1 1 I_ ._I10A00s 1 3 o 1 1i PAN AMERICAN HEALTH ORGANIZATION Official Documents May 1959 No. 30 Íl zy2D ANNUAL REPORT OF THE DIRECTOR of the PAN AMERICAN SANITARY BUREAU REGIONAL OFFICE FOR THE AMERICAS of the WORLD HEALTH ORGANIZATION 1958 PAN AMERICAN SANITARY BUREAU Regional Office of the World Health Organization 1501 New Hampshire Avenue, N.W. Washington 6, D. C. i To the Member States of the Pan American Health Organization I have the honor to transmit herewith the Annual Report of the Pan American Sanitary Bureau, Regional Office for the Americas of the World Health Organi- zation, for the year 1958. This Report covers the work of the Washington Office as well as a summary of the projects implemented in collaboration with the govern- ments of Member States and with other international organizations. The Financial Report for the year is submitted separately. Respectfully yours, Abraham Horwitz Director ANNUAL REPORT O F THE DIRE CTOR 19 58 iii TABLE OF CONTENTS Page Director's Introduction ................... 1......1 Disease Control and Eradication Malaria Eradication ......................... 11 Yellow Fever and Aedes aegypti Eradication..... 29 Smallpox .................................. 34 Rabies . .................................. 39 Poliomyelitis ............................... 45 Leprosy ................................... 49 Brucellosis ................................. 51 Tuberculosis ................................ 53 Treponematoses ............................ 56 Plague .................................... 58 Public Health Laboratories .................... 59 Food and Drug Services ...................... 61 Pan American Zoonoses Center ............... 62 Aftosa .................................... 66 Public Health Administration National Health Planning ..................... 70 Integrated Health Services .................... 72 Health Statistics ............................. 79 Environmental Sanitation ...................... 84 Maternal and Child Health Services ............ 90 Public Health Nursing ........................ 92 Nutrition .................................. 96 Veterinary Public Health Services .............. 101 Dental Health .................... .......... 101 Other Activities ............................. 102 Education and Training Professional Education ....................... 106 Fellowships ................................ 113 Information and Publications .................... 121 Organizational Meetings and Transactions ......... 124 Zone Offices ................................. 129 Organization and Administration ................. 137 Appendix ................................. 143 Index ....................................... 155 iv ABBREVIATIONS AIDIS Inter-American Association of Sanitary Engineering CARE Cooperative for American Remittances to Everywhere CDC Communicable Diseases Center CNEP National Commission for Eradication of Malaria COMEP Coordination Office for Malaria Eradication Program CREFAL Fundamental Education Training Center for Latin America ECFMG Educational Council for Foreign Medical Graduates FAO Food and Agriculture Organization IACI Inter-American Child Institute ICA International Cooperation Administration INCAP Institute of Nutrition of Central America and Panama INNE National Institute of Nutrition of Ecuador ME Malaria Eradication MEIC Medical Education Information Center NMES National Malaria Eradication Services OAS Organization of American States OAS/TA Organization of American States-Technical Assistance PAHO Pan American Health Organization PASB Pan American Sanitary Bureau PASC Pan American Sanitary Conference PASO Pan American Sanitary Organization PAU Pan American Union SCIDA Inter-American Cooperative Service for Agriculture SCISP Inter-American Cooperative Public Health Service SNEM National Service for the Eradication of Malaria SESP Special Public Health Services UN United Nations UNESCO United Nations Educational, Scientific and Cultural Organization UNICEF United Nations International Children's Fund UN/TA United Nations Technical Assistance USPHS United States Public Health Service WHO World Health Organization v Charts, Maps and Tables Page Page Status of Malaria Eradication in the Americas, December Courses for public health nurses and for nursing auxiliaries 1958, Map.................................... 12 completed in 1958 in integrated health projects, PASB/WHO Malaria Eradication staff by Zone and Table ........................................ 77 project number in the Americas, 1957-1959, Table.... 14 Distribution of students in courses in vital and health Number and type of PASB/WHO fellows trained in statistics, 1953-1958, Table ..................... 81 malaria eradication techniques at four international Number and population of Latin American cities grouped centers, by country of origin, 1949-1958, Table ...... 18 by size, according to latest census, Table............ 88 Number of participants in workshops on vehicle manage- Percentages of population living in cities of 50,000 pop- ment and maintenance in malaria eradication pro- ulation and over and 2,000-49,000 population ac- grams, by country of origin, 1958, Table ........... 19 cording to recent census in 20 Latin American countries, Funds budgeted for training of malaria eradication per- Chart ........................................ 88 sonnel, 1957-1959, Table ....................... 19 Number and population of Latin American cities grouped Status of Aedes aegypti eradication campaign, December by size and by country, according to the latest census, 31, 1958, Map................................. 30 Table ........................................ 89 Reported cases of yellow fever in the Americas, by major Status of development of selected nursing activities in political divisíons of each country, 1958, Map........ 33 three PASB/WHO assisted integrated health projects Reported cases of yellow fever in the Americas, 1949- in Central American countries, May 1958, Table ...... 95 1958, Table................................... 34 Fellowships awarded in the Americas in 1958 and fellows Reported cases of smallpox in the Americas, by country, from other regions commencing studies in the Americas 1949-1958, Table ............................. 35 in 1958, by field of study, Table ................. 114 Number of reported cases of poliomyelitis and rates per Fellowships and seminar participants in the Americas by 100,000 population in the Americas, 1955-1958, country of origin and type of training, 1958, Table .... 11 4 Table ........................................ 46 Fellowships awarded by country of origin, field of study Department of Antioquia (Municipality of Andes), Colom- and type of training in the Americas, 1958, Table .... 115 bia, Map ..................................... 47 Fellowships awarded for courses organized or assisted Vaccination with live attenuated poliomyelitis vaccine in by PAHO/WHO and participants in seminars, by the municipality of Andes, Department of Antioquia, country or origin and field of study, 1958, Table ...... 11 6 Colombia, Map ................................ 47 Fellows from other regions commencing studies in the Cases of poliomyelitis by week of onset in Managua and Americas in 1958, by type of training, Table ........ 117 rest of Nicaragua, 1958, Chart .................... 48 Fellowship funds in the Americas, 1957 and 1958, Table. 117 Prevalence of leprosy in the Americas in recent years, Fellowships awarded in the Americas and fellows arriving Table ........................................ 50 from other regions, by country of origin and of study, Number of persons and percentage of population 1958, Table .................................. 118 treated against yaws in the Caribbean area, 1956- Field of study, project number, names, places and dates 1958, Table................................... 58 of courses and seminars organized or assisted by PAHO/WHO in 1958, Table..................... 119 Reported cases of plague in the Americas, 1954-1958, Publications issued in 1958, Table .................. 123 Table ........................................ Headquarters, Map ................... ........... 129 Reported cases of plague in the Americas, by major Zone I, Map ..................................... 130 political divisions of each country, 1958, Chart....... Zone II, Map .................................... 131 Pan American Zoonoses Center, resume of some technical Zone III, Map .................................... 132 activities during 1958, Chart ...................... 64 Zone IV, Map ................................... 133 Number and type of international consultants in integrated Zone V, Map .................................... 134 health projects, 1958, Table ...................... 72 Zone VI, Map ................................... 135 Integrated health projects, year established, number of PAHO 1958 Quota assessments and WHO assessments positions and consultants in 1958, Map.............. 73 in the Americas, by country, Table ................ 142 Number and type of personnel completing courses in PAHO and WHO expenditures in 1958, by source of integrated health projects, 1958, Table............. 77 funds, Table ................................... 142 vi ACTIVITIES IN 1958 Director's Introduction vii DIRECTOR'S INTRODUCTION Collaboration between the Pan American Health Organ- named Director Emeritus and the Conference decided to ization and the countries of the Americas reached a new strike a medal in his honor. stage of advancement in