UNITED NATIONS WORLD NATIONS UNIES HEALTH ORGANISATION MONDIALE DE LA SANTÉ O R G A N I Z A T I O N EXECUTIVE BOARD ЕВ8/М1п/б Rev.l 25 October 1951 ElKhth Session ORIGINAL : ENGLISH MINUTES OF THE SIXTH MEETING Palais des Nations, Geneva Wednesday, 6 June 19^1> at 9 30 a.m. CONTENTS Page 1. 2. 5. Statement Ъу the Assistant Director-General of the International Labour Organisation 5 Technical discussions at future World Health Assemblies (Continuation) 5 S c i e n t i f i c r e s e a r c h in the f i e l d of h e a l t h 6 (Continuation) Convening of expert committees proposed for 1952 5' R e p o r t of the S t a n d i n g C o m m i t t e e on A d m i n i s t r a t i o n a n d F i n a n c e 7 • 8 EBtí/Min/6 R e v . l page 2 - Sixth Meeting W e d n e s d a y , 6 J u n e 1 9 5 1 , a t 9 . 3 0 a.tt. Present Designating : Professor J . PAEISOT, Chairman France Dr. A . L . BRAVO, Vice-Chairman Chile Professor S. BRISKAS Greece Professor G.A. CANAPERIA Italy- Dr. S. DAENGSVANG Thailand Dr C.L. GONZAIEZ Venezuela Dr. J . A . HOJER Sweden Dr. S. HAYEK Lebanon Country 'Cuba Dr. F . HURTADO' Dr. H . HYDE U n i t e d S t a t e s of Dr M . JAFAR Pakistan Dr. N . KARABUDÁ, Rapporteur Turkey- Dr. W . A . KARUNARATNE, Rapporteur Ceylon P r o f e s s o r M . De L A E T Belgium Dr. M , MACKENZIE United Kingdom Dr. R . G . PADUA Philippines Dr. J.N. TOGBA, Vice-Chairman Liberia Representatives of other agencies î 1Ю M r . R . RAO Dr. A . GRUT Secretary : Dr. Brock Chisholm Director-General America EB8/Min/6 R e v . l page 1035 1. STATEMENT BY THE ASSISTANT DIRECTOR-GENERAL. OF THE INTERNATIONAL LABOUR ORGANISATION ‘ ~ M r . R A O ^ A s s i s t a n t D i r e c t o r - G e n e r a l of I L O , . c o n v e y e d t h e g r e e t i n g s o f the Director-General of that organization to the B o a r d a n d his regrets that h e w a s n o t a b l e t o Ъе p r e s e n t in p e r s o n , o n a c c o u n t o f t h e o p e n i n g o f t h e I L O C o n f e r e n c e . C o l l a b o r a t i o n b e t w e e n ILO a n d W H O h a d so f a r t a k e n t h e form o f i n t e r - s e c r e t a r i a t c o n s u l t a t i o n s . In p a r t i c u l a r , I L O h a d c o m m u n i c a t e d t o 而 0 , in J a n u a r y 1 9 5 0 , a. d r a f t q u e s t i o n n a i r e o n o b j e c t i v e s a n d m i n i m u m o f s o c i a l s e c u r i t y , p r i o r t o t h e m e e t i n g of s o c i a l s e c u r i t y e x p e r t s standards in W e l l i n g t o n . W H O h a d n o t b e e n a b l e t o s e n d a r e p r e s e n t a t i v e to t h a t m e e t i n g b u t h a d b e e n i n f o r m e d o f its r e s u l t s a n d i n v i t e d t o m a k e a n y o b s e r v a t i o n s m i g h t w i s h on the d r a f t c o n c l u s i o n s a n d t h e r e p o r t , w i t h p a r t i c u l a r it reference to the items dealing w i t h medical care, prevention a n d rehabilitation. WHO had a p p o i n t e d the Chief of its S o c i a l a n d O c c u p a t i o n a l H e a l t h Section to p a r t i c i p a t e i n d i s c u s s i o n s w i t h o f f i c i a l s of ILO o n t h e s e i t e m s a n d s u g g e s t i o n s m a d e b y WHO were taken into consideration in the preparation of the final texts. The p o s i t i o n of ILO w a s n o w a s f o l l o w s : it w a s w i l l i n g t o c o - o p e r a t e w i t h W H O in t h i s m a t t e r , a l t h o u g h it m u s t n e c e s s a r i l y t a k e t h e f i n a l responsibility for texts which it adopted; if WHO should wish to appoint an expert committee to co-operate with ILO by studying the relevant sections of draft texts which I L O w a s t o p r e p a r e on t h e b a s i s o f t h e c o n c l u s i o n s a d o p t e d a t t h e p r e s e n t s e s s i o n of its c o n f e r e n c e , s u c h a c t i o n v o u l d b e w a r m l y w e l c o m e d Ъу I L O . The CHAIRMAN thanked M r . R a o for his s t a t e m e n t , which was a further proof o f t h e g o o d r e l a t i o n s b e t w e e n I L O a n d W H O . T h e r e m u s t Ъе e v e n c l o s e - co-operation b e t w e e n t h e t w o o r g a n i z a t i o n s in t h e s p h e r e o f s o c i a l security.. F r o m 1927 onwards, there had b e e n a joint expert committee r e p r e s e n t i n g the Health EBÔ/Min/6 Rev.l p a g e it- O r g a n i s a t i o n of t h e L e a g u e of N a t i o n s a n d I L O , w h i c h h a d p e r f o r m e d extremely u s e f u l w o r k i n t h e f i e l d o f h e a l t h , i n both, i t s c u r a t i v e a n d p r e v e n t i v e aspects. The proposal of M r . Rao concerning the setting up of an expert committee W H O t o a s s i s t the w o r k o f I L O i n t h e f i e l d of s o c i a l s e c u r i t y w a s most by therefore interesting. D r . F O R R E S T , D i r e c t o r л D i v i s i o n of C o - o r d i n a t i o n o f P l a n n i n g a n d L i a i s o n , s a i d t h a t if t h i s p r o p o s a l w e r e t o Ъе a d o p t e d ^ it w o u l d b e n e c e s s a r y to c o n v e n e t h e e x p e r t c o m m i t t e e t o v a r d s t h e e n d o f t h e p r e s e n t y e a r or t o p r o c e e d w i t h t h e w o r k Ъу c o r r e s p o n d e n c e • It h a p p e n e d t h a t one o f t h e e x i s t i n g joint c o m m i t t e e s v i t h ILO h a d h a d to be p o s t p o n e d u n t i l the f o l l o w i n g y e a r a n d there w o u l d therefore b e b u d g e t a r y p r o v i s i o n for an expert committee^ if this v e r e d e c i d e d . In r e p l y to D r , HYDE> he said that if the expert committee w e r e i n D e c e m b e r > i t s r e p o r t c o u l d b e s u b m i t t e d to t h e B o a r d a t i t s n i n t h convened session for t r a n s m i s s i o n to I L O . The report w o u l d thus have the n e c e s s a r y l e v e l of ' » ‘ endorsement. D r . H O J E R e x p r e s s e d h i s a p p r e c i a t i o n of t h e p r o p o s a l f r o m I L O t h a t t h e r e should b e closer co-operation on q u e s t i o n s of m e d i c a l c a r e . He suggested that t h e q u e s t i o n of a n e x p e r t c o m m i t t e e m i g h t b e b r o u g h t u p u n d e r i t e m 2 0 o f t h e a g e n d a ( C o n v e n i n g o f e x p e r t c o m m i t t e e s p r o p o s e d f o r 1952), a l t h o u g h h e t h a t t h e n e c e s s a r y v o r k m i g h t Ъе d o n e Ъу t h e considered Secretariat. D r . BRAVO said that there were close links b e t v e e n the activities of Ш) a n d W H O . T h e a i m of W H O w a s t o i m p r o v e h e a l t h c o n d i t i o n s t h r o u g h o u t t h e w o r l d a n d t h u s ^ i n t u r n , i n c r e a s e p o t e n t i a l w o r k i n g capacity; o n t h e o t h e r hand; I L O , in s e e k i n g to i m p r o v e i n d u s t r i a l h y g i e n e a n d i n p r e s s i n g f o r b e t t e r working EB8/Min/6 R e v . l page 5 “ c o n d i t i o n s f o r w o m e n a n d c h i l d r e n , w a s a s s i s t i n g in t h e d e v e l o p m e n t of b e t t e r h e a l t h 'conditions. T h e r e w e r e in m a n y c o u n t r i e s p u b l i c - h e a l t h s e r v i c e s w h i c h c o m b i n e d in t h e o n e d e p a r t m e n t t h e p r e v e n t i v e a n d c u r a t i v e a s p e c t s of h e a l t h . T h e e x a m p l e g i v e n in this m a t t e r b y the U n i t e d K i n g d o m w o u l d p r o b a b l y Ъе f o l l o w e d g e n e r a l l y ^ s i n c e it w a s in a c c o r d a n c e w i t h t h e s p i r i t of the C o n s t i t u t i o n o f W H O t h a t p r o t e c t i o n of h e a l t h w a s the r i g h t of e v e r y c i t i z e n , a n d t h a t t h e i m p r o v e m e n t of h e a l t h c o n d i t i o n s t h r o u g h o u t the w o r l d w a s c o n d u c i v e t o t h e m a i n t e n a n c e of p e a c e . He d e e p l y a p p r e c i a t e d the s t a t e m e n t of » M r . Rao regarding the co-operation between ILO and WHO. He hoped this would l e ü d to a c o m p l e t e u n i f i c a t i o n of a c t i v i t i e s on h e a l t h a n d w o u l d p r e v e n t o v e r l a p p i n g . H e h o p e d t h a t c o - o p e r a t i o n w o u l d n o t s t o p w i t h t h e c r e a t i o n of a joint expert committee but that concrete proposals would be made which could serve as an example to national health services. T h e D I R E C T O R - G E N E R A L s a i d . t h a t the q u e s t i o n of c o - o r d i n a t i o n b e t w e e n ILO a n d W H O h a d b e e n of g r e a t c o n c e r n to b o t h o r g a n i z a t i o n s . D u r i n g t h e last, y e a r c o - o r d i n a t i o n h a d i m p r o v e d greatly; t h e r e h a d b e e n a l m o s t d a i l y c o n t a c t s o n v a r i o u s l e v e l s . T h i s w a s p a r t l y due to the t e c h n i c a l a s s i s t a n c e programme. T h e r e w e r e m a n y a r e a s w h e r e the i n t e r e s t s of b o t h o r g a n i z a t i o n s w e r e contiguous b u t t h e r e h a d b e e n n o o v e r l a p p i n g . It h a d b e e n a v o i d e d b y d a i l y a r r a n g e m e n t s w h i c h h a d p r o v e d m o s t s a t i s f a c t o r y . lie мыз m o s t g r a t e f u l to ILO f o r its c o n t i n u a l со-operation. T h e C H A I R M A N s a i d t h a t the d e t a i l s of c o - o p e r a t i o n b e t w e e n the t v o o r g a n i z a t i o n s w o u l d b e d i s c u s s e d u n d e r i t e m 2 0 of t h e a g e n d a . H e M r , R a o f o r h i s s t a t e m e n t a n d r e q u e s t e d h i m t o t r a n s m i t t o the thanked Director-General of ILO the s i n c e r e d e s i r e of W H O f o r e f f e c t i v e c o - o p e r a t i o n w i t h h i s office. EB8/Min/é Rev.l pago б o f 2 T E C H N I C A L D I S C U S S I O N S AT F U T U R S W O R L D H E A L T H A S S E M B L I E S : I t e m 5 ‘ A g e n d a (Document EB8/U7) (Continuation from fifth meeting, section 8) O n the p r o p o s a l of D r . H y d e , it "was a g r e e d to d e l e t e " p u r e l y " f r o m . p a r a g r a p h 5 of the d r a f t r e s o l u t i o n , a n d to d e l e t e the l a s t c l a u s e o f p a r a g r a p h 1 , b e g i n n i n g " w i t h s p e c i a l r e f e r e n c e ..." ' D e c i s i o n î T h e E x e c u t i v e B o a r d a d o p t e d the d r a f t r e s o l u t i o n in d o c u m e n t E B 8 / V 7 . as a m e n d e d . 5. S C I E N T I F I C R E S E A R C H IN T H E F I E L D O F H E A L T H ( C o n t i n u a t i o n f r o m fifth m e e t i n g , s e c t i o n 9 ) j l t e m 2k of t h e A g e n d a ) ( R e s o l u t i o n WHA1+.26) D r v a n den B E R G s a i d t h a t he w a s in g e n e r a l a g r e e m e n t w i t h the s t a t e m e n t made b y Dr. Sokhey, Assistant Director-General, Department of Central Technical S e r v i c e s , a t the f i f t h m e e t i n g of the B o a r d , b u t n o m e n t i o n h a d b e e n m a d e of t h e o b l i g a t i o n of WHO to p r e n o t e a n d c o - o r d i n a t e the w o r k of r e s e a r c h i n s t i t u t i o n s . C o - o r d i n a t i o n w a s u r g e n t l y r e q u i r e d a n d h e r e q u e s t e d the Director-General, therefore, to repeat the remarks he had made to the Standing C o m m i t t e e o n A d m i n i s t r a t i o n a n d F i n a n c e on t h i s subject. T h e D I R E C T O R - G E N E R A L s a i d t h a t t h e p o l i c y of W H O h a d b e e n in g e n e r a l to co-ordinate and stimulate research; research had been subsidised directly o n l y in a f e w s p e c i f i c s u b j e c t s . T h i s p o l i c y h a d b e e n e s t a b l i s h e d d u r i n g the p e r i o d of the I n t e r i m C o m m i s s i o n a n d c o n t i n u e d ever s i n c e . T h e c h i e f p r o b l e m f a c i n g r e s e a r c h i n s t i t u t i o n s t h r o u g h o u t the w o r l d w a s t h a t of co-ordination, r a t h e r t h a n o f p r o m o t i o n of r e s e a r c h . A l t h o u g h W H O h a d a l r e a d y a d o p t e d one m e t h o d of c o - o r d i n a t i n g r e s e a r c h - t h r o u g h the e x p e r t c o m m i t t e e s - i t would s e e m t h a t the O r g a n i z a t i o n c o u l d m a k e a f u r t h e r v a l u a b l e c o n t r i b u t i o n , , a t EB8/Min/6 page Rev.l 7 c o m p a r a t i v e l y low c o s t , b y a r r a n g i n g for m e e t i n g s of the h e a d s of r e s e a r c h i n s t i t u t e s a n d of s c i e n t i s t s e n g a g e d in r e s e a r c h on t h e s a m e m a t t e r s . D r . H O J E S s a i d t h a t the s t a t e m e n t of the D i r e c t o r - G e n e r a l w a s m o s t h e l p f u l . He s t r e s s e d , h o w e v e r , t h a t it v a s n e c e s s a r y t o h a v e h i g h l y t e c h n i c a l p e r s o n n e l on t h e s t a f f of W H O , a s w e l l a s a d m i n i s t r a t i v e competent and financial personnel. After the Chairman had read a draft resolution^ it v a s a g r e e d t h a t f u r t h e r d i s c u s s i o n s h o u l d b e p o s t p o n e d u n t i l t h e t e x t of the r e s o l u t i o n had Ъееп d i s t r i b u t e d , (For c o n t i n u a t i o n of discussion, see m i n u t e s o f e i g h t h m e e t i n g , s e c t i o n 心 1). C O N V E N I N G OF E X P E R T C O M M I T T E E S P R O P O S E D F O R 1 9 5 2 ; I t e m 2 0 of the A g e n d a D r . F O R R E S T s a i d t h a t a l i s t of t h e p r o p o s e d m e e t i n g s of e x p e r t s committees a n d c o n f e r e n c e s t o Ъе h e l d in 1952 "was g i v e n in O f f i c i a l R e c o r d s N o , 51, page 201e D e t a i l e d i n f o r m a t i o n on the i n d i v i d u a l c o m m i t t e e s w o u l d b e f o u n d in the same d o c u m e n t ^ u n d e r the r e l e v a n t s u b j e c t heading. D r . M A C K E N Z I E s a i d t h a t a r e s o l u t i o n of the T h i r d W o r l d H e a l t h A s s e m b l y c o n c e r n i n g t h e e s t a b l i s h m e n t of a n e x p e r t c o m m i t t e e on r h e u m a t i c diseases ( r e s o l u t i o n W H A 3 . 2 9 ) had, b e e n r e f e r r e d b y the B o a r d , a t its s e v e n t h session, to the p r e s e n t s e s s i o n . N 6 p r o v i s i o n for the m e e t i n g of s u c h a c o m m i t t e e w a s m a d e in t h e l i s t q u o t e d b y D r . F o r r e s t . H e hoped; therefore, t h a t the S e c r e t a r i a t w o u l d i n f o r m the B o a r d as t o the p r e s e n t s i t u a t i o n of the a c t i o n in t h i s m a t t e r . ВЬ8/М1п/б R e v . l I>.ige 8 D r . CANDAU, D i r e c t o r , D i v i s i o n of O r g a n i z a t i o n o f P u b l i c - H e a l t h Services, d r e w t h e a t t e n t i o n of t h e B o a r d to O f f i c i a l R e c o r d s N o . 5 5 , p a g e 1 7 , p a r a g r a p h s 76 and 77. D r . M A C K E N Z I E s a i d t h a t , in t h e d i s c u s s i o n w h i c h h a d p r e c e d e d t h e d e c i s i o n m e n t i o n e d in p a r a g r a p h 77, it h a d b e e n a g r e e d t h a t t h e e s t a b l i s h m e n t o f e x p e r t c o m m i t t e e s on p o l i o m y e l i t i s a n d r h e u m a t i c d i s e a s e s s h o u l d b e i n c l u d e d i n p r o g r a m m e a n d b u d g e t e s t i m a t e s Ъу the D i r e c t o r - G e n e r a l a s s o o n a s p o s s i b l e . D r . HOJER, agreeing with D r . Mackenzie, proposed that this action should b e t a k e n i n the p r o g r a m m e a n d b u d g e t e s t i m a t e s f o r 1955, a t l e a s t i n t h e case o f r h e u m a t i c d i s e a s e s . F i n a n c i a l p r o v i s i o n s h o u l d Ъе a v a i l a b l e if t h e p r o p o s a l f r o m ILO f o r a n e x p e r t c o m m i t t e e w a s n o t a d o p t e d . The C H A I R M A N p r o p o s e d the f o l l o w i n g d r a f t r e s o l u t i o n : The Executive Board D E C I D E S t o i n v i t e t h e D i r e с t o r - G e n e га1 t o i n c l u d e i n t h e p r o g r a m m e and budget for 1955 the necessary provisions for a meeting of an expert c o m m i t t e e on r h e u m a t i s m . D e c i s i o n : T h e E x e c u t i v e B o a r d a d o p t e d the r e s o l u t i o n p r o p o s e d b y the C h a i r m a n a n d a p p r o v e d t h e p r o p o s e d l i s t of m e e t i n g s of e x p e r t comciittees and conferences. 5. REPORT OF THE STANDING COMMITTEE O N ADMINISTRATION A N D FINANCE Í D o c u m e n t ЕВ8/扛5) D r . B R A V O , C h a i r m a n of the S t a n d i n g C o m m i t t e e , s a i d t h a t t h e r e p o r t w a s largely self-explanatory, b u t he would like to draw the attention of the Board EB8/Min/6 Rev.l ” a ge 9 to certain of the more important items Ï first, the resolution concerning the Handbook of Resolutions and Decisions; secondly, the stress laid. Ъу the Committee, in section oir on the necessity for concentrating effort and resources, co-operation with UNICEF and on the inclusion of fellowships as a component part of projects; thirdly, the proposals of the co^iittee regarding arrears of contributions (section 8); fourthly, the proposal regarding the time and place of the next meeting of the committee (section 10); and fifthly, the recommendations of the committee regarding the use of local personnel in demonstration projects (section 1.1), Çr。 PADUA, Rapporteur of the Standing Comnittee, said that the committee h a d m e t t h r e e t i m e s a n d h a ¿ adopted its report at the last meeting. He would like to draw attention to the recommendations of the coramittee regarding the place of the Sixth World Health Assembly and of future Assemblies.(section 1). It was agreed that the report should be considered section Ъу sections of. the Sixth World Health issenbly and of Future Assemblies * “ ' •‘ ‘ • •‘••• • и Professor CANAPERIA said that the r e c o m e n d a t i o n of the c o m i t t e e , from аП a d m i n i 3 t r a t i v e W h e t h e r t h e co a n d financial point of view, was judicious but he wondered ™ i i t t e e had taken into account the advantages which would accrue from holding Health Assemblies avay from Geneva。 Dr. BRAVO drew attention to the sacond paragraph of the proposed resolution. There would be undoubted advantages in holding Health Assemblies a W a y ГГ0И G e n e v a , Particularly in less developed countries, but it was precisely those countries that vero least able to contribute to the additional expenses a n d ' t0 p r ü v ! d e ^ e q u a t e accommotetlon, Tho additional cost of holding an EB8/Mín/6 R e v . l page ' 10 Assembly avay from Geneva would probably amount to between $200^000 and $ 3 0 0 , 0 0 0 a n d the committee h a d d i s c u s s e d the p o s s i b i l i t y of setting aside $50,000 a y e a r i n a r e s e r v e f u n d i n o r d e r to m e e t t h i s e x p e n s e a t intervals. It h a d , however, been decided that technical programmes must have first priority in the b u d g e t a n d that such a course was at present impracticable. D r . D 0 R 0 Î 1 E , D e p u t y D i r e c t o r - G e n e r a l , thought that the value of h o l d i n g Health Assemblies away from Geneva was not contested. Under present circum- s t a n c e s it v a s i m p o s s i b l e t o f i n d a M e m b e r S t a t e w h i c h w o u l d b e p r e p a r e d t o m e e t t h e a d d i t i o n a l e x p e n s e s . It w a s , t h e r e f o r e , f o r t h e B o a r d t o d e c i d e w h e t h e r p r o v i s i o n should, b e m a d e i n the b u d g e t t o m e e t t h o s e expenses; o t h e r w i s e i t v o u l d Ъе u s e l e s s t o a d o p t a n y r e s o l u t i o n t o t h e e f f e c t t h a t H e a l t h Assemblies should be held away from Geneva. Decision : adopted. T h e d r a f t r e s o l u t i o n p r o p o s e d Ъу t h e S t a n d i n g C o m m i t t e e w a s S e c t i o n 2 : H a n d b o o k of R e s o l u t i o n s a n d D e c i s i o n s t a k e n b y t h e W o r l d J e a O t h “ Assembly and the Executive Board Dr. TOGBAJ r e f e r r i n g t o p a r a g r a p h ( ^ ) of t h e p r o p o s e d r e s o l u t i o n , a s k e d w h a t p e r i o d of time was likely to e l a p s e before the first r e p r i n t of E d i t i o n N o . 1 was published. T h e S E C R E T A R Y s a i d t h a t t h e p e r i o d m i g h t b e t w o , t h r e e , or e v e n f i v e y e a r s , depending on w h e n the v o l u m e of decisions a n d r e s o l u t i o n s , a n d the d i f f i c u l t y of h a n d l i n g the o r i g i n a l e d i t i o n p l u s the various s u p p l e m e n t s , made it n e c e s s a r y t o i s s u e a n e w edition. EB8/Min/6 R e v . l page 11 D r . T O G B A t h o u g h t it w o u l d Ъе b e t t e r t o state a d e f i n i t e p e r i o d , a n d suggested three years * D r . B R A V O ; w h i l s t agreeing that at the p r e s e n t time a p e r i o d of three y e a r s m i g h t a p p e a r s a t i s f a c t o r y , t h o u g h t t h a t it s h o u l d b e l e f t t o t h e E x e c u t i v e B o a r d t o d e c i d e w h e n c i r c u m s t a n c e s m a d e it n e c e s s a r y t o p u b l i s h a new edition. The CHAIRMAN thought that the words "when deemed appropriate b y the Executive Board" vould cover all contingencies. Decision : The draft resolution proposed b y the Standing was adopted. Committee Section 5 : Darling Foundation Avard D r . G O N Z A L E Z a s k e d if t h e w o r d i n g of t h e r e s o l u t i o n w a s i n t e n d e d t o m e a n that the Standing Committee c o n s i d e r e d that neither the D e e d of F o u n d a t i o n nor the Statute of the Darling Foundation should be amended or t h a t , as the e x i s t i n g w o r d i n g of t h e r e l e v a n t a r t i c l e s m a d e it c l e a r t h a t t h e a w a r d o n l y Ъе g i v e n t o the a u t h o r o f a n o r i g i n a l w o r k , n o m o d i f i c a t i o n w a s D r . P A D U A e x p l a i n e d t h a t d u r i n g a l e n g t h y d i s c u s s i o n Ъу t h e could necessary. Standing C o m m i t t e e it h a d b e e n s u g g e s t e d t h a t t h e a w a r d s h o u l d n o t Ъе r e s t r i c t e d t o a u t h o r s o f o r i g i n a l s c i e n t i f i c w o r k s on m a l a r i a b u t s h o u l d b e g i v e n a l s o to p e r s o n s v h o h a d d o n e e x c e p t i o n a l w o r k in t h e f i e l d of m a l a r i a c o n t r o l . A f t e r e x a m i n i n g A r t i c l e 2 o f t h e D e e d of F o u n d a t i o n a n d A r t i c l e 2 o f t h e S t a t u t e o f t h e D a r l i n g F o u n d a t i o n , h ove ver,, it h a d b e e n d e c i d e d t h a t it v a s t o a s k f o r a n y m o d i f i c a t i o n of e i t h e r instrument. unnecessary F a g e 12 D r HOJEE. ad4e<. t h a t • S t a n d i n ^ O c f m j j t t ^ "Ъа^аД^о^вхрт^в^её^^^ХеЧ t h a t , if the a w a r d w e r e t o Ъе g i v e n f o r p r a c t i c a l work; s u c h w o r k m u s t b e both original and scientific. J VS _:: . ' . ., Decision adopted. , 1 ¡ • . J' • : : ‘' ‘ " ‘ ‘ ‘ . К .“• ; •• ‘ Ч… , • 圓 .. • ‘ • с î The. D r a f t r e s o l u t i o n p r o p o s e d b y the S t a n d i n g C o m m i t t e e va's " ' ' S e c t i o n 4 ; F o r m a n d P r e s e n t a t i o n of t h e P r o g r a m m e a n d B u d g e t f o r 1953 D r . HAYEK, r e f è r r i n g t o p a r a g r a p h (3) of the p r o p o s e d r e s o l u t i o n , c a l l e d a t t e n t i o n to t h e d i f f i c u l t i e s w h i c h w o u l d f a c e t h e h e a l t h d e p a r t m e n t s o f the g o v e r n m e n t s c o n c e r n e d in c o n n e x i o n w i t h t h e i r p r o g r a m m e s a s a. r e s u l t of the r e c e n t change of p o l i c y b y w h i c h in f u t u r e U N I C E F w o u l d p r o v i d e o n l y f u n d s for s u p p l i e s a n d e q u i p m e n t for j o i n t W H O / U W I C E P p r o g r a m m e s a n d W H O w o u l d p r o v i d e f u n d s f o r f e l l o w s h i p s . H e a s k e d t h a t in f u t u r e such c h a n g e s s h o u l d n o t b e -ti^de d u r i n g t h e p e r i o d of i m p l e m e n t a t i o n of p r o g r a m m e s . The. S E C R E T A R Y s a i d t h a t the w o r d i n g of p a r a g r a p h (5) v a s i n t e n d e d to r e f e r to. t h e funds e x p e c t e d t o b e m a d e a v a i l a b l e b y U N I C E F f o r h e a l t h p r o g r a m m e s w h i c h came v i t h i n t h e t e r m s o f r e f e r e n c e of a n d w e r e a p p r o v e d b y the E x e c u t i v e B o a r d o f t h a t o r g a n i z a t i o n . T h e a m o u n t s e x p e c t e d to b e f o r t h c o m i n g f r o m U N I C E S f u n d s w o u l d Ъе i n c l u d e d i n the p r o p o s e d b u d g e t e s t i m a t e s f o r 1 9 5 3 . -, : He, .added ,that W H O c o u l d g i v e n o a s s u r a n c e t h a t the p r o j e c t s .would Ъе c a r r i e d o u t : in the p r e c i s e m a n n e r s h o w n in the. p r e s e n t a t i o n o f . t h e p r o g r a m m e . and b u d•g e tl. ' I •t 'w a s h o p e d , h o w e v e r , that,, .profiting f r o m e x p e r i e n c e g a i n e d i n . . . * . *.. the c o u r s e _ o f t i m e , it w o u l d b e possible:to m a k e b e t t e r e s t i m a t e s i n • the. f u t u r e . Decision adoptede : T h e d r a f t r e s o l u t i o n p r o p o s e d b y the S t a n d i n g C o m m i t t e e w a s EB8/Min/6 R e v . l page 13 Section ^ ; Use of Spanish at WHO Meetings Decision i There being n o objection, the draft resolution proposed b y the Standing Committee was adopted. S e c t i o n 6 ; D i f f e r e n t i a l R a t e f o r S a l a r i e s in G e n e v a D e c i s i o n : T h e r e b e i n g n o o b j e c t i o n , t h e d r a f t r e s o l u t i o n p r o p o s e d Ъу the Standing Committee was adopted. Section 7 : Budgetary Allotments issued as at 31 M a y 1951 Decision î There being no objection, the draft resolution proposed b y the Standing Committee was a d o p t e d . S e c t i o n 8 : S t a t u s of C o n t r i b u t i o n s A f t e r a l e n g t h y d i s c u s s i o n , the E x e c u t i v e B o a r d , w i t h t h e a g r e e m e n t of t h e m e m b e r s of t h e S t a n d i n g C o m m i t t e e on A d m i n i s t r a t i o n a n d F i n a n c e , d e c i d e d as follows : O n t h e s u g g e s t i o n of t h e C H A I R M A N , a n d in line w i t h t h e d e c i s i o n t a k e n Ъу t h e B o a r d a t its s e v e n t h s e s s i o n ( O f f i c i a l R e c o r d s N o . 55, p a g e 1 9 , p a r a g r a p h 9。)to r e p l a c e the p a r a g r a p h p r e c e d i n g t h e p r o p o s e d r e s o l u t i o n Ъу t h e following: T h e C o m m i t t e e d i s c u s s e d the s t a t u s of c o n t r i b u t i o n s t o t h e b u d g e t of the W o r l d H e a l t h O r g a n i z a t i o n . It s u g g e s t e d t h a t , w h e r e v e r a n o p p o r t u n i t y o c c u r s , "and w i t h t h e a c t i v e c o - o p e r a t i o n of t h e r e g i o n a l d i r e c t o r , a n o f f i c i a l f r o m h e a d q u a r t e r s s h o u l d v i s i t M e m b e r s w h o a r e in a r r e a r s a n d , a s p a r t of the d i s c u s s i o n s o n o t h e r m a t t e r s , s h o u l d p r e s s f o r e a r l y p a y m e n t of o u t s t a n d i n g c o n t r i b u t i o n s ; a n d it d e c i d e d t o r e c o m m e n d the a d o p t i o n o f the following resolution. B y a v o t e t a k e n a t the r e q u e s t o f D r . H A Y E K , t h e B o a r d a g r e e d to a d o p t t h e d r a f t r e s o l u t i o n p r o p o s e d b y t h e S t a n d i n g C o m m i t t e e , s u b j e c t t o the o f " a n d 19^9" a f t e r " t h e i r q u o t a s f o r 19^8" in p a r a g r a p h 1. inclusion BJbS/Mln/6 H e v a p a g e 1紅 S e c t i o n 9 t P l a c e a n d D a t e o f the N i n t h S e s s i o n of the E x e c u t i v e Board P r o f e s s o r De L A E T asked, w h a t w o u l d Ъе the cost of h o l d i n g the n i n t h session of the B o a r d a t a p l a c e n o t too f a r d i s t a n t f r o m G e n e v a , a n d , s e c o n d l y , w h e t h e r ‘ .. ‘ • ..• : ‘ • _ it w o u l d Ъе p o s s i b l e t o r e d u c e the c o s t of p r e p a r i n g f o r a s e s s i o n of the B o a r d Ъу c o n s u l t a t i o n b y c o r r e s p o n d e n c e in advance.. T h e S E C R E T A R Y s a i d that^ in o r d e r to e s t i m a t e the c o s t o f h o l d i n g a,,, • • • . •• ”、..• . . . . . ' ' - . . s e s s i o n o u t s i d e G e n e v a , t h e S e c r e t a r i a t m u s t h a v e some i n d i c a t i o n of the p l a c e s t o b e c o n s i d e r e d . He a d d e d t h a t c e r t a i n p o s s i b l e d i f f i c u l t i e s , for—the.... S e c r e t a r i a t “ a n d f o r the B o a r d ~ m u s t b e t a k e n i n t o c o n s i d e r a t i o n in c o n n e x i o n w i t h such a s u g g e s t i o n . F o r e x a m p l e -: the • Eoard-j-'-at -its 'January'‘ s e s s i o n , w o u l d h a v e t o d e a l w i t h a n u m b e r o f d i f f e r e n t . subj i ecta / including one w h i c h w o u l d o c c u p y m u c h of its t i m e - the p r o g r a m m e a n d budget, .estimates, f o r 1 9 5 5 - a n d in c o n n e x i o n w i t h w h i c h is u s u a l l y w i s h e d to h e a r statements f r o m s e v e r a l s t a f f m e m b e r s . The B o a r d a l s o n o r m a l l y r e q u i r e d a c o n s i d e r a b l e . . . • • . a m o u n t o f i n f o r m a t i o n s u p p l e m e n t a r y t o t h a t contaiiaed in the d o c u m e n t s issued..iu a d v a n c e , v h i c h it would, b e d i f f i c u l t to s u p p l y ^ i f the s e s s i o n w e r e 力eld a w a y f r o m G e n e v a ^ u n l e s s й r e l a t i v e l y lsirge n u m b e r of the Secretariat was present. • . •' • ' . . . . . . •• A s k e d .by. -the' ,CHAIP U MAN if .he w i s h e d t o s u g g e s t a n y p a r t i c u l a r • • • • ‘ - , places, • Professor. .De; L A E T n e n b i o n e d t-he S o u t h of F r a n c e a n d p a r t i c u l a r l y Monaco-. •; '•••,. •..• •. ' . ... • • ' ' ' , . • T h e S E C R E T A R Y , r e p l y i n g to a q u e s t i o n Ъу D r . K A R A B U D A r e g a r d i n g the p o s s i b i l i t y o f s e n d i n g r e p o r t s in c o n n e x i o n w i t h the J a n u a r y s e s s i o n of 'the .Executive .Board.,to M e m b e r s -States in t i m e to 'enable t h e i r d e l e g a t e s to s t u d y t h e m b e f o r e a t t e n d i n g the '.-Fifth W o r l d H e a l t h A s s e m b l y , s a i d it w a s h o p e d that; ЕВ8/М1п/6 Rev.L page 15 if the n i n t h s e s s i o n of the B o a r d b e g a n on 2 1 J a n u a r y , as s u g g e s t e d , it w o u l d b e p o s s i b l e t o s u p p l y m o s t o f t h e d o c u m e n t s i n t i m e , "but t h a t w o u l d b e the l a t e s t d a t e w h i c h w o u l d a l l o w of d o c u m e n t a t i o n b e i n g p r e p a r e d a n d s e n t out to governments for the Fifth World Health Assembly. Dr. HOJER^ whilst agreeing with the suggestion for holding future of the B o a r d in d i f f e r e n t p l a c e s , s a i d t h a t , so f a r as he knew, n o sessions invitations h a d b e e n r e c e i v e d a n d h e t h o u g h t i t w a s t o o l a t e in t h e p r e s e n t s e s s i o n consider the question. He therefore proposed that the draft to resolution r e c o m m e n d e d b y t h e S t a n d i n g C o m m i t t e e Ъе a d o p t e d . • D e c i s i o n : I t w a s a g r e e d t o d e f e r a d e c i s i o n u n t i l t h e f o l l o w i n g day, t o enable the S e c r e t a r i a t t o p r e p a r e e s t i m a t e s of the cost of h o l d i n g a session of the B o a r d a w a y from Geneva, S e c t i o n 10 : Work of the Standing Committee on A d m i n i s t r a t i o n and F i n a n c e Decision : There being no objection, the draft resolution proposed b y the Standing Committee was adopted. Section 11 t U s e of L o c a l P e r s o n n e l in D e m o n s t r a t i o n Projects It w a s a g r e e d , on the p r o p o s a l of D r . D A E N G S V A N G , s e c o n d e d b y D r . J A F A R , t h a t t h i s i t e m s h o u l d Ъе d i s c u s s e d a t t h e a f t e r n o o n m e e t i n g , s o t h a t consideration could be given to document full EB8/4O. (For c o n t i n u a t i o n of d i s c u s s i o n , see m i n u t e s of s e v e n t h m e e t i n g ^ T h e m e e t i n g r o s e a t 1 1 . ^ 0 а.пь s e c t i o n 2)» NATIONS UNIES UNITED NATIONS ORGANISATION MONDIALE DE LA SANTÉ WORLD HEALTH ORGANIZATION EB8/Min/6 6 June 1 9 5 1 EXECUTIVE' BOARD Eighth Session ORIGINAL: ENGLISH PROVISIONAL MINUTES OF THE SIXTH MEETING Palais des Nationsд Geneva Wednesday, 6 J m e 1951, at 9»30 a . m . CONTENTS Motei 1. S t a t e m e n t b y t h e A s s i s t a n t D i r e сtor-General o f I L O 2. T e c h n i c a l Discussions at future World Health Assemblies 3. S c i e n t i f i c R e s e a r c h in t h e f i e l d of Health 4. C o n v e n i n g of E x p e r t C o m m i t t e e s p r o p o s e d f o r 1 9 5 2 5. F i r s t R e p o r t of t h e S t a n d i n g C o m m i t t e e o n A d m i n i s t r a t i o n and Finance Corrections t o these provisional minutes should reach the E d i t o r , Official R e c o r d s , D i v i s i o n of E d i t o r i a l a n d R e f e r e n c e S e r v i c e s , W o r l d H e a l t h O r g a n i z a t i o n , P a l a i s d e s N a t i o n s , G e n e v a , S w i t z e r l a n d , b y 31 J u l y 1 9 5 1 . EB8/Min/5 Page 2 Sixth Meeting yfednesday,6 June 1 9 5 1 , a t 9*3〇、m. Designating Present Professor J , PARISOT, Chairman France D r , A . L . BRA.VO Chile Professor S . BRISKAS Greece Professor G.A. CANAPERIA Italy Dr. s. D k E N G S V ^ G Thailand Dr* c . L # Venezuela GONZALEZ Country D r . J .A . H O J E R Sweden D r . s* НШЖ Lebanon D r . F . HURTADO Cuba D r . H , HÏDE U n i t e d S t a t e s of D r . M , JAFAR Pakistan D r . N .. к / u u n â Turkey- D r , W ,t К^НШЬЖТКЕ Ceylon P r o f e s s o r M , De L A E T Belgium D r . M ., M A C K E N Z I E United Kingdom D r . R .,G. PADU/. Philippines Dr. J. Liberia TOGBA R e p r e s e n t a t i v e s of o t h e r a g e n c i e s Mr. ILO • D r , Aage GRUT Secretaryi Dr« B r o c k C h i s h o l m Director-General EBS/Min/5 Page3 丄》 STATF,MEHT B Y T H E A S S I S T A N T D I R E C T O R - G b N 狐 L O F I L O M r , R A O , a s s i s t a n t D i r c c t o r - G e n e r a l of ILO, c o n v e y e d the g r e e t i n g s of t h e D i r e c t o r - G e n e r a l of t h a t o r g a n i z a t i o n to the B o a r d a n d h i s r e g r e t s t h a t he w a s n o t a b l e t o Ъе p r e s e n t i n p e r s o n , on a c c o u n t of the o p e n i n g of the ILO C o n f e r e n c e , C o l l a b o r a t i o n b e t w e e n I L O a n d 丽 0 h a d s o f a r t a k e n t h e f o r m of consultations. inter-secretariat In p a r t i c u l a r , I L O h a d c o m m u n i c a t e d to Ш 0 , i n J a n u a r y 1 9 5 0 , a d r a f t q u e s t i o n n a i r e o n o b j e c t i v e s and m i n i m u m s t a n d a r d s o f s o c i a l s e c u r i t y ^ t 0 the m e e t i n g of s o c i a l s e c u r i t y e x p e r t s i n W e l l i n g t o n . prior 1 H 0 h a d not b e e n a b l e t o s e n d a r e p r e s e n t a t i v e to t h a t m e e t i n g b u t h a d b e e n i n f o r m e d o f i t s r e s u l t s and i n v i t e d t o m a k e a n y o b s e r v a t i o n s i t m i g h t w i s h on t h e d r a f t c o n c l u s i o n s a n d t h e s p o r t , w i t h particular reference to the items dealing m t h m e d i c a l c a r e , preven- r tion and rehabilitation. 1 H 0 h a d a p p o i n t e d t h e C h i e f of its S o c i a l a n d Occupational H e a l t h S e c t i o n to p a r t i c i p a t e i n d i s c u s s i o n s w i t h o f f i c i a l s of I L O o n t h e s e items a n d s u g g e s t i o n s m a d e b y W H O w e r e t a k e n i n t o c o n s i d e r a t i o n i n t h e p r e p a r a t i o n of t h e final texts. w T h e p o s i t i o n of I L O w a s n o w a s f o l l o w s : i t w a s w i l l i n g to co-operate i t h W H O i n t h i s m a t t e r , a l t h o u g h it m u s t n e c e s s a r i l y t a k e t h e f i n a l r e s p o n s i b i l i t y for texts w h i c h it adopted; co-operate m t h if W H O s h o u l d w i s h t o a p p o i n t a n e x p e r t c o m m i t t e e t o I L O b y s t u d y i n g t h e r e l e v a n t s e c t i o n s of d r a f t t e x t s w h i c h I L O w o u l d p r e p a r e o n ths b a s i s of t h o c o n c l u s i o n s a d o p t e d a t t h e p r e s e n t s e s s i o n of its conference, such action w o u l d b e w a r m l y w e l c o m e d b y I L O , T h e СН/ЛЕШЗ t h a n k e d M r , R a o f o r h i s s t a t e m e n t , w h i c h w a s a f u r t h e r p r o o f the good relations between ILO and W H O . T h e r e m u s t b e v e r y close b e t w e e n the t w o o r g a n i z a t i o n s in t h e s p h e r e of s o c i a l s e c u r i t y . of co-operation From 1927 onwards, t h e r e h a d b e e n a j o i n t e x p e r t c o m m i t t e e r e p r e s e n t i n g t h e H e a l t h O r g a n i z a t i o n of t h e LeagvB of N a t i o n s a n d I L O , w h i c h h a d p e r f o r m e d e x t r e m e l y u s e f u l w o r k i n t h e f i e l d of EB8/Min/6 page 4 curative and preventive health m e a s u r e s . The p r o p o s a l of M r . R a o concerning the c r e a t i o n of a n e x p e r t c o m m i t t e e b y W H O to a s s i s t the w o r k of I L O i n t h e f i e l d of social security was therefore most interesting. D r » F O R R E S T ) D i r e c t o r , D i v i s i o n of C o - o r d i n a t i o n of P l a n n i n g a n d L i a i s o n , said t h a t if this p r o p o s a l w e r e t o b e a d o p t e d , it w o u l d b e n e c e s s a r y to c o n v o k e t h e expert c o m m i t t e e t o w a r d s t h e e n d of t h e p r e s e n t y e a r o r t o p r o c e e d w i t h t h e w o r k b y corres- ponde nee . I t h a p p e n e d t h a t o n e of the e x i s t i n g j o i n t c o m m i t t e e s w i t h I L O h a d h a d t o b e p o s t p o n e d u n t i l t h e f o l l o w i n g y e a r a n d t h e r e w o u l d t h e r e f o r e b e budgetaryp r o v i s i o n f o r a n e x p e r t c o m m i t t e e , if t h i s w e r e d e c i d e d . I n r e p l y t o D r . H y d e , he s a i d t h a t if t h e e x p e r t c o m m i t t e e w e r e c o n v o k e d i n D e c e m b e r , its r e p o r t c o u l d b e submitted t o the Board a t its ninth session for transmission to I L O . The report w o u l d t h u s h a v e the. n e c e s s a r y l e v e l of1 e n d o r s e m e n t . D r . H O J E R e x p r e s s e d h i s a p p r e c i a t i o n of t h e p r o p o s a l f r o m ILO t h a t t h e r e b e c l o s e r c o - o p e r a t i o n on q u e s t i o n s of m e d i c a l c a r e . He suggested t h a t the should question of an e x p e r t c o m m i t t e e m i g h t b e b r o u g h t u p u n d e r i t e m 2 0 of the a g e n d a , a l t h o u g h h e c o n s i d e r e d t h a t t h e n e c e s s a r y w o r k m i g h t b e done b y t h e S e c r e t a r i a t instead. D r . BRI^VO s a i d t h a t t h e r e w e r e c l o s e l i n k s b e t w e y n t h e a c t i v i t i e s of ILO WHO, and T h e a i m of W H O w a s t o i m p r o v e h e a l t h c o n d i t i o n s t h r o u g h o u t the w o r l d a n d t h u s , in t u r n , i n c r e a s e p o t e n t i a l ivorking c a p a c i t y ; on t h e o t h e r h a n d , I L O , i n s e e k i n g t o improve industrial hygiene and in p r e s s i n g for better working conditions for women a n d c h i l d r e n , w a s a s s i s t i n g i n t h e d e v e l o p m e n t of b e t t e r h e a l t h c o n d i t i o n s . w e r e i n m a n y c o u n t r i e s p u b l i c - h e a l t h s e r v i c e s # i i c h u n i f i e d i n the one t h e p r e v e n t i v e a n d c u r a t i v e a s p e c t s of h e a l t h . There department The e x a m p l e g i v e n i n t h i s m a t t e r b y E n g l a n d w o u l d p r o b a b l y b e f o l l o w e d g e n e r a l l y , since i t w a s i n a c c o r d a n c e w i t h t h e s p i r i t of t h e C o n s t i t u t i o n of W H O t h a t t h e p r o t e c t i o n of h e a l t h w a s t h e r i g h t of b££/Min/ó page 5 e v e r y c i t i z e n , a n d t h a t t h e i m p r o v e m e n t of h e a l t h c o n d i t i o n s t h r o u g h o u t t h e w o r l d w a s c o n d u c i v e t o the m a i n t e n a n c e of p e a c e . He d e e p l y a p p r e c i a t e d t h e s t a t e m e n t of M r . Rao r e g a r d i n g t h e c o - o p e r a t i o n b e t w e e n I L O a n d W H O . He hoped this would lead to a c o m p l e t e u n i f i c a t i o n of a c t i v i t i e s o n h e a l t h a n d h y g i e n e a n d w o u l d p r e v e n t lapping. over- He h o p e d t h a t c o - o p e r a t i o n w o u l d n o t s t o p w i t h t h e c r e a t i o n of a j o i n t e x p e r t committee but that concrete proposals w o u l d be m a d e w h i c h could serve as an • example to national health i services. T h e D I R E C T O R - G E N E M L s a i d t h a t t h e q u e s t i o n of c o - o r d i n a t i o n b e t w e e n I L O a n d ifflO h a d b e e n of g r e a t c o n c e r n to b o t h o r g a n i z a t i o n s . ordination h a d improved greatlyj levels. During the last year co- t h e r e h a d b e e n a l m o s t d a i l y c o n t a c t s on v a r i o u s T h i s w a s partly; d u e t o the t e c h n i c a l a s s i s t a n c e p r o g r a m m e . There were m a n y a r e a s w h e r e the i n t e r e s t s o f b o t h o r g a n i z a t i o n s w e r e c o n t i g u o u s b u t t h e r e h a d been no overlapping. most satisfactory. ïhe C U R M ^ N This h a d been avoided b y daily arrangements which had p r o v e d H e w a s m o s t g r a t e f u l t o I L O for i t s c o n t i n u a l co-operation. s a i d t h a t the d e t a i l s of c o - o p e r a t i o n b e t w e o n the two w o u l d b e d i s c u s s e d u n d e r i t o m 2 0 of t h e a g e n d a , He thanked organizations Rao for his statement a n d r e q u e s t e d h i m t o t r a n s m i t t o t h e D i r e c t o r - G e n e r a l of I L O the s i n c e r e d e s i r e of WHO for effective co-operation with his 2, office. TECHNICAL DISCUSSIONS AT FUTURE WORLD HEALTH ASSEMBLIES! (Document EB8/47) Item 5 of the A g e n d a O n t h s p r o p o s a l of D r , H y d e , it w a s a g r e e d to d e l e t e " p u r e l y " f r o m p a r a g r a p h 3 of the d r a f t r e s o l u t i o n , a n d t o d e l e t e t h e l a s t c l a u s e of p a r a g r a p h 1 , s t a r t i n g special reference «with ..." Decision} The E x e c u t i v e B o a r d a d o p t e d t h e d r a f t r e s o l u t i o n i n d o c u m e n t as a m e n d e d . SB8/47 EB8/Min/5 Eev.l Page 6 3, .. S C I E N T I F I C R E S E A R C H IN T H E F I E L D OF Htti.LTH ( C o n t i n u a t i o n ) s Item 2 4 of the A g e n d a van d e n B E R G s a i d t h a t he w a s in g e n e r a l a g r e e m e n t w i t h t h e s t a t e m e n t m a d e b y D r , S o k h e y , A s s i s t a n t D i r é c t o r - G e n e r a l , D e p a r t m e n t of C e n t r a l T e c h n i c a l S e r v i c e s , • a t a p r e v i o u s m e e t i n g of t h e B o a r d , b u t n o m e n t i o n h a d b e e n m a d e of t h e o b l i g a t i o n of ШЮ to p r o m o t e and c o - o r d i n a t e the w o r k of r e s e a r c h i n s t i t u t i o n s . Co-ordination was u r g e n t l y r e q u i r e d a n d h e r e q u e s t e d the D i r e c t o r - G e n e r a l , t h e r e f o r e , to r e p e a t t h e r e m a r k s he h a d m a d e t o the S t a n d i n g C o m m i t t e e on A d m i n i s t r a t i o n a n d F i n a n c e o n t h i s subject» The DIRECTOR-GENERi'X s a i d t h a t the p o l i c y of W H O had b e e n in g e n e r a l to and stimulate research; subjects. co-ordinate research had been subsidised directly only in a few specific T h i s p o l i c y h a d b e e n e s t a b l i s h e d d u r i n g the p e r i o d o f the I n t e r i m and continued ever s i n c e . Commission The chief p r o b l e m f a c i n g r e s e a r c h i n s t i t u t i o n s throughout the w o r l d w a s t h a t o f c o - o r d i n a t i o n , r a t h e r t h a n of p r o m o t i o n of r e s e a r c h . although Щ0 h a d a l r e a d y a d o p t e d one m e t h o d of c o - o r d i n a t i n g r e s e a r c h t h r o u g h t h e E x p e r t Commi t t e e s ^ it w o u l d s e e m t h a t the O r g a n i z a t i o n c o u l d m a k e a f u r t h e r v a l u a b l e contribution a t c o m p a r a t i v e l y l o w c o s t , b y a r r a n g i n g f o r m e e t i n g s of t h e h e a d s of r e s e a r c h institutes a n d of s c i e n t i s t s e n g a g e d i n r e s e a r c h on. t h e same m a t t e r s , Dr» H O J E R s a i d t h a t the s t a t e m e n t of t h e D i r e c t o r - G e n e r a l w a s m o s t h e l p f u l » He stressed, h o w e v e r , t h a t i t w a s n e c e s s a r y to h a v e h i g h l y c o m p e t e n t technical p e r s o n n e l o n t h e s t a f f o f . W O , as w e l l a s a d m i n i s t r a t i v e a n d f i n a n c i a l p e r s o n n e l , •hXter the C h a i r m a n h a d r e a d a d r a f t r e s o l u t i o n , i t w a s a g r e e d t h a t f u r t h e r d i s c u s s i o n s h o u l d b e p o s t p o n e d u n t i l the t e x t o f t h e r e s o l u t i o n h a d b e e n d i s t r i b u t e d , EB8/Min/6 page 7 4, C O N V E N I N G OF E X P E R T C O M M I T T E E S P R O P O S E D F O R 1 9 5 2 j I t e m 20 of t h e a g e n d a Drо F O R R E S T s a i d t h a t a l i s t of the p r o p o s e d m e e t i n g s of e x p e r t c o m m i t t e e s a n d c o n f e r e n c e s to b e h e l d i n 1 9 5 2 w a s g i v e n on p a g e 2 0 1 of Official— R e c o r d s N o # 31* D e t a i l e d i n f o r m a t i o n o n the i n d i v i d u a l c o m m i t t e e s w o u l d b e f o u n d i n t h e s a m e d o c u m e n t , page 149 onwards• D r 0 M A C K E N Z I E s a i d t h a t a r e s o l u t i o n of the T h i r d f o r l d Health• ¿.ssembly c o n c e r n i n g the e s t a b l i s h m e n t of an e x p e r t coiranittee on r h e u m a t i c d i s e a s e s ( r e s o l u t i o n W H ¿ 3 e 2 9 ) h a d b e e n r e f e r r e d b y the B o a r d , a t its s e v e n t h s e s s i o n , t o t h e p r e s e n t session* N o p r o v i s i o n for the m e e t i n g of such a c o m m i t t e e w a s m a d e i n the l i s t q u o t e d b y Dr» F o r r e s t o He h o p e d , therefore, t h a t the S e c r e t a r i a t w o u l d i n f o r m t h e B o a r d as t o the p r e s e n t s i t u a t i o n of t h e a c t i o n in this m a t t e r . Dr» C A N D A U , D i r e c t o r 5 D i v i s i o n of O r g a n i z a t i o n of P u b l i c - H e a l t h S e r v i c e s , d r e w the a t t e n t i o n of the B o a r d t o O f f i c i a l R e c o r d s N o e 33^ p a g e 1 7 , p a r a g r a p h s 7 6 a n d 7 7 • Dr« M A C K E N Z I E s a i d t h a t , in the d i s c u s s i o n w h i c h h a d p r e c e d e d the decision m e n t i o n e d i n p a r a g r a p h 77, it h a d b e e n a g r e e d t h a t the e s t a b l i s h m e n t of e x p e r t c o m m i t t e e s on p o l i o m y e l i t i s and r h e u m a t i c d i s e a s e s s h o u l d b e i n c l u d e d i n p r o g r a m m e a n d b u d g e t e s t i m a t e s b y the D i r e c t o r - G e n e r a l as s o o n as p o s s i b l e . Dr0 H O J E R , agreeing w i t h D r # M a c k e n z i e , proposed that this action should be t a k e n i n t h e p r o g r a m m e a n d b u d g e t e s t i m a t e s f o r 1953з a t l e a s t in t h e case of rheumatic diseases. F i n a n c i a l p r o v i s i o n s h o u l d be a v a i l a b l e if the p r o p o s a l f r o m ILO for an expert committee w a s not adopted. EB8/Min/6 page 8 The CHAIRMAN proposed the following draft resolutions The Executive Board DECIDES to invite the Director-General to include in the programme and budget for 1953 the necessary provisions‘for a meeting of an expert committee on rheumatism. Decision» The isxecutive Board adopted the resolution proposed b y the Chairman and approved the proposed list of meetings of expert committees and conferences. 5* FIRST REPORT OF THE STANDING COMMITTEE ON 厶DMINISTR^TION AND FINANCE (Document EB8/45) D r . BRÍ1.V0, Chairman of the Standing Committee, said that the report was largely self-explanatory, but he would like to draw the attention of the Board to certain of the more important items s first, the resolution concerning the Handbook of Resolutions and Decisions; • secondly, the stress laid b y the committee, in item 4, on the necessity fo.r concentrating effort and resources, on со-operation with UNICEF and on the inclusion of fellowships as a component part of projects; thirdly, the proposals of the committee regarding arrears of contributions j fourthly, the proposal regarding the time and place of the next meeting of the committee; and fifthly, the recommendations of the committee regarding the use of local personnel in demonstration projects, Dr« PADUA, I ^ p o r t e u r of the Standing Committee, said that the committee had met three times and had adopted its report at the last meeting, . He w c u M like to draw attention to the re commendations of the coramittee regarding the place of the Sixth World Health Assembly and of future assemblies. It was agreed that the report should be considered item by item. EB8/Min/6 page 9 Item 1: Place of the Sixth tforld Health assembly and of Future assemblies Professor CANAPERIA said that the recommendation of the committee, from an administrative and financial point of view, was judicious but he wondered whether the committee had taken into account the advantages which would accrue from holding Health Assemblies away from Geneva # Dr<5 BRh.VO drew attention to paragraph 2 of the proposed resolution^ There would be undoubted advantages in holding Health Assemblies away from Geneva д particularly in less developed countries, but it was precisely those countries that were least able to contribute to the additional expenses and to provide adequate accommodationo The additional cost of holding an assembly away from Geneva would probably amount to between 200,000 and ñ;300,000 and the coinmittee had discussed the possibility of setting aside 150,000 a year in a reserve fund in order to meet this expense at intervals e It had, however, been decided that technical programmes must have first priority in the budget and that such a course was at present impracticable e Dr。 DOROLLE, Deputy Director-General, said that it appeared that the value of holding Health assemblies away from Geneva was not contested參 stances it ms Under present c i r c m - impossible to find a Member State which would be prepared to meet the additional expenses. It was, therefore, for the Board to decide whether provision should be made in the budget to meet those expenses; otherwise it would be useless to adopt any resolution to the effect that Health Assemblies should be held away fron Geneva # Decisions The draft resolution proposed by the Standing Committee was adopted. ER3/fa/6 page 10 Item 2i Handbook of Resolutions and Decisions taken by the Viorld Health assembly and the Executive Board. ‘ Dr, TOGBA, referring to paragraph (.4) of the proposed resolution^ asked what period of time was likely to elapse before the first reprint of Edition N o , 1 was published, The SECRET/JIY said that the period might be two, three, or even five years^ depending on when the volume of decisions and resolutions, and the difficulty of handling the original edition plus the various supplements, made it necessary to issue a new edition, D r , TOGBA thought it w o u l d be better to state a definite period, and suggested threa years, Dr n BRATOj whilst agreeing that at the present time a period cf three years might appear satisfactory, thought that it should be left to the ¿xecutive Board » , to decide when circumstances made it necessary'to publish a new edition,, The CHAIRMAN thought that the words, "when deemed appropriate by the Executive Board 11 lAould cover all contingencies e Decisión? Item 31 The draft resolution proposed by the Standing Coimittee was adopted. Darling _Pcmidation inward Dr。GONZALEZ asked if the wording of the resolution was intended to mean that the Standing Committee considered that neither the Peod of Foundation nor the Statute of the Darling Foundation should be a丄ended or that, as the existing wording of the relevant articles made it clear that the award could only be given to the author of an original work, no modification was necessary. D r , PADUA explained that during a Lengthy discussion b y the Standing Committee it had been suggested that the award should not be restricted to authors of original scientific works on malaria but should be given also to persons who had done exceptiona: work in the field of malaria control t After examining Article 2 of the Deed of Foundation and 厶rticle 2 of the Statute of the Darling Founcation, however, it had been decided that it was unnecessary to ask for any modification of either instrimient» D r . HOJER added that the Standing Committee had also expressed the view that, if the award were to be given for practical work, such work must be both original and scientific. Decision{ The draft resolution proposed by the Standing Committee was adopted. Item 4i • Form and Presentation of the Programme and Budget for 1953 Dr# HÍÍYEK, referring to paragraph (3) of the proposed resolution, called attention to the difficulties which would face the health departments of the governments concerned in connexion with their programmes as a result of the recent change of policy by which in future UNICEF would only provide funds for supplies and equipment for joint WHO/UNICEF programmes and WHO would provide funds for fellowships• He asked that in future such changes should not be made during the period of implementation of programmes. The SECRETARY said that the wording of paragraph (3) was intended to refer to the funds expected to be made available by UNICEF for health progranmes which came within the terms of reference of and were approved by the Executive Board of that organization. The amounts expected to be forthcoming from UNICEF funds would be included in the proposed budget estimates for 1953• ¿BS/Min/6 page 12 . He added that WHO could give no assurance that the projects would be carried i out in the precise manner shown in the presentation of the programme and budget. It was hoped, howevür s that, profiting from experience gained in the course of time, it vrould be possible to make better estimates in the future, , Decisions Item 5 P » The draft resolution proposed b y the Standing Committee iras adopted. Use of Spanish in WHO Meetings Decisions There being no objection; the draft resolution proposed by the Standing Committee was adopted. Item 6s —__,ll| III— I- Di;; Tarential Rate for Salaries in Geneva 一 , HIIIIят»-»-^——- •• • ••• i -•«•_‘••••»»• IM _ • IHIiMI I I i — • » ' __ , , I• » I 1 " "" _ " "I Decision; There being no objection》 the draft resolution proposed‘by the ^tandTrïg""Gommittee i«as adopted c Item li Budgetary Allotments issued as at 31 M a y 19.51 Decision? There being no objection) the draft resolution proposed by the Standing 'Committee was adoptedItem 8i Statvis of Contributions After a lengthy discussion, the Executive Board, with the agreement of the members of the Standing Committee on Administration and Finance, decided as followsÎ On the suggestion of the СЖ1 腿 a n d in line with the decision táíen by the Board at its seventh session (Official Records No^ 33, page 2 0 , paragraph 90) to replace the paragraph preceifmg the proposed resolution by the followingÍ "The Committee discussed the status of contributions to the budget of the World Health Organization, It suggested that, wherever an opportunity occurs, and with the active co-operation of the Regional Director, an official from headquarters should visit Members who are in arrears and, as part of the discussions on other m a t t e r s s h o u l d press for early payment of outstanding contributions, and it decided to recommend the adoption of t h e following resolution," EB8/Min/6 page 13 By a vote taken at the request of D r . H.VYEK, the Board also agreed to adopt the draft resolution proposed b y the Standing Committee, subject t o the inclusion of «and 1949" after Item 9i their quotas for 1948'' in paragraph 1 , Place and Date of t h e Ninth Session of the Executive Board Professor De L4ET asked what "would be the cost of holding the ninth session of the Board at a place not too far distant fron Geneva, and, secondly, whether it would be possible to reduce the cost of preparing for a session of the Board by c o n s u l t a t i o n by correspondence in advance » The SECRETARY said that, in order to estimate the cost of holding a session outside Geneva, the Secretariat must have some indication of the venues to b e considered. He added that certain possible difficulties for the Secretariat 一 and for the Board 一 must be taken into consideration in connexion with such a suggestion. For example» the Board, at its Januaiy session, would have to deal with a number of different subjects, including one which would occupy much of its time - the programme and budget estimates for 1953 一 and in connexion with which it usually wished to hear statements from several staff members. The Board also normally required a consider- able amount of information supplementary to that contained in the documents issued in advance, which it would be difficult to supply, if the session were held away from Geneva, unless a relatively large number of the Secretariat was present. Asked by the CHLIRMLN if he wished to suggest any particular places, Frofessor De 1ЛЕТ mentioned the South of France and particularly M o n a c o . The S E C R E T 皿 , r e p l y i n g to a question by D r e K/JULBUDA regarding the possibility of sending reports in connexion with the January session of the Executive Board to Member States in time t o enable their delegates to study them before attending the Fifth World Health Assembly, said it was hoped that, if the ninth s e s s i o n of the Board 3üBS/Min/6 page 14 began on 21 January, as suggested, it would be possible to supply most of the documents in timc > but that would be the latest date i«4iich would allow of docmentation being prepared and sent out to governments for the Fifth World Health assembly. D r . HOJER, whilst agreeing with the suggestion for holding future sessions of the Board in different places, said that, so far as he knew, no invitations had been received and he thought it was too late in the present session to consider the q\iestion. He therefore proposed that the draft resolution recommended by the Standing Committee be adopted. Decisiont On the suggestion of the CHAIRMAN, it was agreed to defer a decision until the following day, to enable the Secretariat to prepare estimates of the cost of holding a session of the Board away from Geneva* • Item 10< Work of the Standing Committee on Administration and Finance Décision» There being no objection, the draft resolution proposed by the Standing Committee was adopted, I tail lit Use of Local Personnel in Demonstration Projects It was agreed, on the proposal of Dr. D/sENGSVixNG, seconded by D r . JAFAR, tiiat this item be discussed at the afternoon meeting, so that full consideration could be given to document EB8/40. The meeting rose at 11.50 a . m .
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