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~ N I T E D NATIONS

NATIONS UNlES

WORL

HE LTH

O R G N I Z T I O N

R E G I O N L O F F I C E F O R TH E

E STERN MEDITER R NE N

REGIONAL COMMITTEE FOR

THE

EBSTERN

MEDITFLW~EAN

Fourth Session

ORG NIS TION MON DI LE

DE

L S N T ~

B U R E U R E G IO N L P O U R L

MEDITERR NEE ORIENT LE

RCUWU

G

August

954

ORIGINALc ENGLISH

ACTION TAKEN

O

RESOLUTIONS OF THE

THIRD

REGIONAL COMMITTEE

The Third Regional Committee, meeting i n I sta nb ul

in 1950,

passed a

number of resolutions (~~3/P1/38.Rev.l).

As a considerable time has elapsed

since t h e ~ t h e n te r as t i n some of t hes e reso lut ion s has no doubt decreased.

Howovor, the Regional Director has f e l t t hq t.t ho Committee w u ld l i k e t o have

a br i e f summary of what i t has been possib le t o do t o implement t h e main reso-

lut ions .

This informat ion i s ava i lab le i n h i s r epor t t o the Four th Sess ion

( R ~ d / w 6 ) , but t he present document brings together t h i s information without

tending t o make the recor t i t s e l f in te rna l ly repe t it ious .

The Committee may wish t o i nd ica te (under it em 18 of the agenda) whether

they fin d a documont such as t h i s worthy of re pe ti t i on i n tho futu re,

hi \

1

Customs duties on insecticides and pharmaceuticalsu

Most count ries have waived customs duties , t o t a l l y or pa rt ia ll y,

2. National

WHO

Committees (5.5,)

So

far

the re

i s

no natio nal committee i n . t h i s region.

3 Pu bl ic h ea lt h admini st rat ion (7.1.2.1.3 )

Member St at es have supplied th e re gi on al o ff ic e with much use fu l in formation

on this subjec t .

However, t h i s information i t s e l f i s not suff ic ient to enable

t h e Organization t o make s pe ci fi c recornendations fo r t he improvement of pl bl ic

hea lth admin istratio n esp eci all y i n view of the many dif fe re nt systems and ad-

mi nis tra tiv e trad it io ns. Public health advisers have been appointed t o te n

countr ies i n th e region a t one t ime or another, The int ent ion now i s t o

make a more d et ai le d stu dy country by country, i n cooperation with the h eal th

auth ori t ies , of lo ca l conditions and resources, f ina ncia l , educational and

administrative. In additi on from t ime t o timo th e regional public healt h

advisers consul t with tho min istr ies of health. These advisers are also

working on th e problem of standa rds of pub lic hea lt h. (7.1.2.3.)

4.

Short-term consultants (7.1 .2 .~ ~)

Short-term co ns ul tan ts have us ua lly been engaged t o undertake.those

surveys which are

a

necessary precedent t o the planning of a project o r

which i n some cases form th e i n i t i a l phase of a proj ect, These surveys

and the repor ts a r is ing

from them

ar e a necess ary complement t o t h e work

car rie d out by regi ona l advisers and others.

Every effort i s made t o ensure

th a t t he dura t ion of th e v i s i t s of these consul tants should be long enough t o

enabl e them t o acccanplish t h e i r tas ks. t has a lso been possible t o arrange

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R C ~ / E N / ~ ~

Page 2

fo r a consultant t o pay a second vi s i t af te r a consi de rabl e l apse of t h e t o

the same country.

This ser vice becomes increa sing ly po p l a r and some th i r t y

con sult ants have been engaged i n some f i f t y surveys,

5 Znvi romenta l san i t a t ion (7 '1 .2 .~~)

A regional adviser was appointed from October 1951.

P rogres s i n t h i s

f i e l d becomes more ropid.

6

Health education of the public (7.1.2.6.3,)

Health educators have been appointed i n four pro jec ts and sea rch

i s

being made f o r a number of ot her s but public hea lth educators ar e di f f i c u l t

t o f ind .

7 Malaria (7.1.2,7*)

re gi on al advisor wes appointed i n 1951 and has now gone t o th e Af rica r

region.

Thc question of replacement

i s

under copsideration.

8.

Cbntinua tion of BCG campaigns (7.1.2.85.)

Two campaigns have been completed, seven are i n o p r a t i o n , and advice

i s

being given fo r possible fu tu re campaigns i n two countr ies.

9

Reh abi lit ati on of tub er cul os is pa tie nts (7.1.2.8.2.)

.--- -

This

i s

a fea ture of a l l

WIIO

assis ted tuberculosis cont rol projects and

w i l l be a fe z t w o of those t o come.

10.

Venereal diseeso and treponcmatosis (7.1r2.2.)

Three projects heve beon completed,

four a re i n

operation,

and two are

contomplated.

U

Tyahus and rclapsinv fever (7.1,2.1,10.)

One survey

i s

being made during the curront year,

Ten surveys have been made, two pro je ct s a re

operating,

one

i s

contemplated.

13.

Trachoma (7.1.2.13.1

regional seminar has been held and one pilot control project

i s

t o be

s e t up.

Research has been done i n t he epidemiology of t h i s dis eas e and t has bean

found useful to introduce control propammes alo~g.withmaleria oontrol proje ts.

15 Smallpox (7.1.2.15.)

Enquiri es showed t h a t dr ied vaccine was being ac ti ve ly used with good re s u lt s

i n one country i n the region. Many others expressad int e re s t i n t

and

a com-

prehensive paper

i s

ava ila ble t o t he Fourth Se ssion of th e Regional Committee,

( ~ ~ 4 / * 8 )

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4/W16

Page

16.

Rabies (7.1.2.1~1

The work rcconnended has been ca rr ic d out i n

t w o

countries and

an

eval-

uation of one of these was

presented

t o th e Expert Connittec.

The data

availabl e from both was als o p ese nte d t o th i s Cornittee and an int er-

regional

seninar has been held.

17. Leprosy (7.1.2.17.1)

One survey has been c ar ri ed out followed by a con tr ol p- oje ct.

Studies on tho vclue of mass vaccination have been made

nd

whooping

cough hcs been made no ti fi ab le i n most of the cou nt rie s, Stu dies have been

made elsewhere and th e Techn ical Reports Se ri es No.61 cont ains th e l a t e s t

----

nf o rna ti on on t he vc lue of-e vaccine,

19, Nu tr it io n (7.1.2.18.2)

--.--.

The joint

WHO FAO

Nut riti on Centre p o j e c t was held i n Cairo and drew

tra in ees fro n t e n countrie s, one of which was outsid e

o

t h e

mgbm

our

nat ional nu tr i t io n centres a re e i the r i n operet ion or a re planned.

20. Mental hea l th (7.1.2.1g.3)

There i s a re gi cn al advi ser on a part-time ba si s who pays pe rio di cal

vi si ts . He has vi si te d s i x countries end a consulteat has been appointed

t o one country,

21. School hea lt h (7.1.2.20.)

paper on th e o rge niz atio n of such ser vi ces was s en t t o a l l Menber

Governncnts and seven tr ci ne es went from t h i s rsg ion t o a study-group

orgen ized i n Denmark and t he Netherlands.

22.

Health demonstretion areas (7.1.2.21.)

.A_

Qolyub he al th demonstration are a has been i n o p r a t i o n si nc e August 1953,

The

W O

s t a f f now nunhers six.

23.

Professional and technical education (7.1.2.22,)

..

The fo ll ow ing sta tement shows how the Committee s reconmendat ion on

fellowships has been followed:

No.of fellowships S o u r c e o f f u n d e

awarded - m f T v w

( t o end of ~ u l ~ )

de ta il ed statement of fellowships i s given i n Appendix

I

(a) and (b)

of th e Regional Dircc to rts report .

There have been f i v e teaching o r adv isory

missions and a st a t i s t i c a l tra ini ng centre was held,

Some v i s i t i n g profe ssors

have becn appointed.

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24.

Coordination with U end Swci al i zed hmncies 8 , )

Throughout the Rogional Director s Rnport ( N6 w i l l be found the

evidence of grc at and growing cooporotlon between

a l l

the agenc ies concerned

in clu din g non-UN agencies.

These are being great ly fa ci l i ta te d by the sst-

eblishnent

of

coordineting connitte es within the cou ntrie s concerned, t h i s

being the only level where prectical coordination con teke place.

Overell

r

ba sic agreenonts have been signed by every country i n th e

region.

h

l i s t

of project agreements w i l l be found i n Appendix I of the

Rogional Direct or

Is

repor t ,

( R C ~ / W ~ )

No

Government

has yet nede use of t h i s fa ci l i ty .

27. Epidemiolo~ical ntel l igenc e service ( 0)

Tho reconnendetions have been implemented and a d e ta il ed re po rt on t h i s

subject i s t o bo found i n hppendix of the Regional Director 's rep ort

( ~ c d W 6 )

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