infectious - Hepatitis 4,869 11 11 Zoonoses 10,000- 7,113 11 - " Brucellosis 12,065 6,364 11 11 Trachoma 5,440* 11 11 Leprosl> 7,113 11 Rabies -4,125 - 6,364 11 11 Influenza 6,364 Conference of Heads of Laboratories Producing Whooping Cough Vaccine - 7,113* Total - Expert Committees 26,190 10,357 63,646 Total - CO-O~!NnTION OF 146,097 95,353 152,316 * OIHP Funds F.ESEARCR EB7/18 page 123 Epidemiological Services EPIDEMIOLOGICAL INFORMATION rype of work: The ~pidemiological Information Section collects, studies and publishes statistics of communicable diseases throughout the world. Its Epidemic Watch Unit is concerned with the detection of epidemics and the publication of notes there on in the Vfe8kly Epidemiological Record. Its Statistical Unit abstracts the figures for communicable diseases from the 6,500 reports received annually and prepares tables for publication in the monthly Epidemiological and Vital Statistics Report and in the Annual Epidemiological and Vital Statistics. The Chief of Section prepares for publication in the Epidemiological and Vital. Statistics Report articles describing the trend and geographical distribution of epidemic diseases. The Chief of Section also deals with the work on trachoma. New Personnel; No increase in staff is proposed. Duty Travel: None proposed. Consultants: None proposed. EB7/18 page 124 Epidemiological Services EPIDE~ITOLOGICAL INFORMATION No. of Posts 1stimated E3eenditure 1950 1951 1952 Grade 1950 1951 1952 1 1 1 Chief of bection 15 7,240 ?,630 l l 1 Statistician 13 5,900 6,200 1 1 1 Statistician 9 .3,870 4,070 l l l Visual Media Officer 7 .3,290 .3,470 l 1 l Clerk-Stenographer 6 2,820 2,960 1 1 1 Clerk 6 2,960 .3 ,120 .3 .3 .3 Clerks 5 ?,760' 8,290 ~ 9 9 9 Total established posts .30,390 .3.3,840 .35,740 = - - Allowancest Insta1la tion 5.32 5.32 Dependants 800 400 400 Expatriation ?50 ?50 750 Pension Fund 4,090 4,740 5,004 Staff Insurance 240 25.3 269 Travelt Duty 145 295 ~20 Recruitment & repatriation 386 j86 Home leave 240 1,090 Transportation of personal effects 255 255 -- Total - EPIDEMIOLOG1.!JAL .36,415 41,691 45,.346 :mFORMATION --- EB?/18 P?-ge 125 Epidemiological Services EPIDEfHOLOGICAL INTELLIGENCE STATION, SINGAPORE _Type of ~iork: The Epidemiologfcal Intelligence Station, Singapore,. a.cts as a collecting and distributing centre for epidemiological inform~tion for the countries bordering on the Western Pacific and Indian Oceans. For this purpose it operates a system of telegraphic and wireless notification of pestilential diseases and quarantine measures in force and issues a Weekly Fasciculus. The station also administers the International Sanitary Conventions in the area it serves, settling international quarantine disputes arising between territories in that area. New Personnel: No increase in staff is proposed. Duty Travel; The Director of the station will require to visit certain majo~ ports in the area served by the station, in order to strengthen liaison with'national and port health authorities and SJ study problems arising out of the application of the Sanitary Regulations. EB7/18 page u6 Epidemiological ~ervices SINGAPORE EPIDEfifiOLOGICAL INTELLIG·SNCE STATION No. of Posts Estimated E3eenditure 1950 1951 1:.2.2...... Grade - 1950 .!.2.2± 195~ 1 1. 1 Director 17 8,525 8,960 1 1 1 ~ecretary 2,870 2,995 1 1 1 Statistical Assistant 2,707 2,833 5 5 5 Statistical Clerks 5,029 5,375 2 2 2 Gorresponi ence Clerks .!... 2,561 2,685 3 3 3 Messengers 816 8.31 1 1 1 Gardener 251 254 14 14 14 Total established posts 22,020 22,0j9 23,933 -=- -===- - Allowances a Install11tion 59 57 Depend"~Tits 600 600 600 Expatriation 500 500 500 Pension l"und 2_.805 .3:186 .3,351 ;:)taff Insurance 325 341 363 Travel a Duty 800 1,325 1,068 Recruitment & repatriation 43 43 Home leave 1;500 Transportation of personal effects 28 28 Connnon .:>ervices Space and Equipment uervices 2~275 2,053 2,078 Other bervices 1,625 2,171 2,198 bupplies and N~terials 1,625 lJ-172 1,188 Fixed Charges and Claims 352 256 Acquisition of Capital Assets 725 2,052 2,080 33,300 38:141 37,843 EEidemiological TelegraEhic Expenses 2,ooo, 2,500 2,500 Total - SINGAPORE ])PIDEl.VJ.IOLOG- 3 5, 300 40,641 40,343 ICAL INTELLIGENCE STATION EB?/18 page 127 Health Statistics OFFICE OF. THE DIRECTOR Type of.work: In addition to its responsibility for working with other parts of the Organization, this office is responsible for technical relations with the UN Statistical Office and Population Division. It represents the Organization at meetines of the UN Statisticc:l and Population Commissions •. The office services the Expert Committee on Health Statistics and its subcommittees. In addition it carries out research studies on problems of morbidity and mortality. New Personnel: No increase in stc:ff is proposed. Duty Travel: .Provision is made for attendance at a session of the UN Population Commission. A visit is also planned to the ¥festern Pacific· Region in order to study the situation there as rog&rds vital and health statistics and to discuss with the appropriate authorities plans for establishing or re-organizing the systems of statistics in their countries, under the technical assi~tance programme. Consultants: The amount is intended to cover the provision of 15 consultant months; thi.s will allow fo,r experts to go to countries, on request of the government, in order to advise them· on the establishment or re-organization of their national vital and hea).th statist-ics systems as they relate to technical assistance projects, and to help national committees on vital and health statistics. Grcmts-in-c:.id and Contracts: None proposed. Expert Committees: No moetings are conte·,nplated in 1952. EB7/18 page 128 Health Statistics OFFICE OF TBE DIRECTOR No of ;posts Estimated e!Eenditure 122Q 1951 1952 Grade 1222. 1951 ~ 1 1 1 Director 19 10,250 10,250 1 1 1 Oecretary 6 2,680 2,96o 2 2 2 Total established posts 11,370 12,930 13,210 ------Short-term Consu1t~ts 1 fees 6,000 ---.s...- 17,370 12,930 13,210 Allowances: Installation 118 118 Dependants Expatriation 34o : 500 500 Pension Fund 1,950 1,810 1,849 Staff Insurance 120 '129 195 Travel: Duty 1,165 930 Short-term Consultants Recruitment & repatriat.ion : 86 86 Rome leave 980 Transportation of personal effects 57 57 Grants and Contracted Technical Services: Annual Reports on the Result of Radiotherapy in Cancer of the Uterine •!!ervix 4,000 .Total 26,905 17 '775 16,945 Expert Committees ----~ Expert Committee on Health Statis- tics 3,425 10,592 Expert Committee on Cancer 11 3,125 4,161 " 11 " Hospital " 2,500 -4,161 Total - Expert Cowmittees 9,050 1.8,914 Total- OFFICE OF THE 35,955 36,689 16,945 DIRECTOR EB7/18 ~~1~ Health Statistics STATISTICAL STUDIES Type of Workz This section advisGs other Secretariat units on statistical methodology, carries out studies and research on medical and health statistics, collects and provides documentation on factors and circumstances influencing morbidity and mortality and furnishes diagrammatic illustration of medical statistical data. New Personnel: No increase in staff is proposed. Duty Travel: Provision is made for the chief of section to visit two health demonstration areas in order to develop methods for analysis of the results obtained from such demonstration areas under the technical assistance programme. Consultants: See under Office of the Director. Contracts and Grants-in-Aid: None proposed. Expert Committees: None proposed, EB7/18 page 130 Health Statistics STATIS'riCJ\L ST""I.JDIES No of posts ~stimate~~~~it~~ 1950 19~1 1952 Grade 19.20 .l9~;h 1952 1 1 1 Chief of Section 15 6,880 7,240 1 1 1 Statistician 13 5,600 5,900 1 1 1 11 11 4,535 4,535 1 1 1 Clerk 2,540 2,670 ---- 5 ------4 4 4 Total established posts 12,36o 19,555 20,345 ------ Installation 1,450 237 237 Dependants 500 1,800 1,800 Expatriation 590 1,000 1,000 Pension Fund 1,750 2,738 2,849 Staff Insurance 90 147 153 Travel~ Duty 145 Recruitment & repatriation 780 172 172 Rome leave 705 3,910 Tra.Tl8portation of personal effects 530 1,003 ll3 Total - STATISTICAL 18,195 27,357 30,579 STUDIES EB?/18 page 131 Health Stdtistics MORBIDITY STATI3TICS Type of Work: This S6ction undertakes collection of Pnd studies on morbidity and mortality statistics as related to certain diseases (tuberculosis, cancer, other c2uses) and special population groups, including also infant and childhood morbidity and mortality and maternal mortality. In addition it deals With statistics of medical and public-health personnel and institutions, is responsible for relations with national co~~ittees on vital and health statistics, and prep~res handbooks on the compilation of health statistics. New Personnelt No increase in staff is proposed. Duty Travel: None proposed. Consultants= See under Office of the IQrector. Grants-in-aid and Contracts: None proposed. Expert Committees: None proposed. EB7/18 page 13:::' Health Statistics MORBIDITY STATISTICS No. of pos~ Estimated expenditure 1950 1951 1952 ~ 122Q _f-951 1922 1 l 1 Chief of Section 16 7,660 8,080 2 2 2 Statisticians 13 11,200 u,8oo 3 3 3 Clerks 6 8,600 9,06o 3 3 3 Clerks 5 7, 76o 8,290 ---9 9 9 Total established posts 27,200 35,220 37,230 Allowances: Installation 1,270 532 531 Dependants 1,200 2,200 2,000 Expatriation 730 1,250 1,250 Pension Fund 3,810 4,931 5,234 Staff Insurance 190 2f.i4 278 Travel: Duty 1,425 Recruitment & repatriation 386 385 Home leave 220 4,810 Transportation of personal effects 700 255 Total - MORBIDITY 35,825 45,703 51,973 STATISTICS EB?/1. page 133 H~alth Statistics INT.:!.RNATIONAL STATISTICi1.L CLASSIFIQ;.TION OF DISEASES AND CAUSES OF D&~TH T,ype of Work: This section is responsible for all matters regarding the Internation~l Statistical Classification of Dise~s~s, Injuries and Causes of Death including the editing of volumes l and 2 of the Manual of the classification in several laneuages, and the provision of training in its use. Through its clearing-centre, the section deqls with problems created by the applicatio_n of the classifico. tion. In addition, it carries. out studies on the international comparability of health statistics as derived from the classification. New Personnel: No incre~se in staff is proposed. Duty Travel: Provision is m~de for two visits to Geneva of the statistician in charge of the clearing centre (London) and for visits of its staff to. centro.l statistical offices in Europe in connexion with the application of the classification. Consultants: See under Office of the Director. Grants-in-Aid and Contracts: None proposed. Expert Committees: None proposed. EB7/1,8 pag~ 134 Health Statistics INTERNATIONAL STATISTICAL CLASSIFICATION OF DISEASES AND CAUSES OF DEATH No of posts Estimated expenditure 122.Q. 1951 1952 ~1.22Q W.! ~ 1 1 1 Chief of Section 16 ·1 ,660 7,66o 1 1 l Medical Statistical Officer 15 7 ,2l!o 7,630 1 1 1 Technical J.ssistant 9 3,670 3,670 1 1 l Clerk/Stenographer 6 2,820 2,960 .::=::=..--4 4 4 Total established posts 9,430 21,390 21,920 Allowances: Installation 1,431 237 Dependants 392 443 Expatriation 330 774 774 Pension Fund 1,320 2,886 3,069 Staff Insurance 70 155 159 Travel: Duty 475 610 Recruitment & repatriation 105 172 Home leave 1,951 . Transportation of personal effects 702 Total- mrEBNATIONAL 11,730 31,842 30,037 STATISTICAL CLASSIFIC~ === ATION OF DISEASES AND CAUSES OF DEATH EB?/18 pap;e 135 T~lero.IJeui:.ictSubstances OFFICE (lF THE DIRECTOR Type of Work: The work of this office relates to the responsibility of the director v.L L:.iv l3Lm, within the Depo.rtncnt of Ccntn:~l Tcclmical Services, for directing, co-urdinating and supervisinu; the WJrk of the sections of' the division. This responsibility inclucles the uakin(~ of recor,unendations on policy, the initinting of important procedures, the supervising and co-ordinating of' programmes, the interpreting of policies and proceU.ures, and representation of the Organization at 8fJ1Jrop:da.te meetin~. New Personnel~ No increase in staff is proposed. Duty Travel The director must have close personel contact with the two institutes carrying out work for the Organization (the Statens Seruminstitut'in Copenhagen and the National Institute for Medical Research in London}, and also with the Tuberculosis Research Office in Copenhagen. He must attend the meeting of the Expert Committee on Biological Standnrd.iza.tion which it is planned to hold in Copenhagen and meetings of the UNICEF MedicaJ. Sub-cdnunittee in Paris. He must also visit the BCG Pilot Station in Paris. It will also be necessary for him to visit antibiotics plants in connexion with the help to be given to governments in setting up e..nd maintaining such plants. EB7/18 page 136 Therapeutic Substances OFFICE OF THE DIRECTOR 1 l 1 Director 19 10,250 10,750 1 1 1 Secretary 6 2,96o 3,120 2 2 2 Total established posts 8,050 13,210 13,870 Allowances: Installation 830. 118 118 Expatriation 460 750 750 Pension Fund 6oo 1,850 1,942 Staff Insurance 6o 99 105 Travel: Duty . 1,46o 6o8 1,945 Recruitment & repatriation 90 86 86 Home leave 125 210 Transportation of personal effects 1,170 154 56 -----· Total - OFFIC~ OF THE 12,720 J.7 ,ooo 19,082 DIRECTOR = =~-= EB7/l8 page 137 Therapeutic Substances BIOLOGICAL STA~TIAnDIZATION D!.PO of Work~ The section acts as a co-·ordinatirJG unit in the implementation of the rocomrr~ndations of the Expert Conmittee on Biolo~ic~ Standardization. It is required to follow· current -':rends of research, vd th special regard to the . national uses of biological standards and their uni"':.s ~ ~w ~~~nncl: No inm~ease in staff is proposed. Mcotin~s or S,Ymposia on subjects connected with bioloGical standardization will certai~ take place in 1952, requirir.g the presence of a member of the expert committee or members of the staff o: the Or~anization. It is not possible to for.etell where such moetincs will b,:! held, 'but it is provisionally proposed that there should be one visit each to Scandinavia~ Paris and London. The chief of section will be required to advise laboratories and institutes in various countries) on the spot, regardinc the ~ontrol of certain pestilential diseases (smallpox, typhus etc.) and other infectious diseases (typhoid, para typhoid etc.) which require correct and early diagnosis. -...... -.----Consult ants ~ None pt' op os ed. Grant s-in-·tdd and Contracts ~ The anrmal subsidies to the National Institute for Medical Rosearch in London, and the Statens Soruminstitut in Copenhagen, which figure in the 19.52 budget, are intended to cover in part the expenses of the maintienance, distribution, and preparation of international standards by these institutes~ The International Salmonella Centre in Copenhagen receives an annual grant of ~20,000 from the Or::;anization to enable it to carry out its functions as a diagnostic and typing laborato~ of orsanisms responsible for salmonella and shiGella infections. EB7/18 page 138 Expert Gommittees The Expert Committee on Biological Standardization must meet during 1952 if it is to continue its work of providing the world with international standards. The expe_rt conunittee will decide what new international standards or reference preparations should be set up and which, if aey, of the existing ones 1 should be discarded. As it is improbable that each member of the expert committee will have expert knoviledge of every serological or pharmacological product which he vv1ll be called upon to consider, he will visit various leading research workers in his ovm country in order to be able to place their personal experience before the conunittee. In accordance with the request from UNICEF that the expert conunittee should approve laboratories engaeed in the production of BCG vaccine for the antituberculosis campaign, visits of inspection to such laboratories have been carried out by members of the expert connnittee or by persons to whom they may have delegated their authority. As a result of developments during the inter vening months, several !ldditionol ~•,untfd(J:::. r:"-'W conts::-*~tO lc;'ixtl production· in 1952. The Sub-committee on Diphtheria Toxoid was budgeted for in 1950 but a· meeting was not held because it seemed that research on toxoid standardization was not sufficiently advanced to guarantee really profitable results from a sub-committee held at that stage.Itis expected that by 1952 the members of the sub-committee will have sufficient data to provide answers to questions concerning toxoid standardization as a whole. EB7/18 page 139 Therapeutic Substances BIOLOGICAL STANDARDIZATION No of posts Estimated expenditure 1950 1951 1952 Grade 1950 1951 ~ 1 1 Chief of Section 15 5,8$0 7,24o 1 1 1 Scientist 11 4,535 4,785 1 1 1 Clerk/Stenographer 5 2,420 2,670 2 3 3 Total established posts 4,950 14,695 Allowanc·es : Installation 1,281 178 Dependants 353 353 Expatriation 290 703 703 Pension Fund 690 1,797 2,058 Staff Insurance 4o 96 lll Travel: Duty 145 785 868 Recruitment & repatriation 567 123 Home leave 892 Transportation of personal effects 64o 75 618 Grants and Contracted Technical ~ervices: Medical Research Council • London 3,375 5.,800 5,800 State Serum Institute - Copenhagen 15,250 11,685 ll,685 Salmonella Centre - Copenhagen 26,104 20,000 20,000 Total 51,484 55,977 .:~'58 ,o84 Expert CoMmittees Expert Committee on ~iological Standardization 4.,650 7,943 7,863 Expert Committee on Diphtheria 4.,869 Total • Expert Committees 4,650 7,943 12,732 Total- BIOLOGICAL 56,134 63,920 70,816 STAND.AIIDIZATION EB'7/18 p~~e 140 Thorapoutic Substances Pr~~.CEUTICAL SECTION Typ.:; of Work: Tho Pharmaceutical Section is respvnsible for r~search, correspondence, ~nd s..;crctarial work, including docu.,lcntaticn, in prupnrntion for thG sossions of t.h~ Expert Committee on the Int<.>rnntional Pharmacopoeia and Drug Standards in the year; work on draft 1\l~noe;raphs and appendices for thJ Suj_Jplernants to the Pharmacopoea Internationalis a:hd mw editions of the Pharmacopo.aa in Entlish, French nnd Spanish, includinc revision of toxts and checking of proofs; intro,..:.uction of international non-propric-tary names and arrangements to onsure th..... ir o.cceptance and protection; preparation and publication of lists of synonyms; and preparatory work for a conference on the control of drues. SurvGys have to b8 made on letislation and rn~thods used in the various countries for the control of drugs, labelling, advertisinz, establishm~ant of stnn~~rds with a view to promoting intargovernmental co-operation and praparine for c. cc.:nference of representatives of health administrations dealing with these nl[;tters. ~P~F-~ela No increase in staff is proposed. Duty Travel: Provision has been r~de for visits to national pharmacopo~ial co:-.J.1.1issions and drue; administrat~ons in order to study th1,3 rezulations and mothods used in the control of drU£S in th8·various countries, to co-or~inate th.:> work on control of drucs, to introduce intarnatic:,ne.l non-proprietary names, to obtoin infonnation in connexion with the preparation of the Pharme.copoea .;.._--~- Int0rn~tionalis and its Supplements anc the inclusion of its articles in national phe.rfiJe.copoeias. Consultants: Ncne proposed. Gr.:cnts-ip-Aid and Contracts: None proposed. Exp0rt Committeesa In order to continue the work of the Or.=.,anization on tho Pharmacopoea Int~rnctionalis an~ its Supplements, it is ~nportant tc havo at all times the .::::cvicG of tha memh:;rs of th.:J Expert Committee CJn tha Internaticnd Phartnacopo0,':! cnc~ Dru,; Stanclnrc~s, with whom constant :col<:: ti ons ore maintained o.nd with whom EB7/18 page 141 the texts of monographs and appendices, ass~-methods, etc.,·are established, being subsequently submitted for c?mments nnd sug[?,estions to the other members of the committee. The texts of monographs and appendices and the comments received are assembled and prepared by the section and submitted at the sessions of the committee for discussion and putting into final form; general directions are then given to the section for the work to be done. Two sessions a yenr of the committee are an absolute minimum. Research must continually be carried out on new drugs produced and put on tho world market. The Sub-Com.rnittee on Non-Proprietnry Names consists of three members of the expert committee and was set up by the ExecutivJ Board at its sixth session1 to deal with the selection of international non-proprietary names for important new druc,s which might be included in the Pharmacopoea Internationalis, ancl to stucy the machinery for their introduction and protection. These names are necessary in order to prevent confusion arising from a multiPlicity of non propriGtnry names for certain of the more importe.nt ctrues. Most of the work will bG done by.correspondence, but it is important that new problems arisine should be discussed and dealt with at a two-day session, held immediately before or after the' sessions of the Expert Committee on the International Pharmacopoeia and Drug Standards, 1 Resolution EB6.R29 EB7/18 page 14~ Therapeutic Substances PHARMACEUTICAL No. of ;eosts Estimated e~enditl Installation 425 1,103 296 Dependants 231 231 Expatriation 340 819 819 Pension Fund 1,445 2,638 2,811 Staff Insurance 80 141 151 Travel: Duty 1,o65 565 850 Recruitment & repatriation 425 215 Home leave 745 l,26o Transportation of personal effeets 141 350 Total 14,305 25,643 27,058 E!Rert Committees Expert Committee on Unification of Pharmacopoeias 15,6oo 15,979 16,759 Expert Committee on Non-proprietary Names 3,6o6 2,218 Total - Expert Committees 15,600 19,585 1.8,977 Total - PHARMACEUTICAL 29,905 45,228 46,035 EB7/18 page 143 Therapeutic Substances ADDICTION-PRODUCING DRUGS Type of Work: ThG Acldiction-Producint; Drucs Section keops informed as to current trends of research on ac:C::.iction-producing drue;s, alcohol and related substances. It also serves as th3 secretariat of tha Expart Committee on Drugs Liable to Produce Addiction, The elaboretion of the n.:;w unified convention by the Economic and Social Council demands close collaboration on the part of WHO, New Personnel; No increase in staff is proposed. Duty Travel: Visits within Switzarland, to Groat Britain, and p0rhaps to Gernany (D.t present the three most important European countries from the point of view of proC.uction of now synthGtic substances liable to produce addition) are proposeC., in order to maintain contact with research workers on thG subject. Provision has also been inada for visits in order to give technical advice to govorTh~ents. Consultants: None proposed • .Grants-in-Aid Jl.nd Contrac"ts: Non,_;; proposed. Expert Coi~~ittoes: AccordinG to a resolution of the First World H~alth Assembly,l the Export Coffiini ttce on Druc.s Liable: to Pro._~uce Addiction is 11 to act as an aC.visory body to thG WorlC. Health Or;:.aniz.::::tion and the United Nations". It assists both orGanizations in the carrying out of the oblieations d~rivinc from the international ccnventions. Ono meeting is planned in 1952. 1 Official Records No, 13, page 309 EB7j18 page 144 Therapeutic Substances ADDICTION PRODUClNG DRUGS No of l)Osts Estimated e~enditure WQ 1951 1952 ~ 1920 1951 1952 1 1 1 Chief of Section 17 8,975 9,425 ------1 1 1 Secretary 5 2,670 2,810 2 2 2 . Total established posts --- 10,870 ll,645 12,235 Allowances: Installation 118 118 Expatriation 750 750 750 Pension Fund 1,520 1,631 1,714 Staff Insurance 8o 88 92 Travel: Duty 1,495 26o 26o Recruitment & repatriation 86 86 ·Home leave 1,410 Transportation of personal effects 56 56 Total 14,715 16,044 15,311 Expert Committees Expert Committee on Drugs liable to produce addiction 5,94o 4,918 4,869 Total- ADDICTION PRODUCJNG 20,655 20,962 20,180 DRUGS EB7/18 page 145 Therapeutic Substances ANTIBIOTICS AND INSECTICIDES Type of Work~ The rapid development of antibiotics demands permanent international collaboration, and one of the main tasks of this section is, therefore, to foster the work of an international group of national laboratories in order to advance reseorch on the subject and the.training of scientific and technical personnel •. In. addition it services the Expert Committee on Antibiotics. The section is also concerned with insecticides, in particular the methods of their production and their availability in those countries where they are most needed. 'New Personnel: No new staff is proposed under the regular budget. In connexion with technical assistance, however, provision was made in 1951 for the post of one scientist; it is proposed to continue the appointment in 1952, since the services of an additional well-qualified technical man are essential for the complicated and extensive work to be carried out. Duty Travel: As the most important duty of the Organization in connexion with antibiotics is to give governments technical assistonce in setting up, expanding or modernizing antibiotics plants, a staff member with long experience in this field is required to help governments on the spot; it is expected that he will be a:way from headquarters more than half the year. It is not possible to state at this stage which p~rtiou..l,ar countries i'dll be visited, but the time 11ill be apportioned amons the varioua .'WHO regions • The scientist required for the technical assistance programme, to whom reference is made above, will carry out a large part of his work in the field; provision has therefore been made for a considerable amount of duty travel. Consultants: None proposed. Grants-in-Aid and Contracts! None proposed. Because of constant devcllopment in ~ntibiotics> the w9rk of the expert corrmrl.tkc" on this subject is of continuing importance. A meeting of tl.J,e co1mlli. +toe is planned for 1952, to provide for a current exchonge of opinions, and development.of recommendations on antibiotics, EB7/l8 page 146 Therapeutic Substances ANTIBIOTICS AND INSEC~ICIDES No. of poste Estimated expenditure 12.dQ 1951 !2_2g ~ !222. ~ 1952 1 - Chief of Section 17 1 - Medical Officer 15 .., 1 - Secretary 5 3 Total established posts 10,900 ----- Short-term Consultants• Fees 700 11,600 Allowances: Installation 1,690 Dependants 185 Expatriation 410 Pension Fund 1,535 Staff Insurance 80 Travel: Duty 240 Recruitment & r~patriation 2,515 Transportation of personal effects 305 Total 18,56o .~rt Committees Expert Committee on Antibiotics 2,665 6,364 Total- ANTIBIOTICS AND 21,225 6,364 INSECTICIDES EB'l/18 paGe 147 TUB:!:!:RCULOSIS QY.SE/ffiCH OFFICE (COPENHAGEN) Type of Work: 'Ihe major task of the Tuberculosis Research Office has been the investigation and study of problems relating to internationnl mass BCG vaccinc:>.tion progrannnes. This includes (a) collection of statistics on·tuberculin testing and vaccination and preparation of periodic and final reports for documentation of the crunpaigns; (b) evaluation of tho effect of BCG vaccination on tuberculosis morbidity and mortality in certain countries anc'. (c) studios on BCG vaccines and tuberculins ·and techniques of tuberculin tostin[, and ve.ccination. The Offico has also undertaken special invostieations on the spocificity of tho tuberculin test as well as the epidemiology of tuborculosis in scloctGd areas and among peopleswhere economic and social con ditions arc very diff~rent from thoso found in Europe or North America. These activities have been extended to ~~ countries and have stimulated and brought about clos0 co-operation and collaboration lrith national and local organizations and spo cialists in t ho furtherance of the worldwide fight against tubercul.osis. The progress and details of the work of tho Research Office have been described elsewhere CJrtd need not be repeated. The progrmmne for 1952 will naturally follow the general policy and linos of dovelopiil..."'nt tllat have been formulatGd anci pursued. However, spacial emphasis must be placed on certain subjects the significanc\3 of which hae bocomo morw and more evident and may 'bo briefly discussed. (1) The BCG vaccine studies hnvo brought forth sovernl striking findings. Contrary t~ pr..;vailine conceptions, certain vaccinos have ton weGks 3ftGr vaccination producvd satisfactory allergy according to accepted standards, irrespGctivo of varying age . 0 0 of th0 vaccino, from 2 to 29 days, and of storage temperature at 2-4 C or at 20 c. Those results have boon confirmed ~y more recent trinls with thrco other vaccines prepared by different laboratories. The use of non-rofrigeratod vaccine for a month would savo onormous costs to international organizations and national govGrn ments responsible for th..; conduct of mass BCG cc?.mpaigns. General application of the findings must bo tempered, hovvcver, by tho fact that some· producers have claimed the death of practically all org.:-.nisms. in their vaccine within a week or ton days ovon under conditions of refrigeration. A progressive diminution in post-vac·cination allergy has boon observed through decroasinc; the dosc:>..go of BCG from full slirongth to a dilution of 1/256 strength, EB7/18 page 148 indicating that~ ho. allergy response to vaccination is quantitative cmd not quali- . tative in character. This moans that the conventiclnal criterion for dotcrminiLJ whether a vaccination has boon successful by a simple dichotomous classification of post-vaccination tuborcul:j.n reactions into "positive" and 11 ncgativon is o.rbi trary and inadequate and lacks a sound scientific basis. Unless a now method of measuring the immunizing value of BCG vaccine by some animal protection-test is developed, or a close and quantitative correlation between allergy and ~~unity is dom.onstr:::tb].c, it is doubtful whether the potcmcy of a BCG vaccine can be adequately determined, The findings ~~arizod above emphasize that one of tho most critical and prossing needs in BCG work today is the development of suitable field and labora tot,y methodology for determining the potonqy of BCG yaccino which can bo relied upon to producu uniform offecti vo results in human b'cings. To accomplish this, it is essential to have facilities b,y which laborator,y and field ~esearch can be carried o\lt simultaneously c:nd tho results correlated and evaluated. A plan is under way to o.chicvo such an obj~ctivo and it is hoped that substantial progress will be made in this important project. (2) As BOO vnccination has recently and increasingly become a worldwide public henlth measure in the prevention of tuberculosis, at least 12 countries are now producing BCG vaccine on a large sc2.le to moot the increasing requirements of ma~s campaiGns. It is of groat L~portancu to develop more precise and quantitative methods for tho stnndal:'dization and. comparison of 'the vaccinos prepared by different laboratcrios, as well as for the periodical .tosting of each product in the field. In t(lat diroction much has already. boon accomplished jointly b,y the Research Office, thu Danish statuns Soruminstitut cmtl the headquarters of the international tuber culosis campaign. It is oortain that th,) prescmt development in CopenhaGen will constitute cm important fncility for the testing cmd international comparison of BCG vaccines anc~ related agents. In this mntt.or , ... tho Research Office will co operate closely with the WHO Biological. standardization Section end the Expert O:Jmrnittco on Biolot;ical standardization. (3) Not only will the countries participating in thu BCG campaign want to know how offcctiv~ mass vaccination has been in individual countries, but the ~dical profession and public-health officers everywhere aro watching with interest the EB?/18 page 149 results of the worldvd.de vaccination progro.imnes~ Long-term evaluation projGcts on the effect of mass BCG vaccination on tuberculosis mo~bidity and mortality have been sot up on conjunction with Finnish and DAnish health authorities in their countries. In Finland, a national roster of about 1,000,000 persons tested and vaccinated has already boon completed for tho purpose of direct matching of current tuberculosis mortality a.-none tho vaccinated for comparison with that of the natural tuberculin reactors and with e~1ectod tronds in the general population based on pro-vaccination 0xporioncos. .A similar project is being carried out in Denmark in connoxion with its pr0sont mass tuberculosis campaign which is intended to reach, in a period of 2 to 3 yaars, a population of 1,400,000 in the ages of 1-6 and 15-34. Denmark has ono of the finest tuberculosis-control services in the world today. Local tuberculosis dispensaries aro in the charge of specialists of high ste..ncline. Diagnosis is proven by bacteriolc,E;ical findings with a single national laboratory rospon.siblo for this work. Ru~istration of tuberculosis morbidity and mortality is as complete as is practically possible. It offers a unique opportun ity for evaluation of mass BCG vaccination especially in terms of tuberculosis morbidity. Obviously, additional evaluation programmes are needed, particularly in the subtropical countries whore conditions differ markedly from thoso in North Europe, To support tho expansion of mass BCG vaccination campaigns without such simulto1.neous evaluation studios of r. scientific character would indicate the con- tinuod acceptance of the value of BCG on an empirical basis. (4) Tho durability of allergy after BCG vaccination is yet little known. Post vaccination retJstine in BOG crunpai8n countries and in selected populations in which special studies have been carried out on tuberculin testing and vaccination should yiGld new and accurate information on this subject. ():Jmparisons will be made in relation to BOG vaccines and cliffcrent lots of vaccine from n particular laboratory. Dnphasis until roc0ntly has necessnrily been placed on the development of schemes which may bo us8d for large-scale post-vnccination retesting. Much has boon said.about the continuation of BCG progrrumnes in countries 'Whoru mass campaigns have boon completed, c.nd the development of now lPcboratories for production of BCG is predicated on th·J needs of such programmes. In fact, almost nothing is yet. known rognrding thu extent, timing and sit;nificanco of re vaccinations with BCG. Unless adequate scientific knowledge is obtained soon, 0n EB7/18 page 150 tho durD.b~lity and signii"icanco of B (5) .Finally, the Research Officewill undertake critical analysis and. evaluation of observations and statistical data resulting from cxt..;nsivo studios that have boon ma ..~G and complotud. Information on tuberculin sensitivity from the millions of persons tested in TIUJ.ny countries in the campaign shoulC:. provide l;>asic material for intGrnatLmal comparisons cmd studios in tubercUlosis infection. ObserVations on tho spocificity of the tuberculin test an~ rJlatcd problems in selected areas and pc )plos shoulrl contribute essential information on the e,lobal opidemiol015Y of tuberculosis. New P£rsonnel: By 1952, the increased laboratory work will require the services of an additional laboratory technician. Provision is also mRde for a statistician to analyse results of laboratory investigation on ~CG, since it is envisaeed that by 1952 the volume of scientific Cl.ata fron such studies will justify the appointment. Duty Travel The chief of the office is on loan from the United States Public H~alth Service on the un:lerstanding that he returns to America four times a ye~.r and that he is considered. on travel status when working for the Tub8rculosis Rasearch Office; provision must therefore be made for per dian and for these l"our visits. He must in addition attend the sessions of the Health Assembly, the Executive Board and meetings of the Expert Ooomd ttoe on Tuberculosis, Prc~ision is also made for travel in order to discuss and supervise on the spot the programmes being carried out in various countries, e.g. Egypt, Iceland, Greece, Syria. The consultant working in lndia will need to visit CopenhPr,en to report results' and discuss future plans. It is necessary for the chiGf, and sometimes for other members of the staff, to attend meetings of the UNICEF Medical Sub-Committee in P3.ris, and also to confer With the staff of the Paris Pilot Station. Duty travel within Denma.rk must be undertaken in conncxion with the v2rious pr.Jp;rnuncs ::.nd will continue throughout the yee.r. EB?/18 page 151 Therapeutic Substances TUBERCULOSIS RESEARCH OFFICE COPENHAGEN No, of posts Estimated expenditure 1950 1951 1952 ~ 1950 1951 1952 l l l Director l l l Assistant Director 18 8,500 8,713 l l Bacteriologist 17 5,290 7,305 l l l BCG Medical Officer 17 7,630 ?,820 l l l BCG Medical Officer 15 5,845 6,000 l l l BCG Medical Officer 6,000 6,000 1 l Statistician 15 5,694 6,000 2 2 Medical Statistical Officers 14 10,420 10,829 1 Statistician 13 4,633 l 1 l Statistician 9 3,290 3,3?5 2 2 2 S ta tis ti cian 6,300 6,930 10 10 10 Assistant Statisticians 16,540 18,195 15 15 15 Statistical Clerks 14,740 16,215 1 l l Research Assistant 5,730 6,305 1 l l Research Assistant 1,650 1,815 1 1 2 Technicians 2,345 6,045 l l 1 Administrative Officer 1,910 2,100 1 l 1 A.ssistant Admin O£ficer 2JOJ.O 2,no 1 l l Accounting Officer 86o 945 1 l Accounts Clerks 1,240 1,365 l l l Office Assistant 1,340 1,475 l l l Draughtsman 6?0 ?35 2 2 2 Secretaries 2,950 3,245 2 2 2 Stenographers 2,66o 2,925 l l l Typist 970 1,065 1 l l Telephone Operator 86o 945 47 52 54 Total establish~d posts 80,120 115,444 133,190 Short-term Consultants' fees 2,880 2,000 4,900 83,000 11?,444 138,090 Allowances: Installation 765 1,797 330 Dependants 2,000 2,194 2,200 Expatriation 1,750 2,040 2,200 Pension Fund 11,250 13,978 16,744 Staff Insurance 1,235 1,735 2,019 Travel: Duty 39,990 20,555 22,655 Short-term consultants 3,900 1,150 4,900 Recruitment & repatriation 1,800 1,000 Home leave 2,900 5,500 5,200 Transportation of personal effects 1,410 EB7/18 page 15? Therapeutic S •bstances TUBERCULOSIS BESE.ABCH OFFICE COPENHAGEN Estimated expenditure Grade 1950 1951 1952 Common Services Space & Equipment Services 10,500 ?,950 8,420 Other Services 64,0?0 33,450 38,320 Supplies & Materials ?,600 5,450 6,000 Fixed Charges &.Claims 625 450 625 Acquisition of Capital Assets 1?,205 . 5,100 6,850 Total - T'JrER~JLOS!S RESEARCH 250,000 219,?93 254,553 OFFJ:CE COPENHA(}EN EB?/18 page 153 Editorial and Reference Services OFFICE OF THE DIRECTOR T;z:pe of Work 'rl1is tffioe dii•·cr-ts and co .... orclinatos the \7ork of three soutions and two units responsible for the editing, publishing and distribution of WHO publications (other than those issued by the Division of Public Information), for the translation of official and technical texts, and for the provision of library services a Fornmlates poliqy on a divisional level, instituting procedures for implementation~ Is responsible for the adherence of the division to established policy and administrative procedures, representing the division at secretariat meetings. .Also represents the Organization at meetings with outside bodies on matters concerning publications and related fields. Three units of the division are included in the Office of the Director. l The Production Unit 'PhJ":.~ u:n!,.t., pJ:u~).u:r. .JD for p:dnting ad:t tGd manuscripts i buingl I'esponsible for typ o graphic,al presentation and layout. It naintains records of dispatch and receipt of manuscripts and first and second proofs. It frepares budgetary estimates of printing costs. It ~ts as liaison between vVHO and the United Nations Printing Service and Sales Section of the 1'uropean Office of the United Nations. During the first 11 months of 1950, this unit processed 113 separate. publications, totalling 7,198 pages of print. 2 Distribution Unit This unit establishes, maintains and revises mailing lists for the free distribution of all 'WHO publications, and deals with all inquiries on and requests for them. It maintains liaison with the UN Distribution Service which dispatches all WHO publications. The following figures fo~ three rAi't'esent.at.ivu mon-~h:; indJ..:.ate the workload for the year 1950. EB?/18 page 154 Workload Statistics for the mon~hs of ~tember, Octoper an~.~ber 1950 *New addresses other changes Requests for Requests for Out Inquiries placed on the in the mailing back numbers publications going from the mailing lists lists of publica- screened and Col!llll!mi Secretariat tion~:;· · referred to cations in connexion Bales Section with dis tribution .213 .3$1, 51 300 120 * including ex<:'.hanges with medical j our21als · ·3 Stenographic Pool This unit renders shorthand and. typing services in Engl:i.sh and French to the whole divisiono In particttlar,. it transcribes and type~ all translations done by the Translation Section, The following table gives the workload statistics of this unit for the year.l950. Luring sessions of the Executive Board and the Assembly, most of the members of this urd.t are temporarily asl3igned to a central stenograp~ic pool for- the produc.tj on of documents. Workload data have there.rore been givon only for 11 normaJ. 11 months which do not .include January, Mqy or June, St~ographic Pool Workload statistics for eight normal months during 1950 No, pps transcript No. pps stencil No. pps c_0py-typing English French English French ~!_!.~ish · French 4,934 11)037 744 .2~709 3,294 5,854 ·New.;;,;..,__ Personnel~ ...... _~- No. increase in staff is proposed . Duty Travel: ·Two visits to·· Paris are proposed in 1952 for collaboration with UNESCO in the co-'ordination of ·abstracting and i:nde:ring' in the m8dical and biological sciences.· · EB?/18 page 155 Grants-in-Aid ~nd Contracts Since 1949, thG 1iffi0 has shared with UNESCO the cost of meetings and othor activities related to the co-ordination of abstracting e~d indexing in the medical and biological scioncos. A further grant for this purpose is proposed in 1952. Consult Expert Committeo.s: Nono proposed EB7/18 page 156 Editorial and Reference Services OFFICE OF THE DIRECTOR No. of posts Estimated expenditure 1950 1951 1952 ~ 1950 1951 1952 1 1 1 Director 19 11,250 11,250 1 1 1 Administrative Assistant 9 4,070 4,070 1 1 1 Secretary 6 2,820 2,960 Stenographic Pool 1 1 1 Special Services Officer 7 3,470 3,650 15 12 12 Clerk/Stenographers 4 28,050 29,840 1 1 1 Clerk/Typists 3 2,410 2,410 Total established posts 49,200 54,180 20 17---- 17- 52,070 Allowances: Installation 1,050 1,004 1,004 Dependants l,OW 1,200 1,200 Expatriation 1,840 2,000 2,000 Pension Fund 6,670 7,290 7,585 Staff Insurance 350 388 405 Travel: Duty 250 250 Recruitment & repatriation 520 729 729 Home leave 285 125 1,000 Transportation of personal effects 600 873 481 Total - OFFICE OF THE 61,655 65,929 68,834 DIRECTOR EB7/18 page 157 Editorial and Reference Services EDITORIAL SECTION Type of Work& With the advice of an intra secretariat Editorial Panel, the section selects material for inclusion in WHO technical publicationsi edits original manuscripts and translations for technical and official publications of the Organization, co-ordinates English and French texts, and reads and corrects proofs; plans and maintains work schedules. For working purposes, the section is divided into ~hree main units, concerned respectively with technical publications, health legislation, and official records. · Technical Publications: These include the Bulletin, the Chronicle, the Technical Report Series, the Monograph Series, and· non-serial and miscellaneous publications such as the Pharmacopoea Internationalis and the International List of Venereal-Disease Treatment Centres. The staff employed on technical publications includes (a) special and supervisory staff whose duties are common to editions in all languages, (b) staff responsible for routine editorial work on publications in one language (normally English or French). In the former category there are one medical editor, one assistant editor (scientific), one editor-supervisor· and two editorial clerks. In the latter category there are two assistant-editors (one.English-speaking and one French-speaking) and six sub-editors (three English-speaking, two French speaking and one bi-lingual). For the Bulletin the work consists of examining and reporting on articles submitted for publication (by members of the secretariat or by outside authors), suggesting subjects upon which articles might be commissioned from members of the secretariat or outside experts, editing original manuscripts and translations, and ensuring their conformity with internationally acceptable terminology, nomenclatures, symbols and abbreviat~ons, preparing adequate summaries of articles and corresponding with authors on any doubtful points. EB?/18 page 158 For the Chronicle, the work consists of writing most of the articles, in consultation with technical sections. and editing and proof-reading them in English, French, Russian and Spanish. Work on the Technical Report Series consists of editing, in consultation with secretaries of expert conunittees and other advisory bodies, the provisional mimeographed texts of their reports, co-ordinating the English and French texts, and preparing them in a form suitable for printing. Work on the Monograph Series consists of co-ordinating and editing translations and preparing originals and translations in a form suitable for separate publication as monographs, The type of work performed on non-serial and miscellaneous publications varies considerably, and it is difficult to predict in aty particular case how much work wili fall to the Editorial Section. For example, during 1950 the full time of two assistant editors has been absorbed for long periods by work on the English and French editions of the Pharmacopoea Internationalis. On the other hand, all the detailed work on the French and Spanish editions of the Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death, published in 1950, was undertaken by the responsible technical section~ Editorial work on the Weekly Epidemiological Recor~ and .. t:t_le Epidemiological and Vital Statistics Report is the responsibility of the Division of Epidemiological Services, the Editorial section rendering only occasional assistance, The workload to be undertaken by this unit in 19.52 is indicated by the programme of technical publications. However, the total number of pages to be printed provides only the roughest indication of the volume of work to be performed ~s (a) .the degree of responsibility for detailed editorial work taken respectively qy the unit and by the technical section concerned varies considerably in different cases, (b) the amount of editorial work to be done is not accuratelY reflected by the number of pages - even of the same publication, For the production of the International Digest of Health Legislation in separate English and French editions, there is a unit consisting of one medical editor and two sub-editors, assisted by the part-time services of a librarian. This unit is responsible for examining official gazettes and other legislative EB7/18 page 159 material received, and selection of texts for publication in full or as extracts, preparing short summaries of legislation not published in full or extract form, co-ordinating English and French texts, pr~paring the material in both languages in a form suitable for publication, and reading and correcting proofs. In the case of legislation in languages vdth which members of the unit are not familiar, the work is done in collaboration with other members of the divisional staff, and in a few cases members. of the staffs of other divisions, having a knowledge of the languages concerned. The Official Records Unit is responsible for editing for publication in English and French, in consultation vli th other organizational units, the provisional mimeographed texts of documents prepared for, or resulting from, meetings of sessions of the Executive Board and its committees and of the Health Assembly, It also pre~~ros the Handbook of Basic Documents. The unit co-ordinates English and French texts, prepares them for publicat~on, and reads and corrects proofs. During sessions of the Health Assembly and the Executive Board and its committees, the unit is responsible, with the assistance of temporarily-engaged staff, for the production of verbatim records of plenary meetings and minutes of comMittees. Now Personnel~ The appointment of a Chief of Editorial Section and one secretary is proposed in 1952. This app~intment was.also proposed in previous years but was not made earlier for budgetary reasons. Hitherto the Director of the Division of Editorial and Reference Services has acted also as Chief of the Editorial Section. Duty Travel: None proposed. Consultants; None proposed. EE7/18 page 160 Editorial and Reference Services PUBLICATIGNS AND 0THER EDITORIAL SERVICES No. of posts Estimated expenditure !212. 1951 1952 ~ 1950 1951 1952 1 Chief of Section 17 8,525 2 2 2 Medical Editors 15 14,480 l5,26o 2 2 2 Editors 14 13,06o 13,720 1 1 1 Assistant Editor 12 5,315 5,585 4 4 4 Assistant Editors 11 19,16o 20,180 1 1 1 Publication Officer 11 4,785 5,035 1 1 1 Publications Officer 9 4,070 4,070 12 12 12 Sub-Editors 9 45,680 47,900 1 1 1 Administrative Assistant 9 3,870 3,870 2 3 3 Clerks 5 ?,650 8,790 1 Secretary 5 2,420 J: 1 1 Clerk/Typist 3 2,530 2, 530 31 ~ ~ Total established posts 101, 90u 120, 6oo 137,885 Allowances; Installation 2,330 2,104 3,395 Dependants 1,170 3,135 4,0?4 Expatriation 5,110 5,932 6,593 Pension Fund 14, 60Cl 16,885 19,310 Staff Insurance 720 908 1,0.38 Travel: Recruitment & repatriation • 360 1,361 2,768 Home leave 270 4,250 665 Transportation of personal eff0cts 1,543 849 Grants and Contracted TGchnical SGrvices: UNESCO - Medical Abstractin~ and Indexing Services 2,300 3,000 3,000 Publications 120,000 140,150 156,125 To~al - PUBLICATIONS ~~ 249,200 299,868 335,702 OTHER EDITORJ.AL SERVICES ===--- Editorial and Reference Seryjces TRANSLATION SECTION !YPe of Work This :Jection is responsible for translc:tions ·ctone by the Organization for official purposes - including committee and conference documents and records, as well as correspondence - and for technical publication.s. With a few exceptions, all documents and publications originally produced in one of the working languages are translated into the other. The section also translates from several European languages into both the working languages of the Organization, especially for the Intarnational Digest of Health Le~islation. A small amom1t of translation into Russian (for the Chronicle) is done. The Chief of Section is responsible for the general organization of tha work of the section, for establishing records of material received and translated, for establishing - in consult4tion with the Director of the Division of Editorial and Reference Services - priorities of work to be done, for making arrangements, in suitable cases, for translations to be commissioned from outside translators or from the European Office of the UN, for revising translations, and for exercising a general control on the quality and quantity of work performed by individual translators. There are in the section five translators into French (from English and other languages) two translators into English (from French and other languages) and one translator of wide linguistic knowledg~ who translates into French from less-familiar languages e.nd into Hussian for the Chronicle. A broad indication of the workload of the section is given by the nwnber of double-spo.cod French Englis11 Russian 10,155 2,813 578 It should be noted that a wide variety of technical material is translated, and that the number of pages tpat can be translated in unit time vo.ries considerably according to thG type of matori~l. EB?/18 pace 162 In addition to the tr,:ms1c.:tions done within tl1o section, 552 pages of translation into French, 1J7 into English and 553 into Spilllish were commissioned from outside translators or from thG European Office of the United Nations during the first eleven months of 1950. New Personnel: No increase in staff is proposed. Duty Travel: None proposed. Consultants: None proposed. m/18 page 163 Editorial and Reference Services TRANSLATION .·, ~ No. of posts - · Estimated expenditure l95u 1951 1952 Grade 1950 1951 1952 ------~-- - .. -- l .l l Translator 15 6,800 6, 800 .·.l l Translator 14 6,860 6,86o 6 5 5 Translators 13 29, 5UU 30,385 2 2 2 Translators ll 9,320 9,820 l l l Secretary 5 2,670 2, 810 10 10 10 Total established posts 51,300 55,230 56,755 ~ - Allowances: Installation 425 1,336 591 Dependan:ts 800 1,457 1,457 Expatriati9n 1,360 1,316 1,316 Pension Fund 6,040 7,732 7,947 Staff Insurance 36o 415 .. 425 Travel: Recruitment & repatriation. 530 823 430 Home leave 195 85 415 Transportation of personal effects :394 '728 Total ·- TRANSLATION 61,010 68,788 70,064 ·, EB?/18 page 164 (I 'i• • . . '-,· Editorial and Reference Services LIBRARY AND R~FERENCE SECTION Type of Work The section.is responsible for maintaining and developing the WHO Library and for provid~ librar.y service to the Secretariat, including field workers and regional offices; and to Member Governments, health administrations, health • institutions and, in certain cases, individual health workers, The work includes the selection and acquisition of books, periodicals, documents, annual reports, reprints and maps either by purchase, by exchange with WHO publications, or by requests for copies gratis. This work entails the keep~ng of systenia.tic rec.ords and sources of bibliographical information in order to avoid duplication and to ensure the acquisition of all material neoessary to the ourrent work of the Organization. In order to make all imp~rtant material readi~ available, it is oatalogued in aooordanoe with standard library techniques.• Material not available in the WHO Library is obtained on loan either from the Library of the European Offioe of the United Nations or from libraries in Switier land, or in other 'Member colintries, The Library undertakes the preparation of bib Jliographies·, and obtains for the Secretariat: photocopies of material not otherwise available. Reference service is given not only on technical publications but also on relevant documents of WHO and of the United Nations and its related bodies. The Library is also responsible for the procurement of me~ical books and periodicals supplied by the Organization to Member Governments. This work includes the verification of authors, .titles, publishers and prices from current publisherst catalogues .and other sources, the suggesting of substitutes for out-of-date or out-of-print items, the typing of official orders, correspondence with agents in various countries, and the checking of invoices. During 1950, work on the supply of medical literature for Member Governments occupied the full time of one librarian and three library clerks. EB?/18 pace 165 The following statement of ~outine activities during the first 11 months of 1950 gives an indication of the Libraryls workloadt Routine Activities of the Library Staff from 1 January to 30 November 1950 Acquisitions Books ordered 2108 Periodicals ordered ?o6 Photostats ordered 11?3 Microfilms ordered 618 Catalogue Works catalogued 3289 Cards typed 19932 Periodicals New periodicals received (titles) By subscription 109 n n n n By exchange 223 Articles indexed in current periodicals 14968 Cards for articles indexed 5?080 Statistical publications received 1488 Offi6ial gazettes received 2302 Periodicals circulated 21694 Loan Service Loans from WHO Library (Secretariat) 5225 Works borrowed from UN Library 2992 Works borrowed from outside libraries 134 Works loaned to outside libraries 156 Number of readers (library) 1479 " " n (Reference Room) 1419 Documents UN; WHO, etc. documents received 233?6 UNJ WHO, etc., documents indexed 4656 Bibliographies Library not recorded and enquiries Reference Room 1412 Supply of Medical Countries Books 5130 Literature to - Periodicals 816 Governments, Teams, Reprints 1036 eta. Teams : Books 389 Periodicals 15? Reprints 665 Secretariat 1304 Regional Offices 444 New Personnel: No increase in staff is proposed. Duty Travelt None proposed. Consultants: None proposed. EB7/18 page 166 Editorial and Rof3rence Services LIBRARY AND REFEREN.CE SE.tlVICES No. of posts Estimated expenditure 1950 1951 1952 Grade 1950 1951 1952 1 1 1 Librarian 15 7,240 7,630 1 1 1 Librarian 13 5,900 6,185 J J 3 Librarians 11 14,355 15,105 1 1* Librarian 9 1,835 3 3 J Librariane 7 9,390 10,410 5 5 5 Clerks 5 13,380 14,190 .l. 5'-t- 4 Clerks J 9,385 9,050 &;,910 61,485 --19 19 =17 Total established posts 62,570 Allowances: Installation 1,123 1,004 Dependants 200 4L)(J 4(;0 Expatriation 1,96o 1,500 1, 500 Pension Fund 8,090 8,608 8,763 Staff Insurance . 440 46o 470 Travel: Recruitmen,t· & repatriation 70 975 729 Home leave 1,300 1,210 1,180 Trarispo'r'tation of personal effects 510 983 481 Acquisition of Library Books 20,000 20,000 20,000 Total - LIBRARY AND. REF$mr CE 93,480 96,744 97,097 SERVICES * Two positions for 6 months only in 1951. tT'r/l!j page 167 Advisory Services SUlVJiVJ.ARY No. of posts Estilliated expenditure 1950 1951 1952 19/0 1951 1952 18 18 18 Office of the Assistant Director- 97,475 92,843 98,847 ·.~·,...nera1 Communicable Disea~es Services 2 3 Office of the Director 21~120 27,462 26,102 Malaria 6 6 6 Headquarters . 40,595 43,163 48,111 Expert Committees 44,375 9,787 9,688 24 17 10 Advisory Services & Field Projects 218,545 150,732 119,088 Tuberculosis ·4 5 5 Headquarters 29,440 39,616 38,144 Expert Committees 5,450 6,431 7,113 15 13 18 Advisory Services & Field Projects 136,225 134,868 266,254 Venereal Diseases 6 6 6 Headquarters 66,810 58,194 59,483 Expert Corr~ittees 4,450 7,753 5,284 17 20 26 Advisory Services & Field Projects 184,244 199,648 265,422 Other Communicable Diseases l 2 2 Headquarters 2,845 17,938 19,339 2 1 3 ·Ad111sory St>rvicee & Field Projects 37,755 53,092 165,806 Organization of Public Health Services 4 4 4 Office of the Direptor 28,015 32,599 39,153 Public Health Administration 2 - -· 2 3 Headquarters 21,010 15,189 30,810 Expert Committees 1,750 7,187 7,113 27 41 47 Advisory Services & Field Projects 285,195 449,566 536,321 Environmental Sanitation 2 2 2 Headquarters 17,900 16,973 24,288 Expert Committees 7,187 4 6 8 Advisory Services & Field Projects 37,200 80,284 124,566 Nursing 3 3 3 Headquarters 24,285 35,605 36,445 Expert "J ommi ttees 8,000 7,187 15,005 3 6 11 Advisory Services & Field Projects 23,280 50,456 104,807 ••,!18 pa.ge 168 Advisory. Services . . . - . ----- .... --· " No. of posts Esti~ted eXPenditure 1950~~ .!222 m 1952 Social and Occupational Health 2 2 Headquarters 7,805 19,762 20,170 Expert Committees 3,675 7,567 4,119 2 Advisory Services & Field Projects 28,023 Health Education of the Public 3 3 2 Headquarters 26,005 26,984 29,723 Expert Committees 5,440 1 2 Advisor.y Services & Field Projects 23,000 25,399 59,371 Maternal and Child Health 5 5 5 Headquarters 41,600 37,152 37,565 Expert Committees 12,235 9,811 4,868 5 8 23 Advisory Services & Field Projects 74;621 107,803 293,665 · Me.ntal Realth 3 3 3 ·Headquarters 39,340 41,781 ;6,380 Expert Committees 11,550 12,862 7,113 2 3 Advisory Services & Field Projects 11,900 36,617 56,oo6 N~trition 2 2 Headquurters 18,025 24,509 22,046 Expert Committees . 1,475 4,161 4,119 6 Advisory Services & Field Projects 21,325 14,000 89,059 Education and Training 3 3 3 Office of the Director 18,290 23,945 25,899 Expert Committees 7,250 6,431 6,365 Fellowships 7 7 7 Headquarters 37,410 40,403 . 41,897 Fellowships 666,500 510,182 893,857 Assistance to Educational Institutions 2 3 3 Headquarters 16,060 30,447 41,511 7 22 54 Advisory Services & Field Projects 245,626 268,186 8;8,952 Supplies for Governmental Prosr·.:;mtles 100,000 Exchange of Scientific Information 2 Headquarters 51,220 53,364 53,023 Common Services at Headquarters 98,292 70,521 86,002 ---181 218 294 Total Advisory Services 2,869,168 2,921,087 4,726,922 EB7/1C pa;:>:e 169 Department of Advise~ Services OFFICE OF THE ASSISTANr DIRECTOR-GENERAL Type of Work: The Assistant Director-General supervises and co-ordinates the work of the divisions in the department, advises the Director-General on major policy ques~ions and, together with the Assistant Director-General, Department of Central Technical Services, ensures the necessary liaison between the two technical departments. The work of the Department of Advisory Services is carried out through the regional offices and the field personnel attached to them, mdnly as assist<::nco to e;ovornmcnts at their request. This requires a continuous interchange on guidance and information between headquarters and regional offices regarding both gJnoral policies and specific projects. Now Personnel: No increase in staff is proposed. Duty Travela ·Travel is nocessaFy in order to allow the Organization to bo ropre.sentod at meetings -vvith a direct boaring on its activities, especially those carried out jointly with other agencies, e og, UNICEF. "6'- EJ!r/18. page 170 Advisory Services OFFICE OF THE ASSIST.ANT DIRECTOR GENERAL Headquarters NJ. of posts Estimated expenditure .1950 1951 1952 Grade --1950 --1951 --r 'j2 1 1 1. ASsistant Director General 13,500 13,500 1 1 . 1 l'11edical •• dministrative Officer 16 8,080 8,510 1 1 1 Administrative Officer 15 8,480 8,480 1 1 1 J>.dministrative .~ssistant 7 3,290 3,470 1 1 1 Seoretary 7 3,290 3,470 2 2 2 Secretaries 5 5,210 5,470 . Stenographic Pool 1 1 1 Cl8rk/Stenographer 6 2,960 3,120 8 8 8 Clerk/Stenographers 4 19,090 20,16o 2 2 2 Clerk/Typists ~ 3 4,150 4,470 18 18 18 Total established posts 65,500 68,050 ------70,650 Allowances Installation 1,430 1,063 1,005 Dependants 400 400 400 Expatriation 4,930 4,750 4,750 Pension Fund 9,190 9,529 9,894 Staff Insurance 490 514 531 Travel: Duty 6,960 3,283 ~., (,,~2 Recruitment & repatriation 265 772 730 Home leave 1,735 1,875 3,725 Transportation of personal effects 175 607 480 Special literature: 6,400 2,000 2,000 Total - OFFICE OF T.BE ASSISTANT 97,475 92,843 98,847 DIRECTOR-GENERAL EB?/18 page 171 Communicable-Disease Services OFFICE OF THE DIRECTOR ~ype of Work: The work of this office relates to the responsibility of the Director of Division,within the Department of Advisory Services, in directing, co-ordinating, and supervising the work of the sections on tuberculosis, malaria, venereal disease and other communicable diseases. This responsibility includes making recommendations on policy, initiating important procedUres, formulating operat~ng programmes, taldng work decisions, preparing the budget and admini~tering allotments, servicing expert committees, interpreting the Organizationls policies and procedures, and representing the Org~nization at appropriate meetings with other agencies and professional groups, New Personnel: No increase in staff is proposed, Duty Travela Provision has been made for visits to regional offices for consultation on the planning and implementation of ~ogrammes in communicable diseases, Consultants: Consultants (short-term) are to bG et the disposal of headquarters to assist in the solution of honlth problems common to the countries of several rE:gions. The experience in solving health probleins in any one ar0n will be made available for applicatl.on to similnr problems in other regions·. These con sultants will be employed on nssigmnents within the scope of this division. To define the probler:1s thnt fall in this category and to outline a method of . . ·~··.:. study based upon tha collection· of inf.'?:i'P:Jtibn 'frorn.· .. several sources in different regions is a flll'lction of he.:,dquarters. In addition, thoro nrc joint programmes with the United Nations or specialized ugencios which relate to the progrannne of technical c:tssistance and which must necessarily be co-ordinated by he.:~dquarters staff. EB7/18 page 17? Communicable Diseases Services OFFICE OF THE DIRECTOR Headquarters No. of ;eosts Estimated e~enditure !21Q 1951 1952 Grade 1950 ,1951 1952 1 1 1 Director 19 10,250 10,'/50 1 1 l Secretary 6 3;120 3,280 1 l Secretary 5 2,6?0 2;810 --- 2 3 3 Total 8Stablished posts 11,320 16,040 16,840 -===.-==:..:' Allowances: Installation 1,590 1'78· 1?? ·Dependants 430 1,600 1,600 Expatriation 890 1,250 1,250 Pension Fund 1,580 2,246 2,358 Staff Insurance 80 121 12? 'Travel: Duty 2,205 1,095 1,?45 Recruitment & repatriation 2,895 129 129 Home leave 130 4,620 1,?91 Transportation of personal effects 183 85 Total ·• OP7IC:E 8 TBE DIRECTOB, 21,120 2? ,462 26,102 EB7/18 pa~:,e 173 Communicable-Disease Services :MALARIA Type of Work: The Malaria Section assists in the implementation of approved projects by furnishing supplies, selecting and briefing field advisers ~nd consultants, providing technical guidance and information for regional and field advisers and consultants, and evaluating and following up technical results, The section services the Expert Conunittees on Malaria and on Inse.cticides ~ In addition, it advises on fellowships, training in institutions and related technical matters. As there is not a malaria adviser in every region (three regional advisers are proposed in 1952), a considerable amount of vrork in the planning stage of projects has to be done by the section. Nine malaria teams were in operation at the beginning of 1951. The malaria control carried out in connexion with Ul\ffi.WAffiNE, malaria and insect control in six countries, several national malaria-control projects for which WHO staff members are providing guidance, give a further idea of the field operations for the technical correctness of which the section is responsible. Additional projects are envisage~ in 1951-1952. There is no provision, however, for the technical follow~p of expanded technical assistance programmes, should these materialize in 1951-1952 as contemplated. New Personnel; No increase in staff is proposed. Consultants: None proposed. Duty Travel: The amount provided for travel is intended to cover attendance at the Fif'th International Congress on Tropical Medicine and Malaria (Ankara), and visits to regional offices for consultation on programmes in individual countries and to provide technical advice in those regions which have no regional adviser. Grants-in-aid and Contracts: None proposed. ~B?/18 pnee 1?4 Expert Committee The Expert Committee on Insecticides has two sections, one dealing with the specifications of insecticides, and another with the disinsectization of ships and aircraft. The increasing number of insecticides and insecticide formulations, and the need·for developing effective and practical means of disinsectizing ships and aircraft, make the convening of this expert committee in 1952 a necessity. EB7/18 page 175 Communicable Diseases Services MALARIA AND JkSECT CONTRnL Headquarters No. of posts Estimated expenditure 1950 1951 1952 . Grade 1950 1951 1952 l l 1 Chief of Section 17 8,975 9,425 1 1 1 Assistant Chief of Section 16 7,66o 8,080 1 1 1 Sanitary Engineer 15 6,880 7,240 1 1 l Technica~ Assistant 9 3,870 3,870 1 1 1 Secretary 6 3,280 3,280 l 1 1 Secretary 5 2,4!!0 2,540 ------6 6 6 Total established posts 29,000 33,085 34,435 ------ Allowances: Installation 1,145 354 355 Dependq.nts 400 Boo 1,000 Expatr:i.ation 1,080 1,250 1,250 Pension Fund 4,o6o 4,633 4,822 Staff Insurance 210 249 259 Travel: Duty '2·,400 2,365 1,607 Recruitment & repatriation 1,800 257 258 Home leave 3,955 Transportation of personal effects 500 170 170 Total - Headquarters 40,595 43,163 48,111 E!eert Committees Malaria Conference 27,950 Expert Committee on Halaria 9,025 Expert Committee on Insecticides 7,400 9,787 9,688 Total - Expert Committees 44,375 9,787 9,688 .. E:E!?/18 page 176 Communicable Disense Services MALARIA f~7:J IlffiECT CONTROL '', ', Advisory Services and Field Projects r•,' , , ~ No. of poste Estimated exp~nditure 122Q 1951 195R .!2.20. 1951 195:;'1 2 2 3 Regional Advisers 13,023 21,021 8 5 3 Malariologist a '27,948 16,992 3 2 1 Entomologists 12,480 5,900 5 4 2 Sanitary Engineers 19,184 12,780 6. ... " .·. 4.' Public ~ealth ~urses 9,901 l Sanitarian 2,964 --- 24 17 10 Total established posts 107,325 82,536 59,657 Short-term Consultants' fees 8,100 1,6oo ll5,425 61,257 Allowances: Installation 5,920 652 1,771 Dependants 5,230 5,141 2,523 Expatriation 7,360 5,110 2,361 Pension Fund 15,550 12,527 8,895 Staff Insurance 1,340 1,209 854 Travel: ~uty 3,160 3,755 10,500 Short-term consultants 8,080 1,200 Recruitment & repatriation 14,800 10,545 4,692 Home leave 1,4-oo 3,660 Transportation of personal effects 2,780 1,228 750 Supp~ies and eguipment: 37,500 28,029 20,625 Total Advisory Services and 218,545 150,732 ll9,088 Field Projects 30 23 16 Total MALARIA 303,515 203,682 176,887 EB7/18 page 177 Communicable-Disease Services TUBERCULOSIS Type of Work: The ~1berculosis Section assists in the implementation of approved projectsb,r advising an supplies, selecting and briefing field advisers and consultants, providing technical guidance and information for regional and field advisers and consultants, evaluating and following up technical results. The section services the Expert Co~nittee on Tuberculosis and the Sub-Committees on Chemotherapy and on-Demonstration and Training Centres. In addition the section advises on fellowships, training in institutions and related technical matters. The tuberculosis demonstration centres which will be in operation during 1951 in Istanbul and Salvador will be replaced by two other centres to be set up in 1952 from WHO funds. Additional centres to be opened in 1951 will include three in India, one in Burma and one in Thailand and will probably be continued into 1952 with the retention of at least part of the 1951 staff. A special BCG campaign will also be conducted in Malaya and Singapore during 1951 and may continue into part of 1952; from requests now being investigated, it is likely that the volume of work will expand considerably during 1952, especially that work carried out with funds provided by other organizations. New Personnel& The taking-over of responsibilities for BCG programmes from the Joint Enterprise made necessary the appointment of a medical officer in 1951 to deal specifically with the subject; it is proposed to continue the appointment in 1952. Duty Travel: The amount proposed for travel is to cover attendance at meetings of medical sub-committees of UNICEF, visits to regional offices for consultation on programmes in individual countries and to provide technical advice in regions where there is no regional adviser. Consultants& None proposed. Grants-in-aid and Contracts: None proposed. EB?/18 pace 178 ~xpert Committees; The Expert Co!llinittee on Tuberculosis should meet in 1952, as the rate of progress now being made in orgcnization of tuberculosis sorllJr;c.=;; particulnrly in thernpy, makes it imperative that the s_ubject be reviewed by competent auth.J. ·ities et least once a year. The Sub-Committee 0n Demonstrntion nnd Training Centres should meet to review the programme and make recommendations on organization and technical methods. EB7/18 page 179 Communicable Diseases Services TUBERCULOSIS Headquarters No. of :12osts Estimated e~enditure } 95~ 1G51 1.952 Grade 1950 1951 1952 1 1 1 Chief of Section 17 8,975 9,4~5 1 1 BCG Medical Officer 16 8,o8o 8,975 1 1 1 Technical Assistant 9 3,670 3,870 1 1 1 Secretary 5 .2,670 2,810 1 l 1 Clerk/Stenographer 4 2,415 2,415 T 5 5 Total established posts -20z226 25,810 27,495 -- -·-- Allowances: :r:nstallation 300 237 280 Dependants 8oo .. Boo Expatriation .. 1,492 1,750 1,750 Pension Fund 2,813 3,614 3,851 Staff Insurance 149 195 207 ----Travel: Duty 2,900 6,280 2,877 Re~ruitment and repatriation 1,315 172 215 Home ·leave 645 530 Transportation of personal effects 245 113 139 Total - Headquarters 29,440 39,616 38,144 E~~~ Committees Expert Committee on-Tuberculosis 5,450 7,113 Expert Committee on Chemotheraphy 6,431 Total - Expert Committees 5,450 6,431 7,113 EB'( /13 page 180 Communicable Disease Services TUBERCULOSIS Advisory Services and Field Projects N..;. of ;posts Estimated expenditure 1950 122!. 1952 .!2.22. 1951 1922 2 3 4 Regional Advisers 2@~816 29,769 1 Area Supervisor 6,536 1 1 2 BCG Advisers 6,511 13,038 3 3 4 Tuberculosis ·onsul to.nt s 22,005 28,rG 3 1 Medical Officers 6,210 2 2 3 X-ray Technicians 9,070 13,878 1 1 2 Laboratory Technicians ' 4,535 9,093 3 2 2 Public ~ealth Nurses i 10,135 9,908 -v-- 15 13 18 Total es'!-.~~ lished posts 68,052 81,282 110,928 ---- Short-term Consultants• fees 3,820 4,800 71,872 81,282 115,728 Allowances: Installation 5,145 652 4,727 Depend:m.ts 2,720 6,668 9,994 Expatriation 4,298 4,758 4,299 Pension .J'und 9,755 11,765 16,175 St.nff Ir suranr.e ~·00 1,157 1,591 Travel: Duty 14,476 15,911 30;608 Short'~~' term consul t~\.n ts 2,750 3 ,6c·o Recruitment and repatriaticn 6,453 3,457 8,114 Home leave 706 290 7:128 Transportatbn of p<:;rsonal effects 2,355 1~228 1;250 Reimburse~ent~Income T~ 3,70(' 4,440 §1U~R.J,i~.s and egyi:Qm.§!l:t: 14,895 4,000 58,600 T .-tal Advisory Services and :!~)6;225 134,868 266t254 Field Projects -·- To~~l TUBERCULOSIS 171,115 180,915 311,511 19 18 23 ___ ..,.... ___ ------EB?/18 page 181 Con~unicable-Disease S0rvices VENE~L DISill~SES T,ype of Work: The Venoreal Diseases Section assists in tho implementation of approved projects byadvising on supplies, selecting and briefing field advisers and consultants, providing technical guidance and infoTQation for regional and field advisers and consultants, and evaluating and following up technical results. The section services the Expert Comsittee on Venereal Infections and treponematoses and the Sub-Conmittee on S~rology and Laboratory Aspects. In addition the section ~cvlsr.s en fellowships, training in institutions, and related technical matters. is there are venereal disease and treponenatosis field advisers in only three of the regions, a considerable amQunt of work in the planning stages of projects has to be performed in the section. The section is further responsible for the administration of the Brussels Agreenent. The number of the projects carried forward from 1951 or expected to be established in 1952 may exceed 20 country progra~~es, including mass yaws campaigns in the Western Pacific and the Western H~misphere. New Personnel; No increase in staff is proposed. Consultants: None proposed. Duty Travel: Provision is made for attendance at the Assembly of International Unions against Venereal Disease (Paris) and at a regional serological conference in South East ~sia, and visits to regional offices for consultation on country programmes and to give technical advice in regions which have no regional adviser. Grants-in-aid and Contracts: Copenhagen: The Statens Seruminstitut in Copenh~gen acts as an international serological reference laboratory centre for the study and standardization of f~ro-re~ctions in syphilis and in lS52 will: (a) serve as a regional reference J centre in the control and standardization of antigens, sera-reactivity and methods; (b) act as a control centre for the maintenance of the international cardiolipin ~nd lecithin standards established in 195li (c) further develop the laboratory studies on international standards for freeze-dried syphilis sera at different lev&ls of reactivity, as reco~aended by expert committees. EB?/18 pnge 182 Baghdad: The Health ~dministration of Iraq is establishing in 1950 and 1951 a new national laboratory as part of its contribution under the UNICEF/WHO/Iraq Administration Tripartite Agreement for the Bejel Project. The proposed grant is to assist the further development of that laboratory in 1952 so that it may ·assume responsibility as a regionnl laboratory reference centre in the .Eastern Mediterranean, whose task will bo the further standardization of sera-reactions and serological technique among national laboratories in the region, and the training of technical personnel from the region. Expert Committees: One meoting of the Sub-Comnittoe on Serology and Laboratory Aspeots (six members) is required in 1952 to consider among other items: (a) the practical problems arising from the establishr.lent in 1951 of international standards of cardiolipin and purified lecithin, including nGthods of control of these products manufactured in different countriGs; (b) the further technical dGvelopment in th~ study of freeze-dried sera; (c) the further results in the standardization of technical me:thods in serodiagnosis by exchange of serum samples between netional laboratoriesi (d) the prospective international serological laboratory conference. EB7/18 page Communicable Diseases Services 183 VENEREAL DISEASES Headquarters No. of posts Estimated expenditure illQ !221. !2,2g Grade 1950 1951 1952 1 1 1 Chief of Section 17 8,975 9,425 1 1 1 Assistant Chief of Section 16 7,660 8,080 1 1 1 $erologist 15 6,880 7,240 1 1 1. Technical Assistant 9 3,870 4,070 -· . 1 1 1 Secretary 5 2,810 2,950 1 1 1 Clerk/Stenographer 4 2,535 2,665 TT 6 Total established posts 28,770 32,730 34,430 Allowances: xnstallatL n 2,290 354 354 Dependents 1,330 2,600 2,6oo ExpatriatiC?n 2,040 2,500 2,500 Pension Flmd 4,025 4,582 4,821 Staff Insurance 200 246 259 Travel: Duty 3, 750 2,595 3,919 Recruitment and repatriation 2;485 257 259 Home LeaYe 180 4,160 1,215 Transportation of i)ersone.l -effects 2, 7~i·O 170 1,126 Grants and Contracted·-·- TeGhnical Services:- State Se;rurn Inst~tute, Copenhagen: Serologic R~ference Laburatory 4,000 4,000 4,000 Central Laboratory,_ Bagdad: Serologic Reference Laboratory 4,ooo 4,ooo Johns Ropkins School of Hygiene and Public-Health: International Treponematosis La.boratory Centre 15,000 Total - Headquarters "6'6,810 58 ~~~~____2.2, 483 l!lxpert Cormittee on Veneren·,_ Infec tions and Trepcnem~tosis 7,753 Expert C')mD>i t tee on Ce.ro1 . fS;/ and Laboratory As~ccts 4,450 5,284 Tc;.;.tti - Expe r""; Comm:2 ttees ~. 450____ L]_5..2...__2L.?84 - EB7/18 page 184 Comm1micaqle Disease Services VENEREAL DISEASES Advisory Services and Field Projects No of ;EOSts Estimated exEenditure 1950 1951 1952 ~ 1951 1952 4 4 3 Regional Advisers . 24,979 22,011 1 Public Health Administrator 6,536 6 7 9 Venereologists 46:,483 53,643 3 4 4 Serologists 21,515 19,lll 1 1 2 Health Educators 5,278 10,875 1 1 Social Vlorker 4,308 4,793 1 1 2! Mass Treatment Technician 4,535 4,535 2 2 4 Public Health r:urses 8,134 17,521 ~r...... :..... 17 20 26 Total established posts 70,823 115,232 139,025 ------Short-term Consultants' fees 8,850 17,600 4,800 79,673 132,832 143,825 · Allowances: Installation 8~02 1,846 4,981 Dependants 2,901 6,501 6,184 Expatriation 4,211 4,696 5,558 Pension Fund 9,872 17,490 20,732 Staff Insurance 1,077 1,676 2,011 Travel: Duty 19,472 12,460 9,873 Short-term consultants 8,280 14,300 7,495 Recruitment and repatriation 18,o46 4,692 16,165 Home leave 1,345 215 11,023 Transportation of personal effects 2,385 1,250 3,250 Reimbursement of -~-me Taxation 740 1,480 Sup}2J.i.e_£~~C!--~~.P!lnt 28,580 950 32,81+5 Total Advisory Services and 184,244 199,648 265,422 Fiel·i Projects 23 26 32 Total . VENEREAL DISEASES 255,504 265,595 330,189 ==...::= ===:.:zs:: ==--~--.. EB?/18 page 185 Communicable-Disease Services ffiHER COMMUNICABLE DISEASES Type of Work The work of the unit relates to communicable diseases other than tuberculosis, malaria, venereal disease and treponematoses. It includes the planning, review and analysis, and cq_nunents on specific projects for demonstra- tion and training. The section assists in the implementation of approved projects by a:ivis.ing on supplies, selecting and briefing field advisers and consultants, providing technical guidance and information for regional offices and consultants, and evaluating and following up technical results. The section services the export committees on communicable diseases other than tuberculosis, malaria, venereal infections and treponematoses, when field studies, projects or demonstrations are under discussion. In addition, it advises on fellowships, training in institutions and related teohnical matters. During 1950, the section was concerned with projects in 12 different countries. In 1951 and 1952 work will deal particularly with plague, cholera, bilharziasis, leprosy, trachoma and leishmaniasis. Now Personnel: No increase in staff is proposed. Duty Travel: Provision has boon made for attendance at Fifth International Congress of Tropical Medicine (Ankara). Consultants: None proposed. Grants-in-aid and Contracts: None proposed. Expert Committees: No meeting is contemplated in 1952. EB7/18 page 186 Communicable Diseases Services OTHER COMMUNICABLE DISEASES Headquarters No. of Eosts Estimated e!Eenditure 1950 ~ 122_g ~ 1950 ~ 1952 ~ 1 1 .Chief of Section 17 8;525 8,975 --1 1 1 Secretary 5 2,420 2,670 --1 2 2 Total established posts 1,840 10,945 llz.645 Allowances: Installation 1,291 118 Dependants 350 4o4 4o4 Expatriation 375 479 479 Pension Fund 260 1,533 1,631 Staff Insurance 20 82 87 Travel: Duty 1,900 2,500 Recruitment and repatriation 1,247 86 Home leave 1,756 Transportation of personal effects 57 633 Total Headquarters 2,845 17,938 19,339 EB7/18 Communicable Disease Services page 187 OTHER CO~~UNIChBLE DISEASES Advisory Services and Field Projects No of posts Estimated e~enditure 1950 1951 1952 1950 1951 1952 1 2 Regional Advisers 14,554 1 1 1 Area Supervisor 6,830 7,255 2 1 3 Total established posts 2,970 6,830 21,809 Short-term Consultants! fees 11,880 17,600 38,400 14,850 24,489 6o,209 Allowances: Installation 880 1,630 Dependants 35 257 831 Expatriation 245 316 '650 Pension Fund 262 965 3,049 Staff Insurance 23 89 283 Travel: Duty 360 3,045 14,897 Short-term consultants 16,615 13,200 28,800 Recruitment and repatriation 1,845 1,564 liome leave 1,173 Transportation of personal effects 575 500 R8imbursement for Income Taxation 74o 2,220 Supplies and equipment 2,065 10,000 Grants and Contracted Technical Services Cholera Research 10,000 20,000 Plague Research 20,000 Total Advisory· S0rvices & 37,755 53,092 165,806 Field Projects 3 3 5 Tot:i OTEER COMMUNICABLE 4o,6oo 71,030 185,145 =-~=== DISEASES EB?/18 p<~.ge 188 Organization of Public-Health Ser~ces OFFICE OF THE DIRECTOR Type of Work: The work of this office relates to the responsibility of the Director of Divisio~within the Department of Advisory Services, in directing, co-ordinating .and supervising the work of the eight sections on which devolve all headquarters activities dn, organization of public-health services. This responsibility includes the making of recommendations on policy, the initiating of important procedures, the supervising and co-ordinating of programmes, the servicing of expert committees, the interpreting of policies and procedures, and representation of the Organization at meetings with other agencies and professional groups as required for the promotion of the programmes. The eight sections under this division are responsible for the programmes in public-health administration, environmental sanitation, nursing, social and occupational health, health ~ducation of the public, maternal and child health, mental health, and nutrition. New Personnel: No increase in staff is proposed. Duty Travel: The amo.unt provided for duty travel covers visits to regional offices to consult on the planning and implementation of programmes in organization of public-health services. Consultants: Consultants (short-term) ar0 to be at ths disposal of headquarters to assist in the solution of health problems common to the countries of several regions. These consultants will be employed on assignments within the scope of this division. The Gxp3rience in solving health problems in any ono area will be made available for application to similur problems in other regions. To define the problems that tall in this categor,y, and to outline a method of study based upon the collection of information from several sources in diff8rent regions, is a function of headquarters. In addition, there are joint programmes with the Un~ted N~tions or with specialized agencies which relate to the procramme of technical assistance and which must necessarily be cO-ordinated by headquarters staff. EB7/18 page 189 Organization of Public Health Services OFFICE OF THE DIRECTOR Headquarters No. of posts Estimated expenditure 1950 1951 1952 Grade 1950 1951 1952 1 1 1 Director 19 10,250 10,750 1 1 1 Public Health Administrator 16 7,66o 8,080 1 1 1 Secretary 6 .3,120 .3,280 1 1 1 Secretary 5 2,420 2,670 4 4 4 Total established posts 17' 510 2.3,450 24,780 .... - -- Allowances: Installation 1,040 1,410 1,052 Dependants 1,040 804 804 Expatriation 910 1,229 1,229 Pension Fund 2,450 .3,284 3,469 Staff Insuranne 120 176 187 Travel:- Duty 2,170 800 1,300 Recruitment and repatriation 2,665 1,3.33 172 Home leave 110 5,471 Transportation of personal effects 11.3 689 28,015 32,599 .39,153 EB7/18 page 190 Orc2nizction of Public-Health Sorvices PUBLIC-HEALTH AD1ITNISTRATION Type of Workt The work of the section includes activities such as the planninG and conductinc of health surv"-ys, dovelopnGnt of health demonstrc:tion pro3rcrrnnGs, formulGtion of lonL-ter:m hec:.lth proGrC.iih-nes, .::.ne the planninc, review end an2lysis of special projects or studiGS rcllating to public-hoo.lth c:dministro.tion. The section assists in tho imple1aontction of npproved projJcts by furnishing technical advice, selacting and .briefing fiold nc~vis.::;rs anc~ consultants, providing technical guiC.ance cnd informc?.tion, evclillltion and follow-up work. In addition, it services th0 ExpGrt Committee un Public-HJ2.lth AC:.ministr2.tion and a:cre.nec::s for studies to be conducted on the :nodorn trenc~s, m.:;tho:.s and ,)rcaoizntion of public-health services, includinc the training r)f :::;...:noral public-henlth p.;;rsonnel. Now PGrsonnel In 1952 tho .::.ppointmcnt of an ac.~·:.'.i tion2l ;~1cc~ical officer is prcposod, to assist thG chief of suction in th0 G.ovclc.•pmc;nt of hGalth dcmonstri:tion prot.rm·;ttms and ancly~is of infor1:1etion and repc,rts concornin5 public-:hoalth ?dministre.tion. Thu sectit ·n will alsc~ r~::quire a medical officer, under the tE-chnical assistance pro[.ramm.a, tc coll3ct and distributG inforuntion on public-health methods and practict:.s 2nd the orcc:nizati,Jn of hGnlth servicos. It is intanded th2.t he shall provide information of tho type mcnticme::d e.bovc not only fur gov;.;rnmonts, for their technical assistance prograEmlcs, but for all sections and divisions ,)f the Dcp2rtl·:1ent of AC.vis·'ry Sorvicos to 13ne.ble h.:;adquarters stc.ff visiting rogiJns in connoxion with technical cssist2nce to furnish infonnation requested and to permit of cxchanBe of inforra2tion betweon regions and countries on n2thods and techniques usGd und0r diff3rent ci rclli11St2.nco s. A medical officer will also be rc.quirorl undor the technical nssiste.nce progrc,;mno, to assist r..;:::,i·>ns o.nd eow;rnmonts in ccnnu.xion with the public-health c.dr:1inistrctLn aspects of the plo.nnin13 uf "Wchnic::.l assist Duty Tr .P.s indicated above, under New Personnel, there will also be a need for travel in connexion·with technical assistance. Consulknts: NunG proposed. Grants-in-Aid and Contracts: None proposed. ~ert Cv~nit~: In 1952 a meeting of the Expert Committee on Public-Health Administration will be called to discuss rural ~ealth problems and systems of ·rural henlth 'services, including bnsic standards for both curative nnd preventiVG services. In preparation for the committee, experts on ~he advisor.y panel on public-hGalth ·admini's"tration will be 'requested in 1951 to begin collecting and analysing relevant material or information frQn the different parts of the world. ,. ~B7/HJ page 192 Organization of Public Health Services PUBLIC HEALTH AIMINISTRA.TION Headquarters No, of posts Estimated e!Eenditure 1950 1951 1952 Grade 1950 l951 1952 1 1 1 Chief of Section 17 8,52§ . 8,975·. 1 Public Health Administrator 16 7,660 l 1 1 Secretar,r 5 :3,110. 3,270 ' .. - 2 ~ 3 Total established posts 9,400 11,635 ,19,905 Short-term Consultants' .fees 1.!750 11,150 11,635 19,905 Allowances: Ins tall a tion 930 118 992 ~pendants 720 200 508 Expatriation 840 750 1,092 Pension Fund 1,,320 1,630 2,788 Staff Insurance 80 88 151 Travel: Ducy 1,430 625 1,.300 Short-te nn consultants 1,485 Recruitment and repatriation 2,635 86 1,240 Home leave 140 2,750 Transportation of personal effects 280 57 84 Total - Headquarters 21.,010 15,189 30,810 E;ryery_ Committees Expert Committee on Public Health Administration 1.!750 7.!18? 7,11.3 E137/18 page 193 Organization of Public Health Services PUBLIC EE.ALTH .ADY1INISTRATION Advisory Services and Field Projects Estimated £;penditure 1950 1951 1952 2 2 5 Regional Advisers 15,289 36,856 3 5 6 Public Health Administrators 31,865 43,305 7 12 12 Public Health Medical Officers 88,440 91,695 3 2 2 Medical Liaison Officers 15,830 16,635 1 1 1 LVLalariologi st 6,880 7,255 2 7 7 Public Health Engineers 50,290 52,345 1 Sanitary Engineers 3 3 4 Sanito.:cians 16,570 21,773 2 1 2 Public Health Nurses 4,535 9,093 3 2 2 Administrative Officers 11,530 11,925 3 3 '.Te".;:-·i'"a.J. Assictsnts 7,929 9,870 3 3 Secretaries 2,757 3,150 ---- 27 41 47 Total established posts 103,452 251,915 303,902 ---- Short-term consultants' . 24,160 5,200 9,600 127,612 257,115 313,502 Allowances: Installation 2,345 5,491 4,950 Dependants 3,970 9,566 11,244 Expatriatj en 5,322 22,734 23,866 Pension Fund 14,372 36,185 43,914 Staff Insurance 13 591 31,245 33,106 Travel: Duty 22,748 20,509 31,353 Short-term consultants 17,060 3,900 7,200 Recruitment & repatriation 1,915 5,474 8,149 Home leave 4oo 7,122 Transportation of personal effects 650 1,750 978 Reimbursement of income taxation 740 1,480 Supplies and equipment 13,330 12,000 6,600 Oth,... : -::ontractual services 11,880 Grants and Other Contracted Sarvices UNRWAPRNE 50,000 42, 85'1 42,857 \ Total Advisory Services and 285,195 449,566 536,321 Field Projects 29 43 50 Total PUBLIC HEALTH 307,955 471,942 574,244 -- ADMINISTRATION EB?/18 page 194 Organization of Public-Health Services ENVIRONMENTAL SANITATION Ty;pe of Work: This section plans, implements and supervises progranunes on environmental sanitation including the survey and study of the sanitation problems in a locality, the development of demonstration programmes and the provision of technical information relating to modern methods and techniques in sanitation. It assists the regional nffices in the implementation of approved projects, in ·~::J:risj.ng" on supplies and eqai}JI!l')":"1t 7 the selection and briefing of field advisers and consultants, and the evaluation and follow-up of technical results. The section services the Expert Committee on Environmental Sanitation. In addition, it advises on fellowship programmes a.s related to environmental sanitation. As there are environmentaJ. sanitation field advisers in only three of the regions, a commensurate amount of work in the planning stage of projects has to be performed by the section. New Personnel. The section will require a public-health engineer to assist the chief of section in view of the extra work involved for the section by technical assistance programmes. This vrork will comprise advance planning at headquarters and in the field in collaboration with the regions, detailed planning in co-operation with the governments concerned, and assistm1ce in recruitment of sanitation personnel required for projects fino.nced under "technical assisto.n~e. Budgets submitted by the regional offices indicate that there will be at least 36 sanitation posts to be filled initially. The public-health engineer will be required to assist with technical a.ssistance projects in which the section will be concerned, including those relating to initiating or expanding general health work to promote economic development in an area, those concerned specifically with sanitation (provision of safe water supplies, excreta. disposal facilities, teams for the control of specific vectors of diseases) and those relo.ting to the tra.ining of local sanitation personnel at various levels, El'317/l8 page 195 . ,., ~ ~ • ': ! ~ ... • :;. Duty Travel: Provision is made for the -chief.·of-·section to visit regionaJ. offices . : ' . . - ~ ' . . for consulta.tion on planning of environmental sanitation programmes and f0r. provision of technica~ advice in.the .field. It is proposed that he should attend - ~ . ' ' a. UNESCO conference, and the seminar for sanitary engineers mentioned below, Con'Su:ltants: ·- qo:;l'sUl~_ont services are needed for special studies OI:l:. the.· ·Aea~th aspects of housing, to "be "Ca:r:ried out in conjWlction With other tlrf' agetiCfes; "'f:lnd in organizing a seminar f6r· sanitary engineers froin Europe, ])astern Medl terr;anean ·' · . : and· South East· Asia.. Contra.cts and Grants-in-Aid: None proposed, ..' Expert Committees: No meetings are contemplated in 1952 • . , ~ ~ ... ;. . ·~.:,.. EB7/18 page 196 Organization of Public Health Services ,, ENVIRONMENTAL SANITATION Headqu~rters . ·.No. of posts Estimated expenditure ---1950 1951 1952 ~ 1950 ; 1951 1952 1 1 1 Chief of Section 17 8,525 8,975 1 1 1 Secretary 5 2,670 2,810 2 2 2 Tbta1 established posts 1o;o1o 11,195 11,?85 Short-term Consul tsnts 1 fees ' 1,200 1,300 ~QQ. 11,210 12,495 13,885 Allowances: Ins ta1la tion 830 118 118 Expatriation 700 750 750 Pen si on FUnd 1,400 1,568 1,651 Staff Insurance 70 84 105 Travel: DJ.ty 2,590 615 3,847 Short-term consultants 1,20(' 1,800 Recruitment and repatriation 990 86 86 Home leave 110 1,990 TransporlPtion of personal effects 57 56 Total - Headquarters 17,900 16,973 24,288 Export Committees Expert Committee on Environmental Sanitation 7,187 EB7/18 Organization of Public H0a1th Services page 197 ENVIRONMENTAL SANITATION Advisory Services and Field Projects No. of posts Estimated expenditure 1950 1951 1952 ,1950 1951 1952 3 5 5 Regional Advisers 33,151 37,554 1 1 3 Area Supervisors 7,660 20,732 4 6 8 Total established posts 13,.710 40,811 58,286 Short-term Consultants' Fees 3,000 1,600 4,584 16,710 42,411 62,870 ----·-Allowances: Installation 2,910 2,212 2,123 Dependants 642 3,105 3,673 Expatriation 843 2,089 2,399 Pension Fund 1,950 6,029 8,424 Staff Insurance 180 580 Boo ---Travel: Duty 5,325 18,458 24,951 Short-term Consultants 5,100 1,200 1,Boo Recruitment and repatriation 2)390 2,287 2,346 Home leave 478 2,460 Transportation of personal effects 250 695 500 Reimbure~ment for income taxation 740 2,220 .Supplies and eg,uiEm~nt: 900 10,000 Total Advisory Services and --- Field Projects 37,200 80,284 124,566 6 8 10 Total ENVIRONMENTAL 55,100 104,444 148,854 === SANITATION EB?/18 page 198 Organization of Public-Health~· L Services NURSING -... .. ---~ - Type of Work. The Nursing Section plans and consults with the regional offices with ree;n:rd to the development of nursing and midw·ifery education and s~rvices. Projects are approved and, at the request of the regional office, personnel are recruited and briefed on their assignment in relation to the nursing policy of the Organization. Information is collected on nursing education, nursing programni.es, and other nursing activities throughout the worJ.d, for. us.e in planning and for distribution as requested. The section services the Expert Committee on·Nursing and, where indicated, nursing conferences; mair1t·J..ining contact vith members of the advisory paneJ. for guidemce on specific subjects. Close collaboration is me.intaine~ with the United Nations, the specialized agencies, and su~~1 non-governmental. organizations as the International Council of Nurses. The sec'ljion acts in an advisory capacity to the regional directors of those regions which as yet have no nursing adviser, and to other sections and divisions of ·the Organiza-tion in those as·pects of their programmes which relate to nursing. Advice on the placement o~ holders of nursing fellowships is also given. New Personnel No increase in staff is proposed w1der the regular budget. For 1951 one secretary will have been engaged under the technical assistance budget and it is considered necessary for this post to be retained in 1952 in order to deal with the volume of clerical work involved by processing of applications, correspondence with prospective candidates, finaJ. arrangements1 and briefing of nursing staff engaged for technical assistance projects. ·· Duty Travel: Provision for travel includes a. visit to one of the regional offices in order to have first-hand contact with field progra:nunes, and visits-to·countries in regions where there is no regional mi.r.sing adviser, for the purpose of discussing . . nursing in relation to plans for heaJ.th progra:nunen. e Consultants: One consultant is required to help prepare for the conference of which mention is made below. A short-ten11 consultant will also continue work begun in 1951 in connexion with the joint WEO, Rockefelle:c and United Nations study to determine the type of preparation required for famiLy health workers. EB?/18. page 199 Gro.nts-in-aid and Contrs.cts: One of the most urgent needs in the preparation of nurses for posts in administration, supervision and teaching, is a guide outlining the content of curricula for the preparation of nurses in these fields. The contract with the International Council of Nurses is being continued for this purpose. ~~~t Sommittees: To consider the results of experiments being conducted in different parts of the world and their applicability to other countries, an expert committee, in the fo1~ of a. working conference of nurse educators, will be held. EB7/l8 page :200 Organization of Public Health Services NURSING Headquarters No. of posts Estimated expenditure ~ 1951 1952 Grade 1950 1951 1952 1 l 1 Chief of Section 17 8,525 8,975 l l l Public Health Nursing Administrator 16 7,660 8,o8o 1 1 l Secretary 5 2,670 2,810 3 3 3 Total established posts 14,750 18,855 19,865 Short.term consultants' fees 1,000 2,600 2,600 15,750 21,455 22,465 Allowances: Installation 178 177 Expatriation 1,250 750 750 Pension Fund 2,050 2,641 2,782 Staff Insurance 110 142 189 Travel: Duty 3,730 650 1,343 Short-term consultants 1,340 2,400 2,400 Recruitment and repatriation 129 129 Home leave 1,175 125 Transportation of personal effects ,55 85 85 Grants and Contracted Technical Services: Programme Study on post-basic Nursing Education 6zOOO 6zOOO Total - Headquarters 24,285 3),605 36,445 Expert Committees ~xpert Committee on Nursing 8,cx:o 7,187 l5zOO~ I EB7/18 Organization of Public Health Services page 201 NURSING Advisory s~rvices and Field Projects No of ;eosts Estimated e~enditure WQ 1951 1952 1950 1951. 1952 2 2 4 Regional Advisers 10,648 20,899 1 1 Technical Advisers • 7,450 8,085 1' 2 Public Health Nurses 8,375 ). l P ~blic Real th Nursing Tutor ' 3,855 4,067 1 1 Sister Tutor 3,855 4,067 1 Midwife 4,067 1 l Secretary 2,420 2,680 --- Advisory Group 1,590 1,590 3 6 11 Total established posts 9,885 29,818 53,830 --- Short-term Consultants! fees 2,330 2,400 2,400 12,215 32,218 56,230 Allowances: Installation 725 1,891 1,553 Dependants 515 674 1,246 Expatriation 200 1,171 1,799 Pension Fund 1,230 4,402 7,955 Staff Insurance 150 430 791 Travel: Duty 5,020 4,724 9,122 Short-term consultants 1,000 1,800 21,2'80 Recruitment and repatriation 1,550 2,396 2,346 Rome leave 475 Transportation of personal effects 675 500 1, 76o '· Sup;elies and equi;ement: 250 250 Total Advisory Services and 23,280 50,456 104,807 J'ield P~ojects . 6 9 14 Total NURSDG 55,565 93,248 156,257 EB?/18 page 202 Or~anization of Public H~alth &ervices SOCIAL AND OCCUPATIONAL HEALTH Type of Work.· The section assists regional offices in planning their programmes on social and occ~pational health and the -projects in individual • countries financed from WHO funds or join_tly with othel;' specialized agencies. such programnes concern those social s~rvices.which are basically medical, the rehabilitation of the handicapped and occupational health. The section assists in the implementation of the projects, in the recruitment and briefing of personnel, in determining standards of equipment, and in following up development of the projects. In addition it collects technical information, provides information for regional offi'ces and ·countries concarned in projects, services the committees' set up jointly with ILO (on Occupational Health and on the HYgiene of Seafarers), and keeps up a correspondence with members of the advisory panels. It collaborates with the United Nations·~nd appropriate specialized agencies in joint studies, surveys and programmes on such subjects as the social rehabilitetion of the physically handicapped, the medical aspects of social security, and insurance problems. It also provides the necessary technical information when medical aspects of social problems are studied in international co~ittees of the kind set up by ILO fcr~.large professi.onal groups, deals with the preparation and attendance of international conferences and carries on correspondence with non-governmental organizations within its field. New Personnel: No increase in staff is proposed. Duty Travel. The amount provided for duty travel will cover attendance at the International Conference on Rheumatoid Diseases in London and visits to cotmtries in. the European region~· · Consultants. The services of short-term consultants in the three specialized fields of occupational health, hygiene of seUarers, .arrl rehabilitation are necessary in oroer to carry out the Organization's responsibilities in tho~~_. connexions in the most econornical way. Grants-in-aid and Contracts: None proP,9se_?.. EB?/18 page 203 E3rert Committees. The Joint ILO/WHO Expert Committee on Occupational Health which was sot up in 1950 acts as an advisory body for the co-ordination of the activities of the two organizations where occupational health is ct)nccrnod. A m0eting is proposed for 1952. ~B'( /18 page 2o4 Organization of Public Health Services SOCIAL AND OCCUPATIONAL HEALTH Headquarters No. of E2sts Estimated E~~~ture 1950 1951 ~ ~ 1229. 1951 ~ 1 1 1 Chief of Section 17 8,525 8,975 1 1 1 Secretary 5 2,420 2,670 2 2 2 Total established posts 3,46o 10,945 11,645 Short-term Consultants' fees 1,8oo 2,600 2,600 5,26o- 13,545 14,245 Allowances: Installation 476 118 Dependants 96 96 Expatriation 110 637 637 Pension Fund 490 1,533 1,670 Staff Insurance 4o 102 110 Travel: Duty 650 563 Short-term consultants 1,680 2,400 2,400 Recruitment and repatriation 136 86 Home leave 130 90 Transportation of personal effects 225 57 155 Total - Headquarters 7,8o5 19,762 20,170 E~.J0"'-~~~--. '" ,. -:!ommi ttees '""_._ __ .., __ _ Joint WHO/ILO Committee on Occupational Hygiene 3,675 4,161 4,119 Joint WHO/ILO Committee on Seafarers Hygiene 3,406 Total - Expert Committees 3,675 7,567 4,119 EB7/18 Organization of Pc•.blic Health Services page 205 SOCIAL AND OCCUPATIONAL HEALTH Advisory Services.and Field Projects No of posts Estimated expenditure 1950 1951 1952 1950 1951 1952 1 Public Health Administrator 5,556 1 Sanitary Engineer 4,523 2 Total established posts 10,079 Short-term consultants' fees 1,600 11,679 Allowances: Installation 1,192 Dependants 48<3 Expatriation 481 Pension F"Lmd 1,660 Staff Insurance 159 Travel: Short-term Consultants 1,200 Recruitment and repatriation 1,564 Transportation of personal effects 500 Supplies and equipment: 9,100 Total - Adv~sory Services and 28,023 Field Projects 2 2 4 Total SOCIAL AND OCCUPATIONAL 11,480 27,329 52,312 === HEALTH EB7/18 page 206 Organization of Public Health s~rvicos HEALTH EDUCATION OF TIIE PUBLIC , Type of Work During 1952 the activities of this unit will, as in previous years, include provision of technical guidance for field studios, demonstration and training projects, in so far as they are concerned with health education in the school and the co~~unity. 'The s~ction is called upon by other units of the Organization I to provide technical guidance, assistJ.nce and ID3,tt:rials in the planning and organization o:t: meetings, conferences, institutes, and seminers which have a bearing on hoalth education. Since only two of the regions have regional advisers in hoalth education, th0 section in addition to the ab~.'ve functions, provides assistance and information to the regional offices in carrying out trai~ing and demonstration projects within the regions. Assistance is provided in the selection and briefing of field advisers and consultants. The section advises on fellowships in health education, on health-education aspects of training prograrrunes in institutions, preparation and use of various types of printed, visual, graphic and other materials related to health education of the public, i.e. films, filmstrips, pamphlets, posters,:exhibits and others. In 1952 further joint planning and activity will be carried out by WHO and UNESCO and the respective governments on a number of fund,qmental education projects. As in 1950 and 1951, the section will provide technical guidance, ~ssistance, personnel, materials, and information to help implement the health education aspects of these projects. New Personnel No increase in staff is proposed under the rsgular budget. 'The section has already suffered the loss of one pr9fessional post, previously occupied by a social scientist attached to tha unit. For dealing with tochnical assistance progrQmm8s, however, the section will roquire one assistant h~alth educator. This post is considered necessary at headquart0rs since, in view of the fact that only two ro~ion~l offices have a regional adviser for health education of the public, the section has to ineet EB?/18 page 207 rtJquests for techniclll guidance and inform.?.tion on regional projects - requests which are expected to increase in number in 1952. In addition, in 1952 the section will have to play an increasingly active pa.rt in planning and development in connexion with the health education aspects of a large number of UNESCO fundlli~ental education projects carried out jointly with lVHO and other specialized agencies. Duty Travel: Provision is made for visits to regiona.l offices for consultation on the planning of health-education programr18S and to give technical advice in those regions which have no regional advisor. Consultants: The participation of the section in an increasing number of fundA.mental education projects sponsorad jointly by l"IHO and UN'3SCO and the carrying out of other work mentioned above will necessitate a t ot8.l of from eight to nine months of specialized short-term consultant services. Grants-in-Aid and Contracts; None proposed. Expert Committees: No meetings are contemplated in 1952. EB?/18 page 2o8 tl. Organization of Public Health Servic~s HEALTH EDUCATION OF THE PUBLIC ·'· Headquarters No. of ;eosts Estimated exEenditure 12.2Q 1:221 ~ Grade 1950 1951 1952 1 1 1 Chief of Section 17 8,975 9,425 1 1 ": Social Scientist 16 2,128* 1 1 1 Secretary 5 2,540 2,680 3 3 2 Total established posts 16,650 13,643 12,105 Short-term Consultants' fees 3,900 5,850 16,650 17 ' 54'\- -- '17,955 Allowances: Installation 545 177 118 Expatriation 620 563 500 Pension Fund 2,320 1,910 1,632 Staff Insurance 120 117 118 Travel: Duty 5,660 1,235 3,858 Short-term consultants 3,600 5,400 Recruitment and repatriation 90 629 86 Home leave 1,125 Transportation of personal effects 85 56 Total - Headquarters 26,005 26,984 29,723 ~~art Committees Expert Committee on Health Education of the Public 5,440 *'3 mQnths EB7/18 Organization of Public Health Services page 209 HEALTH EDUCATION OF THE PUBLIC Advisory Services and Field Projects No. of posts Estimated expenditure 1950 1951 1952 1950 1951 1952 1 1 Regional Adviser 5,025 7,660 1 Health Educator 5,900' 1 ,2 Total establi'hed posts 5,025 13,560 Short-term Consultants Fees '1,200 8,800 20,000 1,200 13,825 33,560 Allowances: Installation 745 1,378 Dependants 194 552 Expatriation 237 642 ·Pension Fund 704 1,8951 Staff Insurance 67 179 Travel: Duty 1,995 2,434 Short-term consultants Boo 6,6oo 15,000 Recruitment and repatriat~on 782 1,564 Home leave 1,173 Transportation of personal effects 250 250 Reimbt~rsement of Income Tax 7·~0 Supplies and equipment 21,000 Total - Advisory Services and 23,000 25,399 59,371 Field Projects 3 4 4 Total HEALTH EDUCATION OF 49,005 57,823 89,094 --- THE PUBLIC EB7/l8 page 210 Organization of Public~ealth Services MATERNAL AND CHILD HEALTH The work of this section includes assistance to the regional offices in pla.nning spe.:..ific projects, the recruiting and briefing of personnel, guidance in the furnishing of supplies and literature, and evaluation of the progress and results of programmes. The section collects technical information and disseminates it by means of regional offices and through governments. It arranges for technical studies and surveys to be carried out with the assistance of sho:::-t -term Gonsultants. It services the Expert Connnittee on Maternal and Child Health and its sub-comnti.ttees. It works with other sections of WHO in the plannine and implementation of co-operative projects, particularly in the field of training and public-health services. Ovving to the special interest of UNICEF in the field of inaterrl:al and child health, t.here are a large number of joi.rrli UNICEF/WHO projects under. way or planned. In 1949 and 1950 over 100 such projects wer~ undertaken in all regions, the section assisting the regional advisers in co-ordinating those progrannnes. New Personnel: No increase in staff is proposed. Duty Travel: Because of the technical nature, variety and administrative complexity of the progrannnes, visits to regions where projects arc under way arc essential if the programmes are to be properly planned and co-ordinated. Travel mast also be undertaken to establish the personal contacts necessary for co-operation with non-governmental organizations, technical groups and professional training centres. Consultants: None proposed. Grants-in-aid and Contracts: None proposed. ~'"E.~£.t. .Q_o:mmittees: An expert committee on the pre-school child is jointly planned ·with the UN Department of Social Affairs, FAO and UNESCO, in order to study a problem intimately bound up vvith social welfare, education, and health. EB7/18 page 211 Organization of Public Health S.ervices MATERNAL AND CHILD HEALTH · Headquarters No. of ·Posts· Estimated 'expenditure 19501951-1952 Grade 1950 1951 1952 1 1 1 Chief of Section. 17 8, 525 8,975 1 1 1 Medical Officer 15 7,240 7,630 1 1 1 Technical Assistant 9 3,8?0 4,070 1 1 1 Secretary · 5 2,950 3,llO 1 1 i Clerk/Stenographer 5 2,810 2,950 ---~. 5 5 5 Total established posts 29,360 25,395 26,735 Allowances: Installation 1,090 295 296 Dependants 1,500 800 800 Expatriation 1,500 1,000 1,000 Pension Fund 4,085 3,557 3,743 Staff Insurance 210 191 236. Travel: Du "by 3,31Q 2,280 3,399 Recr~itment & repatriation 214 215 Home ·leave. 385 2,800 1,000 Transportation of personal effeets 160. 620 141 Total - Headquarters 4116oo 37,~152 37z565 E!Rert Committees Y.Kpert:Commit'tee on Maternity Care 5,650 Joint UN/WHO Committee on The Crippled 4,161 Child Joint UN/WHO Committee on The Preschool 4,~68 Child Expert Co~ittee on Stillbirth and 2,86o Abortion Expert Committee on School Health 4,850 Services '. Expert Qpmmittee on Prematurity 4,525 . -. __Total - Expert Committees 12,235 9,811 4,868 " EB7/18 page ?12 Organization of Public Health Services MATERNAL AND CHILD HEALTH Advisory Services and Field Projects No. of posts Estimated expenditure 1950 1951 1952 1950 1951 1952 4 5 6 Regional Advisers 36,071 46,259 1 1 4 Area Supervisors 6,880 26,863 3 Public Health Administrators 18,984 -3 Public Health Educators 15,223 l Maternal & Child Health Specialist 7,255 .l Laboratory Technicians 3,662 1 l Sanitarians 5,320 3,487 1 3 Public Health Nurses 4,308 . 12,755 1 Midwifery Nurse 3,662 ----- 5 8 23 Total established posts 33,200 52,579 138,150 ------Short-term Consultants' fees 7,360 7,600 16,800 40,560 60,179 154,950 Allowances: Installation 1,305 1,846 9,034 Dependants 1,450 2,446 5,517 Expatriation 1,73:5 2,833 5,598 ------~------Pension-Fund- - 4. 866 7,826 20,400 Staff Insurance ' 471 747 1,977 Travel: Duty 14,977 22,615 35,800 ·-Short-term consultants 6,740 4,400 12,600 R~c~itment and repatriation 1,232 2,346 10,948 Home leave :1,000 875 4,721 Transportation of personal effects 285 750 3,500 Reimbursement of income taxation 740 2,220 Su~plies and equipment 200 26,400 Total Advisory Services and 74,621 107,803 293,665 - Field Projects 10 13 28 Total MATERNAL AND CHILD HEALTn 127,646 154,806 333,846 === EB?/18 page 213 Organization of Public-Health Services MENTAL HEALTH· Type of Work: This section plans and gives technical supervision to the Organi- zationl s mental health progrannne, and is also responsible for the mental-health aspects of other activities of the Organization, including,programmes for Fellows and the development of training institutions. The section provides the secretariat for the Expert Committee on Mental Health and its sub-committees (e.g. on Alcoholism). Since many of the programmes of the UN Social Commission have important mental health aspects, the section is also responsible for preparation of the Organiza tion's contribution to such UN progrrulli~es as those concerning the prevention of crime and the treatment of offenders, the welfare of homeless children, and the psychiatric aspects of rehabilitation. The section also collaborates in the development of mental health work at the Paris Childrenfs Centre. New Personnel: Despite the development of an active mental health programme by the Organization since 1949, the staff of the section remains at the level pro vided before any progrrulli~e activities were undertaken. Duty TravQl: The amount for travel is intended to cover the visits to regional offices referred to in the next paragraph. Consultants: Both for services to governments and for the preparation of contri butions to programmes of the United Nations and specialized agencies, short-te~n consultants with special experience of the problems involved have been employed, as recommended by the Expert Co~~ittee on Mental Health at its first session. This procedure, which results in ~ higher standard of technical work than could be obtained with wholetime general adVisers, necessitates technical supervision and provision of general advice on planning qy the section, including visits to regional offices. Grants-in-aid and Contracts: It is proposed that the Organization should continue to contract for the services of the World Federation on Mental Health to collect information through professional channels which could not otherWise be collectod without an increase in the section staff. EB?/18 page 214 Export Coiilinittees': The Expert Corrnnittee on Mental HGalth last met in SOptember 1950 and Wili ··not ·be meeting in 1951·. It is apparent that in 1952 it will be neco3s3.rY for it ~-to m.ect to review aspects of mental health work which are relevant to the Organizationrs· progrmlli~e; provision has therefore been made for one meeting of this committee, :·' '.:.:··-'\' t, '- .... , .. ,. .. , EB7/18 page 215 Organization_ of Public Health Services A~NTAL HEfl:LTH Headquarters No. of posts Estimated e~-~!i"£~~-~~ 1950 1951 19 52 Grade 1950 ~~?2: :!:?23 ,, '1 1 --1- · ·chief of Section 17 9;425 . . 9~925 1 1 i· Research""Assistant 9' .3~870 ' 4~070 _2_ ___ 1 1 1 Secretary ~1~2'2. _ _ __2,670 :;:.. __ ~-- .3 .3 J Total established posts 15 ,.380 .. 15) 715 1.6,665 Short~term Consultants' fees 7' 000 --~ ~~2_Q_ _) s ~QQ_ 22,.380 1?,665 20,565 Allowances: Installation 75 178 J.'77 Dependants 1,490 1.0 600 1:600 Expatriation 850 1,000 l)OOO Pension Fund 2,140 2,201 2;~ J4 Staff Insurance llO 118 156 Travel; Duty Z;l20 2;500 610 Short-term consultants '4,050. 1~800 .3,600 Recruitment & repatriation 129 129 Home leave 125 505 125 Transportation of personal effects: 85 84 Grants and Contracted Technical Services: World Federation of Mental Health -· London - Collection of Informat:i,on 6 /)00 6;000 6~0·)0 World Council, Early Childhood Education: Ment.al Hygiene Training of Teachers .... 4JOOO International Congress of Psychiatry~ Psychiatri~ Nomenclature _-:_;000 ',, " .... '"" Total - Headquarters 41,781 .36 .J80 .39,.340 . ~ EXEert Committees -·---- Expert CoD!Ilittee on Mental Health 6,650 ? .;1:1.':3 Expert Cor:u:rl. ttee on Drug i~ddiction 6,4.31 Expert Conunittee on Alcoholism 4,900 ... , Expert Committee on Psychiatric Examination of Offenders _6~t::_~~ ----- Total - Expert Committees ll.s550 123862 7J113 ----- ·-··-·--·-- . ' EB7/18 page :?16 Organization of Public Health Services MENTAL HEALTH Advisory Services and Field Projects No. of posts Estimated expenditure 1950 1951 1952 1950 1951 1952 1 Regional Adviser - 7,277 1 1 Ohild Psychiatrist 6,536 7,240 1 1 Psychiatric Social Worker ' ' 4J 73..3... . ·.. . 5' 315 2 3 Total established posts 11,329 19,832 Sho_rt-te;r-m. consultants' fees 7,000 10,800' '. 15,200 7,000 22.,129' 35,032 Allowances: Installation 1,490 815 Dependants 488 807 Expatriation 6oo 957 Pension Fund 1,586 2, 776 S.taff Insurance 160 274 Travel: Duty 2,913 Short-term consultants 4,900 8,100 11,400 Recruitment and repatriation. 1,564 782 Transportation of personal effects 500 250 Total Advisory Services and 11,900 36,617 56,006 Field Projects 3 5 6 Total . MENTAL HEALTH 62,790 91,860 99,499 ------EB7/18 page 217 Organization of Public Health Services NUTRITION Type of vrork The nork of the section includes activities pertinent to nutrition surveys, studies on nutritional problems, formulation of nutritional programines and plarming, revievv and analysis and approval of specific projects for demonstration work and training of personnel. The section assists in the ~nplementation of approved projects, by the selectio11 and briefing of field advisers and consultants, the J;Jrov-ision of technical guidance and information, and the evaluation and follow-up of technical results. It services the Joint FAO~VHO Expert Comnittee on Nutrition. In addition, it advises on fellowships, _and training in institutions as related to nutrition. The principal activity has been the furnishing of short-term consultants and assisting in nutrition courses, with a view to the development and extension of nutrition services to national a&ninistrations. Other activities have included research and consultation on special problems affecting certain countries, e.g. endeinic goitre in areas where table-salt is not available and infant feeding in Africa and Central ~'lmerica. Collaboration with FAO has been closely maintained in connexion with food production progr&Th~es and the conducting of nutrition courses. The section also maintains co-operotion 1:a th appropriate non-governmental organiza tions and institutes on the nutrition aspects of programmes in vlhich WHO partici pates. New Personnel: No incra2se in staff is proposed. Duty Travel: Provision has OO·Jn made for visits by the chief of section to regional offices or individual cotmtries for con;:;ultdion on the study of nutrition problems_~ planning of progra.mmes, and provision of technical advice, particularly necessary in those regions where it ha3 not been possible to provide .field advisers on nutrition. Consultants: None proposed. EB?/18 page 218 Grant s-in-aid and Contracts: None proposed. Expert Conunit.tees: The FAO/WHO J~int Expert .committee on Nutrition serves both organizations as an advisory body on the nutritional aspects of their respective programmes, and for the co-ordinaticm; of their activities on the subject of nutrition. • EB7/18 p&ge 219 Organization of Public Health Services NUTRITION Headquarters No. of J20ets Estimated e!Eenditure 1950 1951 1952 ~ 12.2Q" ... ·1951 : 1952 1 1 1 Chief of Section 17 9,425 9,925 .1 1 1 Secretary 5 2,670 2,810 ----2 2 2 Total established posts 11,410 12,095 12,735 Short-term Consultants' fees. 1,950 2,600 11,410 14,045 15,335 ; Allowances: Installation 150 118 118 Dependants 320 4oo 4oo Expatriation 750 750 750 Pension Fund 1,600 1,694 1,784 Staff Insurance 8o 91 116 Travel: Duty 3,650 635 1,000 Short-term consultants 1,8oo 2,4oo Recruitment and repatriation 65 86 86 Home leave 4,355 Transportation of personal effeets 535 57 Total - Headquarters 18,025 24,509 22,046 ~~ert Committees Joint FAO/WHO Committee on Nutrition 1,475 4,161 4,119 ,, E!T/lS page 220 Organization of Public Health s~rvices NUTRITION Advisory Services and Field Projects No of posts Estimated expenditure 1920 1921 1952 1950 12.21 12_2g 1 Regional Adviser 3,830 1 Nutritionist 6,536 1 Health Educator 5,900 l Food Chemist . 5,320 l Dietician 4,308 1 Public Health Nurse 4;~308 6 Total established posts 30,202 • Short-term Consultants! fees ll,675 8,000 16,8oo 11,675 8,000 48,802 Allowances: Installation 3,948 Dependants 1,144 Expatriation 1,417 Pension Fund 4,228 Staff Insuronce 416 Travel; Duty 1,912 Short-term Consultants 9,550 6,000 12,600 Recruitment and repatriation 4,692 Transportation of personal effects 1,500 Supplies and equi£ment: lOO 10,200 Total • Advisory Services und 21,325 14,000 Field Projects 2 2 8 Tot~l NUTRITION 40,825 42,670 115,224 EB?/18 page 221 Education and Training Services OFFICE OF TH- DIRECTOR Type of VV-ork: The work of this office relates to tha responsibility of the Director of DQvision, within the Department of Advisory SGrvices, in directing, co-ordinating and supervising the work of the three sections on which devolve various headquarters responsibilities in education and training. These include' making recommendations on policy, initiating important procedures, formulf:l.ting operating programmes, taking work decisions, preparing budget and administering allotments, servicing the Expert Committee on Professional and Technical Education and its sub-.commi ttee, interpreting the Organization's policies and procedures, and representing the Organization at appropriate meetings. Close collaboration is maintained with the other units of the department, and of the Department of Central Technical Services, as most of the activities of the division are of joint concern. The three sections under the division are responsible for the programmes in Fellowships, Assistance to Educational Institutions, and Exchange of Scientific Information. New Psrsonnel: No increase in staff is proposed. Iuty Travel: The amount for travel is intended to cover attendance by the Director at r7eGtings of UNESCO and of the International Bureau of Universities, visits to regional offices in connexion with the planning and implementation of pro~rammes in education and training, and participation in certain short-term activities, such gs study-groups and surveys in the region and in some individual countries. Consultants: Consultants (short-term) ar0 to be at the disposal of headquarters to assist in the solution of health problems common to the countries of several regions. These consultants will be employed on assignments within the scope of this division. The experience in solving health problems in any one area will b0 made available for application to similar problems in other regions. To define the problems that fall in this category, and to outline a method of study based upon the collection of information from several sources in different regions, is a function of headquarters. In addition, there are joint programmes with the United EB?/18 page 222. Nations or wlth. spocialized agencies which relate to the progr?mme of technical assistance and which must necess~rily be planned and directed by headquarters staff. Grants-in-Aid and Contracts: 'I'r1c gr-""'.nt proposed for the Interna tione.l Bureau of Univcrsi ties 'md/ or othor similt?.r institutions, is intended as reimbursement for sGrvices to be given in coll~ctinr, nnd coUnting information of use to the Organization on r,1edical and rcl9.ted education. Expert Committees: One meeting of the Expert Committee on Professional and Technical Education, bringing together nine members of the expert advisor.y panel, is provided for in 1952. The advice of the expert committee is required on specific aspects of 'the problem which is to form the subject of the technical discussions of the Fourth World Hod th Assembly; it, is .:mticipated that those aspects will include: Minimum requirements for a basic medical curriculUm, sto.ndards of tr;::tining of public-hen.l th officers, and trnining of auxiliary health personnel. EB7/18 page 223 Education and Training Services OFFICE OF THE DIRECTOR Headquarters No. of posts ·Estimated expenditure ------1950 1951 1952 Grade 1950 1951 1952 1 1 1 Director 19 10,750 11,250 1 1 1 Technical Assistant 7 3,290 3,470 1 1 1 . Secretary 6 2,960 3,120 3 3 ' 3 Total established posts 13,950 17,000 17,840 Allowancesr .. Installation 178 167 Dependants 400 40Q 400 Expatriation 500 500 500 Pension Fund 1,·950 ·2,381 2,498 Staff Insurance lOO 128 134 Travel: Duty 1,390 584 1,158 Recruitment &'repatriation 129 121 Home leave 560 Transportation of personal effects 85 81 Grants and Contracted Technical Services International Universities Bureau, Paris: Data on Medical Education 2,000 3,000 Total 18,290 23,945 25,899 E!ijert Committees Expert Committee on Professional and Te~hnical Education 7,250 6,431 6,365 Total- OFFICE OF THE DIRECTOR 25,540 30,376 32,264 EB?/18 page· .2.24 Education and Tr~ning Services FELLOWSHIPS Type of WOrk: The Fellowships Section is responsible for some 250 irrli vidual fellowships .a year. W'ark in connexion vdth these involves selection,. placement and supervision of candidates 1 follow-up and evaluation of· results. Individual fellmvships for UNICEF are clso administered. With regal'd' to governments' own training schemes, the section provides advisory services and information and places selected fellov-rs. Most oft he work is done in close co-operation with the regional offices, with whom in some cases the main responsibility for budgeting and operation of the programme lies (see under relevant regions). The same applies to the training arra~ed by groups and cou.rses 1 Ofganized both inter- and intra-regionally. There nre no fieid advisers for fellowships alone but in two regions there are advisers for education and training in general. New Personnelr No increase in staff is proposed. Duty Travel; Visits are proposed to institutions providing training for WHO .t;'ellows and to regional offices, to consult on procedure for selection of fellows ru1d placement for training within the region. Con~tants: None proposed. Grants-in-aid and Contracts: None proposed. Expert Committees: Problemr. connected •itb the Secti~n'~ work will be discussed at the next committee meeting budgeted for under the Office of the Director. EB?/18 page 225 Education and Training Services FELLOWSHIPS Headquarters No. of posts Estimated expenditure -J.950 1951 1952 Grade' 1950 19.51 1952 ~----.. .., l l l Chief of Section 17 9,425 9,925 l l l Medical Officer 15 7,240 7,630 l l l Administrative Assistant 9 4,290 4,510 l l l Secretary 5 2,540 2,810 l l l Clerk/Stenographer 5 2,810 2,950 2 2 2 Clerk/Stenographer 4 4,710 5,070 ------7 7 7 Total established posts .30,390 31,015 32,895 ------ Allnwances: Installation 425 413 389 Dependants 400 Expatriation 1,750 2,000 2,000 Pension Fund 4,245 4,344 4,607 Staff Insurance 220 233 248 Travel: Duty 190 1,050 989 Recruitment & repatriation 190 300 283 Home leave 450 300 Transportation of personal effects 198 186 Total Headquarters 37,410 40,403 41,897 EB7/18 page 226 Education and Training Services ASSISTAHCE 'ID EDUCATIOi'JAL INSTITUTIONS •.. Type of Work Tbe s..;ction assists in the implementation of approved projects by. furni.~l'ling of medical lit1.::rature and teaching equipment, selection and briefing of field advisors and consultants, provision of technical \uidance and information for re~ional nnd fiuld advisers and consultants, and evaluation and follow-up of tochnic:1l rosul ts. It collects and analyses information on the organization and curricula of educational irwtitutions, and gives advice both on these matters and on pro8rannnes of instruction . . Among the activities of th8 section are the provision of medical literature and teaching equipm8nt: in this connexion the main work in 1950 w~ to provide supplies for governmental proerammes in nine Member States, supplies to govern ments mrring emergencies and to administer the prograwne of medical literature and teaching equipment to governments. t75 ,000 worth of li tcrature and equipment was supplied, of which 65% was in the form of teaching equipment. The procurement of medical l'itl:!rature is h:mdled by the Libnry and R8ference S,,rvices, and d'-- tails of the.:, volu:ne of purch:J.se s will be found under that section. New Personnel: No increasG in staff is proposed. Duty .L~.£Xlvel: Provision h:1s been mado for visits to re~ional offices for consultations on educational programmes of assistance to educational insti tutio·ns in the region, and to UNE.SCO for consultations on schemes for providing medical literature and tcsching equipment. Consultants: Short-term consultB.nts are provided to take part in surveys of educational schemes· a.nd to give advice on regional and inter-regional educational and training fQcilities, where appropriate with reference to joint activities with other United Nations agencies. Grants-in-aid and Contracts: None proposed. t;xptart Connnittees: Problems c .. nnected with the Sectionts w:::rk will be discussed at t!.J.e next committae meeting '!Judgeted f·Jr under the Office of the Direct·Jr. .. EB7 /18. Education and Trsining Services· page 227 ASSISTANCE TO EDUCATIONAL INSTITUTIONS Headquarters No. of ;Eosts Estimated exEenditure 1950 1951 1952 ~1950 1951 1952 .. t 1 Chief of Section 17 8,525 8,975 1 1 1 Medical Officer 15 7,630 7,630 1 1 1 Secretary 5 2,670 2,810 ___.: ----2 3 3 Total established posts 9,500 18,825 19,415 Short-term Consultants• fees 1;300 4,4oo 9,500 20,125 23,815 Allowances: Installation 993 178 Dependants 490 908 .1, 200 Expatriation 750 1,092 1,250 Pension Fund 1,330 2,635 2,719 Staff Insurance 6o 151 147 Travel: Duty 2,018 2,804 Short-term consultants 1,200 3,600 Recruitment and repatriation 1,240 129 Home leave 3,830 5,106 Transportation of personal effects 100 85 563 Total Headquarters 16,060 30,447 41,511 EB?/18 EC'1G-'lticn and Trai:Qiug Son'iaa:~ page 228 ASSISTANCE TO EDUCATIONAL INSTITUTIONS lidv:·.;;c:..;J:y Se:r;vices ~~ Fiel~ ProJect.s I , No of ;Eosts Estimated exEenditure ,1950 19,21 1:22,g \ ~ ~ i •, 1950 1951 1952 3 3 3 Regional Advisers 23,961 25,'241 1 Venereologist 6,186 1 Maternal and Child Health Adviser 6,167 1 Public Health Administrator '7,27 1 Health Educ8.tor 6~BJ3 1 · Sanitary Engineer 6,536 1 Professor of .. Tuberculosis 6,535 1' Sanitarian 5,320- l Social Worker 5:_,:')15 l 2 7 Public Health Nurse 7,970 ' 29,265 l Lecturer (Tuberculosis) 6,536 5 15 Sister Tutors 20,24-9 62,080 l Nursing Consultant 5,320 2' 2 2 Paedb.tric ians 10,030 ll,llO 3 3 Nursing Instructors 12,925 14,355 3 8 Midwifery Tutors 12,278 33,808 1 3 4 Paediatric Nurses 10,987 16,._509 2 Paediatric Sisters 8,134 1 Laboratory Technician 4,3C8 Temporary Staff for conferences, seminars and study groups 730 1,651 --- 7 22 54 Total established posts 25,230 105,666 261,690 Short-term Consultants 1 fees 31,610 44,8oo 174,700 56,840 150,466 436,390 Allowances: Installation 1,490 7,830 11, 7 ... 9 Dependants lOO 3,208 8,398 Expatriation 820 4,352 9,864 Pension Fund 3,357 15,730 39,657 Staff Insurance 333 1,588 4,040 Travel: Duty 1,615 8,665 6,809 Short-term consultants 49,906 30,010 116,675 Recruitment and repatriation 7,575 13,294 32,678 Home leave 9,197 Transportation of personal effects 1,4oo 4,228 3,750 Reimbursement for income taxation 740 Teaching Supnlies and equip~ent 122,190 28,075 170,155 Supplies for Governmental ~oo,ooo Progrommes Total Advisory 88rvices and 345,626 268,186 838,952 Field Projects ---9 25 '57 Total ~UCATION AND TRAINING 361,686 298,633 88o,463 l:!;.l::i'l/18 page 229 Educational and Training Services EXCHANGE OF SCIENTIFIC INFORMATION The work of this unit relates to diverse aspects of the Organization's progranrm.e on advisory serV:..ces in the field of scientific information. This includes acti vF.ies relating to planning, approval, implementation, review, and analysis of spec~.flc projects, The section assists in selection and brief:j..ng of field ad~~sers and consultants, follows up and evaluates technical results. It colleets d~tn on schools, research institutes, scientific associations, e~c., necessary for ita function as a clearing-house for scientific information. It co-operates closely with the Counc:j..l for the Co-ordination of International Congresses of the Medical Sciences. Among the more important field activities of the section are such projects as international symposia, highly specialized demonstration teams,_training centres, organization of regional medical reference libraries, etc. Because of the special character of the projects under this programme and the lack of regional ad~.sers, the major part of the planning end of the arrang~ments for implementation of the projects has to be carried out by the section. New Personnel~ No increase in staff is proposed, Dut,;y:_ Trave=b~ Provision has been made for vi. sits to mdividual countries in connexion with planning and development of projects. Consu~~_! None proposed. Grants-in-aid and Contracts; The Council for the Co-ordination of International Congresses cf Medical Sciences was established under the sponsorship of WHO and UNESCO to co-ordinate the activities of international congresses and associations in its p~rticular field. Since January 1950 it has been functioning as an indopondont non-governmental body in qfficial relations with WHO and UNESCO. It promotes the Crganization!s programmes on exchange of scientific information and advanced courses, and has plans with regard to postgraduate training, Although EB?/18 page 230 Momber associations of the Council contribute to its maint~nance, the bulk of its activities require substantial support from WHO and UNESCO, Export Committeesa Problems connected with the Section's work will be discussed at the next committee meeting budgeted for under the Office of the Director. EB7/18 page 231 Education and Training Services EXCHANGE OF SCIENTIFIC INFORMATION Headquarters . ,_ " ' ' . . ~ .. • " .. •' ·:.. 1 • ~ . ' ...... _ ~ -.. No. of posts E~t~a_ted ~xpendi ~ 19.50~~ Grade 1950 1951 1952 ...... ,_ -·-- V-...... ~ 1 1 u Chief of Section 17 9,425 9,925 1 1 1 Secretary 5 2,&70 2,810 ------2 2 2 Total established posts 11,750 12,095 12,735 ·Allowances a . ' . : . Installation 118 112 Expatriation ?50 1,ooo 1,000 Pension Fund 1,650 1,694 1,784 Staff Insurance 90 91 96 Travel~ Duty 1,?80 1,348 1,837 Recruitment & re~a~riation 86 81 Home leave • 1,&75 125 Transportation of personal effects 57 53 Grants and Contracted Technical Services: --~------.-~~~------~~-- CCICMS: Co-·ordina tion of International .Congresses of Medical Sciences~ 35,200 35,200 35,200 Total - EXC!IANGE OFl.ISJ~:::EA"':'::FIC 51,220 53J364 53,023. INFORMATION :.':""...= - . . ' ., .,. ' . .. .. ' '• EB7/18 page 232 Regional Offices SUMMARY OF ESTIMATES No. of ;eosts Estimated e!Eenditure 122Q' 12.21: 1952 1950 .±2.21: 19')2 3 4 5 Regional Directors 49,169 .63,619. ·. 2 3 4 Deputy Regional Directors 27Jl70 ' 39,163 ' 3 2 1 ChiefS of Offices 18,650 9, 700' 3 4 4 Planning and Operations Officers 24,476 31,677 1 1 ·1 Epidemiologist 6,166' 6,'511 1 1 1 Medical Statistician 5,695 ... ·.. 6J001 2 2 3 Technical Assistants 4,935 8,020 2 2 2 Statist1o1ans 8,389 8,852 2 2 1 Administrative Assistants 6,970 3,48o 4 5 6 Information Officers 24,976 31,594 5 5 6 Translators 13,048 15,706 1 1 1 Reference Librarian 3,670 3,870 4 4 5 Administration and Finanee Officers 26,401 33,392 1 1 1 Personnel Officer 6,535 6,535 1 1 1 Assistant Personnel Offi~er ;,220 3,262 1 1 1 Budget Officer 5,315 5,600 2 2 :5 Finance Officers 9,563 14,610 4 5 5 Accountants 10,973 11,567 4 5 5 Assistant Accountants 8,166 9,127 ~) 3 3. General Servi'ces Officers 11,489 12,121 1 1 2 Travel Offi~ers 3,300 5,370 j 3 4 Travel and/o; Procure~ent Assistants 6,027 9,273 33 40 50 Clerks 50.,391 66,797 13 22 ;2 Secretaries 44,551 69,885 23 30 40 Clerk/stenographers 48,187 70,413 2 5 9 Clerk/typists 5.,671 11,853 Custodial Staff 11.892 17,909 124 155 196 Total established posts .._ ·- V 306.J360 444,995 575,907 ·• EB7/l8 page 233 Estimated eependiture illQ 1951 1952 Allowances: Installation 6,255 3,907 5,154 Dependants 10,163 17,337 18,418 Expatriation 6,085 7,518 8,345 Pension Fund 42, 6o6 62,:233 8o,887 Staff Insurance 3,176 5,960 7,917 Cost of living adjuetment 8,760 19,652 25,606 Travel: Duty 26,418 39,464 47,968 Recruitment & Repatriation 11,952 4,097 3,420 Home leave 2,660 13,399 14,882 Transportation of personal effects 3,615 2,611 2,447 Conunon Serviees Space & equipment services 25,842 30,985 41,285 Other services 38,386 40,276 56,283 Supplies and materials 21 1 208 27z042 23z620 Fixed charges and claims 6a8o2 11 2429 16 1 208 Acquisition of Capital Assets 20,209 14,019 20,707 TOTAL REGIONAL OFFICES 540,500 744,924 959,124 EB7/18 page 234 Expert Committees and Conferences SUMMARY Estimated Expenditure 1950 1951 1952 G6utral 1echnical Services - - - Expert Committee on International Epidemiology and Quarantine 11,195 7,113 Legal Sub-Committee on International Epidemiology and Quarantine 3,950 3,407 Expert Committee on Cholera 4,917* 11 11 Plague 5,618* " '' Yellow Fever - 6,364* If Bilharziasis 6,364* Conference "of Heads of Laboratories producing ·whooping Coueh Vaccine 7,113 Expart Committee on Infectious Hepatitis 4,869 " 11 z,,onoses 10,000 7,113 " 11 drucellosis 12,065 6,364 If " Trachoma 5,440* " " Lepr:osy · .. , ... ) 7,113 " " Rabies 4,125 6,364 " " Influenza 6,364 If 11 Health Statistics 3,425 10,592 11 Cancer ~tatistics 3,125 4,161 "11 11 Hospital St2tistics 2,500 4,161 " " Biological Standardi~on 4,650 7,943 7,863 " " Diphtheria 4,869 11 11 Unification of Pharmaoopoeias 15,600 1~9?9 .. 16,759 11 Non-Proprietary Names J,6o6 2,218 n" 11 ·Drugs Liable to·Produce Addiction 5,940 4,918 4,869 11 N Antibiotics 2,665 6,364 .Total - Central Technical s~rvices 79,240 65,124 113,701 Advisorr Se~vices Expert Committee on Jiisecticides 7,400 9,787 9,q88 11 Iv.talaria 9,025 Malaria" Conference in East Africa 27,950 Empert Committee on Tuberculosis 5,450 7,113 u 11 Chemotherapy 6,431 " 11 Sr~rology and Labnra.tory aspects 4,450 5,284 " 11 Venereal Infections and Treponematoses 7,753 11 11 Public Health Administration 1,750 7,187 7,113 ff Environmental Sanitation 7,187 ... 11" 11 Nun sing 8,000 7,187 15,005 Jo:i!nt WHO/ILO Committee en Occupational Hygiene 3,675 4,161 4,119 " " Seafarers Hygiene 3,406 Expert Committee on Health Education of the Public 5,440 .... " 11 School Health Sarvices 4,850 -forward 7~,5~6 58,539 48,322 EB7/18 page 235 Expert Committees and Conferences SUMMARY Estimated EA~enditure 1950 1951 1952 Bro, ht fonrard 72~550 58,539 48,322 Ex'lort Ccmrni ttee on NJ.aterni ty Care 5,650 11 11 Prematurity 4,525 " " StiJ:lbirth and Abortion 2,860 Jr:fnt WHO/UN it~encies CorruPi ttce on the Crippled Child 4,161 11 " " Preschool Child 4,868 Expert ·Comm:i. ttee on Mental Health 6,650- 7,113 11 " Alcoholism 4,900 11 If D;rug .~~ddiction . 6,431 11 11 Psychiatric Examin~tion of Offenders 6,431 Joint WHO/FAO Committee on Nutrition 1,475 4,161 4,119 Expert Committee on Professional and Technical Education 7,250 6,431 6,365 .Total- Advisory Services 100,210 91,804 70,787 'ID TAL - EXPERT COMMITTEES 179,450 156,928 184,488 *To be financed from.OIHP Funds, Summary by Purpose of Expenditure Codes 00 Personal Services 01 Salaries and wages (temporary staff) 15,035 10,163 10,641 Total Chapter 00 15,035 10,163 10,641 20 Travel and.Transportat1on 21 Duty Travel (permanent staff) 10,600 14,734 16 ,19·8 25 Tre.vel and ·subsistence of Members 119,375 104,820 126,165 26 Travel and Subsistence of Temporary Staff 6,960 3,260 3,740 Total Chapter 20 136,935 122,814 146,103 30 Rental and M-aintenance 31 Rental and Maintenance of Premises 2,225 489 561 Total Chapter 30 2,225 489 561 40 Other Services 41 Gommunications 550 43 Other Contractual Services 4,340 1,496- Total Chapter 40 4,890 1,496 50 Supplies and Materials 51 Printing 14,010 12,000 15,500 53 Supplies 6,355 10,158 10,187 Total Chapter 50 20,365 22,158 25,687 Total 179,450 156,928 184,488 EB7/1e page 2)6 - ltd.~ lintstrative Services SUMM.\RY Non of posts ------195u 1951 1952 1952 8 8. 8 Gffice uf the Director Ganeral 64,671 87,793 Co-ordination of Planning and 17 12 12 Liaison - Geneva 98,335 78,851 81,179 8 8 8 n - New York 56,2CG 69,540 64,621 12 1G 11 ~blic Infornation 66,994 71,908 85}073 45 38 39 Total - OFFICE uF THE DIRZCTuR 306,606 318,666 GENERAL Administration and Fim.nce 4 .4 4 Office of the Assistant Director General 5l,OG5 49,218 41,471 4 4 4 Legal Office 22,680 23,720 24,995 5 5 5 Internal Audit 29,620 39,441 42,266 .Administrativ:e Management and Personnel 2 2 2 Gffic~ of the Director 24,940 17,427 20' 301 5 5 5 Administrative Management 17, 3vG 28,453 27,920 13 13 13 Personnel 57, 65C 65,976 65,730 Budget and Finance ll 11 ll Budget 57,565 69,305 73,758 27 24 24 Finance and Accounts 115,785 113,071 116,237 43 41 41 Conference and General Services 167,955 167,932 181,309 114 lu9 109 Tc)tal - Administration and Finance 545,000 574,543 593,987 Common Services at Headquarters 192,829 122,500 148,666 159 147 148 Total - Administrative Services --- l,024,C29 1,003,649 1,061,319 EB7/l8 page 237 Adm~n,istrative Services OFFICE OF THE DIRECTOR GENERAL No. of posts Estimated expenditure. 1950 1951 1952 Grade 1950 1951 1952 1 1 1 Director General lm,JOO 18,.000 1 1 1 Deputy Director General 15,000 1~,000 ... 2 2 2 Secretaries 7 6,260 6,760 Stenographic Pool 4 4 4 Clerk/Stenographers 4 9,540 -- 10,020-- s s s Total established posts 34,900 4B,8oo 49;78() - - Allowances: Representation . 6,500 6;500 6,500 Installation 2,940 831 473 Dependants 70 496 496 Expatriation 1],490 1,637 lj)37 Pension FUnd 4,866 6,833 6,9?0 Staff Insurance 270 366 375 Travel: Duty 1), 515 11,5170 . 17,934 Recruitment & repatriation 120 394 344 Home leave 4,380 2,960 Transportation of personal effects 900 324 Total- OFFICE OF THE . DT.RECTOR-GENERAL ·64,'671 861307 - EB?/18 page 238 CO-ORDINATION. OF PLANIHNG AND LIAISON . ..' Type of Work There has been no very marked change in the work of the Division of . . . . . ' 1 qo_.ordiriatioii ·of Planning and Liaison since the presentation of thef"l95l budget...... ' However, the need for effective co-operation between the Qnited Nations and the ' ·, var:i.ou.~ speci~lized agencie~ at all stages of their activity (preparation of programmes, 'their adoption and implementation) was emphasized by the resolution~ adopted at the eleventh session of the Economic and Sociai .Council which, by ~inforcing the obligatory cha~acter of such cq-ordination, increases the respo_nsibilities normally .. carried by this division. In the future it will be necessary to follow even more closely the activities of the United Nations (in particular the Economic and Social Departments) and of most of the specialized agencies (ILO, FAO, UNESCO, J:CAO and even sometirries the International Bank and the,International Monetqry,Fund), to be conversant with all projects under study by their se?retariats, with the discussions and decisions of inter-governmental org~ni~ations ~ $nd the e.c;tiyi ties of the Organi~ation' s experts on mission, and to i~form WHO divisions concerned where appro~ri~te. This work entails not only the reading of a gre~t numoer of documents, but also continuous correspondence with the secretariats of 'the United Nations and of tha· ·special~ zed agenc~es, and often th~ sending of. a W"tiO representative to meetings of the Assemblies, governing bodies, commissions, expert committees, etc. of the various organizations. The division must also keep in touch with the projects envisaged by the technical divisions of the Organization itself and with the development of projects already in execution. In fad·{, ·.n~ .ac.tivity of 'common interest to WHO . . . : ) .· '. ,.. ' ' and another international organization is decided upon without the participation of this divi"si.on. 1 Off. Reo. ·vvorld Hlth Org. 23, page 190 EB?/l8 page 239 . Increased co-ordination betwee.n the organs' ·of the Uni t~d Nations family. also increases the task of the Administr9.tive Co.mmitte.e on Co-qrdination and i.ts Preparatory Conunittee, in which the Director-General of WHO and the Director .. of the Division of Co-ordination of Planning .::nd Liai~on participate personall:y-•. As in the past, the.division ensures the maintenance and development of . '' . , I ' ' ~ • • relations with the non-governmental organizations and, in another field·; ·tne·· ·· -preparation ·and documentation of the World Health Assembly and of the Executive Board •.· · .. It should be noted that during 1950 the question of the adopti~n of_ a new system for the Organization's internal reports wB.s very thoro_ughly stuqied; it is probable that the new system vdll be applied from the beginning of 1951 an~ .. that it will ensure that the reports provide not only information concerning the various ac-tivities undertaken, carried on and brought to e. successful conclusion by the Organization, but also allow an ev2luation of the work to Le made, from which conclusions may be drawn which will be of value in future work. The now system will call for the regular· participation of a great number of the Organization's officials. Thb Division of Co-ordination of PlQnning and Lin is on will centrctlize and consolidate reports_ submitted from whatever level. One last point with regard to the a.ctivity and output of the Division of Co-ordination merits particular mention: technical assistance. Contrary to the method adopted by certain speciali_zed agencies, it has been considered pref.erable that no separate organizational unit should be created to deal with work in connexion wlth the technical assistance programme. Nevertheless, it has been necessary to provide for some centralization in this field. For this.. reason the co-ordination within the Organization of all activities in connexion with the expanded programme of technical assista~ce, liaison with the Executive Secretary of the Technical Assistance Board, an~ with all the other participating organizations, has been entrusted to the "medical liaison of'ficer" of the division. This official; who continues to work within the division and is responsible to the· director of the division, will figure fro~. nqw on, not on the regular budget of the Organization but in the technical assistance budget, together with his assistant and secretary. It should be pointed out in this connexion that, in the interests of economy, he has not been replaced and that the functions which he previously carried out have been divided among the other officials of the division. New Parsonnel: No increase in staff is proposed. Duty Travel All possible informatio~ is furnished by headquarters to the New York Office to enable the New York Liaison Officer to represent ~VHO at a great variety of meetings; nevertheless, it is felt that more direct contacts between headquarters and New York should be provided for. The Chief of the ~ew York Office should travel to heqdquarters several times a year and possibly not only during the Assembly end the session of the Board. On the other hand, directors and other officers belonging to all departments at headquarters should be given the opportunity of visiting New York, staying in the Liaison Office, and familiarizing themselves with the work of the United Nations which concerns WHO •. Staff roBmbers from hGadquarters staying in the New York Office would be engaged primarily in consultations and joint planning relating to specific projects in their fields. In respect of any general liaison work which they might undertake·, they would act as members of the New York Liaison Office. Certain meetings at which WHO must be represented can be precisely forecast, e.g. the ~conomic and Social Council has two meetings a year. On the other hand, it is impossi~le to say in advance whethe~ it will be necessary to send a representative to all the meetings of medical bodies and non-governmental organizations listed, or whether there may ·not even be others at which representation will be required; nor is it possible to foretell so long in advance the place of meetings to be held in 1952· · It is considered however that the journeys provided for will be sufficient' to cover all re8.sonablc requirements~ Although travel in conn8xion with ~he.Pifth HGal~h Assembly will normally be met by the Conference and Gcl"leral Servic.es budget:; a small item has been included in th(;. 1952 budgE;t for the New York Ofq·c;:e. under this heaqing, to cover ,,, - possible liaison arrangements~ . t,• 'J EB7/l8 ; ..• { page 241 Adminis~ra~ive· S~rvices . .: l CO-ORDINATION OF. 'PLAlmiNG AND LIAISON·- -GENEVA . . . No. 9! posts . · Estimated expenditure · ..... l950 1951 1952 . Grade 1950 1951 · · 1q52_ .. . .· . ..~ ...... ~ 1, ·1 1 ·· D{rector 19 10~750 ~1,_?50 1 ·1 1' Liais-on- arid ·Reports Offieer. 16 . 7, l:l:li 8,080 . 2,. .,... 1Medical Li~ison Officers 15 ·2 1 1 -Liaison and Reports Officers ·12 5,315 1,585 :· 1 .. ·1 1 • ·. 11 11. .• 11 11 11· .4,785 5,035 n ·.·) ·3 :J. " • 11 " 9 11,610 12,230 ·. i -: ' . .Technical Assistant .. 9 .- ·1. 1 l. Clerk 6 2,9?0 :3,120 -1 .. 1 1 : _. .. Secretary . 6 3,280 3,4E() . 3. 2 · 2 .. . Secretaries 5 ;,340 5:',620 --1 ',i 1 Clerk 3 2·,180 2,290 . 17 -12 ·12 ·· Totlll established posts .66, 250 53, 89o··· ·· 5&,670 Allowances:,. Installation 2, 580' 709 710 I" Dependants '. 7fP. Expatriation 4,9.90 2, 500 2, 500 Pension Fund 9,315 7,477 7,938 Staff Insurance 505 402 426 Travel: Du.ty 'f, 545 . 10,151 10,151 ' Recruitment & repatriation :1,755 514 515 Horn~:· leave l, 780 l, 605 1,930 TransportatiQn o.f '.personal effects · · ·· · .. 3,755 1,603 339 ' ./' Total-_. 9~-0RD~A~ION .OF . 9$,335 78,851 81,179 PLANNING & .LIAISON .. GENEVA ...... ' . - '~ ' :· ·.:~J:~·.T :. ·~/ ... ·;- :~~-,_-:!_a;,:t;· ... - ~ ...... I, • .~ '\.. ,'•- I A~nistrative Services .. CO~ORD[NATION OF PLANNING AND LIAISON ~ NEW YORK No •. of posts Esti.ma ted expendi'ture 1950'·!22!: 1952 Grade 1950 ill! 1952 1 1 ·1 Director 17 8,525 8,975 1 1 1 Information Officer 13 5,;6oo 5}900 1 1 1 Liaison and Reports Officer '12 5.;315 5,585 1 1 ·1 11 9· 4~0~0 4,0?0 1 1 1 Administrative Assistant 7 31470 3~ 6·10... 1 1 1 Secretary 6 2,820 2',960 1 1 1 Clerk 6· 2~820 2,960 1 1 1· Clerk/Stenographer 5 2;950 2,950 .. 8 - 8 8 Total established posts '»3,975 . 3'5;570 .'J'l ,J50 = = Short-term Consultantsr fees 2,590 3!1500 . 3,500 Allowances:. Installation 394 473 4?3 Jl?penclants 1,300 1,600 1,600 Expatriation 6.;30 760 ?50 Pension Fund 4,050 4,-981 5,177 Staff Insurance 236 293 328 Cost-of-Living adjustment 3,,825 4,825 4,825 Travel: Duty 4,250 2;759 2,759 Shbrt-terrn consultants '250 .... Recruitment.& r~patriation .343 343 Home leave 7,185 60 Transportati6n of person~ effects 11 000 226 226 Common Services: 8,.700 ~~; 035 7,530 Total· CO-oRDINATION OF ·'~~--~·LIAISON.- 5~.2oo 69;540 64,-621 !lll)t tORK . . · ·· ,i•.' ; ' EB?/18 page 243 PUBLIC INFORMATION The division is responsible for the preparation and dissemination to the general public of information on 'the aims and activities of the Organize:~tion. Various channels of mass communication, e. g. daily and periodical press, publications, radio, television, still photos, films, film~strips, exhibits, etc., are used to the fullest possible extent in all countries. Apart from distributing a wide variety of informational material prepared by the staff, the division assists outside persons engaged in the preparation of similar material on the work of WHO or related activities. Staff are also frequently called upon to deliver, or to assist in the preparation of, talks and lectures for lay audiences. Maximum advantage is taken of outside facilities for distributing materit.,l on WHO through the maintenance of close co-operation with the UN Depart ment of Public Information, with the public-information services of other UN specialized agencies, and with a large number of governmental and non-governmental orcc:r1izations active in various types of health work. In order to achieve satisfactory results in carrying out the public-information programme, it has proved essential in the past for individual members of staff to devote a major portion of their time to one of the various media, while at the same time taking part in the work of several or all of the other media. This combination of special and general duties will continue to be stressed as a relatively effective means of dealing with the increasing volume of special requests for informational material of various types, while at the same time commitments for the regular issue of routine material are fulfilled. I New Personnel The single new position for which provision has been made under th,...: regular budget is indispensable if work already begun in the visual media is to be continu"d~ Th._; two positions provided under the technical assistance budget are a fucture-writer and a secretar,y-stenographer. This additional staff will be r2quired for the production of speeial informational material on a scale sufficient to moct requests and suggestions which have already (1950) begun to come in from EB?/18 P-:t~e 244 v~rivus sour9es in connexion with vrnors role in the technical assist~nce prograrame. Duty Travel; ·The estimntes· for the division cover travel to be undertnken for fo1..1.r different but complementary purposGs, namely:. .. (1) co-ordin2.tion of public- inform.ation projects of the-Organization with,related activities being carried out by the public-informa'tion services of other specialized agencies and, more tJSpocially, by· the UN .Department of Public Information; (2) obtaining of source in.:.tol-ial for use in the various media with respect to training and demonstrntion projects in the -field as well as meetings of expert committees, seminars, study groups, etc. held away from headquarter~; (3) placement of all types of specially pr~p<.cred information material through parsonal contacts with agencies and individrco.ls interested in the Organizationls work; and (4) stimulation of original production by recognized authors and editors, science-writers, film-makers, rGprascntatives of radio and television, etc. Consultants: None. J. EB7/18 page 245 Administrative Services PUBLIC INFORMATION No, of posts Estimated expenditure 1950 1951 1952 -Grade 1950 1951 1952 1 1 1 Director 19· 10,?50 11,250 1 1 1 Information Officer 15 ?,240 ?,630 3 2 3 Information Officers 13 11,200 1?,400 2 2 2 n " 9 ?,940 8~140 1 1 1 Secretary 6 2,960 3,120 2 2 2 Secretaries 5 5,480 5,?60 1 Clerk 4 .:.~ 1 1 Clerk 3 2,410 2,530 12 10 11 Total established posts 46,380 4?' 980 55,830 = = --= Allowances: Installation 591 1,395 Dependants 620 1,200 1,45? Expatriation 2, 500 2,000 2,816 Pension Fund 6,614 6,?19 ?,801 Staff Insurance 350 361 442 Travel: Duty 6,990 5,000 5,000 Recruitment & repatriation 429 866 Home leave 3,540 4,845 3,?55 Transportation of personal effects 283 311 Professional Services 2, 500 5,400 Total- PUBLIC 66,994 ?1,908 85,0?3 INFORMATION nw page 246 Administration and Finance OFFICE OF THE ASSISTANT DIRECTOR-GENERAL No change in the numbar of staff of the office of tho Assistant Director General is contemplated in 1952. During 1950, the Assistant Director-Gonoral was able to devote a larger part of his time to planning administrative and financial policy, since the department was more adequately staffed than in earlier years; it is expected that this trend will continue in 1951 ~nd 1952. The provision for travel in 1952 includes some visits by the Assistant Director-General to the regional offices, as well as to New York for tho purpose of participating in the development ,)f co-ordinated administrative and financial policies with the United Nations and the specialized agencies. It had been hoped that thG Assistant Director-General could visit ·32Ch ragional office in 1951, but it is possible that tho pressure of other work will dGl~ at least some of the visits until 1952. The travel of the Assistant Director Generalis assistant in 1952, as in 1951, is to ba chargod to the technical ' assistance budget, since the work of dev~loping and co-ordinating administrative and financial practices and procedures for the technical assistance programme, and the work of the Technical Assistance Board on these matters, roquir8s that she spend a considerable amount of time at the New York office. Eb(/18 page 247 Administration and Finance OFFICE OF THE ASSISTANT DIRECTOR GENERAL No. ot posts Estimated e.xpendi ture 1950 1951 1952 ~ !_95Q. 1951 1952 1 1 1 Assistant Director General ll, 500 lJ, 500 1 1 1 Assistant to ADG 15 6, 'BBO 7; 240 1 1 1 Secretazy 7 3, 470 3, 470 1 1 1 11 5 2, 540 2,~670 4 4 4 Total established posts 25, 970 26}390 26.,.BBO - - = Short-term Consultants' fees 8,.400 !!,400 .4:-200 34,370 34; 790 31]080 •,, Allowances: Installation 237 2'J7 Dependants BOO 800 BC~.:~ Expatriation 1, 500 1~250 1~250 Pension :FUnd 4rl40 3~ 695 3;764 Staff Insurance 225 231 265 Travel: Duty 9,970 4,-430 3; 560 Recruitment & repatriation 172 172 Home leave 3,.500 230 Transportation of personal effects. 113 113 Total- OFFICE OF TEE ASS!ST!~~ D~REOTOR- 51).005 49;21B 41}471 G~lERAL EB?/18 pa6~ 2-48 Administration ond Finetr1c0 LEGAL OFFICE Durint; 1950, the' 'wc)rk . a:( tho Le gel Office incr0etSGd_, "fJ~rticul;::rly '.'.''i th ": respect to c.greements end advice on legal qucstl'?:t:J.S concerning technical e.nJ. advi.sory services, tho prepa'ro.tion o.nd ndminis cr2tion of convcmtions, agredments and 'regulations to which WHO is a porty or o.cts 2.s dc.;pository, and ndvice and nssistance conc,:;rning th;:: work . Although no increase is provided in the l952 regular budget'ov(;r tho four - posts provided under previous budgets, those posts carried out; a~ditional staff is thoreforo r·squ.ost.A und0r 4:LG tochnical assistance programme. A small provision for duty tr~vo.J. is •naclo to <:tllow for consultations which may from .timG to .time be necessary J e.g .. ·with the Swiss Federnl Auth::-:-i ~:-.· ,!J a'j:.· Berne, EB7/18 page 249· Administration and Finance LEGA.L OFFICE No.· of posts Estimated expenditure 1950 1951 1952 Grade 1950 1951 1952 1 1 1 Legal Officer 15 7i240 7 ;'630 1 1 1 11 12 5;315 5i585 1 1 1 Legal Assistant 7 3,470 3;"650 1 1 1 Seoretary 5 2,.810 21950 4 4 4 Total established posts J!'J, 590 l1BI835 l9j815 - ""' - Allowances:· Installation 237 237 Dependants 200 200 200 Expatriation 1,000 l.,ooo 1,000 Pension Fund 2;460 2;,637 2;774 Staff Insurance 130 141 149 Travel: Duty 1:,080 250 250 Recruitment & repatriation 172 172 Home leave 220 135 285 Transpo-rtation of person.al effec.ts 113 113 Total.:_ -l.ECU omcE 24,995 ·= = ---- ··i. Effl/18 ~ '· page 250 . ·.· \ ~ I .. ' ...... ·.·.·.·· ' Administration and Finance OFFICE OF INT:!RNAL AUDIT T~e volume qf work of this office has increased steadily throughout 1950. and will coptirrue to increase for some time to come in view of the plans ' ' for further decehtralization and for the technic~ assistance programme. The Joint Panel of Auditors at its first session drew the attention of organizations participating in technical assistance to the need for making certain tha~ the-iQternal audit. services of each organizatio~ w~re adequate for the increased workload. As decentralization progresses, the method of: op~ration· .. of the office will change and it will be necessary for internal auditors ..tp -spend more time in Regional and other offices, probably to be assigned· semi.;:perrnanently to regions. . . . In o,rder thiit the External Auditor may be justified in relying t~ an adequate I • , degree on the internal audit (a factor which was taken into ~.ceount in fixing the cost of the external audit) it is essential (a) th~t the .soope of the internal audit keep pace with the volume of transactions of the Organization ';_. . . al;l<;i' (b) that work in olfices away from)'ieadqu.arters be checked on th8 spot, either continuously or from time to time. The minimum staff required for 1952, in addition to the chief of the office, is four auditors, including a junior auditorwtr•inee who will also do secretarial work. Additional staff has had to be reque~ted un~er the technical assistance budget to deal with the expect~d additio~al workload, "' ' ~ .. ·. .. : .. ~ . : , ..: . ~ The work~oad of t~e office is substantially reflected by th8 data given for the Finance and Accounts Section (see under that section}. ' . . ·-'-...... , _EB7jl8 Administration and-Finance page 251 INTERNAL AUDIT No. of posts Estimated ex;eendi ture -~ 19:51 1952 Grade 1950 1951 1952 1 1 1 Chief Auditor 17 S,.525 S 31 975 2 2 2 Auditor 13 ll.j.500 1~~00 1 1 1 11 11 4,·5.35 4,78.5 1 1 1 11 7 2~970 3;290 - - 5 5 5 Total established posts ~930 Z7;530 29?150 - - ·-=- Allowances: 1- Installation 295 295 Dependants ?00· soo· 800 Expatriation 1#640 ~500 l,..?OO Pension Fund 'SJ070 3.,;855 4,.082 Staff Insurance 160 207 220 Travel: Duty 930 4,-345 4,-890 Recruitment & repatriation 222 222 Home leave 1~110 190 965 Transportation of personal effects so 497 142 ------· T('tal Internal Audit '29-j620 39,441 42.;.266 --- -- EB7/l$ ·.. page 2$2' Administrative Management anc< Personnel OFFICE OF THE DIRECTOR .. ' _, •' ·-. . '•• ~--·-~ ...... - No cha~ge is proposed in the staff of the office of the Direc:to.r ;··-it :- . - ... - 'wifrl.remain at.two people. The Director, in additi.oh to exercising general s~pe-~visiqn -~f the work ~f the two sections, carries considerable respons~: '·.;&~ for'-aq'v.i.sory and planning functions of a general management nature .· .. in .the Organization...... '• The duty··travel.'proposed for the division is one visit by the Direct~r to New York to attend the annual meeting of the Consultative Committee OQc Administrative Questions, and one visit each by the Head of the Recruitment .Uriit and Chief of Personnel Section to England and Ireland for the purpose · 'Qf. recruiti-rw Engli"sh-speaking stenographers for the Organization. These ' ' ' t. . ' · · . t~present the minimlP'll .continuing commitments of the diVision. ,· ., I " .. ~ ' ' '. •.. ' ... EB7 jiB Administration and Finance page 253 OFFICE OF THE DIRECTOR, ADMINISTRATIVE MANAGEMENT AND PERSONNEL No. of ;EOsts Estimated e!Eenditure 1950 1951 1952 -Grade 1950 1951 1952 1 1 1 Director 19 10,500 11,000 1 1 1 Secretary 6 2,970 3,130 -- 2 2 2 Total established posts 17,300 13,470 14,130 -=- - Allowances: Installation 850 118 118 Expatriation 1,040 750 750 Pension Fund 2,280 1,886 l,-978 Staff Insurance 130 101 107 Travel: Duty 1,230 960 960 Recruitment and repatriation 86 86 Home leave 2,110 2,115 Transportation of pers·onal effects 56 57 Total- . O:'!T'ICE OJ! ~ :x··ilE~'.?OR 24,940 17,427 20,301 EB?/18 page 254 Administrative Management and Personnel ADMINISTRATIVE MANAGEMENT This section did not reach full s~rength as reflected in these budget estimates until about the end of 1950. For most of the year it consisted of two analysts, one assistant analyst and a stenographer. A chief was app~inte~ on 1 November. During 1950, one member of the staff made surveys of the Finance and Accounts Section, Health Assembly documentation procedures and the Personnel Section. Simplified procedures which should result in reductions in staff have been recommended as a result of the first two surveys. That of the Personnel Section is not yet complete. The same staff member has also been responsi~le for the co-ordination and standardization of forms within the Organization. Initially two of the technical staff were employed continuously on the 1 administrative manual and in issuing other administrative instructions • Latterly only one person has been available for this work, owing to the more urgent work of providing documentation for the Standing Committee on Administration and Finance and for the Director-General's Annual Report. In this connexi.on, considerable progress has been made in the compilation of a classified han~book of decisions and resolutions for the use of delegates at future Assemblies. As management surveys of the sections of the Organization are the most important type of work undertaken by the Administrative Management Section, it is intended, for the future, to employ the two analysts on surveys as nearly full-time as the work connected with forms, and other matters with an immediate priority, will allow. Even without interruptions it cannot be expected that the average section would be adequately surveyed in less than three months, and therefore the maximum number which will be dealt with per year with the staff proposed in the budget is not likely to exceed eight. On this basis, during 1952 this staff will 1 In the first ten months of the year the following were issued I Manual documents 26? pages Procedure memoranda 13 Information circulars ?0 Director-Generalis circulars 54 EB?/18 page 255 be engaged solely on surveys ·at headquarters; therefore no allotment of funds for duty travel has boon requested. rf. the introduction of workload measurement and setting of adequate standards is considered desirable, the time taken on the .first ' ' . . few surveys ~ust be lengthened considerably to allow for the collection of a vast q,uanti ty of wo~k:.:.element d.B.ta. T~e assistant analyst will be resp?nsible for the Administrative Manual and tho production of.administrative and informatio~al circulars, Although much work has boon done on.the former during the past year, it is still far· from complete and, in any e-ase 1 ·will always· ·r.e.quire constant revision. The chief of section will be fully occupied in:~intaining a very close supervision, of management surveys in ~rticular, and in consultations on organizational and operational problems. It is expected that the tBchnical assistance programme will result in such a number of new and different ac~ivities in the Organization as to necessitate two additional management ana~sts. New procedures and processes ·will be neccss~ry in connexion with projects of types not possible under the regular programme. Similarly, thoro vvill be many now op~rations requiring management consultation at their initiation and management review in subsequent stag_es~ .. : '\ . .,_ .. :. 'i· l . ...... ;. ... ~ EB7/18 page 256 Administration and Finance ADMINISTRATIVE MANAGEMENT No. of J20sts Esttmated expenditure 1950 1951 1952 Grade 1950 1951 1952 1 1 1 .. Chief of Section 16 7,660 8,065 2 2 2 Administrative-Analysts 9 7,540 7,840 1 1 1 11 11 7 3,105 3,300 1 1 1 Clerk/Stenographer 4 2,420 2,545 5 5 5 Total established posts 12,940 20,725 21,750 ...... - - Allowances·: Installation 930 "295 295 Dependants 240 400 4oo Expatriation l,06o 1,500 1,500 Pension Fund 1,790 2,903 3,045 Staff Insurance 90 156 164 Travel: Duty 90 Recruitment and repatriation 640 214 214 Home leave 1,640 410 Transportation of personal effects 20 620 142 Total - · AIMnliS-T!WriVE 17,800 28,453 27,920 4~AGD1ENT i:!.b't/ lcl page 257 Administrative Management and Personnel PERSONNEL Although a total staff of 14 vras requested for the Personnel Section in the regular budget for 1951, limitations on employment in 1950 as a result of the restricted financial position of the Ort;anization resulted i~ the filling of only 13 of these posts and the latter nUEJ.ber is proposed for 1952. This staff is divided functionally as follows: General direction 2 Post classification, wa13o anc;l allowance determinations, training, miscellaneous assignments 1 Recruitment, selection and staff relations 5 Appointments, contracts, leave, insurance records and reports 5 13 The workload reported for 1949 remained practically constant through 1950 also and gives every indication of remaining at the sar.1e high level for the foreseeable future. Since the post of training and procedures officer was not filled, these functions have devolved upon the remaining ·staff, large.ly upon the officer responsible for post classification, wage and allowance doterminations. This combination of duties represents a continuing heavy workload limited rather by the time available for its performance than by the Organization's needs. The rosult has boon that urgent training needs have simply to be scheduled for futuro action. Recruitment can bo eKpected to continue in the same volmne. Staffing of headquarters and three regional offices was practically completed in 1950. The three other regions roHain to be staffed in 1951. In addition, substantial sums of money for the recruitrr1ont cf field staff outside the regular budget are increasingly becoming available. The principle source of such funds at the end of 1950 was UNICEF, but recruitment was also being undertaken to be reimbursed by the recipient governments from European co-operation administration funds. The importance of this clement in the recruitment workload can bo gathE)rc'd from the ' . fact that UNICEF by the end of 1950 had tentative requests for projects requiring EB7/18 page 258 in all lOO to 150 persons. During 1950 the Personnel Section assumed the responsibility for conducting· stonographic :recruiting exam:i,nations which h?-d previously been that of the supervisor of the Central Stenographic Service. Duty Travel provided for 1952 covers travel for this purpose to London and Dublin. Tho worklQD.d of the appointments and records uni.t is·-tlB.rtly related to recruitment and largely. to the-total. .size of the staff of tne \)rgani"~tion. Since, vd:lih-.decentralization and the fact of 'technical assistance, the staff continues to increase and reCl'JJitment remai~ -at -a high level, vne work of this unit is constantly augmented. Its--work was ~ubstantially increased in 1950 'by the- actual entry of WHO into the UN Joint Staff Pensi~n Fund, because of the mass of additional· re.cords and prDceasing activity. Only by constant- attention to simplification of procedures will it be possible to carry out the workload .which is expected of this unit without additional staff.. 1 The following data , while obvious:cy .not re:Pz'esentative of total activity_.~ give-- some .reasonably-valid indices of .workload. A comparison with the data presented in connexion with the regular. budget tor ~95l-will._indicate the relatively constant level of the loada _ Average number of applicant interviews per month .J32 Average.. munber of staff interviews per month 81 Num.be.r- of stenographic examinations conducted 6 Number of stenographic applicants .~ed 501 Number of temporary conference staff engaged · during the year 179 Number of temporary consultants engaged during the year _Average number of personnel actions per month Average total pieces of mai.L received per_ month Average tbtal pieces of mail .. despatchect per month 1 -Baeed upon monthly work reports for the year ending 30 September 1950.. 2 Volume of mail rece~~d is greater than that des~tched because many pieces of mail, such as: certain applications, pension fund. forms etc., require no individual answer from. Perso.p.r.el Section.. EB?/18 page 259 It is estimated-that a personnel o~fic~r at grade 13 and a stenographer will be necessary for carrying out recruitment of the staff required for technical assistanc·e activities .of .th,~ scope envisaged in the technical assistance budget. Besides recruiting.. staff they will be required to c~o~dinate regional effo~ts in recruiting, examine qualificatipns- of propQsed candidates, serve as secretariat to the selection colTilllittee, plan· arid co-·ordina'to training programmes for. personnel appointed. They will, of cow;-~e, be ·c-oncerned with regular as well as with technical assistance personnel~ In addition-it is estimated that two additional'clerks will be needed for processing appo~ntments, maintaining records .ancl. servi-cing pension, insurance .. and allowance provisions for the technical assistance staff. '· ...... - · · ER7/18 page·-260 Administration and Finance PERSONNEL No. of J20Sts Estimated e!J2enditure ~ .!22! ~ Grade . .!222 1951 l2,2g 1 1 1 Chief of Section 17 8,750 9:200 1 1 1 Personnel Officer 13 5,900 6,050 2 2 2 Personnel Officers 11 9,445 9,830 1 1 1 Personnel Assistant 9 3,970 4,o8o 2 2 2 Personnel Assistant 7 6,690 6,-970 1 1 1 Clerk 6 3,130 3,210 1 1 1 " 5 2,545 2,680 1 1 1 Secretary 5 2,68o 2,820 1 1 1 Clerk/Stenographer 5 2,68o 2,820 1 1 1 Clerk/Typist 4 -2,545 2,610 1 1 1 " 3 2,130 2,240 13 13 13 Total established posts -- 47,040 50,465 52,410 Allowances: Installation 769 769 Dependants 765 Boo 800 Expatriation 1,750 1,750 1,750 Pension Fund 6,58o 1,066 7,340 Staff Insurance 330 38o 395 Travel: Duty 7-55 500 965 Recruitment and repatriation 558 558 Home leave 430 3,320 375 Transportation of personal effects 368 368 Total - PEBSODEL 57,650 65,976 65,730 .EB?/18 page 261 Administration and Finance BUDGET SECTION During 1950, there was no change in the functions and organization of the budget section as described in the Proposed Programme and Budget Estimates 1 for 1951 but increased c~-operation with UNICEF on joint projects has resulted in considerably more work for the section. This additional work includes a great number of individual cost estimates in addition to such routine matters as corr~spondenco, allotment advices and maintenance of records. Preparation for the technical assistance ·programmes, e~ected to start in 1951, resulted in additional work for the section as early as 1950, and that work-load is expected to become heavier in 1951 and 1952, As projects under technical assistance programmes develop, the work of providing cost estimates, issuing allotments of funds and maintaining budgetary controls in many different currencies will steadily increase and it is therefore not ex pected that the present staff will be sufficient to deal efficiently with the expected lc-.rge increase in work. The budget estimates for 1952 include, therefore, provision for certain additional staff to be provided out of technical assistance funds. The closing of the Office International d'Hygiene Publique at the end of 1950 and the transfer of funds from that office to VVHO for certain specified projects and programmes in 1951 and 1952 will require separate budgetary control for such funds. It is not proposed, however, to incree.se the regular staff of the section in 1952. Some workloc.d figures based on activities in 1950 are quoted below. The work of the section does not, however, lend itself to easy statistical pre sentation, being concentrated lEJ.rgely during specific periods of the year: (a) the last five months of any year, when the annual budget is prepared for presentation to the January session of the Executive Board, and (b) the period 1 Official-Records-;o.23, page 213 EB?/18 page 262 of sessions of the Executive Board and the Assembly in January and May/June. It is significant, for exa~ple, that over 50% of the total overtime worked by the section is concentrated in the three months of October/November/December of each year, the months of January and May/June accounting for another 33% of the total. Apart from preparation of annual budgets and the routine work of main taining budgetary records, issuing allotments and attending to correspondence and documentation therewith, it is the task of the Budget Section to produce periodic report::3 r·eflecting the budgetary position. During sessions of the Executive Board and the Assembly, the section is required to produce documen tation resulting from or requested for discussion by these bodies. Provision has been m.~de for duty travel to two regions in 1952, where budget officers will be required to assist regional directors in the preparation and presentation of their annual programmes and budget estimates. It is the intention, however, that such assistance should be provided only for newly established regional offices. Workload of the section: Monthly aver&ge of allotment advices and/or revisions processed and issued 80 pieces Monthly ave~age correspondence received, processed and answered 216 pieces Monthly average of overtime 214 man hours EB?/18 page 263 , Administration and Finance BUDGET No. of posts Estimated expenditure 1950 1951 1952 Grade 1950 1951 1952 1 1 1 Chief of Section 17 8,975 9-,425 1 1 1 Budget Officer 16 8,080 81,510 3 3 3 Budget Officers 12 l5.r6?5 ~485 2 2 2 Budget Analysts 9 &;140 81360 1 1 1 Budget Analyst 7 3.-130 3..;290 1 1 1 Secretary 5 2.,420 ~670 2 2 2 Clerk/Typists 4 4,590 4,830 11 11 11 Total established posts 42,000 5)],010 53",570 - - - Allowances: Ins tal1a ti on 575 650 650 Dependants lJ)OO 2,?70 2,'770 Expa tria t1 on 2,.970 3"'250 3,2$0• Pension Fund ;,soo ?,143 71502 Staff Insurance 300 .388 403 Travel: Duty- 3~.360 l.f500 ll500 Recruitment & repatriation 290 472 472 Home leave 970 4700 3#330 Transportation of personal effects 422 311 Total- BQDeET EB'7/18 page 264 Budget and Finance FINANCE AND ACCOUNTS SECTION In 1950 the.'Finance and Accounts Section was responsible for the accounting . ' and disb~rsing act~vities and for advice on all fiscal matters relating to the regular eXpenditure·, . ceiling of ~,300,000; it also performed these services in connexio~ with the :funds carried over from the 1949 disbursements, amounting to· ~1,320,000, and the various reimbursable type projects such as the joint UNICEF/wHO. project;. amounting to fl,OOO,OOO, thus making a grand total of i8,62o,ooo. Examples of the types of work performed, with significant workload statistics,' are as follows:- (a) Maintenance of individual payroll, provident fund, pansion fund and leave records for approximately 600 staff members, ana the preparation of.vo~chers autoorizing payment of salaries and allowances requiring app·roxirnately 2;000 entries per month; (b) Maintenance ·of expenditure r.ecords for an average of 450 Fellows, and payment of their.monthly stipends and other entitlements; (c) -~re-audit, .~ecording, certification and payment of 950 claims and ~n~oices requiring the preparation, typing and recording of the ' I necessary vouchers for the authorization of payment. These amount to 1,900 entries in the Kardex records, and approximately th0 same number of entries reflecting the payments in the cash books and disbursements reco~ds; '•. '. (d).._.!Vl:;dntenance .of allotment-control records, necessitating examination of each commitment to certify that funds are available, and recording of all expenditures requiring 5,700 entrias per month; (e) Maintenance of general and subsidiary books of account, including th.::J consolidation of the monthly statements of region'll and field bffices, requiring 7,000 accounting entries per month, as well D.s examination of approximately 1,000 transactions of the regional and field offices; EB?/18 page 265 (f) Preparation of r8gular and special reports and the annual financial r8ports of the Organization; (g) Registration and distribution of 2,300 piecGs of incoming mail and documents and preparation and dispatch of 2,220 oucgoing communications requiring 5·1/2 man-months per month; (h) Preparation of t~bl~s of assessments for contributions to the gGneral budget and the working c~pital fund, informing Members of their contributions, maintaining records of contributions received, preparing regular reports on the status of contributions to the budgets and the working capital fund, requiring an average of six man-months per month; (i) Preparation of documentation for the meetings of the Executive Board and the Health Assembly, the Consultative Co~~ittee on Administrative Questions, the Joint Staff Pension Committee and others, and attendance at meetings of these bodies, requiring an average of eight man~onths per year. In spite of the increase in workload over that of 1949, changes in operations ancl simplification of routine procedures, together with the installation of modern accounting-machine records, made it possible to avoid an increase in staff. On the contrary, the staff decreased from the ~ 21 off'icots in 19'?50 :tb :25 iro 1951· 'J).r.o o.f thE pbats suppressed were in relatively high grades, so that the amount saved was higher than the number of posts suppressed would indicate. Technical Ass~stance: No adaitional staff chargeable to the regular budget will be required in connexion with the technical assistance programme, but additional staff will be recruited with technical assistance funds. Duty travel: The money for duty travel has been included in the regular estirn2.te and is intended to cover. short visi:.f;~-'· tb ·field offices for consultation regard ing the accounting methods and procedures for those offices. Under the technical assistance programme it will be necessary to make several such visits to the field offices in order properly to establish the more complicated accounting records which will be required under that programme. EB7/18 page ?66 Administrat~on and Finance FINA.t~CE AND ACCOUNTS No. of ;eosts Estimated ex;eenditure 1950 1951 1952 Grade 1950 1951 1952 1 1 1 Chief of Section 17 8,975 9,425 1 Assistant Chief of Section 16 1 2 2 Accountants 13 11,800 12,420 2 Accountants 11 1 1 1 Cashier 11 4,?85 5,035 4 4 4 Accountants 9 15,280 16,080 l 1 1 Supervisor Records Unit ? 3,290 3,4?0 1 1 1 Pa;y-:roll Clerk ? 3,290 3,4?0 1 2 2 Clerks ? 5,940 6,410 4 2 2 Clerks 6 6,080 6,400 1 1 1 Machine Operator 6 2,960 3,120 1 1 1 u 11 5 2,540 2,6?0 l 1 1 Leave Records Cl ark 5 2,540 2,6?0 l 1 1 Clerk 5 2,540 2,6?0 1 1 1 Secretary 5 2,810 2,950 l 1 1 Clerk/Stenographer 5 2,810 2,950 2 2 2 11 11 4 4,830 5,0?0 2 2 2 Clerk/Typists 4 4,830 5,0?0 2? -24 -24 Total established posts 89,360 85,300 89,800 Allowances; Installation 935 1,419 1,419 Depend,ants 1,935 800 800 Expatriation 6,080 6,000 6,000 Pension Fund 12,965 11,946 12,58? Staff Insurance 640 643 6?? Travelr Duty lOO 500 1,305 Recruitment & repatriation 800 1,030 1,030 Home leave 2,250 4,100 1,8to Transportation of personal effects 720 1,333 6?9 Total:. Uf~~ &Am) 115,?85 113,0?1 116,23? ACCOUNTS EB7/l8 ·page 267 Administration and Finance ~ . CONFERENCE AND GENERAL SERVICES The requirements in staff for 1952 are ba.sed·. on an analysiS of accumulated workload data and the·· anticipated 'level of work during 1952. The office of the. chief did not change dur~ng 1950; the same positions exist as shown in Official Records No •. 23, page 220.- Some increase in'-the various units of the office must be anticipated in 1952, as a result of increased workloads under the technical assistance programme. Supply Services The staff of the unit is the same in 1952 as mown in Official Records No. 23, page 222.~ The work of the unit has up to the present continued to increase, but it is not anticipated that this t:;-end will continue, except ·wn.ere 'the technical assistance programme is· concerned. The following table shows the workload statistics for three representative months, April September and October 1950. April September October Purchase orders issued: lo6 9? 127 Section requisitions: 143 160 186· Invoices check~d: 116 112 142 Travel In October 19~0 an agreement was made With a firm of travel agents, Messrs •. Thos, Cook & Son S.A., .to se·rvice the official travel requirements of the head quarters staff. A branch ·o(the firm has been iri'stalled in the Palais des Nations which handles all t:i.icket l:ibokings ·and all Hotel rescrvat'ions outside Geneva.. As a result of }.his innovation, .it has been pos~:j..~le tD reduce the staff oft he WHO Travel Unit from three to two by dispensing with the servi.ces of the booking clerk. The unit therefore consists .of,a t,rav.el .of.ficer and an assistant, whose duties are to ensure that travel is correctly authorized, ·to· make bookings with the travel . . '~ ...... , . agcnc.y, ensuring that the most~ economical routes are ch9sen for travelling to conferences and meetings, t_o~ act as a channel for all enquiries concerning official travel by hoadquart~rs st~ff,. to obtain visas and laiss~z ..... passer, t.o handle all correspondence relating t_o travel, to certify ·acco1J.11:ts fo:r payment,. and to provide EB?/18 page .2'68 local ·transportation service.. The work during 1950 showed a slight increase in comparison with 1949, but the travQl situation is'now considered to be stabilized and no increase is anticipated in l9524 The following table shows a comparison '' between the workload statisti'cs for three representative months, April, September and October 1950: './ . April September October Tickets issued 65 80 104 Travel Arrangements for Fellows: '' . ... ' 32 9 ,, 1 1ravcl Authorizations 75 154 90 Visas 40 ?9 51 Hotel Reservations 29 62 68 Comnunications and Records '· ThG organization· o·f this unit is the same as shown in Officiq.J.. Records No. 23, pages 220-221, with the exceptions noted. below: Registry The v~rk of Registry wa~· divided during 1950 into two sub-units: (a) Archives, and (b) Current Records and Communications. Archives comprises ono archivist and one clerk-typist. Tho following table shows the workload statistics for two representative months, September and October 195:l September October Recrords processed 33 linear feet 96 linear foot Records destroyed 13 If· 11 2-1/2 11 11 Records placed in archives 20 11 If, 93-1/2 11 11 Ourrent Records and Communications includes the chief, ~senior-classifier, one file classification clerk, and four subordinate clerks.to car~ out routine filing oper~tions. Provision is also made for a clerk in charge and three sub ordinate clerks in the Mail sub-division. As the result. _of the management study ' • 0 and recomnendations during ~950, it was possible to reduce by two·pormanent po?ts the effective number of personnel engag·od in cUrrent registry activities. Those two persons now comprise th.e Archives staff,' :md are doing work which had not previously boon undertaken., In addition it ho.s boon pos~ible to. dispense with the servic.es ot two persons _engaged-· as temporary as si stance.. which had previously EB7/18 page 269 been necessary during rush periods. It will be noted that the workload increased in 1950, as compared to 1949, but estimates for 1952 arc based on the assumption that no further significant increase intho workload will take place, The following figures are for 1950: April September October Incoming Mail - pr"ocossod 8,082 12,716 12,270 - unprocessed 1,452 2,273 2,925 Outgoing Mail 6,502 7,928 9,924 New files 842 497 434 Documents The proposed staff of tv~ documents officers in 1952, vmich is the number present~ employed, is based on the ass~~ption that there vdllbe no material increase in the work of this sub-unit during 1952, although there was an increase in 1950, as compared with 1949. The follmving table shows the workload statistics for three representative months, April, September and October 1950: April September October New documents 319 256 430 Text, pages 3,968 2;J74 3,608 Graphics The Graphics Unit has nmv ~hree visual media officers, and it is proposed to continue this nlli~ber in 1952. The work of this unit cannot be established by examination of the number of jobs performed, since most jobs differ substantially in the time which they will require.. The majority of the work performed by the unit is either for public information purposGs or for reproduction in official documents and technical publications. The volume of work performed in 1950 shows an increase over 1949. stenogrnphic Service As the Contral stonographic Service ~.s in 1950 divided amongst the main organizational units, the prGsent typing pool serves only the rGquiroments of the Department of Administration and Finance, and consists of 3 English stenographers and l French stenographer. EB?/18 page 270 Duty Travel Provision has been mado for several trips to European capitals in connexion with procurement of both medical supplies e.nd equipment and administrative supplies. A smell account has also boon provided for travel in connaxion with arrangements for expert cormnitteos which may meet:in Paris, London or Rome·. EB7/18 Aillninistration and Finance page ?71 ::'ONFERENCE . AND ~ENERAL, SERVICES No. of ;Eosts Estimated e~~~ 12.2Q 1221 ~ Grade 1950 62.21 ~ 1 l 1 Chj_ef 17 8,975 . 9,425 ·.. 1 1 1 Adm1nistrnt1ve Services Officer 15 7,24o (.~630 2 2 2 Secretar:~ es 5 4,840 5,340 §~S"E_aj2£:h£.~ 4 4 4 Clerk/Stenographers 4 8,970 9;320 ~~sUI!!.~ 1 - l::lupp:.y Officer 15 1 1 l Purchasing Officer 12 5,315 5)585 l. l l General Servi~es Officer .9 4,070 4,290 1 l 1 Clerk 5 2,670 2,810 2 2 2 Clerk/ 8te-r10grnphers 4 4,710 5,070 1 1 l. Storekeeper 4 2,295 2,535 l. 1 1 Stores Clerk 3 2,180 2,290 .§:P..9-.S;:.U:r.t..£.J~.2illrence ArrWJgement e 1 1 1 General Services Officer 11 4,785 5,035 1 1 l. Clerk 6 2,960 3.J?.O 1 l. 1 Clerk/Stenogrn~her 4 2,415 2, 535 Reg:tst~y ~fld Mail Unit' 2 2 2 Registry Officers 9 8,630 8}830 2 2 2 ll 11 7 7,120 7,jOO 1 1 1 Clerk 6 3,120 3:280 1 1 1 Clerk 5 2,420 2,670 4 4 4 Clerks 4 9,66o :I:• ,14o l. 1 1 Clerk/Typist 4 2,415 2;535 3 3 3 Clerks 3 6,450 7,000 GrnJ?~ U~1 1 l. , Drnughtsmv:c1 11 4J785 5,035 1 l. 1 " 9 3,670 3,870 l. 1 1 11 7 3,290 3,470 £9.£.~8-~1~.-.PE:H" 1 1 1 Documents Officer 9 4,290 4,510 1 1 1 " 11 7 3,290 3,470 ~e.:..~t 1 1 1 Travel Officer 9 3,870 4,070 1 1 1 Admini~trntive Assistant 7 3,130 3_,290 2 2 2 :..!hauffeurs 4 4,830 5,070 1 - Clerk 3 ------43 41 41 Tota.l est1blished posts 126,870 132,395 139,525 --- .... EB7/18 page 272 Administration and Finance CONFERENCE AND GENERAL SERVICES No. of posts Estimated e~enditure .!2.2Q !2.21 ~ 122Q 1221 ~952 43 41 41 Brought forward 126,870 132,395 139,525 Allowa,nces: Installation 3,100 2,787 2,787 Dependents 2,48o 2,696 2,792 Expatriation 4,990 4,137 4,024 Pension Fund 16,750 18,525 19,54o Staff Insurance 920 992 1,053 Travel: Duty 1,580 400 1,000 Short-term Consultants 2,210 Recruitment & repatriation 690 1,810 1,760 Home Leave 6,620 2,585 7,520 Transportation of Personal Effects 1,745 1,605 1,3o8 43 41 41 Total~ CONFERENCES & GENERAL 167,955 167,932 181,309 ------SERVICES EB?/18 page 273 COI'lt.!ON S3R.VICES AT HEA.DQUJ.RTERS Comnon services at headquarters are included under three sections of the Appropriation Resolution for the financial y~ar 1952: (l) Part II, Operating Programne, appropriation section 4, Central Technical SerVices; (2) Part II, Operating Programme, appropriation section 5, iLdvisory Services; (3) Part III, Hdministra tive Services, appropriation section 8, Administrative Expenses. In order to arrive at a reasonable apportionment of common services at headquarters, the total estimated expenditure was computed; the estimated total number of headquarters staff was calculated for Central Technical Services, -'•dvisory Services and i~dministrative Services; and the cost of commo0 services w~.s apportioned among these serV-ices on a per capita basis. Common services at headquarters are classified under the following main code headings: 30 Space and equipment services 40 Other services 50 Supplies and materials 60 Fixed charges and claims 80 Acquisition of capital assets The following sum~ary indicates the purpose for which ap~ropriate amounts have been requ6sted: Code 30 - Space and Equipment Services Discussions following a request from the United Nations Jor an adjustment in charges for rental and maintenance of premises, indicate that charge rates based on actual working space will be t.>Stablished as foJ~ows: 'n-20.85 per square rJE:tre for the year 1950 n-21.10 per square metre for the year 1951 ),21. 30 p0r square metre for the year 1952 EB7/18 page 274 The increases are designed ~o cover additional chnrgGs resulting from annual salary increments. It is considered that salary costs aay becom& stabilized at this lcvei. It is expected that the three new floors of wing K Will be ready for . occupation by Yn!O during the first qu8.rt8r of 1951 and that the additional offices will be made availablu cturing the second qu~rt0r of the same year. 1\s very little increase in hc;:cdquarters staff under the:: regular budget is envisaged for 1952, a roduction by some 20 offices in the space shown as ruquircd in the 1951 estimates~ may be possible. On this b2sis the total .f.loor space on which charges for 1952 must be calculated will be 5,866 squAre metres •. ""t the rate of ~1.30 per square metre per yec.r, the cost is there fore ~25 ,000. . 2 Paragraph 8 'of resolution !JHA3.105 requires th1.t an amount be set aside to amortise the building fund of ,.233 ,645 over a re '3.Sonable period. ~~ ten-year period has beun selected, and this will me~n th~ setting-aside in 1952 of ,23 ,365. In 1950 th0 cost of maintenance of typewriters .o:.md c.,lcul.'3.ting m:=tchines anountt..d to w2,000 '3.nd ..,700 r,_,spoc .i VGly; r:;ainten1.nco and repairs of 1\BO furniture and equipoont were a".J,JroxiL'lately i/>00, n:aking 1'1. tote.l of .,.3,300. ThG number of typowrikrs and c1.lculating m".chines in opt:ration during 1952 will be higher than in 1950 and Rll offices will have boon furnished with "iiHO furniture .. Th\;; estimated expenditure for 1952 is as follows: 1 off. Reo. "l{orld Hlth Org. 23,224 2off . .&c. ·,·,rorld Hlth Org. 28, 62 E:B?/18 page 275 Maintenance of typewriters and office machines ..,.3,000 Maintenance of furniture and equipment (0.5%o) 1,000 The total requested under the he~ding of Space and Equipment Services is therefore: Amortisation of building fund ,23,365 Rental and maintenance of premises 125,000 R~ntal and maintenance of equipmont 4,000 ~52,365 Code 40 ~ Other S0rvices Gommunicrrtions have beon assessed on the basis of a slight reduction on 1950 expenditure.--~~-~-ll.Ql'L.....r-&qu.e.sted__is divided as follows: T8lcgraph, cnble and teletype St,rvices Postage 40,000 Telephone s._rviccs (including trunk-calls and miscellaneous internal installation expenses) 4,500 Press cables l, 500 An arrtount of '"10,000 has been provided f6r hospitality at headquarters. An amount of y9,000 is request~d to provide for outside translation during peak periods. This is similar to the provision made in previous years. For ~dvertising, photographs, medical fees, visa expenses, language courses, and other miscellaneous items, an amount of ~12,300 is requested. This is based on 1950 expenditure. EB?/18 ' page 275(a) The fee for th~ external auditor in 1952 is estimated at .7,500. Calculnt~d on the basis of current expenditure, an amount of ~1,200 is provided for bank charges. The United Nations charges for distribution scrvice are estimated to amount to ~;10,000. This fieure is b,sed on tho charge r:tte established by the United Nations in 1949. It is expected that from 1950 onwards the amount reimbursable to the United Nations for this service will be computed on actu3.1 expenditure divided on a pro rata basis. The actual rate is therefore not known at thi3 stage. An amount of wl,500 is requested to cover gRrage, operation ~nd m~intenance of two cars at heGdquertcrs in 1952 as well as local transport charges. Cost of transportation of supplies and materials, including pouch service vdth New Delhi and air freight charges on documents, amounted to ~r~-9,900 in the period January - August 1950. ·~ssuming that pouch services with other regional offices will be established, an amount of ~14,500 has been provided for the full year of 1952. The total requested for transportation is therefore ,~ Local transportation 'IT 1, 500 Oth~r transportation 14,500 ljrl6 ,ooo The total requested under the heading of Other Swrvicus is therefore: Communications .;,s,ooo Hospitality 10,000 Other contractual S(O.rvices 40,000 Freight and other transportation 16,000 costs ,.134 ,000 It is estimated that in 1950 the number of duplicated pages supplied by the UN service will amount to approximately J.l/2 million, excluding documents far the Hee.lth Assembly, the Ex,o;cutive Boar_d and expert committees. The 1950 charges will be based on actual expenditure incurred by the UN duplicqting JBri/18. page 275(b) service in 1949 and it is expe'c~ect''t~~t ·the n~w rate will be approximately ~3.60 per 1,000 pages .••llowing for a small increase in duplicating work in l95~l an amount of ~15,000 is requested. B~sed on ~ctual expenditure on printing pqp~!' pr~nt~pg of letterheads ...... -.. ~···-... ~ . ' ...... ~ .. . :anJ statiOne]zy durii'i~( J:9 50, an amount·· O'f· ~43 ,DOO ·is requested for the same ·.. ,, ! ., ' ' ... ' ~X:pend:!-:t"~~e .. on ·9Pl.l.nd~:>criber records, desk equipment, drawing boards, cardboard binders and working clothes for chauffeurs an~ sto~emen e~c. amounted to-.approxi!Mtel.y ~tr3JOOO ·in 1950. Similar provision is requested for 1952.' ~ The amvurit provided for vis"ll:~l materia~ for publ.ic information is ,.w2~·,450 diyj.g~d. q.s follows.: Printing' 'lfl3 .~850 · :EXhi"b:tt:s ·· ·· 5,500 Film footage 3,750 Still photographs including mats 5,000 :Miscellaneous 350 The amouht of 'fr500' ~s provided for the printing of miscellaneous small doc,lllllents oth~r than stationery or printed forms. · of The tow.J., under the he~dingjSup::>lies and Materials. is therefore: Printing- 'lr 500 Visual material 28,450 .~:lmini strative supplies 61,000 w89,950 Code 6o· - Fixed Char:;E:s and Olaims ~ · Public-liability and property-damage insurance of two cars amounts to ' .. . '. . ' ' '• ' ~ ,:, v410; transportation and insurance of furniture, equipment and effects is estimated at ;.155. Provision has also been made for an amount of .6,000 for '. '·.·. ' ...... ' . . . . ' ... reimbursement of income tax to int~rnational staff members. The total requested under:,.tnia·.~adimg is: Insurance ... 'r. ·. 565. Reimburseme-nt of ~I?-come tax 6,000 -;6,565- -· .. . .••. . 1:... small.provision of .. ~O,GOO is requjred for replacement and minor adc~tions to capital assets. ·::. ' '': ,' ., ·.. ~ . ·.. .' ~,. ~ "';"" The total requested under this hearting is wlO,ooo. EB7/18 page 276 COMMON SERVICES AT HEADQUARTERS illQ. 1951 ~ .30 .~a~e anS, ~ent Serv~ces .3l. Rental and Maintenance of Premises 109,753. 120,700 148,365 32 Rental and Ma.irtenance of Equipment 4,099 3;500 4,000 1D,852 124,200 152,365 40 0-c.her Services 41 Conununications 67,871 65,000 68,000 42 Hospitality 3;554 1o,ooo 10,000 '43 Other Contractual Services 35,300 3~, 500 40,000 44 Freight and other Transportation Costs 14,816 12,000 16,000 121J541 122,500 134,000 50 SuEEli~~ anp Materials 51 Printing 4,346 500 500 52 Visual Materials 2,155 D,OOO 28,450 53 Supplies 97;022 56,000 61,000 103,523 69,500 89,950 6o Fixe~ Charses and Claims 61 Reimbursement of Income Taxation 6,ooo 6,000 62 Insurance 935 570 565 935 6,570 6,565 80 Ac~uisition of CaEital Assets 82 Equipment 147,149 6,000 ' 10,000 .. Total 487,000 328,770 392,880 Allooaticns Central Technical Services 190,229 126,93? 155,030 Advisory Services 98,292 70,521 86,002 Administrative Services . 192,829 122,500 14$_,666 Special Office for.Europe 4,415 6,181 Special Office for Africa 1,235 2, 630. 3,182 487,000 328,770 392,880 EB7/18 SUMMARY OF ACTIVITIES TO BE FINANCED page 277 FROM OIHP FUNDS llil .l..2£ 1. Organizational M~e~ Special Committee of the Health assembly on International.Regulations 20,000 2. Central Technical Services Epidemiological Services. Sanitary CoN entions and Quarantine Short-·term Consultants -(Yellow Fever) 4,200 2,800 Grants and Contracted Technical Services: Delinoation of Yellow Fe~ar Endemic Area 12,000 6,00t'J - 16z20Q 8~80~. Co-Ordin&tion of Research Grants and Contracted Technical Services: Field Trials of Trachoma Treatment 2,000 2,000 Survey of Bilharziasis in .Africa and the Eastern Mediterranean area 15,000 Sped es determination of Bilharziasis Snail Vectors 1, 500 1, :IJU Field Trials of Mulloscocides .3,800 Smallpox - ~rials of Dry Vaccine ~,200 2,200 Rickettsiosis - Preparation and Distribution of Antigens 1,000 1,000 Expert Comm:Lttees: Expert Committee on Trachoma 5,440 Expert Corrmittee on Cholera 4,917 Expert Comnittee ':n Plague 5,618 Expert Committee on Yellow Fever 6,.364 Expert Comnittee on Bilharziasis 6,.364 35,857 25,046 52,057 33,846 .3. Advism-y Services----· South East A~~~~on Other Communicable Diseases Gran'i:.s and Contracted Technical Serviees: Cholera Research 10,000 lO,boO Total 82,057 4.3,846 EB?/18 page 2.~ REGIONAL OFFICES ' '' Though due regard is paid to different local conditions, in general the functions of·r~gional offices are similar. They co-ordinate international h~al~p_work within, the region and provide, at the request of governments, consultative services designed to assist in the implementation of governmental health programmes. In so doing they maintain 9ontacts with governments and appropriate professional_groups and co-operation at the regional level with bodies·of the United Natior;1s, the specialized agencies and other international organizations having interests in common with the Organization. At the request of governments they'carry out he~lth surveys and advise on the development of individual health pr'ojects and their i."ltegration into the national health services. Emphasis is laid.on assisting·governments in their plans to strengthen their own national'health services and to develop their training resources. Each regional office prepares documentation for its Regional Committee, of wh~ch the Director of the office acts as Secretary. R_egional offic.e.s maintain appropriate statistical data on health matters ·within the region and evaluate the results of international health programmes for which they have given technical approval. H<3gions· EB7/lt, · SUMWL'.RY page 279 No. of posts . ·- ~~-~~~~·.". R;~GULi.R UNICEF Ti-ED UNICEF TLED 'IDTJ,.L ---· 1950 1951 ~52 1950-1951 1952 1951 1952 1951 1952 1950 1951 1952 1?51 1?52 1950 1952"'. RJ:!;GION,~L. OFFICES 24:5Z4 29;3,468 171? 366"' 20t-,8?0 45,216 120,'725 ·------, ------ _43CJ516 -26~,272 373,116 1;30,644 134,800 203/334 Tuberculosis Ver.er~.> a1 Diseases _.:.frica --6 --7 :U -- ·------5 JJT,ericas__ _ 43,950 63,635 -.-5 ~ ~ --4 9 ------1 10 .. South-Ease .: ..si..a-· ------76,505 58,671 -5 ---; --7 --3 --3 ---.- --~ · -n East. .orn liileai terranea·1 40 ,1"·0 53,006 1 2 1 == ==: == =-= -~ .. Europe ------23,639 18,736 c 600 .,17 --2o -·2f -.--7 .. -i; = --i~ --36 -VV§~!~:f- P~~~;;;·;i~i;~as~s- ·- -=-=-==- -- - J.-- ~=== =~======~======~ =~§1~~~~= =~22!~~§= Other Communicable Diseases ;,.frica ______, __ 34,200 135,000· 300,000 135,000 334,200 ··------·------1------·1 1 3 --·-1 ."unericas 14,200 12,292 49, 6o' 2.28,_o:oo~ _l71)oo6- ··-yo,ooo= 230,210 242,200 _183,2'2 309,816 ------South-East :.si-a----·------~ --~_18,055 ---3c:;ioo-· ·:48,400- 18,055 35,200 -48,400 ·------·-~ __7 Eastern Meol.iterr~cnean ___3J·'500 ___ 25,200 ---~ ~~--- ._ =:·-33~000 102,26•s ~I2o;B63-- 3,500 102,266 17~,0'3 ------...1. __2 Europe 2,000 5,600 ---~3QO_ ,0,000 ______10,141) 41,08? -. 2,00C 105,74') ~481) Western Pacific ~ --c;- ---- =------m T--- ::.~ ~ ~==~ ===~ ===~ ======-===~ ·==19: ·Total - Other Communica,.le =:~"7,j~~= =j~~"Q2~:. =1~~~~Q,~ .. ~~~QQQ: :~~1:§QQ= ::~~:QQQ: 111~~1~: =~~!i~~= =~~~2~~= =~~~o!~Q2= j~gJ2§~= Dis·.;asos 3 ===~===~======~=====~====~======~= Rogi.ons ~7/18 pngG 280 SUL!i:.I!.ll.Y _ NQ. of posts k ~~E{{UIJJt -UNICEI!"' TL.ED D.EGULLR IDTICEF' TOTJ\.1 ' ' I ~-~~~· 19)0"1951 1952 195'0"1951 1952 1951 19.52 195~ 1951 l95ns- 1951 1952 1952 195! 1951 I 1952-' ';' •, --.-....-_~------Public Honlth LdninistrQtion ..... -- --· ------·- --·-- ~--- ___ ------..,_.,..____ ------9 ----9.: .1\.fricn - -~~2C2.9__ '66,?5.!2_ 60,231 ______9o;o_o_o_ 12o,ooo _8_,5oo _l56_,_7_5_o_o _l_B_b-;_2~~c -.,. --- -·~ ~------_3_ ..£.... /3;,·_ ~ _, _ ...:._ .2!... _JJ._~_.. I .. t10ricas 27,§..Q9_ 21,099 35,4_§]_ ___ l5,_G_QQ_3~637 793_,48£_27._;_~Qo_ __ 326;6~6- '873;951~_. ; _ ___,.. _i---. __ 2.§_ J I __ I _L _];__ '.•~ . ___:_;-_ _ _ _ Europe 7,135 14,768 3d.J3..~- --~- -,., .. •,...._:·. · ~-~-~~-· -··~,:~-~--•~:.... c"-'---· -~- ,Ll35 14,768 --- · ·23 1 ;227 17_ 3.L~3.L_ ~·~·--- 14-~ 'Jostern Pacific __ 96,820 245_,}_4_L264~~ 2.16,48? 98,735 96,820 361,833 - 36:;_,3~ ~ ~ ~ ---= ), __ -~~- ____ -= !}eg;j,o~n J!gclo§ignated_ =-- , .F-2.;140 __ 87 ,_,2~4 __ 2:2.~.~.2~-- _ 'J:_0,_474-=· lQ,_4'Z4 _ · ..,119 ,~.l4Q __ 27,_~,2~_:= _1Q4;g:J;~--~ ~- Total - Public Hoal th " ~'£== ~~== ~7======1== =~~=- ::=7~= ~~Q.======~~~~;¥~~~~£~======2§~.;1Z·t=== ~4~,;~§~==5~.§.,;~~1== ==:<~=~="'= 1Q,;~Z~= ~~~,;~7~==1!~~~7~2 -~QQQ,;~~~, ~§~61~~==l~~1Q~7§2=- ~~§7~,~~~7=~ .... ' . .. ;,.__· . ------...... ------~------,.---- Env~roru~ontal Sanitation &.---.. ____,_ ~- - .------il.frica. ------:;- --...,------_2_ ~~ .:.._:_:_ ~ __._____ .__ll_r.1_o_r_ic_h_s ______!7_,_500__ 28,505 65~_02:._ -·------.-- ______17,500 28,505 65,651 ...!__ .1:_ ..2:_ _ .....__ _ __2:_ _2_ So~t_h-_Er.~_t_}._s_i~--- ____7_,3o_o ____ :;-~_73 __ ?;3_~7~_4_ ------______·~- _· __8_,8_09 __ 38_ ,096 __1.;)_0_Q_ .:..33_,_182 51,890 . 1 _L + + ---. ______!:._ Eastern Hoditerrnnoan ~o.._q_ __ .l:_5.2548_ 11,075 ______10,000 35,608 6,000 15-~548 36;68:3 · · mropo ~-6 2 4o~ 11,26"1 -22,955 . b;L;o~ llJ261 · :22,95j :.;:_, =±= :C_-:-: -=--- =-=~-= =-L- -=-=--="""':J,_Q_s_"""tQrn•Pgc;iJ.,i£ .. == "' .; ~-r== = .. , =- 11,_2,97 11,_021 ~ .., r=o _ -_---.:-: =~= lQ,_282 =1-1.~-~Y'r. ., _0-;J~zte·· =~== =~~= =§== ===? === ==~<= ==1 ==7======~£iq1=~=~~;{~~~~~~~:;======4f.!:~QQ=== =~Q,;~~{!==1~~~~~2::= ::c~======::o===== ::1Q,!;QQQ== =§,;~Q~== ..,§~.;~~2= d7!~gg== ==§2,! Q~~=--==~1§!~~~== -• · - Snni ta tion " ' ~'--·-·- --J.o.- - _ ___,._--=-- ...£.____ : ______N_ur..,..sine -~-:-----·-~------__ f.frica ------.:.t__ -- --~- -- il.moricns------·------ -r -y- ·-y-----.....--- South East l .. sia _'L~~O- _,}_j_414 36J257 ---- -J;c500 7,~0-L ____0_~14 392 257_ i ~ I-~-====----_-_------=iu~ar_s~-:~~ 1Toc1iter~~nean ___ i~6~g ~;ji{- ~-~------____ ~ ____ tit~. ~;}±; ~;~0 -¥-· 1 2 =--=== _1 2 :=-: 3-- ·-_.2 __ =2-- _.2 __ =-:;_ --~= .....,..L __ , _17e§t\;r~ Pitcf_fic______. _ 12,_452 31.1641, .., 19 ,_627 19 ,_879 _ =!:5 ,_goo 9 ,_512_ 8,J:lO_ 19 .~.657 _ j],,_843..,; _ 5~,,_7~r:, =~== =~==. *=· =~== '~~======I~= :a'.=~= =~=~---==~;;;~g.~=~,.,!f~~~~~======_=== ~~~~§Q== ==~Q~J~§==1Q~!§Q7== =~~!~~7== =~~,;§7~ ==!~,;QQQ= =~,;~1~== ==§.;~1Q= =~~J;~~7== ==72,;§~~= ==1~Q,;2!Z== ,. • I Social and Occupational Health -...,;;;,_ __.._._ -- - - -. J.frica ------·------:\.1:1ericas ------·------· ----~------~-=--..,..Boutl1-=Ehs.f1fsia ___ · ------~.-";:'.------· -----y--.--- J ---·Eastern Bocilterranean 28,0~ ---- ~------48,329 ------· 76.352 -_- = ·__ · ~ =_-_ =_-- _"'E·o.rope. --- ~------____ =-=~~= -=--- ?-02._.,_6oo_ 70;00 ::::~.-- --- 105 ,6q'9- -7~0~,-4:-:::0_;-:::o- = ---- -l-;-~i>.:=.::o:a-==--= ===- ..:=.o:.=:o -=====. -==-=-..~~!G§t~rn Pac;j,fic _ ,.: ___ --== -=--==--=...... , =-""'-- =~== --===:.===- -==--=="-='"'""'- ~..,,~-==-=...,-=-- =-==-.,.:_,:::... -===..;;..;::-=- .=.-==-=-==-= -=-=-==== -=-===-- ======;;;;~======d= =':===~=!~~~~~~~~f~~~f=fr~~ltl~=====o:== _======~§~Q~~== 1Q~,;§QQ.., = ='ZQ,;~Q= ~======~§.;~~2= !Q~:!~QQ==> =.. 7Q:!{rQQ= ===b~!J~~=<= t ... • Re~ir:ns EB7/18 l':lO.gc 281 N~ •. _o_f posts R.EGUL .• R UNICEF 'L~,r. LTJiiC:?H' T, ED TCT,..L ~_2~0 i951 195~ 19~.Q.. 1951_ 1952 i~-~~- lCJl);: 19~1 1950 1951 1950- H.,;alth ,ducation of :_,he PilbJ.:L--:: fri.ca --1 ------··-- .. mer:Lcas 4,200 .18,2.6-5 ------·-----·------~------~-.....---- .S·:>U th-!~ast . sj a . 8,400 1 ~:0stern Medi terr:m-:::r-cn ·------S,lOCl 20,5:.2 13,?00 31,?12 --- --1----r ------·------~ --~-- -~·---· . ~-- - ·-· - -- -- ow___ ·•- --· ·- - -- -~ ------E:ur,,pe 9,19?,_ 14,506 :~;:~~~3~n]~~ifl9.=-· ... -- ··------.. -· -·-- -- ====---= ==-=-.:;··=-=- -· _2!-60Q_ 'l,.QQQ_ k t'll - Health ,';,d,J c.:J ti on l cf the .Public 2) 399 '·9 371 =~======~======~======J======J======:.·.=-=-= ... frj ea ,mc;ri.ca.~ - --~~-=~=-~~-- 29,~n: .. - 2.j,775 -~):·919'" =~T~E~ _}?_:~~?=-,-=- =~-I:--;oo:;-- ~52_ 28,0JA _22,~15 232,02? 160,955 -§outh-East .si.a-· ---·------~ ~}--;9.~0- =~1;70.3 · ~- H,793____ _:?.~59 1J_l69,f~_§9__ --~)E: .._~:,~Q_ ------217,_S65 19,609 1,210,772 896,628 Eastern Med .. ~~t'an:.:_~------· __ ll -- --y -_------8,400 1?,970 :··~ ~---~ ___i_ =-~-~ == -::-=~: ~~~-'" .:.-~ __ 12,1~3.\2_ 2 3 56 006 --:::======::==-======!==== Nu trit:Lon ·---5____ 1 ----.. ____ ======~ ===~ ======t:: {. ======-·- ==-=~ EB?/18 !_l.eg:.~ns page 282 ,SUJIJmiJ .RY No. of -costs REGUI.J...R UNIC~ Tb.ED UNICEF TAED 1DTAL 1950 1951 1952 195~-:951 1952 l951 1952 1950 1951 1951 1950 ------~------Education and Training • EB?/18 page 283 AFRICA A small office for Africa was established at headquarters towards the end of 1950. This office has the responsibility of consulting with governments in Africa and with the relevant metropolitan governments concerning the develop ment of health programmes. At this stage it would be premature to make specific proposals since discussions have only just commenced. Howe~er, it is assumed that the main emphasis will be on (1) Public Health Administration; (2) Control of Co~~nicable Diseases; {3) Education and Training. Accordingly provision has been made under the regular and technical Assistance Budgets for amounts under the above headings. pa,__;BE7il~ 84 Africa SillJMil.RY No- of Posts Estimated E3Eenditure 1-i.t:C,UL.Ji. UNICE:B, T.~...ED Il.SGUL-Ji. UNICEF r~·Jw TOT.i~L 1q~·, ------1950 1951 1952 1950 1951 1952 1?51 1952 Grade illQ ~ 1952 12.22 -1951 1952 1951 1952 1950 -2=. .±2.?2 3 3 3 REGION... L OFFICE 8,135 24,524 28,758 8,135 24,524 28,758 ------ J~:UVISOilY S .. _;RVICBS •• N!1 FIZL:U PH.OJECTS :''ia.lar ia 12, 6oo 12,600 Other CoTIQunicable Jiseases 34,200 135,000 300,000 135,000 334,200 9 9 Public Health .~·1.dninistration c, 500 66,750 6o,231 90,000 120,000 8,500 156,750 180,231 Nutrition 4,100 4,100 Education and Training 51,800 10,500 155,600 120,000 320,000 51,800 130,500 475,600 - - - - - TOTAL - ~...DV!SORY 9 9 9 9 SERVICJES AND FIELD, 77,000 77,250 250,031 345,000 740,000 77,000 422,250 990,031 ------PJ.OJECTS 3 12 12 3 12 12 TOTb_L - AFHICA 85,135 101,774 278,789 345,000 740,000 85,135 446,774 1,018,789' .....:=. = =-r = = = ==-=-======EB; /18 lli'rica page 28 5 OFFICE FOR AFRICA No. of Posts Estinated Expenditure REGUI.Jili UNICEF ~ REGUIJl.R UNICEF Ti!.ED TOT.~L 1950 1951 1223. 1950 1951 1952 !2.2l1952 Grade 1950 1951 1952 1950 1951 1952 -1951 1952 ll.2.Q. 1951 1952 1 1 1 Chief of Office 18 9,200 9,700 1 l 1 Technical i .. ssistant 9 3,670 3,870 l l 1 Secretary 6 2,680 2,970 --- -- 3 Total established posts 2,450 15,550 16,540 3 3 - - --- Allowances: Installation 1,120 Dependants 198 231 231 Expatriation 270 819 819 Pension Fund 343 2,l77 2,316 Ste"ff Insurance 19 117 124 Travel: Duty 2,200 3,000 3f'201) . • • 0 Recruitment and repatriation 300 • Home leave 2,346 Common Services Space and equipment services 202 95\J 1,185 Other services 226 1,050 1,167 Supplies and Tik'l.terials 213 530 700 Fixed chargGs and claims 50 50 ~.cquisition of capital assets 594 50 80 3 .3 .3 .3 .3 .3 Total - Office for 8,135 24,524 28,758 8,135 24,524 28,758 ------J ...... Africa - EB7 /18 page 286 li.DVISORY SJ.:;RIJICES .,ND FIELD l-'ROJECTS Liberia No. of Posts . Estimated Expenditure :LlEGUL.R UNICEF TLED lli.~GUL.iJI. UNICEF TAED ------19 50 19 51 19 52 19 50 l)' 51 19 52 19 51 195 2 ~1950 1950 1952 1951 -1952 Public Health ~dministration Short-term Consultants - fees 3,600 tr;J:vel 4,900 Total - Liberia c, 500 8,500 ~· . EB7 /18 Afric~ page 287 L~ VIS ~;_y ·SE .. VICES If' FI I.:'· . :, J 'CTS Countries Undesir~ated No. ·f ·Josts Esh!:l"ted GJr:,.:.:n<"i ture It&JUL;.~:l UNICEF T•... E REGUL ~~ UN- CE:T T,:.E· "i'"T,,.L 195'' 1951 1952 195,~ 1951 1952 1951 1952 Gro.de 195. 1951 1952 195~ 1951 -1952 1951 1952 -i'9'"5 ill.! 1952 ~'lal.:>.ria * Short-torm Cohsu1tnnts - Fees 6,rc Tr'WGl 6, 5(- ..::iu~~p1ies ".nd equi)iilent 1~"'~. 6~-- 12 l ~-' 1226-,~. Nutrition* Short-t !'El Consultnnts - Fees 1,?5C' Trnvel 2,251.. Supplies nnd equipment 1 ~· 4.!1C:: 4 l 1"'. ··- fub1ic H,_;nlth ..drninistre.tion 3 3 ~-ub1ic Ho21th •• dministre tors 16 16,545 2-,619 3 3 Technical :.ssist3.Ilts 9 ?,929 9,:rr 3 3 Secretaries 2,?5? 32 15C ~-----...... ------. ------..-....-...--.----...--...... 9 9 Total e st Sut;Jdias ;;nJ equipl!l.ert t 12, 6,6·::'1-.:' 9:~, ~('('· 12(~ (\'."\ 66,?5C· 6. ,231 _...... ,._ J - ' 156,75·} 1801231 Control of Com.-·nu.nica~J1e : iseases Short-term Consultrnts - Fees 141 4C'C Tro.ve1 lt~, e.-\-, Supplies nnC. e quipm.:mt 9~ (1,- (' 34 2-"'' \.. V' I"\ , -- 135,c·: 2''-' J ~ '\. 135,0:0 334,200 * Regional Surveys EB7/18 :page 288 Lfric::. Co•mtries Undesign~ted No, -::·f posts REGUL.;.:i.?. _QNICEF TicE: Ui\TIC~V r-·1'<.L .,..._...... ,.______195• 1951 1952 195\____ 19511952 mi _1952 195:- 1951 1952 --1951 1952 195C' 1951 E:.UG .. TI N .N T ,'. INrm Short-torm Cnnsu1to..nts - Fec;S 1'),2\ . Tr.~.ve1 14,4 Supplies :'.nd equipment 22 ,~. -, .... \.-' 6~--- 325,6,-r 55 1 . 7 27 J 7:'; 1 . ( FellG: Tea.cbiNa Supplies ·a:n_d .Equipmen~ _ 9 9 ______...... ,.._... __ _ 9 77' .. 77,25. 25 ·, ;n 345, ;~ SB11Y:rCES "~ 1''1;~1 ~------__....,._. --·---...... :_:,{, JECTS 3 12 12 3 12 -- ,..,..._.. .-.--.. ------,_, ______._ ·------~------. Americas EB7/18 page 28 9 oUllt~4.RY No. of ,eosts Estimated expenditure }(..,j__ u L:.R Ul'IICEF T• .ED RE_·tlLl..R DiHCEF T.:..ED TO'L",L 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 198 1950 1951 1952 1951 1952 1950 1951 1952 34 41 55 10 18 Regional Office 183,000 250,434 327,684 43,034 84,335 183,000 293,468 412,019 ------cl ll.dvisory .Services and Field Projects 1 1 7 7 Malaria and Insect Control 5, 6o5 16,832 292,000 243,000 4's000 lf17,5l6 ';.07,440 297/J&J'j 430,516 269,272 &:. 5 _./ 6 2 6 6 11 Tuberculosis 45,505 52,)72 113,876 198,130 266,086 44,550 93,221 45,505 295,252 473~,-lSJ 6 7 11 5 Venereal Diseases 43,950 63,635 106,107 192,000 172,400 81,600 47,326 235,950 236,035 235,033 1 1 3 1 Other Comi11unicable Diseasas 14,200 12,292 49,606 228,000 171,000 30,000 230,210 242,2(10 183,292 309,816 J 2 3 21 31 Public Health J~dministration 27,600 21,099 35,467 15,000 3CJ5, 537 793,484 27,600 326,636 843,951 2 2 4 Environmental Sanitation 17' 500 28,505 65,651 17' 500 28,505 65,651 1 Health Edu::ation of the Public 4,200 18,265 4,200 18,265 &:. 2 2 -' 2 2 Maternal end Child Health 29,800 28,775 82,919 53,415 175,000 50,000 28_,252 28,036 83,215 232,027 160,955 Mental Health 4,20(' 9,800 4,200 9,800 Nutrition 6,ooo 4,200 12,600 6,ooo 4,200 12,600 2 2 4 4 Education and 'l'raining 164,495 165,926 242,034 25,000 15, 6oo 10,400 136,830 360,402 189,495 318,356 612,836 ___ .....,.._ ____ ---- 22 21 36 2 6 40 61 22 63 103 TOT •. L - i.DVISORY 354,655 385,404 753,157 790,415 975,130 498,086 702,685 1,760,119 1,145,070 2,063,219 3,011,362 ------SERVICES & FIELD PROJECTS 56 62 91 2 6 50 79 56 114 176 TOT ... L - •.JliERIC...S 537,655 635,838 1,080,841 790,415 975,130 498,086 745,719 1,844,454 1,328,070 2,356,687 3,423,381 -~---"'-'-.. --- ·------...... _------EB7/18 page 290 The Americas REGIONAL OFFICE Naw Personnel Office of Regional Director: It is proposed that one secretary, grade 7, be added to the staff of the office of the Regional Director during 1952, to handle the additional volume of correspondence which will result from the expansion of programmes during 1951 and 1952 and from the policy of decentralization. Epidemiology and Statistics: It is proposed that the staff of this office be increased by a technical assistant, grade 7, and a clerk-stenographer, grade 4. The technical assistant will be responsible for compiling statistical and epidemiological data and preparation o.f tables, recording data for permanent reference, computing rates and a.ssisting higher-grade statisticians in routine n.search work. The clerk stenographer would be required to type reports, assist in maintaining routine clerical records and files. Planning and Operations: In order to assist the regione>.l P.dvisers to cope with the increasing work they are called upon to carry out as a result of the expansion of the progra~e, three new secr8taries, grade 5, have been proposed. In addition to normal secretarial duti(;s, it vrill be their responsibility to de"l.l with routine matters during the absence of the regional adviser. Personnel: The policy of decentralization ~nd the intensification of WHO programmes in the regional office will substo.ntially increase thE: workload of the personnel office, and it is propos0d to strengthen the clerical staff by one clerk-typist, grade 4, to meet present and forGseen load increases. The duties of this clerk typist will be to type personnel actions, letters to applicants and to maintain personnel files and records. EB?/18 page 291 Supply Section: It is proposed that the staff of this section be increased during 1952 by the addition of one procurement assistant, grade 7, one clerk-stenographer, grade 4 and one clerk-typist, grade 4. The procurement assistant will be required to assist in administering specifications, carrying out marketing procedures especially in biological and laboratory supplies, and obtaining quotations from various suppliers. The clerk-stenographer will be responsible for preparing requirement lists, ensuring that contracts and other procurement documents are·in order, tabulating bids and performing related stenographic duties. The clerk-typist will be responsible for filing and general typing duties. Office Services: It is proposed that the vVHO staff be augmented during 1952 by the addition of four clerk-typists, grade 4. They will be responsible for typing services for th0 various offices, copying drafts of translations and taking dictation. Duty Travel RegionRl DirGctor: In addition to the travel of the Regional Director to organizational meetings of WHO, it is essential for the proper conduct of the programme that he or his deputy travel to various countries within the region. It is expected that he will visit South and Central America and the Caribbean, for the purpose of conferring with ministers of he?lth and other offici~ls and evaluating with them the results of programmes. Provision has therefore been made under the regular budGet in 1951 and 1952 for an amount of ~,960. Public Information: During the year 1951 it is expected the>.t the public information officer will go to Geneva for briefing in aspects of public information specifically applicable to public health, that he will visit Central and South America in order to establish contact with government public-information offici,_ls and private press agencies, and also that he will go to New York periodically in order to maintain close contact with the Liaison Office. Provision has therefore been made in 1951 under the regular budget for an amount of ~,000. EB7/l8 page 292 During 1952 it is t::xpected that he will visit other countries in Central E~.nd South Am~rica for the purpose of maintaining South A.'!l.erican press contacts and provision has be5n mad& under the r~gular budget for an amount of ~,6oo. Administration :.md F~nance: It is considerGd necessary for the administration and finance officer to visit Genevn once during the year in order to receive apprDpri~te briefing to discuss current probler;!.s and ;~1A.int;:J.in lictison with the Wl.rious sections of the D&partnent of Adr,ri.nistrr·tion .<:~.nd Fim.ncG at headquarters. It will also be nGcess:J.ry for him to visit New 'fork twice during the yeax in order to assist the represcmtativG of th2.t clepartmE:nt who will be attending .th.; Technical Assistance Board. Accordingly provision has b0en ma.de in 1952 under the regular budget for An amount of wJ-,350. It is cxpcocted that the budeet officer will vi.sit areA. offices for the purpose of m3.int9.ining liaison with them and to assist them in preparing their budget estimates. A~cordingly provision has been made in 1952 under the regular budget for c.n amount of ..[J50· It is plann<:;d that the finPnce officer should visit area offices for the purpose of reviewing accou~ting procedures, discussing current problems, and nr.intaining appropri qta linison with f in.<~nce and accounts personnel there. Provision h8.s thcrefor(:; been made under the regular budget in 1952 for an amount of ,.890. One of the functions of the personnel officer at Washington is to dev(:;lop sources for recruitment of personnel from the ~nericas for tha whole Organization. It will therefore be necessary for him to travel periodically in order to establish appropriate 9ontacts with ~overnments and educational in;-,ti tutions. Provision he.s accordingly been made under the regular budget in 1952 for an ruaount of ~50. The supply sGction in the Regional Office for the Americas serves the whole Organization. In order to ensurG tq.at materic.ls purchased for shipment overseas conform to the stand~ds of vVHO and that materials are properly packed and crated, the supply officer will be required to travel t,J factories and shipping points. Accordingly provision h<>.s baen IDP.de in 1951 under the regular budget for an amount of ~1,000. It is anticipated that, with the expansion of the programme in 1952 as a result of technical assistance, travel for this purpose will become more frequent, and provis~on has been made for ~2,000 under the regular budge·t for that year. EJ3? /18 i.nericas page 293 BEG r N L .- FFICE. No. of :JOSts Estir:£>.t.:;d GXl.)endi ture rr GUL,R UNICEF TAKJ REGUL11 UNIC3F TLE!J T"'T.'.L - 1950 1951 1952 195 1951 1952 - 1951 1952 Gro.de 195C 1951 1952 195:"' 1951 1952 1951 1952 ~ 1951 1952 -.-...... -----~------.. . ~ - Cffice -:Jf the :.~~gi 0nnl irector 1 .. ·l 1 i:Lcgion~,l :...iirf;lctor 13.,5.· ,· 13, ;c',' · l Socr..:tnry 7 2,822 C.ffice .Jf :ublic In.forn.!'.tion ~' 1 1 1 Information :::f.ficer 6, 21:' 6,21(' l l 1 Jriter 3, 67:': 3,FJ70 ~lanninz and iperations l l l Statisticians ll 4,535 4,7G5 l Technical .... ssistant 7 2,822 l l l ..:~.dr.:linistrative ::..ssistant ? 3, 3~-'(\ 3' 40 ~ 4 7 :; .3 Secrot3.ries 5 9,94,- 17,757 7,26' 8, CM' ,. 2 2 ~ Glerk/Stenorraphers 5 '. 5' 36,- 5 ,-64~ 2 2 3 ClerkjStenogrGphers 4 4, 72-~ 7,''41 Administratbn e.nd Finance .. 1 1 1 ..:.dministrc.tion 2nd Finance 15 7,66. G, \'85 ,··fficer l 1 l ?orsonnel 'fficer 13 6,535 _.(b,:, 535 1 l l Budget (fficer 12 5,315 5, 6C': 1 l 1 Finance Cfficer 12 5, l-'45 5,315 2 2 2 Special Services Cfficers 9 7' 74'' 8, 16C'· 1 1 1 ~)rocuremont •. ssist,mt 9 3, S?L~' 4,, 81' 1 1 1 ~toferonce Libr~.rian 9 3,67•' 3' 87t"' l· 1 '?. ersonnel Technician 9 3,67C' 3,8?C' 2 2 2 Translators 9 7,34:' 7,74:..' -2 ;~.cc,:;untrmts 9 7,340 1 2 2 l i.ssistant J~ccountants 7 5,'192 61 6fV' 2,9?:' '· J. .l i Travol :fficer 7 3,-3CY' 3,48C . . . • 1 ~)rocurer.1ent .-.ssistant 7 2,.822 l l Budget Control Clerk 7 3,13-:' 3,3CY l 1 1 Clerk 6 2, 6:;: 2,9?: 1 1 l Bookkeeper 5 2,545 2,68C' 1 l 1 Secretary 5 2,42C: 2,680 2 3 3 2 3 Clerk/Sten•)pra~;hars 5 7,.399 s,uv: 4,84~; 7, ?8~~ 5 5 11 ClorkjStonogra?hers 4 11,5L ~4, 8,"5 4 6 Clerks 4 S,?4° 14,050 l C1erk/I'ypists 4 2' C:76 2 Clerk/I'ypi sts ~ 3,940 2 2 2 File Clerks 3 4,26:· 4,485 1 1 Clerk '-~:)erator 3 1,872 2,185 .....,_....--..-~------34 41 55 10 18 Total established posts 99,810 143,318 183,575 24,5F' 47,990 BB7 /18 P-f-!,1_'8 294~ i!T.l.ericas rt.::::n !-T_ 1 F?ICE ''i '). ()f pc sts Esti:rte:d e x;1encli ture . ,: :UUL... ;.~ UNICK" T.• K~ ~'~~;GUL ... ~( UNICEF TLE' Tr·Ti.L ~5.:.: 1951 2:.22 195.' !ill 1952 1951 1952 1950 1951 1952 195 ~ 1951 -1952 1951 1952 195 ., 1951 1952 34 41 55 F' 1£3 Brought forwe.rd 5'9, ea-. 143,318 183,575 24, 51,· 47' 99:' Ll1:y_·;o.nces 1 Inst-~11:-'.ti•m 845 449 89~5 2 ()~~ 2 -·r: ~. ]e 4J~...nd~nts 1,:'35 1)U ' ... 27'' 1,518 E·.z-~tri".ti::m 1, ,-, .. - 1 r·.··- 182 546 ~'e~.:sion Fund 13,973 13,9?8 24,' 62:' 3,432 6,72C Str>ff Insuc-2cnce 1, 2(32 1, >542 2,43':' 3F' 653 Cc·st--'Jf -1ivin,?, .".dju stn..:mt G,76': 19,652 25,606 4,?.::" Q, ?,-~.~ Tr-~v81: :·:uty 7 ,,.-6·~· 9,96,: 14,7\ ~~ecrui toent 2nd rep:::ttri ". tion 2, 6.~.: 16' 33=' ~·orson~1 offocts 6J5 111 321 Hor' o leave 549 2,346 285 '-' Conr"'on .~crv1ces:. Sptce and equipl"lent servicos 11, .'1 12,5-· 1c3,175 2, (:·'··· 4,2:C: lth..::r se:-rvices 13,495 14,7jfl 24, ,'96 2,22~' 5,35C Su··n1ies 2IlC~ r:.ateri~.ls 1:·, i34C 2, " .c 9,615 1C,i519 1,75· s·:··c· Fued ch='.rges ,:en,·~ cl2.ins 6,265 1.~,482 14,980 2,365 3,705 i.cquisitbn f C2.;Ji t ::tl 3.ssets 5,715 3,556 2,327 575 54C _.._,...... _.______---- 34 41 55 1C' 18 34 lil 73 Tot<.'t1 - R :GI M~'-L 1::3,·-''' 25\~, 434 :327,684 43,-:.34 ~:4,335 183' \' 293,46(J 412,819 ---- 'F'i'ICB EB7/1S page 295 The Americas REGIOrutL ADVISERS Duty Travel · , . - It is envisaged that regional advisers will visit the following countries . . . in the region both to Rdvise and as~ist governments in developing progra~nes and strengthening existing health services, and to co-ordinate the work and evaluate results in connexion with projects already under way. In view of the extensive UNICEF health activities in this region, it will also be necessary for regional advisers to discuss projects with governments and UNICEF representatives at the planning level before technical approval is given. In addition, the regional advisers on education and training and on fellowships will visit medical schools 2nd laboratori&s where vVHO fellows are etudying and others, in order to obtain first-hand information concerning the facilities and curricula offered. .Adviser on: Countries to be visited: Amount provided (in u.s. dollars) 1951 1952 All South American countries; principal non-self-governing territories in the Caribbean 5,975 'fuberculosis All South and Central American countries; countries and non-self-governing territories in the Caribbean 6,025 6,045 Venereal Dominican Republic; Haiti; all disease Central and South American countries 6,009 5,440 Other commun All South P.nd Central i.merican countries; icable countries and non-self-governing diseases territories in the Caribbean 6,010 Brucellosis All South and Central American countries; countries and non-self-soverning territories in the Caribbean; Canada; the United States 5,842 Public-Health All South and Central American countries; administration principal non-self-governing territories in the Caribbean 6,010 EB7/18 page 296 Adviser on Countries to be visited: Amount nrovided (in U.S .. dollars) 1951 l952 Environmental All South American countries} principal sRnitation non-self-governing territories in the Caribbean 5,975 5,975 Maternal and All South and Central ..~...merican countries; child health countries and non-self-gcv~rning territories in the Caribbean 5,906 5,906 .::;ducation and All South and Central American countries, training Canada; the United States 4,560 4,560 (including fellowships) EB7 /13 J..r.1oricas paee 297 ... ~:.J7ISCi.tY S ;.rcVIc .. ..:.s •• H~; FI..::L~- ~;B.C;Ji~CTS "kgionnl J;.:lvisers No. of Posts :~st:li:~c.td. :·.I:X'.rK:ndi ture l~GUL.l\. UNICEF T•• E:.J I-t~GUL..R UIUCEF T• ..l!.""'D TOT .. :..L ------1)5() 1~'51 LJ52 1950 1951 1952 1)51 1;52 Grade 1950 1951 1952 1950 ~ 1952 1951 1)52 ~ 1951 1752 1 1 : ic:..lc:..ria •. c~visor 16 7,277 1 1 Insect Control •• c',vis"r 16 7,660 G,OG5 1 1 1 Tub8rculosis h.C.VlS0r' . 16 8,525 8,525 ' 1 1 1 ?.::; n.:roal --isoo.sos J.~CL'llSEJr. 16 7,66o 8,085 1 Other Co:::l!mnicc.ble .. isc:asos 16 7,277 ~.dviser 1 Drucullosis ·~dviser 16 7,277 1 1 1 Public Hoe.l th .~.Jr :inis tration Adv.l6 7,277 7,660 2,085 1 1 l . ?ublic Hea ~ ~h ·+._±·1.L1istr?.ti1:1n 7,870 8,300 ,~.~VlS0r' . (Tc..chnical .'...ssist.) 1 1 1 Environr:1Gnk.l So.nito..tion ... ::viser 16 7' 660 c,oss 1 1 1 2 2 ~ic1.tornal and Child Health 16 e,o85 8,525 15,320 16,170 uCcVlSGrS1 • 1 1 l Educ2.tio n and Training •. dviser 19 10,000 10,500 1 l ; .. ssistc;.nt 2duce.tion and Tro..ining 15 6,880 ?,255 "•C.VlS8r- ' . 1 1 1 FGllowships ldViSGr 16 7,450 7,870 8 6 10 6 6 Total ostablisho~ JOsts 31,950 4),380 80,698 '.5,3)0 4?,G95 ;~11owanc0s: Installation 2,135 3,260 4,005 Dependants 1,165 1,)'24 3,096 1,714 2,C::39 E:xp:ctriation 950 2,026 2,326 1,834 1,684 :2onsion Fund £~,473 6,9GB 11,290 6,355 £,705 St2.ff Insur--:c.c1ce 1,37 h47 1,059 660 700 Cost of living ;. :~just:ac.:nt 255 Tra rel: j~uty 14,055 28,475 51,763 16,000 16,000 ~1·.::. crui tnent ::.nd ro.rntri".tion 2,810 3,128 ~j' 910 Tr;:.ns;_)orto.tion of ~Jersonal effects 950 1,uoo 1,250 HmJ.c; leave 7;:'18 300 5,865 Supplies and equipnent 1,000 Fixed c.·nrges ~nd clai.Ds (income 2,220 3,700 2,220 2,220 tax) -- 8 6 10 6 6 8 12 16 Total - rtegiom.l 59,180 91,580 16'">,718 83,638 83,158 59,180 175,218 2~2,'n6 - - - iJ.dvisers EB?/18 page 298 The Americas AREA SUPERVISORS Duty Travel It is intended that area supervisers should visit the following countries to advise and assist governments in planning and developing public-health programmes, and to co-ordinate the work and evaluate the results of projects already in operation. It will be also ne,:;.essary to visit various countries to consult with governments and UNICEF field representatives on the planning and development of UNICEF-assisted health procrammes before technical approval is given. Area supervisor: Countries to be visited: Amount provided (in u.s. dollari) 1951 1952 BCG All South l~erican countries, Nicaragua, British Guiana, and principal non-self-governing territories in the Caribbean 6,043 Other nommunicable Peru and Bolivia 3,045 3,045 diseases (typhus) Environmental Costa Rica, Guatemala, Honduras, sanitation Nicaragua, and Panama 2,979 2,979 Environmental Chile, Colombia, Ecuador, Peru, sanitation and Venezuela 3_~038 Envir.;nmental Argentina, Bolivia, Brazil, sanitation Paraguay and Uruguay 2,988 Maternal and child Qhile and Colombia 2,975 2,975 health (diphtheria and pertussis) Maternal and child Brazil, Colombia, Venezuela and health countries in the Caribbean area 3,045 Maternal and child All Contr:J.l :uncrican countrie::s 2,995 health Maternal and child ..·>.rgcntina., Bolivia, Chile, Ecundor j health Par~guay, Peru nnd Uruguay 2,950 EB7 /18 page 299 i.Jllericas i~rea Supervisors No. of Posts Estir.1ated Expenditure REGULAR UNICEF T•. .2D RICGUL~n UNICEF TI.ED TC,Ti.. L 1950 1951 1952 1950 ~ 1952 1951 .!22. ~ 1:22Q 1751 1952 l12Q 1951 195.2 1951 11.8 1950 1 BCG L.rea Supervisor 15 6,536 1 1 1 Typhus ,~.,rea Supervisor 15 6,880 7,255 1 1 3 Environnental Sanitation 15 7,660 20,732 .:.rea Supervisors 1 1 4 Ha.ternal and Child Health ... rea Supervisors 15 6,880 26,863 3 3 9 Total established posts 13,245 21,4.20 61,386 l~.llovro.nces: Installation 2,410 4,470 Dependants 185 1,721 Expatriation 615 2,093 Ptmsion Fund 1,854 8, 580 Staff Insurance 171 800 Travel: :Juty 6,680 8,999 30,058 Recruitment and repatriation 1,335 4,692 Trans~ortation of personal eff.:;cts 350 1, 500 Home leave ::>,~48 Supplies and equipment s,ooo Fixed charges and claios 1,480 5,180 (incm:le tax) 3 3 9 3 3 9 Total -. i..rea 26,845 36,75.2 26,845 36,752 Supervisers .li:b'l/18 page 300 Americas BOLIVIA lo Tuberculosis is one of the greatest public health problems in Bolivia. It is, therefore, proposed to assist the Government in strengthening its tuberculosis control programmes by co-operating with it in determining the incidence of tuberculosis in selected areas, by training professional and auxiliary personnel, and by demonstrating m9dern methods of tuberculosis control, including mass campaigns in BCG vaccination. Accordingly provision has been made under the technical assistance budget for one tuberculosis consultant, one laboratory medical officer, one public health nurse and one BCG medical. officer. It is unde~stood that UNIC~F will furnish appropriate supplies nn1 equipment. EB7 /18 page Americas 301 ADVISORY SERVICES AliD FIELD PROJECTS Bolivia No. of posts Estimated Expenditure REGULAR UNICEF '1AED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 ~ 1950 1951 1950 1951 1952 1951 l95Q 1951 1. Tuberculosis Control 1 Tuberculosis Consultant 16 7,660 1 l.CG I.iedical Officer 15 6,880 l Laboratory Medical Officer 15 6,880 1 Public Health Nurse 11 4, 535 4 Total established posts 25,955 Allowances: Installation 2,754 Dependants 657 Expatriation 1,156 Pension Fund 3,634 Staff Insurance 353 Travel: Recruit~ent & repatriation 3,128 Transportation of personal effects 1,000 Supplies and eq~ipment 48,000 48,000 38,637 86,637 Other CoL1Inunicable Disee.ses Typhus Control Supplies and equipment 39,000 16,000 39,000 16_, 000 4 4 Total Bolivia 39,000 16,000 48,000 38,637 39,000 16,000 86,637 1'"''''?/,,.J:!J'J ~0 page 302 Amerieas BRAZIL 1. The following is proposed under Education and Training, (a) chortage of trained personnel hamper~ t~e Government from expanding its existing venereal disease control campaigns. It is proposed to assist the Government in strengthening the course in venereal-disease control organized by the Natio~al Department of Health for physicians, public health nurses, lay investigators and auxiliary personnel on all aspects of modern venereal disease control. Accordingly, provision has been made under the regular budget for one venereologist and one social worker for four months, and for appropriate teaching equipment and supplies. (b) By the end of 1951 it is expected that the serological laboratory and training centre for serologists will have been established with PASB funds. In order to advise the Government concerning the standardization for serological procedures, it will be necessary to continue this activity in 1952. It is hoped that the PASB will continue to provide for the personnel and that UNICEF will furnish supplies and equipment. EB7 /18 page 303 Americas ADVISORY SERVICES AND FIELD PROJECTS Brazil 2J. of 2ost3 Estimated Expenditure i{E;C-TJL_!·,it UNICEF T.AED REGULAR UNICEF T.AED TOTAL ---is:-~)]_'55:------· --1g112 --·-195o-I9c;1------1952 1951 1952 1950 1951 1950 1951 1952 1951 1950 -1951 Materl''1.l C<."'1.0. CniJd Health Centres 50,000 100,000 50,000 100,000 1. :CD\.JCATIO~J AI\!D TRAINING (a) Venereal Diseases Control Venereologist Social Worker - Short-term - fees 6,400 travel 4,800 Teachi:.1g supplies & equipment 455 11,655 11;6~ (b) St:rol0;o:icd L8.boratory and ~'}~3:1 ~in~. ~~C::t~e ~u:p~~.~es ani equipment 15,600 10,400 15,600 10,400 15,600 10,400 ____ ., ____ _..__.... -~- _..__ ...... -- __...... -- '.Cotal Erazil 11;655 50,000 115,600 10,400 50,000 115,600 22,055 Americas ADVISORY SERVICES iu~ FIELD PROJECTS British Honduras -· I:o. ol' po.~ Estimated Expenditure J. \'.il'.Jut UlHCEF llVD REGULAR UNICEF T.AED TOT.!i.L \2~;i~, ~i:J5i ~-9s?.19J~ 1951 ~952 J~sji f-9:)2 1950 1951 1950 ill.! 1952 1951 1950 'J-r,ner ·Communicable Dise.ases ":trisect Control S~Jplics and equipment 22,000 22,000 ToJGo.l J3ri tish Honduras 22,000 22,000 .. _...... _ ------... -... - ... .._-.-..... - ..._, __ _ ~~~~ { ~t,... . "11 EB7/18 page 305 Americas CHilE 1. At the request of the Government, a preliminary survey will be made in 1951, allC. i-G is anhcipnted that. in 1952 a health demonstr2.tion .area will be established in the province of Concepcion, which, besides furnishing health services, will also serve as a teaching centre to the national school of public health. In order to advise the Government concerning the initiation of this project and its integration into the national public-health administration, provision has been made under the technical assistance budget for one public-health arnninistrator, one medical officer with experience in industrial hygiene, ono sanitary engineer and one public-health nurse with experience in maternal and child health, and for appropriate supplies and equipment. It is hoped that UNICEF will furnish part of the supplies and equipment, 2. Assistance to the Government in the strengthening and expanding of maternal and child health services in Temuco, Aconcagua, Valpar~iso and Capigo, given in 1951 through the Regional Adviser on ~.Iaternal and Child Health, will be rendered in 1952 by 8.n area supervisor, for whom provision has been made under the regular budget. It is :t'J~.':.">1 that UNICZF will furnish appropriate supplies and equipment. 3. A diphtheria and pertussis immunization cGmpaign was initiated by the Government during 1950. A short-term consultant advised. From the beginning of 1951, provision h::ts boen made for advice in connexion with th..:- campaign to be given through an area supc:rvisor, whose s..;rvicGs will also be required in 1952. It is hoped to reach 265,000 childn;n OVt;;r th.:: two years. It is hoped that UNICEF will fu':'nish sup~1 lies· .:md equipment for the continuing of tho canpaign-in 1.952. EB7 /18 Americas page 306 I~DVISORY SERVICES .:uiJD FIELD PROJECTS Chile No. of Posts Estimated E~enditure RT~GULiill UNICEF TAED REGULIJ.R UNICEF TJ.~ED TOTL1.L 1)50 1951 1952 1950 1951 1952 1951 1952 Grade 1950- 1951 1952 1950 1951 1952 1951 11.2 1950 1951 1952 ------Public Health Administration 1. Health Demonstration ~·.rea 1 1 Public Health Administrator 15 1,720 6,880 1 Medical Officer (Industrial 15 6,880 Hygiene) 1 Sanitary Engineer 15 6,880 2 Public Health Nurses -- - 11 9,070 - 1 5 Total established posts 1,720 29,710 - - - Allowances: Installation 7~5 2,388 Dependants 46 741 Expatriation 79 1,312 Pension Fund 241 4,159 Staff Insurance 23 411 Travel: Recruitment and repatriation 782 3,128 Transportation of personal effects 250 1,000 Supplies and equipment 15,000 45,000 15,000 3,886 87,849 3,886 102,849 2. Maternal and Child Health Supplies and equipment 75~000 50,000 75,000 50,000 Environmental Sanitation Short-term Consultants - fees 1,200 travel ~,100 --3,300 3,300 ~ser CommuniP-able D~seases Pu~ioSle~~tis Contro~ &• Short-term Consultants - fee.s 1,880 travel 5,155 Supplies and equipment 2_,065 9,100 9,100 ~ 3. DiEhtheria Pertussis Progra~~e Supplies and equipment 49,000 33,000 - 49,000 33,000 1 5 1" 5 Total - Chile 12,400 49,000 108,000 65,000 3,886 8?,849 61,400 111,886 152,849 - .....,_,_ ------EB7/18 page 307 Americas COLOMBIA 1. It is plnnned to advise the Government concerning the extension of its existing venereal-disease control campaign, particular emphasis being placed on congenital syphilis and on the treatment of expectant mothers. Accordingly provision has been made under the technical assistance budget for one venereologist and one serologist. It is hoped that UNICEF will furnish appropriate supplies and equipment. 2. By the end of 1951, it is expected that a preliminary survey will have been completed in an area selected for health demonstration purposes. It is planned to advise the Government concerning the initiation of this project and its integration into the national health-administration. Accordingly provision has been made under the technical assistance budget for one public health administrutor, one sanitary engineer and one public health nurse, together with appropriate supplies and equipment, ). A diphtheria and pertussis immunization campaign was initiated by the Government during 1950. A short-term consultant advised. From the beginning of 1951, provision has been made for advice in connexion with thG campaign to be given through an area supervisor, whose sorvices will also be required in 1952· It is hoped to reach 265,000 children over the two years. It is hoped that UNIOEF ~-ill furnish supplies and equipment for the' continuing of the caopaie,-n in 1952. il t")7 /JJ] Anericas J;' :_,_ ·- ,::_ :>J8 ADVISORY SERVICES AND FIELD PROJECTS Colombia No. of posts Estir~ted Expenditure REGULAR UNICEF D1ED REGUIJI.R UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 GRlillE 1950 1951 1950 1951 1952 1951 -1950 1. Venereal Diseases Control 1 Venereologist 15 6,880 1 Serologist 13 5,600 2 Total established posts 12,480 Allowances: Installation 1,490 Depe r,_~a.n ts 364 Expatriation 632 Pension Fund 1,747 Staff InsuraYJ.ce 167 Travel a RecrQi tn1ent and rep:1tria.tion 1,564 Transportation of personal effects 500 Supplies and equipment 26,000 26,000 44,~944 2. Public Health Adw_inistration Health Demonstration Area 1 1 Public Health Administrator 15 1,720 6,880 1 Sanitary Engineer 15 6,880 L______.J:_ Pub1ic Health Nurse 11 4, 535 ______l _ _L Total established posts 1,720 18,295 Allowances: Installation 745 1,194 Dependants 46 499 Expatriation 79 814 Pension Fund 241 2,561 Staff Insurance 23 251 Travel: Recruitment & rep~triation 782 1,564 '11ransporta-tion o·" nersonai effects 250 500 Supplies and equipment 40,000 3,886 §_5,678 65,678 3· Diphtheria/Pertussis Prog~~ Supplies and equipment 60,000 40,000 60,000 40,000 ______1_...2.______5_ Total Colombia 60,000 40,000 26,000 3,886 84,622 60,000 43,886 ll0,622 EB?/18 page 309 Americas COSI'A RICA 1. By the end of 19.51 it is expected that the proposed expansion of the school of nursing attached to the San Juan Dios Hospital at San Jose will have been effected and that the first year course in the teaching of nursing tech niques in respect of operating theatres, communicable diseases and general public-health nursing will have been inaugurated. It is essential to continue these courses and accordingly provision has been made under the technical assistance budget to retain the services of the three nursing instructors assisting the school and for appropriate supplies and equipment. .A:mericas EE7 /18 page 310 XDVISORY SERVICES ;JID FIELD PROJECTS Costa Rica No. of posts EstiL1ated Expenditure REGTJLllR UNICEF TilED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 GRJillE 1950 1951 1950 1951 1952 1951 1950 Insect Control Supplies and equipr,1ent 54,000 35,000 54,000 35,000 Public Health Administration Hospital i:.Xchi tecture Short-tern consultants - fees 1,050 1,200 travel ---122. 900 1,800 2,100 EDUCATION _·.wD TRJ.. INING 1. ~chool of Nursing - San Jose ______3_ _]_ Sister Tutors 11 13,605 14,355 J Allowances: Installation 1,34? Dependants 180 405 Expatriation 546 546 Pension Fund 1,905 2,010 Staff Insurance 201 213 Travel: Recruitment & repatriation 2,346 Transportation of personal effects ?50 Home leave 3,519 Supplies and equipment 10,000 5,000 30,880 26,048 30,880 26,048 ______3__ 3_ _ .2_ _1_ Total Costa Rica 54,000 35,000 30,880 26,048 55,800 6?,980 26,048 EB7/18 page 311 Americas DmUNICAN REPUBLIC 1. By the end of 1951 it is expected that by means of the programme of yaws and syphilis control, which will have con~cnced in 1951, local professional and auxiliary personnel vdll have been trained, thus enabling the Government to expand this activity further afield. It is plnnnod to advise the Government concernine the development of its nation21 venereal-disease control organization to enable the programme to expand throughout the country, with specific emphasis on yaws and syphilis in rural areas. Accordingly provision has been made under the regular budget to retain the services of one venereologist and ono serologist. It is hoped that UNICEF vvill furnish the requisite supplies and equipment. 2~ By the end or 1951 it is expected that the insect control progrrum~e, colll!1lenced in 1951 to assist the Government in the eradication of i~odes aegypti and the control of malaria, will have commenced operations, and that local per sonnel will have been trained to onabL; the Government to expand the campaign further afield. It is planned to advise the Government concerning the expansion of its insect control organization throughout the country. Accordingly pro vision has been made under tho technical assistance budget . for one malariologist with experience in yellow fever control and two san2-tarie>ns 1vith oxperionco in mosquito control, and for an appropriecte part of the supplies and equipment. It is hoped that lf.NICEF will furnish part of the supplies and equipment. EB7 /18 page 312 i\.DVISORY s:~RVICES ":._ND FIELD PJ:~OJECTS Dominican Republic No. of posts Esti~ated Expenditure REGULAR UNlCEF TAED REGUIJcR UNICEF T;J];D TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 GRlillE 1950 1951 1950 1951 1952 '1951 1950 1. Venereal Diseases Control (Yaws and syphilis) 11 1 Venereologist 15 6,880 7,255 1 l Serologist 13 5,600 5,900 ------2 2- Total established posts 12,480 13,155 Allowances: Dependants 514 514 Expatriation 632 632 Pension Fund 1,750 1,840 Staff Insurance 162 171 Travel: Recruitment & repatriation 1,564 Transportation of personal effects 500 Supplies and equipment 44,400 29,600 15,538 18,376 44,400 29,600 59,9'8 47,976 2. Insect Control 1 l Malariologist 15 6,880 7,255 2 2 Sanitarians 11 9,070 9,570 ------3 3 Total established posts 15,950 16,825 .Allowances: Installation 1,643 Dependants 302 527 Expatriation 680 680 Pension Fund 2,233 2,356 Staff Insurance 226 239 Travel: Recruitment & repatriation 2,346 Transportation of personal effects 750 Home leave 3,519 Supplies and equipment 45,000 45,000 25,000 35,000 45,000 45,000 49,130 59,146 94,130 104,146 Total _ _L_L ___ _L_3______5 ____ 5 __ Dominican Republic 15,538 18,376 89,400 74,600 49,130 59,146 154,068 152,122 • EB?/18 page 313 .fu11e ri ea s ECUADOR 1. By the end of 1951 it is expected that the tuberculosis control progr~11me, planned to co~11ence during 1951, will have co~11enced operationsJ that training of professional and auxiliary personnel will have been inaugurated and that advice will have been givGn to the Governmcmt in drawing up plans to strengthen and oxpand its national tuborculosis control organization. It is intended to advise the Government concerning the implei:lontation of these plans and provision has been made under the technical assistance budget to retain the services of two tuberculosis consultants, ono medical bacteriologist and two public health nurses with experience in tuberculosis control. It is hoped that ill~ICEF will furnish appropriate supplies and equipment. EB7/18 Americas page 314 .ADVISORY SERVICES LND FIELD PROJECTS Ecuador No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULAR UNICEF TAED TOT~ .. L ------1950 1951 1952 1950 1951 1952 1951 1952 GRADE1950 1951 .!222 1951 1952 1951 1950 1. Tuberculosis Control 2 2 Tuberculosis Consultants 15 13,760 14,510 l l Medical Bacteriologist 15 6,880 7,255 2 2 Public Health Nurses ll 9,070 9,570 -----..-.-.-----5 5 Total established posts ... 29,710 31,335 Allowances: Installation 3,133 Dependants 666 1,041 Expatriation 1,312 1,312 Pension Fund 4,159 4,388 Staff Insurance 410 433 Travel: Recruitment and repatriation 3,910 Transportation of personal effec;ts 1,250 Hone leave 5,865 Supplies and equipment 127,000 85,000 127,000 85,000 44,550 44,374 171,550 129,374 Venereal Diseases Control * l Venereologist 15 558 Short-term consultants - fees 600 1,158 Allowances: Installation 282 Dependants 91 Expatriation 26 Pension Fund 162 Staff Insurance 15 Travel; Consultant 655 Recruitment & repatriation 1,111 Supplies and equipment s,ooo 11,500 11,500 Other Couu~unicable Diseases Poliomyelitis Short·-term consultants - fees 800 travel 1,700 2,500 2,500 ------1 5 5 ...!.. _2_ _5_ Total Ecuador 14,000 127,000 85,000 44,550 44,374 14,000 171,550 129,374 * It is understood that this programme will continue in· 1951 under PASB or Technical Assistance Funds EB7/18 page 315 Americas EL SALVADOR 1. By the end of 1951 it is expected that, as a result of the preliminary survey, which should have reached completion by the end of April 1951, a health demonstration area will have been established ip San Andres Valley. The chief health problems in the area are malaria, helminthiasis, malnutrition and tuberculosis. In order to assist the Government concerning the initiation of this programme and its integration into the national h8alth-administration, provision has been made under the technical assistance budget for one public health administrator, one medical laboratory technician, two sanitary engineers and two public-health nurses, and for appropriate supplies and equipment. EB7 /18 page 316 Amoricas ADVISORY SBRi.TIGES •• N"J FII~LD j?ROJECTS El Salvador No. of Posts EstLm2ted Expenditure MGULbi~ UNICEF TAED MGULiill UNICEF TiJ.ED TOTl~L ______1950 1951 1952 1950 1951 ...... _1952 I95I_ _.._.1952 Grade 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 Insect Control ·- SUI?plies and equipment w,ooo 40,900 f:IJ,ooo 40,000 Tuberculosis Control 1 1 Tuberculosis Consultant 15 6,880 1 1 Public Health Nurse 11 5,600 1 1 X~ay Technician 11 4,535 ;L 1 Laboratory Technician 11 4, 535 .;_ 4 4 - Total established posts 13,390 21,550 i~.llowances t Installation 705 Dependants 990 2,920 Expatriation 1,005 1;334 Pension Fund 1,875 3,020 Staff Insurance 190 292 Travel: Recruitment and repatriation 3,300 Transportation of personal 1,150 effects . . \'· . SUEJ2lies and eg.uiEment 9,895 3,500 Fixed charges and claims (income tax) 2,960 32,500 35,576 32,5no ~~,s-16 EB7 j1e iJJnericas page 317 ~~.DVISORY S~c~R\TICES LND FIELD PROJECT,S ·El Salvador No, of Posts~ ···· Estimatod Expenditare REGULAR· UN!CLW T.i.ED liEGULul. UNICEF TilED TOTi~L __...___...,.....,.__...._,_.....,__..1950 1951 1952 1950 1951 _____1952 -1951 1)52 ~ 1950 1221 12.8 19)0 1221 12.2 'i95l ·1952 12.2Q. l2.?l 12..2 Public Health 1,.d.ministration - .. . . 1. Health Demonstration 1..rea 1 1 Public Health .i~cl.ministrator 15 6,880 7,255 1 1 SQnitary Engineer 15 6,880 ?,255 1 1 :N.ledic::.l Laboratory Technician 15 5,lt:D 6,880 1 1 Soci:tl ~·mthr ·:pologist 14 6,210 6,535 l 1 Sanitary Engineers 14 4,658 6,210 2 2 Public H8s.lth Nurse 11 6,802 9,070 -7 7 Total ostablishud posts 36,590 43,205 - - J.l.lloYmnces a Installation 4,623 Dependants 910 1,555 Expatriation 1,696 1,944 Pension Fund 5,122 6,049 Staff Insurance 499 590 Travel: Recruitment and repatriation 5,474 Transportation of rr rsonal effects 1,750 Home leave 3,519 Supplies and equipment 6?,000 40,000 . ~- -· ~ .. - 1:!3,664 96,862 123,664 96_,362 ...___ .~', ·: t .~ ~~ --- - 4 4 7 7 4 11 7 Total - El Salvador 32,500 35,576 60,ooo 40,000 123,664 96,862 92,500 199,240 96,862 - - - - - _ __...... ,_, ...... ,._.., EB7 /18 page 318 Americas A:~VIS 0 RY SERVICES AN:--: FIELTJ - II/'JECTS Guatemala No. of posts REGULJ;J"t UNICEF TAE:J E.etimated e?qJenditure REGULAR J 95' !951 1952 195~ 1951 1952 1951 1952 TAE' T0TAL Grade 195tJ 1951 1952 1951 1952 1951 1952 195i! Insect Control Supplies and equipment 56, CY'O '>r, ~6,0CO 38 ) lJ . ·- Total Guatemala 38,on0 56,000 38' Q(l() EB7/18 page 319 Amer.icas HAITI 1. The Government plans to commence a BCG campaign during 1951 in a selected area and it is understood that UNICEF will provide for one BCG medical officer. to advise the Governmant in ir~ti&ting this programme and for appropriate supplies and equipmeht for the campaign. By thG end of 1951 it is envisa~that a sufficient number of local personnel will have been trained to enable the Governrnsnt to expand th0 campaign throughout the country. It is intended to advise the Government concerning the integration of this work into its tuocrculosis control organization. 2. A joint UNIC~~/WHO CQmpaign to control yaws and syphilis in rural areas was technically approved by the Organization and inaugurated during 1950. Local professional and auxilinry personnel have been trained and it is expected that the campaign will extend throughout the country ·during 1951· During the developm~nt and expansion of this cnmpaign, a selected area has been constantly maintained for research purposes and to evaluate results obtained. It is pl~nnod to complete nnd evnluate the programme by June 1952· Accordingly provision has been made under the rogulRr budget to continue the services of two ven~reologists, one sorologist and two mass treatment technici~ns for ~ period of six months. 3. Since 1949 WHO has been co-operating with UNESCO in implementing a fundrunental education programme in the Marbial Valley. A public-health programme, including medical care, 8djusted to meGt locnl conditions, has been developed in conjunction with the national public-h6alth administration. It is planned to continue this co-operation with UNESCO during 1952, with grcatur emphasis on health 0ducation, in accord~nce with a system already proving suitable for local needs. Accordingly provision has been made under th0 regular budgGt to continue the sc.rvices of one public-health administrator with exp~rience in health education and one public-health nurse. EB7/18 page 320 4. By the end of 1951, it is expected th~t,ns a result of the preliminary survey, which should have r8ached completion during June 1951, a health demonstration area sch~duled to continue for five years will have been established in the district of Petit Goave. This is an agricultural district with a population of 100,000, in which the major health problems are malaria, y~ws and helminthiasis, and the Government has emphasized the value to be ck:rived from using the demonstration area for in-service training of public-health personnel. Accordingly, provision has been made under the technicRl assistance budget for one public- health administrator, one medical laboratory technician, one sanitary enginoGr and one public-health nurse, and for appropri~te supplies and equipment. 5. I~laria is one of the most important health problems of the country. There are no accurate figures on its incidence, but the health authorities estimate that out of a population of 3,500,000, about 40% suffer from malaria. The hoalth authorities also consider the pr0sence of Aedes aogypti as a potential threat in th~ event of '" case of yellow fever being imported. It is plann0d to assist the governm~nt in the eradication of Aedas &Ggypti and the control of malaria and by the ond of 1951 it is expected that operations will have commenced and that sufficient local profession-9.1 anc:. auxili c.ry porsunnel will have been trained to enable the Government to expand the prograrnm.e further afield. In ::..952 it is plamErl to advise the Government concerning the expansion of its insect control organization throughout the country. Accordingly provision has been made under the technical assistance budget for one mP.lariologist with experience in yellow-fevar control and two sanitarians with experience in mosquito control, together with appropri~te supplies and equipment. EB7 /18 page 321 Americas A'JVIS" 1RY SERVICES AN:-1 FIELD ~ROJECTS 1 Hai tj_ . No. of posts Estimated e xpen~.i ture REGULAR UNICEF TAE~ REGUL!,R UNICEF TAE:r 1;?5U 1951 1952 1950 1951 1952 1951 1952 Gr~de ~950 1951 1952 195C· 1951 1952 1951 1952 1. Tubercu~._:::C:ntrn1 (BCG) 1 1 BCG UaJis~1 Officer 15 6, ss.~ 7,255 745 :Jep~:n -~ ~n ts 182 257 E~cpa trj,c:_ tion. 316 316 ;·E:nsion FunJ 96.3 1, i..,'l'6 Staff Insurance 97 ;~rson~1 effects 1,173 Supplies anJ BquiEment: 1.3, 5l~··.• 23,710 1?,114 2. Vt.:neres.}_ ~iscv1ses Control (Yaws and Syph~is) 2 2 2 Venen;:.:1-Jgists 15 14J54C 7,465 1 1 1 s~;ro1cgbt:. 13 5,600 '2.,875 1 1 2 Mo.ss TroatmAnt :j:echnicians 11 4~5.35 4~ 535 -- -- ._...,.._ -..-..... -. ------.,J = ------4 4 5 10,:65 24,675 14,875 ;, l1()wance s: Ins ta1lation 1,2.35 449 J'"'pondants J1Cl 1,849 1,742 Ezoatri?. ti0n 420 1;.314 54:_> IJ.c.n:::;·L:m Fund 1,410 3,455 2,C97 3to.ff Ic1suro.nce 135 .326 221 R<:~ruitrucnt ::md repatriation 3,640 4_,4.35 }\::rscnal coff.scts 575 750 ,Supplies anJ equiornent: 210 192~0CC' 128,0(10 Fixod chargeH ~nd c1alins (Inccme Tax) 740 74C 18z.ono 1;;2zOC·C 128 r·rr 25,849 .32.!.35? 25:849 ~- ' - --., ·,, ~~11~ .:· page 322 Americas A'IVIS·-·RY SKNICES _:_N~ FIEL~ :-p.· ,JEC'I'S Ho.iti Nu. 0f })Osts Estim..,ted expenditure HEGULJ\H UNICEF TAK REGULATi·. UNICEF TAK' TOTAL ------195C- 1951 1)52 1)5C 1951 1952 'f95I 1952 Grade B5Ci 1)51 1952 1750 1951 1952 1951 1952 L-,~5.'· J. 1lublic Ho::'llth ;,-~ministration ,l 1 1 l Public H.:-alth i\.clminis tr2.tor 15 6,88'' 7,255 ------' 1 1 1 Public H::::alth Nurs~c; 11 42 535 4z785 ------2 2 Tct.J.l est:~blished posts 8,775 11,1,15 12 '·'~(- Short-term ~onsultlnts - Foos 3~ I.:Y." 11,775 11,415 12' \ ·1+0 All ovmnc G s :- liepen Sh·.rt-tcrm Cc,nsuJtnts 2, 61~,~--, Recruitment -::nd r Gpa tri '"'tL.. n 1,='15 Hnme leave 2,346 Su;eplies and EguiEment1 7,73·,~ Fixed ch2rges and claims (income tax) 74 7~: 25' 8~(, 14~7 9 17,8(;4 25,8('{' "--' 14,799 17,864 . 4., Health Demonstro.tion i:...rea 1 1 Public He::lth Administrntor 15 5,160 6,880 1 1 Sanitary Enr,jneer 15 5, 16:J 6,88C 1 1 Medical La•·uratcry T\"chnician 15 3,44C 6,880 ------1 1 Public R:;alth Nurse 11 _2,268_ 4~535 Total estarJlished r~clsts 16, :]28 25,175 Short-term Consulte.nts.' Fees 4~ 80( 2C::,828 25,175 AllO';.rances: Insb.llation 2,684 D0pond·c:..nts 395 9:)6 Expatriation 723 l,lJC Pension Fund 2,244 3,525 Staff Insur:mce 218 343 Travel: Shcrt-ti3rm Consul t~nts 3, 6or: Hc::cruitment and :-epdtcr..t.n-t--t."-\.. 3,128 2.-~rscno.l effects 1' c: '.'(' !, 55,o:o '--~---- . ._._ ... .,.. ' ,86.C7]} .... ·- --- . .-· EB7 /18 Americas page 323 il.-·:NIS'n.Y SEHVICFS :·.NTJ FIELD _,RJJECTS Hniti No. of posts Estimated expenditure REGULAR UNICEF - TAEJ R"'GUL !t!1 UNICEF TA En ------195C' 1951 1952 1950 1951 1952 ffii 1952 Grade 195:'· 1?51 1952 1950 1951 l)S2 I95I 1952 5. Insect Control 1 1 Malariologist 15 6,88() 7,255 ,______2 _2 Sanitarians 11 9, c:ryr; . 9~57J ....._. ______3 _3 Total established posts 15,95'' 16,825 Allowrmces: Instc;.llntion 1,643 :Jependants 3:)2 527 Expatriation 68(• 680 l'ension Fund 2,233 2,356 Staff Insuranc8 226 239 Trfwel: Recruitment and ropatrition 2,346 1\::rsonal effects 75;~· Home le:we 3,51? Supplies and equipment: l·"·'l'c ,~..-n·····'c 111.' l 011() 124,13D 134zl46 124, 13n 1342146 6 6 7 8 8 6 14 15 Total Haiti 43 ,G.l:' 47,158 19,114 1:JR,95~ 22",225 235,800 .397,818 28,3,052 EB7 /18 ;illlericas paze 324 li.DVISORY SERiliCES ~-.. Iill FIELD PROJECTS Honduras No, of Posts Estimated Ex-penditure REGUh-..R --UNICEF -TilED REGULiill UNICEF 19 50 19 51 19 52 1:2.2.2. 19 51 11.2 ..12.21 19 52 Grade 11.2Q 1952 1950 -1951 Insect Control " Supplies and equipment 50,000 .36, 000 50,000 .36,oo0' Total - Honduras .36,000 50,000 36,000 -, .., ! ~ ',.I '' EB?/18 page 325 Americas JAMA.ICA 1. Tuberculosis is one of the most import;:_m t public-health problems in the country, 'I'h:o GovGrnment ple.ns to imme.ur~·te ::1 BCG camp.qign in 1951 2.nd local proi'essiornl :md u.uxili:1ry pursonnel have alreJ.dy h0en sent to Mexico for prclimim.ry training. In 1952 the Governm~.;nt will require assistance in exp:mding the; c:t'llpaign throuzhout the: country and advise on its integration into the m~tion:.1.l tut.e rculosis control or:::_;.:l.nization. It is understood that UNICEF will make provision .for rctilining the s~rvices of one BCG medical officer for this work, and for :J.~"lpropriate suppli·:::s and Gquipm~:;nt. EB7 /18 page 326 Americas .J)VI30rt.Y St:~RVICES ""ND FIELD i?ROJECTS Je.maica No. of Posts Bsti~ated Expenditure J.1EGUIJili UNICEF T;~D REGULAR UNICEF T1.ED ------1950 1951 1952 1950 1951 1952 i95l 1952 Grade 1950 1951 1950 1951 1952 -1951 1952 1. Tuberculosis Control (BCG) 1 1 BCG M~dical Officer 15 6,880 7,255 Allowances: Installation 745 Dependants 182 257 Expatrbtion 316 316 Pension Fund 963 1,016 Staff bsurance 92 97 Travel: Recruitment and repc>.triation 782 Transportation of persoml effects 250 Supplies and equipment 13,500 9,000 23,710 17,941 23,710 17,941 1 1 ~- 1 Total - Jamaica 23,?10 17,941 23,710 17,941 ------_....._ EB?/18 page 327 lunericas 11lli:XICO 1. It is planned to co-oper~te with UNESCO in producing materiRl suitable for its proposGd fundam~ntal educ2tion projects designed for Latin America. By agreement betwe~:=n UNESCO and the Organization of il.merican States ~.nd with the concurrt:nce Jf thr:;; G.Jvernillent, the production centre will be located in Mexico. It is expect8d that WHO 1 s part in this programme will be t' furnish a health educator during 1952 and provision f -Jr this has been made under the regular budget. It is emph."sized that this is not a progranne designed for Mexico, th.Jugh, because of the locatiJn of the; production centre, the project has been listed under Mexico. Ar:K::ricas AJJVISORY S:bRVICES AND FIELD PROJECTS Mexico No. of posts Estinated ~xpenditure REGULAR UNICEF TAED REGULiili UNIC,:.oF TilED TOTAL 1950 1951 1952 1950 1951 ill3 !2.2.! 1952 GPc.nDE 1950 1951 1950 1951 l952 1951 1950 1951 Health Ecucation of the Public 1. Fundamental Education Production Centre 1 Health Educator 14 1Ulowance s: Ir:.stallation 745 Dependants .244 Expatriation JOO Pension Fund 827 3ta~.:' Insurance 77 Travsl' Rec:.:'uitment and repatriation 782 Tran:o.portation of personal effects 250 Fixed charges and claims "l"irlcome tax) --740 -- 9,865 9,865 1 1 Total Mexico 9,865 9,865 • EB?/18 page 329 Americas NICAR.;~GUA 1. Tuberculosis is one ,_;f the most important health problems of the country. Since the public-health administration has developed an appropriate tuberculosis contr0l organization, it is planned to advise the Government concerning the inauguration of a BCG campaign in 1952. It is envisaged that UNICEF will agr~e that this programme is desirable and make provision for one BCG medical officer and for appropriate supplies and equipment. EB7 /lS page 330 Americas i-illVISOB.Y SER.VICJ:0.S ~J'T:D FIBLD PJ.1.0 JJi:CTS Nicaragua No .. of Posts Estimated Expenditure :ti.EGU L...R UNICEF T.:..ED REGUkJ\ UNICEF T:.ED TO TilL _..,_1950 __1951 1952 ....,_,_,_...... ,.1950 1951 __1952 1951 __1952 ~ 1950 1?51 1;/52 1950 1951 1952 1?51 1952 1950 Insect Control Supplies and equipment 72,000 t1-9 ,ooo 72,000 49,000 - 1. Tubercul~sis CoAtrpl (Beg) "! 1 -- BCG Medical Officer 15 6,880 "illowances • Installation 745 Dependants 182 Expatriation 316 PPonsion Fund 963 Staff Insurance 92 Travel: Recruitment and rep:J.tri""..tion 782 Transportation of personal effects 250 Supplies and equipment 13,500 -- - 23,710 - 23,710 1 1 Total - Nicaragua 72,000 49,000 23,710 72,000 49,000 23,710 ------~ EB7/18 page 331 Americas P.'l.Rl!.OU.\ Y l. Tuberculosis is one of the most sorious public-health ~roblems in the country. at its request, it is proposed to advise the Government concerning the strengthening of its national tuberculosis control organization. To implement this it is planned to initiate in 1952 a tuberculosis control programme dGsigned to demonstrate modern methods of tuberculosis control to local ryrofessional ~nd ~uxiliary personnel. Accordingly provision has been made under the regular budget for one tuberculosis consultant, one m6dical l2boratory technician, one X-ray technician and one public-health nurse with expGrience in tuberculosis control, and for appropriate sup-plies and equipmGnt. 2. VeneNal disease is also a seri:)US public-health problem in the country. At its req1est it is plarmed to advise the Government concerning the strengthening of its national venereal-disease control pro~ramMc. As a first step it is proposed to assist the Government in inaugurating, in a small town, a venereal dise3.se control project dt.:signcd tu demonstrate modern 0110thods of control to local professional anct auxiliary personnel. Accordingly provision has been made under the r,;;gular buc!.gE. t for one vcntJrc )legist and on8 scroloc;ist, :::.nd f;r appropriate supplies and equipment. 3. Since hook-worm is a public-h3alth problem in the rur3.l areas of the country, seri,)usly hampering agricultural production, it is plannc:d to F.tdvise the Govern ment concerning th0 ccmtrol of this disease. h.ccordingly provision has been made under the tE;chnical assistance bud::;et f,)r unc public-health administr"~tor with special experience in rural public h3~lth. It is h)ped that UNICEF will furnish appropriate supplies and equipment. EB7 /18 page 332 Ar.lericas ADVISORY SERVICES "\ND FIELD .t'~OJECTS J?araguay No. of posts Estimated Erpenditure REGUL.il.R UNICEF T.AED REGULAR UNICEF TilED TOTAL ------19~0 1951 1952 1950 1951 1952 1951 1952 GRiDE 1950 _,1952 1950 1951 1950 Other Co~nunicable Diseases J. Hook VUorn Control ------1 Public Health .;.d.r.linistrator 15 ldlowance s : Installation 745 Dependants 182 Expatriation 316 Pension Fund 963 Staff Insurance 92 Travel: Recruitment and repatriation 782 Transportation of personal effects 250 Supplies and equipment ·- 45,000 30,000 __..__ 45,000 30,000 10,210 45,000 40,210 6 1 ---7 Tot.od Paraguay 108,765 45,000 30,000 10,210 45,000 148!975 EB7 /13 page 333 Araericas !J)VISORY SERVICES "'ND FIELD :i'.ROJECTS Paraguay No. of posts Estimated Expenditure REGUL.iill UNICEF TAED REGUL1'..R UNICEF TAED 1950 1951 1952 1950 1951 1952 1951 1952 GR.iillE 19 50 1950 1951 1952 1951 1. Tuberculosis Control 1 Tuberculosis Consultant 15 7,255 1 Public Henlth Nurse 11 5,600 1 X_-B.ay Technician 11 4,785 1 Laboratory Technician 11 4,785 4 TotQl established posts - 22,425 .illlo-wance s: Installation 1,890 Dependants 5,400 Expatriation 500 Pens ion Fund 3,140 Staff Insurance 305 Travel a Recruitment and repatriation 2,640 Hone leave 5,885 Supplies and equipnent 35,000 Fixed charges and clains (incor:1e tax) 2.!960 ~145 80,145 2. Venereal Dise~ses Control 1 Venereologist 15 6,536 1 Serolo::;ist 13 5,320 2 Total esta~Jlished posts 11,856 Allowances: Installation 1,490 Dependants 488 Expatriation 600 Pension Fund 1,663 Sta.ff Insurance 154 Travel: Recruitment and repatriation 1,564 Transportation of personal effects 500 Supplies rrnd equipment: 9,565 Fixed charges and claims (income tax) '740 28~ 620 26,620 EB?/18 page 334 Americas PERU 1. At its request it is planned to advise the Government in 1952 concerning the inauguration, in the city port of Callae, of a venereal-disease control programme designed to demonstrate modern methods in venereal-disease control to local professional and auxiliary personnel~· Accordingly provision has been made under the regular budget for one public-health administrator with experience in venereal-disease control, and for appropriate supplies and equipment. 2. Venereal disease is very prevalent in rural areas, with resultant effects on the economy of the community. It is proposed to advise the Government concerning the organization of a control programme, with special emphasis to be given to congenital syphilis by the treatment of expectant mothers. Accordingly provision has been made under the technical assistance budget for one venereologist, one serologist and one social worker with experience in ven~~real disease control in rural areas. It is hoped that UNICEF will furnish appropriate supplies and equipment. 3. Tuberculosis is a serious public health problem. It is planned to assist the Government in strengthening its existing tuberculosis control organization by 01dvising it concerning the general laboratory aspects of tuberculosis and the inauguration of a BCG campaign. Accordingly provision has been made under the technical assistance budget for a medical bacteriologist. It is understood that UNICEF will 1.11D.ke provision far a BCG modtcal. officer .:.and fer appropriate supplies and equipment. 4. By the end of 1951 it is expected that a preliminary survey will have been completed and that a suitable area will have. been selected for health demonstration purposes. The Government has proposed that the province of Chi~layo, with a population of about 107,000, should b~ selected. The public-health problems of this arda are plague, malaria, tuberculosis, murine typhus and intestinal diseases. It is planned to advise the Government concerning the establishment of this health demonstr3tion are~ in 1952. Accordingly provision has been m~de EB?/18 page 335 und8r the tGchnicnl nssistancb budget for one genoral public-health 3dministrator, on"" public-hto'3.lth administr3.tor with spe;;ci-::>.1 training in m'3.term.l and child he"'.lth, ono F.JE:diCt'\1 labor:1tory technici!'l.n, ooo s3.nitary engineer with speci3.l training in insect control ~nd on~ public-hualth nurse • ..,, EB7 /18 page 336 Americas 'oru No. of posts Estim:1ted expe:mdi ture 1V~GULAR UNICEF -TAETJ rr·GurJ:jl: UNICEF T0TAL ------195\" 1951 1952 1950 1951 1952 1951 1952 Grade 1)5~ 1951 1952 195·' 1951 1952· 1952 1950 Venereal Jiseases Control 1. rort - emonstrnticm i~rea - C1llas 1 Public Henl th :~riminis~:.r'ltor 15 6,536 Allowances: Ins teclb. t:i. en 745 Depend<:mts 244 --,-, Expatrir:tion 3 '. I'ension Fund n5 Staff Insurance 85 Travel: Recruitment 3.n:::l rep2.tri ".tion 782 l'ersonal effects 250 Supp¥e_'i , and Equipment: 6' •.!80 1 15,937 15,937 2. Rural Are:a ''· 1 Venereolol?ist 15 6, 88~) 1 Social iforker 1L~ 6,210 ------l Serologist 13 5, 60C) 3 Total establmed posts 18,690 ------~------Allowances: Instal12.tion 2,235 :-:ependcm ts 546 Expatric:tion 948 ?ensicn Fund 2,617 St:>ff Insurance 250 Travel: Recruitment a.nd repatri.'1tiun 2,346 Person::1l effects 750 Supplies and equipment: 26,ooc 26,000 28,382 !1,,)18 J\m8ricas pa;,;e 337 A-vrs:'RY SET"i.VICES fiN- FIEL'1 ··JYJECTS Peru HC~GULLi:( UNICEF TAE!) HEGUL:~R UNICET~ TJ,K'• TOTAL l/'51 : 1951 1952 1~5,_' 1951 lS:52 I95I 1952 . Grade 1/52 FJ51 1950 1952 ~ '''" " ~ 195C 1751 1952 1?51 1952 ------~ ~ illl 3. ·Tuberculosis Control (BCG) 1 BCG Hodical Officer , .. 15 6,880 ------1 Mec!icel Pacteriologist 15 6;880 ._ __ . - 1 1 Total ost?.blished posts 6 880 6,880 ------J J.,_llowances: Installation ·145 745 ~>:::pendants 182 182 Exp:1tri~'tion 316 316 i.'ens ion Fund 963 963 Staff Insurance 92 92 Travel: Hacruitment and repatri.~tion 782 ?82 -,, e rs onCJ.l effects 250 250 SuEJ2lies 'lnd Equipments 13z500 ..- ..... ~ ,-, ~-~ :, ' !,,.?iD 10.z210 33z 920 >, • [<"• Typhus Control Supplies and equi~Jment 58,00() 3?,000 58,000 3?,000 1:Jublic H._")dth i,dminist c:: tion 4. He<:!.lth Demonstn.tion Area 1 1 ?ublic Hc;alth Administrator 15 1,?20 6,880 1 Public Heo.lth Administr,qtor (N&CH) 15 6,880 1 Medic:11 Laboratory Technician 15 6_,880 1 Sanitary Engineer 15 6,880 ------1 Public He"'.l th Nurse 11 4,535 ;L . 5 Total established posts 1,?20 32,055 ------...... ,__,. - Allow::mces: Inst!lllo.tion ?45 2,684 ;J,opendants 46 363 Expa t"ria tion ?9 1,446 :·ensi on Fund 241 4,488 ~ -- Staff -Insurance 23 434 '·. ,. TrA.vel: Eecruitment and repatriation 782 3,128 f'erscmal effects 250 1,000 SUf,Elies and Eg,uiEment: 55zOOO 3.!886 101~098 31886 10lz098 ------·-- 1 Total Peru ------...l 1 9 -----l ll 15,937 58,000 3?,000 49,?10 3,886 139,690 ---58,000 40,886 205,33? EB?/18 page 338 A cez·ices 'l'RD:IDAD 1. I'uberculosis is one of the .,tost L:rportant .f>ublic-.b.eb.l.th problems in the count:cj. 'l'he Gove::cn,:tent ;;lans to ir~aue,ura.te a . .BCG carr.pa.ign in 19)1. In 19)2 the Govel'n!;1ent will require assistance in expandine; the caJr:pa.lgn thro:.~.c,hout the countr.t and. ad. vice concen1ing its wte8r·a.tion lnto the na.tionaJ. tuberculosis control or~,;,ani zatlon. It is understood 1hat UlHCEF wlll :"t;ake :provision for retainln" the services of one BCG '"e6.:i.cal. officer for this work, and for appro_tlriate SU,k)~lies ana. equi,J:>.:ent. E1J7 /lJ page 339 Americas ATNISC'RY SERVICES l,N~ FIEL!"l 'ROJECTS Trinidad No. of posts Estim8ted expenditure REGULAR UNICEF TJ,E'; RF.GULI\.R UNICEF TAE:, TOTAL 1950 1951 1952 l950 1951 1952 1951 1952 Grade 1950 1951 1952 1950 1)51 1952 1951 1972 1950 1951 1952 -~------1. Tuberculosis Control (BCG). ------1 1 BCG Medical Officer 15 6,880 7,255 Allow::mces: Instal18.tion 745 :::-Jependants 182 257 Expatric:tion 316 316 :'ensi. on Fund 963 1,016 Staff Insurance 92 97 Travel: Recruitment and repatriation 782 Fersonal effects 250 Supplies and equipment: 13,500 9,000 23,710 23,710 17' 941 ------1 1 1 1 Total Trinidad 23,710 17,"41 23,710 17,941 EB?/18 page 340 URUGUAr 1. Fo. H'..ailJ years the Govern: 11ent ha.s ·been usinG BCG for va.ccina.tion a.Ja.inst tuberculosis. It now 11lans to inaw,;urate a i:tuss ea, 'J?I:i.i(;n throu~out the countr,f1 which will 1·equire the cieveloj• .-,ent of ex.i.stlne; :ra.cili ties f'or ;producing the vaccine. It will also be necessa.I'J to de ·onstrate to local. nurses the latest techniques tr., such ca.;c!J?ait,ns. It is understood that UNIOO. will J:ll'oviue for one med.i.ca1 BCG laborator,y tectmician aJ1c.i one public health nurse for th.i.s work, ano. f'or a~pro_t~riate supplies and equlJ?l;•cnt. EB7 /18 par,8 341 Americas A-:viSJ HY SEJ:\.VICES lc~.N~ FI~LD ·- I:WJEC'T'S Uruguay No. of posts Estir;n·ced expenditure nSGULAR UNICEF T.i\Er) :-1EGUL!~11 UNICF.F TAK-, ------1950 1951 1952 l950 1951 1952 1951 1952 Gr3de 1950 1951 1952 1950 1951 1952 1951 1952 1951 1. Tuberculosis Control(BCG2 1 Medical PCG Labnratory 15 6, 81)0 1 ·rechnician ------l' ;uhlic H2l.th Nurse 11 4, 5j5 ------Total est·1b1ished posts 11,415 A1low;:mcos: Ins t.1.ll "· ti on 1,1?4 :"le pendants 242 Expatriatisn 40'2 ~'ension Fund 1,598 Staff Insurance 15? Tr:wel: Recruitment and rt3patriation 1,564 fersonal effects 500 Supplies ~nd Equipment: 13,500 30,670 30,-670 2 ...... 2 T0ta1 Uruguay 30,670 3U, 670 ~---~----- EB?/18 page 342 A_,·,e r .L cas VEN~ZUELA. l. It'ollowint; the request of the Govern;.tent, l t is expected that b,y the end of 19:.>1 as a. result of the preli)1dnar.; survey whlch should have rea.ched completi-on b.>' the end of Apz·il 19:;1, a health deLionstration area. will have been established iu the valle.r of the T~J,l· The a.cea selected COi'l,._Jrises about 5,000 square kilo.uetres with a. population o1' about 8o, 000 li v lue in s~·,uill co~-.ur··~uni ties, of wh.tch the lsrt,e st ho..s a:oout 5, coo residents. The econO!lif of the az·ea .1 s pri:iaz·il.t de:.tendent ou a.t;.,riculture, cattle, sut,az· and alcoi:lol .i.nci.ustries. 'l'he inde>.. of illite:ra.c,y is ~:~bo~t ... 0 1p. JleL---inthia.sls is. the ;•tost i:·.L.POrtant .t~u.blic health proble; t of' the are1:1 and the ::.ncid.ence of bilha.nias.i s is rather h.;.gh. In oroe:r to a.s~ ... st the Gov(;rn.,;ent cor:..cexr~irlt, the 1.nitla.tiou of this ::t;>I'O.:::,I'a£rurte and its inte~;:ra.tio:n :mto the natlona..l health a.diJinistre.tion provision has been .-.1ade und.er t.he technical assistance b1.1.Clt;et for one ~ublic-heelth arl:·Jlinist.rator, one malacologist and one iled.icol o:l'i'i.cen~i th ex_t>er1ence 1.:1 the tr·ea.t;11ent of' b.i..lha.rzlas.i.s, one seni ter,t en<.:-.i.ueer <;lliJ.. Ol1l; _public-health uurse, and f'or a.~t)ropriate SUJ?1Jlies and eq'.!:lp:.lerJ.t. EB7 /18 page 343 Americas A~-viSORY SERVICES NJ FIEL:J ~ROJECTS Vonezueln No. of posts Estim'ted expenditure REGULAR UNICEF TAK! REGULAIL UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 !93! 1952 Grade 1950 1951 1952 1950 1951 1952 ~ 195G 1951 ?ubiic He2lth "~dministration 1. Health ~~omonstr'::'.tion Area 1 1 Public Hc;al th .hdministrator 15 6,880 ,,255 1 1 Malacologist 15 6,880 :-;,255 1 1 Medical Officer (Schistosomiasis) 15 5,160 6,880 l 1 Sanitary Engineer 15 5,160 6,880 ------1 1 fublic H,:;al th Nurse 11 3~401 4~535 5 5 Total established posts 2?,481 32,805 --~------Allowae1ces: Installation 3,Z.29 Dependants 683 1,163 Expatriation 1,243 1,446 Pension Fund 3,847 4,593 Staff Insurance 3?2 445 Travel: Recruitment and repatriation 3,910 Personal effects 1,250 Home le=::.ve 2,346 Supplies and Equipment: 25,000 45,000 67 z215 87,798 6? 1 215 87~?98 _ _...... ______5 5 5 5 Total Venezuela 6? ,215 8?,?98 67,215 87,798 ----. ----- ~---...------EB?/18 page 344 A nil!tlbei· of requestb ha.ve h~~n :cec~l ved fr·o,.; various Gover~cnts, so:1e of which involve co-oge1·a.tion wi t.tJ. o~her a.gencies, thougn the tentatl ve 1:..lans of operation have not ,yet ·beeu eo• (,t~leteC!. 'J.'h:::refo:ce the,y have not been listed under countries. In the ,.c.a.in these tenta.tlvt colmtrJ projects fall under three r:.a.in headlngs. (1) Health De,1onstration AreCJs ( 2) COJ•u;.Wllcu.ble Diseas~ Control, w: th S,t)eciflc reference to insect~ borrle alseases {)} Eci,_lJ:n.tton ond Training : These teilta.tl.ve proJects heve lJecn costed on the basis oJ:' infor,!ation a.valla.ble so l'a.r ancl J:)ruvis.Lon hc.s been ,;:adc ;md.er the technical assistance budget fo:r· ap,f)rop:r-ia.tc: ac.tounts under the releva.nt t:,ro·u;?ings. It is hoped that U.i.liiCEF will fulnish SUJ:)plies and eq.J.ik"uent to S.,t)iJl"Cfiriate .i.Jl"OJects. (ivlore deta.lleC- ~ __ nll-he.~~ tho ~utJxe...I1oard._..and.-the-JleAl.th Asse...ubl.f lf recei 1rea in time.) EB7/18 page 345 Countries Undesignnted No. of )Osts n=:GUL,_~( UNICEF T;,_s:. EGUL L UNIC'2::F T:'T/.1 1950 1951 1952 1950 1951 1952 1951 1952 l95G 1951 1952 2.95C 1951 -1?52 1952 195~~ 1952 Health . enonstr?.tirn .. n>J.S 24C',CC 240,or-c Colilli1Unic-:-.ble isc;£>.s3s Control 22C', C'C:{' Lssisto.nce to Educ:ctional Institute:s 127,rcc 12'71 CCO Survey -:_,f ~i}hco,~inc C: · gh V:1ccine C'ducti:•n (Bra':.il, Chile, Colc,mbi ".) Sh0rt-ter.: Cc-nsul k.nts - ~'2os 2,.385 TrP.vol l,CJO .3' 41.5 .3,41.5 Ha1nria Short-t-=;rm c~)nsultc;,nts - Fees y:~. Tr,wel 18C , .. ·------4GO 480 ~-ublic Re.; ".l th ..dministr?.tion .Shcrt-torm ·~·.Jnsultants - Foes 2, 4C'<-;· l rt • • Travel zU·. "- ,, .. 4,20("' 4,200 ,_ Hee.l,t:(I···i.duc:::ticn of th.~ :, ublic •. . . ;: Sh,~rt-ter:,1 C::-nsultants - F~es 2,4\j;' 4,SCC ' l r\~ ~ Tr,wol .! ,y .'L' .3 ~Ql,l)(.. "'"' '• 4 , 2'".I.._,. u,•" 4~l c 4~200 8,400 & '~hild Nakrna1 R.:;.1.lth .. Short-t:::-rn Consulk:nts - F .. GS 2~ 4lc; 4,~,--:: 7 ,2(\l Tr2vel .3, ,·4c 3C'0 5,400 5,450 7 ·c l2,6CO 5,450 ?CYO l2,6C0 I'~ental Hr,:;".l th Short-t::rn Consultants -Fees 2,4C'C 5,6oc Tr.".vel l l. ,_t]o'''' \. 4,20C' r; ,.- ~ 4 2. ·, 9 :..'· 4,200 9,800 ' Nutrition ' ,J Short-term Consultants - Fees 2;825 2,4.:.J 7 ,2.-:·' r1 Tr:-vel .3,175 1 ~ ~) 5,400 .· ---- 6,c--..~c- 4 ~ 2('r ,_.- l2,6C'C 6,cc. 4~ 2<'." 12~,6cc * ** EB7/18 page 346 Crmntrius Uml;sir:;n~tExl No. .-_,r •Y•sts Est 1•rtor:l. ox enditure T_._~---- H · ·UL";,_,i lJNJ.CEF Tl· .. E- i:('!;GUL .L UNICK"' 'l"'TLL ----195'7· 1951 1952 ------=--195~: 1951 1952 ---1951 19:32 175- 1'751 1752 19~- 1951 1952 1951 1952 195" 1951 1952 a) Merli · .'J..1 Ec~UC"'.ti n Shc·rt-tc.rra C nsu1 t':mts - FeGs 2, 4 ··c Tr Fe11ovvshi')S C I Jj 25_,C Teaching.. Supp1ie.s. ·and ·Eqilif>l'nent 1-,2 .. ~ F,20C F,: .. Total Countries UndesignQted 164,13C 156;?\:0 243,4~JO 28,415 :73,-·'C ?81,5CC' 192,545 249,? (' l,C24,9C(' ·--: ·-.--.~- ----~ ·--· ··------2 ,~. 63 103 T -TLL-/:7JIS~ ltY 354,655 753,157 975,131 1 49·-.., ~86 -· ._,__....-.--~- __ -----~ ---·--- .... __ .. --_,_ __ ------SE:Li.VICES & FIELJ . :~Jl' JECTS 62 91 2 ' 6 5'. 79 53'7,655 635_,8:311 l,C~L,841 79C,415 --':.]"-- ·--.. _____ ~...-..------·-- ....,.____ ..... _ -.--.1 --...,.. ___ ------____ .,.,___ ---~------·------.,..______------... ------EB7 /18 page 347 South Be.st .• sia No. of posts EstL.ated expenditure RJ,GUL...R UNICEF T~..ED REQUL.R UNICEF 1950 1951 .122 lliQ 1951 1952 1951 1952 Grade 1950 1951 12.2Q .....___.44 ___53 53 ,______2 ____2 Regional Office 134,600 150,229 153,418 21,137 16,263 134,600 171,366 169,681 i.dvisory Services and Field Projects 17 10 3 15 8 Malaria 152,940 104,799 32,036 157,500 131,000 137,317 98,608 310,440 373,116 130,644 1 3 1 43 17 15 Tuberculosis 11,550 32,541 11,130 &70,764 282,557 283,933 11,130 682,314 599,031 5 6 6 4 9' 1 10 venereal Diseases 76,505 58,671 54,049 36,630 374,129 167,592 6,032 80,813 113,135 438,832 302,454 1 Other Communicable Diseases 18,055 35,200 48,400 18,055 35,200 48,400 3 28 30 Public Health •• dministration 5,600 25,0L'~4 421,646 373,635 5,600 421,646, 398,679 1 1 1 1 2 Environmental Sanitation 7,300 13,373 13,794 8,809 38,096 7,300 22,182 51,890 1 1 2 Nursing 7,800 9,414 36,257 3,000 7,800 9,414 39,257 Health Education of the Public 8,400 8,400 1 4 3 3 25 31 Mat~rnal nnd Child Health .11,950 L:-1, 7l-3 41,793 7,659 1,169,069 636,850 217,985 19,609 1,210,772 896,628 Mental Health 4,200 4,200 Nutrition 7,325 12,600 8,400 7,325 8,400 12,600 5 5 •...ntibiotics Production Plant 500,000 350,000 135,393 162,360 I 635,393 512,360 4 15 30 11 2 9 Education and Training 242,000 187,512 508,291 1,059,761 29,000 39,502 83,148 242,000 . 1,286,775 620,439 ~------:------30 38 51 8 88 17 52 110 38 178 178 TOT •..L - J..DVISORY 529,475 466,422 813,205 212,919 3,904,723 1,468,999 757,099 1,338,578 7·12,394 5,128,244 3, 620,782 ------SEHnCES . .ND FIELD PROJECTS 74 91 104 8 88 17 54 112 82 233 233 TOT .... L - SOUTH EiJ,ST 664,075 616,651 966,623 212,919 3,904,723 1,468,999 778,236 1,354,841 876t994 5,299,610 3,790,463 •• sL... ---~" ======------EB?/18 page 348 South East Asia REGIONAL OFFICE New Personnela No new posts are proposed for 1952. Duty Travela Regional Director1 It is of paramount importance that the Regional Director should visit each country of the region at least once a year, in order to establish and maintain personal contact with the health authorities, and to obtain first-hand information of WHO activities within the region. Provision has, therefore, been made for the sum of $2105, under the regular budget, to cover one visit to each country of the region during 1951 and also an extensive tour of newly~stablished WHO and UNICEF projects within India. Provision for a similar amount of $2105 has been made for 1952~ Deputy Director t It is not proposed that the Deputy Director should travel extensively during the years 1951 and 1952, since he will be responsible for co-ordinating the work of the regional office in the absence of the Director. Bureau of Health Services In order to keep pace with the rapid development of WHO activities in the region, to co-ordinate the planning and implementation of the programme and its integration into national health Services, it is important for the chief'of the bureau to visit the health authorities of each country of the region and also to obtain first-hand information concernin~ the implementation of the programme by visiting the WHO and UNICEF health projects in those countries. Provision has been made for a sum of $1725, under the regular budget, for the year 1951. The same am~unt has been provided under the regular budget for 1952. Public Information: During the year 1951, it is proposed that the public inf~rmation officer follow up the contacts previously established with the press and radio in Calcutta, Rangoon and Bangkok. Travel to Indonesia and Afghanistan is also planned in 1951, in order to establish personal contact with the press, radio and the government information officials in those two countries. During his stay in EB?/18 page .349 Thailand, Indonesia and Afghanistan, he will make contact with the press officers of the other United Nntbns agencies, and obtain first-hand stories from the various field-teams. It is also intended that he should cover the activities of field te~~s in India by visiting the WHO teams in Simla, Haldwani, the Jeypore Hills, Mnlnad, Ernad, Tanjore,· and the newly created tuberculosis centres in Patna and Trivandrum. An amount 0f $2380 has been provided tinder the regular budget for this purposeQ In 1952, the contacts established in 1951 with Indonesian press, radio and information officials will be renewed, and it is planned that the public informntion off.icur should spend some time. visiting the newly established WHO and UNICEF health projects in IndonE..s.ia. It is also planned tha.t he should visit . ' Ce~lon in order to cover the newly established WHO project there. It is intended that he should stop in Burma and Thailand on his way back from Indonesia for discussiqns with their public information offices and to obtain first-hand information about WHO projects started in those countries in 1951. In addition to his visits to the malaria team remaining in IndiaJ and the one.pr tw~ newl~ established tuberculcsis centres, it is planned that he should cover the activities started in the newly-created health demonstration area and the area in which the j.:;int FAO/WHO project is sitMted. An am2unt of $286o has been provided for this purpose in 1952 under the r8c;ular budget. Bureau of Administr-:ction .md Finance & In vrder to enable him to study on the spot the wide vari~ty of administrative prJblems affecting field teams, it is planned thnt the chief of the bureau should visit one selected field. team in the region every year. Accordingly, an arnount of ~500 has been provided both in 1951 and 1952 to make possible a visit to one team each year. Special Meetings nnd Conferencest During 1949 staff o~ the reei,)nal office were requE:sted to attend urgent meetings or c.:mferencE:s of the other UN -;,gencies, as well as no~-UN agencies, such as the Economic Co-operation Administration or the British Commonwealth Technical Assistance Committee. The attendance by a representative of .the :J;;Qional office ·at such meetings is essential to the proper co-ordination of international health programn1es within the region. An amJunt of ~3 1 000 hns been provided in 1951 and 1952 under ·t.he regular budgE:t for this purpose. BB7 /18 page 350 South East Asia REGIONi,L OFFICE No, of Posts Estimated Exoenditure REGULAR UNICEF Ti..ED REGUL{,R UNICEF Tl.ED TOTi~.L 19 50 19 51 19 52 l22Q 19 51 19 52 19 51 19 52 Grade 1950 1951 1952. 1950 12.2.! 1952 1951 1952 1950 1951 122 .. Office of the Re~ional Director 1 1 1 Regional Director 11,644 11,644 .. 1 1 1 Deputy Regional Director 19 9,138 9,350 1 1 1 Secretary 1,202 1~265 1 1 1 S~cretary 1,139 1,202 Public Information 1 1 1 Information Orficer 13 4,761 5,016 1 1 1 Secretary 810 861 Planning and Operations l 1 1 Chief of Section 17 7,055 !7,438 1 1 Public Health l!.dministrator 16 6,512 6,873 1 1 1 Medical Statistician 15 5,695 6,001 1 1 1 Fellowships ;,_ssistant 1,265 1,328 1 l 1 Secretary 1,017 1,134 1 1 l Statistical Clerk 810 861 1 3 3 Stenographers ... 2,322 2,551 3 5 5 Stenographers 3,867 4,172 I iJ.ciministration and Finance 1 1 1 Chief of Section 15 5,695 6,001 1 1 Finance Officer 12 4,289 4,518 1 1 1 Gsneral Services Officer ll 3,749 3,961 1 1 1 ,~;'.ssistant Finance Officer 9 3,220 3,262 1 1 1 Assistant Personnel Officer 9 3,220 3,262 2 2- 2 .i:..ccountants 2,289 2,415 1 1 1 Office Management .Assistant 1,071 1,134 1 1 1 Personnel Records Assistant 1,039 1,102 1 1 Secretary 1,017 1,134 1 l Library Assistant 958 1,071 4 4 4 Stenographers 3,347 3,551 2 2 2 Registry Clerks 1,667 1,769 3 p Assistant Accountants 2,374 2,527 2 2 2 Clerks 1,077 1,153 l '1 u. Sorting Clerk 529 567 1 1 1 Despatch Clerk 545 583 1 ' 1 1 Recaptionist 542 580 4 6 6 Typing Clerks 3,198 3,476 1 1 1 Travel and Procurement Asst. 1,017. 1,071 1 1 1 Travel Clerk 810 861 2 2 2 Procurement Clerks 1, 554 1,656 Custodial Staff 3,552 3,665 44 53 53 2 2 Total established posts 79,720 93,195 97,624 10,801 11,391 .:::B7 /18 page South East ~~sia 351 R.c;G IONi~L OFFICE No, of Posts Estimated E~unditure RGGUI.J.R UNICEF T1illD &:GUL.iili UNICEF TlillD TOT.i~L 1950 1951 1952 1950 1951 1952 I95i 1952 Grade 1950 1951 1950 1951 1952 1951 1952 1950 1951 1952 ------~ 44 53 53 2 2 Brought Forvrard 79,720 93,195 97' 624 10,801 11,391 Allowances: Installation 1,565 1,248 Dependants 3,46o 6,408 6,408 565 565 Expatriation 1,875 1,130 200 527 527 Pension Fund 11,175 14,432 15,073 1,778 1,876 Staff Insurance 505 1,457 1,543 169 . . 179 Travel: Duty ;> 5,370 9,710 10,190 3,290 1,725 Recruitment and repatriation 2,400 1, 505 Home leave 4,035 Transportation of personal 530 445 1,254 effects ,. Common Services: Space and equipment .services 7,860 7, 550 6, 6oo Other servic0s 8,520 3, 500 3,700 Supplies and materials 5,100 5,587 6,800 Fixed charges ;J.nd clains 50 230 280 ~cquisition of capital assets 6,470 2, 5]0 5,000 44 53 53 2 2 44 55 55 Total - Regional 134,600 150,229 153,418 21,137 16,263 134,600 171,366 169,681 -- - Office - EB7/J.li· . ": page 352 South East Asia REGIONAt ADVISERS Duty Travel Regional.Adviser in Malariat In 1951 it will be essential for the r-egional adviser in malaria to visit Afghanistan to advise.the G0vernment on the expansion of the malaria-control programme undertaken during 1949 and- 1950. Important malaria-control projects are planned for Indonesia. It will therefore· be necessary for the regional adviser to visit Indonesia in order to advise the Government on the extension of the malaria-control operations in that country. It is also planned that he should visit Burma in order to advise the Government on malaria-Control programmes. In view of the impending withdrawal of the WHO personnel from the malaria-control projects· in India," it will be necessary for the regional adviser to spend some time with each team in order to advise the local health authorities concerning the integration of the projects into their health services, and to assess the results of the work. Ari amount of ~2,274 has been provided in 1951 under the regular budget for this purpose. It is expected that in 1952 the WHO personnel will have been withdrawn from most of the malaria-control projects set up in 1949 and replaced by national health personnel; the regional adviser in malaria should visit these national teams. It is also proposed that he visit Burma, Thailand and Indonesia to advise the Governments on the extension of operations in those countries. An_ amount of $~,295 has been provided under the regular budget for this purposeq Regional Adviser in Tuberculosis: It is expected that, on acc0unt of the development of the tuberculosis-control programme in India in 1951, the regional adviser in tuberculosis will'have to visit Madras, Madanapalli, Vellore and Trivandrum to inspect projects under development or in operation; his visit to Madras will be in connexion with the improvement in BCG work. It is intended to visit Patna to assess the progress of the demonstration and training area which will be set up there, and Lucknow in order to_discuss with local tuberculosis officers the site of a possible demonstration and training area scheduled for 1952. The regional adviser will also visit Bombay to inspect facilities for diagnosis and treatment of tuberculosis in that area and to survey the possibility of establishing a demonstration and training area. From Bombay he is expected to proceed to Goa, to survey tuberculosis services and advise the government concerning their development. It is also intended that on EB?/18 :' ' . page 353 his way to Burma, Thailand and Indonesia he should:visit Calcutta in connexion with the holding of a study-group in that city, following the meeting of the All-India Tuberculosis .J\,ssociation. The purpose of the tour of Burma, Thailand and Indonesia is to ascertain the progress made in. the development of the tuber culosis programme at Rangoon, Bangkok and Djakarta. It is also expected that advice will be given to the health authorities concerned regarding the planning and implementation of the tuberculosis-control campaign in those three countries. An amount of ;-::.;.70 has been provided under the UNICEF budget in 1951 for the purpose. In 1952, the-regional adviser will visit the various areas whore tuberculosis control programmes have been undertaken in order to advise the governments on their development. In addition he will visit India, Amri tzar and Mysore to survey possibilities of establishing demonstration and training areas there. He will also visit Ceylon in order to assess progress made in the development oft he tuberculosis-control programme started in 1951 and to advise the govern ment concerning its expansion. It is understood that UNICEF will provide an amount of~)ZJ425 under its 1952 budget for this purpose. Regional Adviser in BCG; It is expected that the BCG campaign will bo expanded in 1952 and that therefore the BCG regional adviser vdll have to visit each country and each team at least once during the year in order to assess the activities .of the teams and advise governments concerning appropriate expansion of the campaign. It is unde:r:stood that UNICEF will provide an amount o£ ..:.2,425 under its 1952 budget for this purpose. Regional Adviser in Venereal Disease: In 1951 the joint UNICEF/WHO maternal and child health and congenital syphilis pilot-project in Afghanistan vnll have already started its activities and it vdll be necessary for the regional adviser to visit that country to advise the Government concerning extension of the programme to Herat. He v.'ill also visit Indonesia and Thailand to advise the Governments of these countries on the expansion of the treponematosis prograrmoo started in 1950. On lus roturn from Indonesia and Thailand, he will consult with the Govorrunent of Burma on the development of the vencreal-discase~control programme there. He will also visit EB?/18 page 354 Ceylon to advise the Government on the implementation of the venereal-disease control programme which will be started there in 1951. It will also be necessary for him t-J visit the Simla training centre and to advise the local authority on the development of the venereal-disease-control programme in Himachal Pradesh. Provision has been made for an amount of ~2,000 under the regular budget for this purp.Jse. In 1952, it is proposed that in view of the importance of the joint UNICEF /V.JHO ma te:mal and child health and congenital syphilis pilot proje et, the regional adviser will visit Afghanistan again in order to advise the Government concerning the expansion of this project. In Indonesia and Thailand the treponematosis programme will have been in existence for one year and it will be necess8.ry for him to discuss the integration of this programme into the national health services. Similarly, he will have to advise the Governments of Burma and Ceylon concerning the expansion of their venereal disease-control pr.Jgr~~es. An amount of ¥.2,000 has been provided under the regular budget for this purpose. Public-Health A~~inistrators~ In order to maintain a balanced, integrated programme of activitywithin the region, it is proposed that in 1951 the three public-health administrators attached to the regional office should visit and survey health conditions in the six countries ot the region. This survey is expected to last at least two months in the case of Afghanistan, Burma and Ceylon, three months in Thailand, two months in Indonesia and one year in India. It is also proposed that the public-health administrators should visit 'those field activities already established and advise governments concerning the development of new programmes. J,n amount of 'fi9 ,870 has been provided under the technical assistance budget for this purpose. In 1952 it is expected that a great part of the work of surveying the health conditions of the various countries of the region will have been completed. It is hoped that many new field activities will have been begun. Their integration into the national health services will entail discussion with governments, as also will plans for the 1953 programme. b.n amount of ...8,305 has been provided under the technical assistanc.e blrlget for this purpose. Regional ••dviser in Environmental Sanitation: In 1951, the regional adviser will visit Indonesia to discuss with the authorities the possibilities of expanding the environmental sanitation progra~nes in Java and other islands. On his return from Indonesia he will visit Bangkok in order to discuss With the Government of Thailand the expansion of activities in environflental sanitation and to inspect the demonstration contre in environmental sanitation in the Serapee district. It is also proposed that he should visit Burma during the same toll!' and discuss with the Ministry of H8alth in Rmgoon the orsaniz.:ttion of .:·.. c;l.ivision of sanitary engineering to be established in th0 health administration. In India he will visit the govern ments of various States and ndvise them in connexion with their environmental sanitation problems. It is intended :that he should visit Kabul in ::>rder to assess the results obtained by the sanitary engineer attached to the malaria control tearr. there, to study the possibility of developing activities in this field, and t:) advisE. the GovE:.r:nment accordingly. An 3.mou;1t of ..r3,2SO has been provided under the technice.l assistance budr,et for this· purpose. In view of the development of multil~teral projects being planned under technical assistance, it will be necessary for the regional adviser to visit Indonesia, Thailand e_nd Burma to advise the Governments of those countries on the planning and implementation of the various progr~~es in environmental sanitation. It is exp~cted that he will ~lso visit Ceylon in order to advise and assist the Government in planning a national programme in environmental sanitation. In India nu will visit the State governments to discuss plans for expandicg pro:::;rammes of environmente.. l sanitation. .\n amount of ..,..3,280 has been provided under the technical assistance budget for this purpose. R.::gional .. Advisers in Materno.l and Child H·.alth; In 1951, on her way back from home l~.ve, the regional adviser will visit Indonesia and will cvnsult ·flith the authorities on the progress of existing maternal and child health ~ctivities and future plans. She will then proceed to Bangkok for a c~nference with UNICEF in ord~r to advise on maternal and child health programmes. It is planned that she should visit Afghanistan to give assistance to the maternal ~nd child heRlth team which will just have started activities Rnd to advise the Oover:nment in developing the maternal and child EB?/18 page 356 health progrartune of th0 c.)untry. It is <>.nticip~;J_ted that in India she will visit Bombay, Travancore, Madras and Calcutta, in order to'appraise the needs for UNICEF aid in those areas. In the absence of a paediatrician to advise public-hGalth nurses working in the malaria teams it is expected that the regional ,<>_dviser will be able to pay occasional visits to these teams. It is proposed that she should visit Burma in order to consult with the authorities concerned and with the WHO personnel on the progressand organization of the maternal and child health programne, particularly the extension of the activities outside R2.ngoon. During her stay in Buraa, she will survey conditions and advise on whether fUrther international aid should be requested. Her visit to Burma will be combined with an extensive visit to Thailand in order to advise on the progress of the maternal and child health programme and to help in the establish ment of a rural training centre. It is expected that before returning to th~ regional office she will 'travel to Indonesia in order to meet the director of the maternal and child health 'services of the Indonesian Government and adv~se her on the work. An annual conference of maternal and Chlld health advisers in Geneva has bee;n proposed for the summer of 1951. If it materialises, the re:_;ional adviser will go to G~neva to attend the meeting. An amount ot w4,890 has been provided for this purpos·e under the regular budget. In 1952, it is planned that the regione.l adviser should ' visit all the countries of the ~gion in order to advise the governments on the development of their maternal and child health programmes. It is expected that in view of the increased activities in that field, it will be necessary to spend longer periods in the various countries~ An amount of v4,255 has.been provided under the regular budget for this purpose. It is propose'd to assign an additional .?.dviser to the regional offi oe to share the increasing work. It is not yet known what area within the region will be assigned to the new adviser, but an amount of ~,890 has been provided in 1951 under the regular budget to cover her travel expenses. It is expected that with the development of programmes she will have to spend a much longer time in certain countries during the year 1952· Accordingly in 195Z an amount of ¥4,255 has been provided for this purpose. EB?/18 page 357 Regional i~dviser in Nursing.: In 1951, it is proposed that the nursing adviser should visit Afghanistan in order to survey the possibilities of developing fqcilities for training of nurses. It is also proposed that she should travel to Ceylon in order to discuss with the Government the development of the UNICEF/WHO nursing projects that are being carried out there. It is anticipated that she will visit Indonesia and Thailand to discuss the development of nursing tr~ining there. In Burma she will assess the nursing aspects of UNICEF/WHO prograwnes and investigate possibilities of development. In Thailand she will advise the Government on plans for op0rating one rural and one urban training centre in nursing. In Indonesia sh·e will survey nursing conditions and will advise the Government concerning the development of training progrnmrnes. In India, she will visit WHO and UNICEF nursing projects and will discuss their development with the authorities. An amount of ~2,876 h~s bedn provided undGr the regular budget for this purpose. In 1952, it will be necessary for the nursing adviser to visit Afghanistan again in order to determine the progress made in improving training facilities and to advise the Government on the integration of the programme into the national health services. In order to assess the work of the UNICEF/WHO nursing training programme and to advise the Government on its expansion, she will visit Ceylon. She will also continue her consultations with State governments in India and the Governments of Burma, Indonesia a!ld Thailand in order to advise them on drawing up expanded nursing training programmes. hn amount of ~3,280 has been provided under the regular budget in 1952 for this purpose •. . ' EB7 /18. South East Asia page 358 iillVISORY SZRVICBS AJ.'IJD FIELD PROJECTS Regional Advisers No. of Posts Estimatod E2!£(mditure __ R3GUk.R IJIJ.'U GEF T~.ED HEGULlJ{ UNICEF Ti:.ED TOT.£~1 1950 1951 1952 1950 1951 1952 1951 19 52 Grade 1950 1951 1952 1950 1951 1952 I95I 1952 1950 1951 1952 2 2 Public lbalth i~dministration 16 13,024 13,746 .~dvisers 1 1 1 l'!Ja1aria ;~dvis8r 16 6,512 6,8?3 1 1 1 Tub2rcu1osis 1~dvisor 16 6,631 6,997 1 1 BCG .l.. dviser 15 6,167 5, 695 1 1 1 Venur0al Diseases ;,dviser 16 6,873 7,055 l Cholera ancl Plague .~dvis0r 16 1 1 1 Environmental Semitat ion L.dviser 16 6,512 6,874 1 1 1 Nur3ing i~dviser 14 5,370 5,710 1 2 2 1'.~atcrnal and Child Health 16 13,815 1·':-, 693 ~~dvisors - -~-= 6 7 8 1 1 2 2 Total Gstablished posts 29,275 45,713 54,369 6,000 . ,, 695 13 ,02c~ 13,746 :i!-Mowances: Insta1lc:tion 3,465 652 800 S96 1,304 Dependants 180 3,333 3,605 200 257 616 616 Expa trhtion 1,12C -1, 86o 1,344 400 253 548 548 Pension Fund 3,550 7,496 8,955 850 938 2, l•f4 2,264 Staff Insurance 305 733 867 so 89 204 216 Tro.ve1: Duty 8,190 20,480 25,215 1,800 ?..,2'70 6,580 f--,580 Recruitm0nt nnd repatriation 6,770 782 800 782 2,222 Transportation of personal 400 2 50 200 250 956 effects 1 'i !! 6 7 8 1 1 2 2 7 10 10 Total - Regional 53,255 81,299 '94,355 11,130 11,130 27' 598 23,970 64,385 120,0'27 118,325 --- ~~dvisers - EB?/18 page 3'59 1 Soutb-East Asia ii.FG I UI.NISTAN 1 By the end of 1951 a Public Health A~E~_?.:"_a~_or will have been assigned to the Government of Afgha.nist.:.m. In vie-w of the fact that it. will take time to study existing facili tics and conditions and i_i1 order to help the Government to develop and improve the requisite health sorvlces, provision has been made lll1der the technical assistance budget to retain this post. 2. As a result of the work C.or,e by the 'WHO malaria team in Afghanistan during 1949, 1950 and 1951, it is hoped that a stuficient number of national personnel will have boon trained to enable the Govornnent to.continuo and expand the operation. In order to assist the Government to appraise the rosults of the operation, to plan an er~anded progra~~e, and to.sot up a Malaria Institute at Kabul, provision has. been made lll1d.or the: regular budeet for a malariologist for a period of 6 months. Provision has also been r~de for ono sanitary engineer to continue the programme of training field workers in malc.ria and typhus control, which Ydll have boon initiated in 1951 by the sanitary engineer attnchod to the l~K.. laria toa;n, anc.l for appropriate supplies and cquip1ncnt 3. It is anticipated that by the end of 1951 the inteP",..ation into the ret:Lonal health-administration of the joint maternal r::nd child hCflth and con££_enital SYlJhilis progr2.mme (li'EP-1) ,..riil h.avc cornn1enced. It i:s antici.fX.l. ted that this programme will be extended to other SJ?Ocia1 grou1)s of the populu.tion, such as schccl children .cmd teachers The procr.:::rnrnc -.vill continue in 1952 and it is ho~Jed to ox.pand it by the ao.C::.ition of pc;.odiatrician~ ono sister tutor, onu l2.t1Qr2.j;,ory. technici~n and two public-health l~ur·sos h3.s been mJ.clo under tho technical assistnnce budge~. It is proposed to expand the vcmc:roc"l 'liscasc )r:Jgrc..nlfJ~ carricc out in conjunction v•ith the 1 T.hrouc;hout the text fer tho South-East l•sia Roc;ion the s;;rlal numbers in parenthesis inc~_icc.tu Far I~astorn lJNICEF-assistoc.~ Health Progranunes. EB?/18 page 360 maternal and child health projec~. Provisj_on has been made,. ... therefore, under the regular budget, for a venereolog,ist, as a consultant for a period of 6 months, to expand this programme into Her at. It i's hoped· that UNICEF will provide the requit-~i te supplies and equipm(;;:nt. 4. The BCG campaign begun in 1951 is ~ndrsbod to continue. It is hoped to replace the X-ray technician by locally trained personnel. To rne>ke this service as effective. as.possi_ble, it is considered that a laboratory technician and a .bacteriologist should .be pro;rided. It is e;xpected that UNICEF Will supply funds for continuing this c2mpaign. 5. Provision has been made under the regular budget for the services of a consultant in nutrition for 6 months to survey the nutrition~l status of children and nursing mothers. Since goitre prevails in certain parts of the country, it is h'oped that this problem will be studied also. 6. Leprosy is orie of the public-health problems and provision has therefore been made under the regular budget for a leprosy consultant for a period of six months to assist the Government in Sl,lrveying conditions ::md suggesting appropri."ite methods of dealing wt th them. 7. nw following is p~oposdd under Education and Training : (a) It is expected in 1951 that the 2 nursing instructors assigned to tbu maL:: nursing :::ahool in Kabul will hav€ com:plGted the first year of the four-year course t;nvisa~ed. Provision hus been made under the rer;ular budget to rotain trwse posts in 1952; (b) To assist the Govern~ent in improving tho teaching and training of midwif0ry, provision has also been m.:tde under the regular budget for a midwife:ry tutoz:- to th<.; nursing training school in Kabul, and for appropriate t~aching supplies and eqaipment. ?:B7 /18 page 361 South East .:.sia Afghanistan No. of posts Estim:=tted expenditure nEGULAR UNICEF TJ,E::l REGUL.R UNICEF TliE~J TC:TAL _.....__1950 1951 ______1952 1950 1951 1952 I95I _19 :~2 Gmde l9_;C -1951 1952 l95C' 1951 1952 1952 1950 1951 1. Public Hee.lth 1-.dministration 1 1 i!ublic }{:;::-1 th "·.,Jmini.strc.tor 15 6,88C' 7,225 .,-- ... _,.__ - ...,..._. - -. -- ,(~ ·b' :~. .b.}lovtances: ImtCJ.:J.~ ~.ticn ?45 ::-)e) cnd:~n ts 25? 25? Expa tri::" tion 316 316 ?ens ion Funrl 963 1,016 Staff Insur2.nce 92 97 Travel: Recruitment and repatric.tion 782 Persc>rnl effects 250 1C,285 8,911 10,285 8,911 Vital Statistics. .. Medical St.'3-tistician ( Short-t2r!!1) - Fees 4, 8\}0 - Travel 3,6(\~ - Supplies soc - Equip:;lent 8C'i_l 9' 700 9,?0C 2. lJalari;c and TyphlJS Control 1 1 1 3,IA.lario1oo:ict 15 5,6cc 3,350 1 1 .j.. Entomologist 15 6, gg,~, ------1 1 1 Se:mitary Engineer 15 5o!6CC 6,88C 3 3 2 Tot2.l o st~tLl:ished --~~osts 1C 355 18,C81 1C,23C ----.....--.--- 1 ~.,_llO'NF'~C8S: Installe.ti0n 1,960 :'Jo]Je:ndan,~s 84•J 3,F:C' 1, 35(1 Z_;q;atriation 68C 1, 0':<; ?e11sion ?unci l,U0 2,5~1 1,432 1'- ,, Staff Insuranc8 -''-' 242 13'7 Travel: Recruitment ;:;nd repatriation 2,125 2,396 2,346 Supplies ;:m~ Equipment: 3C',600 27,529 5,c,~,~ 48z lC'O 54zS78 :2\",495 48,1.~8 54z878 2C'.!495 South East J.sia i\:WIS:RY SElW ICES .JD l''IE:L-: -R- JBC?S 1'cfghanistan No. of -Josts Estimnted expenditure 1iEGTJL"J1. UNICEF T1cK! UNICEF TAKI ~ 1951 1952 l95C 1951 1952 1951 1952 Grade 195::- 1952 195C 1/51 1952 i95I 1952 3. Joint )bt0mal ~~m~~ Child H:Hlth and Congenital Syvhilis 1-'ilct ~~ ro ject 1 l Clinicol J.latholoe;ist 16 7' 66<' 8,C85 1 l l Obstetrician 15 6,880 7,255 1 1 Paediatrici~n 15 6; oc- 7,255 1 2 2 ?ublic Health Purses 11 9/'72 9, 57,:1 l 1 Siter Tutor ll 4,535 4,785 l 1 Laboratory 'l.'cchnici:m 11 4,535 4,785 l Health Siuc Consultants tTI'.ve1 3, 6:'·~ Hccruitment & repatriation 1,55C' 4,692 782 5,,,-, ?ersone.1 eff ..;cts ''- 1, 5, c·· 25 ..... Supplies and Equipment: 73z300 62~20;' 0 oz 4l''-J 4, ~::55 1-52,244 62,2((": 59,914 4~ Tuberculosis Control (BCG) 1 1 Tuberculosis Con~ultant 15 ,)$ 88~' 7,255 l l BCG }bdical .-·fficer 15 3 )41+ . 7,653 1 Bacteriologist 13 s, 21• ~ 1 Laboratory Technici?,n 11 11-;- 535 1 X-ray Technician 11 J)4C2 1 1 Public Health Nurse 11 3,4C'2 4,785 2 2 BCG Nurses 11 4.• 5J2._ 9~320 __.,..._ _ ___..,.... __6 ,..._.,.,_._~ 7 Total establishec posts 21,657 39,758 l:cllmv- mces: Install'ltion 3,286 1,194 ~)epend::.nts 724 1)311 Ex:r_Jatric:.tion 9y: 1,676 Pension Fund 3,C31 5,414 Staff Insuranco 3l'6 55C Travel: Recruitment & ropatrintion 5,L~? 4 1,564 I"8rsori2l effects - 1,25'--' se,~ 9 ..... y. Supplies and Equipment~ 13,5C'O ,u~..,.._, I -- \,__, ------.....__.., __5()_,_:),_6 0 -. 6C• 967 50,160 ..., 60,967 r----- . ------..LL.::::..!------,,- ---- EB7/18 South East .csia }!a,_;t' 363 iSiShanistan No. of posts Estim:-'tw2 c y_··xmditure REGUh ..-;-" UNICEF TLK: UNICEF TLK ------l95:J 1951 1952 195\" 1951 1952 1951 1952 Gra~~.e 195:~. 1)51 1952 195~' 1951 1952 1951 1952 5. Nutrition Nutritionist (short-t2rm)- Fc2s Trove1 6. :'the:;:::' Communice>.b1o ~iseases Fees 4,8-, 3,6r,· 8,4' .~ ------·--- 8,4(! J.[edical School - K2bu1 Teaching supplies "'Jlcl E:quilJment a) School of Nursing (:~1.le) - i:a;Jul ------t . 2 Nursin~ Instructors 11 8,617 9, 57C' 2 2 Total established posts ;alm"Jnnces: Inst2.ll"J.tion 398 :~,;penc::mts 257 27:' Expatriation 346 364 Pension Fund 1, 2,=7 1,34·: Staff Insurance 128 142 Travel: 1tecruitmcnt and repatri.:ction 1,564 ?erson~l effects s,·c, Teaching Sl pplies and equipment 1 3z3C'O ...----.. 16~817 11,686 16,817 ,'11~ 682,_. ~ ! . 'l > ,' l'U-t)~ ..:..64 'I South East Asia ii.:':VIS ~RY SEitVICES kN~ FIEL.:' ':'R- JECTS Afghanistan Ne). c)f posts Estim3ted expenditure HEGUL;u( UNICEF TAK; ---- HEGULAI( UNICEF TAE~ TTAL ------·----195 1951 1952 1?5· 1951 1952 1951 1)52 --Grade 19 5C' 1951 1952 195C 1951 1952 1951 1952 19"57' 1951 -1952 b) Schno1 of Nursing (Female) - K'lbul ----1 ------11 4,3'8 Ji.llowances: Install~tion 44) Jopend".nts 128 Expatri8.tion 173 Pension Fund 6~~3 Sto.ff Insurance: 64 Travel: l(ecrui tment & repa triCJ tion 782 Personal Effects 25; Teaching Supplies an'! Equipment: 6 {'• 7,357 7,357 Supplies for Governmentel ?rogramrnes 11, '·-'" -- 11,:Y _., ------5 5 2 13 7 1 9 5 19 21 Total Afghanistan ------59,1":"' . 74,195 64,738 19' 985 68,825 63,155 296,584 256,73~ EB7/18 page 365 South-East Asia BURMA. 1.. By the end of 1951- it is anticipated that the senior public-health adminis trator, provided in that year to advise the _Government on the co-ordination of health services furriished_ by international agencies, will have drawn up plans for starting their integration into·the national health service. _It is planned to continue this assistance in 1952 and accordingly provision has been made under the technical assistance budget for one-senior public health administrator. 2. The Government is interested in improving its rural health organization and it is proposed to establish~ rural health centre as a demonstration and training centre for rural health workers. Accordingly, provision has been made under the regular budget.for one .public-health administrator~ one public-health nurse and one sanitarian. It is anticipated ~hat the appropriate supplies and equipment will be_furnished by the Government. 3. BY the end of 1951 it is hoped that the members of the parallel team who will have worked with the international team provided in 1951 for the malaria control prog:ramme _¥.'ill have been trained, and that preliminary surveys will have been carried out, vector species found, their bionomics studied, and the first round of spraying completed, It is anticipated that the area of operation will be expanded in 1952 and additional national personnel will be trained to enable the public-health administration of the country to assume complete control of operations and to continue them. By cortinuing the operation in 1952 it is expected that the incidence of malaria in the area will be reduped and that ult:i.mately the general health conditions of the people and possibly their economic level will improve. Accordingly, provision to retain one malariologist, one entomologist, one public health engineer and one public-health nurse has been made under the technical . . ' . assistance budget. 4. It is planned ~o conti.nue and expand the scope of the tuberculosis control progr.::J.mme (FEP·-7) initiated in 1951 by training six localBCG teams, tubor~ulin test:i.ng 300 to 400 children and vaccinating about 40% of those tested Accordingly, pr~:-tsion for a tuberculosis consultant has been made under the technical assistance budget. It is understood that UNICEF will provide for ono medical officer and two EB7/l8. page 366 nurses for BCG work, and for appropriate supplies. 5. By the end of 1951 it is anticipated that the personnel provided under the Venereal-Disease Control Progranune (FEP-9), will have trained three parallel teams, which will be able t·9. expand operations into areas outside Rangoon and that the integration of this pr'ogramme with the maternal and thild health prograrrune will have begun. It is also hoped that a training centre for medical and auxiliary personnel will have been established and that the reservoir of infection will h~ve been decreased by the treatment of cases at existing maternal and child health and hospital centres. It is planned to continue this operation in 1952 in order to advise the Government concerning the establishment of a national venereal-disease control programme capable of expansion throughout the country, Accordingly provision has been made under the technical assistance budget for one venereologist, one serologist and one public health.nurse. It is hoped that UNICEF vdll provide appropriate supplies and equipment. 6 It is hoped that by the end of 1951 the maternal and child health progra~~e (FEP-8) vrl.ll have resulted in soroo expansion of the services for children in hospitals and welfare centres and that more emphasis will have been placed by the Government on the training of personnel for child care It is planned to continue this programme in 1952 in order to develop child-health work in welfare centres and training centres~ It is expected that this will result in improved services to children in the area and that the Government may be inclined to extend these activities further afield< Accordingly provision has been indicated under the technical assistance budget for three public health nurses, one sister tutor and one sister specializing in midwifery. It is hoped that UNICEF will furnish appropriate supplies and equipment. 7. Since malnutrition is prevalent in the country, provision has been rnadEl under the regular budget for a nutritionist for three months to survGy conditions and advise on future plans. 8.. The following is proposed t:)l'lder Education and Training : (a) In order to assist the Medieal College of Rangoon University in the organization and standardization of academic teaching of tuberculosis to undergraduate~ and post-graduates, provision has been made under the rogule!.r buclc;ot for '-'ne.:. specialist in tuberculosis .t ::md i'-:·r np~·,roprinto sup1Jlios (b) By tho o nd of 1951, it is hoped that the first year of the four-year course in the nursing training school of Rangoon General Hospital will have been completed. Provision has boon made under the regular budget for con tinuing tho services of ono sister tutor and ono tutor in midwifery at this nursing school. In order to make t ho fullest possible use of the services of those sisters, it is also proposed to hold a short-term course for 10 nurses from hospitcls and nursing schools in Burma. Appropriate provision for this has bo~n made in the regular budget under the Fellowships Programme. EB7 /18 page 368 South East hSia Burr:J.o No. of posts Estimated expenditure REGULArt UNICEF TAED 1\EGUL"·.;, UNICEF TAK' 115 1951 !2.23. 195C 1951 1952 1951 1952 Gr1i2 105 1751 1952 1:75 ., l'l5l 1952 1951 1952 D51 1)52 l. Public Health 11Jministration l. 1 Public H·::J.l th h 1m:inistrntor 16 7,66" 8,J85 Allowances: InstJJ.l,'1tion 815 .·.eponclants 3 ;g 3\'8 Expatrbtion 342 342 ~·ension FunJ 1,''72 1,132 Staff Insurance 1:.'2 1('8 Travcl1 Recruitment & repatri-::.tion 782 ?c·rson2l effects 25~ n c·-·) 11,331 9,975 11 ' 331 _7_>_) L .. - 2. RurQl Health Centre 1 Public rb-'ll th iuJministro. tor 15 6,536 1. · ?ublic Health Nurs,) ll ~.,J 8 1, ·Sanitarian 11 4,3-8 - ,....___ - __,_ ------3 Total establishod posts 15,152 Allowances: Installation 1,643 =:ependants 5 1 Expatriation 646 -~'ension Fund 2,188 Staff Insurance 222 Travel: Hecruitment anc, repatri1.tion ---~-- 8:B7/t8 page 36) South East flsiR A~.VIS- UY SK~iVICES ; N FISL- -.,, 'JEC'T'S Burma No. of posts Estimnte::I e xpenii tur · H \JUL' it UNICEF T.AE~' REGUVR UNICEF TAE~ i?~. K2! 1952 1)5. 1)~1 1952 1951 1952 Grade 195'' 1951 1952 195' 1('.51 1952 1051 1952 3. Malaria Control 1 l Malariolor;ist 15 6,88-, 7,255 l 1 Entomologist 13 5,6 <· 5, 9- 1 1 Snnit2ry Engineer 13 5,600 5,900 ______1 _l_ ~'ublic I-L:al th Nurse 11 4,535 4z785 ------~-4 Total established posts 22,615 23,84C' Allovmnces 1 Installation 2,684 :l:3pendants 9·'6 906 Expatriation 1,130 1,130 Fension Fund 3,166 3,338 St'lff Insurance 3"9 326 Travel1 Recruitment and repatriation 3,128 3,128 Personal effects l ,.n-~ . Supplies nnJ equipments 28 .,,,_., 25,833 '' ' . 59,871 6.l, 668 59,8'71 6;,668 4. Tuberculosis Contrnl (BCG) l_ 1 Tuberculosis Consultant 15 t,eoo 7,255 1 l BCG Medical · 'fficor 15 3,44] 7,067 l Bacteriologist 13 3,1"5 l Bpiclemiolof!ist 13 3,1'15 1 X-ray Technician 11 4,535 1 Laboratory Technician 11 4,535 ------2 2 BCG Nurses ll 4,535 . . 8 3 ~ Totnl vstablished posts 3 ',~55 7,255 - - -- _...,.._ -- ....-- ....___ - Allowances: Installation 3,133 T.Je 11endants 1,n46 527 257 Expatriation 1,336 68Cl ?ension Fund 4,219 2,294 l,Cl6 Staff Insurance 423 232 97 Travel a ll.ecruitment ani repatriation 8 ,6C12 F,~rsnna1 effects 1, :n~ Supplies and equipments 34, 2:~'1 22, 80t' 84,C'14 42,?2J 8,625 84,014 51,545 EB7 /18 paf;e 370 South East Asia A~vrs.~RY SERVICES AN~ FIEL"' ~W'JEC'I'S Burma No- cd pos-r-s Estim-1.te::i expcndi ture REGULAH UNICEF TL~K; REGUL =r1. UNICEfi' TAE~ T 'T!~L l95C1 1951 1952 li2.Q ill! 1952 1951 1952 Grade l?5C 1951 1952 195, 1951 1?52 l'i51 1052 l)50 1951 1952 5. Ven"real :=.,isEasc;s Control 1 1 Venereologist 15 6,e:~L 7;255 1 1 Serclogist 14 6, 21' 6,535 1 1 Fublic H2alth Nurse 11 4,535 _iz_785 ,....._--~------______3 ____,3 Total establisGJ nests 17' 625 13,575 Allowences: Install::'t.ion 1,-lJ)l ::Jepenclc:mts 649 61:.:? Expatri::Jtion 814 814 ?ension Fund 2,467 2,6,-1 Staff Insurance 21,2 255 Tr:well H~cruitrrcmt an.J. rep8.tri.:.tinn 2,346 :1.\c·:..·sc.m:;.l effects 75C' Supplies and eauipment: ------ ·'ther Communic2h1e ~)iseases Leprosy Cl'nsultant (Short-term)- F,;;es Travel ------ 1 Paediatriciar1 15 7' 66 ~ 1 1 Siste ;' Tutcr 11 4,535 4.- 7L<5 1 1 Mi·.:lwif c.ry Tutor 11 4,535 1.,./ 785 ------1 3 3 ~'ublic H2 '1.1 th Nurses 11 13~6 3 H .. '355 ------1 6 5 rotal established pnsts 1,8cu .Y:}333 Allowc:mces: Installation 4/J.-9 3,C6'.~~ ;_!epr2ndants 983 675 Expatri;::tion 75 1,252 ?F Fension Fu.nr.:i 25J 4, 21:-7 3,35J .; . Stct£'f Insurance 3() /', .... • '_..1. 355 'rr::tvel~ ---~ 1\ecruitment anC: repatriation 8CC 5, 471.,. F'ersons1 effects 2: ., 1, 25:' Supplies e..nd equipmGnt' 15 ~ 6·"l : 1~' 2 4''(': 3,-604 62,63~1 F'.t 4CK) 3,604 62,636 39,615 EB7 /18 South Er:.st. Asi~ pae;e 3 7l A-~VIS~RY SE~:NICE-'l N- FIEL:-· R:JBCTS 3urmo. No. of posts Estimctcd expenc.liture R~:GUL,.R UNICEF TAK) UNTCF.F TJ\_:S~ TC"TAL 195,· 1951 1952 19W 1951 1952 1951 1952 Orale l'J5, ·. 1)51 1:52 1~51 1·;)51 1952 l950 1951 1952 ?. Nutrition Nutritionist (Sh. >rt-tcrm) - Ft.Oes 2,4n() Tr:w,::;l ---- _ l,Bn·', 4, 2C :· a) l~edic:1l Colle&'·~' - H:mgonn ------1 ;·rofes sor of 'I'uherculosis 15 Allovnnces: Install2tion 745 J.lependants 245 , n Expatriation 3. ' ' ~'ension FunJ 915 Staff Insurance 87 Travels Recruitment and ropatri,tion 782 ?ersonnl offocts 25-"' ~esr.ting Supplies an~ Equipment: 17,859 17,859 b) School of Nursing - Hangoon 1 . 1 1 Sister Tutor 11 4, 3- 8 4,785 n.·> . 1 . 1 1-Udwifery Tutor 11 4 J 3'- c'l • 4,785 ·--....,__-~------2 2 Total established posts r~, 616 9,570 Allow.~nces: Installation 8'1~5 :!ependants 257 27\, Expatri 1 tion '3~6 364 ~ ension Fund 1,; ') -~ 7 l! 34,' Staff Insurance 1~(3 Travels 11.ecruitment & rep::1tri 'lti •n 1,564 ,-· I'erson::1l effects 5 ''· TeD.chinr Supplies c:mJ equj pment: ; - ___t::~-- 1 ,. ,"'~t\ 14,516 12,23§ I Harcourt Butler Institute Teachinr supplies anc: equipment ------~---- ,r----- 2 6 1 17 3 5 14 ----1 24 23 Tot::J.l Burma 18,716 7C, 8c_·,r 71,202 131,377 3,604 290,620 261,516 EB7/l8 page 372 5outh-E~st Asia. BUhJ·iA, Ct:tl.Dl~ a.w.· 'l'HAILANlJ At the req'-lest of the Govern,;;ents of .Burwa, Thailand nnd .Ceylon it is planned to or{;)anlze a. tea.chinr; ·-J.sslon :::·or a pel'ioo. o1' three ·J.onths to proceed to these --:ountries J.n order to d.eumlstrf:l.te :uew techniques ln the fields of' d!edical reseaz·ch and teachint. SJ1d generall;:,-- to d.Lscuss education J,>I'obler:s. Accora.ingl.,t, provision has been F..aa.e in the ret;ula.L' budget for 10 consultunts for a ~eriod of four .r.tOnths ea.ch, and i'or appropriate SclJ..l.Plies and teachine; eqult''•ient. L<;B7/18 page 373 South East Asia ADVISORY SERVICES AI~ FIELD PROJECTS Burma, Ceylon and Thailand No. of posts Estimated Expenditure "'EGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1950 1951 1952 1951 1950 EDUCATION AND TRAINING Intral&gional Medical Teaching Mission Short-term lecturers - fees 2,400 32,000 travel 1,885 17,000 Supplies and equipment -- 10,000 4,285 59,000 4,285 59,000 Total 4,285 59,000 4,285 59,000 E.B7/l8 page 374 South-East Asia CEYLON 1. By the end of 1951 it is anticipated that a health demonstration area will have been established in accordance with the principles established by the Second World Health Assembly contained ln Official Records No. 21, page 392. This being a long-term project it is too early to assess the results that will have been obtained during the year 1951. H~«ever, it is hoped that by the end of 1951 the organization of adequate health services will have connnenced, that local personnel will have been engaged in the construction and installation of privies suitable to local conditions, that a safe water supply will have been provided for at least the important centres and that the population will have acquired the habit of using the facilities provided. It is expected that a greater measure of co-operation ;f:nm the population will be forthcoming, that they will manifest interest in the programme and that the first group of trainees from countries within the region will commence an intensive course of field training.. It is also hoped that by the end of 1951 other organs of the United Nations will have collaborated in various aspects of the programme, such as fundamental education by UNESCO, stimulation of agricultural development by FAO and population studies by the United Nations Department of Social Affairs. Provision has been made in the technical assistance budget for one public-health administrator, one public health engineer, one public-health administr~tor with experience in ~ternal and child health, ono laboratory director, one health educator, one sanitarian and two public-health nurses, as wel1 as for necessary supplies and equiproont. 2. In connexion ~vith the tuberculosis training and demonstr~tion dispensaries programme (FEP-18) it is anticipated that the Government will provide during 1951 larger promises with clinics and suitabls premises for a laboratory. If that occurs it is proposed to expand this programme by using local staff to develop at Colombo a demonstration and training aroa far the purpose of training additional diagnosis, prevention and control teams. It is hoped that the parallel teams will have been trained in the operation of the mobile mass radiography unit and that this unit may, therefore, move from Kette to commence the survey further afield. It is expected that by the end of 1951 more parallel teams will have been EB7/J..8 page 375 trained in BCG work, enabling the campaign to expand to other areas and it is understood that UNICEF will continue provision for one BCG medical officer, one X-ray technician and two BCG nurses, and far appropriate supplies and equipment. Provision has boon made under the technical assistance budget for ono bacteriolo gist and one public-health nurse. 3. It is expected that, as a result o.f the work of the venoreal-disoase control progranune corrnnenced during 1951, two teams (each one consisting of a venereologist, serologist and public-health nurse) will have boon ·'.:.rained, a laboratory training contra for laboratory technicians conducting routine serological examinations organized and a training centre for teaching modern methods of venereal-disease control and conducting the vcnoroal-disoase control prograr.~ established. It is planned to expand this work into the medica-social sphere. It is anticipl. ted that teams in three other provinces 1vi 11 be trained during 1952 to undertake diagnosis and treatment, that a reference laboratory will be established at Colombo and that facilities for undergraduate and postgraduate teaching for medical students, doctors and auxiliary workers ·will be rr ovided. It is also antic~pated that UNICEF will be asked to provide equipment and facilities for the manufacture of cardiolipin at the Colombo Medical Research Institute Accordingly provision has been made under the regular budget for one venereologist, one health educator, one social worker and one public-health nurse. 4. By the end of ~951 it is anticipated that by means of the venereal-disease control port demonstration programme at Colombo, health officers from ports on the Far Eastern route ·will have been trained. This should enable the appropriate liaison concerning the diagnosis, treatment and epidemiology of venereal diseases to be initiated in order to avoid spread of infection and absenteeism among seafarers. It is planned to continue this programme in 1952 and accordingly provision has been mnde for one venereologist under the technical assistance budget. 5. It is planned to expand the maternal and child honlth progranune (FEP-19) by the addition of two more public-health nurses and it is hoped that their services will be properly utilized in order to enable training facilities in urban and rural areas to be developed, Accordingly, provision has been indicated under the technical asslstance budget for two sister tutors in paediatrics, t'vvo sister tuto:L's in m:Ldwifery and two public-health nurses It is hoped that UNICEF ·will EB?/18 page 376 furnish appropria to supplies and equipment. 6. The following is proposed under Education and Training: (a) By the end of 1951, the entomologist assigned to the Ceylon Malaria Training Centre, will have initiated improvements in training techniques at the institute and studied most of the problems related to vector species, particularly in respect of ~heir bionomics, their behaviour and reaction to the DDT-sprayed surfaces. It is planned to continue those studies in 1952 an:l to advise the Government concerning the insecticides laboratory. Accordingly, provision has been made under the technical assistance budget for retention of tho post of entomologist and for appropriate supplies and equipment. (b) It is intended to ex1~nd the programme of teaching at the nursing school at the General Hospital at Colombo. Therefore, in addition to retaining the post of sister tutor i:..-1 general nursing already provided in 1951, provision has been mJ.de under the regular budget for a sister tutor in paediatrics, ~ sister tutor in michvifery and for appropriate supplies and equipment~ EB7 /18 page 377 South .lEast ,. ... oia Ceylon No. of Posts Estir,1ated Expend~ HEGUL.i..R UNICEF T~.ED R.EGUL.iJt UNICEF TLSD 19 50 19 51 lj ")2 12.29. 19 51 19 52 19 51 19 52 Grade ~ ~ 1952 1950 1951 1952 1951 1952 1. Public Health ~ ... clminiotration - Health D·2monstration Arsa 1 1 Public He~.clth "'drninistra tor 16 7,66o 8,085 1 1 Sanitary Engine0~ 15 6,880 7,255 1 1 Hc;o.lth Educator 15 6,880 7,255 1 1 I'laternal and Child Hoalth - 15 6,880 7,255 1Jlodical Officer 11 Nutritionist 15 6,880 1 1 Laboratory Director 14 6,210 6, 535 1 1 Sanitarian 14 6,210 6, 535 2 2 Public Health Nurses 11 ?,070 9, 570 Total established po3ts 9 ,...___,8 56,670 52,490 ;J.lovvancos: Installation 6,179 Dependants 2,120 600 Expatriation 2, 602 3, 594 Pension Fund 7,932 7,350 Staff Insurance 770 716 Travel: Recruitment and repatriation 7,038 Transportation of p:; rsonc--Q. effects 2,250 Supplies and equipment 6o,ooo 55,000 > 145,561 11),750 145,561 119,750 ~anagement Survey i'IIanagement Consultants (Short-term) -fees L1 J 800 travel 3,600 8,400 8,400 l!l~ /J.!. .'··-·· page 378 South East Asia i~DVISOR.C: SJ.~RVICE3 .t~ND FIELD PEOJ.i!:CTS Ceylon No. of Posts Estimated Expenditure lillGUL..:"~ UNICEF T.Ll~D UNICEF T~~ED TOTi~L 1950 1951 1952 19~ 1951 1952 ~ 1952 1950 1951 1952 1951 11.23 1950 Hoal-0h and Vito.l Stc.ctis c,ics l'(toclical Stc:rth;tician ( .Short-ter~l) ·- feos 2,400 travel 1,1300 4,200 4,200 2.. ~~£9~..=\9:~ is _,99_EE:?l_( BCG) 1 1 BCG hcd~:_cal Offic-~r· 15 6,880 7,255 1 BactC!2iulog is-1: 13 6,210 1 1 X-ray Technician 11 4, 535 4,785 l Public .F-lbn.l th Nurse 11 ~, 535 2 2 BCG Nursos 11 9,070 9,570 4 4 2 Total established posts 20,485 21,610 10,745 .Lllowances: --~---~ Instn.llation 2,092 1,194 DopGndants 662 662 392 Expatr:La ~ion 862 862 498 P-3nsion Fund 2, 868 3,026 1, 505 Staff 1 r1.::uranco 293 310 138 -Tr2.vt;l: Recruik:snt and rcp<..Ltriation 3,128 1,564 Trauspor+,a tion of pc.rson.'1l ef C'Gcts 1,000 500 29,304 19,535 60_, 694 46,005 16,536 60,694 62,541 EB7 /18 page Sou~h East ;~sia 379 Csylon No. of Posts EstiL1atod ~xp~nditure 1-lEGUld..R UNICEF Ti.. ED lf:~GULJ1 UNICt;F T.;.ED ...... ______19 50 19 51 19 52 19 50 19 5:1 19.52 __19 51 19 52 Grade 1!5~~ .·1950 1952 -L15l ....,__.,..,1952 ..;....Venereal______DisoQsos Control _ 3. Genoral De111onstration 1 1 Vepc;rcolor,ist 15 6, 536 .7,255 1 ?u hlic HC:lalth ~duc:-1. tor 13 5,320 1 1 Social Workur 12 4,793 1 Public Ho2Hh h1m'.so ll it, 308 . 4,785 ...... _ 2 4 lO,ci4!J. 22,153 1~11owanccs: Inst::tlla·(;icn l: l~ '~ 745 Dopend0.nts J7?,__, 880 Ex.p;.,tri:->tion 473 l,C98 Ponsion Fund 1, 5ll~ 3,101 Staff In.suranco 151 310 Travel: • H.ecruit:·k:nt c:.nr_: rcpiltri '"ltion l, 56/+ 4,692 Tro.n:oport::t tic·n of p:; rs on~.l e f:t:'e cts 500 5]0 Supplias Qnd equipr:J.ont 39,768 26,512 1S, 617 33,479 39,768 26,512 56,385 59,991 4. Port Demonstr::.ction 1 1 Venereologist 15 3,440 7,255 iJ.lcwancos: Installation 745 Dependants 129 257 Expatridion 158 316 Ponsion }\md 482 1,016 Staff Ins ur:-.nc:e 46 '97 Travel: Re cruih1cmt Qnd r0 pr. tri:'.ti~.; n 782 Transportation ·..;f p.~rson;'.l cf.c'c:c·i:is - 250 - 6,032 8,941 6,032 8,941 EB7/18· · page 380 South East ..\sia li.DVISORY SERVICES ... ND FIELD PROJECTS Cey1on Noj of Posts Estimated Expenditure REGUhili UNICEF TiillD R.EGUUili UNICEF T~~.ED TOTAL 1950 i951 1952 1950 1951 1952 I95i 1952 ~ 12.2£ illQ "1950 1951 ------Other Conmunicn.ble Diseases ---.- Leprosy Consultant (Short-term) fees 2,400 traval 1,800 4,200 --4,200 5. Mat.ernal and Child Health l .Adviser on Social Medicine 17 8, 525 2 2 Sister Tutors (P.:lc(_'_iatrics) 11 9,070 9,570 2 2 Sister Tutors (Midwifery) 11 9,070 9, 570 2 2 Public Health Nurses 11 9,070 9, 57u 7 6 Total established posts 35,735 28,710 - Allowances: • Installation 3,512 Dependants 1,118 1,118 Expatriation 1,434 1,092 Pension Fund 5,003 4,020 Staff Insurance 516 426 Travel: Recruitmsnt and. repatriation 6,256 Transportation of p•arsonal off2-cts 1, 500 Supplies and equipment 24,750 -8,250 79,824 8,250 35,366 79,824 43,616 Nutrition Nutritionist (Short-term) fees 4,800 trc.vul 3, 6oo 8,400 8,400 - South East Asia EB7 /18 page 381 LDVTSOEY Sl~R.VICZS AND Fl8LD PROJECTS Ceylon No. of Posts bstino.ted Expenditure 1EGUk.R UNICEF T.. -~ED llliGULi.H illHCEF -T~:Jm TOT,iL 1950 ~ 1952 1950 1951 1952 1951 1952 6• ~:DUC.!l.TION ;Jm TR.~.INING Gr~:,de 1950 1951 1952 1950 1951 1952 1951 1952 1950 a. l'.·:alaria Field ·rro.ining Centre 1 1 l~ntomolog ist 13 4,761 5,016 i.llovvancos: Inst::dlation 596 Dependants 257 257 Exp Cltriatio n 253 253 F;,n.:;ion Fund 784 626 Staff Insurn.nce 75 79 Tr3.ve1: J.1.ccruitr:lent ancl_ ropc..tri.".tion 7G2 Tro.n:'.-:t:Jortation of persono.l effects 250 T::;achine; ;3uppliGs :.nd Equipm~nt 11,500 5,000 19,258 11,431 19,258 11,431 b. School of Nursing - Colombo 1 1 Sister Tutor 11 4,308 4,785 1 Sister Tutor (Po.cdiabrics) 11 4,308 ...... SistLr Tutor (1\;idwifery) ll 4,308 - Total ostablishcd posts 4,308 13,401 .Ll.11owances: Insto.llatio::.J. 449 998 D,::;pen:i2.nts 128 391 Exp:::.tri2.tion 173 519 Pension rund tD3 1,877 Staff Insurance 64 199 Travol: Hocruit1r1ent and repatrwtion 782 3,910 Transportation of personal e ffocts 250 250 2,500 .6,757 21,545 2,500 6,757 24,045 3 7 ll 4 11 18 25 29 Total - Ceylon 27' 574 55,024 180,286 83,267 191,851 192,024 - 399,711 330,315 EB?/18 page 382 South-East Asia INDIA 1, ~ the end of 1951 it is expected that, under the tuberculosis trnining and demonstration dispensari2.s progra:runcJ, (FI:::P-32), clinics will have been established in Delhi, Patna, i-n the~ Bihar Statt., imd in Trivandrum in the State of Tra·vancore Cochin. It is also envisaged thc~t appropriate parallel parsonnel will have bean trained in ortler tv emblo a demonstration centre to b8 established at :_;:[adras. It is intended to continue this progrc:runo in 1952 and it is e.nticipated.that Eloro local pc;rsonnel will be trained, thus cm.1bling tho Government to expand ,. op.:-rations furtht:r .:.field nnd establish local sorvices on modern lin.:Js for the control, dic.t;nosis c::nd trGc.tl21ont of tubc,rculosis. It is 'planned to use those· . dor,lOnstrc.tion cc-ntros for th.:; purpos(.) of org~~nizing rcfr-.::sher courses among the gon0rc:l medical profession in --ach technician, ~nd fo~ appropriate supplies and t:quipment. 2. India hc.s a totd popul.c:tion of about 350 ;-:tillion with nbout 20 different. stat0s contrQlling their own h(:;alth services. Throughout thu subcontinent the infaction rnte of tubarculosis is extro::1ely high, draining the mocgre available r..:;scurc~s '.f individual families ~nd tho Stnto by the mc.intenance of unproductive sick. If tho provincial gov,:rnment could provid.:; a local service for the· control of tubarculosis the over-increasing burd~n on individual fam~ilios nnd the state .. vvould bo less..:ned by a r.aduction in the pool uf infection, which must. spr'?ad ~n .. the absence ,_,f orgcnized control. The nntional income can bo expected to rise when tho debilitating 0ffl~cts of widespread dis0ase are removed. It may .tl!.ere fore be anticipated thnt, by bringing.undor control a disease whic~ g0ner.aily affects members of c co;~mnity at their most onargl, tic o.g-.;, the productiV,e: cnpo.city of thnt conli:luni ty will incre.2sG. It is therefore intended to establish ' c<:Jntr.;;s of demonstrotion and tre.ining in Bo!!lbay, Lucknow and Calcutta wi tJ1 a ~jor tuberculosis clinic ntt2ched to each. It is hoped thct by the establishment uf these training cuntros it will be possible to trdn loc.:::l pc,rsonnel, thus. ' ' enabling the Guv..:rnmont tn assllino rospJnsibili ty for the control, diagnosis and treatment of tubarculosis on mod0rn linos. Accordingly provision has been made EB?/18 page 383 under the technical assistance budget for two tuberculosis consultants, one epidemiologist, one ba9teriologist and two public-health nurses, and for appropriate supplies and equipment. 3. It is intended to hold a conference of venereal-disease clinicians and aerologists in the region for fot~ days to evaluate serological methods and to discuss standard tests which might be applicable to the region. It is considered that this exchange of views will facilitate schedules of treatment by penicillin and ()ther antibiotics for syphilis, other venereal diseases, and yaws, and enable p~ans for a comprehensive regional programme to be dravm up. The conference may tako place at Madras or Calcutta and provision has boon made under the technical assistance budget for one clinician and one se~ologist to attend from each country within the region an:l. from each State in India. 4. By thu end of 1951 it is expected that the epidemiological studies in cholera conducted in association with the Indian Medica:I. Research Council will have pro gressed. However, as it is essential to complete these studies before a programme of demonstration of control methods can be undertaken it is intended to continue them in 1952. Accordingly provision has been made under the regular budget for .a grant to continue the association with the Indian Medical Research Council established i~ 1951 in accordance with operational plans agreed between both organizations. This grant will benefit the whole world and not just the regio.n, and the operation will be under the technical supervision. of the Department of Central Technical Services, through the Regional Director. 5. There are a number of endemic foci of plague in certain areas of the world, including India. It is proposed to study the epidemiological control methods of plague in an endeavour to ascertain the follovling: (a) carry over of infection from one area to anothar; {a) factors associated vdth endomic feci; {c) cheap methods o~ rat-proofing and conservation of food; (d) the most effective eradication methods; (e) study of antibiotics in connoxi"n with plague. It is intended to associate the activities of the vmo with the Research Centre at the Haffkine Institute. Research will bo carried on in accordance with a plan of operation to be mutually agreed between the two organizations. Accordingly provision for a grant has been made under the regular budget. EB?/18 ·page 3841 6. ThG G.JVornment. has a numbor cf ;·,mltipUfpucohydrc,-clGctric and irrie;2.tiA1 pr,_jccts under c .. nsideration. One of the he2lth probla:cas which could c.rise is the appc.:tre.nce c.f ;;mlari2. It is hvped thet the services of a malaria cmgineer, as sh· .rt-terra c:>nsul t occurring. Accvrdinc;ly, pr~JVision hns been iili::de under the technical assistance budt;Gt f·jr l!n0 metlariD. ...ongineor for a period ,:if six Hunths. 7. Propc.retinn for establishing .:::n antibicJtics plant ere well c.dvanccd, and th<:. G<.>v.:..rmlCmt will r.lvat fr(;in its own rcsourc.ss most of the: expendituro involved. I"L is 2.xpuctod tmt in the initi.:J.l sta[;·..:s pr· .. C.uction cnpc.city will be lOO billion units, rising to 400 billi·m units er moro per month. This output, thouGh n:.dest L: rel2ticn to thG actu c.. c.m,,,;1ic Gpc;rc.;ticm. Tho plc.nt will •.'per ate as [~ non-prvfi t-;-:1akin.; enterprise utilizinG, c.ny surplus funds for Llprov-:.:·Knts 2,nd oxtcnsiGns. In the main, ·-Ut>ut vrlll b-::: used by the Stc,k c.nd prt.•vincial governments f:Jr fr.:;;e troatrnent in hospH2ls .c.ncl clinics vvi th c.ppropri2tc priority being c;i VGn t() care of syphilis .:;.;nrmc expo ctr:nt ::-.wthcrs <:nd of ccm,soni t2l syphilis. The Gc>vernment hc.s ,:;xpr.c:sscd its ro<~din:.ss to cxchcm::;o lm:>wloclc;o c.nd porsonnc.;l with other prcducti'm cGntr ..... s .:md with the intcrn.:::tionc,l rcsoc=trch t;rcup being developed by Vv1I0, c.ncl tCJ vrulcr;mc; tro.ineos fr·liil oth-:..r gvv-..;rlli11Gnts. Because; of .th:::.. v:::.FJ spucio.l n.:::.turo of the work involved in org2nizing th0 plc:.nt, it is planncd tc rGndcr tc th0 Government, at :j_ts request, cppropriat<> tGclmicc:l o.dvico in tho dGvol,)pln..:Jnt c.f this project. AcCL'rC~ingly provision he.s bGan n2clo for 9 ;m•nths in 1951 and throut;h 195.2 under the technical assistance budt:,Gt f,;r ,.n.:: plant dGsi::;n Emsinoor, •.me constructLm engineer, ·one .oper2ting sn;:~incc.r, ~n,:; meche.nic::.l 0nginG0r and c_,n<3 procurc.i';Ent engineer. In order tu assist ths G With tho c.pproval of the Juint Ccmmitt..;c on HG<h Pc.licy, UNICEF/WHO, th. l.JNICEF Exocutiv...: Ec)e.rd ho.s c.er-::.od to furnish o.ppropri.::ttG supplLs o.nd equipment. EB?/lS page 385 B. The following is proposed under Education and Training : (n) It j_s proposed to u.ssist the G vorm1ont in rdsing t8c.ching standnrds at nursinr:; schools. Accordinc:l;/ provisinn has be~n mad.;;; und;;,r the regular budg.Jt for fc·ur sistor-tutors in ccnerc:>.l nursinc;, 2 tutors in ,nicwifery, twG pa~c>dintric nursin.s; instructcJr3 ;::nd twu sister tutors f,~·r clinicnl o.nd nursine <.'.rtG instruction. It is onticipc.t0d thc:t by pruvidinc; additional to a chine st<.:ff to work vvi th nc:>.th·nol staff c.t nursinG schools and by suppl.;:;menting e,onerol and teaching equipment, the ste.nd<:~rd of nursing trnininr; -vri_ll bo. ii:tprov0d and nurs.o..s vvill be better equipped to teach and practise gocd nursing. It is h·ped that UNICEF' will furnish appropriate suppli~:s and t,;c.chinc; cquipi::18nt. (b) It is c•: nsiderod closirable that vc..neronl-G.isci::sc cc,ntrol should be intrvduct:-d. in the curriculum fc·r the diplu; tn of public-hGol th obtainable frum th.:::.: All-Indic. Insti tutc..: of Hyt,icn.:; and Public H:alth, Calcutta. At prl;;s.:nt stud..:.nts in th.:: cours..;s for tho diploma of public hc;alth receive four loctur.Js in vcn\o:renl C:.isoosc cc.u-t;rol and thero nre no facilities for spocio.l tro.inine:.. The All-Indic: Institut"' <..,f Hygiene and Public HeE~lth, th-:: Lc.bor;::t;~ry of th..; S~r~)L::::;ist to the G<,v.._,rnmGnt c·f India, end the veHdree.l distJ.:.:so clinic in th0 wcrd uf the Modiccl C.Jllc;ce are: :.'.djacent and adequate crranc:(.;:mont for o.pprcpric tc trClininc ccmld e .:tsily be ;112de. It is planned to roh:t,, this procro.;;nno vrith tho Venoroc.l-(.lis;:;,:;.s~s .ikpart:.1ont of the illadrcs G.;.ne;rc:l H'-)spit2l. Accordinc;ly pr(·vision has 1:x::.un mc.de under ree;ulc.r budget fGr ,,ne vonGr,_;,)lC(:.ist, ''no socic.l wurkor end one public-hac>.lth nursG, and fc'r appr .. priate sup;1lie s and kc:ching oquipiacnt. (c) Durinc 1949 c: prot;re.;nme wo.s inauc,uratod in co-operotion with the Gov::lrn aent of Incdo. and the .R:lhi hc<::l th n uthori ties to start n trdning centre in makrn.::.l and child h~,al th (FEP .36) . This will hav.s bGen dov3loped through c;Ut 1951. It is e xpe cte,: tho. t c. uring 1952 the first c;rcup of students <:lt the Coll.:::.;:::;.:: (_;f NursinG will r0cciva tro.ining :-:t the rurc:l nursinG; ce.re 'Will hav~:- baon establishad ~-:t the Irvrin H,,spit<:l Nurses Training Ccntr.:.:. Inasr'lllch !'.s this iG a c:·)ntinuint, prograBJne, provision he..:; been mzde under thu re:~u.lar bttc~::=.::;t for two paodi.:.:tricians, •.mo public-h..;alth nurse and ono pc..~odi1:1tric nurse>. Prcvisinn has also be:m inClicated under the EB?/18 page 386 tcchnico.l a.ssist<:mc0 bud::;ot f,,r b.rr: public-h".1lth nurses. It is hc,pGd that UNICEF' will furnish supplLs 2.nd .:::quipiilent. (d) In 1951 plans were inc::ugurnted to improvG anG oxpo.nu training facilities fur m0t..;rnd c::nd child h~2.lth pers•mncl at th1.0 All-India Institute of Hyeien • ~·.,_iJVISORY 0 ~rtncE: _Jm FI2LJ :ePDJECTS India No. of :t_:Josts Estb~ated Expenditure R8GULL..R UIIJlC&· T.. ...ED REGULi~R UNICEF T.J!;D 1950 1~51 1952 1950 1951.1952 1951 1952 ~ 1950 1950 -----~---- Tuberculosis Control 1. Training Clinics Pa tna, Trivandrum 2 1 Tuberculosis Consultants 15 11,696 6,167 1 1 &cteriologist 13 5,279 5, 555 1 1 Epid0Eiolog ist 13 5,279 5,555 2 2 Public Hee.lth l~·urf>es 11 7,710 8,134 1 1 X--ray T.;chnician 11 3,855 4,(·67 2 Labor:,·.tory Tochnicians 11 7,710 9 6 Total ostablishGd posts - 41,529 - 29,478 ----l..ll_ov-n.nces: Inst::cUation 4,184 Je}lendants 1,703 1,298 Elq)at.:.•:".rc +:: "'ll 1,742 1,304 P;;;nsion }'und 6,581 4,926 Staff Insurance 661 486 Trav;:;l: Itecruitnont and rej_)atriation 9,384 Trana1~ortation .~f p0rson2.l effocts 1,500 Supplies and equipnent 429,000 65,000 296,284 65,000 37,492 296,284 102,492 2. Traini0~· Clinics (Bombay Luckncm2 C-3.lcutta) 2 Tub3rc ulcs is Consultants 15 11,696 1 Epidemiologist 13 5,279 1 Bacter::..ulugist:. 1.3 5,279 2 :fublic Health J:Turses 11 7,710 -6 Total sstablishGd posts 29,964 i..llowances: Inst-?.ll::ction .3,104' :clepcmdants 1,298 Evpc.triation 1,.304 Pension Fund 4,9.34 Staff Insurnnce 484 Tra7el: 1t0cr't3 tnent 2.nd repatriation 4,692 Trc.D31lortation of personal effects 1,500 Suppli~£._equipment 174,000 221,2'30 - - 221,280 • EB1 /lJ South East ,_~sia pa('e 388 -~!.WISORY 3~RVIC!-~S .~·.lw FIELD ?HOJBCTS India No. of i.-'osts ~xpcnditure • ~.:Gi.J L..R UNI Cb'F L..l~D R..L:GULi.R UNICEF ~ -TOT~.L l) 50 19 51 l) 52 15' '3J 1/ 51 L; 52 1/ 51 1? 52 ~ .!219. 1950 1}51 -1:;51 b50 2~f- 1 Vunuroologist 15 6,167 1 1 S..;rol.::Jgist 14 5,555 1 1 1?ublic Hcc>.lth lJurso ll 4,067 4 3 Total estab1ish~d posts 20,375 15,789 Short-ton:, Consultants f:Jos 1,200 i.llow-2.nces: Installation 2,750 :JOiJendants l,C:90 1,800 ExpntriatLm l, 540 i.Jonsion ?unci 2,730 2,601 .::lt£~ff Insur2.nco 285 255 Travel: .. JUty 3,800 Short-tern Consu1tC'_nts 1, 500 :Ciocruit;:l.ont <:md re:cJ2.tri:::.tion 8,355 2,346 .Hcm.e 1onv8 1,345 Transj_:::ork.tiun of jJersonnl 550 750 offGcts ' 17,820 1~ OnG incunbent Yve.s j)aid p or di8L: in 1ic;:u of salary. 63,340 23,541 90,544 63,340 114,085 This accounts for Short-te:ra Consulto.nts - f0cs 4,iJOO tr~cvcl 3,600 8,400 - 3. Confercmco to ovalu.J.tc SGro1ogical J:~ethods ~ . J Participants Travel 3,700 3,700 3,700 EB7 /18 South :8:---.st ;~sic>. page 38 9 India No. uf .t)osts Bstinc..k.:l ,d;xpendituro i\. .. ~G\JhJL Ul'H C,£F T... l~iJ UNIC __~F 1950 195 1S'52 19 5J lJ51 L'52 1S 51 1952 1951 L 52 1>50 \WE- lO,OCO -~~ 20, ooo'" lD,OOO 20,000 10,000 20,000-- *. 0 IDP Fu:urJ s -~ ** 1pltJ, COO 0 IF.Y Funds Pc•l.!_c•l'\f<~litis Control Short-t.;rn Consultant" - fo0s 4, 200 trc>.vol 5,720 9,920 9,920 5. Plc,gue :c1.esenrch 20,000., 20,000 20,000 6. hlal~ria Sontrol (BrnaJ, JvyporG Hills, ~ic.'lilliT," Torai) 2 1 11/L:'-.lc>.riclnp;ists 15 12,334 6,167 l 1 Sanito.ry Engineer 15 6,ll.67 1]. 3 1 :r>ubliG H,.;:_clth l';urses 11 8,349 4,067 s~mi t.2.ry .t~ne;imor (Short- torr.l) - feos 4,800 9 6 2 Totell establisho~.l posts 39,750 26,850 10,2:34 4,800 i.-llLT/iD.nCC:3: Inst::11l::>.. tion 1, tDO ~~~o~;~. ;n~lEl~nts 1,mo 1,40C 600 :.£x1J;.:tJriC'. ti,in 3,125 1,771 750 1-'orwi~)n Fund 5, 575 4,415 1,686 St<-·~f_f' I11,~ ~ur~l1c,·.: 560 433 168 Trc.~vol: Tr2.r'""l , ·f Con::mlt2.nts .. .- 3,600 ltc.ocrt'.i t::;ont :~n l r'-' 1~1-:1tri.::ttion 5,250 4,692 1,564 'i'r.-:cnsjY; rt::.tic ;1 ,Jf p0rson.'t}. 1_,780 effects 3,000 157' 500 105,000 ---~--- ... --. 62,440 39,561 157' 500 105,000 15,002 8,400 219,940 159,5i>3 G,40D ----~ ------!1!'1/ifJ South East Asin. paue 390 llDVISORY SERVICES AND FIELD flROJECTS India No. of posts Est:Lnated Expenditure REGULAR UNICEF TilED REGUIJ~R --UNICEl'' TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1950 ]_(151 1952 1951 1952 1950 r;. Antibiotics Production Plant 1 1 Plant Design En~ine8r 9,000 12,000 1 1 Co11struction Engineer 9,000 12,000 1 1 Operating Engineer o,ooo 12,000 1 1 Mechen:i.cal Engineer 9,000 12,000 1 1 Procurement Engineer 9,000 12,000 __5__ 5_ TotRl established posts 45·,000 60.000 Allo'Jil anc e s: Installation 4,0?5 Dependants. 1,155 1,540 Expatriation 1,283 1,?10 Pension Fund 6,300 8,400 Staff Insurance 635 845 Travel: Duty 9,000 9,000 Recruitment and repatriation 5,555 Hmne leave 5,865 Transportation of personal effects 2,390 Supplies and equipment 500!000 350,000 60,000 75,000 500,000 350,000 135,393 162,360 635,393 512,360 Public Health ""dministration Supplies - .t•ssam Earthquake Relief 5,6oo 5,600 EB7 /18 page 391 S.Juth East J~sio.. N<:1. of nosts :1TI:GUL. :1 Tf.E.' Estimated expenditure UNICEF W£GUL 1~ UNICEF TOTAL 195: 1951 1952 195C· 1951 1952 1951 1952 Gr~de 1?50 1°51 ------J552 -1950 -1951 1952 -1952 -195:": -1951 -1952 Malc>,ria Institute Short-tsrm Consult~'nts - Fec3s 1, 6cc~ Tr:l-r.rol 2,,:8::: Te~chin:~; Su~\J1iec c~C Equ:i1XlEmt 3, 6Q.· 2, .~. ('· 3,680 __ 2,0\:0 a) Sal e;ctod l\Turs ::Lnr; Sch nols 2 6 Sistvr Tutors 11 ?;325 22,359 1 2 ttidwifory Tutors 11 3,662 2 2 7,?29 ------Paediatric Nursin,c: ll ?,325 G,134 _ _2__.!2... ____ _ Instructors Total est·:blishud ~Jocts 18,312 .38,222 ;.llovr'lnces: Installation 1,796 1;796 Je;JGndants 641 1,316 Expatrit'.tion ('92 1,420 I'ension Fund 3,016 6,366 Insu:r:c.mce 318 673 Travel: Recruitment Jr. repatri .. tion 3,910 3,910 ;:·E:rsoncl offocts 1,25C1 1~252 Supplies .:end Equipment: 1·:-:.!o c 1L'.z500 32_,93.5 54,953 1''VI. 0"'"',,\, 10l5CO 39,9)5 ,65,453 l~ntal Hos?it~l - BangGloro j ; Short-t,:n;"l Consult-mts Feos 2,4 .~ 1 r'(' ' Tro.vol • l U• ' 4z 2C\' 4,200 i~ll-Indirc Insti tut0 of f~-sione and ~ ublic ·H.~ .".1 th Medical :_ieticicm (0hort-torm) - Fees 2,400 Tr.1.vel .1.800 Teaching SUJ..)plL~s ond Equi ,ment ---- 2, :~·( ~. 6,2o: 6,200 Jll.l51/!l.l:t page 392 Inr.'.ia No. of .:osts ~( GUL.u~( UNICEF T. -~-: ,.~ "GliL UNICEF 195. 12.2! 1952 195 1951 1952 1951 19S2 GrcLc 1)5 · 1952 195·.' 1)52 -1951 c) Collo~:0 :f Nursing: 1'1:1y ~~~~in~ Hu~lth Schcol ate. 2 2 2 :. ·'"' ~i2.trici:cns lLr- 1 3 11,11: 1 1 1 2 2 - ub1ic ~-L.·2lth l~ursvs 11 3,662' 4, ·>::.n 7,71' t:', 134 ------1 1 1 ~ aedicctric Nurs0s 11 3z662 4,: :)7 _.!f__4 _4 __2 ___2 15,75•' 17,354 1~, 24L!. 7,71· ··:,134 1,25C 5?6 72' :\;! Gl'Kle>.nts 244 257 27 27' r~ .... Ex~x' t ri ··t i ·~m '.Jl r545 636 2;'2 292 2 '"'~ ., ·,· .. msion Fun'~ 2, 25:·: '~>-- 3,17 1,2'7 1,34l' St<~.ff Inc;u-:.~.~.ncv 225 205 316 13.!" 142 i~ecruitnont ··ncl rc:,:ct::."i'tinn 5,55 7D2 1,564 ... ·.:..rson'l ;::;ffect _ ;r 25'' 5 •. 5 :". r 3 z 5"/ '·-, 1· ' ·,. ~. 3-,515 23' 21~. 23,S23 5 '. .. 11,17'.~ 3 '515 39,8 1 d) "·,11-In(~iil. Institute r::f Hy::-ionG nnrl • ublic tl :cl th l 1 l.'aediatricinn 17 7,629 1 Consu1t::-nt in S .cia1 17 ''~ ·oclicine 1 1 A~r2bi:strn.t~LYC .ffice;r 14 5,279 s.st~ 2~' 0 1 1 Nursin::·' .. Instructc•r 12 4, 4, 511~ 1 1 12 4.,2't' 4,5Hi 1 1 ~! 1ledico-S.:-cial Instrur. tor 12 4, 2:,·9 4, 5lfS _...... ,.______1 _1 i.'e.ec~iatric Nurs0 11 3, ~;55 4,:'67 ------7 6 36,493 :~1lov-rances: Instc.l1atic•n 4, 48 ~-~e:_.. 'enclants 1,777 1,522 EXiJatri2.ti 1-~,;crui tment ~c. re.~'atri~'tion 6,256 ~ erson::ll effec':s 1, 50' 942,4.63 1 '' Yi 440 ---- lJ C\... z44·~ 39,539 ---- :'· .. , EB7 /13 page 393 South East .. ·.. sia In:lia No. of Posts Bstinat0d i!:x]:)onditure :a.:r.;;GU1li!.11 UNICEF T.. JD RGGUL....rt UNICEF T~~.o ------..--1950 1951 1752 1950 1951 1952 1951 1952 Grade 1950 ~ 1952 1)50 1951 1952 15'51 1)52 b • .iJ.l Iniia Institute of Hygione and ?ublic Health 1 Venureologist 16 6,1C6 1 Social ~vorker 14 5,015 1 Public H~alth Nurse 11 3,662 - 3 Tctal Gstablished posts 14,863 .L..llowancos: '' Installation 1,6o7 :Jcpendants 665 Ex;_.. mtriation 798 f''-nsion Fund 2,447 Staff Insurance 239 Travel: 7tecruitment and repatriation 4,692 Supplies and equipwent 16,000 41,311 41,311 Environmental Sanitation - Conferunce Participants Travel 4,000 4,000 4,000 E:B?/18 page 394 South East.i,sic. Inc~ia Ne. :Jf "JOst s nEGUL .• :J. UNICEF T"~E:~ :J.::':GUL .. _lc (TNJC~F TCTLL 195:"\ 1951 1952 195~ 1951 1952 1951 1952 195\. 1951 1952 195'' --1->·51 1952 195·:· 1951 :, rogrc:.mme Supp1ie~ 25,("':'C 17 18 17 18 7 25 17. 43 42 Tot2.l - Inr3ie. 132,451 159,'>37 157,5r. 2,0)JJ"l~~ 43 1,5'"1-": 16~,595 4G3,'J4'/ JS?,995 2,326,174 1,C'•74,3J6 ~B7/l8 page 395 South-East Asia INDONESIA. 1, By the end of 1951 it is anticipated that tD.e senior public-he'alth administrator, provided in that year to advise the Government on the co-ordination of health services furnished by international agencies, will have drawn up plans for starting their integration into the national health service. It is planned to continue this assistance in 1952 and accordingly provision has been ~de under the technical assistance budget far one senior public-health administrator. 2. By the end of 19.51, it is hoped that surveys will have been undertaken and definite infor.mation obtained concerning the most effective method of approach for the control of malaria. It is planned to initiate a malaria control programme in a given area and train parallel teams· in order to enable the Government to expand the operation and ultimately to develop a l'lational malaria control organization throughout the country, thereby improving the, hea.lth standards and economic level of the p; ople. Accordingly, provision has been made under the technical assistance budget for one malariologist, one entomologist, one public-health engineer and one public-health nurse. It is anticipated that. all supplies, equipment and local personnel 'Will be provided by the Goverill'OOnt. 3. By the end of 19.51, it is expected that some progress vdll have been made towards the reorganization_ of maternal and child health work and the training of awciliary health personnel. By this time it is anticipated that the Gover~nt will 1vish to make appropriate use of international public-health personnel. Should that prove to be the case, it is intended to advise the Government concern ing the integration in the national public-health administration of env:ironmental sanitation and of health education of the population. It is therefore planned to expand the maternal and child health programme (FEP-49). Accordingly, provision has been indicated under the technical assistance budget to continue the posts of social paediatrician and public-health nurse provided in 1951. In addition provision has been made under the technical assistance budget for two public-heaJt h nurses, one public-health engineer and one health director. It is envisaged ~hat requisite supplies and equipment will be furnished by the Government. EB7/18 page 396 4. It is glanned to extiand the treponematosis progra.mue (FEP-48) b,y a.dvising the eovez'l'L'nent on venereal-disee.se control. It is anticipated that this progra.i~Jle can be integrated wlth the r.:;a.ternal and. Child Health ProgrcJilroe and that f'o.cill ties for traininB ,uedica.l officers end a.u.xilia.r.t personnel will be established.. Accordint:,ly1 provision ha.s been indi.cated under the technical a.ssistance budget to retain the venereologist, bacteriologist and public-health nurse provided in 19:;.>1 for treponematosis. r.a ~ddi tion grovi sion has been made under the regular budget for one venereologist. lt is hoped that UNICEF will furnish a...Jpro:pri~.te supplies and equipment. 5. BJ the end of 19~1, it is envise,eed tha.t the public-heolth en~ineer, previousl.t pz·ovided to advise the Govcrn;Ylent on improvil16 the existing water supply to Djakarta, \vill have O:ra.wn up appropriate plans. It is anticipated that the Governaent will J?l:'Ovide the requlsl te supplles, equ1j,)1;1ent and local sta.ff ln order to put an appropriate progra;.e,1e into operation, but it is assumed that it 11113\Y' require the services of the ~ublic-health engineer to advise it on the imple.aenta.tion of that programm.e. Accordingl.t 1 ap.propriate provision for contlnuine:, these services has been made under the technical. assistance budget. 6. The following is proposed under iducation a.nd Training : (a) As a complement to the maternal and child health programme, it is planned to advise the Government on teaching of student nurses at a selected nursing school, attached to a. general hospital. Accordingly provision has been made under the regular budget for a sister tutor to be assigned to a general hospital with a nursing school attached and it. is expected that some of the supplies and teaching equipment, provided in 1951 by UNICEF for the maternal and child health programme, will be available for this work. (b) In order to advise the government in organizing and conducting a nutrition course for Indonesia at the Eijkman Institute for personnel connected with nutrition problems, provision has been made under the regular budget for a consultant for .3 months. EB7/18 page- 397 South East li.sia l~DVISORY SERVIC:il:S i>.ND FIELD PROJECTS Indo~sia Estiw~ted Expenditure No. of Posts TilED TGT.i:.L HEGUIJ..R UNICEF W!.ED REGULi..R UNICEF -1951 1952 1950 1951 1952 1,2.22 1951 1952 1950 1951 1952 1951 ~ Grade 1950 1952 1950 1951 1952 1. Public Health .~d.Einistration 7,660 8,085 ------1 1 Public Health J~oc1."1inistra tor 16 1~llowancos 1 Installe.t ion 815 Dependants 308 308 Expatriation 342 342 Pension Fund 1,072 1,132 Staff Insur2.nce 102 108 Travel: Recruitment and repatriation 782 Transportation of personal Gffects 250 11,331 9,975 11,331 9,975 Rur!:'.l Health Centre Public Health i~di:·tinistrator 16 7,660 1 5,600 1 Public Heo.lth Engineer· 13 4, 535 1 ?ublic Health Nurse 11 .. 3 Total established post·s 17,795 J~llowances: Installation 2,009 Dependants 700 Expatriation 840 Pension Fund 2,491 Staff Insurance 244 Travel: Recruitment and repatriation 4,692 - 28,771 28,7?1 - EB7 /18 page 398 South .2~ast :~sia ,1~DVISORY S.GRVICES l~ND FIELD .PRO JEC'rS Indonesia No. of Posts Estimat~d Expenditure l1.EGULi"..R UNICEF T.i.ED ..,...____ :a.EGULR UNICEF TJ,J;D 'ID Ti.. L __1950 1951 1952 ____1950 1951 1952 1951 _1952 Grade 1950 1951 1952 1950 1951 ill2 1951 1952 1950 2. Malaria Control 1 1 Mal.~rio1ogist 15 6,880 7,255 1 1 Entonologist 1.3 5, EIJO 5,900 1 1 Sanitary ~ngineer 13 5,6oo 5,900 1 1 Public H12 J~llowances: Installation 2,684 Dependants 906 906 Expatriation 1,1.30 1,1.30 Pension Fund .3,166 .3,3.38 Staff Insur2.nce .309 .326 Travel: Racrui tment c::nd repc.triation .3,128 Transportation of personal effects 1,000 .34,938 29,540 34,938 29,540 .3. Maternal D.nd Child Health 1 1 Social Paediatrician 16 7,660 8,085 1 .3 Public Hec:.lth Nurses 11 4, 535 13,855 1 Sa:1itary Engineer 1.3 5,600 1 Hec;.lth Educator 11 4,535 2 6 Total established posts 12,195 .32,075 ' iulowance-s: Install 741,577 484,0GO 44,765 741,577 528,765 EB7 /18 page 399 South East i~sia ; .. DVISOrt.Y S~n.lliCES .·.ND FIELD PROJ.0CTS Indonesia No. of Posts REGUUJt UNICEF T.AED Estimated Expenditure R~GULiJ.R 1950 1951 1952 1950 1951 1952 1951 1952 UNICEF Ti~ED TOTil.L ~1950 1951 1950 ------Tuberculosis Control (BCG) 1952 195l 1950 3 BCG Mt:.dico.l Officers 1 15 6 BCG Nurses 10,320 11 13,605 9 Total established posts 23,925 iulowancc::s: Installation DGpendants 4,929 ExpatriRtion 791 1,020 Pension Fund Staff Insurance 3,350 339 Travel: Recruitment and repatriation 14,076 Transportation of porsonal effects Supplies and equipment 36,000 84,430 84,430 4. Venereal Diseases Control (Yavvs) 1 1 1 1 Venereologist 15 6, 536 6,880 1 1 1 Bacteriologist 7,255 13 5, 6oo 5,900 1 1 Public Health Nurso 11 4, 535 4,785 1 2 3 3 Total established posts 6,536 9,500 17,015 17,940 JJ.llovm.nces: Installation 596 1,490 449 Dependants 24--1 375 535 535 Expatrintion 300 400 641 Pension Fund 182 915 1,-300 2,382 Stcdf Insurance 2,512 87 135 234 247 Travel: Recruitment and repatriation 1, 564 1, 500 782 Transportation cf personal effects 500 750 Supplies and equipment 100,000 100,000 10,242 15,200 122,788 100,000 21,416 15,200 122,788 131,658 'I• I ' I EB7 /18 South East Asia page 400 ADVISORY SERVICES •• ND FIELD 1·TtOJECTS Indonesia No. of Posts Esti1uted Expenditure ~GUL.·a JNICEF T~·1.ED ~~~GULJl. UNICEF ~ R 19 50 19 51 19 52 19 50 15151 D 52 j_~' 51 l9 S2 ~l750 1951 1950 ------Other Cor.rr;:unicable Di.sease~s ~JC.::_flrosy Consultant (Short-teru) -febs 4,800 Travel 3, 600 8,400 8,400 5 • f;nvin rr 8 '1 tnl S ::tr..:i_ t n. ~ 'J{ator Supr-ly - Jakarta -....-.---- 13 5,600 5,900 Installation 745 Doptmd::mts 257 257 Expc:. tri.:::. tion 316 316 Pension Flmd 784 826 Statf Insur:mce 75 79 R.e:cruihl-;;nt ;.nd re}JJ.triation 782 Tre>.nsportat::c.o:r. of prJrsonal .::;ffocts 250 8,809 7,378 8,809 7,378 6. EDUCi..I'ION ;~I\r:D Tli..t:,ITUNG a. School of Nursing 1 Sister Tu-l.:.or 11 4,308 ------i .. llowances; Install b. Eijkman InstitutG Nutritiuni;Jt (Short-term) -fees 2,400 travel 1,800 4,200 4,200 15,200 1,041,044 718,273 2 14 9 15 23 17 Total ~ Indonesia 8,400 21,199 ·-l-5,200 948,795 584,000 - -- .--...... _...._,__- .....,_.._ ~ ------EB7/18 page 401 South-Ea.st Asia Provision has also been uade unde.r· the re:;llla.1· budget for teaching supplies and equii>.. 1ent to assist the Goverr1 nent in its •ueo.ical tralnlng progz·aatr:te, EB7/l8 pa'-'e 402 Portuguese India No. of Posts Est~nnted Exponditure ii.lGULiJt UNICEF T.:..ED REGULi..R DNIC:sF TOT.~L 1950______1951 1952 1950 1951 ...... ,__...... ,___1952 1951 1952 Grade 1950 1950 1950 EDUCi..TION •~NJ TH.:.INING Teaching Supplies and Equipment 500 500 500 500 Total - ?ortuguese 500 India .;: EB?/18 page 403 South-East.As:.ta THAilAND l. By the end of 1951 it is antiqipated that the senior public-health administrator, provided in that year to advise the Government on the co-ordination of health services furnished by international agencies, will have drawn up plans for starting their integration into the national health service. I;'-. is planned to continue this assistance in 1952 and accordingly provision has been made under the technical assistance budget for one senior public-health administrator. 2. By the end of ].951, it is anticipated that as a result of malaria control activity, the incidence of malaria in the Chiengmai province will have been reduced, Gnd that a sufficient number of local personnel will have been trained to enable the Government to continue operations and expand the control programme further afield, However, it is anticipated that the general health conditions will still be unsatisfactory particularly as regards general environmental sanitation and maternal and child health facilities. The next step, therefore, is a concerted move to improve these conditions and advise the Government in raising the health standards of the people by paying attention to all other factors which still impede the creation of healthy conditions and to develop general health services in tho area. Accordingly, it is planned that the malaria con~rol programme shall take the for~ of a rural health unit for demonstration and training purposes. Provision has, therefore, been made under the technical assistance budget for one public-health administrator, one public-health engineer and one public-health nurse. It is expected that the Government will furnish appropriate supplies and equipment. 3. By the end of 1951, it ishoped that urban and rural maternal and child health training centres appropriate to local conditions will.have been established in which docfurs and nurses can receive training. It ~s suggested that the parallel teams will be sufficiently trained to enable t~e GovernmG!lti to expand its activities into school and public~health education fields and that short courses for teachers and courses at teachers! traip.ing colleges will be inaugurated. In ' .. order to increase the awareness of the population o~ the need for pre-natal, infant and pre-school care it is int8nded to expand tne programme of maternal and EB?/18 page 404 child health training centres (FEP-86) in order to enable its educational aspects ·~o reach a far wider· pltblic ~ Accordingly provision has been indi~ated under the techniaal assistance budget for continuing the posts of paediatrician,_public health sanitarian, public-health nUrse and district midwife supervisor. It is hoped that UNICEF will furnish appropriate supplies and equipment. To enable the proposed expansion of the educational aspects of the prog~a~me to teachers 1 training colleges, provision has been made under the regular budget for one health educator, As the syphilis rate in the city of Bangkok is high and no facilities exist for venereal-disease control and training it is proposed to set. up a venereal-disease control programme especially for mothers and children, integrated with the maternal and child health programme~ Accordingly, provision has been indicated under the technical assistande budget for one venereologist and one serologist. 4. By the end of 1951, it is hoped that the tuberculosis clinic service will have improved, that the parallel teams will have beentrained, that a large number of people will have been submitted to mass radiograpny, that bacteriological diagnosis will have been applied for those cases capable of diagnosis by direct smear, and that there will be a substantial increase in clinic attendances. It is planned to continue the tuberculosis control demonstration programme (FEP-85) and it is hoped that this will produce trained doctors, nurses and technicians, thus enabling the Gover·nment to assume responsibility for the tuberculositJ. work of this demonstration and training area and ip turn to train other teams to operate the routine tuberculosis services of Thailand, It is expected that the tuberculosis service will be sufficiently established to enable a BCG campaign to commen~e. Accordingly provision has been made under the.regular budget to retain the tuber culosis consultant provided in 1951 by UNICEF. It is ur.Jm~Btcod that UNICEF will supply one me~ical officer and two nurses for BCG work and the requisite supplies and equipment. 5. By the end of 1951 it is envisaged that a sufficient number of parallel teams will have been trained to survey, diagnose and treat yaws, to enable ti.J.a treponematosis programme (FEP-84) to expand to other parts of the country. Accordingly provision has been indicated under the technj~al assistanoe budget for one venereologist, one serologist, and one public-,heA.lth nurse, It is expected that UNICEF will furnish supplies and equipment, EB7/18 page 405 6.!- By the end of 1951 it is hoped that the Government willhave established a division of s2nitary engineering in the public-he~lth administration and that the school of public health and the school of civil engineering will ~ave co operated in establishing courses for public health engineers. It is therefore proposed that the 1951 programme for environmental sanitation take the form of a demonstration area which will provide facilities in and demonstrate the practical application of the theoretical training which is expected to be obtainable from the new course in the school of public health. Accordingly provision has been made under the technical assistance budget for one public-health e~gineer, and for appropriate supplies and equipment. 7. The Government of Thailand is considering the establishment of a rural centre to develop public-health nursing and preventive medicine6 Much preventable illness exists at tho present time, due to lack of facilit~es and education of the people. It is planned to attach a public-health nurse to this rural health centre in order to advise the Government in developing rural training for medical students, nurses and others. It is expected to spread a knowledge of public health~ thereby improving the health of the people and, in particular, the health of infants and children. Accordingly provision for one public-health nurse has been made under the regular budget. It is hoped that UNICEF will furnish appro priate supplies and equipment. s. The following is proposed under Ldu~atio~ and Training ; (a) In order to assist the Sriraj Medical College or the University of Medical Science, whichever is nominated by the Thai Government, in the organization of standardization of academic teaching of tuberculosis to undergraduates and postgraduates, provision has been made under the regular budget for a specialist in tuberculosis to be assigned to one. of these universities together with appropriate supplies and equipment. {b) It is also planned to assist in the teaching and training of nurses at the Pitarulok country hospital which serves a very large area. A nursing school is in the process of being establ~shed at this hospital and provision has been made under the regular budge~ for one sister tutor and one paediatric nurse instructor, It is hoped tha~ UNICEF will provide the requisite supplJ.es and equipment for teachiP~ p~cpo3es. EB7/l8 ~e~ (c) It is also intended to organize a three months' course for midwives and nursing students from rural areas and appropriate provision for short-term fellowships has bee~ made under the regular budget. EB7/18 SoutP. East i~sia page 407 i~DVISORY SERVICES ,·JID FIELD PHOJECTS Thailand No. of ?osts EstimatGLl _::;xponditure 1t~GUL:Jt UNICEF T• ..ED Ii.EGUL.~-Jl. Ul'JIC _;F T".ED ----:------1950 F51 L'52 L'50 L'51 1J52 -1951 1)52 Grade 1950 -D51 1952 1950 L 51 F52 195lli L52 1, .2ublic Hoal th l.cL.-:linistration - l l l:~blic Health .-~dr::inistrator 16 7,6w G,U85 Installation 815 Dependants 300 308 1Expc>ctriaticm JL~2 3t~2 i>ension Funcl 1, ~)72 1,132 btafi' Insur.,nco 102 108 Travel: !1ecruitr,1~._,nt o.nd re~:Jatriection 7'02 Transpcrt~tion of personal ~ffects 250 11,331 9,J75 11,331 r~~alaria Control 1 1 j\Jlc...... lariologist 15 7,255 1 1 Entomuloc;ist l3 5,}00 1 1 Sanitary Engineer 12 1,329 l l Public Health Hurs0 11 ~~, 7G5 l £.,;alo.rir, Inspector 537 4 5 Total established posts 19,500 19,806 .i,J_lowances: -. InstallC'.tion 1,360 ,- Depcmdo.nts 1, ;nu 2,25e1 Expatriation 1,075 1,125 fension Fund 2,950 2,6'91S Staff Insurance 250 271 Travel a Hecruit;aent and re:patriation 2,275 1,356 Supplies and equipment 600 26,000 29,500 26,000 27' 506 21,500 53,506 '7 /1, ' : .. 13 I I u pac;e 408 'Lhailc:md No. of i.'osts Estir:w.ted :l!:x,f;Gndi turo ~-l.EGULiJ1. UlHCEF T~iliD 1{c~GULJ'L UNIC·~F TJ~ED TOT~ .. L 19 50 1 51 19 52 V 50 1;) 51 19 52 1/ 51 L' 52 Grade 1950 1951 1752 1950 ill.! 1)52 1:.211- L 52 1950 1951 1952 2. R.ur3.1 Hua1th ContrG 1 j)ub1ic Hc;alth .• ct::inistrc.tor 15 6,Gt30 1 Sanit2.ry Jn(' in~;or 13 5,6uo 1 r)ublic Ho;•,1th Nurse 11 4,535 3 Total ~stablishod p8sts 17,015 ~·.11ow2ncos: Installation 1,939 Dopondo.nts 649 Exj_x:.trbtion 814 J?ons ion l:<'und 2,382 St~ff Insure.nco 234 c -· Tr2VG1: Hecruik:>nt ,'l.nd r~. :<.tri:J.tion 2,Ji~6 T'r."'.nS 1J,Jrtc;,ti. n '.f porsu nrcl .::fl\::cts 25,379 25,379 ··-- 3. ~~ia-t0rmcl and Child Heo.1th 1 1 Paodi,trician 15 7,255 7,66o 1 VonoreCJlogist 15 6,GJO 1 Serologist 15 t-,Geo 1 1 S~Bi t::cr ian 13 5,320 5,900 1 1 1 J?ublic ILalth Nurs0 11 4,308 4,535 4,785 1 He.?). th Educo.tor 11 :f, 308 1 1 l·hd,d.fc:ry rJurse 11 \ ·, 4,535 4,785 ..!..J...._ 2 1 3 6 'rota1 o st-:-.b1ishocl 1Josts 9,628 4,30G 16,325 36,890 L.l1o\•v?.nces: Instal]2,tion 1,194 4,~9 l, 6:~3 1,~90 .. D3j_J.en~\:mts 372 128 527 1,298 TI:xpo..trLticm 473 173 6SO 1,312 Bcnsi•Jn Fund 1,348 6GJ 2,286 5,164 ·staff InsurC~.ncc 135 G4 231 507 Travel: ii.ocruitaent ::md rc::rJ~tri ·o_ticm 1, 564 7~,2 2,3,~6 1, 564 Tr:-tm]l)urt~.tic.n ~,f J!'-'rsono.l off.;cts 500 250 750 500 SupjJlios :1.nd uqui1Jnr.-nt 1on,ooo 72,000 15,214 6,757 132,788 72,000 4B,725 148,002 127,482 South .i.!:nst "",sia. EB7 /18 pa.:;e 409 __ :r7ISC1lY S:',~ii '/I C.'~(3 _JT ) i:I. .::Ll) ~-'l:,C· J.CCTS ThEtil2..nd l~o. of Lsts :SstiiJ2.tod ;.:;xp2ndituro HBGUL..R UNlUJ:i:F T·.bD R~~GUL"Ji. UNICEF T.J.::D TCT~..L 19 50 17 51 1: 52 19 50 19 51 l ' 52 ll' 51 19 52 Gro.do 1/50 L'5l 1)52 1?50 L5l 1)52 1)51 1>'52 1)50 1951 1952 4. Tuborculosis Control (LlCG) 1 BCG : ~2dico.l Offic-Jr 15 7,255 1 1 Tuberculosis 0onsult,_nt 15 7,255 6,880 l Bacteriologist 15 3,4~0 1 Bp id~; ·ioloG,ist 15 3,440 1 X-rc:.y Technician 11 4, 535 1 Lc-.borrttory T2c,mician ll 4, 535 1 ~)ublic H.:..,lth Nurse ll 4, 535 2 BCG 1~urses ll 9,0?0 l 6 3 Total 0st~blishod posts ?,255 27,365 16,325 .ii.llovrances: Inst:1ll2.tion 3, 582 898 .0epcndants 257 9lS 527 E.xj_X>. tri2. tion 316 1,178 680 ?..:msion Fund 1,016 3,832 2,286 St2~ff Insur:--.nco 97 375 231 Trnvo1: Hecruik'l8Dt ,::J.nd rep::ttri.".tion 1,564 7,820 1,564 Transp:;rt::>.t ic>n 0f p;:;rson".l offGcts 500 500 Sup. lies :end oquipnent 38,482 44,654 10' 505 84,052 67' 665 84,052 78,170 s. 'knor-.)?..1 ~jis,:;r>.s 2s Control (YCJ.i:TS) l 1 1 Venereologist 16 7,660 8,085 1 1 l Scrol·Jgist 14 6,210 6, 535 1 l f'ublic Ilc;c.l th Nurse 11 4, 535 4,785 - 2 3 3 Tot2.l ,:;st2.blishsd )ost,s 7,000 1L,405 l),4J5 ,. .. llovvo.nccs: Ins tc:ll.::t tion 80CJ 449 :Uc~; '2ncj_::cnts 250 649 700 ~~xl'~~tri ".ti.Jn 300 814 840 i",msir·n Fund 9CO 2, 576 2,657 St;_:_ff Insurance lOO 252 260 Tr'lvcl: R ..o cruitm0nt 2.ncl re~x:.trie.tion 1,500 782 Tre>.nsport.rc tlon uf :;>2rsunal eff'-='cts 500 250 Supplies cw.J.d equi:tJnKmt lO,COO 35,400 23,600 21,430 59,577 23, 6oo 23,862 21,430 59,577 47,462 EB7 /18 page 410 South ECJ.s+, ~.;:;:..a .ti.DVISORY Siii.VIC.t:o "'"N..J FlliLD PHOJECTS Thailand No. of Posts j~stin.,_kd 1..:Xpenrliture IwGUL....R UNICEF T~~ED n.EGUL'ill UNICEF T"..l::D 19 50 19 51 1152 V 50 L 51 1Jl52 l95i 19 52 Grade 1950 1951 1952 1?50 1951 1752 1/51 F52 1951 ------Other Cor,L,unicab1e :JisoCJ.ses Fi1iriasis CoYBu1tant - fees 2,400 (short-t2rTI) travel l,oOO 4,200 4,200 Leprosy Consultant fees 2,400 (short-term) trnvel l,bOO 4,200 4,200 liental Health Short-term ConsultCJ.nt - fees 2,400 travel 1,000 4,200 4,200 6. Enviromnontal Sanitation ------1 Sanitary Engineer 15 7,'255 i~llovmnces; Installatbn ''145 Do pendants ~5':" Ex_[Jatri::.tion ~16 i?cmsion Fund l_~Jl::) Staff Insurance ';17 Travel: Hecruitnwnt and repatriction ~·02. Tr~nsportntion of pcrsoDc'l 250 effects Supplies and equip~~t 20 ·' 0-::{.J 30,718 30,718 EB7 /18 pat;e 411 South t:ast ~·.sia Thailand No, of :t'osts l~stiriat__;d "~:xpendit urG rt:GGULiJl UNICEF T~~ED ~ i.,.;rJ LJL. ,.rt Ul'HGSF T.:~D TOT..t.L 19 50 J1.a 19 52 19 50 B 51 1.2_2 19 51 19 52 GrJ.de 1)5(1 195~ lj52 E50 1)!51 l/52 L5l 1)52 l95Q· 1951 .!2.2 11uro..l Centra 1 r'ublic Her.lth Nursu ll i.J.1owo..ncos: Inst:tll.:ttion 44) Dependants l7':Y J:;x:p2trio. tion 128 i'ens ion :Cund 60J Staff Insur::cnco 64 Tr:1val: RGcrui t:·.lc,nt 2.11d ra1J:-.tri'"ltic;n 7G2 Tro..nsport2.tion 0f p~rsuno..l off~cts 250 Supplies o.nd equi·1 Jman~ 3,000 6,757 3,000 9,757 1»11\b page 412 South East •• sia .illVISORY SERti:LC:~s .cl'fD FIELD 1~i.OJECTS Thailand No. of posts Estihlated Expenditure .REGUL.!.R ---UNICEF' --Ti:.ED REGUL'..R UNICEF Ti:.ZD 1950 1951 1952 1950 211± 1952 1951 1952 GRiillE l9 50 1951 1950 1951 Chu1alangham Uniy0rsity l Sanitary Engineer 15 6,536 .A1loWLcl1CO S; Installation 745 De1jendnnts 244 Expatriation 300 Pension Fund 915 Staff Insurance Travel: Recruitment and repatriation l, 564_ Tot2l 10,391 10,391 (a) Sri Raj Medical College 1 Lecturer - 'Tuberculosis 15 6,536 Allovranc e s : Installation rj/j. 5 D.:;pc;ndants 244 Ex_ra tria tion 300 Ponsion Fund 915 Staff Insuro::ncc 87 Trcwel: R0cruitmont and repatriation l, 564 Supplies and equil)nent 3,000 'I' Jt'3.1 13,391 13,391 (b) Pi t2rulok Country J:Io ~_Pi tal l Sister Tutor 11 4,308 1 Paediatric Nursl 11 4,308 ------Instructor 2 Total estaolished posts 8,616 EB7/18 page 413 Sm.1.th E,'J.st .i.sia "illVISORY SEKv"ICES ;_ND Fl3LD PROJECTS Thdland No. of posts Estimated Expenditure REGULi.ill UNICEF TilED REGUL ..E UNICEF T"":ED TOTAL ------1950 1951 1952 1950 1951 1952 1951 1952 GRADE 1950 1951 1952 1950 1951 1952 1951 1950 "1951 il.llowance s: Installation 698 Dependnnts 257 Expatriation 346 Pension Fund 1,207 Staff Insurance 128 Travel: Recruitment and repatri~tion 1,564 Supplies and equipment 11,000 11,000 24,016 Sri Raj Hospi~.l-~ng Bangrak Hospital 1 Lecturer on Venereology 15 6,880 11 1 " Serology 14 6,210 2 Total established pos.ts lJ,090 Allowances: Installation 1,490 Dependants 514 Expatriation 6J2 Pension Fund 1,8J2 Staff Insurance 175 Travel: Recruitment and repatri2.ticn J,128 Supplies and equip~ent s,:moo ~- 25,861 25,861 EB7/18 page 414 South E2.st i~sia :JJVISOHY SERVICES ;.ND FIEID i'ROJ~C ,;S Thailand No. of posts Estimated Expenditure · '·REGULJJ{ . UlHCEF TJiED REGUL:ill UNICEF T.tl.ED TOT •• L 1950 1951 1952 1950 1951 1951 1952 1950 _1951 1952 1950 1951 1952 1950 1951 lC)52 1951 }-952 School of Nursing Grade 1953 ------l Nursing Comu1to.nt 14 6,210 .tillovrc.nco s: Installation 745 Dependants 257 Expatriation 316 ?cmsion Fund 869 Staff Insurancl3 83 Travo1: Recruitment and ropatrio.tiun 1,564 10,044 10,044 Supplies for Governrtkmto.1 Pro2,rrunmos 16,320 16~320 _4__ 3_ _L _2_ !±.._ _3_ _]__ ~ 24 23 To t~1l Thailand 45,820 328,270 . 177,265 48,881 138,659 67,25~ 415,364 366,350 EB '';f"~8 pae-:- 415 Gouth-Euot Asil:i lt is ·:;nvlsaL,ed that 'uJ the end of 19:;1 the p:.·ell. ~::.nar.>' surveJ will have been cora1JleteG., the tlVo a.rev.s for the Joint Fli.Oj,~Ho .PrcGrau.•e to develop gene.~:·al health serv J.ces and incr·ea.se :t'uo ~·ece 1)ti ve to ed:.lca.tion tn the :t'orJ::.a.tion of h,lgle::J.ic ha.'oi ts. It v:ill therefore be possi'Jle to utilize the BervJces of another _t->Ublic-health nurse and to eXpmld services 1'01' the .~ronoti-:>n of health and the .i:iiyrovel•"tent of h,{giene. P:mvlslun hns b8en mw.e ·n.urier· the ·t.edmic~l a~1Sistance bUdGet for ':,wo puollc-hcalt.h 8ui,llr.istra.tors1 t'vo · ;nlario1oglsts, two entu!;,Ologists, two J?Ublit:- hefil th enu.Lr.eeT'>, tlw nt.;.tri tionists an;i ·JD:' ;\lWioORY S:GRVIC ..;;s _.j\ill FIEW ~_JROJECTS Countries Undesignated No. of posts Estinated Expenditure REGULAR UNICEF TAED REGUL/Jt UNICEF TO TILL 1950 1951 1952 195~ 1951 1952 1951 1952 CiRJJ)E 1950 1951 1950 1952 1950 Public Haalth Administration l. Joint -iHIO/FJJ.O Project 2 2 Public Health .rldministr2.tors 16 15,.320 16,170 2 2 I'Jialariologists 15 1.3,'760 14,510 2 2 Entoif1ologists 14 12,420 1.3,070 2 2 Sani tc:tr:i.ans 14 12,420 13,070 2 .3 Public Health Nurses ll 9,070 14,105 2 Nutritionists 15 1.3,560 ~------·------10 1.3 Total established posts 62,990 84,485 J~.llowances: Installation 5,286 1,446 Dependants 2,428 3,077 Expatriation 2,944 3, 758 Pension Fund 8,816 1.3,687 Staff Insurance 854 1,151 Travel: Recruitment and repatriation 7,820 2,.346 Transportation of personal effects 2,000 750 Supplies and equipmEnt --- 6o ,oo~ 55,000 Total 153,1.38 165,700 15.3,138 165,700 E:S1 /18 page 417 i...DVISOHY S.i~RVICZS _JID iiELD ~'HuJECTS Countries U"1designated No. of posts Estii":lated Ex,eendi ture REGUL"-J~ UNICEF l'i.ED REGUL"-2 U?TICEF Tf.ED TOTJ~L 1950 1951 1952 ---1950 1951 1952 1951 1952 1950 1951 1?52 1950 1951 1952 1951 1952 1950 1951 1952 ------· VenereQl Diseases Short-ter1~ consultants - fees 600 4,800 travel 655 3,600 1,255 8,400 1,255 8,400 Malaria Short-term consul t::'.n ts - fees 1,800 tr.s.ve1 1,400 3,200 3,200 - Other Communicable Diseases· Short-term consultants - fees 2,000 travel l, 5L1-0 3,540 3,540 Hutrition • Short-tern consultants - fGGS 4,800 tr£wel 2,525 -- 7,325 7,325 Health Education of the Public Short-tern consultants - fees 4' ~500 tro.v~Jl 3.600 -- §_z._~OO 8,400 Rer;ional Nursing Conference Travo:1_, por dien etc. 19 L'~80 19,480 19,480 Fellowships 125,590 77,182 220' (;;57 21,000 125,500 77,182 241,857 1'eaching Supplies and Equipment 25,700 - 25,700 1 ------Total Countries 10 13 10 13 85,582 248,737 153,138 186,700 166,520 236,720 ------Undesignated 1~5_22 435,437 TOT",_L - ADVISORY • ' I o ~· o o ·•,, I 30 38 51 8 88 17 52 110 3_8 _·1?$.- _'j.?$ ·- SERVICES & FIELD 52~,475 466,422 3B,205 212,919 3,904,723 1,468,999 ·;";J']'J?-'-099 1,338, 5?8 742,394 5,128,244 3, 620,?82 - -==:=: ~~-:-=::.---=-~---===-~~~--::::..:--== --- PROJECTS -~-···=~-=- = 74 91 104 8 88 17 54 112 -82- 233--- 233 TOT1,L - SOUTH EAST 664.0?5 61q,651 266,62J_ 212,219 3,204,?23 1,468,992 ??8,236 1,354, 841 Er/.6,394 5,299,610 3,790,463 ------·------~~-...... -·------ASH .. ------EB7/l8 pag6 418 Europe sm~--"":_:;.y No,. of posts EstiElated e::-'1)enii ture REGUL_,.,_H UNICEF TLED I-iE GUL;,_l, UNICEF TARn TOTJ.L ------1950 1951 1952 1950 1951 1952 mr 1952 -1950- 1'!51 1952 1950 1951 1952 ~ 1952 1950 l951 1952 5 7 24 Hec;i·;nal Office 2~-', 815 45,216 143,917 2:::;,s15 45,216 143,917 --- - - ...... -..------ i~dvis:Jry Services :mr:l Field i'rojects Malaria rnd Insect Control 37: cc: 37 ,o:::o Tuberculosis 5,:; ··o t:,40C. 2 1J2, OC5 2?C, 6C:C' 5,600 2C7, 9C'5 220,6CC 14,000 1 2 1 Venereal _~iseB-s<:;s 23,63S' 1~;, 736 19,68J 3U9) -on 253, (1: C' 332,639 271,736 19,683 1 2 0th-3r Cor!l.r.mnic-:-.ble ~:is eases 2; ("\'('• 5, 6,)' 9l '!_- ~:- 2 :'\":- 105,749 49,489 ')-' 4C\' 1':' 149 41,189 ''- - 1 l 1 ?ub1jc H::;::.lth ;. 1ninistr-:ctir>n 7,135 14,76i3 23) 227 7,135 14,768 23,22? 1 1 Enviroru"J.ental S.'lni t--~tion 6, 40~ 11,261 22,955 6,4GC 11,2:;1 22,955 2 ~ Nursing ll,C8C' 2C·,315 26,987 11, ,-·~n 20,315 26,987 Sc•cia1 and OcculJ:·tional HG:t1th lC:5, 6C·C 7r- ,4C.-- 105, 61_0 7C,40C 1 l Her~lth Educ:·ticn cf th,-; l'ublic ::,999 14, 5''6 9,999 14,506 1 1 1 rKatorn:::1 ;:md Child Ho;alth 19,771 18,449 23,127 4,30C' 3)3,4:.-T h'3,6·:'C 24, l'71 411,849 126,727 l Mental Hec1lth ll,OC0 2,hX' 17,?7. 4l,4°C 11,/'C:C\ 43,500 17,970 1 Nutrition 1,4C\' L,,20C 12,7~'2 1,40-' 41 2-CC 12,702 1 j E:luc!ltion md Tr2.ininr 236,511 2~~2, 52C: 3)8,126 32, 5C\) 127,774 347,357 31S') C!ll 33,', 274 745,483 ------~...... -. ------''J 6 ,,~ ,4~'5 4 8 lC 2 5 4 lC l'S TCTLL - !."JVIS '.D'.Y 374,83[, 3~-7 ~ ;)4c1 576' 1_~)3 1: C'6t3} 8: ,-. 1"'9 ,20:-, 137' :;23 38C,41.,6 1, ,~65' 241 1, 514,671 1,073,729 FIEI,J :; -..-..-...... -.-----.....-.---- . . - --- SKNICE.S -·~ ::'Tt 'JECTS --....,._9 ______15 34 2 _5 17 ~9 TCTf.L - EUHC'l:'E ---- ~------~ ------EB?/18 page '419 Europe REGIONAL OFFICE New Personnel It is planned to establish a Begional Office·for Europe in 1952 and the ·following new posts have been provided. Office of the_Reg~ona1 Director: One Regional Director, ungraded, one Deputy Regional Director, grade 19 (the position of chief of office, zrade 18, will be abolished)i one secretary, ,grade ?. Public Information: One information officer, grade 13, one secretary (local) Administration and Fin~nce: One administration and finance officer, grade 14, one finance officer, grade 11 (the position of administrative assistant, grade 9 will be abolished). In addition the· following local staff are proposed: one travel offic0r, one registry clerk, one translator, two account clerks, one clerk, three secretaries, one telephone operator, one machine ·operator} one clerk typist. Provision has also been made for custodial staff in an amount of f4,8oo. Duty Travel Regional Director; During 1951 it is. planned that the Chief of the Special Office should visit ei~ht countries in the region for the purpq;e of maintaining contact with· the hE;al th authori ti~s of the countries and obtaining first-hand inforMation on WHO t'rainin~_and other projects in the region. Provision is therefore made in the regular ·bud~~t for the sum of tl,480. In 1952, it ~11 be particularly important for the ~gional Director to establish contact with as ma11y of the health authorities as possible. Provision has therefore been made urid~r the regular budget for an amount of ~1,876 in 1952. EB7/18 page 420 Deputy Region2l Director; It is anticipated that during the first year of the regional office in 1952, the D~puty Regional Director will visit only a limited number of countries in connexion with the establishm0nt of n6W training projects. Provision bas . been made for a sum of ~1,320 under the regular budget for 1952. M0dical Officer III: In order to plan and implement new programmes in co-operation with national health services, it is of great importance that this officer should make personal contacts in three countries in the European Region which it ha.s so far been possible to visit only for brief periods or not at all. Provision has been made for a sum of ~1,175 under the regular budget for the year 1951. An amount of ~373 has been provided under the regular budget for 1952. Public Informat~o. Officer~ As 1952 will be the first year of appointment of this officer, it is anticipat~d that he will spend a great deal of his time at the regional office develop~ng the public-information service. It is intended however thnt he should spend some timevisiting four of th~ study-groups and training-courses in the region in order to collect first--hand informatbn on th13se n.ctivi tiE:.s and to contact national representatives of the press and radio. A sum of 'fi627 h::w therefore been provided under the regular budget for 1952· 'Administrative Officer III: It is anticipated that this officer will be principally occupied in 1952 in establishing the new department of administration and finance. It is planned however·that he should visit one selected field project,' and a sum of f386 has be.n provided for this.purpose under the rE:gular budget for 1952. EB7 /18 page 421 Eur'Jpe , !'le. ~f Ptt sts Estimated Expenditure REGULAR UNICEF TAED HEGlllAH UNICEF Til.ED -- __ ._.,_ --- TOTAL 1950 1951 1952 1950 1951 1952 1951 J 9 2;~ Q!.~de 1950 1951 1952 1950 1951 1952 1951 1950 -1952 1 ":~;--~)~ J:•.l D::_r _·(, 0or 1.3' 500 1 -:=~-~.c~:.·v)r fc~3ionc:l 0i£\~ctnr l9 9,500 1 1 L ~~- ~P~· ~a: Off~ce 18 9 ,45P ,.., 1 ~~Gcr ~ ·~-:t:::-j I 2, 898 1 1 S.:c~:~_. ::-~J:;-. ,- 6 2,6'70 2,860 1 1 ~· .: !_'c- -_:l-~ ·; i r ::1 .._ _j __ , lct:r 1'3 5,320 1 ~:=.(: __ -·:(J.I] 1,890 FJ_n~--::.: -,,. r-·y·~ (';':_r._ _.tio··;-~ ..... ' '""~- --. '( '--~- -- ...... --~ -~···------· 1 1 }<·_·--=-~~-.Li~... ~ G:f: c ~r 16 3,725 8,085 2 2 2 ~~~ · r ~ r c:. ·G._, r. i ~ ·: 5 5,690 5;970 r. l 5,900 ' .., , ~ 1 . . .l . --- -.....• ...... 11 4j 535 1 1 9 J, 670 l 1 1 4 2,076 2,420 1 1,890 1 -~l - =.~ LS t -·~- f_; _.:_... ~~ .... 1,065 1 Tl'\- I' ~ l:•. c ,-_ 1,890 2 ~:':;';;) j_ 1,065 '3 5, 670 r .. 1 945 1 945 . ·• ;:!;, c~~-8.._. ~c/!~·:-r}-~ )"0 1,065 L:Fstuc.-:_ ~ ;:;+1. -::_r 4,800 ------..... 5 7 24 1'7' 40 5 27,281. -- -- ___,. - .,._, -· m:s~tAI pa[€:·e 422 Europe REGIONAL OFFICE No. of Posts Estimated Expenditure Rt!:GUL:.R UNICEF THED REGUMR UNICEF TAED TOTi1.L ------·1~50 1951 1952 1950 1951 1952 1951 1952 Grade 19 50 19 51 1950 1951 1952 1951 1952 1950 1951 -1952 5 7 24 Brought Forward 17,405 27,281 A11o'Nances: Insktl1ation 425 1,173 5, 15,1 Dependants 1,120 1,430 2,476 Expatrio. ticn 890 819 2, 534 Pension Fund 2, /cJO 3,821 11,8?5 Staff Insuranc8 130 282 1,196 Travel: Duty 1,538 2,655 t;, 582 l1.ccruitment and repatrL:.t,i<'n 102 1,161 3' L;-20 Hone lco.vo 16o 315 270 Transportation of Personal •;f.fects 200 98 2,447 Common Services: Space and Equipment Service[ 1, 670 2,335 7,000 Other [:)orvices L, 645 2,303 7,425 Suppli,;s and materials 930 1,306 4,200 Fix0cl chr~rg0s and claims 90 124 375 1",cquisit ion of Capital J.ssots 80 113 6,000 - - - - _____ ,...... _.__ 5 7 24 5 7 24 Total - Regional 28,815 45,216 143,917 28,815 45,216 143,917 ------__,...... -... Office EB?/18 page :423 REGIONAL ADVISERS Duty Travel R&gional Adviser in Nutrition: A reeional adviser in nutrition will be appointed in the middle of 1952. During the six :r.J.Onths of his 9.ctivi ty in that year it is planned th!Jt he should visit both the nutrition traiDing course in ·yu~oslavia and the study-group on nutri~ion. It is also proposed that in 1952 he should make person~l contacts with the national health administrations of five E.uropean coun"bries in order to advise them in connexion with th8 development of nutrition programmes. An amount of ;,.:1,912 has been provided under the re~ular bud~et for 1952 for this purpose. Regional Adviser in Venereal Diseases: The ·post of region"\l adviser in venereal dis~ases will become redundant in the course of 1951. In the early part of the 3r, it is planned that the advisc::r should travel fairly extensivel.y in ':;urope· to follow up joint U:tHCSF/iYHO syphilis-control programmes. It is also desirable that a preliminary evaluation of results should be made in selected uni'versi ty clinics in urope which have been conducting demonstrations in the penicillin tre.gtment of syphilis during 1949 an:l 19 50· Provision is accordinf!,ly made under th(; rer:ular budget for ~2,080 fdr 1951. Rer~ional i>dviser in Mental Health: Advisory services in mental health to r:;overnments durine 1950 and 1951 were limited owing to budge tar.{ consi de re. tions. It is planned thc:Jt the regional adviser, on his appointment in 1952, should visit Austria and France to advise the eovern;-:~ents on the further oper"ttion of the mental hyp;iene programmes for children, established jo~t~y with UNICEF in 1951. It is also necessary for the region~l aiviser in 1952 to follow uP the advisory services to the Government of Ireland on expansJ.on of child guiflance services. He will also be required to pay tvr,.. visits to Norv'Tay to 2 ssist the Government in the organization of a training course in mental hygiene. Visits will also be required to a country still. to be selected in connex:l.on with the EB7/18 page 424 study-group on al·~vholism. Provision has accordingly been m!lde in the regulRr budget for 1952 for an amount of ....2,913. Regional .i,dviser in Public-Health .,riministration: This regional adviser will be appointed in the course of 1951. In order that he may fulfil his principal functions of m.qintaining 3. bA.l-qnced public- . he8.l th programme in the region, it is proposed that he should visit as many countries as possible within the region cluring 1951 and 19~2. It is also proposed that he should visit three s~lected areas_ in ·.;Europe for the proposed study-group on public-health administration and will co-operate with the national health Administrations in planning this project. Provision has ~ ' accordingly been made under the regular budget for ~3,437 in 1951 and the same amount in 1952. Regional '.dviser in Environmental Sanitation: This regional adviser will visit Austria i.n connexion with the Government's request for assistance in the control o~ endemic typhoid fever. It is also planned that he should visit Finland anrl Italy to advise on e nvi ronmen tal ~anitatio~ progrmnmes, parti~lariy in the northern parts of these countries. 1he study-groups on environmental sanitation ~hich will be organized both in 1951 and 1952 will require visits from the regional adviser to the countries selected, in order to co-operate with the national health administrations in planning the projects. An amount of ;..2,480 in 1951 and .,.,2,782 in 1952 has been provided under the regular buctr:et for this purpose. Regional Adviser in Nursing: This regional adviser will be appointed in the middle of 1952· ·During the six months of her ~ctivity in that year, she will require to visit four European co:untries to advise governments on theestablishment of nurse training programmes. Provi.sion h:1s accordingly been made under the regular budget for 1952 for an amount. of yl,650· Regional A..:~viser in Health E:ducation of the Pt'blic: This ~gional adviser will visit Greece to advise the Government on the development of new methods in the health educ.:ttion of the public. It is also proposed that he should visit Finland an~ Sweden in connexion with the application of he '11th-education methods in the trai. inG of public-health EB?/18 paze 425 officers. It will also be necessary for him to visit countries in whioh study-~roups or training-courses are being organized by WHO in co-operation -vtith the national health administr:::ttions, particularly those in -Ml.ich health education metr·ods have speci?.l R.pplic?tion, e.g., conference of public-health nurses. Amounts of ~,995 in 1951 anrl ~,434 in 1952 have been nrovided under the rq~ulr:~.r budeet for this purpose. Regional ;~~lviser in Ma tcrnal and Child Health: 'Ih0 r..:_::;ional adviser in makrnal :'.ncl child hefllth will r•c•quire to travel fairly extensively in .::urope in 1951 and 1952. For the purpose of following up fhe joint UNIC:SFj:;mo programmes in rreternal A.nd chilcl health, visits are planned to Autria, Finland, FI' ADVISORY SERVICES Al~ FIELD PROJECTS Regional Advisers No. of Posts Estimated E3Eenditure RBGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL __1°50 1951 ___...,1952 _____1950 1951 1952 1951 1952 Grade 1950 1951 1952 1950 1951 1952 1951 1952 - 1951 1952 ~ 1 1 Venereal Disenst:.'s Adviser 16' 3,935 1 1 Public Health Administration 16 7 ,66o 8,085 Adviser 1 1 Environmentnl Sanitation Adviserl6 5,588 8,085 1 Nursing Adviser 14 3,105 1 1 Health Educati0n of the Public 16 5,025 7 ,66o Adviser 1 l 1 Maternal and Child Health 16 7,66o 8,085 Adviser 1 Mental Health .Adviser 16 7,277 1 Nutrition J,dviser 16 3,830 l 1 Educatirn and Training Adviser 16 4,967 7,66o - - - 2 5 7 1 1 Total established posts 14,500 29,868 46,127 4,967 7,660 Allowance"S": Instai:J..ati0n 735 2/#5 5,219 815 Dopenci·-"nts 700 1,734 2,101 156 308 E:xpatri;;rtion 750 1, 586 2,180 228 342 Pensiou Fund 2,030 4,181 6,457 695 1,072 Staff Insurance 194 399 616 66 102 --Travel: Duty 3,704 13,432 18,485 2,215 2,555 1-l.ecruitment & repatriation 477 2,346 4, 692 782 H~me lea-ve 1,090 1,173 Transrortation 0f personal effects 450 7 50 750 250 - - - - - 2 5 7 1 1 2 6 8 Total - Regional 23,540 57,761 87,800 10,174 12,039 23,540 67,935 99,839 - - - - Advisers EB?/18 page 4127 Europu .ATTSTRIA 1. At the request of the Government a consultant was provided in 1950 for one month .to advise it concerning modern serodiagnostic methods in syphilis. It is planned to continue this advisory service in 1951 through the Venereal Diseases Section at headquarters and through the regional adviser. It is anticipated that by 1952 the proce·ss of modernisation of government laboratories will have reached a stage requir~ng further consult,ative services. Accordingly provision has been made under the regular budget fo • one consultant for 6 weeks. 2. In 1950 techtri.cal approval was given to a joint WHO/UNICEF programine designed to advise the government in stron~thening tuberculosis control services in the country. In 1951 advisory services will be rendered by the Tuberculosis Section at headquarters and appropriate supplies and equipment will be provided b,y UNICEF. B"J the end of 1951 it is anticipated that three tuberculosis _control centres will have been e'atablished and that control work will have c01mnenccd. During 1952 it ' ' ' is planned to ad~isc the ·aoverTh~ent concerning the operation of. the tuberculosis diagnostic labor~tories atta~h~d to the centres •. Accordingly provis~on has been made rmder·. the ·r~gular budget for one silort-term consultant fo;r a period of two months. 3. In 19 50 the Goverrunent re que stGd e.dvi ce in the control of endGmic typhoid fever. D~d. t? budgetary limitations it was not possible to render appropriate ser'Vtces until the appointment of a regional advisor on envirorunontal sanitation in ' . ' 1951. Continued assistance will be rendered during 1952 through the regional adviser. EB?/18 page 4Q8 4. In 1950 the government requested advice on vitamin production and requirements in the field of nutrition. Duo to budgetary limitations it 1;vas not possible to render appropriate services. During 1951 it is planned to advise tho goverrunont through the Nutrition Section at headquarters and in co-operation vd th FAO. It is planned to conti.nuo this service in 1952 through the regional adviser on nutrition. 5. During 1950 a joint WHO/UNIOEF prograEJ.uo for the ost.:tblishmont of an investiga tion and treatment centre for juvenile epileptics was tochnic2lly approved. The progrmili~O will be inaugurnted in 1951 UNICEF furnishing appropriate supplies and equipment and three fellowships to bo 2dministorod by WHO. In addition lJIJHO will provide a consultant in oloctroencephalography for 1 month agninst reimbursement by m~ICEFo It is planned to continue advisory services to the contra in 1952 through the regional adviser on mental health and n short-term consultant for one month. 6. During 1950, after' a surve,y had been completed by a WHO consultant, technical approval was given to WHO/UNICEF programme. designed to rehabilitate peysically handicapped dlildr.en. It is expected th~t UNICEF will furnish the supplies and equipment during 195lo In order to train awropriate local staff from Austria, Finland, France, Germa:n;r, Greece, Italy and Yugoslavia a course has been planned to take place in the United Kingdom during 19.?1 in co-operation with UNICEF and the United Nations Depart~ent of Social Affairs. Participants will be awarded short-term fellowships from funds provided by the t!L."ee agencies •. It is plarmed to advise the Government at the commencement of 1952 concerning further implementation of the programme for handicapped children., According]y, provision • has boon made under the regular budget for one consultant for a period of one month. . ' EB7/18 Europe page 429 ADVISORY SERVICES AND FIELD PROJECTS No •.Jf posts Austria Estimated Expenditure REGULJ.R UNICEF TAED REGUL"\.R UNICEF -TAED --·TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1950 1951 1952 1951 1952 -1950 1951 .1952 1,Venereal Diseases Control Short-term Consultants - fees 1,400 1,200 - trav·::Jl 1,150 900 Supplies and equipment -- 37,000 - 2,550 2,100 37,000 2,550 )7,000 2,100 2,Tubercul~sis Control Short-term Consultants - fees 1,600 - trave.l 1,200 Supplies and equipmsnt - 8~400 5,600 - 2,800 8,400 5,600 8,400 8,400 5 ,Mental Health Short-term Consultants fees 800 800 tra,.v2l 600 600 Supplies nnd equipment - 25~000 - 1,400 26,400 26,400 1,400 6.Maternal and Child Health Rehabil~tation of Handicapped Children 3l:O::"t-tc:-:: Consultants - fees 800 800 travel 600 600 2.M.g·J,i" s lind. equipment l5zOOO 1,400 1,400 15,000 1,400 15,000 1,400 Total - Austria 3,950 7,700 86,800 5,600 3,950 86,800 13,300 - BJ37 /18 yace 4JO Europe Czechoslovakia · No. of Posts Estimated Expenditure _ii.EGU.IJ.R UNICEF Tl1.ED H~GUIJ:R UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 Grade 1950 1951 1950 1951 E2. 1951 1952 ------.-.--- 1950 EDUC"~TION itND T Fi.tl.INING ~~ Short-term Consultants - fees 410 travel 40 -' - 450 - !otal - Czechoslovakia 450 - 450 / 1 Europe DENMARK 1.. l'fl.:; :~wovipg A13 p,.r_o.p.9sed ·pnctq.r. &i~irt.i..,op._ and Training: - - - , -' - ' I (a) During May 1950 an anaesthesiological training centre was established in Copenhagen in co-operation with the Medical Faculty of the University. The Organization provided three lecturers and appropriate teaching supplies and equipment. The centre provides a one year post-graduate training in the speciality of anaesthesiology to 15 WHO fellows from other European countries in addition to nationals of Denmark. It is expected that a second training course will commence in May 1951. It is planned to assist the University in conducting a third training course to commence in May 1952 and terminating in April 1953 to be attended by WHO fellows from other European countries. Accordingly provision has been made under the regular budget for one·lecturer in anaesthesiology for a period of one year and two lecturers in anaesthesiology for a per~od of six months each together with appropriate teaching supplies and equipment. It is not planned to provide this assistance beyond April 1953 by which time the University.should be in a position to assume full responsibility for continuing the centre. H'B7-" I /18 pa.ge 432 D.;runark No. of Posts Estimatad Exponclituro REGUU.R UNICEF Tiil:~D HEGTJLicR UNICEF Tll.ED ------1950 1951 1952 1950 1951 1952 1951 1~52 G~~ 195~ 1(]51 1950 1952 1951 1952 a) umesthcsiology Training Contre Short-"':.orrn Con:mlt2nt; - fe·J~, 12,0( {) 1;;;·, 20U =--9' 2\)0 +.r?,vol 7' 50lJ 8,200 8,200 Tortching supplios -'lnd equipment 20,0(.;(1 28, 40() 29,400 Total - De!1.rrl2.rk 20,000 28,400 20,000 28,400 29,400 EB7/18 page 433 Europe FINLAND 1. In 1950 technical approval was given to a joint WHO/UNICEF programme designed to advise the Government in strengthening tuberculosis control services in the country. In 1951 advisory services will be rendered by the Tuberculosis Section at headquarters and appropriate supplies and equipment will be furnished by UNICEF· By the end of 1951 it is anticipated that two tuberculosis control centres will have been established and that control work will have commenced. It is planned to continue general advisory services tq th8se control centres during 1952 from the Tuberculosis Section at headquarters. Provision has also been made under the regular budget for an I-ray technician vdth experience in mass radiography for a period of 2 months. 2. A joint ViJHO/UNICEF programme designed to assist the Government in syphilis control was technically approved and inaugurated during 1949. ~uring 1950 advisory services to the Government were rendered by a short-term.con sultant. Advisory services will be continued during 1951 by the Venereal Diseases Section at headquarters. It is expected that during 1952 this control proGramme will have reached a stage when results can be evaluated. Accordingly provision has been made under the regula.r budget for a venereologist for a period of one month. 3. At the request of the Goverrirnent the regional adviser on ~nvironmental sanitation will have visited Finland during 1951 to advise on problems in connexion with envirolli~ental sanitation particularly in the northern parts of the country. It is expected that proposals for a specific programme will develop from this visit. During 1952 it.is planned to advise the 5overnment concerning the implementation of this programme. Accordingly provision .has been made under the regular budget for a consultant in environm8ntal sanitation for a period of two months. EB7/18 page 41.34 4. At the requ0st of the Goverl1!llont naternal and child health services of the country wore surveyed during 1950 with particular reference to the high incidence of infantile diarrhoea. As a result a UNICEF-assisted health progra.nr:1e for th& provision of safe milk was technically approved by the Organization and UNICEF agreed to furnish appropriate supplies and equipment. It is planned to re!lder advisory sc:rvices to the Government in 1951 and 1952 through the regional advisers on nn.ternal and child health e.nd health education of the public in order to assist it in strengthening its gencr~l naternal and child health services with particular reference to child-feeding progrannes. During 1951 the implemente.tion of this progra:nmd will require a short-term con sultant for a period of three months. 5. During 1950, after a survey had been completed by a WHO consultant, technical approval was given to ~30/UNICEF progr~e designed to rehabilitate physically handicapped children. It is expected that UNICEF will furnish the .3Upplies and equipmt:nt during 1951. In order to train appropriate loc9.l staff.tran Allslz:ia., ~ Fr.,_nce, Gerr::any, Gret.;ce, Italy and Yugoslavia a course has been planned to take place in the United Kingdom during 1951 in co-operation with UNICEF and the United Nation~ Departl!lent of Social Affairs. Participants will be awarded short-term fellowships from funds provided by the three agencies. It is planned to advise the Government at the commencement of 1952 concerning further implementation of the programme for handicapped children. Accordingly provision has been J;J.ade under the regular budget for ore consultant for a p8riod of one month. 6. The following is proposed under Education. and Training: J (a) At th~ requ8st of the Government it is planned to assist the Institute-of Industrial Hygiene at H~lsinki in conducting a six months' training course in industrial hygiene. It is. expeoted that participants ·wi).l include 12 vmo FGllows from other European countries. .nccordingly provision h!s be.:::n made in 1952 under the rugul~r budget for two lGcturers in industrial hygiene for a p8~iod of :rl.. ~: nonths together with appropriate teaching supplies and equipment. EB7 /18 page 435 Europe ADVISORY SERVICES J.ND 11IELD PROJECTS Finland No. of Posts Estimated E3Eenditure REGULl..R UNICEF Tl\.ED EtEGUL.AH UNICEF TAED TOTAL --....------·1950- 1951 1952 1950 1951 1952 1951 1952 Grado ·-1950 1951 1952 1950 1951 195~ 1951 1952 1950 1951 1952 L Tuberculosis Control 0hort-term Consultants - fees 1,400 1, 6oo · trav0l 780 1,200 <}5, ' Supplies and equipment noo --30,000 '· t - 2,180 2,800 45,000 JO,COO 47,180 30,000 ~,800 2 ~ Venereal Diseases Control Short-term Consultants - fees 1,050 800 travel 985 600 Supplies and equipment 21,000 14,000 2,035 1, 400 21,000 14,000 2.3,035 14,000 1,400 .3. Enviromental Sanitation Short-term Consultants - fe8S 1,6oo travel 1,200 2,800 - 2,800 4. Maternal and Child Health Short-term Consultants ..... fees 800 2,400 travel 600 1,800 Supplies and equipment 33,000 22,000 1,400 4,200 33,000 i2,000 1,400 .37,200 22,000 5.. Rehabi1it·A.tion of Handi9apped Children- Short-term Consultants - fees 800 travel 600 Supplies and equipment 10,000 1,400 10,000 10,000 1:j..,400 ~!l:i\i'P j.J.t\ j,'G-fl,'t:! 43 6 Europo Finland No. (.,£' Posts Esti~~ted Expenditure R.t!;GULM1 UNICEF 'ri~ED REGULJ.,_R UNICEF TAED 1950 1951 1952 1950 1951 1952 1951 1952 Grade 1950 ~ 1')50 1951 'l'r.::dning Cours0 in Industrial Hygieril _____.. Short-term L~turors - fees ? ,6oo travel 4, 600 Teo.ching supplies And equipment 5,000 19,200 19,200 Supplies for Goverrunental .. Programmes 12,000 12,000 Total - Finland 17' 615 4,200 27' 600 66,000 87,000. 22,000 F3J, 615 91,200 EB?/18 page 437 ' ;.,. Europe FRANCE 1. During 1950 a UNICEF-nssistod maternal and child health programme was technically approved. This progranune, which is designed principally to assist the Government in expanding its services for the care of premature infants, will be implemented during 1951 and 1952. Advisory services will be rendered through the regional adviser on maternal and child health. 2. During 1950, after a survey had been completed by a WHO consultant, technical approval was given to a IVHO/UNICEF programme designed to rehabilitate physically handicapped children. It is expected that UNICEF will furnish the supplies and equipment during 1951. In order to train appropriate local staff fromA~a,RUUan~ France, Germany, Greece, Italy and Yugoslavia a course has been planned to take place in the United Kingdom during 1951, in co-operation with UNICEF and the United Nations Department of Social Affairs. Participants will be awarded short term fellowships from funds provided by the three agencies. It is planned to advise the Government at the commencement of 1952 conc0rning further implementation of the programme for handicapped children. Accordingly provision has been made under the regular budget for a consultant on rehabilitation of children for a period of one month. 3. A UNICEF-assisted health programme designed to assist the Government in expanding its mental hygiene services for children was technically approved in 1950. It is anticipated that this programme will be inaugurated during 1951, UN!CEF furnishing the appropriate supplies and equipment and six fellowships to be administered by the Organization. Advisory services to the Government will be continued through the Mental Health Section at headquarters. During 1952 it is planned to continue these services through the regional adviser on mental health. EB7/18 page 438 4. .The following is proposed under F.rhH~ation a11d Tx-aining: (a) In 1950 in co-operation with the Children's Contre, the Rockefeller Foundation and WHO, the Government inaugurated ~ demonstration and training area in rural public-hGalth in the arGa of Soissons. During 1951 advisory servicos will be rendGred through the regional advis0r on maternal and child hc2lth and other appropriate sections at h0adquarters. B.Y the end of 1951 it is expected that t ho project will have reached a stage to enable the inauguration of a training course in rura~ public-hGalth. It is planned to assist the Government in establishing this course in co-operation with the oth0r two agencies. It is expected that participants will include 10 1~0 Fellows from other European countrios. Accordingly provision h<'S occn made under the regular budget for two lecturers in scl~ctod QSpocts of rural public-health practice together with appropric:.to te<>.chine supplies npd cquipmGnt. •. .'• EB7 /18 page 439 Europe ADVISORY SERVICES AND FIELD PROJECTS France Nol of Posts Estimated Expenditure REGUIJiR UNICEF TAED REGULAR UNICEF TAED TOTAL 1950 1951]:952 1950 1951 ].952 1951 1952 Grade 1950 1951 1952 1950 1951 1952 -1951 1952 1950 1951 1952 Tuberculosis Control Short-term Consultants - fees Ei.JO travel 105 ·supplies and equipment 69,390 46,200 . 70,005 46,200 70,005 46,200 Maternal and Child Health 1. C~;s of t~Premature Jnfant Short-term Consultants - feas 3,000 travel 1,300 Supplies and equipment 122,400 81,600 4,300 122,400 Sl,600 4,300 122,400 81,600 2.Rehabilitation of Handicapoed Children Short-term Consultants - fees 800 800 travel 600 6oo Supplies and equipment 53,000 1,400 1,400 53,000 1,400 53,000 1,400 Mental Health Supplies and equipment 15,000 - 15,000 4. EDUCA'I'ION AND TRAINING a) Trainin~ Course in Rural Public Health Short-term Lecturers - fees 4,800 travel 2,800 Teaching supplies and equipment 2, 500 -- - 10 ,lOO - 10,100 Total - France 1,400 11,500 74,305 236,600 81,600 75,705 236,600 93,100 EB7/18 p~e 4~ Europe 1. In 1950 technical approval was given to a joint WHO/UNICEF programme designed ~o advise the Government in strengthening its tuberculosis control programme. In 1951 advisory services will be rendered by the Tuberculosis Section at headquarters and appropriate supplies and equipment will be furnished by UNICEF. By the end of 1951 it is anticipated that three tuberculosis control centres will have been established. During 1952 it is planned to advise the Government concerning the operation of the tuberculosis diagnostic laboratories attached to the centres. Accordingly provision has been made under the regular budget for one short-term consultant for a period of six weeks. 2. A joint WHO/UNICEF programme designed to assist the Government in syphilis control was technically approved and inaugurated during 1949. During 1959 advisory services to the government were rendered by the Regional Adviser, Advisory services will be continued during 1951 by the Venereal Diseases Section at headquarters. It is expected that during 1952 ~his control programme will have reached a stage when results can be evaluated. Accordingly provision has been made under the regular budget for a venereologist for a period of one month. ). Du~ to budgetary limitations the request of the Government for advisory services in connexion with the latest techniques in health education of the pUblic could not be met. It is expected that these services will be rendered in 1951 and 1952 through the regional adviser on health education. 4. A UNICEF-assisted health programme designed to assist the Government in extending maternal and child health services into rural areas by the provision EB7/1S page 441 of mobile clinics was technically approved at the end of 1950. It is expected that this programme vdll be inaugurated during 1951 and will continue through 1952. Advisory sernces will be rendered by the regional adviser on maternal and child health and supplies and equipment-will be furnished by UNICEF. 5· During 1950, after a survey had been completed by a WHO consultant, technical approval was given to vVHO/ill~ICEF programme designed to rehabilitate physically handicapped children. It is expected that UNICEF will furnish the supplies and equipment during 1951. In order to train appropriate local staff from Aust~ F.lnJa.m1 France, Germany, Greece, Italy and Yugoslavia, a course has been planned to take place in the Untted Kingdom during 1951 in co-operation with UNICEF and the United Nations Department of Social Affairs. Participants will be awarded short-term fellowships from funds provided by the three agencies. It is planned to advise the Government at the commencement of· 1952 concerning the further implementation of the programme for handicapped children. Accordingly provision has been made under the regular budget for one consultant for a period of ono month. 6. Due to budgetary limitations it has not been possible to advise the Government on its nutritional problems. During 1951 it is intended to render advisory services through a short-term consultant. It is planned to continue t~ese services in 1952 through the regional adviser on nutrition, and a short term consultant for one month, EB7/l8 page 442 ADVISORY SERVICES AND FIELD PROJECTS Greece No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1 l'uberculo sis · r.ontrol Short-term consultants - fees 1,600 - travel 1,200 Supplies and equipment 572000 -- 2,800 57~000 57zOOO 2,800 2 Yenereal Diseases Control Short-term consultants - fees 800 - travel 6oO Supplies and equipment lOzOOO 1,400 10,000 lOzOOO 1,400 Nursing 1 Public Health Nurse 11 4,.355 Allowances: Pension Fund 610 Staff Insurance 65 Travel: Duty 2,720 - .....__ 7,750 7,750 Maternal and Child Health Mobile Clinics Supplies and equipment 15,000 15,000 5.Rehabilitation of Handicapped Children Sh:_,rt-term consultants · - fees 800 800 - travel 600 600 Supplies and equipment -- - 25zOOO 1,400 1,400 25!000 1,400 25 2000 1,400 6.Nutri tion Shor~-term consultants' - fees 800 800 - travel - 600 600 -- -- 1,400 1,400 1,400 lz400 1 Tota:.. Greece 107,000 9,150 108,400 EB7/18 page 443 Europe IRELAND 1. At the request of the Government a short-term consultant was provided during 1950 to advise on the extension of child-guidance services. Due to budgetary limitations it will not be possible to follow this up in 1951 though it is planned to continue advisory services in 1952 through the regional adviser on mental health, and a short-term consultant for two months. 2. At the request of the Government a short-term consultant was provided during 1950 to advise it in connexion with the nutritional problems of the country. It is planned to continue these advisory services in 1951 through a short-term consultant. It is expected that these services will be continued in 1952 through the regional adviser on nutrition. ;l.DVISOHY SEH.VICES ;,NJ) FIELD t'RUJECTS Ireland No. of posts Estimatc:d Expenditure REGULAR UNICEF TAED REGUL~lR UNICEF TAED TOTAL 195o 1951 1952 195o 1951 1952 n51 n52 1950 1951 1950 1951 1952 1951 l950 1. Mental Haal th Short-term consultants 1 - i'tooJS 800 1,600 - tr2.vd 600 1,200 2,800 Nutrition Sh,Jrt-term ccnsul tants t - fees 800 l, 600 . - travel --600 1,200 -- 1,400 2,800 1,400 2,800 TDta1 Ireland 2z800 2.z800 2,800 2,800 2,300 2,800 EB?/18 page 445 Europe ITALY 1. A joint WHO/UNICEF proGrainme designed to assist the Government in syphilis control was technically approved and inaugurated during 1949. During 1950 advisoFy services to the Government were rendered by the regional advis •r. It is anticipated that advisory services will be continued during 1951 by the Venereal Diseases Section at headquarters. It is expected that during 1952 this control programme willhave reached a stage when results can be evaluated. Accordingly provision has been made under the regular budget for one venereologist for a period of one month. 2. At the request c.,f the Government advisory services on environmental sanitation in the northern part of the country were provided in 1950 through a short-term consultant. During 1951 and 1952 it is planned to continue these services through the regional advis0r on environmental sanitation. 3. The importance of regular meetings of the leading public-health engineers· in Europe was emphasised ··t an inaugural conference at the Hague in 1950 at which 16 European countries were represented. Provision h~~ therefore been made under the rtSgular budget for a similar conference to ba held in 1951 though ·;the location is not yet known. ~ Budget schedules, see Region Undesignated "Environmental Sanitation"; It is planned to hold the 1952 conference in Italy. 4 • During 1950 a UNICEF-assistad maternal and child health progr.::.mme was technically approved. 'rhis programme, which is designed principally to assist the Government in expanding its sarvices for the care of premature infants, will be implemented during 1951 and 1952. Advisory services will be rendered through the regional advisJr on maternal and child health and suppliGs and equiprnont will bG furnished by UNICEF. EB?/18 page 446 5. During 1950, aftGr c survoy had been campleted by a WHO consultant, technical approval was givon to iVHO/UNICEF programme dGsigned to rehabilitate pl~sicolly handicapped children. It is expected that UNICEF will furnish the suppliEJs and equipment during 1951. In order to train appropriate local stafff'ran Austr.ia,F.in.1.ani, F'ranctJ, Germany, Gra..:.ce, Italy and Yugoslavia, a course h.:s been planned to take place in the Unitod Kingdor.1 during 1951 in co-operation with UNICEF and the United Nations Department of Social Affair,s. Participants will be awarded sh0rt-tcrm fellowships from funds provided by the three agencies. It is plnru1cd to advise the Govarnm0nt at the comm~ncemGnt of 1952 concerning . ' further implom~Jntation of the programme for handicapped children. Accordingly provision has b~on made under th~ regular budget for one consultant for a period of one month. 6. Duo to budgetary limitations it was not possible to render advisory services in mental hygicn..:; in 1950 o.s requested by the Government. In a 11 probability this will also apply to 1951. It is planned to furnish advisory· sorvicGs in 1952.through the regional advis~r on mental health. ? . Duo to budgotc ry limitations it was not possible to render c::dvisory services in nutrition in 1950 as requested by the Government. In all probability this will also apply to 1951. It is planned to furnish advisory services in 1952 through the regional advis•;r on nutrition and o. short-term consultant for two months. .. ' ADVISOB.Y SERVICES t.ND FIELD H1UJECTS Italy No. of posts Estimated EXlJ endi tu re REGULAR UNICEF TAED REGULAR UNICEF ---- TAED 'fOrrAL 1950 1951 122.3 1950 1951 1952 1951 1952 1950 1951 1950 1951 1952 1951 1952 T93U- Tuberculosis Control Supplies and equipment 21,000 21,000. ~ Venereal Disease~ Short-term consultants' -fees 800 - travel 600 I / I Supplies and equipJTJent 63,600_ ~2,400 -L',_\. 63,~ 42,400 63,600 42,400 Public Health Adrninir3traticn 1 Administrative Officr~r 12 840 Allowances: Pension Fund 118 Staff Insurance; 12 Travel: Duty Travel 365 Environmental Sani tati·)n 1 Short-t<::::rm c·:msul tonts -· fees l; 800 - trrwel 90C 2,700 -..<..-e.- 3 r; ..mferell.CC 0f .t'ubli c Heel U1 Engineers ·fart,icipants ;;,:,134 Secretary - pc;rsona1 services 399 Publicatic~ns and tenching supplies Maternal and Child Health (Including cc:l-e ()f the. · premature infant) Supplies and equipmant 70,000 70,000 5.Rehabilitation of Handic&pp~d Ch~ldren bhort-tsrm consultants - fees 800 800 - travel 600 600 Supplies and equipment 25,000 25,000 25,000 1,400 tt~ll;/J.b :page 448 Eurupc ADVISORY SERVICES ;,.t,iD FL'';UJ , li.UJECTS Italy No. of posts Estimated Expenditure REGULAR UNICEF TAED REGUL£,R UNICEF TltED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950- 1951 1952 1950 1951 1952 1951 1952 !'15U 1951 1952 7-Nu tri tion Short-term consultants' - fees l, 6Cl - travel 1,200 --- b._800 2,800 Total Italy 5,435 10,163 6J,600 158z400 69,035 158,400 10 2183 EB7 /18 page 449 Europe ADVISORY SERVICES AND FIELD i·ROJECTS Monaco No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULi~R UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 Supplies for governmental prograrnmGs 6,000 Total Ivionaco 6,000 EB?/18 page 450 Europe NE TID:::RLA NDS 1. In accordance with recomm~ndations of the Second ~nd Third World Health As3emblies it is planned to establish a demonstration project in venereal disease control in ports. The port selected for this purpose is Rotterdam and it is planned to commence operations early in 1951 and to continue till the end of 19 53. Accordingly provision has been made under the regular budget for one venereologist. 2. A further activity related to the port demonstration project in Rotterdam is the establishment of a commission to regulate the management of venereal diseases among boatman and their families on the Rhine river. At the requests of the Governments of Belgium, France, Germany, Netherlands and Switzerland a preparatory meeting of representatives from these countries was held in Rotterdam at the end of 1950· It is expected that the commission will be established in 1951 and that it will function in due course as an inter governmental organization. The rale planned for WHO is to assist these Governments to establish the commission by organizing and servicing its meGtin~:s in 1951 and 1952. Accordingly appropriate provision for this has b8en made under the regular budget. J. The following is proposed under Education and Training: (a) In connexion with the port demonstration project in Rotterdam it is planned to hold a three months' course every year for ven~real disease port officers from European and other ports, who will be awarded WHO followships. Accordingly provision has been made under the regul~r budget for one lecturer in venereology and one lecturer in serology for a period of six weeks each together with appropriate teaching supplies and equipment. .L:l_uT '"(/'1-, _J page 451 ADVISORY SERVlCES dlD FIELD J, ROJECTS Netherlands No. of,posts Estimated Expenditure REGULAR , _ UNICEF TAED REGULAR UNICEF 'I'AED -1950 1951 1952 1950 1951 l95;;t 1951 1952 1950 .....---.,....1951 1952 1:950 1951 1952 1951 --1952 Venereal Diseases Control l. Port Demonstration Area l 1 Venereologist 16 6,512 6,873 Short-term consultants fees 700 .Allowances: Installation 652 Dependants 308 308 Expa tria ti on 274 274 Pension Fund 1,072 1,132 Staff Insurance 102 108 Travel: Consultants 650 Recruitment & repatriation 782 Home-leave '1, 173 Transportation of personal effects --250 1,350 9z702 10,118 10,118 -- 2. Rhine River Commission . - ···- -- Representatives Travel 850 1,100 715 Publications and Conference 350 450 450 Supplies 1,200 1,550 1,165 1,200 Environmental Sanitation Conference of Public Health Engineers Participants 2,100 Secretary - personal services 250 travel 450 Publications and teaching supplies ~0 E:B7 /113 page 452 Europe ADVISORY SERVICES AND FIELD rROJECTS Nether lands No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULAR UNICEF TAED 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1951 1951 . . . 1952 1950 1951 --. . .:. -·· ..: .---.,_ ------..--~- - . 3. EDUCATION AND TR/,INING (a) Maritime Venereal Diseases Train.ing·Course Short-term lecturers - fees 1,600 2,400 travel 1,200 1,800 Teaching supplies & equipment 500 1,000 3,300 5,200 3,300 5,200 fublic Health Nurses Seminar ~articipants Travel 5,400 Organj11ers 2,000 Secretary - personal services 800 travel 300 Teaching supplies & equipment 1,300 9,800 l l Total Netherlands 16,050 14,552 16,483 14,552 16,483 EB7/l8 page 453 Europe NORWAY 1. The following is proposed under Education and Training: (a) During the visit of a WHO consultant to Finland, Norway and Sweden during 1950 the need was expressed for facilities to exchange ideas and provide training in mental hygiene. As a preliminary stage it is pla!lned to organize a course in mental hygiene to take place in the Jnited Kingdom in 1951, and it is expected that participants will include WHO fellows from 8candinavian countriese It is planned to continue this exchange of ideas in 1952 by co-operating with the Government of Norway in establishing a similar course which will be available to WHO fellows from Scandinavian and other European countries. Accordingly provision has been made under the regular budget for two lecturers in mental hygiene for a period of two months together with appropriate teaching supplies and equipment. EB7 /18 paf';e 454 Europe NG. CJf posts Esti:t;1:1ted Expen_:i ture REGULlill UNICEF TAED HEGULAl~ UNICEF TiillD TO'l'itL 1950 1951 1952 1950 1951 1952 1951 Fl52 1'?50 1')51 l Sl5'-J 1952 1952 1950 1951 ShJrt-ter~ c~nsultant~ - foes J '60ll l,_,~~~ _Tr.'1ining C llrs_::__l_~ J',~c:;nt:l_1 liyLL~nE Rt a IJublic Heoalth Institute Sbr;.rt-tGr':t C·-Jfl3tlltanl"3 - fsc:s :i; 200 - t:'3VCl ~,200 lk-dic'l1 li t,era cillrEJ anc" tee: cLing equipment Total lLrway EB7/l8 page 455 Europe PORTUGAL 1. At the request of the Government the regional adviser on maternal and child health vrlll have visited Portugal in 1951 to advise it on certain aspects of its maternal and child health programme. It is planned to continue these advisory services in 1952. 2. In 1950 a highly successful "workshop" conference of public-health nurses was held in Nordw,yck in co-operation with the government of the Netherlands. A team representing both public-health nurse teachers and field workers attended from Belgium, Denmark, Finland, France, Ireland, Luxembourg, Netherlands, Norway, Sweden and the United Kingdom~ The primary responsibility for organizing the conference rested with the Nursing Section at headquarters actively assisted by the Sections of Health Education of the Public, Mental Health and Nutrition. In 1951 contacts vlill be maintained with the forty public-health nurses who attended this conference through the sections at headquarters and a short-term consultant in nursing to be appointed for ~tis purpose for a period of three months. It is planned to hold a second conference in 1952 along similar lines and it is thought that Portugal might be a suitable location. Accordingly provision has been made under the regular budget for one conference organizer and two discussion leaders for a period of one month together with appropriate publications and teaching supplieso Provision has also been made ·to follow-up t.he contacts made at this conference in 1952 by a short-term consultant in nursing to be appointed for three months. EB7 /18 Europe page 456 Portugnl ~o. of P"'Sts Estimated e xpendi tu re REGULil.R ' UNICEF TAED RSGULlcR UNICEF -TAED TOTAL 1950 1:.2.2! 1952 1950 ~ 1952 1951 1952 1950 ill1 -1952 1950 ~ 1952 1951 1950 1952 2,Nursing Bbo~~~erm Oonsultants - Fees 2,400 2,400 Travel 1,800 1,800 . 4, 200 . 4,200 4,200 4,200 2.EDUCATION J~ND TRAINING Public H"-"alth Nursing Conference Short-ter.m Consultants and one Secretary - Fees 1,541 Travel 300 ru~i~ :::.,..~":lr:s and teaching supplies 2,500 4,341 4,341 Supplies for Government2l Programmes 4,500 4,500 Total P~trtuga1 4,500 4,200 8,541 4,500 4,200 8,541 EB?/18 page 457 Europe 1. At the request of the Government the regional adviser on environmental sanit specifi~ progr&~e will develop from this visit. During 1952 it is planned to advise t ,G Government concerning the implementation of this programme. Accordingj y provision has been nade under the regular budget for a consultant in environmen .. al sani ta tio:1 for a period of one r.1onth. 2. Due to bude;etary limitations the request of the Governrnei:lt for advisory services in connexion with the latest techniques in health education of the public could not be met. It is expected that these services will be rendered in 1951 and 1952 through the regional adviser in health education. 3 . 'rha i'ollowJng is propPsed urrler Education and Training: (a) It is planned to co-operate with the Government in organizing a conference of senior teachers fron the public-health training schools of Europe, to be held during 1951. Also the Governments of the Scandinavian countries have indicated th0ir intention to establish a joint public-health training school and it is expected that this might be associated with the University of Gothenberg. vVHO has been invited to co-operate in this project which will fulfil a long expressed need for regular public-health training in Northern Europe. Accordingly provision has been made under the regular budget in 1952 for three lecturers in public health for a period of six nonths each, together with appropriate uedical literatur~ teaching equipment and supplies. EB7 /18 page 458 E11rop8 ADVISORY SERVICES JJ\TD FIELD -y00JECTS Swr~den No. of posts Estimated expenditure REGULAR UNICEF TAED REGULAR UNICEF' ThED TOTAL ------1950 1951 1952 1950 1951 1952 'i95I 1952 1950 1951 1952 1950 1951 1952 1951 1952 1950 -1951 1952 l. Environmental Sanitation Short-term Consultants - Fees 800 Travel 600 1,400 1,400 3,EDUCATION AND TRAINING Public Health Training Conference Participants Tr::vel 2,850 Personal services of secretary 365 Travel of secretary 680 Publicatiens and teaching supplies 500 4,395 4,395 a)Public Health Training School Short-term Lecturers - Fees 14,490 Travel 6,900 Medical literature, teaching equipment and supplies 10,000 31,300 31,300 Total Sweden 4,395 32,700 4.,395 32,700 EB?/18 page 4 5e Europe UNITED KINGDOM 1. During 1949 and 1950 the Government has emphasized its needs for short-term consultants in specialized aspects of communicable diseases control such as cultivation methods of the common cold virus. In 1951 and 1952 it is planned to provide short-term consultants in communicable disease control for a period of two and four months respectively. 2. The follouing is propoc~,..;d u.11d...,r Educ-·tion ,-cnd Tr:c5ning: (a) The changes in methods of medical education which have occurred in the war and post-war years point to the need for an excha~ge of ideas among the many medical training schools in Europe, It is therefore planned to assist in the organization of a conference lasting about four days which would be attended by the Deans and senior teachers of European medical schools. It is considered that the United Kingdom might be a suitable location for this conference for which it is hoped that the Government will provide appropriate facilities. Accordingly provision has been made under the regular budget for one conference organizer and two discussion leaders for a period of two weeks together with appropriate publications. EB7 /18 page 460 Europe ADVISORY SERVIC:~S LND FIET~D 0 RO,JECTS Unitod Kingdom . No. of posts Estim'1tcd expenditure REGUL1-,R UNICEF TJ~ED REGULi~E UNICEF TAED TOTAL ------1950 1951 1952 1950 1951 1952 1951 1952 19'50 1951 1952 1950 1951 1952 I95I 1952 195f.i 1951 1952 l.Othr~r Ccrnrnunic'lblc Dist.:osc::s Short-tGrrn Consultants - Feos 1,6DO .3,200 Tr:wc;l 1,?00 2,400 2,800 5' 6'10 2,800 5,600 ------ a)Medi'>11 Trcdning Confu·oncc; Short-term Consultants and one .Secretary - Fees 1, ern Travel 1,950 Publico.tions & To a eh inr, ~mpp1ie :-; 2,000 5,021 5,021 Training Coursljs in Mental Hygi,:mo Short-term Consult.:mts - Fe os 4, 8CJO Travel 2,800 Hodica1 litcrc"cture Se teaching equipment l,COO 8.600 8,600 Total United Kingdom 11,400 10,621 11,400 10,621 EB?/18 page 461 Europe YUGOSLAVIA 1. A joint -v'mO/UNICEF programme designed to assist the Government in syphilis control was technicqlly ~pnroved and inaugurated during 1949· During 1950 advisory services to the Government were rendered by a short-term consultant. It is anticipated thc:,t advisory services will be continued during 1951 by the Venereal Diseases Section at headquarters. It is expected that during 1952 this control programme will have reached a stage when results can be evaluated. Accordingly provision has been made under the regular budget for a venereologist for a period of six weeks. 2. A UNICEF-assisted programme in communicable disease control technically 3pproved at the end of 1950 will be implemented in 1951. The programme is designed to assist the Governm6nt in expanding the production of vaccines and sera for the protection of children against the common communicable diseases such as whooping cough, diphtheria and measles. It is anticipated that by the end of 1951 production levels will permit expansion .of v9ccination campaigns, and it is planned to ~dvise the Governm~nt in 1952 concerning extension of these cru:npaigns throu;:;hout the country. Accordingly provision has been made under the regular budget for one consultant in communicable disease control for a period of two months. 3. During 1950 after a survey had been completed by a WHO consultant technical approval was given to ~~0/UNICEF programme dGsigned to rehabilitate physically handicapped children. It is expected that UNICEF will furnish the supplies and equipment during 1951. In order to train appropriate local staff from Austria, Finland, France, Germany, Greece, Italy and Yugoslavia R course has been planned to take place in the United Kingdom r'l_uring 1951 in co-operation with UNICEF and the United Natio~s Department of Social Affairs. Participants will be awarded short-term fellowships from funds provided by the three agencies. It is planned to advise the Government at the commencement of 1952 concerning further implem~ntation of the programme for handicapped children. Accordingly provision has bo";en m:1de under the regular budget for one consultant for a period of one month. EB7/l8 page 462 4. The following is proposed under Education Rnd Training: (a) At the request of the Government a short-term consultant visited Y~r.oslavia in 1950 to advise concerning the est~blishment of a new institute of nutrition. in Zagreb. Plans have been drawn up in co-operation with the Government for the devolopment of this Institute and it is anticipated that it will be established during 1951 and that the Organization will furnish a smA.ll part of the teaching equipment and supplies. In 1951 ~nd 1952 it is pl~nncd to co-operate with the Government and the Food and Agriculture Organization in organizing summer training courses in nutrition and it is expected that participants will include 12 WHO F€llows from other European countries. Accordingly provision has been made under the regular budget for two lecturers in nutrition for A. period of six weeks together vdth appropriate teaching supplies and equipment. LE7 /18 :page 463 Europe ADVISORY SERVICES AND FIELD 0 ROJECTS Yugoslavia No. of posts Estimated expenditure REGUL1ili UNICEF TAED REGUL .. >R UNICEF -Ti\.ED ------1950 1951 1952 1950 1951 1952 I95i 1952 -1950 1951 1952 1950 1951 1952 1951 1952 1952 Malaria Control Supplies and equipment 37,000 37 ,ooo l,Tuberculosis Control Supplies and equipment 87,000 58,000 87,000 58,000 Venereal Diseases Short-term Consultants - Fees 3,000 1,200 Travel 1,735 900 Supplies aad equipment 224,400 149,600 4z735 2ll00 224,400 149,600 229,13.5 149,600 2:,100 ' 2, Other Communicable Diseases Short-term Consultants - Fees 1,600 1,600 Travel 1,200 1,200 Supplies and equipment 75,000 Brucellosis 2,800 2,800 75,000 771.800 2~800 ~J)i!lit• and equipment 15,000 15.z000 b16~tai liealtfl hart-term Consultants - Fees 1,200 Travel 900 2,100 2,100 Maternal and Child Health 3. Rehabilitation of Handicapped Children Short-term Consultants - Fees 600 800 Travel 400 600 Supplies and equipment 25,000 lzOOO lz400 25,000 1,000 25,!000 1 2400 . OccuEational and Social Care Jqoosie Control Supplies and Equipment 105,600 702400 105,600 ?0,400 4,EDUCATION AND TRAINING a)Training Course in Nutrition Short-term Lecturers - Fees 3,600 2,400 2,400 Travel 1,975 1,900 1,900 Teaching supplies mdEquipment 42500 3z500 2~500 102075 71.800 6!800 10,075 71 800 6.z800 ------. ----- ,_. 1.. .. '8[1'7- -'I /·! • .~ -;-,,we 46·i Europe ADVISORY SERVICES AND FIELD PROJECTS Yugoslavia Estimated expenditure RFGUL R UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950- 1951 1952 Supplies for GOV('lrnmental Progrm:J.mes 10,080 10_.080 ---- . ,.. '·- -·---- Total Yugoslo.vio. 12' 700 13,100 454,000 393,000 470, ~~9() 405,700 13,100 ------·------ .,. . ' EB?/18 page 465 · Europe COUNTIUES UNDESIGNATED 1. Hygiene of seafarers continues to be an important public-health problem in some parts of Europe. Health services in the ports have developed unequal~ and along different patterns. It is clearly desirable to standardize port health services insofar as this r~y be adjusted to local conditions. The . r·c...sulting improvement in port her.lth services, particularly in relation to current probloms of absence from work on account of illness, would be of benefit far beyond the European Region. It is cle3r also that the control of communicable dise2ses in 2.n inkrnational port -Nould reflect on the health of seafarers and their associates in other parts of the world. During 1951 it is planned to survey the health services of European ports with a view to establishing a port demonstra- tion project in a country where, as a result of war devastation, economic develop ment has been less rapid than els0whera. Provision for this survey has been made under the technical assistance budgst. B.y the end of 1951 it is expected that a suitable port will have been selected, and it is planned to commence a demonstration programme in 1952. Accordingly provision has been made under the technical C!Ssist.:mce budget for two public-health administrators with special exp0ricnce of hygiene among seafarers, together with appropriate supplies and equipment. 2. The pressing conditions i~nediately after the war allied with the war-time inercc:se in venerec.l diseases 3. It is planned to co-·operatG vvith the United Nations D0partmcnt of Social Affairs end the Rockefeller Foundo.ticn on D. s·tudy designed to dekrmine the most sui table type of health worker to meot the health c.:nd welfare needs of the' fnmily. The purposo of this study is to gather mc.tcrial for the United' Nations, which might bo ndjustud to moot locc::l needs, in giving advice to govGrnments where these services arc in the course of dcvolopmont •. It is crmsidorcd that the best initial c.pproach to the problem would bG o. pilot study of h'V"o devaloped but somewhat different .patterns of hoo.lth .::.nd welf2.ro services in Europe before proceeding to simil2-r studies in oth.:;r ports <;.'f the world. Faciliti8s for this study have been offered by tha Governments of France and tho United Kinc;domJ and it is therafore plunnod to conduct simultaneous st11r1:i_ ..:.:: in thasc two countries during 1951 nr1d 1952. It is proposed th.::t this study be guided by o.n advisory group consisting of representatives from the participating govorrunonts and ae;oncies, and appropriate pruvisicn for this has been mnde under the regulc.r budget. · It is plwmed that organizo.tiun units o.~ headquarters _doo.ling with nursing, m0ntal health and tcchnicc\l education should assist in orgamzing these studios. It is proposed that 1!\IHCJ should co-ordinc.te these studies in France and the United Kingdom. EB?/18 page 467 Accordingly provision has been made illlder the regular budget for one technical adviser with experience in medico-social work and one secretary. 4. The following is proposed under Education and Tr~ining: (a) During 1950, study-groups on infant metabolism were organized at Leyden and Stockholm, in co-opGration with the Governments of the Netherlands and Sweden consecutively. The Organization provided short-term fellowships for scientists from neighbouring countries, and the discussions were led by four scientists from the United States of America. Thvse conferences rendorad unique opportunities for an exchange of ideas on a numb0r of specialized aspects of child health including the important nutritional problems of infancy. It is proposed to organize confarences along similar lines in 1952 in countries to be salected at a later date, and appropriate provision for this and )0 short-term fellowships has been mad0 under the regular budget. (b) It is planned during 1952 to assist in the organization in Europe of a st~ group on some of the specialized aspects of nutrition. Accordingly provision has been made under the regulnr budget for one confGrence organizer and two discussion lGaders for a period of four wo~ks and for 15 short-term fellowships_ .for ·participating experts· from European countries. (c) It is planned during 1952 to assist in the organization in Europe of a study-group on alcoholism, and provision for this has been made under the regular budget. In view of the world-wide nature of this problem, it is proposed that discussion leadurs should be recruited from all the regions. Accordingly, provision has been made under the reguler budget for four discussion leaders for n period of four weeks, and for 20 short-term fellowships for participating exports from Europec::n countries, (d) During 1950, a consultative group on anLnal tuberculosis transmissable to man and other ZounosGs, vmich met at Geneva, under the auspices of WHO, emphasized the need to incrGase training facilities in this field. The problem is important in Europe and there are a nlli~ber of institutes in which training could be provided with appropriate assistance fr0m WHO. It is therefore planned to organize in 1952, at an institute still to be selected, a training course in tho animal diseases transmissable to man. This course would provide places for 15 WHO Fellows from EB7/l8 pa.ge 468 other Europenn countries in which the group of animal diso~ses transmissable to ~~n rcpr~s~nt a current prqblem. Accordine~, provision has b0en made under the regular budget for two lecturers in zoonoses, for a period of three months, tcgeth~r with appropriate teaching supplies and equipment. (e) The development of medical and public-he~lth training, suitable to local conditions, continues to be a very serious problmn in scme countries of Europe o This applios p2.rticulo.rly to those countries whoro economic recovery has been less rapid than ulsewhere. Accordingly provisiun has been made, under the technical assistance budgot for 1951 and 1952, for one regional adviser on educa tion .;md tr:J.iningo Tentativ,.; plans to advise four such countries within the reGion, covGring suitable measures to strengthen their public health, medical and c.uxilio.ry tro.ining fccilitios, h.::..vo bean developed, and it is planned that the rogiono.l adv~s0r will continue discussions towards.selecting the most appropriate institutions. Meanwhilci in 1951 provision has be~n made under the technical c.'ssistc.nce budget fur 20 fellcwships .:md two short-term lecturers for a period c.l'· three months each, togother with appropriate teaching supplies andeq;u:lpnent,~It is ::ixpact0d that by the end of 1951, in co-operc::tion with the appropriate e;ovornmonta, p1"Ctns· vdll h.::..ve been drawn up to enable the establishment of fi vo sui table training c,,urs0s o Accordingly provision has been mnde under the technical assistance budget for 40 fellowships, two full-timo lecturers, three short-term lecturers for a period of six months each, and six short-term lecturers for a period of throo·months oach, togather with appropriate teaching supplies c::nd equipment. EB7 /lS Europe page 469 ADVISORY SERVICES AND FIELD 1-ROJECTS Countries Undesignated No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1950 1951 1952 1951 1950 Tuberculosis Control Short-term Consultants - fees 2,000 travel 1,720 3,720 Other Communicable Diseases Short-term Consultants - fees 1,000 travel 1,000 2,000 l.Port Demonstration Project 1 1 l ?ublic Health Administrator 16 4,967 7,660 ------1 J_ Public Health Administrator 15 6,880 1 2 Total established posts 4,967 14,540 Allowances Installation 815 745 Dependants 156 565 Expatriation 228 658 Pension Fund 695 2,035 Staff Insurance 66 194 Travel Duty 2,190 4,820 Recruitment & repatriation 782 782 Transportation of personal effects 250 250 Supplies & equipment 16,500 10,149 41,089 10,149 41 2089 2.Public Health Administration Short-term Consultants - fees 3,200 4,800 travel 2,600 3,600 5,800 8,400 8,400 Nursing J •. Pilot Study of Health Visitors Advisory Group - personal services 1, 590 1,590 1 1 Technical Adviser 16 7,450 8,085 __1 __ 1______Secretary 5 __ 2,420 2,680 2 2 Total established posts 9,870 10,765 Short-term Consultants fees 2,330 E:B7/l8 page 470 Europe ADVISORY SERVICES AND FIELD ~"ROJECTS Countries Undesignated No. of posts Estimated Expenditure REGULAR UNICEF TJ...ED REGULAR UNICEF T.AED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1951 1952 1951 J952 1950 . 1951 Allowances Installation 1,173 Dependants 404 404 Expatriation 479 ft7? Pension Fund 1,382 l, 507 Staff Insurance 135 148 Travel Short-term Consultants 1,000 :{ecruitment & ·2epatrwtion 832 Transportation of personal effects .3'+8 Supplies and equipment 250 250 16,115 16,115 15,491 Mental Health Short-terrY! Consultants fees 4,000 travel 2,600 :?2. 800 4.EDUCATION hl.\TD TRAINING a)Study Group on Infa~~-Metabo}_i sm Discussion leaders & organizing personnel 10' 30h 5,055 Secretary - personal services 600 Jt,l Publications a11d i:,eo.chinp; supplir:),S 1,40(!_ 2,000 12,306 7,396 12,306 b) Study Group on l\utr~ tion Participants 3' L',80 Secretary - personal services 39') Publications & teac11ing supplies ;;::,ooo c) Study Group on Alconolisrr: Discussion leaders 3,890 Secretary - person No. of posts Countries Undesignated Estimated E3eenditure REGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950 -1951 1952 1950 1951 1952 1951 1952 ~ 1951 1952 d) Training Course in Human/Animal Diseases Short-term lecturers - fees 4,800 travel 2,800 Teaching supplies & equipment 3zOOO 10!600 10z600 e~ublic Health Training Courses Short-term lecturers - fees 9,600 travel 4,600 Teaching supplies & equipment 5zOOO 19z200 19z200 2 Lecturers in Public Health 13,400 1 Short-term lecturers fees .4l,8oo~ I 28z800 - 4,800 42z200 Allowances ' Installation 1,490 Dependants 514 Expatriation 632 Pension Fund 1,876 Staff Insurance 178 Travel: Short-term lecturers 2,800 15,300 Recruitment & repatriation 3,128 Medical literature & teaching equipment 60zOOO 170,000 67,600 235,318 67,600 235,318 Environmental Sanitation Conference Participants 2,160 Secretary - personal services 365 travel 500 Publications and teaching supplies 2,000 5,025 5,025 Con~enital Heart Disease '.:. Short-term Consultants - fees 3,200 travel 3,300 Supplies and equipment 18,500 5,000 25.!000 5,000 30zOOO EB?/18 gage 472 Europe ADVISORY SERVICES AND FIELD r:·ROJECTS Countries Undesignated No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL ~ 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1950 1951 1952 1951 1950 Syphilis. Stuey Group Participt~~~ 3,000 Travel 6,6oo fublications and teaching supplies 2,400 12,000 12,000 Fellowships 144,000 135,000 200,000 27,500 50,000 100,000 171,500 185,000 300,000 Teaching Supplies and Equipment 20,300 10,000 30,000 20,300 10,000 30,000 ------2 2 1 4 ;- :•tal Countries Undesignated 235,256 16~,140 303,255 32,500 127,749 376,407 267,756 293,889 679,662 TOTAL ADVISORY SERVICES ~!ID 374,836 307,948 566,405 1,010,800 109,200 137,923 388,446 941,241 1,456,671 1,073,729 -======4 8 10 2 5 FIELD fROJECTS 576,0?._2 388,446 ====-======9 15 34 2 5 TOTAL EUROPE 403,651 353,164 720,000 ~~5-~·~ 109z 200 137,923 ~94.056 1.559.8~1,217,646 1.87/18 page 473 SUL(.~.Rl No. of ;Josts ~stin3tcd Expenditure REGULi:.R Ul\JICE? T"'J.ED [<:~GUL_J~ UNICEF T:d!.:D TOT"J.l' 1')50 }-951 1()52 1950 1951 195;2 1')51 1952 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 _32_ _E_ _E______6_ __§_ Regional Ofi'ice 144,800 168,202 170,u90 -- .34,680 .31,842 144,800 202,090 202,7.32 "'"dvisory SGrvicr.;;s 7.nd Field Projc;ct,::: 6 7 6 7 10 ~~'u·-tl3ri:::. ani Ins.-.: et Cont.rc•l ·-17' /~O(J 45,)03.3 70,220 .3 :·~, OCI() 28,000 56,867 105,114 47,4UO 1.34,800 20.3,.3.34 4 4 6 28 21 16 a 'fu._)er:::ulosis .37, lc;O J-j,/).9') 77 ,01'7 46f~,552 247,360 [,9,456 142, 75() .37,180 595' 507 467,136 5 5 7 3 3 9 21 Vcnere:;.l Dts.s~lscc 40,11)0 53,006 79,740 5,000 2tf0,000 61U,OOO 57,801 181,960 45,150 350,:307 871,700 ·1 7 Other COr.1L1Unl c;_: IJL:! Dl.S(;,,_\SO s .3, 5Cl0 ~5,200 JJ,OOO 102,266 120, sr)3 1,500 10~~, 266 179,06.3 l j_l 2 16 55 Public H.sal th il.dnifl..istrJ.~iun 20,400 l!f, 241 34,163 117,000 ~~17' 07'7 014,9'18 20,400 231_..318 766,161 1 1 1 4 ErNironncmts:.l S<:.:.ni tntion 6,ooo 15, 5'1-8 11,0'75 10,000 .35,608 6,000 15,548 56,663 1 1 1 Nursing 4,Lf(J0 8,275 9;919 4,400 8,275 9,919 2 3 Social and Occupational Health 28,023 48,329 76,.352 1 Health Educa ti•)l'l of the: Public 2.3,000 5,600 11,200 8,100 20,512 2_3,000 1.3,700 .31,712 1 1 11 10 10 28 ].'[c_c term.l and Ch.i..ld Health 13,100 18,f)'76 117,0.34 278,350 137,000 .3.3,678 194,417 1.3,100 .331,404 448,451 I··l1311tal Health 8,400 8,400 8,400 8,400 5 1 Nutrition 2, 500 51,157 10,285 2,500 .,~,442 1 1 2 6 Educe.tion and Training 1'78,300 162,.393 265,342 175,000 60,000 82,200 218,940 178,.3~00 419,59.3 ,544,282 ------Total - l.DVISORY 20 21 41 21 62 124 221 788,490 5,000 1,192,402 1,242,360 4.3 J 157 2.3 SERVICES & FIELD .375' ).30 .371,771 647,445 1,69.3,785 380,930 2' 211 :· 6J8 .3,'724,635 ------PROJECTS -- --·------49 53 '75 .3 41 21 68 16.3 52 162 259 Total - K .. STERN 520,7.30 539,97.3 959,.380 5,000 1,192,402 1, 242,.360 682,133 1,725,627 525,'730 2, a4, 508 3,92'7,307 -~-=-= ~ ======- - - ~TED ITERR.ANEJ1.l'J -- EB?/18 page 474 Eastern Mediterranean REGIONAL OFFICE New Personnel: No new posts are proposed for 1952. Duty Travel Regional Director2 During 1951 it is planned that the Regional Director will visit seven countries ~~thin the region for the purpose of discussing health programmes and negotiating agreements with governments. This is in keeping with the policy of visiting each country in the region every other year. Provision has, therefore,, been made in 1951 under the regular budget for an amount of $2,741~ In 1952 it is expected that the Regional Director will visit Ethiopia, IYaq, Pakistan and Turkey in order to discuss ways in which the Organization r,an assist . the public-health administration of those countries. Provision has therefore · been made in 1952 under the regular budget for an amount of $2,611. Deputy Regional Director1 It is expected that during 1951 the Deputy Regional Director will visit five countries within the region in order to appraise the results of existing programn1es and to discuss rrith governments their integration into national health services. Provision has therefore been made in 1951 under the regul2r budget for an amount of $2,063. In 1952 it is proposed that the Deputy Regional Director should visit Iran, Israel, Jordan and Syria, tour the WHO projects in Egypt and discuss programmes with the Ministry of Health, Cairo. Provision has, therefore, been made m1der the regular budget for an amount of .1,550. Information Officera It is planned that the information officer should go to four countries in 1951 in order to. visit WHO teams in the field and discuss WHO activities with government information officers and various press agencie~. Provision has ther6fore been made in 1951 under the regular budget for an amolli~t of ll,329. EB?/18 page 475 In 1952 it is planned tl~t he should visit Israel) Lebanon, Pakistan and visit sites of WHO activities in Egypt, Accordingly provision of $900 has been made lmder the regular budgete Planning Officer~ In 1951 it is proposed that the planning officer should visit five countries within the region in order to discuss with appropriate health ministries or their equivalent the development of programmes for the 1953 budget and to evaluate results of existing programmes. Provision has therefore been made in 1951 for an amolmt of $2;6o6o In 1952 it is expected that he will visit Egypt, Ethiopia, Libya and Syria for a similar purpose and provision has been made under the regular budget for an amount of $1,651. Statistician: In 1952 it is suggested that the 111edioal statistician should visit Lebanon, Syria and Turkey and also proceed to Cairo in order to discuss with appropriate ministries the development of relevant statistics in public health. Accordingly provision has been made in 1952 under the reeular budget for an amount of ~973. Administrative and Finance Officert It is proposed that the Administration and finance officer should visit three countries in 1951 in order to get a better acquaintance with administrative problems in connexion with the programme. He will also attend ti1~::1 month:cy meeting of the regional Standing Committee on Administrative and Financial Matters of the United Nations and specialized agencies, held in Cairo. Provision has therefore been made under the r8gular budget in 1951 for an amount of $900. He is expected to visit Lebanon, Jordan and Syria in 1952. for silailar reasons and will continue to attend meetings of the regional sta.nding committee mentioned above, and provision for an amount of $611 has been made under the regul8r budget. El.37 /18 PUGS 476 Eastern Mediterranean REGIONAL OFFICE No. of posts Estimated e~enditure REGUD~R UNICEF TAED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 Grade 1950 19~ 1952 1950 1951 1952 1951 1952 1950 ill! 122. ------...... -....----- Office of the Regional Director - - 1 1 1 Regional Director ..,. 11,475 11,475 1 1 1 Deputy Regional Director 19 9,138 9,563 1 1 1 Secretary 7 2,958 2,958 1 1 1 Clerk-Stenographer 5 2,524 2,524 1 1 1 Secretary 1,728 1,872 §Eidemiol•~ica1 Intelligence Services 1 l 1 Epidemiologist 15 '6,166 6,511 2 2 2 Epidemielegica1 Clerks 3,600 3,888 Public Information 1 1 1 Information Officer 13 5,015 5,278 1 1 1 Information Clerk 1,728 1,872 1 1 1 Secretary 1,584 1,728 Planning and Operations 1 1 1 Chief of Sectinn 17 7,246 7,629 2 2 Public Health Administrators 16 13,024 13,746 1 1 1 Statistician 11 3,854 4,067 ~ l 1 1 Secretary 1,728 1,872 1 1 1 4 4 Clerk-stenographers 1,296 1,440 5,184 5,760 Administration and Finance 1 l l Chief of Section 6,166 6,166 1 1 1 Finance Officer 1'12 4,518 4,760 1 l .Accountant 9 2,964 3,290 2 2 2 Accounting Clerks ... 3,908 4,176 1 1 l Registry Clerk 2,036 2,160 1 1 1 Mailing Clerk ,... 1,728 1' 8'72 1 l 1 Travel Clerk 2,592 2,736 2 2 2 Translators 3,908 4,176 1 1 l Secretary 1,728 1,872 1 1 Stenographer 1,231 1,584 2 3 3 Clerk/I'ypists 3,391 4,032 1 1 1 Telephone Operator 1,008 1,152 1 1 1 Mimeographer ... 864 1,008 Custodial Staff ,.... 6,040 6,544 ,....,_. ____ _...... ,.,..._.,....__,..._..,..._ 29 32 32 6 6 Total established posts 91,000 102,122 108,205 18,208 19,506 E:B1/18 Eastern Meditorrano2n page 477 REGIONAL OFFICE No. of posts Estimated e~enditure REGULLR UNICEr TJ\ED RE:GULl~H UNICEF TAED TOTAL 1950 1951 1952 1950 195l 1952 1951 1952 1950 1951 1952 1950 1951 1952 1951 ~ 1950 1951 1952 ~- - ...... _ --. -- ___,._ -- 29 32 32 6 6 Br~ught forward: 91, 000 ... ;· 102,122 108,?05 18,208 19,506 Allowances: Installation 1,200. 359 1,304 Dependants 3,550. 4,643 4,650 616 616 Expatri3.ti0n 1,800, 2,283 2)292 548 548 Pensifln Fund 12,450 14,276 15,071 2,868 3J072 Staff Insuranc~J 1,000 1,400 1,515 280 300 ~t.. ' Travel: f . li Duty 5,700 9,639 8,296 " 4,000 5,000 Recruitment & repatrhtion 800 320 1,564 Home leave 2,500 8,500 3,598 Personal effects 500 222 500 Commen Servicess Space and equipment services 1,700 2,450 2,375 500 500 Other services 8,200 9,845 10,395 800 800 Supplies and materials 4,000 4,800 5,150 500 500 Fixed charges and claims 250 243 243 Acq•isition of capital assets 5,850 3,300 5,300 3,000 1,000 Epidemiological Inte1ligenee Services Broadcasting & telegraphic expenses 4,300 3,800 3,?oo ' . ------29 32 32 6 6 29 38 38 TOTAL - REGIONAL OFFIC~ 144,800 168,202 170,890 34,688 31,842 144,800 202,890 202,732 ==:======--- EB?/18 page 478 Eastern Mediterranean REGIONJ.,L l1DVISERS Duty Travel: It is proposed that the regional advisers should visit the following countries for the purpose of consulting with ministries of health or their equivalents on the development of their public-health programmes, evalu~ting with them the results of projects, and discussing methods of securing their integration into the national public-health administration. It is hoped that UNICEF activities in this region will be extended, in Which case the regional advisers will discuss appropriate projects with governments and UNICEF representatives before technical approval is given. Adviser ina Countries to be visited! Amount provided (in US$) 1951 1952 Malaria Iraq, Jordan, Lebanon, Saudi Arabia, and Syria 1,481 Iran, Pakistan 1,230 Tuberculosis Egypt, Iraq, Turkey, Pakistan, 2,ll6 Syria Egypt, Ethiopia, Iran, Iraq, Jordan, Lebanon, Pakistan, Turkey 3,810 Venereal Disease Egypt, Iran, Jordan, Libya, Saudi Arabia 2,371 Egypt, Ethiopia, Lebanon, Pakistan, Turkey Public Health Iraq, Pakistan, Saudi Arabia 1,642 Administration Iraq, Pakistan, Saudi Arabia, Turkey, French Somaliland, Iran, Jordan, Lebanon, Libya; Syria Environmental Sanitation Egypt, Iraq, Pakiste~, Saudi Arabia, Turkey 2,244 French Somaliland, Iraq, Israel, Libya, Turkey Nursing Ethi1)pia, Iran, I.ebanon_. Syria 1,848 Somaliland, Iran, Jordan) Pakistan, Turkey 2.,692 Maternal and Israel, Jordan, Lebanon, Saudi Child Health Arabia; Turkey 2,514 French Somaliland, Iran, Israel, Libya, Pakistan, Turkey 3,222 Educe.tion and Training Egypt, IraqJ Lebanon, Pakistan 1,814 Iran, Israel, Libya, Syria, Turkey EB?/18 Eastern Mediterranean page 479 ADVISORY SERVICES AND FIELD PROJECTS Regional Advisers No. 0f posts Estimr:tted e xpendi ture REGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 Grade ---1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1 1 Malaria Advis s r 16 6,511 6,8?1 1 1 1 Tuberculosis Adviser 16 6,511 6,8?1 1 1 BCG Adviser 15 6,16? 5,848 1 1 1 Venereal Diseases Adviser 16 6,511 6,871 1 1 2 Public Health Administration Advisers 16 7,629 14,217 1 1 1 Envirnnmental Sanitation Acviser 16 6,511 t-.,871 1 1 l Nursing Adviser 14 5,278 5,554 1 1 1 Maternal and Child Health Adviser 16 6,511 6,871 ------1 1 1 Education and Training Adviser 16 6,511 6,871 7 8 10 1 Total established posts 27,330 51,973 67,164 5,848 27,.330 57,821 67,164 All.,wanc est Installation 1,080 2,608 652 Dependants 2,102 2,613 3,163 257 Expatriation 1,580 2,09A 2,609 253 Pensien Fund 4,433 8,525 11,016 963 Staff Insurance 425 814 1,049 92 Travel: Duty 10,201 17,141 26,031 2,500 Recruitment and repatriation 2, ~"2.3 3,333 1,111 Home leave 2,106 478 2,305 Personal effects 600 1,434 478 ------7 8 10 1 7 10 Total - Regional Advisers 51,880 91,015 115,578 9,913 51,880 100,928 115,578 ------' EB7/18 page 480 Eastern Mediterranean ADEN 1. Provision has been made for advice to the authorities on the initiation of a BCG campaiGn in a selected area during the last quarter of 1951. It is planned to continue this campaign in 1952 and to train parallel teams in BCG work, thereqy enabling the authorities to expand the campaiGn to other areas. It is understood that UNICEF vlill provide the services of one BCG medical officer and two BCG nurses, together with appropriate supplies and equipment. EB7/l8 E.1.stern M.::ditcrro.noan page 481 ADVISORY SERVICES J,Nn 17IELD T)ROJECTS Aden No. of p•sts Estimated expenditure REGULAR UNICEF TAED REGUL;.R UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 --Grade 1950 1951 1952 1950 1951 1952 1951 1952 1950 1952 1. Tuberculosis~control -BCG ,• 1 1 BCG bedicnl Officer 15 1,462 5,848 2 2 BCG Nurses 11 1J928 7,710 ~--- 3 3 Total established posts 3,390 13,558 Allowances: Installation 1,316 Dependants 132 527 Expatriatlon 137 545 Pension Fund 558 2,233 Staff Insurance 59 226 Travel: Recruitment and repatriation 2,346 Personal effects 750 Supplies and equipment: 4,000 5,000 3 3 3 3 Total - Aden 12,688 22,089 12,688 22,089 - ...... ,___ ------_...... ___.... ------EB7/18 po.[~e 4S2 Eastern Mediterranean EGYPI' 1. A venereal-disease demonstration and training project was planned at the request of the Egyptian Governme~t and arrangements have been· complet"!d for work to sto.rt in 1951. The Ministry of Health of Egypt has a venereal~·di sease division tmder whose supervision ther.e. are 51 clinios and two hospitals for venereal disea.ses. There J.re also 120 rural health centres under the Mlnistry of Social Affairs, which carry out venereal-disease services. The project will be carried out in Tanta, a city whose ' population is 200,000, located lOO km east of Alexandria, about mid·-way- to Cairo. It is intended that the project shall demonstrate modern methods of venore~l-disease control and serve as a field training-centre for the techru.cal ~ersorillel workir~ in the Government Is venereal-dis~ase services. The Egyptiaa Government, in collabor ation with the Regional Office for the Eastern ·Mediterranean, has also offered it as a tra'ining-centre for the countries within ti1e region. Provision has boon made under tho reg:uJ.ar budget for one venereologist, C'"1'3 serologist, one hoalth educator and ono public-health nurse, together vdth appropriat~ supplies and equipment. The Ministry of Health will match with 16 local personnel. 2. In connexion with the above programme it is e±pected that advice will be given to the Qovernment concerning its programme for mass penicillin treatment of expectant mothers and of children with congenital· syphilis, to be implemen0ed t,h.C'ough existing clinics and centres. It is hoped that With the demonstration of modern msthods of treatment, the Government will be able to initiate such a prograr,m1e d1.rring_ 1951 for contimJJ01.n:::o t~ough 1952, and that UNICEF 1Nill agree to furnish a 1:;]:)X'opriate supplies and equipment. J, ·Tuberculosis is a serious public-health problem in the country. It is therefore pla.nned to advise the Government concerning the estabUsr..ment of a demonstration and training centre at a major tuberculosis clinic i. provision has been made in 1951 under tl').e tecl:mical assistance b.udget for one tuberculosis consultant apd ono epidemiologist to begin operations during the last quarter of' the yc.,£,r. It is hoped '!:Jlat UNICEF wi 11 furnish appropriate supplies and equipment. The· expansion of the t:~aining e.spod,s of this programme is pla.'1nod in 1952. It is ant:i..r:.ipated that,· gi'TOl1 suitable trainees, at least two complete toams would be trc i.ned) each cou:J:i st-i_;Jg of a lortdor ~l:i nician, an epidemiologist, a ba~toriologist; a -6urJlic hoalth nm·s und a laboratory and X-rny t::chnicio.n; the Goifcrnmcnt -would thus be enabled to extend the programme further afield. Provision has accordingly been made under the technical assistance budget in 1952 to retain the services of ._ne tuberculosis consultant and one epidemiologist and, in addition, one health educator and two public•health nurses with special experience in tuberculosis control have been budgeted for. It is hoped that UNICEF will agree to furnish the additional supplies and equipment req~ired, 4, At the request of the E~ptian Government, a demonstration team in industrial health and occupational diseases hns been included in the WHO regular programme for 1952. As industrialization has taken place in Egypt during recent years, such a demonstration unit is important to guide the development of modern industrial health services in the country. Industrial projects in connexion with cotton ginning, textiles, suear and· mining have been developed, and the Goverrunent will select a suitable centre near Cairo or Alexazrlria for beginning the work. The aims of the programme will be: (1) improvement of environmental conditions, such as industrial buildings (light, ventilation, plumbing), industrial processes, housing, in places where industries are located; (2) protection against accidents and occupational hazards~ and (3) organization of medical services for the workmen and their families. The Ministry of Health will match with the necessary personnel, equipment and supplies for the project. The International. Labour Or;3anization will be invited to co-operate in this project. Accordingly provision has been made under the regular budget for one public-health administra tor and one sanitary engineer, both with special experience in industrial health, together with equipment and supplies for clinical and laborator,r ser~ces. 5. At the Third World Health Assembly the Egyptian delegation requested WHO's assistance in the establishment of a health demonstration area in the Calioub district, about 30 km north of Cairo. The district covers an area of approximately 46,843 feddans (l feddan = 1,038 acres) and has a total population estimated at 182,161, of whom 27,080 reside in the capital of Calioub. The Egyptian Governmerrb has established five rural health centres, two hospitals and a leprosy unit in this district. In the Sind.abis area, which is a part of the district, the Government, in collaboration with the International Health Division of the Rockofeller Foundation, has since 1947 corried out special studies in sanitation c·Jntrol work. Considerable information on the morbidity and mortality rates of EB'7/18 pc.ce 484 the people in this area has been collectod. The sc.nitation control experimental work vvill be completed by the end of 1951 and the results will be made availc.ble for the demonstrntion area, In 1950 provision was rru:..de for a consultant under the technical essistence budzet to collect, study and analyse the available information, with a view to detei'minin:; f c'.cilities for the establishment of a health demonstration ar0a in the district. It is understood that the progra.nune will be very suitable for work in co-oper2.ticm with other UN ac;encies, p2..rticuL::r]y ILO, Fi~O nnd UNESCO, aJil_ also with the E~ptian Ministries of Agriculture, Social l'..ffairs and Education, In 1951 provision was made for rotc.ininz the services of the consultant for three months, and also for one public-health nurse for 12 months and one public-health administrator, one sanitary engineer, one statistician, one public health educator and $pecial consu.ltants for a period of nine months under the technical assistance buclget, together vvith appropriate supplies and equipment. By the end of 1951 it is expected that 3Ufficient information will have been obt Jined and that arr~omonts ,-dll have been concluded that will allow the expansion of the prograJnme, i.ccordinc;ly, in addition to retention of the services of the above personnel, provision has been made under the technical assistance budGet for one public-health administrator vdth experience in maternal and child he::Jlth, one medical of.ficer, one laboratory director and four public-health rmrses, together vd th .s.ppropria.te supplies and equipment. 6. Bilharziasis is one of the roost serious health problems in the reeion. The EQTptian· Government has 20 yearsr experience in the· treatment of this disease, in the effort to control which it has, under the Ministry of Health, developed 2n extensive machine~ for snail destruction ~hich comprises 320 permanent centres and e;;1ploys -10,000 workers and staff. For 1950 the Government allocated a ver.J large sum for bilharziasis control work. Although a decline of snail population in streams has beendemonstrated in certain provinces, the problem of snail control and destruction is still not solved" In a letter dated 4 October 1950, the Under-Secretary of State of Egypt expressed the interest of the (;OVern ment in launchine; a lljoint experilJeJltal campaign for bilharzia ·control over a limi tod area11 lyill.(~ to the south of Cairo, . on the e~stern bank of the Nile, and includine; the Saaf Mru-kaz, Hel'V'I'B.n nnd Maadi districts. This area has a EB?/18 page 485 population of .~801 000 and properties extending over some 60,000 fedclans. The Khashab Canal'runs throuGh the area from south to north. The Egy-ptian Government h molluscoloJist and one sani t.sry en.:_;;inoer, toe; ether with <~ppropric.to supplies und equipment. 7. The followinc is proposed under .ltluca.tion and Traininet (a) The Ophthalmic Memorial Laboratory at Gi za and the Kasr el Aini Faculty of Medicine conduct courses in the dia::_;nosis an::l treatment of trachoma, Which is a serious public-health probl~~·in tho country ~nd throuchout the rocion. The Govorrunent plans to expmd the scope of these courses so as to offer trainine facilities to professional and auxiliary personnel from countries vt.ithin the ro,3ion c::nd has requested advice on an appropric:>.te curriculum. Accordincly, provision has been made under the regulur budget for a short·-term cc·nsultMt for nine .months, together vdth appropriate teachirc supplies and equipment" (b) The Kasr el Aini Faculty of Medicine has established post-srnduate courses vmich lead to diplomas in different specialties. Some of those courses have hitherto·been concerned only ·with the curdive asp~ct ·of medicine and o.rc intended for practisinG physicians who want ndvanced studies in tho vorious specialties. J.s these courses would make a. cood b2.sis for the establishment of po.rallel post-3raduate trcininr; in tho ba~lic branches of prevonti vo n.edicine and hyc;iene, the Rec;ional'Director, in a_;roemerrt with the Univursity, has prepo.red an extensive pro::;ramme for train- ne; in public health whicr, may be used by the region. The present project is, thorofore, n croup tr~niTh3 project for post-sradua.te courses in public health. The E[Yptian GovGrnment roquestocl WHO to provide four professors in public-health adrninistr~tion, sanitary 01~inoering, epidemiology and health statistics, 2nd tropical 1redicine for a period of nine months each. The Government will provide the other necessary stal'i~. 'l'he course ·will be held at the Kasr ol Aini Faculty of Medicine ::nd 19 intra·-·roe;iona.l follovrehips have been provided to enable the countries in the rer:;j.on to send trainees to tho course. Accordine;ly; ~Jrovision has beel1 nnch-1• und0r t.he technical EB7/l8 page 486 assistance budGet for one short-term lecturer in public-health administration, one short-term lecturer in tropical medicine, one short-terEl lecturer in sanitary enJinecrinc and one short-term lecturer in statistics and epidemiology, for a poriod of nine months each, together with appropriate teachin~ supplies and equipment,. (c) The Govern111ent has requested assistance in strengthening courses held at the Tra.ininc; Institute for Sa.nitGry Inspectors. Provision has accord ingly been made under the technical assistance budget far one public-health administrator vdth special experience in the control of communicable diseases .... nd one sanitary etl[,r:i..neor, together viith appropriate teaching supplies and equipmerrt. EB7/l8 Eastern Mediterranean page 487 LDVISORY SERVICES "·.ND FIELD PROJECTS Egypt No. of Posts Estimated Expenditure REGULhR UNICEF TAED REGULhR UNICEF TAED 'l'OT.£•1 _._...... 1950 ______1951 1952 1950 1951 1952 1951 1952 Grade 1950 1951 1952 1950 1951 1952 195'1 1952 1950 1951 ~ 1. Venereal Diseases Control 1 1 1 Venereologist 15 5,848 6,167 1 1 1 Health Educator 14 5,278 5,555 1 1 1 Serologist 12 4,760 5,016 1 1 1 Public Health Nurse 11 4,067 4,289 -- ~ 4 4 4 Total established posts 15,000 19,953 21,027 - - Allowances t Installation 1,000 Dependants 600 857 857 Expatriation 1,400 l, 253 1,253 Pension Fund 2,000 3,273 3,463 Staff Insurance 300 318 330 Travel: Duty s,oco Recruitment & repatriation 3,500 Home leave 7' 685 Transportation of perscnal 1,000 effects Supplies and equipment 2,200 500 500 35,000 26,154 35,115 35,000 26,154 35,ill5 2. Mass Penicillin Treatment nf Expectant Mothers and Children with Congenital Syphilis Supplies and equipment 30,000 2y,OOO 30,000 20,00~ -- . .., "' EB7 /18 11age 488 Eastern Mediterranean ADVISORY SERVICES ..... ND FIELD PROJECTS Egypt No. of Posts Estimated Expenditure RJ~GUI.JJ\ UNICEF Ti;.ED REGUI.h. R UNICEF Ti~ED 19 50 12.21 19 52 }9 50 }9 51 19 52 19 51 19 52 Grade ~ 122! 1952 1950 1951 1952 1951 1952 3. Tub0rculosis Control - 1 1 1 Tuberculosis Consultant 15 1,462 5,848 1 1 Epidemiologist 14 1,320 5,279 1 Health Educator 12 4,289 2 Public Health Nurses 11 7,710 5 Total established posts 2,782 23,126 lillowances: Installation 1,192 1,316 Dependants 128 1,041 Expatriation 127 1,051 Pension Fund 458 3,808 Staff Insurance 44 376 Travel: Recruitmcmt and reptltriation 1,564 2,346 Transportation of personal effects 500 750 Supplies and equipment 7u .. ooo 16,000 70,000 16,000 6,795 33,814 76,795 49,814 4. Industrial Sanitation and Occupational Diseases 1 Public Health billninistrator 15 5,556 1 Sanitary Engineer 13 4, 523 ·- - 2 Total established posts 10,079 - Allowances : Installation 1,192 Dependants 488 Exp ::~_tria tion 481 Pension Fund 1,660 Staff Insurance 159 Travel: Recruitment and repatriation 1, 564 Transportation of personal effects 500 Supplies and equipmt_mt 9,100 25,223 - 25,223 EB?/18 Eastern iV.lediterranean page 489 ... D-nSORY SER\/I CB0 .~.ND FIELD P~10 JECTS Egypt No. of Posts Estimated Expenditure REGUu~R UNICEF T1-.ED REGUL.R UNICEF T.i,ED TOTi>.L 1950 1951 1952 195) 1951 1952 1951 1952 Grade 1950 1951 1950 1951 1952 1951 1950 ·5. Health Demonstration J.. rea 1 1 Public Health ..·,dministrator 16 4,884 6,512 1 1 Public Health .t,dministrator 15 5,848 (N1.&C.H.) 1 Medical Officer 14 5,279 1 Laboratory Director 14 5,2:79 1 1 Sanitary Engineer 13 3,571 4,761 1 1 Statistician 13 3, 571 4,761 1 1 Health Educator 12 3,217 4,289 1 1 Public He~lth Nurse 12 4,289 4,518 Supervisor 4 Public Health Nurses 11 15,420 5 12 Total established posts 19,532 56,667 Short-term Consultants' Fees Al1 owances: 9,600 Installation 2,440 3,824 Depend2.nts 1,066 2,647 E::xpatriation 1,0.57 2,629 Pension Fund 3,214 9,331 Staff Insurance 306 940 Travel: Short-term Consultants 7,200 Recruitment and rGpatriation . 3,910 5,474 Tranepottation of personal efiocts 1,250 1,750 Supplies and equipment 10,000 50,000 J 119,575 133,262 119,575 133,262 6. Schistosomiasc.;s Control 1 Molluscologist 15 5,848 1 Sanitary Engineer 15 5,848 -2 Total established posts 11,696 Allowances: Installation 1,192 Dependants 514 Expr1tria tion 506 Pension Fund 1,926 Staff Insurance 184 Travel: Recruitment and repatriation 1, 564 Transportation of personal effects 500 Supplies and equipment 23,000 41,082 41,082 EB7/l:3 page 490 Easturn Mediterranean .i~.DVISORY SERVICES AND F1ELD PROJECTS Egypt No. of Posts Estimated ~~enditure REGUUR UNICEF Ti1.ED REGULAR UNICEF 'tAED TOT1~L ______..._...__, 1950 1951 1952 1950 1951 1952 __1951 1952 Grade 1950 1221: 1952 1950 1951 1952 -1951 1:2.2 1950 1951 1952 7. EDUCATION lND TRi~INING a. Opthalmic Memorial Laboratory, Giza and Kasr-el-idni Faculty of Medicine Short-term Lecturers - foes 7,200 travel 3,200 Teaching supplies and equipment 2z. f!JO 13,000 13,000 b. Kasr-e1-Aini Facult;z of Medicine Short-term Lecturers - fees 28,800 travel 12,300 Teaching supplies and equipment 3,000 44,100 44,100 c. Tr:tining Institute for Sanitary Ins;eectors 1 Public Hoe'.lth l:~.dministrator 15 5,848 - - 1 Sanitary Engineer 15 5,848 - 2 Total established posts 11,696 - -- Allowances: Installation 1,192 Dependants 514 Expatriation 506 Pension Fund 1,926 Staff Insurance 184 Travel: Recruitment and repatriation 1,564 Transportation of fB rson,q 1 affects 500 Teaching Supplies and equipment 10,000 28,082 28,082 Mental Health Short-term Lecturers - fees 2,400 Travel 1,400 Teaching Supplies and equipment 150 3,950 - 3,950 4 .. 4 6 - -· - - - - 7 --21 4 11 -27 Total - Egypt 3:, 35,000 30,104 73,338 100,000 36,ooo 126,370 280,340 35,000 256,474 389,678 EB?/18 page 491 Eastern Mediterranean ETHIOPIA 1, A number of international health programmes have been proposed and in order to assist the Government to co-ordinate them and to secure thet~- :t..r::~.·~:::-::( :.:.·•:>1 :;.1. ·.-a ~.:._1-J.e national health services, provision has been made in 1951 and 1952 under the technical assistance budget for one public-health administrator to be attached to the Ministry of Health. 2. Owing to the high incidence of venereal disease in the country, the Ministry of Health has requested WHO to assist in the establishment of a demonstration and training centre for venereal diseases, The government will match the necessary personnel, equipment and supplies for carrying out the work of the centre, which will be connected with the Imperial Research Institute in Addis Ababa. Provision has accordingly been made in 1951 and 1952 under the technical assistance budget for one venereologist, one serologist, and one public-health nurse with special experience in venereal-disease control, together with appropriate supplies and equipment. It is hoped that UNICEF will provide part of the supplies and e~uip~ent. :;. It has been estimated tha.t there are about 5,000 cases of leprosy in the country. Owing to the lack of adequate health services - the result of shortage of technical personnel - the prevalence of disease has increased. At the request of the Government, a. oonsUltant to advise on the organization of a leprosy control programme has been provided for in 1952 under the technical assistance budget, It is intended that the programme should be carried out in a limited area and t..'1.ould serve a.s an experiment in the use of drugs as well as in methods of treatment and control, 4. The extent of the tuberculosis problem is not mown and a survey is planned by the government. Owing to local conditions, the survey will be limited to tuberculin testing, wh;ich co'Ud be lluked simultaneously to a BCG campaign, l"(, is UT.lder:i;+.ood that UNICEF will provide one BCG medical officer and two BCG nurses, together with appropriate supplies and equipment, It is also expected that the regional adviser on tuberculosis will advise the Government on the setting up of a. tuberculosis aontrol organization, EB7 /18 page 492 Eastern Mediterranean ADVISORY SERVICES A1W FIELD PROJECTS Ethiopia No. of posts J:stimated E::-:pendi ture REGULJLR UNICEF TAED REGULJ~R UNICEF TALD TOTAL l950 1951 1952 1950 1951 1952 1951 1952 Grade l22£ 1951 1952 1950 1951 1952 1951 1950 1. Public Health Administration 1 1 Public Health Administrator 15 6,880 7,255 Allowances: Installation 745 Dependants 257 257 Expatriation 31.6 3~~6 Pension Fund OSJ J.;82.6 Staff bs""J.rance o;: C7 Travi?ll Rec:;:-ui tm::mt & repatriation 732 Personal effects 2")0 ------~C2.L285 . 2.941 10,285 8,941 2. VeneroaJ Diseases Control 1 1 VenereoL'&,;ist 15 6,88~J '!: 255 1 1 Serolcgist 14 6:22_0 (,;535 1 1 Public Health Nurse 11 IJJ535 4;785 _____ ... -~----- 3 3 Total 8Ctablished posts 1'7,625 F; 575 ------~ Allowances: Ins tall,l tion 1,939 Dependants 649 649 Expa tria tio!l 6JA Sl4 Pension Fm1d 2;t..67 2, (01 Staff Insurar..ce 242 ~'55 T:"'avel; Recruitment and repatri,. tion 2,J46 Personal effects 7>0 Supplies and materialsa 20,000 20)000 1o,ooo lu,ooo --~M--- ~--- 20,000 20,002._ _26~ 832 - 32;894 - 56,832 52,894 E~stern Mediterranean ADVISORY SERVICES AfD FIELD PROJECTS Ethiopia 110 ~ f' '' 0 -" .:.~.-·_ _::l_l_'·-~~ Est,irnated Expenditure r(E;l,L;1AH UiHCEF TAEIJ REGULAh UNICEF TAED )_y5o 1~51 1952 lSJ50 1951 1952 1951 1·~52 Grade 1950 1951 1950 1951 1952 1951 1952 1951 3. Leprosy Control l Leprosy Consultant 15 6,860 Allowances: Installation 745 Dependants 257 Expa tria ti on 316 Pension Fund 963 Staff Insurance 92 • Travel: Recruitment & repatriation 782· ' , Personal effects 250 Supplies and equipment 5,000 15,285 15,285 4. Tuberculosis Control - BCG ll Medical Officer 15 6,880 ;z2 Nurses ll 9,070 ______3_ __ __ TotJ.l established posts 15,950 AllowR.nce s: Installation 1,643 Dependants 527 Expatriation 680 Pension Fund 2,233 Staff Insurance 226 Travel: Recruitment & repatriation 2,346 Pers~nal effects 750 Supplies and equipment 23,000 47,355 47,355 EDUCATION AND THAHiiNG Supplies for governmental proc,rammes 5,500 ------_3___ 4__ 5_ -=-~ 8 Total Ethiopia 5,500 ?.0,000 67,355 573120 EB7/18 po.[e 494 Eastern MeQiterr~nean IRJ.N 1. Since ~ number of internntional health progra~nes have been proposed, it is planned to advise thG Govorm1ent at its request in developinb a co-ordinated public-haa.lth pror;ramme suitabla to loco.l needs. Accordingly provision wn.s made in 1951 under the technical assistance bud~et for one public-health administrator :::ne'. one epido;niolo;ist. B'J the end of 1951 it is expected th~t the Government will havo dra~m up pl~ns for 0)Qnndinc the health services of the country. Accorclinc;ly, provision has been made in 1952 under the technical assistance budget to rot2in the pests of public-health aruninistrntor and epidemiologist and to add ono sanitary onL,inoer and one public-h.;.::tlth nurse for the period of a year and one consultant in health insurance for a period of six months. Provision has also been made under the rogul;:.:r budget for one consultant in h~alth education for a period of two months and one consult~nt in industrial health for a period of fJur months. 2. Tho MinistF~ of Hoalth of Iran has 2 rural h~alth service under which a rural hoalth centre has been set up in s suburb of Teheran, in collaboration with the International Hoalth Division of the Rockefeller Foundation. The Government roquestcd WHO's assistance in de,~cnstrating methods of environmental sanitntion in villr::c;os ani..l the ,;rganizntion of rural health services. This projoct i"'lt.Y later be developed into a health demonstration o.raa for Iran. Accordingly, provision h2s bGen m~da un~cr the regular bu~cdt for one public-health amninistrator vdth special experience in rural h0alth, one public-h~alth administrator r r ex~Joriancedin '~'laternal and child h.;;alth, ·..me health educator, one sanitarian and cnc public-h~alth nurse, tocather with appropriate supplies and equipment. 3. Tho Government hns requested advice in setting up a training and demonstration arGa for illat.:;rnal and child health which would lay special emphasis on the control of syphilis, and assistance in c~awinG up plans for the future organiz2tion of such services on a nation-wide b~sis. ~ccordingly, provision has been made und0r tha tGchnical assistance budset for three months in 1951 and throuch 1952 for one public-haalth administrator with special experience in maternal and child h'"'alth·, one venoroologi~t, m~ sorolot;ist, cno public.:.health nursa with special .. • ' .. I exp&ri0nce in midwifery, and 0ne'public-h3alth nurse 'with special experience in EB?/18 page 495 venere~l-disease control. It is hoped that UNICEF will furnish appropriate supplies and equipment. 4, During 1950 .:tssistQnce wo.s given to the Government in inaugurating a programms of malaria control qy the use of insecticides, in a selected araa. It is expected that sufficient local personnel will have been trained during 1951 to enable the Govornment to expand the work t,,~ include control of other vectors. Provision has accorGinsly been made undar the r0cular budcat in 1951 and 1952 to retain the sarviccs of one 1~1alariolc;:ist, cne entomolo[ist, and one sanitary engineer, and to provide appropriate supplios and equipment. Provision has also been 1nade und~r the technical assistance budsJt fer one sanitarian. It is hoped that UNICEF will furnish suppli0s for the insect control progra~~e •. Towards the latter part of 1952 it is intended to assvss the results of the programme. 5· At tho request of the GovGrnment, provision has been made under the technical assistance budcat for one opthal.-nologist with experience in trachoma to advise on the control of this discus~, which constitutos a serious public-haalth problem. 6. It is planned to adviso the Government concerning the establishment of a demonstration and training centre for the control of tuberculosis, also a serious probl BCG medical officer and two BCG nurses in 1951, ~ogGthar with appropriate suppli~s and equipment. B,y thG end of 1951 it is expected thr.t the control programme will be in full opor~tion and that local personnQl will have been trained to carry on routine opidemiolot;;ical loboratory anC.: X-rny work. It i$ also expected that local personm:l will havo been trained in BCG work so as to enable the Government to expand the campaign to take in a wic~or district. Accordingly, provision has been made in 1952 under the technical assistance bud8et for the retention of one tuberculosis consultant and two public-h'"'alth nurses with experience in tuberculosis work. UNICEF will, it is Understood, provide one BCG medical o:f'fieer and two BCG nurses, together with appropriate supplies and ~uipment. ?. ThG Government has requested advice concerning its plans for a survey of the eenoral nutri ticmal status of the peopl0, with a view to organizinG a national EB?/18 paee 496 nutrition service, which would include an experimental nutrition centre9 Accordinely, provision has been made under the technical assistance budget for one nutritionist. 8, The following is proposed under Education and Training: (a) In connexion with tha national malaria-control progra~~e, it is proposed to assist the Government in organizing a malaria course for two months in collabor~tion with the faculty of medicine at Teheran University. It is expected that members of the malaria team will form the nucleus of the lectur ing staff; provision has also been made under the regular budget for two short-tenn lecturers in malaria control. (b) The· Government wishes to strengthen teaching in child heelth. AccordinGly, provision has been !Jade under the regular budsJt for 1952 for a lecturer for three months, together with a small sum for teachine supplies and equipm0nt. Th0 lectures will be given at the medical faculty of TBheran Univ0rsity, (c) The Government is conducting ne~otiations with the Rockefeller Foundetion regarding the establishment of a school of nursing at Teheran. At present the training of nurses is carried out at hospit~ls in T~heran, and the Government is anxious to strengthen existing facilities, with the particuler ai,n of buildint; up a teaching staff for the proposed nursing school. Accordingly, provision .has b3en made in 1952 under the technical assistance budget for three sister tutors, together with appropri~te teachint; suppli0s and equipment. (d) Rabies is a serious public-health problt;m throughout the recion. It is pro~osed to organize a course in rabies control at the Pastaur Institute in Tehe~an, and it is exp~cted that short-term F~llows will attend from most countries in the region. Accordingly, provision has beon made undGr the resulc.r bude;et for two lecturers in rabies control for a period of one month each, together with appropriate supplies and equipn~nt. ~--'I page 497 Eastern Mediterranean ADVISORY SERVICES ,~ND PIFLD PRO..JSCTS Iran No. of posts Estim~ ted e xpendi tu re REGULcR UNICEF TAED REGUL;tR UNICEF TAED 1950 1951 1952 1950 1951 1952 1951 1952 ----Grade 1950 1951 1952 1950 1951 1052 1951 1952 -1952 1. Public Health &dministration l 1 Public Health Administrator 15 6,880 7,255 1 l Epidemi,.,logist 14 6,210 6,5.35 1 Sanitary Engineer 1.3 5,600 1 Public Health Nurse 11 4,5.35 2 4 Total established posts 2.3' 925 Short-term Consultants' Fe~s 1,600 4,800 4,800 Allowances: - Installation 1,490 1,194 Dependants 514 906 Expatriation 6.32 1,130 Pension Fund 1,8.32 3,350 Staff Insurance J..75 326 Travel: Short-term Consultants 1,200 .3,600 3,600 Recruitment and repatriation 1,564 1,564 Personal effects 500 500 2,800 8,400 19,797 41,295 49,695 Maternal and Child H-'alth 2. Rural Centre 1 Public He <1l th AdministrR tor 15 0,892 1 n 11 tr (M&.CH) 15 6,5.36 1 Health Educator 14 5,900 1 Public Health Nurse 11 4' .308 1 Sanitarian 9 .3' 487 ------....--.--- Total established posts 27' 12.3 Allowances: Installation .3,13.3 Dependants 989 Expatriation 1,246 Pension Fund .3' 797 Staff Insurance 373 Travel: Recruitment & repatriation 3,910 Personal effects 1,250 • Suppliesaad Equipment 12,400 54,?21 54,221 l: ,I'( /'lf~ ' ., •'-: ;;;o Eastern Mediterranean ADVISORY SERVICES AND FIELD PROJECTS Iran l~o. of Posts Estimated E3Eenditure 1 ·, GLIL.AR UNic·;;F TAED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 Grade ill£ 1951 1952 1950 1951 1952 12.21: 1952 1950 1951 1952 ------Naternal and Child He~th 3. Urban Centre 1 1 Public Health Administrator 15 1,720 6,880 (M. & C.H.) 1 1 Veneroologist 15 1,720 6,880 1 1 Serologist 14 1,553 6,210 1 1 P.H.Nurse (Midwifery) 11 1,134 4, 535 1 -1 P.H.Nu.rse (V.D.) 11 1,134 4, 535 - t:. - ...... 5 ...... Total ostablished posts 7,261 29,040 - -- - ialowances a Installation 3,13J Dependants 260 1,041 Expatriation 328 1,312 Pension Fund 1,016 4,065 Staff Insurance 101 401 Travel: Recruitment and repatriation 3,910 Personal effects 1,250 Supplies and equipment 25,000 25,000 25,000 25,000 17' 259 35,859 42,259 60,859 4. Malaria Control 1 1 1 Malariologist 16 7,66o 8,085 1 1 1 Entomologist 13 5, 600 5,900 1 1 1 Sanitary Engineer 13 5,600 5,900 1 1 Sanitarian 11 4,535 4,785 3 3 3 1 1 Total established posts 15,000 18,860 19,885 4,535 4,785 - .il.llown.nces: Installation 1,000 449 Dependants 200 200 200 135 135 Ex;n triat ion 1,100 1,2 50 l,;,-:50 182 182 Pension Fund 2,200 2,640 2,784 635 670 Staff Insurance 200 252 266 67 71 Travel: Recruitment and repatriation. 2, 500 782 Home leave 3,660 Personal eff0cts 1,000 250 Supplies and eg,uiJ2ment 200 500 500 20,000 13,00() ·--' ----,_ J ------4> ----..:,, .. --- 23,400 23,7i2 28, 5Ll5 20,000 13,000 7,035 5,843 23,400 50,737 47,388 -~ EB7/18 Eastern l.iiGdi tcrranean pa13:s 499 Iran No. of Posts Estirne.ted Expenditure lfr~GULiill UNIClW T;,BD REGULl.R mnc~:>:F Ti.ED TOT.i~L 1~50 1951 1952 1950 1951 1952 1951 1952 Gr':lde 1950 1951 1952 1950 1951 1952 1951 1952 1950 1952 ------5. Tr:1choma Control --- - 1 Opthamologist 15 6,880 - i~llowances: Inst?..llo.tion 745 Dcp;_:mdarrt:'3 257 Bxp:-~tri::ction 316 }'.:m::::Lon Yu nd 963 ,St:tff lnsur:=trJ.:D 92 Tr'lvel: He crui tmcmt i.."'..'1d r 8{:1:1 triation 782 ?e:c~wnal e;f.:;."ects 250 10,, 285 10,285 6. TLlbGrculosis Control 1 l Tuberculosis Coftsultant 15 5,160 6,880 1 '.':pidemiologist , 14 4,658 ..1. Bacteriologist 14 4,658 1 X... ray Tachnician 11 3,401 1 2 Public Health 1-::un;es 11 3,401 9,320 1 1 JCG }i;edical Officer 15 6,880 7,255 2 2 BCG Nurses 11 9,070 9,570 3 3 5 3 Total establi3h8d po~3·ts 15,950 16,825 21,278 16,200 iJ.llovrances: In;, tal12, t ion 1,643 3,133 449 Dcpendo.nts 527 527 781 527 2xpatriation 680 680 984 680 P ...:nsion Fund 2,233 2,356 2,978 2,233 Stal'f Insurance 226 239 294 226 Tre.vsl: Recruitment Clncl repo.triation 2,346 6,256 782 Pc;rsonal cffocts 750 2,000 250 Suppliss and 0quipment 30,000 10,000 F 54,355 30,627 37,704 21,347 92,059 51,974 ____...... ~-·- EB7 /18 page 500 Eastern hediterranean ADVISORY SERVICES .. ND Fifi:LD 'ROJECTS Iran No.. of posts Estimr(ted expenditure REGUL. R UNICEF TJ.ED REGUL,~R UN ICE'<' TOTli.L 1950 1951 1952 1950 1951 1952 1951 1952 Grade 1950 1951 1952 1950 1951 1952 1952 1950 1952 ------7. Nutritfon ------....-- Nutritionist 15 6,880 .Allowances: Installation 745 Dependants 257 Exp1triation 316 Pension Fund 963 Staff In.surance 92 Traveli Recruitment and repatri~tion 782 Persone.l effects 250 c', •• 10,285 10 2' ) '' ' 8. EDUCATION LND TltAINING a) Teheran University - Mal~rta Course· Short-term Lecturers - Fees 3,200 Travel 2,400 Teaching Supplies & Equipment 6,200 11,800 11,800 b) Teheran University - Maternal and Child HGs.lth Course Short-term Lecturers - Fees 2,400 Travel 1,400 Teaching supplies & equipment 200 4,000 4,000 · c) School of Nursing - Teheran Sister Tutors 13 16,800 Allow::cc.ces ~ Installation 2,235 Depend :OJ.nts 771 Expatriation 948 Pension Fund 2,352 Staff Insurance 225 Tr"vel: Recruitment and repatri~tion 2,346 Personal effects 750 ~cb:ng Supplies & equipment: 10,000 36,427 E B7 /18 page 501 Eastern Hedi terr;:m ·:J.n Iran No. of posts Esti"':'~ted expenditure li.EGUL R UNICEF THED R7GUL R UNICT<:F TOT\L 1950 ~ 1952 1950 1951 1952 1951 1952 ----Gr~de 1950 1951 1950 1951 1952 1952 1950 1951 1952 d) Pasteur Institute Teher1.n - Re.bies Control Sh- rt-term Consult.:mts - Fees 700 Trilvel 800 Teaching Supplies & Equipment 200 1,700 1,700 3 3 8 J 3 13 18 3 19 29 Total Iran 23,400 26,502 108,666 )9,355 68,627 81,795 161,341 23,400 207,652 338,634 ---~ ,--~ ~-- --- EB7/18 pc.~_>} 502 Eastern M8diterranean JRAQ 1. Malaria is one of the most important public-health problems of the country and one of the causes of infant mortality. Advice to the Government on malaria control is planned, and it is proposad that the programme should begin in the latter half of 1951 and continue through 1952· Provisirm has accordingly been m'lde uncler the technical as::;ist,:mce budget for one malariologist; 'lnG ontomolog:i..st and one s~;tnitarian. It is hoped that UNICEF will furn:i. sh aprropriate supplies and equipment. 2. The Governi1Jent has requested advice in setting up a rria.term.l and child health demonstration centre for the training of maternal and child heo.lth porsonnGl. Accordingly, provision has beE:n made in 1952 under the tec:hnical assistF.lnce budget for one public-health administrator 1 ith experience in maternal and child health, two public-health nurses with f!enen1.:!.. and maternal and child health experience, and one public-health nurse; with exper:i.ence in midwifery. It is hoped that UNICEF will furnish approp1·iate suprlies and equipment. 3· The Government plans to inaugurate a rural heo.lth centre at .l'.bi Ghraib, which is dt..:si,gned to provide curative and preventive sGrvices for th ...:: population of tl'lc area and at the same time serve :=>.s a practical field for training rural honl th workers, with particular emphasis on the control of comJnunicable dis8~SGS and maternal and child health. It has requested advice on the planning and c;stablishment of tha centre. Accordingly, in 19 51, provision was made under th0 technical assistance budget for a rural health survey. In 1952 provision has been made under the technical assistance buds;et for .::>no public--health· ::tdministrator with general experience in rural health, one epidemi)J.ogist, one sani tario.n, ono public-health nurse with general experience ;:cnd ono public-heal t'h nm·se with experience in midwifery. It is hoped that UNICEF will furnish ::1ppropriate su:;:>plies and equipment. At a lC"'.tor staGe th.:; pro,zr.::LlJJ1e mo.y be develop~d in co-operation with othor specialized n~encies. EB?/18 pn£e 503 4. A UNICEF-assistcd programme, desigm.:d to advise thc'Goverrunent in training local personn8l for thd control of bejel, w~s given technical approval and inaw;uratcd towards the end of 1950. The programme includes :resee.rch work on the rolation of bejel to syphilis and other treponcmatos.::s :md the cardio-vCl.scular and bone lesions of ·the disease. By the end of 1951 it is expected t.hat information will have be0n gained as to the bGst dosaee for penicillin treatment of the disease, and that enough local personnel will have been trainsd to allow the government to expand operations. It is planned to C''ntinuu to advise the Government in 1952 in connexion with the expansion of this programme and the proper ev~luation of r~sults obt~ined. Accordingly, provision has been made under the technical assiS'tance budw~t for that year to ~~etain two venereologists and one serologist. !~ ~~ fi ilopc-d that UNICEF will continue to furnish the appropriate supplies and equipmant. 5· Tuberculosis is a serious public-health problem in th0 country. It is planned to advise the GOvernment concerning the estRblishm8nt of a de~onstration and training centre for tuberculosis control, cell<-~ provision was mG.de in 1951 under the technical assistance budget for one tuberculosis consultar:t, one epidemiologist, one bacteriologist, one X-ray technician l'l.nd one puhlic-health nurse for a period of nine months. UNICEF' has alre2.dy approved a BCG vnccination pro~r-am.r:le and will provide, it is hoped, one BCG medical officer and two BCG nurses in 1951, together with ap~)ropriate suj;plies and equipment. By tl1.; end of 1951 it is expected that the control programme will be in full op8ration and that local personnel will have been trained to carry on routine cpidemiologic9.l laboratory and X-ray work. It is also exp0cted that local personnel will have been trained in. BOG work, so that the Government can extend the campaign. Accordingly, provision has been made in 1952 under the technical assistance budget • to retain onG tuberculosis consultant and two public-health nurses with experience in tuberculosis work. UNICEF will also, it is nnl1~">1"1=ltnor'L r::m~-i :!...:,·;; t< r~"n::Lle one BCG medical officer and two BCG nurses, together with approprio.te supplies and equipment. 6. Leprosy is one of the reportable communicable diseases in Iraq. j)uring the six ye:1rs prior to 1946 several hundred ca.ses were reported., chiefly Jn the Mosul and ..:i.marsh districts. The Governtnent h:-·, requ.:.stec: advice in dealing with EB?/18 pJ.g9 504 the disease nnd provision has baen made in 1952 under the technical assistance budget for one consultant in leprosy, together with apnropriate supplies and equipment. ?. The Government has, throw;h the Technical assistance Board, requested C!.dvice on improving social conditions in the petroleum industrids; it is thorefore planned to advise the Government concerning health aspects of this programme. Provision has accordin~ly been made in 1952 under the technical assistance budv,et for one public-hoalth administrator and one sanitary engineer, both with special experience in industrial health, for a period of four months. 8. 'lhe following is proposed under Education and Training: (a) The Government has requested assistance in conductine; a course in parasitic diseases at the Royal College of Medicine. Accorr::ingly, provision has been made under the regular budget for one lecturer in parasitic diseases, to~ether with appropriate teaching supplies and equipment. BB7/18 page 505 Eastern Mediterranean ADVISORY SERVICES AND FIELD PROJECTS - Iraq No. of posts Estinated Expenditure REGULAR UNICEF TAED HE GULAR UNICEF TAED TO'I'AL 1950 1951 1952 1950 1951 1952 1951 1952 Grade 1950 1951 1952 1950 1951 1;!)2 1951 1950 1. Malaria Control l l Malariolcgist 15 2,924 5,848 l 1 Entomologist 13 2,380 4, r-t6l l l Sanitarian 11 1,927 3,b55 ______3_ _]__ Total estahlished pests 7,231 14,464 Allowances: Instal1auion 1,532 Dependants 324 u49 Expatriation 326 652 i?ension Fund 1,190 2,382 Staff Insur'lnce 115 230 Travel; Recruitment and r~:;patrL1.tion 2,346 Personal eff0cts 750 ;., • J. r . . nt Supplies and equiJ?n;ent 12,000 15,000 12,000 15,000 13,814 18,377 25,814 33,377 2. Maternal and Child iical th .ll Public Health Adminj_stra '-,or 15 5,848 ( lVI & C·. H) 2 P .H. Nurses (M 8r. C. H) ll 7,710 l P.H. Nurse (l:lich~ifery) ll 3,055 ______4_ Total established posts 17,413 Allowancvs: Ins tall a tion 1,676 Dependants 662 Expatriation 691 Pension Fand 2,868 Staff Insurance 293 Travel: Recruitment & repatriation 3,128 Personal effects 1,001) Supplies and equipment 15,000 15,000 27,731 Y-2, 731 .tB7 /18 page 506 Eastern Mediterranean ADVISORY SERVICES :\ND FIELD PROJECTS Iraq No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL ____...... ,1950 1951 ...... 1952 ______1950 1951 1952 1951 1952 ----Grade 1950 1951 1952 1950 1951 1352 1951 1952 1950 1951 1952 3. Rural Health Centre 1 Public Health Administratarr 15 5,848 1 Epidemiologist 14 5,279 ·- r 0 - I ... ~ "1 Sanitarian 11 3,855 • - ' ~ .... • "Cl .._..,...... '..; ~ .. :· -...-----.------2 Public Health Nurses 11 7,710 ...... _____....__..,.. _....., Total established posts _ ___·5 '": 2;2,692 Short-term Consultants' fees 3,200 ..- ~ -- ...... ,._. '• • -~ •"l:J r Allowances 1 Installation 2,272 Dependants 919 Expatriation 944 Pension Fund 3,737 Travel: Short-term Consultants 2,400 Recruitment & repatriation 3,910 ,Personal effects 1,250 Supplies and eguiEment 70z000 -·- ' 702000 5,600 35,724 5,600 105,724 4. Bejel Control 1 1 1 Venereologist 16 6,512 6,873 1 1 1 Venereologist 13 4,761 5,016 ------1 1 1 Serologist 13 4,761 5,016 ___ L_L_ ___3_ Total established posts 2,500 16,034 16,905 Short-term Consultants' fees 9,600 Allowances: Installation 800 1,044 Dependants lOO 822 822 Expatriation lOO 780 780 Pension Fund 350 2,640 2,784 Staff Insurance 50 250 266 Travel: Short-term Consultants 7,200 Recruitment & repatriation 1,000 680 Home leave 3,519 Personal .effects lOO 750 Su;e;elies and eguipment 122.!000 lOOzOOO 16,800 5,000 lOO,OOO ___... __ ... 25,076 5,000 161,800 125,076 14 5' 000 ----· .... ~--- ' ' /.,,_ J., • i I J..,_, .t'~::: )<. ..'( Eastern Mediterranean ADVISORY SERVICES AND FIELD J.JROJECTS Iraq No. of posts ~stimated ~xpenditure REGULAR UNICEF 'i'AED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 19511952 GRADE 1950 1951 .. l95U 1951 1952 1951 1950 5. Tuberculosis Control - BCG 1 1 Tuberculosis Consultant 15 4,386 5,848 1 Epidemiologist 14 3,959 1 Bacteriologist 14 3,959 1 X-ray Technician J,.l 2,2592 1 2'. Public Health i'Jurs'=-8 11 2,892 7,710 1 1 BCG Medical Officer 15 5,848 6,167 2 2 11 Nurses 11 7,710 3,134 ----_3__ 3_ _ 5_ _ 3_ Total est~blishud posts 13,558 14,301 18,088 13,558 Allowances: Installo. tion 1,316 2,508 360 Dependants 527 527 781 527 Expatriation 545 545 792 545 Pension Funrl. 2,233 2,356 2,978 2,233 Staff Insurance 226 239 294 226 Travel: Recruitment & repatriation 2,346 6,256 782 Personal effects 750 2,000 250 Supplies and Lquipment 30,000 lOlOOO ~1,501 27,968 33,697 18,481 85' 198 46,449 6. Lepros,y Control .. 1 Consultant in Leprosy 15 5,ts48 Allowances : Inst0.llation 596 Dependants 257 Expatriation 253 Pension Fund 963 Staff Insurance 92 Travel: Recruitment & repatriation 782 Personal effe c tE1 250 Supplies and equipln(;nt 5,000 l4z041 14,041 EB?/18 page 508 Eas~ern Mediterranean ADVISORY SERVICES AND FIELD PROJECTS Iraq No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULA.R. UNICEF TAED TOTAL 1950 1:21! 1952 1950 1951 1952 1951 1952 GRADE 1950 1951 1952 1950 1951 1952 1951 1952 1950 122.! 1952 .... " .... •-4'...... ~ ...... ~ ' ?. Or~aniwation of Health Services in the Petroleum IndustEl Short-term Consultants - fees f S,400 travel L..,800 -. ll.,200 11,200 Health Education of the Public Short-term Consultants - fees 1,600 travel 1, 200 -- 2,800 2,800 8. EDUCATION AND TRAINING Royal College of Medicine, Ba~hdad - Parasitic Diseases Short-term Lecturers - fees 2,40() travel 1,400 Teaching supplies & equipment _22_0 4.t..2_Q'! 4,450 ---~-· ______....,.._._ ·- .3 6 .3 8 19 .3 .14 22 Total Iraq 19,600 4,450 5,000 ~08,501 227,968 5.3,111 150,630 5,000 281,212 .38.3,048 ------'· EB?/18 Eastern Mediterranean page 509 ISRAEL ~. A BCG progre.rnr.1e was set on foot in 1950. It is now planned to advise the Government concerning the establishraent of a tuberculosis control and training centre designed to train local professional and auxiliary personnel in modern methods of tuberculosis control. Accordingly, provision was made in 195·1 under the technical assistance budget for one tuberculosis consultant, one laboratory technician, on~ X-~Y. technician and one public-health nurse for a period of three months. Provi si on to continue this programme 'through 1952 has been made under the technical assistance budget, and iLJ.snmierst.ocdrtha.t UNICEF wil;L f'urnish appropriate supplies and eq~ipment. 2. The Government has requested a consultant in i~ternational quarantine for two months, He will survey the quarantine service and make the necessary recommend ations. Besides the usual quarantine work which has to be carried out in the ports, . · there is a programme related to plagu~particula~ly the destruction of rats, as far as it was present in Ha.ifa during the last few years, The problem of rabies in wild animals, particularly in areas of Lebanon and Jordan, has raised the possibility of reaching bilateral arrangements for rabies control, and the advice of WHO has been requested on the best way of conducting negotiations. Accordingly, provision has been made under the regular budget for a. consultant for two months. 3. The Government has been carrying on fairly extensive malaria. control vork over the past few years, The health authorities have reQuested WHO's assistance in the form of the services of a consultant on malaria. for two months to survey the work and to help develop the control programme. Accordingly, provision has-been made under the regular budget for a consultant for two months. 4., The Government has requested WHO to assist in making a. rural health survey, Rural health conditions in Israel offer opportunities for devising a new type of health work, in which education and social development would play a primary part. The health survey of the rural part of the country may-therefore afford valuable data which can be used by other countries whose programme for rural communities Prov:Lsion has been made in 1952 under the technical assistance budget for a consultant on rural health for a period of four months. E~~ page 510 5. The Government plans to improve and expand the Vaccine and Serum Labo~~tory, with a view to inereastng local production of biological products used in the treatment and prophylaxis of infectious diseases. In order to assist the Government in developing this plan, provision has been made in 1952 under the technical assistance budget for a consult'ant for four months, together with appropriate supplies and equipment. 6, The following is proposed under Education and Training: (a) The Government plans to give two refresher courses on public-health administration, each lasting one-and-half months, to district health officers~ In order to assist the Government in this plan, provision has been made under the 1952 regular budget for a lecturer on public-health administration for three months, together with the necessary teaching supplies and e~uipment. EB7/l8 Eastern ~~~Iedi terranean page 511 J,DVISORY SEHriCE,S AND FIELD PROJECTS Israel No. of Posts Estimated Expondi-':,ure R8GU1i..R UNICEF T,.BD REGUL.iG UNICBF ':'1J.ED TOTil.L 1950 1951 1952 1950 ~ 122. 1951 1952 Grade 1950 1951 1950 1951 1950 1. Tuberculos Control 1 l Tuberculosis Consultant 15 1,462 5,848 1 1 Laboratory Technician 11 964 3,855 1 1 X-ray Technician 11 964 3,855 l 1 Public Health Nurse 11 964 3,855 4 4 Total established posts 4,354 17,413 --- A.l~ces: Installation 1,676 Dependants 166 662 Expatriatil'ln 145 691 Pension Fund 717 2,868 Staff Insurance 74 293 Travel: Recruitment and repe.triation 3,128 Personal effects 1,000 SuppliGs and equipm;:mt 30) QC,IQ 10,000 30,000 10 ,ooo 11,260 21,927 41,260 31,927 2. Quarantine Short-term Consultants - fees 1,600 traveJ.. 1,200 2,800 2,800 J. Malaria C~ntrol Short-term Consultants - foes l, 600 travel 1,200 2;800 2,800 4. Rural Health Survol Short-term Consultants - fees 3,200 travel 2,400 5, 6oo 5,600 EB,)!.e rage ~)12 ADVISORY SERVICES .,;.ND FIELD PROJECTS Israel No. of Posts Estimated Expenditure REGUL..'J( UNICEF T1;.ED REGULA:1 UNICEF Tl~ED Tt/I'i1L 19 50 1.9 51 19 52 1222. .ill! 19 52 19 51 ~ G:r_ad~ ;:950---- 19 51 1952 1950 1951 1952 1951 1950 '·... - 5. Other Communicable Diseases ~ Vaccine apd Serum Laborator1 Short-term Consultants - fees 3,200 travel 2,400 Supplies and equipment l-1,000 19, 6oo 19,600 Materna;L and Child Health Contrss :50,000 5o,uoo 6. EDUC"1TION JIND TRJJ NING a. fublic Health J.dministration Courses Short-term Lecturers - fe8s 2,400 travel 1,400 Teaching supplies and equipment 600 4,400 4,400 Co~enital Heart Diseaso Team Short-term Lecturers - fees 1,700 travel 2,300 Teaching supplies and equipment 7, 500 11,500 11,500 4 4 4 4 'l'otal - Israel 11,500 10,000 80,000 10,000 11,260 47,127 11,500 91,260 67,127 EB7/l8 page 513 Eastern Medi terra.nean JORDAN 1. The Government plans to inaugurate a RCG cqmpaign. UNICEF will, it !s under- st_ood, m.1.ke provision for three nonths of 1951 and through 1952 for one BCG m6dical officer and two BCG nurses, toGether with ap·:Jropria te sup~Jlies and equipment. 2. The Governmont rlans the immediate expansion of its medical and health services for the promotion of ma.tcrnal and child health. In order to assist such expansion, it is planned to establish a maternal and child health de!i1onstration and training centre. Accordingly, provision has been made in 1952 under the recular budget for one public-health P.cllJ'Iinistr J. Malaria is a serious public-health probl~ in the country. Sufficient data on the bionomics of the local vectors and the prev9.lence of the rlisease have been collected. It is planned to demonstrate the control of malaria by the use of insec+.icides in a selected area, which will at the same time sorve for the training of local personnel. Accor~ingly, provision has been made in 1952 uncler the regular budget for one malariologist and one s ~mi tarian, together with the necessary supplies and equipment. 4. The Goverrunent plans to expand and improve existin~ rural he~lth services by setting up a rural he9.lth demonstration and training centre, with special emphasis on mat~rn~l and child health. Provision has accordingly been made in 1952 under the technical assistance budg~t for one public-health administrator experienced in rural he.::1l th, one maternal and child h8nl th officer, one public health nurse Md one sanitarian. It is hoped that UNICEF will provide the necessary supplies and equipment. EB7 /18 page 514 Eastern Mediterrane£m ;,_DVISORY SETIVICTT',S . nn FIELD "?ROJECTS Jord"tn ' ·- ,.... '~ No, of posts Estimated expenditure 1 R'~GULnR UNICEF T "~<'n \EGUL~Jt UNICEF TLH:D TOTAL 1950 1951 1952 1950 1951 1952 i95i 1952 Gr~do 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 ---~------1. Tuberctlosis Control - BCG V11ccination '1'e'lJ!1 1 1 BCG Medicc:l Officer 15 1,462 5,848 2 2 BCG Nurses 11 l~CJ28 7,710 ------____ _1__1_ __ ---- Totd est2.hl:ish0d posts 3' )"0 13,558 Install:'tion 1,316 Depend.?nts 132 . 527 ExpD.tri:otion 137 545 Pension Fund 558 2,233 Staff Insur11nco 57 226 Tr<1vel: Recruitment md r 8patriation 2,346 Personal effects 750 Supplies ~nd equipment: 8,000 5,000 16~686 22,089 16,686 22~ (1~1 2. Materm.l and Child HeGlth 1 Public HGal th _..,dminis tr'1 tor (M&CH) 15 '5,556 1 Health Educ:J.tor 14 5,015 1 Public Health Nurse 11 3,662 1 Laboratory Technician 11 3,662 1 Midwifery Nurse 11 3,662 ------....,...._ 5 Total established posts 21,557 ~------Allowonces: Installation 2,272 DepenC'cmts 873 Expatri!::tion 897 Pension Fund 3,550 Staff Insur1.nce 357 Travel1 Recruitment 'ln'J r c;~x1tria tion 3,910 Personql effects 1,250 Supplies and Equipment: 14,000 48,666 48,666 Eili /1t5 Eastern 1Eedi terranoan page 515 ADVISORY SERVICES ;;ND FHLD PROJECTS Jordan U,~~~ rJi Eosts Estim~ted expenditure REGULAR L I ICEF TAED REGULAR UNICEF' TAED TOTAL ------1950 1951 1952 1950 1951 1952 i95:i 1952 Grade 1950 1951 1952 1950 1951 1952 1951 l9S2 1950 1951 -1952 3. Malaria Control 1 Malariologist 15 5,557 1 Sanitarian 9 2,964 ~ -~------2 Total established posts 8,521 -----~-- Allowances: Installation 956 Dependants 372 Expatriation 379 Pension Fund 1,403 Staff Insurance 139 Travelr Recruitment and repatriation 1,564 Personal effects 500 Supplies and e quipment: 15,125 28,959 28,959 4. Rural Health Centre 1 Public Health Administrator 15 ~;§4Q. 1 M & C H Officer 14 5,')!79 1 Public H2alth Nurse 11 3,855 ------1 Sanitarian ll 3,855 4 Total establishe1 posts 18,837 .---.~~~------Allowances I Installation 1,912 Dependants 784 Expatriation 798 Pension Fund 3,102 Staff Insurance .309 Travel: Recruitment and repatriation 3,128 Personal effects 1,000 Supplies and e quipmen t: 22,000 --- 22,000 29 ~ 870 51~ 870 EDUCATION AND TIUliNING Supplies for '}overnmental Programmes 91600 9,600 ------7 3 3 4 3 14 Total Jordan 9,600 77' 625 16,686 44,089 29,870 9,600 16,686 151,584 .,._ .,.______.... -~---, ----~ ~ - ,__...------.---.._, --.·--J _,.----..... ------~------. --- ·------___. -- \ '· EB7/l8 pau; 516 Eastern Mediterranean LEBANON 1. The Government has requested assistance in strengthening the courses in maternal and child health at the American and French universities in Beirut • . Accordingly, provision was made in 1951 under the Tegular budget for one lecturer in maternal and child health for a period of six months. In connexion with this programme, it is plal~~ed to advise the Government concerning the ~t:i~al!l.i..slunent uf a maternal and chil~ hc::.-lth d..;monGtra:tion-centre in a. selected area., to serve as a. practical field for the training of local maternal and child health workers. Provision has accordingly been me.de uncler the technical assistance budget for a period. of three rJ.onths in .l.95l and through 1952 for one public-health administrate:-:- vi th experience in ma.te:"'lcl and child health, one public-health nurse with expe:rience in J.1u.ternal and child health, and one public health nurse with experien:::e in midwifery, It is hoped that UNL'~F will furnish appropriate suppl~es nnd equtpment. 2. At the request of the Government, provision wa.s made in 1951, under the technical assistance budge-c, for a male.ria. demonstration team consisting of one malariologist, one entomolog:i.st and one sanitarian, to assist the Government in demonstrating modern methods of maln.ria control and planning a national malaria. service for the cmu1try. It is pla.nneC:L to continue this work in 1952; provision has accordingly been made in that year under the technical assistance budget to retain the services of the ebove personnel and to p·':'ovide the necessary supplies and equipment, 3. A joint FAO/WHO programme on rural sa..'litn.tion ~tTas requested by the Government for the Beka.a settlement area. It is the intention of the Government to make this area. a demonstration field for the improvement of rural s8nitation and the organization of public-health services i r ". ural t1 i.st-c lets. The area has already been surveyed by the Govenunent. The Bekaa district has three rivers affording fa.cilt~,ies for the development of an irrigation programne; there i.s also tbe Zahle lake, in the djst:rict of that nsme, which is in reality a swamp, with the :.'esult that raelaria is pr-evalent the:re" EB7/18 page 517 It is expected that ·t,he Government ~-Till provide local st§l-ff, including technical personnel, to make up the staff needed for the development of such a. programme. J.ncrea.sed food production and improvement of land would be the main object of FAO assistance, which would aJ.so be directed towards the development of home economics and a.gricu.J:turcl in Provision has accordingly b·2en made in 1952 unC.er the technical assistance budget for one public-health G.dministra.tor expc:cienced in rural health, one maternal and child health officer_. onz sanitary ene,ineer, one public-health nurse, one laboratory technician, one midwifery nurse_, and two sanitarians, together with the necessary· supplies m1d equipment. It in expected in the programme to use also the services of the malariologist assigned to the malaria. demonstration project. 4. The following is .l:Jropoced under Education and 'l'ra.ining ~ (a) Provision has been made in 1952 under the regular budget for two lecturers in nursing, one in generaJ. nursing and one in public-health nursing, for a. period of eight months each, The course will be conducted in co-operation vri th the American and French uni ve:rsi·cies at Beirut. (b) The Goveri'lrnent has requested \oniO Is assistance in supplying the necessary materials and equipment for a microfilm production centre in co!:ne.xion with teachins and health education work. This cent.re is to be detached to the American University and the microfilms produced will be used for teaching purposes. The American Uni vcrsi ty has offe1:ed to arpply the Regional Office for the Eastern Mediterrrmean, free of charge, •rith whatever amovnt of microfilms the office may need for its >mrk. It ic o..tzo uaG.ersi;ooLl that it vill supply other countries, on request, vith microfilms n.e:;a.ins-t payment of the net cost of the films. Provision has been med~ in 1952 under the regulat' bua.get for equipment and supplies, inc·luding a :ph;,toe:-rP.phir un::-:~ and the m.i'crofiJ.m projectors. (c) · The Government, iri C~i--ope:>:"ation vith the ..American :::ond French universities in Beirut, has dccj ded to establish a school of public health. The building has been pruvicled by the Government; and. the medical :ea.culties vf the two EH?/18 pa2,e 518 universities have agreed to pool teaching staff for the postgraduate course in public health. WHO has been requested by the Government to provide one full-time professor to serve as the director of the school, and also to supply the necessary medical literature and teaching equipment. Provision for this has been made in 1952 under the technical assistance budget. EB7/18 page 519 E 2 .. He,1ari'l Control 6,880 7,255 1 1 J:;I.:J.1'' riologist 15 5,6e.~o 5,900 1 1 lintomo1od:::t 13 4 7()5 1 1 S.mi tctrian 11 4,535 ' u ~------______3 _3 Total 8St2.blished posts 17,015 17,940 Install;:ction 1,939 Dopend"nts 649 649 Expa tria.ti on 814 814 Pcmsion Fund 2,382 2,512 Staff Insur2nce 234 247 Travel: 11-ccrui tmont :mJ rE.p e.tria tion 2,235 Fsrsonill ~ffccts 750 10, orJo 10,000 36z018 32~162 36 2018 32.!162 EB? /18 pae::;e 520 Eastern Mediterranean ADVISORY SERVICES J~D FIELD PROJECTS L~banon No- of posts Estimated expenditure REGUk\R UNICEF TAED RHGtiLAR UNICEF TAED TOTAL ------1950 1951 1952 1950 1951 1952 1951 1952 ----Grade 1950 1951 1952 1950 1951 1952 1951 1952 '1950 "195.l 1952 3. Joint FAO)NHO Programme - -- 1 Public Hc~~lth ;"idministrator 16 7,660 .1 M & C H Officer 15 6,880 1 Sanitary Engineer 13 5,600 1 Public H;:;alth Nurse 11 4,535 1 Midwifery Nurse 11 4,535 1 Laboratory Technician 11 ._..,.._ 4,535 ______2 Sanitarians 11 9,070 8 Total established posts 42,815 --...----~------ Installation 4,550 Depend9.nts 1,497 Expatriation 1,884 Pension Fund 5,994 Staff Insurance 604 Travel: RE.:crui tment & repatriation 6,256 Personc:1.l effects 2,000 Supplies and e quipment1 50,000 115,600 115,600 Health Education of the Public Mobile Health Educ~tional Unit 10,500 10,500 Maternal and Child Health Short-tGrm Leot~ore , - Fees 4,800 Travel 2,300 Te~ching supplies and equipment 200 7,300 7 J 300 '- _..----- 4.-~EDUC.ATION AND TRAINING a) American and Fr~:nch Universities - Nursing Training- Short-t~~ Lectnrers - Fees 12,800 Travel 5,800 Teaching supplies and equipment 5,500 24,10Q_ b) Microfilm P~_S?~~c_t:1._()!1__ C__e~tre .Supplies and equipment 5.000 5.000 EB7/18 :page 521 J.D"VISORY SJ.:;D:VICES .. ND FIELD t·~i.OJECTS Lebo.ncn No. of Posts Estimated Expenditure REGUIJ.R UNICEF TAED REGUlAR UNICb'F TiiED 1950 1951];952 1950 1951 1952 1951 1952 Grade 1950 1951 1950 19 51 11..8 19 51 1952 junerican and French Universities c. School of Public Health 1 Director 16 7,660 i.llowances: Installation 815 Dependcmts ~J8 Expatriation 342 Pension F'und 1,072 Staff Insurance 102 Travel: Recruitment a.nd r8patriation 782 Personal eff;:;cts 250 Teaching Supplies and equipment 16,000 27,331 27,331 Nutrition Course Short-term Lecturers - fees 800 travel 600 Teaching supplies and equipment 75 1,475 1,475 80,437 241,809 ______._ 6 15 6 15 Total - Lebanon 10,500 8,775 29,100 26,000 18,000 45,662 194,709 10,500 EB'?/18 pace 522 Enstern Mediterranean LIBYA 1. A preliminary survey of the public health situation in Libya h.::s bean made by the regional consultant to the near African countries. His recommendation has been submitted in a special report made at the request of the United Nations mission to Libya, and in a general report covering health aspects of Tripolitania, Cyrenaica and Fezzan. In rel.::tion to recommendations made on the needs of Libya, the regional director has provided in the technical assistance budget, for nine months in 1951 and for the whole of 1952, a team of public-health experts consisting of one public-health a~ministrator, one sanitary engineer and one public-health nurse, together with appropric.te supplies and equipment. In addition the 1952 technical ~ssistance budget provides for one medical adviser for the professional education of auxiliary personnel and one epidemiologist. EB7/l8 Eastorn ;;Iedi tt.:rranean pace 523 ":,DVI.SGR.Y SDri. TI CES dJD FIELD ?RO JECTS 'Libya No. of Posts Estimated E~enditure REGULi.R UNICEF Ti.ED REGULAH UNICEF T•. d!:D TOT .... L ------1950 1951 1952 1950 1951 1952 1951 1952 Grade 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1. Public Health i.dministration 1 1 Public Ho~lth ndministrator 15 4,836 5,848 1 Medical Adviser for - 1+ 5,279 Professional Education l: 1 Epidemiologist 14 5,279 1 1 Sanitary Engineer D 3,571 4,761 1 1 Public Haalth Nurse ll 2,892 3,855 3 5 Total established posts 10,849 25,022 i.llowances: Installation 1,552 1,192 Dependants 487 1,16.3 ExpatrL1tion 491 1,158 Pension Fund 1,787 4,120 Staff Insurance 1.31 400 TravG1: Hecruitment and repatriation 2,346 1,564 Personal effects 750 500 Supplies a.nd equipment 2,000 2,000 3 5 Total - Libya 20,393 37,119 .20,.393 37,119 ------3 5 EB7/18 pti£:G 524 Eastern Mediterranean PAKISTAN 1. At the request of the Government, provision has been made in 1952, under the technical assistance budget, for a full-time adviser in public-health adminis tration to be attached to the Ministry of Health. 2. A UNICEF-assisted health programme, technically a~proved by VVHO in 1950, and designed to set up a tuberculosis control demonstration and training centre in both West and East Pakistan, is being inaugurated in 1951. Accordingly under the UNICEF budget; pr ovi si on is expected of one tuberculosis consultant, one laboratory technician, one X-ray technician, and one public-health nurse for each centre. By the end of 1951 it is expected that enough local personnel will have been trained in routine laboratar,y and X-ray work. Accordingly in 1952 provision has been made under the technical assistance budget to retain only one tuberculosis consultant and one public-heal~h nurse at each centre, and one epidemiolog_:i.st at the centre in West Pakistan. In addition,.provision has been made for one epidemiologist at the centre in East Pakistan. It is expected that UNICEF will furnish appropriate supplies and equipment in both years. 3. It is expected that a UNICEF-assistod· health programme, technically approved by WHO and designed to set up maternal and child health demonstration and training centres, will be inaugurated in 1951 at Lahore and Karachi. Accordingly, under the UNICEF budget provision is expected of one public-health administrator with experience in maternal and child health, ~ne public-health nurse, one sister tutor, and ono midwifery tutor for each centre. In addition provision has been made for one midwifery sister and one public-health nurse for the centre at Lahore. It is planned to continue this programme in 1952 and provision for retaining the above posts has been made under the technical assistance bu~get. It is expected that UNICEF >vill furnish appropriate supplies and equipment. 4. It is planned to advise the Government concerning the establishment in both West and East Pakistan of a demonstration and tr~ining centre in modern methods of venereal-disease control, vdth particular reference to syphilis among expectant mothers and congenital syphilis. Provision has accordingly been made in 1952 unde! EB7/18 pnce 525 the technical assistance budget for one venereologist, one serologist and one public-he~lth nurse with experience in venereal disease control It is hoped that UNICEF will furnish appropriate supplies and equipment. 5. The Pakistan Government requested WHO to provide an expert in epidemiology to assist the Ministry of Health in surveying the problems of communicable diseases in general, and to help in organizing a control service. Provision for a consul tant for a period of four months has been made in 1952 under the regular budget. 6. At the request of the government, a consultant on industrial health for a period of two months has been provided in 1952 under the regular budget, The consultant will be attached to the Ministry of Health. 7. It is planned to assist the Government in the stuqy and demonstration of trachoma control work. Accordingly provision has been made in 1952 under the technical assistance budget for the services of one opthalmologist experienced in trachoma, It is hoped that UNICEF will furnish appropriate supplies and equipment. 8. A joint FAO~VHO programme for increasing food production and improving standards of health has been requested by the Government, which intends to car~ out this programm~ in the West Dinajpur district in East Bonegal, whore malaria is most prevalent. The zone proposed covers an area of about two million acres. Apart from the cultivated land, there arc waste lands covered mostly with sparse jungle, The population of the area is almost 20,000,000. Accurate vital statistics arc not available, but infant mortality is approximately 125 per thousand, and the most frequent causes of death are malaria, cholera, kala-azar, dysentery, diarrhoea, smallpox, and tuberculosis. The people of the area live entirely from the culti vation of Aman paddy rice, other crops being almost negligible and the land remaining uncultivated for six months of the year. The malaria season coincides exactly with the sowing and transplantation of crops, and vdth their harvest, The area is adequate for the resettlement of refugee populations coming from India, and of landless persons from other areas in East Bengal, The programme, brief~, is to set up a model rural health centre which, within a selected district, will take care of the adnunistrative and org~nizational EB?/18 page 526 aspects of preventive medicine, with special reference to r~ternal and child health. Rural sanitation work will have two aspoctst (1) nularia control, and (2) rural sanitation proper, including water-supply, latrines, fly control, village sani tation, etc. This centre when fully developed will serVG as a practical field for the training of local health personnel. In order to assist the Government in carrying out this programme, provision has been made in 1952 under the technical assistance budget for one public-health administrator exJcriencod in rural health, one maternal and child health officer, ono nalariologist, one sanitary engineer, one tublic-health nurse, one laboratory technician, ono midwifery nurse, and two sanitarians. ~t is hoped that UNICEF will provide part of the necessary supplies and equipment. 9. The following is proposed under Education and Training: (a) A lecturer in mental health has boon provided for a period of three mcnths in 1952 under the regular budget, as requested by the Government~ This lecturer is to be attached to the Psychiatric Institute in Karachi. (b) Provision has been made in 1952, under the regular budget, for an expert on medical education and training of health personnel to bo assigned to Pakistan for six months, to make a survey of.all the medical-education and health-training institutions in the country. EB?/18 page 527 Eastern Mediterranec:.n Pakistn.'1 No. of posts Estimated Expondituro REGUL/J..R UNlCEF '.l'.ii.J~D J:.CGULtR UNICEF 'I'ii.ED 1950 1951 1952 1950 1951 1952 ~-95~ 1()52 GR"tDE 19)0 1951 1950 1952 l. l'ublic Hofll eh kt!nin_i_s cro.t1.on 1 Public Hr.;altl: ,'._dr,1inistrator 15 6,880 Allowances: _Installo. tion 745 Dopend""nts 257 Expatriation .316 Pension Fund 96.3 Staff Im-:uranco 92 TrG.vel: Recruitment & repatriation 782 Personal effects 250 10,285 lu, 282_ 2. Tuberculoais Control 2 2 Tuberculosis Consult::mts 15 13,760 14,510 l 2 :f<~pidemiolcgist 14 6,210 12,745 2 Laboratory Technicians ll 9,0?0 2 X-R~ Technicians ll 9,070 2 1.)ublic Hesl th Nurses ll 9,070 9,570 ____ _2._ ____6_ Total established posts 4?,180 .36,825 Allowances: Installation ·1, 929 745 Do pendants 1,581 1,298 Expatrintion 2,04(1 1,628 Pension Fund 6,605 5,156 Staff Insurance 669 506 Travel: Recruitment ·md rc~patriation 10,166 782 Personal ;:,ffocts l, 250 250 Supplies and equipnont lOOzOOO 12,000 ------·- 174,420 12,000 47,190 174,420 59,190 EB7 /18 :page 528 Eastern lviedi terranean JwVISORY SERVICES :JIJD FIELD PROJECTS ?alcistan No. of posts Estimated Expenditure REGULi>.R UNICEF Ti.ED HEGUL_·.R UIJICEF T"\ED ------1950 1951 1952 1950 1951 1952 1951 1952 GRL.DE 1950 1951 1950 1951 1952 1951 3· Maternal & Child Health 2 2 Public Health Administrators (M & C.H) 15 13,760 14,510 3 3 Public Health Nurses 11 13,605 14,355 2 2 Sister Tutor 11 9,070 9,570 ______L __ _L Midwifery Tutor 11 13,605 -·- 14,355 10 10 Tota~ est~blished posts • 50,040 52,790 InJtallctticr:. 5,082 DepondRc0a 1,594 1,594 Expa trLt t:..on 2,088 2,088 Pension F-cnC:. 7,006 7,392 Staff t:nst'P.'1nce 720 762 Travel~ Recruif:.ment & repatriation 7,820 Persor:al effects 2,500 Supplies c=cnd equipment 86,000 so,ooo· 162,850 50,000 64,626 162,850 114,626 4. Venc:":':"Jl Dise2se Control 2 VE..:nereo1ogist 15 13,760 2 St.robf{ist 14 12,420 2 Pr.. bli...: He;.>,l th Nurse 11 9,070 6 35,250 .tUlowance.s: Installation 3,878 Dependants 1,298 Expatriation 1,628 Pe:u;ion Fund. 4,934 8taff I11 sure.nce 484 TraveJ_: Recruitment & repatr:i_ation 4,692 Personal effects 1,500 Sup:p1_ies and equipment _'=lnn,nnn JC\', noo 53,664 353,664 ·-· ... .._ ~ EB7/18 Eastern Mediterranean pac: E; 529 ADVISOR~ SERVICES AND FIELD PROJEGTS Pakistan No. of posts Estimated Expenditure R~GUUJt UNICEF 'I'AED REGUL!!R UNICEF TA.ED TO'I'.:'L 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 --·1952 1950 1951 1952 1951 1952 1950 1951. 1952 5. Other Communj_cable Diseases Short-term Consultants - fees 3,200 trav.sl 2,400 5,600 6. Industrial Health Short-terr!'l Consultants - f,;es 1,600 tr 7. 'I'racho:rrta Control 1 Opthalmo1ot.~ist 15 6,880 ------Al1ovw.nce s: Installa~ion 745 Dopundants 25? Expatriqtion 316 Pension Fund 963 Staff Insurance; 92 Tra:vel: Recrui h1ent and repatriation 782 i'ersonal e"fi'cets 250 Suppli8s and c;qu:Lplilcnt 15,000 15,000 25,285 Malaria Control 1 1 Malariologist 15 2,354 l l Sanitary Engin<3er 12 1,817 1 l Public HGJ.l :.,h i'I!'.J.rfk: ll 1,552 _]_ _3_ ------Total estacllshed posts 14,900 5,?23 Al1owanGes: Depend;mts 400 133 Expatriation 1,000 415 Pensi on Fund 3,100 801 Staff Insurance 200 78 Travel: Recruitment ~-;: rsnatri-tion 2,346 Home leJve 1,400 Personal sffects 750 Supplies and equipment: 3l000 ~"'~nL·' 24z080 10z24~ 24 , \_/\, I 10z246 * 4 months only in 1951 EB7 /18 page 530 Eastern Mediterranean JJ)VISCHY SERVICES ..ND FIELD PJ:l'JJECTS Pakistan No, of Posts Estimated Expenditure R.EGUL.b.R UNICEF Ti.ED REGULAR UNICEF nED T:_·T.i~L 1950 l951 1952 1950 1951 1952 1951 1952 Grade 19 50 1221 1950 1952 1951 1952 1950 ------8. Joint Fi-.C/Yi110 Programme 1 Public Health i~odministrator 16 7,660 1 M._ & C. H. Officer 15 6,880 1 Mal.?.riologist 15 6,880 1 Sanitary Engineer 13 5,6oo 1 Public Health Nurse 11 4;, 535 1 Midwifery Nurse 11 4)5J.5 1 L2.boratory Technician 11 4.535 2 Sanitarians 11 9,C7U _,_,,_,,_... -9 Total established posts 49,695 - ill..o~2~ Installation 5:2?5 Dependants 1~754 Expatriation 2,2JO Pcn3ion Furrl 6;957 Stc.ff Insurance 076 Trave:: Recruitment and repatriation 7,038 Person'l1 effects 2,250 Su:pplies and equipment 25,000 ----25,CCO 25,000 lOG,885 125,885 Chole-ra Control ------,..~·--...... -..~ 1 Epideraio1ogj_3t 15 6, 88(1 1 Sanitary Engineer 13 5, 60C1 1 Bacteriologist 13 5,600 1 Pu1lic Health Nurse 11 4, 535 4 Total established posts 22,615 -l.llowances: Insta1latior 2, 6g4 DGpcmcl::mts 906 Ex:p-'ltriation l,l3l1 Pc::nsion Fund 3;166 Staff Insurance 309 'l'ravel: Recruitment and repatriation 6,256 2EPPlies and equipment 22,000 59 ,o66 59,066 Eastern Moditerrnnoan EB7 /18 page 531 ."~, :\llSJl-!.Y SEHIJICES i~ND FIELD PR.O,JECTS Pak1stan No. of Posts EstL'Tlatod i~xponditure n:muLAR UNICEF Til.ED ~l,~GlJL• ..::t UNIC:r~F TLIED TOTio~.L l95C 1951 1952 1950 1951 l95!t 'i'95I 1952 Grnde l95C ~·51 lJ5L! 1)51 1952 -1951 1952 1950 1952 ------9 • EDUC.\'riuN .ilND Tli...INING - a. Psychiatric Institut(j, K:trnchi Short-term Lecturers - foes 2,4~'(: tro..vel l,t~Cv Teaching supplies and equipment 4,000 4,000 b.. Survey of I~:Icdical Teaching Institutions Short-term Consultants- fce:s 4,uu~..l tr0.V0l 2,JClCi 7,1X· 7,100 Mal2.ria Institute, Karo.chi Short-turr.1 Lecturers - fc:os 2,400 travc;l 1,s,x:; Teaching supplios and equipwent 4,4GO Nutrition Course Short-torm Locturors - foes travol 6JO Teaching su)plios o.n~l 0quip2Jcnt 75 1,,475 1,475 3 3 19 - 4 ---'3 3 26 ~' Total - Pakistan 16,121 337,270 4C2,0GO 59,066 286,935 EB7 /lt) Page 5.32 Eastern Mediterranean S.b.UDI JJ1.ABIA 1. In order to c.ssist the Government, provision has been made in 1952 ill1.der the technical assist;:mce budget for a permo.nent adviser in public-health administration. The Government is seeking a form of public-health organization suited to the con ditions in the different areas and also to the nomc.dic population. 2. It is plcnned to advise the Government concerning the establishment, in a selected area, of a dem~,nstration and training programme for the control of venere2.l disease, with 'specific reference to syphilis amcnc; expectant mothers and conGenital syphilis. Provision has accordingly been made under th8 technical o.ssistance budget for one venereologist, vne serologist and one public-health nurse. It is hoped that UNICEF will furnish appropriate supplies and equipment • .3. Malaria is ono of the most serious ;JroblGr;tS of Saudi .Arabia.. Its prevclence is increasint; Yvi th the d0velopment of irrigation schemes. To meet the requirements of the country a malaria demonstr~.tion tcr.m, including one malariolot:;ist, one ontomolq:;ist and one sanitarian, tot;other with supplies and equip~!lent, has been provided under the ret;ular budg~t in 1952. This tee.m is primarily intended for control work on an economic basis which can be cvntinued by the country, and also for the tre.ining of local teams. 4. The Gov0rnment plans to inaugurate an enviroTh~antal sanitation progra~ne in a selected aren. This pro~rmTI!ne, in addition to operational c.:.ctivities, will serve as a practical field for the training of auxiliar.y inedical personnel and the in-service trnininc of health workers. In order to assist the Government in this progra;n;na, provision hns been IllClde in 1952 under the technical assistance budget for one public-hGalth a~~nistr~tor, one public-health nurse and two sanitarians, together with the necesscry equipment and supplias, part of which it is hoped will be provided by UNICEF. EE7 /18 page 533 Eastern Mediterrane~ l~DVISORY SERVICES J\.ND FIELD PROJECTS Saudi Arabia No. of Posts Estimated Expenditure REGULiJ1. UNICEF T.i-~.ED REGULAR UNICEF ?l~.ED TOTAL 1950 1951 1952 1)50 1951 1952 -1951 1952 Grade 122Q 1951 -----.-.---~ 12.22. 1951 1952 1951 -~ 1950 1952 1. Public Health hdministr~tion ------1 Public Health .t.cirninistrntor 15 6,880 Allowances: Installation 7~5 Dependants 257 Expatriation 316 Pension :l!'und 963 Staff Insurance 92 Travel: Recruitmant anu r·Jpatriation ? ~82 Personal effects 250 . . .. ___....,._.. ------·------• 10,285 10,28.5 2. Venereal Dise~~ontro1 1 Venereologist 15 6,880 1 Serologist 14 6,210 - 1 Public Health Nurso 11 4', 535 Total establisheJ posts 17,625 - Allowances: Installation 1,939 Dependants 649 Expatriation 814 Pension Fund 2,467 Staff Insurance 242 Trave;t: Recruitment and r0patrtnt~nn 2,246 Personal effects 750 Supplies and equ~ment 50,000 - - 50,000 26,732 76,732 Eastern Medjterranean ADVISORY SERVICES AND FIELD PROJECTS /'- ~/ Saudi Arabia pa.se 534 Est~tod E~eniiture 1!o, of Posts I . \ . TAErl TOTAL REGULAR UNICEF REGih:hR UNICEF TAED 19l:l 1952 -1951 1952 1950 1951 1952 Grade 1950 1952 ~ 12..2Q 19 51 19 52 12.2£ ]1g ;1.9 52 -~ 112. ~ 122.9. - - - 3. Malaria Cont;rl')l - 6,880 1 Malariologist 15 6,210 1 Entomologist 14 4,535 /'. 1 Sanitarian: 11 - ~- - - - 17' 625 - 3 Total established posts - --- Allowances: 1,939 Installation 649 Dependants 814 Expatriation 2,4&7 Pension Fund 242 Staff Insurance T:ravel: 2,246 Recruitment and r .:p 4, Environmenta~ Sanitati~ 6,880 l. Public Health Administrator 15 4, 535 1 Public Health Nurse 11 9,070 2 Sanitarians ll - 20,485 - -4 Total established posts - - Allowances: 2,092 Installation 662 Dependants 862 Expatriati<:~n 2,868 Pension Fun<;l 293 Staff Insurance Travel: 2,346 Recruitment and repatriation 1,000 Personal effects J..O ,ooo 5,000, Sugplies and equ~ment - 45,608 - ·- - 10,000 35,608 ------Q~rantin:e Statio:q for Pil£;r:4ns, 14,400 Short-term Consultonts - foes 10,800 travel. 18,000 Supplies and equipment _. - ,.1,) 2")0: - 432200 I ~ ~-c - 43,200 - ,...... __ ___....,...__ ..... b • -~. - - 43,200 181,357 ~o,ooo 43,200 121,357 --- - 11 Eastern Mediterranean SUDAN 1. Venereal diseases are very prevalent in the Sudan; a venereal-disease demonstration project has been proposed in order to demonstrate modern methods of control. The project was submitted to the Regional Corrnnittee at its third session, When both the United KinGdom and EeYptian representatives were present • Provision has been made in 1952 under the rezular budE;et for a venereoloGist and a public-health nurse, together with the necessary equipment ,nd supplies. The reGional adviser on venereal disease 'Will visit the territory in 1951, and make the necessary arrangements with the authorities concerned in the implementation of the progranune. EB7 /18 page 536 ADV ISUHY Sr RVICES 1\ND FIELD t:;;,OJECT::3 No. of Posts Estimated Expenditure REGULbR UNICEF TAED REGUL1iR --·-UNICEF TAED TOTAL ------1950 1951 1952 1950 1951 1952 - 1951 1952 Grade l95C 1~151 1950 1950 1. Venereal Disease Control 1 Veneroologist 15 5,556· 1 Public Health Nurse 11 3,662 2 Total established posts 9,218 Allowances: • Installation 956 Dependants 372 E:x-patriation 379 Pension Fund 1, 518 Staff Insurance 151 Travel: Recruitment and repatriation 1,564 PE.:rsor:::tl Effects 500 Supplies and Equipment 16,250 2 Total - Sudan 30,908 30,908 _ _, __ _ EB?/18 Page 537 Eastern Mediterranean SYRIA 1. The Goverrl!-aent he.s expressed the Greatest interest in a national programme for the control of tuberculosis. It is also interested in the continuation of the BCG vaccination programme started by the Joint llhterprise. The Government plans to develop a tuberculosis demonstration and traininG centre to serve as a model for future extended pro~rarrunes. It is expected that a tuberculosis division to direct national pro3rammes will be set up under the Ministry of Health. It is umerstood that UNICEF vlill make provision for three months in 1951 and throuch 1952 for one BCG medical officer and two BCG nurses, to~ether with appropriate supplies and equipment. At the same time provision has been made in 1952 under the regular budcet for one tuberculosis consultant, one public-health nurse, one laboratory teChnician ~d one X-r~ technician, together with the necessary supplies and equipment. 2. It is plc.nned to advise the Government on the establishment of a centre for demonstration of and training in modern methods of controlling venereal diseases and bejel. .c~.ccordin:ly, provision has been made under the technical assistance budget for three months in 1951 and through 1952 for one venereologist, one seroloGist, and one public-health nurse. It is hoped that UNICEF will furnish _appropriate supplies md equipment. 3 • It i s planned to advise the Govor nment on maternal an::l ohild health services throughout the country. Provision has accordingly been made under the technical assistance budget for three months in 1951 and throuGh 1952 for one public-health administrator and one public-health nurse with experience ~n maternal and child health. It is hoped that UNICEF will furnish appropriate supplies and equipment. 4. The Goverl111Ent hD.S requested assistance for a joint FAO/WHO Programme to raise food production and improve standards of health in the.Gezirah area in North Syria where bili1arziasis and malaria are the main problems. This area was given specinl consideration by the United Nations Economic Survey Mission EB7/18 Page 538 for the Middle East. The Government has considered the possibility of using the Gezirah area for the resettlement of Arab refugee populations; it is intended that this programme should be carried out in co-operation with FAO and other specialized a(;Gncies. In order to assist the Government, provision has been made in 1951 under the technical assistance budget for a period of six months, and through 1952, for ono public-health administrator experienced in rural health, one malarioloc;ist, one sanitary engineer, one publi!c-health nurse, ~nd one sanitarian, toGether with the necessary supplies and equipment. 5. In order to advise the Government on health education of the public, provision has been made for the services of J. consultant for two months under the 1952 ro~,ular budeet. EB{ /18 Eastern Mediterranean page 539 ADVISORY SERYICES AND FIELD PROJECTS Syria No. of Posts Estimated ExEonditure REGULAR UNICEF TAED REGULAR UNICEF T1~ED TO'l'AL 1950 l.9,5.1.19i2 1950 1951 1952 1951 1952 Grade 1950 1951 1952 1950 1951 1952 1951 195'' .illQ 1951 1.?5~ · 1. Tuberc~osis Coptrol - BCG l Tuberculosis Consultant 15 6,536 1 Public Healtp Nurse 11 4,308 1 Laboratory Technician 11 4,308 1 X-ray Technician 11 4,308 1 1 BCG Medical Officer 15 1,720 6,880 2 2 BCG Nurses 11 2,267 9,070 - 4 3 3 - Total established posts 19,460 3,987 15J 950 . "~ .... - -·~ Allowances: . - Installation 2,092 1,643 Dependan~s 629 132 527 Expa~·ria ~-ion 819 170 680 Pension Fund 2,725 558 2,233 Staff Insurance 278 g-, 226 Travel: Recruitment and r~patriation 3,128 2!;46 Personal effec"hs 1,000 750 Supplies and equipment 23,600 10,000 5,000 ---· 53,731 19,643 24,616 19,643 78,347 2. Venereal Disease Control ·1 1 Venereologist 15 1,720 6,880 1 1 Serologist 14 1,552 6,210 1 l Public Health Nurse ll 1,134 4, 535 __....., -- 3 3 Total estn.blished posts 4,4C~6 17' 625 Allowances: Installation 1,939 Depencla.n-t·s 162 649 Expatria:-ion 2u3 814 Pension Fund 617 2,467 staff Insurance 61 242 Travel: Recruitment and repatriation 2,346 Personal effects 750 SuEplies and equipment: 20,000 35,000 20,000 35, l10G lc,"·~84 21_.797 30,484 56,797 aartt~• pace 540 Easte~ Mediterrane8n ADVISORY SERVICES i,ND FIELD PR.O u"ECTS Syria No. of Posts REGUUR ICEF TAED li.EGUL-i.?t TOTAL ~950, l2:g ~ 50 19 21 ~ lill- 19 5~ Grade~ 1950 1952 3. Maternal & Child Health - 1 1 Public Health .Administrator 15 (M. & C.H.) 1 1 Public Health Nurse (M. &.c.H)ll - 2 1 Total established posts .,. 1 't '.1."\, Allowancos·:- •• ~ r: ;.::}. :Cnq:to.ll,;;t~q~ ( ~-.l)ep.endan±.s.. ____ _ Expo.tri:ttion Pens ion .F'und Staff Insurance '!'ravel: Hecruitment and repatriation Personal effects Surplies and o~uipment 21,775 29,062 46 Joint Fh0/11HO Programme 1 1 Public Health Amninistrator 16 3,830 7, 660 1 1 Malariologist 1.5 3,440 6,88U 1 1 Sanito.ry Engineer 13 2,800 5, 600 1 1 Sani~nrian 11 2,267 ~, 535 1 1 Public Health Nurse 1 11 2,267 4,535 ------___.... - .__....., 5 Total established posts 14, 6o4 29,210 Allowances: , ' . ,_ ..... ----·-lnst ::.liat-1:-em· . · -Dependants·. ~. -·-·-· .t'xpa tr±a:t±on· Ponsion Fund Sto.ff Insurance Travel: R1:; crui tment and re}B tria t ..ion Personal effects f2upPll0s and eQuil:lme.n'\i. E:S7 /18 Ef!.stoTn Hoditerranean page 541 Syria No. of Posts EstL~ated Expenditure REGULLR UNICEF ~ nEGULitR l)NICEF Tl.ED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 Gra~ 1950 1951 1950 1951 1950 ------5, Health Education of the Public Short-term Consultants - fees l,6oc tr 2,800 2,800 Environmental Sanitation Short-term Consultants - feGs 1,600 travel 1,200 2,800 2,800 Health Education of the Public Mobile HGalth Educational U::1it - 10,500 4 3 3 10 10 13 l? 'Ictal - s·yria J.O, 500 2,nco 56,531 54,643 74,616 58,686 121,991 10,500.. 116,129. 253,138 P:?/1:_) Page 54'2 .C:nstere1 ~:iec.li ten·anee.n TURKEY 1. Durin;·; 1950 .r. ~~ ~rnrnm.e3nt was advised on th'..: est:::blishment in Istanbul of n. demons tr.:1tion 2nd training centre for the control of tuberculosis. The Govern:-Kmt int-:;nc~s to expn.nd this proi3rnmme to include a BCG vaccine-production laborJ.tJry 1nd a mass vaccination cnmpai~;n. For 1951, it is un 2. It is planned to ~dvise the Government concerning the establishment, in a selected area, uf a centre for demonstration and training in modern methods of control of veni.":reo.l disease 1 particularly syphilis among expectant mothers and conc;enital syphilis. Accor:Jinr.;ly tho provision m.qde under the technic8.l as;sist.:.nce bu~J.~;et for thr-.:e months in 1951 for one venereologist and one serolocist and one public-hee.lth nurse with experience in the control of venereal diseo.ses, is being continued throuch 1952. It is honed that UNICEF will agree to furnish ap:·,ropri,qto su~)plies and equipment. The Government has requested the assistance of the IVHO for a country- • wic~e epiclemiolo[~ical survey. The control of in:Fectious diseases has greatly i."'lproved in Turkey -J.nd some national s--~rvicu? are in operation such as those for combattin~o; venere::tl diseases, tuberculosis, leishmaniasis, etc. Although the efforts of "the authoriti<.;s are yielding increasin; results, it is realized that most of the control s0rvices for infectious diseases are f3r more developed in th6 cur,:>.tive- -;spect than 'in the preventive 'one. Provision h~s, therefore, 'been made in 1952 und~r the regular budget for one epidemiologist for ~ ~eriod of ~ four months. 4. i~.l thou::h nutritiom.l work hP.s been encouraged by severP.l departments of the Government, there is still a great dec'C.l of work to be performed in connexion with the he~lth 2spact of nutrition. The Govern~ent intends to s~t up a demonstration centre to carry out clinical nutritional work in particular EB7/18 Page 543 catv;ories of the 'Jopulo.tion, such c'.S !:Iothc;I·s and chilr.ren, schoolchildren, vr·-Jrkr.len, prisoners, hospital p:":J.tionts. The work of the centre woulcl be developed in connexion with nutri tion:1.l st uclies and food rmalysis. The centre will be connecte"d with the ctcpr.trtment of nutrition of the university medical school .ancl also with the public h.:;alth sGrvice, school meclice.l s,~r~rice and one of the local leading hospitals and it is intended the.t it should Rlso serve for training of :medical h.;;Rlth personnel. In order to assist the Government in implementing this progra:mr.1e, provision h13.s been mA.de in 1952 under the regular bud;·~e t for one nutritionist, one hee.lth educator, one food chemist, one dietician and one public-he~lth nurse, !'lnd fr>r the necessary supplies anr' equipment. 5· The Governaen t of Turkey has r.1ade greRt effort to fi;;ht tr::!chorna. An i:nportnnt survey, covering ncRrly two m:t.llion people, has been conducted in the country and it hRs been found th::>. t i.n special r,roups the incidence of trachona is 2.bout 20% of thG smv<,y r-;r .. mps. In rur1.l a~·J,'J.S, how;wcr, where tr!C'.choma is prevalent, t.l-J.e villag(;) incidGnce of th13. disease amounts to 60%. The Government has developed an extensive control service which cov,::rs the whole endemic area comprising 14 districts at present, most of which are located in the south and in the east of Anatolia. The ~ti-trachoma ca.nF),J.ie;n possesses 16 hospitc'.ls, 40 dispens~ries and 99 treatment centres in vill~ges. There are sp0cial schools for trnchomatous children anrl in some o.reas ·"'- good case-finding service is in operl)tion. Treatnent inclucles routine methoris; few tri::tls have been made on the use of antibiotics. In order to assist the Government, particularly in demonstrating curative and preventive me,:lsur~s, provision h8.s been r.latle in 1952 under the technical assistance budget for. on"' opthalmologi st experienced in trachoma control to serve as a consultant. It is hoped that UNICEF will furnish· the necessary supplies ancl equipment. 6. The development of industries in Turkey has received great at-tention fro;u the G-:wernment, which plans to or[Saniz-.0 the .industrif'.l b.;::."1.:. th S8l"'Vices for the c~untry. The Government has requested WHO's assistance with this planning. One industrial health demonstration team has been requested to serve as a model for the future development of a national industrial hc.'1.l th progranune. 'Ihc.- )roE:ro.nmte of this team will include every aspact of inr1ustrial hygiene, i.e. organization of industrial health services, industrial sanitation, nutrition and promotion of EB?/18 Page 544 health of workers and their families. An industrial health laboratory for field tests hc.s been included, and also a smRll nutrition laboratory. J.. ccordingly provision h2.s been mP.de in 1952 under the technical assistance budget for a public-health administr~tor, a sanitary engineer and a public-health nurse - all experienced in industrial health - and for a~propriate equipment and supplies. ?. l'11aternal and child he."'.lth is not so well developed in Turkey as a.re other health services. The Government is interested in WHO assistance in evolving a national health scheme for the ~rotection of mothers and children, including schoolchildren. Therefore, provision has been macle in 1952 under the technical assistance budget for 2 maternal and child health officer, a health educator, a public-health nurse 8~d a midwifery nurse who will work under the Ministry of Health to draw up recommendntions for a prognmme for the whole country. It is hoped that U~ICEF will provide ap?ropriate supplies and equipment. 8. The following is proposed under Education and Training: (a) The Government plans to improve existing nursing education and has requested WHO assistance in providing one public-health nurse experienced in nursing education to c-.dviae on the organization of nursing schools. Accorctingly provision has been made in 1952 under the regular budget for one consultant in public-health nursing, and for necessary teaching supplies and equipment. --., ~ pago E1.stam Meditorran2:m 545 ADVISOHY SERVICES ·-.ND FELD ?ROJ'"CTS Turkey No. of posts Estimc:ted expenditure H•:nm.Jf-ln UNICEF TAED RSGUL,.R UNICF:F T·ED TIJTAL -----~~--- 19);_ - 1 1952 -----l))t_' 1951 1952 1950 1951 1952 1951 ---Gr:"lde 1950 1951 1952 1950 1951 1952 1951 1952 1950 __.___1' 51 1. Tubarculosis C)ntrol - rCG : 4 l 1 Tuberculosis Consul t"_nt -•.1 7,660 l 1 McJic2.l 0ffice;r ::..4 6,210 l 1 ?uhlic Honlth Nurs·, ::..1 4,535 1 1 BCG Medical Cif fic-:.r :.5 :,44·J 6,880 ------2 ------2 BCCT Nurses :1 ,,_, 535 9' C/70 _3 _1_ -- _ _2_ _3 __ Toto.l cstablishe i\l10Yi''.nCG c;: InstcJ.L:.tion 2,5cr :,643 Dependants 6CjQ 8CC ~63 527 Expatri··tion 7•')0 1,25() 340 680 :t\snsion l!'un:i l,70v 2, 576 1,116 2,233 .Staff ln:--;ur:1ncc 252 113 226 Tr."V_ol: Short-tE,rm Consultants 1,20::' Duty 2,0(1:-, Recruitment and r :•patriJ.tion 2' (\()(_' 2,346 2,346 ~ersonal eff,;ctP .l,OOU 75t'• 750 Supplies :md oqui-;Jm~,nt: 5 (_li''f~ 5('0 lC, C/',-, ' 15,c:J!O __26z8t-lC· 26~879 27.346 34z616 26z8Ci.' 541225 34z616 2. Vcenorcal Dise,r~3GS C"nc;rol 1 1 Vonc;n;olocd:~t 15 1,720 6,88\: 1 1 Sc:rologist 14 1,553 6,21(\ ------1 1 ?ub1ic K::lth Nurs:-_ 11 1,1'J,4 4,535 3 3 Totnl e st'lb1ishod postJ 4,4C? 17,625 - ~ .--.--- _..,...._- -- /c1low·•nces: Tnst'lil'ltion 1,939 Dopond'Omt::: 162 649 Expatri...,tinn 2C:'3 814 i:ension Fund 617 2,467 Staff Insur:o.nc8 61 242 Tr:w.__;1: Re crui tm::mt :n-1. n,p..,tri::>tion 2,346 Person·11 effec-C,s 750 Supplies 2nd equipment: ... ___ . ?_5J, Q, -, , 85 C01.) ~ -- ,..-, ' ~---- ~ -. 1 25, q_c~-: 85 CO'J --1~482 21,797 35,485 106,797 ,, ------·----~---,, 3. EEidcmiologic_:Jl 0urvoy Short-term Consultnu+.::~ ~ F,as 3, 2·::c' Tr".vc.l 2,4:-'C ----- 5 6(',(\ 5.16UI> --- , ' _, EB':'/18 page 546 Eastern M8diterranean ADVISORY ::CERVICES : .. l\Tl} FIELD ---R"JECTS Turkey No. of posts Estim:' ted e xpendi tu re REGULAR· UNICEF T.AED UNICEF Tf,-:;~D · 195C 1951 1952 ~950 1951 1952 195I 1952 2.952 195C 1951 1952 :'..952 1951 -----~------4. !!\::;ri tion 1 rutritionist 6,536 1 Ee-:<..1th Ech::.cator :-..4 5; 9 1 ~~~~ 1 ?ood C:Lro,mist :'..3 5,320 1 J:.atic:.an - l 4;3U3 l Puol :.~ !kA.:!.th N·.u·se :-..1 -~-' 3C!3- ~ ------___5 ----- Tot"l::. os ta'olished po.;:Jts 26~37:2 :::r.stallr. tio:':1 3;133 I'lpend2n-Ls ~89 ;:;xoat::·j_;-,-t;i 011 \-246 ?:::1.si~n Fuc;.d _3_,692 365 F"':::Tc~_t.l'~-:on1j 2::1d repai:.riation 3) 0 10 Pe~so::1a~ effects 1)250 ll:.2,X1 51,157 ' _:_ I --~---- -~-·~------5. Tra~homa Cont:::ol l ~:~ -'jhamologist 15 :ns b-"J.llntion 745 ;aJ::'C:,....,(:rlnts 2:-7 jx.tJc- ~--:: iation 316 :'er.sion Fund 9h3 '+ :ff Insurance ;~ ~(-jC!'ll~. :-.;ncr.t and repatriation F:rsona1 8ffects ~~d equipment: 18, CCIQ ------18,000 E:S7/18 p-:.ge 547 Eastern Mediterranean ADVIS,"RY SERVICES AND FIELD --RC'JECTS Turkey No. of posts . Estimated expenditure REGULAR UNICEF TAED REGULlR UNICEF TAED T;"'TAL ~ 1951 1952 1950 1951 1952 1951 1952 Grade 1950 1951 1952 1950 1951 1952 1951 '1952 1950 1951 .... 1952 ------··--~ 1 fublic Ho2lLh Administrator 15 6,8SO 1 Sanitary Engineer 13 5, 6Cl') ~~-...._.._. ____ _1 l'r :JJ ~ c H;_~a.2_t,h Nurse 11 4,5~ To·cc:~J. 80t.'3-b1ished posts 1?,015 ------~ ~----- ..1._ i· llowc:mces: bs":',:J.llntion l: 939 Dr. :Jcc.d-:mtJ 649 ~~~~~>~tJ.·iC! tio11 814 i'ension Fund 2,382 St::J.f.:' Insur<"mce 234 El8c:r-'Jlt:i.ent o.nd repatriation 2,346 P~-r,sonnl off'ccts ?50 11 l (Y'r'. ' 3?,129 3? ,129 1 Hat.:orrw.l anr.i Child H:al th Officer _15 6,880 1 1 Health Ec ucDtor 12 5' \..~45 1 P'J."I:JJ_j_.~ Eo:~l-~h Nurse 11 4)535 ------1 r1idwi: I'OT7 Ntcrse 11 4-535 ______...... _..._ __ _4 20,995 ::L:l:Jtc.1l.CJ.tion 2,388 L'cpc:clc:c::lts ?84 ..:::z-p1t-rln tl on 996 ·,:c,J.:j_c:J. Fund 2,939 3 ~aff Insurance 293 I·L:.;c-:L-Ltrc. ..:r.t and rep atria ti.on 3,128 ~2~sonal effects 1, c:no 14z o·,o 14znoo 32~523 (;.6,523 ' Health ~d'wation of the Public Sho:..~t-ter-1 Consultants - Fees 1,600 Travel 1,200 2,800 2,800 EB7/ld page 548 Eastern Mediterranean J\.DVISt'RY SERVICES :.!JJ-:1 FIELD TJR,~JECTS Turkey No, of posts Estimated expendi~~£ REGULAR UNICEF TAED REGUL·,R UNICEF TOTAL !95(\ 1951 19s2 195c 1951 1952 rrn:- 1952 Grade l95R 1951 1952 1950 1951 1952 !9;! 1952 1950 1951 1952 -----~------8, EDUCATION AND TRltiNING ---- Mnt..jmal and Child Health Short-ter.mLecturere - Fees 4; 8CC'· Travel 2, 3CC'' Teaching supplies and equipment 200 7,300 7,300 Nutrition Course Short-term Lecturers - Fees 8or - Tro.vel 600 Teaching supplies dnd equipment 75 1,475 1,475 Congenital Heart Dise~se Teams Short-term Lecturers - Fees 1,700 Travel 2,3t!O Teaching supplies and equipment 7,5()0 "•(! 11 ' 5, __ ._ 11,500 a) Organization of Nursing Schools Consultant 1.3 5,.320 Allowances: ::Lnstallation ·745 Dependants 244 Expatriation 300 Pension Fund 745 Staff InsurGD.ce 71 'l.'ravelt Recruitment and ropatrio.tion ?orsonal effect2 Teaching supplies and oquipmont: 9,857 9,857 3 .3 6 3 3 .3 11 ---.3 9 20 Total Turkey 38,454 66,614 52,346 151,616 1C,485 101,734 38,300 101,285 319,964 EB7/18 Page 549 Eastc:;rn Mediterranean COUNTRIES UNDESIGNA TED 1. Leishmaniasis, both in the cutaneous and visceral forms, constitutes a St:..rious problem in the region. Although som~ countries have organized extensive services for the control of the dise'l.se, and treatment is provided free of charge in many clinics ~nd hospit~ls, it h~s been recognized thqt these services are doing little preventive work. Moreover, there is insufficient knowledge of such epidemiological factors as vectors, res~rvoirs, and local conditions. The Regional Committee, at its third session, recognizing the seriousness of the problem, requested the RegionRl tnrector to encourage research in the institutions of the region into its epidemiology, and to include complemontary programmes for leishmanie~sis control in the programmes of those mah.ria clemonstration teams operating in areas where leishm2niasis is prevalent. A survey is proposed of the countries in the region wher~ the disease is present. The importance of this survey need not be stressed; it would form a basis for recommendations to governments on the best way of placing on a scientific basis preventive work ncc~:.-ssary for the control of the disease. The vetlue of the ·work carried out in the region will be analys~d, with the view to making better use of available f?.cili ties and eventually changing the emphasis from curative to preventive m~asures. Provision has accordingly been made in 1952 under the regular budget for two short-term consultants for a period of four months each. 2. The regionRl progr~me for 1951 and 1952 includes many proposals for anti vcnereal-disease,c~mpaigns. In Eg~t and Iran, it is hoped that UNICEF will assist the governmenti in treating syphilitic pregnant wonen and children suffering from congenital syphilis. In Ethiopia, Saudi Arabia, Turkey and Pakistan, it is essential to combat syphilis in the community by means of cures· at comparatively low cost, within a minimum of time and with a limited-peqonnel. In Iraq and Syria, bejel control should le~d to improvement of living conditions, particularly in nomadic tribes. In Sgypt and the Sudan, penicillin treatment will be developed by maRns of a fiald demonstration. This being so, it seems advisable to convene a study-group during 1952, bringing together all team leaders and national speci~lists to discuss the control methods to recommend to health EB7/l8 Page 550 authorities, in the light of the experience gathered in the region. Provision has been made under the regular budget for a study-group of ten members to meet for 14 days in Tanta, Egypt. J. To implement a recommendation of the Regional Committee at its second session, the Regional Office has drawn up a progra~ne for the production on a regional basis of health-education materials. Since UNESCO has been planning a fundamental education survey and seminar in the region, it will be of mutual benefit to incorporate the regional health education programme with UNESC0 1 s progrrurune and to organize the survey and seminar together as a joint project. Under this. plan, there will be a six-month survey on the educational facilities of the region, the means of livelihood of people in rural communities, their standards of pygiene and health level, the language, the reading material avail able, the traditional and cultural background, as well as the needs in educational programmes and materials. The survey will have started in the latter part of 1950 and will be carried through the first quarter of 1951. Three experts will be provided by UNESCO and one health education expert by WHO for the survey team. The team will also help to develop new educational material and devices for fundamental and health education purposes. Following the survey, in the latter part of 1951 there will be a seminar on fundamental and health education and 15 intra-regional fellowships will be awarded to health educators in the various countries so that they may take part in the seminar. It is anticipated that UNESCO will organize a fundamental education centre in the region in 1952, and it is possible that this might also become a joint UNESCO/WHO programme. Provision has bean made under the technical assistance budget for one health educator, toge.ther with appropriate supplies and equipment. 4. The following is proposed under Education and Training: (a) At the last two sessions of the Regional' Committae, the protection of the health of mothers and children was emphasized, and a number of programmes have been approved for 1951-1952, particularly as joint UNICEF/WHO projects. It has, however, been realized that the teaching of paediatrics, gynaecolocy and nursing in medical and nursing schools places emphasis on the curative aspects of these subjects and that studsnts therefore have not received enough information on the preventive side of maternal and child health. Moreover, postgraduate EB?/18 Page 551 te8ching on the subject is scarce, and few doctors and nurses are acquainted with recent developments in preventive medicine, particularly new concepts and methods in matE::rnal and child health. A travelling seminar, starting in Alexandria or Cairo, would visit Egyut, Iran, Israel, Lebanon, Pakistan, and Turkey. In each country they would conduct lectures and seminar discussions for ten days. The main subjects for the s8minar would be public health administration and the social aspects of maternal and child health, paediatrics in relation to pre~natal and post-natal care, school health services, midwifery 8S community services and m1:rsi.ne services for th;:; com.":lunity. The lectures would be connected with the regular teaching in th~ le~ding univE::rsity of each country, ~nd intended for students and postgraduates. Fellowships would be awarded to specialists, from Sudan, l:iyria, Jordan, Iraq, Saudi Arabia and Cyprus to enable them to attend lectures in the neighbouring countriLs visited by the travelling seminar. It is hoped that the pr.;;sence of an intorn2.tional group in the Eastern Mediterranean countries would be a stimulus to medical and nursing studies in the preventive aspects of maternal and child health, Provision has been r.mde in 1952 under the regular budget for a group ~f three short-term lecturers in related fields of maternal and child h0alth. 5· There is undoubtedly a great need for antibiotics throughout the region. Rr::quests have been received from most governments within the re~ion for the establishm0nt of an antibiotics plant in ttGir territory. The need for insecticides to control com.municablt diseas·:.s within the region has already baen demonstrated. Requests have also been received from most governments within the region for the establishment of a DDT plant in their territory. No provision has been m~de so far for th8se dctivities. Should pl2ns materialise it is expected that personn8l requirements will be met from technical assistance furvis, pnd it is hoped that UNICEF will furnish Countries Un~:osienr·lh:d No. of posts Es":.im:ited expenditure R:;GULAR UNICEF TAED HEGUV.H LlNICETi' ._.._... 195r ______1951 1952 195:· 1951 1952 'i9fi' _1952 Grade 195,"' ____,1951 1952 195~: 1951 1952 1952 1951 Mcntn1 He:J.lth -- Short-t.3rm Consultants - Fees 41 G.Y' 4,8'''' T:rnvel 3,6-,- 3,6,"'• ~.,. 8,4· :, 8 4~f' 8 , 4 '· ' Nutrition $hort-term Consultants - Fees 1, 5·"''' Travel 1 ,.n(', 2 1 5(Y' 4.. E~UC. TT--..N AN"' TRAINING Fellowships 65, ~y·'• Teaching Supplies and Equipment 11,2 ' 11,20(' . a) Makrnal and Child Health - . ;""- ~ravelling Seminar Short-term Lecturers - Foes 6,:r.· Travel 6, .- y-, Teaching supplies :-md equipment 3, ,-~ ""'•' Training Centre on Vital and Health Statistics Short-term Lecturers - Fees Travel Teaching suppliC:s :md equipment 17,2''1 17,20(' 1 1 Total - Countries 175' ():1.:' 155,750 4C'3 170C 359,692: ----- Undesign2ted i T':-T AL - A~'VIS''RY SETIVICES I 20 21 43 3 41 21 62 157 23 124 221 ANJ FE~L "J 375,930 371, 7'71 }88, 4 qo 5,0CYI 1,192,402 1 1 242,360 647,445 1,693,?85 3801 930 21 211,618 3,724,6~5 ...... __ .__....._ PR\'·JB:CTS ~------~______====== 49 53 75 3 41 21 68 163 52 162 259 T·:'·TAL - EASTERN 52CJ, 730 059,380 5,000 1,192,402 1,242,360 682,133 1,725,627 525,730 2,414,508 ------I/IEl ITERRANEAN ------~--~ ------~------~------EB7 /ld page 552 Eastern Mediterranann ;, ~vr.'3 1n SEHVICES •.. N 1 FIELl' -- x JEC'l'~~ Countries Undcsignnted No •. of posts Estir··:tcd expenditure REGULAR UNICEF' TAKJ UNICEF TAET' !95, 19"'51 1952 1?5·- -1;951 19 :;2 1951 1;52 ll5l 1'152 1S)5, 1~i')l 1952 1951 -·l'"f51 -1952 Sl:lort-t,"rm Consul t~mtc - Fccc[:l 6, 4:-r Tr"r(;l 4,8~-: 11 ' 2nn.. I 2. Stn.1y Group 0n \lcnPre:-1 ··:is eases Crmtrol 1,- p1.rtici:-· 'nt::-: - }'r::.ve.ll 3. Fund:unc:ntal E 1uc · t:i •Jn _._- rc:;:r":m- ; 1 1 He~1lth E.:-1uc:ctor 14 6,21 ' ::lhort-t,-:;r:n C. ,nc;L~l t·,nt:-, r F :::es 4., g-,- 3,2 ' Inst.:1.1l<1ticn 745 "JependJcn ts 257 Expatri:·t ion 316 ~·cnsion Fund 8M Staff Insur::;nce 83 Tr:wol: 0 hcrt-ter:ra Consultants 3"·.: 3, 6-.. 1 Hecrui tment anc. _ repqtri·1tion i\;rsonal offects (\r' 2 tY(, 2' ~, 512 2 28,)12 1 '' I :·-,··, Short-term Crmsult:':mts ~ Fees 3,_,_ Trwol 1 "··· I Shc•rt-tcrm Con::::ult~mts -- Fees 2,, I: : Trwel 1 ,,,-, ' 5. J, 5t '(.' 3, s···:' Public Hc.-11 th "~:-lmin-i str-:.tton .Short-L-r1~1 Consult:nts ·- F8tJ<~ 4, Ci- ~- - Tr~'vA1 3) 5U-·: 7 ,50C Mat J.... JJ-1 I 1. ) p:J.,;u 554 .Jestern Pacific SUI\fllVIARY No. of Posts Estimated Expenditure H•;;:mLAB. UNICEF T:\ED REGULAR UNICEF TAED TOTAL 1952 195o 195l 1952 1950 1951 1952 mr 195~ -1950 1951 1952 195C 1:2.2! ):.952 1951 195~ 1950 E2l lL~, 120,725 146,151 9 19 29 2 ::: : · ion 1 Office _ 41,150 106,319 134,457 406 11,694 41,150 - - -- -·- - Advisory Services and Field Projects 16 19 halaria and lm;ect Control 200,897 209' 143 200,897 209,143 l 1 1 3 17 12 Tuberculosis 8,990 11,640 14,658 18,020 209' 772 137,397 27,010 221,412 152,055 l 1 2 Venereal Diseases 5, 600 5,843 81,435 _70,800 60' 634 147,669 76,643 17 24 25 14 l/i. Public Health hdministration 96,820 245,344 264,651 116,489 98,735 96,820 361,833 363,386 1 1 1 Envir~Jnrr.ental Sanitation 11,597 11,091 10,285 11,597 21,376 2 5 3 3 1 1 l1Jursing 12,452 :n, 644 19,657 19,879 15,000 9,512 8,11n 19,657 41, 8~13 54,754 H~a1th EJucation 5,6oo 7,001") 5, E:Do 7,000 3 5 7 5 J,faternal and Child Health 28,792 58,063 284,623 15,000 32,303 58,063 28·+' 62.3 76,095 900 21,217 19,836 2 2 IV.:entnl Health 900 17 ,?17 19, f$36 3, 500 ' Nutrition s, 6oo 5, 600 4 20 9 11 10 21 Education and Training 82,81")0. 49,517 163,416 95,735 192,071 256,500 106,854 275,984 178,535 348,442 695,900 ______...... -----.___...... ____..~~ 18 34 58 20 39 12 43 61 38 116 131 TOTAL - ADVISORY 189,510 .365, 067 546,931 191,475 791,280 494,697 494,386 634, 56o 380,985 1,650,7.33 1,676,188 ---,..._._..,------SEHVICES AND FIELD --- PROJECTS 27 53 87 20 39 12 45 6.3 47 137 162 TOTAL -WESTERN 230,660 471,386 681,388 191,475 791,280 508,792 646,254 422,135 1,771,458 1,822~339 I PACIFIC EB7/l8 Page 555 Western Pacific REGIONAL OFFICE New Personnel: It is expected that by the end of 1951 the Temporary Regional Office will have· assumed the full functions of a regional office. Posts for most of the technical staff will have already been established but some local personnel will be necessary to deal with the increase of administrative and financial matters arising from the expansion of the programme. Provision has therefore been made for the following additional local staff. Public Information: One stenographer Administration and Financet One secretary, one cashier, one personnel clerk, two stenographers, one registry clerk, one mailing clerk and two clerk typists. Duty Travel Since the office only opened in September 1950, duty travel recorded so far cannot be taken as an adequate guide to estimate expenditure under this heading in 1952. However, it is expected that the Regional Director will visit each country within the region in order to establish and maintain personal contact withthe health authorities of those countries and to obtain first-hand information concerning WHO activities within the region. It is also expected that the Chief of Planning and Operations will have to visit each country within the region in order to advise the government concerning the co-ordination and integration of international health programmes into the national health services and to discuss with governments the development of international health programmes for the future. Similarly it is planned that the regional advisers should visit all countries within the region to evaluate the results of existing projects and to advise the government concernine the expansion of these projects further afield. An amount of $3,400 has been provided for the Regional Director and t2,600 for the Chief of Planning and Operations and approximately t2,000 for each regional adviser. EB7/18 Page 556 It is expected that the Public Information Officer and the Administration and Finance Officer will require to do some travelling, and an ·amount·of $500 has been provided for each. The total amount provided under this heading is $17,220. EB7 /18 -·v~os born Pacif-:i•--- paee 557 EEGIOIJAL OF?ICE .No. of Posts Estimated expenditure UNICEF TAED TO'r.AL RsGULAR UNICEF TA.:CD HEClJLAH 1950 1951 195_2 -1951 1952 19,50 ' 1951 1952 1950 1951 1952 1950 1951 1952 1951 1952 Gradr:; 1950 1951 --.1952 .,. ------,, Office of the Regi:'lnal .or--..... - • ----I •;;-, r Directcr ,. :- Regional Director - 12,550 13,500 1 t t. Ch1cf of Office 18 1 1 Deputy Ret;lo m1 ll1rector 19 8,894 10,750 2,820 :..:2,960 1 1 1 Secretary 6 .... 1,200 1 1 Clerk/Typist 1,140 --Public InforrKl. ticn 1 1 Public Inform.:. ticn Cfiicer 13 5,320 5,900 1,')00 1 1 1 'J:ransl.ntor 1,800 1 1 Secretary 1,710 1,900 1 Stenograrher 1,325 Pl9.nnin~ and Operat:l ons 1 1 Chief of ·=>ection 17 6,450 b,525 J. 1, ·;10 1 1 Secretary 1,900 1 1 Stenographer 1,200 1,325 Adnd.nistration & ?inance Ohie.f of Section • 15 6,880 7,240 l 1 1 4,288 4,518 l<~inance Officer 12 1 1 - 4,288 4,518 1 1 General Services Officer 12 .... 1 Secretary 1,710 2,600 l 1 ~ Acco,Jntant 2,500 1 1 Accounts Clerk _1,800 1,900 1,710 1 C<1.shier 1 Porsorme1 Clsrk 1,710 1 1 3 Stc.XJ.o;:;rs.vhers ...~ . 1,335 3,355 1 2 Rct::.istry Clerks 1,140 2,440 1 1 1 Tr:o.vel & Pro curemant Cl0rk 1,140 1,300 1 l\Ia.:ling Clerk 1,140 3,480 1 3 Clark/Typists 1,140 l 1 1 Racevtionist 1,200 1,300 1 1 . · Ivlih18ogr::1pher clerk 500 550 • Custodial staff 2,300 2,900 __ __, - - 85,020 8,576 9,036 72,105 94,056 T~t~l established posts 15,975 ,3,52' ~ 1' 2' 2 2 ' EB7 /18 page 558 · Wes;kern Pacific R.B;GIONAL. OFFICE No. f'f Posts Estimated expenditure EJ?GUI.:$.R r:IU.CEF- ·· TAED REGULAR UNICEF TAER TOTAL 1951 . 1952 1950 1951 l9.Si 1950' 1951 1952 ~ 1952 Grade 1950 1951 1952 I95C____, 1951 19~2 .!2.2! 1952 1950 9 19' 29 2 2 Brm~t:ht forward: 15,975 63,527 85,020 . 8' 576 9,036 72,105 94,056 Allowances: ~ •, ---Ir.s tal la ti on 1,100 2,375 1,192 Dependants 800 1,645 1,673 514 514 Expatriation 1, 2.50 1,467 1,500 506 506 Pension .F'un:l. 2,235 8)549 11,903 1,412 1,488 Suaff Insurance 240 i362 1,109 142 150 Trave1r Duty 4,550 4,500 7 ,"000 Recruitment & r8patriation 5,750 2)616 1,564 Homo leave 6,322- Transpo~tat:on of personal effects 1,750 1,846 500 £9~Ser~-:.e_~ Space and equipment 2,500 5,200 5~950 Other services 2,000 4,950 ~ iOO Supplies and equipment 1,350 4,0CJO 6,.ooo Fixed. charges and claims 150 280 280 Acquisition of Capital Assets 1,500 4,500 2,000 - -- -- 9 -29 -29 -- 2 2 TOTAL 41,150 106,31') 134,457 14,406 11,694 41,150 120,725 146,1~1 === - = = = - == REGIONAL OFFICE ;;:::::::= --.... --- - :::z,c l~ l.• .. EB7 /18 ,T,_;Stl~ll'~ I· l,·-i_tie page 559 1 "'flVIJOHY SEBVICEc3 JIJlJ :b'IUJD : Hl1JEI.T.3 Regional Arl.visers No. of pests Estimated exEenditure REGUL,;.R UNICEF TAED REGULAR UNICEF TAED TOT;;L ------1950 1951 1952 1950 1951 1952 1951 1952 ---Grade 1950 1951 1952 1950 1951 -1952 1951 1952 1950 1951 1952 1 1 Malaria icdviser 16 7,660 8,080 1 1 1 Tuberculosis ~dviser 16 7,660 8,080 1 Public Health ,\dministration hdvis-:;r 16 7,277 1 1 Maternal and Child Health ;\dvis8r 16 8,085 l 1 Environmental Sanitation l-;,dviser 15 6,880 7,240 ------1 1 1 Nursing Adviser 14 6,530 6,210 1 2 5 2 1 1 l Total established posts 5,800 14~540 37,212 10,156 6,210 7,660 8,080 Allow:mces: Installation 7LI-5 815 1,206 815 Dependants 150 1,057 1,658 308 308 Expatriatinn 190 816 1,733 300 250 342 342 Pension Fund 820 2,035 5,209 1,422 870 1,072 1,132 Staff Insurance 80 205 519 143 88 102 108 Travel: Duty 655 3,000 10,220 3,053 1,500 1,500 1,500 Recrui tmcmt ~nd RepatriQtion 625 394 782 1,500 782 iiome leave 3,670 Transp~rtation nf personal effects 445 250 400 445 250 ------l 2 5 2 1 l 1 3 4 6 Total - Rc;gional 8,320 23,237 62,068 18,180 9,.363 12,831 11,470 26,500 45,431 73,538 ------Advisers ED7/18 Page560 Western Pacific BRUNEI 1. A-UNICEF-assisted nursing training programme, technically approved by the Organization, was i.naugurated during 1950· At the request of the Government it will be expanded in 1951. It is expected that by the end of that year the first group of local nurses will have received adequate training and that they will be attached to a rural clinic to be established by the Government. It is planned t.J continue this training programme in 1952, to supervise the work of the rural clinic and to develop it into a rural field-training centre. Accordingly provision has been made undar the regular bud:,et to retain one sister tutor, one public-hbalth nursine tutor, one public-health nurse and one midwife. It is hoped that UNICEF will furnish a'!Jpropriate teaching equipment and supplies. 2. By the end of 1951 it is expected that the loc9.l personnel who will have worked with the international team provid€d in 1951 for the malaria control programme will have be~n train~d, preliminary surveys made, Pnd the first round of spraying completed. Controversial reports exist concerning the effectiveness of DOT indoor spraying in controlling malaria in this area. It is therefore planned to continue the ?rogramme in 1952 in order to evaluate the results obtained and if necessary use oth(jr materia.ls and methods. Accordingly provision has been made under the technical assistance budf,et to retain one malariologist and one sanitarian. It is 6xpected that the Government will furnish the necessary supplie~ and equipment. 3. The extent of the tuberculosis problem is not known and a survey is planned by the Government. Due to local conditions tho survoy will be limited to tuberculin testing, which could be linked sir.mltancously with a BCG campaign. It is utrlers!-ood that UlHCEF will provide one BCG :tedical officer and two BCG nurses for six Months, and appropri2te supplies and equipment. It is expected that the regional advislijr for tub.:Jrculosis will advise the Government concerning the establishment of a tuberculosis control orf,anization. EB7 /18 Western Pacific :pagt_:. 561 ADVISORY SERVICES AND F1ELD PROJECTS Brunei No~ '•f Posts Estimated Expenditure 1i./:G1J .LAR UN 1 C~F TAEV REGUlAR UNICEF TAED TO'l'J\1 )J50 1951 195:2 19·!0 1951 ;1;952 1951 1952 Grade lZ2Q 1951 1952 1950- 1951 1952 1951 1952 19)0 1951 1952 1. Nursing Trnining 1 1 Sister Tutor 11 3,855 4,067 .. 1 1 Public Health Nursing 'l'ut0r ll 3,~ 4,067 1 1 1 f'ubli.; Health Nurse ll 4,067 4,067" 1 1 1 Midwife 11 4,067 4,067 ------··- 2 4 2 2 Total established posts 7,71~ 16,268 5,060 8,134 ------~' ,. Allcaances Installation 718 359 68~ Depr; ndants 27C 540 ~x:patriaticn 292 584 500 400 Pension Furd 1,27(") 2,645. 7l'8 1,.340 Staff IrurD.ranc.:0 128 2fll 7? 142 Travel: Duty Recruitment and repatriation 1, 564 782 2, 500 Transvortation of personal dffects 5JC 250 95') 500 Teaching Equipment and Sup:elies. 5,00:) 15,001) 12,452·- 21,696 15 .• 47G 10., 516 l5,dt)O ·; 15,470 22,968 .36,6'6 2. Malaria Cont!'o~. 1 1 lvialariolot:;i.st 15 5,848 6,167 1 1 .Sanitarian 13 4,761 5,016 -- --~ 2 2 'rotnl established poGts 10,609 11,18.3 -- 1:.11nwances: Install;,,tion 1,192 Depundantc: 514 514 Expatriation 506 506 1) ens inn Func1 1,747 1,842 Staff Inr.mr:1nc,. 167 176 1'ra1Tel Duty Recruitment c.mcJ repatrir.t ion 1,564 He me le:) a VG Transportation of porD6nal effects 50C -~ --- - 16,799 14,221 16,799 14,Z'l ------· ------~~. - EB7 /18 page 562 -v·v-estern Pacific ADVISORY SERVICES AND FIELD PROJECTS Brunei No. of Posts Estimated Expenditure REGUUR UNICEF TAED REGULAR UNICEF TAED TOTAL . ---"~·-... .,..._ ..•• -~.~ ' .... _ 1950 ~951 1952 1950 1951 !2.23," 1951 1952 Grade 1950 1952 "1950 1951 1952 -1951 1952 . ~""1950 . 19 52~---:-: ... llil "ill±... 3. Tuberculosis Control (BCG). - - 1 BCG Medical Officer (6 months) ~- ..•. 4,200 2 - BCG Nurses (6 m-nths) - 4,800 -- 3 Tetal established pests 9,000 - - ., --·- Allowances Installati•n Dependants' · Expatriation Pension Fund St,aff Insurance .~. (· Travel: Duty 10,800 Recruitment & repatriation ... Supplies and equipment 15,000 - 34,800 34,800 ... -- 2 4 2 2 3 2 2 2 5 Tetal - Brunei 12,452 21,696 15,470 10,516 49 ,_800 16,799 14,221 15,470 39,7tr/ 85,717 - - - - ,..__., ...__.... _...,...... ,..._' -- •• EB7/18 Page 563 Western Pacific CAMBODIA 1. · By the end of 1951 it is expected that the public-h~alth administration urtit provided in 1951 will have surveyed the public health needs of the country, assisted the Govetnment in drawing up plans for strengthening the national public health services and advised the Government concerning the initial stage of LJI\Plementing those plans. It is expected that the Government will request the continuation of this unit in 1952 to 01.dvise it in implementing the next stages of the plan. Accordingly provision has been made under the technical assistance budget to r.:,tain the services of one public-health a.dministr. 2, By the end of 1951 it is expect.ed that all the malarious 11.reas of the country will have been studied Rs regards the mosquito and human factJrs, the first round of spr.g,ying completed in some arens and a sufficient number of' local personnel trained to permit the expansion of the operation furthGr afield. It is planned to advise the Government concerning the establishment of a m~laria control organization throughout the country Rnd accordingly provision has been made under the technical assistance budget to retain the services of one malariologist, one ·sa.ni tarian 3.nd one public-health nurse. It is expected that the Government will furnish the necessary supplies and equipment. 3. Tuberculosis is a serious local problem :md it is estimated that at le?.st one member of each family suffers from the disease. The standard of living is low, the birth rate high, hygiene and sanitation minim~l, and, due to present disturbances interfering with production, malnutrition is even worse than during the war. Stable conditions and improvement in th~ standard of living will have a great ef~ect in diminishing the:. tuberculosis problem. However, as an inte-rim measure a BCG 'c. The following is proposed under :~ducation and 'l'rai.ning s (a) By the end of 1951 it is exp~cted that the first year of the course p1anned for the nursing training school in Pnom-Penh will have beeri c0mpleted for s~udents from CQffibJdia and Laos. There is an acute lack of nursing personnel, most nursing now being done by nursing auxiliaries whJ receive only six '110nths 1 training. It is therefore essential to continue these courses, the duration of which will be adjusted to meet the immediate needs. Accordingly provision has been made under the regular budget to retain one sister tutor, one midwifJry tutor, one nursing arts instr¥ctor and on~ public-health nurse. It is hoped that UNICEF will furnish appropriate supplies and equipm6nt. (b) .by the end .of 1951 it is expected that the first year o·r thG course planned at the 11 Ho3.l th Officer" School in Pnom-Penh will have been completed. There is an· acute lack of personnel trained in public health and it is considered essentinl-to continue this. course, the duration of which will be adjusted to meet local needs. Accordingly provision he.s been made under the technical assistance budget to retain the services of one lecturer in public-health administration and ep~demiology and one lecturer in sanitary an~ineering. It is hoped that .UlHCEF will furnish appropriate t.J,qching supplies and equipment. (c) It is GXpected that by the end of 1951 a sufficient number of personnel ·' will have been-trained to staff a rural health centre which besides dealing with the health problems of a rural area will serve as a practical field and in-service training centre for health workers. It is intended that this rural health centre will ~ark in direct collaboration with and under the supervision of the· School of "Health Officers" and the School of Nursing at Pnom-Penh. It is expected that -stud~nts from ~aos will also attend the centre. Accordingly provision has .,been·IJ'l<:!d~; ~nd,er .the regUlar budget for one publi_c-health e.dministr"'.tor, • •r"'·•'•.' .'.· ,· • .- t ,. one general public-heo.l.th.,nurse, one public-health nurse with special experience in midwifery, one sanitarian ~nd one· laboratory techni~iao. It is hoped that UNICEF will furnish approprie.te supplies and equipment •. ' !IM/!.8 -Jestarn Pacific pagG -565 ADVISORY ol!:RVICES AHD ·'l~LD PHOJEGTS Cambodia No. of Pests Estimated Expenditure H::.:GUL..:.R UNICEF·- 'NED RF.GULAR UNICEF T!.1m 'tr.T~.L J _1950 1951·1952 1950 1951 l~"l52 l;l)l 1:/52 t~;o· -. Grade 1950 1951 1950 1951 1952 1951 1952 1951 ~ 1. Public Health icdrninistratien 1 1 Public Health Administrator 16 7, 660 8,085 1 1 Public Ho~lth EngineGr 13 5, ffJO 5,900 1 1 Public lbalth Nur~:.:e 11 4, 535 4,785 1 1 Secretary 6 2,750 3,050 _... :~. 4 Teta1 0~tablished p0sts 20,545 21,8.21 Instal.J.. ation 2,367 Do pendants 796 7·96 Expatriation 977 977 Pension Funcl .2, 876 3,055 Staff InsurancG 285 303 Travel Duty Recruitment and repatriation 3,128 Home loave Transportation of personal effects 1,000 31,974 26,951 31,974 26,951 2. Malaria Contre1 1 1 Malnriologist 15 7,255 7,555 1 1 Sanitarian lJ ·~, 600 5,900 1 1 Public Hualth Nurse 11 4, 535 4,785 3 3 Total established posts 17,390 18,240 J.,.J_lowancGs: Install.J.tion 1,194 Dependants 792 592 Exp,1 triation 978 538 Pemion .Fund 2,435 2,554 Staff Insurance 239 251 Travel Duty .... Recruitment r:..nd repatriation 1,.484 Home leave Transportation of perso~kl effects 751 25,262 22,175 25,262 22,175 ADVISORY SERVICES AND F:~ELD PROJECTS J<.;B?/18 page 566 Cambodia N~. of Posts Estimated Expenditure REG~1t.R UNICEF· _.:. ~ REGULAR UNICEF TAED TOTAL .!2.,g l2.2Q l9 51 122. 19 50 12 51 19 51 19 52 Grade 1950 1951 1952 12.2Q ~ 122 -12.21: 1950 3.Tuberculosis Control ~CG) - -- l 1 1 BCG Medical Officer 16 8,085 2 BCG Nurses ll 9,570 - .3 -- 17,655 Allowances: Installation Dependan'is -578 Expatriation 706 Pension Fund 2,~72 Staff Insurance 25~ Travel: Duty Recruitment &repatriation - Home leave Transportation of pers('nal effects Supplies and equipment 15,00(:) - - 36,661 - 36,661 4. EDUCATION AND TRAINING a. School of Nursing - FtlOm Penh • l 1 Sister Tutor 11 4,308 4,785 l l Midwifery Tutor ll 4,308 4,785 l 1 Nursing Arts Instructor 11 4,308 4,785 l l Public Health Nurse 11 4,308 4,785 4 4 Total established posts 17,232 19,14f' -- Allowances: Installation 1,796 Dependants 513 540 Expatriation 692 728 Pension Fund 2,413 2,680 Staff Insurance 243 Z72 Travel: Duty ... Recruitment and repatriation 3,128 Home leave Transportat~on of personal effects 1,000 Teaching .equipment and supplies · 15,000 15,000 ---.,, - 'Zl ,017 2.3,.360 - 15,000 15,000 - 42,017 38,.360 EB7/18 page 568 Western Pacific ADVISORY SERVICES AND FIELD PROJECTS China Estimated Expenditure REGUL!-l.R UNICEF TAED TOTAL Grade 12.2.£ ],9 51 ~ 19 51 "122. -19 51 1950 1952 Public Health Administration - Public Health Administratcr 14 1 Sanitary Engineer 15 11 Public Health Nurse 12 - - - - _____ ....__ 'I'otal established posts 22,960 Allowances : DI'Jpendants 1, 500 E:xpatriation 1,000 Pension l'und 2,750 Staff Insurance 260 Travel: Duty Transportation of personal effects 6 650 Other Services 11,880 - 3 - J "'i'otltl-~- China 48,200 - - - - 48,200 -- - ;.;.;:a?/lo Page· 569 · 7ic~sturn Pacific th-J co-ordination Jf th·2 :'1.1.l;lic hc_~'.lt''l s...,rvices, ·'nc1 in t;:te initi.':\1 sta-;cs 0f impL.omi.mtinc; thcjsc ~lane. It i~:: i~1k:nckd th?.t the: n__,xt ste.~:c sh(Alld be the 2. It L: cx~x::ctul th:ot b;;r tllL c.nri of 1951 I'lans for co-0rclin-"ting th..:; toaching of Gen2ral public hc:':il th, m1.t..:::rnql ~mrl child henlth, etnC. g~:.m~:r"'.l nursinr; and micl_wifery at the lLrlir;al (; ..)11-.c :c.: ,,f the ~!:::.tL;nnl Taiw:.>_n Univorsi ty Hospital, tho Provincial Sch _:Jl of Nu.csin:' ;_;nd j,~iclwif,_ry ".ncl the:: SchJol of Nursing and Midwifery 3t th...; Nr>tLmal I~1:;U+Jut.._:_ ;f H nlt!'l will hi'l.v...; been dr::1wn up, smrl that th!.:.. first courses will havG COT!1J1Jt;nce~3.. It is 8Sscmtic=tl to continue thE.;su c .:ur s~C..s in orrler t.J en::tble lcc-:.1 pcr~;._·nn~.l to he JduquatrJly trM,inc,d t•), improve thc: sGrvic·.~S .-,f hos~Jitn.ls [nid he1.lth c0ntr0s thruuf!h:.rut the c·!Untry with special emphasis on :;,·:.ternJ.l 1nd child bc:tlth. .i.CC~iC'di~'l::·ly ~>rovision b.?S b,,en m:::tde unr]er the t"chnic::tl as;,istJ.nce bud,:ct to r,:·t'lin th'-' d~m::JnstrRtLm thr·:.:ughjut the island. Suffici8nt reseJ.rch h 'lS alrec!dy be~n c2rried cJUt to indicate thR t ind·J·Jr DDT s)ro.ying will be effective in tJor:Jc~ areas. It is ~Jl::mnvd to dt.:nt·Jnstrate a spraying uper1'.tion in -)118 )r two e.rce.s covGring a l-~' ;ulatj.on ,Jf 150,000. Acc·:_-,rclinr-;ly ~Jrovisio::1 has been l'!lf'.do und.:;r the tc:chnical assiste.nce budgot for 'me r.J.al~lriol:)·::ist, anri two SP.nit8.rians with •;r).~cial ext?orience in malaria oont rol, ·>.n:i f Jr i1!J- ropria te sup;Jlie s and "' quipmcnt. It is ex.J-.;cted tho. t loc:1.l -::.~ers-:Jnnc.l ·will OE:: trr'in~ d and that the auth(Jri ties will 0stablish a m.::;l.?.ria c·:_-,ntr:.Jl or:.p.niz.Jtion to continue and ex:Jancl the pr;JR"r 4. Heavy dcv.:;.st9.tion occurred in Forr:J.OcD. durin:: the w1r, which causE:d dctcri :rnti011 he th'-' rur:l wr:.ter sup.)ly systems, S<;;ri-:msly h'lmpcrin'-~ the ccntrol t:) advise the nuth•Jritioc cJncurninr; th ...; r(;;st:;r'l.ti()n .'1nd ir:~pr.wc::ln~:::nt of rural water su:l'-·lie:s, which will c .•ntribute tovr~rrls the contr. .Jl o.f w0.tcrborno dise - 10)285 8,941 10,285 8_,941 2. Maternal and Child Health -- - 1 1 Paediatrician 15 6,880 7,255 1 1 Sister Tutor 11 4, 535 4,785 ~z l Midwifery Tutors 11 9,070 9, 570 1 1 1 Nursing J~ts Instructor 11 4, 535 4,785 - ---_ _2_ ------_2, T~tal established posts 25,020 26,395 - - - ..-.. - Allowances: .. Installation 2,541 ... Dependants 797 797 Expatriation 1,044 ...... 1,044 Pension Fund .3,.503 3,695 Staff Insurance 361 372 Travel a Duty Recruitment and repatriation 3,910 ... Home leave .... Transportation of personal effects 1,250 Treaching supplies and equipment l5 COO 15,000 - - 1 - - 53,425 15,000 - :32,:30.3 - 5.3,425 47,30.3 EB7/18 page 572 Western Pacific ADVISORY SERVIC~S AND FIELD PROJECTS Formosa No. of Posts Estimated E!eenditure REGULAR UNICEF TAED HEGULAR UNICEF TAED TOTAL l2.2Q. 12.,21' 19 52 .±2 50 19 51 19 54 19 51 19 52 Grade 1950 1951 1952 1950 12.21 .!22. !ill- 1:2.8 ill.£ 1951 ·1952 - _. Tuberc~osis Contro~ ~BCG~. - - - ...... - -·· l BCG M~dical Officer 15 6",880 - - - 1 BCG Nurse 11 4,535 2 Total est,:J.blishLld posts 11,415 - - ..-- - Allowances~ Installation 1,194 Dopendants .392 Expatriation 498 Pcms ion li\md 1,598 Staff Insurance 157 Travef: Duty Recruitment and r epntriation 1,564 Home leave ... Tr~nsportation of persopal effects 500 Supplies and equipment 15,000 - .- 32,318 - ·'' .32,.318 Ven~real Diseases - Control 1 Veneorologist 15 6,880 - 1 S0rologist 15 6,880 - 2 Total established posts - - 1.3,76o - - [!.).~wm;:E: Installation 1,490 Dependants 514 E:xpa~riation 6.32 Pension Fm:.d 1,926 Staff Insurance • 184 '1\:a vel: Duty Recruitment and repatriation .3,128 (10m<3 le; a ve TransporlRtion of personal effects Equipmen"l and supplies 39,000 - &J,6.34 6o,634 ------EB7/l8 page 573 -,iestern Pacific ADVISORY ,'3ERVICES AND FIELD PROJECTS Formosa No. of Posts Estimated Expenditure REGUIJ~ UNICEF TAED HEGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 Grade 1950 1951 i952 -- 1950 1951 1952 1951 1252 1920 12.21 1952 ------...... Malaria Control 1 M.'llariologist 15 6,880 2 Sanitarians 13 11,200 - - 3 Total established posts - 18,080 - Allowances: Installation 2,235 Dependants 771 Expatriation 94.1J Pension Fund 2,53::. Staff Insurance 242. t:ravot: Duty Recruitment and repatriation 2,.346 Home leave Tro.nsportation of p;; rsonal effects 750 Supplies and equipment 28,000 - - 55,903 - 55,90.3 4. Environmental Sanitation 1 Sanitary Engineer 15 6,880 ------___, - Allowances: Installation 745 Dependants 257 Expatriation .316 Pension Fund 963 Staff Inslr ance 92 Travel: Duty Recruitment and repatriation 782 Home leo.ve Transportation of personal effects 250 ------10,285 - - 10,285 ...... 7 ... 3 10 .... 10 10 Total Formosa 85,743 15,000 70,919 107,432 156,662 122,4.32 - - --- ...... -.. - - E!-3'7/18 Page 574 Western Pacific KOREA 1. During 1950, at the request of the Secretary General of the United Nations, acting under the instructions of the Economic and Social Council, two public health ad;11inistrators were assigned to the sent of government to advise it con cerning plans to re-establish its public-health administration and render emergency i!ledical relief to the civilian population. Similarly, ten tea:ns, each consisting of one medical officer with general experience in public health admin istration and one sanitary engineer wer~ sent to Korea to participate in the United Nations progr~iNnG for rehabilitation of the civilian population. For the sama reason and in order to cope with the vast mnount and variety of a&ninistra tive matters that had arisen, two administrative officers were assigned to Korea. Provision has bean mado for the continuation of this prograinme in 1951 and 1952. EB7 /18 pa.ge 575 VIeR tern l)~tc__i fie ii.DVISORY SERVICES AND FIELD PROJECTS Korea No. of posts Estimat;ed Expenditure REGULAR UNICEF 'I'AED REGULAR UlaCEF Ti-lED TOTJ.L 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1950- 1951 1952 1951 1952 1950 1951 1952 Maternal and Child Health Maternal & Child Health l Specialist 15 Public Health Nurse -1 11 2 Total established posts 8,810 Allowances : Installation 420 Dependants 260 Expatriation -+'70 Pension Fund 1,230 Staff Insuran<'e 125 Travel: Recruitment & repatriation 1,4BO Transportation of personal effects 1,500 14,295 14,295 l. Public Health Administration l l 1 Public Health Administration 17 8,440 8,895 b' ll 11 Public Health Medical Officers 15 78,740 81,695 2 7 7 Public Health Engineers 15 50,290 52,345 l l 1 Administrative Officer 14 6,080 6,400 3 3 3 Sanitarians 13 16,570 17,465 l 1 1 Administrative Officer 12 5,450 5,525 14 24 24 Total estaulished posts 21,600 165,570 172,325 Allowances: Installation (Outfit) 2,100 1,500 Dependants 670 6,697 6,827 Expatriation 200 1,316 290 Pension Fund 3,100 23,181 24,126 Staff Insurance 12,500 30,000 31,200 Cost""'()f ....living allowance 2~030 17~080 17z520 42,200 245,344 252~288 42z 200 245,344 252,288 --· 14 24 24 2 16 24 24 Total Korea 42,200 245,344* 252,288 14,295 56,49~ 245,344 252,288 -~ -- -- * Supplementary Estim2tas E!7/18 Page 576 Western Pacific LAOS l. By the end of 1951 it is expected that the public health administration unit provided in 1951 will have surveyed the public health needs of the country, assisted the Gover~ment in drawing up plans for. strengthening the national public health services and advised it concerning the initial stages of implementing those plans. It is expected that the Government will request the continuation of this unit in 1952 to advise it in implementing the next stages of the plan. Accordingly provision has been made under the technical assistance budget to rctain the services of one public-health adrninistratoz:, _one public health engineer, one public-health nurse and one secretary. 2. By the end of 1951 it is expected that all the malarious areas of the country will have been studied as r~gards the mosquito and human factors, the first round of spraying compl8ted in some areas and a sufficient number of local personnel trained to enablethe.expansion of the operation further afield. It is planned to advise the Government concerning the establishment of a malaria control organization throughout the country and accordingly provision has been made under the technical as9ista114ebudget to ret2in the services of one mql~riologist, one entomologist, one s~nitarian and one laboratory technician. It is expected th8.t the Government will furnish the approprie.te supplies and equipment. ll:B7/l8 page 577 Western Pacific ADVISORY SERVICES AND FIELD PROJECTS Laos No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULAR UNICEF TAED TOT.L\.L ------1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1952 1. Public Health Administration 1 1 Public Health Administrator 15 6,880 7,255 1 1 Sanita~ Engineer 13 5,600 5,900 1 1 Public Health Nurse 11 4,535 4,785 1 1 Secretary 6 2,750 3,050 4 4 Total established posts 19,765 20,990 Allowances: illstallation 2,297 Jependants 745 745 3:xpatriation 948 951 ?ension Fund 2,767 2,939 Staff Insurance 275 292 T:avel: ::luty Re~ruitment & repatriation 3,128 • Hcme leave T:ansportation of personal ~ffects lzOOO 30,925 25z917 30 2925 25z917 2. Malaria Control 1 1 Ma:.ariologist 15 6,880 7,255 1 1 Emomologist 15 6,880 7,255 1 1 Sa'1i ta.rian 13 5,600 5,900 1 1 Labo:-.<"J.tory Technician 11 4z535 4,785 4 4 Tota: established posts 23,895 25,195 Al:.owances: :nstallation 2,684 :,ependants 906 906 3:xpatriation 1,130 1,130 Pension Fund 3,345 3,528 S-;,aff Insurance 326 344 Trave:: Juty Recruitment & repatriation 3,128 Eome leave ~ransportation of personal effects 1z000 36,414 31~103 36z414 31zl03 - 8 8 ---8 2 Total Laos 67,339 57z020 67,339 57,020 E"ffJ/JJJ Page 578 ·INes tern Pacific MALAYA l. By the end of 1951 it is expected that the anti-yaws programme now being conducted in tho coRstal region ~xtendin~ to th~ frontier of Thailand will have reRched the stage where it can cover all the aro~s in the region affected by the disease. It is hoped that UNIC.:::F will continue to furnish the appropriate supplies. It is exptcted that appropriate consultation will continue to take place between the Regional Advis8r on Venereal Disease and the Government of Malaya for the duration of this pro;:;rarnme. 2. The following is proposed under ::ducaticn arid Training : (a) By the end of 1951 it is expected that the curriculum designed tu develop the School of Nursing at Penang as a training centre, in the first instance for undergraduate and postgraduate nurses from Brunei, Malaya, North Borneo and Singapore, will have been drawn up and the first year of the course will have been conducted. It is essential to continue these courses, the duration of which will be ad usted to loc~l needs. Accordingly provision has been made under the regular budget to retain the services of one public-health nurse, one paediatric sister, one sister tutor and one tutor in midwifery. (b) It is expected that by the end of 1951 the Governmont will h~ve commenced the expansion of its mat8rnal and child health programme into rural areas in which prnctical field tr (c) By the end of 1951 it is expected that the second group of twenty dental nurses will h~ve completed their training und6r the UNICEF assisted programme at the Medical Training School, Penang, and will have passed to the second year of the course, which consists of pr2ctical work under supervision. It is hop.ed · th~t UNICEF will mo.ke provision for twenty sets of dental equipment for the nurses who will have completed their training and who will be going out t) work in the schools ~nd welfare centres. ~i37.... D tpl.v Western Pacific page 579 ADVISORY SERVICES AND FIELD PHOJECTS Malaya ~mated Expenditure No. of posts TAED TOTAL T.AED REGULAR UNICEF REIJ-ULAR UNICEF 1952 1951 1952 1950 1?51 1952 1950 1951 1952 1950 1951 1952 1951 195.2 l950 1951 1.2)2 !92.~- 195~ 1. Ya.ws Control Supplies and eqUipment .35' 400 .35,400 -- I· .35,400 .35)400 .35,400 35,400 BCG) 2,924 1 l ... mths) 15 2 2 ... ll .3,856 2,200 6,780 L L Total established p~sts Allowance at Installation 1,225 Dependants Expatriation 125 400 Pension Fund .310 1,118 Staff Insurance 30 180 Travel: 2).300 Duty ' c Recruitment & repatriation ...... Trana~rtation of' personal ·~t!e ·ts 780 750 Suppli-es and equipment 5zOOO l5z000 - ll,970 24,2:28 ll,970 24,228 2. EDU;i:~N AND THAlNlNO -- (!l) 1 1 !;='· l c ,~ rurse~ Pe~ang_ 11. 4,Ct:.7 3,855 1 .3,855 1 1 l Paediatric Sister ll 4,C67 1 I l ~ister.Tut.r ll 4,0{:,7 3,855 ~ __, J.855 '1 1 1 Midwife Tutor· 11 ..!:.J.._Oh7 _ ....__...._ - 15,420 4 4 -4 Teta1 established.posts 16,268 6;750 - ·- Allowances: Installation 1,02(' .360 Dependants 1.35 1.35 Expatriation .36:2 .330 74?, Pensien Fund 2, 680 950 2!540 Staff Insurance 28cf 95 JGo Travel: Duty Recruitment & repatriation l' 94·'J 782 Rome leave :_ Transpertation of personal effects - 650 1,000 Teaching supplies & equipment_ :.... -1' 500 1,000 ___... 19,'!29 13,285 22-, 343 13,285 22,343 19,729 V'lt stern P.'lcifi.c ADVISORY SERVICES AND FIELD PROJECTS Malaya No. of posts Estim.s.ted Expenditure REGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL ------1950 1951 1952 1950 1951 1952 1951 1952 195C -1951 1950 1951 1952 1951 1950 '1952 (b) Rural Health Centres Nra'ternal and Child Health 6,167 5,848 --_1_ -- _1_ ------15 AC:visor A:1owances: :nsta11ati cm 596 ])-.:pendants 257 257 Expatriation 253 253 ?ension liund 1,016 963 etaff Insuro.nce 97 92 T:-avel; :Juty Recruitment & repatriation 782 Home IJeave Tr.3.nsporta tion of person9.l effGcts 250 SuptJliA.s and equipment 10,000 15,000 19,041 .1=5,000 19,041 22,790 (c) Medical School Penang (Dental Training) Supplies and equipment 31,000 31,000 31,000 '·. 31;i0bp 31,000 311 000 ; •• .#•' ~ • ..... +-+-- Totul Malaya f-5, 255 132,01:.:. . 81,400 25,255 132,012 108,919 --_2._ _1_ _L.----- • • • • EB7/18 Page 581 w~skrn Pscific NORTH BORNEO 1. By the end of 1951 it is ~xpected that the tuberculosis survey requested by the Government 'will have been completed, that thE: f1CG campaign will have been initiated and that some personnel provided by the Government will have been trained. It is envisaged that the Government will request the campaign to be extended throughout the country and that in that case UNICEF will make provision for retaining the sarvices of one BCG f!ledical officer and two BCG nurses, and for appropria tc; su;.)pli3 s and .:quipment. 2. By the ~nd of 1951 it is expected that all the me.larious arGas of the c.;;untry will have bean studied as regards the mosquito and human f:::.ctors, the first round of spraying completed in somo an.:;as and that a sufficient number of local personnel tr'lined to ennole the expansion of the operation further afield. It is plann.:;d to :J.dvisG the Goverruaent concerning the estP.blish.ment of 8. malaria control organization throughout the country and accordingly provision has been made under the technical assistance budget to continue the services of one malariologist and on€ s~nitarian. It is 0xpect0d that the Government will furnish appropriate supplies and equipment. 3. The following is proposed under Education and Training 1 (a) By the end of 1951 it is expected that the curriculum and other plans for improving the training at the nursing so~ool will have been prepAred and that tho first year of the c·ourse will have been completed. It is hoped that locally tr2.ined personnel will "00 available to expr.md the maternal "3.nd child ha~lth services. Provision has been m~de undGr the regul~ budget to retein the services of one sister tutor, one tutor in midwif0ry and one public-health nurse, t) assist the Governm0nt in expanding this progr3mme and to continue tht.; course~3, th~ ·:J.ura ti·Jn of which will be adjusted to meet local needs. (b) It is expected that the Goverrunant will establish a rural ho~lth centre to provide health S8rvices in a rural community and to serve as a training centre. It is c;nvisaged that thj_s centrG will coll::l.borate with and work under thl: suJervision of the llipartraent of Health "l.ncl the Nursing Training School, and provide pr2ctical training in thG determination and applice.tion of ·E"f!7/l8. . Page ,582 prJcedurJes appropriate to the rural comr.mni tLos Jf the: country. In connexion with this proj_, et provision hes bean m de un.i-=:r the:: technical assistance budget fvr one public-h.:;al th ndministrator with special 6xperience in mntern2.l J.nd child health,one.public-health nurse with. general experience, on8 public-health nurse with speci~l e:xpGriencc in midwifery, on..:: s:::.nit.r.trian and one laborc:.tory technician. It is hQped that UNICEF will furnish appropriate supplies and equipment. ,; ' E:B7 /18 page 583 vvestern Pacific f~VISORY SERVICES AND FIELD PROJECTS North Borneo No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951U9ia 1950 1951 ----1950 1951 1952 1951 -1950 -1952 1. Tuberculosis Control (BCG) BeG Me6ical Officer 15 5,848 6,167 BCG N"t:.rses ll 7~710 82134 ____ _L_L ___ Tota:' established posts 13,558 14,301 Al~wances: Imstallation 1,216 :'ependants 527 52'1 ~xpatria tion 545 ~~~ Pension Fund 2,233 2,356 Staff Insurance 22• 239 :::."t'avel: ru-z.y .... ~ecruitment & repatriation 2,346 ;lome leave 7.ransportation of personal ' effects 750 Supplies and equipment 25,000 15,000 46,401 32,968 46,401 32,968 2. Jalaria Control 1 1 ::.lalariologist 15 5,848 6,167 ... _.J._ _J._ 3anitarian 13 4~761 5l016 To~l established posts 10,609 ll,l83 ------··- ....2,_ .....2_ Al:.owance s: Ins tall a tion 1,192 ;ependants 514 514 txpatriation 506 506 ?ension Fund 1,747 1,842 Staff Insurance 167 176 ~a vel: Juty ... ~ecruitment & repatriation 1,564 ... Home leave ... Transportation of personal ~ffects 500 Supplies and equipment 28zOOO 44~799 14,221 44,799 14z221 EB7/18 page 584 Western Pacific .ADVISORY SERVICES AND FIELD PROJECTS North Borneo No. of posts Estim~ted Expenditure REGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL '1950------1951 1952 1950 1951 1952 1951 1952 1950 19'>1 ~ 1950- 1·-;51 1952 1951 1952 1950 1951 -1952 3· EDUCATION AND TRI'.n:nm (a) School of Nurs:r~ 1 1 1 f1istc1r Tutor 11 4,067 3,855 l 1 1 lidv;-.i.fEJry tu tor 11 4,06"' 3,855 1 l 1 Public He,•J.th Nurse 11 4,067 _),855 ·------...... _._,. ______3 3 3 Total estab~ish~d posts 12,20.l 6,020 11,565 Al1owances~: " Installation • 1,020 De;9endants 405 Expatriaticn 43? 400 600 Pension Fund 2,010 850 1,905 Staff InsurancC:J 21.3 80 201 'I'ravel: Juty Recruitm8nt & repatriation 1,950 Home leave 3,519 '!ransporta tion of persclnal effects 620 750 15z021 18,785 182785 102940 15,021 - l0z940 (b) Rural Health Centre 1 Public Hec-.1 th Admin- :.strator 16 6,512 1 Public Health Nurs~ 11 3,855 1 Public H, ...:.1lth Nurse ,·~, "V1l. . dWJ . 1" ·.; ) 11 3,855 1 Sarj_ tarian 1.3 4,761 1 Lat'oratory Technician ll .3,855 ------i ______2_ 22,838 Allo1'1f:J.nc•JS: Instal1aticn .2,328 Dependants 970 E:xpatriation 965 Pension Fund .3,761 Staff Insurance 368 T:nvel: Duty Recruitment & repatriation 3,910 Hom8 leave 'Transportation of personal effects 1,250 ·Supplies and equipment -- -- 60,000 60,000 .36,390 96.!.390 - __._ __2_ _2_ __§_ _2_ _g_ _? 1 8 1.3 Total North Borneo 18z785 10 2940 61~422 92,968 44 2792 50 2611 102940 1062 221 1622364 E:,'7/18 Page 585 Western Pacific PHILIPPINES 1. By the _end of 1951 it is expected that the rural health demonstration and training centre dealing with all the he~lth and social welfare problems of the area, with special emphasis on maternal and child hygiene, will have commenced operations~ Since it is intended to use this centre as a practical training field for all kinds of health and social workers and to determine and demonstrate procedures applicable to the control of diseases in rural communities, it is envisaged that the Government will request retention of the services of the personnel assigned in 1951. Accordingly provision has been made under the regular budget to retain one maternal 8nd child health specialist and one public-health nurse, 2. By the end of 1951 it is expected that the model child-guidance clinic and training centre in Manila will have commenced operations. The centre is designed to promote the general wellbeing of the child and to teach modern practices for the prevention of mental illness and personality disorders. It is expected that the Governm?nt will request continuation of the services of the personnel assignad in 1951. Accordingly provision has been made under the regular budget to retain one child psychiatrist and one psychiatric social worker. ). According to reports, yaws is endemic in more than half the provinces of the country, and the Government plans to initiate a demonstration yaws control programme in 1951 in the island provinces of Samar and Leyte, where there is a high incidence of yaws. By the end of 1951 it is expected that sufficient local personnel will have been trained and that actual treatment will have begun. It is expected that the Government will request continued assistance in implementing this programme as an integral part of its venereal-disease control_programme with special emphasis on pre-natal treatment for congenital syphilis. Accordingly provision has been made under the regular budget for retaining one public-health nurse who will help to organize an appropriate nursing training programme. It ts planned that the Regional Adviser on Venereal Disease will visit the programme periodically for consultation. It is hoped that UNICEF will furnish appropriate supplies and equipment. ~7/18 Page 586 4. At the request of the GoverrunEmt a public-heo.lth nursing adviser will have been assigned to o.dvise concerning tho. organize.tion and co-ordination of nursing services at the nation~l level. In order to be successful it is expected that it will be necessary to retain the services of one public health adviser for another year, and appropriate provision for this has been made under the tcohnical ass.istance budget, EB7/18 page 587 'iJestern Pacific ADVISORY S~RVICbS AND FIELD PROJECTS Philippines No~. ·of Posts Estimated Expenditure REGULAR UNICEF TAED REGULAR UNICEF' TAEP TOTAL ~9 51 ~ ill£ 19/1 19 52, 19 5121..2 Grade lliQ 1951 1950 1951 1952 1951 1950 ~ Maternal & Child Health (R1Jral Health Cent~ 1 1 l Maternal & Child Health 15 7,255 6,880 Specialist 1 1 1 Public Health Nurse 11 4,785 4, 535 -.~ ) . ' 2 2 2 - ....__.._- Total established posts 12,040 4,000 11,415 Allowances: Installation 735 Dependants 392 200 WO Expatriation 498 275 576 Pension Fund 1, 686 56o 1,598 Staff Insurance 168 55 159 ~ravel: Duty Recruitm~nt and repatriation 2, 950 hor.J.e leave Transportatmon of personal effects .,.. 1,000 250 Supplies and equipment 20,000 {:jJ' 000 14,784 29,775 29,775 74,598 14,784 .. 2. !.:ental Health ---- (Child Guidance ~linic) Child Psychiatrist 15 1 1 6, 536 7,240 1 1 Psychiatric SJc·al ~Jrker 12 4,793 5,315 - Total ost~blished posts --- 2 . - 11,329 12,555 "Ulowances: Installation 1,490 Dependants 488 514 ~":xpatriation fJJO 632 rensicn F'und 1,586 1,758 Staff Insurance 160 177 Travel: Recruit~ent and ~epatriation 1, 564 -- TranspJrtation of pers~nal effects ;oo S'U})[l i..:..; ·•ld. 0 J_c.ipp8d hlQO ...... 1":" ,?17 15~636 3, 500 21,217 EB7 /18 Ji>Jstern P:tci.fic :page 588 .h.DVISO,({ .J:C:J:tVI\~SS ;;.'m FIELD PWJf~CTS Philippines· Esti111:tud Expenditure No. of Posts UNICl::F TilED TOTAL REGULhR UNICEF Tj~~D hEGULicR 1~150 1951 1952 -1951 1952 1950 1950 1951 1952 1950 1951 1952 1951 1952 ~ 1<)50 - J Tuh.::tculosio {~ontror (BCG) 6,880 1 DCG Medical Officer 15 2 BCG Nur.se 11 9,970 ~:a._.._ .. -.. -·-·- -- .. - .: ~------~- - -l 15: ::;50 .3 - 2,650 11llow::mcos: .. 2,6'50 15,850 b-~3 Instal)~~ ti· ,Yl 1, 527 Dcpundc.nts ...... " ' E:;.qJatriatic.'E 680 P0nsion F'und 2, 233 Staff Insuranc;.; :226 Travel: Duty Short-tcrr:1 Co multants Recrnitme:;nt :md rCJpatriation ?.,346 Homo leave Transportation of p.Jrsonal offocts 750 Supp1ios and equipment 15,000 6,050 39,355 6,050 39,355 3. Y1ws Control 4,535 1 - 1 Public Ho-".1 th :Jurs8 11 ~,785 i1llo"V'm.nces: Installation .. )449 Depcndnnts 135 135 - Bxp;.ltr i:o:tion ·182 182 Pens ion Frmd 670 635 Staff' Insur LDCG 71 67 .... Travel: Duty Hecruitmont J.nd r '"patriation Hume 1 ~J. va Tr.J.nsp~;rt8.tion of ps rsonal (.;ffects 250 35,400 Supplies and equipmsnt -- - 46,035 41,24.3 5,843 46,035 i l \• ~B'{ /18 -,,-estorn F·acific pctf}J 589 ADVI.:;ORY .SERVICES J,_j\JD F'IELD P11.0 JECTS Philippines No. of Posts J:S::>tim'ltcd Exp"'nditure 1u~GU11,R UNICEF T1-.ED REGUL-iH illNICEF TAED TOTL.L 1950 1951 1952 1950 1951 1952 1951 .£8. Grade 1_950 1951 1952 1950 1951 }952 1951 1952 -195Q. 1951 1:2.2 . Child Feeding ProFJ.E]ID~ Supplies (jJ ,ooo 60,000 - 'Pu'-"riculturu Centres Supplies atld equipm.om0 ---2:-..., E:oo 21, 6oo ~ Dip l-J.tho:..~in Inmlli!iz~tion Pro~ramme Supplir-s ::md Equipm.. mt (Toxoids) 75,uOO 7),000 -~--- ~---- ~~~ Nursint;___ ~: ___ 1 - l J Publlc b -~'-'n , u.~.,:;ing 14 6,210 6, 535 ------Jl.,_ivisor 1~ llOW'lnC0S: Installation 745 Depend.;cn-':",s 257 257 Expc_~JIIrintion 316 316 Pensio.:1 Fund 869 915 Staff J:nsuranco 83 87 Travel: Duty R,:; cruitmc:; n t and rep 'l·crin tion 782 Home leave Trc.nsport3.tion of porsoml effects 250 ·---- 9, 512 8,110 9,512 8,110 ··-- .... 2 5 2 6 ... 1 l ~ 9 6 Total -· .Philippines 17' 717 35,825 320,088 35,400 9,512 8,110 35,825 347,'317 ,_. .... ,-1...~~ __ ..._.. __ 36,263 I ',; i, _;! EB?/18 Page 590 Western Pacific SARAWAK ; 1. By the end of 1951 it is expected that the local personnel who will have worked with the international team provided in 1951 for the malaria control programme will have been trained, preliminary surveys made and the first round of spraying completed. There are controversi~ reports concerning the effective ness of DDT indoor spraying in controllin6 malaria in this area. It is therefore planned to continue the programme in 1952 in order to evaluate the results obtained and if necessary to use other materials and methods. A6cordingly provision has been made under the technical assistance budget to retain one malariologist and one sanitarian, together with appropriate supplies and equipment, It is expected that the sanitarian will also organize and conduct courses in environmental sanitation for male nurses. 2. By the end of 1951 it is expected that the tuberculosis survey requested by the Government will have been completed, that the BCG campaign will have been initiated and that some personnel provided by the Government will have been traine~ It is anticipated that the Government will request the campaign to be extended throughout the country and it is understood that UNICEF w:i.li make proVision for retaining the services of one BOG medical offieer and two BCG nursos, arid for aPPrQpriate supplies ·and equipment. 3. The following is planned under Education and Tr'aining ~ (a) By the end of 1951 it is expected that courses based on the curriculum for the training of midwives and for practicafinstruction in paediatric nursing ·. and midwifery drawn up in 1950 will have been conducted. It is essential to , continue these courses, the duration of which will be adjusted to local needs, Accordingly provision has been made under the regular budget to retain one paediatric sister and one midwifery tutor. (b) By the end of 1951 it is hoped thatm appropriate curriculum in health education will have been drawn up, and that courses in health education will have been conducted at teachers' training centres. It is essential to continue these courses and at the same time advise the Government concerning the implementation of a aational health education programme, It is considered that methods could be developed which might prove useful to Gevernments elsewhere in the region. Accordingly provision has been indicated under the regular budget to retain one health educator. ')'.. :37/U3 Western Pacific :!.''3.--~·e 592 ADVISORY SERVICES ;,_ND Ji'IELD PROJECTS Sarawak No. ·of pests EstimatGd Expenditure REGULiiR UNICEF TAED REGUL.i'ill UNICEF TAED TOTAL 1950 1951 1952 l950 1951 ~952- L'5l 1952 1950 1951 1951 1952 1951 1950 , l. Malaria Contrul J_ 1 fvlalariologist 15 5,-848 6,167 ------1 l Sanitarian 13 4,761 5,016 ------2 2 Tota.l 8stablished posts· 10,609 11, 183" AlL,wance s: Installation 1,192 Dependants 514 514 Expatriation 506 506 PensiLn Fund 1,747 1,842 Staff Insuranc;-_; 167 176 Travel: Duty Recruitment & repatriation 1, 564 Home leave Transportation of personal effects 500 Supplies and equipment 28,000 28,000 42,221 - 44,799 42,221 44,799 1 1 2~ Tuberculosis Control (BCG) 1 1 BCG Medical Officer 15 5,848 6,167 2 2 BCG Nurses 11 7,710 Bz134 _____J _L __ Total established posts 13,558 14,301 Allowances: Installation 1,316 Dependants 527 527 Expatriation 545 545 Pension Fund 2,233 2,356 Staff Insurance 226 239 .. Travel: Duty Recruitment & repatriation r~, 346 H<:;me leave Tr-ansportation of personal effects '?50 25)000 15,000 Supplies and equipment -'--- 46,501 32.';168 ,46,t50l 32,968 ""' --.~ ·-, EB7/18 page Western Pacific 593 ADVISORY SERVICES AND FIELD PROJ8CTS Sarawak No. nf v•sts Estimated E3Eenditure TAED TOTAL ~tEGUL;J( UNJCEF T.\ED REGULAR UNICEF 1951 1952 1950 ..L)l51 1952 ~~~Q 1951 1952 1950 1951 i952 .H51 1952 1950 1951 1952 1950 1951 1952 3· EDUCATION AND TRAINING (a) Schuol of Nursing 1 1 1 Paediatric Sister 11 4,067 3,855 ------1 --- 1 1 _.__.....-- I/lidwifery Tutor 11 4,067 3,855 ------2 2 2 Total Gstab1ished posts 8,134 7, 550 7,710 Ailow2.nces: Ins talla tion 665 Dependants 2'70 Ex.pa ~ria ti.)n 292 500 400 Pension Fund 1,340 1,060 1,270 Staff Insurance 142 105 134 Travel: Duty Recruitment & repatriatiun 1,400 Home leave 2,346 Transportation of personal effects 230 500 12,52~ 11,510 10,014 11,510 10,014 12,524 (b) Teachers Training Centres 1 1 Health Educator 6,873 6,512 ------Allowances : Installation 652 Dependants 308 308 Expatriation 219 274 Pension Fund 1,132 1,072 Staff Insurance 108 102 Travel: Duty ... Recruitment & repatriation 782 Home leave Transportation of personal effects - 250 8,640 9,952 9,952 8,640, 42,221 11,510 111,266 ,-,6 3"iJ 3 2 6 3 2 2 2 8 8 Total Sarawak 21,16!). 11,510 66,467 32,968 44,799 j ' / -~-.------EB?/18 Page 594 Western Pacific SING.AroRE 1. The following is proposed nnder Education and Training 2 (a) By the end of 1951 it is hoped that the urban centre planned as a training centre for the Department of Social Medicine and Public Health of the Malaya University will have been established and students will have been assigned to it for practical training. It is expected tha.t thi"s centre, together with the rural centre to be established at a later date, will provide the University with the appropriate demonstration areas for the purposes of conducting research in social medicine and public health, and for training health and social worker~ in the first instance, for Maleya, Brunei, North Borneo, Sarawak and Singapore. It is planned to continue assisting the University in strenthening its staff so that the Department can complete the courses leading to the Diploma in Public Health. Accordingly provision has been made under the technical assistance budget to reta.in the services of one lecturer in industrial hygiene, one lecturer in physiology a.s applied to industrial hygiene and one lecturer on health education. In order to expand this organized field for training and research into a complete Department of Social Medicine and Public Health, provision has been made also under the technical assistance budget for one lecturer in industrial mental health, one lecturer in applied nutrition, one medical statistician and one medico-social worker. 7~\7/lS.....:J...L. ... page 595 .A.. DVISJitY SE~;VIC:E:S LJ:Jll FIELD PROJECTS Singapore -No. of posts Estimated Expenditure REGULAR UNICEF TAED REGUL!ill UNICEF TA.ED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950 1950 1951 1952 1951 1950 Tuberculosis Contr0l (BCG) l BCG Medical Officer (4 months) 1,950 2 BCG Nurses (4 months) 2,550 ______3______Tot'3.l e stablished posts 4,500 Allowances: Installation Dependants Expatriation 275 Pension Fund 630 Staff Insurance 64 Travel: Duty Recruitment & repatriation Home lenve Transportation 0f personal effects 500 Supplies and equipment 15J090 20,969 20,969 1. EDUCATION AND TRAINING (a) University of Malaya (Dept.~f Social Medicine & Public Health) l 1 Lecturer Health Education 16 6,512 6,873 l 1 Lecturer Industrial Hygiene 16 6,512 6,87.3 1 1 Lectur0r Physiology 16 6,512 6,873 l Lecturer Nutrition 16 6,512 l Lectur,e;r Industrial Mental 16 - 6,512 Health 1 Medical Statistician 13 4,761 S~cial 12 ------1 Medical Worker 4,289 ------3 7 Total established posts 19,536 42,693 Allow;::.nces: Installation 1,956 2,496 Dependants 924 2,054 Expatriation 822 1,876 Pension fund 3,216 7,030 Staff Insurance 306 670 Travel: Duty Recruitment & repatriation 2,346 3,600 Home leave Transpc,rto.tion of personal effects 750 1,000 29,856 61,419 29,856 .... 61,419" 3 3 7 - 6 1 Total Singapore 20,969 29,856 61,419 50,825 61~419 ___...,.____. __ ~ -----~------~ - EB?/i8 Page 596 Western Pacific VIE':C NAM 1. By the end of 1951 it is hoped that the public health administration unit provided in 1951 will have surveyed the public health needs of the country, assisted the Government in drawing up plans for strenthening the national public health services and advised the Goven1ment concerning the implementa:tion. of the initial stage of those plans. Accordingly provision has ?een made under the. technical assistance budget to retain one public-health administrator, one maternal and child health consultant, one sanitary engineer, or1e publicphea.lth nurse, and one secretary. 2. By the end of 1951 it is hoped that the melarious areas of the country will have been studied as regards· the mosquito and human factors, the first rotmd of spraying completed in some areas and a sufficient number of local personnel trained to enable the expansion of the programme further afield. It is planned to advise the Government concerning the establisbraent of a malaria control organization throughout the country and accordingly provision has been made under the technical assistance budget to retain the services of one malariologist and one sanitarian. It is expected that the Government will furnish the appropriate supplies and equipment, 3. The following is proposed under Edu.c:·;~,~_on Md T:r':;L.:.ing : (a.) The Government is building a nursing training school in Saigon to include dormirotires and classrooms, which it hopes to complete shortly. By the end of 1951 it is expected that an appropriate curriculwn sui table to local conditions will have been draMn up, the Government advised concerning suitable teaching standards, and courses organized and conducted. It is essential to continue these courses, since the lack of nursing facilities throu0 hout the country is a serious problem and nursing is now carried out by nursing auxj_liaries who receive a six months training only. Accordingly provision has been made under the technical assistance budget to retain one director of nursing education, one nursing arts instructor, one public health nurse and one midwife. It is hoped that UNICEF will furnish appropriate +,ee.ching equipment and supplies. EB7/1S Page 597 (b) At the request of the Government, one medical education consultant was provided in 1951 to assist in drawing up plans for developing the Medical School at Saigon into a first class national training centre for physicians and public health personnel. By the end of 1951 it is expected that the Government will have been advised concerning plans for a curriculum and facilities to enable it to initiate a programme for improving medical education in the country. It is planned to assist the Government by providing the services of full time professors to organize the basic departments in the School. Accordingly provision has been made under the technical assistance budget for one professor for the Department of Preventive Medicine and Public Health, one professor for the Department of Bacteriology and Parasitology1 and one professor for the Department of Anatomy and Pathology. '· EI37/18 page 598 Vvestern Pacific llOVISORY SEHVICES .iUi!D FIELlJ PROJECTS Viotnan1 No. of posts Estimat0d Expenditure F.EGULAR UNICEF LIED HE GULl.!.B. UNICEF 'r/i.ED 1950 1951 1952 1950 1951 1952 1951 19_23 l95Q 1951 --2-Y50 lCJ5l 1953 1951 :i_IJ52 1. Plfolic Health .:~dministr!l tion l l Public Hea.lth i~dministrator 16 7,660 c-;' 085 l 1 M.'lternal & Child Healtn 16 7,660 8,085 Consultant 1 1·· Snn:J. tary Engineer 13 5,600 5,900 Public Health Nurse 11 4' 5.'=''5 I~ • 785 ------1 ±' SecretA.ry - 6- _ _3:?5n ______5 T Total established posts _,,osp 28,205 JUL:wances: 29' 905 Instr1llation 3,182 Dependants 1,104 1,104 Expatriation 1,319 1,319 Pension Fund 3,948 4,187 Staff Insurance 387 411 Travel: Duty Recruitment & repatriation 3,910 .Home le'lve Transportation of personal effects 1~250 --- '·!· 43,305 _2..:..::236 9rJ( !f3, 305 36,926 2. 1J[alaria Control 1 1 Malariologist 15 7,660 7J66o 1 1 Sanitarian 13 51.600 5,900 2 2 13,260 1.3,560 Allowances: Installation 1,·+90 Dependants 514 1,457 Expatriation 632 733 Pension Fund 1,856 , l: 8cJS _Staff Insurance 177 181 Travel: Duty Recruitment & repatriation l, 564 Home leave Transportation of personal effects 500 19,992. 17,829 19,993 17,829 EB?,I!.e Western Pacific page 599 ADVISORY SERVICES AND J.I'F~LD PRuJECTS Vietnam No. of posts Estimated Expenditure REGUL1.R UNICEF TAED REGULAR m:ICEF Til.ED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 .T950...----. 1951 1952 1951 1952 1950 3· EDUCNriON AND THAINING (a) School of Nursing - Sai~~ 1 l Director of Nursing , Education 12 5,C'45 5,315 1 1 Nursing Arts Instrucbr 11 4, 535 4,785 1 l Public Health Nurse 11 4;535 4,785 1 1 Midwife 11 4,535 4,785 'I • '4 l 4 ·Total <~stablished posts 18,650 19,670 Allowances: Installation 2,U92 Dependants 662 662 Expatriation 862 862 Pensi~_m Fund 2,611 2, 75't Staff Insurance 268 284 Travel: Duty Recruitment & repatriation 3,128 Home leave Transportation of personal effects 1,000 Teaching Supplies and equipme~ 15~000 15,000 15,000 15,000 29,273 24,232 44,273 39,232 (b) Medical School - Saif"on 1 Medical Education Consultant 16 ?,660 1 Prvfessor Preventative Med. & Public Health 16 7,660 1 Professor, Bacteri1log;- and Parasitology 16 7,660 1 Professor, Anatorcy- and Pathvlogy 16 - 7,66~ ______1_3 Total established posts 7,660 22,980 Allowances: Installation 815 2,445 Dependants 308 924 Expa tria. ti::Jn 342 1,026 Pension Fund 1,072 3,216 Staff Insurance 102 306 EB7 /18 page 600 vfestern Pacific ADVISORY SERVICES i~ND FIELD PROJECTS Vietnam No. of posts Estimated Expenditure REGULAR UNICEF TAED REGULiR U;JICEF TAED TOTAL ------1950 1951 1952 1950 1951 1952 1951 1952 1950 1951 1950 1951 1952 1951 1950 Travel: Duty Recruitment & repatriatiot 2,346 H•Jme leave Transportation of persona: effects 750 .3.3,993 ~__._..... ______12 14 - 12...__- l4 Total Vietnam 15,000 15,00C 104,4.34 112,980 119,434 127,980 • • • EB7 /18 page 601 ~V"estorn Pacif'!.c ADVISORY SERVICES MID F".!ELD PROJECTS Countries Undesignated Ne. ef posts Estimaied ex2~nd1Pure REGULAR UNICEF TAED REGULAR UNICEF TAED TOTAL 1950 1951 1952 1950 1951 1952 1951 1952 1"50 195:. 1952 1950 1952 1951 1952 1950 1951 . 195? ------~...... ___ __ 122! Shwrt-term Consultants - Venereal Diseases - Fees ;,200 Travel 2,400 5,600 5,600 Health Education - Fees 3,200 4,000 Travel 2,400 3,000 5.,600 7,000 5~600 7zOOO "r Mental Health .... Fees 61.)0 2,400 Travel 300 1,.800 900 4,200 900 4,200 Nutrition - Fees 3,200 Travel 2z400 5,600 5z600 Tuberculesis .- Fees 420 Travel 250 670 --- 671 Public Health Administration - Fees 5,950 'rravel 470 6,420 6,420 Tttal Short-term C cnsu1tants 7,990 16,800 11,200 7,990 16,800 11,200 Fellewships 77,300 22_,500 33,000 60,000 54,700 54,700 7,400 100,000 137,300 84,600 187,700 Tea~'hibg_ su,ppl ies and equipment 1 5,500 5,500 ... 18 34 58 20 3) 12 43 61 38 137 162 TOTAL - ADVISORY SERVICES 189,510 365,067 551,131 191,475 791,280 494,697 494,386 634,560 380,985 1,650,733 1,680,388 -.--..------~------~,...... _----~~,__.,.,.,_...._.....__ ___ ..------AND FIELD PROJECTS 27 53 87 20 39 12 45 63 47 137 162 TOTAL - WESTERN PACIFIC 230,660 471,386 685,588 191,475 791,280 494,697 508,792 ~46,254 422,135 1,771,458 1,826,539 _____ ,...... _.~~---- ...... ,_._...,...... _ ----.,... ___ ..., __ ,.. ______,______=--- ~-~- ---- ~------~------~ ------..------~------~----- ~------~---~---~ EB7/18 page 602 Region Undesignated SUHMJ.JtY No. of posts Estimated expenditure RiWUL..,R UNICEi'' T• .ED REGU!..~R UNICEF ]. .Eg TOT".L 1950 ~ 122 1950 ill.! 1:22 -1951 1952 !2.2£ 191]; ~ !22: 1l23 19 51 1950 1951 1:2.2 5 4 4 1 1 Public Health ... ~dministra tion 1l9,l40 87,364 93,538 10,474 10,474 119,140 97,838 104,012 5 2 2 1'ubercu1osis · 38,650 19,6o7 19,762 38,650 19,607 19,76f . Educ.~.tien c-.nd Training 6,220 6,220 _ ...... _..__.___.._. ______,.__._ __ 10 6 _.._.6 1 1 10 TGT.. .L - REGION 10,474 10,474 164,010 11?,445 123,774 ___ .--..______7 7 164,qlo 1o6,971 113,3oo ______--- EB7/18 page 603 Reg:on Undesignated ~JJiJI.SORY S3R '.'IC .:;,3 -..ND FI~LD- _ ROJECTS No. of posts Estimated expenditure REGUL..R UNICEF T• ..ED REGUL.?, UHICEF Ti,ED -TOT •..L -...... ------..-..---1950 1951 1952 1950 1951 1952 ~1952 Grade 1950 1951 -1950 1951 1950 Public Health :.dministration illHCEF Liaison 1 1 l Medical Liaison Officer (Bangkok) 17 8, 575 8,975 "'"· 1 1 l tl !I· 11 (Paris) 15 7,255 7.,66o 1 1 1 11 11 11 (New 9,200 9,200 York) ---~...-....-.~------...... _,- J 2 2 l l Total established posts 25,677 15,830 16,635 9,200 9,200 ~ ...... ,.._._ ....._..._. ...__._. ------;~llowances' Dependants 8CO 400 400 6oo 600 _Expatriation 1,042 1,000 1,000 Pension Fund 3,595 2,344 2;536 552 552 Staff Insurance 343 211 .222 122 122 Travel: Duty 11~983 4aOOO 4~000 43~440 23.!?85 24.!793 lOz4?4 10,4?4 43,44D 34z25~ 35~,267 UNRWAPiNE l 1 1 Chief Medical Officer 1? 9,?00 10,000 ___l 1 ...__...... _1 ______Malariologist 15 6,880 7,255 ..._. __2 2 ______2 Total established posts 16,400 16,580 17,255 Short-term Consultants Fees 32360 19 J 7f:J:J 16,580 1?,255 .i.llow::nces: Dependants 6oo 600 6oo Expatriation 500 1,000 1,000 Pension Fund 2,381 2,321 2,416 Staff Insurance 219 221 231 Travel: Short-term Consultants 2,240 Home leave 4,386 Grants & Contracted TechnicQl Services 50,000 42,857 42,857 75z.700 63z 579 68z745 75,700 63z 579 68.z745 EB7 /18 page 604 He::.ion Undesign::cted No. of posts Estime.ted expenditure REGUL •• R UNICEF T•• ED HECUL . .R UNICEF T.. ED TOT .... L ------195G 1951 1952 1950 1951 1952 1951 1952 Grade 1950 1951 1950 1951 1952 1951 1952 1950 Tuberculosis Control 1 1 1 Tuberculosis Consultcmt 15 7,465 7,660 1 1 1 X-~ay Technician ll 4,535 4,785 2 Niedica1 Officers (trainees) 14 ------1 Public HG~lth Nurse (trainee) ll ------5 2 2 Tot2l est~,lished posts 24,147 12,000 12,445 ~.11ow::nces: Installation 1,310 Depend:::.nts 600 400 400 Expatri'ltion 1,781 1,000 1,000 Pens ion J!und 3,380 1,742 1,742 Staff Insurance 337 175 175 Tre.ve1: Duty 6,850 4,000 ,:;.,ooo Recruitment 2.nd repatriation 245 Home le~.ve 290 19.762 _)''8 .! 650 19~607 19,762 38,650 19' 607 EDUC •• TION ~.ND TR.INING Tuberculosis Study Group Tr~ve1 of participants 6,220 6,220 6,220 I 10 6 6 1 1 10 7 7 TOT.. L - REGION 164,010 106,971 113,300 10,474 10,474 164,010 117,445 123,774 I ------UN DES IC.rN •• TED --