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WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR THE
EASTERN MEDITERRANEAN
R,;~,I ONAL COIL'I'rrEE FOR 'ill S ;3AS TERl,,{ ~IjIEDI l'ERRANEAN
Ninth SGssi on
3lJ13-CONlIvII'IT.2E A
ORGANISATION MONDIALE DE LA SANTf:
BUREAU R~GIONAL DE LA
MEDITERRANEE ORIENTALE
EWRC91l/lilin/3 15 September 1959
:dlastern -;"ledi terranean, R01!ional Office, Alexandria
Tuesday, 15 SOQtemb8E 1959, at 8.30 a.m.
1.
CHAIRJI,tlli, Dr. H.O. SHOlB (Unibd Arab Republic)
C ON 1'1~N 'IS
Annual Report of tho ~o~ional Diroctor to tho ninth sassion of th8 -qo~ional Committeo; statements and rJDorts by represont-ati ves of ~~;lerob3r Stat0s.
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EM/RC9A/llin/3 page 2
Government RGpresen~atives
ETHIOPIA
FRANCE
IRAN
IHAQ
ITALY
JORDAN
LEBANON
LIBYA
PAKISTAN
SAUDI AMBIA
SUDAN
TUNISIA
Representative of tho DirectorGeneral
Secretary to the Sub-Committeo
Deputy Secretary to the SubCommitteo
Mr. Seifu Zelloke Dr. F.B. Rylander
~,/.rGd,sein Colonel Faure
Dr. -:';. ~temadia.n
Dr. A. T. Di ba Dr. P. Khabir
Dr. S. Mohamed ,,1 Chalabi Dr. Farouk Partow
Dr. Goffredo Tassi j,jr. Ahmed Abdullahi ,mmed Dr. Italo Gentilini Dr. Vincenzo Angrisani
Dr. Ahmad Nabilsi
Dr. J. Anouti (Chairman of SubDivis ion on Prorsra:mme)
Dr. Nouri El Rammali Mr. Omar Abbas El Qadi
Brip;adior M. Sharif, Vice Chairman
Dr. Hassan Nassif, Vice Chairman
Dr. Ahmo d Zaki
Dr. Ahmed Ridha Farah
Dr. H.O. Shoib, Chairman Dr. Dia E. Chatty Dr. Naguib Ayyad Dr. Ahmed Abdallah Dr. )!los ta pha 21 SalDlllaa Dr. 1\;Iohamed S0if () 1 Din
Dr. ? Dorolle, Deputy Director-Ge:lOral
Dr • .[:1..R. raba, Rogi anal Dir,:;ctor
Dr. -,1.. ~l Haldwani, Deputy Regional Director
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United Nnti8ns and Specidized Agencies
Technical Assistance Board
UNICEF
UNR1iA
Food and iigriculture Orgc.nizQtion
UNESCO
E:fo!AW9AI Min/3 page .3
Dr. Ta~hi Nas l'
Hr. H.B. Sandberg
Dr. J .S. 11i:ckenzie Pollock
Miss MonQ Doss
Mr. E. KupkE.
Representatives cnd Observers of IntcrgovernmcntclJ
Non-Governmental and Nc.tionc.l Orgo.nizations
Ir,torno.tiorw.l Statistical Educnti6n Centre, Beirut.
InternQtion"l Association for Prevention of Blihdness
Internc.tione,l Committee of Catholic Nurses
Interndional Council of Nurses
Internn tiorw.l Dental Federatioa
Internatio=l Union of Architects
InteI"D£.tionQl Unio" against the Veaerec.l Dis8Qses and Treponeme.toses
LeQgue of Red Cross Societies
World Medical Association
Egyptian Public Health Association
United States Naval Medical Resocrch Unit No.3 (NJ\MiaJ)
High Institute of Public Hc2lth
Mr. Fo.iz El Khuri
Dr. A. Ff'.rouk
• Miss I'Inrie Ejcil
Hrs. F. Hostnfo.
Dr. K. S~lnJTI.Q
Hr. H.1\. Hciko.l
Dr. Goffredo TQssi
Dr. Youssef Seddik R..,QfQt
Dr. Hostapha ~.r
Dr. Ahmed j"".mal
Dr. John TI. SO£1.1
Dr. Abdel Fateh El SheI"if
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FJi'IP,.G9A/ '1in/3 page 4
1. AIJNUAL RCPOIlT OF ':erG coJ::GIOi':,H Dr;;::::Cl'O?:-1'O 1'HE ltINTHSr;3SION OF 'TIlE ,bGImAL COl'IMIT'.lr;E; STA1TIV'lENTS Alt] !i2POITrS BY :R.:SH(SSEnrrATIV:r~.s OF JYwlffiBR Sl~~T=S: (Items 8 and 9 of th" Agenda; document 3'l,hc9/.2,)
Dr. ETEl1l8IAN (Iran) copgF'.tula-ced the Chairman on his unanimous election,
lJhich he was sure Wfl.-S not Qr4Y an.Fl·ct of courtesy to the host Government~ but
an expression of personal confidence. He associated himself HHh tne remarkb
of the 0eputy Director-General on the qualities displayed by Dr. Shoib as a
delegate to the 'lJorJd Health Assembly and as a member of the aecutive Board.
The excellent report of the, Regional Director .'/aO doubly interesting,
covering both the activities of the Regional Office during the period 1958-59
and the achievements oi' Nember States iIl the Region, ,Ji -ch i .. IO assistance,
during the ten years since 'ehc RegiO'lml Organization came into existence.
He approved the emphasis laid in the report on the training of technical
personnel, as shortage of qualified s'0aff "as a problem cemmon to most countries
of the Region. He particu12,rly Helcomed the attention paid t~ the fellocJShi:p
programme, since he felt that one of the most effective Hays of using the
resources of the i1egiol18.1 Office ',Jould be -GO ~.rant more felloHE;hips to all
categories of health Horkers so a,S to accelerate 'ehe development of programmes
at t.~le national level. At the same time, foreign experts assigned to national
projects shaul':; give TJOre time to 'erainil16 their SLlcceSSOrs to ensure the
effiCient continuation of the Hork "hen they Here 'ri_ thdrmm. He G.pprecia-c,ed
the in-ceres-y sh= by the rle[;iom,l Office in the training of doctors, Emd felt
that considerD.tion should be given to nroviding 0.irect assistance to medical
faculties in the ReGion.
The importance of env.i.ron'1lenta.l sanitation both urban a.nd rural, needed
no stressing. The greatest single need Has the pr-01rision of safe drinking
Hater, Hhich unfortunately "laS also ver;! expensi VB, so that in spite of all
their efforts Governments 2.nd municipalities often had difficulty in raising
the necessary funds. He therefore hoped thc,t the recommendations in resolution
1rJHA12.48 ",auld be lllt into effect.
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illl/RC9A/ Min/3 page.,
In his introductory statement at the previous meeting the Regional Qin"c-cc::::
had referred to' the evaluat.ion ai' the resul-(:'8 of :n.a-(:'iona2. programmes. :'Jork
on such an 8valu<:'.-cion had began in Iran 1.nth ·the <lSSltl\.lo,LH':C: or "tihe rleadquarttJl's
e.::pert, Dr. M-lC chiavello. Recult.s were proving encouragI .. D-e;.
He agreed on the lleed for .intenstfying reuearch in public h~2.1th. He
felt t~1at the Hark coold be entrusted to alCistinc: institution...B i.n t~1e llegio)":.,
~Thich Nere quite ~.lell qualified to carry it out if they Vft::J.'e given the nec8;:::;a~~
financial assistance and personnel.
Lack of coordinD.tion bebleen the different cQuntrj.es of the Hegion. Has ~lrh-:
of the great obstacles to the general raising of heal;:;h standards, and he
th€refore particularly welcomed the decision of Pakistan to join ot\ler GcVerTlJ)CT,(,C]
in undertaking a malaria eradic"tion progre,mme.
In conclusion, he wished to thank th8 ilegiol1b.l'Director and his staff fOJ
their help to his country during tl18 past year. He 21so wish8cL to tl12,nk
Dr. Shousro., tire previous Regional Director, for his great contribution to
laying the foundations of IranI s present health services.
Bri"adier SHARIF (Pakistan), both :oersonally and on behalf of his Govern'Tlent,
cOllgre.tulated the Chairrne.n on his election.
He 11as attending. his first HeG:ional Cornrnittee meeting, hav~.ng been
appo"Lnted -('0 llis present post of .0ir6ctor-Gcncr.:11 of Health only three lTl.onths
previously. He did not yet feel fully" in the picture", but t'laS tryil't[; to
familiarize h:iJnself as soon as possible, with 8.~.l a,!p8ctsoi his country I s health
problems. He appreciated '~he honour done to his cruntrv and h:iJnself by his
elee"Lion ac Vic,e-Chairman.
He agreed HUh th8 representative of Ir2.n about the excellerlCe of the
report ,)efore the CormniF"ee. He thanked the Regim-:c,l Dil~ector and the st2.ff
for their ready aSSistance, uhich in his short period in office he r,ad alrec'",Y
learned to appreci2te. He' loolced fOl',·12.l'd to fruitful col12.,bQ;r'ation in the
future.
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EE/l.C9A/ Min/3 page'
?,-:~Jdstan \-:2'.8 faced 1iith very seVere ~1eal"0b. problems.
2rec'" ~. popul~.tion of G 7 , 000,000.
yt.~rs before, and every thins h'J.d ru:ld -ijO be built up from scratch. A seeDEd
five-year pl.:-.n, in uhich much m.phac-':is 1128 12id on meeting the countryl s h~'""!.l·GL.
·1eec.~, vIaS to be launched in April 1960, and he wOL~lci refer to some of its
i"irstly, c;re2~t stress 1.;a8 put on health educc.tion of the public. Peo;cle
tended to thi:n.k of ~1eQlth [lS something th2.t carne ~·Ji-i:,l"":'_out effort, 2.nd of illJ-18SS
du an act 0", God; they did no":; realize. '0';::/0 they must look after their bodies
they 1wuld look after arrJ machine entrusted to their charge. A gre,·:; de2.l
of effoTt mlUla be needed to 'Dring 2 bou t the neces 82.ry ch8.nge of at ti tude.
PakistanI s population wcs 85% rural. In 1960 it .ms planned to set up
tl>renty rural h,::alth centres, ten in each 1"ling of the country, not only for
preventive purposes, but 8 . .1SO -to provide general services in the di2pensaI"J,
tuberculosis control, maternal 2.nd chile, hefll"Gh, v8,.ccination and family planniw:
fields. Those centres "ould fmm the spearhead fOT the gener2.1 development of
:cural he0.1t.h services UndGT tl1e second five-ye.s.r plan.
Tr2.ini11G of s"G2.ff, including those requiTed for '~he health centres, W2.S
one of the mai4'l nc~eds, and ~1elp from the Hec:ioIl;:l Office lIQuId be particularly
VTelcome. HiE> COlm~Gry lu:d institutes ior "\:.he training of doctors, nurses 2.ncl
other cnt.egories oi healt~;. wo:clcers, but they Here too few in number;~', 2nd
inadequately staffed. 118dic2.1 literc.ture, especially periodicals, UClS ·".lso
short and he 1-'e.S gl2.d ·co see -the emphasis laid by the Regio;.lc·l Direc"cor on
supply services in that fiC'ld. cJespite its dHficulties, his country 'lOulci b8
able tCle follol·Jl.ng Y8e.r to accept forty m8dice.l st.udents from other countries
of the Region.
He was ha.ppy to se.y tc,at his Govermnent had accepted the goal of malaria
erndic£. t.i"l1. It 1-1<13 ho:pcd thEt by next I:l0nth the pre-eradicEtion survey t8[,.T:1
llould be in the c cuntI"J. An 9,11-ou.-G att2.ck 1J'a8 also to be launched on tuber-
culosis. Smallpox Has still Gi1dernic in parts of East Pakis'Gan, but the countI"J
1IlaS now producing enour:;h vacc:iJnc· for it& needs and he hoped it might not be too
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I:H/aC9A/ Min/3 page 7
long before the disease 1'JCJ.S eradic.;:.ted. Regc.rding tmchorna, " team from
PakLs'cBn would be attending the semi;1i.~ to be held in Tunisia, and a survey
would then be carried out, in t.he o:qe part of T,'e3t Pakist2.n Hhere the disease
V'Jas preval ent" Attention waS also being paid to leprosy.
ill -0hc field of matem....".l ~.l1d child l1ez..lth, a 0ol1siderable effort h2.s
alrcc.dY 'been- ~ladb '..:'::''ldcr -I~hc' £,~~:-'s+ f::'v-:-:'-c".r plo..l1, and under the second it T,,!D.S
proposed tu extend services to all the rurc.l areas. Children represented more
than half the population, so the ir,lportance of paedic.trics was rightly expressed
in the l1e[;ional Director 1-5 report.
Dentill health and mental health ,Jere also receiving due 2.ttention in the
fi ve-yca:c plan.
Vital and ha"lth statistics nere unfortunately not as developed as they
needed to be for fuDy re21istic p12.nninf':, [lnd considemble stress wrold
therefore be laid on their iTI\~rovement.
As had already been mentioned, safe ",,",ter supplies, Hhich "ere essential
for envirol1llicntal sanitation, ",'ere also very expensive. Hm:ever, his Govern.mcnt
W2S doing ,.,h:tt i tcould, spending m<:'.ny millions of rupees for the rural 2S Hell
as the urban areas.
"Vlith reG2.rd to the administration of the Interna-ciol1£l.l Sanitary Regctl['tio113,
his Q'overnmcnt ;lad abolished the roCjl iroment for systematic disinsectizatiol1 oi'
aircraft, accept for those com;J'lG from yel101' fever areas.
A progr2JrlmO of research on cholero. kid been st<:'.rted in £'. la bor£'.tory in
East Pcld.Stilll. In the me2ntime it Has hoped that the programme to "hich he
had £'.lready referred for tho provision of safe l!2ter "ould help to combat t;1E
disease.
One m.:\'cter· to "hicb he felt the Region2l Office should give attention 1128
the investigc.tion of locally used medicin21 horbs. Most such herbs Here nO
dou bt nothing moro than quack remedies, but h" ,ms sure the. t l11."ny ].muld prove
Horth including in national ph2rrnacopoeias.
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EMjRCgAi lUn!; p2ge b
Dr. ANCUTI (Lebanon), anor congr2tulcting the Regional Office on its
first ten yec;rs of activity, said h", would briefly touch on some of the activities
c2rried on in his country by his Government tn-til. the Regional Office's assist2nce.
A tuberculosis control project M.S been in opero.tion since February 1959.
1lith t;le 2id of mobile equipment, large numbers of Z-ray photographs had alro2dy
vaccin£.ted with BCG. Legislation had 2180 boon introduced requiring candidates
for publiC emp.loyrnont to undergo tesos for tuberculosis.
Sm21lpox could nOliJ be considered eradicuted, as there had not been a single
case since 1957. The problem l'JaS now only to prevent re-infection, so he
hoped tlmt neighbouring countries in '\heir turn would cooperate in eradicating
the disease. He dso suggested tmt i'JI-lQ might consider setting up in Beirut
a laboratory for the production of dried vaccine, in case for any renson supplies
uore not available from other regions. Sm211pax legislntion in Lebanon
provided for free compulsory v2ccim,tion over<J four ye2rs, beginning at the age
of six months, exemptions being 2ccorded only for gr2ve medical reasons.
ilis Govenunerrc IS fi';e-year progr8mme for the eradicntlon of m2.Laria was
to be completed in 1960. Resul-ts so f2r aV2ikble sho,fed that everything "'eeS
going accordinG to plan. He uould not give deteeiJ.s, but only express the ",ish
th.':.t neighbouring countries would cor,rploto thoir e:C['.dic<:'.tion of the disease
so that the full benefit of his country's efforts would be obtained.
A great problem in his ceuntry nt presCl,t 1if2.S poliomyelitis, the incidence
of lIhich, n5 1{21" shown by figu:>:es he cl-Ged, h.l Greatly increased in recent
YCL'.rs. vnccination >rc.S not genernlly compul'l"ry, but wns carried out only
\fhen cnses occurred in densely populc.ted c.re2[ • HO;JCver, if polio virus
vaccine really proved to be qUit8 safe, he Se.",· '10 objection to making vaccin[\tion
cempulsory throughout the ReGion, ns the prese].1 increc.se could be expected to
continue unless it was checked.
He wished to convey his Government i s thc.nlc to the Regionnl Office for its
assist.nnce in sotting up a centre for the devel"pme::1t of rurc..l henl th services.
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[l;M/RC9A/ J1in/3 page 9
Water supplies nere plentiful in Lebanon, t:'.nd in many towns and villages
they were adequately pure, oot elseuhere the population depended on ~tural
springs, most of 1,hich had been ShOlID to be polluted. To dfl".L "With thl'lt
problem a great ded of help llOUld be required fran the Regional Office.
Dr. CHAIABI (IIT'.q) expressed his pleasure at Dr. Shoibls election to the
chair t:'.nd leis ho;?cs for a su~cc8sful meeting that "mId contrioote positively
to :t'2.isin,~ health sta,ndards to the Region. His Government I s hospi talitv' n t
the last meeting of the Regional Committee, so kindly mentioned by the Regio!'zl
Director, uaE' on:l¥ natural in view of his Government1s wish to co-operate in.
every way in the ,?Ork of the Region.
During the past ten years liliO had ;J.ssisted his country in developing all
aspects of its health services. He would refer briefly to some of the more
important projects.
The credits voted for his. Government I s malaria eradication programme had
recently been increased by one and half million dinars. In that connexion,
he endorsed the emphasis in the Regioml Director1s report on the importance
of coordination of er<ldication activities throughout the Region. He also
took the opportunity of thanking UNICZF for supplying tne DDT required for the
programme in Iraq.
Control of bilharzia,sis coule not be effectively achieved without expert
direction, oot the posts or "mo experts in his Government1s project had
unfol~unatelY been vacant for part of the present year. He hoped thD.t suitable
persons .. ould soon be sent 80 tl12.t opel"ations eould be res1lJlled. The prOblem
Has serious: available figures showed t;1at 30% of the population in .the project
area was affected, but it wa,s believed '0l18t tlle true percentage was higher.
A High Council had been set up by the Government to coordinnte all
activities in the control of communicable diseases. A training centre had
also been established for communicable dise2se control personnel, and it Has
hoped progressively to establish centres for the trClim.ng of other categories
of health workers. A neH medic2.1 school w".s to open at Mosul the folloWing
month, with ar. initial intake of 200 students.
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EhJi'lMA/ Min/3 ooge 10
A credit or 400,000 Dinars had been allocated to right leprosy on the
south or the oountry; assistance in this regard wculd be welcomed.
A smallpox eradication campaign ;1ad been launched a month ago with help
from the USSR. In that connexion he endorsed the remarks of the Regiond
Director on the need for simultaneous operations t'-~oughcut the Region.
;>i!k~lly, the camtryr s' netHork of he~J.tlc centres has been extended ,md
its equipment improved.
The ob.iective of the Organization was to raise heD.Hh st2ndards everywhere,
so he felt bound to mention one particuJ.ar thre2.t to the health of the Region,
namely the intention of the French Government to explode an atomic bomb in the
Sahara region. He asked the other Goverrunents of the Region to join with him
in calling on the French Government to renounce its project.
Dr. NASSIF (Saudi Arabia) congratulated the Chairmv.n on his election and
th<:..'lked Dr. Taba and his staff ror the excellent report they had prepared.
He would cOJl1Jllent briefly on Mtivities in his own ccuntry, where the mo.in hroHh
problems were smallpox, malaria, and tuberculosis.
There were several obstacles to the effective control of smallpox, the
first being connected \lith the annual MeccD. pilgr:i.mego. Unvaccinated pilgrims
showing smo.llpax symptoms had often been encountored in the past,but tho
previ01l8 ye&l' oases L14u. O-';<.;1.:.::c.r-0d v!l shipo l8dVil.:.g ai'l:,er the pilgrimc.ge, o.lthough
all pilgrims had possessed vaccination certificates. Too t shm18d that some
of the certiricatos were not Gemine, md he hoped th2.t tho countries:rrom
which the pilgrims came ",auld take appropriate measures. A second problem
was the large number of cases arriving from Yemen, which hnd a long commcn
frontier with Saudi Arabia. He trusted thct the Yemeni Government, whose
representative was not yet present at the seSSion, lIould co-operate "nth his
in order to rid the ccrnbined itroa of thc diso2se. Thirdly, dried vaccine H2S
not giving as good results ::-.s liquid. He personally h2d vaccinated his own
Q,ughter five times Hith dried vaCCine, taking every precaution, but without
success .. Whe!l he had used liquid vaccine, the vaccin2tion had taken thE rirst
time.
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EM/RC9A/ IYlin/3 p2.ge II
Regarding the measures imposed by his Government under Article 103 of
tho Internotional Sanitary Regulntions throughout the ycc.r (p2.ragraph 247 of
the Regional Directorls report), he explained th2t the flDl'l of visitors to
Saudi Arc'bla W2.S const<mt 2.n~ not confined to the pilgrimage season, and the.t
ID2.ny of those coming overland, frcrn Pakistan for ex2.mple, did not he.ve
vaccination certificates. The problem W2S agGravated by the f2tigued condition
of the visitors which rendered them particularly susceptible to infection or
sunstroke.
Plans h2.d been 12.id to launch 0'. c2IDPaign for tho ere.dicntiol1 of malari2,
2.00 it wns intended t~.t the er2.dic2tion tC2Jl1S should at the selUC time combat
bilharz iasis •
Al1Clther tuberculosis hospikl hD.d been completed during the past ye2r.
A clinic for domicil~ry care established two years ago in Rind he.d proved so
successful tlk".t it was .plc1llned to establish more in othor a!'B£.S of the country.
His Goverrmlent 1 s responsibilities in the field of health were perhaps
greater than those of any other Government in tho Region, since it must protect
the pilgrirtLs as:well as its o;m people. lifith co-opcr2.tion from neighbouring
countries it .[}Quld improve its. services in that reg2rd. For ~cmple, of 700
piiE(:nms who had died during the P2st yearl s pilgri!lla"e. 600 lw.d been old
people. The death toll cruld be greatly refuced if Governments would prevent
the old and infirm from attending tho pilgrim2Go, at least until weather
conditions bece.mo milder.
Apart from malaria and smC'llpax:. [mother import[mt problem in his country
H2.S thE'.t of drinking ;mter, Hhich 1ow.s deficient both in quantity [md in purity.
Plans Here heing discussed uith ',JI{O to t2ckle the problem, ii1cluding the
possibility of fluoridation.
Facilitios for training personnel were 2S yet very rudimeIItc.:ry in this
country. ,vi th lrillO assistance it ,,:::s plLDned to set up tr;:cining schools for
male nurses so thEt eventually there lmulct be ore 2.ttEched to e2ch hospital.
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EM!RC9A;M:in13 page 12
There was no yellow fever in Saudi Arabia, but the vector mosquito was
found, and every precaution was therefore be:ing taken to prevent the :intro-
duction of the disease.
As the countries of the Region grappled with their exist:ing health
problems., they were faced with a new and unknown danger from the atomic
bomb which the French Government proposed to explode in the Sahara. He
would submit a draft r~solution call:ing on the Regional Committee to condemn
the proposed action and request:ing the Regional Director to take all
appropr~te measures.
F:inallY, he wished to relterate his gratitude to the Regional Director
and also to thank the Deputy Director-General, t,hose presence at the
meet:ings of the Regional Committee was always most helpful.
Mr. EL QADI (Libya) expressed his confidence that Dr. Shoib would prove
a most efficient Chairman.
He hoped the Regional Commlttee would join the representative of Saudi
Arabia :in condemn:ing the proposed atomic explosion in the Sahara. It
constituted a severe threat to all the countries of the Region, and particu-
larlY to thOse :in the African cont:inent.
He thanked the Regional Director for his valuable report and for all
the assistance accorded to his Government during the past year. He hoped
it would soon be possible for Dr. Taba to visit Libya in person and see its
various problems at first hand,
Lack of qualified perccmnel was a serious problem :in his country, and
he therefore endorsed the Regional Director's views on the :Unportance of
education and training. In the field of communicable diseases, Libya's
ma:in problems were trachoma and tuberculosis. Regarding the former, he
realized the difficulties facing the Regional Office in finding highlY
qualified specialists in eye diseases, and hoped they would soon be overcome.
A five-year plan for the general improvement ·of the country's health
services was to begin in 1960. His Government was counting on eXtenslve
assistance from the l~gional Office and from other organizations in this plan.
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~WRC9JV'Min/3 page 13
Re~ardin~ malarla, tho preliminary results of the survey recently carried
out showed that the disease was confined to a relatively small area containing
210 of the country's population. The ~overnment would undertake an eradication
program~e early next year.
Rogardinc: mental health. his Governmont approY"dtho app01ntmen't 01 a new
full time adviser and had annreciated the recent viSit by ,IRO experts.
Finally, he wished again to emphasize the importance hE e:t'tacnea vo "fie
?roposal of tho Saudi Arabian ropresen-retive.
Dr. ZAIIT (Sudan) ccngratulated the Chairman on his election and thanked
the Re~ional Director for hlS ro?ort, which showed that the aotivities of tho
Regional Office were being well run. He would ask for clarification on a few
points of detail.
On page 2 of the Introduction it was stated that at tho end of tho period
under reviow 64 projeots wore in operation, 95 were being ~lanned and 18 had
been completed. He hoped that it would bo possiblc to accelerat.0 activitios
So that the proportion of projects in operation and completed could be incraas0d.
Ho agreed with tho Regional Director about tho imp~rtance of education and
training activities. In that connexion. he noted that the proportion ~f the
budgot to bo devotod to followshius in 1960 and 1961 was loss than in 1959. He
would hav~ preferred to soe a stoady incroase in tho relative amounts allottod to
fellowshi ps •
There were not sufficient modicamonts and vaccinGs in his country for com-
batting communicable diseasos thore. He hoped that a sum would be lalG Gown In
1:m0 ' S bud~et for tho Ro~ion for the provision of medica.~onts and vaccines for
that purpose. He was ~lad that tho Lobanese roprosontativ6 had raisod tho
question of poliomyelitis. Malaria eradication operations would probably start
in the Sudan very soon.
The Regional Office should give high priority to community health problQms,
and in partioular to that of prOViding adoquato drinking water sUDplies. In
thG Sudan many mothors and ohildron died bocause of fly-borne aiseasGs. He
fully a~rGod with sub-paragraph 93 (b) of tho report. Mora health eduoation of
~dults and health demonstration cen'tros W8~e noeded in tho Sudan,
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.• :.JJ:~/;;.""J~i .. /'" .... J.'l.Lni) pnge 14
He hoped the Regionul Director would bear in mind the undesirubility of
changing experts too frequently. The reports of ala experts sent to the
Sudan did not rench the nuthorities of his country soon enough.
,fuen malO.ng budgetary crr~m8emcrrts for the future twrk of the Regional
Office the importance of long-term projects such 28 five-yenr plans should be
Major health projects in his country were often adversely affected by
coonges made in Technicul Assistance ~"rrangements by "lIO. Such chcnges were
mnde too often.
D;r. TASSI (Ituly) sdd the.t he dso wus very grnteful to the Reg<.onal
Director for the interesting report under discuss:ion.
He would like to enphasize his sto"tement tm"t the carrying out of projects
1,raS often udversely affected by luck of 2"deque.te personnel; that t,ras ~. mElt·Ger
"Ihich should be given c2.reful considerr,tion. He wus very grateful to H}IO
for the help it wus giving with ·the establishment in Somalia of a school for
"uxilinry he"l th personneL
Dr. FARAH (Tunisiu) suid h"e .. ns very "rrteful to the Regionul Director
for the report under discussion, which consisted of 2" very clenr description
of the Region1s health problel1Eand of the pr"iseworth.v efforts being m£\de by
the RegiomlOffice to de2"l with them.
He w':'shed to by stress on the implJrkncc of tr2.in:ing publiC health workers,
und in purticular doctors. Although there "IUS a grep"t need for specialized
tr~.ining, such trnining was not Cllu2,Ys successful bcc2use, in many ceses, tilOSC
who were given it did not possess the necessQry ksic knovlledge of public
hGulth .wrk. For that reusen tho provision by WHO of a course of h'\sic
instruction on public hec"lth Hark for the Rogion might be very useful.
The Sub-Committee should tej{c steps to ensure that t,'1e Uni ted Nutions
Genercl Assembly wus informed t;,2t it 'JaS strongly opposed to nucleo.r bomb
tests being carried out in the Sah"ra.
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Dr. NABTISI (Rashernite Kingdoln of Jordan) said th2.t he also >reS verv
grateful to the Regionnl Director for the comprehensive report under discussion,
in l~hich the Regional Director had clear4' explained the health problcllllS of
the region.
Considerab10 progress hud recentl.v been mt!.d£ in his countrv in work
rogarding vi-tal uncl ,health c-cc:.tistic.s. 'rhct was very largely due to help
recei ved from the WHO expert on the subject who was stationed in Beirut.
The Minister of Hoolth of his ccuntry had established a cO!l1l11J.ttee to discuss
vital and health statistics work. He hoped "CMt the expert wculd in the near
future pay a longer VJ.SJ.t to A1nman than the one month Is Visit lffiich he hnd mude
already, one month not bcinr sufficien"C.
It was highly regrettable thi'.t smallpox was'uot yet uompletely eradicatcrl
throughout the world~ althrugh mankind had for long been in possession of the
means 01' aclUev;jng that "tim. The existence of sllk\llpox in one country ,laS a
great danger fa)" neighbooring ccuntries from wl)ich it had been eradicat.ed.
His Goverrunont had offered ol1e million doses ,f liquid smnllpox vnccine to
the Regional Office and two million doses of it +,0 HaO Hocidquarters. It hoped
to proVide them with the same amounts -:£ such vaccine eMh year in the future
Dr. NASSIF (SAudi Arubia) proposed the adoption of the following draft
resoJlltion:
"T~ Sub-Committee A.
DAsi.ring tc protect the population of the Region and tho ad.jacent
area!' from atomic bomb and radiation hazurds tfmch threatc.'Il public nC".lth,
1. DISAPPROVES +,h" explosion of tho atomic bomb by li'rellee in the
Algerian Desert and asks t~.t this J.IlU\lJMn c.ction be abandoned;
2. REQUESTS tho Regionul Director to noti1'J this Resolution to the
Orgunization Membar Skies and to all International Organization" and
Bodies by all p""sible means."
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Zh/RC9A;1'Iin!3 page 16
Dr.E1 SAMMAA (United Arrb Republic) said tkt his Govermnent .,es grateful
to tho R.egi'Onal Director and WHO as a whole for the w:l rk they were doing.
The Ministry of Health greatly appreciated the report under discussion, which
it hL'.d studied very cO'refu1Jy. It WOlld do 1'.11 in its powor to help the
Regiollc~l OffiCe carry out its functions.
'It ~m's highly desirable thc.t tho funds availeble to the Regional Office
for health edUcation md trr.ining should be incree.sed. In particular, the
need for prOViding more nurses for doing prt.ctice.1work should be borne in mind.
He hopod th:\t villO would help institutions in .,hich health education <'.nd trc.ining
were given by providing them .nth doeumontntion and helping them to drnw up
curricula for health edUclltion c.nd training, since the arrcmgement of such
curricula was most importnnt. He also hoped that 1JHO would provide assistance
for evaluating the results of hee.1th work in ccuntries of the Region, since
such eva1uetion wes most desireb1e. Such evaluation could be successful only
if there were aaequete cooperntion. HHO should provide more experts than it
.ms doing nt present for helping with the tmining of hGalth workers. It was
necessary "';,hnt the latter should receiv(; instruction in their own language.
Fe11m,ships should be grrnted by \Jl;!O primarily with a view to aiding the
countries of which tho reCipients were nationAls. Personal interviews were
desirnble for the purpose of l1U'.kind the best possible selection of candidates
for vJHO fellm;-ships, and t:lere should be e.dequate reports on the work dono by
those selected dUr1ngtheir fellollShips.
He W.:'.S very grateful to the Regiond Office end elso to UNICEF for the
very valuable help they were giving to the hed th euthorities in both parts of
his country with a view to the eradication 9f mnlerin. The planning . of malarie
eradication operations there wc.s neerly completed, ~nd it was EllCpected thnt the
stege of actual operations would stc.rt very soon. qe hoped th~t the R.egional
Director would have more funds aveileble for malaria eredicetion work than
those for which provision had been made.
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El'1;1'l.C9A,hlin/3 page 17
The authorities of his country .vere carefulJ,y studying wlmt ,mre the best
methods of fighting bilharziasis and other endemic disGlses.
WlO should grc.nt felloHships to persons living in the Region for studying
radiation haznrds~ He. wished to join in the protest against the projected
nuclec.r bomb tests by the French c.uthorities in the Sahara.
Mr. ZELIEKE (Ethiopia) said tht'.t the health Quthorities of Ethiopi2 had
studied the report carefully 2nd lmd found it most enlightening .. He hoped
tho.t the c.nnual reports which the Heg~onal Director "lOuld. make in the future
Hould be equally enlightening,
M6decin-Colonel FAURE (Fr1J1lce) SQid th,-,t he c.lso mshan to congratY.late
the Hegion2.1 Director on the report, uhic:~ Wc.s a very lucid (lne.
He had been astonished to henr severb:l comnients on nuclear tests which
Here entj.rely a matter of conjecture. No nucloar tost had ':leon made by the;
French "uthorities in the S"ho.rn, ffild no ono could say "ith certc.intY.w-hether
they "lOuld mQke arw such test tCJere.
ThG REGIONAL DIPcECTOH said theLt first hG wished to c.cknmllodge the 1:lOrds
of e;Jpreciation reg2rding the 1,ork dono by himself "nd his staff.
The representntive of Iren ho.d spoken of tho importance of WHO helping
to provide f"cilitics for the study of public hcdth '.nd preventive nlOdicino
in universities of the Region, Provision for lmO providing such holp heLd boon
made in the proposed Progmrnme "nd Budget Estimntes for tho Region for 1961
The e.ssisknce by the TICf,ioDe.l Offi"" in this field 1ms in f1Cct
increasinc. He was "lad th2.t the represcntntive of Ire.n, o.nd other
representatives "lSD, h"d stresse<i the import£.nce of providing o.dequc.te supplies
of wv.ter; the Regional Office wo.s prepc.red to provide nt'.tional hcnlth c.uthoritiGs
with more ~_ssist[ll1cG in that connexion. He 1-lould like to know the plc.ns of
governments of the Region regc.rding we.ter supplies. In c onnexion with the
evaluntion of the totD.l nationcl hwlth progr21lll11es, he 1'1e.s looking forward to
receiving the Iranian authorities I report on the eve.luntion project presently
in operation, which he believed would be vory useful to the Regional Office.
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Jil/llC9A/ Hin/3 Pc'lge18
He 'ms ver<J interested in the inform£.tion given by the represonk,tive of
P,,-kistan, especially that reg,,-rding P,,-kistan's second five-yo,,-r plan and the
trflininc; of hv:clth personnel, He ,-[auld be ,gJo.d to discuss that, and the
Region,,-l Office 1wuld re,,-dily give 2~11. -c.he he!,p it could for carrying out the
project. He Wc.B plecsed thcct tho p:c:o.stan c.uthori-c.ies were planning to s~0c.rt
mc.laric. erc.dicc,ti'On ope:L~o.tionG" T;;:~ ... C.t the Pc..kisto.ni represent2. ti ve }-~~cl s:2id
regarding Vital and health st,,-tistics Wt.s very importnnt.
He vlaS particularly interested in the three subjects stressed by the
rcpresentativeof the Lebanon in describing public henlth nctivities in his
country, namely tuberculosis, public he,,-lth ll'bor:ctories and smallpox; the
Ile[!;ional Office would reo.dily assist the LcbanGse l'uthorities vlith activities
concerned with those three subjects, l'nd particularly with vnccine production.
':Jith reference to the Lebanese representative! s stntement to the effect that
the number of cases of poliomyelitis in the Lebanon 1ms incre<'.sing, he thought
he should report that inCidence of poliomyelitis 1J<'.S incrensinc in other
countries of the ReLion also, nnd that in p:crticular it hc.,d incrcl'sed in orel's
where pure water supplies hc'ld recently been provided for the first time.
Lengthy questionnaires regarding the dise,,-se hC'.d been sent out from the Re[;iono.l
Office to the c01ltltries of the Rec;ion o.nd dnto. were beine received. The
Regional Office 1fould g12dly 1-1clp c2r.cy out the rurGl h8Qlt.h progrt'.mme mentioned
by the Leb,,-nese representc,tive, o.nd he 'lOped th,,-t the nrr"-ngements for the
provision of such help l-puld be finalized during the current session,
The ropresentntive of Ir,,-q heed been ri[;ht to stress the need for strengtheninG
measures to combat bilharzi,,-sis emd malnria. The RegionC'l Office wns tr<Jinc:
tc help the Iraqi nuthorities with such r'loasures. He hoped tllE'. t arrangements
regarding the special project for tro.ining technicC'l personnel to serve in
Ir~,q would be completed shortly. He "elcomed the progress being lD£\de in Irnq
vJit.h mnluric. eradication.
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Et-1/RC9AjM1nj, pege 19
He naa 'taKen cerelUl note 01· tho InfOI'lll.'ltlon regarding health problems in
Sauo"i Arabia given by the represenktive of that countr.v. par't~cu.Ll:\rlY the
information relating to smallp,ox, which he thought could best be discussed when
the Sub-Committee was discussing the progrmmne for 1961. The Regional Office
would readily give w~tever assistl:\nc€ possible for the provision of safe
He hoped that arrangements would be
completed shortly for the provision by 1JHO of assistance for training of all
categories of sub-professional he~th personnel; that might per~ps be dono
by expanding existing project.
He had been very interested in the sktoment ID£'.de by the representf'.tive of
He Wf'.S glad that the Libygri authorities 1mlcomed the Visits they ~d
received frQll representatives of the Region~ Office. He tried to arrf'.nge
such Visits wheneverthe:v were necessar:'T.
With'reference to the Sudanese represen"tative1s rom.2rks on puge 2, he
woul.d. explain that "lBI' W/J.S the figure for the number of projects completed in
the one Year covered by the report" "hereas the :figure fpr projeots et the
planning stage were those includ"d also in tho 1961 budget. He included in
his progr£JlUi1e proposals all the necosso.ry proj<JCts proposed by gove·nmrents of
the J:tegion in so i'ar as tho.t W!}S possible. He .vas gl!}d th!}t t.he representntive
of the Sudnn agreed Wit11 his Views ref{ardirm the noed fer the training of health
personnel. It gave 1:l.im pleasure to b~ able to report thnt some of t.ne Droblems
,Ii th which the RegiOnnl Offioo hnd been faced where training of Regivi1c.l
c!}ndidates at the Higher Institute of Nursing in Alex!}ndri" was concerned m.d
been ironed out ir discussions with the rector of Alexandria University.
Two levels of troinlng at ASFEC enabled more students to participnte ir. the
courses. I'lith regard to the Sudanese representative1s commonts on the fnc
t~t according to figuro III the prcpertion of tho Rcgion,u Office's tot!}l
expenditure on fellowships would be gre!}ter in 1959 that. in 1960 or 1961, he
wculd explain that actual expenditure by the Regioml Oi'fice en fellowships
dunng 1959 wculd be hit;.'"lCI than the fieure &.,proved by the Sub-Gommittee at
a prev:LOUS session, becnuse. Sl'.VJ.nf(S "ccrull~h tQwaras the ena .vf Sc'1ch yoor were
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EI·VRC9A/Min,/5 page 20
used to provide fellowships. Actual expenditure by the Regional Office on
fellowships during 1960 and 1961 would for that reason urobably also be hie;her
than ~he figures auproverl by the Sub-Committee. He would try to ensure that
the number of fellowships granted would be as great as possible. ·'VHO's rules
re"ardin!1; 1,'.e llow.shi ps were being tightened. '11R0 fellowships were being granted
for study in fields most ur~ently needed, and those to whom such fellowships
were awarded should he the most suitable persons. The Re:,ional Office would
endeavour to provide the Sudanese authorities with supplies for the control of
communicable diseases; but it should be remembered that WHO relied to a large
extent on UNICEF to provide such supplies. He intended to submit a roport
on poliomyeli tis in the Region the following year. 'I'/HO did not change the
experts which it sent to member countries except for compelling personal or
administrative reasons; in all cases in which they were changed the autho-
rities of the country concerned were consulted. Delays in providing experts
were unfortunate but unavoidable.
The Italian representative had drawn attention to the need for training
health personnel. The report showec'. tint the Re?,ional Office's orogramme
included plans for helping to traln such personnel in Somalia.
He had taken careful note of what the reprosentative of Tunisia had said,
and in particular of his reference to the need to train doctors to man public;
health services.
He had noted the suggestion made by the representative of the Hashemite
Kingdom of the Jordan that the l~RO expert on vital and health statistics should
visit his country again for a ,1ongBr period than before. He wished to thank
that representative for the very welcome offer of smallpox vaccine.
He appreciated the assurance given by thA representative of the Dni ted Arab
Republio that the authorities of that country would continue to do all in their
power to help tho Rogional Offico carry out its functi~ns. As he had s~id at
the opening meeting of tho session tho rolo.tions betweon thos0 authorities and
the B.egiono.l Office W0re porfect. Tho ROl!,ion:ll Office WOl,ld f';ladly help natiar&
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EMIRC9A;Min!3 page 21
nuthorities arrange curricula for the trdning of hec.lth personnel, "hich he
ugreed W2S a most important matter. He bad been very interested in bis remarks
concerninc; tIle importnnce oJ: eVQlue.tion of the results of hec.lth work, because
it was indeed necessary to evaluiete mtioml health c.ctivities, espocially as
rc.pid developmeIlts were taking place c.t present in heo.lth work. The Regioml
Office w'ould c;ladly holp In th such evaluc.tion. 11i th reference to his remc.rks
regarding fellowsllips, he thought he should skte thct personal interviews of
cnndicktes for feUmmhips by members of the Regionc.l Offtce were arranged
whenever practical. Usually reports 1[ere submitted both by the recipients
of the fellowships themselves and by the o.u"thon:tics of the country to \,hich
they were sent; those reports were forw'.rded to the ieuthorities of their
home countries whenever necessc.rv.
He had taken c~reful note of ,,]o';:.t the representatives of Ethiopi~ and
France had said.
After the representative of Saudi Are.blie hnd pressed i"or discussion of
the draft resolution 11hich he had proposed, the Regiol1F.l ;:)irector said that
he had not referred to this mietter in his reply since he believed that it
should properly be discussed under item 15 (e) of the AgenOO Imich decelt wit:,
Radiation =d Public He2.lth.
Dr. ZAKI (Sud.':Il1) felt tlrt there wns insl\fftcient emph:'.sis in the report
on envirOl1Illent,nl sanitation and corrurunity hG.:.'"llth problems. It was of
p,.,rticulnr interest to his Government that thoro should be nn active progr"mrne
of plmming for sanitntion in I'llr"l are"s, l"lith spociill reference to the
development 0 f e. cheap end prncticnl ID.trinc.
The REGIONAL DIRECTOR snid thilt the plilns for a I'll~"l health progr2.mme
"Jere being developed with the Government of SuOOn. Tho question of the
developmen'i:, of n practicul Intrine for I'llr"l snnitiltion -would be considered
in relntion to this project, but there WilS of course at present no single
type of latrine which uas universo.lly suitilblo for use in rural arenS.
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EM;RC9Afttin!3 page 22
Dr. NASSIF ~Saudi Arabia) sdd that the do.nger of ntomic radintion was
a matter which o.ffe~ted the Region as a whole and should be discussed by the
Sub-Committee rather than by the Sub-Division of Programme.
Support for this view was expressed by the representatives of Iraq and of
Libya but it waS agreed th:\t further discussion on this q)lestion be postponed
to permit, consio<ll."ation of the draft resolution on the Annual Repor" of the
Regional Director.
The 3HAIRMAN read the follotrlnG drc.ft resolution:
"ThE Sub-Comm~ttee,
'f!cv1ng considered the report of the Regiork".l Diroc'tor coveri!1.g the
twelve mon'tb period 1 July 1958 to 30 ·June 1959,
1. EXPRESSES sntisfaction with the work accomplished during the period
2. NOTES with apprecia't1on the lines along which the programme is
developin[:" particlllarly the increasing emphasis being placed on educo.tion
andtrainillf.(, the control anderadiMtion of cCl1lllllnicable diseases and the
:promotlonof maternal £,nd child hrolth in all ite 1lSPocts;
:3. NOTES with approval the extension of inter-country and inter-regional
undertakinge which are essential to the coordin~tiOn of activities;
4. URGES GOVernments tv ensure con'tinuine 8Veluution of tn~ir hea.Lth
activities., as an integrel pert of their total health programmes;
5. COMMENDS the Rer60nal Director for his COIllprehensive and far-sighted
report;
6. REQUESTS the Regional Director to intensify his efforts 'in nIl the
fields outlined'
7. ADOPTS tho report as presented.IT
Dr. ZAKI (Sudan) proposed the runendment 01' pnregrepn 2 by the insertion
of the l~OrdS Itenvironmentel health ana •••••• ,II after thE words ITprOlllotion of','
in the lasi line. It was so agreed.
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EMjRe 9A/Min/3 pC\ge 2;
Decision:' The Sub-COOunitteoC\dopted tho resolution on the !.a'lUnl
Roport of the Regionrl Director, D.S "-ll1Bnded.
Anm'lering " question on the procedurr.l (J.spects of the propos"l for immodicto
discussion oftiJc druft resolutiol'l submitted by the Represenktive of So.udi
A rc:bin , tl,e DEFq'l'Y DIllECTOR GENIT(;\L snid th"t it wculd require the introduction
of f\. D6ieJ -J . ."Gem on ti18 i:"g8HlLa. ;t"ic;5 ;; and 10 of the, Rulosof Procodure did nO'0
provide for tho nddition of ne,1 items to the Agendc'-; ,,-fter its "doption, "-nd
Rule 50 preCluded the Sub-Cor;mlittee from "-.mendinG or suspendinG Rule 9. Tl::us,
no chonGe could be m"de to thE A[;cOOr. after its ndopti0l1 "nd " proposo,l could
be discussod only under "n ex:ist:ine; :item of the Ae;enda. It did not seem
o.ppropriate to discuss " dr"ft resolution denline; with future eventunli ties in
connexion With the report of the \cegion1'.l Direct"r which covered "- specified
period of p,,-st time. It ,;ould oonsequently seem, o.s "lro,.dy st"-.ted by the
Regiolli'.l Director, thc~t, from n procodurc.l point of vieli, the proper pkce for
the discussion of the rru::tter ro.ised by tho llo:,0l'esento.tiv8 of Snudi Ar-:cbi-:c ",~.s
under ita1 15 (e) of the ligend", Rcxlic,tion -:cnd PubliC Heo.lth.
Tho CHAIPJ'u\N, -:cfter havins consulted the Sub-Committee, ruled tkt the
dr"ft resolution, since it nrose out of tho" ""cement =de by c. representntive
of n Member St,:,tc, shoold be dcbnted under item 9 of the Agen<b, St,:,ter,1en-cs
by Eepresoi1tntives of Hembers Sktes, 1Jhich 1i1-:CS cmdor discussion concurrontly
With item 8, Report of the; Ilesiono.l Director.
The CHAIRMAN then re"d tho text of the drnft resolution submitted by trw
represent-:ctive of Snudi Arnbi2:
"The Sub-Committee A,
Desirine t oprot,-,ct tloe populntion of the RC[;ion "00 the "djacent
areas from c.wmie bomb "nei ro,di-:ction h"zC'.rds "hich threo.ten public
hC2.1th,
1. DISAPPROVES the explosion of tho o.tomio bomb by Franco in the
,Hgerien Desert "nd C'.sks thD.t this inhm1J'-l1 c.ction be dXll1donodj
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EM/?..G9A ;\:!in/3 pD.c;e 24
2. RE;U1J'I'S the Region:'.l ;)irector to notify this Resolution to the
Orgnniz2.tion Memb8r St2.tes and to 2.11 Intern~.ti0l12.1 Orgnniz[\tions end
Bodies by nll possible mews,"
Dr. PARTOVJ (Irnq) propos8d tkt in li-ne 1 of peregr[\ph 1 the word
lldisnpproves tl be deleted 2.nd repla.ced by ttprotests c.sninst".
Dr. ANCU'I'I (Lebanon) proposed thE'.t the first pe.rt of p[\r<::gmph 1 should
re<::d "protests ag[\inst t;,e intention of Fr~.nce to explode en ['.tomic bomb in the
i~lGeriC'.n Desert •.••. If
Medecin Cqlonel FAUIill (Fre.nce) reiter<::ted his sktemont th.".t no domic
bomb kd been exploded by Frmce ;;.nd tLD.t the intentions of the French Governmen·
in tbis me.tter were not kn<JI.m: speculdion in th8 press should not ·be 2ssumed
to carry the weight of M officie.l pronouncement.
Dr. SAMMIL:. (United Ar~.b RelJUblic) pro-posed tl1c.t pnrrgmph 1 be 2lllended to
rec.d "protests against Dlny attempt by Fr,".nce to explode an atomic bomb in the
Algeriw Desert .... II
Dr. NASSIF ,Saudi flr::cbia) e.ccepted the amendment proposed by the
represenk.tives of Iraq <::nd the United Ar['.b Repl:.blic.
Brigredier SHARIF (PrekistrenL proposed tlT.t p<::r::\gre.ph 1 bo ::\mended so 2.S to
convey ~ condenJD.<:1.tion of c.tomic tests <:'.n::Twherc in the Recion.
Dr. ETEt1ADIAN (Iran) supported tho vimr of the previous spooker but
stressed thnt the pnrnECmph should be so worded as to condemn atomic bomb tests
anyvrhere nnd in particular in =y o.roces nmr tho ReECion rend proposed the
follo1·ring text for parD. graph 1: "Hopes tIrt the goverruneniB of the world would
refrnin from undertolcing further atomic tests and in particulor thot no ntomic
explosion "ould toke place in the neighbourhood of ,~ny country of the Region" •
Dr. ZAKI (Sudan) proposed tlod the o.mendment to prer£\grnph 1, v.cceptod by
the representative of So.udi Arcebin, be further nmended by the insertion of the
Hords "or any other country" after !tby Fro.nce".
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EMjRC9ALM1n/3 pc[Se 25
Dr. NASSIF (So.udi l!.rflbiD) could not cccept the re-drcfting of Pflragrc"ph 1
proposed by the representctive 8f Ircn, 'Jut o.ccepted the additiono.l alrlendmcn"i,
proposcd by the represcntctive "f Sudrcn. He also o.E;recd to the inclusion iJ:
the taxt of parq;rQph 1 of the words 11 or other neic;hoourinG cl'eo"s of the Region"
Qfter the words "AlGerian Desert".
The CHATI'Jfll,N skted th::ct thc Sub-Col11mi ttee hQd n01) before it c" joint
proposo.l submitted by the represent"tives of pQJd.skcn flnd Im;l, which I'eQd:
"Condemns o.ny o.ttcnpt by Qny power to explode "tomic bombs in the neiGhbourhood
of the countries 01' t11is Heciontf • This amendment shoulc' be put to the vote
first.
The DERJTY DIl1ECTOR GEHZPwlL said thd before the Sub-Committee po.ssed to
the vote his duty was to reco"ll tl"K'-t the procro.mme of o.ctivi ties of the
Orc;anizQtion in the field of ro.di~tion. o.s o.dopted by the He"l th Assembly," 1<o.s
limited to the.: peo.ceful uses of o.tomic energy o.nd thd the Assembly ho"dc,lwcys
refrained from deo.line with oxry problems concerned "i th non-peo.ceful uses of
nucleo.r fission or fusion. It Ho.S true t;11l t in one of the Q onsidero. to. of
Resolution ImA 11.50, mention "2S mc"de of the" fQll-out" (fran 2tomic tests)
but" only as 0. component of the ro.dio.tion b<::ckCround :md as a matter ,micj:l "o.s
under study in -vne Scientific Committee of the United Nntions on the effects of
o.tC!1lic rndidion (UNSC::J~R). In referring to this study by UNSCElill and to
the report from the letter to the Genernl Assembly of the United N~tions., the
He~"lth Assembly hnd implicitly but cle2rly 2clmowledceG the competence o·f the
United N£ctions to de"l ,nth problems of rac1io"tion other tho.n those involved L1
its peaceful uses. He thOUGht tho"t the Sub-Committee should be reminded of
this position of the Hcalth Assembly.
The CRAD1l1"JI put to the vote the nJnendrnent to p£,r£cEr2ph 1 of the d r<::ft
resolution 2S proposod by tho represent2ti voe of Iro.n 2nd P~"kistnn.
Decision: The umendrnont wo,S rejected B votes to 5 ,,"nd no o.bstentions.
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The CHA1RM:N thon put t o the vote par"t?grc,ph 1 of the o d g b c 3 . proposal 2s
modified by m r l a z s delegates with t& agreement of tho rcpreaentative of
Decision: The paragraph as rnod-ibed w<?,s adopted b7J 9 votes t o L wLCb
The CWII&AN sjid t h a t he wmld now put t o tho vote the resolution as n
Dr. Z A K I (Sudan) proposed th,-..t tlze word "threaten" i n the preamble be
replaced by the word ~en&ngerl t .
The DEFUTY DIELECTOR-CENEwL refer r ing t o pnragxaph 2 of tho proposed
resolution poirrtod mf %kt t he Regiond DDFector had no power t o ccrmuniccto
with Member States outside t h e Region; this was a finctton of the Director- ' . " . -
General. Moreovar, he wanted t o r e c ~ l l that the functions o f the Regional
Committees were definod by a r t i c l e 50 of the C3nstitutiot1, wwch he re2.d t o
%he SubGamLttee. He felt tht the proposed resolution dtd not fall within
l i tkexa . (a) o f this a h i c l e , since the point under discuaaion cmld not be
considered as o policy matters o f exclusively region&. c h n o t e r
Tho aot ion proposed, a b j e c t t o the rrcsemc,tion he had already md6, wmld
T211 withfn l i t t e r n (e); "to tender advice thrmzh the Dircc to~Gener r t l , to
t he Orgmlzr?tim, on in t emr t t l ona l health which have wider than ,
r eg iona l ~ i ~ n i f i c i a n c o ~ ~ , The present act ion should therefore be consLdesed as
an advice from the Sub-conunittee t o the OrganisatLon, t o be %rr?,nsmitt;ted .I;hxou;~h
The REGIONAL DIRIXTOR proposed th,,?t prz.gxaph 2 be mended t o rend:
the Member Stetas . , of the Or~a.*zation and of 1 n t e m . t l o n n l OrganizatFons and
Agencies thrnrch appropriate chnnelslt . Dr. NASSIF ((Saudi Ambia) agroed w i t h -t;hc proposed amendimmts.
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The CHAIRNAN re~d the followinG text, ~.s 1'.l1lended:
"The Su b-C ommi ttee ,
EI1/RC9A,M.in/3 IX'ge 27
DesirinG to protect the pelpul~ti:m elf the ReGion nnd the Qdj~cent
areas frcm t.;',e dnngers to public heo.lth of the ~tcmic bomb cnd rndi~ti'lYl,
1. pmT"ESTS agQ:il1st Qny nttempt by Frc.nce or nny other country to
explode atomic banbs in the Algerinn Desert or nny other countries
neighbours to the Resion and asks thQt this inhullk."Ul nction be nbandcmed;
2. REqUESTS the Eeciond Director to bring this resolution to the
attention of the Member Sto.tes of the Org~nization m1d to lucerno.tional
Organizations and ],gcncies thrOlgh nppropriate ch.:mnel&."
nnd then put the draft resolution to the vote.
Decision: The resolution w~s adepted by 9 votes to 0, .lith 4 nbstenti:ms.
The meetin~ rose Qt 1:00 ~