OF THE EXECUTIVE BOARD

OFFICIAL RECORDSOF THE

WORLD HEALTH ORGANIZATION

No. 22

REPORTOF THE

EXECUTIVE BOARD

FOURTH SESSION

HELD IN GENEVAFROM 8 TO 19 JULY 1949

SUPPLEMENT

REPORTS OF THE JOINT COMMITTEE

ON HEALTH POLICY, UNICEF/WHO

WORLD HEALTH ORGANIZATION

Palais des Nations, Geneva

December 1949

NOTE

This volume contains the report (and relevant annexes) of the fourth sessionof the Executive Board. The minutes of this session have been deposited in mimeo-graphed form in the departments of health of Member Governments of the WorldHealth Organization.

TABLE OF CONTENTS

PageINTRODUCTION 1

1. OPERATIONS AND POLICY 1

1.1 General Programme of Work covering a Specific Period 1

1.2 Supplemental Operating Programme for 1950 1

1.3 Malaria 2

1.3.1 Proposed Change in Expert Committee on Malaria 2

1.4 Venereal Diseases 2

1.4.1 Anti-Venereal-Disease Commission of the Rhine 2

1.5 Tuberculosis 2

1.5.1 Temporary and Regional Consultants in Tuberculosis Campaign 2

1.5.2 Allocation to BCG Research Programme 2

1.5.3 International University Sanatorium at Leysin, Switzerland 2

1.6 Epidemiological Services 3

1.6.1 Epidemiological Broadcasts 3

1.6.2 Approval of a Yellow-Fever Vaccine 3

1.7 Therapeutic Substances 3

1.7.1 Expert Committee on Biological Standardization : Report on its Third Session 3

1.7.2 Expert Committee on the Unification of Pharmacopoeias : Report on its Fourth Session 3

1.8 Health Statistics 3

1.8.1 Expert Committee on Health Statistics : Report on its First Session 3

1.8.2 Establishment of Sub-Committees of the Expert Committee on Health Statistics . 3

1.9 Publications 4

1.9.1 International Health Y earbook : Annual Report from Member States 4

1.10 Medical Literature 4

1.10.1 Exchange of Medical Literature among WHO Members through the World HealthOrganization 4

2. JOINT ACTIVITIES AND LIAISON 4

2.1 Relations with UNICEF 4

2.1.1 Report by WHO Members of the Joint Committee on Health Policy, UNICEF/WHO 4

2.1.2 Children's Centre in Paris 5

2.2 Co-ordination and Planning to promote Health and Welfare of Children 6

2.3 Relations with Non-Governmental Organizations 6

2.3.1 Sectional and other Organizations not mainly concerned with Health 6

2.3.2 Regional and National Non-Governmental Organizations 7

2.3.3 Specific Requests and Criteria 7

2.3.4 Establishment of an International Code of Deontology 8

2.4 National WHO Committees 8

3. PRIVILEGES AND IMMUNITIES 8

3.1 Extension of Privileges and Immunities to Representatives of Associate Members and ofOther Territories 8

4. ADMINISTRATION AND FINANCE 9

4.1 Headquarters, Regional and Other Offices 9

4.1.1 Arrangements for Accommodation for Headquarters Office 9

4.1.2 Regional Organization for Europe 10

Page4.1.3 Financing of the Special Office for Europe 10

4.2 Budget and Management 11

4.2.1 Allotments isslied as of 30 June 1949 11

4.2.2 Transfers between Chapters within Sections of the 1949 Budget ; Transfers betweenSections in Parts and between Parts 11

4.2.3 Procedure for examining the 1951 Programme and Budget and the Structure of theOrganization 11

4.3 Finance and Accounts 11

4.3.1 Scale of Assessments for Associate Members to the WHO Budget 11

4.3.2 Currency of Contributions 11

4.3.3 Financial Rules 12

4.3.4 Reimbursement of Travelling Costs of Members of the Board 12

4.3.5 Reimbursement of Expenses of Members of the Expert Committees 12

4.4 Personnel 12

4.4.1 Amendments to Staff Rules 12

4.4.2 Retirement and Pension Fund 12

4.4.3 Tax Equalization or Reimbursement of National Income Taxes for 1950 12

4.4.4 Administrative Tribunal 13

5. TIME AND PLACE OF THIRD WORLD HEALTH ASSEMBLY AND FIFTH SESSION OF EXECUTIVEBOARD 13

5.1 Third World Health Assembly 13

5.2 Fifth Session of the Executive Board 13

LIST OF ANNEXES

1. List of Attendances 14

2. Membership of Committees and Working Parties 15

3. Proposals for an International Anti-Venereal-Disease Commission of the Rhine 16

4. Creation of an International University Sanatorium at Leysin, Switzerland 18

5. Application for Approval by WHO of the Yellow-Fever Vaccine manufactured at theInstitut Pasteur, Paris 19

6. Exchange of Medical Literature among WHO Members through the World HealthOrganization 19

7. UNICEF Proposal for an International Children's Centre in Paris 20

8. UNICEF Resolution on a Study on the Continuing Needs of Children 249. National WHO Committees 25

10. Plan for Extension of the Palais des Nations, Geneva - Project F 28

11. Allotments issued as of 30 June 1949 for Advisory and Demonstration Services toGovernments 30

19. Procedure for the Examination of the 1951 Programme and Budget 3213. Financial Rules 33

14. Amendments to Staff Rules 37

15. United Nations Joint Staff Pension Fund 38

SUPPLEMENT

Reports of the Joint-Committee on Health Policy, UNICEF/WHOReport on the First Session 39Report on the Second Session 41

Report on the Third Session 44

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INTRODUCTION

The fourth session of the Executive Board was held in the Palais des Nations, Geneva, from 8 to19 July 1949, following the Second World Health Assembly.1

During the Second Health Assembly six Members were elected in place of those whose terms ofoffice had expired.2 Accordingly, the Member States entitled to designate persons to serve on the Board,and the term of office still to be served by each, are as follows :

Brazil .... . . . . . . one year Poland two yearsByelorussian Soviet Socialist Sweden three years

Republic two years Turkey three yearsChina one year Union of South Africa two yearsEgypt one year Union of Soviet SocialistFrance one year Republics one yearIndia two years United Kingdom three yearsMexico one year United States of America . . three yearsNetherlands two years Venezuela . . . . .... . . three yearsPhilippines three years Yugoslavia two years

At the fourth session (the first session held by the Board after its reconstitution by the HealthAssembly), the following officers were elected : Sir Arcot Mudaliar (India) Chairman ; Dr. J. Zozaya(Mexico) and Dr. H. S. Gear (Union of South Africa) Vice-Chairmen ; and, for the fourth session only,Dr. M. Nazif Bey (Egypt) and Professor M. de Laët (Netherlands), Rapporteurs.

During the course of twelve meetings, the Board took the decisions contained in the followingreport.

1. OPERATIONS AND POLICY

1.1 General Programme of Work covering aSpecific Period

The following resolution was adopted :

The Executive BoardRESOLVES

(1) that the working paper prepared by theDirector-General on a general programme ofwork covering a specific period be consideredas a confidential document circulated only tomembers of the Executive Board ;(2) that the members of the Executive Boardbe requested to offer their views on the generalprogramme to be outlined ;(3) that the period under consideration belimited to a maximum of five years ;(4) that the views of the members of theExecutive Board be invited on both thetechnical and administrative aspects of theprogramme, taking into consideration theapportionment of the activities at headquartersand in the regional offices ;(5) that the views of the members be com-municated to the Director-General before15 October 1949 ;

1 Held in Rome from 13 June to 2 July 19492 The retiring Member States were Australia,

Ceylon, Iran, Norway, the United Kingdom, theUnited States of America. The Philippines, Sweden,Turkey and Venezuela were elected as new design-ating States and the United Kingdom and theUnited States of America were re-elected. SeeOf f. Rec. World Hlth Org. 21, 16.

(6) that the Director-General be requested toprepare a document taking into considerationthe views expressed by the members ;(7) that this document be considered by theBoard at its fifth session in January 1950 ; and(8) that so far as the programme for 1951is concerned, the Board is of the opinion thatthis programme will largely be concernedwith continuing and completing, if possible,the work initiated in 1950 and with such otheremergency work as may have to be taken intoaccount.

1.2 Supplemental Operating Programme for1950 8

The following resolution was adopted :The Executive BoardAUTHORIZES the Director-General

(1) to undertake appropriate negotiationsconcerning the provision of funds to implementthe Supplemental Operating Programme ofAdvisory and Technical Services ;(2) to negotiate, agreements with MemberGovernments concerning the amounts andcurrencies of their contributions in accordancewith the mandate given by the HealthAssembly ; 4 and(3) in case the circumstances render a specialsession of the Executive Board necessary, tocall such a session in 1949, notwithstanding

8 011. Rec. World Hlth Org. 184 Resolution WHA2.75, Og. Rec. World Hlth

Org. 21, 45

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REPORT OF THE FOURTH SESSION

the terms of Rule 7 of the Rules of Proce-dure of the Executive Board.(For the resolution " Procedure for examining

1951 Programme and Budget ", see section 4.2.3)

1.3 Malaria

1.3.1. Proposed Change in Expert Committee onMalaria

The Board adopted the following resolution :Having considered the resolution proposed

by the Italian: Delegation concerning the trans-formation of the Expert Committee on Malariainto an expert committee on malaria and otherinsect-borne diseases ; 5 the comments thereonexpressed by the Delegation of the Philippines,5and the resolution of the Second World HealthAssembly at its tenth plenary meeting,6

The Executive BoardDECIDES that it is not desirable at this time

to transform the Expert Committee on Malariaas proposed.

1.4 Venereal Diseases

1.4.1 Anti-Venereal-Disease Commission of theRhine

After consideration of the report and recommen-dations of the preparatory meeting for theestablishment of an anti-venereal-disease com-mission of the Rhine area,7 and after noting thatsuch operations should be the function of regionaloffices, where they exist, the Board adopted thefollowing resolution :

The Executive Board(1) NOTES the work accomplished by thepreliminary meeting in ' Geneva of represen-tatives from Belgium, France, the Netherlands,Switzerland and Germany and the wish of thegovernments concerned to establish an anti-venereal-disease commission of the Rhine, and(2) REQUESTS the Director-General to givethe necessary assistance to the countriesconcerned.

1.5 Tuberculosis

1.5.1 Temporary and Regional Consultants inTuberculosis Campaign

After considering a resolution of the SecondHealth Assembly referring to the ExecutiveBoard the question of the services of temporaryconsultants and the appdintment of regional

6 O. Rec. World Hlth Org. 21, Annex 3, parts 1and 2 ; fourteenth meeting of the Committee onProgramme, p. 192, section 2.

Resolution WHA2.20, Off. Rec. World HlthOrg. 21, 23

7 Not an expert committee nor a regional com-mittee but a special local commission to co-ordinateanti-venereal-disease measures among countriesbordering the Rhine. For report and recommenda-tions see Annex 3.

consultant tuberculosis officers,5 the Boardadopted the following resolution.

The Executive Board

Having considered the question of services oftemporary consultants and the appointmentof regional consultant tuberculosis officers,

(1) BELIEVES that this is a matter which canbe decided by the Director-General in eachinstance in the light of the individual circum-stances ; and therefore

(2) REFERS to the Director-General for hisconsideration in developing the programmefor advisory and demonstration services togovernments the relevant recommendations 9contained in a note submitted to the SecondWorld Health Assembly by the delegations ofCzechoslovakia, Denmark, Finland and India.

1.5.2 Allocation to BCG Research Programme

The Board, recalling that it had alreadyauthorized an allocation from the UNRRA SpecialFund not to exceed $100,000, for the currentBCG research programme, to be further imple-mented on recommendation from the appropriateexperts and from the Joint Committee on HealthPolicy," noted that at the third session of thatcommittee, approval had been given to theproposals in the field of maternal and childhealth relating to the BCG research programme,"-and that estimates received from the WHOTuberculosis Research Office, Copenhagen,indicated that the total amount required during1949 would be approximately $150,000.

The Board therefore adopted the followingresolution :

The Executive Board

AUTHORIZES the Director-General to allotfrom the UNRRA Special Fund an amountnot to exceed.$150,000 to implement the WHOtuberculosis research programme.

1.5.3 International University Sanatorium atLeysin, Switzerland

After considering a request by the Swiss Govern-ment for the patronage of WHO 12 for the creationof an international university sanatorium inLeysin, Switzerland, the Board adopted thefollowing resolution :

The Executive Board,

Taking cognizance of the conditions underwhich the creation of an international universitysanatorium is envisaged in Leysin ;

Resolution WHA2.42, Off. Rec. World HlthOrg. 21, 30

9 011. Rec. World Hlth Org. 21, Annex 1719 Off. Rec. World Hlth Org. 14, 18n See Supplement, p. 46, paragraph 16.1.12 See Annex 4.

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Considering that the constitution and methodsof functioning of the institution have not yetbeen definitely determined, and have not yetbeen studied by the appropriate agencies,

DECIDES that the principles involved willbe considered at the appropriate time by theWorld Health Organization.

1.6 Epidemiological Services

1.6.1 Epidemiological Broadcasts

It was noted that the broadcasting serviceapproved by the Board at its third session 18had been in operation, on a trial basis, for aperiod of five months. Considering that theresponse of health administrations to this servicehad been uniformly favourable, that savingshad been made on routine telegrams to certainhealth administrations, and that sufficientevidence of the usefulness of the service to healthadministrations was available, the Board adoptedthe following resolution :

The Executive BoardRE QUESTS the Director-General to continue

the broadcasting service on a permanent basis,and to take advantage of any offers regardingthe rebroadcasting of the bulletins by govern-ment-owned or government-controlled wirelessstations, which may contribute to a betterreception of the messages by health administra-tions in various parts of the world.

1.6.2 Approval of a Y ellow-Fever Vaccine

The Board noted that the results of the potencytitration of the yellow-fever vaccine manufacturedby the Institut Pasteur, Paris, had been consideredby the members of the Yellow-Fever Panelconcerned with the laboratory evaluation ofyellow-fever vaccines,14 and that these membershad recommended its approval by WHO.

The following resolution was therefore adopted :

The Executive BoardAPPROVES for the issue of international

certificates, the yellow-fever vaccine producedby the Institut Pasteur, Paris.

1.7 Therapeutic Substances

1.7.1 Expert Committee on Biological Standard-ization: Report on its Third Session

The Board adopted the following resolution :The Executive Board

(1) NOTES the report of the Expert Committeeon Biological Standardization on its thirdsession " and the report of its Sub-Committeeon Fat-Soluble Vitamins," and(2) AUTHORIZES their publication.

18 Off. Rec. World MA Org. 17, 14, soction 5.1.3u See Annex 5.15 Both reports to be published.

1

I.

.7.2. Expert Committee on the Unification ofPharmacopoeias: Report on its FourthSession

The Board adopted the following resolutions :The Executive Board

(1) NOTES the report of the Expert Committeeon the Unification of Pharmacopoeias on itsfourth session," And(2) AUTHORIZES its publication.

II. The Executive BoardRESOLVES that the Director-General continue

negotiations with the Belgian Governmentwith a view to reaching an agreement for theestablishment of a single permanent inter-national secretariat under the aegis of theWorld Health Organization at the headquartersof the said organization in Geneva.

III. Whereas it is highly desirable that a systemof common nomenclature be established inter-nationally for such new pharmaceutical pro-ducts, including habit-forming drugs, as mightbe contemplated for later insertion in theInternational Pharmacopoeia,

The Executive BoardRE QUESTS the Director-General to study the

questions involved in establishing a system ofcommon nomenclature for new pharmaceuticalproducts moving in international commerce,and to report thereon to the sixth session of theBoard.

1.8 Health Statistics

1.8.1 Expert Committee on Health Statistics :Report on its First Session

The Board adopted the following resolution :The Executive Board

(1) NOTES the report of the Expert Committeeon Health Statistics on its first session,17 and(2) AUTHORIZES its publication.

1.8.2 Establishment of Sub-Committees of theExpert Committee on Health Statistics

In implementation of the request of the SecondWorld Health Assembly for the establishment ofthree sub-committees of the Expert Committeeon Health Statistics,18 the Board adopted thefollowing resolution :

The Executive BoardDECIDES to establish as from 1 January

1950 the expert sub-committees listed below :(1) a temporary sub-committee of theExpert Committee on Health Statistics, ofnot more than five members, to study theuestion of the definition of stillbirth and

abortion ;(2) a sub-committee of the ExpertCommittee on Health Statistics, of notmore than six members, to initiate the proper

16 To be published.27 To.be published.18 Resolution WHA2.38, Off. Rec. World Hlth

Org. 21, 28

13 -


action to be taken by the committee in thefield of hospital statistics, primary attentionto be given to the application of the newInternational Statistical Classification ofDiseases, Injuries, and Causes of Death andrelated subjects ;(3) a sub-committee of the Expert Com-mittee on Health Statistics, of not morethan four members, entrfisted with the studyof problems concerning the registration ofcases of cancer as well as their statisticalpresent ition.

1.9 Publications

1.9.1 International Health Yearbook : AnnualReports from Member States

The following resolution was adoptedHaving considered, as requested by the

Second World Health Assembly, the proposalthat an International Health Yearbook bepublished, and having discussed the possibleform, content, periodicity, and usefulness ofsuch a Yearbook,19

The Executive Board(1) REQUESTS the Director-General, takinginto consideration the comments of membersof the Board, to submit at its fifth sessionproposals as to the kind of information thatshould be included in

(a) the.summary analysis of annual reportsfrom Members under Articles 61 and 62 ofthe Constitution, which, according toRule 5 (a) of the Rules of Procedure of theWorld Health Assembly, is to be included inthe Annual Report of the Director-General,and(b) the proposed International HealthYearbook ;

(2) REQUESTS the Director-General to submitalso at the Fifth Session of the Board a draftquestionnaire to Members which shall

(a) indicate the main headings under whichinformation is required in fulfilment of

Articles 61 and 62 of the Constitution,and(b) be compiled with a view to obtaining atthe same time such information as it wouldbe desirable to include in an InternationalHealth Yearbook or in a similar periodicalpublication issued at less frequent intervals ;and

(3) DECIDES that such a questionnaire, afterapproval by the Board at its fifth session,should be

(a) submitted to governments in the firstinstance for their comments and suggestions,and

(b) sent to governments for reply after suchcomments and suggestions have beenconsidered and, when appropriate, incorpor-ated in the questionnaire.

1.10 Medical Literature

1.10.1 Exchange of Medical Literature amongWHO Members through the World HealthOrganization

In view of the activities already undertaken byUNESCO in the field of medical literature, theBoard adopted the following resolution :

The Executive Board(1) WITHDRAWS its request to the Director-General, made at its second session,20 tocirculate a questionnaire to Members ondeficiencies in their supplies of medical literatureand to obtain information on the use of micro-films in facilitating the availability of medicalliterature, and

(2) REQUESTS the Director-General to pursuediscussions with UNESCO with a view todetermining what further action can usefullybe taken by WHO in improving supplies ofmedical literature without duplication ofUNESCO's work.

2. JOINT ACTIVITIES AND LIAISON

2.1 Relations with UNICEF

2.1.1 Report by WHO Members of the JointCommittee on Health Policy, UNICEFIWHO

The Executive Board adopted the followingresolution :

Having considered the report of the WHOmembers of the Joint Committee on HealthPolicy, UNICEF/WHO on the assumption of

1 9 Resolution WHA2.37, og. Rec. World HithOrg. 21, 28

the responsibility for UNICEF projects, thefunctioning of the joint committee,21 and theresolution of the Second World Health Assemblyat its tenth plenary session,22

The Executive Board(1) APPROVES the report and(2) REQUESTS the Director-General to reportto the next session of the Executive Board in

20 Off. Rec. World Hlth Org. 14, 2521 Off. Rec. World Hlth Org. 21, Annex 422 Resolution WHA2.24, Off. Rec. World Hlth

Org. 21, 24

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order that the Board may further review thedevelopments under the policy as outlined inthe report.

2.1.2. Children's Centre in Paris

The Board adopted the following resolution :Having considered the action taken by the

Executive Board of UNICEF on 30 June 1949,on the offer of the Government of France foran international children's centre in Paris ; 23and

Recognizing the growing demand for oppor-tunities for technical training of a high qualitysuited to the needs of medical and relatedpersonnel in different countries in the field ofmaternal and child health and welfare, and theadvantages of group training in courses havingan international character, including field-training experience with adequate demonstra-tion programmes in a wide range of child healthand welfare services ; and

Noting the resolution of the Second WorldHealth Assembly which requested the Director-General to encourage the establishment anddevelopment by governments of nationaleducational institutes in the field of health,and to encourage the development of courseshaving an international character at existingeducational institutes or institutes to be createdby the provision of assistance in personnel andmateria1,24 and the action of the Second WorldHealth Assembly which approved a reportincluding,

(a) a policy statement governing the co-operative relationship between WHO, as thespecialized agency of the United Nationsrecognized as the directing and co-ordinatingauthority on international health work, andUNICEF, with regard both to health pro-grammes approved by the Joint Committeeon Health Policy and any new health pro-grammes which may be developed for itsconsideration," and(b) a statement of procedure to implementthis co-operative relationship,"

The Executive Board

(1) APPROVES in principle assisting, jointlywith UNICEF, in the establishment by theFrench Government of a children's centre inParis, for a period of not more than threeyears ;

(2) STATES that WHO is able and willing toprovide assistance of the following types :

(a) group or individual international fellow-ships to physicians, nurses, medical and

23 See Annex 7.24 Resolution WHA2.7, 011. Rec. World Hlth

Org. 21, 2025 011. Rec. World Hlth Org. 21, Annex 426 See Supplemqnt, p. 48, Appendix B.

5

psychiatric social workers, maternal andchild health administrators, hospital admi-nistrators, hospital architects, etc., to studyvarious aspects of child health and welfareand social pediatrics ;(b) facilitating special international groupfellowships for teams of health and welfareworkers engaged in meeting special needs ofchildren, as for example, the team of doctor,nurse, physical therapist, psychologist, socialworker, etc., who together work to restoreand rehabilitate crippled or otherwise handi-capped children, or teams of doctor and nurseto study care of premature infants ;(c) provision of experts to assist in teachingand research activities ;(d) advice of expert committees ;(e) advisory service on organization of

demonstration child health programmes toserve as field experience centres ;

(3) AUTHORIZES the Director-General to carryout appropriate negotiations and, subject to theapproval of the WHO members of the JointCommittee on Health Policy, who shall act forthe Executive Board for this purpose, toconclude an agreement with UNICEF forassisting the French Government in establishingits centre ; and with regard to the provisionsof the agreement,

(4) ADOPTS the following :

(a) The arrangement will be subject to theprinciples laid down by the Joint Committeeon Health Policy governing the co-operativerelationship between UNICEF and WHO.

(b) The administration of the children'scentre will be the responsibility of the Govern-ment of France.

(c) The desirability of setting up a technicaladvisory committee should be considered.Members of such a committee would beappointed by the Director of the centre, afterconsultation with the Executive Directorof UNICEF, the Director-General of WHO,the Secretary-General of the United Nationsand the Directors-General of the otherinterested specialized agencies, and wouldbe selected for their technical competence inmaternal and child health and welfare, withemphasis on profes'sional, educational andadministrative experience. The technicaladvisory committee will formulate policiesfor and advise on operating programme.(d) There shall be such financial provisionsby UNICEF and the Government of Franceas will guarantee the operation of the centrefor the full period of any agreement.

(5) REQUESTS the Director-General to forwardthis resolution to the Secretary-General ofthe United Nations with the request that itbe brought to the attention of the GeneralAssembly and the Economic and Social Council.


2.2 Co-ordination and Planning to promoteHealth and Welfare of Children

After taking note of a resolution passed by theUNICEF Executive Board concerning a study ofthe continuing needs of children,27 the ExecutiveBoard adopted the following resolution :

Having noted the action taken by theExecutive Board of UNICEF concerning astudy on the continuing needs of children ;

Having considered the importance of planningand action by international agencies directedtoward the improvement of the health, welfareand education of children ;

Having considered further that WHO, as thespecialized agency of the United Nationsrecognized as the directing and co-ordinatingauthority on international health work, has asone of its objectives " to promote maternaland child health and welfare and to foster theability to live harmoniously in a changing totalenvironment

Having considered further that this isprimarily a matter of co-ordination whichshould be carried out through the Administra-tive Committee on Co-ordination,

The Executive Board

REQUESTS the Director-General to co-operatewith the Executive Director of UNICEF andwith the United Nations and the specializedagencies, and to present jointly to the Adminis-trative Committee on Co-ordination a proposalfor the establishment of an ad hoc committeecomposed of the Secretary-General of theUnited Nations and the Directors-General ofFAO, ILO, UNESCO and WHO, or theirrepresentatives, with the following terms ofreference :

(1) To explore and recommend ways andmeans of :

(a) focussing the attention of the UnitedNations on the needs of children, throughjoint action of the United Nations and thespecialized agencies ;(b) determining needs of children on acurrent and continuing basis, and ways andmeans of meeting them through national andinternational action ;(c) developing co-ordinated planning forinvestigating, training and service pro-grammes of existing specialized agencies, toassure maximum effort toward assistinggovernments to develop programmes onbehalf of children ;(d) stimulating national and internationalresearch of a multilateral type, involvingsociological, psychological, educational,anthropological and medical approaches ;(e) providing a continuing interagency

27 See Annex 8.

6

mechanism to accomplish (a) , (b) , (c) and(d), giving consideration to :

(i) the resources, programmes and poten-tialities of the United Nations and specia-lized agencies with respect to research,training and service, to assist governments inmeeting the needs of children, and waysin which they can be developed andco-ordinated ;(ii) the usefulness of international ornational children's institutes or centres ;(iii) other methods.

(2) To report its conclusions and specificrecommendations to the Administrative Com-mittee on Co-ordination, and for the informationof the United Nations and the specializedagencies.

2.3 Relations with Non-Governmental Organ-izations

2.3.1 Sectional and other Organizations not mainlyconcerned with Health

In the consideration of relations with sectionalorganizations and non-governmental organizationsnot mainly concerned with health, the discussionsof which had been postponed from the thirdsession of the Executive Board,28 the Boardadopted the following resolutions : 29

I. The Executive Board,

In view of the practice of the Economic andSocial Council, when granting consultativestatus to non-governmental organizations, toconsider whether or not the work of the organiz-ation lies within the field of any of thespecialized agencies of the United Nations, andthe established practice of the World HealthOrganization to collaborate closely with theEconomic and Social Council,

DECIDES,

(1) that non-governmental organizations notmainly concerned with health should notnormally be admitted into formal relationswith the World Health Organization, since theircontact with the World Health Organizationshould be through the Economic and SocialCouncil, wherein provision is made for themto take part in its deliberations, but

(2) that, where no provision is made by theEconomic and Social Council, such cases will bedecided on their individual merits.

28 011. Rec. World Hlth Org. 17, 19, section 7.529 Adoption of these resolutions was recom-

mended by the Standing Committee on Non-Governmental Organizations in its first report,drawn up as a result of the first meeting (held on11 July 1949 at 2.30 p.m.) at which were present :Dr. de Paula Souza, Chairman; Dr. Babecki,Dr. Barrett (representing Dr. Mackenzie), Dr. Gear,Dr. Villarama.


II. The Executive BoardAPPROVES collaboration with international

non-governmental organizations not mainlyconcerned with health and internationalsectional organizations, whose aims andpurposes are, in both cases, in conformity withthe spirit, purposes and principles of the WorldHealth Organization Constitution, in technicalhealth projects under ad hoc working arrange-ments to be concluded for limited periods oftime at the discretion of the Executive Board.In cases of emergency the Director-General mayestablish temporary working arrangements andwill report these to the following session of theExecutive Board.

III. Because of the necessity for further studyof the relations between international sectionaland other international non-governmentalorganizations and the specialized agencies invarious fields, and because of the need forfurther experience,

The Executive BoardDECIDES to postpone further consideration of

relations with sectional non-governmentalorganizations, until the fifth regular session ofthe Executive Board.

2.3.2 Regional and National Non-GovernmentalOrganizations

The following resolution was adopted :The Executive Board

1 . RECOMMENDS to the Third World HealthAssembly the adoption of the following prin-ciples to govern the relations between WHO andregional and national organizations :

(1) Regional or national non-governmentalorganizations which are affiliated to inter-national non-governmental organizations withwhich WHO is in official relations. Theseare, by definition, in official relations withthe regional organization under the termsof the resolution of the First World HealthAssembly concerning relations with non-governmental organizations," and thereforeno formal action by the regional committeeis required.(2) Regional or national non-governmentalorganizations which are affiliated to inter-national non-governmental organizations notin official relations with WHO. In order thatWHO may facilitate the formation of stronginternational non-governmental organizationsin the various technical fields, arrangementswith the above-mentioned regional or nationalorganizations will be on the basis of informalworking relations.(3) Regional and national organizations forwhich there is no international non-govern-mental organization. These can be admittedinto working relationship with the WorldHealth Organization, subject to consultation

3° Off. Rec. World Hlth Org. 13, 326

between the Regional Director and theDirector-General.

2. REQUESTS the Director-General(1) to be guided by the above principlespending their adoption by the HealthAssembly ; and(2) to obtain from the Regional Directorsand to submit to the Board with his commentsa yearly report on the results of any relationsbetween the regional offices of WHO andregional and national organizations.

2.3.3 Specific Requests and CriteriaAfter consideration of various applications from

non-governmental organizations for the establish-ment of relations with WHO, the followingresolutions were adopted : 31I. The Executive Board

1. DECIDES,

(1) in pursuance of the resolution adoptedby the Second World Health Assembly,"to establish official relations with the Councilfor the Co-ordination of International Con-gresses of Medical Sciences, on the basis ofthe principles laid down by the First WorldHealth Assembly," and(2) to establish official relations with theBiometric Society on the basis of theprinciples laid down by the First WorldHealth Assembly ; andConsidering that the International Federation

of Unions of Employees in Public and CivilServices does not fulfil the criteria establishedby the Health Assembly,2. REQUESTS the Director-General to informthe Federation of the decision of the Boardregarding organizations not mainly concernedwith health.

II. Since the information received from theremaining organizations considered is notsufficient to show that these organizationsfulfil all the criteria laid down by the FirstWorld Health Assembly,

The Executive Board(1) DECIDES to postpone consideration of theserequests until the fifth session of the Board, and(2) REQUESTS the Director-General to informthe several organizations of this decision.

31 Adoption of resolutions I, II, and III para-graph 1 above was recommended by the StandingCommittee on Non-Governmental Organizationsin its second report drawn up as a result of itssecond and third meetings held on 12 July 1949,at 4 p.m. and 14 July 1949 at 2 p.m. under theChairmanship of Dr. de Paula Souza and at whichDr. Babecki and Miss K. V. Green (representingDr. Mackenzie) were present. The committeediscussed various applications for relations withWHO upon the basis of the criteria laid doWn bythe First World Health Assembly and recommendedthe adoption of the resolutions mentioned above.

32 Resolution WHA2.5, Off. Rec. World HlthOrg. 21, 19

33 Off. Rec. World Hlth Org. 13, 326


III. The Executive Board, further1. REQUESTS the Director-General

(1) to revise the questionnaire which is sentto non-governmental organizations applyingfor official relationship with WHO, takinginto consideration the comments of theStanding Committee on Non-GovernmentalOrganizations, and(2) to submit to the Standing Committee,by mail at least six weeks before the date ofeach session of the Board, the informationconcerning such applications ; and

2. REQUESTS the Standing Committee toreview the criteria laid down by the First WorldHealth Assembly to be fulfilled before a non-governmental organization becomes eligible tobe brought into relation with WHO, underArticle 71 of the Constitution, and to report tothe fifth session of the Board.

2.3.4 Establishment of an International Code ofDeontology

After consideration of a resolution adopted on8 April 1949 by the Académie Nationale de Méde-cine of France and transmitted by. the League ofRed Cross Societies," the Board adopted thefollowing resolution :

The Executive Board1. TAKES NOTE Of the resolution on the establish-ment of an international code of deontology

adopted by the Académie Nationale de Médecineof France ;2. LEARNS with satisfaction that the questionis being studied by the World Medical Associa-tion with a view to the establishment of aninternational code of deontology in connexionwith the practice of the profession of medicine,and that the final draft as submitted by theExecutive Board of the World Medical Associa-tion to forty national medical associations willbe considered by the Annual General Assemblyof the World Medical Association, to be held inLondon in October 1949, and3. REQUESTS the Director-General

(1) to keep in close touch with this work(2) to bring this matter to the attention ofthe International Council of Nurses, and(3) to report on it to the fifth session of theBoard.

2.4 National WHO Conunittees

After considering suggestions by the Director-General on the establishment of national com-mittees for WHO," the Board adopted thefollowing resolution :

The Executive BoardREQUESTS the Director-General to investigate

further the desirability and practicability ofestablishing national WHO committees and tosubmit his recommendations to the Board ata future session.

3. PRIVILEGES AND IMMUNITIES

3.1 Extension of Privileges and Immunities toRepresentatives of Associate Members andof other Tenitories

In implementation of the resolution adopted bythe Second Health Assembly " concerning the ex-tension of the Convention on the Privileges andImmunities of the Specialized Agencies 37 torepresentatives of Associate Members and otherterritories, the Board adopted the followingresolutions :I. Having regard to the resolution of the Second

World Health Assembly concerning the exten-sion of the benefits of the Convention on thePrivileges and Immunities of the Specialized

" This read :The Académie Nationale de Médecine, recalling

the Nuremberg trials and the crimes committedduring wars and conflicts of all kinds againstwounded and sick persons, prisoners of war orinternees, and refusing to allow a medical bodyto be made the instrument of any sort of com-pulsion prejudicial to their physical, moral orintellectual integrity,

Resolves that the practice of the medicalprofession, in time of war as in time of peace,should be interpreted by an international codeof deontology oi an obligatory character, to beestablished by an international medical organ-ization ; a code the teaching of which wouldbe the rule in faculties and medical colleges ofall countries.

Agencies to the representatives of AssociateMembers and of other territories or groups ofterritories which are not responsible for theconduct of their international relations andwhich participate in the work of the Organiza-tion, in accordance with Articles 8 and 47 of theConstitution,

The Executive Board

(1) APPROVES the following resolution, and

(2) REQUESTS the Director-General to com-municate it to Members and to report on repliesreceived thereon to the Third Health Assembly.

The Académie Nationale de Médecine con-siders that the World Health Organizationshould be informed of this resolution and asksthat it be transmitted to the League of RedCross Societies by the French Red Cross, so asto be brought to the attention of all the nationalsocieties of the Red Cross and transmittedbesides to all other organizations having aninternational character.35 See Annex 9." Resolution WHA2.105, Off. Rec. World Hlth

Org. 21, 5637 0,6. Rec. World Huth Org. 10, 111 ; 13, 364.

The text of the Convention including Annex VIIis reproduced in the Handbook of Basic Documents.

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II. The Executive BoardRECOMMENDS to the World Health Assembly :

(1) that the following additional paragraphbe inserted in Annex VII of the said Conven-tion :

3. Article V and Section 25, paragraphsand 2 (1) of Article VII shall extend to therepresentatives of Associate Members andof other territories or groups of territorieswhich are not responsible for the conduct

of their international relations and which arenot Associate Members participating in thework of the Organization in accordancewith Articles 8 and 47 of the Constitution.

(2) that, pending the acceptance of the revisedannex, States Members be invited to apply itsprovisions, as supplemented, to representativesof Associate Members and of other territoriesor groups of territories which are not responsiblefor the conduct of their international relations.

4. ADMINISTRATION AND FINANCE

4.1 Headquarters, Regional and Other Offices4.1.1 Arrangements for Accommodation for Head-

quarters OfficeThe following resolution was adopted :

I. The Executive Board,Noting the terms of the resolution adopted by

the Second World Health Assembly with regardto arrangements for accommodation for theHeadquarters Office of the World HealthOrganization ; 38

Noting that Project F presented by M. JacquesCarlu 89 satisfies the first of the conditions laiddown in the above-mentioned resolution, namely,that the future accommodation of WHO shouldbe in " closest possible proximity to the UnitedNations building in Geneva " ;

Noting the Director-General's declarationthat it further satisfies the second condition,namely, that it will enable the United Nationsto make available " acceptable and adequateaccommodation " to the World Health Organ-ization ;

Noting that it is acceptable to the SwissFederal Government and satisfies the conditionattached by that Government to its offer tofinance the new construction, namely, that itwill provide a permanent Headquarters Officefor WHO in Geneva ;(1) APPROVES the above-mentioned project,subject to the assent of the Secretary-Generaland subsequently of the General Assembly of theUnited Nations and to the conclusion betweenthe Secretary-General of the United Nationsand the Director-General of WHO of an agree-ment as to the terms of occupancy completelyacceptable to the Director-General and makingprovision inter alia for the following :

1. WHO is to be guaranteed, having regardto the terms of paragraph 4 below, permanentoccupancy of the space to be allocated to theOrganization in the Palais des Nations, it beingunderstood that in any event WHO shall beguaranteed an amount of space equivalent tothe amount of space resulting from thereconstruction of the Palais des Nations atWHO's expense.

38 Resolution WHA2.61, Off. Rec. World HuthOrg. 21, 37

" See Annex 10.

2. The offices to be allocated to WHO inthe reconstructed Palais des Nations shallbe contained in a compact block, except thatit may be desirable for WHO's libraryservices to be housed in another part of thebuilding.3. WHO is to enjoy a prior option over anyorganization other than the United Nationsto any available space in the reconstructedPalais des Nations, should such space berequired at any future time for the expansionof its services or staff, as authorized by theWorld Health Assembly. In the event offurther space not being available in thePalais des Nations, WHO shall be authorized,should the World Health Assembly so desire,to erect a new wing to the then existingstructure. In such circumstances theconditions contained herein and in theagreement to be concluded between theUnited Nations and WHO would apply tosuch new structure.4. In the event of the United Nationsdenouncing the agreement of occupancy,it will place at the disposal of the WorldHealth Organization, free of charge, equi-valent space to be constructed to the specifi-cations of WHO and on a site in Geneva to bechosen by WHO, after consultation with theUnited Nations.5. The conditions of occupancy, includingthe terms of payment for maintenanceservices, shall be agreed in advance betweenthe Secretary-General of the United Nationsand the Director-General of WHO and shallprovide for the establishment of arrangementsto secure equality of treatment between thetwo organizations in matters of commoninterest.6. It is understood that the Palais desNations as reconstructed and extendedremains the property of the United Nations.However, any removable property suchas furniture and equipment purchasedfrom WHO funds shall remain the pro-perty of WHO.

(2) AUTHORIZES the Director-General tonegotiate an agreement on the foregoinglines or one affording equal security of tenure

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to WHO and to sign the agreement after it hasbeen approved by the Building Committeementioned below.

II. Should the Secretary-General or the GeneralAssembly refuse their assent to Project F orto some other solution on the lines of Project B 40completely acceptable to all the partiesconcerned or should it prove impossible for theDirector-General to conclude with the Secretary-General an agreement the terms of which areentirely satisfactory to the former, in particularwith regard to the matters set forth in theforegoing paragraphs 1-6 inclusive, then

The Executive BoardRESOLVES to accept the offer made by the

Swiss Government on behalf of the GeneveseCantonal authorities of a site for a separatebuilding and to leave the choice of the site to theBuilding Committee for which provision is madein the present resolution.

III. The Executive Board,Noting the offers made by the Swiss Federal

Council for the financing of a building as apermanent Headquarters Office for the WorldHealth Organization in Geneva ; 41

Considering that the second of the solutionsproposed by the Federal Council, namely, aloan of the whole amount envisaged, viz. Swissfrancs 5,750,000 without interest to be re-imbursed by annuities of Swiss francs 191,666over a period of 30 years, would appear to beless advantageous to the World Health Organ-ization than the other two solutions,

RESOLVES that the Federal Council beinformed that WHO discards the secondsolution and will make its choice between thefirst and the third as soon as precise estimatesof the cost of construction have been received.

IV. The Executive Board,Noting that, in the event of Project F's

receiving the approval of the Secretary-Generaland later of the General Assembly of the UnitedNations, it would be eminently desirable thatbuilding operations should commence as soonas possible and at any rate before the end ofNovember 1949,(1) RESOLVES to set up an ad hoc committee,to be known as the Building Committee ; 42(2) INVESTS the said committee with fullpowers to give effect with the least possibledelay to the present resolution of the Board,including the financial matters involved, alwayshaving regard to the terms of the above-mentioned resolution of the Second WorldHealth Assembly ; 43(3) REQUESTS the members of the committee

45 For information on Project B, see Off. Rec.World Hlth Org. 21, minutes of the Committee onAdministration and Finance, seventh meeting,section 2 ; eighth meeting, section 1 .

41 Off. Rec. World Hlth Org. 21, Annex 942 For composition of the Building Committee,

see Annex 2.43 Resolution WHA2.61.

to make themselves available to meet at aweek's notice upon convocation by the Director-General ;(4) RECOMMENDS that, with a view to ensuringthe most economical use of the funds to beemployed for the new structure, considerationshould be given to the possibility of carryingout the plans piecemeal, provided that the fullconference facilities available in the Palais desNations will not be curtailed thereby ;(5) REQUESTS the Building Committee tonotify its decisions to the members of the Boardand to the Members of the World HealthOrganization at the same time as to the SwissFederal Council and the Secretary-General ofthe United Nations.

4.1.2 Regional Organization for EuropeConsidering it desirable that the Regional

Organization for Europe be established withoutdelay after the requisite majority of MemberStates within the region have signified theirapproval, the Board adopted the followingresolution :

The Executive Board,Having noted the resolution of the Second

World Health Assembly authorizing the Boardto establish a Regional Organization for Europeas soon as the consent of the majority of MemberStates in Europe shall have been obtained,44

AUTHORIZES the Director-General(1) to establish the Regional Organizationfor Europe as soon as practicable after theconsent of the majority of Member States inEurope shall been obtained ;(2) to establish the site of the regional office,as soon as the site has been recommendedby the regional committee, after consultationwith the United Nations and subject toapproval by the members of the Boardobtained by correspondence ;(3) to appoint a regional director, as soonas the regional committee has nominated aregional director, and after approval of thisnomination by the members of the Boardobtained by correspondence. This appoint-ment will be formally carried out by theExecutive Board at its fifth session.

4.1.3 Financing of the Special Office for EuropeAfter considering the request of the Director-

General for authority to allot funds to meet theexpenditure incurred by the establishment of theSpecial Office for Europe, the Board adopted thefollowing resolution :

The Executive BoardAUTHORIZES the Director-General to allot

funds from appropriation section 3 of the 1949Budget 45 to meet the expenditure incurredby the establishment of the Special Office forEurope.

" Resolution WHA2.74, O. Rec. World HlthOrg. 21, 44

45 Off. Rec. World Hlth Org. 13, 320

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4.2 Budget and Management4.2.1 Allotments issued as of 30 June 1949

After considering a report on allotments issuedas of 30 June 1949 from WHO regular funds andfrom the UNRRA Fund,46 the Board adoptedthe following resolution :

The Executive BoardTAKES NOTE of the report submitted by the

Director-General on allotments issued as of30 June 1949 in connexion with the currentoperations under the budget for 1949.

4.2.2 Transfers between Chapters within Sectionsof the 1949 Budget ; Transfers betweenSections in Parts and between Parts 47

Because the fourth session of the ExecutiveBoard was expected to be its last session during1949, the Board adopted the following resolution :

The Executive Board(1) AUTHORIZES the Director-General to reportby correspondence by 31 December 1949 toeach member of the Board the transfer ofcredits between chapters in sections and thecircumstances relating thereto ; and(2) DECIDES that the acknowledgement of thisreport of the Director-General, by correspon-dence, by the majority of members of the Boardshall serve to represent formally the voting ofsuch action by the Board, provided that asummary statement of this action shall besubmitted formally to the Board at its fifthsession ; and further.(3) AUTHORIZES the Director-General totransfer, where appropriate, credits betweensections in parts and between parts, providedthat he obtains the prior written concurrenceof the majority of the members of the ExecutiveBoard to that effect ; and(4) REQUESTS the Director-General to reportall transfers made under the written authorityof the majority of the members of the ExecutiveBoard and the circumstances relating theretoto the fifth session of the Board.It was understood that, in corresponding with

the Executive Board, the Director-General wouldgive the fullest possible details.

4.2.3 Procedure for examining the 1951 Pro-gramme and Budget and the Structure of theOrganization 49

The following resolutions were adopted :I. In view of the necessity for making a detailed

appraisal of the Programme and Budget for1951 ; and

Considering the resolutions of the SecondWorld Health Assembly regarding the financialresponsibilities of the Executive Board, and theexamination of the organizational structure, 49

46 See Annex 11.47 Off. Rec. World Hlth Org. 13, 31918 See Annex 12.49 Resolutions WHA2.62 and WHA2.78, Off.

Rec. World Filth Org. 21, 38, 46

The Executive Board(1) ESTABLISHES a Standing Committee OnAdministration and Finance consisting ofseven of its members,60 and(2) INSTRUCTS this committee to meet aboutten days days prior to the beginning of the fifthsession of the Executive Board for the purposesof reviewing the budget estimates for 1951,examining the organizational structure, andreporting to the Executive Board its conclu-sions and recommendations thereon.

II. The Executive BoardDECIDES to defer to the fifth session of the

Board the consideration of the procedure to beadopted by the Third World Health Assemblyin considering the Programme and Budgetfor 1951.

4.3 Finance and Accounts

4.3.1 Scale of Assessments for Associate Membersto the WHO Budget


The Executive Board,Taking into account the difference in status

between Members and Associate Members ofthe Organization,

RESOLVES that, pending confirmation orrevision thereof by the Third World HealthAssembly, the provisional scale of assessmentsfor Associate Members shall be established bydetermining the unit contributions accordingto the criteria used by the United Nations inassessing its Members for the year 1948 andreducing such unit contributions by 40%,except that no Associate Member shall beassessed at less than three units, nor at morethan five units.

4.3.2 Currency of ContributionsThe Executive Board adopted the following

resolution :

The Executive Board(1) REQUESTS the Director-General to enterinto communication with such governmentsas may be appropriate with a view to arrangingwith the respective central banks local currencycredits from which to meet the expenditures ofthe Organization, the sums withdrawn fromthese credits to be repaid from contributions inthat currency from Member States for theensuing year ;(2) AUTHORIZES the Director-General to makesuch arrangements as he deems desirablehereunder and to report his progress thereon tothe fifth session of the Executive Board.

" For membership of the Standing Committeeon Administration and Finance, see Annex 2.

91 See previous decision Off. Rec. World Milt Org.17, 20, item 9.1.3

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4.3.3 Financial Rules



After considering the report of the workingparty established to review the ProvisionalFinancial Rules,

CONFIRMS the Financial Rules as amended.52

4.3.4 Reimbursement of Travelling Costs ofMembers of the Board

The Executive Board adopted the followingresolution :

The Executive Board,After considering the question of the re-

imbursement of travelling costs of membersof the Board and delegates to the HealthAssem bly,

REQUESTS the Director-General to study thisquestion and to report thereon to the Boardat its fifth session.

4.3.5 Reimbursement of Expenses of Membersof the Expert Committees

In view of the fact that, under the ProvisionalAppointment Regulations for Expert Committeesand their Sub-Committees,53 members of suchcommittees could be reimbursed for expenses f ortravel only from the capital cities of their homecountries to the place of the meeting, and thatmany members resided at a great distance fromtheir capital cities and therefore were obligedto meet additional travel expenses themselves,the Board adopted the following resolution :

The Executive BoardRESOLVES that Regulation 4 (f) of the Pro-

visional Appointment Regulations for ExpertCommittees and their Sub-Committees shallbe amended to read as follows :

" (f) that the members shall be entitled totravelling expenses equivalent to first-classaccommodation by recognized public trans-port between place of normal residence andplace of meeting, and a daily living allowanceunder the same provisions as are current forthe Executive Board, during sessions of theexpert committee, but that these allowancesshall not be regarded as remuneration."

4.4 Personnel4.4.1 Amendments to Staff Rules

The Board adopted the following resolution :The Executive Board,Taking note of the revised staff rules 782.1,

941.5 and 1030.1,CONFIRMS these staff rules as amended."

52 See Annex 13." Off. Rec. World Hlth Org. 14, 38 ; 17, 41" See Annex 14. For Staff Rules confirmed by

the Board at its second session, see 011. Rec. WorldHlth Org. 14, 85.

4.4.2 Retirement and Pension Fund



Noting the report of the Director-Generalon the progress of the negotiations with theUnited Nations as regards WHO's participationin the United Nations Joint Staff PensionFund,55

RESOLVES

(1) that the Director-General be authorized,after satisfactory completion of the negotiationswith the United Nations, to sign on behalf ofWHO the agreement for the participation ofWHO in the United Nations Joint Staff PensionFund " and(2) that the Director-General be requested toreport on the conclusion of the agreement tothe fifth session of the Executive Board.

4.4.3 Tax Equalization or Reimbursement ofNational Income Taxes for 1950

The Board adopted the following resolution :

The Executive Board,Considering that full and adequate infor-

mation on the operation of the staff assess-ment plan adopted by the United Nations isnot likely to be available until late in 1949 ;and

Considering that a decision as to the applica-tion of a tax equalization plan by WHO on1 January 1950 should be taken before the endof 1949, to enable the Administration to takeall the necessary steps to put such plan as isadopted into operation ; and

Taking into account the fact that it is notenvisaged to hold another session of the Boardin 1949,

RESOLVES

(1) that, after considering the plan or plansof the United Nations or specialized agen-cies, the Director-General shall be authorizedto decide, in consultation with the Chair-man of the Board, upon a plan of tax equaliza-tion or upon reimbursement of staff membersfor their national income taxes for the year1950 ;

(2) that the decision taken under (1) aboveshall be submitted to the Board at its fifthsession ; and

(3) that, should it be necessary to carry outthe decision reached under (1) above, theDirector-General shall be authorized to re-imburse staff members for national incometaxes paid by them in respect of paymentsreceived from WHO during 1950.

55 See Annex 15.56 Ofl. Rec. World Hlth Org. 17, 73

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4.4.4 Administrative Tribunal


Noting with satisfaction that the Inter-national Labour Conference at its 32nd sessionagreed to extend the jurisdiction of theAdministrative Tribunal of ILO to other inter-governmental international organizations whichrecognize the jurisdiction of the Tribunal, andamended the Statute of theTribunal accordingly,

The Executive BoardRESOLVES that, in virtue of the authority

delegated to it by the First World HealthAssembly in Regulation 28 of the ProvisionalStaff Regulations,57 the Director-General beauthorized to address to the Director-General ofILO the declaration required under the amen-ded Statute of the Tribunal, and to completethe necessary administrative arrangements.

57 011. Rec. World Hlth Org. 13, 361

5. TIME AND PLACE OF THIRD WORLD HEALTH ASSEMBLYAND OF FIFTH SESSION OF THE EXECUTIVE BOARD

5.1 Third World Health Assembly

The Board adopted the following resolution :

The Executive Board

NOTES the decision of the Second WorldHealth Assembly that the Third World HealthAssembly will be held in Geneva, Switzerland,at the headquarters of the Organization, on8 May 1950.58

55 og. Rec. World Hlth Org. 21, 17

5.2 Fifth Session of the Executive BoardThe following resolution was adopted :

The Executive BoardDECIDES to hold its fifth session in Geneva,

Switzerland, starting on 16 January 1950, at10 a.m., at the Palais des Nations.58

55 In accordance with the decision that theStanding Committee on Administration andFinance should meet for ten days before theopening meeting of the fifth session of the Board,this committee will be convened on 6 January 1950.

- -

Annex 1

LIST OF ATTENDANCES

1. Members, Alternates and Advisers

Sir Arcot L. MUDALIAR, Vice-Chancellor, Univer-sity of Madras, Chairman.

Dr. J. ZOZAYA, Technical Adviser, Ministry ofHealth and Welfare, Mexico City, Vice-Chairman.

Dr. H. S. GEAR, Deputy Chief Health Officer forthe Union of South Africa, Vice-Chairman.

Dr. V. J. BABECKI, Inspector, Ministry of Health,Warsaw.

Dr. J. A. HöJER, Director-General of PublicHealth, Stockholm.

Dr. H. HYDE, Medical Director, US PublicHealth Service, Federal Security Agency,Washington, D.C.Alternate:Mr. H. B. CALDERWOOD, Division of United

Nations Economic and Social Affairs, Depart-ment of State, Washington D.C.

Adviser :Mr. Alvin ROSEMAN, United States Represent-

ative for Specialized Agency Affairs atGeneva.

Professor M. DE LAET, Secrétaire général duMinistère de la Santé publique 'et de la Famine,Bruxelles.Alternates :Dr. C. VAN DEN BERG, Director-General for

International Health Affairs, Ministry ofSocial Affairs, The Hague.

Dr. P. J. J. VAN DE CALSEYDE, Directeur généralde l'Hygiène au Ministère de la Santé publiqueet de la Famille, Bruxelles.

Adviser :Miss Johanna SCHALIJ, Ministry for Social

Affairs, The Hague.

Dr. Melville MACKENZIE, Principal Medical Officer,Ministry of Health, London.Alternates :Dr. R. H. BARRETT, Medical Officer, Ministry of

Health, London.Dr. A. M. W. RAE, Deputy Chief Medical

Officer, Colonial Office, London.Dr. T. LINDSAY, Principal Assistant Secretary,

Ministry of Health, London.Adviser :Miss K. V. GREEN, Executive Officer, Ministry

of Health, London.

Dr. M. NAZIF Bey, Assistant Under-Secretary ofState, Ministry of Public Health, Cairo.

Professor J. PARISOT, Professeur d'Hygiène et deMédecine sociale 6. la Faculté de Médecine deNancy.Alternate:Dr. A. R. DU JARRIC DE LA RIVIÈRE, SOUS-

Directeur de l'Institut Pasteur, Paris.Advisers :Dr. L. E. BERNARD, Chef du Bureau d'épidé-

miologie, Ministère de la Santé publique etde la Population, Paris.

M. P. BERTRAND, Délégué adjoint de la Franceauprès de l'Office européen des NationsUnies, Genève.

Médecin-général Inspecteur M. A. VAUCEL,Directeur du Service de Santé colonial duMinistère de la France d'Outre-Mer, Paris.

Dr. G. H. DE PAULA SOUZA, Director and Pro-fessor, Faculty of Hygiene and Public Health,University of São Paulo.

Dr. A. STAMPAR, President of the YugoslavAcademy of Sciences and Arts ; Professor ofPublic Health and Social Medicine, Universityof Zagreb.

Dr. E. TEJERA, Former Minister of Health andSocial Welfare, Professeur de Pathologie tro-picale, Caracas.

Dr. E. ToK, Under-Secretary of State, Ministry ofHealth and Social Assistance, Ankara.Alternate:Dr. K. OLCAR, Director-General, Ministry of

Health and Social Assistance, Ankara.

Dr. A. VILLARAMA, Secretary (Minister) of Health,Manila.Alternates :Dr. A. EJERCITO, Chief, Malaria Section,

Department of Health, Manila.Dr. T. ELICAÑO, Director, Bureau of Hospitals,

Manila.

Adviser :Mr. M. C. ANGELES, Administrative Officer,

Department of Health, Manila.

2. Members Absent

Dr. N. EvSTAFIEV, Deputy Minister of PublicHealth, Minsk.

Dr. N. A. VINOGRADOV, Deputy Minister ofPublic Health, Moscow.

(The Chinese Government has not yet designateda person to replace Dr. W. W. YUNG, formerMember of the Board.)

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ANNEX 2

3. Observers

UNITED NATIONS

* Mr. A. D. Meurig EVANS, Assistant Director ofthe United Nations European Office.

Dr. Szeming SZE, Chief, Specialized AgenciesSection.

Miss Grace BOC QUET, Department of SocialAffairs.

ECONOMIC COMMISSION FOR EUROPE(ECE)

Mr. E. WEISSMANN, Director, Industry andMaterials Division.

Mr. D. LEACOCK, Agricultural Equipment Specia-list, Industry and Materials Division.

FOOD AND AGRICULTURE ORGANIZATION(FAO)

Mr. F. L. MCDOUGALL, Counsellor.

INTERNATIONAL LABOUR ORGANIZATION(ILO)

Dr. A. GRUT, Chief, Industrial Hygiene Section.

Mr. R. E. MANNING, International OrganizationsSection.

INTERNATIONAL REFUGEEORGANIZATION

(IRO)

Dr. R. L. COIGNY, Director, Health Division.

UNITED NATIONS EDUCATIONAL,SCIENTIFIC AND CULTURAL

ORGANIZATION(UNESCO)

Dr. Irina M. ZHUKOVA, Head of Division of AppliedSciences, Department of Natural Sciences.

OFFICE INTERNATIONAL D'HYGIENEPUBLIQUE

(OIHP)

Dr. M. GAUD, Président de la Commission duTransfert.

PAN AMERICAN SANITARY ORGANIZATION(PASO)

Dr. H. REY, Director, Division of Malariology,Ministry of Health, BogotL

WORLD MEDICAL ASSOCIATION

Dr. J. MAYSTRE, Liaison Officer with WHO,Geneva.

SWISS FEDERAL COUNCIL

* M. C. MULLER, Economiste au Départementpolitique fédéral, Service des Organisationsinternationales.

* Attended for discussion on Accomodation forHeadquarters Office.

Annex 2

MEMBERSHIP OF COMMITTEES AND WORKING PARTIES

1. Standing Committee on Non-GovernmentalOrganizations (as reconstituted)

Dr. de Paula Souza, Chairman ; Dr. Babecki,Dr. Mackenzie, Dr. Gear, Dr. Villarama.

2. Standing Committee on Administration andFinance (as reconstituted)

Dr. Gear, Chairman ; Dr. Nazif Bey, V ice-Chairman ; Dr. Hyde, Professor de Laët,Dr. Mackenzie, Dr. Stampar, Dr. Villarama.

3. Building Committee

Dr. Höjer, Professor de Laët, Professor Parisot.

4. WHO Members of the Joint Committeeon Health Policy, UNICEF/WHO(as reconstituted)

Dr. Höjer, Dr. Hyde, Dr. Mackenzie,Dr. Stampar.

Alternates: Dr. van den Berg, Dr. Gear.

5. Working Party on Currencies of Contribu-tions to 1950 Budget

Mr. Lindsay (representing Dr. Mackenzie),Chairman ; Sir Arcot Mudaliar, Dr. Nazif Bey,Professor Parisot.

6. Working Party on the Confirmation of theFinancial Rules

Dr. van den Berg, Chairman ; Dr. Nazif Bey,Mr. Roseman (representing Dr. Hyde).

7. Working Party on Reimbursement of Trans-portation Costs

Dr. van den Berg, Chairman ; Dr. Dujarric dela Rivière (representing Professor Parisot),Dr. Gear, Dr. Hiijer, Dr. Nazif Bey.

8. Working Party on Arrangements for Ac-commodation of Headquarters Office

Dr. Zozaya, Chairman ; Dr. Hyde, Professorde Laët, Professor Parisot, Dr. Tok.

- 15 -

AlkINEX 3 '

[Fro'm WHO/VD/20 Rev 1]20 July 1949

Annex 3

PROPOSALS FOR AN INTERNATIONAL ANTI-VENEREAL-DISEASECOMMISSION OF THE RHINE 1

The increase in the number of cases ofvenereal disease during and immediately afterthe First World War led many governments toorganize systematic venereal-disease campaigns.The maritime countries very soon realized thenecessity for special measures among merchantseamen and boatmen who, owing to theirmigratory vocation, are particularly exposed toinfection and may become, if they do not receivetreatment, or receive inadequate treatment, activepropagators of these diseases.

In 1924, an International Agreement wassigned at Brussels to facilitate the treatmentof venereal disease among merchant seamen.Up to the present time there are 56 signatories ofthis Agreement, in the drawing up of whichseveral bodies, such as ILO, the League of NationsHealth Organization, OIHP, the InternationalUnion against Venereal Diseases and the Leagueof Red Cross Societies took part. In July 1936the International Union against Venereal Diseasesdecided to form an International Sub-Committeeto co-ordinate the efforts of Belgium, France,Germany, the Netherlands and Switzerland incombating venereal diseases among Rhine riverboatmen.

During the period between the two worldwars a considerable effort was made to carry outthe programme that had been prepared. Centresfor diagnosis and treatment were set up,specialized services were established in thehospitals of the chief ports and individual treat-ment cards were issued to patients. In addition,social services for seamen were created on thewidest possible scale, and a propaganda campaignwas launched to disseminate advice about theprevention of disease and to give guidance topatients as to treatment available at ports of Call.

During the recent world war the prevalenceof venereal disease justified the adoption oftemporary national and international measuresover and above the standards laid down in theBrussels Agreement. It therefore became essentialto study the means of modifying this agreementand the International Union against VenerealDiseases, at its annual General Assembly in1947, adopted the following resolution :

. . . REQUESTS WHO and all Governments :(a) to take urgent steps which would againpermit strict application of the BrusselsAgreement ;(b) to study the possibility of expandingthis Agreement into an international anti-venereal-disease convention.

1 See item 1.4.1 of the Board's report

WHO can and must play an effective part inthis field, since Article 21 of its Constitutionauthorizes the Organization to adopt regulationsconcerning " sanitary and quarantine require-ments and other procedures designed to preventthe international spread of disease ".

Furthermore, in Article 2 of the Protocolconcerning the OIHP,2 the Interim Commissionof WHO assumed responsibility for the applicationof the provisions of the Brussels Agreement, andat its first session ( January 1948) the WHOExpert Committee on Venereal Diseases recom-mended that the Brussels Agreement beabrogated and replaced by wider internationalregulations for venereal diseases. These shouldcover various categories of migratory groups,including seafarers, and be based on the prin-ciples outlined. 3 A recommendation to thiseffect was adopted by the First World HealthAssembly.

At its second session the Expert Committeeon Venereal Diseases reconsidered the questionof the local application of the Brussels Agreement,and, taking into account the proposals made bygovernments and the resolution adopted by theInternational Union against Venereal Diseases,recommended that :

the relevant authorities in Belgium, France,Germany, the Netherlands and Switzerland beapproached by WHO with a view to the estab-lishment of a commission composed of represen-tatives of those countries to study and re-commend measures for active co-ordination ofvenereal-disease control in the Rhine river area.5

In accordance with the recommendation of theexpert committee, which had been approved by.the Executive Board, the Director-General ofWHO approached the governments of thecountries concerned and asked them, if they werein agreement, to submit suggestions.

The replies received indicated that the proposalfor co-ordination of anti-venereal-disease activitiesamongst seamen and Rhine river boatmen hadbeen unanimously accepted. As a result, it wasdecided to call a preparatory meeting to considerthe establishment of an international commissionto combat venereal disease in the Rhine area.This took place at Geneva on 30 and 31 May and1 June 1949.

Belgium, France, the Netherlands and Switzer-land sent experts. Further, each of the three

2 Off. Rec. World Hlth Org. 2, 1133 Off. Rec. World Hlth Org. 8, 664 Off. Rec. World HIM Org. 13, 3035 Off: Rec. World MA Org. 15, 31

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ANNEX 3

occupying Powers (the United Kingdom, theUnited States of America, France) in Germanysent a representative, accompanied by two Germanpublic-health officers. In addition, observers wereappointed by ILO and the International Unionagainst Venereal Diseases.

The following attended the meeting :

Belgium:Dr. P. J. J. van de Calseyde, Directeur général

de l'Hygiéne, Ministère de la Santé publiqueet de la Famine, Brussels

France :Professor L. M. Pautrier, Professeur honoraire

A. la Faculté de Médecine, Strasbourg

Netherlands :Dr. E. H. Hermans, Associate Professor

Dermato-Venereology, Rotterdam

Switzerland :Dr. R. Schuppli, Privat-docent A. la Clinique de

Dermato-Syphiligraphie de l'Université de Bâle

Germany :

Dr. M. Chaton, Service de Santé, Baden-Baden (French Zone of Occupation)

Major-General J. G. Gill, Chief Public HealthOfficer, Land Public-Health Department,Land North Rhine/Westphalia, Dusseldorf(British Zone of Occupation)

Dr. W. D. Radcliffe, Chief Public HealthBranch, Office of Military Government forWürttemberg-Baden, Nuremberg (AmericanZone of Occupation)

Frau Dr. Lange, Public Health Administrationof Westphalia

Dr. A. Unger, German Public Health Adminis-tration, Wurttemberg.

International Union against Venereal Diseases :Dr. A. J. Cavaillon, Directeur général de la

Santé, Ministère de la Santé publique et de laPopulation, Paris

International Labour Office (ILO) :Dr. M. de Viado and Miss L. Bodmer, Social

Security Section

Central Rhine Commission :M. C. Bonet-Maury, Commissaire suppléant

de la France, Strasbourg

WHO Secretariat :Dr. W. Bonne, Director, Division of Planning ;Dr. T. Guthe and Dr. A. Spillmann, venereal-

diseases section.

of

On the proposal of the Belgian and Netherlandsrepresentatives, Professor Pautrier was unani-mously elected President.

After considering ' the preliminary report bythe WHO Secretariat, Professor Pautrier outlineda special report prepared for the Assembly of theInternational Union against Venereal Diseases in

September 1948 proposing the formation of aninternational Rhine river anti-venereal-diseasecommission under the auspices of WHO. Thetwo reports were discussed at length and aftersix meetings the text appended was approved.

Appendix

REPORT OF THE PREPARATORY MEETING

Representatives of Belgium, France, Nether-lands, Switzerland and observers from theAmerican, British and French Zones of Occupationin Germany, meeting in Geneva 30-31 May and1 June 1949 under the auspices of the WorldHealth Organization with a view to establishingan international commission to combat venerealdiseases in the Rhine boatmen ;

In view of the importance of the venereal-disease problem during and after the SecondWorld War ;

In view of the special risk of infection to whichseamen are exposed because of their mode oflife, and since untreated or insufficiently treatedseamen can spread venereal disease amongpopulations in the areas adjoining rivers ;

In view of the measures provided in the Inter-national Brussels Agreement of 1924 respectingfacilities to be accorded to merchant seamen andwatermen for the treatment of venereal disease ;

In view of the resolution respecting a stricterapplication of the Brussels Agreement, adoptedby the International Union against VenerealDisease at its annual General Assembly in 1947 ;

In view of the proposed International HealthRegulations for Venereal Disease Control,suggested by the International Union againstVenereal Diseases and recommended by the WHOExpert Committee on Venereal Diseases, andadopted in principle by the first World HealthAssembly,

CONSIDER that :

(1) the anti-venereal-disease services inBelgium, France, Germany, Holland andSwitzerland should be co-ordinated, with a viewto strengthening the fight against venerealdisease among Rhine river boatmen, on thebasis of reports presented on this subject byProfessor Pautrier and the WHO Secretariat ;

(2) diagnostic and treatment centres should beestablished in the principal river ports which donot as yet possess dispensaries or specializedconsultation services ;

(3) the basic principles approved by the FirstHealth Assembly as a basis for a future revisedBrussels Agreement should be applied in eachcountry to assure the functioning of venereal-disease services, especially :

(a) free medical examination, treatment andhospitalization when necessary, not only fornationals but also for foreigners ;

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ANNEX 4

(b) distribution to patients of an individualtreatment card free of charge in accordancewith the model drawn up by the BrusselsAgreement of 1924 ;(c) international tracing of infectiouscontacts through exchange of epidemiologicalinformation ;(d) development or creation of social services,preferably specialized, so that epidemiologicalaction can be taken and social assistance begiven to patients ;(e) the distribution of an internationalbooklet giving a list of treatment centres withaddresses and consultation hours :

RECOMMEND

(1) the creation as soon as possible of ananti-venereal-disease commission for the Rhineriver area, under the auspices of WHO to beknown as the " International Anti-Venereal-Disease Commission of the Rhine " whichshould meet before the end of 1949 ;

(2) the establishment of an administrativeliaison centre with the Central Rhine Com-mission at Strasbourg and a centre for technical,medico-social activities at Rotterdam ;(3) that the composition of this anti-venereal-disease commission be as follows :

one expert each from Belgium, France,Holland and Switzerland ; one expert eachfrom the British, French and US Zones astemporary representatives from Germany ;one observer each from ILO, the InternationalUnion against Venereal Diseases, and theCentral Rhine Commission ;

(4) that a preliminary survey of availablevenereal-disease treatment services in theRhine river area be made ;a technical study tour of the main venereal-disease treatment centres be undertaken in1949 by experts from the countries concerned ;a programme for intensification of thecombating of venereal diseases among seamenand boatmen in the Rhine river area beestablished ;facilities similar to those provided for sailorsand boatmen be accorded also to familymembers living abroad ;(5) the establishment by WHO of a foldercontaining maps of the principal ports in theRhine area (Amsterdam, Antwerp, Basle,Cologne,Dordrecht, Duisburg, Dusseldorf, Frankfort-on-Main, Ghent, Karlsruhe, Liége, Mannheim-Ludwigshaven, Mainz, Rotterdam and Stras-bourg) and providing, in addition to informationon venereal diseases ; data on anti-tuberculosisdispensaries ; maternal and child health centres(prenatal and infantile services) ; services atthe general hospitals ; fixed hours for socialservices and addresses of seamen's homes andhostels ; the individual treatment card tobe edited by WHO in four languages (German,English, French and Dutch) and to contain acomprehensive list of treatment centres for theRhine river region ;(6) that the Director-General and WHO makethe necessary practical arrangements with thegovernments and health administrations con-cerned to facilitate the development of theprogramme aiming at the implementation ofthe provisions of the Brussels Agreement.

[From EB41214 May 1949

Annex 4

CREATION OF AN INTERNATIONAL UNIVERSITY SANATORIUM,AT LEYSIN, SWITZERLAND

The Swiss Government (Federal PoliticalDepartment) has requested the patronage ofWHO for an International University Sanatoriumwhich would be created in Leysin. Having inmind their own successful university sanatorium,Swiss doctors and university professors initiatedthis project with the moral and financial aid ofthe Government.

The Governments of Belgium, Italy and Luxem-burg have already conferred their patronage uponthis undertaking, which consists in constructinga sanatorium where the required care would betaken of tubercular students and members of theteaching profession of all nationalities, while theywould be afforded the widest facilities for conti-

1 See item 1.5.3 of the Board's report.

nuing their studies. The foundation would be of apurely philanthropic nature, under the officialsupervision of the Swiss Confederation.

The project entails the construction of asanatorium of 208 beds, with the required out-buildings for the pursuance of studies by theinmates. The present estimated cost is 9,360,000Swiss francs. This sum is to be covered eitherby private subscription or by contributionsfrom bodies and communities (governments,large cities, universities, etc.). The Swiss FederalCouncil has already allocated a grant of 500,000Swiss francs to the foundation.

In order to meet She needs of the moment, theorganizing committee of the International Uni-versity Sanatorium opened an emergency tempo-rary reception centre in February 1945, thanks

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ANNEXES 5 AND 6

to the aid of the " Swiss Help to War Victims "(Don suisse pour les victimes de la guerre) andto the collaboration of the European Students'Fund (Fonds européen de secours aux étudiants) :through this centre 200 professors and studentsof 21 nationalities are attended to in severalrented clinics.

However, the creation of the InternationalUniversity Sanatorium has not yet become areality. An organizing committee has been setup, but this committee, which must be completedby delegates from each one of the Governmentsconcerned, will cease to function with the drawingup of the instrument of foundation.

[From EB4/20)8 July 1949

Annex 5

APPLICATION FOR APPROVAL BY WHO OF THE YELLOW-FEVERVACCINE MANUFACTURED AT THE INSTITUT PASTEUR, PARIS

As a result of a decision taken by the InterimCommission at its fourth session (September1947), all yellow-fever vaccines, in respect ofwhich WHO approval is sought, are required tobe subjected to potency titration by two or morecontrol laboratories, recognized for the purposeby WHO under Article 36 (11) of the InternationalSanitary Convention for Aerial Navigation, 1944.

Therefore, when application was received fromthe Director of the Institut Pasteur, Paris, thatthe yellow-fever vaccine manufactured there besubjected to the necessary tests, he was requestedon 13 July 1948 to forward, in containers providedby WHO, samples for potency titration to thethree following laboratories : the Wellcome Labo-ratóries of Tropical Medicine, London ; theBiologics Control Laboratory, National Institutes

See item 1.6.2 of the Board's report.

of Health, Bethesda, Md. ; and the Laboratoriesof the International Health Division, RockefellerInstitute for Medical Research, New York.

Results of potency titration showed that thevaccine, in its recommended dosage, had a contentmuch in excess of the 500 minimum lethal doses(m.l.d.) laid down for the satisfactory immuniza-tion of man in the standards for the manufactureand control of yellow-fever vaccine, but an excesswhich is recommended in those standards.2

All members of the Yellow-Fever Panelconcerned with the laboratory evaluation ofyellow-fever vaccines, namely, Médecin-GénéralC. Durieux, Dr. A. F. Mahaffy, Dr. R. M. Taylorand Dr. M. V. Veldee, to whom the results werecommunicated, consider the vaccine to be inevery way suitable for international use andrecommend its approval by WHO.

2 See Epidem. Inform. Bull. 1945, 1, 365

Annex 6

[From EB4/23]8 July 1949

EXCHANGE OF MEDICAL LITERATURE AMONG WHOMEMBERS THROUGH THE WORLD HEALTH ORGANIZATION

At its second session the Executive Boardresolved 2 that the Director-General should :(1) circulate to Members a questionnaire askingfor " information specifying any deficiencies insupplies of foreign medical literature(2) " request information on the extent to whichthe UNESCO International Clearing House forPublications is concerned with medical literature",and (3) " obtain information on the use of micro-films in facilitating the availability of medicalliterature ".

Copies of these resolutions were sent by theDirector-General to the Director-General ofUNESCO.

In a reply dated 30 December 1948, theDirector-General of UNESCO enclosed a memo-randum prepared by the UNESCO Clearing Housefor Publications, in which it was stated that :

The majority of publications exchangedthrough the Clearing House were publicationsin the field of science, and in particular in thefield of medical science.

1 See item 1.10.1 of the Board's report. The memorandum also refers to a special2 Off. Rec. World Hlth Org. 14, 25 arrangement with the Medical Library Association

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ANNEX 7

of the United States of America by whichAmerican medical libraries offer, through theClearing House, copies of their surplus publicationsto other medical libraries throughout the world.In the opinion of UNESCO, it would " greatlyfrustrate the present work of the UNESCOClearing House " if other specialized agencieswere to circulate a questionnaire on needs formedical literature, as this activity has alreadybeen undertaken by UNESCO.

Attention is also drawn to the fact thatUNESCO allocated during 1948 forty-eight micro-film readers to institutions in Member States ; andin three coUntries complete microfilm laboratorieshave been established to act as centres to serve

all institutions in the countries concerned,including medical libraries. The Clearing Houseis also in contact with the Central MedicalLibrary Bureau of the Royal Society of Medicineand the Army Medical Library in Washington inregard to the supply of microfilm copies andreaders. The UNESCO book coupon scheme,which facilitates the purchase by soft-currencycountries of books published in hard-currencycountries, is available for the purchase of medicalworks, and discussions were recently held inParis with UNESCO on the possibility of utilisingthe UNESCO book token scheme, or a similarWHO scheme, for the supply of medical literatureto governments.

[From EB4132]11 July 1949

Annex 7

UNICEF PROPOSAL FOR AN INTERNATIONAL CHILDREN'S CENTREIN PARIS 1

1. General Statement

In a letter dated 4 July, 1949,2 the ExecutiveDirector of UNICEF informed the Director-General of WHO of the adoption by the ExecutiveBoard of UNICEF, on 30 June 1949, of therecommendations of its Special Committee on theFrench offer of an International Children'sCentre.

In transmitting to the Executive Board of WHOthe report of the Special Committee of UNICEF 3and the letter reporting the acceptance by theExecutive Board of UNICEF of the French offerof a children's centre in Paris, the Director-General recommends that WHO co-operate withUNICEF in accordance with the general principlessuggested by the representatives of the UnitedNations and specialized agencies, as set forth inthe report, and enter into negotiations withUNICEF to the end that an agreement bereached to include conditions that the Board findsnecessary if WHO is to participate with UNICEFin the joint undertaking proposed. The ExecutiveBoard may wish to specify safeguards of atechnical, financial and legal nature, that wouldbe made part of any agreement with UNICEFand the Government of France.

The recommendations in the report of theSpecial Committee included acceptance by theExecutive Board of UNICEF of the offer by theFrench Government of facilities for a children'scentre in Paris, as modified as a result of (i)discussions held by members of a Special

1 See item 2.1.2 of the Board's report.2 Reproduced in the appendix to this annex,

p. 23.3 UN doc. E/ICEF/123/Rev. 1 ; a summary of

the report is given in section 5 of this annex.

Committee of UNICEF with the United NationsSecretariat and several of the specialized agenciesindividually ; (ii) joint discussions on 20 June1949, between the Special Committee andrepresentatives of the United Nations Secretariat,ILO, FAO, UNESCO and WHO ; and (iii) sugges-tions of the Director-General of WHO submittedby the representative at the UNICEFExecutive Board meeting on 29 June 1949.

2. Discussion by the Administrative Com-mittee on Co-ordination

/The proposal for an International Children'sCentre was considered in May 1949 by theAdministrative Committee on Co-ordination, atthe instance of the Director-General of WHO,who felt that the French proposal involved a riskof duplication of authority and of programmeswith respect to international work in child health./The Administrative Committee on Co-ordinationagreed that the proposed centre was a matter ofconcern to it, and that further consultationsshould be held at the technical level, betweenrepresentatives of the various organizationsconcerned, in order to assist in the examinationof the French proposal. These consultations wereheld on 19 June 1949 in Paris by representativesof WHO, FAO and the secretariats of ILO andUNESCO, with the United Nations Director ofCo-ordination for Specialized Agencies and Eco-nomic and Social Matters and a member of theadministration of UNICEF. The Director ofCo-ordination for Specialized Agencies andEconomic and Social Matters reported that,since the agreement between WHO and theUnited Nations had been accepted by theAssembly and had recognized WHO as the

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ANNEX 7

competent authority in the field of health, theSecretary-General took the position that it wasbinding in the present circumstances, and thatif UNICEF wished to accept the offer of theFrench Government, it should do so only in closeco-operation and in agreement with WHO.Since the consensus was that the establishment ofa new international organization was un-acceptable, the group explored alternative waysof meeting the essential objectives of the Frenchproposal. The representatives of WHO proposedthat an effort be made to change the proposalfrom an international to a national centre. Itwas further suggested that the centre could beestablished as a " joint enterprise " type ofundertaking, between UNICEF and WHO. Thisproposal was reserved for further discussion.

3. Proposal laid before the Joint Meeting ofthe Special Committee of UNICEF andRepresentatives of the United Nations andthe Specialized Agencies

At a meeting on 20 June 1949, the SpecialCommittee of UNICEF placed before the repre-sentatives of the United Nations and the specia-lized agencies a proposal which was a modificationof the proposal of 5 March, as follows :

PROPOSAL FOR UNITED NATIONS CHILDREN'SCENTRE

PurposeThe centre would be a research and training

instrument for the use of the UNICEF, UnitedNations Department of Social Affairs,specialized agencies concerned with childwelfare, and governments with the agreementof its governing committee.

Immediate ProgrammeThe basis for much of the immediate pro-

gramme is the work already undertaken byUNICEF. The following activities would becontinued or inaugurated :(1) training courses in child-care and child-development for physicians, nurses, socialworkers and administrators ;(2) such laboratory research in BCG, orsimilar subjects related to children, as theWHO may desire to have carried on under itsdirection ;(3) investigations in the field of child nutrition,including experimental demonstrations, underpolicies developed by and with the technicaladvice of WHO, FAO and UNICEF ;(4) studies of the health, educational and socialproblems of children suffering from the effectsof war, under policies developed by and withthe technical advice of the United Nations,UNESCO, WHO and UNICEF.

FinanceThe centre will be financed over a three-

year period by (a) such allocations fromUNICEF as may be decided by the Executive

Board. . It is expected that these would use asubstantial part of the French contribution toUNICEF ; (b) such other contributions as maybe forthcoming from the United Nations, thespecialized agencies and governments orgovernmental sources.

Governing Committee

The governing committee should consist ofthe following representatives : UNICEF, 2 ;Representative of France, 1 ; WHO, 2 ; FAO, 1 ;ILO, 1 ; UNESCO, 1.

The committee should arrange suitablerepresentation for any national institute contri-buting to the centre. The United NationsDepartment of Social Affairs would be repre-sented in an advisory capacity at meetings ofthe Governing Committee, and would take partin appropriate technical committees.

The committee should report to the ExecutiveBoard of UNICEF so long as UNICEF wasproviding the major part of the funds for thecentre.

Director and Staff

The director and staff would be appointedby the governing committee.

A series of documents prepared by the Frenchdelegate to UNICEF, describing training andresearch projects proposed for the work of thechildren's centre, was also submitted at thistime. These showed that :

(a) The course in Social Pediatrics, as givenin 1948 and 1949 under UNICEF, would bea major activity.(b) The BCG Pilot Station in Paris would becontinued.(c) A streptomycin centre in Paris, fortraining and research, would be placed at thedisposal of the proposed international children'scentre and WHO.(d) An experimental centre for the study ofnutrition would be made available to thechildren's centre, working under the directionof, and in agreement with, the specializedagencies. The programme would include studyof normal growth, children's food, malnutrition,and problems concerning the food supplies ofpeoples.(e) A programme of " mass information "is proposed to be organized under thesuggestions, and conducted in accordance withdirectives, of UNESCO, the specialized agency ofthe United Nations for education. The subject-matter would include the education of expectantmothers and of girls in secondary schools, andgeneral education in everything concerningthe normal child. To this would be added themore general task of mass information, includingpress and radio, on all problems of children.An information centre is proposed, to whichinformation on all types of questions concerningthe health and welfare of children would besupplied by the specialized agencies. Exhibi-

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ANNEX 7

tions, permanent or mobile, would be organizedto disseminate information.(f) A social-psychology centre for children isproposed, where international study of suchproblems as the intellectual development ofnormal and handicapped children, emotionaldevelopment, and child delinquency, would beundertaken by an international group ofinvestigators. It would call for a permanentcentre in Paris, courses of instruction fordoctors, psychologists, teachers, magistrates,and courses of practical work in schools,meetings of experts, exhibits.The representatives of the various specialized

agencies were not in a position to comment on thetechnical problems related to the work of thecentre, since the material had just been submittedand would require study.

4. Modifications accepted by the Special Com-mittee

At the meeting on 20 June, the representativesof the United Nations, with the agreement of therepresentatives of WHO and the other specializedagencies, put forward certain suggestions relatingto the structure and organization of the centre,if established, to be incorporated in the reportof the Special Committee to the Executive Boardof UNICEF, it being understood that the repre-sentatives of the specialized agencies did notcommit their respective organizations to them,and that formal acceptance by the competentauthorities of WHO would be required before suchan arrangement could enter into effect. Thesesuggestions were accepted by the Special Com-mittee of UNICEF and were incorporated in itsreport.4 They are as follows :(a) While the work envisaged in the French

Government's proposal for a United NationsChildren's Centre would be of concern to theUnited Nations and a number of specializedagencies, it would be of primary concern toWHO, the agency recognized as the directingand co-ordinating authority on internationalhealth work. For practical reasons, therefore,it would seem appropriate that, together withUNICEF, WHO should have the responsibilityfor the management of such a Centre.(b) It is consequently suggested that thefacilities be offered by the French Governmentto UNICEF on the understanding that theywould be directed by a joint body constitutedby UNICEF and WHO under agreement tobe reached between them and the FrenchGovernment. The established policies concern-ing the respective responsibilities of the twoorganizations would apply.(e) The facilities of such a Centre would beat the disposal of the United Nations and allspecialized agencies interested in its work. TheUnited Nations and these specialized agencieswould be represented on an advisory committeeto assist in the determination of programmesand the supervision of the work of the centre

UN doc. E/ICEF/123/Rev. 1, p. 4

falling within their fields of interest. Themembers of this advisory committee would beentitled to attend all meetings of the jointbody referred to under (2) 5 above, and wouldact as ex-officio members of it when mattersof interest to their organizations were underdiscussion.(d) The established procedure for reportingto the Economic and Social Council and forensuring co-ordination would apply.

The representatives of the specialized agenciesconsidered that this formulation could be recom-mended to their respective organizations forconsideration, and stated that they would refer itaccordingly. The French representative said thathis Government would give the proposal sympa-thetic consideration.

5. Report of the Special Committee of UNICEFto the Executive Board of UNICEF

The report of the Special Committee of UNICEFcame before the Executive Board of UNICEFon 29 June. Full explanation of the Frenchproposal was given by the representative of theFrench Government, including the submission of(a) the documents describing the proposedprogramme of activities for the centre (Annex Iof report), and (b) the substance of a letterdated 27 June 1949 from His Excellency theMinister of Foreign Affairs, to the representativeof France on the Executive Board of UNICEF,setting forth the specific financial conditions ofthe French offer, and notes describing the premisesintended by the French Government for use bythe centre, as well as the technical and practicalfacilities to be placed at the disposal of the centre(Annex II of report).

A third annex to the report set forth the basisof the proposed allocation from the Fund for thecentre. The proposed allocation to cover a periodof three years is 1,750,000 dollar equivalents, andan estimate of contemplated expenditure wasmade. The proposed allocation is made up of :

1,250,000 dollar equivalents in French francs :$750,000

$500,000

representing the three annualgrants from France of 75,000,000francs each, andfrom UNICEF in soft currencies-mostly French francs, derived fromthe balance of the French contribu-tion to UNICEF.

$500,000 (hard currencies) :$200,000 for capital equipment (non-

recurring) ;$300,000 for international salaries, etc., for

the three-year period.

6. Statement by the Representative of WHOto the UNICEF Executive Board

When commenting on the report of the SpecialCommittee, the representative of WHO made thefollowing points :

5 This reference is to paragraph (b) above. ED.

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ANNEX 7

(a) Any proposal for an international children'scentre in which child health activities wouldbe a part of the programme, or a modificationof such a proposal of the " joint enterprise "type, in which WHO was to participate,should be referred to the Executive Board ofWHO, and to the Joint Committee on HealthPolicy in accordance with WHO's agreementwith UNICEF.(b) The Director-General of WHO under-stood : (i) that the Special Committee ofUNICEF was not recommending a new inter-national organization with an Executive Boardand Director-General, as once proposed, but achildren's centre in Paris that would be underthe direction of a " joint body " to be constitu-ted by UNICEF and WHO in agreement withthe French Government, a type of joint enter-prise between the two international organiza-tions and in agreement with the French Govern-ment ; (ii) that this centre, if established, wouldprovide facilities for certain internationalactivities on the recommendation of the UnitedNations and the specialized agencies ; (iii) thatthe plan for such a centre would be made byUNICEF only in co-operation and agreementwith WHO and the French Government ; and(iv) that the United Nations and the specializedagencies would together serve on an advisorybody with the right of each to participate withrepresentatives of UNICEF and WHO in anex-officio capacity in the " joint body "proposed, whenever matters of interest to theirorganizations are under discussion.

The representative of WHO recommended onbehalf of the Director-General, ,a change in thegeneral principles laid down in the SpecialCommittee's report to govern the organizationand operation of such a children's centre in Paris,if it were to be established. The recommendationwas that the word " management " in the lastline of paragraph (a) (Section 4 of this annex) bedeleted, and replaced by the words " generalsupervision ", and that the word " directed "in (b) be replaced by the words " given generalsupervision ". To make clear what is meant by" general supervision ", it was recommendedthat the following two sentences be added toitem (a) : ,

This responsibility is interpreted to meangeneral supervision of such a centre and itsprogramme during the period when funds fromUNICEF and technical assistance from WHOare being made available. This should beaccomplished by the appointment by ICEF andWHO jointly of a technical council to approvethe appointment of the director of the centre,advise currently and approve the programmeof the centre.

It was pointed out that if the proposed changesand the addition of the two sentences were made,the Director-General of WHO would be preparedto refer the proposal to the Executive Board ofWHO at its meeting in July, and to the JointCommittee on Health Policy, UNICEF/WHO

for consideration and approval of the policiesinvolved and to recommend that WHO co-operatewith UNICEF along the lines laid down. Thisprocedure would be in accord with the resolutionsof UNICEF and WHO creating the Joint Com-mittee on Health Policy, and with the principlesagreed upon at the third session of the jointcommittee in April 1949.6 These principles weredeveloped to govern the co-operative relationshipbetween the WHO and UNICEF with regard tohealth programmes approved by the joint com-mittee and any new programmes that may be deve-loped for its consideration. Also in accordancewith these principles the Director-General of WHOwould have the responsibility of studying andapproving the plans of operation for healthprogrammes to bp carried out by such a centrewhich fall within the policies laid down by thejoint committee.

It was finally pointed out that, under theproposal set forth in the Special Committee'sreport, WHO might have to assume responsibilitiesof a legal or financial nature, as well as technical,which would require most careful considerationbefore agreement could be reached.

Appendix

Text of Letter addressed to the Director-Generalof WHO from the Executive Director of UNICEF,

on 4 July, 1949 on the French Offer of anInternational Children's Centre

1. I have the honour to inform you that theExecutive Board of UNICEF on 30th Juneadopted the following recommendations of itsSpecial Committee on the above subject :

The Special Committee recommends to theExecutive Board :" (a) To accept the offer of the French Govern-ment on the basis of the formulation'suggestedby the representative of the Secretary-Generalof the United Nations as amended by thesuggestions of the Director-General of WHO,and on the basis of the formal proposal of theFrench Government regarding their materialand financial assistance to the Centre (E/ICEF/123/Rev. I. Annex II)." (b) To instruct the Special Committee tocontinue their negotiations and arrive at a firmagreement with WHO and the French Govern-ment in accordance with the principles laiddown, including equal representation of WHOand UNICEF on the joint body, includingsatisfactory arrangements for the direction ofthe Centre and its continuation in the event ofthe active operations of UNICEF closingwithin the period of three years contemplated." (c) As a consequence of the acceptance ofthe French offer, to consider an allocation forthe work of the centre. For consideration of theProgramme Committee, an estimate of con-templated expenditure by the Centre is givenin E/ICEF/123, Rev, I, Annex III."

6 See Supplement, p. 47.

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ANNEX 8

2. The " formulation suggested by therepresentative of the Secretary-General of theUnited Nations as amended by the suggestionsof the Director-General of the World HealthOrganisation ", is given below :

" The representative of the Secretary-Generalput forward, in agreement with his colleaguesfrom the WHO and the other SpecialisedAgencies, the following suggestions relating tothe structure and organisation of the Centre,if established, it being understood that they didnot commit their respective organisations, and,in particular that formal acceptance by thecompetent authorities of WHO would berequired before such an axrangement couldenter into effect :-

" (a) While the work envisaged in theFrench Government's proposal for a UnitedNations Children's Centre would be ofconcern to the United Nations and a numberof Specialised Agencies, it would be of primaryconcern to the WHO, the agency recognisedas the directing and co-ordinating authorityon international health work. For practicalreasons, therefore, it would seem appropriatethat, together with UNICEF, WHO shouldhave the responsibility for the general super-vision of such a Centre. This responsibilityis interpreted to mean general supervision ofsuch a Centre and its programme during theperiod when funds from UNICEF andtechnical assistance from WHO are beingmade available. This should be accomplishedby the appointment by UNICEF and WHOjointly of a technical council to approve theappointment of the director of the Centre,and to advise currently on and approve theprogramme of the Centre." (b) It is consequently suggested that thefacilities be offered by the French Governmentto UNICEF on the understanding that theywould be given general supervision by a jointbody constituted by UNICEF and WHO

under agreement to be reached between themand the French Government. The establishedpolicies concerning the respective responsi-bilities of the two organizations would apply." (c) The facilities of such a centre wouldbe at the disposal of the United Nations andail Specialised Agencies interested in its work.The United Nations and these SpecialisedAgencies would be represented on an advisorycommittee to assist in the determination ofprogrammes and the supervision of thework of the centre falling within their fieldof interest. The members of this advisorycommittee would be entitled to attend allmeetings of the joint body referred tounder (2) 7 above, and would act as ex-officiomembers of it when matters of interest totheir organizations were under discussion." (d) The established procedure for reportinrto the Economic and Social Council and fogensuring co-ordination would apply."

3. In view of the statement of your represen-tative, Dr. Eliot, before the Board that youwould be prepared to refer the proposal to theExecutive Board of WHO at its meeting in Julyand to the JCHP for their consideration andapproval of the policies involved and to recom-mend that WHO co-operate with UNICEF alongthe lines laid down, I transmit to you herewith,the documents which were placed before theBoard, as amended to incorporate the changesrecommended by yourself. Additional copiesfor the use of the WHO Executive Board arebeing forwarded under separate cover.

4. Finally, I have to inform you that theSpecial Committee referred to in paragraph (b)of the Board's resolution is ready to continue thenegotiations therein referred to, and would beglad to hear from you what would be a timeconvenient for WHO. The Special Committeewould be ready to be in Geneva on 12 July.

7 This reference is to paragraph (b) above. ED.


Annex 8

UNICEF RESOLUTION ON A STUDY ON THE CONTINUING NEEDSOF CHILDREN

The following resolution was adopted by theExecutive Board of UNICEF on 1 July 1949.2

1. The Board recognizes that UNICEF wasprimarily designed to assist in meeting post-war emergencies and also recognizes withregret that its resources have not been sufficientto meet more than a fraction of the existingneeds. It therefore seems reasonable to anti-

1 See item 2.2 of the Board's report.2 UN doc. E/1406

cipate that when UNICEF comes to the end ofits resources children's needs will remain. Inaddition to those of an emergency nature theFund's activities are making its membersincreasingly aware of the many serious long-term programmes required for child nutrition,health, and welfare in many parts of the world.

2. It has been the policy of the Fund to helpGovernments to develop their programmes insuch a way that they may continue to operateusefully when UNICEF assistance comes to an

- 24 -

ANNEX 9

end, though at the present time supplies to dothis cannot in many cases be foreseen. Most ofthese programmes are of interest to the SocialCommission, or the Department of SocialAffairs of the United Nations or the specializedagencies, and many have been developed inclose co-operation with them. While pro-grammes are worked out between UNICEFand the Governments of the receiving countries,and UNICEF procures and ships supplies, theSocial Commission, the Department of SocialAffairs of the United Nations, and the special-ized agencies provide the technical directionand services which are needed from inter-national sources.3. The Executive Board, therefore, considersthat it would be valuable at this time, both inrelation to the gradual completion of the workof UNICEF and to the long-range progress ofthe United Nations to secure the co-operation ofthe Secretary-General of the United Nations,the Social Commission and interested specializedagencies in making a study of the continuingneeds of children.4. This study, based on data already available,should be made with a view to developing

recommendations as to methods of organizationand procedure within the United Nations andthe specialized agencies required to ensure thatthe continuing needs of children may beidentified and given due emphasis and attentionwithin the programmes of the United Nationsand the specialized agencies.

5. From this study recommendations couldalso follow for the orderly completion of anyUNICEF programmes which might remainunfinished when it was decided to terminatethe work of the Fund as such. As each UNICEFoperation is based on an agreement with theGovernment concerned, any change in the planswould require the consent of the receivingcountry as well as that of other interestedbodies.

6. The Executive Board requests the ExecutiveDirector to develop the study in co-operationwith the Secretary-General of the UnitedNations, the Social Commission and appropriatespecialized agencies so that the ExecutiveBoard may report the conclusion to theEconomic and Social Council at its tenthsession.

Annex 9

NATIONAL WHO COMMITTEES

1. Experience of UNESCO and FAO

Both UNESCO and FAO have set up in anumber of countries national co-operating bodiesof their organizations. The following is a briefsummary of the legal basis, composition andfunctions of such bodies.

1.1 Legal Basis1.1.1 UNESCO. The UNESCO co-operatingbodies are created by the governments of MemberStates in accordance with Article VII of theUNESCO Constitution, which runs as follows :

1. Each Member State shall make sucharrangements as suit its particular conditionsfor the purpose of associating its principalbodies interested in educational, scientific andcultural matters with the work of the Organis-ation, preferably by the formation of a NationalCommission broadly representative of theGovernment and such bodies.

2. National Commissions or national co-operating bodies, where they exist, shall actin an advisory capacity to their respective

See item 2.4 of the Board's report.


delegations to the General Conference and totheir Governments in matters relating to theOrganisation and shall function as agencies ofliaison in all matters of interest to it.

3. The Organisation may, on the request of aMember State, delegate, either temporarilyor permanently, a member of its Secretariat toserve on the National Commission of that State,in order to assist in the development of itswork.

The national co-operating body is set up bygovernment decree or administrative decision, orin some cases by an ad hoc meeting convenedby the appropriate government department.There may be several co-operating bodies in thesame country (e.g. in the United Kingdom andAustralia) with a central co-ordinating agency.

UNESCO national commissions are financedentirely by national governments, either by abudget appropriation or by making office spaceand secretarial and other services available withinan existing government service.

1.1.2 FAO. In February 1946 Member Stateswere invited by the Director-General of FAO toset up national committees on a basis decided

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ANNEX 9

by the national government. Committees may begovernmental, non-governmental or a combinationof both types.

The second session of the FAO Conference(Copenhagen 1946) passed a resolution whichrecommended :

(1) That each member nation that has notdone so take steps to establish a strong repre-sentative National FAO Committee.

(2) That the National FAO Committeesestablish such sub-committees as are neededto promote and support the furtherance ofscience, the extension of education, the disse-mination of technical knowledge, and the better-ment of rural populations, and that wheneverpossible the National FAO Committees includerepresentation from consumer and producergroups.

(3) That effective liaison be established betweenFAO and the National FAO Committees. Thiswill be possible only if active and immediateattention is given to inquiries and to othermatters of common interest.

(4) That each member government in makingits periodic report to FAO include a sectionoutlining the scope and progress of the workundertaken by its National FAO Committee.

1.2 Composition

1.2.1 UNESCO. The co-operating bodies ofUNESCO have memberships varying from 20or 30 to several hundred. In some countries thebody has taken the form of a national educationalor cultural institute. A varying degree of officialgovernment representation is provided for inall cases, and non-governmental, as well asofficial, bodies are represented on most of thecommissions. Sometimes members are appointeddirectly by the government, sometimes the bodyis self-perpetuating by a system of co-option.

1.2.2 FAO. The Director-General of FAO hassuggested to Member Governments the possibilityof including as members of national committeesrepresentatives of unofficial bodies concerned inone way or another with food or agriculture, suchas farmers' and workers' organizations, co-opera-tive movements, nutrition societies, independentresearch institutions and women's organizations.It is recognized that several ministries shouldnormally be represented on them.

1.3 Functions

1.3.1 UNESCO co-operating bodies have func-tions which come for the most part under thefollowing heads :

(1) INFORMATION ACTIVITIES

to publish news from UNESCO sources,adapted to national requirements, and establish-ment of an information centre ;to distribute UNESCO publications ;

to organize conferences, lectures and studygroups ;to collect information of interest to UNESCO ;to suggest names of suitable persons to serveas consultants or as members of expert com-mittees ;to report back to UNESCO on the activities ofthe commissions.

(2) CONSULTATIVE ACTIVITIES

to act in an advisory capacity to delegatesto UNESCO Conferences and to their govern-ments ;to give advice, at the request of the UNESCOSecretariat, on the agendas of conferences andexpert meetings, and on approaches to nationalinstitutions and foundations.

(3) STUDY AND ORGANIZATIONAL ACTIVITIES

to carry out surveys and enquiries forUNESCO ;to co-operate in organizing national and regionalconferences ;to carry out domestic programmes of action ;to co-operate with their governments in imple-menting the recommendations made by theGeneral Conference to Member States ;to maintain active relations with other nationalco-operating bodies.

1.3.2 FAO. National committees are designedto have advisory, not executive, functions. Thefirst task of a national committee is to supplyinformation and act as a connecting link betweenFAO and the nations themselves.

The FAO Executive Committee in June 1947suggested that the following functions mightappropriately be entrusted to national FAOCommittees :

(1) to prepare the annual progress andprogramme report ;(2) to provide answers to enquiries made byFAO ;(3) to prepare material for the nationaldelegation to FAO conferences and meetings ;(4) to act as liaison with non-governmental-national organizations and institutions con-cerned with the work of FAO ;(5) to disseminate information about FAO ;(6) to receive and assist technical missionsand individual officers sent to the countryby FAO ;(7) to assist FAO to establish contact withscientific workers and technical experts ;(8) to insure that the government makes thefullest possible use of the services of FAO andfurnishes the Organization with any availablematerial that may be useful for its work.

The Executive Committee recommended that anational FAO Committee should work onlythrough collaboration with the executive organs

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ANNEX 9

of its government. It is desirable that its reportsand answers to questionnaires, etc., should beapproved by the competent government depart-ment before being submitted to FAO.

2. Suggestions for the Formation of NationalWHO Committees

2.1 Legal BasisNational WHO co-operating committees could

be set up by the governments or health ministriesof Member States on the invitation of WHO.They could also be established, with the formalconsent of the government, on the initiative ofnational organizations which are active in thefield of public health.

2.2 CompositionNational committees should be composed of

representatives of agencies or bodies working inor concerned with the field of health. Apart frommembers of national-health and educationservices, members might be chosen from :

university teaching staffs ;professional associations of medical men, healthworkers, research workers, and hospital staffs(including nurses) ;local or regional health authorities ;representatives of voluntary organizations activein questions of medical education, industrialhygiene, adult education, health insurance,health education, child development, mentalhealth, etc. ;members of civic clubs or of organizationsdirectly or indirectly interested in the promotionof public health.

2.3 FunctionsThe fundamental functions of national com-

mittees would be :(1) to disseminate information on the aims,activities and achievements of WHO ;(2) to undertake positive health educationprojects in their respective countries, and(3) to maintain liaison between WHO anddifferent bodies working in the field of health.

In addition they might usefully assist govern-ments and health authorities in national pro-grammes sponsored by WHO by collectinginformation, carrying out surveys, and executingspecific projects when asked to do so by theirgovernments, or by WHO with the consent oftheir governments. Information or reports onsuch activities would preferably be approved bythe government department concerned beforebeing submitted to WHO.

3. Special Considerations

The advantages of national committees asshown in their functions are set off by correspond-ing obligations, which would entail additionalwork for the staff of the Director-General.National committees often make demands whichhave to be satisfied if they are to keep workingeffectively. They ask for lectures, speakers,special literature, etc. They also have to beinduced to do jobs in which they are not parti-cularly interested, and are sometimes discouragedfrom activities they are eager to undertake.

UNESCO has set up a special branch of itssecretariat to deal with national co-operatingbodies, and to issue a publication, NationalCommissions New-letter. In addition it hasprovided for a meeting of representatives ofnational commissions to follow its annual generalconference. Such a meeting was held at Beirut inDecember 1948, but will not be held in 1949.

This special UNESCO branch is kept busy bythe thirst of national committees for information,documents, and answers to sometimes irrelevantquestions. A recurring difficulty is that ofobtaining prompt replies to letters and queriesaddressed by the Secretariat to national com-mittees, and vice versa.

The FAO national committees, meeting in Romein July 1947, suggested :

(1) that the European Bulletin of FAO shouldpublish a comparative study of the statutes andthe composition of existing National Com-mittees as well as the functions entrusted tothem ;(2). that the Director-General should convenea working group to draft proposals on all theproblems raised by the creation of nationalcommittees.

In order to work well, national committeesmust feel that they are doing a real and usefuljob. It is questionable whether the privilegeconferred by the name of " WHO NationalCo-operating Committee " is sufficient to persuadethem to be simply purveyors of informationsupplied to them by WHO.

It is to be noted that there is no financialprovision in the budgets of 1949 or 1950 for theest ablishment of national WHO committees.However, the Board may wish to discuss theprinciples involved in this matter. It may alsowish to request the Director-General to carry onfurther investigations and submit his recommen-dations concerning the establishment of nationalWHO committees to the end that activities alongthese lines may be included in the programme andbudget for 1951.

- 27 -

ANNEX 10

[Annex to EB4142]13 July 1949

Annex 10

PLAN FOR EXTENSION OF THE PALAIS DES NATIONS, GENEVAPROJECT F

by M. Jacques CARLIJ

Chief Architect of the French Government,Premier Grand Prix de Rome

1. Plan for Additional Storeys

The present plan consists in adding to theexisting Palais des Nations sufficient supple-mentary space to provide at least 280 offices.These must be connected with the Palais itself,and particularly with the Secretariat wing, insuch a way that any service may be accom-modated, it being understood that once thework is completed, it will be for the United Nationsto consider and allocate the office space which willthen be available among the various departments.

The plan may be divided into four parts :

(1) Raising the entire Secretariat wing by onefloor ;(2) Raising K Building, in the Ariana wing,by four floors ;(3) Erecting a K' Building in the Secretariatcourt, symmetrically with K Building andhaving the same height, i.e. ground floor plus5 storeys ;(4) Recovery by internal alterations of anumber of offices in the existing Palais.

These four items provide the following accom-modation in standard units, i.e. in offices corre-sponding in area to the existing offices :

Additional Floor, Secretariat wing . . 85Additional Floors, K building . . . 72New K' building 90Offices recovered in the Palais by

internal alterations 63

TOTAL . . . 310

This figure exceeds present requirements andwill make it possible, simply by the removal ofpartition walls, to provide a number of committeerooms, a cold storage room, a supplies department,et c .

2. General Considerations

In addition to the above requirements dueconsideration has had to be given in preparing thisplan to four essential factors : aesthetic considera-tions, internal communications, building methodsand time, and cost.

See item 4.1.1 of the Board's report.

2.1 Aesthetic ConsiderationsThe Palais at present consists of four sections :

the Library, the Assembly, the Council and theSecretariat.

The Library and Council buildings are of thesame height, while the Assembly building isappreciably higher.

On the other hand, the Secretariat wing, whichhas one floor less, departs from the general planand, when seen from the side facing the lake, hasa lower outline not easily justified by purelyarchitectural considerations.

The difference in style between the Secretariatbuilding and the Palais as a whole, added to thediscrepancy in height, might easily lead anuninformed observer to believe that the buildinghad been erected in two stages, without a generalplan.

The proposed additional storey, far from beingdetrimental to the general look of the building,will on the contrary be a welcome feature,aesthetically. By bringing the upper surface ofthe Palais into a single horizontal plan it will gosome way towards correcting the impressionconveyed at present that the Secretariat buildingwas added as an afterthought.

This impression of a building erected in differentstages at different times is still further accentuatedin the Secretariat court, where K building,comprising a ground floor and a single storey,constitutes a virtual " annex ", out of scale anddistinctly inharmonious in character. Theaddition of other floors to this building cannotfail to correct this unpleasant, makeshift im-pression, and will transform the building from an" annex " into a wing of the Palais. The erectionof a symmetrical building will give the courta distinct architectural significance, both in planand in elevation, and will make a pleasing contri-bution to the general composition. The Palaisarchives contain plans dating from 1930 and 1931which show a symmetrical counterpart of Kbuilding ; and there is every reason to believe thatthe general scheme provided for these twobuildings, and indeed for their existence incomplete form, i.e. on all floors, since the founda-tions of K building in the Ariana Wing are strongenough for a building of full height.

The construction of the additional floors in theK building and of the new K' building will leavethe court its 92-metre opening on to the Ariana,the view of which will not be obscured.

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ANNEX 10

2.2 Internal Communications

This is a problem of extreme importance,particularly in view of the fact that the task isnot to erect a new building for an independentservice, but to extend the existing usable spaceand then to proceed to a re-allocation of thespace available.

It is clear that the erection of an additionalfloor on the Secretariat wing raises no new circula-tion problem. The new offices thus provided willhave the same means of access and intercommuni-cation as those on the lower floors. Circulationwill still be horizontal, of course, as at present,but this is a disadvantage of any building erectedin length. The additional storey will, however,make it possible to reduce circulation to a mini-mum, which would not be the case if a newbuilding were erected outside, the Palais.

In the case of K building and its symmetricalcounterpart K', intercommunication would bepossible on all floors, except on the fourth floorof K' building, where it would be interrupted bythe public galleries in Committee Room VII.

In other words-apart from the erection of avertical building (Tower Project) -the presentplan offers the simplest facilities for internalcommunications.

2.3 Building Methods and Time-LimitsThe investigations already made, and the study

of the building plans, show that the existingPalais can easily bear the weight of the proposedadditional storeys. But in order to raise thesafety factor and to save time and money, variousmeasures are called for.

Secretariat Wing. The framework of the newfloor will be of metal and light in weight, so as toenable the work to be carried out with great speed.

The existing terrace is made of one-metre-square ferro-concrete blocks resting on a water-proof surface. When the terrace of the newfloor is ready, the blocks will be re-laid on top ofthe new waterproof surface. A considerablesaving can be effected in this way, while theweight on the foundations will not be increased,since the blocks will merely change position. Thispi ocedure will also obviate the inconvenience oferecting a hood during construction.

K Building and Twin Building K'. The frame-work of these buildings will also be of metal andthe architecture will preserve the style of theSecretariat court, i.e. natural and reconstitutedstone for the base, string-courses and windowmouldings and stone-facings. The terrace of Kbuilding will be treated in the same way as thatof the Secretariat wing.

The metal frame method of building which canagain be adopted since the improvement inEuropean steel output, has various advantages :

(a) On the basis of plans in the architect'soffice the whole framework can be prepared inthe workshops and erected immediately onits arrival at the site.(b) The erection by simply bolting the com-ponents together can be carried out with the

greatest rapidity, thus reducing to a minimumthe so-called " laying-down " period.For this reason and through the division of the

whole operation into three separate and inde-pendent building sites on which work will proceedsimultaneously, it will be possible still furtherto reduce the general building time and to handover to the users the part finished first withouthaving to wait for the completion of the project asa whole.

A preliminary survey, which is now beingworked out in detail, suggests that, as far as theSecretariat wing and K building are concerned,the heating, plumbing, drainage and electricitysystems can be linked up with the existing ones.As far as K' building is concerned, its closeproximity to the central heating plant and thehigh tension cabin would enable it to be suppliedwith a minimum amount of connexions.

It should be pointed out that a concrete-framedbuilding, although slightly more economicalfrom the point of view of the materials used, is, inthe long run, more costly than a steel-framedbuilding, because of the comparatively long timerequired for its erection. The cost of labour on thesite over a very long period and the time lost byother contractors in " waiting for " the masonscancels or even exceeds the saving effected by theuse of concrete instead of steel. This considerationis all the more important in the present case,in view of the fact that the cost of Swiss labour isvery high and that the steel, of French origin,will be delivered free of customs duty.

To sum up, the proposed method of constructionseems the most desirable one in the circumstances,and, if the contractors are sufficiently experiencedto be able to work at the pace proposed, a time-limit of six months may be envisaged for the wholeoperation from the commencement of work on thesite to the handing-over of the completedbuildings.

2.4 Cost

The present state of the project and lack of timemake it impossible to provide a final estimatebased on careful costing under separate headings.

The estimate submitted, therefore, is based onthe cost per cubic metre as worked out inconnexion with Project B, submitted by Swissarchitects at the request of the Public WorksDepartment of the Canton of Geneva.

The cost was then estimated at 150 Swiss francsper cubic metre and that figure related to acomplete building, inclusive of foundations, allfloors, and the usual installations. Conversationswith the Genevese architects concerned suggestthat the cost has been overestimated, since, atthe present time, a large block of dwellingscomplete with lifts, refrigerators and a greatnumber of bathroom and kitchen installations isbeing erected in Geneva at a cost not exceeding95 Swiss francs per cubic metre.

If, then, the figure of 150 francs may be retainedfor the construction of K' Building, it can clearlybe reduced to 90 francs for K Building, whichrequires no lifts or sanitary installations andto 100 francs for the additional floor on the

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ANNEX 11

Secretariat Wing. The estimated cost would thenbe as follows :

Secretariat: 12,444 cu.m. at 100 frs.K Building : 6,916 cu.m. at 90 frs.K. Building : 12,257 cu.m. at 150 frs.

Swiss Francs

1,244,000.-622,440.-

1,938,550.-3,804,990.-

Unforeseen expenditure 5% 190,249.-TOTAL : 3,995,239.-

Building costs 3,995,239.-Installation of telephone exchange 400,000.-Water, heating and telephone con-

nexions 30,000.-Outside amenities, pavements, road-

ways and gardens 70,000.-Carried forward 4,495,239.-

Swiss Francs

Brought toward 4,495,239.-Recovery by internal alterations of

63 offices at 3,000 francs each . . 189,000.-

GRAND TOTAL : 4,684,239.-

To which must be added architects' fees.

These figures relate to work carried out atGeneva by local contractors. It must be pointedout that, whoever the contractors may be, veryconsiderable saving could be effected by buyingabroad certain supplies and materials whichare cheaper there than in Switzerland. Thelabour employed must, however, be recruitedlocally.


Annex 11

ALLOTMENTS ISSUED AS OF 30 JUNE 1949 FOR ADVISORYAND DEMONSTRATION SERVICES TO GOVERNMENTS

PART I

Summary of allotments issued under Appropriation Section 5 2 and under the provisionsof the UNRRA Special Fund by projects and by regions.

WHO REGULAR FUND EuroPeEastern

MecliterraneanS.E.Asia

WesternPacific Americas Total

US $

Malaria 34,770 65,500 165,530 11,250 277,050Tuberculosis 40,320 5,900 27,550 23,800 7,500 105,070Maternal and Child Health 8,440 11,700 24,340 15,900 23,850 84,230Venereal Diseases 9,650 26,800 41,950 7,950 23,440 109,790Nutrition 12,650 9,650 22,300Environmental Sanitation . 8,500 17,425 4,855 36,440 9,650 76,870Public-Health Administration 80,515 40,870 3,750 99,610 14,800 239,545Mental Health 5,900 5,900

182,195 168,195 267,975 202,250 100,140 920,755

Unallocated 26,450

TOTAL 947,205

UNRRA SPECIAL FUND

Malaria 2,515 8,690 11,205Tuberculosis 12,125 12,125Maternal and Child Health . - 8,170 8,170Venereal Diseases 13,170 4,500 17,670NutritionEnvironmental Sanitation . . 1-Public-Health Administration 79,825 11,100 90,925Mental Health

27,810 79,825 4,500 27,960 140,095

GRAND TOTAL 210,005 248,020 272,475 230,210 100,140 1,087,300

I See item 4.2 of the Board's report.2 Off. Rec. World Hlth Org. 13, 320

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ANNEX 11

PART II

Statement of allotments issued as at 30 June 1949 under Appropriation Section 5 and underthe provisions of the UNRRA Special Fund.

EUROPE

Field Teams

RegularFunds

UNRRA SpecialFund

TotalUS $

Malaria (Yugoslavia) 20,540 20,540Tuberculosis (Portugal) 15,675 15,675

Consultants (Regional)Malaria 14,230 2,515 16,745Tuberculosis 24,645 12,125 36,770Maternity and Child Health 8,440 - 8,440Venereal Diseases 9,650 13,170 22,820Environmental Sanitation 8,500 8,500Public-Health Administration 29,220 29,220Public-Health Administration (Greece) 19,425 19,425Public-Health Administration (Italy) 31,870 31,870

TOTAL 182,195 27,810 210,005

EASTERN MEDITERRANEAN

Field TeamsMalaria (Pakistan) 26,000 26,000Venereal Diseases (Egypt) 15,000 15,000

Consultants (Regional)Malaria 39,500 39,500Tuberculosis 5,900 5,900Maternity and Child Health 11,700 11,700Venereal Diseases 11,800 11,800Environmental Sanitation (Ethiopia) 17,425 17,425Public-Health Administration 5,900 29,825 35,725Public-Health Administration (Ethiopia) 34,970 34,970

UNRPR GRANTS :

Construction of latrines and pits 20,000 20,000Fly and malaria control 22,500 22,500Development and control of water supplies 7,500 7,500

TOTAL 168,195 79,825 248,020

SOUTH EAST ASIA

Field TeamsMalaria (Afghanistan) 15,705 15,705Malaria (India) 104,000 104,000Malaria (Siam) 26,000 26,000Tuberculosis (Ceylon) 17,900 17,900Maternal and Child Health (India) 15,900 15,900Venereal Diseases (India) 41,950 41,950

Consultants (Regional)Malaria 19,825 19,825Tuberculosis 9,650 9,650Maternal and Child Health 8,440 8,440Venereal Diseases 4,500 4,500Environmental Sanitation 4,855 4,855Public-Health Administration 3,750 3,750

TOTAL 267,975 4,500 272,475

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'ANNEX 12

WESTERN PACIFIC

Field Teams

RegularFunds

UNRRA SpecialFund

TotalUS $

Tuberculosis (China) 17,900 17,900Maternal and Child Health (China) 15,900 15,900

Consultants (Regional)Malaria 8,690 8,690Tuberculosis 5,900 5,900Maternal and Child Health 8,170 8,170Venereal Diseases 7,950 7,950Nutrition 12,650 12,650Environmental Sanitation 10,480 10,480Environmental Sanitation (China) 25,960 25,960Public-Health Administration 11,100 11,100Public-Health Administration (China) 99,610 99,610Mental Health 5,900 5,900

TOTAL 202,250 27,960 230,210

AMERICAS

Field TeamsVenereal Diseases (Haiti) 15,000 15,000Public-Health Administration (Haiti) 13,700 13,700

Consultants (Regional)Malaria 11,250 11,250Tuberculosis 7,500 7,500Maternal and Child Health 23,850 23,850Venereal Diseases 8,440 8,440Nutrition 9,650 9,650Environmental Sanitation 9,650 9,650Public-Health Administration 1,100 1,100

TOTAL 100,140 100,140

Unallocated 26,450 26,450

GRAND TOTAL 947,205 140,095 1,087,300


Annex 12

PROCEDURE FOR THE EXAMINATION OF THE 1951PROGRAMME AND BUDGET

1. General

During the Second Health Assembly it becameapparent that the procedure for examining the1950 Programme and Budget (a procedure whichhad been recommended by the Executive Boardat its third session and adopted by the SecondHealth Assembly)2 was not completely satis-factory. It is therefore desirable for the Boardat its fourth session to adopt a procedure for theconsideration of the 1951 Programme and Budgetwhich will avoid the difficulties that developed atthe Second World Health Assembly.

1 See item 4.2.3 of the Board's report.2 Off. Rec. World Hlth Org. 17, 9 ; Resolution

WHA2.1, Off. Rec. World Hlth Org. 21, 18

32

2. Previous Action

2.1 The First World Health Assembly instructedthe Executive Board to establish a StandingCommittee on Administration and Finance whoseterms of reference would include, inter alia,examination of the budgets

2.2 The Executive Board decided at its firstsession 4

(1) to constitute itself a Standing Committeeon Administration and Finance ;

n 3 Off. Rec. World Hlth Org. 13, 3164 Off. Rec. World Hlth Org. 14, 14, item 9.1

ANNEX 13

(2) to set up working parties on complicatedfinancial questions if necessary, which wouldreport back to the committee, and(3) acting as the committee, to report to theExecutive Board.

2.3 The Second World Health Assembly requestedthe Executive Board 5 to take note of thediscussion on the 1950 Budget in the Committeeon Administration and Finance and to give specialconsideration to the problem of the considerationof the Organization's annual programme andbudget with a view to recommending a moresatisfactory procedure for the Third HealthAssembly.

2.4 The Second World Health Assembly alsoadopted a resolution 6 directing that the Board'sreview of the Director-General's budget estimates,in accordance with Article 55 of the Constitution,should include consideration of :

(1) the adequacy of the budget estimates tomeet health needs ;(2) whether the programme followed thegeneral programme of work approved by theHealth Assembly ;(3) whether the programme envisaged couldbe carried out during the budget year, and(4) the broad financial implications of thebudget estimates, with a general statement ofthe information on which any such considera-tions were based.

The Health Assembly further requested theExecutive Board 7 " to examine the organizationalstructure so that the Third World HealthAssembly may be assisted in ensuring the admi-nistrative efficiency of the Organization andestablishing general lines of policy in this respect."

5 Resolution WHA2.60, Off . . Rec. World Hlth Org.21, 37

6 Resolution WHA2.62, Off. . Rec. World Hlth Org.21, 38

7 Resolution WHA2.78, Off. Rec. World Hlth Org.21, 46

3. Proposed General Procedure

3.1 The Executive Board3.1.1 In order to assure that the Programme andBudget are considered in detail, it is suggestedthat the Executive Board may wish to establisha permanent Standing Committee on Admi-nistration and Finance consisting of seven of itsmembers. This committee should be instructed bythe Board to meet one week before the session ofthe Executive Board which is to consider theProgramme and Budget. The committee wouldreview the budget estimates in detail, includingthe accuracy of the costing of various items,and the organization structure, and report there-on to the Executive Board.3.1.2 The Executive Board should review theproposed Programme and Budget together withthe reports of the standing committee and reportthereon to the Health Assembly in accordancewith Article 55 of the Constitution.

3.2 The Health Assembly3.2.1 The Programme Committee. This com-mittee would review the Programme proposedby the Director-General, including the commentsand recommendations of the Executive Board,and make its recommendations to the WorldHealth Assembly.

3.2.2 The Committee on Administration andFinance. Concurrently, the Committee onAdministration and Finance would review thebudgetary aspects of the Programme proposedby the Director-General and the comments andrecommendations of the Executive Board, andmake its recommendations directly to theAssembly.

3.2.3 Joint Meeting of Committees on Programmeand Administration and Finance. The GeneralCommittee should refer the recommendations ofthe two committees to a joint meeting of bothcommittees, with instructions to resolve theirdifferences and jointly report to the Assembly. Ifconsidered necessary a budget ceiling would beestablished by the joint meeting of the committeesonly.


Annex 13

FINANCIAL RULES

000. Scope and Application

010. PURPOSE. The Financial Rules implement the provisions of the Financial Regulationsestablish the financial policies of the Organization.

020. APPLICABILITY. The Financial Rules are applicable to all offices and, irrespectiveof funds, to all financial transactions of the Organization.

030. EFFECTIVE DATE. The Financial Rules become effective as from the date of issue.made by the Director-General become effective as from the date of issue.

040. INTERPRETATION. In case of doubt as to the meaning of any of the financial rules,General will rule thereon.

I See item 4.3.3 of the Board's report.

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and

of the source

Amendments

the Director-

ANNEX 13 ,

100. Responsibility and Authorities

110. RESPONSIBILITY. The Director-General, by virtue of the authority vested in him as the chieftechnical and administrative officer of the Organization, is responsible to the Health Assemblyfor the implementation of the Financial Rules.

120. DELEGATION OF AUTHORITY. The Director-General may delegate, together with authorizationfor re-delegation, such of his powers as he deems necessary to secure effective administrationof these Rules.

200. The Budget

210. PREPARATION. Appropriate responsible offi.cials shall submit annual programmes of work andnecessary estimates to Administration and Finance in such manner and at such time as may berequested.

211. Such programmes of work and estimates submitted by Directors of Regional Offices of theOrganization will be accompanied by recommendations of the Regional Committees whereapplicable.

220. CONSOLIDATION. Administration and Finance will consolidate into a single presentation theprogrammes of work and necessary estimates as required by Regulation 5 of the FinancialRegulations.

230. SUPPLEMENTARY ESTIMATES. Appropriate responsible officials will submit supplementaryestimates together with explanatory statements to Administration and Finance. Suchsupplementary estimates will be presented as far as possible in the same manner as thebudget.

240. ALLOTMENTS

241. Appropriations are not available for incurring obligations and making expenditures until afteran allotment therefrom has been issued in writing by the Director-General.

242. Appropriate responsible officials will submit requests for allotments for specific purposes inwriting to Administration and Finance.

243. Administration and Finance will ensure that such allotments as are issued are in accordancewith the appropriation resolution and with the policies of the Health Assembly and the ExecutiveBoard.

244. Officials to whom allotments are issued are responsible to the Director-General for the correctuse of such allotments.

250. OBLIGATIONS

251. Only those officials designated in writing by the Director-General are authorized to incur obliga-tions against allotments.

252. Obligations may be incurred only for the purpose indicated on the allotment and may notexceed the amount of the allotment.

253. No obligations shall be incurred without prior certification by Administration and Finance thatfunds are available in the appropriate allotment to be charged.

254. Proposals to incur obligations must be made in writing and be fully documented. They mustspecify the purpose of the proposed expenditure and the allotment to be charged.

255. Administration and Finance will be responsible for examining the proposed obligations toensure that :

(a) funds are available ;(b) the Rules and Regulations of the Organization are being observed ;(c) the financial situation of the Organization will not be prejudiced.

256. Revisions to an obligation shall require the same treatment as the original obligation.

300. Control of Expenditures

310. Payments shall be made only for services rendered or deliveries completed. Advance paymentswill be made only on the approval of the Director-General.

320. Payments will not be effected unless supporting documents are certified by the appropriateofficers confirming that :

(a) services have been rendered or delivery has been completed in accordance with theterms of the contract ;(b) the amount is correct and in accordance with the terms of the contract.

330. Should Administration and Finance feel there is any reason why payment of any claim shouldbe withheld, such claim will be referred to the Director-General.

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ANNEX 13

340. Payment vouchers and all supporting documents will be retained in appropriate files as anintegral part of the official accounts of the Organization.

400. Imprest Cash

410. Imprest Cash advances of an amount to be fixed in each case will be made where necessary toofficials designated by the Director-General.

420. Officials to whom an Imprest Cash Account or advance is issued are responsible for theadvance and must at all times be in a position to account for it.

500. Advances

510. Travel advances may be made upon request to officials to whom official travel authorizationshave been issued. Such advances are to be used in accordance with the provisions of the travelrules and must be accounted for when the travel is completed.

520. Salary advances may be made to staff members under certain exceptional circumstances, subjectto the approval of the Director-General.

600. Management of Funds

610. Administration and Finance is responsible for the management, receipt and disbursement of allfunds of the Organization.

620. Funds of the Organization will be deposited only in banks or institutions designated by theDirector-General.

630. Administration and Finance will administer all banking accounts operated by the Organizationincluding those opened for trust and other special purposes, maintaining a proper cash accountin which all receipts and payments shall be recorded in chronological order. A separate cashaccount shall be kept for each bank account, as well as for sums deposited with other institutions.

640. Panels of signatories shall be designated by the Director-General and all cheques drawn on theOrganization's accounts must be signed by two officials of the appropriate panels. For officesaway from headquarters one such signature should normally be that of a senior official of theoperation.

650. No interest will be payable on sums deposited with or retained by the Organization. Should anyinterest accrue on investments made on behalf of a third party, the amount of such interest willbe paid only if so requested in advance and upon such conditions as may be agreed by theDirector-General.

700. Accounts

701. Administration and Finance is responsible for establishing and maintaining all official accountsof the Organization.

702. Obligations will be recorded in the accounts of the financial year in which they are incurred.

703. Receipts will be credited to the account of the financial year in which the remittance is received.

704. Expenditures will be recorded in the accounts of the financial year in which they are made.

705. The accounts will comprise the general accounts, budget accounts and treasury accounts fromwhich the periodic financial statements will be prepared.

706. All accounts shall be supported by documentation to be retained in appropriate files as integralparts of the official accounts of the Organization.

710. GENERAL ACCOUNTS

711. All income and expense will be recorded in the general accounts by means of a double-entryaccounting system. These records will include :

(a) a journal showing all transactions in chronological order ;(b) a general ledger ;(c) subsidiary records showing in detail the classification of income and expense.

720. BUDGET ACCOUNTS

721. Administration and Finance will maintain records showing :(a) the amounts appropriated by the Health Assembly ;(b) the total allotments made against such appropriation ;(c) the unallotted balance of the appropriation.

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ANNEX 13

722. Administration and Finance will maintain allotment accounts showing :(a) the original allotments and any adjustments ;(b) the amount of obligations incurred and obligations liquidated ;(c) the amount of expenditures ;(d) the unobligated balance of allotments.

723. Obligations and expenditures will be recorded in the accounts in accordance with a uniformsystem of classification established by the Director-General.

730. TREASURY ACCOUNTS

731. Treasury accounts will comprise :(a) Cash accounts, showing all receipts and disbursements of the Organization ;(b) Trust and other special cash accounts, the management of which is subject to special

treatment ;(c) Members' contribution records showing the amounts assessed, received and unpaid.

740. FINANCIAL STATEMENTS

741. Administration and Finance will furnish :(a) Periodic statements of cash on hand ;(b) Periodic statements of budgetary status showing :

(i) allotments made ;(ii) unliquidated obligations ;(iii) expenditures ;(iv) unobligated balances.

(c) Periodic special statements showing, inter alia :(i) the operations and financial position of the Working Capital Fund ;(ii) the position of other special funds ;(iii) outstanding contributions.

(d) As early as possible each year a detailed balance sheet as at the 31 Decemberimmediately preceding. In addition to this balance sheet there shall be produced :

(i) summarized statement of income and expense ;(ii) budget statement showing appropriations voted, allotments approved and expen-

ditures made ;(iii) statement of outstanding obligations as at 31 December represented by goods suppliedand services rendered up to and including that date for which an account payable isestablished in the accounts ; such outstanding obligations may include orders for goodsor services which have been accepted in writing for shipment or delivery by 31 Decemberor for which exists written evidence that shipment has been effected prior to and including31 December ;(iv) statement of outstanding obligations not represented by goods supplied or servicesrendered up to and including 31 December, which shall include all offers not accepted inwriting or where there is no written evidence that shipment has been effected, which arecharged to the appropriations for the succeeding year ;

(v) statement of trust and other special funds ;(vi) statement of working capital fund ;(vii) statement of both stores and cash losses which have accrued during the year indicating

how these have been dealt with in the accounts ;(viii) statement of ex gratia payments.

750. PROPERTY

751. The cost of all property acquired other than real property will be immediately charged as anexpense.

752. Property records will be maintained of all real property, non-expendable and expendablesupplies and equipment, however acquired and from whatever source, containing full details.

753. An annual physical inventory will be taken of all assets, supplies and materials on hand. A copyof this inventory will be furnished to the external auditors.

800. Procurement

810. All purchases and contracts of over US $1,000 shall be made by advertising, except in one of thefollowing circumstances :

(a) when urgent requirements cannot be delayed by advertising ;

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ANNEX 14

(b) when purchase or contract is for articles or services the price and nature of which arefixed by legislation ;(c) when only one source of supply is available ;(d) when standardization of equipment or interchangeability of parts must be secured ;(e) when purchase is for a patented or trademarked article, perishable supplies or othersupplies or services for which it is impracticable to secure competitive bids ;(/) when otherwise authorized by the Director-General.

820. Invitations for tenders shall be advertised in such fashion as to permit full and free competition.

830. Orders for articles or services above the value of US $50 shall be in writing, giving full details.

900. Internal Audit

901. Administration and Finance is responsible for establishing and maintaining an adequate internalaudit of the financial transactions and such other operations of the Organization as may bedetermined by the Director-General.

1000. Working Capital Fund

1010. The term " Unforeseen Expenses " means expenses arising from, or incidental to, the carryingout of a programme in accord with the World Health Assembly approved policies, which expenseswere not foreseen when the estimates were made.

1020. The term " Extraordinary Expenses " means expenses for items or objects outside the scopeof the budget estimates, that is to say, outside the programme on which the estimates were based.

[From EB4/10.Rev.12 June 1949

Annex 14

AMENDMENTS TO STAFF RULES .

The Director-General, in virtue of the powers conferred on him in the Provisional Staff Regulations,2amended the Staff Rules,3 with effect as from 2 June 1949. These amendments were confirmed by theExecutive Board at its fourth session, as follows :

780. COMPUTATION OF PAYMENT OF SALARY

The following additional rule has been inserted after 782 :782.1 A full pay period will be defined as the first to the last day of any calendar month.

Staff members taking up an appointment after the first of the month will have theirsalary computed on a day to day basis for the rest of that month as set forth in Rule 782and will have their salary computed on a regular monthly basis from the beginning ofthe next calendar month.

940. HOME LEAVE

941. EntitlementThe following additional rule has been inserted after 941.4 :941.5 A staff member may be authorized to go on home leave to a place in his home country

other than his normal place of residence, provided this will not involve the Organizationin any additional expense.

1 See item 4.4.1 of the Board's report.2 Staff Regulation 30, 00. Rec. World Hlth Org. 13, 3613 Ofl. Rec. World Hlth Org. 14, 85

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ANNEX 15

1000. Provident Fund and Retirement and Pensions Fund-Provisional

1030. WITHDRAWAL

1030.1 This staff rule has been amended as follows :In the event of a staff member's leaving the Organization prior to the establishment ofthe Retirement and Pension Fund, he shall be entitled to the amount which he hascontributed to the Provident Fund and the Retirement and Pension Fund Provisionaland, if he has served with the Organization at least six months, to the Organization'scontribution on his account to the Provident Fund.

[EB4/7 Rev.1 /Corr.1]12 July 1949

Annex 15

UNITED NATIONS JOINT STAFF PENSION FUND

Points on which Agreement has already beenreached with the United Nations

1. WHO accepts the Regulations for the UnitedNations Joint Staff Pension Fund 2 as applicableto itself and to its employees as a Member Organiz-ation.

2. The effective date of participation of WHOshall be 1 May 1949.

3. Every fulltime member of the staff of WHOshall be subject to the Regulations if he isemployed under a contract for one year or morewhen he has completed one year of employment,provided that he is under sixty years of age atthe time of entering such employment and hisparticipation is not excluded by his contract ofemployment, and provided further that he doesnot fall under the resolution of the ExecutiveBoard of WHO excluding from admission to theUnited Nations Pension Fund those membersof the staff who have been seconded to WHOfrom a national government and who continue tocontribute to, or actively participate in, a nationalpension scheme. Staff members eligible foradmission to the Pension Fund under the aboveprovision who were in service of WHO on 1 May1949 shall be participants in the Fund as of thatdate.

1 See item 4.4.2 of the Board's report.2 Og. Rec. World HUI; Org. 17, 73

4. The date of the participation in the staffpension plan shall not be prior to 1 February 1946.

5. The amounts standing as at 1 May 1949 tothe credit of staff members under 1 above in theProvident Fund and in the Retirement andPension Fund (Provisional) of the Organization,shall be transferred to the United Nations PensionFund as of the effective date of participation.The amounts so transferred shall be treated asprovided in the Pension Fund Regulations forProvident Fund contributions.

6. WHO shall pay into the Joint Staff PensionFund

(a) A sum equal to 75% of the amountsaccumulated in its Provident Fund up to andincluding 31 August 1948 ;(b) 8% of the pensionable emoluments of staffmembers participating in the Fund as of 1 May1949, for the period from 1 September 1948 upto and including 30 April 1949 ;(c) 14% of the pensionable emoluments of suchstaff members as from 1 May 1949.

7. The period in respect of which the amountsprovided under 5 and 6 (a) and (b) above aretransferred, shall be counted as contributoryservice under the Pension Fund Regulations.

8. This Agreement shall be irrevocable. WHOshall be deemed to have defaulted the Agreementwhen for any reason it fails to continue thecontributions on account of its employees.

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SUPPLEMENT

SUPPLEMENT

REPORTS ON THE JOINT COMMITTEE ON HEALTH POLICY.UNICEF/WHO

The reports of the Joint Committee on Health Policy, UNICEF/WHO on its firstthree sessions are reproduced below. The reports on these sessions by the WHO membersof this committee have already been published in the Official Records of the World HealthOrganization-their report on the first two sessions being printed in Official Records No. 14,as Annex 10 ; that on the third session, in Official Records No. 21, as Annex 4.

REPORT ON THE FIRST SESSION

The Joint Committee on Health Policy ofUNICEF/WHO held two meetings at the Palaisdes Nations, Friday 23 July and Saturday 24July 1948. The following attended :

UNICEF :Dr. Rajchman, Chairman of Executive Board ;Mr. Heyward (alternate for Mrs. Sinclair) ;Dr. Schober (alternate for Dr. Debré) ;Mr. Wu ;Mr. Pate, Executive Director, also in attendance.

WHO :Dr. Evang, Vice-Chairman, Executive Board ;Dr. Mackenzie ;Dr. Stampar ;Dr. van Zile Hyde ;Dr. Borèic and Dr. Forrest, also in attendance

as joint secretaries of first session.

At its first meeting the Committee electedDr. Mackenzie as Chairman and provisionallyappointed Dr. Debré as Vice-Chairman. It wasunanimously agreed that the Chairman shouldhave the right to vote.

The first meeting was devoted to generaldiscussion of the functions of the Joint Committeeand of the UNICEF medical projects, with specialreference to new proposals. It was agreed thatDr. Bor'eic and Dr. Forrest would prepare state-ments on the various questions of policy.

At its second meeting, the Committee adoptedthe following resolutions concerning its terms ofreference and its general policy :

L Machinery of the Committee

The Joint Committee on Health Policy ofUNICEF/WHO

RESOLVES that

(1) Future meetings shall be called by thePresiding Officer of the previous meeting, inconsultation with the Director-General andthe Executive Director ;(2) The expenses of each meeting shall be metby the organization acting as host ;

[JC.1/UNICEF/WHO 1]28 July 1948

(3) Expenses of members of the Committeeshall be paid according to the rules of theirown organizations.

2. Terms of ReferenceThe Joint Committee on Health Policy of

UNICEF/WHO, having noted the resolutionof the [First] World Health Assembly on theUnited Nations International Children's Emer-gency Fund 1. and the Resolution of the Execu-tive Board of UNICEF, 22 July 1948, onRelations with WHO a

DECIDES that

(1) These two documents are compatible ;(2) The word " regulate " on paragraph (2)of the World Health Assembly resolutionimplies that this Committee shall act as theadvisory medical body on the understandingthat its advice will be followed by UNICEF inaccordance with its general policy ;(3) The medical programmes undertaken bythe Fund will proceed only on the recommenda-tion of this Committee, in order to guaranteethat all medical activities shall be carried outin accordance with the international authorityin this field ;(4) The advice to be given under " Medicalrecommendations ", paragraph d) of theUNICEF resolution, would include advice onpublic-health, medical and sanitary administra-tion ;(5) These two resolutions, as interpretedabove, form a satisfactory basis for the workof the Joint Committee on Health Policy ofUNICEF/WHO.

3- In regard to the programme of BCG vaccinationas already established, the Health Assemblyrecognizes the existence of special circumstances,notably the agreements which have been concludedbetween the Danish Red Cross signing also onbehalf of its Norwegian and Swedish associates,certain governments and UNICEF and directsthe attention of the proposed Joint Committeeon Health Policy to these circumstances.

Off. Rec. World Hlth Org. 13, 327, 3282 UN document E1901, 21

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SUPPLEMENT

3. Programmes and Projects to combat Syphilisin Expectant Mothers and to Children upto Eighteen Years of Age

The Joint Committee on Health Policy ofUNICEF/WHO, having examined the healthprojects directed towards combating syphilisin expectant mothers and [in] children up to18 years of age,

(1) DELEGATES its responsibility in this field tothe Chairman of the Joint Committee, theDirector-General and the Executive Directorpending the next meeting of this committee ;

(2) DIRECTS the Chairman of the Joint Com-mittee, the Director-General and the ExecutiveDirector to consult the Expert Committee onVenereal Infections of the World HealthOrganization as soon as possible, placing beforethat committee all requests and relevant docu-mentation ;

(3) DIRECTS the Chairman of the Joint Com-mittee, the Director-General and the ExecutiveDirector, on the basis of the relevant decisionsof WHO and its technical expert committees,to advise UNICEF on the following matters :

(a) with respect to requests from govern-ments, the question of whether it is advisablefrom a technical standpoint to finance ademonstration or other programme ;

(b) the technical standards required in theseprogrammes ;

(c) the techniques of medical and sanitaryadministration which should be adopted ;

(d) the advisability of initiating projectswhich have reference to a section of a popu-lation or country in which special problemsexist ;

(e) the types and quantities of technicalsupplies and equipment needed to implementthe programme for expectant mothers andfor children up to 18 years of age ;

(f) assistance to governments for the pro-duction and procurement of penicillin ;

(g) the provision of technical assistance toimplement these programmes ;

(h) the follow-up of these programmes.

It should be noted that the Expert Committeeon Venereal Diseases of the Interim Commission ofWHO endorsed the overall programme againstvenereal diseases in Poland.3

4. Malaria

The Joint Committee on Health Policy,UNICEF/WHO, having examined the healthprojects of UNICEF in the field of malaria,(1) DELEGATES its responsibilities in thisfield to the Chairman of the Joint Committee,

3 Ofl. Rec. World Hlth Org. 8, 66

the Director-General and the Executive Directorpending the next meeting of this committee ;

(2) DECIDES,

(a) that the resolution of the ExecutiveBoard of UNICEF, by which an allocationof $300,000 has been made in respect ofmalaria should be placed as soon as possiblebefore competent experts of WHO for theiradvice as to how the above allocation canbest be utilized for the benefit of the pregnantmothers and of the children up to the ageof 18 in the area covered by the resolution,either in conjunction with existing nationalcampaigns, or as WHO campaigns, or asseparate projects ;

(b) that the malaria control project presentedto UNICEF in the survey report on countriesin the Far East other than China should alsobe placed before the same experts so thatboth projects be co-ordinated ;(c) that the Director-General and the Exe-cutive Director should frame, on the basis ofthe above advice, concrete proposals bearingon the implementation of the projects sorecommended ;

(d) that the proposals should be placedbefore the Joint Committee at its nextmeeting.

5. The Far EastThe Joint Committee on Health Policy of

UNICEF/WHO, having examined the report ofthe survey mission to the Far East other thanChina

(1) DIRECTS ATTENTION to its resolutions Onprogrammes and projects to combat syphilis inexpectant mothers and [in] children up toeighteen years of age ;

(2) DIRECTS ATTENTION to its resolution Onmalaria ;

(3) DIRECTS ATTENTION to its resolutions onBCG and tuberculosis ;

(4) DIRECTS ATTENTION to its resolution Ontraining programmes ;

(5) RECOMMENDS that the Mission to theFar East should be staffed, by agreementbetween the Director-General and the ExecutiveDirector, so that

(a) the plans of operation for individualcountries proposed for the approval of theUNICEF Executive Board are technicallyadequate in accordance with the recommen-dations of WHO ;(b) the Mission is able to provide thenecessary technical advice and internationalsupervision ;

(6) DIRECTS THE ATTENTION Of the Director-General and the Executive Director to thedesirability of working in co-operation with theregional offices of WHO.

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SUPPLEMENT

6. Training Programmes of Health PersonnelThe Joint Committee on Health Policy of

UNICEF/WHO,(1) DECIDES that individual fellowships shouldbe administered by WHO on behalf ofUNICEF ;(2) DIRECTS the Director-General and theExecutive Director to take the necessary stepsto implement this decision and to report thereonto the next session of this Committee ;(3) DIRECTS the Director-General and theExecutive Director to explore the question ofjoint financing of fellowships and report tothe next meeting of the Committee ;(4) DECIDES that in other training programmes,where the control of the training of groups orindividuals is the responsibility of the donorgovernments, the interest of WHO lies in thedistribution of this training and DIRECTS theExecutive Director to transmit to WHO fulland up-to-date information on these projectsso that there may be adequate co-ordination ofgovernmental requests to the two internationalbodies concerned ;5. DIRECTS the attention of the Technicalad hoc Committee on Fellowships of theUnited Nations to these decisions.

7. BCG Campaigns and Future Projects

The Joint Committee on Health Policy ofUNICEF/WHO, having taken note of the

present arrangements whereby the BCGcampaigns are managed,

RESOLVES

(1) That the present arrangements continue ona temporary basis, for already existing pro-grammes, until the second session of thisCommittee ;

(2) That the reports of the quarterly JointCommittee on BCG (Committee 2) shouldbe made available to the session of this Com-mittee immediately following, to the ExecutiveBoards of UNICEF and WHO, and to theExpert Committee on Tuberculosis of WHO ;

(3) That the future BCG programmes asenvisaged in the various UNICEF documentsand demonstration programmes should bestudied by the Director-General and theExecutive Director so that (a) advice inaccordance with the recommendations of WHOshall be available to UNICEF as soon aspossible, and (b) the Director-General and theExecutive Director shall report on this subjectto the next session of this Committee whenthe whole question will be reviewed ;

(4) That the Director-General and the Execu-tive Director present and report to the nextsession of this Committee, giving their recom-mendations on the mechanism of control ofBCG programmes and demonstration cam-paigns, with a view to simplification wherepossible.

[JC.2/UNICEF/WHO/3]21 October 1948

REPORT ON THE SECOND SESSION 4Held on 19 and 20 October 1949 at UNICEF Headquarters in Paris

The following attended :

UNICEF :Dr. R. DebréDr. L. Raj chmanMr. E. J. R. HeywardDr. Y. T. Wu

WHO :Dr. M. MackenzieDr. A. StamparDr. van den BergDr. H. van Zile Hyde

Secretary:Dr. B. Bor6ic (WHO/UNICEF)

Also present:Dr. Bonne (WHO), Dr. D. Borensztajn(UNICEF), Mr. A. E Davidson (UNICEF),Dr. W. P. Forrest (WHO), Dr. T. Guthe (WHO),Dr. J. Holm (UNICEF), Dr. J. B. McDougall

4 For the report on this session by the WHOmembers of the joint committee, see Off. Rec. WorldHlM Org. 14, 49.

(WHO), Dr. C. Palmer (UNICEF), Dr. E. J.Pampana (WHO), Dr. L. J. Verhoestraete(UNICEF), Dr. Williams (WHO).

Dr. M. Mackenzie was in the chair. It wasannounced that Dr. R. Debré had accepted thepost of Vice-Chairman.1. The report and minutes of the first sessionwere unanimously approved.[2. The items of the agenda adopted by the jointcommittee are reproduced as sub-headings in thetext below.]

3. BCG Campaign

The Joint Committee on Health Policy ofUNICEF/WHO, having examined the progressreport on the BCG campaign, notes withsatisfaction the progress of the work and

3.1 RECOMMENDS

(a) that present arrangements should continue ;(b) that UNICEF should make available fundsadequate for the completion of programmesstarted by the Joint Enterprise.

41 -

SURPLEMENT

3.2 Report on Visit to CopenhagenThe Joint Committee on Health Policy of

UNICEF/WHO took note of this report andhaving taken into consideration

(a) that the agreements entered into by theJoint Enterprise with the various govern-ments contain provision by virtue of whichthe campaigns may be continued withlocpy produced vaccine when such vaccinesare by mutual agreement recognized asequivalent to the vaccine supplied by theJoint Enterprise ;(b) that UNICEF has requested the ExpertCommittee on Biological Standardization ofWHO to certify the equivalency of suchvaccines ;RECOMMENDS

(a) that the Director [-General] of WHO beinvited to request the Expert Committee onBiological Standardization of WHO to considerat its next meeting the entire problem of thestandardization of BCG vaccine ;.(b) that, in addition, surveys of productionmethods be made by WHO in all centres ofproduction of BCG vaccine, similar to thatalready carried out at the State Serum Institutein Copenhagen and that requested by thePasteur Institute in Paris.

3.3 Report of the Tuberculin-Testing and BCGVaccination Sub-Committee

The Joint Committee, having noted the reportof the Special Sub-Committee on Tuberculin-Testing and BCG Vaccination,RECOMMENDS that the recommendations of

this sub-committee be followed in the BCGcampaigns.

3.4 Report of the Sub-Committee on Streptomycin

The Joint Committee examined the report ofthe Sub-Committee on Streptomycin and noted

(a) that several UNICEF recipient countrieshave applied for allocations of streptomycin ;(b) that funds are or may be made availableby UNICEF to meet such requests ;RECOMMENDS

(1) that streptomycin be supplied by thegovernments under the following conditions :

(a) that it shall be distributed only toinstitutions, medical centres and teachinghospitals regularly concerned with the study,diagnosis and treatment of tuberculosis ;(b) that such institutions should have aminimum of 50 beds ;(c) that facilities should be available forconvalescents ;(d) that the period of observation of eachtreated case from the beginning of treatmentshould be not less than six months ;(e) that there should be a uniform reportingsystem ;(f) thi.t all above to be in accordance withthe detailed recommendations as contained

in the report of the Sub-Committee onStreptomycin ;

(2) that responsible technicians in the countriesconcerned be offered suitable facilities tobecome acquainted with the most up-to-datemethods for the utilization of streptomycin incountries where such streptomycin centres exist ;(3) that full co-operation between these centresin the exchange of information, biologicalmaterial and technical personnel be expeditedin every possible manner ;(4) that WHO should assume full responsibilityfor technical aspects of this project as soon aspossible.

3.5 Proposed Simplified Machinery for MedicalControl of the Campaigns in EuropeanCountriesThe Joint Committee on Health Policy of

UNICEF/WHO, having examined the proposalfor simplified medical control of BCG campaigns,RECOMMENDS that Group No. 2 (Sub-Com-

mittee on Tuberculin-Testing and BCG Vacci-nation) be integrated with Group No. 3,* inconsequence of which the quarterly meetingsof Group No. 2 need no longer take place.

3.6 The Reporting of Statistical Results ofBC G CampaignsThe Joint Committee on Health Policy of

UNICEF/WHONOTES with interest the medical research

aspects of the BCG campaign, andRECOMMENDS that the attention of the

Executive Director [Director-General] of WHObe drawn to the unique opportunity that existsin the present BCG campaign for answeringmany questions of basic importance in thecontrol and epidemiology of tuberculosisthrough intensive and continuing study inconnexion with these campaigns.

3.7 Progress Report of Pilot Station for BCGin ParisThe Joint Committee on Health Policy,

UNICEF/WHONOTES with satisfaction the report on the

BCG Pilot Station in Paris andRECOMMENDS that the attention of the Expert

Committee on Biological Standardization ofWHO be drawn to the importance of this workin the standardization of BCG vaccine, with aview to the possible continuation beyond theperiod of UNICEF.

3.8 Proposed Meeting of the Group No. 3 onBCG in Copenhagen.The Joint Committee on Health Policy of

UNICEF/WHONOTES with approval that there should be a

meeting of Group No. 3 in Copenhagen inDecember.

* The Group No. 3 is composed of : The Sub-Committee on Medical Projects (Group No. 1),the Sub-Committee on Tuberculin-Testing andBCG Vaccination (Group No. 2) and of the leadersof BCG campaigns in various countries.

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4. Anti-Syphilis Campaigns in Europe andFar Eastern Countries


NOTES

(a) the action taken in connexion with thePolish anti-syphilis plan ;(b) the guiding principles set forth in thereport of the WHO ad hoc V.D. ExpertCommittee on proposed penicillin programmesin nine European countries and the projectsfor three Far Eastern countries ;RECOMMENDS

(a) that these guiding principles be followedas far as possible by WHO and UNICEF in thedevelopment of European Programmes and bythe Chief of Mission to the Far East in hisnegotiations ;(b) that priority be given to applicationsfrom countries where a structure for venereal-disease control exists, permitting a mass attackon syphilis ; or where there are problems ofendemic syphilis, or where it is desirable toencourage the development by governmentsof broader venereal-disease programmes ;

REQUESTS that the Director-General of WHOand the Executive Director of UNICEF takeaction to implement programmes, subject tothe above recommendations, in Bulgaria, Fin-land, Hungary, and Yugoslavia, and to conductin Albania, Czechoslovakia, Greece, Italy andRoumania, surveys requested by the govern-ments with a view to development and sub-sequent implementation of the programmes inconformity with the recommendation of theWHO Expert Committee on Venereal Diseases.

5. Penicillin


RECOMMENDS that WHO give technicalassistance to UNICEF in the procurement ofpenicillin, with special reference to the qualityand standard thereof.

6. Far Eastern Programmes (excluding China)

6.1 Co-operation between UNICEF Mission andWHO Regional Office(s)


TAKES NOTE of the recommendations forco-operation.

6.2 Malaria Projects


NOTES the guiding principles set forth indocument JC2/UNICEF-WHO/2 (Malaria Pro-

jects in Far Eastern Countries other thanChina),

RECOMMENDS

(a) that these guiding principles be followedas far as possible by the Chief of Mission for theFar East in his negotiations regarding malaria-control demonstrations ;(b) that the services of a competent malario-logist be made available to the Chief of Missionof the Far East ;(c) that so far as possible all malaria-controlprojeets of WHO/UNICEF in any one areashould be amalgamated, due considerationbeing given to the necessity for projects whichwill increase food production ;(d) that the requests already submitted bygovernments be referred to the Chief of Missionfor negotiations in the light of the guidingprinciples outlined above ;

REQUESTS the Director-General of WHO andthe Executive Director of UNICEF to takerequisite action to implement the aboverecommendations.

6.4 Fellowships


RECOMMENDS an early completion of theprogramme of UNICEF fellowships underWHO administration which was recommendedat the first session of the Joint Committeeon Health Policy of UNICEF/WHO.

7. Plan of Operations for UNICEF Aid toNorth China


APPROVES the proposal contained in thereport of the WHO/UNICEF Medical Officerin charge of the Mission to North China, and

REQUESTS the Director-General of WHO andthe Executive Director of UNICEF to earryout this programme, including the provision ofmedical supplies and the training of localpersonnel and technical experts along the lineslaid down in this report.

8. Fellowshiis

The Joint Committee on Health Policy ofUNICEF/WHO, having examined the reporton group training sponsored by UNICEF in1948 and the plans for 1949,

APPROVES the programme for 1949 and

RECOMMENDS that the WHO proposal foradditional facilities for the training of maternaland child health personnel be implemented bythe organization by UNICEF of group trainingin the United Kingdom.

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9. Insect Control Campaign with a View toreducing Infant MortalityThe Joint Committee on Health Policy of

UNICEF/WHONOTES with interest the proposal to assist

governments who would apply to UNICEFfor aid in implementation of improved methodsof Insect Control and

RECOMMENDS this proposal to the Director-General of WHO and the Executive Directorof UNICEF, who are requested

(a) to obtain as soon as possible the technicalopinion of the Expert Committee on Insecti-cides of WHO, and

(b) to emphasize the principle that the useof insecticides is only one part of the generalcampaign to improve the general sanitation.

10. Other Business

10.1 Date and Place of Next Meeting of the JointCommittee

It was agreed that the date and place of thenext meeting should be left to the discretionof the Chairman, the Director-General of WHOand the Executive Director of UNICEF.

REPORT ON THE THIRD SESSIONS

Representatives:UNICEF

Dr. RajchmanDr. Bugnard (alternate)Dr. Lindt (alternate)Dr. Schober (alternate)

WHODr. Mackenzie (Chairman)Dr. van den Berg (alternate)Dr. HydeDr. Stampar

Secretary :

Dr. B. Bor'eic

Secretariat:UNICEF WHO

Mr. Pate Dr. ChisholmMr. Davidson Dr. GoodmanDr. WattDr. King

1. The Joint Committee on Health Policy metat Geneva from April 12 to April 14.2. The Report and the minutes of the secondsession of the Joint Committee on Health Policywere approved.3. The Committee adopted the provisionalagenda.

4. BCG Campaigns

The Committee considered the progress reportson the BCG campaigns of the Joint Enterpriseand welcomed the presence of Dr. Ustvedt,Deputy Director of the Joint Enterprise forEurope, who was able to supplement the writtenreport with more recent information. Thecampaign in general was proceeding rapidly in

5 For report on this session by the WHO membersof the joint committee, see Off. Rec. World HlthOrg. 21, Annex 4

[JC3/UNICEF-WHO/33]15 April 1949

Europe, and several campaigns were expected tobe concluded before the end of the year, inCzechoslovakia, Finland, Hungary and Poland.Campaigns were commencing in a number ofcountries-Austria, Morocco, Lebanon and India.The Board took note of the applications of thegovernments of Ecuador, Bolivia, Israel andIran for BCG campaigns. Surveys are now underway in Latin-American countries by representa-tives of WHO and the Joint Enterprise to collectall data required in formulating recommendationsconcerning BCG production and application inthese countries.

5. The Committee considered the name " Inter-national Tuberculosis Campaign " adopted by theScandinavian Red Crosses for the Joint Enter-prise, and concluded that the name was notappropriate to the action being undertaken,since the work is limited to tuberculin-testingand BCG vaccination. Accordingly the Committeedetermined that the name " Joint Enterprise "should be retained, but indicated that the Exe-cutive Director of UNICEF and the Director-General of WHO, after consultation with theirpublic relations officers, and in consultation withthe Chairman of the Executive Board of UNICEF,might agree upon a name which might be moredescriptive than " Joint Enterprise " for publicinformation purposes.

6. BCG Pilot Station and BCG ResearchUnit

The progress report on the BCG Pilot Station inParis was noted by the Committee.

The Committee also took note of the workbeing undertaken by the BCG Research Unit inCopenhagen.

7. Visits to BCG Producing Institutes

The Committee took note of the reports on thevisits of WHO experts to BCG-producing institutes

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in Madras (India), Paris, and Algiers. It waspointed out that, under the UNICEF agreementswith the various countries, the use of locallyproduced vaccines by the Joint Enterpriserequired a certificate from WHO certifying thatthe locally-produced vaccine was equivalent to theCopenhagen vaccine. The Committee accordinglyrequested the Director-General of WHO to referthe report on the visits to the WHO ExpertCoMmittee on Biological Standardization, withthe understanding that the Director-General ofWHO would later communicate with the Execu-tive Director of UNICEF with respect to certifi-cation for the institutes concerned.

8. Meeting of Group 3

8.1 The Secretary of the Committee reported onthe proposed meeting for Group No. 3 inCopenhagen. This group consists of ; the JointPanel on BCG Vaccination and Tuberculin-Testing and expert group ; the chiefs of the JointEnterprise in the various countries where BCGcampaigns are being conducted ; the nationalrepresentatives responsible for the conduct ofthe campaigns in the different countries, and themembers of the UNICEF Medical Sub-Committee.

8.2 The purpose of this meeting is to discusscurrent programmes, and it is planned to be heldin the summer of 1949 in Copenhagen. It waspointed out that the date of the meeting of theJoint Panel had to be co-ordinated with themeeting of the WHO Expert Committee onTuberculosis, and the Committee requested thatthis co-ordination should be worked out.

8.3 The Committee recommended that themeeting should be limited to countries which hadacquired considerable experience in mass appli-cation of BCG, but the final decision was left tothe Joint Enterprise.

9. Streptomycin

The Committee took note of the progress reporton streptomycin centres, and in the light of thevery stringent conditions which had been imposedby the WHO Expert Committee in connexionwith the utilization of the small amounts ofstreptomycin furnished by UNICEF, concludedthat these conditions should be reviewed by theExpert Committee. The Committee also discussedthe question as to whether UNICEF was limitedin the amounts of streptomycin that might besupplied if the appropriate conditions wereobserved, and concluded that there had been nointention to make any limitations.

10. Anti-Syphilis Campaigns

The Committee also took note of the progressreport on the anti-syphilis campaigns in Bulgaria,Finland, Hungary and Yugoslavia. These cam-paigns were commenced early in 1949, thecampaign in Poland having been initiated in1948. WHO venereal-disease expert consultantsvisited these countries and lectured to various

professional groups of physicians and medicalofficers of health. Practical demonstrations ofpenicillin therapy and laboratory procedureswere also given. The Committee took further noteof the surveys carried out by WHO venereal-disease experts in Italy and Slovakia and theprogramme proposals resulting from these studies,and that consultations were to take place in thenear future with the health authorities in Rou-mania, Albania and Greece for the developmentof programme proposals in accordance withprinciples established by the WHO ExpertCommittee on Venereal Diseases as approved bythe second session of the Joint Committee onHealth Policy. The Committee also noted theassistance given by WHO to UNICEF in carryingout the recommendations of the Joint Committeewith regard to procurement of penicillin, withparticular reference to the quality of the drug,and the procurement of laboratory equipment.

11. Insect and Malaria Control Campaignsand Demonstrations

The Committee took note of the progress reporton insect and malaria control.

12. Group Training ProgrammesThe Committee took note of the progress report

on group training, and indicated its approvalof the way in which such training courses hadbeen conducted, although attention was drawn tothe necessity of assuring that the language andqualifications of students would enable thoseparticipating to benefit fully from the opportu-nitie§ provided. It was also suggested thatgreater attention should be given to the lengthof such courses, particularly in the UnitedKingdom, and that the administrative arrange-ments require greater co-ordination.

13. Individual Fellowships

The Committee took note of the progress reporton individual fellowships, which related primarilyto fellowships for the Far-Eastern areas. It wassuggested that particular attention be given tothe desirability of placing Fellows in trainingcentres within their own region in so far as suitablecentres are available.

14. Far East ProgrammeThe Committee took note of the progress report

on the Far East. Dr. Watt, Chief of UNICEFMission in the Far East, also presented an oralreport. The Committee learned with interest thatin general there seemed to be a diminishing needfor the feeding programmes which had been firstdiscussed, and that the two largest health problemswere malaria and tuberculosis. In addition therewas considerable interest in the establishment oftraining centres in some countries and a greatinterest in fellowships from a number of othercountries. Venereal disease and yaws would alsobe the subject of proposals by governments. Inconnexion with these programmes, Dr. Wattrecommended the addition of WHO specialists to

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deal with the particular programmes as they weredeveloped. The delay in the development ofplans of operations had been due partly to thedisturbed conditions, partly to the necessity ofreconsidering the original recommendations madeto Dr. Parran, and partly to the larger allocationswhich made possible the consideration of differenttype projects. The Committee expressed thehope that concrete projects would be quicklydeveloped and established.

15. Tuberculosis Diagnosis

The Committee approved in principle theproposals contained in the report on the provisionof equipment for the diagnosis of tuberculosis.

16. Health Programmes financed from UNRRASpecial Fund

16.1 The Committee approved the proposals inthe field of maternal and child health, relating tothe BCG research programme, relief to Palestinerefugees, paediatric fellowships, and the surveyof UNRRA penicillin plants, to be financed fromthe UNRRA Special Fund.

16.2 The Committee considered and approved theproposal to finance from the UNRRA Special Funda joint study with the United Nations statisticalservice on the wastage of human life. It waspointed out that emphasis should be given tostudies relating to children, pregnant womenand nursing mothers.

16.3 The Committee then approved the proposalcontained in document JC3/UNICEF-WHO/24,6and agreed that additions to the headquartersstaff of the section on maternal and child health(of WHO) might be financed from the UNRRASpecial Fund.

16.4 The Committee also approved the proposalunder which funds would be advanced from theUNRRA Special Fund for the procurement ofequipment for penicillin plants. This refers toplants which had been furnished by UNRRAto Yugoslavia, Poland and Czechoslovakia andwhich were not yet in operation. It was pointedout that the funds made available for this purposewould be reimbursed to the UNRRA SpecialFund in dollars by the countries concerned, andthat upon reimbursement would again becomeavailable for child health projects.

17. Penicillin Plants

The Committee also considered that portionof the report which dealt with a proposal forUNICEF to finance supplemental equipment

6 This document reproduced a proposal, whichhad already been adopted by the Executive Boardof WHO, subject to acceptance by the joint com-mittee, for an increase in the staff of the Maternaland Child Health Section of WHO to be financedfrom the UNRRA Special Fund.

for the penicillin plants. It was indicated thatthe penicillin plants were in some cases of anoutmoded type, producing only amorphous peni-cillin, and that additional funds from UNICEFmight provide equipment to produce crystallinepenicillin which had wider uses, particularlyin connexion with syphilis. The Committeeconcluded that it would recommend to theExecutive Board of UNICEF that it considerapplications from governments for the purchaseof this equipment, with the understanding thatthe Executive Board of UNICEF would haveto determine its propriety from the point ofview of UNICEF's general policy. The Committeealso recommended combined representations bythe two Directors in order to facilitate the grantingof the necessary export licences.

18. International Congress on Paediatrics

The Committee discussed the proposal to haveUNICEF finance participation by doctors in theInternational Congress on Paediatrics, and alsoof the establishment of a training course whichwould take advantage of the presence of eminentpaediatricians to pass on their knowledge andexperience. It was pointed out that the Inter-national Congress on Paediatrics would not takeplace until July 1950, and that UNICEF'sparticipation in such an enterprise was ratherdistant from the programmes with which it wasusually concerned. However, in the light of therequest which was before the committee for itsconsideration and the possible benefits whichmight ensue, the Committee concluded that thetwo Directors should study this proposal andformulate recommendations which would besubmitted to the Executive Boards of the twoorganizations.

19. Maternal and Child Health Services

The Committee considered the recommendationsof the Expert Committee on Maternal and ChildHealth concerning school health services ;maternal and child health centres ; child guidanceclinics ; dental health services ; maternity andchildren's hospitals, premature baby units, andchild health institutes ; handicapped children ;skin diseases of children, including yaws ; trainingof doctors, nurses and auxiliary medical personnel.

The Committee decided that requests fromgovernments for special projects falling underhealth policies listed above should be acted uponby UNICEF, and that the plans of operationsaccompanying such a request would require theapproval, from the technical point of view, of theDirector-General of WHO, subject to the usualprocedure.

The Committee was informed that the cost offinancing such programmes is being defrayedat present from the countries' allocations, andthat the specific projects would be part of aplanned country programme in the field.

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In connexion with the consideration of theprogramme for handicapped children, the Com-mittee welcomed the presence of, Mrs. Alva Myrdal,Director of the Department of Social Affairs of theUnited Nations, who expressed the view that thedevelopment of an integrated programme wasdesirable in which UNESCO, WHO and UNICEFmight each play a useful part.

20. Anti-Mycotic Campaign in Yugoslavia.

The Committee considered the Yugoslav pro-gramme for the anti-mycotic campaign andapproved the proposal.

21. Middle East Health Programme

The Committee approved the proposals pre-sented by Dr. Cottrell, WHO Medical Officer inthe Middle East, for the expansion of the healthprogramme in the Middle East. The additionalfunds requested were for an extension of the workin the fields of sanitation, water supplies, fly andmalaria control, hospital supplies and equipment,and laboratories. The funds necessary to carry outthis programme are derived from the generalallocations already made by UNICEF for itsMiddle East programme.

22. Proposals on the China Programme

The Committee heard the presentation byDr. King of the proposals for China, and tooknote of the decision of the Executive Board ofUNICEF on these proposals, which reads asfollows :

The Board approves the general outline of aprogramme for China submitted by the Admini-stration as a basis for discussion by the Chief ofMission with competent authorities in China,with the reservation that the advice of theJoint UNICEF-WHO Committee on HealthPolicy is to be sought on the medical pro-grammes.

In view of the policy of the Board that internalexpenses be borne by the country receivingassistance, the Administration is authorizedto finance in part internal expenses only if,under present disturbed conditions in China, itis the only means of assuring continuity in theoperations in China and working out a satis-factory future programme. If this arrangementis made, it is not to be held as a precedent,and wherever possible should be financedthrough the importation of useful supplies.

The Committee recognized that these proposalswere of an exceptional nature, as they had beenoffered by the Executive Board of UNICEF inadvance of any requests from the Chinese Govern-ment.

The Committee approved in principle the healthprogrammes proposed, i.e., training programmefor child health and welfare, tuberculosis control,kala-azar control and fly control. These pro-grammes will be discussed further with the

Chinese authorities and their implementationwill require the approval of the Director-Generalof WHO and the Executive Director of UNICEF.

23. Proposals for Latin America

The Committee considered the report presentedon health projects in Latin America and receivedthe views of Dr. Soper. The committee consideredthe proposal submitted by the Director of thePan American Sanitary Bureau regarding theprogrammes for child health protection in LatinAmerica and recommended that the Director-General and the Executive Director of UNICEFconsult with the Diréctor of the Pan AmericanSanitary Bureau with the aim of developingprocedures which will enable child health projectsin Latin America to go forward in conformitywith the principles of the UNICEF ExecutiveBoard and of the Joint Committee on HealthPolicy.

24. International Children's Centre

The Committee took note of the proposal toestablish an international children's centre. Itconfined itself to an informal exchange of views,since the proposal had not yet been officiallypresented to the Joint Health Policy Committeeor to WHO.

25. Co-operative Relations between UNICEFand WHO

25.1 The Committee considered documentsrelating to the means whereby co-operationbetween UNICEF and WHO might be streng-thened. It considered, among other things, thequestions of transfer of funds from UNICEFto WHO and of WHO acting as agent for UNICEFin the health field.

25.2 The Committee recommended that theExecutive Director of UNICEF and the Director-General of WHO consider the usefulness ofjoint UNICEF/WHO missions in areas in whichhealth programmes constituted the predominanthealth activity, and adopted the procedural andpolicy statements following :

AppendieACO-OPERATION WHO/UNICEF

For the purpose of carrying out the intent ofparagraph 4 (c) of the Charter of UNICEF 7 thefollowing principles will immediately governthe co-operative relationship between WHO, asthe United Nations specialized agency recognizedas the directing and co-ordinating authority oninternational health work, and UNICEF, withregard both to health programmes approved by

7 This reads :To the maximum extent feasible, the utiliza-

tion of the staff and technical assistance ofspecialized agencies, in particular the WorldHealth Organization or its Interim Commission,shall be requested with a view to reducing to aminimum the separate personnel requirementsof the Fund. (UN resolution 57(1)).

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the Joint Committee on Health Policy and anynew health programmes which may be developedfor its consideration :

(a) When international health experts arerequired for assisting governments in drawingup plans of operation for UNICEF healthprogrammes, it will be the responsibility ofWHO to make available to governments suchexperts, upon the invitation of the countriesconcerned.(b) The Director-General of WHO will studyand approve plans of operations for all healthprogrammes which fall within the policies laiddown by the JHPC and for which countriesmay request supplies from UNICEF.(c) All international expert health personnelagreed with governments as necessary for theimplementation of any health programme willbe made available by WHO.

(d) UNICEF's role in health programmes, isin accordance with its charter, to furnish,under its agreements with governments, therequired supplies and services, and throughits staff to observe that the principles of theExecutive Board are maintained in theirutilization.

(e) WHO's role in carrying out the foregoingarrangements is subject to the provisions ofits Constitution and the limitations its resources,but beyond this it will provide the serviceswhich will be reimbursed by UNICEF.

(/) UNICEF will inform governments of theforegoing arrangements.

Appendix B

PROCEDURE OF THE JOINT HEALTH POLICYCOMMITTEE

The Executive Board [of WHO] at its thirdsession adopted the following resolution :

The Executive Board requests the Chairmanof the Joint Committee on Health PolicyUNICEF/WHO to place on the agenda of itsnext meeting the item, " Consideration of theprocedure of the Joint Committee ".

In the resolution accepted by the [First] WorldHealth Assembly, in paragraph (2), it is laiddown :

(2) the same committee should regulate allhealth programmes and projects of UNICEFalready initiated or to be initiated in thefuture.

In the first report of the JHPC, dated 28July 1948, it is explained [p. 39] that " theword ' regulate ' in paragraph (2) of the FirstWorld Health Assembly's resolution impliesthat this Committee shall act as the advisorymedical body on the understanding that itsadvice will be followed by UNICEF in accordancewith its general policy ", and that " the medical

programme undertaken by the Fund will proceedonly on the recommendations of this committee,in order to guarantee that all medical activitiesshall be carried out in accordance with the inter-national authority in this field."

The terms of reference laid down for the JointHealth Policy Committee by the Executive Boardof UNICEF are :

that " the Joint Committee on Health Policybe a temporary body to operate only until allhealth activities of the International Children'sEmergency Fund shall have been taken overby the World Health Organization or areterminated ;that " the same committee should regulate allhealth programmes and projects of the Inter-national Children's Emergency Fund alreadyinitiated or to be initiated in the future ;that " in order that there shall not be unduelimitation on prompt action under theseprogrammes, the committee should delegate tothe Directors-General, in case of emergency,the responsibility for the functions described."(Resolution of World Health Assembly, 17 July1948).

To accept the principle that all medicalprogrammes and projects be approved only onthe recommendation of such committee.*To accept the principle that the implementationof all such medical programmes and projectsbe in accordance with expert advice given bythe World Health Organization.That in the light of the trustees relationship ofthe International Children's Emergency Fundto its funds, and its agreements with thegovernments concerned, the InternationalChildren's Emergency Fund has administrativeand financial responsibility for the operations inaccordance with the medical recommendationsof the Joint Committee.To look to the Joint Committee of the twoorganizations to work out the detailed applica-tion of the foregoing principles.

The Joint Health Policy Committee wasestablished by the two organizations as a mecha-nism to implement the policy of co-ordinationwhich has been laid down by the World HealthAssembly and the Executive Board of UNICEF.With respect to the technical soundness ofparticular programmes it was contemplated thatthe expert committees of WHO would be calledupon for their advice, subject, of course, to thedecisions of the WHO Executive Board. Whereappropriate and agreed upon between the twoorganizations, it was understood that the WHOSecretariat would be available to assist on specificproblems as arose.

The Committee may establish a list of acceptedpolicies.

* In regard to the programme of BCG vaccinationas already established, there are special circum-stances as also noted in the resolution of the WorldHealth Assembly.

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Up to date, the following medical programmeshave been authorized by the Committee :

(1) the BCG campaigns ;(2) the streptomycin campaign ;(3) the campaign to combat syphilis inexpectant mothers and in children up toeighteen years of age ;(4) certain malaria projects ;(5) certain training and fellowship programmes ;(6) a medical programme for training localpersonnel in North China.

As the latest policy of UNICEF is to allocatea certain lump sum to countries, it will be thecountries' concern to decide for which programmesthis money should be spent. A country maydecide to spend all the money allocated to iton feeding programmes. A country may select,for example, No. 2 and No. 4, the streptomycincampaign and antimalarial projects. Only thecountries themselves can decide upon theirneeds ; they will indicate which medical pro-grammes they prefer, but they can only spendmoney for health programmes accepted by theJCHP.

Once a country has decided to spend its moneyon a specific medical programme, in accordancewith the procedures of UNICEF which con-template the preparation of a plan of operationsfor each programme to be financed by UNICEF,no utilization of funds will be approved until aplan is submitted by the country concerned to

the Administration and approved by the Director-General of WHO on behalf of WHO. The mannerin which the plan will be considered will be inaccordance with the necessities of the case. Itmay be possible to approve a particular pro-gramme simply by correspondence, consultationsmay take place at Geneva or other points whereexpert consultation would be appropriate, or,when necessary, by visits of experts to theparticular country with its consent.

Since the funds for medical programmes arenow contained in the general allocations made byUNICEF for each country, where allocationshave already been made no further action willbe necessary by the Programme Committee or theExecutive Board after final concurrence has beengiven with respect to a particular medical project.In cases where new action is required by theProgramme Committee and the Executive Boardon health programmes involving new technicalpolicies and for which approval has not yetbeen given by the Joint Health Policy Committee,such programmes will be submitted, except inunusual circumstances, to the Joint Committeeon Health Policy before action by the ProgrammeCommittee and the Executive Board. WHO willhave the responsibility of technically followingup the medical programmes and reporting onthem in accordance with such arrangements asmay be agreed upon between the countryconcerned, UNICEF, and WHO at the time of theacceptance of the particular project. The financialand administrative responsibility will remainwith UNICEF.

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MONDIALE DE LA SANTt