UNITED NATIONS NATIONS UNlES

WORLD HEALTH O R G A N I Z A T I O N

REGIONAL OFFICE FOR THE

REGIONAL COMMITTEE FOR THE USTERN MEDITERRANEAN

Fourth Session

Sub-Cormittee A

ORGANISATION MONDIALE DE LA SANTE

BUREAU R~GIONAL DE LA

M ~ D I T E R R A N ~ E ORIENTALE

ORIGINAL: ENGLISH

PROVISIONAL MIAWES OF THE SIXTH MEETING

EMRO, AIM~NDRLEI

Thursday, 30 September 1954, a t 10.00 a.m.

CHAIRMAN$ Dr. Mohamed H. Abu EL-EJA ( ~ g y ~ t )

l a t e r

D r . S. ALWAHBI ( l raq) , F i r s t vice-chairman

COrnENTS

1. Rules of Procedure.

2. hnnouncemont by Chairman.

3. Resolutions of the Seventh World Health Assembly and Fourteenth Executive Board of par t icu la r regional in te res t .

4 Internat ional Quarantine Matters.

5. Report of Programme Sub-Division,

A provisional l ist of representatives, advisers and observers attending the session has been ci rculated under document R C ~ / E M / ~ ~ .

Notes: Correo~lons t o theso provisional minutes should be submitted i n wr i t ing - t o the R e g i o d Director within 20 days of receip-b.

1. RULES OF PROCEDURE% Itcm 7 of tho Agonda (document ~G4jEM/l2).

&. JiSE'AR (Pakistan) rocallod tha t a t tho sccond mooting of tho Sub-Committoo

ho had pointod out t ha t tho Sub-Committoo had adoptod rulo 48 of tho rulos of

procodurc, which statod t h a t rulo 21 could not bo ancndod, a f t e r having adoptod

ru lo 21 with anondmonts.

I n ordor t o ovorcono tho procedural d i f f i c u l t y thus caused, ho.would proposc

tha t ru lo 21 should road:

E3ch Mombc? s h a l l havo ono voto; howcvor, Monbers attonding both Sub-Oocmittcos s h a l l havo tho r igh t of voto i n onc Sub-Gomittoe only."

Thoyo would thcn follow two now rulcs , a l a s 22 and 23 roadingr

Members attending both Sub.-Comuittocs s h a l l mako known, boforc tho oponing of the sossion, of whichovor sossion s h a l l mcot f i r s t , i n which Sub-Conlittoo they intond t o oxerciso. their r i gh t of voto.

For tho purpose of theso r u l c s tho phraso ~~Mombcrs proscnt and votingn means Hembers.casting an affirmativo o r nogativo vote. Manbars who abs ta in from voting s h a l l bo considored as not voting;

I n a socrot ba l lo t an invalid voto s h a l l be so roportod and sha l l bc counted as an a b s t e n t i ~ n . ' ~

The subsequent ru l e s should bc ronmborod accordingly.

Dr. AL-WrJIBI (Baq) seoonded the proposal of t he Pakistan representative*

M. GENIS (Franw) pointod out t h a t thoro was a difforonce bctweon tho

or ig ina l French GO& of r u l e 2 1 and tho t r ans l a t i on of tho Pakistan proposal.

Tho C H ? , W N , a f t o r sono discussion, indicated t h a t tho difforonco aroso

from a quostion of Fronch s t y l o and propbsed t h a t tho FTcnch ropresentative agree

with tho Secretariat on a be t tor t r ans l a t i on equivalent t o tho English.

It was so agreed.

Mr. ZAFB, l ega l Adviser, pointed out t h a t a t t h e s.8ond meeting, t h e

Sub-committee had agreed t o suspend the operation of t he clause in r u l e 21 which

s t a t ed t h a t Mexbers should neke known before t he opening of t he session i n

which Sub-Counittee they intended t o vote. Since t h a t clause becane ru le 22

under t he Pakistan proposal, the Sub-connittee would have t o mend i t s forner

decision and decide t o suspend ru le 22 if the Pakistan proposal were adopted.

The CHAIRMAN then noved the adoption of the Pakhtan proposal.

Dacisi?nt The Pakistan proposal was adopted.

Dr . ALWAHBI ( b a a ) . f i r s t Vice-Chairnan. then took the chair.

2. ANNOUNCWGMI BY CHAIRMAN

The CHAIRMAN welconed and introduced t o t h e Sub-cornittee

Dr. R. Cacciapuoti, f r o n Somalia, who was representing I t a ly ,

3. RFSOLUTIONS OF THE SEVENTH WORm d)LTH ASSEMBIZ AND NURTEENTH EXECUTIVE BOARD OF FARTICULIR REGIJN.?L INTERESTS I t e n 11 of the Agenda (Docunents RC~/EM/Z, RC4/I21/4 and ~~4/E2d17).

Tho REGIONAL DIRECTOR, introducing tho sub$ect, said t h a t docunont

RC~/EM/L contained a nunber of resolut ions adopted by tho Soventh World Hoalth

ksse~lb ly o r tho Fourteenth Session of t h e Executive Board which were of

pa r t i cu l a r concern t o t h e region. Several of the subjects involved had already

been f u l l y discussed by the Sub-cornittee while some others required no aotion.

Docunent R~4./EDl/17 contained infornation on resolutions concerning loca l

costs given on page 2 of docuncnt R C ~ & M / ~ .

Tho CKTLIRMAN said t h a t he proposed t o consider the various subjects on

which resolutiorrs had been passed one by ono as they appeared i n document

RC~/EM/~. The f i r s t concerned smallpox, and since it had been exhaustively

discussed a t previous met ings , it required no fur ther action.

geyment of Travel Expenses of Representatives t o Sessions of Regional Connittoes.

The CHAIRMAN proposed t h a t t he Sub-committee take note of resolut ion

WIEn7.27 dealing with t h a t subject.

It was so aoreed.

Local Costs i n Respect of Internat ional Project Porsonnel t o the aormlar Budpet and urder t he Tcchnical A9sistancc Proeramc.

Dr. JlrFnri (~akis tan) ' suggestod t h a t t h e Sub-Conmittee night wish t o take

some ac t ion t o urgo t h a t t he arrangements concerning loca l c o d a of personncl

R C U I E M M ~ pago 4

undor tho Technical Rsr,istanco.Progranno bo brought i n to l i no with those obtaining

fo r the othor in te rna t iona l organizations.

A s na t to r s stood, nat ional govornnonts. did not have t o pay Local costs f o r

porrjonncl undor regular budhets of sono fntcrnat ional organizations but thoy did

have t o pay a proportion of l oca l costs fo r por~onnol undor t hc Technical

hssistance P r o g r a m .

Tho REGIQNliL DIWCTOR said tha t the point raised by .tho Pakis tan ;regrosontative

had been dea l t with i n tho World Hoalth iiosembly, and re.soluti?n lJH.'17-&2 rogyigtod

tho Director-Genoralh approach tho Technical iissistance C o ~ t t e e . a n d Board with

a vicw t o harmoniziqg pol ic ios about l oca l costs.

Dr. .Jli?l,Ft (pakist an) f c l t c e r t a in t h a t the Director-Genoral had t:aken. the

action requested of h in i n tho ECOSOC i n July and h g u s t but t he s i t u a t i ~

ncvortholoss. ranained tho sane. Perhaps the Resident Representative of tho

TochnZcal Iissistancc aoard i n Egypt could inform the Sub-connittee wi-q tha* Bbard

s t i l l ins i s tcd on papont . of 1ocal .casts .by governnents.

Dr . H U E K (Lebanon) oxprossod h i s strong approval of: the views enunciated

's;r .tho Pakistan rcpresontativc and urged tha t t he SubComi t t ee a~ lop~some

resolution t ~ . b o put t o the Fif teenth Executive Soard so tha t b e t t e r s i t ua t ion

i n rospoct t o Tochnical iissistance projects night obtain i n 1955.

&. PEZWUERRERO, Besident Representative of tho Technical Assistance Board

i n Egypt, sa id thnt i t was, not t he Technical Lssistance Board which had decided

on tho , p a s e n t - policy regarding l o c a l costs but the govormnts. . represented on t h e

Technical Assistanop Comit tcc of t he Economic and Social Council. Pro>osals had

boon nado by c e r t a i n a$encies.to t h a t Connittee t h a t there-shouLd be no government

contribution towards loca l costs, but t he p,overnncnts had decided o therwi~e .

The CHJ-IRMfiN asked .whether the Pakistani representative was sa t i s f i ed by t h a t

answer.

Dr. JlFAR said tha t he had rained tho n a t t e r out of a sense of d i s sa t i s f ac t ion

which would .not be dissipated u n t i l a sa t i s fac tory solut ion had. beenreached. Ha

wo~ldered how f a r decisions adopted by di f fe ren t governmental in te rna t iona l acencies

could be considered government decisions; they were sure ly decisions taken

col lect ively by tho representatives of p v e r m e n t s which m d e up thoso a~onc ie s , with

tho advico and aesistancc of tho Secretariats?

It was nocossary f o r internat ional o r c a q i ~ a t i i n s t o m k c : s u r e t h a t t h e i r

projcctswoula be popular withq6vornnents, a.nB he f e l t t ha t projects under t he

Technical :,ssistonco Prozrcrmo ni,nht be rondercd unpo7ular by tho obligation on

!yovermont$-to- contr ibuto t o l o c a l costs.

From convorsctions he had had wi th r,ovbrnnent representatives, he had zathcred

t h a t tho fee.I:in? was yenoral t h a t contributions tlhJards l o c a l costa were a heavy

burden. C o v o m e ~ t s did not r a i s e funds i n qu i t e the samw,wt+y as .the internat ional

o rgani~a t lons . He f e l t t h a t it wa.s t i n e t ha t t he Technicall issistance Board and

Committee took note of, and followed the po l ic ies of other organizations so t h a t

it would be eas ie r f o r a l l eovernments t o par t ic ipa te i n Technical l~ss i s tance

projects whether financed by Rogular or Technical Lssistance funds.

The C U W I N asked the Resident napresentative of the Technical Lssistance

Board i n E g p t t o commnicate t o the aoard tho discussion tha t had taken place.

He then noved the followinr: d r a f t resolution;

" The Sub-Cor.mittce,

Noting the paper presented by the Re;i:nal Di rec tor on the subject of local aostn and waivers,

REQUESTS the Director-Gencral t o pursue tho quostion,of harmonizing tho pol ic ies in t h i s r ~ t t e r a s bctwocn i:obular and Technical Assistante Proe+ramms."

D r . H L E K (Lebmon? seconded the Chairmanfs motion and requested t h a t t h e

l a s t in tervent ion by t h e Pakistan representative ba circulated i n extenso t o a l l

nonbers of the Sub-Committee,

The CHGC1MI.N sa id t h a t t h e Lebanese reprosentat ivets request would be met.

Decisiqn: The d r a f t resolut ion read.by the Chairman was adopted. -- Research --

The CHZJRMLJi drew a t t en t ion t o resolut ion WH87.52, and particwlarly t o

p a r a g r a ~ h 2, and noved the followins draf t resolutionr

" Tho Sub-Committee,

Taking note of r e s o l u t i m W7.52 of tho. Sevonth World Hcalth Assonbly;

1. RESOLVES, and i n considoring i t s p r o z r m o f o r 1956, confirns tho considcranda contained i n t h a t resolutF3n and urges the Mcnbcr Statos of thc region with considorablo rcsearch rcs6urces t o cobpertito with the rcgianal o f f i ce i n rcsearch p r o g a m e s applicable' t o the heal th problens of t h e retion, and i n so 'Mr ' jas nay bo rolovant, of t h e world, Bnd

2. HEQUBSPS tho Rogional Dircctor t o dcvchp a s many p r o s u m o s of t h i s descr ipt ion as ha f inds fcasiblo i n tho m a r futuro and'rcquosts h h t o rcport t o a futuro Regimal Gomitt04 on t h i s s u b j c ~ t . ~ ~

Dr. J1Fl.R (Pakistan) askod how m c h rmnoy was ava i la j lc f o r rcsoarch a c t i v i t i o s

i n thc rcgisn.

Tho REGIONAL DmECTOlI answorcd t h a t tho oncouragcnont of roscarch i n t h c

rcgion largely took thc forn of oncouragiing i n t o r n a t i f ~ n a l cooperation i n resoarch;

hc f o l t t h a t it was tho task of thc Regional Director, whcn a country o r countrics

had valuablc roscarch i n s t i t u t i o n f a c i l i t i c s , t o urge t h a t the facilitlee 56. made

availablo t o othcr countrics and t o urgc cooporation botwccn i n s t i t u t e s or

laboratorios so t h a t thorc should bo ng unnscoSsaly duplication of e f f o r t ,

Dr . JLFiJZ ( ~ a k i s t a n ) said tha t ha thercforo undorstcod t h a t WHO was not

p u t t i q any funds in to rcsoarch i n t h e Eastcrn Moditorraaean. Ha f o l t t h a t

rcscarch could not bc cncouragcd without supportin2 those undertaking it;

laboratories or roscarch c c n t r ~ s would expect sono support i n tho fo rn of grants

o r equipment, and i f t h e Organizati>n mcroly undert?ok t o coordinatc work without

f inanc ia l support he doubtod how f a r such a c t i v i t y ncr i tcd tho Xcgisnal C a i t t o c ' s

Hc would proposo t h a t tho Sub-Connitteo roquost t h a Di rcc t~r -Gonora l t o

nakc some buclgctary provision f o r rosearch. Research had n?t previously been

&on mch support by WHO, but hc urgod t h a t tho timc had conc when WHO should givp

f inanc ia l assistance t o rcsoarch scho~los t ha t it considered worth while.

Tho REGIgNiAL D m C T O R indicated t h a t i n reso lu t ion brIiA7.52 tho Hcalth

hssenbly had rcco~nizcd t h a t basic resoarch was normally most s a t i s f a c t o r i l y

dcvclopod i n nat iqnal and loca l i n s t i t u t c s , which n i ~ h t be assisted by grants f ron

In40 f o r rcsearch contributing t o '&I0 progrmnos, and had rcqucstod tho

Director-General t o keep tho Exocutivc Board and tho Health t~ssenbly infornod of

any rescarch developmnts which ni2ht be of inportancc t o 'iJHO. No specif ic

budgetary p r o v i s i ~ n for resoarch was nadc i n t h c regional budset but sonc funds

were avai lable i n tho regular WHO bwlgct f o r rcsoarch, and sorm had indeed been

used i n the re,' n > n .

The CHIiIiWN asked whcthor thc Pakistan rcprescntativo wished t o introduce

a d ra f t reso lu t i?n by which thc Sub-Com.dttce would requcst the Rogionar D3roctcr

t o nakc provision i n future budget estimates f o r f inanc ic l support t o rescarch

i n s t i t u t e s i n countries of t he regicn.

Dr. JJ3LR (Pakistan) said t h a t he was not concerned solely with tho mikin!: of

hudgctary provisi?n for rosoorch but a lso with a norc fundanontal asimot of t he

questitm. WHO ha3 not previously favourbd tho enccuragor~cnt of rcscarch, and hc

thmzh t t h a t it had oncc adopted a rosolution t o t hc c f fcc t tha t it was nnt particu-

l a r l y interested i n tho question. It had, hcwcvcr, nado provision f o r n BCG

vaccination centre a s a special casc. Tho S u b - C o d t t e , he f e l t , should recomend

t o the Dircctor-Gcnoral t h a t such activities should now bc nore act ively tckcn up,

and consequently t h a t budp ta ry p r o v i s i ~ n should be nadc. He would l a t e r propose a

d ra f t rcs2 lu t ion t o t h a t cffoct .

Dr. DILLRUSSELL (Unitod ~ ingdon) wondorod whcther the Sub-Comittoo was n?t

considering.thc question of r.$?scarch soncwhat tog narrowly; it.secmod t o be devotinf:

i ts a t ten t ion t o t hc laboratory aspects alone. Sw:cly t h e - . v o ~ . p r o j e c t s of WHO

consti tuted research i n t h a t they prcvidcd valuable infcmati im M c h was l a t o r

correlated? He did ngt think t h a t t he Sub-Cor.mittec should. recom~end tha t WHO s e t

up research laboratorios, but work done nationally should be coordinated ' I 'VHO.

The Sub-Conriittee njght suggcst t h a t the Regignal Director lo?k in to t he rcsoarch

b c i n ~ done i n t h e -regi?n; if ul;r gaps i n rcscarch were found, NYLj nizht a s s i s t

i n f i l l i n g them*

Dr. J A F X (Pakistan) thouzht t ha t t hc United Kingdom rcprcsentative had

misunderstood h i s sugsestinn. He had not intcnded t? inply t h a t WHO should so t up

any rosoarch laboratory but siiiply t h a t +on a research project i n tho r o g i m

was found t o So i n need of suppork, WHO should provide t h a t support so t h a t tho

r e su l t s of tho research could bo used i n tho f i e ld .

Tho CWIIRMIIN then proposcd suspensisn of tho d i scuss im on roscarch i n

srdcr t o give the Pakistan reprcscntativo t i n e t o franc his d r a f t resolution:

t ha t would then So put t o t he Sub-connittoe with t he d r a f t rosolut ion ho

himself had c a r l i c r road 3ut.

Decision: Tho Chairnan's proposal was agreed to.

scchnical discussi?ns on fu ture hcalth assonblios

The CHAIRWN invitcd the Sub-Cornittoo t o consider tho question of

technical d i s c u s s i ~ n s i n r e g i ~ n a l neotings which tho Bocut ive Board had asked

the Director-Goncral t o study.

Dr. HiiYEK (Labanon) csnsiderod tha t a s technical discussisns a t t he

lassenbly between spatially qual i f ied ncnbcrs of each deloqati3n usual ly took

up two or th ree days ho d i d m t think t h a t s i n i l a r discussi?ns a t regional

nootings, oven i f tho necossary experts could attcnd,. would serve any usefu l

Tho C Z i A L i N then wvod tho followin:: d r a f t resolution:

Having studied tho reports of tho Exccutivo Board on t h i s 11attor;

CONSIDERS tha t i t would bc unnocossary at t h i s s b g e to have regi- o m 1 rnoctings dealing with t he same subject a s w i l l be discussed by tho World Health Asscxbly a t i t s ensuing session, but

CONSIDERS and suggests t o tho Exccutivo ,Board and t h e World Health 1,ssonbly tha t the next topic of discussion should be the trainin:, enploynent and u t i l i z a t i o n of auxi l ix-y heal' h workers, t h i s without prejudice from the f a c t t h a t t h i s par t icular Sub-Conmittee happens t o have discussed t h i s matter i n a prcliminery manner a t i ts Fourth Session;

Does not suzgest t ha t t h i s mattor should form pa r t of t h e d i scuss ims on organization of heal th services i n r u r a l communities to be hold a t t he World Health Assembly i n Mexico City i n 1955, but does s u ~ ; o s t t h a t it should be made a to$c of technical dipcussion a t tho lJorld Health Assenbly in 1956".

Dr. EL CHLTTI (Syria) said t ha t the t e x t would be nccopta5le t o him with

tho subs t i tu t ion i n t he f i r s t paragraph of t h e words, "unnecessary a t t h i s stage"

f o r the word, "undosirablo".

Pacisiona That amendment was acceptod.

Dr. $AFAR ( ~ a k i s t a n ) considered t h a t t he l a s t two para2raphs were unnecessary.

Tho ~~EGIONJYL DIZCTCR pointed out t ha t there was a separate item on tho

azcnda concerning the use and t ra in ing of auxi l iary health wwkors, which was

of papt icular importance t o t ho rcgian. The Sub-Connittco should therefore,

f i r s t dispose of t h a t i-ten beforo deciding whathor o r not t o request t h a t it be

l2ut o n the agsfida of t he Ninth lJorld Health Lsscnbly as a top ic f o r technical

discussion.

Docision: It was agreed t o defer fur thor consideration of t he qucs t im u n t i l t h e t e x t of the d r a f t resolut ion had been c i r c u h t o d and discussion of item 15 ooncludcd.

Tho CHf.EW5N jnvitod t h e Sub-Committee t o consider document Rc4/EM/2.

Tho REGIONAL DEECTOR s ta ted tha t tho document deal t with the modifications

introduced i n tho 195 5 prozrarmo and budget. Tho Dircctor-General had asked

t h a t t he spec i f ic a t t en t ion of r e g i m a l comnittoos be drawnto the changes.

Dr. EL C U T T I (Syria) said t ha t owin: t o cor ta in urgent roquironcnts ho

would proposo ce r t a in adjustncnts i n tho 1955 pro-pame f o r Syria but they Would

not a f f ec t tho programme a s a whale.

The REGIONAL DIRECTOR said t h a t durinz tho sossion ho and h i s s t a f f wore

cnzaged i n discussing programmes with individual delegatians, so t ha t any

nocessary nodif icat ions could be made.

The CHLIRMRN then moved tho following d r a f t resolutionr

The Sub-Coinuittae,

Having been requested by the Director-General t o comment on the modifications made i n t h e regional propanple f o r 1955 result in^: from the budgetary reduction decided upon by the Seventh Vorld Health Assonbly;

BELIEVES t h a t the nod i f i ca t ims i n t he regional p r o g r m e fo r 1955 which have been made by the Regional Director are appropriate and t h a t a sa t i s fac tory balance has boon naintainod bctween tho major subject headings."

Deoisionc Tho d ra f t resolut ion was adopted.

Tha m e t i n g was suspended a t 11.50 a.m. and was resumed a t 12.20 p.m.

4. II~TERNI,TIONIIL QUI~ULMTINE WiTTERS; i t e n of t he agenda (document RF~/EM/U).

Tho REGIONliL DIRECTOR subnittod the report (document RC~/EM/L!+\ on tho

incidence of quarantinablo disoasos i n tho region during 1951, 1952, 1953, and the

f i r s t half of 1954.

Dr . HAYEK (Lobanon) cornended the c f f o r t mdo by govemcn t s and WHO ~ h i c h hod

:>ractically clininated cer ta in diseases and had reducod others.

Ho would be interested t o know what prozress had bccn r.lade i n c rea t ine a

quarantino leprosariun i n Saudi Arabia.

Dr. BELTkR (Saudi Lrabin) replied t h a t the leprosarium hrd been established a t

Joddah .and would be oponod, by the cnd of the year.

Dr. EL FilR ( ~ g y p t ) doplorod tho delay of ce r t a in countries i n ngtifying

quarantinable diseases which was affecting tho appl icat isn of t he Internat ional

Sanitary Rogulatiors and was a v io l a t i sn of i i r t i c le 95. It had i n ce r t a in cases

'jecono necessary f o r sono countrios t o donand b i l l s of health f r o n ships and a i r -

c rc f t . Unless rapid no t i f ica t ian wero assurod 2',rticle 95 of tho regulat ions would

huvo t o be amended.

In viow of the high n o r t a l i t y r a t e f ron chclera i n 1953 i n East Bengal he

lnped tha t tho rogional o f f ice would nakc cvory e f fo r t t o continuo tho project i n

t ha t region.

Dr . O M , Chief, Ei;idcniological Secti.;n,said t ha t althgugh tho I4HO

Regulation No. 2 had cone in to force i n 1952 and a l l s ignator ies had subscribed

t o tho ru l e s on n o t i f i c a t i ~ n without reservation it had soon becono c l ea r t h a t

cer ta in provisions wero nt?t boin,? consis tent ly adhered to. Certain countrios wore

not f u l f i l l i n g Articles 3, 4, 6 and 9 m i n l y w i n g t o lack of t ranspor t or

inadoquato.~onmunications. EMRO had takon s teps t o holp countries t o honour t h e i r

undertaking. 3, s i u i l a r s i tua t i -n had ar isen i n othor rogisns pa r t i cu l a r ly Central

and South /ir~erica, Tho Pan-L?.crican Sanitary Bureau had boon approached a d a vary

successful seminar on tho problon had boon arranged i n Santiago, Chile,wherc a

procedure for no t i f ica t ion had bccn devised and would cone in to e f f e c t by the end

of 1954.

RC4A/EN/Mln/6 page 11

Tho CHlrIRMlJI then novod tho following d r a f t r c s o l u t i ~ n r

't The Sub-Cormittee,

1. NOTES with appreciation the conprehensivc report on the incidence of quarantinabTc diseases i n t he region during 1951, 2 1953 and tho f i r s t half of 1954, and

2. COMMENDS the regional o f f ice f o r i ts work i n t h i s rcspoat&fl

In rop ly t o a questi9n by D r . Hayek ( Lobanon), Dr. OM.43, Chief, Epidenioloqical

Scc t im, s t a t ed t h a t t o datc t.hirtocn S t a t c s i n tho region had acceqded t 3 WHO

Rcgu1at;i~n No. 2. Two bad done so with reservat isns and thrco, includinx ED%,

had not accccdod. The r o z i ~ n a l o f f ice had however been informed unoff ic ia l ly t ha t

a com.mnicaticn about tho .%yptian Governmnt's sccessi-in was on i ts way t o

Headquarters.

Dr. EL FA2 ( ~ m t ) subl i t t ed thc followin: d ra f t ~ .eso lu t ion t

11 The SubCci,mittee,

Havinc taken nctc of tho provisi-n of the I.S.R. (WHO Ramlaticin 2) and

Realizing tho d i f f i c u l t i e s encountered by Member S t a t e s i n t he application of these Rogulatims under t he condi t ims of delayed not i f ica t ion of quarantino diseases as provided i n the I.S.R.;

1. REQUESTS tho Rcziqnal Director t o taka s teps f o r tho a m e l i o r a t i ~ n of t h e systcn of n ~ t i f i c a t i o n ;

2. REQUESTS tho Regional Director t o modify Lr t i c l a 95;

3. EUQUESTS tho k z i m a l Director t o subnit t o the Regional Cornittee a t i t s f i f t h session the r e su l t of h i s study."

Dr. HI.YEK (Lobanon) said t h a t t he time wos not ripe t o propose an anendnent

t o IHO Regulation No. 2.

Decision; The d r a f t r e s q l u t i m proposed by the Chairman was adopted,

Dr. DILGRUSSEU (United ~ ingdon) asked t h a t i n future reports t he sect ion

i n t he t e x t on typhus should be ra ther more spec i f ic indicating types of t he

disease. The present t e x t did not f o r instance bring out the f a c t t h a t i n Cyprus

there had only been tick-borne typhus.

Dr. O W , Chief, Epidemiological Section, explained tha t the s t a t i s t i c s i n the

t ab l e s had been c lass i f ied according t o vector but it was not possible t o do it

for thsso countries which only supplied to ta l s .

In roply to a questi?n by tho Chairman Dr. DILL-RUSSEU (United ~ ingdon)

said be w u l d s u h i t a forna l request on the subject.

Dccisiont It was a ~ r c a d t o dcfcr fur ther considoration of t h e i t e n ?ending the circll lat ion of tho Egyrjtfan and United Kingdom rosoluticns.

5. W O R T OF THE SUB-DIVISION ON PROGR:&lME: i t e n 17 of the agonda.

Dr. JkFLd (yakistan) s p a k i n g as Chairnan of t he Sub-Divisim on Prog-anr.~~

submitted the resolutions proposed by tho Sub-Division f o r t he consideratisn of

tho Sub-Connittoe.

De-: These proposals were adopted without inodificatim. - The mooting roso a t 12.55 pen.

UNITED NATIONS NATIONS UNIE6

WORLD HEALTH O R G A N I Z A T I O N

REGIONAL OFFICE FOR THE EASTERN MEDITERRANEAN

REGIONAL COWTTEE FOR THE ERSTERN UEDITERRILrnN

Fourth Session -

ORGANISATION MONDIALE DE LA SANTE

~ ~ 4 n . / b @ i n / s Rev.1 5 November 1954

ORIGIN[LLa ENGLISH

MINUTES OF THE SIXTH MEETING

M O , Alexandria Thursday, 30 Septenber 1954, n t 10.00 a.m.

CRhIFNAN: Dr. Mohmed H. Abu EL-ELA (Egypt)

l a t e r

Dr. S. AL-TAHBI ( ~ r a q ) F i r s t Vice-chairman

CONTENTS

Page - .. . . . . . . . . . . . . . . i. Rules of Procedure 2

. . . . . . . . . . . 2. ilnnouncoment by tho Chairman 3

3. Resolutions of tho Seventh world Health Assembly and Fouitcenth EKacutive Board of particular . . . . . . . . . . . . . . . . regional in teres t 3

. . . . . . . . . 4. In te rmt iom1 @nruntine Matters 9

. . . . . . . 5. Report of the Programme Sub-Division 11

A l i s t o f representatives, advisers and observers attending the seaaion i s shown on pages 1 2 and U.

~~44/h1/h,Tin/6 Rov. 1 Page 2

1. RIJ'LJ3S OF PROCEDURE: I t e m 7 of the Agenda (continued) (~ocument RC~/EM/~~)

Dr. JAFAR ( ~ a k i s t a n ) recalled t h a t a t the second meeting of the Sub-Camittee

he had pointed out t h a t the Sub-Committee had adopted Rule 48 of the Rules of

Procedure, which s ta ted t h a t Rule 2 1 could not be amended, a f t e r having adopted

Rule 2 1 wi th amendments.

I n order t o overcome the procedural d i f f i cu l ty thus caused, he w m ~ d propose

tha t Rule 21 should read :

Rule 2 1 --- "Each llember sha l l have one vote: however, Membors attending

both Sub-oommittees sha l l have the r i g h t of vote i n on6 &b-Committee only.

Thcre would then follwv two new Rules - Rules 22 and 23 - reading :

Rule 22 -..--- "Members attending both Sub-Oommittees s h a l l make known, before

the opening of the session, of whichever seqsiqn sha l l meet f i r s t , i n which Sub-committee they intend t o exorcise t h e i r r i gh t of vote."

Rule 23 - *- "For the purpose of those Rules, the phrase "~~embers present and

voting" means Members casting an affirmative or negative vote. Members who abstain f rm voting sha l l be considered a s not votiag.

I n a secre t ba l lo t an invalid vote sha l l be s o reported and shal l be counted a s an abstentiont'

Tho subsequent Rules should bo renumbered accordingly.

Dr. U-WAHBI ( I raq) seconded the proposal of the Pakistan representative.

Dr. GENIS (France) pointed out that there w a s a difference betweon the

or iginal Fronch t e x t of Rule 2 1 and the t rans la t ion of tho Pakistan proposal.

The CMIRMAN, a f t e r some discussion, indicated t h a t the difference arose from

a question of French s tyle and proposed tha t the French representative agree with

the Secretar ia t on a be t tor t rans la t ion oquivalent t o the English.

It was so agreed. -*-- -

Mr. ZARB, Legal Adviser, pointed out t h a t a t the second meoting, the Wb-

Committee had agreed t o suspend tho operation of the clause i n R U ~ 2 1 which s t a t ed

t h a t Members should make k n m before the opening of t he sossion i n which Sub-

committee they intended t o vote. Since t h a t clause became Rule 22 under the

BC~A/EM/"&~/~ Rev.. 1 page 3

P%k%%tan pr&posal, the 8uh-~ommiktee would have t o amend i t s f onner decision and

decide t o suspend Rule 21 if the Pakistan proposal were adopted.

The CHAIRMAN then moved the adoption of the Pakistan poposal .

Decisiont The Pakistan proposal was a'doptad. (Sew resmlution RC~A/E*.~) ----

Dr.AL-WAHBI (1raq) f i r s t Vice-Chairman, then took the Chair. ---- --- --- - . -----

2. ANNOUNCENENT BY THE CWIRMILN

The CWLIRMAN welcomed and introduced t o the Sub-committee Dr . R. Cacciapuoti,

f r m somalia, who was representing I t a ly ,

3. REBOLUTIONS OF THE SEVENTH WORLD HEALTH ASSEHBLY AND FOmTEENTH EXECUTIVE BOARD OF PARTICULAR REGIONAL I N T ~ ~ S T ~ Item 11 of the Agenda (Documents RC~/KW/~, R C ~ / E D ~ / ~ and R C ~ , ~ @ T ) .

The REGIONAL DIRECTOR, introducing the ,subject, sa id t h a t document ~ ~ 4 f i U 4

contained a number of resolutions adopted by the Sevcnth World Health Assembly or

the Fourteenth Session of the Brecdtive BoarB which were uf par t icu la r concern t o

the region. Several of t he subjects involved had already been f u l l y discussed

by the Sub-conunittee while some others required no action,

~0OLment RC4/EM/17 contained information on resolutions ccnwrniIq loca l

costs given on page 2 of document ~~4/bT/4.

The CKIIIRM&NIN sa id t h a t he proposed t o consider t he p a r i d s subjects on which

resolut ions had been passed one by one as they appeared i n domment ~~4/E$d/4.

The f i r s t ( reso lu t ion ~~~117.5) concerned smallpox, and since it had been exhaus t i~e ly

discussed at previous meetings, it required no fur ther action.

of Representatives t o Sessions of Regional Committees. - =A=-- -- The CHAIRM& proposed tha t the Sub-Committee take note of ~ e s o l u t i o n PYKEi7.27

dealing with t h a t subject.

It m e so a-greod.

~~4A/h~ i / l l i n /6 Rev. 1 page 4'

Locr.1 Costs i n Rospccto? In te rna t ioml Project Personnel to the Regular Budget - and under the Tectnical Assistance P r o g r w . ( ~ e s o l u t i o ~ f - -- b

Dr. JAFAR ista tan) Su'ggest€Yd that .&he -mb-committeo might wish t o , - t & b

act ion t o urge t h a t the-~rrangencntsconcorning loca l costs of personnel under the

Teohnical Assistance f i o g r m e be brought i n to l i n e with those obtaining f o r the

other internat ional organizations.

As matters stood, national governments did not have t o pay loca l costs f o r

porsonnel under regular budgcts of somc internat ional organizations b u t they did

have t o pay a proportion of local costs for pcrsonnel under the Technical Assistance

P r o g r m .

The REGIONhL DTRECTOR said tha t the poizit : ra ised by tkie .Pakistan representative

had been doalt with i n the Tiorld Hcalth Rssombly cind resolut ion fiW17.'42 rcquested

tho Director-General t o approach tho Tochnical Assistance Cahmittoe and Board with

a viow t o harmonizing policios n h u t ~ : l o c a l cos%s.

Dr. JAFfLR (Pakistan) f e l t ce r ta in than bke D5rcctor-General. hdd taken tho

ac t ion requcstcd of him i n the ECOSOC i n July and iiugust but tho sitmution never-

theless rcmainod the sm~e. Perhaps thc Resident Rcprescntative of the Technical

Lssistance Board i n Egypt could inform the Sub-cornittee why t h a t Board s t i l l

ins i s ted on payment of local costs by govcmcn t s .

Dr . HhYEK (Lebnnon) oxprcssod h i s strong approval of the views enunciated by

tho Pakistan rcprescntativc and urgcd t h a t the Sub-cornnittee adopt some reso lu t ion

t o be put t o t hc Fifteenth Executive Board so t h a t a b e t t e r s i t ua t ion i n respect

t o Technical Assistance urojccts might obtain i n 1955.

l.k, PEREZ-GUERRERO, Resident Representative of the Technical Rssistanoe Board

i n Egypt, sa id t ha t it was not t he Technical Assistance Board which had decided on

the present policy regarding looal costs but the governments represented on %be

Technical Lssistance Committee of the Economic and Social Council. Prop0sals had

been made. by ce r t a in agencie's t o t ha t Cawnittee t h a t there should. bo no government

contribution t m r d s local costs, but tho governments had clecide'd atherwise.

The CHILIRMf,N asked whother the Pakistani representative was s a t i s f i e d by t h a t

answcr . Dr. JfiFtLR sa id t h a t hc had ra iscd tho mattcr out of 'a sense .of d i s sa t i s f ac t ion

which would not be dissipatod u n t i l a sa t i s fac tory so lu t ion hud been reached.

wondorcd hwr f a r dccisions adoptcd by d i f fc ront govcrnmcntal intornational agcncics

could bc considcrcd govcrmcnt dccisions; they wcrc surcly dccisions taken

co l lcc t ivc ly .by tho roprcscntatives of g o v c r m n t s which made up those agcncics,

wi th tho d v i c c und assistance of tho Sccrotar ia ts?

1 t . m ~ nccossary fw . international organizations t o make sure t ha t . t h e i r

projocts would bo popular with govcrrrmcnts, and hc f e l t t h a t projocts under the

Tcchnical Assistance P r o g r m c night bc rcndorcd unpopular by tho obligation on

gwermen t s t o contributc t o loca l costs.

Prom cowersotions ho had had with gwcrmcn t represcntatives, he had gathcred

t h a t tho fooling was general t h a t contributions towards local costs were a hcavy

burden. Governments did not r a i s e funds i n quite the sane way as t he internat ional

orgahiaa%ions. He f c l t t h a t it was time t h a t tho Tochpical Assistance Boar-d and

Commi-ktee took note of, and followed. the pol ic ies of other organizations so t h a t

it would-bc oas ic r f o r a l l governments t o ~ a r t i o i p n t c i n Tcchnical f i s s i s t a ~ c c

projccts whcthcr f imnccd by Rogular or Tcchnical :~ssistancc funds.

The CH~LIRF~L~~ asked the Resident Rcprcscntativo of tho Tcchnical Assistance

Board i n Egypt t o c c m n i c a t c t o thc Bcard thc discussion tha t had takon placc.

Ee thcn mwed tho following d r a f t rc solution :

"The Sub-Comittcc,

t i n g thc paper prcsonted by tho Regionul Director on tho subjcct of l oca l costs and waivers.

REQUESTS the Director-Gcneral t o pursue the qucstion of harmonizing the pol ic ics i n t h i s mattcr a s bctwccn Rcguhr und ~ ~ c h n i o a l Assistanec Progranncs."

Dr. HAYEK (~cbanon) seconded thc Chairmanls notion and requested khut the l a s t

intervention by the Pakistan reprosentativc be circulated i n extenso so a l l members

of t he Sub-Comittec.

Thc CXILIR~ULN sa id t h a t the Lebaneso rcpresentativc 's request would be met.

moisionc Tho d r a f t resolution read by the Chairman vms adopted. --*-

Rcscarch ( ~ ~ s o l u t i o n ~W~7.52) -- ------ The CHAIRFdRN drcvr a t ten t ion t o resolution m~7.52, and pa r t i cu l a r ly t o paragraph

2, and moved tho following draf t resolut ion :

~ c % / h l / f i n / s ~ e v . 1 pagd 6

"The Sub-Committee,

Taking notc of resolution F.31A7.52 of the Seventh World Health Assembly,

1. RESOLVES, and i n considering i t s p r o g r m o f o r 1956, confirms the consideranda oontained i n t h a t resolut ion and urg,es the Member States of the region with c o ~ s l d e r a ~ l c rescarch resouioes t o c o o p r a t e with the regional officc i n roscar~h~progranmcs applicable t o the- health probldns of tho region, and i n so far a s B a y bo r d e v a n t , of thc world, a4$,

2. REQUESTS , t hc R.egiona1 Di rec to r t o devolop a s many programmes of t h i s desol'iption'.as hc ''finds f&siblo i n the' near f%turc ahd rcquests him t o rcpor t t o a h t u r c ~ c g i o n a l Committco on t h i s subject."

Dr. JAFAR (Pakistan) askea how ~ m c h money was avnilablc f o r research a c t i v i t i e s

i n the region.

The REGIONAL DIRECTOR answered t h a t the encouragement o f research i n bhe region

largely took thc f o r m of encouraging ln tc rna t icna l oooperation in research; he

f e l t tha% it was tho task of tho Rogioml Director, when a .country or countr ies

had ralunble rcscarch in s t i t u t i on f a c i l i t i e s , t o Wge t h a t these f a o i l i t i c s be made

available t o othcr countries and t o urge cooperation between i n s t i t u t e s o r labom-

t o r i e s so tha t thcre should be no unnecessary duplication of effor t .

Dr . JAF& (Pakistan) said t h a t he therefore understood t h a t \THO was not putt ing

any funds in to research i n t he Eastern IlIediterranean. He f e l t t h a t research could

not be encouraged without supporting those undertaking it; laborator ies or research

centres would expect some support i n the form of grants or equipment and if the

Organization merely undertook t o coordinate work without f inanc ia l support he doubted

how f a r such a c t i v i t y merited the Regional Cammittoe~s support.

He would propose t h a t the gub-Committee request the DireotorOoneral t o make

some budgetary: provision for research. Research had no t previously been given

much support by WHD, but he urged t h a t thc time had come when WHO should glve

f inanc ia l assistance t o research schemes t h a t it considered worth while.

The R E G I O U DIRECTOR indicated t h a t i n resolut ion YPHh7.52, t he Health Assembly

had recognized t h a t basic rosearoh was normally most s a t i s f ac to r i l y developed i n

national m d loca l i n s t i t u t e s , which n ight be ass i s ted by grants fr'm WE0 f o r

rcsoarch contributing t o WHO p r o g r m e s , and had requested thc Diroctor-Gencral t o

kccp the-Ekccutivcr Board and tho Haalthhsscmbly informed of any research devefop-

ments which might be of importance t o iWQ. No specif ic , budgetary provision fo r

~ ~ 4 I i m i n / 6 Rev. 1 page 7

resoarch was mado i n tho rogioml budget but sone funds were avai lable i n tb

WHO ~ogular budget fo r research and sone had indeed been used i n the region.

The CWIRlfili asked whether tho Pakistan roprosontat iw wished t o introduce a

d r a f t rosolut ion b y which the Sub-Camnittee wauld reguest tho RegiomT.:Director t o

make,. provision- in future budget ost inatc s Tor financial supp;m%. t o , . re.scarch

S n s t f t u t e s i n countr ies of tho rogion.

Dr. JAFAR ( ~ a k i s t a n ) said t h a t he was not concerned so le ly d t h t he making of

budgetary provision f o r research: bu t a l s o w i t h a more fui-d:amontal aspect of!;the

question. WHO. had not previously favoured -$he .encouragemoht of resenrch, and ho

thought t h a t it had once adopted a resolut ion t o - tho effect t hn% it was hot pnrticu-

l a r l y interestod i n t h e .quostion It had, however, made provi-sion for a BCG

vaccination centre as: a special casc. The Sub-Comnittee, he f e l t , should recommend

t o t he Director-General t ha t such a c t i v i t i e s should now be more ac t ive ly taken up,

and consoqucnt ly~that budgetary .provision. sbould..be mado. Ho would l a t e r propose

a draf t resolut ion t o t ha t effoot.

Dr. DILL-RUSSEU (uni ted. Kingdm) ~ondored:.whothgr the Sub-Commit-tee was not

considering the quo s t i o n > of resoaroh somewhat too narrowly3 it'~segmed,!to be

devoting 5 t s a t t en t ion t o the -laboratory aspocts .alone. Surely the very projects

of Fig0 constituted rosourch.. i n that..they.provided.valuablc information-which was

l a t e r correlated?. He did not think t h a t the Sub-commitwe should recommend t h a t WB3

s e t up resenrch. . laborator ies j but work done put iona l ly should be coordinated by

RHO. The Sub-committee might suggest t h a t the Regional Director look in to the

research being done i n the region; i f a n y gaps i n rese&c.&vpre found ruHO might

a s s i s t in f i l l i n g them..

Dr. JhFfiR ( ~ a k i s t a n ) thought t h a t the .United Kingdom representative had mis-

understood h i s suggestion. He had no$ intended t o imply t h a t \THO should' s e t up

any research . laboratoq but simply tha twhen a research..project i n the region was

found t o be i n need of support, VHO should provide t h a t support so t h a t the r e su l t s

of the research could be used i n the 'field..

The CISBIWkN' then proposed. suspension of t h e . discussion, on research i n order

t o give . t h e Pakistan representative time t o frame 'is d r a f t resolution; t ha t would

then bc put t o thc Sub-Committee with the draf t resolution he himself had e a r l i e r

rcad cut.

Decision8 Tho Chnirnanfs proposal was agrocd to.

Technical Discussions a t future - Hoalth Assemblies (Rosolution ~ ~ 1 4 . ~ . 1 9 ) . .. The CWIRliMN invited the Sub-Committoo t o consider the question of technical

discussions i n regiondl meetings which the Exocutivc Board had asked the Director-

Gcncral t o study.

Dr. HAYEK (Lebanon) considored t h a t as technical discussions a t t he Assembly

bctween spec ia l ly qual i f icd members of cach dologation usually took up two or thrcc

days hc did not think tha t similar discussions a t regional meetings, even i f the

necessary exports could attend, would serve any useful purpose.

The CliAIRB:PLN then mcvcd thc following d r a f t reso lu t ion ;

"Tho Sub-Committoe,

Having studied the reports of the Executive Board on t h i s matter;

CONSIDERS t h a t it would be unncccssary a t t h i s stage t o have regional mcctinis dealing with the s m o subject a s w i l l be discussed .by tho Tiorld Health irssenbly a t i t s ensuing scssion, but

CONSIDERS and suggcsts t o the Exccutivc Board and the Viorld Hedith Assembly that t l i 6 n o ~ topic of disoussion: should bc the trai 'ning, employment and u t i l i z a t i o n of auxi l ia ry hoalth workers, t h i s without prejudice f r 6 %so frict - t ha t t h i s p a r t i c u l a r Sub-committee happens t o have discusscd t h i s matter i n a preliminary manner a t i t s Fourth Session3

Does not euggest t ha t t h i s matter should form pa r t of the discussions on organizution of heal th sc&ico s i n rl lral c m t & t i e s t o 5e hold a t , the Torld Health t~ssembly i n Mexico City i n 1955, but does suggest t h a t it should-be m i d e a t o p i c o f t e c h n i c a l discussion a t t h e 1702;ld Health Assemhly i n 1956."

Dr . EL CHATTI (Syria) said t h a t the t e x t would be acceptablc t o him with tho

replaconon% i n the f i r s t paragraph of the words "unnecessary a t t h i s stage" by

the word "dosirable" . Docision: That amendment was accepted. --.*- D r . JlZFhR (Pakistan) considered t h a t tho l a s t two paragraphs were unnecessary.

The REGIONAL DIRECTOR pointed out t h a t there was a separate i t e m on the agenda

~ o n c e r n ~ n ~ . t he use and t r a i n i w of auxi l ia ry heal th workers, which was of par t icu la r

importance t o the rcgion. The Sub-committoo should thcrcfore f i r s t dispose of t h a t

item beforo dcciding whcthcr or not t o request t h a t it bc put on the agenda of the

liinth m r l d Health Assombljr as. a top ic for technicnl'discussion.

Dccisionr I t wus agrecd t o defer further consideration of the q u ~ s t i o n unt41 the '-Cox% of the- d ra f t rcsolu.tion'.had bebri .circulated and discussion of Item 15 concluded.

The CWLWLN invi ted tho Sub-Camnittee t o consider document RC~/EM/~. The Z G I O M L , DIRECTOR statod tha t the documant; dea l t with the modifications

introducod i n tho 1955 programme and budget. The Director-Gotiera1 had asked t h a t

thc spocifio a t t en t ion of regional connittees be drawn t o the changes.

Dm. EL CHIITTI (8yria) sa id t h a t owing t o ber ta in urgont requirement6 he would

propose co r t a in nd juskents i n the 1955 programme for Syria but they would not

a f f ec t the p r o g r m e a s a wholc.

The REGIONAL DIRECTOR s a i d t h a t ,dul;ing the . , iession he and h i s -taff were engaged

in discussing p r c g r m o s with individudl dolegatichs; so t h a t a n y riecessary madifica-

tiorms could be made.

.$.Ke. CHAIRI!Udi then- mated tha. following d ra f t resolut ion :

"The Sub-committee,

Ifaving beenrequosted by theDircotor-Gonernl t o carmnent. on the modifications made i n the regionul programme f o r 1955 resul t ing f r m tb 'budgetary reduction decided ..upori by the Seventh lTorld Health hssombly;

BELIEVES t h a t the modifications in the regional programme f o r 1955 which have been made by tho Regional Director are appropriate and ' t ha t a s a t i s f ac to ry balance has boen maintained between the major subjeot headings."

Decision: The d r a f t resolut ion was adopted.

The meeting was suspended a t 11.50 a.m. and - wns resuroed -- a t 12.20 p.m.

4. INTERNATIONAL QU4RANTfNE WTTEtSr Item 16 of the Agenda (D*ument R~4/%X/14).

The REGIONAL DIRECTOR submitted the report on the incidenoe of quarantinable

diseases i n the region during 1951, 1952, 1953 m d t h e f i r s t half of 1954.

Dr. HAYEK (Lebanon) 'cdmmended..the effortsmade by governments. and WHO-whioh had

p rac t i ca l ly eliminatea ce r t a in dPsedses snd'had reduced others. He would be

in te res ted t o know what progress had been made i n creating a quarmtine s t a t i o n i n

Saudi k a b i a .

Dr. BEWAR (Saudi Arabia) repl ied that the quarantine s t a t i o n had been e s t i b l i s h

a t Joddnh and would bc oponed by the end of the year.

Dr. EL FAR (Egypt) deplored the deIay of c e r t a i n countries i n notifying

quarantinable diseases which was affecting the appl icat ion of t h e Internat ional

Sanitary Reguh t i o n s and was a v io la t ion of -Ar t id le 95. I t -had i n ce r t a in cases

becomo necessary f o r some countrios t o demand b i l l s of health f r m s h i p s and a i r -

ck-aft. Unless rcipid fidtff icut ion .weree assured A r t i c l e 9'5. of t he Regulations *uld

have t o be nmended,

I n v i m of the high mortal'ity r a t e from cholera i n 1955 i n East Bengal., h e

hoped t h a t the reGcnnl ofrice would niakd every e f f o r t t o continue th& project i n

t h a t region,

Dr. OlU2, Chief, Epidcmiolo~ical Soction, sa id t ha t although the KEO Regulation

No. 2 had come in to force i n 1952 and a l l s ignator ies had subscribed t o +he Rules

on not i f ica t ion without rcscrvation, it had soon bocomc cloar %hat c e r t a i n p-ovisions:

were not being consisiEently adhcrcd to. Certain countries were not h l f i l l i n g

Art ic les 3, 4, 6 and 9, mainly owing t o lack of t ransport or inndeqtmte comrnunica-

t ions. EETRO had takon steps t o hclp countrios t o honour t h e i r undertaking.

s i n i l a r s i t ua t ion had a r i s en i n other regions, pa r t i cu l a r ly Central and South

h c r i o a . The Pan American Sanitary Bureau had been approachd and a very success f i l

seminar on the problem had becn arranged i n Santiago, Chile, Where a procedure for

no t i f ica t ion had been devised and would come in to e f f ec t by the end of 1954.

The CHAII?JVULN then moved the following d r a f t resolut ion :

The S&-Committco ,

1. 'NO.!fES'xLk m . e c i a t ; i o n the. .cqpp.fefleierrsive repor t :on the incidence of quarantinable diseases i n the region during 1951, 19 52, 1953 and the f i r s t h d f of 1954, and

2. CfJMMENDS the regional office for i ts 'work i n t h i s respect."

I n r ep ly t o a quostion by Dr. Hi2YEK (Lebanon), Dr . OMAR s t a t e d t h a t t o date

t h i r t een S ta t e s i n the region hpd acceeded t o lGI0 Regulation No. 2 . Two had done

so with reseflations and three, including Egypt, had not acceeded. The r.egiona1

office had however been informed unoff ic ia l ly t h a t a c m u n i c a t i o n &bout the

Egyptian GovernmefitVs accessiori was on i t s m y t o headquarters.

~ ~ 4 A / b I ~ i n / 6 Rcv . 1 ;age 11'

Dr . EL FAR ( ~ g y p t ) submi5ted the . f o l l ~ ~ ~ - - - & a f t resolut ion :

he Sub-committoe,'

~ a v i n g tukcn noto of tho provision of the ISR (TuHO Regulation 2) nnd

Realizing the d i f f i c u l t i e s encountorod by Uembcr States i n the appli- cat ion of' those Re&I&tionS Under t h e conditions of delayed not i f ica t ion of quarmtane diseasos as prdvided i n the I.S.R.;

1. REQUESTS the Regional Director t o take steps for the m e l i o r a t i o n of the system of no t i f ica t ibn i

2. REQUESTS the Regional Director t o modify Ar t ic le 95:

3. REQUESTS t he Regional Ditector t o submit t o the Regional Carm;littee a t i t s f i f t h sess ion the r e s u l t of h i s study."

Dr. Hf.YEK (Lebanon) sa id t h a t tlie time was not r i pe t o propose an anondment t o

TmO Ro gub. t i W N-0.2,

Decision: The d ra f t resolu€iod proposed by the Chairman was adopted. --oluti.cn ~ : .b~/n i1b . 11.)

Dr. DILL-RUSSELZ (Unitsd ~ i n ~ d c m ) asked tha t i n future roports, the sect ion on

typhus should be r a the r more spcclf ic , indicat ing types of the disease. The present

text did not, for instance. bring out: the f i c t t ha t i n Cyprus there had only been

tick-borno typhus.

Dr. OIICJI, Chief, Epidcniologlcal Jcction, cxplainod t h a t the s t a t i s t i c s i n the

t ab l e s had boon c l a s s i f i e d accord!.ng t o voctor b u t it was not possiblo t o do it for

those countries wh!.ch only supplied t o t j l s .

I n rep ly t o a question by the Chaimn, D r . DILL-RUSSELL (United Kingdom) sa id

he would submit a formal request on t h e subject.

Decision: I t was agreed t o defer fur ther consideration of the i t e m pending the c i rcu la t ion of the Egyptian and United Kingdom resolutions,

5. REPmT OF THE SUB-DTVISION ON F'ROGWJIE: Item 17 of the Agenda.

Dr. JAFAR (Pakistan) speaking as Chairman of the Sub-Division on P r o g r m e

submitted the r emlu t ions proposed by the Sub-Division for the consideration of the

Sub-Committee. (Resolutions ~ ~ ~ / p . o ~ f k . l , h . 1 . c o r r . l ~ b.2; b . 3 and b.4)

Decision8 These p- oposals %ere adopted without modification. ~ ~ ~ l u t i o n s RCM, '%M/~.~~; b .13 ; b .14 , and b .15)

The moeting rose a t 12.55 p.m. -= -

Pre s eht ---- EGYPT

ETHIOPIA

Sixth Meeting

Thursday, 30 Scptcmber 1954, a t 10.00 a.m. - ---.-.------- -

3r. 15.~. hbu c l -Eb , Chairman D r . . E i Far 3r. I . Sidky . 2 r . 1,hmed Z 1 3emcrdache 1 . 0 &oib.. 2 . i . Fsuad El-Bdcary

fitc Tiarcss Hcnw D r . F.B. Hylander

C r . Sabih h12:-ahbi, Vice-Chairman ----.. .. 2 . 2 . . Dibc, Vicc-Chairman --.- 3r. J. Imcuzegar

'IT~LL'I D r . R. Cacciapuoti

3r. Y. B ~ u j i Jr. S. Hayek

M r . -.ahbi c l Bcuri D r . Nuri H m l i Bcn O t m m D r . C. Nogcr

PlSISTfN D r . I!. Jafar

D r . Akr,m Beetar . imin Nazmi 1 . Nisar Mcnkari

SYRIA D r . ilia E. El-Chatti

YEMEN N r . Ychia Hassan Fayia

D r . Lhmed b l i Zaki

Rcprescntatives of United Nations and ~ p c c i o l ized Lgencies .____ * _ . _ _ _ ~ _ . _ _ _ _ . -- -* -_ -_ -- _ . .

Technical i~s s i s t ance Bcnrd 1 . . Percz-Guorrerc

UNICEF . H. Ehrqnstrale D r . 3.K. s inclai r -Lout i t Dr . Y.U. Pie r r c t 1 . Z. Davidian

M r . T.E. Purncll

1 . J.M.H. Langford

~c~i/ao/~1in/6 Rev. 1 page 13

Loaguo of Lrab States (KosLth ~octioh) D r . N. Nabulsi

U.S. ~omign Opsrations :~dministrat ion . I . Gandy

U.S. Naval ltedicol Rcscnrch Unit No.3 Captain C.B. Galloway

Rockefeller Foundation Sr. %.i~. McIntosh