proposed program and budget estimates

277
Offcial Documents of the Pan American Health Organization No. 31 INDEXED PROPOSED PROGRAM AND BUDGET ESTIMATES PAN AMERICAN HEALTH ORGANIZATION, 1961 WORLD HEALTH ORGANIZATION, REGION OF THE AMERICAS, 1962 PAN AMERICAN HEALTH ORGANIZATION, PROVISIONAL DRAFT, 1962 PAN AI£MERICAN GAMITARY IBU~ WASHINGTON . C. PAN AMERICAN HEALTH ORGANIZATION Pan American Sanitary Bureau, Regional Office of the WORLD HEALTH ORGANIZATION Washington, D. C. June 1960

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Page 1: PROPOSED PROGRAM AND BUDGET ESTIMATES

Offcial Documents

of the

Pan American Health Organization

No. 31

INDEXED

PROPOSED PROGRAM AND BUDGET ESTIMATES

PAN AMERICAN HEALTH ORGANIZATION, 1961

WORLD HEALTH ORGANIZATION, REGION OF THE AMERICAS, 1962

PAN AMERICAN HEALTH ORGANIZATION, PROVISIONAL DRAFT, 1962

PAN AI£MERICAN GAMITARY IBU~WASHINGTON . C.

PAN AMERICAN HEALTH ORGANIZATION

Pan American Sanitary Bureau, Regional Office of the

WORLD HEALTH ORGANIZATIONWashington, D. C.

June 1960

Page 2: PROPOSED PROGRAM AND BUDGET ESTIMATES

Official Documents

of the

Pan American Health Organization

No. 31

PROPOSED PROGRAM AND BUDGET ESTIMATES

PAN AMERICAN HEALTH ORGANIZATION, 1961

WORLD HEALTH ORGANIZATION, REGION OF THE AMERICAS, 1962

PAN AMERICAN HEALTH ORGANIZATION, PROVISIONAL DRAFT, 1962

PAN AMERICAN HEALTH ORGANIZATION

Pan American Sanitary Bureau, Regional Office of the

WORLD HEALTH ORGANIZATION1501 New Hampshire Ave., N.W.

Washington 6, D. C., U. S. A.

Page 3: PROPOSED PROGRAM AND BUDGET ESTIMATES

ii

ABBREVIATIONS

AMRO The Americas Regional Office(Regional symbol for Intercountry and Interzone Projects)

BCG Bacillus Calmette-Guerin

BHC Benzene Hexachloride

DDT Di chlorodiphenyltrichloroethane

FAO Food and Agriculture Organization

FEP El Paso -Field Office

ICA International Cooperation Administration

ILO International Labour Organisation

INCAP Institute of Nutrition of Central America and Panama

MCH Maternal and Child Health

OAS/TA Organization of American States -Program of Technical Cooperation

PAS Para amino salycilic acid

PASB Pan American Sanitary Bureau

PAHO Pan American Health Organization

PHA Public Health Administration

SCISP Servicio Cooperativo Interamericano de Salud Pública

SESP Servicio Especial de Salud Pública

SNEM Servicio Nacional de Erradicación de la Malaria

Ung Ungraded

UN United Nations

UNESCO United Nations Educational, Scientific and Cultural Organization

UNICEF United Nations Children's Fund

UN/TAO UN Bureau of Technical Assistance Operations

USA United States of America 4

WBO World Health Organization

WHO/TA World Health Organization/Technical Assistance

WIF West Indies Federation

Page 4: PROPOSED PROGRAM AND BUDGET ESTIMATES

TABLE OF CONTE N TS

Text DetailaPage Paga

Letter of Transmittal

Introduction

Method of Preparation

Salary Schedules

Scales of Assesaments

Proposed Appropriations Resolution

Informational Details -Narrative Explanationa and Schedules

GENERAL INFORMATION TABLES

a. Functional Summaryb. Summary by Related Activityo. Summary of Programs by Major Expensed. Summary of Professional and Local

Personnel

PART I

PAN AMERICAN HEALTE ORGANIZATION

SECTION 1. Conference and PublicationsBranch

SECTION 2. Organizational Meetings

Ch. 1. Meetings of the Pan AmericanSanitary Conference, DirectingCouncil, Executive Committeeand WRO Regional Committee

Ch. 2. Meetings of the ExecutiveCommittee

SECTION 3. Temporary Personnel

SECTION 4. Common Staff Costs

PART II

PAN AMERICAN HEALTH ORGANIZATION -HEADQUARTERS

SECTION 1. Executive Offices

Ch. 1. Office of the DirectorCh. 2. Information Office

SECTION 2. Division of Education andTraining

Ch. 1. Office of the ChiefCh. 2. Fellowships BranchCh. 3. Professional Education Branch

SECTION 3. Division of Administration

Ch. 1. Office of the ChiefCh. 2. Administrative Management and

Personnel BranchCh. 3. Budget and Finance BranchCh. 4. Supply OfficeCh. 5. General Services Office

2

37

10

11

15

15

SECTION 4.

Ch. 1.Ch. 2.Ch. 3.Ch. 4.Ch. 5.

SECTION 5.

SECTION 6.

SECTION 7.

808688

104

106

106

15 106

15

15

15

Division of Public Health

Office of the ChiefHealth Promotion BranchCommunicable Diseases BranchEnvironiental Sanitation BranchMalaria Eradication

Temporary Personnel

Common Staff Costs

Common Services - Headquartera

PART III

PAN AMERICAN HEALTH ORGANIZATION -FIELD AND OTHER PROGRAMS

SECTION 1. - Zone Offices

Zone i - Office, Caracas, Venezuela

Zone II - Office, Mexico City, Mexico

Zone III - Office, Guatemala City,Guatemala

Zone IV - Office, Lima, Peru

Zone V - Office, Rio de Janeiro, Brazil

Zone VI - Office, Buenos Aires, Argentina

Washington Office - Country Programs

Interzone

SECTION 2. Programs (See index onfollowing pages)

SECTION 3. Editorial Services andPublications

SECTION 4. Repatriation Grant

108

108

10l

16 108

108110

16 110

110110112

16 112

112

112114114114

PAR/T IV

AMOUNT FOR INCREASING THE WORKING CAPITAL FUND

TextPage

16

16

16

17

18

18

18

18

18

18

18

78

78

78

ANNEXES

Annex 1. Other Extra -Budgetary Funds

Annex 2. Projects desired by Governmentsand not included within PARHO/HOprogram and budget estimates for1962, including Technical Assist-ance Category II Programs

Annex 3. Pan American Realth Organization -Other Funds

Annex 4. Special Malaria Fund - Statementof Income and Expenditures

iii

DetailaPage

116

116116116118118

118

118

120

122

140

158

182

198

208

228

230

258

258

258

260

263

268

269

Page 5: PROPOSED PROGRAM AND BUDGET ESTIMATES

iv

I N D EX OF P R O J E C T S

Text Details

Paga Page

ARGENTINA (Zone VI)

Text DetailsPaga Paga

BRITISH GUIANA AND WEST INDIES (Zone I) (continued)

Nurslng Education (Cordoba and El Chaco)National Institute of MicrobiologyPublic Health ServicesMalaria EradicationPARO Publio Health Administration

FellowshipsNutritionSchool of Public HealthMedical EducationTuberculosis ControlNursing Education (Rosario)Planning and Organization of

Hospital ServicesTraining of Nursing PersonnelTraining of Personnel for MentalHealth Programs

Leprosy ControlPromotion of Community Water SuppliesSanitary Engineering EducationA5des aegypti Eradication

54545454

555555555555

5656

5656565757

208210210210

210210212212212212

214214

214214214216216

BOLIVIA (Zone IV)

Malaria EradicationNursing EducationPublic Health ServicesJoint Field Mission on Indigenous

PopulationsLeprosy ControlPromotion of Community Water Supplies

434343

434444

182184184

184184184

BRAZIL (Zone V)

Public Health Services (Northeast)National Virus Laboratory ServicesNational Food and Drug ServiceSchool of Public Health (Rio de Janeiro)Malaria EradicationPAHO Public Health AdministrationFellowships

Rehabilitation Training CenterTraining Course for Laboratory

TechniciansSchool of Public Health (Sao Paulo)Dental Public Health EducationSmallpox EradicationPublic Health Services (Mato Grosso)Malaria Eradication (Sao Paulo)Rabies ControlTeaching of Preventive DentistryTeaching of Public Health in Schools

of Veterinary MedicineLeprosy ControlSeminar on Pollution of Water

Supply SourcesYellow Fever Laboratory (AMRO-57)

BRITISH GUIANA AND WEST INDIES (Zone I)

1 LAdes aegypti Eradication3 Public Health Nursing

4949494949

5050

5050505051515151

5152

198200200200200

200202

202202202202202204204204

204204

52 20652 206

19 12219 124

4

6

10

11

1213

14151617

18

PAHO Public Health AdministrationFellowships

(WIF - Trinidad), Public HealthLegislation

(British Guiana), Public HealthServices

(WIF - Jamaica), Public HealthTraining Station

(WIP - Jamaica), Nursing Education(WIF - Jamaica), Department ofPreventive Medicine (UCWI)

(British Guiana), Malaria Eradication(WIF - Jamaica), Malaria Eradication(WIF - Trinidad), Malaria Eradication(WIF - Windward Islands), MalariaEradication

Promotion of Community Water Supplies

BRITISH HONDURAS (Zone III)

1 Malaria Eradication5 Public Health Services6 PAHO Public Health Administration

Fellowships

CANADA (Washington Office)

1 WHO Publio Health AdministrationFellowships

2 Consultants in Specialized Fields ofPublic Health

CHILE (Zone VI)

1819202126

27293136.3739

4143

44

Public Health AdministrationFood and Drug ControlMidwifery EducationRehabilitation CenterPAHO Public Health Administration

FellowshipsPublic Health Services (Ovalle-Copiapo)Advanced Nursing EducationSchool of Public HealthAedes aegypti EradicationMedical EducationTraining in the Medical Use of

RadioisotopesNursing SurveyAdministrative Methods and

Practices in Public HealthCancer Control

COLOMBIA (Zone IV)

4 Public Health Services5 Malaria Eradication

15 Tuberculosis Control17 Smallpox Eradication18 WHO Public Health Administration

Fellowships19 Leprosy Control

3478

13

151718202324

2527

28293051

451011

1215

124

124

124

124124

126126126126

126128

158160

160

228

228

38

18192428

3133

3537383941424344

4850

51

19

19

19

1920

20202020

2121

3333

33

63

63

57575757

575858585858

5859

5959

44444444

4445

i

216216216218

218218218218218220

220220

220220

t

4-

184186186186

186188

,4

Page 6: PROPOSED PROGRAM AND BUDGET ESTIMATES

Index of projects (continued)

COLOMBIA (Zone IV) (continued)

PAHO Public Health AdministrationFellowships

School of Public HealthPromotion of Community Water SuppliesYellow Fever, Carlos Finlay Institute

(AMR0-57)

Text DetailsPage Page

454545

45

188188188

188

COSTA RICA (Zone III)

Malaria EradicationExpansion of Local Publio Health

ServicesWHO/TA Public Health Administration

FellowshipsAdvanced Nursing EducationPlanning and Organization of Hospital

ServicesPromotion of Community Water SuppliesPublic Health LegislationLaboratory for Diagnosis of Virus

Diseases

33

33

3434

343434

34

160

160

160160

162162162

162

CUBA (Zone II)

Aldes aegypti EradicationPublic Health ServicesNursing EducationMalaria EradicationPAHO Public Health Administration

FellowshipsPromotion of Community Water Supplies

26262626

2626

140142142142

142142

DOMINICAN REPUBLIC (Zone II)

Malaria EradicationNursing EducationPublic Health ServicesAldes aegypti EradicationBCG VaccinationPAHO Public Health Administration

FellowshipsPromotion of Community Water SuppliesVenereal Disease Control

2727272727

272727

144144144144146

146146146

ECUADOR (Zone IV)

Public Health ServicesNational Institute of HealthMalaria EradicationNursing EducationLeprosy ControlPAHO Public Health Administration

FellowshipsSmallpox EradicationNational Institute of Nutrition

EL SALVADOR (Zone III)

Malaria EradicationHealth Demonstration AreaPAHO Public Health Administration

Fellowships

4545464646

464646

3435

35

EL SALVADOR (Zone III) (continued)

10 Planning and Organization ofHospital Services

11 National Public Health NursingServices

12 National Environmental SanitationServices

14 Promotion of Community Water Supplies15 Public Health Laboratory

FRENCH ANTILLES AND GUIANA (Zone I)

2 Aldes aegypti Eradication3 PAHO Public Health Administration

Fellowships

GUATEMALA (Zone III)

1 Malaria Eradication6 Nursing Education8 Public Health Services

11 Tuberculosis Control12 PAHO Public Health Administration

Fellowships14 Public Health in Schools of Veterinary

Medicine

HAITI (Zone II)

1 Yaws Eradication4 Malaria Eradication9 Public Health Laboratory

12 PAHO Public Health AdministrationFellowships

16 Public Health Services19 Medical Education20 Nutrition

HONDURAS (Zone III)

1 Malaria Eradication4 Public Health Services6 PAHO Public Health Administration

Fellowships6 Medical Education9 Promotion of Community Water Supplies

188190190190190

192192192

MEXICO (Zone II)

1415222325

262829303234

35

162164

164

Nursing EducationState Health ServicesPublic Health Services (Guanajuato)National Institute of NutritionPAHO Public Health Administration

FellowshipsAldes aegypti EradicationPublic Health LaboratoryLeprosy ControlSchool of Public HealthMedical EducationTeaching of Public Health in

Schools of Veterinary MedicineEnvironmental Sanitation Training

21

242552

v

Text DetailsPage Paga

214

16

1820

222324

13456

10

35

35

353536

21

21

36363637

37

37

282828

28282929

3738

383838

164

164

164164164

128

128

166166166166

168

168

146146148

148148148148

168168

170170170

2348

1011

1552

41114161819

2053

259

292929.29

303030303030

3031

150150150150

150150152152152152

152152

Page 7: PROPOSED PROGRAM AND BUDGET ESTIMATES

Index of projects (continued)

MEXICO (Zone II) (continued)

38394053

NICAl

157

PANA]

128

910

PARA(

19

1013

19

Tuberculosis ControlPromotion of Community Watqr SuppliesMental HealthMalaria Eradication

RAGUA (Zone III)

Malaria EradicationNursing EducationPAHO Public Health Administration

Fellowships

MA (Zone III)

Public Health ServicesMalaria EradicationPAHO Public Health Administration

FellowshipsPromotion of Community Water SuppliesPlanning and Organization of Hospital

Services

GUAY (Zone VI)

Malaria EradicationLeprosy ControlPublic Health ServicesPAHO Public Health AdministrationFellowships

Promotion of Community Water Supplies

Text DetailsPage Page

Text DetailsPage Paeg

URUGUAY (Zone VI)

31313131

3838

39

3939

3939

40

596060

6060

154154154154

59

10

13151618

170170

172

172172

172174

174

Public Health ServicesChagas' DiseasePAHO Public Health Administration

FellowshipsTraining of Public Health PersonnelWaterworks Operators SchoolChronic DiseasesPromotion of Community Water Supplies

6061

6161616162

VENEZUELA (Zone I)

259

1113

14151617181920

242526272829

30

220222222

222222

PERU (Zone IV)

Malaria EradicationAdvanced Nursing EducationPublic Health ServicesJoint Field Mission on Indigenous

PopulationsLeprosy ControlPAHO Public Health AdministrationFellowships

Tuberculosis ControlPromotion of Community Water Supplies

SURINAM AND NETHERLANDS ANTILLES (Zone I)

Surinam1 Malaria Eradication

Surinam and Netherlands Antilles1 Abdes aegypti Eradication2 PAHO Public Health Administration

Fellowships

UNITED STATES (Washington Office)

7 WHO Public Health AdministrationFellowships

10 Consultants in Specialized Fieldsof Public Health

11 PAHO Public Health AdministrationFellowships

474747

4748

484848

192194194

194194

194194196

21 128

21

22

63

63

63

128

130

Mental HealthOnchocerciasis InvestigationPAHO Public Health Administration

FellowshipsPlague InvestigationYaws Eradication and Venereal Diseases

ControlNursing EducationHealth Aspects of RadiationAldes aegypti EradicationMedical EducationNational Institute of Hygiene.School of Public HealthPublic Health Aspects of Accident

PreventionPublic Health ServicesDiarrheal Diseases in ChildhoodTraining of SanitariansPromotion of Community Water SuppliesIndustrial HygienePlanning and Organization of Hospital

ServicesWater Pollution Control

INTER-COUNTRY AND INTER-ZONE PROJECTS (AMRO)

7 Aides aegypti Eradication (CentralAmerica and Panama) (Zone III)

8 Aldes aegypti Eradication (Caribbean)9,3 Seminar on Mental Health (Alcoholism)10 Program for Biostatistics Education16 Assistance to Schools of Public Health18 Medical Education28 Advanced Nursing Education29 Anthropology in Public Health35 Fellowships (Unspecified)39 Environmental Sanitation (Advisory

Committee and Consultants)45 Laboratory Services46 Seminar on Nursing Education47 Yaws Eradication and Syphilis Control

(Caribbean)50 Water Fluoridation54 Institute of Nutrition of Central

America and Panama57 - see Colombia-52, Yellow Fever,

Carlos Finlay Institute- see Brasil-51, Yellow Fever Laboratory

60 Smallpox Eradication61 Rabies Control62 Public Health Aspects of Housing67 Teaching of Public Health in Schools

of Veterinary Medicine72 Dental Health

228

228

228

2222

2222

22222222222323

232323232324

2424

402462636364646464

646465

2465

40

4552656565

6666

vi

224224

224224224224226

130130

130130

130130132132132132132

132132134134134134

134134

5152223

2425

2930

174136226230230230230232232

232232232

136232

174

188206234234234

234234

a-

4

4

¡·,

t1

él,

y

Page 8: PROPOSED PROGRAM AND BUDGET ESTIMATES

Index of projects (continued)

INTER-COUNTRY AND INTER-ZONE PROJECTS (AMRO)(continued)

Plague InvestigationVaccine TestingPan American Foot-and-Mouth Disease

CenterPan American Zoonoses CenterLatin American Center for Classification

of DiseasesHealth Statistics (Zone III)Aades aegypti EradicationMalaria Technical Advisory Services

(Interzone)PoliomyelitisHealth Education (Zone II)Diarrheal Diseases in ChildhoodEnvironmental Sanitation (Caribbean)Courses in Nursing Supervision andAdministration (Zone VI)

Seminar on Public Health AdministrationSanitation of Travel CentersTuberculosis PreventionCommunity Development Training CenterTraining Center for Malaria Eradication

(Mexico)Malaria Technical Advisory Services

(Zone I)Malaria Technical Advisory Services

(Zone III)Malaria Technical Advisory Services

(Zone IV)Malaria Eradication Evaluation TeamsResearch and Development of Insecticide

Application EquipmentResearch and Development - Protective

Equipment against Toxic InsecticidesSeminar on Mass Chemoprophylaxis andSurveillance Techniques in MalariaEradication

Operational Assistance to' CountryProjects in Malaria Eradication

Training Center for Malaria Eradication(Kingston)

Malaria Eradication TraineesTraining Center in Malaria Eradication

(Sao Paulo)Malaria Technical Advisory Services

(Zones V and VI)Health Education (Zone III)Health Aspects of RadiationHealth Statistics (Zone IV)Health Statistics (Zone II)Laboratory for Production of Biologicals

(Zone III)Leprosy ControlFood and Drug ServicesSeminar on Teaching of Sanitary

Engineering in Schools of EngineeringSeminar on Schools of Public HealthSchistosomiasis ControlTraining Program in Hospital StatisticsHealth Statistics (Zone I)Health Statistics (Zone VI)Treponematoses EradicationEpidemiology (Zone II)Epidemiology (Zone VI)Nutrition Advisory Services (Interzone)Veterinary Public Health (Zone II)

Text DetailsPage Page

6666

6667

674067

6768316824

6268696969

31

25

41

4841

70

70

70

70

2570

52

5241704832

417171

7171717225627232627232

234234

236238

238176240

240240154240136

226242242242242

156

136

176

196178

242

242

242

244

138244

206

206178244196156

178244244

244246246246138226246156226248156

Text DetailsPage Page

179 Veterinary Public Health (Zone IV) 48181 Live Poliovirus Vaccine Studies 72183 Nursing Midwifery 72184 Seminar on Maternal and Child Health 73185 Medical Care and Hospital Organization 73187 Promotion of Community Water Supplies 73188 Veterinary Public Health (Zone III) 41189 Veterinary Public Health (Zone Y) 52196 Insecticide Testing Teams 73197 Research on the Resistance of

Anophelines to Insecticides 74198 Administrative Methods and Practices

in Public Health 74199 Anopheline Susceptibility Testing 74

200.2 Symposium on Live Poliovirus Vaccines 74201 Health Statistics (Zone V) 53202 Leprosy Control (Zone III) 41203 Epidemiology (Zone III) 41204 Environmental Sanitation Training

(Zone I) 25205 Environmental Sanitation Training

(Zone II) 32206 Environmental Sanitation Training

(Zone III) 42207 Environmental Sanitation Training

(Zone IV) 48208 Environmental Sanitation Training

(Zone V) 53209 Environmental Sanitation Training

(Zone VI) 62210 Medical Education (Zone VI) 62211 Seminar on Teaching of Internal

Medicine 74212 Seminar on Teaching of Nursing

Auxiliaries 75213 Seminar on Public Health Nursing

Services (Zone III) 42215 Study Group on Chagas' Disease 75219 Training Course in Administration,

Management and Financing ofWater Supplies 75

220 Malaria Eradication EpidemiologyTeams 75

232 Filariasis (Zone I) 25233 Training Course on Nursing Supervision

and Administration (Zone III) 42234 Sewage Disposal and Water Pollution

Control 75235 Food Sanitation 75236 Refuse and Garbage Disposal 75237 Medical Education (Zone III) 42239 Promotion of Community Water Supplies

(Interzone) 76240 Seminar on Public Health Nursing

Services (Interzone) 76241 Advisory Committee on Statistics 76242 Seminars on Water Supply Design and

Management 76243 Conference on Development of WaterSapplies76244 Seminar on Water Rates 76245 Training Course on Nursing Supervision

and Administration (Zone I) 25246 Tuberculosis Control (Zone III) 42247 Teaching of Statisticsin Medical Schools 77248 Sanitary Engineering in Schools of

Engineering 77

Contingency Reserve e forMalaria Eradication 77(Interzone)

E1 Paso - Field Office 63

vii

747677

8185

868890

92939495

100

106108110112114

117

118

119

121122

123

130

132

134

135137

139

141142143144148

149150151

152.2155156157159160162163165178

196248248248248250178206250

250

250250250206178180

138

156

180

196

206

226226

252

252

180252

252

252138

180

254254254180

254

254256

256256256

138180256

256

256

228

Page 9: PROPOSED PROGRAM AND BUDGET ESTIMATES

LETTER OF TRANSMITTAL

The Director of the Pan American Sanitary Bureau, Regional Officeof the World Health Organization has the honor to present the followingproposed program and budget estimates for consideration:

1. The proposed program and budget estimates of the Pan AmericanHealth Organization for the financial year 1961.

2. The proposed program and budget estimates of the World HealthOrganization for the Region of the Americas for the financialyear 1962.

3. The provisional draft of the proposed program and budget esti-mates of the Pan American Health Organization for the financialyear 1962.

1

Page 10: PROPOSED PROGRAM AND BUDGET ESTIMATES

INTROD UCTION

The activities proposed in this document have astheir fundamental objective the best possible use of inter-national collaboration to promote the health and well-beingof the inhabitants of the Western Hemisphere. These activi-ties take many directions and are to be financed from sever-al sources. They have, however, been planned as a balancedwhole, utilizing a central organization and field establish-ment, necessary for continuous advice and reference, butcarrying out the bulk of the program through field projects,planned for a total of 254 in 1961 and 276 in 1962.

The projects vary considerably in size and complexitybut, for purposes of presentation, have been placed in broadsubject groups. In Tables A and B these are arranged underthe three major headings of the fundamental priorities as-signed by the governing bodies of the PAHO. Elsewhere inthe budget document, notably in the summary tables on pages88 through 103, where each project is listed by subject andby object of expenditure, the projects are grouped in asomewhat different arrangement to conform to WHO budgetarypresentation.

It bears reiteration that while the analysis herepresented concerns only Part III, Section 2, of the budget,that is the individual projects, a substantial contributionto progress in the various fields of public health is madeby the headquarters and zone offices staff.

Table A includes all funds which the Organizationexpends for ite programa. Since, however, major supportfor international health work in the Americas comes fromvoluntary contributions for specific activities and expendi-ture of these funds is limited to the particular objective,Table B has also been prepared to indicate the program dis-tribution for the three funds - PAHO Regular, WHO Regular,and WHO/TA - in which there is more discretion for programvariation.

When all funds (Table A) administered by PARO/WHOare takeh into account, the major portion, almost 54 percent, is devoted in 1961 to the field of communicablediseases. Malaria eradication totaling ovar 40 per centconstitutes the major part of this and is the largestsingle unit of the field program. Between 1961 and 1962a small increase is proposed in the total actual amount tobe spent on communicable diseases and on malaria, but therewill be a small percentage decrease in proportion to therest of the program. This is in accordance with the policyto give increasing emphasis to strengthening of healthservices and to education and training as the Organization'sbudget is increased. When one considers only PAHO Regular,WHO Regular, and TA funds (Table B), the total figure forcommunicable diseases in 1961 is just over one-quarter ofthe whole, and in 1962 drops to slightly less than this.

In addition to malaria, the other three eradicationprograms for which the Organization has a mandate from thegoverning bodies -Aedes aegypti, yaws, and smallpox -remain at approximately the same level. Steady progress isbeing achieved in these campaigns and the Organization'shelp, although relatively small in proportion to the totalsize of the problem, has often been a key factor in thesuccess of these programs to date.

Under the heading "Other Communicable Diseases",a number of programs relating to such subjects as tubercu-losis, leprosy, poliomyelitis, schistosomiasis, typhus,

plague, and rabies are included. Estimated expendituresfor this group of communicable diseases are to be roughlyten per cent of the program to be financed by the threefunds, with a small absolute increase in 1962 over 1961.It is also necessary to recognize that a significant amountof York in connection with communicable diseases will becarried out through the programs of the integrated healthse'rvices where the routine immunizations against such dis-eases as diphtheria, smallpox, and tetanus must be carriedout if progress is to be made. Within these projects arealso concentrated the assistance in public health nursing,health education, and environmental sanitation which arebasic measures for prevention of transmission of infectiousdisease.

In accordance with the long-range priorities of theOrganization, it is natural that the major portion of theexpenditures proposed for the three funds - PAHO Regular,WHO Regular, and WHO/TA - comes under the category"Strengthening Health Services." These activities are ofsteadily increasing importance vith both an absolute andproportionate increase between 1961 and 1962. The projectsfor integrated health services planned in almost everycountry, which are the backbone of the long-range programof the Organization in strengthening basic health services,include a basic team of medical officer, public health nurse,and sanitary engineer, plus additional advisers in specificfields as needed. In essence, an integrated health projectembraces a wide variety of public health activities includ-ing those listed separately in the tabless a specializedhealth services. For example, a substantial amount of thework in environmental sanitation is carried out by thesanitary engineers and sanitary inspectors in the integratedhealth projects. Likewise, maternal and child health is asalient feature of the integrated health services; for theOrganization's primary assistance to maternal and childhealth is based on the advice of the medical officer andthe public health nurse coupled with the training they giveto local personnel. It is with these projects, therefore,that the UNICEF contributions to maternal and child welfareare correlated.

Nutrition, also one of the functions carried out bythe integrated health services, merits a separate line inthe analysis because of the number of projects dealingspecifically with this field. Nutrition receives a highpriority since malnutrition in any degree impairs humanhealth and productivity, contributing heavily to the vi-cious circle of poor health and poor economic status. Inthe field of nutrition, activities are financed to a con-siderable extent from PAHO Other Funds, notably the regularbudget of the Institute of Nutrition of Central America andPanama and grants from the W. K. Kellogg Foundation andother institutions. There has also, however, been an in-crease in the amount of the regular budget assigned tonutrition in order to provide for expansion of specializedadvisory services to governments and to strengthen thenutrition work in the integrated health services. Purther-more, the increase in expenditures for nutrition is actuallygreater than shown by the figures in this analysis, sincethe post of Regional Adviser in Nutrition, formerly shownin project AMRO-165, has novw been transferred to Part IIin view of the fact that the adviser will be stationed atheadquarters.

Improvement in vital and health statistics is es-sential to long-range public health programs. The Organi-zation from its beginning has stressed training in

A-

49

y

1

Y

Page 11: PROPOSED PROGRAM AND BUDGET ESTIMATES

atatiatical procedures and further increase in this fieldis proposed for 1962.

Environmental sanitation has been the subject ofspecial emphasis by the govemning bodies of PAHO and WHOwhich have stressed the need to improve man's environmentif he is to have better health. The priority of watersupply in particular has been recognized. The UnitedStates Government has made a first contribution of 5200,000,available starting in 1960, to the special fund of PAHO forthe community water supply program established by the XIMeeting of the Directing Council. Anticipating future con-tributions totaling $300,000 and taking into account in-creases in the regular budgets it has been possible, incomparison with previous years, to multiply by about fourtimes the proportionate expenditure for environmental sani-tation proposed from all sources of funds. It should beborne in mind, too, that a large amount of work in thefield of environmental sanitation, as has been noted above,is carried out within the integrated health services. Whenall this is taken into account, the expenditure in environ-mental sanitation proposed for 1962 rises to almost 12 percent of the budget for the three funds and nearly ten percent of the budget for all sources.

The category "Other" under "Strengthening of RealthServices" is an all-inclusive one and contains subjectswhich overlap vith each other and with other subject head-inge, particularly integrated health services as has beenexplained above. Because of this overlap and the fact thata major part of the responsibilities for the individualsubjects are carried out under "Integrated Health Services"it is considered misleading to present separate headingsfor the fev projects which deal very specifically with thesefielde. Por example, the projects which can be specificallydesignated as maternal and child health would represent onlyabout one per cent of the program yet the activities inmaternal and child health carried throughout the budget,particularly in integrated health services, would probablycome to about ten per cent.

In this oonnection it should be pointed out that toa considerable extent all of the subject headinga are inter-related. For example, projects involving communicablediseases always include education and training of personnel.At the same time strengthening of basic health services isoften a major factor in the programs against communicablediseases since no long-range immunization program can suc-ceed without adequate permanent health services.

Under the heading "Education and Training" areshown the estimates of those activities specifically con-nected with educational institutions for medicine, publichealth, and nursing, as vell as other activities such asseminars, surveys, or fellowships for these basic profes-sional fields. Nursing education continues to receive highpriority. It is obvious, nevertheless, that the amountspent for education in medicine and public health needs tobe increased substantially to meet urgent requirements.It is hoped that in future years special financing may bepossible for this.

Besides the projects under the heading "Educationand Training," however, the total effort planned for theOrganization in educational activities is much greater.Actually, in any project carried out by the Organizationthe training of national personnel has the highest priority.This can be observed particularly in subjects such as inte-grated health services. In order to appreciate better theamount spent for the total training activities, aproportion

has been estimated within each subject field for suchacitivities as seminars, training courses, and fellowshipswhich may be specifically identified as connected vithtraining (Tables A and B). This column, which cuts acrossall the subject headings, has shown steady increase overthe years, and for the three funds in 1961 it is proposedto reach 44 per cent and in 1962 45 per cent of the totalbudget.

It is believed that taken in total the fieldprogramrepresents a proper balance with respect to the needs ofthe countries and the resources and teohnical advisorynature of the Organization.

* *

Details of the international health activitiesproposed for the years 1961 and 1962 to implement programsdescribed above are presented in this document for consi-deration and appropriate action by the governing bodies ofPAHO/WHO. This program has been developed, within theapproved program policies of the Organization, in closeconsultation with national health authorities. While theseactivities have been planned and developed for considerationas one over-all program, they are displayed for budgetarypurposes in four columns relating to the following sourcesof funds:

1. The Regular Budget for the Pan American HealthOrganization.

2. Other funds available to the PAHO for specifiedpurposes including: (a) the PARO Special Malaria Fund;(b) the Institute of Nutrition of Central America andPanama, supported by regular quota payments by its membercountries and by grants from various sources; (c) theProgram of Technical Cooperation of the Organization ofAmerican States, chiefly to finance the Pan American Foot-and-Mouth Disease Center; (d) the Community Water SupplyFund; and (e) special grants made to PARO for specificactivities.

3. The allocation to the Region of the Americasfrom the Regular Budget of the World Health Organization.

4. Technical Assistance Funds of the United Nationsadministered by WHO for financing projects in the Region ofthe Americas.

Information for the three years 1960, 1961, and 1962is shown throughout this document. The information for1960 for all funds is based on the latest data available atthe time of preparation of the document.

Certain additional information is contained inannexes. In Annex 1 are shown estimates of funds which areplanned to be expended by other international organizations,including UNICEF, in behalf of health programs in theAmericas. These funds constitute an important part ofinternational public health but are not shown in the mainbody of the document since they are not directly expendedby PAHO/WHO.

Annex 2 presents projects desired by governimentsand not included within PAHO/WHO program and budget

Page 12: PROPOSED PROGRAM AND BUDGET ESTIMATES

4

estimates for 1962. This annex includes TechnicalAssistance Category II programs.

Annex 3 presents an analysis of amounts appearingin the PAHO Other Funds column of the achedules: (a) bysource of fund, and (b) by Part and section of the budgetin which these amounts are displayed.

In accordance with Resolution IV of the 3lstMeetingof the Executive Committee, Annex 4 presents a statementof income and expenditures of the PARO Special MalariaFund.

At the 40th Meeting o* the Executive Committee, the

proposed PAHO Regular budget for 1961 vas presented by theDirector for reviev. The Director called the attention ofthe Committee to the action of the XI Directing Council,which (a) approved (Resolution VII) assignment of a portionof the budget to increase the Working Capital Fund, and(b) instructed the Director (Resolution XXVI), in preparinghis Proposed Program and Budget for 1961, and in his con-sultations with governments, to give due consideration tothe recommendations expressed by several delegations withregard to content and to budget level.

The Director reported to the Committee that follov-ing the instructions of the Council, he informed the fieldstaff in detail of these discussions and told them to keepthe problem of budgetary limitation constantly in mindduring their conferences vith the member governments. Thisvas done, but the needs and desires of the governments asreflected in the submissions of the zone representativesindicated a level of requests far exceeding all anticipatedresources.

In his own discussions with governments, the Directorvas impressed with the general desire of health authoritiesto see an augmentation of the programs of the Organizationand the willingness of the governments to endorse and sup-port an increase of the order proposed.

After detailed consideration and study of the budget,vhich was examined item by item as vell as in total, theExecutive Committee accepted the Proposed Program and Budgetas constituting an adequate and satisfactory whole. Themembers of the Committee agreed that the budget level for1961 was necessary for the proper development of the ParnAmerican Health Organization. Resolution XIV vas passedunanimously recommending that the Directing Council establishthe budgetary level for 1961, as proposed by the Director,at $4,800,000.

The steady increase in effective program activities,and the equally steady increase in requests from governmentsfor sasistance, are prime factors in determining the budgetlevel for 1962. In addition, the progressive increase in

the cost of living in the American countries, to whichattention was called by previous meetings of the governingbodies, has shown no signs of diminishing. The ExecutiveCommittee at its 40th Meeting expressed concern relative tofuture increases in view of the need to respect the limi-tations in the financial capacity of governments. Itrecognized, nevertheless, that the program and budget ofthe PARO could not be static in the face of the constantlyexpanding interest of governments in solving public healthproblems. The Committee recommended that the Director keepthese two factors in mind in preparing future programs andbudgets.

After thorough consideration of the needs, and withfull cognizance of the financial problems faced by manygovernments, the Director believes that the increased well-being and improved economic status which may reasonably beexpected to follov expanded public health activity make itincumbent on him to propose an increase in the programsimilar to that proposed for 1961, that is 9.77 per centor 5440,000. No increase is proposed for the item relatedto the Working Capital Fund, and the total increase in thePARO Regular Budget is, therefore, 9.16 per cent. To showthe distribution of the PAHO program and budget among partsTable C has been prepared. Continuing the pattern of pre-vious years the bulk of the increase goes to field activi-ties. Some increase is provided, however, for additionalstaff at headquarters to help guide the increasing program.

As noted in previous budget documents the programin the Americas is planned as a balanced whole for thefunds coming from the Regular Budget of the Pan AmericanHealth Organization, Regular Budget of the World HealthOrganization and the WHO Technical Assistance program.Funds earmarked for special subjects, such as the SpecialMalaria Fund require separate planning. To facilitateanalysis of the program as a vhole, Table D shows acomparison for 1960, 1961, and 1962 among the three mainsources of funds. It may be noted that, vith the increasein WHO Regular, the total program for the three funds in-creases in 1962 by 8.47 per cent.

As additional evidence of the trend in programrequeste there is presented (Annez 2) the projects soughtby governments, which cannot be included in the budget withthe foreseeable funds. The sum total of these requests,52,602,752, is further justification of the need for anorderly increase in the budget of the Pan American HealthOrganization for 1962.

The Program and Budget

The Program and Budget is submitted to the XIDirecting Council for: (1) review and final action on theproposed PAHO Regular Program and Budget for 1961; (2)review of all funds in the total proposed program for 1962,and observations and comments on its over-all content andbalance; (3) examination and comment on the provisionaldraft of the Pan American Health Organization RegularProgram and Budget for 1962, to guide the Director in thepreparation of his proposed program and budget to be pre-sented to the 43rd Meeting of the Executive Committee andthe XIII Directing Council for consideration; and (4)examination and recommendations to the Director-General onthe proposed WHO regional program and budget for 1962.

c

Page 13: PROPOSED PROGRAM AND BUDGET ESTIMATES

o

A:

t

pZ>

u>

£4

y -

0,

Ej

3'

34

0Ej,

t>0

* 4

4> >3

4>£40 E

E.om

<·.4 0?

33 3 . 3334'4- E,

Page 14: PROPOSED PROGRAM AND BUDGET ESTIMATES

6TABLE C

PAHO REGULAR BUDGET

1960

Budget Appropri- % ofParts ation Total

PART I 220,463 5.38

PART II 1,427,858 34.82

PART III 2,451,679 59.80

Subtotal: 4,100,000 100.00

PART IV

TOTAL 4,100,000

1961

Proposed % ofTotal

231,484 5.14

1,406,960 31.27

2,861,556 63.59

4,500,000 100.00

300,000 -

4,800,000 -

Increase of 1961over 1960

Amount %

11,021

(20,898)

409,877

400,000 9.76

300,000 -

700,000 17.07

1962

Proposed % ofTotal

S

313,303 6.34

1,469,247 29.74

3,157,450 63.92

4,940,000 100.00

300,000 -

5,240,000 -

Increase of 1962over 1961

Amount %

81,819 -

62,287 -

295,894 -

440,000 9.77

440,000 9.16

TABLE D

PAHO REGULAR. WHO REGULAR AND WHO/TA BUDGETS

Fund

PAHO Regular

* WHO Regular

** 'wHO/TA

Programs subtotal:

PAHO Working Capital Fund

1960 Appropriationor Allocation

4,100,000

1,813,035

1,067,186

6,980,221

6,980,221

1961Proposed

$

4,500,000

1,891,581

973,600

7,365,181

300,000

7,665,181

Increase of 1961over 1960

9.76

1962Proposed

4,940,000

4.33 2,071,110

(8.77)

5.51

9.81

978,100

7,989,210

300,000

8,289,210

Increase of 1962over 1961

9.77

9.49

.46

8.47

8.14

-4-

* WHO Regular figures for 1960 and 1961 vary fror those shown in the introduction to CE40/3 due to thefact that they incorporate headquarters costs reimbursable from TA funds.

** Explanation of the variation in WHO/TA figures from those shown in the introduction to CE40/3 andthose shown in the Summary on page 80:

1) Figures in this table are field program only, since headquarters costs, which vereincluded in the introduction to CE40/3, are now incorporated in WHO Regular.

2) For 1960, the figure represents the total of projects approved by the Technical AssistanceBoard, whereas the figure in the Summary represents a reduced allocation for operationthis year.

3) Por 1961 and 1962 figures represent latest ceiling figures received and therefore, varyslightly from total cost estimate figures appearing in the Summary.

1-

-t

Page 15: PROPOSED PROGRAM AND BUDGET ESTIMATES

METHOD OF PREPARATION

Form of Presentation

The format and content of the program and budgetdocument conform to established practice.

In general, the material in the budget document isself-explanatory. However, some elaboration may be helpfulwith respect to the portion of the document entitled:"Informational Details--Narrative Explanations andSchedules--PARO Regular Budget, PAHO Other Funds, WHORegular Budget, WHO Technical Assistance Funds".

In this portion, the narrative explanations for allParts of the program and budget appear first. These arefollowed by the schedules of budget estimates. The narra-tive explanations and the corresponding detailed schedulesare cross-referenced.

All the schedules include estimates over a three-yearperiod. The first schedules are devoted to General Infor-mation Tables, which facilitate study of the entire budgetin summary form by funetion, related activity, major expense,and personnel. The following schedules, starting with PartI, present detailed estimates for each activity. For PartIII of the budget, the presentation is made by zone, follow-ed by Sections relating to Editorial Services and Publica-tions and Repatriation Grant. In each zone will be foundthe zone office, the country projects, and the intercountryprojects operating within the zone. After the zones arepresented the schedules for country projects administeredby the Washington Office and the interzone projects. InPart IV is displayed an amount for the increase of theWorking Capital Fund, as approved by the XI DirectingCouncil (Resolution VII).

Method of Computation

All estimates are expressed in U.S. dollars.

For the year 1960 the latest allotment analysescompleted prior to completion of this document serve as abasis for the estimates.

Pan American Health Organization

3/Dependents' allowanceRecruitment and repatriationInstallation per diemHome leave travelTransportation of household effects

4/Fees/Travel

The situation as of 1 January 1960 has been used forprojecting salaries and common staff costs for allestablished positions in Parts I and II and Section 3 ofPart III of the budget and zone offices for the years 1961and 1962. Posts are costed for the full year except for:

a) new posts, if any, on PAHO Regular and Other Fundswhich are costed from 1 April of the year in which theyare budgeted;

b) posts on new WHO Regular projects, in which casea delay factor estimated at three months is applied by de-duction from the summary total of all such projects;

c) vacant posts on continuing Technical Assistanceprojects, which are costed from the dates they are expectedto be filled;

d) posts on new Technical Assistance projects, whichare costed from the estimated starting date of the project;

e) posts planned to be discontinued before the year-end, which are costed through the projected terminationdate.

For filled posts actual entitlements have been usedin computing personnel costs. For vacant posts, the basesalary of the appropriate grade has been used and forother personnel costs not computed on base salary, es-tablished averages have been used. The Table of Averages,prepared according to source of fund, appears below. PAHOaverages are based on experience of costs in the Americas,whereas WHO and WHO/TA averages are established by WHOHeadquarters on the basis of world-wide experience.

Estimates for elements other than personnel are basedon program requirements as planned.

Potential savings which may accrue from staff turn-over and lapse in refilling vacant posts during the actualoperating year are not reflected in the budget, since anysuch savings are used to cover acerued terminal leave pay-ments, temporary personnel for zone offices, increments forlanguage proficiency, additional children's allowances,education grants, and other imponderable factors for whichno reasonable provision can be made in the budget.

TABLE OF AVERAGES(Used in the costing of vacant professional posts)

Short-term 1/Schedule IR" Assignents Shdul signnt Schedule "S" AssignmentsConsultants (Washington Office) (Zone Offices) (Project staff)

All Grades All Grades All GradesS iE B J

7n0 p.m.600 p.m.

World Health Organization

_/Dependents' allowance(including education grants and related travel)

Recruitment and repatriationInstallation per diemHome leave travelTransportation of personal effects

2/Post adjustment3/Assignment allowance_/Repatriation grant (filled posts only)

Fees 600 p.m.Travel 800 p.m.

00O1,500

8001,1001,500

BOO1,500

8001,100

8001,500

8001,100

D2-P5 P4-P3 P2-P1 D1-P5 P4-P3 P2-P1 P5-P3 P2-P1S - S r T S -S S660 360850 850650 550

1,900 1,200900 800

D-rate D-rate

1.50% 1.50%

180500450500300

S-rate

1.50%

660850650

1,900

D-rate1,3001.50%

360850550

1,200

D-rate1,1001.50%

180500450500

S-ratesnn

1.50%

4801,n00

400

5/ 750

D-rate1,300

30n80n300

_/ 75'

S-rate850

I/Applies for staff with duty station in the WashingtonOffice.

2/Applies for staff with duty station in the zone offices.l _V/Averages for full year; applied proportionately for shorter

periods.4/The amounts listed apply to 1960 and 1961. For 1962 the

average is the same as that listed for WHO.

S/Applicable in 1962 if recruitment is expected to beeffected during 1960, or in the first half of 1961. Ifrecruitment is expected to be effected during 196

0or the

second half of 1l61, the average to be applied is 725n in1961 and 1062, respectively.

6/Applied to the salaries of present incumbents eligible forthis grant.

7

Page 16: PROPOSED PROGRAM AND BUDGET ESTIMATES

8

SALARY SCHEDULES

INTERNATIONAL STAFF WAGE SCALEU.S. Dollars (Effective 1 April 1951)

I II III IV Y

P 1 3,600 3,800 4,000P 2 4,800 5,000 5,200P 3 6,000 6,200. 6,400P 4 7,300 7,525 7,750P 5 8,750 9,000 9,250

a)P 6 or D 1 10,000 10,400 10,800b)D 2 12,500

4,2005,4006,6258,0009,50011,200

4,4005,6006,8508,2509,80011,600

VI VII VIII IX

4,600 4,800 5,0005,800 6,000 6,200 6,4007,075 7,300 7,525 7,7508,500 8,750 9,000 9,25010,100 10,400 10,700 11,00012,000

ANNUAL LOCAL WAGE SCALE -WASHINGTONU;S. Dollars (Effective 1 July 1958)

II III IV V VI VII VII(*)

2,265 2,365 2,4652,425 2,525 2,6252,745 2,850 2,9553,070 3,200 3,3303,340 3,490 3,6403,640 3,800 3,9603,975 4,160 4,3454,390 4,595 4,800

ANNUAL LOCAL WAGE SCALE - EL PASOU.S. Dollars (Effective 1 January 1957)

I II III IV V

2,330 2,3902,910 2,9903,120 3,220

VI VII VII(*)

2,450 2,510 2,570 2,630 2,690 2,7503,070 3,150 3,230 3,310 3,390 3,4703,320 3,420 3,520 3,620 3,720 3,820

ANNUAL LOCAL WAGE SCALE - ZONE I (CARACAS)Venezuelan Bolivares (Effective 1 June 1959)

I II III IV V VI VII VIII VIII(*)

4,200 4,400 4,600 4,8007,200 7,550 7,900 8,250

13,000 13,640 14,280 14,92016,000 16,780 17,560 18,34021,000 22,000 23,000 24,00024,000 25,200 26,400 27,600

5,0008,600

15,56019,12025,00028,800

5,2008,950

16,20019,90026,00030,000

5,4009,30016,84020,68027,00031,200

5,600 5,8009,650 10,000

17,480 18,12021,460 22,24028,000 29,00032,400 33,600

ANNUAL LOCAL WAGE SCALE - ZONE II (MEXICO)Mexican Pesos (Effective 1 October 1958)

I II III Iv Y

11,300 11,800 12,300 12,80013,900 14,450 15,000 15,55015,200 15,900 16,600 17,30018,500 19,400 20,300 21,20023,800 24,800 25,800 26,80029,100 30,300 31,500 32,70035,700 37,100 38,500 39,90041,600 43,250 44,900 46,550

13,30016,10018,00022,10027,80033,90041,30048,200

VI VII VIII VIII(*)

13,80016,65018,70023,00028,80035,10042,70049,850

14,30017,20019,40023,90029,80036,30044,10051,500

14,800 15,30017,750 18,30020,100 20,80024,800 25,70030,800 31,80037,500 38,70045,500 46,90053,150 54,800

* 4dditional step for language proficiency.a) The P6 grade was introduced 1 January 1959 by revision to Staff Rule 230.2.b) The D2 grade vas revised to a flat rate effective 1 January 1957.

I

X

8,0009,500

WL 1WL 2WL 3WL 4WL 5WL 6WL 7WL 8

2,5652,7253,0603,4603,7904,1204,5305,005

2,6652,8253,1653,5903,9404,2804,7155,210

2,7652,9253,2703,7204,0904,4404,9005,415

2,8653,0253,3753,8504,2404,6005,0855,620

2,9653,1253,4803,9804,3904,7605,2705,825

EPL 1EPL 2EPL 3

CL 1CL 2CL 3CL 4CL 5CL 6

ML 1ML 2ML 3ML 4ML 5ML 6ML 7ML 8

:

Page 17: PROPOSED PROGRAM AND BUDGET ESTIMATES

9

SALARY SCHEDULES (continued)

ANNUAL LOCAL WAGE SCALE - ZONE III (GUATEMALA)Guatemalan Quetzales (Effective 1 October 1959)

GL 1GL 2GL 3GL 4GL 5GL 6GL 7GL 8

1

9601,1601,4901,7302,2502,5003,0603,310

II III IV V VI VII VIII VIII(*)

1,0101,2251,5751,8302,3802,6403,2353,500

1,0601,2901,6601,9302,5102,7803,4103,690

1,1101,3551,7452,0302,6402,9203,5853,880

1,1601,4201,8302,1302,7703,0603,7604,070

1,2101,4851,9152,2302,9003,2003,9354,260

1,2601,5502,0002,3303,0303,3404,1104,450

1,3101,6152,0852,4303,1603,4804,2854,640

1,3601,6802,1702,5303,2903,6204,4604,830

ANNUAL LOCAL WAGE SCALE - ZONE IV (LIMA)Peruvian Soles (Effective 1 January 1958)

I II III IV V VI VII VIII VIII(*)

LL 1 18,000 18,900 19,800 20,700 21,600 22,500 23,400 24,300 25,200LL 2 24,000 25,200 26,400 27,600 28,800 30,000 31,200 32,400 33,600LL 3 36,000 37,800 39,600 41,400 43,200 45,000 46,800 48,600 50,400LL 4 45,000 47,400 49,800 52,200 54,600 57,000 59,400 61,800 64,200LL 5 54,000 56,700 59,400 62,100 64,800 67,500 70,200 72,900 75,600LL 6 69,600 73,200 76,800 80,400 84,000 87,600 91,200 94,800 98,400LL 7 84,000 88,200 92,400 96,600 100,800 105,000 109,200 113,400 117,600

ANNUAL LOCAL WAGE SCALE - ZONE V (RIO DE JANEIRO)Brazilian Cruzeiros (Effective 1 January 1959)

II III IV V VI VII VIII IX X X(*)

RL 1 87,000 91,500 96,000 100,500 105,000 109,500 114,000 118,500 123,000 127,500 132,000RL 2 111,250 116,375 121,500 126,625 131,750 136,875 142,000 147,125 152,250 157,375 162,500RL 3 167,125 174,750 182,375 190,000 197,625 205,250 212,875 220,500 228,125 235,750 243,375RL 4 234,250 244,375 254,500 264,625 274,750 284,875 295,000 305,125 315,250 325,375 335,500RL 5 320,750 332,000 343,250 354,500 365,750 377,000 388,250 399,500 410,750 422,000 433,250RL 6 373,625 386,000 398,375 410,750 423,125 435,500 447,875 460,250 472,625 485,000 497,375

a/RL 7 416,125 430,375 444,625 458,875 473,125 487,375 501,625 515,875 530,125 544,375 558,625a/RL 8 466,125 482,375 498,625 514,875 531,125 547,375 563,625 579,875 596,125 612,375 628,621

ANNUAL LOCAL WAGE SCALE -ZONE VI (BUENOS AIRES)Argentine Pesos (Effective 1 May 1959)

II III IV Y VI VII VIII VIII(*)

BAL 1 49,000 50,500 52,000 53,600 55,100 56,600 58,100 59,700 61,200BAL 2 67,000 69,100 71,300 73,400 75,600 77,800 79,900 82,100 84,200BAL 3 78,300 80,800 83,300 85,900 88,400 90,900 93,400 96,000 98,500BAL 4 107,400 110,900 114,300 117,800 121,300 124,700 128,200 131,700 135,100BAL 5 129,100 133,300 137,400 141,600 145,800 150,000 154,100 158,300 162,400BAL 6 164,300 169,600 174,900 180,200 185,500 190,800 196,100 201,400 206,700BAL 7 217,000 224,000 231,000 238,000 245,000 252,000 259,000 266,000 273,000

* Additional step for language proficiency.a/Applicable only to local staff in project AMRO-77.

I

Page 18: PROPOSED PROGRAM AND BUDGET ESTIMATES

SCALE OF ASSESSMENTS OF THEMEMBER STATES OF THE PAN AMERICAN HEALTHORGANIZATION FOR THE FINANCIAL YEAR ENDING31 DECEMBER 1961, BASED ON THE PAN AMERICAN

- UNION SCALE OF 1960-1961

TENTATIVE SCALE OF ASSESSMENTS OF THEMEMBER STATES OF THE PAN AMERICAN HEALTHORGANIZATION FOR THE FINANCIAL YEAR ENDING31 DECEMBER 1962, BASED ON THE PAN AMERICAN

UNION SCALE OF 1960-1961

Country Percentage

%s

ArgentinaBoliviaBrazil

ChileColombiaCosta Rica

Cubabominican RepublicEcuador

El SalvadorGuatemalaHaiti

HondurasMexicoNicaragua

PanamaParaguayPeru

United StatesUruguayVenezuela

7.480.307.50

1.982.280.30

1.830.370.44

0.370.370.30

0.305.220.30

0.300.300.80

66.000.88

2.38

100.00

Assessments in respect to:

France +Netherlands *United Kingdom **

Amount

351,56014,100

352,500

93,060107,16014,100

86,01017,39020,680

17,39017,39014,100

14,100245,34014,100

14,10014,10037,600

3,102,00041,360

111,860

4,700,000

Country

ArgentinaBoliviaBrazil

ChileColombiaCosta Rica

CubaDominican RepublicEcuador

El SalvadorGuatemalaHaiti

HondurasMexicoNicaragua

PanamaParaguayPeru

United StatesUruguayVenezuela

Assessments in respect to:

7,6385,63733,571

46,846

France *Netherlands *United Kingdom **

In accordance with Article LX of the Pan AmericanSanitary Code, the assessment scale adopted by the Councilof the Organization of American States is binding upon theMember States of the Pan American Health Organization.

In accordance with Article LX of the Pan AmericanSanitary Code, the assessment scale adopted by the Councilof the Organization of American States is binding upon theMember States of the Pan American Health Organization.This scale which is presented for informational purposesonly, is the 1960-1961 scale and is subject to review bythe Council of the Organization of American States.

* Amounts calculated in accordance with Resolutions XV and XL of the V Meeting of the Directing Council.

** Amounts calculated in accordance with Resolutions XV and XL of the V Meeting of the Directing Council,and negotiations concluded with Representatives of the United Kingdom.

A

10

Percentage

7.480.307.50

1.982.280.30

1.830.370.44

0.370.370.30

0.305.220.30

0.300.300.80

66.000.882.38

100.00

Amount

384,47215,420

385,500

101,772117,19215,420

94,06219,01822,616

19,01819,01815,420

15,420268,30815,420

15,42015,42041,120

3,392,40045,232122,332

5,140,000

8,3536,153

36,714

51,220

..

Page 19: PROPOSED PROGRAM AND BUDGET ESTIMATES

11

PROPOSED APPROPRIATIONS RESOLUTION

THE DIRECTING COUNCIL

RESOLVES:

1. To appropriate for the financial year 1961 an amount of $as follows:

Purpose of Appropriation

PART 1 PAN AMERICAN HEALTH ORGANIZATION

PART II PAN AMERICAN REALTH ORGANIZATION -HEADQUARTERS

PART III PAN AMERICAN REALTH ORGANIZATION -FIELD AND OTHER PROGRAMS

Total - All Parts $

Leas:

Estimated Miscellaneous Income 9

Contributions on behalf of France,the Netherlands, and the UnitedKingdom

Total

TOTAL FOR ASSESSMENT 5

2. Amounts not exceeding the appropriations noted under Paragraph 1 shallbe available for the payment of obligations in accordance with the FinancialRegulations of the Organization incurred during the period 1 January to31 December 1961, inclusive.

3. The appropriations-as noted above shall be financed by contributionsfrom Member Governments according to Article LX of the Pan American SanitaryCode; from contributions on behalf of France, the Netherlands and the UnitedKingdom according to Resolutions XV and XL of the V Meeting of the DirectingCouncil, and miscellaneous income accruing to the Pan American HealthOrganization.

4. The Director is authorized to transfer credits between parts of thebudget, provided that such transfers of credits between parts as are madedo not exceed 10% of the part from which the credit is transferred. Trans-fers of credits between parts of the budget in excess of 10% may be madewith the concurrence of the Executive Committee. All transfers of budgetcredits shall be reported to the Directing Council.

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do

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INFORMATIONAL DETAILS

NARRATIVE EXPLANATIONS

AND SCHEDULES

PAHO-REGULAR BUDGET

PAHO-OTHER FUNDS

WHO-REGULAR BUDGET

WHO-TECHNICAL ASSISTANCE FUNDS

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4,

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15

PART I

PAN AMERICAN HEALTH ORGANIZATION

SECTION 1 - Conference and Publications Branch (See page 106)

Included in this section are the estimates for thefolloving units of the Conference and Publications Branch:Office of the Chief; the Arrangements and Documents unitsof Meeting Services; and Language Services.

The estimate for 1962 contains no change in thenumber of posts for this section.

SECTION 2 - Organizational Meetings (See page 106)

Provision is made in Chapter 1 for the 1962 meetingof the XVI Pan American Sanitary Conference in Buenos Aires,Argentina and for the 1961 meeting of the Directing Councilin Washington, as vell as for the Executive Committee meet-ings held at the same time. The amounts shown are theactual estimated requirements for each meeting. The high-er cost in 1962 as compared with 1961 reflecta the esti-mated difference in cost of a meeting held away from theReadquarters city as compared with one in Washington.

Chapter 2 contains the estimated cost of the springmeeting of the Executive Committee, which is usually heldin Washington. The estimate for 1962 is the same as thatfor 1961 which is about 8 per cent lower than in previousyears. The reduction is attributable to a decrease in theestimated number of Committee days with consequent reduc-tion in cost of temporary staff.

SECTION 3 - Temporary Personnel (Sea page 108)

An estimate of $1,350 is included for temporarypersonnel for conferences and related activities. Thissum represents no increase over 1961.

SECTION 4 - Common Staff Costs (See page 108)

A detailed explanation of the items included underthis section appears in Part II, Section 6 of this document.(See page 16)

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16

PART II

PAN AMERICAN HEALTH ORGANJZATION - HEADQUARTERS

SECTION 1 - Executive Offices (Sea page 108)

Under the Executive Offices is presented the Officeof the Director, to which are attached the Reports Officeand the Information Office.

No change is requested in the number of posts inthe Office of the Director for 1962 nor is there any changein the estimate for duty travel.

Chapter 2 of Section 1 covers the activities of theInformation Office. No change is requested in the staffcomplement for this office. With regard to the informationactivities, small increases are included in 1962 for "NewsReleases"; "World Health Day" and "Supplies, Materials andOther Services" to allow for modest increases in theseareas. No increases are requested for Visual Aidsactivities.

SECTION 2 - Division of Education and Training (Sea page 110)

The Division of Education and Training comprisesthe Office of the Chief, Fellowships Branch, and Profes-sional Education Branch including the Library.

No changes are reflected in the staff complementfor this division for 1962 as compared with 1961. Theitems for duty travel and library acquisitions are alsocarried at the same level in both years.

SECTION 3 - Division of Administration (See page 112)

The Division of Administration comprises the Officeof the Chief, the Administrative Management and PersonnelBranch, the Budget and Finance Branch, the Supply Office,and General Services Office. In addition, the Chief of theDivision has supervisory responsibility for Conference andPublications Branch for which the budget presentation ismade largely in Part I, Section 1 and partially in Part III,Section 3.

No changes are proposed in this estimate for thestaff complement of the division for 1962 as compared with1961. The duty travel requirement for the division isabout 13 per cent lower in 1962 than for 1961.

SECTION 4 - Division of Publio Health (See page 116)

The Division of Public Health comprises the Officeof the Chief, the Health Promotion Branch, the CommunicableDiseases Branch including the Epidemiology and StatisticsSection, the Environmental Sanitation Branch, and theMalaria Eradication Office.

An increase of two posts is requested for the HealthPromotion Branch of this division in 1962. These are onemedical officer (MCH) and one local post to complement theclerical force in this branch. Concomitant with this ad-ditional post a small increase in duty travel for thedivision is proposed in 1962.

SECTION 5 - Temporary Personnel (See page 118)

The estimate for this section represents thecontinuation of the need for this item at the same levelin 1962 as compared with 1961.

SECTION 6 - Common Staff Costs (See page 118)

Common Staff Costs comprise (1) the Organization'scontribution to the U. N. Pension Fund, (2) the Organiza-tion's contribution to the Staff Health Insurance plan, (3)post adjustment allowance, (4) service benefit, (5) repatri-ation grant, (6) dependents' allowance, (7) recruitmentcosts, (8) home leave travel, and (9) reimbursement ofincome tax.

The Organization's contribution to the U. N. PensionFund for professional staff members having full participa-tion in the Fund is 14.7 per cent of the staff member'ssalary (14 per cent for local staff), exclusive of allow-ances, and 4.75 per cent of the professional staff member'ssalary for staff having associate participation status(4.5 per cent for local staff). The small increase in thebudget for this item is proportionate to the rise in salarycosts due to normal within-grade increments.

The Organization's share of the cost of staffinsurance vas estimated on an average of 2.25 per cent forall PASB and WHO staff.

Post adjustment allowance is computed on the basisof the established entitlements of the staff, at the timeof preparation of the budget, for all occupied positionsand for vacant positions on PASB. For the method of com-puting vacant positions on WRO, see Table of Averagesreferred to in the Method of Preparation.

Expenses incurred by the Organization with respectto staff entitled to Service Benefit are provided for atthe rate of 8 per cent of base salary for expatriate staffand 4 per cent of base salary for staff assigned to dutystations in their home countries.

The Organization's liability is provided for withrespect to the annual accrual of Repatriation Grant forentitled staff on PARO Regular Funds. Appointments underthe Special Malaria Fund are of a short-term nature andappointees are therefore not entitled to this grant. ForWHO amounts are budgeted as specified in the Table ofAverages to be found in the Method of Preparation.

Dependents' Allowance is computed on the basis ofthe known entitlements of staff for all occupied positions,and on the basis of an average for all vacant positions.

Recruitment cost estimates are based on the knownvacant positions at the time of preparation of the documentand are based on the year when recruitment will take place.

Home leave estimates are furnished on the knowneligibility of staff members at the time of preparation ofthe document. Since a staff member is eligible for homeleave once in every two years of qualifying service, theincidence of budgetary requirement varies with the appoint-ment dates. The decrease in estimated cost in 1961 isoccasioned by the smaller number of staff members eligiblefor this allowance during this year.

As in the past, an item is included for reimburse-ment of income tax to staff members who are required topay this tax.

-1

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SECTION 7 - Common Services (See page 120)

The estimates for the various Common Services forthe Washington Office are shown in detail in the schedules.All costs are divided on a pro rata basis between fundsbudgeted under PASO and WEO, except for the Acquisition of

Capital Assets which are charged directly to the appropri-ate sources of funds.

The plan for replacement of capital equipmentpermits a reduction in the requirement for this item in1962 as compared with 1961. All other Common Servicesitems remain unchanged.

17

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18

PART III

PAN AMERICAN HEALTH ORGANIZATIONFIELD AND OTHER PROGRAMS

Zone Offices

The field operations of the PAHO/WHO are under theimmediate supervision of six representatives who have juris-diction over the following zones:

Zone I : Venezuela, the departments of France in

the Americas, Surinam and the Netherlands Antilles, WestIndies Federation and territories of the United Kingdom inthe Americas, Puerto Rico, and U.S. Virgin Islands. TheZone Office is located in Caracas, Venezuela.(See page 122)

Zone II : Cuba, Dominican Republic, Haiti, andMexico. The Zone Office is located in Mexico, D.F., Mexico.(See page 140)

Zone III : Costa Rica, El Salvador, Guatemala,Honduras, Nicaragua, Panama, and British Honduras. TheZone Office is located in Guatemala, Guatemala.(See page 158)

Zone IV : Bolivia, Colombia, Ecuador, and Peru.The Zone Office is located in Lima, Peru. (See paga 182)

Zone V : Brazil. The Zone Office is located in

Rio de Janeiro, Brazil. (See page 198)

Zone VI : Argentina, Chile, Paraguay, and Uruguay.The Zone Office is located in Buenos Aires, Argentina.(See page 208)

Relations with Canada and the United States areunder the jurisdiction of the Washington Office. A FieldOffice in El Paso is budgeted under Washington Office -Country Programs, and is concerned with the stimulation of

cooperative health activities along the border betweenMexico and the United States.

Under the plan of decentralization the WashingtonOffice is responsible for provision of certain technicaland administrative services that can be carried out moreefficiently from a central headquarters, i.e., responsi-bility and authority for relations with the governingbodies of the Organization, central technical servicessuch as statistics, etc.

The zone offices are responsible for the fieldoperations of PAHO/WHO and for direct technical advice tonational health authorities. This system assures thatprojects will be planned in cooperation with the nationalhealth personnel who will be responsible for their execu-tion, and thus in a manner appropriate to local conditiona.

The estimates for the zone offices are arranged asin previous years. Duty travel and common staff costs forpersonnel of the offices appear under the personal servicesestimates for each zone; common services costs for theoperation of each office are similarly shown. In general,the estimates conform to those of previous years.

The provisions for home leave and dependents'allowance cause some fluctuation between years, since com-putations are based on known eligibility at the time ofpreparation of this document. Common services estimatesare based on the experience of previous years. The itemfor Acquisition of Capital Assets is for the purpose ofreplacing obsolete equipment. Estimates for local expendi-tures have been based on the rates of exchange prevailingat 1 January 1960 and some fluctuation in costs as comparedto previous years has been reflected, owing to change inrates.

j

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19

PARP III

ZONE I

Zone Office (See page 122)

For text see 'Zone Offices,' page 18.

BRITISH GUIANA AND WEST INDIES

BRITISB GUIANA AND VEST INDIES-1, AUdes aeMRytiEradication (See page 122)

Under this project, international sanitarians areassigned to specific areas; they vork under the technicalguidance and supervision of the medical officer of theregional project AMRO-8, vho provides advisory services toBritish, French and Dutch areas as vell as to Venezuela.

Bermuda, British Guiana, Grenada, Nevia and St.Vincent have already achieved eradication. Trinidad,Tobago, Antigua, Barbuda, St. Kitts, Montserrat and St.Lucia reached negativity in 1959 and vigilance services arein operation in those islands. In the Bahamas, budgetarydifficulties retarded the program of the campaign. InJamaica, the technical problem of resistance of the localstrain of A. aegypti to DDT vas solved by the use of anotherinsecticide and the campaign is making progress. In theBritish Virgin Islands an agreement vas signed for the im-plementation of the campaign which vill begin early in 1960.

Provision is made for from four to six sanitariansand one entomologist and for limited amounts of suppliesand equipment.

BRITISH GUIANA AND WEST INDIES-3. Publi c Health Nursing(See page 124)

Surveys of public health nursing services have beencarried out in British Guiana, Trinidad, Barbados andJamaica.

In Barbados three health centers have been establish-ed and are expanding their operations to cover the broadscope of public health nursing services. In Trinidad apost has been established for a national nurse, vith island-vide responsibilities for public health nursing services,and plans have been made for the expansion of existing ma-ternal and child health services in rural areas, by improv-ing the present 92 health posts and centers and by the ad-dition of ten more during the period 1959-1962. In BritishGuiana a network of health centers is being developed andemphasis is to be placed on maternal and child health as anintegral part of well-rounded health service in rural areas.

Under discussion is a plan to create positions forprincipal nurse officers who with national health authori-ties should be responsible for over-all planning, adminis-tration and supervision of nursing services.

To provide continuous technical advisory and evalu-ation services to the governments and develop furtherprograms, with UNICEF assistance, provision is made forthe continuation of a nursing adviser, with duty stationin Trinidad who vill furnish consultant services initiallyto the Governments of Trinidad, Barbados, and BritishGuiana, and later to other health departments as the programdevelops.

BRITISH GUIANA AND WEST INDIES-4. PAHO Public HealthAdministration Fellowships (Seo pago 1-24)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its health services.

BRITISH GUIANA AND WEST INDIES-6 (WIF - Trinidad), PublicHealth Legislation (See page 124)

The public health lavws of Trinidad needed thoroughrevision in order to keep pace vwith the expansion andmodernization of the public health services of the island.The Organization has provided the services of a consultantto make a survey of the situation and to assist in a com-plete revision of the present health legislation, in theunification and modernization of the health ordinances,and in the preparation of a nev sanitary code. This as-signment vill be completed in 1960.

BRITISH GUIANA AND WEST INDIES-10 (British Guiana). PublicHealth Services (See page 124)

Nov that malaria eradication has been achieved onthe denaly populated coastlanda the government plans toextend the network of health centera and to expand ruralhealth services, including environmental sanitation, healtheducation, nursing services, communicable diseases control,with emphasis on filariasis, tuberculosis, venereal dis-eases and leprosy, vwith assistance from UNICEF and adviso-ry services from PAHO staff in the Zone Office and in re-lated projects. Advisory services will be given to thecentral and municipal health departments.

To coordinate these various international activitiesprovision is made for one medical officer. Fellovwships inspecial fields have already been awarded.

BRITISH GUIANA AND WEST INDIES-11 (WIF - J~maica). PublioHealth Training Station (See page 124)

The British West Indias Public Health TrainingStation vas organized in 1943 to provide instruction andtraining for health personnel of all grades for theBritish possessiona in the West Indies.

The station has trained a large number of sanitaryinspectora. In Jamaica, there is nov one sanitary inspec-tor for 5,100 population. The shortage of physicians andnurses has led to the necessity for the sanitarians toperform many of the duties usually performed by medical ornursing personnel and the curriculum of the school reflectsthis fact.

In 1959, a consultant reviewed the curriculum andmade recommendations in connection with it and with otheraspecto of the school. These recommendations should betterbalance the kinds of personnel trained and at the same timeimprove specialized training of sanitarians and nurses.Modifications in the curriculum will be made as the typeof activities required from the graduate changes.

Advisory services to the station vill continue tobe given by the PAHO staff and by short-term consultants.

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20

BRITISH GUIANA AND WEST INDIES-12 (WIF -Jamaica), NursingEducation (See page 124)

With the advice of the Organization a preliminarysurvey has been made of the nursing resources in the govern-ment health services. One of the needs revealed by thissurvey is that of extending the opportunity for trainingbeyond basic nursing education both by established coursesand by in-service education programs.

A consultant in nursing education is being providedto assist in analyzing the needs and to help with theestablishment of postgraduate nursing education and in thereview of the basic curriculum with the view to strength-ening the preventive aspects of nursing.

Provision is also made for long-term fellowships in1961 and 1962.

BRITISH GUIANA AND WEST INDIES-13 (WIF -Jamaica).Department of Preventive Medicine (UCWI)(See page 126)

The University College of the West Indies is under-taking a progressively larger share of the responsibilityfor training young physicians to work in the Caribbean.There is at present a sub-Department of Preventive Medicineto which assistance is being given by the RockefellerFoundation up to 1960.

It is planned to enlarge the scope of this sub-Department of Preventive Medicine and ultimately to giveit the status of a full department. Provision is made fora consultant in the teaching of preventive medicine and theorganization of such a department.

The University College and its hospital are planningto set up a Virus Diagnostic Unit. It is one of the WHOInfluenza Centers. To expand the scope of their activitiesin virus work, the services of a consultant is provided in1961 as well as fellowships for laboratory technicians.

BRITISH GUIANA AND WEST INDIES-14 (British Guiana).Malaria Eradication (See page 126)

The comprehensive residual house-spraying programbegun in 1944 has eradicated malaria from the denselypopulated (425,000) coastal region of British Guiana.Limited spraying of certain strategic areas is now suffi-cient to prevent its reintroduction from the inteior,where malaria is still found.

In the interior the Indian population of about30,000 is very nomadio and ia acattered over a wide area.Transportation to and from the interior is extremely dif-ficult, time consuming, and expensive. Under these con-ditiona residual house-spraying with insecticides is noteffective, and the administration of drugs in adequatedosage and at proper intervals is not applicable.

It is planned to implement a project for theeradication of malaria from the interior with medicatedsalt, using the Pinotti method. The plan is in preparation,and will be put into effect in 1960. The Government'sexpenditures are estimated at $75,000 over three yearsa forthis campaign. UNICEF is expected to provide insecticidesfor strategic sprayings, transportation for distributionof salt, a mixing machine for the preparation of treatedsalt, and laboratory supplies.

Provision is made for short-term consultants togive periodic technical advice regarding this treatmentmethod. Technical advisory services will also be providedfrom the Zone Advisory Team (AMRO-117). Provision is alsomade for drugs.

BRITISH GUIANA AND WEST INDIES-15 (WIF -Jamaica),Malaria Eradication (See page 126)

The geographical reconnaissance of the malariousarea was completed in January 1958 vith 320,000 housesmapped and numbered. The total coverage vith dieldrinresidual house-spraying was started in January 1958 andcompleted in December 1958 with 270,900 houses sprayed.Approximately 40,000 houses in areas above 1,500 feet andoriginally included in the malarious areas were confirmedto be free of transmission and the population in the areasvwere placed under malaria surveillance without receivinghouse-spraying as originally planned.

The vector was found to be resistant to dieldrinin January 1959 in three parishes in the south and a shiftof insecticide from dieldrin to DDT vas agreed upon.

Due to lack of DDT supplies, dieldrin sprayingcontinued up to the end of September 1959 in those parisheswhere the vector was still susceptible, but the entireshift of insecticides vas completed by 1 October 1959.During 1 January to 31 August 1959, 224,709 houses or80.19 per cent of the total houses in the malarious areawere sprayed.

The evaluation net-work is now being intensified.Investigation to determine whether or not there is stilltransmission of malaria in the parishes on the northerncoast where no indigenous cases have been reported for thelast two years, is well under way. If the area is con-firmed to be free of transmission, it will be placed undersurveillance and thus the area of spraying will be furtherreduced.

UNICEF provides insecticides, transports, laboratoryand spraying equipment. The Government increased its com-mitment by USS 548,926 for the campaign in addition to theoriginal commitment of USS 1,548,426.

Provision is made for one medical officer, onesanitary engineer and tvo sanitarians. Provision is alsomade for antimalarial drugs.

BRITISE GUIANA AND WEST INDIES-16 (WIF - Trinidad),Malaria Eradication (See page 126)

Malaria in Trinidad and Tobago has been sharplyreduced following the residual DDT house-spraying program.In Tobago, there have been no indigenous cases sinceDecember 1953. In Trinidad the bulk of transmission occursin the northeastern sector of the island where A. bellatoris the vector. In 1958, a pre-eradication program vasinitiated, with intensification of residual spraying withdieldrin and the distribution of antimalarial drugs. By31 October 1958, 89 per cent of the total number of housesin the malarious areas were sprayed. Malaria incidencehas been reduced greatly, but malaria transmission in theA. bellator area has not been terminated.

A. aquasalis, the only other known vector, vasfound to be resistant to dieldrin but remains susceptibleto DDT. It is planned to eradicate malaria from Trinidad

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by DDT residual house-spraying in areas vhere A. aauasalisis the sole vector and by chemotherapy in the area whereA. bellator is a vector. It is believed that comprehensiveand regular administration of antimalarial drugs to thepopulation exposed to A. bellator will eliminate malariatransmission from the area. A complete evaluation networkis being organized and will funotion from the beginning ofthe campaign.

UNICEF is expected to continue to provide insecti-cides, transport, spraying and laboratory equipment.

Provision is made for antimalarial drugs. Advisoryservices vill be available through the Zone Advisory Team(AMRO-117).

BRITISH GUIANA AND WEST INDIES-17 (WIF -Windward Islands).Malaria Eradication (See page 126)

The total coverage of the malarious area with DDTresidual house-spraying was completed in St. Lucia inSeptember 1959 and the island has been placed under malariasurveillance. The total coverage in Grenada will be com-pleted in February 1960 and the program will be placedunder surveillance. DDT spraying has been discontinued inCarriacou since 1958 and the island has been under surveil-lance. Malaria transmission has been virtually interruptedand there have been no malaria cases found from Carriacoufor the last three years, from Grenada for the last eightmonths and from St. Lucia for the last five months.

The total coverage vith DDT residual house-sprayingin Dominica was started in June 1959 and the program hasbeen effectively carried out. It is expected to achievemalaria eradication within three years.

UNICEF has provided insecticides, transport,laboratory and spraying equipment.

Provision is made for two sanitarians for 1960 -1961 and one sanitarian for 1962. Provision is also madefor antimalarial drags.

BRITISH GUIANA AND WEST INDIES-18. Promotion of CommunityWater Supplies (See page 128)

In many of the units of the West Indies Federationthere exist water supply problems of a diverse nature.Interest has been expressed for certain studies of thepresent water systems from the technical, financial,economic and legal points of view.

Special consulting services, needed for thesestudies, will be provided by a sanitary engineer beginningin 1961.

For a summary of the problems of water supplies,see AMR0-239.

FRENCH ANTILLES AND GUIANA

FRENCH ANTILLES AND GUIANA-2, Abdes aegypti Eradication(See page 128)

Aldes aegypti had been eradicated in French Guiana,but in 1959 reinfestation was found along the coast. Themeasures used brought the situation under control.

Martinique and Guadeloupe and the other islands ofthe group continue to be positive, with the exception of

21

the French part of the island of San Martin, where inten-sive work was done in 1959. Susceptibility tests of theA. aegypti in Guadeloupe demonstrated complete resistanceto DDT and a decrease in susceptibility to BHC. Thecampaign in Guadeloupe and Martinique continues to encounteradministrative difficulties that hinder its progress.

Provision is made for continuing the services of asanitarian. The medical officer of the AMRO-8 regionalproject provides guidance and general technical supervision.

FRENCB ANTILLES AND GUIANA-3. PARO Public HealthAdministration Fellowships (See page 128

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its health services.

SURINAM AND NETHERLANDS ANTILLES

SURINAM-1. Malaria Eradication (See page 128)

The malarious area in Surinam covers 143,470 squarekilometers and the population at risk is estimated to be165,000, of which, there are 30,000 in the interior,10,000 in the savannah and 125,000 in the coastal areas.The total coverage with DIDT residual house-spraying wasstarted in the coast and savannah areas in May 1958 andthree cycles were completed by the end of October 1959.Malaria transmission has been reduced to a negligiblelevel in the coastal area and the eastern part of thesavannah.

The total coverage with dieldrin, annual house-spraying was started in the interior in July 1958 and onecycle was completed by the end of June 1959. It was foundthat there was a considerable number of houses on theagricultural grounds which were missed during the firstcycle. Attempts are being made to locate all the housesscattered in the agricultural grounds and have themsprayed. Antimalarial drugs will be administered to thepopulation living along the rivers twice a year, as an ad-ditional measure to halt transmission of falciparummalaria.

UNICEF is expected to provide inseoticides, trans-port, laboratory and spraying equipment.

Provision is made for one medical officer and twosanitarians, and for items for imported supplies and equip-ment not furnished by UNICEF. The epidemiologist and theadministrativa methods officer of the AMRO-117 team willbe assigned to the project as their services are needed.Other membera of the AMRO-117 team will also be made avail-able to the project to provide supporting services.

SUBINAM AND NETHERLANDS ANTILLES-1. Aedes aegyptiEradication (See page 128)

Eradication has been achieved in Aruba. In theislands of Bonaire, St. Eustatius, Saba and Dutch part ofSt. Maarten negativity was attained in 1959. In Curaçaopositivity still remains in some areas and assistance wasprovided to reorganize and intensify the campaign.

Plans are being studied for starting an eradicationcampaign in Surinam in 1960. The local strain of A. aegypti

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22

is considered resistant to DDT and tests are planned tocheck its susceptibility to other insecticides.

Provision is made for one sanitarian stationed inSurinam and for another stationed in the NetherlandsAntilles. Consultant services to both Surinam and theNetherlands-Antilles will be provided by the medical of-ficer assigned to the central unit for the Caribbean(project AMRO-8).

SURINAM AND NETHERLANDS ANTILLES-2! PAHO Public HealthAdministration Fellowships (See page 130)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its health services.

VENEZUELA

VENEZUELA-2, Mental Health (See page 130)

As an aftermath of a visit by a PAHO consultant in1959, the Government of Venezuela made an evaluation of itsprogram ahd objectives in mental health in the light ofneeds and resources. Provision is now made for a fellow-ship and for a follow-up visit by a consultant in 1961.

VENEZUELA-5. Onchocerciasis Investigation (See page 130)

The Ministry of Health of Venezuela has defined theendemic area for onchocerciasis, its prevalence rates,clinical manifestations, actual and potential vectors andidentity of the parasite.

A consultant visited the country in 1959 to collabo-rate in determining the general prevalence which was foundto be 45 per cent in endemic zones vith a high index ofocular lesions. A fellowship vas also provided in 1959 forspecial observations of control of this disease.

Provision is made for a follow-up visit by aconsultant in 1961.

VENEZUELA-9. PAHO Public Health Administration Fellowships(See page 130)

Provision is made for fellowships to collaborate withthe Government in training staff for the improvement andexpansion of its health services.

VENEZUELA-11. Plague Investigation (See page 130)

In recent years the Organization has collaborated instudies on plague in Bolivia, Ecuador, and Peru, between1953 and 1956, and in Brazil, in 1957 and early 1958. In1959 the Organization collaborated with the VenezuelanGovernment in similar studies by the provision of theservices of a short-term consultant who completed hisassignment in 1960.

VENEZUELA-13. Yaws Eradication and Venereal DiseasesControl (See page 130)

Precise data on the extent of yaws in Venezuela arenot available, although it is known that the disease is notvidespread and that it exists only in certain areas of thecountry.

To advise on plans for achieving eradication of thedisease, through over-all coverage of the endemio areasand penicillin treatment of cases and contacts, provisionis made for a short-term consultant.

In 1960 and 1961 a second consultant will visit thecountry for two months, to advise on policies for venerealdiseases control.

VENEZUELA-14, Nursing Education (See page 130)

Arising from the rapid development of healthservices in Venezuela a Division of Nursing vas createdin the Ministry of Health and Social Security. The threesections of the division comprise curative services, pre-ventive services and nursing education.

Since April 1959 the Organization has provided theservices of a nurse educator to assist in the analysis ofnursing education throughout the country and in makingplans for strengthening the basic nursing educationprogram. This project may be extended to include advisoryservices in advanced nursing education.

Provision is made for continuation of the presentnurse educator post. Fellowships are also provided in1961.

VENEZUELA-15, Health Aspects of Radiation (See page 132)

As described more extensively in project AMRO-142the problems of nuclear energy are of immediate urgency inmany countries. Venezuela has been in the forefront ofstudies in this field and has special interest in establish-ing security measures for all radiation sources, which havenot heretofore been subject to careful control.

Fellowshipa are provided for the purpose of train-ing national technicians in the health aspects of nuclearenergy.

VENEZUELA-16, Aedes aegypti Eradication (See page 132)

The purpose of this project is to eradicate A#desaegypti which is present in the principal cities ofVenezuela. All houses in the capital, Caracas, are beinginspected to check the results of the campaign in 1959.If not completely negativa, it is expected a very smallresidual infestation will be found and this can be elimi-nated quickly. The campaign is progressing around theFederal District, positivity having been found in severalplaces.

At the same time operations vere initiated inTáchira State, next to the Colombian border and positivityfor A. aegypti vwas found in the Capital of the State, SanCristobal, and several other towns, including San Antonio,15 kilometers from Cúcuta, Colombia. Treatment of SanAntonio vas done and negativity was achieved. Treatmentof San Cristóbal is under way now.

Provision is made for one medical officer and threesanitarians in 1960 and one medical officer and tvo sani-tarians thereafter.

VENEZUELA-17, Medical Education (See page 132)

There are three well-established university medicalschools in Venezuela, located in Caracas, Maracaibo and

.

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Mérida, with a fourth starting in Valencia. Preliminaryvisits have been made to the three established schools bythe staff and consultants of the Organization. The uni-versities are autonomous and the medical schools come undera National Council whose role is to determine and coordinatecurricula and teaching standards and practices.

Two fellowships were awarded in 1958 to key stafffrom the Mérida school. Senior staff from Caracas,Maracaibo and Mérida participated in the Seminar on Teach-ing of Pediatrics (AMRO-102) in Paipa, Colombia, in 1958.

In May 1960 a group of three medical educators madea study of the teaching facilities of the Medical School ofthe Universidad Central in Caracas to make recommendationson the number of students that can be trained.

With PAHO technical assistance a seminar will beheld in Mérida in June 1960 vith participation by the deansand professors of the four medical schools in Venezuela andby representatives of the Ministry of Health and the MedicalAssociation. The main objective of this seminar will bediscussions of a possible unified curriculum, admission re-quirements, etc. and the conclusions will be later presentedto the National Council of Universities for approval.

The Organization will collaborate in the preparationof the agenda and will provide the consulting services ofthree medical educators. Preparation and distribution ofthe proceedings will also be part of the Organizationcontribution. Provision is also made for long-termfellowships.

VENEZUELA-18,. National Institute of Hygiene (See page 132)

Maintenance of colonies of various laboratory animalspresents many difficult problems for the modern publichealth laboratory because of the variety and particularcharacteristics of animals needed both in diagnostic serv-ices and in production of biologicale. In addition toneedfor advice on this subject the National Institute of Hygieneis expanding its activities in virology, a field which in-volves highly specialized techniques.

During 1959, a virologist and a veterinarian gaveadvice to the Director of the Institute of Hygiene and otherinstitutions in the country on specialized laboratory pro-cedures and techniques. A course on virus laboratory workwas also given.

Provision is made for further consultations to evalu-ate the progress made and cooperate in the planning offuture activities.

VENEZUELA-19. School of Public Eealth(See page 132)

For some years a school of public health has beenoperated as part of the Ministry of Health of Venezuela forthe training of nationals. It has been decided to transferthe school to University auspices and to give it full uni-versity rank. In 1959 the Organization made available theservices of a short-term consultant to review the situationand advise on steps to be taken in connection with thetransfer and changes of responsibilities of the school.Provision is made for short-term consultants and fellowshipsfor training of faculty members.

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VENEZUELA-20. Public Health Aspects of Accident PreventionSee page 132)

One of the leading causes of death and invalidismis accidents, particularly traffic accidents in the bigcities and main roads. Some epidemiological studies havebeen made and a consultant from the U. S. Public HealthService visited the country in 1959 to survey the situationand advise on possible solutions. Several GovernmentDepartments other than the Ministry of Health are interestedin the subject and have also requested international advice.

A fellowship is provided in 1961 to observe methodsof accident prevention abroad.

VENEZUELA-24, Public Health Services (See page 132)

Visits by a group of three public health adminis-trators are proposed, in order to advise the chiefs ofsome of the "Unidades Sanitarias" with regard to organi-zation and methode of evaluation of current activities.The "unidades" of Caracas, Maturín and Valera would be thefiret ones to receive such visits. The plan is to have thesame consultants visit the same "unidades" one year laterto assess the progress made after implementation of theirrecommendations.

Provision is made for three consultants to come in1960 and for a second visit in 1961.

VENEZUELA-25, Diarrheal Diseases in Childhood (See page 134)

Diarrheal diseases are still an important cause ofmortality and morbidity in Venezuela. The Government ismaking considerable efforts in the fields of sanitationand MCH services to strengthen the program to combat thesediseases.

To assist in establishing a sound factual basis andplanning a coordinated attack, a short-term consultant isprovided.

VENEZUELA-26, Training of Sanitarians (See page 134)

There are two classes of sanitary inspectors inVenezuela. One, trained by the Division of EnvironmentalSanitation, works in basic sanitation (water supply andexcreta disposal). The other group works in food control,is assigned to the health centers, and receives itstraining from the Veterinary Division. Neither group haswell-founded general training.

The Ministry plans to train as sanitary inspectorspersons with complete high school (Bachillerato) educationand to obtain one single class of fully trained sanitarians.

Short-term consultants with experience in theorganization of training courses for sanitary inspectorsare provided for in 1961 and 1962.

VENEZUELA-27, Promotion of Community Water Supplies(See page 134)

A consultant visited the country for two weeksearly in 1960 to determine in what special areas and forhow long advisory services will be needed to considercertain problems of water supply. On recommendation of

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this consultant advisory services are provided in 1961 and1962 to assist in the detailed study of water rates andwater rate structure.

For a summary of the problems of water supplies,see AMRO-239.

VENEZUELA-28. Industrial Rygiene (See page 134)

Venezuela is in full process of industrializationand problems in industrial hygiene are increasing rapidly.The Ministry of Health has already created a Department ofOccupational Health with regional branches covering thewhole of the country with expert personnel. A medicalconsultant is being sought directly by the Ministry.

Provision is made for a consulting engineer begin-ning in 1962.

VENEZUELA-29. Planning and Organization of HospitalServices (See page 134)

The costsof public hospital care have reached ahigh level and are an increasingly heavy item in the budgetof the Ministry of Health. The services of a consultantare provided to examine the problem of administrative andoperational methods of hospitals and other centerS ofmedical care.

1962.This consultant and fellowships are provided for

VENEZUELA-30. Water Pollution Control (See page 134)

With the rapid industrialization of Venezuela andthe growth in urban concentration, increased sevage serv-ices are being provided. The existing water courses are,therefore, receiving an ever-increasing pollution loadwhich may render them unsuitable as sources of water fordomestic and industrial consumption. The Ministry of Healthis creating a new department to deal with this problem.

A short-term consultant is provided in 1962 to adviseon a program of stream pollution control and prevention.

INTERCOUNTRY PROGRAMS

AMRO-8. Aedes aegypti Eradication (Caribbean) (See page 136)

Under this regional project one medical officerprovides advisory services, in relation to A. aegypti eradi-cation, to the health authorities of Venezuela, and of theBritish, French and Netherlands areas in the Caribbean, andgives technical guidance and supervision to internationalconsultants assigned to the following country projectsaBritish Guiana and West Indies-l, French Antilles andGuiana-2, Surinam and Netherlands Antilles-l, andVenezuela-16.

AMR0-47t Yaws Eradication and Syphilis Control (Ceribbean)See page 136)

With the end of the intensive phase in Trinidad-Tobago in 1958, the mass treatment of yaws in the areas ofhigh prevalence rates which also included Dominica and St.Lucia was accomplished.

At present, and necessarily for several years tocome, resurveys or consolidation coverages will be conductedin Dominica and Trinidad-Tobago with the same tesams thatdid the initial treatment survey to find and treat activecases and their contacts.

In the areas already treated, permanent surveillanceis necessary in order to discover new cases that mightappear, whether imported or othervise. It is planned toestablish a mechanism for accurate diagnosis of suspiciousand doubtful cases.

In keeping with the concept of eradication, theactivities of this project must now be expanded to otherareas where yavs is known to exist. Surveys are necessaryto evaluate the magnitude of the problem and to decide whatmeasures should be taken to attain eradication of thisdisease from the Caribbean.

This project also has the corollary objective ofstrengthening laboratory services, not only in relation tothe treponematoses and venereal disease program, but alsoin regard to public health services in general. Assistanceis given to the public health laboratories in the differentislands, in order to improve and standardize their tech-niques and procedures. A special consultant has advisedon organization and on laboratory procedures. Personnelof the laboratories have been given in-service trainingand limited amounts of equipment and supplies have beenprovided by UNICEF.

Provision is made for the services through 1962 ofa medical officer to stimulate the surveillance activitiesand eradication work of this project.

AMRO-95, Environmental Sanitation (Caribbean)(See page 136)

Major public health problems in the Caribbean areaare related to diseases that can be prevented largely bysanitation of the environment. Expanded programs givespecial attention to the survey and evaluation of environ-mental sanitation conditions and to their improvement.Emphasis is being placed on water supply, excreta disposal,health education, urban sewage disposal, garbage and refusedisposal, rodent control, food sanitation, and housing.This project serves French Guiana, British Guiana, Surinamand the British, Dutch and French islands of the Greaterand Lesser Antilles.

A survey and a program proposal for St. Kitts, Nevisand Anguilla were completed in 1955. In 1956 a publichealth engineer vas assigned to initiate that program andextend the service to other islands of the Caribbean. Hewas assisted beginning in 1957 by a sanitarian.

Attention has been given to Barbados, St. Lucia,St. Vincent, Trinidad-Tobago, Antigua-Barbuda, Montserrat,Grenada, Dominica, St. Kitts-Nevis-Anguilla and theBahamas.

Program proposals for Antigua-Barbuda, Montserrat,Grenada, the British Virgin Islands and British Guianahave been prepared for implementation in 1960.

In 1961 and 1962 it is planned to assist and expandprograms already in operation, to propose programs forBahamas and Jamaica and to make preliminary surveys of theNetherlands Antilles.

Fellowships have been avarded for the training ofkey staff.

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Provision is made for one sanitary engineer and twosanitarians in 1961 and one engineer and three sanitariansin 1962.

AMRO-117. Malaria Technical Advisory Services (Zone I)(See page 136)

This project provides for a Zone Advisory Team forthe malaria activities in the Caribbean to advise and assistinternational personnel assigned to country projects, aswell as give assistance in the widely scattered islands,which individually are too small to require full-timeinternational personnel.

Provision is made for one chief zone malaria adviser,one sanitary engineer, one administrative methods officer,one laboratory adviser, one entomologist, one epidemiologist,one sanitarian and a secretary. These ataff members willgive advice and services in their respective specialties.Provision is also made for supplies, equipment and commonservices.

AMRO-134. Training Center for Malaria Eradication(Kingston)_(See page 138)

This training center has been established in col-laboration with the Government of Jamaica and the U. S.International Cooperation Administration, as part of amajor effort to train national and international personnelfor malaria eradication. It is one of four centere beingused for this purpose.

It is planned to hold annually, as required, coursesfor senior officials working in malaria eradication pro-grams, and also for sanitarians. Facilities are availablefor training about 25 students per course. During 1958,67 physicians, engineers, entomologists and sanitarianscompleted courses.

ICA provides the services of one entomologist(Associate Director), one engineer, and one sanitarian.

The Ministry of Health provides space and laboratoryfacilities in the Public Health Training Station of theWest Indies.

Provision is made for a chief of the training center,two sanitarians, and an administrative officer, two secre-taries, three chauffeurs and a cleaner-messenger. Provisionis also made for teaching in various specialties by visitinglecturers. Supplies, equipment and common services areprovided also.

AMRO-157, Health Statistics (Zone I) (See page 138)

The functions of the statistical consultant for thecountries of Zone I are, (a) to give advice to officials inthe countries and territories for the improvement of vitaland health statistics, with special emphasis on notifiabledisease atatistica, on development of health statistics inaccordance with recommended standards, and on use of thedata in program planning; (b) to give courses in statisticsand to render assistance in the selection and follow-up offellowship atudents and in the development of seminars,

25

workshops, and other training activities in statistics;and (c) to advise on statistical phases of projects and as-sist in the compilation and analysis of information forpurposes of program planning.

Provision is made for the continuation of onestatistician.

AMRO-204. Environmental Sanitation Training (Zone I)(See page 138)

This project provides fellowships for sanitaryengineers and auxiliary sanitation personnel to strengthenboth national and local health services. A beginning wasmade through the previous region-wide project AMRO-1 whichis now being divided into zone projects. The fellowshipswill be awarded for training largely in the schools ofpublic health in Brazil, Chile, the United States andMexico, as well as the School of Sanitary Engineering inthe latter country.

Provision is made for fellowships.

AMRO-232. Filariasis (Zone I) (See page 138)

In 1959, at the request of the Government of BritishGuiana, a consultant from PAHO visited the country toevaluate the filariasis control program. Though otherpotential filarial parasites are known to exist, only W.bancrofti is considered to be pathogenic and to have amosquito vector. Many factors in British Guiana favor theperpetuation of the parasite in the human population. Arecent limited survey shows a rate of 12 per cent of posi-tive bloods (863 samples examined). The Government is con-sidering a long-range plan for eventual eradication withthe possible help of ICA and UNICEF.

During 1959 a PAHO consultant visited Surinamduring two weeks and made a survey and recommendationsconcerning the filariasis situation and the efforts tocontrol the disease. There is suggestive evidence of arecent increase in prevalence rates.

Provision is made for a fellowship in 1961 and forconsultanta in 1961 and 1962.

AMRO-245, Training Course on Nursing Supervision andAdministration (Zone I (See page 138)

In British Guiana and the English-speaking islandsof the Caribbean it has not been possible up to the presentto obtain advanced nursing education locally. A few se-lected nurses have obtained fellowships for study abroad,either in the United Kingdom or Canada and the UnitedStates. However, the number of these is not sufficient toprepare all the personnel needed for positions of leader-ship in the health services in the area.

To assist in filling this need, six month coursesin nursing supervision and administration will be held intwo of the main English-speaking centers, with approximately25 graduate nurses from several islands attending. Thefirst course will be held in Trinidad in 1962.

Provision is made for one short-term nurse educator,for fellowships, and for some supplies and equipment.

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PART III

ZONE II

Zone Office (See page 140)

For text see "Zone Offices," page 18.

CUBA

CUBA-1, Andes aegypti Eradication (See page 140)

The entire territory of the Republic of Cuba isinfested with Aedes aegypti, with the single exception ofthe Sierra Maestra.

Prior to 1959 the campaign was developed in a verylimited way in the most infested sectors of Havana, but itwas not possible to achieve total coverage cycles in ac-cordance with the standarda adopted by the Organization,owing to the lack of funds.

During 1959, when the Government took over the fi-nancing of the national program, a new phase was startedin this campaign, beginning with three-month cycles oftotal coverage in Greater Havana. By the end of 1959 theprogram was being accomplished, using the necessary fullytrained personnel and the indispensable material andequipment.

It is proposedthat the Organization continue toprovide advice through a medical officer and two sani-tarians and to furnish some materials and equipment.

CUBA-3. Public Health Services (See page 142)

In order to ensure an adequate distribution ofpublic health services throughout the Republic of Cuba, atype of organization is proposed composed of a certainnumber of districts each having a health unit. Thoseunits vill be responsible for basic activities in suchfields as communicable disease control, maternal and childhealth, environmental sanitation, etc. The strengtheningof the National Department of Public Health at the centrallevel is considered necessary in order to facilitate prog-ress tovards the realization of this plan.

During 1959 a short-term consultant vas assigned tothat project who made a detailed study of the situation.The Province of Pinar del Rio vas selected as the initialarea for developing the integrated public health services.

Provision is made for the services of a team com-posed of a medical officer, an engineer, a public healthnurse, and a health educator.

CUBA-4. Nursing Education (See paga 142)

For some time the Government has been interested inestablishing a new school of nursing to be operated accord-ing to modern standards and adapted to the country's needsand resources. A building designed to house the school isnearly completed. Interest has also been expressed in theneed to devise plans for reorganizing and modernizing thecurriculum of existing schools of nursing.

The primary purpose of this project is to aid inthe development of the new sachool but assistance vill also

be given in up-grading schools of nursing which are alreadyin operation, and in conducting courses in teaching andsupervision to prepare graduate nurses as instructors andsupervisore.

This project is expected to extend over a period offive years. Provision is made for a nurse educator, sup-plies, equipment and fellowships through 1962.

CUBA-5, Malaria Eradication (See page 142)

During 1959 a large part of the epidemiologicalsurvey was completed as set forth in the program of work,and the survey should be completed during the early monthsof 1960. The four national physicians, who vere trainedin the International School of Malariology in Mexico, haveworked very actively in this survey, with the assistanceof the Cuban physician who received training in laboratorywork, and the adviser of the Organization.

Four experts of the Organization went to Cuba tocollaborate for different periods of time, to provide guid-ance in the different aspects of the campaign, and to trainnational personnel.

It is planned to start the eradication campaign in1960.

Provision is made for the services of one medicalofficer and one sanitarian. In 1961 to the team of con-sultants, an engineer and another sanitarian will be added;in addition, fellowships vill be awarded and supplies willbe provided.

CUBA-6. PAHO Public Health Administration Fellovships(See page 142)

The reorganization of the public health services ofCuba was initiated in 1959. It is evident that vith thisreorganization there will be a growing demand for fellow-ships for experts in all categories.

Provision is made for the award of fellovwships forstudies abroad in 1960, 1961, and 1962.

CUBA-10! Promotion of Community Water Supplies(See page 142)

In 1959 the Government decided to create a central-ized agency that would be responsible for the problem ofdrinking water supplies and severage systems in the country.This agency called "Comisión Nacional de Acueductos yAlcantarillado" (CONACA), with the approval of the Ministryof Public Health, requested advice directly from theOrganization concerning the design, construction, and oper-ation of the public health water works, as well as thetraining of engineers and auxiliary personnel.

Provision is made to furnish the services of asanitary engineer, specialized in the design of watersupply plants.

For a summary of the problems of vater supplies,see AMRO-239.

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DOMINICAN REPUBLIC

DOMINICAN REPUBLIC-2, Malaria Eradication (See page 144)

In June 1959 the first year of total coverage vithdieldrin vas completed, and during the second year sprayingcycle the mosquito presented partial resistance to theinsecticide. Various possibilities were studied to solvethe problem, and it is expected to start apraying through-out the country with DDT during the early months of 1960.

UNICEF vill continue to provide part of the requiredinsecticide, vehicles, sprayers, and other auxiliary ma-terials. For the fiscal year that will begin in June 1960,this contribution vill amount to a little over US$100,000.It is estimated that the Government will contributeUSS500,000 to this campaign in 1960.

Provision is made for continuing the technicaladvice through the services of a medical officer, one sani-tary engineer, and three sanitarians, as well as for anti-malarial drugs.

DOMINICAN REPUBLIC-3, Nursing Education (See page 144)

A new school of nursing, at present the only one inthe country, was established in the Dominican Republic inAugust 1958 after several years of planning. A nurse-director, assistant-director and several instructors havebeen appointed for the school. Orientation of facultyinstructors on methods and principles of teaching had beenundertaken by the end of 1958 and the outline of a three-year educational program for professional nurses drawn up.The first group of students began their training in October1958 and field practice areas have been developed during1959.

The curriculum of the school is being developed insuch a way that nurses completing their course of trainingwill be adequately prepared to meet the needs for nursingservices in the rapidly-expanding hospital system and inother health projects.

Provision is made for two nurse educatora and forfellowships.

DOMINICAN REPUBLIC-4 Public Health ServicesSee page 144

The objective of this project is the reorganizationof local health services and the strengthening of thecentral administrative structure. The progress achievedpreviously includes: approval of a new sanitary code andcorresponding regulations; construction and operation ofa well-equipped health center serving also as a trainingarea; six courses for nurses, nursing auxiliaries, sani-tarians, and other specialized personnel, in addition to aspecial orientation course for physicians working in localhealth services, and operation of a new health center inCiudad Trujillo, which was equipped in 1959.

Plans are under way for the construction of newhealth centers. UNICEF has supplied a major portion of theequipment and supplies for MCH services in the rural areasand is also providing supplies for the expansion of workin rural sanitation.

Provision is made for continuing the services of amedical officer, a sanitary engineer, a public health nurse,as well as supplies.

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DOMINICAN REPUBLIC-8. Aedes aegypti Eradication (See page 144)

At the time the program was started in 1952, theA. aegypti infestation index in the country was very high.This index has been greatly reduced in the country's inlandinfested areas, to which the intradomiciliary spraying ofthe malaria eradication campaign has contributed to a grestextent.

At present there are numerous localities in theinterior of the country with zero index. In 1961 it isexpected to implement a new Plan of Operations providingforan increased number of personnel to augment work in thecapital and make complete cycles of three months' duration.

Provision is made to provide the services of amedical officer and a sanitarian.

DOMINICAN REPUBLIC-10. BCG Vaccination (See page 146)

In the latter part of 1958, with the cooperation ofthe Organization and UNICEF, a mass BCG vaccination cam-paign vas undertaken and is echeduled to be completed bythe end of 1960.

Representing a direct outgrovth of the BCG vacci-nation campaign and consolidating its results a nation-widecontrol program will be developed in stages. It will bebased on the utilization of modern drugs and will followthe methods and techniques of case-finding, ambulatorytreatment, and chemoprophylaxis of contacts.

Provision is made in 1960 for short-term consultantsto assist in the program.

DOMINICAN REPUBLIC-11. PAHO Public Health AdministrationFellovwships (See page 146)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its health services.

DOMINICAN REPUBLIC-15. Promotion of Community WaterSupplies (See page 146)

As the first step in developing a national programfor expanding and improving the drinking water services, astart was made to coordinate the activities of all agenciesof the Government that are responsible for this problem.

Provision is made for short-term consultants to col-laborate in conducting the program, as well as for award offellowships.

For a summary of the problems of water supplies,see AMR0-239.

DOMINICAN REPUBLIC-52. Venereal Disease Control(See page 146)

Three major problems are covered by this project:(a) venereal disease control; (b) yaws eradication; and(c) strengthening the public health laboratory, especiallyits serological section.

Although yaws still exists in the country, itsincidence and prevalence are rapidly decreasing. The pic-ture is also improving as far as venereal disease isa con-cerned, due largely to efforts directed toward the training

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28

of personnel and to the more effective coordination ofactivities, particularly in the larger cities, includingdevelopment of a five-year plan.

During 1958 the Government increased the number ofpersonnel available as vell as the transportation facili-ties for the yaws eradication service. The number ofpersons treated in 1959 vas over 800,000. It is expectedthat in 1960 the entire country will have been covered andthat the surveillance and evaluation activities of the cam-paign will be started.

Five training courses, vith a total of 197 partici-pante, vere organized in 1958 for general medical practi-tioners. A manual of venereal disease control vas prepared.The laboratory of serological diagnosis of syphilis vasimproved.

The training of national personnel throughtheoretical-practical training courses continued activelyduring 1959.

Provision is made for the services of one medicalofficer and one serologist.

HAITI

HAITI-1, Yaws Eradication (See page 146)

In July 1950, this project vas begun as a jointenterprise of the Government, UNICEF, and the Organization,to eradicate yaws, which was considered to affect between50 and 70 per cent of the entire rural population.

By the end of 1957 mass operations had been com-pleted and in 1958 a system was established to detect re-maining cases and institute an adequate survey system. In1959 it was estimated that there vere less than 300 casesin the whole country and it is expected that these vill beeliminated early in 1960.

A reporting network has been organized and hasproved effective, receiving cooperation from privatephysicians, the army, religious orders, and other interestedgroups.

UNICEF has contributed equipment and supplies in thepast, and will continue providing penicillin as required.

Provision is made for the services of one medicalofficer.

HAITI-4, Malaria Eradication (See page 146)

The malarious areas of Haiti cover a total ofapproximately 21,000 aquare kilometera and the populationat risk is nearly 2.9 million. Geographical reconnaissancein 1958 indicated approximately 750,000 houses requiringspraying annually.

The first annual cycle of total coverage withresidual insecticides was inaugurated on 1 September 1958.By the end of the year, a series of special epidemiologicalstudies had been conducted in order to obtain additionaldata clarifying the malaria profile. Earlier in the year,the training of personnel had been completed and the organ-ization of central as vell as zone and sector offices andof spray brigades had been established.

Because of special local conditions PAHO acceded tothe Government's request that the Organization assumeresponsibility for directing operation of the malariaprogram in Haiti, in addition to supplying advisoryservices,supplies and fellowships.

The Government had been committed to contributeS745,000 annually to the project, while UNICEF vas provid-ing equipment and supplies. The US InternationalCooperation Administration supplied vehicles during thefirst year.

However, operations in the malaria eradicationprogram vere suspended at the request of the Government on30 January 1959. Negotiations are continuing in the hopethat the program may be resumed as early as possible.

Assuming that there vill be early resumption ofoperations, provision has been made for the services oftvo medical officers, a health educator, a sanitary engi-neer, and four sanitarians and aides as well as forlimited supplies.

HAITI-9, Public Health Laboratory (See page 148)

The establishment of facilities for the diagnosisand epidemiological study of the different communicablediseases has brought to light the urgency for those serv-ices to be expanded in order to cover both the healthunitsand the National Health Department. The activities of thelaboratory relating to the chemical and bacteriologicalanalysis of milk and other foods should be extended incoordination with the National Department of Public Health.

The objectives of this project are the organizationof public health laboratory services on a permanent basis,the adequate training of technical personnel, and theestablishment of official methods for drug and foodcontrol. In order to provide more cohesion, it is plannedto integrate the project in the program of public healthservices (Haiti-16).

Provision is made for furnishing the services of anadviser.

HAITI-12. PAHO Public Health Administration Fellowships(See page 148)

Provision is made for fellowships td collaboratewith the Government in training staff for the improvementand expansion of ita health services.

HAITI-16, Public Health Services (See page 148)

This project, which was started in late 1957, has asan objective the expansion of public health services at thenational, provincial, and local levels. The Organizationand ICA collaborate with the Government, through theNational Committee on Health Planning, in this programwhich includes the study of the health needs and resourcesof the country, and in drawing up a long-range plan thatvwill serve as a guide for the coordination, expansion, andstrengthening of the public health services at the variouslevela.

The saervices of a medical officer and of a publichealth nurse vill continue to be provided. The servicesof a sanitary engineer vill be added in 1962.

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RAITI-19. Medical Education (See page 148)

A special national committee has been functioningsince 1957 to deal with the questions of reorganizing thecurriculum, modernizing the teaching methods and strength-ening the teaching staff of the national medical school.Already in effect are a number of measures recommended bya consultant who visited the country in 1956 and by anadvisory group convened in October 1956 with the partici-pation of various governmental and non-governmental inter-national agencies.

Seven fellows received specialized training abroadduring 1958 of whom four were the recipients of PAHO/WHOavards.

Funds vere continued to be provided for aprofessor of physiology. Provision will be made for aprofessor of microbiology in 1962, as well as for fellow-ships in the period 1960-1962.

HAITI-20, Nutrition (See page 148)

During recent years the Government of Haiti has beeninterested in studying the problem of nutritional disturb-ances in the country's population and how to solve thatproblem.

This project vill be conducted with FAO and UNICEFassistance.

Provision is made in 1962 to furnish ahort-termconsultants, as vell as fellowships.

MEXICO

MEXICO-14. Nursing Education (See page 150)

Over a period of several years, the Organization hascooperated with the Government of Mexico in a programdesigned to modernize basic nursing and nurse-midwiferyeducation in collaboration with the National University.

In 1958, the program was extended to provide consul-tation for the assistance given by the Ministry of Healthto schools of nursing throughout the country which meetcertain required standards. The number of these schoolais nov 12 out of the 60 schools of nursing in Mexico.

At the outset advisory services vere supplied bythe zone nurse and in October 1958 a full-time nurseeducator was assigned to the Dirección de Estudios Experi-mentales, responsible for this special program.

Seminars and courses for nurses assigned asinstructors in these schools of nursing were given in 1959and periodic visits by the consultant and her counterpartswere made to the cooperating schools for evaluation andguidance. In addition, achools in 15 States were visitedin order to discover their needs and if possible includethem in the consultation service later. Courses for in-structors and field visits will be continued and the needfor other courses will be studied.

Provision is made for one nurse educator and forfellowships.

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MEXICO-15. State Health Services (See page 150)

In the rural areas of eight states of Mexico anattempt is being made to reduce maternal and infant deathrates through the development and improvement of healthservices for mothers and children within the framework ofother community services.

It is planned to expand this program by convertingit into a general public health program in those eightstates, organizing special sanitation projects in three ofthem. The same system will be followed of establishingregional health centers staffed with full-time publichealth personnel, each with its auxiliary and rural centers.The regional center in each state vill be used as a trainingcenter for auxiliary personnel.

Provision is made in 1960 for the services of apublic health nurse and tvo sanitarians. During that yearthe Mexico-22 international consultants will cooperate inthe project.

In addition, provision is made for continuing theservices of the nurse and for fellowships.

MEXICO-22, Public Health Services (Guanajuato)(See page 150)

In order to improve and coordinate the state healthservices, a district composed of nine municipalities with apopulation over 300,000 vas chosen in the State of Guanajuatofor the purpose of coordinating the basic health serviceaoperated and maintained by the Ministry of Public Health andWelfare and those operated by the State. The infant mortal-ity rate is 95.49 per thousand, diarrheas and pneumoniasbeing the principal causes of death. It is expected thatresults obtained from this practical study will be appliedin programas for the coordination and expansion of servicesin the rest of the State of Guanajuato and throughout thecountry.

Professional personnel have been trained abroad underthe auspices of the Organization. Local courses have beenorganized to train auxiliary public health nursing person-nel and sanitarians. This program will be completed in1960 and plans will be made for a second demonstration dis-trict for vhich national personnel will be in full charge.In 1961-62 this team will be integrated with that ofMexico-15.

Provision is made for the services of a medical of-ficer, public health engineer, health educator, publichealthnurse and a sanitarian, as well as fellowships and a smallamount for supplies.

MEXICO-23, National Institute of Nutrition (See page 150)

The objective of this project is to promote theorganization of the National Institute of Nutrition andput it into a position to plan, advise, and supervise theactivities designed to improve national nutrition.

It is desired to learn the magnitude of the nutri-tion and food problems, as well as the food habits andfactors that determine the nutritional condition of theMexican people.

In 1958 a fellowship vas awarded +o a physician-nutritionist of the National Institute of Nutrition.During 1959 a pilot plan was started in the southern areaof the country. A fellowship was awarded to the technical

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adviser in dietetics of the Nutritional Disease Hospital.Provision is made in 1960 for an additional fellowship.

MEXICO-25. PAHO Public Health Administration Fellowships(See page 150)

Provision is made for fellowships to collaborate withthe Government in training staff for the improvement andexpansion of its health services.

MEXICO-26. A#des aegrpti Eradication (See page 150)

During 1959 the A8des aegypti eradication campaignvas carried out in Mexico by national teams, using the samespraying system employed in the malaria eradicationcampaign.

In the latter part of 1959 the Pan American SanitaryBureau made a detailed check in the Gulf of Mexico areasand along the border with Guatemala of the results obtainedby this type of campaign; the results were found to be quitefavorable.

Provision is made in 1960 for the visit of a short-term consultant, who will make a careful cheek of the areasthat are still being worked and another check of the areasfound free of A. aegypti in 1959.

A final cheok is expected to be made in 1961 and1962, for which purpose provision is made for furnishingthe services of a short-term consultant.

MEXICO-28, Public Health Laboratory (See page 152)

The National Public Health Laboratory, with thecollaboration of the Organization, expanded its activitiesrelating to the control of drugs and biological products.The expansion of those services and the diagnostic require-ments made necessary the organization of a Department forBreeding Laboratory Animals, the adequate training oftechnical personnel responsible for its direction, and theconstruction of a new building. In the subsequent phasesof this program, plans are being made to expand the serv-ices of the Department of Food and Beverage Control, aswell as the preparation and adequate training of technicalstaff abroad. The technical staff of the Zone Office willcontinue to provide collaboration to the service; in ad-dition, it is necessary to furnish the services of short-term consultants and award fellowships to personnel in thedifferent departments for specialized studies, as well asto provide the necessary international standards for thecontrol of biological products, vitamins, and antibiotics.

MEXICO-29, Leprosy Control (See page 152)

Leprosy in Mexico is endemic. The incidence of 13per one hundred thousand during the period 1930-34 roseto 40 during the period 1950-54. Its distribution bystates varies greatly, a minimal prevalence of 0.005 percent being found in Tlaxcala and a maximal of 3.010 percent in Colima. There are 13,859 known cases of leprosy,of which over 50 per cent are of the lepromatous forms.It is estimated that there are in Mexico some 50,000leprosy patients.

During 1959 the Organization provided the servicesof a short-term consultant, who made a study of the present

status of the leprosy problem and made recommendations fora nation-wide control program.

It is planned to carry out a leprosy control programthat vill cover the entire country, in accordance with thelatest technical advances in the matter, and for which thepreliminary steps have been taken.

Provision is made in 1962 for services of onemedical officer.

MEXICO-30. School of Public Health (See page 152)

The objective of this project is to strengthenteaching in the School of Public Health of the Universityof Mexico.

Under the project AMRO-18 (Medical and Public HealthEducation) some faculty members of the School have alreadyhad the opportunity of visiting countries from which theirstudents come, in order to adapt their teaching to thehealth organization and general conditions in thosecountries. Visiting professors, one consultant in publichealth nursing education, travel grants to professore forthe observation of teaching methods and of curriculum plan-ning in other institutions, and a limited amount of ma-teriale have also been provided to the School.

Provision is made for short-term consultants andfellowships.

MEXICO-32. Medical Education (See page 152)

Medical education in Mexico is undergoing a periodof accelerated development. Teaching is being greatlyimproved in the medical schools through the reorganizationof curricula, the modernization of teaching methods, andthe strengthening of the teaching staff. Improvement inthe teaching of preventive medicine has received specialattention.

Collaboration by the Organization will provide fortraining of teaching staff abroad, observation of medicaleducation in other countries by deans and senior facultymembers, and visiting professors and consultants. In orderto assist in the development of these activities, provisionis made for fellowships and for services of short-termconsultants.

MEXICO-34. Teaching of Public Health in Schools ofVeterinary Medicine (See page 152)

The collaboration and cooperation given to theVeterinary Medicine School of the National AutonomousUniversity of Mexico during 1959 was most active, the ZoneOffice consultant in veterinary public health having par-ticipated in organizing the Seminar on Public Health, whichwas attended by officere of the Ministry of Public Healthand Welfare. That Ministry arranged for the services oftwo professors in veterinary public health who graduatedat the School of Public Health of Mexico, and included tworecent graduates on its staff. In addition, the deans ofthe veterinary schools of La Plata (Argentina), Chile, andPeru visited the School and t the university authorities,and exchanged information in matters concerning the teach-ing of veterinary medicine and public health. Within theprogram a course was conducted for physicians, veterinari-ans, and laboratory workers specialized in the care of

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laboratory animals and the control of their diseases. Theconsultant of project Mexico-28 collaborated in thisprogram.

Provision is made to provide the services of short-term consultants and fellowships in 1962.

MEXICO-35. Environmental Sanitation Training (See page 152)

Since 1955 the Organization has been collaboratingactively in Mexico with the School of Sanitary Engineering,of the National Autonomous University of Mexico, in carry-ing out postgraduate courses for engineers desiring special-ization in this field.

Up to 1959 some 55 engineers have graduated at theSchool, the majority of whom vere Mexicans.

Provision is made for services of short-term con-sultants, visiting professors, fellowships, laboratorymaterial and equipment, and reference and research books.

MEXICO-38. Tuberculosis Control (See page 154)

At the present time there are no reliable statisti-cal data on the distribution of tuberculosis in the dif-ferent regions of the country.

In 1960 the Organization vill cooperate in a surveyof the prevalence of the disease by providing a medicalconsultant specialized in tuberculosis and short-termfellowships to train nurses and statisticians in thetechnique of a survey of this nature.

Once the survey is completed and on the basis ofinformation obtained from it, a tuberculosis control pro-gram will be started in accordance with the most moderntechnical concepts in the matter. Therefore, provision ismade for services of a medical officer as well as forfellowships.

MEXICO-39. Promotion of Community Water SuppliesSee page 154)

As the first step in developing a national programfor expanding and improving the drinking water services,a start was made to coordinate the activities of allagencies, both governmental and private, that are interest-ed in solving this problem.

Provision is made in 1961 and 1962 for providingthe services of short-term consultants to advise inspecific problems that arise, as well as for fellowshipsfor national experts, and a limited amount for supplies.

For a summary of the problems of water supplies,see AMRO-239.

YMEXICO-40, Mental Health (See page 154)

A short-term consultant was provided to advise theMinistry of Health of Mexico on the mental health programof the new Directorate of Neurology, Psychiatry and MentalHealth of the Ministry of Health and Welfare, as well asthe mental health activities of the Directorate of Healthin Mexico City.

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MEXICO-53, Malaria Eradication (See page 154)

This national project started in 1956 with personneltraining and geographic reconnaissance. In 1957 totalcoverage of the malarious area was started, 3,016,730houses having been sprayed, and in 1958, the spraying wascontinued and reached a total of 3,316,163 houses. In 1959the third year of total coverage by spraying was completed,and the epidemiological survey and malaria case-findingactivities were intensified. An important decrease inmorbidity was confirmed as the third year of spraying wasbrought to an end, and in 1960 it is planned to reduce thearea to be sprayed with residual-action insecticide.

The detailed studies made on mosquito resistance todieldrin will permit a considerable reduction in its ap-plication, so that DDT can be used twice a year. It isestimated that it will be necessary to spray a total of3,500,000 houses in 1960.

The Government's budgets amounts to US56,000,000,and UNICEF provides insecticides, sprayers, andtransportation.

In 1961 and 1962 there will be an important changein the program activities, with the elimination of re-sidual foci and interruption of spraying in extensive areaswhere interruption of transmission has been achieved.

Provision is made for the services of a chiefmalaria adviser, one malariologist, one sanitary engineer,one health educator, and two sanitarians, as well as forsupplies and equipment, common services, and fellowships.

INTERCOUNTRY PROGRAMS

AMRO-93, Health Education (Zone II) (See page 154)

In collaboration with other international personnel,the adviser of this project will cooperate with the nation-al departments of health to determine and meet their needsin the health education services. At the same time, hewill serve as consultant of the Organization's staff andof the personnel of the health services in planning andexecuting the educational aspects of the project.

Provision is made to furnish the services of a con-sultant in health education, and also for supplies andequipment.

AMRO-114, Training Center for Malaria Eradication (Mexico)(See page 156)

This is one of the four centers established in theAmerican Continent with advisory services provided by theOrganization. This center was in operation until thelatterpart of 1959 and provided the necessary training to some300 specialists and received some 300 foreign visitors andobservers.

Laboratory equipment for entomology and parasitologyand the necessary vehicles for field training were providedto the center.

Provision is made in 1960 for the services ofmalariology personnel for the purpose of holding threecourses for physicians, engineers and other professionals,and sanitary inspectors, as vell as to cover fellowshipsand visitors the Organization may send to Mexico.

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AMRO-144. Health Statistics (Zone II) (See page 156)

The funetions of the statistical consultant proposedfor the countries of Zone II are: (a) to give advice tocountries for the improvement of vital and health statis-tics, vith special emphasis on notifiable disease statis-tics, on development of health statistics in accordancewith recommended standards, and on use of the data in pro-gram planning; (b) to give courses in statistics and torender assistance in the selection and follow-up of fellow-ship students and in the development of seminars, workshops,and other training activities in statistics; and (c) toadvise on statistical phases of projects and assist in thecompilation and analysis of information in the countriesfor purposes of program planning.

AMRO-162., Epidemiology (Zone II) (See page 156)

The functions of the consultant in epidemiology are:(a) to promote the development of eradication and controlprograms against communicable diseases; (b) to advise onnew methods and techniques of control; (c) to coordinatethe programs of eradication and control of quarantinablediseases in the countries of the Zone; (d) to promotebetter reporting of communicable diseases; and (e) toadvise on all problems related to the application of theInternational Sanitary Regulations.

Provision is made for services of one epidemiologistand for supplies and equipment.

AMRO-178, Veterinary Public Health (Zone II) (See page 156)

The adviser assigned to this project has the func-tion of collaborating in the reorganization of the veteri-nary activities and services, so as to coordinate the studyand solve the problems relating to animal diseases thatare transmissible to man, as well as to take the necessarymeasures for the hygiene and control of foodstuffs. Theadviser also collaborates in promoting the teaching ofpublic health in veterinary medicine.

Provision is made for services of a public healthveterinarian.

AMRO-205. Environmental Sanitation Training (Zone II)(See page 156)

This project provides fellowships for sanitaryengineers and auxiliary personnel who will form a nucleusof workers in this field to strengthen both national andlocal health departments. A beginning has been madethrough the previous region-wide project AMRO-1 which isnow being divided into zone projects. The fellowshipswillbe awarded for training largely in the schools of PublicHealth in Brazil, Chile, and Mexico, as well as the Schoolof Sanitary Engineering in the latter country.

Provision is made for fellowships.

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PART III

ZONE III

Zone Office (See page 158)

For text see "Zone Offices," page 18.

BRITISH HONDURAS

BRITISH HONDURAS-1, Malaria Eradication (See page 158)

The malarious area covers the whole of BritishHonduras, which has an area of 22,924 square kilometers anden estimated population of 88,000 persons.

The eradication program started in 1957 vith thespraying of all the houses. The previous year, the Govern-ment defrayed the cost of converting the control programinto an eradication campaign. During 1957 and 1958, intra-domiciliary spraying with dieldrin was accomplished, and itwas estimated that the entire eradication program wouldlast for four years and would cost a total of BHS 80,272(USS 56,134) to the Government. The average number ofhouses.sprayed during the first tvo years was 17,700, whichprovided direct protection to the entire population ofBritish Honduras.

District physicians, public health nurses, as wellas health inspectors and, later, some 80 voluntary collabo-rators, carried out the evaluation operations. In 1958,4,441 blood slides were examined to investigate for malaria,of which 6.5 per cent were positive. In 1959, 11,307 bloodslides were examined, of which 1,019 were positive. By theend of the year, 124 notification poste had been installed.

Early in 1959, after the A. albimanus, the principalvector of malaria in British Honduras, had proved to beresistant to dieldrin, it was resolved to use DDT. InApril 1959 a spraying cycle using DDT was started after theprogram had been almost completely reorganized, a fact thatbrought about a substantial increase in costs to the Govern-ment. During the April to August cycle, 17,516 houses veresprayed.

UNICEF cooperates in this project by providingequipment and supplies.

Provision is made in 1961 and 1962 for the servicesof one physician-malariologist and one sanitary inspector,as vell as a limited amount of equipment and supplies.

BRITISH HONDURAS-5, Public Health Services (See page 160)

Since 1957 the Organization has been collaboratingin drawing up a long-range integrated health program ofnational scope. Up to 1959 technical advice has beenprovided through the staff of the Zone III Office.

UNICEF has cooperated through the provision ofequipment and supplies.

Various health centers, rural hospitals, and healthposts were improved. The School of Nurses was able toimprove its teaching body and its curriculum, and in ad-dition, a training course for lay midvives was given.Because of the changes in management of the medical servicesof the territory during the last year, it vas not possible

to define in detail the plan of work with respect to therural services, but this is expected to be done in 1960.

With regard to the central services, plans are beingmade to reorganize the central public health laboratory assoon as the expert returns who in 1960 will study abroad ona fellowship. There are also such plans with respect tothe environmental sanitation services. A sanitary engineerwill complete his training in this field in July 1960.

Provision is made to continue providing advice tothis program through the services of a sanitary engineerand one public health nurse, as well as for fellowships.

BRITISH HONDURAS-6. PAHO Public Health AdministrationFellowships (See page 160)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its health services.

COSTA RICA

COSTA RICA-2. Malaria Eradication (See page 160)

The malarious area of the country covers 31,526square kilometers and has a population of over 350,000inhabitants. There are more than 72,000 houses in the area,including the plantations belonging to private enterprises.

The control program started in January 1956, and theperiod of conversion to eradication terminated in June 1957,the cycle of total DDT coverage having begun one monththereafter. In September 1959, within the terms of theplan, the second year of spraying vas completed, 63,063dwellings having been directly protected during that year.

The present organization of the epidemiologicalevaluation operations makes it possible to know where trans-mission of the disease still persists. During 1959, 55,507blood samples were examined, 1,899 of which were positive.

A special area is being studied in order to definethe causes of persistent transmission in certain zones ofthe country.

The susceptibility tests of anophelines to insecti-cides show that the vectors studied are sensitive to them.

UNICEF cooperates in this program by providingequipment and supplies.

Provision is made for the services of a physician-malariologist, one sanitary inspector, and one assistantentomologist, as well as for a limited quantity of equip-ment and supplies.

COSTA RICA-14. Expansion of Local Public Health Services(See page 160)

On the basis of a technical evaluation of the publichealth program in Costa Rica made in collaboration vith theOrganization in 1958, it was concluded that the network ofhealth units in the country should be expanded and that,

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in addition, the preventive activities of those units shouldbe expanded so as to provide services as required by theneeds as they emerge.

The objectives of this program are as follows: (a)to expand local public health services by increasing thenumber of health units and widening their activities; (b)to give special attention to the expansion of maternal andchild care services, as regard both dispensary services andhome care; (c) to implement a practical and systematic planfor water supply and vaste disposal in rural communities;and (d) to train the national personnel required to under-take this expansion.

During the initial phase of this project the neces-sary technical advice will be furnished by the technicalstaff of Zone III Office. Provision is made for sendingprofessionals abroad for training and for the services ofa medical officer beginning in 1961.

COSTA RICA-16. WHO/TA Public Realth AdministrationFellowships (See page 160)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of the public health services.

COSTA RICA-18, Advanced Nursing Education (See page 160)

In the countries of Latin America there is an urgentneed to train nurse instructors and nurse supervisors. TheSchool of Nursing in Costa Rica is in a position to assistin meeting that need. Almost the entire personnel of theschool have been well prepared through fellowships forstudy abroad and by courses taken in the University of thatcountry. The echool has available teaching equipment andmaterial, and the Government has been particularly interest-ed in providing it the material, installations and personnelnecessary to conduct the programs. All these factors havecontributed toward enabling the school to attain solidbases for its curricula, stability for its faculty membersand, in addition, to expand its activities by holding apostgraduate course for obstetrical nurses (midwives),training nursing instructors from other countries in non-academic courses, and providing advisory services to thenational program for training nursing auxiliaries.

The establishment of a Center of Advanced NursingEducation in San José that would provide training of nursesfor educational and supervisory functions would assist notonly Costa Rica but also many other countries in trainingnurse instructors and supervisors for schools of nursing,auxiliary personnel training centers, and programs of in-service training and supervision.

Provision is made for one public health nurse,fellowships for specialized studies abroad, as well as forteaching supplies and equipment.

COSTA RICA-20. Planning and Organization of HospitalServices (See page 162)

In 1958 the Organization cooperated in theevaluationof the public health services of Costa Rica. The projectprovides for the study, planning, and development of asystem of regionalization of hospital services and their in-tegration into the national plan of public health services.

Provision is made for the award of fellowshipa in1962 to national specialists in hospital administration,as well for the services of a consultant specialized inthe matter.

COSTA RICA-22. Promotion of Community Water Supplies(See page 162)

In order to stimulate and assist with the develop-ment of a water program within the country, fellowshipsfor special training in planning, administration, andfinancing of water supply systems are provided.

For a summary of the problems of water supplies,see AMRO-239.

COSTA RICA-23, Public Health Legislation (See page 162)

In 1958 the Organization cooperated with thenational authorities in a technical evaluation of thecountry's public health program. One of the aspects ana-lyzed at that time was that of health legislation in CostaRica. In making its recommendations, the Committee onEvaluation stressed the need for a revision of the healthcodes of 1943 and 1949, so that they could be brought up-to-date and in keeping with the great advances made inmedicine during recent decades, give legal status to theagencies that are operating under tacit delegations ofauthority, and eliminate from the basic law the excessiveregulatory details.

Furthermore, the Committee reported that, with thepassing of years, numerous laws and decrees on mattersconcerning health had accumulated that would require adetailed joint study for the purpose of eliminating contra-dictory or redundant provisions.

Provision is made for a short-term consultant.

COSTA RICA-24. Laboratory for Diagnosis of Virus DiseasesSee page 162)

The increasing importance of viral diseases and theutilization of live attenuated virus vaccines have empha-sized the need for the public health laboratories toexpandtheir activities into the field of virology.

The objective of this project is to collaborate withthe Government of Costa Rica in the establishment, withinthe public health laboratory of the Department of PublicHealth, of a section of diagnosis of viral diseases. Itis proposed that the Organization provide advisoryservicesfor the establishment of methods and procedures, throughthe services of a consultant and the award of fellowshipsto technical personnel for training abroad.

The Government of Costa Rica will provide the basicequipment, as well as the material installations for thelaboratory.

Provision is made in 1962 for the services of aconsultant and for the award of one fellowship.

EL SALVADOR

EL SALVADOR-2, Malaria Eradication (See page 162)

The malarious area covers 19,300 square kilometersof the country's total area of 21,146 square kilometers,

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and approximately 1,900,000 inhabitants are exposed tomalaria.

This program was started on 1 July 1956, with spray-ings with DDT in certain areas and with dieldrin in others.Since resistance of the vector, A. albimanus, to dieldrinwas confirmed, DDT was used exclusively beginning in August1958. In the areas of dual resistance, it was proposed thata prophylactic plan of drug distribution be applied.

At present the program is in the attack phase, whichhad to be prolonged for the reasons mentioned above. Theoperational change that occurred in August 1958 required anincrease in equipment, vehicles, and spraying personnel.During the cycle, February to July 1959, 270,719 housesvere sprayed.

During 1959, 71,295 blood samples were taken, ofwhich 17,521 were positive. In mid-1959 it was noticedthat the percentage of infectione by P. falciparum had de-creased in certain areas and that a proportionate increasehad occurred in P. vivax cases.

The epidemiological evaluation activities are beingintensified and it is planned to extend the entomologicaltests to' all areas of the country, in order to determinethe causes of transmission persistence of the disease inproperly sprayed areas. There were 946 notification postsduring the latter part of 1959.

UNICEF cooperates in this project by providingequipment and supplies.

The Organization provides technical advice throughthe services of a physician-malariologist, one sanitaryengineer, and tvo sanitary inspectors. In 1961 an assistantentomologist will be added to the team and some fellowshipsvill be awarded. In addition, a limited amount of equipmentand supplies will be furnished.

EL SALVADOR-5, Health Demonstration Area (See page 164)

This project, started in 1951, is arriving at itsfinal stage in 1960. At this time, preparations are beingstarted to evaluate the project which should be completedin mid-1960.

EL SALVADOR-9, PAHO Public Health AdministrationFellovwships (See page 164)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its public health services.

EL SALVADOR-10. Planning and Organization of HospitalServices (See page 164)

The Government of El Salvador has general and spe-cialized hospitals, located in different parts of thecountry. Private hospitalization facilities are alsoavailable, either in private hospitals or in special wardsof the general hospitals.

The present hospital system is considered to beinadequate to meet the country's medical care requirements,either because the services do not operate under a standardsystem, or because of the lack of coordination among thevarious institutions.

A number of studies on the eubject have been madein the past by national personnel and by internationalconsultants, vho drew up recommendations on the problem.In order to provide a consultant to study those recommen-dations and provide technical advice in the planning andestablishment of a modern hospital system in the country,provision has been made for a medical officer until theend of 1961.

EL SALVADOR-11i National Public Health Nursing Services(See page 164)

Since 1951 the Organization has cooperated in ademonstration project at the local level designed to im-prove public health services, with the view to the gradualextension of similar services to all parts of the country.

In this project importance vas given to the work oftraining all types of public health personnel, includingthe preparation of nursing personnel.

In order to meet nursing service needs for thecountry as a whole, this project is designed to atrengthennursing at the national level and through the latter, atregional and local levels. Thiis s to be done by identi-fying the administrative, supervisory, and teaching respon-sibilities of nursing personnel and by developing in-service training programs so that national nurses may carryout their respective functions in these areas at all levels.

Provision is made in 1962 for continuing theservices of the public health nurse who is to be assignedto the project in 1961, so as to cooperate vith the healthauthorities of the country, at the national level.

EL SALVADOR-12. National Environmental Sanitation Services(See page 164)

During recent yeara impulse has been given to thesanitation services in rural areas of El Salvador, as anintegral part of the public health demonstration project.Five courses were held in which 85 sanitary inspectorsreceived training, and four foreign sanitary inspectorsfolloved courses in Quezaltepeque.

As a result of the 1958 evaluation of the demon-stration project, training was intensified in 1959 tocontinue the expansion of sanitation activities to otherareas of the country.

Because of the increase in activities relating tourban water supplies, and of the need to strengthen thenational environmental sanitation services, a sanitaryengineer will be assigned to provide advice and to drav upthe plan of work. This plan will provide for the collabo-ration of all the Government's agencies interested in theprovision of adequate wvater supply systems, vith the activeparticipation of the Ministry of Public Health to giveimpetus to the national program.

Provision is made in 1961 for services of onesanitary engineer to cooperate with the country's healthauthorities on a nation-wide basis.

EL SALVADOR-14, Promotion of Community Water SuppliesSee page 164)

El Salvador is in the early stages of developing anational plan for water supplies. Provision is made for

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short-term consultants to assist with the study of a planwhich will emphasize good organization and management.

For a summary of the problems of water supplies,see AMRO-239.

EL SALVADOR-15, Public Health Laboratory (See page 164)

In the development of public health laboratories,both at the central and regional health levels, a newbuilding vas recently constructed for the central publiohealth laboratory, and its training program for laboratorypersonnel was expanded by holding a course at universitylevel for laboratory workers which was organized by theNational Department of Health in collaboration with theSchool of Medicine of the Autonomous University of ElSalvador.

It is planned to extend the laboratory operations toall public health activities, including studies of epidemio-logical interest on communicable diseases. Plans are alsobeing made to begin regular control of foodstuffs, beverages,drugs, and pharmaceutical products, and specialized trainingwill be given to the personnel required for these newactivities.

A necessary supplement will be the establishment ofa colony of laboratory animals and the development of fa-cilities for training auxiliary personnel of the otherofficial public health laboratories.

Provision is made, beginning in 1962, for a consult-ant and fellowships for training abroad.

GUATEMALA

GUATEMALA-1, Malaria Eradication (See page 166)

The malarious area covers 73 per cent of the country'sarea and 43 per cent of its inhabitants live therein.

After a period of conversion, over-all coverage ofthat area was started in 1956 by means of spraying withdieldrin. The first year, 306,306 houses were sprayed, and331,090 during the second year.

Since the principal vector was found to be resistantto dieldrin, it was decided to change the insecticide infuture sprayings. Use of DDT was begun in 1958 in two an-nual cycles. This change determined a marked increase inpersonnel, equipment and supplies and, consequently, in theoriginally estimated budget for the program. From October1958 to April 1959, 301,329 houses vere sprayed, and in thesecond cycle, May to November 1959, 357,104 houses weresprayed.

The epidemiological evaluation activities were ex-panded progressively, having reached in 1959 the cooper-ation of 1,647 notification posts in the country. FromJanuary to November 1959, 100,245 blood slides wereexamined, of which 7,641 were positive.

The entomological activities are continuing in orderto determine the susceptibility of the vectors to DDT, sinceit was discovered that the A. albimanus in two localitiesof one of the country's departments had developed markedresistance to that insecticide.

UNICEF cooperates in the program through theprovision of equipment and supplies. ICA also provides

valuable collaboration, with respect to both local andinternational costs.

The Organization provides technical assistancethrough the services of a physician-malariologist, oneengineer, and two sanitary inspectors. One assistantentomologist will be added to the team in 1961. In ad-dition, provision is made for equipment and supplies andfor fellowships for training personnel abroad.

GUATEMALA-6, Nursing Education (See page 166)

Since 1955 the Organization has been cooperatingwith the Government of Guatemala in training nursingauxiliaries and in preparing instructors who are to trainthose auxiliaries. For this purpose, a training centerfor nursing auxiliaries was established and is operatingin Guatemala City. In 1959 similar centers were organizedin Jutiapa and Zacapa, departments in the interior of thecountry.

During the last four years, this center has trainedapproximately 300 nursing auxiliaries in the capital cityand 18 in the departments; 25 nurse-instructors, of whichnumber 11 came from other Latin American countries. Thecenter has also contributed toward the professional prepa-ration of 45 nurses, ward chiefs and supervisors, of theGeneral Hospital in Guatemala.

Early in 1959 the Government of Guatemala requestedthe Organization to extend its cooperation to include theNational School of Nurses.

From the start of the project, the Organization hasprovided the services of a consultant in nursing education,and in 1959 an additional consultant was assigned to handlethe extended services mentioned above.

Considering that the training center for nursingauxiliaries has achieved a solid basis with respect to itsprograms and has available nursing teaching personnel whoare qualified to continue to develop those programs, inthe capital city as well as in the departments, and withsufficient and adequate equipment and materials, it isbelieved that, beginning in 1961, the greatest efforts ofthis program should be directed toward the National Schoolof Nurses, so as to assist the Government of Guatemala inimproving the preparation of nurses on the basic and post-basic levels and thereby improve the nursing services.

Provision is made for the services of nurse-educatorsand for fellowships and materials and equipment in 1960,1961, and 1962.

GUATEMALA-8, Public Health Services (See page 166)

In 1954, with the collaboration of the Organization,the Government of Guatemala prepared a program of reorgan-ization and expansion of the public health services inrural areas of the country, with the dual purpose of train-ing professional and auxiliary personnel for those servicesand to establish a central unit responsible for directing,coordinating, and integrating the public health activitiesin the country.

Using the data obtained in a preliminary surveymade in 1954, a plan of work was prepared for the organi-zation of a health demonstration area, including a trainingprogram for professional and auxiliary personnel, using the

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services of that area. The Ministry of Public Health andWelfare established a Division of Rural Publio HealthServices charged vith the execution of this program.

From 1955 to 1958, health centers and subcenters, orsubsidiary posts of those centere, were constructed, equip-ped, and organized, Also, a training center for healthpersonnel was organized in Amatitlán. As of the latterpartof 1959, this center had prepared 50 physicians, two den-tists, 1 chemical-biologist, 38 nurses, 82 auxiliary nurses,5 midvives, 79 sanitary inspectors, and 2 health educatora.During that same period, the Organization awarded fellovwshipsfor studies abroad to 40 staff members who vera holding keyposts.

During the latter part of 1958 a national plan vasdrawn up to expand and extend the services to the rest ofthe country and to train professional and auxiliary person-nel. In 1959 the first ateps were taken to extend thoseservices, by organizing four health centers.

UNICEF collaborated during the first years byproviding supplies and equipment to the services of thehealth demonstration area, particularly the environmentalsanitation program, which is based on the active partici-pation of the population in the construction of water sup-ply systems, rural schools and dwellings, installation oflatrines, public laundries and baths, and the constructionof slaughterhouses and public markets.

In order to continue extension of the program to therest of the country and to strengthen the central structureof national public health service, provision is made forthe services of a chief medical adviser, an adviser insanitary engineering, two advisers in nursing, and onesanitarian.

Provision is made also to award fellowships tocertain key officers and for supplies.

GUATEMALA-ll. Tuberculosis Control (See page 166)

From July 1956 to July 1958, with the cooperationof the Organization and participation of UNICEF, a mass BCGcampaign was carried out during which 2,286,940 tuberculintests vere made (70 per cent of the population over oneyear of age) and 1,250,551 BCG vaccinationa were applied.

The program designed for mass control of tuberculosiscovers a pilot stage, which is being carried out in theDepartment of Escuintla, and a later stage to extend theactivities throughout the country's territory.

The techniques used consist of the photofluorographicexamination of the population presumed to be healthy, over15 years of age, radiological-bacteriological re-examinationof persons having "abnormal" shadows, examination of con-tacts, treatment with isoniazid of confirmed tuberculosispatiente who are under observation, treatment of contactsunder 14 years of age vith the same drug, for six monthsor until the family bacillary focus is eliminated, and thequarterly radiological-bacteriological check of patientsunder treatment.

Between 1 September 1958 and 31 August 1959, 80,252persons were examined by X-rays, chest shadows being foundin 3,472. Of these, 2,808 (3.25 per cent) were confirmedas having tuberculosis. The figure for the patients undertreatment who appear each month requesting druga and whostate they have taken them regularly, amounts to 84 per cent.

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Provision isa made to provide the services of aoonsultant in tuberculosis for the duration of the projeot.

GUATEMILA-12, PAHO Publio Health AdministrationFellovwships (See page 168)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its public health services.

GUATEMALA-14. Public Health in Schools of VeterinsryMedicine (See page 168)

The development achieved during the last two yearsby the veterinary public health programs in the countriesof Central America and Panama, as vell as the increasingattention being given to the problems of zoonosis and offood hygiene, have evidenced the immediate need for havinga larger number of duly trained veterinary physiciana vhoare able to carry out and coordinate such activities.

The great scarcity of veterinary physicians and theinsufficiency of centers for teaching that profession con-stitute a problem in those countries. There is only onerecently established (1957) school of veterinary medicine,the School of Veterinary Medicine and Zootechnics of theUniversity of San Carlos, Guatemala. The objective ofthis project is to collaborate in developing this school,within the study plan of basic public health instruction,and to strengthen the other cathedras directly associatedwith this subject.

Provision is nade for short-term consultants andfellowships for the teaching staff of the school.

HONDURAS

HONDURAS-1, Malaria Eradication (See page 168)

The malarious area of Honduras covers some 87,389square kilometers, or 80 per cent of the country's totalarea. The exposed population in 1959 was estimated at1,365,567 inhabitants, or 75 per cent of the country'spopulation.

In 1955 a plan for the eradication of malaria vasprepared and an agreement was concluded between theGovernment, UNICEF, and PAHO/WHO in 1956, to which a planfor the distribution of drugs was incorporated in 1958.

During the preparatory stage the malarious area wasdelimited, the geographic reconnaissance vas made, person-nel received training, and the administration was organized.The over-all spraying coverage with dieldrin was startedin January 1958, and the first year vas completed inNovember. During that period numerous susceptibilitytestsof the vector mosquito's resistance to this insecticidevere made, and it vas decided to use DDT in future sprayings.

With the change in insecticide it was necessary toarrange for a considerable increase in the budget, to coverthe increased number of personnel and the reorganizationof the spraying operations. In mid-July 1959, the spray-ing operations were resumed. From July to November 1959,191,121 houses vere sprayed and the epidemiological evalu-ation activities vere intensified; from January toNovember1959, 59,937 blood slides were examined, of which 5,987were positiva.

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UNICEF participates in the development of this pro-gram by providing equipment and supplies. ICA also givesvaluable collaboration by contributing to both the localand international costs.

The Organization contributes technical advice througha physician-malariologist, an engineer, and two sanitaryinspectors. In 1961 an assistant entomologist will be addedand a limited quantity of equipment and supplies, as vwell asfellovwships- for training personnel, will be provided.

HONDURAS-4. Public Health Services (See page 168)

Since the latter part of 1955 the Organization hasbeen collaborating vith the Government of Honduras in re-organizing, improving, and expanding its public healthservices throughout the country. The project started withthe establishment of a health center, which, in addition,serves as a local training center for public health workers.The health center was organized in a suburban area ofTegucigalpa called "Barrio de Las Crucitas", whose juris-diction covers a population of approximately 40,000 in-habitants. Upon consolidating the health center in 1958,it was considered necessary to provide services of this sametype to other areas of the country, such extension to besupported by a nation-wide, long-range public health plan.To that end, during 1958 and 1959 a study vas made of theneeds and resources in public health of a broad area of thecountry and, consequently, a plan was drawn. On the basis ofestablished preferences, the coordinated existing resourcesvere oriented toward the over-all solution of the problemsencountered.

At the same type, the central divisions and serviceswere reorganized in an endeavor to comply with the plan oftechnical centralization and administrative decentralization.The long-range plan which was approved in mid-1959 vent intooperation and the health centers of the type established atfirst are being reproduced in other health districts of thecountry.

Fellowships have been avarded for public healthcourses abroad to 13 physicians, 9 nurses, 2 engineers, andfor special courses, to 4 sanitary inspectors, 1 laboratoryworker, 3 statisticians, and 1 administrator. The trainingprogram for public health vorkers vho are to work in the newlocal services continues in operation. Since 1955 theGovernment has been increasing its budget progressively, sothat for 1959 it was five-fold its original amount.

UNICEF participates in this program by providingequipment and materials.

Provision is made by continuing the services of amedical consultant, one sanitary engineer, and one nurse,in addition to fellowships.

HONDURAS-, PAHO Public Health Administration FellowshipsSee page 170)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its public health services.

HONDURAS-8, Medical Education (See page 170)

To assist the Medical School of the University ofHonduras in defining and applying adequate admission re-quirements to the school a short-term consultant wasprovided in 1960.

HONDURAS-9. Promotion of Community Water Supplies(See page 170)

A study of the organization best meeting the needsof the country in provision of water supplies has beenproposed. Consultant assistance in this study will be pro-vided in 1960 and 1961. Additional assistance for imple-mentation of the plan is provided for in 1962.

For a summary of the problems of water supplies,see AMRO-239.

NICARAGUA

NICARAGUA-1, Malaria Eradication (See page 170)

The malarious area covers 127,199 square kilometers,and the exposed population is 1,219,250, or 86 per cent ofthe nation's total population.

In 1956 a plan of operations was prepared for thisproject, which resulted in a tripartite agreement that wasconcluded between the Government, UNICEF, and theOrganization. During the following year, preparationswere made for the conversion of the control activities intothose of eradication, total coverage being started by meansof spraying with dieldrin during November of that same year.

As a result of the verification made in 1958 duringwhich it was noted that A. albimanus was resistant todieldrin, it became necessary to change the initial planand adjust the budget, so as to change over to DDT. Over-all coverage with this insecticide began in January 1959.During the first cycle, 205,930 houses were sprayed, andin the second cycle, from July to December, 218,645 houseswere sprayed.

A substantial reorganization of the epidemiologicalevaluation services was prepared, in order to obtain betterinformation on the distribution of the disease throughoutthe country. During 1959, 38,966 blood samples vere ex-amined, of which 1,875 were positive. There were 1,063notification posts.

Since resistance of A. albimanus to DDT has beenconfirmed recently in certain areas, those areas are beingdelineated, with a view to adopting emergency measures toimpede the continuation and transmission of the disease.It is planned to extend the entomological activities to theother areas of the country, in order to investigate thesusceptibility of the vectors to the insecticide beingused.

UNICEF cooperates in the program through the pro-vision of equipment and supplies. ICA also provides valu-able collaboration by contributing to both local and inter-national costs.

The Organization provides technical advice to theprogram through the services of a physician-malariologist,one engineer, and two sanitary inspectors. An assistantentomologist will be added in 1961. Provision is made fora limited quantity of equipment and supplies.

NICARAGUA-5, Nursing Education (See page 170)

A study of the health needs and of the nursing re-sources in Nicaragua, started in 1953 by the School ofNurses with the collaboration of the Organization, revealedthe basic need for increasing and improving the preparationof professional nurses in the country.

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Since 1954 the Organization has been cooperatingvith the Government in improving the School of Nurses. Therevised study plans have been implemented; vith the cooper-ation of the School of Nurses of Costa Rica, affiliationprograms in psychiatry were organized; faculty members vereincreased and, with fellowships of the Organization, nurse-instructora in various subjects have been receiving train-ing. Programs for recruiting and selecting students havebeen progressing successfully. Improvement vas made in thephysical installations of the school, including the students'residence. In addition, the teaching installations andfacilities have been increased through the organization ofpractice fields and the improvement of teaching materialsand equipment.

It is considered that the Organization's cooperationvill continue in 1962, when it is expected the nev buildingfor the school will be constructed, the teaching and in-structing personnel vill be completed, and the extensionprogram vill be terminated, which vill include the expansionand improvement of the practice fields.

Provision is made for two consultants in nursingeducation, fellowships, and certain teaching equipment.

NICARAGUA-7, PAHO Public Health Administration Fellowships(See page 172)

Provision is made for fellowships to collaborate withthe Government in training staff for the improvement and ex-pansion of ita public health services.

PANAMA

PANAMA-1. Public Health Services (See page 172)

The Government of Panama, with the collaboration ofthe Organization, established a project for the developmentof health services in rural communities, through a ruralhealth center to be used for demonstration and trainingpersonnel in the country, as well as for the training ofpersonnel abroad.

In 1956 the project vas expanded with the inclusionof the urban area services. The structure of the Departmentof Public Health vas reorganized, its principal character-istic being the centralization of the policy-making activi-ties and administrative decentralization, vith the establish-ment of an intermediate level: the health region. In 1957this plan was put into force and the country was subdividedinto three geographical areas, each one under the directionof a public health medical officer, assisted by a team ofexperts in public health.

During 1959 a study vas made of the organization ofthe smallest health region having less complex problems;the regional organic structure, the personnel functions,the classifications of regional health units, the standardsof the public health activities carried out by those units,and a system for making periodic reports on them, were allrevisad. Statistical data of that area were analyzed andcompared vith similar ones throughout the country, andobjectives were established that led to the draving up ofa five-year plan of work.

In 1960, it is expected to continua the study of theregions and to prepare partial plans that can be merged viththe national plan; to promote the revision of standarda andprocedures of the activities of the field units; to promotethe study and acceptance of a form for making periodic

39

reports on those activities; and to continue the personneltraining program. It is considered that, as a result ofthis work, the present structure of the Department will bestrengthened. It is also expected to carry out an evalu-ation of the project so that both the Government and theOrganization vill have available facts to reach a decisionon the future development of the project.

During the latter part of 1959, the Government re-quested the Organization to provide technical advice in thefielde of hospital administration and veterinary publichealth.

UNICEF cooperates in this project through theprovision of equipment and supplies.

Provision is made for a team of internationaladvisers composed of one medical officer, one sanitaryengineer, one publio health nurse, and one public healthveterinarian, as well as short-term consultants.

PANAMA-2. Malaria Eradication (See page 172)

The malarious area covers 92 per cent of'Panama'stotal area and has 96 per cent of its population (approxi-mately 960,000 inhabitants).

The activities relating to the preparatory stagevere carried out in 1956, and in August 1957 the firsttotal spraying coverage was started, 165,100 dvellingshaving been treated with dieldrin.

The epidemiological evaluation operations wereexpanded and the notification posts had been increased to1,352 at the end of 1959. From January to November 1959,66,157 blood samples were examined, of which 4,228 verepositive.

After two coverages vith dieldrin persistent trans-mission was still detected. Previous studies have showna behavior change in Panama's vectors. The entomologicalactivities are being intensified with a view to determiningthe susceptibility of the anophelines to the insecticidebeing used.

UNICEF cooperates in this project by providingequipment and supplies.

Provision is made to maintain the technical advisoryservices of a physician-malariologist, one sanitaryengineer, and two sanitarians, in addition to the provisionfor materials and for fellowships to train personnel abroad.In 1961 one assistant entomologist vill be added to theteam.

PANAMA-8. PAHO Public Realth Administration Fellowships(See page 172)

Provision is made for fellowships to collaboratevith the Government in training staff for the improvementand expansion of its public health services.

PANAMA-9. Promotion of Community Water Supplies(See page 174)

In order to stimulate and assist with the develop-ment of waterprograms within the country, fellowships for

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special training in planning, administration, and financingof vater supply systems are provided.

For a saummiary of the problems of water supplies,see AMRO-239.

PANAMA-10, Planning and Organization of Hospital Services(See page 174)

The Government of Panama has general and specializedhospitals, located in different parts of the country.Private hospitalization facilities are also available,either in private hospitals or in special vards of thegeneral hospitals.

The present hospital system is considered to beinadequate to meet the country's medical-care requirements,either because the services do not operate under a standardsystem, or because of the lack of coordination among thevarious institutions.

Provision is made in 1962 for a hospital adminis-trator to make recommendations and to furnish technical as-sistance in the planning and establishment of a modernhospital system in the country.

INTERCOUNTRY PROGRAMS

AMRO-7, Aedes aegypti Eradication (Central America andPanama) (Zone III) (See page 174)

Eradication has been completed in Panama, Nicaragua,Guatemala, the Canal Zone, and British Honduras. With theexception of Guatemala, allthese countries were declaredfree from A. aegypti by the XV Pan American SanitaryConference in Puerto Rico. Final confirmation of eradi-cation is under vay in Honduras and El Salvador. A finalcheck remains to be made in Costa Rica.

Provision is made in 1960 for one sanitarian.

AMR0-54. Institute of Nutrition of Central America andPanama( See page 174)

The Institute of Nutrition of Central America andPanama (INCAP) is a cooperative enterprise formally inau-gurated in 1949. Its objectives are the study of nutritionproblems in the area, development of vays in which theymay be solved, and asistance for the application of thesesolutions. The Pan American Sanitary Bureau is a memberof the INCAP Council and, by agreement with the Council,is responsible for its administration.

A major objective is the gathering of technical in-formation for the promotion of programs related to nutritionin member countries. Since INCAP's activities often coincidewith the interest of research and philanthropic organi-zations grants are accepted for certain projects where re-sults are of mutual interest. These are carried out throughthe basic organizational structure and technical personnelof INCAP. Results of all work are then carried to membercountries by staff members with intimate knowledge ofcauses, effects, and possible solutions to nutritionproblems.

INCAP's cooperation with member countries in nutri-tion problems of the area nov emphasizes the integration ofnutrition programs into general public health services.

Public health personnel are being instructed in techniquesof prevention of nutritional diseases as well as in thedetection of severa nutritional deficiencies and the treat-ment they require.

As a basis for advice to member governments, studiesof dietary habits, nutritional deficiencies, and composi-tion of local foods have been carried out. The first foodcomposition tables for Central America and Panama verecompleted in 1952. Dietary surveys shoved a relativedeficiency of good-quality protein, vitamin A, andriboflavin. Nutritional status surveys showed markedlyslower growth and maturation and a smaller final statureand weight for Central Americans than for vaell nourishedpersons. Anemia vas frequently present. Studies onendemic goiter showed average incidence among the countriesof 17 per cent to 38 per cent. INCAP demonstrated a prac-tical means of using potassium iodate in reducing theincidence of endemic goiter in school children. ThreeINCAP countries now have legislation requiring iodizationof all salt for human consumption.

Since kvashiorkor is a disease in Central America,INCAP has developed a suitable mixture of vegetable pro-teins for the supplementary and mixed feeding of infantsand children. INCAP is further engaged in cooperativestudies of varieties of corn of better nutritive value;beans, as the second most important source of protein,have been studied; nutritiva values of forages have beenstudied and a substitute for alfalfa found; and studies ofconservation of fowls have been made. A recent field ofINCAP's interest is the study of the relation of diet toatherosolerosis in Central America and Panama.

Using the information obtained from research studiesand surveys, INCAP has developed basic reference and studymaterials for nutrition education in Spanish. Practicaltraining in nutrition work is given to professional andauxiliary workers. Publication of results of scientificwork in INCAP provides ready reference to nev informationin both English and Spanish. INCAP's library is the mostcomplete for medical and biochemical work in CentralAmerica.

In 1961 and 1962 INCAP will continue making neces-sary studies in the major problems described above, de-veloping practical programs in these fields, and providingrelevant training.

PARO contributes directly to INCAP by providing twomedical officers, consultante, and assistance in financingmeetings of both the Directing Council and the TechnicalAdvisory Committee.

AMRO-86, Health Statistics (Zone III) (See page 176)

The funotions of the statistical consultant pro-posed for the countries of Zone III ares (a) to giveadvice to countries for the improvement of vital andhealth statistics, with special emphasis on notifiabledisease statistics, on development of health statisticsin accordance with recommended standards, and on use ofthe data in program plahning; (b) to give courses instatistics and to render assistance in the selection andfollov-up of fellowship students and in the developmentof seminars, workshops, and other training activities instatistics; and (c) to advise on statistical phases ofprojects and assist in the compilation and analysis ofinformation in the countries for purposes of programplanning.

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AMRO-118. Malaria Technical Advisory Services (Zone III)(See page 176)

This project vas started in 1957 and its purpose isto supplement the technical advice given to the countriesof Zone III on malaria eradication activities and, at thesaae time, make possible a more direct and intensive super-vision over the work carried out by the international per-sonnel aesigned to the different countries.

In addition, this project makes it possible to pro-vide specialized advisory services in certain fields, inwhich a consultant for each of the countries is notrequired.

Provislon is made for a team of consultante composedof one medical officer, who vill serve as chief of themalaria eradication activities in Zona III, one sanitaryengineer, one consultant in administrativemethods, oneentomologist, and one secretary.

The five assistant entomologists who will provideservicos during 1960 will be transferred to the projects inCentral American countries in 1961. Provision is also madefor a limited amount of supplies and equipment.

AMRO-121t Malaria Eradication Evaluation Teams(See page 178)

As the eradication campaigns approach the terminationof their programa, the need increases for developing methodsthrough which the true status of malaria in the variouscountries can be ascertained with precision.

This requires the existence of one or more teamsdevoted to the various phases of evaluation, either tostudy and qualify local information or to investigatedirectly the epidemiological evidence under certain specialcircumatances.

The principal objective of this project is to con-firm whether the assumption that malaria has disappearedis well founded. However, there are also doubtful situa-tions, other than those of accomplished erAdication, inwhich the opinion of the evaluation team is required, asfor example, the decisive moment of interrupting the spray-ings and starting the surveillance phase.

Provision is made for services of two tesams, eachcomposed of one team chief, one parasitologist and onesanitarian. Funds are provided also for a limited amountof supplies.

AMRO-141. Health Education (Zone III) (See page 178)

In collaboration with other international personnel,the adviser on this project will cooperate with the nationaldepartments of health to determine and meet their needs inhealth education. At the same time, he will carry out thefunctions of consultant of the Organization's personneland of those of the health services in the work of plan-ning and executing the educational aspects of the project.

Provision is made for the services of one oonsultantin health education.

AMRO-148, Laboratory for Production of Biologicals(Zone III) (See page 178)

Some of the biological products needed for publiohealth purposes and, particularly, those required for im-munization campaigna, are prepared only on a limited scalein certain laboratories in the Zone III countries. Short-age of trained personnel and budgetary limitations haveprevented the establishment of laboratories where biologi-cals could be produced in quantities required to meet theneeds in each country.

During 1960 a study will be made of the presentsituation vith respect to the needs and resources of eachcountry of Central America and of Panama. That study willinclude the gathering of data on the laboratories at pre-sent operating in each country and on the available person-nel and installations; the type, quantity and quality ofproducts manufactured; and the needs of the countries as toimmunization products, type and quantity of each productin relation to the needs of each disease.

Provision is made in 1960, 1961, and 1962 for theservices of one consultant specialized in the laboratoryproduction of biologicals, and for the award of fellow-ships and a limited amount of supplies.

AMRO-188, Veterinary Public Health (Zone III) (See pagel78)

The adviser assigned to this project has the functionof collaborating in the reorganization of the veterinaryactivities and services, so as to coordinate the study andsolve the problems relating to animal diseases that aretransmissible to man, as well as to take the necessarymeasures for the hygiene and control of foodstuffs. Theadviser also collaborates in promoting the teaching ofpublic health in veterinary medicine.

Provision is made for services of a public healthveterinarian and for supplies and equipment.

AMRO-202, Leprosy Control (Zone III) (See page 178)

As part of the activities of project AMRO-149,surveys were made on the leprosy problem in all countriesin Zone III.

Surveys conducted to date reveal that, although theleprosy problem in Central America and Panama is not asgreat as in other countries, there are active foci of thedisease, and that these can be readily controlled providedthe present techniques are brought up-to-date and theactivities of the public health services in the sector areexpanded and organized. The fact that the problem islimited points to the need for implementing an adequateprogram aimed at the effective control of existing fociand the prevention of their spread to other areas.

Through this project, all the countries of Zone IIIwill be provided with the services of a medical officer in1960 and 1961. This project is expected to last for twoyears.

AMRO-203, Epidemiology (Zone III) (See page 180)

The functions of the consultant in epidemiologyares (a) to promote the development of eradication andcontrol programs against communicable diseases; (b) toadvise on new methods and techniques of control; (c) to

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coordinate the programs of eradication and control ofquarantinable diseases in the countries of the Zone; (d) topromote better reporting of communicable diseaseas and (e)to advise on all problems related to the application of theInternational Sanitary Regulations.

Provision is made for the services of oneepidemiologist.

AMRO-206. Environmental Sanitation Training (Zone III)(See page 180)

This project provides fellovwships for sanitaryengineers and auxiliary personnel vho vill form a nucleusof workers in this field to strengthen both national andlocal health departments. A beginning has been made throughthe previous region-vide project AMRO-1 which is now beingdivided into zone projects. The fellowships vill be avard-ed for training largely in the schools of Public Health inBrazil, Chile, and Mexico, as well as the School ofSanitary Engineering in the latter country.

Provision is made for fellovwships.

AMRO-213. Seminar on Public Health Nursina Services(Zone III) (See page 180)

Public health nurses working in integrated healthprojects in Latin America meet many common problems in thedevelopment and extension of nursing services in ruralareas.

A seminar to allov them to share experiences sothat more practical and effective nursing techniques andprocedures may be developed for use in related health pro-grams will be held in Zone III in 1961. Central themes fordiscussion will be based in part on the results of theseminars on integrated health projects and vill include suchtopics as determination of priorities for nursing serviceswith existing professional and auxiliary staffs, practicalsupervisory techniques, administration of nursing servicesparticularly in programs for control of diarrheal diseasesand malnutrition, definition of functions of auxiliarypersonnel with particular relation to MCH and familycentered services, function of nursing personnel in collec-tion of mortality and morbidity data, development of in-service training programs for all levels of nursing staffs,and appraisal of public health nursing services in ruralareas.

Participants will be primarily public health nurseswith experience in administration at national levela con-cerned and those responsible for services in large ruralareas of demonstration or pilot programs. Public healthadministrators, statisticians, nurse educators, hospitalnurses, and others who collaborate with public healthnurses for the administration and extension of public healthnursing services vill also attend.

Provision is made in 1961 for consultants, par-ticipants and conference costs.

AMRO-233, Training Course on Nursing Supervision andAdministration (Zone III) (See page 180)

Because of the shortage of professional nursingpersonnel, throughout Latin America graduate nurses whowere prepared for bedside nursing have been thrust intopositions of supervision, teaching and administration.It is proposed for the countries of Zone III to give asmany of such graduate nurses as possible short coursaesin supervision and administration to prepare them moreadequately for their present functions.

Funds are provided in 1961 for a short-term con-asultant, fellowships and a small amount of teaching sup-plies and equipment.

AMRO-237, Medical Education (Zone III) (See page 180)

Developments in the schools of medicine in the zonehave reached the point where all are moving forward inimproving medical education. On different occasions itvas possible to handle, to a certain extent, some of therequests received, through the services of Zone III Officestaff and through the specialized members of the CentralOffice staff. The number and nature of these requests,however, make it necessary to assign a consultant inmedical education to the countries of Zone III. At first,this consultant will study the present organization of theschools of medicine and vill observe their operation. Asa second step, he will cooperate with the universityauthorities in revising the curricula, reorganizing theschools, and improving the teaching methods.

Provision is made also for awarding fellowships.

AMRO-246, Tuberculosis Control (Zone III) (See page 180)

The purpose of this project is to collaborate withGovernments in Central America and Panama in utilizing thenew developments for an active program for the preventionof tuberculosis, through: training of national personnelin the new techniques and procedures for the management ofthe tuberculosis problems; survey of the tuberculosissituation in the different countries in order to gain moreaccurate and complete information regarding the extent andnature of the problem in the different population groups,as well as of the available resources in the countries; andfield trials of mass administration of isoniazid sincethere is a definite possibility that appropriate dosagesfor sufficient time can minimize the transmission of thedisease and the development of new cases.

To implement the above outlined program, provisionis made for a medical officer in 1962.

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PART III

ZONE IV

Zone Office (See page 182)

For text see "Zone Offices," page 18.

BOLIVIA

BOLIVIA-4, Malaria Eradication (See page 182)

The malarious area of Bolivia covers approximately76 per cent of the country's territory and includes anestimated population of 1,150,000 inhabitants.

Two DDT spraying cycles have already been completed,119,350 houses having been sprayed during the first cycleand 137,251 during the second. A total of more than627,210 inhabitante vere protected. The third cycle wasstarted in September 1959.

The epidemiolegical evaluation operations werestarted in September 1958. The 1,300 installed evaluationposts and the evaluators together obtained 70,654 bloodsamples up to November 1959, and 2,113 of those specimenswere positive.

UNICEF contributes to this program and ICA also col-laborates, as it is responsible for local costs that areestimated at approxinately US$2,000,000.

Provision is made in 1961 and 1962 for the servicesof two physician-malariologists, one sanitary engineer, and4 sanitarians, aleo for a limited amount of supplies andequipaent.

BOLIVIA-5, Nursing Education (See page 184)

Sinoe 1953 the Organization has provided advisoryservices to the Government of Bolivia to improve and devel-op nursing education through the National School of Nursing.The Organization has furnished the services of nurse-consultanta and training abroad for the majority of theteaching body.

Despite financial difficulties, there has been asteady improvement in the School's curriculun which nowincludes the theory and praotice in the medical, surgical,obstetrical, snd pediatrio clinical fields. In addition,in 1959 it vas possible to integrate the teaching ofpublic health nursing in the three-year course of studies,and to include in the teaching programs the principles andmethods of supervision and administration.

For the last three years, as a prerequisite foradmission, the School requires that candidates have com-pleted secomdary studies. Applicationas for adnissioa havebeen increasing, a total of 102 candidates having enrolledin 1959 to fill 28 places.

The National School of Nursing has continued itaplan of assisting other nursing schools in the country teiaprove the level ef i"straotioa they provide.

Provision is nade for the services of a narse-educator, and one long-term fellovwship.

BOLIVIA-10, Public Health Services (See page 184)

This project, which vas started in 1955 for the pur-pose of organizing a Central Office of Planning and Coordi-nation within the Ministry of Public Health, vas reducedin 1957 to a single consultant whose functions are to co-ordinate the programs carried out with the advice of theOrganization and, most particularly, to advise the Ministerand other public health authorities on the progress of thehealth services at both the central and the local levels.

This reduction vas advisable because of the presenteconomic conditions in the country, which make it difficultto expedite the development of the health services and toprovide adequate training for the personnel.

Nevertheless, substantial progress has been made,such as the approval of adequate health legislation; theconstitution of the National Health Council; the planningof the National Health Service, and the preparation of anappropriate draft budget.

During 1960 the plans for developing the NationalHealth Service will continue; the application of careerhealth service that will lead to the establishment of full-time, well-remunerated posts will be promoted. In addition,efforts will be continued to coordinate the agencies underthe Ministry of Public Health and other official sectionsengaged in public health.

Provision is made for the services of a medicaladviser, and for a long-tere fellowship for personneltraining.

BOLIVIA-11. Joint Field Mission on IndigenousPopulations (See page 184)

Approximately 20 per cent of the people of Boliviaare inhabitante of the Andean Region, where they are con-centrated in the unproductive, difficult highlands. Thereare few health and medical services available. Typhus isendemic in the area, infant and maternal mortality ratesare unduly high, and standards of environmental sanitationare precarious.

The objective of this project is to accelerate thenatural development of the peoples of the area and to inte-grate them socially and econouically in the national life.Several agencies (ILO, FAO, UNESCO, and PAHO/WHO) cooperatevith the orvernment in the York of promoting the executionof this plan. The Organization has provided advisoryservices in publio health aspects, through a medical of-ficer.

During the period 1954-58 three health centers wereestablished in areas of high altitudel Pillapi (Departmentof La Paz), Playa Verde (Department of Oruro), and Otavi(Departnent of Potosi). In addition, a health center vasestablished in Cotoca (Department of Santa Cruz de laSierra) for the resettlement of indigenonus populations fromhigh altitude areas which are agriculturally unproductiveand overpopulated to lower-altitude areas which are fertileand sparsely populated.

Provision is nade for the services of a medicaladviser.

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BOLIVIA-12. Leprosy Control (See page 184)

The extent of the leprosy problen in Bolivia is notwell known, bat according to available data it is consideraedto be an important problem in the oentral valley and in thetropical region of the country. In order to collect up-to-date basic data on this disease and to prepare a controlprogram, a thorough epidemiological survey vill be carriedout in the country during 1960.

Provision is made in 1960 for a short-term consult-ant, who will collaborate in making the survey and in draw-ing up a plan for leprosy control.

BOLIVIA-15. Promotion of Comn-ity Water SuppliesSee page 184)

In order to atimulate and asaist with the develop-ment of a water prograz within the country, fellowships forspecial training in planning, administration, and financingof water supply systems are provided.

For a su"mary of the problemas of water supplies,seo AMR0-239.

COLOMBIA

COLOMBIA-4, Publio Health Services (See page 184)

In accordance with the Plan of Operations concludedin 1956 between the Government, WHO, and UNICEF, the objec-tive of this project is the development of a pilot projectof integrated public health services in five of thecountry's departments, in vhich especially selected centerawill give particular attention to the following basio activ-ities: maternal and child health, communicable disease con-trol, and environmental sanitation.

The plan is directed toward the training of allprofessional and auxiliary personnel at the level of boththe departments and the centers. UNICEF participation inthe project consists of the provision of equipment for thecenters, including one vehicle for transportation at eachcenter, and financial assistance for the auxiliary person-nel while they are in training.

A plan for the reorganization of the Ministry waspresented and is being studied by the Minister and theCommission on the Administrative Reforn of the Presidencyof the Republic.

In 1957 and 1958 publio health orientation courseswere given to 44 physicians, 30 nurses, 35 aursing auxilia-ries, and 88 sanitary inspeotors. A part of this personnel,particularly those trained in 1957, are already providingservices at the pilot centers in the departments of Nortede Santander and Boyaoa. In 1959 the personnel trainedduring the previous year began to work in the departaentsof Narino and Cundinamaroa.

In 1959 the fourth four-month training course forauxiliaries was given with an enrollmeant of 16 students.

The Organization vilI continue to provide theadvisory services of the team of consultanti oomposed oftwo medical offioera, one sanitary engineer, and twopublio health nuarses.

COLOMBIA-5, Malaria Eradication (See page 186)

The malarious area of Colombia covers 90 per centof the country's territory, and approximately 75 per centof its inhabitants are at risk.

The second spraying cyole vas completed in September1959, the total number of sprayed houses being 1,142,723and the number of inhabitanta proteoted, 6,492,119. Duringfour months of the third spraying cycle, up to January 1960,793,028 houses were sprayed and 4,454,809 inhabitantsprotected.

The epidemiological evaluation operations werestarted in May 1959. The number of blood slides taken upto December 1959 was 329,288, of which 4,172 vere positive.Twenty laboratories were utilized in this work.

Provision is nade in 1961 and 1962 for one ohiefphysician-malariologist, one malariologist, one sanitaryengineer, one statistician, and six sanitary inspeotors.Funds are also assigned for short-term fellovwships fortraining professional personnel, as well as for suppliesand equipment.

COLOMBIA-15. Tuberculosis Control (See page 186)

The Government wishes to cope vith the problem oftuberculosis, for which it has available considerableresources, with the technical advice of the Orgsnization.

Provision is made for the services of a oonsultantin tuberculosis as part of the teohnical personnel uasignedto this projeot and whose funotions will consist in ad-vising the health authorities in studying the country' stuberoulosis problem and preparing and oarrying out acontrol program.

COLOMBIA-17, Smallpox Eradication (See paga 186)

Since the latter part of 1955 the Government ofColombia, with the technical advice of the Organization,has been conducting a smallpox eradioation campaign. Thisproject has the objective of iuamnizing at least 80 percent of the population.

UNICEF furnished one unit fer the production oflyophilized s allpox vaccine and vehioles for transporta-tion. The Organization provided 8 stations wagons whichwere delivered in 1959.

For variona reasons the campaign made slov progressduring 1955, 1956, and 1957. Beginning in 1958 an impor-tant impulso took place. By 31 October 1959 a total of7,207,511 persona had been vaccinated.

In 1953, 5,526 cases of smallpox vere reported; in1954, 7,203; in 1955, 3,404; in 1956, 2,572; in 1957,2,145; in 1958, 2,009, and during the early months of 1959,767, vhich ahows the good resulta of the campaign.

Provision is mado for the servicos of a medicaladviseer in 1961 and 1962.

COLOMBIA-18. WHO Public Health AdministrationFellowships (See page 186)

Provision is made for followships to train stafffor the improvement and expansion of its health services.

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COLOMBIA-19, Leprosy Control (See page 188)

Leprosy is a problem of special importance inColombia, since it is estimated that there are some 15,000leprosy patients, which means a prevalence of 1.1 per 1,000inhabitants. The true extent of the problem, however, isnot knovn.

In 1958 the Organization provided the services of aconsultant, who made a complete study of the existing pro-gram and also prepared suggestions for the reorganizationof the Leprosy Service.

It is expected that in 1960 and 1961 all the unitsof the Leprosy Service will be reorganized, and this villmake possible a control program based on modern techniquesand procedures.

Provision is made for the services of a medicaladviser.

COLOMBIA-21, PAHO Public Health AdministrationFellowships (See page 188)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its health services.

COLOMBIA-24. School of Public Health (See page 188)

The National University of Colombia is engaged inreorganizing and improving the instruction level of theSchool of Public Health of Bogota, which has been inexistence for a number of years. One of the importantpoints of the plan consists in staffing the School withfull-time professors.

The Organization collaborated by providing oneprofessor of microbiology and ashort-term consultants invarious aspects of the teaching program.

In September 1959 the main course in public healthbegan for phbysicians, dentists, and veterinarians with17 students attending. The course vill last one year.

Provision is made for the services of a professorof microbiology in 1961, as vell as for fellowships andshort-term consultants.

COLOMBIA-25. Promotion of Community Water SuppliesSee page 188)

The Government of Colombia is activily engaged in anational vater supply program. Consultants are beingprovided to assist in the study, planning, design, finance,construction and operation of several municipal watersystems. This work is being coordinatad vith four minis-tries of the Government. Fellowships are also provided fortraining of national personnel.

For a summary of the problems of vater supplies,see AMRO-239.

COLOMBIA-52, Yellow Fever, Carlos Finlay Institute,(AMRO-57) (See page 188)

The Carlos Finlay Institute is one of the two yellowfever laboratories of the hemisphere that cooperate vith

the Organization, pursuant to the resolution approved bythe Directing Council at its I Meeting held in Buenos Airesin 1947. The Institute makes available to the other coun-tries of the continent its facilities and services for thecontrol and investigation of the disease and supplies them,free of cost, with yellow fever vaccine, and makes serolo-gical tests and pathological examinationa of liver samples,as vell as epidemiological and ecological studies.

In 1959 the Institute distributed more than 1,000,000doses of vaccine among the various countries of the conti-nent. During that same year, it has continued makingneutralization tests and other laboratory examinations.

Provision is made to continue granting annual subsi-dies during 1961 and 1962.

ECUADOR

ECUADOR-4, Public Health Services (See page 188)

This project, started in 1953 with the collaborationof the Organization and of UNICEF, resulted in a Maternaland Child Health Division within the National Department ofHealth and eleven rural centers being organized. Sometraining courses for professional and auxiliary personnelwere also given. The field of action of this project wasexpanded for the purpose of reorganizing progressively thenational health services and of establishing new basicdepartments in the National Department of Health. Also,consideration was given to the progressive improvement ofthe local services.

Becauase of financial difficulties and problemaarising due to the instability in office of the personnel,the development of this program has been slow. The absencefor 16 months of a principal consultant also had a bearingon the situation. In 1958 five new health centers wereestablished in the interior of the country and technicalaid was given to those already established.

Within the near future it is expected to establisha Division of Communicable Diseases and another of PublicHealth Nursing. It is also expected to obtain a law thatvill establish health career service, so that full-timeemployees may be assured stability in office and adequatesalaries. It is intended also to consolidate and expandthe health center system and to continue training profes-sional and auxiliary personnel.

Provision is made for the services of a medicaladviser and one public health nurse, and for fellowships,so as to train national professionals in public healthadministration.

ECUADOR-11 National Institute of Health (See page 190)

During the period 1952-56 the Organization providedadvisory services, through various consultants, to theLeopoldo Izquieta Perez National Institute of Health, whoseservices were expanded and improved, particularly in theproduction of vaccine and biologicals.

At the end of 1957 studies were undertaken for thecomplete reorganization of the Institute on the basis offull-time personnel. The Government has insisted on theadvantages derived from the presence of an adviser withwide experience in bacteriology and in the administrationof public health laboratories. Meanwhile, studies will becontinued on the methods of achieving a formula that will

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permit the specialists to vork on a full-time basis, vithadequate salaries and stability in office, an essentialfactor in a complete reorganization of the Institute.

Provision is made for the services of an adviser inbacteriology and for a long-term training fellowship.

ECUAIDOR-14. Malaria Eradication (See page 190)

Ecuador's malarious area covers approximately 75 percent of its area, and the population at risk is estimatedat 1,537,490.

The plan to eradicate malaria in the country wasapproved in 1956, the firet total coverage stage havingbeen started in 1957. The second cycle with 300,318aprayinge was completed in March 1958. During the thirdover-all cycle, which started immediately thereafter,397,340 sprayings had been applied by March 1959. Therewere 2,429 evaluation posts as of 30 March 1959. A totalof 109,078 blood samples were examined, of which 7,060 werepositive.

A strain of A. albimsnus was discovered to be resist-ant to dieldrin in the area of Santa Rosa, Machala.

Provision is made in 1961 and 1962 for the servicesof a physician-malariologist, one sanitary engineer, and4 sanitarians, as well as for a limited amount of suppliesand equipnent.

ECUADOR-16. Nursing Education (See page 190)

Up to 1956 only 302 nurses had been graduated inEcuador, of whom 195 were working in hospitals and inhealth services.

In 1957 en agreement was concluded with the Govern-ment of Ecuador and the University of Guayaquil, for thepurpdse of expanding and modernizing the instruction givenin the School of Nursing of that University.

In 1959, with state and private assistance, it waspossible to approve a budget that will permit the develop-ment of the project as agreed upon. The echool year hasbeen extended to 10 months. The project was expanded viththe following assignmentse medical-surgical specialties;pediatric, obstetrical, psychiatric, and public healthnursing; nursing administration, supervision, and teaching;psychology, sociology, nutrition, dietotherapy, and English.

The clinical practice has been planned in accordancewith modern orientation and is carried out under the super-vision of nurse-instructors of the various specialties.A manual on nursing procedure is being prepared. Twonurses have taken postgraduate courses abroad. Admissionrequirements were raised by requiring high or city normalschool certificate.

Provision is made for the services of two nurse-educators, for fellowships, and for a limited amount ofsupplies and equipaent.

ECUADOR-18. Leprosy Control (See page 190)

Available data on the extent and prevalence of leprosyin Ecuador are inconplete. It is known, however, that thedis-ease is limited to the southern part of the country,althoughthere aeem to be some isolated foci in other armas.

The Organization vill collaborate with the Govern-ment, through the services of a specialized consultant, incarrying out a survey to obtain basic and complete informa-tion to be used in preparing a modern plan for the preven-tion of this disease.

Provision is made in 1960 for the services of short-term consultants and, in 1962, for fellovwships and for theservices of a medical officer who, should the problem existin Peru, could be detached for short periods of time toprovide aseistance in this aspect to the Government ofPera.

ECUADOR-19. PARO Public Health AdministrationFellowships (See page 192)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its health services.

ECUADOR-20. Smallpox Eradication (See page 192)

In order to assist the Government in eradicatingsmallpox from the country, the Organization furnished in1951 a unit for the production of a lyophilized smallpoxvaccine. In order to accelerate vaccination, the Govern-ment concluded an Agreement with the Organization in 1957,the objective of which wvas to eradicate smallpox within afive-year period, iamunizing at least 80 per cent of thepopulation. Late in 1957, the Organization provided eightvehicleas and the necessary number of vaccinating needles.

During 1958 the number of immunizationa applied wasbelow expectations. During 1959, up to 31 October,428,365 persons had been vaccinated. Since the start ofthe campaign, 729,477 persons have been vaccinated.

Since September 1959 the number of vaccinators wasincreased to 50, and another increase is being arrangedfor 1960.

Provision is made for the services of a medicaladviser in 1961 and 1962.

ECUADOR-53. National Institute of Nutrition(See page 192)

The Organization has cooperated with the NationalInstitute of Nutrition of Ecuador since 1950 through theprovision of advisory services. The Kellogg Foundationcooperated at the beginning of the projeot by providing acertain amount of equipment.

Between 1950 and 1955, the Institute organized thebromatological laboratory and made numerous dietary surveys.In 1956 the clinical nutrition activities vere organized,.although the clinical laboratory was not functioning fullybecause the equipment did not arrive until the end of 1958.

In 1958 a nutrition seotion was organized inGuayaquil and the general survey on the state of health andnutrition of school children vas continued. A study on theincidence of endemic goiter in the country was also begun.

During that year, three dietary surveys vere madein different parts of the country, and a nutrition rehabi-litation center wvas opened in the Baca Ortiz Hospital inQuito.

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In the latter part of 1958, the Government prepareda plan to expand the studies on goiter and to draw up aprogram designed to prevent that disease, as well as todevelop a broad program of nutrition education and informa-tion.

Provision is made for the services of a medical-nutritionist during 1961 and 1962.

PERU

PERU-5, Malaria Eradication (See page 192)

The malarious area in Peru is composed of two re-gions, one on each side of the mountain range, that areknown as "Vertiente Occidental" and "Vertiente Oriental,"respectively. The area covers approximately 948,338 squarekilometers, or 75 per cent of the country's area, and has4,618,000 inhabitanto and 550,000 houses that should besprayed.

The first cycle of total coverage in the "VertienteOccidental" was started in November 1957 and completed inOctober of the following year. The second cycle was thenstarted and 379,451 houses were treated. The third cycleof total coverage was started in September 1959.

In 1958 the spraying was started in the "VertienteOriental," but it had to be interrupted, vhen only 101,788sprayings had been made, as the rainy season had started.In May 1959 the first cycle of over-all spraying was againstarted and was completed six months later with the spray-ing of 141,480 houses.

In October 1959 preparations were started for thesurvey and spraying in the river area (Amazon Region), invhich Peruvian army brigades took part.

There are 6,187 notification posts and 22 area labo-ratories, which, during the first nine months of 1959, made103,370 examinations of which 3,373 vere positive. In theDepartment of Loreto where there is transmission, 12 percent vere found to be positive; in the "Vertiente Oriental,"with only one coverage, the figure vas 3 per cent; and 1 percent in the "Vertiente Occidental," with two completedcoverages.

UNICEF participates in this project by providinginsecticides, transports, and spraying and evaluation equip-ment. The Government undertakes to provide the total amountof 22 million soles.

Provision is made in 1961 and 1962 for the servicesof a physician-malariologist, one sanitary engineer, andsix sanitary inspectors, as well as supplies and equipment.

PERU-15. Advanced Nursing Education <See page 194)

The increase in hospital and publio health servicesin Peru has shown the need for harving available nurses whohave thorough training in supervision and administration,as well as in pedagogy, and for establishing new nursingschools. Such schools would make it possible to inoreasethe number of professionals graduated each year especiallyoutside the Capital,

The objectives of this progrsam, therefore, are (1)to establish postgraduate courses for nurse-supervisors, forboth hospitals and publio health services, and for instruc-tors in schools of nursing; and (2) to establish new

schools of nursing in the interior of the country.

To accomplish the first objective, the Governmentestablished the National Postgraduate Institute of Nursing,which began to operate late in 1958. In 1959 two courseswere held, one on administration and another on education,which were attended by a total of 40 students.

For the time being, it has not been consideredadvisable to promote the establishment of new schools ofnursing until such time as the problems derived fromshortage of teaching personnel, fields for instruction, andbudgetary difficulties are solved.

It is planned to continue the regular courses ofspecialization and to offer short-term courses to profes-sionals who are unable to leave their posts for long periodsof time.

Provision is made for the services of one nurse-educator, fellowships, and a limited amount of supplies andequipment in 1961 and 1962.

PERU-22, Public Health Services (See page 194)

The purpose of this program is to provide a team ofpublic health experts to cooperate, as consultants, in theplanning, evaluation, and coordination of public healthactivities at both the central and local levels.

In 1959 it was possible to consolidate the NursingDepartment and assist in establishing the PostgraduateNursing Institute.

Collaboration has been given also in the study ofthe basic information on environmental sanitation and,particularly, on the development of drinking water servicesin the urban areas of the country. Cooperation was givenalso in organizing the health areas into vhich the countrywas subdivided.

Provision is made for the services of a medicaladviser, one sanitary engineer, and one public health nurse.

PERU-23, Joint Field Mission on IndigenousPopulations (See page 194)

The purpose of this project is to accelerate thenatural development of the indigenous peoples of the AndeanRegion of Peru and to integrate them socially and economi-cally in the national life.

Several international agencies (ILO, FAO, UNESCO,UN/TAO, and PAHO) participate in this program.

Fron 1955 to 1957 the Organization provided theservices of a medical officer to advise on the public healthaspects of the project, which also includes agriculture andstockraising, education, labor, and rural vwelfare. Later,this advisory service was given by the medical officer as-signed to project of the same name for the Andean Regionof Bolivia (Bolivia-ll).

The centers that have been organized in connectionwith this project in various indigenous communities of theDepartment of Puno (Canicachi, Chucuito, Taraco, andVilquechico) provide very elementary services, sinoe thenational personnel consists of a medical officer, a nurse,and a midvife for all those Centers. This personnel providesservices successively in each of those Centers.

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Provision is made for the adviser in Bolivia to makeperiodic trips to the area of activitiea of this projectin Peru.

PERU-24. Leprosy Control (Seeo page 194)

Available data on the extent and prevalence ofleprosy in Peru are incomplete.

With the assistance of a specialized consultant, asurveyy ill be conducted in order to obtain the completebasio information needed to prepare a plan for the preven-tion and control of this disease.

Provision is made in 1960 for the servicas of ashort-term consultant to advise on the leprosy survey.

PERU-25. PAHO Public Health AdministrationPellowships (See page 194)

Provision is nade for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its health services.

PERU-29. Tuberculosis Control (See page 194)

Although the exact extent of tuberculosis in Peru isunknown, it is known that there are some 130,000 cases inthe country. A study on tuberculosis mortality made in1954 in selected populations revealed a rate of 111 per100,000 inhabitants.

The antituberculosis services are technically central-ized in the Division of Tuberculosis, which has the follow-ing departmenta: epidemiology, control, BCG, and social.The Division of tuberculosis sets the technical standardsand supervises the services that are distributed throughoutthe country.

The Government proposes to carry out an antitubercu-losis campaign to accelerate the reduction of the infection,morbidity, and mortality rates, having as a long-rangeobjective the possible interruption of transmission.

It is proposed to carry out an intensive case-finding program, by examining large numbers of selectedpopulation and establishing a program of an outpatient andhome chemotherapeutic treatment of patients, and a preven-tive treatment for tuberculin-positive contacts.

The first atage of this project will consist incarrying out a prevalence survey of tuberculosis to deter-mine the real extent of the problem and its principal epide-miological characteristics. For this purpose, UNICEF wasrequested to supply equipment, particularly mobile X-rayunits, laboratory equipment and health education materials,and the Organization was requested to provide technicalcooperation.

The information obtained from the prevalence surveywill serve as the basis for preparing the program for thecontrol of the disease.

Provision is made for the services of a medicaladviser specialized in public health, one statistician,and one nurse, as well as for fellowships, and othercommon costs.

PERU-30. Promotion of Community Water Supplies (See page 196)

Peru has formed a national committee on water sup-plies. This committee has recently been studying plans andsystems at home and abroad. Short-term consultants areprovided to assist this committee vith its planning and toassist with the improvement and extension of specific watersystems and the development of a national program.

Por a summary of the problems of vater supplies,see AMRO-239.

INTERCOUNTRY PROGRAMS

AMI)D-119 Malaria Technical Advisory Services(Zone IV) (See page 196)

This project vas started in 1958 and its purpose isto provide advisory services in specialized aspecta ofmalaria eradication to the countries of Zone IV and, at thesame time, permit a more direct and intensive supervisionof activities performed by the international personnelassigned to the different countries.

In addition, this project makes it possible to pro-vide specialized advisory services in certain fields invhich a consultant for each of the countries is not required.

Provision is made in 1961 and 1962 for a team ofconsultants composed of one medical officer who will serveas chief of the malaria eradication activities in Zone IV,one sanitary engineer, two specialists in administrativemethods, two entomologists, and one seoretary.

AMRO-143, Health Statistics (Zone IV) (See page 196)

The functions of the statistical consultant proposedfor the countries of Zone IV are: (a) to give advice tocountries for the improvement of vital and health statis-tics, with special emphasis on notifiable disease statis-tics, on development of health statistics in accordance vithrecommended standards, and on use of the data in progranplanning; (b) to give courses in statistics and to renderassistance in the selection and follov-up of fellowshipstudents and in the development of seminara, workshops, andother training activities in statistics and (c) to adviseon statistical phases of projects and assist in the compila-tion and analysis of information in the countries forpurposes of program planning.

AMRO-179, Veterinary Public Health (Zone IV) (See page 196)

The functions of the adviser to this project are tocollaborate in reorganizing the veterinary activities andservices so as to permit the coordination of the study andsolution of the problems relating to animal diseases trans-missible to man, as well as to take the necessary measuresfor the hygiene and control of foodstuffs. He will alsocollaborate in promoting the teaching of public health inveterinary medicine.

Provision is made for the services of a publichealth veterinarian.

AMRO-2077. Environmental Sanitation Training (Zonae IV)See page 196)

In order to strengthen the public health servicesof the countries, both at the national and local levels,fellowships are avarded to sanitary engineere and otherpersonnel engaged in environmental sanitation activitiesto receive training abroad.

e

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PART III

ZONE V

Zone Office (See page 198)

For text see "Zone Offices," page 18.

BRAZIL

BRAZIL-3, Public Health Services (Northeast) (See page 198)

For several years the Organization and UNICEF havebeen collaborating with the Government in the developmentof a maternal and child health program in seven states ofthe northeast and two central northern states of Brazil.International assistance has been principally equipment andsupplies furnished by UNICEF and technical orientation andplanning by the regular staff of the Organization. As aresult of this assistance and development, the Governmentbecame aware that the acope of the project should beenlarged to include rural sanitation, communicable diseasecontrol and health education and, in 1955, requested theassistance of the Organization and UNICEF in converting theproject into an integrated health service. After severalattempts to organize such a project on a large scale, itwas finally agreed in 1957 that this type of program wouldbe started in but one state in the Northeast -Rio Grandedo Norte- and a plan of operations was accordingly drawnup.

In 1959 the states of Piauí and Sergipe vere in-corporated into this program and the areas in neighboringstates are expected to come under this plan. The workwill be coordinated at the ministerial level by SESP usinga multi-agency council, in which the State Health Authority,the National Department of the Child, the NationalDepartment of Endemic Diseases, the National HealthDepartment, this Organization and UNICEF will be represented.

Provision is made for a medical officer to cooperatein the development of the project in these states. Fellow-ships are also being provided,

BRAZIL-8, National Virus Laboratory Services (See page 200)

The Oswaldo Cruz Institute has been one of the maincenters of laboratory research and vaccine production forthe Government of Brazil. It has also been and is beingused extensively to train laboratory personnel from allparts of the country.

Aided by technical collaboration and training, theInstitute will be in a position to develop and increase itsvirus vaccine production. In addition to this, the diag-nostic and research facilities of the virus departmentshould be substantially improved.

Provision is made for a virologist to assist withthis work.

BRAZIL-18, National Food and Drug Service (See page 200>

In 1957 the National Drug Control Laboratory wasestablished for the purpose of providing chemical andbacteriological control, biological standards and properlabelling for drugs imported into or manufactured in thecountry. During this year the Organization gave technical

assistance with respect to equipment, personnel trainingand general organization of the laboratory. In 1958additional consultative collaboration was given by theOrganization in the preparation of a combined Food andDrug Act. During 1959, fellowships were provided for threekey members of the laboratory staff. International bio-logical standards were also provided.

The Government proposes to establish a National Foodand Drug Service. The drug control laboratory is largeenough and will be adapted to handle food examination asvell. Special inspection services for food and drug willbe created. The National Service is expected to provideboth technical and advisory services to individual stateprograms.

Provision is made for consultant services in 1961and for fellowships in 1961 and 1962.

BRAZIL-19, School of Public Health (Rio de Janeiro)(See page 200)

Facilities for professional education in publichealth are available in Brazil at the School of Hygiene andPublic Health of the University of Sao Paulo, which nowhas national and international status. This school cannot,however, meet all the national training needs for a countryas large as Brazil.

The National Department of Health and the NationalDepartment of the Child have been operating courses inpublic health geared to their particular fields of interest.During 1959 the National School of Public Health has beenorganizead to give basic courses for professional and non-professional vorkers and special courses in different fields.Premises to combine the courses vere provided by theGovernment and the activities started in the later part of1959.

The Organization has provided the services of aconsultant to assist in the elaboration of the curriculumand in the organization of the School.

Provision is made for consultant services, fellow-ships, and training supplies.

BRAZIL-24, Malaria Eradication (See page 200)

The malaria eradication program of Brazil is thelargest in the Americas. Sixty-two per cent of the munici-palities of Brazil with an area of 7,300,000 square kilo-meters (85 per cent of the total area of the country) arein the malarious area. About 30,000,000 people live inthis area. Intensive control work has reduced the inci-dence of malaria to a large extent and in some areas haspractically interrupted its transmission. In spite ofthis, a considerable number of cases still occur, whichcauses great economic loss to the country.

This campaign is being conducted by a Working Group,whose Chairman is the Minister of Health. An ExecutiveDirector is in charge of its development. In addition toassistance by the Organization the program also receivesassistance from ICA through substantial quantities ofequipment and materials.

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Due to the size of the country, the difficulties ofwork and the large amount of resources necessary, the pro-gram will be conducted by zones. In 1958 all the prelimi-nary work for the conversion of the program from controlto eradication was done. In 1959 spraying operations werestarted in three states of the northeast. Also in 1959 theprogram was started in the Amazon area by the use ofchloroquinated salt.

It is anticipated that spraying operations will becompleted by 1964 and surveillance by the Malaria Eradi-cation Service in the whole country will be discontinuedand passed over to the general public health services in1967.

Provision is made for a sanitary engineer and forlaboratory equipment and antimalarial drugs. Fellowshipswill be provided for the training of professional personnel.

BRAZIL-28, PAHO Public Health Administration Fellowships(See page 200)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its health services.

BRAZIL-31, Rehabilitation Training Center (See page 202)

This Rehabilitation Training Center has beenestablished in the "Hospital de Clinicas" in Sao Paulo,following studies made by consultants of the Organizationand ILO.

The Government has provided the building and equip-ment as well as funds for the operation and maintenance ofthis Center.

Initially, consultants were provided by UN/TAO andlater ILO, and WHO provided specialists to help in theorganization and operation of training activities. In1959, the international team of INAR (Instituto Nacional deReahilitaqao) consisted of a medical adviser (WHO), aphysical therapist and a prosthetist (UN/TAO). With thecollaboration of the above specialists the Center is pro-viding, besides services to patients, the following train-ing activities: two-year courses for physical therapistsand for occupational therapists; and special training inaccordance with needs, for doctors, social workers, andpsychologists in rehabilitation and, for makers and fittersof braces and prosthetic appliances.

The third of the two-yeaT courses in Physical andOccupational Therapy will start in 1960. Provision ismade to continue the medical officer's services at INARand in the country as required.

It is expected that the Rehabilitation Center willcontinue developing its possibilities for training for thevhole country and will be used for training of personnelfrom other Latin American countries, thus contributing tothe increase of rehabilitation activities for the physicallyhandicapped in this region.

BRAZIL-33, Training Course for Laboratorv TechniciansSee page 202)

Federal and State Laboratories throughout Brazil arein gbneral well equipped and well staffed at the top level,but are greatly lacking in well-trained laboratory

technicians. This shortage inevitably affects the qualityand quantity of the work that can be performed.

A general course for training selected national andstate laboratory personnel which would last approximatelyten months could prepare 20 students in each course.

Provision is made for an adviser on organization andcontent of this course, and for supplies and equipment in1960.

BRAZIL-35, School of Public Health (Sao Paulo)(See page 2U2)

The School of Hygiene and Public Health of Sao Paulohas, for a number of years, not only served as a trainingcenter for Brazilians but also, in an ever increasingdegree, as an international training center. In additionto courses in hospital administration, dental public healthand veterinary public health which have been developed inrecent years, a course in public health nursing was addedin 1959. The Araraquara Health Unit which serves as afield training center for the Faculty of Hygiene is alsoadministered by the University of Sao Paulo.

Provision is made to assist the School by strengthen-ing the teaching of the School through consultant services,fellowships, training supplies, and a grant.

BRAZIL-37, Dental Public Health Education (See page 202)-

The Organization and the Kellogg Foundation arecooperating with the University of Sao Paulo in the develop-ment of the Center for training in public health dentistry.During 1958 and 1959, the center conducted a specializedcourse in dental public health with students from differentcountries in Latin America. Eight and nine countries,respectively, were represented in the tvo courses. Prom1960 on, a short course will also be offered, especiallydesigned for orientation in public health for dentalclinicians working at local levels. The Center will alsoassist the School of Hygiene and Public Health in present-ing dental public health subjects to students of theseveral health disciplines. Emphasis will be given-tofield training and field studies to be developed in collabo-ration with the national health services.

The training facilities at the center will be madeavailable to Spanish and Portuguese speaking countries,for whom several places will be reserved each year (seeAMRO-72).

The Regional Dental Adviser will continue to provideconsultation and assistance to the courses. The W.K.KelloggFoundation will be providing assistance to the projectuntil the end of 1960 and will be requested to extend thisassistance through 1963. Provision is made for fellowshipsin 1962.

BRAZIL-38, Smallpox Eradication (See page 202)

Smallpox is endemic in rural areas of Brazil and isreintroduced into urban populations by the immigranta fromthese endemic foci. Because of the vast areas, it is verydifficult to immunize the population without having a largesupply of dried smallpox vaccine available.

Under this project equipment has been provided forthree strategically located vaccine production laboratories

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serving videly separated regions in the extreme north, inthe middle and in the south of Brazil -Recife, Rio deJaneiro and Porto Alegre.

Provision is made for fellowships for medical of-ficers in charge of vaccination campaigns in differentareas of the country.

BRAZIL-39. Public Health Services (Mato Grosso)(See page 202)

The State of Mato Grosso covers an area of1,254,821 square kilometers, extending in the North throughtropical zones of the Amazon Valley and in the Souththrough relatively temperate zones which border the statesof Paraná and Sao Paulo as well as Paraguay. There hasbeen a rapid immigration into this territory provoking anumber of problems related to health and sanitation. Inview of this, it vas proposed in 1957 to develop in aselected district, typical of the existing problems, aprogram of integrated services to demonstrate, as part ofthe reorganization and extension of the State healthservices, the effect of improved health services and withthe long-term purpose of extending similar services through-out the area.

The State Government, with the technical assistanceof the Organization, has developed a plan of operationsfor the development of an integrated health service in thesix municipalities (counties) comprising the southernportion of the State.

In 1959 an agreement vas signed between the Ministryof Health, the State Government of Mato Grosso, UNICEF andthe Organization. The project began active operationsduring this year, local personnel being appointed andequipment received. It is expected that a balanced programof health services will be developed in the district ofDourados, Mato Grosso, and gradually extended to includeother districts throughout the State.

Provision is made for a sanitary engineer and apublic health nurse as well as for fellowships.

BRAZIL-41, Malaria Eradication (Sao Paulo) (See page 204)

In developing its malaria eradication program, theState of Sao Paulo has prepared a plan of operations andsigned agreements of cooperation with the Federal Governmentand PARO. The program started in 1958 with the trainingof personnel and geographical reconnaissance. The pre-liminary phase vas completaed in 1959 and spraying operationswere started in February 1960. Spraying is to be done in191 municipalities with 541,413 houses. In the remaining224 municipalities, surveillance operations will be per-formed. Spraying operations will be completed in December1962 and then all the malaria areas will be covered by asurveillance program.

The State Government bears all expenses in personnel,installations and operations. The State program willreceive by agreement with the national program, materialand equipment supplied by ICA.

PAHO provides the services of one sanitary engineerand three sanitarians in 1961. There will be one lesasanitarian in 1962.

Funds are provided for anti-malaria drugs andlaboratory equipment and for fellowships.

51

BRAZIL-42, Rabies Control (See page 204)

The number of human deaths from rabies reported fromthe Federal District and State capitals of Brazil between1952 and 1956 showed an increase of 78 per cent. Reportsfor the city of Sao Paulo showed an average of ten deathsper year from 1950 to 1954, while the interior of theState reported an average of nine deaths per year.

During 1956 in the Federal District alone, 4,825persons were bitten by animals suspected of being rabid.In those animals where laboratory examination was possible,639 were found to be positive. For the year 1958, 48human deaths were reported from the Federal District andthe State capitals alone.

The purpose of this project is to cooperate withthe responsible authorities in the organization of anational program against rabies and the production ofadequate supplies of safe and reliable rabies vaccines andhyper-immune serum. Provision is made in 1961 for con-sultant services and for fellowships.

BRAZIL-43, Teaching of Preventive Dentistry (See page 204)

It is essential that the private dental practi-tioners, many of who are also part-time governmentalworkers, be vell grounded in preventive methods, incorpo-rating them in the routine work. In some dental schools,the teaching of preventive dentistry has not been stressedsufficiently, and as a result, their graduates stillpractice essentially curative dentistry.

The objective of this project is to assist selecteddental schools, whose teachers of hygiene have been trainedin public health, in reviewing their methods of teachingof preventive dentistry, integrating it within the over-all educational program.

During 1958, the "Campanha de Aperfeiqoamento dePessoal de Nivel Superior" (CAPES), a Brazilian federalagency, provided fellowships to teachers of hygiene indental schools for study in the School of Hygiene andPublic Health of Sao Paulo. One or two fellowships willbe granted for the next few years. It is proposed thatthe Organization, starting in 1960, assist these fellowsupon their return to the respective schools, by providingadvisory services and a limited amount of teaching equip-ment and supplies. Two dental schools vill be assistedeach year.

Advisory services vill be provided by theOrganization's Regional Adviser. Additional consultantservices are provided in 1961.

BRAZIL-44, Teaching of Public Health in Schools ofVeterinary Medicine (See page 204)

Progress toward the solution of existing problemsin the zoonoses and in food control will depend upon asufficient number of public health trained experts todirect and coordinate control activities. Although, atthe present time, the School of Hygiene and Public Healthat the University of Sao Paulo is providing training forgraduate veterinarians in public health, the teaching ofthe fundamentals of preventive medicine and public healthwithin the veterinary schools of Brazil has not as yetreceived adequate attention.

The immediate purpose of this project is the intro-duction and development of basic public health teaching in

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the schools of veterinary medicine in Brazil. The ultimateobjective is the creation of a veterinary profession betteroriented in the principles of preventive medicine, fromwhich veterinary public health specialists may be recruited.

Consultation will continue to be provided by theZone Veterinary Officer. Provision is made for key membersof veterinary faculties to study abroad in schools ofpublic health.

BRAZIL-48, Leprosy Control (See page 204)

It is estimated that there are 90,000 cases ofleprosy in Brazil which would mean a prevalence rate ofaround 2 per 1,000 inhabitantsand about 5,000 new cases arediscovered every year. Practically all the country iswithin the endemic area although the major concentrationof cases is in certain states. The Ministry of Health hasrecently started a radical modification of the methods ofcontrolling the disease with the purpose of carrying thiswork to all of the endemic areas in the country-widecampaign, integrating it into the existing network ofpublic health services.

The Government is interested in developing researchactivities with regard to the etiology, pathogenesis andtherapeutics of the disease. This program will be develop-ed extensively in the Institute of Leprology and otheraffiliated laboratories. To help in the preparation anddevelopment of this plan short-term consultants areprovided in 1961 and a research consultant and fellowshipsin 1962.

BRAZIL-50, Seminar on Pollution of Water Supply Sources(See page 206)

A national seminar has been organized to study andreview water pollution in Brazil with particular referenceto the Paraiba river basin. The program for this seminarincludes sessions on administrative, technical, financialand legal aspects of water pollution control and prevention.The Organization vill aid through providing participationof experts in specialized fields.

Provision is made for the services of short-termconsultants in 1960.

INTERCOUNTRY PROGRAMS

AMRO-137, Training Center in Malaria Eradication (Sao Paulo)(See page 206

At the beginning of 1958 the operating internationaltraining centers for malaria eradication vere the ones inVenezuela and Mexico and one in Jamaica becoming ready tofunction. Inclusion of Brazil in the continental eradi-cation program made more acute the need of creating anothertraining center which would help to prepare the necessarytechnical personnel.

Through agreements between the Government, theFaculty of Hygiene of the University of Sao Paulo and theOrganization, a training center was established at theSchool to train national and international personnel.Initially, courses were planned for doctors and engineers,to which a course for entomologists vas added. Teachingmaterial as well as funds for common and contractualservices were provided to the School.

During 1958, two courses for doctors and engineersand one for entomologists were given with a total atten-dance of 58 students. Another three courses were givenin 1959, with an attendance of 50 students. Tvo courses,one for physicians and engineers and the other for entomo-logists vill be given each year.

The international personnel assigned to the MalariaEradication Program in Brazil will collaborate in thedevelopment of the courses. PAHO funds are provided inthe form of a grant for assistance to the training coursesin 1961.

AMRO-139, Malaria Technical Advisory Services(Zones V and VI) (See page 206)

This project began in 1958 to provide advisoryservices for malaria eradication services in Zones V andVI through direct advice to those countries where theassignment of full-time international personnel is notrequired. It also makes available specialized advisoryservices in certin fields.

Provision is made for a Chief Zone Malaria Adviser.

BRAZIL-51, Yellow Fever Laboratory (AMRO-57)See page 206)

Pursuant to the resolution approved by theDirecting Council at its I Meeting (Buenos Aires, 1947),the Organization has been cooperating since 1950 withthe Oswaldo Cruz Institute, which serves as a center ofdistribution of yellow fever vaccine and a center fordiagnosing the disease for the countries of the Continent.

During 1959 the Institute produced 5,800,000 dosesof vaccine, of which 3,400,000 were used in Brazil,400,600 doses were distributed in various countries of theContinent, and 211,000 were transmitted to Portugal.

Provision is made to continue the annual subsidyduring 1961 and 1962.

AMRO-189, Veterinary PuDlic Health (Zone V) (See page 206)

The functions of the adviser to this program isto collaborate in the reorganization of the veterinaryactivities and services that vill permit the coordinationof the study and solution of the problems relating toanimal diseases that are transmissible to man, as wellas to take the necessary measures for the hygiene andcontrol of foodstuffs. He will also collaborate inthe promotion of teaching public health in veterinarymedicine.

Provision is made for the services of a publichealth veterinarian.

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AMRO-201. Health Statistics (Zone V) (See page 206)

The functions of the proposed statistical consultantare: (a) to give advice to countries for the improvementof vital and health atatistics, with special emphasis onnotifiable disease statistics, on development of healthstatistics iih accordance with recommended standards, and onuse of the data in program planning; (b) to give coursesin statistics and to render assistance in the selectionand follow-up of fellowship students and in the developmentof seminars, workshops, and other training activities instatisticsa and (c) to advise on statistical phases ofprojecis and assist in the compilation.and analysis ofinformation in the countries for purposes of programplanning.

AMR0O-208, Environmental Sanitation Training (Zone V)(See page 206)

This project provides fellowships for sanitaryengineers and auxiliary personnel who will form a nucleusof vorkers in this field to strengthen both national andlocal health department. A beginning has been made throughthe previous region-vide project AMRO-1 which is now beingdivided into Zone projects. The fellowships will beawarded for training largely in the schools of PublicHealth in Brazil, Chile, and Mexico, as well as the Schoolof Sanitary Engineering in the latter country.

Provision is made for fellowships.

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PART III

ZONE VI

Zone Office (See page 208)

For text see "Zone Offices," page 18.

ARGENTINA

ARGENTINA-3, Nursing Education (Cordoba and El Chaco)(See page 208)

The principal objectives of this project will be toprepare personnel and to promote and develop the hospitaland public health nursing services.

This project will be developed in stages that willinclude: (a) study of the nursing needs and resources; (b)organize and develop nursing schools at the university leveland improve the existing ones; (c) train a corps of nursesto serve as directors and instructors of schools of nursingand of personnel training courses; and (d) organize andadminister hospital and public health nursing services.

The contribution of the Government, on national andprovincial levels, and of the universities interested innursing education has been made concrete by important instal-lations and resources designed for the execution of thisproject.

This project was started in 1957 with the assignmentof international consultants who have provided advisory serv-ices and collaborated in the establishment and developmentof schools of nursing in the National Universities of Cordoba,Nordeste (El Chaco), and Buenos Aires (Federal Capital).

The Organization has awarded 20 fellowships to nurseeducators, supervisors, and instructors of courses fornursing auxiliaries, and has provided teaching material andequipment.

Provision is made for four nurse educators.

ARGENTINA-4, National Institute of MicrobiologySee page 210)

The National Institute of Microbiology (formerly theMalbran Institute) produces many of the biological andchemical products used in the diagnosis and treatment ofdisease and serves as a center for medical and epidemiolo-gical research.

The Institute was given administrative autonomy in1958, thereby permitting it to develop with more flexibilityand to recruit all technical personnel on a full-time basis,such posts being achieved through competitive examination.Also some fellowships vere avarded for training.

Following a study in 1958, a plan for reorganizationof the Institute was made. Provision is made for a pharmaco-logist, bacteriologist, and a virologíst, as well as fellov-ships, to further assist vith the general development ofthe Institute.

ARGENTINA-7, Public Health Services (See page 210)

The Government, vith the collaboration of the Organi-zation, launched a long-range project with the aim of organ-izing and developing integrated public health services in ElChaco Province to serve as a demonstration for other areasin the country. The project includes various levels of pro-vincial health administration, with special emphasis on ruralareas, and cooperates through activities directed towardstrengthening hospital administration and coordinatingthem with preventive activities.

During 1958 and 1959 decentralization from the nation-al to the provincial level took place through the transfer ofnational services within El Chaco Province to the ProvincialHealth Ministry; the regionalization of services in the Prov-ince took place at the same time with the establishment ofthe First Health District. A proposed Sanitary Code, thefirst of its kind in the country, vas prepared to aid inconsolidating the structure of local public health servicesand activities. A career service and salary scale wereestablished for full-time technical staff, and the systemalready covers 54 professionals. The Organization awarded30 fellowships to local professional staff for specializedstudies in public health. Local training courses were heldfor 12 nurses, 40 nursing auxiliaries, 28 sanitation of-ficera, and 12 statistical auxiliaries. In the field ofsanitation, the work of well construction and latrine instal-lation was begun, and the expansion of the Resistencia net-work should be pointed out, in which the resources of theNational Public Health Services and of National SanitationWorks were pooled for the first time. The Department ofStatistics vas organized, and five health centers began tooperate in Health District I.

Work will be continued in future years to graduallyfulfill the various stages established for the conduct ofthis project, with special attention to: consolidation ofthe structure of the Ministry and the Provincial HealthService; approval of the Provincial Sanitary Code; continua-tion of personnel training programs; organization of healthservices; intensification of sanitation activities; improve-ment of field operations; and improvement of the organizationof hospitals and their integration into the health programs.It is also planned to extend this project to at least oneother province.

UNICEF cooperates in this project through the pro-vision of supplies and equipment.

Provision is made for the services of one medical of-ficer, one health educator, one sanitary engineer, one sani-tarian, one public health nurse, and the award of fellov-ships.

In 1961, vhen the project will be extended to anotherprovince, one medical officer, one sanitary engineer, onepublic health nurse, and one health educator will be added.

ARGENTINA-8, Malaria Eradication (See page 210)

The malarious area in the Republic of Argentina coversapproximately 270,400 square kilometers. Although malariahas been eradicated in certain areas, it must be recognizedthat there remain others in which the final objective hasnot been definitively achieved.

During 1958 the Organization collaborated with the na-tional experts in drawing up the National Plan of Eradicationwhich the Government wishes to develop, so as to consolidatethe results obtained and achieve malaria eradication in theentire area.

The respective Tripartite Plan of Operations vasconcluded in April 1959, through which UNICEF will provideequipment and materials and the Organization vill providetechnical advice, fellowships, and antimalarial drugs. Thefirst shipments arrived in July 1959, and the project wasstarted in August 1959. During the first spraying cycle,57,995 houses were treated, protection being given to235,189 persons. During that period, 21,868 blood slidesvere examined, of which 1,094 were positive.

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Provision is made for supplying antimalarial drugsand awarding fellowships, for the purpose of training nation-al personnel for the campaign.

ARGENTINA-13, PAHO Public Health AdministrationFellowships (See page 210)

Provision is made for fellowships to collaborate withthe Government in training staff for the improvement andexpansion of its health services.

ARGENTINA-15. Nutrition (See page 210)

In view of the abundance of food resources in thecountry, it has decided to determine the nutritional statusand feeding habits of the population, as vell as the causesfor existing dietary deficiences.

The project envisages the planning and development ofnutritional education, the training of dietitians and auxi-liary personnel, as well as the integration of nutritionactivities with the general public health programs.

To carry out the study, it was necessary to train theneeded personnel. For this purpose, in 1959 a RegionalCourse on Food Surreys was carried out in Argentina, whichwsas attended by 38 fellows, of whom 25 were dietitiana and13 were physicians coming from five countries. The NationalInstitute of Nutrition and the Ministry of Public Health of ElChaco, with advice from the Organization, planned and devel-oped this course, in which both FAO and UNICEF collaboratedand, in addition, the OAS provided financial assistance.

Provision is made in 1961 and 1962 for fellowshipaand the services of short-term consultants to collaborate inplanning the School Nutrition Clinic, in laboratory activi-ties and statistical analyses, and, finally, in drawing upa program for the country.

ARGENTINA-17. School of Public Health (See page 212)

The training of experts in different disciplines ofpublio health constitutes a national need. The shortage oftrained personnel has, perhaps, been one of the most seriousobstacles to the development of plans for medical and publichealth services, at the national, provincial, or local levels.

In 1958, for the purpose of studying the problem andplanning its solution, a commission was appointed composedof representatives of the Universities of Buenos Aires,Rosario, and Cordoba, as well as of the National Ministry ofPublic Health. After considering the organization andcharacter of the country's public health services, the needs,the type of personnel that should be trained, the quality andquantity of existing resources fór the training, and otherbackground material, the commission presented a plan contain-ing the bases for organizing and implementing a School ofPublic Health. The members of this team, under the auspicesof the Organization, had the opportunity to study the struo-ture and programs of the Schools of Public Health of SaoPaulo, Brazil, and of Santiago, Chile.

Provision is made for the services of short-termconsultants and a professor of public health, as well as forfellowshipa for the teaching personnel of the School.

ARGENTINA-18. Medical Education. (See page 212)

In promoting the reorganization of medical educationin Argentina, beginning in 1958, various achools resolved to

revise their present curricula, particularly those relatingto the teaching of preventive medicine. Preferential atten-

tion will be given to the training of teaching personnelthrough specialized training in the country and abroad, tothe reorganization of the study plans, the modernization ofteaching methods, and to the increase in teaching equipmentand supplies.

This project is part of the general program for thestrengthening of medical education in Latin America, includ-ing AMR)-18 and other individual country projects.

During 1958, six fellowships vere awarded to membersof the teaching personnel of the various schools of medicinein Argentina. In 1959, under the auspices of the Organiza-tion, the Deans of the Schools of Medicine of the Universi-ties of Buenos Aires, La Plata, Cordoba, and Litoral, car-ried out a program of observation and study of the plansand organization of the schools of medicine in Universitiesin the United States, Puerto Rico, Colombia, and Brazil.

Provision is made for the services of a short-termconsultant and for fellowshipa.

ARGENTINA-20, Tuberculosis Control (See pago 212)

In 1960 the survey to determine the tuberculosis pre-valence in certain areas of the country will be started andlater extended to the rest of the national territory, forthe purpose of planning a control program for this disease.The first stage of the study will cover representative popu-lation samples in two regions of the country: (a) the NorthZone, covering the provinces of Corrientes, El Chaco, Formosa,Misiones, with approximately 1,600,000 inhabitants; and (b)the South Zone, which covers the provinces of La Pampa, RioNegro, Chubut, Neuquen, Santa Cruz, and Tierra del Puego,with 600,000 inhabitants. UNICEF will contribute equipmentand materials.

Provision is made in 1961 and 1962 for the servicesof one medical officer, one nurse, and one statistician,who will collaborate in this study.

ARGENTINA-23. Nursing Education (Rosario) (Sea page 212) / -

The objectives of this project are: (a) to prepareprofessional nurses capable of assuming teaching, admin-istrative and supervisory functions in nursing; (b).to im-prove nursing services in which studenta will obtain clini-cal experience; (o) to begin activities in publio healthnursing; and (d) to collaborate in the training of theteaching personnel and those giving nursing services.

To create a school of nursing within the Faculty ofMedicine in Rosario, the University of Litoral grantedfellowships to three nurses who were to receive training asinstructorsa; created the Nursing Department in the Centena-rio Hospital, a teaching institute of the Faculty, andmade allotments in the budget for this progranm.

The program vas started in 1958 with a preliminarysurvey of the existing facilities and resources for theorganization of the School. An experimental nursing curri-culum was prepared, as well as the budget for its implemen-tation; and the training program for supervisors and instruc-tors was begun. The first students received instruction in1959. Collaboration is given also in training nurses,nursing auxiliaries, and professional midwives, and inadvice given on nursing.

Provision is made for the services of two nursingeducators, for teaching material and equipment, and forfellowships for nursing instructors and supervisoras.

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ARGENTINA-24. Planning and Organization of HospitalServices (See page 214

The Government, with the collaboration of the Organ-ization, made a study of the problems of public health andmedical care, which brought out the need for improving theconditions under which the services are operating.

The country has 2,479 hospitals with 132,476 beds and2,052 services for outpatient medical cara. These establish-ments belong to the National Ministry, Provincial Ministries,municipalities, and private institutions. Approximately 85per cent of them provide free services to the public. Thedeficiencies noted are similar in all these services andthe project's objective is to attempt to correct them.

Among the short and long-term objectives the programenvisagesl (1) to provide technical advisory services tothe health authorities; (2) to continue studies and investi-gationa of problems relating to medical care, availableresources, and the organization of medical care and healthestablishments; (3) to carry forward the plan sponsored bythe Ministry for improving medical services in the countrythrough a national program of health policy and medical care;(4) to continue the program of personnel training at alllevels; (5) to continue the organization of hospitals anddemonstration areas, teaching and training in model estab-lishments, and working on integrated health plans; (6) tomaintain the work of supervising, evaluating, and perfectingthe national plan of hospital and health policy; (7) toimprove the reporting of statistical data and of costs; and(8) to continue with the program for the specialization ofhospital directors, university graduate nurses, and statis-ticians, in national or international universities, insubjects concerning the organization and administration ofservices.

Provision is made for the services of one hospitaladministrator and for fellowships.

ARGENTINA-25. Training of Nursing Personnel(See page 214)

This project is being carried out to provide trainingfor competent nurses in administration, teaching, and super-vision of nursing services, as well as auxiliary nursingpersonnel. The objectives of this project aret(a)to organizeathe nursing department of the Bernardino Rivadavia Hospital;(b) to prepare specialized nurses in administration andsupervision of nursing services; (c) to train nurse-instructors to teach nursing auxiliaries; and (d) to estab-lish training centers in the provinces for professional andauxiliary nursing personnel.

It is planned to reorganize the Bernardino RivadaviaHospital in Buenos Aires so as to convert it into a trainingcenter for hospital administration and nursing personnel.Later on, this same process will be repeated in the provinceshaving university schools of nursing and are interested inestablishing similar programs. In addition, cooperationwith schools of nursing will be started by assisting themin strengthening their programs and preparing the nursingstudents in such fields.

This project is carried out under the direction ofthe Department of Nursing of the Ministry of Welfareand Public Health, in coordination with the hospital andpublic health authorities of the capital and of theprovinces.

Provision is made for the services of one nurse-educator, for fellowships, and for teaching materials.

ARGENTINA-27, Training of Personnel for Mental HealthPrograms (See page 214)

There are 15 psychiatric hospitala in Argentina withapproximately 20,000 patients. The Government has recentlycreated the National Institute of Mental Health to dealwith all phases of the mental health problem on a nationalscale. It has the following objectives: to assist in theprevention of mental disease; to give total patient care,including social recuperation and rehabilitation; to pro-mote research; to give technical assistance to and coordi-nate activities of all national, provincial, municipal andprivate agencies; and to prepare personnel at all levels.

It is proposed to set up a pilot training center forthe preparation of: (a) senior staff to plan, administer,and supervise mental health programs; (b) teaching personnelfor the training of physicians for the medical care of pa-tienta; (c) public health nurses with specialization inmental health; (d) physicians and nurses for rehabilitationprograms; and (e) other professional and auxiliary personnelas required for the program.

Provision is made for the services of a nurse-educator specialized in mental health, for a short-termconsultant in occupational therapy, and for fellowships anda limited amount of supplies.

ARGENTINA-28. Leprosy Control (See page 214)

Leprosy is endemic in Argentina. The prevalence per100,000 inhabitanta was 52 in 1958 for the entire Republic.

The prevalence per province and for the same year,ranged from 2 in Rio Negro to 183 in Misiones. The pro-vinces having the highest prevalence are situated in thenorthern region of Argentina. Early in 1960, the numberof leprosy patients recorded in the country reached 10,321;random sampling indicates that approximately 50 per cent ofthe cases are of the lepromatous forms.

A leprosy control campaign is to be carried out inthe northern region of Argentina with the cooperation ofthe Organization and UNICEF. National and provincialhealth services, the ministries of education and privateagencies will cooperate in case-finding, in extensivehealth education work, and in obtaining co.mnunity collabora-tion in the program.

Provision is made for the servicaes of a short-termconsultant and for fellowships.

ARGENTINA-29. Promotion of Community Water Supplies(Sea page 214)

Argentina is reviewing the operation of its nationalwater supply program. Assistance to the study of approachesto local problems is made in 1960. The government has alsoexpressed the need for a ground water survey in sevenprovinces which would disclose sources of water suitablefor community water use.

For a summary of the problems of vater supplies,see AMRO-239.

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ARGENTINA-30. Sanitary Engineering Education(See page 216)

The School of Sanitary Engineering in Argentina wasestablished in 1959 as part of the Department of Water Worksof the School of Engineering of the University of BuenosAires. It is nov in the second-year of operation, havinggraduated its first 10 sanitary engineers. It has a corpsof professors and one director, thelatterworking on a full-time basis. The studenta are fellows of the National Sanita-tion Works, an agency that employs them upon the satisfac-tory completion of their studies.

One specialized consultant of the Organization col-laborated with the School of Engineering in analyzing thecurricula and the organization of the School. This analysisshoved that the organization and teaching methods are satie-faotory, but they require strengthening in certain aspects.

Provision is made for the services of a specializedadviser to collaborate in the organization of the programof studies. Provision is also made to assist in trainingthe teaching personnel in the fields of sanitation, indus-trial hygiene, and public health, through the award offellowships.

ARGENTINA-51. Aedes aegyati Eradication (See paga 216)

Since 1955 the campaign has been carried out withthe collaboration of the Pan Aserican Sanitary Bureau. Asof 29 February 1960, 2,496 localities had been inspected, in149 of vhich A. aegypti vere found, and the vector was eradi-cated in 128 of the 149 localities. Of the six sectorscovered in the Plan of Operations, in Sector II (Corrientes)the eradication activities were completed; in Sector I(Tucuman) the work is being completed; in Sector III (SantaFe), the activities are advanced; and in Sector V (theCapital and Greater Buenos Aires) infestation is very sparse.

The activities in Sector IV (Cordoba) were started inApril 1960.

Provision is made for the services of one medicalofficer and two sanitariana.

CHILE

CHILE-18, Public Health Administration (See page 216)

Provision is made for fellowships to collaboratevith the Government in training staff for the improvementand expansion of its health services.

CHILE-19. Food and Druag Control (See page 216)

The National Health Service is responsible for admin-istering the various legal dispositions pertaining to thecontrol of food and drugs. In accordance with these regula-tions, the Service must approve the importation, manufacture,and distribution of all therapeutical agents and pharmaceuti-cal, biological, and chemical products, as well as food-stuffs.

At the request of the Government, a consultant of theOrganization carried out a study of the methods employed bythe National Health Service in this control work and maderecommendations for improvement, taking into considerationthe scope and complexity of the problem and the staff andresources available for this activity. His report contains

specific recommendations concerning training of personneland acquisition of indispensable supplies and equipment.

Funds are provided for the award of fellowships.

CHILE-20. Midwifery Education (See page 216)

The purpose of this project is to improve the schoolsresponsible for providing professional training for mid-wives and to develop courses for obstetrical personnel,depending upon the needs of the maternal and child healthservices of the country. The objectives are as follows:(a) to study the present situation and needs in obstetriccare in order to determine the type of training required bymidvives and auxiliaries in this field; (b) to establishcourses for midwifery instructors and in-service obstetricpersonnel; (c) to expand and strengthen the curriculum ofprofessional midwifery training; (d) to prepare fields forthe clinical experience of midwifery students, graduatemidwives, and auxiliaries; and (e) to collaborate in theimprovement of maternal and child health services.

In 1960 it is planned to evaluate the program toreadjust the plans for training obstetrical personnel.

Provision is made for the services of one nurse-educator vith specialization in midwifery, and for fellow-ships.

CHILE-21. Rehabilitation Center (See page 218)

Approximately 5,500 accidente resulting in partialor total disability of the victim occur each year in Chile.Available statistics show that 2,000 of these disabilitycases result from industrial accidents and occupationaldiseases. Traffic accidents which in themselves representthe seventh major cause of death in the country, are notincluded in these figures. A great majority of the disabi-lity cases occur in the age-group 18 to 35 years and re-present a high loss in terms of man-days of labor each year.

The National Health Service has technical and materialresources to cope with certain aspects of the problem butthese are not properly coordinated. The organization of amodel rehabilitation center in Santiago vwould make possiblethe coordination and full use of the dispersed services novin operation, as well as the extension of their activities.The center would provide services in all phases of rehabili-tation and would be used to train technical and auxiliarypersonnel for service throughout the country.

The Organization has been requested to collaborate inthe first phase of the project by providing the services ofan expert in rehabilitation to study the problem in Chile,evaluate the present resources, and make the pertinent recom-mendations. During the second phase, the project vill becarried out on the basis of the recommendations made by theconsultant.

Provision is made for the services of a short-termconsultant, fellowships, and supplies and equipment.

CHILE-26. PAHO Public Health AdministrationFellowshio (See page 218)

Provision is made for fellowships to collaborate withthe Government in training staff for the improvement andexpansion of its public health services.

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CHILE-27. Public Health Services (Ovalle-Copiapo)(See page 218)

The objectives of this project are to expand and devel-op a coordinated urban and rural public health program inthe northern part of Chile in the provinces of Ovalle andCopiapo. The project includes the improvement of maternaland child health services; environmental sanitation, particu-larly water supply and sewage disposal systems; control ofcommunicable diseases; and improvement of the general medi-cal-care services. The plan calls for the organization oftraining courses for nursing auxiliaries and promfessionalmidwives, a health education program, and public healthlaboratories.

An important aspect of the project is the intensiveoccupational health program that is being planned to improvehealth conditions among workers. Mining is the chief basisof the economy of the provinces of Ovalle and Copiapo, andthe construction of mineral-processing plants has led tothe opening of a large number of medium-size mines, vithconsequent increase in the number of workers and theirfamilies. It is desired to eliminate unsafe conditions,from the viewpoint of both accidents and occupational dis-eases, especially pneumoconiosis. Epidemiological surveysindicate that the prevalence of silicosis is very high.

In 1958 and 1959 supplementary nursing and sanita-tion personnel were appointed; 26 nursing auxiliaries weretrained; a preliminary study was made, plans were drawn up,and funds were obtained for the new hospital in Ovalle; sixhealth posts were repaired and reconditioned; and theconstruction of two workshops for sanitary appliances wasstarted. Beginning in 1960, project Chile-35 on Nutritionwill be integrated vith this project.

UNICEF provides supplies and equipment for the ma-ternal and child health and the environmental sanitationactivities.

Provision is made for the serrices of one short-termconsultant in industrial hygiene and for the necessarytechnical advice in nutrition.

CHILE-29. Advanced Nursing Education (See page 218)

The objectives of this project are: (a) to assistthe training program in nursing supervision and teaching, aprogram which helps nurses recognize and solve problems aswell as plan, develop, and evaluate programs of nursingeducation and administration; and (b) to demonstrate highquality of nursing services through impromvement in selectedinstitutions where students obtain their practical experi-ence. Students include nurses both from Chile and otherLatin American countries; 10 places are reserved for thelatter (see AMRO-28).

During the first two years, 1955-56, the project wasdevoted to the training of supervisors and instructors incommunicable-disease anursing; in the third year, 1957, thefields included medical, pediatric, communicable disease,and public health nursing. The program vill be expandedto include the field of maternal and child health.

Since the beginning of this program, which vill termi-nate in mid-1960, 36 nurses and 4 midwives from Chile and30 nurses from other Latin American countries have receivedtraining. Throe fellowships were awarded for studies abroadto members of the teaching body.

Provision is made in 1960 for the services of onenurse-educator to serve until the project is completed.

CHILE-31. School of Public Health (See page 218)

The objectives of this project are to strengthenteaching in the School of Public Health of the Universityof Chile and to expand the facilities for education of stu-dents from other countries of the Americas. Previously, aidwas given to the school under project AMR0-16, through whichseveral faculty members of the School have had the opportu-nity of visiting the countries from which their studentscome in order to adjust their teaching to the health organ-ization and general conditions in those countries. During1958 and 1959 the School was furnished the services ofvisiting professors in the fields of health administration,vital statistics, and sanitary engineering. Travel grantshave also been made to professors for observation of teach-ing methods and curricula in other institutions. A limitedamount of equipment and materials was provided.

Provision is made for the services of a short-termconsultant and for fellowships and equipment.

CHILE-36, Aedes aegypti Eradication (See page 218)

Operations against A. aegypti were begun in Chile in1946 and intensified in 1949 in connection with the conti-nental eradication program, following the resolutions of thePan American Health Organization and the sanitary conven-tions signed vith neighboring countries. The NationalHealth Service first determined the infested area and vorkedintensively to combat the vector which was present in 44localities. In the activities developed during 1954-56 noA. aegypti vere found, and the campaign was consideredterminated in May 195,8. During the final verification workprior to the official\declaration of eradication of thespecies in the country', the vector was found in one locality.The eradication activities were limited to those pointswhere the presence of A. aeygpti vas confirmed, and the newcheck vill be carried out in the localities formerly positieand in the neighboring areas.

During 1959 the entire component of national person-nel vas assigned. The Organization appointed a sanitaryinspector and provided equipment and vehicles to start theactivities in January 1960.

Provision is made for brief visits by a medical of-ficer, for the services of one sanitarian, and for a limitedamount of supplies and equipment.

CHILE-37, Medical Education (See page 220)

Medical education places great stress on teaching insmall groups, a technique vhose methodology began to bedeveloped recently.

The purpose of this project is to assist the medicalschools in improving the techniques of teaching in smallgroups.

Provision is made for the services of a team of short-tear consultants to collaborate in this new orientation, aswell as for fellowships, and supplies and equipment.

CHILE-39, Training in the Medical Use of Radioisotopes(See page 220)

It is proposed to establish a Latin-American Centerto train physicians in the clinical use of radioisotopesin medicine. This Center will be developed with the

1

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collaboration of the Government of Chile, the W.K. KelloggFoundation, and the Organization.

The training will make use of the facilities of thevarious departments of the Hospital de El Salvador,University of Chile, Fellows will receive intensive train-ing for a period of four months. The program will include:teaching of the bases of radiation physics; planning andoperation of radioisotope laboratories and application ofradioisotope techniques in the use of radioisotopes invarious specialties.

The Center will also teach and demonstrate theprecautions necessary in the handling of radioactive materi-al to protect personnel and general publio.

Provision is made forteaching supplies and equipment.

CHILE-41, Nursing Survey (See page 220)

Chile has an estimated population of a little morethan 7,000,000 inhabitants. The network of health serviceshas a total of 675 establishments. The hospitalizationservices have 45,514 beds. It is estimated that at presentnursing care is provided by some 1,100 graduate nurses and7,500 nursing auxiliaries of all types. There are fiveuniversity nursing schools that graduate approximately 100nurses each year, and an advanced course in nursing thatprepares 10 nurses each year for undertaking the higherfunetions of the profession. According to the minimal ratesof nursing care, the country should have 2,240 graduatenurses, of which there should be, as a minimum, 150 publichealth nurses and 17,300 nursing auxiliaries.

The Organization collaborates with the Government inthis project which has the following objectivess (1) tostudy the nursing needs and resources; (2) to recommendplans to meet the nursing needs in the immediate future andin successive stages, on the basis of the results of thesurvey; and (3) to implement the plans recommended.

Provision is made, beginning in 1961, for technicaladvisory services and for a limited amount of materials andequipment.

CHILE-43, Administrative Methods and Practices in PublicHealth (See page 220)

The National Health Service constitutes an enormousand extremely complex enterprise, with a budget equivalentto some 100 million dollars and more than 30,000 employeesof widely varying categories. Its functions include: patientcare in 28,000 hospital and sanatoria beds, with 6,500,000consultations annually; more than 1,000,000 immunizationsand vaccinations each year; the sonstraction in its own work-shops and the installation of thousands of latrines and draw-wells; distribution of powdered milk equivalent to 30 millionliters; administration of professional schools, numeroushomes for vaifs, and a network of agricultural properties.

The Service's authorities are fully convinced thatthe success of the plans of protection, promotion, andrecuperation of health depend upon the possibility of organ-izing an effective administration. They are also determinedto implement the measures necessary to achieve that success.One of the first steps toward that end vas the organizationof courses of various types for administrative personnel atthe intermediate level, and in some university schools admin-istrative personnel of the higher echelon are being prepared.Also in 1960 a university specialization course lastingone year, will be held for non-medical hospital administra-tors.

The Service and its recently created Technical Depart-ment are engaged in introducing other reforms to simplifyand modernize the administration at all levels, thus openingthe way to implement decentralization, which all recognizeas essential for carrying out health programs. For thispurpose the authorities of the Service have requested thecollaboration of the Organization in a vast plan of advisoryservices to improve the administrative functions, as wellas to teach the employees at various levels how to performthose funotiona.

Provision is made for technical advisory servicesthrough consultante specialized in this field, as well asfor fellowships.

CHILE-44, Cancer Control (See page 220)

Cancer is of considerable importance in Chile, sincethere is an average of 7,000 deaths annually, and an esti-mated prevalence of 20,000 cases, of which only some 8,000are hospitalized each year. The cancer mortality rate isonly 105 per 100,000 inhabitants, owing to the fact that thepopulation distribution shows a very high proportion in agesprior to those of cancer. The adjusted rates, using the po-pulation of the United States, give 164 (1953-57 average)for males and 166 for females per 100,000 inhabitants ofeach sex, a very high mortality rate. The Sub-Department of Cancer Chronic Diseases of the National HealthService, has been operating for three years and has had asan objective the study of the prevalence and distribution ofcancer in the country, as well as the investigation of sur-vival according to the different lesion locations andclinical forms.

Plans are made to expand the program with the estab-lishment of some centers for early diagnosis, particularlyof cervical-uterine cancer.

Provision is made in 1962 for the services of short-term consultants.

PARAGUAY

PARAGUAY-1, Malaria Eradication (See page 220)

It is estimated that in Paraguay the zone of endemiomalaria covers an area of 42,286 square kilometers, an areawhich in times of epidemics can expand considerably, and isinhabited by 45 per cent of the country's population. In 1959this area was estimated at 80,000 square kilometers, requir~ngan increase in spraying operationa. Malaria takes on n ende-mic form, with epidemio outbreaks occurring in cycles, owvingto the invasion of A. darlingi to a greater extent and pro-liferation.

The malaria eradication plan was prepared in 1958 onthe basis of an extensive investigation during 1955 carriedout with the advisory services of PAHO/WHO. The program isnow in its third year of sprayings.

During 1959, 11,223 houses vere protected in 2,100localities. The epidemiological survey, geographic reconnais-sance of new malarious areas, and entomology and health edu-cation activities were carried out simultaneously.

UNICEF collaborates by providing vehicles, equipment,and supplies. SCISP contributes to the control, maintenance,and operation needs of the vehicles. The Government hasbudgeted the funda necessary for the development of the pro-gram in the five year period.

Provisions are made for one physician-malariologist,one sanitary engineer, and two sanitarians. Provision ismade also for fellowships and certain supplies.

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PARAGUAY-9, Leprosy Control (See page 222)

Sinoe 1954, the Organization has been collaboratingwith the Government in the epidemiological atudy of leprosyand in the establishment of measurea necessary for itscontrol. The high prevalenoe of this disease places itamong the moit important public health probleams in Paraguay.

A survrey began at the end of 1955, covered approxima-tely 565,585 persons during three years of work. A totalof 1,202 new cases were discovered.

The progreso achievred in integrating the activitiesinto the local health services is being consolidated at thepresent time.

The national leprosy control plan is based onz ambula-tory therapy vith sulfonio drugs; investigation of foci;surveillance of contacte; health education; and eliminationof compulsory isolation.

In 1960 and 1961 it is planned to carry out bothintensive work to discover new cases and the consolidationof the progress achieved in integrating the activities intothe public.health services.

UNICEF participates in this program by providingequipment and supplies.

Provision is made for the services of one leprologist.

PARAGUAY-10, Public Health Services (See page 222)

This program, in which the Organization has been col-laborating with the Government since 1950, has the follovingobjectivesa (a) improvement of existing services and reorga-nization and establishment of regional, departmental, andlocal services in sufficient number and quality to meet thebasic needs of the country in this aspect, completely andsystematically; (b) continuation and modernization of thework in epidemiology and control of communicable diseases;(c) improvement of the central public health laboratory;(d) strengthening of the central services; (e) improvementof administrative procedures and systems at the central andperipheral levels; (f) drafting of a National Sanitary Codeand related regulations; and (g) application of trainingprograms by organizing local courses and utilizing theavailable fellowship facilities.

In 1958 the public health budget vas six timesgreater than the budget of 1952. At the time the programvas initiated, there were no full-time posta, but by 1959,57 per cent of the technical staff, which includes 108 pro-fessionals, were working on a full-time basis. Up to 1959the Organization had avarded 145 international fellowships,particularly for regular public health courses; locallytrained technical auxiliary personnel also increased con-siderably during 1959. Courses for auxiliaries in variousapecialties were organized for 148 professionals. At pre-sent, the majority of technical and administrative posts arefilled with trained personnel. Daring 1958 and 1959, 85 percent of the country's population was vaccinated againstsmallpox and the integration of communicable disease controlactivities into health centers was started. During 1959 thefive-year plan for the development of health care servicesof the Public Health Ministry was initiated, as was the re-gionalization of health services in the Republio.

In addition to these activities, starting in 1960the five-year plan will be integrated, and the Feeding andNutrition Education Program, in which FAO and UNICEF

collaborate, will begin to operate and vill cover 60,000school children and 10,000 infanta, pre-achool age children,and mothers.

UNICEF providea a oertain amount of equipment andsupplies, and recently nade an additional contributiontovard the Five-Tear Plan, and is planning others for theexpansion of nutrition activities.

Provision is made for a chief consultant in thecountry, one epidemiologist, one sanitary engineer, onepublic health nurse, one bacteriologist, one administrativeconsultant, and one sanitarian.

PARAGUAY-13, PAHO Public Health AdministrationFellowships (See page 222)

Provision is made for fellowshipa to collaboratevith the Government in training staff for the improvementand expansion of its health services.

PARAGUAY-19, Promotion of Community Water SuppliesSee pagea 222)

Paraguay has recently completed a water system forits capital city and is operating this with sound manage-ment. The need to provide systems for other cities of thecountry exists and studies leading to approaches are indi-cated. Provision is made for consultant services to aidin such studies.

For a summary of the problems of water supplies,see AMRO-239.

URUGUAY

URUGUAY-5, Public Health Services (See page 224)

The objective of this project is to promote healthof the population in the interior of the country; improvethe public health services on the basis of the establishmentof centers and subcenters; coordinate the responsible agencyfor training the necessary personnel at all levels; and pro-vide health education to the public.

For this project, which vas started in 1956, thedepartments of Rivera, Artigas, Salto, Tacuarembo, andDurazno were selected to develop activities directed towardcare of the mother and child, communicable disease control,and improvement of environmental health conditions.

Conventions vere concluded between the Ministry ofPublic Health and the various Departmental Councils thatvill permit the contribution of important resources for theproject. In addition, other agreements were signed vithdifferent agencies for collaboration in the plan, namely:Sanitary Works of the State, Geological Institute of Uruguay,and the remaining Departmental Councils.

The local activities vere started in the Departmentof Rivera with the vaccination against smallpox of 90 percent of the population. The Department's maternal andchild health program vas preceded by a six-month course totrain health visitors (nursing auxiliaries). Since 1957 theproject was expanded with the establishment of the Minas deCorrales center, which covers a rural population of

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approximately 10,000 inhabitants. In 1959 four healthcenters were established in the capital cities of the De-partments of Artigas, Durazno, Tacuarembo, and Salto.Those centers were staffed with trained health visitors andsanitation officers.

During 1958 and 1959 two new courses were organized,one for health visitors and the other for environmentalhealth officers.

In addition, about 100 fellowships were awarded tophysiciansa nurses, engineers, veterinary physicians,statistieians, and sanitary inspectors for studies in pu-blic health.

UNICEF collaboratesin the project by providing sup-plies and equipment.

Provision is made for the services of a senioradviser in the country, one sanitary engineer, one sanitar-ian, and one public health nurse.

URUGUAY-9, Chagas' Disease (See page 224)

The epidemiological studies carried out in the. Depart-ments of Rivera, Artigas, and Paysandu, indicate the import-ance Chagas' Disease has reached in Uruguay. It is endemic inmore than one half of the national territory; approximately500,000 individuals are exposed to the disease, of whom50,000 areestimated to be infected. At present adequatetherapeutic measures are not available.

The campaigns carried out in other countries showthat it isa possible to control the spread of this diseaseeffectively, through the application of certain residual-action insecticides. Advantage can be taken of the exper-ience acquired, the personnel and available equipment ofother programs for the control of diseases transmitted byinsects.

Provision is made in 1961 and 1962 for the servicesof one short-term consultant and for fellowships.

URUGUAY-10, PAHO Public Health AdministrationFellowships (See page 224)

Provision is made for fellowships to collaborate withthe Government in training staff for the improvement andexpansion of its health services.

URUGUAY-13. Training of Publio Health Personnel(See page 224

A considerable problem in the development of publiohealth programa in Uruguay isa the shortage of professional,technical, and auxiliary personnel. The Ministry of PublicHealth has a School of Health and Social Service from whichdepend schools that prepare graduate nurses and socialworkers, respectively. There are also various short train-ing programs for auxiliary personnel. All technioal andauxiliary personnel entering the servico of the Ministrymust by Government deoree have previously completed thepertinent courses of this Sohool.

The Government proposes to expand the Sohoolas pro-grasm, and to that end planas (a) revision of the curri-oulun of basio nursing education to adapt it to the needaof the country; (b) organization of hort courses in nursingadmilistration and supervision; (o) establishment of ounrsesfor nursing instruotore and auxiliaries both for hospital

and public health nursing; (d) improvement of the clinioaland practical fields for the students of these courses;and (e) organization of courses for environmental sanita-tion officers. In addition, as a long-range objeotive,advanced courses for professional and technical personnelof the Ministry will be organized, depending upon theneeds of the service,

The program started in 1959 with a course thatgraduated 32 nursing auxiliaries. The second course villbe atarted in the interior of the country, after trainingnurse-instructora, nurse-supervisora, and preparing thepractice fielda.

Provision is made in 1961 and 1962 for the servicesof a nurse-educator, for fellowships, and for teachingmaterial and equipment.

URUGUAY-15, Waterworks Operators Sohool (See page 224)

Uruguay has 201 water supply systems, 24 filtrationplants, 24 severage systems, and 17 purification plants.The majority of the personnel operating these plants havenot received adequate training. The Sohool of Engineeringof the University, in collaboration with the Sanitary Worksof the State and the Ministry of Public Health, will organ-ize a permanent school for operators of waterworks andsewage treatment plants, and training will be given to thepersonnel in the funotioning of the existing installations.

In 1959 the firat Course for Operatora of WaterPlants vas held which was attended by 20 fellows fronArgentina, Chile, Paraguay, and Uruguay. In addition tofellowships, the Organization provided the services of aconsultant specialized in the design and operation of theplante, to advise in the conduct of the course. The Organ-ization also contributed laboratory equipment to makebacteriological and chemical analyses in connection withthe teaching.

Provision is mada in 1960 for the services of a*hort-term consultant, for fellovwships, and for supplemen-tary laboratory equipment.

URUGUAY-16, Chronic Diseases (See page 224)

It is estimated that 75 per cent of the country'spopulation lives in urban areas, a fact that makes it easyfor them to utilize the services of the health centers.One quarter of the population is under 15 yeara of age andone half is at the most active age of from 15 to 50 yearsof age. The three principal canses of death in 1955 (ofthe total of some 20,000 deaths) veres circulatory diseases,4,398; cancer, 3,910; and vascular lesions of the centralnervous system, 2,247. This means that over 50 per centwere deaths by ohronio diseases in persona of advanoed age.

The Ministry of Publio Health ia interested inmaking a detailed atudy of the epidemiology of chroniodiseases and in dealing with the problem through plannedand systematio action on the part of the official agencies.As the basis for making this study, the Ministry has availa-ble almost all the hospitals and polyclinics existing in thecountry and, in addition, the cancer research and controloenters.

Provision is made for the servioes of one short-tern epidemiologist, epecialized in this subjeot, and forfellowships.

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URGCUAY-18. Promotion of Community Water Supplies(See page 226)

Uruguay has more than 200 drinking water supplysystems, but the expansion of those services and the crea-tion of new ones constitute a serious problem, particularlyinsofar as financing sources are concerned.

The agency directly responsible for these activities,the Public Health Works of the State; which acts in accordwith the Ministry of Public Health, is interested in makinga detailed study of the teohnical, administrative, andfinancial aspects relating to drinking water supply systemsin urban areas that are different in extent. The objectiveof this projeot is to drav up the necessary plans for obtain-ing resouroes and executing the program, as well as toestablish standards for managing those services adequatelyand, at the same time, amortising and expanding them.

Provision is made in 1961 and 1962 for a short-termconsultant in financing and managing drinking vater services.

For a summary of the problemas of vater supplies,see AMRO-239.

INTERCOUNTRY PROGRAMS

AM1R-9.3. Seminar on Mental Health (Alcoholism)See page 226)

A seminar on alcoholism vas held in Buenos Aires in1953. As a consequence of the interest awakened by thismeeting, recommendations by a consultant of the Organizationprompted a control prograa in Chile which has been wellreceived in the country. In order to promote knowledge onthe development of control programs in this field countriesof Latin America will participate in a seminar in 1960 todiscuss techniques and procedures in determining the magni-tude of the problem of alcoholism, review of present knov-ledge about this disease, and bases for integration of pro-grams of treatment and prevention into overall health plans.

Provision is mada in 1960 for a consultant and forthe costs of this seminar.

AMR0-100, Courses in Nursing Supervision andAdministration (Zone VI) (See page 226)

Many nurses in Latin America are placed immediatelyupon graduation into positions of teaching and supervisioneven though they have been prepared only to give directcarea to the patient. As a result, except for a limitednumber of nurses in each country vho have had further study,the personnel holding such positions are not really trainedfor their principal functions, i.e., training and supervisingauxiliary personnel.

In none of the countries vill there be enough graduatenurses for several deoades to fill all the needs in actualpatient and family care. For example,in a group of 10 coun-tries the population per publio health nurse varied from110,400 to 763,700.Graduate nurses vho are already avail-able meed to be prepared to train auxiliary nursing person-nel and to supervise and administer their work.

To assist in filling this need, it is proposed toestablish short courses in nursing supervision and admin-istration. Approximately 20 graduate nurses fro fourcountries began in Nay 1960 the first such course, inBuenos Aires, Argentina.

In 1960 provision is made for short-term advisers,for some supplies and equipment, and for fellowships.

AMRD-159, Health Statistics (Zone VI)See page 226)

The functions of the statistical consultant proposedfor the countries of Zone VI are: (a) to give advice tocountries for the improvement of vital and health statistics,with special emphasis on notifiable disease statistics, ondevelopment of health statistics in accordance with recom-mended standards, and on use of the data in program plan-ning(b) to give courses in statistics and to render as-sistance in the selection and follov-up of fellowshipstudents and in the development of seminars, workshops, andother training activities in statistics; and (c) to adviseon statistical phases of projects and assist in the compila-tion and analysis of information in the countries forpurposes of program planning.

AMRO-163, Epidemiology (Zone VI) (See page 226)

The functions of the consultant in epidemiology are:(a) to promote the development of eradication and controlprograms against communicable diseases; (b) to advise onnew methods and techniques of control; (c) to coordinatethe programs of eradication and control of quarantinablediseases in the countries of the Zone; (d) to promotebetter reporting of communicable diseases; and (e) to adviseon all problems related to the application of the Interna-tional Sanitary Regulations.

Provision is made for the services of one epidemio-logist.

AMIo-209 Environmental Sanitation Training (Zone VI)(See page 226)

This project provides fellowships for sanitaryengineers and auxiliary personnel who will form a nucleusof workers in this field to strengthen both national andlocal health departments. A beginning has been madethrough the previous region-vide project AMRO-1 vhich isnow being divided into Zone projects. The fellowshipsvill be avarded for training largely in the schools ofPublic Health in Brazil, Chile, and Mexico, as vell as theSchool of Sanitary Engineering in the latter country.

Provision is made for fellowships.

AMRO-210 Medical Education (Zone VI)(See page 226)

In many countries, the development of schools ofmedicine requires repeated direct advice on a continuingbasis. For this reason a medical educator will be as-signed to Zone VI-in 1961 to study thei-etatus of teachingin the schools of the Zone, give advice and consultationto individual schools as requested, make recommendationsas to other help that could be provided by PAHO, preparea plan for the promotion of medical education in the Zone,and strengthen collaboration vith other interested agencies,governmental and private.

Provision is made for one medical educator beginn-ing in 1961.

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PART III

WASHINGTON OFFICE - COUNTRY PROGRAMS

UNITED-STATES-10, Consultants in Specialized Fields ofPublic Health (See page 228

CANADA-1, WHO Public Health Administration Fellowships(See page 228)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of its health services.

CANADA-2, Consultants in Specialized Fields of PublicHealth (See page 228)

Short-term consultante will be made available, asneeded, for specialized problems in public health. Inthe past these have been on subjects such as care of thementally retarded and public health nursing.

Provision is made for ehort-term consultants.

UNITED STATES

UNITED STATES-7 (WHO), UNITED STATES-11 (PAHO), PublicHealth Administration Fellowships (See page 228)

Provision is made for fellowships to collaboratewith the Government in training staff for the improvementand expansion of ite health services.

AMRO-10, Program for Biostatistics Education (See page 230):

This project was established for the purpose ofimproving vital and health atatistics in the Latin Americancountries by training technical personnel of the variousstatistical services. A training center has been developedat the School of Public Health of the University of Chile,and training courses are given annually consisting of fivemonths of basic academic studies and four months of moreadvanced training and field work.

The international experts provided by the Organi-zation participate both as professors in the academic phaseof the program and as consultants to the Goveriment of Chilefor the improvement of statistical services. Between 1953and 1959 about 235 students from 20 countries have beentrained.

As of January 1, 1956, the Inter-American Programfor Education in Biostatistics (a continuation of theteaching of Inter-American Center of Biostatistics) hasbeen sponsored by the Government of Chile and WHO with theSchool of Public Health in Chile assuming major responsi-bility. Fellowships for the nine-month Course in Vital

Short-term consultants will be made available, asneeded, for specialized problems in public health. Inthe past these have been on subjects such as schistosomiasis,care of the mentally retarded and public health nursing.

Provision is made for short-term consultants.

EL PASO - FIELD OFFICE (See page 228)

The length of the Mexico-U.S. frontier and thelarge number of cities and towns whose health problemsaffect the whole community but whose administrations aredivided by the border, lead to health problems necessitatinginternational action. The El Paso Office, responsible tothe Washington Office, was established to collaborate withlocal health authorities on both sides of the border in thesolution of common health problems. Its activities include:(a) stimulating and promoting joint study and planning ofhealth activities in border communities for the mutualimprovement of health services and the solution of healthproblems, that is, by promoting and assisting in the de-velopment and operation of joint councils; (b) providinga channel for the exchange of epidemiological and otherpublic health information between border health authorities;and (c) acting as secretariat for the Mexico-U.S. BorderPublic Health Association.

Provision is made for a Chief of Field Office, oneadministrative officer, one sanitary engineer and twoclerks. A public health nurse and an additional clerk willbe added in 1961. Provision is also made for consultantsand for common services.

NTERZONE

and Health Statistics are awarded by the Organization andother agencies.

Provision is made in 1961 and 1962 for fellovwshipsand financial assistance in the form of a grant to theSchool of Public Health in expanding its staff and fortechnical, local and secretarial personnel.

AMRO-16. Assistance to Schools of Public Health(See page 230)

The governing bodies of the Organization haverepeatedly emphasized the need for strengthening the basictraining of professional public health personnel. The aimof this project is to strengthen teaching in the schoolsof public health in the Region. Under this project, whichwas formerly part of AMRO-18 (then entitled Medical andPublic Health Education), many professors of schools ofpublic health have had the opportunity, since 1953, ofvisiting the countries from which their students come, inorder to adjust their teaching in the light of healthorganization and general conditions in those countries, aswell as, in certain instances to visit other countries andschools of public health to observe nevwer teaching

CANADA

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procedures and discuss curriculum planning. Visiting pro-fessora have dealt with such subjects as epidemiology,health education, biostatistics, and nutrition. Materialshave been provided in a limited amount, inasmuch as equip-ment is not e-primary objective of this project. Short-term consultants and a number of fellowships have alsobeen provided.

Individual projects have now been developed for themajority of schools.

Provision is made in 1960 for short-term consultantsand fellovwships.

AMRO-18, Medical Education (See page 230)

In view of the shortage of physicians and the rapidexpansion of medical knowledge and techniques, there is needfor improving medical education in Latin America. This needhas been recognized in specific directives of the governingbodies of the Organization.

Sinbe this program began, assistance has been givento a number of medical schools through the provision ofshort-term consultants; visiting professors; fellovwshipsfor teaching personnel for further training abroad andtravel grantsto deans and senior faculty members forobservation of teaching methods and curriculum planning.

This long-range project, closely related to numerousactivities of the Organization in many countries, is alsocoordinated with the activities of a number of non-govern-mental and bilateral agencies in the field of professionaleducation. The Medical Education Information Center (MEIC),operated by the Organization, has been set up by agenciesinterested in medical education for the exchange of infor-mation and the coordination of such activities.

Provision is made in 1960, 1961, and 1962 forconsultant services, fellowships, travel grants, and forsome supplies and equipment in 1961.

AMRO-28, Advanced Nursing Education (See page 230)

The objective of this project is to assist govern-ments in preparing graduate nurses for supervisory, teach-ing, and administrative positions in schools of nursing,hospitals, and public health services by providing fellow-ships for attendance at advanced courses in nursingconducted in Latin America. Ten places in the advancedcourse in nursing in the School of Public Health inSantiago, Chile are reserved annually for nurses fromcountries other than Chile. To date 40 nurses from 15Latin American countries have been awarded fellowshipsunder this project.

In 1960, 1961 and 1962 provision is made for theaward of fellowships to nurses for advanced nursingeducation in Chile, Brazil and one or two other countrieswhere similar programs are envisaged.

AMRO-29, Anthropology in Public Health (See page 232)

On the basis of a study of the Organization'sprogram at Washington headquarters and in the field, aconsultant anthropologist suggested a number of areaswhere social science and applied anthropology could be of

help, particularly in increasing effective utilization oftechnical staff.

Major pointa for strengthening services to countriesvwere in the areas of malaria eradication, nutrition, childhealth, training courses, health organization and communitydevelopment for health purposes, assistance to schools ofpublic health and medicine.

Beginning in 1962 a consultant anthropologist willadvise selected country projects with particular emphasison program adjustment to cultural characteristics of theareas involved. The consultant vill be stationed in thefield.

The activities of this full-time staff member willbe supported by a senior short-term consultant anthropo-logist and by an advisory committee at the Regional level.

AMRO-35, Fellowships (Unspecified) (See page 232)

As a general policy, most fellowships to be financedfrom the resources available to the Organization are in-cluded in the individual projects. This policy favors amore logical program development, since it concentrates onthe training of personnel needed immediately for developingthe planned activities.

Experience has shown, however, the difficulty ofanticipating many of the governments' requirements in thetraining of basic public health personnel and of specialistsneeded for developing certain public health programa.Consequently, this project provides a small central fundfor meeting urgent requests when they cannot be met vithincountry projects.

With funds so provided, 16 new awards plus ex-tensions to a number of other avards were made in 1959 ina wide variety of subjects, for the training of personnelfrom most countries of the Continent. A similar programis being carried out in 1960 and others are planned for1961 and 1962.

AMRO-39, Environmental Sanitation (Advisory Committeeand Consultants) (See page 232)

Meetings of this Committee were held in 1958 and1959, respectively. Another meeting is planned for 1960and a further one is proposed for 1962. It is felt thatwith the rapid expansion of the environmental sanitationprogram of the Organization, particularly in the vatersupply field, continued assessment and guidance on progressand new approaches by authoritative experts are necessary.

Provision is made for consultant travel and limitedsupplies and equipment. Participation in this meeting bythe six Zones and FEP sanitary engineers is also envisaged.

AMRO-45, Laboratory Services (See page 232)

Existence of readily available and reliable labo-ratory diagnostic services and production and control ofbiological products are paramount to fully effective workin communicable diseases. The major part of the assistanceof the Organization in the expanding efforts of almostevery country in the hemisphere to improve or reorganizepublic health laboratory services is provided throughspecial country projects, or as part of a project concernedwith integrated health services. To make initial appraisal

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consultation, however, intercountry consultants are neededand their visits often result in a country project or theaddition of a laboratory adviser to an existing project.

Through this project also assistance is given tolaboratories of the various countries by providing cultures,strains, antigens, and other laboratory aids vital to theconduct of diagnostic tests or production of biologics,and breeding laboratory animals.

Short-term consultants, supplies and equipmentand common services for the printing of guides and manualsare provided.

AMRO-46, Seminar on Nursing Education (See page 232)

For several years seminars or workshops on variousphases of nursing education have been held under AMRO-46.Tvo of the workshops were on principles of teaching andsupervision; two were on curriculum planning; and the fifthdiscussed nursing surveys. Since all the countries whichmight be undertaking formal surveys within the next fewyears participated in the vorkshop in Bahia, Brazil, asecond workshop on this topic will not be held for some time.

For 1960 it is planned to bring together directorsof schools of nursing for a ten-day seminar to complete thedraving up of a guide on organization of schools of nursingin Latin America. In 1961 another seminar will considerways of incorporating principles of teaching and supervisionin the curriculum without lengthening the basic nursingcourse. The 1960 seminar is for the South American countriesand the 1961 seminar will be for Middle America and theCaribbean.

Provision is made for short-term consultants, forparticipants, and for some supplies and equipment.

AMRO-50, Water Fluoridation (See page 232)

Fluoridation of water supplies is now being acceptedas an effective and economical method of preventing dentaldecay. It is believed that many municipalities now employ-ing alum coagulation for water treatment might initiatefluoridation by utilization of fluorspar with great savingsover that encountered in the use of refined fluoride salts.

Consultant services for advice to municipalities inthe type of equipment required and in the technical consider-ations involved by such a process are proposed.

Provision is made in 1961 and 1962 for consultantservices and travel.

AMRO-60, Smallpox Eradication (See page 234)

Although in some countries smallpox has been eradi-cated or reduced substantially, in others it continues tobe a subject of serious concern.

In accordance with the resolutions adopted by itaGoverning Bodies, the Organization is carrying out a pro-gram of which the first phase is promoting the productionin the various countries of high quality smallpox vaccinecapable of withstanding the effects of the difficult fieldconditions found in large areas of the continent, wherefacilities for transportation and refrigeration are scarce.For this purpose various national laboratories (Argentina,Bolivia, Brazil, Chile, Colombia, Cuba, Ecuador, Mexico,

Peru, Uruguay and Venezuela) were provided with the equip-ment necessary to produce dried smallpox vaccine. At thesame time, the services of a consultant specialized in theproduction of dried smallpox vaccine have been provided,technical information on the subject has been distributed,fellowships have been avarded to national personnel fortraining in modern vaccine production methods, and theservices of an internationally recognized laboratory havebeen made available for testing the purity and potency ofthe vaccine produced by the national laboratorias.

The Organization has also collaborated with variousgovernments in the planning and development of vaccinationcampaigns, either by providing the services of specializedconsultants (Argentina, Colombia, Cuba, Ecuador, Haiti,Paraguay and Uruguay), by awarding fellowships for thetraining of national personnel, or by supplying limitedamounts of equipment.

During 1961 and 1962, similar cooperation will beextended to other interested countries. The assistanceto individual countries is shown as units of this projectunder the respective countries.

Provision is made for the services of short-termconsultants in the preparation of dried smallpoz vaccine,for testing of vaccines in the Seruminstitute, Copenhagen.

AMRO-61, Rabies Control (See page 234)

Human rabies, in general, will disappear as a pro-blem through a program of rabies control in animals,particularly dogs.

Consulting services are provided to increase orimprove anti-rabies programs, including laboratory diagnosisand the production of vaccine and serum. Concerning thedifficult problems of rabies in bats and.other wildlife,the Organization provides guidance in appropriate studiesand demonstrations of techniques for wild carnivora control.

In 1962 provision is made for short-term consultants.

AMRO-62, Public Health Aspects of Housing (See page 234)

In June 1952 the Pan American Union in collaborationwith the National University and the "Instituto de CréditoTeritorial" of Colombia created the first Inter AmericanCenter for the study of the housing problem: the "CentroInter Americano de Vivienda y Planeamiento"(CINVA).

In past years the Organization has provided assist-ance to CINVA to permit the dissemination of ideas on thepublic health aspects of this subject. There still remainmany long-range problems not yet explored and some immediateproblems requiring attention on the part of the governments.Among the latter may be mentioned the question of the sani-tation action to be taken in the "barrios" of some of thelarge cities, including the fringe area slums of most cities.

To promote en interchange of information and ideasa seminar on public health aspects of housing is proposedfor 1962, jointly for the American and European Regions.Preparation for this seminar and compilation of relevantdocumentation will begin in 1961 by a short-term consultant.

Provision is made in 1961 and 1962 for consultantservices and participants from selected countries in thisRegion, as well as for a limited amount of supplies andequipment.

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AMRO-67, Teaching of Public Health in Schools ofVeterinary Medicine (See page 234)

This project was designed to promote and strengthenthe interest of veterinarians and their training in publichealth, through provision of short-term consultants, fellov-ships, and limited amounts of teaching aids.

In 1959 the Organization sponsored the Seminar onTeaching Public Health in Schools of Veterinary Medicine(AMRO-48) which was attended by deans and professors ofpreventive medicine from most of the schools of veterinarymedicine in the Region. This seminar produced a guide whichwill be most helpful in making curriculum changes to developadequate teaching of public health.

Provision is made for short-term consultants in 1960.Assistance in this field will be provided under individualzone or country projects in 1961 and 1962.

AMRO-72, Dental Health (See page 234)

There is a growing interest in many countries of theregion in developing or expanding the existing Public HealthDental Services, which calls for adequately trained publichealth dentists.

During 1958 and 1959 the main efforts of thisprogram werea concentrated on the training of dentists in acourse established in Sao Paulo. As part of their trainingthe fellows have been in close contact with other publichealth workers acquiring the concept of dental health prac-tice as part of the public health team.

The Bureau will continue assisting governments inthe training of public health dentists, by providing fellov-ships for regular and specialized courses at the DentalHealth Training Center established in Brazil.

In 1960 the Regional Adviser in Public HealthDentistry is included in this project but he is subsequent-ly to be part of the staff of the Health Promotion Branchat Headquarters.

Provision is made for fellowships in 1961 and 1962.

AMRO-74, Plague Investigation (See page 234)

In recent years plague has been reported from ruralareas of Argentina, Bolivia, Brazil, Ecuador, Peru, UnitedStates, and Venezuela. In each of these countries plagueis enzootic among wild rodents, thereby representing aconstant threat to the domestic murine population and toman.

The organization has been cooperating in antiplaguecampaigns and epidemiological studies in several countries.More recently the Organization has provided the services ofa consultant to carry out studies on the ecology of rodents,and their fleas, prevalent in the endemic areas of Bolivia,Brazil, Ecuador, Peru, United States, and Venezuela. It isexpected that the consultant will complete these epidemio-logical studies in 1960.

The accumulated experience of the Organizationindicated the importance of adequate training for thepersohnel responsible for the national antiplague services.Por this reason, it is proposed to hold a training courseon the epidemiology and control of plague.

In 1962 provision is made for short-term consultants,for fellowships and for a limited amount of teaching anddemonstration supplies and equipment for the course.

AMR0-76, Vaccine Testing (See page 234)

In order to assist new vaccine-producing labora-tories to maintain the necessary high standards of potencyand safety, testing services of proven quality for thecontrol of such biological products have been obtained fromPASB/WHO reference laboratories. An annual grant is madeto one of these laboratories where the majority of thetesting is done.

AMRO-77, Pan American Foot-and-Mouth Disease CentertSee page 236)

Foot-and-mouth disease (Spanish and Portuguese:aftosa) is a disease of livestock which is highly infectiousand causes serious economic losses particularly in thecattle raising countries of South America which are, forthe most part, seriously affected. The only way to over-come this waste is to eradicate the disease. Furthermore,the countries of Central and North America and theCaribbean are free of the disease and the only permanentprotection is to eliminate possible sources of infection.

To aid in the solution of this problem, the PanAmerican Foot-and-Mouth Disease Center was set up in 1951near Rio de Janeiro with funde from the Program of TechnicalCooperation of the OAS. In addition, the Host Governmentof Brazil provides land and building, and funds for utili-ties and some local labor.

The Center trains field and laboratory people work-ing on aftosa; provides diagnostic and virus-typing ser--vices; advises on prevention, diagnosis, control and eradi-cation of aftosa and related diseases; provides inter-national coordination and collaboration necessary forsuccessful inter-country and regional activities; andconducts research in development of better vaccinesagainst aftosa, in improvement of methods of diagnosis andvirus typing, in making epizootiological studies, and inmaking basic studies on other vesicular diseases.

From 1953 through 1959, the Center has conducteda number of courses and seminars of periods up to twomonths, which were dedicated to various specific problemsor to general laboratory work.

Research activities are yielding results of practicalvalue in the selection of virus strains for vaccine prepa-ration. A collection of strains is now available to vaccineproduction laboratories. A good possibility now exists fordevelopment of a modified live virus vaccine against aftosa.The Center has one strain of type O in a suitable stage ofmodification and work is in progress to obtain similarstrains of types A and C. This investigation is beinggiven the highest priority. In the maintime, consultationand aseistance to country programs is being given to thefullest extent possible.

In 1959 the Committee of 21 of OAS recommendedexpanding and intensifying the activities of the Center,particularly with reference to vaccine development andalso in services to countries and in training. During 1960,1961 and 1962 the Center proposes to continue ite programand services, expanding as available funds will permit.

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The Technical Cooperation Program of OAS financesthis entire program. Estimated requirements for 1961 and1962 are for 116 employees. Other expenses for operatingthe Center have been included in the proposed program andbudget.

AMRO-81, Pan American Zoonoses Center (See page 238)

The Pan American Zoonoses Center was officiallyinaugurated on April 25, 1959. Although it was foundedin August 1956, the inauguration served to underline thefact that it had completed the initial stages of itsdevelopment and was actively engaged in a diversified pro-gram of support for the countries of the Americas in theirefforts at control and eventual eradication of zoonoticdiseases. During 1959, a broad education program wascarried out, numerous services were provided to thecountries, and research was conducted on several zoonosesproblems.

In January 1960, the annual advanced zoonosescourse was held. It was also planned to hold three othermeetings during the year: a seminar on bovine tuberculosis,a training course on laboratory techniques and control ofleptospirosis, and a meeting to arrive at standard diag-nostic procedures for tuberculosis and brucellosis in thecountries of southern South America. Four new long-termgraduate students were expected during the year, thuscontinuing the schedule carried the previous year vwith thedeparture of one fellow and the arrival of another everythree months. Field demonstrations and evaluation studieson the use of special vaccines for the control of bovinerabies, caprine brucellosis, and leptospirosis were con-tinued, as were also studies on the production and fielduse of the Sterne vaccine for anthrax. A quarterly inform-ation bulletin, on the study and control of the zoonoses,was prepared and distributed. Other services to thecountries included reference testing of vaccine, distri-bution of standard strains of virus and bacteria formaking and testing antigens and vaccines, reference diag-nosis, and consultation on numerous problems concerning thezoonoses.

Planned activities include the annual advancedzoonoses course, continuation of the graduate-studentprogram with a continuous, but rotating, group of at leastfour long-term fellows and training programs for animaltuberculosis, hydatidosis, rabies and brucellosis. Consul-tation, advisory and laboratory services, field surveys andinvestigations, and related activities will be continued.Research on zoonoses problems, of special interest from thestandpoint of control and prevention, will be undertakenin accord with the funds that become available.

Cooperating in the work of the Center are the OASand several companies that haave given grants for specialstudies.

The international staff of the Center consists offour members. The local non-professional personnel areprovided through contributions from the Government ofArgentina. Operating expenses are provided from all sources.

AMRO-85, Latin American Centar for Classification ofDiseases (See page 238)

The Center, established in 1955 in collaborationwith the Government of Venezuela, serves as a clearinghousefor problems arising in the use of the Spanish Manual ofthe International Statistical Classification of Diseases,

Injuries, and Causes of Death; collects information forsubsequent revisions of the Classification; checks codingof samples submitted by countries and interprets theClassification for Latin American countries in order toimprove comparability of coding; and studies problems ofmedical certification.

The Center provides instruction in the use of theClassification and conducts short annual training coursesin statistical coding. Two-vweek courses held in 1955,1956, 1958 and 1959 provided training to 48 officials from16 countries engaged in coding activities. Courses willbe held in 1961 and 1962. The course in 1960 will be heldin Jamaica for English-speaking areas.

The Center has been able to extend its services toa larger group by sending a staff member to severalcountries to give courses of 2-4 weeks on coding. Two suchcourses were given in 1958 in Colombia and DominicanRepublic and four in 1959 in Argentina, Panama, Paraguayand Peru. In these six courses and through the fourcourses in Venezuela, 190 persons have received trainingin Classification in Spanish.

To assist the Center in these activities andprovide the services of a statistician, financial assistanceis given the Center in the form of a grant. In addition,provision is made beginning in 1962 for a consultant tostudy the medical terms in use throughout the Americasfor the development of accepted medical terminology andfor recommendation of the revision of the 1965 Classi-fication. Provision is also made for short-term fellowships.

AMRO-88, Aades aegypti Eradication (See page 240)

In compliance with the mandate of its governingbodies the Organization has since 1947 been devotingconcentrated efforta toward eradicating Aades aegyptifrom the Western Hemisphere. Expert technical advice hasbeen given to almost every government, and a number oferadication projects are in operation. The results ofthis campaign to date have been rewarding. The vector ofurban yellow fever has been eradicated from large areasand very greatly reduced in a number of other areas.

The following countries and territories have beendeclared free from A. aegypti infestation by the governingbodies of the Organization: Bolivia, Brazil, BritishHonduras, Canal Zone, Ecuador, French Guiana, Guatemala,Honduras, Nicaragua, Panama, Paraguay, Peru and Uruguay.

Final verification has been completed in El Salvador,and is in process in Costa Rica. The campaign has termi-nated in Colombia and is advanced in Argentina and Venezuela.In general, the situation may be regarded as satisfactoryin Central and South America. At present attention needsto be concentrated in the Caribbean area, mainly in theGreater Antilles, where the infestation is widely prevalent.

The precise magnitude of the problem in the southernpart of the United States, where there are infested areas,is still unknown.

Provision is made in 1961 and 1962 for the servicesof short-term consultants, and for supplies and equipment.

AMRO-90, Malaria Technical Advisory Services (Interzone)(See page 24' r

The purpose of this project, established originallyin 1955, is to provide technical advice and assistance to

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Member Governments in several specialties as applied tomalaria eradication, i.e., entomology, parasitology, andvehicle management and maintenance. For greater flexi-bility and economy, the field group vill be based inBogota, Colombia.

The entomologist is to provide advicae and assistanceon entomological problems, including determination ofvectors and ecology; development of techniques for deter-mining susceptibility of vectors to insecticides; develop-ment of techniques for determining and measuring resistanceof vectors to insecticides; preparation of guides andmanuals for field programs; over-all coordination of fieldprograms relating to entomology in malaria eradication; andassistance in teaching wherever requested.

A parasitologist is provided to advise on laboratoryprocedures, including equipment and supplies; to standard-ize diagnostic techniques in malaria eradication; tofurnish manuals of procedures; and to perform such teachingduties as may be required.

A vehicle management and maintenance consultant(administrative officer) is concerned solely with thespecialized problems involved in the efficient and econo-mical management of large fleets of motor vehicles.

Four additional technical positions (two medicalofficers and two sanitary engineers) are provided in orderto establish a pool of qualified personnel to meet avariety of requests. From time to time additional personnelwill be required to strengthen the consultative servicesto certain projects, particularly the larger ones. Substi-tute services will also be required to cover perioda ofhome leave or illness of project staff members.

Provision is made for two medical officers, oneentomologist, one parasitologist, two sanitary engineers,one administrative officer, and a sacretary. Provision isalso made for supplies, equipment and common services.

AMRO-92, Poliomyelitis (See paga 240)

Concomitant with improvement in general environ-mental and sanitary conditions, possibilities for naturalexposure and consequent immunity to poliomyelitis decreaseand clinical disease becomes more evident. The problem maythus be expected to increase in the Americas.

Attack on the disease requires a multiple approach,direct through vaccination, indirect through improvedlaboratory diagnosis and epidemiological studies and throughtreatment and rehabilitation services.

Vaccination with an adequate and practical vaccineis still the only effective means of controlling the dis-

ease. The development of inactivated (Salk) vaccine consti-tuted an important step in that direction. Technicalcomplications in manufacture and use of this vaccine, aswell as its expense, have stimulated search for bettertypes of immunizing agents against the disease.

Because of an outbreak of paralytic poliomyelitisin the Dominican Republic, the Organization provided threeshort-term consultants in the field of rehabilitation toassist in the care of acute poliomyelitis cases. The firstinternational course on tissue culture techniques as appliedto virology, offered in Latin America, was given from16 November to 12 December 1959 at the Universidad delValle in Cali, Colombia, under the auspices of theOrganization. (See AMRO-181). The course lasted four weeks

and was attended by ten fellows from eight countries of theregion (Argentina, Brazil, Chile, Colombia, Ecuador, Peru,Uruguay and Venezuela). This course will again be offeredin 1960 and 1961 and fellowships will be given to qualifiedvirologista to attend it.

This project provides for a medical officer, con-sultant services in the fields of virology and rehabili-tation, fellowships for training in virology as relatedto poliomyelitis, fellowships for training in differentaspects of rehabilation, laboratory courses on tissueculture techniques as applied to virology and to thediagnosis and epidemiological studies and control ofpoliomyelitis, and, supplies and equipment.

AMRO-94, Diarrheal Diseases in Childhood (See page 240)

Diarrheal diseases are among the principal causesof death in almost all the Latin American countries and arethe leading cause in nine countries, affecting especiallychildren under five years of age. In eight countries in1952, the infant death rates from diarrheal diseases vereten times higher than the lowest recorded country rate inthe Americas. The contrast was even sharper for the agegroup 1-4 years; in these countries the death rates vere150 times higher than the lowest rate. Furthermore, theexcessively high levels of illness from diarrheal diseasesimpose a heavy burden on the limited financial and pro-fessional resources of the health services.

To achieve a substantial reduction in mortality andmorbidity due to diarrheal diseases, there are two specificmeasures which can be applied on a mass scale, namely;making water available in homes for personal cleanliness,and prevention and early treatment of severe dehydration,which is the lethal factor in the disease.

Another important step is further elucidation of thecomplex etiology of these diseases, with particular refer-ence to their relation to malnutrition.

The Organization collaborates with interestedgovernments in the development and evaluation of increasingthe availability of water in selected communities wherediseases have high incidence; and in promoting early oralrehydration, making full use of the services of auxiliaryhealth workers, as a simple life-saving measure in areaslacking adequate medical care facilities. Furthermoreemphasis will be placed, in the integrated health projects,on the phases of environmental sanitation and maternal andchild health which are directly related to prevention ofdiarrheal disease. Using the facilities available at INCAP,studies will be carried out to ascertain the epidemiologicaldistribution of etiologic agents and the relation ofdiarrheal diseases to nutritional deficiencies, particularlyin children under five years of age.

A team of special consultants will assist in theseprograms, which will be focused continuously on practicalapplications. These consultants vill be available forcollaboration with all interested governments.

Provision is made for short-term consultants andfor limited supplies and equipment.

AMRO-106, Seminar on Public Health AdministrationSee page 242)

In recent years many countries have reorganizedtheir national health services and are expanding their

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local health services, with the assistance of theOrganization. In this process of reorganization and ex-pansion, various problems have arisen with regard to thefunctions of the various organizational units of thenational services as well as their coordination, theprocess of decentralization, and the relationship betweennational and local health services.

A series of seminars will be held to provide oppor-tunities for exchange of experience and information bypublic health teams from the various countries. Among thetopics to be discussed will be planning, in terms of healthpriorities; decentralization of services to intermediateand local levels; and relationships between organizationalentities. The functions of the various team members willbe redefined and clarified, as will the working relation-ships between the various team members and between thepublic health team and other community agencies. Methodsfor preparing personnel in terms of activities to be per-formed will be studied.

These seminars will be attended by public healthofficers, engineers, nurses, and selected workers in otherpublic health professions. It is expected that profession-als from both national health services and local healthdemonstration areas will attend, so as to permit a usefulinterchange of ideas on the problems at both levels.

A first seminar will be held in 1961 in CentralAmerica for participants from Costa Rica, Cuba, DominicanRepublic, El Salvador, Guatemala, Honduras, Mexico,Nicaragua, Panama, and Venezuela. A second seminar isplanned for 1962 in Argentina for participante fromArgentina, Brazil, Bolivia, Chile, Colombia, Ecuador,Paraguay, Peru, and Uruguay.

Provision is made for participants, consultants andconference services in 1961 and 1962.

AMRO-108, Sanitation of Travel Centers (See page 242)

There is increasing interest and activity in thecountries of the hemisphere in connection with improvementsin sanitation at ports, hotels, restaurants and resortareas, on planes, ships, and trains serving the travellingpublic. Following a request from the Organization ofAmerican States to the PAHRO in 1956, a Technical Committeewas established to prepare a draft manual of minimumsanitation standards applicable to tourist accomodations.

Provision is made in 1960 for contractual servicesto cover contract drafting work and for travel of personnelreviewing the draft.

AMRO-110, Tuberculosis Prevention (See page 242)

The full and precise qxtent of the tuberculosisproblem in the Americas, as a whole, is not known. However,such data as are available provide enough information todesignate tuberculosis as an important public healthproblem in Latin America.

The introduction of treatment with drugs such asstreptomycin, PAS, and particularly isoniazid, has changedcompletely the public health approach to the tuberculosisproblem. Chemotherapy increases the life expectancy ofpatients with pulmonary tuberculosis and renders moit ofthem non-infectious.

69

The possibility of large-scale application of chemo-therapy and chemoprophylaxis on an ambulatory or domici-liary basis is leading to a great reduction in the needfor isolation of patients in hospital beds. This meansa reduction in the cost of tuberculosis programs, makingit economically possible to extend them on a nation-videscale to countries up to now unable to afford the highcosts of extended hospital construction and maintenance.

In the last few years the collaboration of theOrganization has been devoted mostly to BCG vaccinationprojects. These efforts will be continued where needed,but it is becoming increasingly necessary to expand theactivities towards other fields, such as ambulatory anddomiciliary chemotherapy and chemoprophylaxis, which offergreat possibilities as public health measures againsttuberculosis.

The purpose of this project is to collaborate withgovernmenta in utilizing the new developments for anactive program for the prevention of tuberculosis, throughtraining of national personnel in the new techniques andprocedures; surveys of the tuberculosis situation in thedifferent countries, as vell as of the available resourcesin the countries; and field trials of mass administrationof isoniazid, since there is a definite possibility thatappropriate dosages for sufficient time can minimize thetransmission of the disease and the development of newcases. In order to study the possibilities of this masstechnique of tuberculosis prevention, it is proposed toconduct a study in which the problems of chemotherapy andchemoprophylaxis would be investigated on a community basis.

In order to carry out surveys on the prevalence oftuberculosis, provision is made for the services of short-term consultants.

AMRO-112, Community Development Training Center(See page 242)

The Latin American Fundamental Education TrainingCenter, CREFAL, (Centro Regional de Educaci6n Fundamentalpara la América Latina) was established in 1951 atPátzcuaro, Michoacán, México, by agreements signed by theGovernment of Mexico, UNESCO, and the Organization ofAmerican States. It was designed as an activity to beshared by the Specialized Agencies of the UN under theadministrativa direction of UNESCO. These agencies, (UNBureau of Social Affairs, FAO, ILO, and WHO) have atdifferent times assigned technical staff to the Center togive students special training in basic skills requiredsuch as agricultural extension work, literacy teaching,handicrafts, etc. Students from nearly every country ofLatin America have received the full course in fundamentaleducation or short courses in some aspect of this subject.

The Center vill continue under the present operatingsystem until at least 1964 but will now be directedessentially toward community development rather thanfundamental education.

In view of the increasing interest in communitydevelopment programs in this Region as in other parts ofthe world, and the importance of sound publio healthmeasures as a part of over-all socio-economic developmentit is necessary and desirable that the Organization shouldtake an active part in the Center. Provision of technicalstaff assigned to the Center will create opportunity fordirect training and supervision of the studente in publichealth content and practices relevant to their york withcommunities. The public health experiences vill be planned

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and coordinated with official public health activities inthe Center area in order to assure practical application.WHO staff will also collaboratewith the technical staff ofthe other Specialized Agencies in order to assure coordi-nation vith other aspects of community development. Liaisonvith national health programs of the member countriesparticipating in the Center will be provided through theWashington and Zone Offices.

Provision is made for a medical officer in 1961 and1962.

AMRO-122, Research and Development of InsecticideApplication Equipment (See page 242)

It is proposed to make field tests of improvedequipment for the application of insecticides. At presenthigh pressure pumps are in use. The rebound of the in-secticide represents a considerable loss of material whichfalls on the floor and on the sprayman, constituting ahazard to his health. In addition the rapid reduction ofthe pressure within the spray can makes an uneven distri-bution of the toxicant on the walls. Research vill helpcorrect these defects promptly.

Provision is made in 1960 for purchase of specializedequipment and for short-term consultants.

AMRO-123, Research and Development - Protective EquipmentAgainst Toxic Insecticides (See page 242)

In addition to the vell known toxic effects ofdieldrin and the hazard which it represents to the sprayman,other insecticides which may be more toxic are required dueto the problem of resistance of some malaria mosquitovectors to insecticides. This necessitates adaptation ofprotective equipment now in use or the development of newequipment to meet the problems encountered in warm andtropical climates. This project will be conducted in 1961under a grant from PARO, either by a recognized researchlaboratory or by a national malaria eradication service.

AMRO-130, Seminar on Mass Chemoprophylaxis and SurveilianceTechniques in Malaria Eradication (See page 242)

During 1959 mass chemoprophylaxis in malaria eradi-cation programs was being developed. In Brazil a plan hasbeen developed for the distribution of chloroquinized saltin the Amazon Valley area. In British Guiana a similarproject vill start soon. In Venezuela the Government isoperating a large scale program of mass treatment throughthe administration of pyrimethamine in house-to-house visits.Finally in some other countries drugs are being administeredto the population in house-to-house visits in areas vherethe malaria vectors are resistant to the available insecti-cides, in order to keep the prevalence of the disease aslow as possible until other negatively correlated insecti-cides can be used.

Othervise, in certain areas of several countries,malaria is almost at vanishing point. These countries arerequesting, therefore, that surveillance techniques beinstituted at the suspension of spray operations.

Provision is made for a seminar for exchange ofexperiences in both fields to be held during 1961. Par-ticipants, consultante, supplies and supporting servicesare budgeted.

AMRO-132, Operational Asaistance to Countri Projectsin Malaria Eradication (See page 244)

It is anticipated that the requirements of thehemisphere-wide malaria eradication campaign vill includeoperational assistance by the Organization to certaincountry projects, upon request. This operational assist-ance vill be based upon the nature of specific requestsfrom governments, and it is anticipated that it villinclude such items as: financing of a percentage ofnational posts; assumption of more than an advisory rolein the execution of the national campaign; and provisionof certain supply and equipment items not normallyfurnished by international agencies.

Provision is made for such assistance in 1960, 1961and 1962.

AMRO-135, Malaria Eradication Trainees (See page 244)

Owing to the shortage of experienced workers inmalaria eradication in the Americas, the Organization hasbeen forced to train its staff members in malaria eradi-cation techniques in order to carry out its function ofproviding technical advisory services in this field.

During 1957, nine physicians, nine engineers andten sanitarians were trained; three physicians, fourengineers and 26 sanitarians received training in 1958;during 1959, three physicians, four engineers and 15sanitarians received training and during 1960 it isexpected that two physicians, tvo engineers and eightsanitarians vill follov the training courses.

Provision is made for trainees in 1961 and 1962.

AMRO-142, Health Aspects of Radiation (See page 244)

Possibilities of nuclear energy as a cheap sourceof energy for multiple purposes and as a valuable tool inmedical research, diagnosis, and therapy carry also hazardsof misuse which may outweigh the gains derived. Severalcountries of the Hemisphere have already begun to usefissionable materials. In addition to opportunities forstimulating and guiding proper medical usage of ionizingradiation this new massive source of radiation emphasizesthe need of establishing safety standards for all sources,including X-rays, which have not heretofore been subjectedto careful control.

Under the present project the Organization willassist in two major fields: (a) use of radioisotopes formedical research, diagnosis, and therapy; and (b) develop-ment of procedures and standard regulations for radiationprotection, in both the use of isotopes and other radiationsources and in the disposal of radioactive waste from powerreactors and other sources.

It is proposed to award fellowships for the trainingof national radiological officers for service with thehealth departments.

Provision is also made under this project for theuse of short-term specialists to advise and assist govern-ments in the development of safety programs for the appli-cation of radiation protection procedures, including atomicvaste disposal. They vould also advise on the drafting ofhealth regulations and laws to provide administrative andlegal bases for carrying out protective measures.

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Provision is made for short-term consultants andfellowships.

AMRO-149, Leprosy Control (See page 244)

Before extensive control measures against leprosycan be planned, it is essential to know, as accurately aspossible, the extent and the characteristics of the problem.For that purpose a consultant surveyed the problem inBolivia,-Colombia, Ecuador, Paraguay, Peru, British Guiana,French Guiana, Surinam, Grenada, Guadeloupe, Martinique,St. Lucia, Jamaica, Trinidad, Costa Rica, Guatemala,Honduras, Nicaragua, El Salvador, Panama, Mexico, Argentinaand Uruguay. It is expected that in 1960 the survey willbe completed in the other countries and' territories of theRegion. As a result of these surveys, control programshave been outlined, and preparation for their implementationare in some countries under way with international cooper-ation from the Organization and UNICEP.

The favorable resulta obtained with the chemo-therapeutic methods now used against leprosy should notobscure the' great need to seek new therapeutic agente ofmore rapid and efficacious action. There is an urgent needfor therapeutic trials of certain drugs already availableand of others that may appear. There is also need forresearch in other areas, such as Mycobacterium lepraeculture media, transmission to experimental animals, andfield studies on the value of BCG in preventing leprosy.

For 1961 and 1962 provision is made for short-termconsultants and fellowships for training of personnel ofnational leprosy services.

AMRO-150, Food and Drug Services (See page 244)

In most countries of the Americas, the services forthe testing, control, and registration of manufacturedfoods and therapeutic substances are in need of reorgani-zation and revision. Most of the existing legislation isinadequate. and outdated. Registration varies from aperfunctory review of applications and issuance of licenses,to a long and time-consuming procedure for submission ofinformation and samples and payment of fees. The permitaissued do not always guarantee to the consumer that adequatesafety and potency testing has been done and, once licensed,the drugs are not always subject to retesting of samplesgathered in the field.

Revision and improvement can be done effectivelyonly after a complete study of the needs of the country andthe preparation of plans for the drafting or revision oflegislation and for the improved organization and adminis-tration of the food and drug control services.

In 1960 a survey will be made of present statuscountry by country. On a limited scale, duplicate samplesmay be sent to reference laboratories to appraise nationaltesting and the present quality of foods and drugs.

In 1961-1962 national laboratories or services willbe assisted in accordance with the needs revealed by thesurvey. Fellowships will be provided for the training ofnational personnel in laboratory and inspection aspects offood and drug control.

Provision is made in 1961-1962 for the continuationof two food and drug consultants; for fellowships and forcontractual services. Supplies and equipment will beprovided in 1962.

AMRO-151, Seminar on Teaching of Sanitary Engineeringin Schools of Engineering (See page 244)

The intensification of programs of general sani-tation in the region and the promotion of an extensiveprogram for rapid development of contruction and ex-pansion of community water supply systems throughout theregion require active collaboration of a large proportionof the engineering profession in addition to the availablesanitary engineers. To promote and improve the engineer'seducation in sanitary engineering disciplines a seminar onengineering curricula, facilities and resources is plannedfor 1961. This seminar will be based on informationcollected in a survey in 1960. Participants in the seminarvill be deans and professors of selected schools of engi-neering from Latin America.

Provision is made for a short-term consultant in1960, and for participants, contractual services andsupplies and equipment in 1962.

AMRO-152.2 Seminar on Schools of Public Health(See page 246)

There are three countries in Latin America providingprofessional training in public health in centers thatreceive international students. In several other countries,there are schools for the training of nationals.

Faculty members from all these schools have experi-enced similar difficulties and problems in developing theirprograms. In order to profit from one another's experienceand practica, a meeting of directors and key facultymembers of seven achools of public health in Latin Americavas held in Mexico in 1959. The report of the meeting isa significant document which is being widely used. Asecond meeting is proposed for 1961 and it is expected thatone subject of the curriculum will be explored in greatdetail. Several participants from each school would attendas vell as representatives from the Ministries of Health ofthe countries invited. The preparations for this meeting,including visits to the schools to discuss the agenda andgeneral organization of the meeting, will be made byshort-term consultants and staff members of the Organization.

Provision is made for short-term consultants, forparticipants, for a small amount of equipment, and forcontractual services.

AMR0-155, Schistosomiasis Control (See page 246)

In the Americas, schistosomiasis is a seriousproblem in Brazil, Puerto Rico, Venezuela, and exists alsoin the Dominican Republic and Surinam. Extension ofirrigation projects and concentration of human populationsis increasing its distribution and its intensity.

This project makes provision for specialized con-sultante to assist in determining, (a) the incidence ofinfection and location of infected areas; (b) the numberand distribution of the incriminated anails; (c) the flowof water and the amount of vegetation in the land waterainvolved; (d) the customs of the population in relation tothe incidence of the disease and distribution of the snails;and (e) the type and amount of molluscocide treatment mostsuitable for the various infested areas.

Provision is made for three consultant months eachin 1960 and 1961.

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AMRO-156, Training Program in Hospital StatisticsSee page 246)

One of the chief sources of basic data for healthplanning is thie hospital. Birth and death certificatesand reports of notifiable diseases are often completed inhospitals. In many countries hospitals are operated bynational health services, and data on patients treated andservices rendered are needed by these services in order todevelop an efficient hospital program.

In Latin America facilities for the training ofpersonnel to handle these records in hospitals are sharplylimited.

It is proposed to assign a medical records librarianbeginning in 1960, to work in a hospital that has sufficientstaff and satisfactory procedures for use in a trainingprogram. A training course of six months would be es-tablished and fellowships would be avarded for attendanceat the first course in 1961.

In 1961 a hospital statistics consultant will beadded to give advisory services to selected hospitals.

Provision is made in 1961 and 1962 for one medicalrecords librarian, hospital statistics fellowships and somesupplies and equipment. Funds for short-term consultantsare proposed for 1962.

AMRO-160, Treponematosis Eradication (See page 246)

The eradication of yaws from the Americas ranks highon the list of priorities established by the governingbodies of the Organization, but if it is to be permanent,it must be achieved in all countries where the disease ispresent.

In 1960 the yaws eradication program in Haiti-l willhave been completed; project AMRO-47 in the Carribbean areais under full development and is covering all the areasaffected by the problem; and project Dominican Republic-52will be in its final phase. Some of those projects must beevaluated and for that purpose the services of short-termconsultants will be required. In addition, the consultantswill visit other countries and, as part of the regionaltreponematosis eradication program, will start eradicationprograms or will convert the control programs into eradi-cation campaigns. During the early months of 1960, aconsultant visited Venezuela and made a study of thenational service for the control of venereal diseases.Collaboration is expected to be given to other countriesboth in the organization of services for the control ofvenereal diseases and in the preparation and developmentof control programs.

Provision is made in 1961 and 1962 for the servicesof a medical officer, one statistician, and short-termconsultants, as well as for equipment and supplies.

AMRO-165, Nutrition Advisory Services (Interzone)(See page 248)

The increasing number of requests makes it necessaryto strengthen regional nutritional services which in thepast, were met by the Regional Adviser in Nutrition, who ispresently Director of INCAP, and by occasional short-termconsultants. Collaboration of the Organization is mainlygiven through the development and strengthening of theNutrition Divisions of the Ministries of Health, or of

Nutrition Institutes, and the incorporation of adequatenutrition activities in local health services, includingdemonstrations of basic nutritional services.

The Director of INCAP and his staff will continueto advise the Central American countries and Panama in thedevelopment of their nutrition services but in additionthere will be in 1960 a Regional Adviser on Nutrition toextend the regional program. In order to provide forbetter cooperation vith the other Latin American countriestwo other nutrition advisers strategically stationed inLatin America vill assist in the development of thenutrition program of these countries.

Furthermore as of 1960 provision is made for anutrition education adviser, stationed at INCAP (AMRO-54)to help in the development of training activities. Thisconsultant will also be available to other countries asneeded. Provision is made for short-term consultants toadvise countries on special aspects of the program asneeded. Fellowships will also be provided.

AMRO-181, Live Poliovirus Vaccine Studies (See page 248)

Studies of active immunization against poliomyelitiswith attenuated live-virus vaccines have been pursued bya small group of investigators during the past decade.There are now available attenuated strains of the threeknown types of polioviruses which have been proved safe andeffective in extensive laboratory experiments and sub-stantially large trials in man under field conditions.

Following the successful demonstration in Minnesotain 1957 and 1958 (the latter with PAHO participation) ofa live vaccine containing the three types of poliovirus,PAHO collaborated in large field trials of the live poliovaccine in Colombia, Nicaragua, Haiti, Costa Rica andother countries of the Region.

To carry out the serological and viral studiesconnected with this program, a Tissue Culture Laboratoryvas set up with the assistance of PAH0O, at the Universidaddel Valle in Cali, Colombia, and two consultants were pro-vided by PAHO for a period of at least one year. The unitis operating as a PAHO collaborative laboratory for polio-myelitis vaccine field studies and is rendering its special-ized services to other countries of the Region. The labo-ratory vill also be used for courses on tissue culturetechniques as applied to virology (see AMRO-92).

The epidemiologist is collaborating in variousaspects, particularly surveillance, where vaccinationprograms are now underway.

This project which is financed by a grant fromAmerican Cyanamid Co. provides for one virologist; onelaboratory adviser; two epidemiologists; short-termconsultants; and supplies and equipment in 1960.

AMRO-183, Nursing Midwifery (See page 248)

Through integrated health projects in the variouscountries, the Organization has been active in promotingthe concept that maternity care should be provided as acontinuous service beginning with the first indication ofpregnancy and continuing through the puerperium. Ideally, acomplete service includes obstetric supervision throughoutthe entire maternity cycle, skilled care during delivery,and education of the expectant parents for their role,including care of the newborn and the young child.

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In many Latin American countries and especially inrural areas, a high proportion of mothers receive care onlyat time of delivery and are attended by non-medical person-nel, usually the traditional birth attendant. Where schoolsfor the preparation of midvives exist, the graduates ofthese schools provide more adequate services. Since thegraduate midwife tends to remain in the city, the ruralmother still must depend on the untrained traditional birthattendant.

A number of countries, where schoola for midwivesexist, have made provision to employ graduate midwives inhealth centers; but because schools of midwifery do notusually offer orientation in general public health nor inmaternal and child health in its broad sense, the graduatemidvife assigned to a health center is not prepared forfunction as effectively as she might.

A few countries have organized special in-serviceeducation programs to help prepare the graduate midwifefor her functions as a member of the health center staff.Others have organized special training programs for gradu-ate nurses to prepare them in midwifery. Both activitiesaim to improve services to mothers and children.

Several countries have indicated need for furtherguidance to determine national policies in midwifery, toimprove both academic and within-service training programs,to define roles of various types of health workers con-tributing to maternity and child care, and for the ex-tension and improvement of existing and potential midwiferysaervices.

Provision is made for a public health nurse midwifeto be stationed in a country which has indicated interestfor consultative services in the areas above outlined. Theconsultant will be available to other countries as requestsare received. The consultant will be appointed in 1961 andher services continued through 1962.

Provision is made for fellowships and limitedsupplies and equipment.

AMRO-184 Seminar on Maternal and Child Health(See page 248)

During the past five years the Organization hasgiven continuous assistance in the development of maternaland child health services. It has placed particularemphasis on the integration of these services within thegeneral health services at both the national and locallevels.

Considerable experience has been gained by thevarious countries in many of the problems related to thisimportant aspect of the public health. To aid workers fromvarious countries facing similar problems and to clarifyfurther outstanding problems, seminars will be held to bringtogether public health administrators responsible formaternal and child health programs with those responsible forbroad health planning as well as with public health nurses.

Major aspects for discussion will be: the establish-ment of maternal and child health administrative units atthe national level, its functions and its administrativeposition in the national health services, the problem ofdecentralization, orientation and content of local healthservices, etc.

The first seminar will be held in Mexico in 1962 forparticipants from Costa Rica, Cuba, Dominican Republic,

El Salvador, Guatemala, Honduras, Mexico, Nicaragua, Panamaand Venezuela. A second seminar vill be held for othercountries in a later year.

Provision is made for the short-term consultants inmaternal and child health, pediatrics, obstetrics and insocial welfare, and the participants for the 1962 seminar.

AMRO-185, Medical Care and Hospital OrganizationSee page 248)

Effective organization of medical care servicesinvolves planning and organization of hospital systems,development of medical care facilities in outpatientdepartments, dispensaries and health centers, developingproper interrelationship between hospitalization and out-patient medical care facilities, determining the place thatmedical care facilities should have in over-all plans fordevelopment of health services.

In view of the expanding programs of the countriesin this field the services of a Regional Adviser in MedicalCare are being provided from lgb0. This consultant will beavailable to countries for discussions of the broad problemsof medical care including planning and organization ofhospital services.

There will also be need for provision of consul-tation on specialized aspects including hospital organi-zation and hospital nursing services. Provision is there-fore made from 1961 for short-term consultant services aswell as fellowships.

AMRO-187, Promotion of Community Water Supplies (See page 250)

Among the major problems in the urban environmentin many areas of the Americas is the lack of a potablewater supply in sufficient quantity. To meet the needsin this field, it is proposed, under this project tocollaborate with Menber Governments in activities directedtoward: carrying out a comprehensive study of existingwater supplies; estimating future requirements andresources; preparing long-range plans for water supplydevelopment; effecting immediate improvements in existingsystemis; and recommending financial measures for theconstruction and operation of water supply systems, asrequired. (See also AMRO-239).

Provision is made for short-term consultants in thelegal, financial, administrative and technical aspects ofwater programs to be available to countries as requirementsindicate.

AMRO-196, Insecticide Testing Teams (See page 250)

The appearance of resistance to chlorinated hydro-carbons by anopheline vector species raises the importantquestion of alternate insecticides to interrupt malariatransmission. At present, some of the insecticides ofthe organo-phosphorus group seem promising on the basisof laboratory studies and limited field experience.

In El Salvador, A. albimanus from certain areas isresistant to both DDT and dieldrin. Cooperative studies bythe National Malaria Eradication Service of El Salvador,the United States Public Health Service, and the PAIHO vwerecarried out to determine the effectiveness of certainorgano-phosphorus insecticides against the vector. Thestudies reouired careful planning and observation in

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selected areas of significant size. Similar studies willbe required elsewhere against other vector species and undervarying environmental conditions. As other insecticidesbecome available, these should also be tested.

In areas where vectors are still susceptible to thechlorinated hydrocarbon insecticides, there is an urgentneed for complementary studies to determine with moreprecision the effective residual life under a variety ofcircumstances.

In order to proceed with the studies outlined aboveone team is already organized and has its headquarters inEl Salvador. Another is expected to be established during1960 and two more in 1961. Each team will consist of oneentomologist and one auxiliary entomologist, the teamsbeing under one senior entomologist with considerableresearch experience as the leader. Its functions will beto assess the effectiveness of the various insecticides,formulations, and application rates against a species in avariety of locations.

Provision is made for travel and supply requirementsof the teams.

AMRO-197, Research on the Resistance of Anophelines toInsecticides (See page 250)

Resistance to chlorinated hydrocarbon insecticidesamong anophelines in the malarious areas of the Americasappeared in 1958. Such resistance has now been reportedfrom five countries and two other territories. Threespecies are involved, all vectors. Significant operationalchanges have been required as a result.

In January, 1959, the Director convoked an ad hocmeeting of experts in the fields of insect physiology andgenetics, to seek advice regarding research activitieswhich might throw light on the problem of resistance. Itwas the consensus that while much might be done in the fieldtowards early detection of resistance, basic laboratorystudies of genetics and physiology should be undertaken onthe species involved, since reasoning by analogy from onespecies to another in hazardous. Further, it was recom-mended that these laboratory studies be coordinated withfield work in ecology and morphology.

In order that these studies may be initiated assoon as possible, attempts to colonize both susceptible andresistant strains of vector species are under way. One suchstudy is being carried out by The Johns Hopkins University.It is proposed that the field work be carried out as anormal function of the Bureau's personnel. To assist inthe laboratory studies, it is proposed that a grant be madein each of 1960, 1961 and 1962. Such grant, to a researchlaboratory of a university, would provide for the addition-al personnel required for this collaboration.

AMRO-198, Administrative Methods and Practices in PublicHealth (See page 250)

In addition to technical competence, sound adminis-tration and business methods are fundamental for the ef-fective and economical operation of national healthestablishments. Limited assistance in this field has beengiven by the Organization in the form of consultativeservice and fellowships and through the sponsorship ofseminars and technical discussion groups.

In 1957 the Directing Council of the PAHO paidspecial attention to this field in a resolution(DC10, R/XXXV) which recommended that the Member Statesgive attention to the improvement of administrativepractices related to public health programs; and instructedthe Director of the PASB, on a gradual basis to collaboratewith the governments in matters concerning administrativemethods and procedures in public health services.

A chief administrative methods officer will beassigned in 1960 and provisions are made for the same postfor 1961 and 1962. Provisions are also made for fellow-ships for the same years.

AMRO-199, Anopheline Susceptibility Testing (See page 250)

Now that it has been possible to establish standardmethods and equipment for testing of adult anophelinesusceptibility to insecticides, it is recommended thateach National Malaria Eradication Service establish routinetesting services on an ever increasing scale.

Standard test kits for such tests are furnished byWHO. However, it is necessary for each Service to maintaina supply of expendable test papers. In order to assure acontinuous supply of such material for susceptibilitytesting throughout the Americas, provision is made for aroutine supply of test papers for the various countries.Purchases of test papers and shipment to the countries willbe made from this project, ensuring this material to allcountries upon request.

AMRO-200.2, Symposium on Live Poliovirus Vaccines(See page 250)

The Pan American Health Organization, the WorldHealth Organization, and the Sister Elizabeth KennyFoundation sponsored in June 1959 a acientific conferenceon live poliovirus vaccines to discuss present status andtrends and possibilities for use of this type of vaccineto delineate guidelines for conduct of further work andfield programs.

A second conference is being held in June 1960 inorder for key technical persons to keep abreast ofdevelopments in this rapidly developing field.

AMRO-211, Seminar on Teaching of Internal Medicine(See page 252)

The seminar method has been most useful in intro-ducing new ideas on content and methodology of variousareas in the medical curriculum. The Seminars on Teachingof Preventive Medicine and those of Preventive Educationhave been directed at two phases closely connected with thefield of public health.

The Teaching of Internal Medicine is fundamental tosound medical education and the basis of all diagnoses andtreatment. As such it is a logical place for discussionand emphasis of preventive medicine concepts. In 1959the Association of Medical Schools of Colombia held aSeminar on Teaching of Internal Medicine at Manizales,Colombia. The Organization assisted the Association inthis Seminar by helping adapt the agenda to emphasizeprevention and by making available the attendance at themeeting of professors of internal medicine from severalcountries of Latin America.

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Provision is made for short-term consultants,participants, supplies and equipment, and contractualservices. A second seminar on teaching of internal medi-cine is planned for 1962.

AMRO-212, Seminar on Teaching of Nursing Auxiliaries(See page 252)

Interest in the utilization of nursing auxiliariesis widespread in the Americas. On the basis of presentknowledge and experience with this type of workers,seminars for instructors and supervisors of this personnelwill be held in 1961 and 1962, to discuss their trainingand functions.

The ten-day seminar planned for 1961 will be heldin Middle America and will be attended by instructors ofcourses for auxiliaries, supervisors of services employingthem and members of the staff of the Organization engagedin nursing education and public health. It is expectedthat a similar seminar will be conducted in 1962 in SouthAmerica.

Provision is made in 1961 and 1962 for short-termconsultants, for participants, and for some supplies andequipment.

AMRO-215, Study Group on Chagas' Disease (See page 252)

In 1960 a group to advise on the public healthaspects of Chagas' disease was convened in Washington. Itsagenda concerning the disease included its geographicaldistribution, evaluation of diagnostic procedures andpresent methods of treatment, its control and prevention,recommended survey methods, and investigations necessary inpriority order of the diverse problems posed by the disease.It also considered inter-country coordination necessary forcontrol.

Provision is made in 1960 for consultant services.

AMRO-219, Training Course in Administration, Managementand Financing of Water Supplies (See page 252)

Following recommendations of the XI Meeting of theDirecting Council, two training courses in the finance andadministration of water systems were scheduled in 1960.These courses are for the preparation of engineers workingin the promotion of community water systems.

It is planned to carry out an additional trainingcourse in 1961. Provision is made for the costs of thecourse and the participants.

For a summary of the problems of water supplies, seeAMRO-239.

AMRO-220, Malaria Eradication EpidemioloV' Teams(See page 252)

As residual house spray programs for malaria eradi-cation are carried out, there is a pressing need to deter-mine the causes of persisting transmission of the diseasein such areas where complete interruption of transmissionhas not been achieved. In order to determine these causes,epidemiological studies of the localities and areas withsuch continued transmission must be studied in detail.Epidemiological personnel, skilled in the techniques for

appraising probable causes of transmission, will berequired in increasing numbers.

In order to assist governments in carrying out theseepidemiological investigations, and to train both nationaland international personnel in malaria eradication epi-demiology, several teams will be organized. The first isbeginning work early in 1960. Each team will be composedof a medical epidemiologist, an entomologist and a parasito-logist. In accordance with individual agreements withgovernments, the functions of the team will be to: ascertainthe extent of persisting transmission within limited areas;investigate the causes thereof; develop and perfect tech-niques for ascertaining such causes; and carry out thetraining of national and international personnel in theseinvestigative methods.

The first team will be based in Guatemala. Sub-sequent teams will be established and based as needs becomemore apparent. Provision is made for two teams in 1961 andfor three teams in 1962. Provision is also made forsupplies, equipment and common services.

AMRO-234, Sewage Disposal and Water Pollution ControlSee page 254)

In a majority of countries, whenever the watersupply situation is considered, it is necessary to considersewage disposal simultaneously.

Apart from the water program, certain countries andmany municipalities are now confronted with serious pro-blems involving sewage and industrial waste. It is there-fore proposed to assist directly countries in the studyof their specific problems in 1961 and in 1962 to assessthe severity of the problem, to review health and economicimplications, and to consider remedial measures particularlyfrom the administrative point of view.

Provision is made in 1961 and 1962 for consultantservices.

AMRO-235, Food Sanitation (See page 254)

Food sanitation is a problem in every urban sani-tation program. Some guidance in this field, from theinternational point of view, has been given by WHO in theIV Report of the Expert Committee on Environmental Sani-tation. To further define and emphasize the importance offood sanitation consultant services are provided to reviewmunicipal food control practices and to prepare a guidefor use by Latin American municipalities in consideringfood control legislation and inspection programs.

AMRO-236, Refuse and Garbage Disposal (See page 254)

Demand for services in the fields of refuse andgarbage disposal as well as as associated consideration offly and rodent control is increasing in the past few years.

The technical discussions at the 12th DirectingCouncil will deal with this subject and will make recom-mendations for further action. Using these as a basis,consultants will propose a manual for guidance to countrieson this subject.

Provision is made in 1961 for consultant services.

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AMRO-239. Promotion of Community Water Supplies(Interzone) (See page 254)

If a single program vere to be chosen for maximumpublic health.dividends, the provision of safe and amplewater would be first in priority. Studies indicate that,irrespective of etiologic and sociologic differences, from30 to 60 per cent reduction in diarrheal diseases could beexpected by providing a potable water supply in sufficientquantities and conveniently accessible to people.

Significant data have been accumulated in a recentsurvey of availability of water to people in the variouscountries of Central and South America. Of 75 millionpersons living in the surveyed countries in urban areas,39 per cent were without water services in 1958. Citiesof 50,000 or more have the best water service but frequent-ly more than the 25 per cent of the inhabitants do not havewater service in the house or in the immediately adjacentcourtyard. In fact the population without water service inmajor cities goes as high as 100 per cent. Almost 50 percent of the people living in cities of 10,000 to 50,000 arewithout such service. In cities of 2,000 to 10,000 over70 per cent are not served. Of those in smaller communitiesfar more than 70 per cent are vithout water service and yetmany live in community groups vhere the density of livingdemands community piped vater and sewerage systems.

In the individual situations vhich have been analyzednot only are there technical problems to be solved regardingwater sources, treatment, transportation and distributionbut, of equal importance, and perhaps the greatest stumblingblock, there are fundamental administrative and financialproblems which must be solved before a vater supply can bebuilt and operated properly.

The Directing Council in its XI Meeting adopted aresolution recognizing the special need of PAHO/WH0O to takeurgent action to promote vater development programs and tocoordinate international efforts in this program. PAH0O isto cooperate in projects to provide adequate supplies ofsafe vater to urban communities, with special emphasis onstimulation of financial resources. The prime activity ofPAHO will be in the education of national and local of-ficials in the administrative, technological, and financialaspects of water supply systems and in providing consultantservices to them on all phases of the water program.

Provision is made for a full-time consultant infinancing and administering of water programs and a full-time consultant in engineering. There is also provisionfor a clerk stenographer.

AMR0-240, Seminar on Public Health Nursing Services(Interzone) (See page 254)

As public health nursing services have expanded,especially in those countries in vhich integrated healthservices projects have developed, increasing recognitionhas been given to the need for including public healthnurses in planning and policy making activities vithin thenational health services.

As a result, in many countries, posts have beencreated for public health nurses at national, intermediateand local levels. To discuss problems of common interestin relation to the development and extension of nursingservices, establishment of priorities in planning suchservices, methods of supervision of services and personneland guidelines for the preparation of all levels of

nursing and midwifery workers a seminar will be held inMiddle America in 1961.

The second seminar in the series isa planned for1962 in South America.

Provision is made in 1962 for consultants, partici-pants, and conference costs.

AMRO-241, Advisory Committee on Statistics (See page 256)

An advisory committee vill reviev the activities inhealth statistics and vill make recommendations for ways ofimproving collection, analysis and distribution of infor-mation with emphasis on coordination in countries and byinternational agencies; education and training programs,with consideration of instruction on statistics in medicalschools; training of hospital personnel in medical recordsand statistics; statistical and epidemiological research;and regional activities on International Classification ofDiseases.

Provision is made for temporary advisers in 1962.

AMRO-242, Seminars on Water Supply Design and ManagementSee page 256)

In 1960 a seminar is scheduled to develop under-standing of rate structures and financing of vater systems(AMRO-244). To continue education of officials workingwith water programs, a seminar on the design of vatersupply systems is planned for 1961 and for water supplymanagement in 1962. These seminars vill provide for anexchange of information and experiences under conditionsin Latin America. Such information will facilitate theadoption of more economic approaches to water supplyprograms and to sounder utility operation.

Provision is made for seminar costs and forparticipants.

For a summary of the problems of vater supplies,see AMRO-239.

AMRO-243, Conference on Development of Water Supplies(See page 256)

Because the success of the vater program, whethermeasured in terms of health or economics, rests in largepart upon understanding, great importance is placed onpresenting sound information to high governmental of-ficials on the water supply program. To meet part of thisneed and to encourage interagency and interministerialcooperation, regional conferences are planned in 1961 and1962. In these, officials of Health and Works Ministriesand other concerned agencies will confer on problems ofnational water programs and approaches to the solutionsto problems.

Provision is made for the costs of the conferences.

For a summary of the problems of vater supplies,see AMRO-239.

AMRO-244, Seminar on Water Rates (See page 256)

To assist in the education of officials workingwith water programs, a seminar on water rates and rate

Page 85: PROPOSED PROGRAM AND BUDGET ESTIMATES

structures is scheduled for 1960. This is one of a seriesof seminars planned to facilitate adoption of sound methodsof operating water programs. Other seminars in design andmanagement are scheduled in 1961 and 1962 (AMRO-242).

For a summary of the problems of water supplies,see AMRO-239.

AMRO-247, Teaching of Statistics in Medical Schools(See page 256)

The development of professors of medical statisticsand of teaching in this field is advisable from the stand-point of improvement of medical education, for the im-portance and use of statistics in medical research and forits influence on vital, health and hospital statistics.At present very few of the 87 medical schools in LatinAmerica have satisfactory teaching of statistics.

At the South American Conference on Teaching ofMedical Statistics and other meetings in 1958, a programwas recommended for training professors of medical sta-tistics. National courses were recommended to promotegeneral interest and to ascertain ability and interestin statistics on the part of faculty members in basic

sciences, preventive medicine and other departments ofmedical schools.

Provision is made for fellowships in 1962 as wellas for consultants for the development of courses forprofessors of medical statistics.

AMRO-248, Sanitary Engineering in Schools of Engineering(See page 256)

This project provides assistance to institutionsoffering education and training in sanitary engineering.In 1962 consultant services and fellowships are providedfor assistance in problems of curricula and trainingpractices as a follow-up to the seminar to be held in 1961on teaching of sanitary engineering.

Contingency Reserve for Malaria Eradication (Interzone)See page 256)

In view of the size and nature of the malariaeradication program, unexpected requirements may develop.A Contingency Reserve is provided for this purpose.

77

Page 86: PROPOSED PROGRAM AND BUDGET ESTIMATES

78

PART III

SECTION 3 - Editorial Services and Publications(See page 258)

No increase is requested in the number of posts inthis activity for 1962 over 1961, nor is any increase indi-cated for the Bulletin or Special Publications. An increaseof $500 is requested for "Statistical Publications and

Reporte" to permit an increase in the activity related tothe mailing of weekly statistical reporte to healthofficials and institutions.

PART III

SECTION 4 - Repatriation Grant(See page 258)

Provision is made on PAHO Regular Funds for acorualof the annual liability with respect to staff entitled toRepatriation Grant. Appointmente under the Special MalariaFund are of a short-term nature and appointees are

therefore not entitled to this grant.

For WHO, amounts are budgeted as specified in theTable of Averages to be found in the Method of Preparation.

PART IV

Amount for Increasing the Working Capital Fund(See page 258)

The condition of the Working Capital Fund was con-sidered fully by the XI Directing Council, including recom-mendations by the External Auditor (Official Document No.29) and by the Executive Commnittee at its 37th Meeting.The Directing Council, in Resolution VII decided "toapprove the assignment of a portion of the budget forgradually increasing the Working Capital Fund until theauthorized level has been reached, and for maintaining

the Fund at that level."

Pursuant to the above mentioned resolution thefigure of S300,000, which appeared in Official DocumentNo. 28 and Document CE40/3, is proposed herein for 1961.Since the addition of this amount still will leave theWorking Capital Fund far below its authorized level, asimilar amount of $300,000 is proposed for 1962.

Page 87: PROPOSED PROGRAM AND BUDGET ESTIMATES

SCHEDU LES

Page 88: PROPOSED PROGRAM AND BUDGET ESTIMATES

8s

PAN AMERICAN HEALTH ORGANIZATIONREGULAR BUDGET OTHER FUNDS SUMARY

NUMBER NUMBER'OF POSTS ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ PART I

20 20 20 251,530 231,484 313,303 1 1 1 11,545 7,976 9,305 PAN AMERICAN HEALTH ORGANIZATION

PART IIPAN AMERICAN HEALTH ORGANIZATION -

136 137 139 1,387,138 1,406,960 1,469,247 17 17 17 171,612 160,423 170,568 HEADQUARTERS

PART IIIPAN AMERICAN REALTH ORGANIZATION -

185 196 201 2,461,332 2,861,556 3,157,450 314 323 328 4,177,677 4,405,363 4,512,205 FIELD AND OTHER PROGRAMS

PART IVAMOUNT FOR INCREASING THE

300,000 300,000 WORKING CAPITAL FUND

341 353 360 4,100,000 4,800,000 5,240,000 332 341 346 4,360,834 4,573,762 4,692,078 TOTAL -ALL PARPS

100,00 10100,000 100,000 LESS MISCELLANEOUS INCOME

4,000,000 4,700,000 5,140,000 TOTAL FOR ASSESSMENT

PARP IPAN AMERICAN HEALTH ORGANIZATION

Sect. 1. Conference and Publications20 20 20 .105,799 108,729 111,674 1 1 1 4,800 5,000 5,200 Branch

Sect. 2. Organizational Meetings

Ch. 1. Meetings of the Pan AmericanSanitary Conference,Directing Council, ExecutiveCommittee and WHO Regional

67,093 48,794 127,130 CommitteeCh. 2. Meetings of the Executive

14,934 14,934 14,934 Committee

82,027 63,728 142,064

1,350 1,350 1,350 Sect. 3. Temporar~ Personnel

Sect. 4. Common Staff Coste

15,293 15,716 16,142 228 238 247 Ch. 1. Pension2,380 2,447 2,512 108 113 117 Ch. 2. Insurance

17,075 17,075 17,075 1,425 1,425 1,425 Ch. 3. Post Adjustment Allovance256 256 256 384 400 416 Ch. 4. Service Benefit

1,175 1,175 1,175 Ch. 5. Repatriation Grant6,000 6,000 6,000 800 800 800 Ch. 6. Dependents' Allovance7,600 3,800 Ch. 7. Recruitment Costs2,325 4,618 4,525 1,100 Ch. 8. Home Leave

10,250 10,390 10,530 Ch. 9. Reimbursement of Income Tax

62,354 57,677 58,215 6,745 2,976 4,105

20 20 20 251,530 231,484 313,303 1 1 1 11,545 7,976 9,305 TOTAL -PARH I

PARP IIPAN AMERICAN HEALTH ORGANIZATION -HEADQUARTERS

Sect. 1. Executive Offices

10 10 10 74,566 76,806 77,746 Ch. 1. Office of the Director12 12 12 82,189 84,610 88,224 Ch. 2. Information Offioe

22 22 22 156,755 161,416 165,970

Page 89: PROPOSED PROGRAM AND BUDGET ESTIMATES

81

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDST 1 T A L

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE NMSTB EESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

_$ _ s _ $ $ s5 5 5 68,254 58,032 93,522 26 26 26 331,329 297,492 416,130

63 63 63 702,312 775,708 773,597 216 217 219 2,261,062 2,343,091 2,413,412

53 51 58 1,042,469 1,057,841 1,203,991 73 73 71 915,350 981,404 991,589 625 643 658 8,596,828 9,306,164 9,865,235

300,000 300,000

121 119 126 1,813,035 1,891,581 2,071,110 73 73 71 915,350 981,404 991,589 867 886 903 11,189,219 2,246,747 .2,994,777

5 5 5 29,684 30,719 31,737 26 26 26 140,283 144,448 148.611

19,323 10,072 42,658 86,416 58,866 169,788

14,934 14,934 14,934

19,323 10,072 42,658 101,35[ 73,800 184,722

1,35C 1,350 1,350

4,364 4,481 4,629 19,88 20,435 21,018668 691 714 3,15E 3,251 3,343

5,675 5,675 5,675 24,17' 24,175 24,17564[ 656 672

292 302 1,17! 1,467 1,4771,200 1,425 1,200 8, 0( 8,225 8,000

600 11,40 6005,325 1,800 4,260 7,65[ 6,418 9,8852,015 2,277 2,347 12,26 12,667 12,877

19,247 17,241 19,127 88,34( 77,894 81,447

5 5 5 68,254 58,032 93,522 26 26 26 331,329 297,492 ^N416,130

25,115 28,200 28,200 10 10 10 99,681 105,006 105,946

3 3 3 77,017 95,781 97,924 15 15 15 159,2a 180,391 186,148

3 3 3 102,132 123,981 126,124 25 25 25 258,88 285,397 292,094

Page 90: PROPOSED PROGRAM AND BUDGET ESTIMATES

82

PAN AMERICAN HEALTH ORGANIZATIONREGULAR BUDGET OTHER FUNDS s1URY

OF POSTS ESTIMATED EXPENDITURE OF POSu S ESTIMATED EXPENDITUREnOF P_1T 1-, ^ IOF POSTSou 0I o¡¿ 1960 1961 1962 601 61 1621 1960 E 1961

$ $ $ $ $ $ $

2 2 2 25,010 25,345 25,680 405 405 4058 8 8 40,333 41,797 43,122 2 2 2 10,464 10,818 11,222

14 14 14 83,679 85,600 86,847

24 24 24 149,022 152,742 155,649 2 2 2 10,869 11,223 11,627

2 2 2 27,885 27,870 26,990 6,300 3,800 3,800

11 11 11 58,113 60,113 62,153 2 2 2 7,803 8,203 8,56317 17 17 89,004 92,203 95,278 1 1 1 5,364 5,569 5,7747 7 7 35,853 36,737 37,532

16 16 16 69,049 70,716 72,366 1 1 1 3,190 3,319 3,449

53 53 53 279,904 287,639 294,319 4 4 4 22,657 20,891 21,586

4 5 5 38,877 56,145 59,614 4,450 4,450 4,4508 8 10 46,106 53,895 63,560

20 20 20 115,357 115,961 118,271 2 2 2 11,140 11,525 11,910

2 2 2 12,685 13,085 13,2773 3 3 41,914 43,569 44,169 9 9 9 63,714 65,328 66,628

37 38 40 254,939 282,655 298,891 11 11 11 79,304 81,303 82,988

9,546 13,140 13,140 2,500 1,180 1,180

104,920 111,647 115,624 5,499 5,879 6,06316,718 17,827 18,442 1,903 2,055 2,11785,396 91,314 93,139 7,642 8,475 8,475

309 319 329 2,984 3,376 3,49112,479 12,479 12,47932,103 34,736 35,536 3,833 3,800 3,80034,200 3,800 3,800 8,60019,323 7,307 33,200 4,000 6,700

102,762 104,702 106,492 6,540 6,960 7,260

408,210 384,131 419,041 41,001 30,545 37,906

45,725 45,725 45,725 5,942 5,942 5,94240,651 40,651 40,651 5,283 5,283 5,28328,320 28,320 28,320 3,680 3,680 3,6803,491 3,491 3,491 376 376 376

10,575 7,050 4,050

128,762 125,237 A22,237 15,281 15,281 15,2811

Sect. 2. Division of Education andTraining

Ch. 1. Office of the ChiefCh. 2. Fellowships BranchCh. 3. Professional Education

Branch

Sect. 3. Division of Administration

Ch. 1. Office of the ChiefCh. 2. Administrative Management

and Personnel BranchCh. 3. Budget and Finance BranchCh. 4. Supply OfficeCh. 5. General Services Office

Sect.

Ch.Ch.Ch.Ch.

Ch.

4.

1.2.3.4.

5.

Division of Public Health

Office of the ChiefHealth Promotion BranchCommunicable Diseases BranchEnvironmental Sanitation

BranchMalaria Eradication

Sect. 5. Temporary Personnel

Sect. 6.

Ch. 1.Ch. 2.Ch. 3.Ch. 4.Ch. 5.Ch. 6.Ch. 7.Ch. 8.Ch. 9.

Common Staff Costs

PensionInsurancePost Adjustment AllowsanceService BenefitRepatriation GrantDependents' AllowanceRecruitment CostsHome LeaveReimbursement of Income Tax

Sect. 7. Common Services -Headquarters

Ch. 1. Space and Equipment ServicesCh. 2. Other ServicesCh. 3. Supplies and MaterialsCh. 4. Fixed Charges and ClaimsCh. 5. Acquisition of Capital

Assets

* Includes post funded by the Malaria Eradication Special Account.

136 137 139 1,387,138 1,406,960 1,469,247 17 17 17 171,612 160,423 170,568 TOTAL - PART II

1962

r

,-~

Page 91: PROPOSED PROGRAM AND BUDGET ESTIMATES

83

WORLD HEALTH ORGANIZATION

REGU L A R BUDGET 1 TECHNICAL ASSISTANCE FUNDS T O T

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITURE ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $$$$ $ $ $ $

1 1 1 9,172 20,630 20,630 3 3 3 34,587 46,380 46,715

10 10 10 48,472 54,563 56,118 20 20 20 99,269 107,178 110,462

2 2 2 12,507 12,732 12,979 16 16 16 96,186 98,332 99,826

13 13 13 70,151 87,925 89,727 39 39 39 230,042 251,890 259,003

4,385 4,440 3,635 2 2 2 38,570 36,110 34,425

9 9 9 46,578 49,264 50,549 22 22 22 112,494 117,580 121,265

13 13 13 63,446 65,205 66,725 31 31 31 157,814 162,977 167,777

6* 6* 6* 27,858 28,543 29,148 13 13 13 63,711 65,280 66,680

5 5 5 23,995 24,580 24,757 22 22 22 96,234 98,615 100,572

33 33 33 166,262 172,032 174,814 90 90 90 468,823 480,562 490,719

27,030 27,030 28,890 4 5 5 70,357 87,625 92,954

6 6 6 37,949 37,683 38,445 14 14 16 84,055 91,578 102,005

6 6 6 34,675 36,627 37,482 28 28 28 161,172 164,113 167,663

2 2 2 13,569 13,983 14,443 4 4 4 26,254 27,068 27,72012 12 12 105,628 108,897 110,797

113,223

363

115,323 119,260 621 63 65

I I 1 I I k 1 1 T- T- I

5.680 5,680 12,409 20,000 20,000

43,815 47,721 48,695 154,234 165,247

7,759 8,259 8,435 26,380 28,141

39,523 42,730 42,730 132,561 142,519

3,578 5,489 5,696 6,871 9,184

700 718 12,479 13,179

19,242 19,720 19,720 55,178 58,256

3,989 46,789 3,800

4,606 17,700 5,500 27,929 25,007

50,662 54,966 56,016 159,964 166,628

173,174 197,285 187,510 622,385 611,961

25,83322,96616,0001,633

10,575

77,007

702,312

25,83322,96616,0001,633

7,050

73,4821

25,83322,96616,0001,633

4,050

70,482_ _ _., - 1 _

_ _ _ _ _

19

77,50068,90048,0005,500

21,150

221,050

2,261,062

170,38228,994

144,3449,51613,19759,0563,800

45,400169,768

644,457

77,500 77,50068,900 68,90048,000 48,0005,500 5,500

14,100 8,100

214,000 208,000

2,343,091 2,413,412_~~~~0 n

14 1 14

1 1 1 ii i i i I

501,139447,466 479,281

2216 217

Page 92: PROPOSED PROGRAM AND BUDGET ESTIMATES

84

PAN AMERICAN HEALTH ORGANIZATION0oREGULAR BUDGET OTHER FUNDS SMARY

NUOF POSTS ESTIMATED EXPENDITURE 1 OF ESTIMATED EXPENDITURE __OF POSTS 1 OF POSTS

60 61 ¡62 1960 1 1961 1 1962 160 61 162 1960 1961 1962

$ $ $ $ $ $ 1

16 16 16 157,841 170,366 169,637 1 1 1 60,789 61,892 62,29016 16 16 107,218 113,108 113,242 2 2 2 5,024 5,304 5,49920 20 20 138,427 144,687 152,801 2 2 2 4,955 6,226 6,61818 18 18 124,695 127,392 133,157 1 1 1 2,191 2,171 2,26713 13 13 89,340 87,899 88,03318 18 18 110,871 125,705 121,939

101 101 101 728,392 769,157 778,809 6 6 6 72,959 75,593 76,674

148 151 156 2,907,484 3,069,125 3,150,7161 4 4 13,378 50,658 55,7953 5 5 39,242 76,056 81,1643 5 5 39,242 76,056 81,164

14 12 12 333,309 273,563 278,623 29 29 29 61,159 46,649 47,7683 3 2 97,754 107,277 102,910 4 147,0751 1 3 22,093 23,818 39,433

32 37 38 609,167 740,409 769,2483 5 5 35,266 68,433 90,0811 31,842 21,065 19,9857 6 7 103,645 139,859 200,434

11,500

1 2 2 21,886 49,759 86,1461 1 850 21,122 17,753

6 6 6 116,562 107,799 134,992 16 16 16 375,400 375,400 375,4004,388 26,000 26,600

1 1 2 32,980 64,114 113,970 4 5 5 200,000 302,785 301,4591 2 3 36,348 59,769 89,327

45,213 75,720 80,020107 116 116 403,600 525,811 550,188

74 85 90 1,555,423 1,905,421 2,186,481 308 317 322 4,094,718 4,319,770 4,425,531

10 10 10_ _ __

168,956

8,561

178,417 183,599 10,000 10,000-4 4I-' - -I4

8,561 8,561

10,000

PAR? IIIPAN AMERICAN HEALTH ORGANIZATION -

FIELD AND OTHER PROGRAMS

Sect. 1. Zone Offices

Ch. 1. Zone ICh. 2. Zone IICh. 3. Zone IIICh. 4. Zone IVCh. 5. Zone VCh. 6. Zone VI

Sect. 2. Programs

Ch. 1. MalariaCh. 2. TuberculosisCh. 3. Venereal Diseases and

TreponematosesCh. 4. Endemo-Epidemic DiseasesCh. 5. Virus DiseasesCh. 6. LeprosyCh. 7. Public Health AdministrationCh. 8. Vital and Health StatisticsCh. 9. Dental HealthCh.10. NursingCh.ll. Social and Occupational

HealthCh.12. Health Education of the

PublicCh.13. Maternal and Child HealthCh.14. Mental HealthCh.15. NutritionCh.16. Radiation and IsotopesCh.17. Environmental SanitationCh.18. Education and TrainingCh.19. Other ProjectsFoot-and-Mouth Disease Center

Less: Delays in implementation ofnew WHO projects

Sect. 3. Editorial Services andPublications

Sect. 4. Repatriation Grant

185 196 201 2,461,332 2,861,556 3,157,450 314 323 328 4,177,677 4,405,363 4,512,205 TOTAL -PART III

PAR1 IV

Amount for Increasing the300,000 300,000 Working Capital Fund

�1� 1 J �I -

4.

1-

Page 93: PROPOSED PROGRAM AND BUDGET ESTIMATES

85

WORLD HEALTH ORGANIZATIONR E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDS

N U MB ER NUMBER NUMBEROFUMBER ESTIMATED EXPENDITURE NUO BER ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

OF. POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ $ $ $ S S

2,014 2,544 2,614 17 17 17 220,644 234,802 234,541

2 2 2 36,145 33,769 38,070 20 20 20 148,387 152,181 156,811

1 1 1 20,582 22,466 21,115 23 23 23 163,964 173,379 180,534

4,078 4,085 4,085 19 19 19 130,964 133,648 139,509

1 1 1 18,012 17,117 18,644 14 14 14 107,352 105,016 106,677

3,598 3,141 3,141 18 18 18 114,469 128,846 125,080

4 4 4 84,429 83,122 87,669 111 111 111 885,780 927,872 943,152

8 B 8 109,999 116,511 118,239 155 158 163 3,017,483 3,185,636 3,268,955

7 4 4 65,261 74,491 66,185 1 1 1 17,460 18,310 24,051 9 9 9 96,099 143,459 146,031

2 1 1 28,860 14,420 15,178 1 15,552 7 6 6 83,654 90,476 96,342

1 18,890 1,400 14 13 11 146,533 137,735 127,516 58 54 52 559,891 459,347 453,907

12,150 3,800 2,800 1 1 1 6,477 10,620 11,378 8 4 3 263,456 121,697 117,088

1 1 1 27,616 18,946 18,260 1 1 1 10,047 14,023 14,502 3 3 5 59,756 56,787 72,195

20 21 24 367,700 413,469 489,373 36 36 36 454,447 490,576 502,972 88 94 98 1,431,314 1,644,454 1,761,597

3 3 3 60,126 70,833 82,471 29,200 34,255 28,255 6 8 8 124,592 173,521 200,8071 31,842 21,065 19,985

9 10 11 185,914 172,610 183,897 7 9 9 69,785 100,333 102,589 23 25 27 359,344 412,802 486,920

1 18,175 1 1 1 10,990 22,216 23,804 1 1 2 22,490 22,216 41,979

3 3 4 43,066 44,343 66,818 3 3 4 43,066 44,343 66,818

1 1 1 21,189 17,407 16,188 2 3 3 43,075 67,166 102,334

17,050 1 1 17,900 21,122 17,753

1 2 16,192 39,234 1 16,320 23 23 24 508,282 499,391 549,6264,388 26,000 26,600

62,300 56,800 59,900 2 3 3 24,240 36,825 38,279 7 9 10 319,520 460,524 513,608

30,520 54,500 61,000 4,300 1 2 3 71,168 114,269 150,327

45,213 75,720 80,020107 116 116 403,600 525,811 550,188

(2,544 (21,631) (2,544) (21,631)

47 45 52 940,642 956,667 1,097,848 73 73 71 915,350 981,404 991,589 502 520 535 7,506,133 8,163,262 8,701,449

2 2 2 17,398 18,052 18,474 12 12 12 196,354 206,469 212,073

8,561 8,561 8,561

53 51 58 1,042,469 1,057,841 1,203,991 73 73 71 915,350 981,404 991,589 625 643 658 8,596,828 9,306,164 9,865,235

300,000 300,000

Page 94: PROPOSED PROGRAM AND BUDGET ESTIMATES

86

PAN AMERICAN HEALTH ORGANIZATIONE S T I M A T E D E X P E N D I TU RE BUDGET SUMMARY BY

REGULAR BUDGET THE R FUNS RELATED ACTIVITY1960 1961 1962 1960 1961 1962

S % [ % S % s % % _ %_

156,755

244,0513,599

128,762150,450

3.8

6.0.1

3.13.7

161,416

250,9024,954

125,237149,748

3.L

5.2.1

2.63.1

165,970

256,7874,954

122,237152,198

3.2

4.9

2.32.9

22,657418

15,2816,864

c

.4

20,891262

15,2816,794

.5

.3

.1

21,586218

15,2817,009

68;if67 16.7 692,257 1i4. 702,146 13.L 45,220 1.[ 43,228 .9 44,094 1.0

254,939149,02235,8535,947

728,392257,760

6.23.6.9.1

17.86.3

282,655 5.9152,742 3.236,737 .78,186 .2

769,157 16.0234,383 4.9

298,891155,64937,5328,186

778,809266,843

5.'3.,

.]

14.55.]

79,30410,869

2,08272,95934,137

1.E.3

1.7.e

81,30311,223

91875,59323,751

1.8.2

1.7.5

82,98811,627

96276,67430,897

.5

.3

.2

1.8.2

1.6.7

1,431,913 34.9 1,483,860 30.9 1,545,910 29. 199,351 4.6 192,788 4.2 203,148 4.3- 1 L -~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

13,37839,242

333,30997,75422.093

609,16735,26631,842

103,64511,500

21,886850

116,5624,388

32,98036,34845,213

1,555,423

168,956

8,561

1.18.12.4

14.5.9.2

.5

2.8.1.8.91.1

38.0

4.1

.2

50,65876,056

273,563107,27723,818

740,40968,43321,065

139,859

49,75921,122

107,79926,00064,11459,76975,720

1,905,421

178,417

8,561

1.11.65.72.2.5

15.41.4.4

2.9

1.0.5

2.3.5

1.31.31.6

39.7

3.7

.2

55,79581,164

278,623102,91039,433

769,24890,08119,985

200,434

86,14617,753

134,99226,600

113,97089,32780,020

2,186,481

183,599

8,561

1.)1.15.22.[.E

14.¿1.9

3.

1.8

.

2.:1.71.!

41.

3..

.1

2.907.484 66.71 3.069.125

61,159147,075

375,400

200,000

403,600

4,094,718

10,000

1.43.4

8.6

4.6

9.2

93.9

.2

46,649

375,400

302,785

525,811

4,319,770

10,000

67.1

1.0

8.2

6.7

11.5

94.5

.2

3,150,716

47,768

67.2

1.0

375,400 8.[

301,459 6.4

550,188

4,425,531

10,000

11.7

94.3

1,732,940 42.3 2,092,399 43.6 2,378,641 45.4 4,104,718 -94.1 4,329,770 94. 4,435,531 94.5. _

105,79982,0271,350

62,354

2.62.0

1.5

108,72963,7281,350

57,677

2.21.]

111,674142,064

1,35058,215

2.7

1.1

4,800

6,745

.1

.2

5,000

2,976

.1

.1

5,200

4,105

.1

.1

251,530 6.1 231,484 4.8 313,303 6.j 11,545 .3 7,976 .2 9,305 .2

300,000 6.3 300,000 5.

4,100,0000 .O4,800,000 100.[ 5,240,000 L00.cl 4,360,834 100.0 4,573,762 100.0 4,692,078 L00.0

* Less than .05 per cent.

GROUP I

Administrative Services

Executive OfficesDivision of Administration (Excluding

Supply Office)Temporary PersonnelCommon Services -ReadquartersCommon Staff Costs

TOTAL -GROUP I

GROUP II

Technical Services and Supply

Division of Public HealthDivision of Education and TrainingSupply OfficeTemporary PersonnelZone OfficesCommon Staff Costs

TOTAL -GROUP II

GROUP III

Field Programs and Publications

Programs

MalariaTuberculosisVenereal Diseases and TreponematosesEndemo-Epidemic DiseasesVirus DiseasesLeprosyPublic Health AdministrationVital and Health StatisticsDental HealthNursingSocial and Occupational HealthHealth Education of the PublicMaternal and Child HealthMental HealthNutritionRadiation and IsotopesEnvironmental SanitationEducation and TrainingOther ProgramsFoot-and-Mouth Disease Center

Total -Programs

Editorial Services and Publications

Repatriation Grant

TOTAL - GROUP III

GROUP IV

Part I-Pan American Realth Organization

Conference and Publications BranchOrganizational MeetingsTemporary PersonnelCommon Staff Costs

TOTAL -GROUP IV

Amount for Increasing theWorking Capital Fund

TOTAL - BUDGET

4

i .i .

1 -- _.. - 1--- 1---

.

Page 95: PROPOSED PROGRAM AND BUDGET ESTIMATES

87

WORLD HEALTH ORGANIZATIONEST IMATED EX P EN D IT URE T O T A L

R E G U L AR B U D G E T TECHNICAL ASSISTANCE FUNDS

1960 1961 1962 1960 1961 1962 1960 1961 1962

$ / S / S -/o S / $ %/ $ % $ % S % S % S %

102,132 5.6 123,981 6.6 126,124 6.1 258,887 2.3 285,397 2.3 292,094 2.2

138,404 7.6 143,489 7.6 145,666 7.0 405,112 3.6 415,282 3.4 424,039 3.3

165 * 2,420 .1 2,541 .1 4,182 * 7,636 .1 7,713 *

77,007 4.3 73,482 3.9 70,482 3.4 221,050 2.0 214,000 1.7 208,000 1.6

78,796 4.4 84,063 4.4 83,878 4.1 236,110 2.1 240,605 2.0 243,085 1.9

396,504 21.9 427,435 22.6 428,691 20.7 1,125,341 10.0 1,162,920 9.5 1,174,931 9.0

113,223 6.2 115,323 6.1 119,260 5.8 447,466 4.0 479,281 3.9 501,139 3.9

70,151 3.9 87,925 4.6 89,727 4.3 230,042 2.1 251,890 2.1 257,003 2.0

27,858 1.5 28,543 1.5 29,148 1.4 63,711 .6 65,280 .5 66,680 .5

198 * 3,260 .2 3,139 .2 8,227 .1 12,364 .1 12,287 .1

84,429 4.7 83,122 4.4 87,669 4.2 885,780 7.9 927,872 7.6 943,152 7.2

94,378 5.2 113,222 6.0 103,632 5.0 386,275 3.4 371,356 3.0 401,372 3.1

390,237 21.5 431,395 22.8 432,575 20.9 2,021,501 18.1 2,108,043 17.2 2,181,633 16.8

109,999 12.0 116,511 11.9 118,239 11.9 3,017,483 27.0 3,185,636 26.0 3,268,955 25.2

65,261 3.6 74,491 3.9 66,185 3.2 17,460 1.9 18,310 1.9 24,051 2.4 96,099 .9 143,459 1.2 146,031 1.1

28,860 1.6 14,420 .8 15,178 .7 15,552 1.7 83,654 .7 90,476 .7 96,342 .7

18,890 1.0 1,400 .1 146,533 16.0 137,735 14.0 127,516 12.9 559,891 5.0 459,347 3.7 453,907 3.5

12,150 .7 3,800 .2 2,800 .1 6,477 .7 10,620 1.1 11,378 1.1 263,456 2.4 121,697 1.0 117,088 .9

27,616 1.5 18,946 1.0 18,260 .9 10,047 1.1 14,023 1.4 14,502 1.5 59,756 .5 56,787 .5 72,195 .6

367,700 20.3 410,925 21.7 479,595 23.1 454,447 49.6 490,576 50.0 502,976 50.7 1,431,314 12.8 1,641,910 13.4 1,751,819 13.5

60,126 3.3 70,833 3.7 82,471 4.0 29,200 3.2 34,255 3.5 28,255 2.9 124,592 1.1 173,521 1.4 200,807 1.531,842 .3 21,065 .2 19,985 .2

185,914 10.3 172,610 9.1 181,727 8.8 69,785 7.6 100,333 10.2 102,589 10.3 359,344 3.2 412,802 3.4 484,750 3.7

13,981 .7 10,990 1.2 22,216 2.3 23,804 2.4 22,490 .2 22,216 .2 37,785 .3

43,066 2.4 44,343 2.4 63,873 3.1 43,066 .4 44,343 .4 63,873 .5

21,189 1.2 17,407 .9 16,188 .8 43,075 .4 67,166 .5 102,334 .8

17,050 .9 17,900 .2 21,122 .2 17,753 .1

16,192 .9 36,690 1.8 16,320 1.8 508,282 4.5 499,391 4.1 547,082 4.24,388 * 26,000 .2 26,600 .2

62,300 3.4 56,800 3.0 59,900 2.9 24,240 2.7 36,825 3.7 38,279 3.9 319,520 2.9 460,524 3.7 513,608 4.0

30,520 1.7 54,500 2.9 61,000 2.9 4,300 .5 71,168 .6 114,269 .9 150,327 1.245,213 .4 75,720 .6 80,020 .6

403,600 3.6 525,811 4.3 550,188 4.2

940,642 51.9 956,667 50.6 1,097,848 53.0 915,350 100.0 981,404 100.0 991,589 100.0 7,506,133 67.1 8,163,262 66.6 8,701,449 67.0

17,398 .9 18,052 .9 18,474 .9 196,354 1.7 206,469 1.7 212,073 1.6

8,561 .1 8,561 .1 8,561 .1

958,040 52.8 974,719 51.5 1,116,322 53.9 915,350 100.0 981,404 100.0 991,589 100.0 7,711,048 68.9 8,378,292 68.4 8,922,083 68.7

29,684 1.6 30,719 1.6 31,737 1.5 140,283 1.3 144,448 1.2 148,611 1.2

19,323 1.1 10,072 .6 42,658 2.1 101,350 .9 73,800 .6 184,722 1.41,350 * 1,350 * 1,350 *

19,247 1.1 17,241 .9 19,127 .9 88,346 .8 77,894 .6 81,447 .6

68,254 3.8 58,032 3.1 93,522 4.5 331,329 3.0 297,492 2.4 416,130 3.2

300,000 2.5 300,000 2.3

1,813,035 00.0 1,891,581 00.0 2,071,110 1000 915,350100.0 981,40410~0 991,589 100.0 11,189,219 100.0 12,246,747 00.0 12,994,777 00.0~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~10.0..

Page 96: PROPOSED PROGRAM AND BUDGET ESTIMATES

pR

ES- T M ASUMMARY OF PROGRAMS PECSONNEL

Y M R EE 1960 1961 1962 1960 196COSTS

BY MAJOR EXPENSE 1960 1961 1962 1960 1961 1962

$ $ S__ $ $ $

PR PAN AMERICAN HEALTH ORGANIZATION - REGULAR BUDGET 1,555,423 1,905,421 2,186,481 914,474 1,087,912 1,175,322

PO PAN AMERICAN HEALTH ORGANIZATION - OTHER FUNDS 4,094,718 4,319,770 4,425,531 2,207,393 2,400,796 2,495,482

WR WORLD HEALTH ORGANIZATION - REGULAR BUDGET 940,642 956,667 1,097,848 498,082 545,868 632,873

TA WORLD HEALTH ORGANIZATION - TECHNICAL ASSISTANCE FUNDS 915,350 981,404 991,589 809,097 850,062 875,498

TOTAL - ALL FUNDS 7,506,133 8,163,262 8,701,449 4,429,046 4,884,638 5,179,175

MALARIA

PO Argentina-8, Malaria Eradication 16,452 16,200 14,200

PO Bolivia-4, Malaria Eradication 84,720 78,342 76,452 57,889 58,950 57,663

TA Bolivia-4, Malaria Eradication 18,650 14,720 17,862 16,430 12,500 15,962

PO Brazil-24, Malaria Eradication 79,212 105,817 110,869 11,913 14,869 12,456

PO Brazil-41, Malaria Eradication (Sao Paulo) 75,641 75,358 75,940 43,038 38,990 35,498

PO British Guiana and West Indies-14 (British Guiana),Malaria Eradication 19,040 7,783 7,489 2,400 2,800 2,800

PO British Guiana and West Indies-15 (WIF -Jamaica),Malaria Eradication 47,952 47,517 49,369 39,381 40,538 42,690

PO British Guiana and West Indies-16 (WIF -Trinidad),Malaria Eradication 8,310 8,850 13,089

PO British Guiana and West Indies-17 (WIF -Windward Islands),Malaria Eradication 24,584 23,411 15,632 18,084 17,146 11,227

PO British Honduras-l, Malaria Eradication 25,582 27,443 30,548 19,172 18,888 22,005

PO Colombia-5, Malaria Eradication 124,157 136,044 163,484 95,124 98,415 98,937

PO Costa Rica-2, Malaria Eradication 31,378 40,992 43,048 20,533 26,206 28,911

PO Cuba-5, Malaria Eradication 32,596 68,770 63,035 22,250 52,070 46,335

PO Dominican Republic-2, Malaria Eradication 71,897 67,941 74,301 52,464 54,981 59,982

PO Ecuador-14, Malaria Eradication 70,721 70,208 67,716 42,473 41,920 40,646

TA Ecuador-14, Malaria Eradication 18,025 16,509 18,234 16,525 15,032 16,880

PO El Salvador-2, Malaria Eradication 50,800 70,495 66,078 40,380 55,725 50,300

PO Guatemala-l, Malaria Eradication 78,897 97,703 92,229 48,402 61,565 58,781

PO Haiti-4, Malaria Eradication 71,751 99,986 107,400 64,481 76,686 84,100

PO Honduras-l, Malaria Eradication 57,711 70,881 68,962 38,069 51,240 49,843

PO Mexico-53, Malaria Eradication 70,742 79,289 76,142 17,886 24,456 22,981

TA Mexico-53, Malaria Eradication 50,284 61,439 56,993 50,284 57,278 52,903

PO Nicaragua-l, Malaria Eradication 58,527 66,802 67,905 42,696 48,567 49,161

PO Panama-2, Malaria Eradication 67,461 71,733 73,007 43,661 50,666 50,890

PO Paraguay-l, Malaria Eradication 53,757 55,383 56,998 31,315 34,835 38,950

PO Peru-5, Malaria Eradication 94,749 89,643 87,273 51,062 57,550 56,235

TA Peru-5, Malaria Eradication 23,040 23,843 25,150 23,040 23,843 25,150

PO Surinam-l, Malaria Eradication 41,541 40,187 47,104 27,666 28,655 31,175

PO AMRO-90, Malaria Technical Advisory Services (Interzone) 139,431 107,702 111,570 98,686 86,132 90,000

PO AMRO-114, Training Center for Malaria Eradication (Mexico) 13,631 13,516 13,603 3,436 2,256 2,343PO AMRO-117, Malaria Technical Advisory Services (Zone I) 106,569 125,219 115,159 86,095 104,798 94,938

PO AMRO-118, Malaria Technical Advisory Services (Zone III) 121,654 76,994 72,924 85,676 60,720 56,650

PO AMRO-119, Malaria Technical Advisory Services (Zone IV) 82,892 86,880 89,673 66,065 70,290 73,083

PO AMRO-121, Malaria Eradication Evaluation Teams (Zone III) 95,241 92,900 98,460 64,641 66,345 72,265PO AMRO-122, Research and Development of Insecticide

Application Equipment 15,000 13,200 6,300

PO AMRO-123, Research and Development -Protective EquipmentAgainst Toxic Insecticides 35,000 35,000

PO AMRO-130, Seminar on Mass Chemoprophylaxis and SurveillanceTechniques in Malaria Eradication 41,925 1,200

PO AMRO-132, Operational Assistance to Country Projecta inMalaria Eradication 583,000 583,000 583,000

PO AMRO-134, Training Center for Malaria Eradication (Kingston) 69,542 73,667 78,645 51,092 54,994 59,972

PO AMRO-135, Malaria Eradication Trainees 66,200 28,800 28,800 66,200 28,800 28,800

PO AMRO-137, Training Center in Malaria Eradication (Sao Paulo) 13,786 6,842 2,400PO AMRO-139, Malaria Technical Advisory Services (Zones V and VI) 17,374 15,962 15,250 14,609 13,322 12,610PO AMRO-196, Insecticide Testing Teams 67,489 64,518 118,786 47,448 42,897 88,892

ii~ ---

Page 97: PROPOSED PROGRAM AND BUDGET ESTIMATES

89

TED E XPENDI U REFELLOWSHIh>c I4PdU 3R

DUTY TRAVEL

1960 1961 1962

$ 1$ - $

198,140 234,631 294,162

429,400 471,951 495,952

113,652 105,693 122,886

52,335 71,987 66,336

793,527 884,262 979,336

8,9532,2201,446

10,334

2,800

7,221

3,6255,621

25,3465,805

1,8009,9608,5651,5008,124

13,0974,2708,2228,130

8,20012,2285,818

14,927

7,06233,925

17,97433,493

16,82730,600

1,400

3,000

2,8002,765

13,541

12,8602,220

cnn99U

5,000

2,400

3,920

3,3927,492

24,20310,943

5,10010,96014,2281,477

10,666

16,80116,00011,3543,6004,161

11,72812,1877,360

20,695

4,97017,250

18,09115,911

16,59025,995

5,400

4,936

2,64013,921

12,8601,900

9503,600

2,400

3,920

1,6967,492

25,04310,733

5,10010,96014,2281,354

10,756

16,83516,00012,229

3,6004,090

12,84013,5347,360

20,695

4,97017,250

18,09115,911

16,59[25,995

4,93i

2,6423,39

1

1

6

O4

FrSUPPLIES AND

EQUIPMENT19601 1961 1962

$ I $ $

88,135 59,294 68,423

373,378 413,193 450,820

33,831 14,395 20,850

800 2,000 2,000

496,144 488,882 542,093

6,452 6,200 6,20010,378 6,532 5,929

45,853 71,698 79,16319,939 28,068 33,542

13,840 2,583 2,289

1,350 3,059 2,759

8,310 8,850 13,089

1,675789

4,204

6,821

15,325

690

15,3982,0009,266

41,006

5,6318,5723,724

19,500

6,8135,700

1,3001,185

2,000

2,8731,063

10,0003,843

10,0002,000

14,060

2,304

17,7377,3006,752

47,713

6,5078,8803,188

11,398

6,5623,200

1,600363

560

1,500

6,450 4,450

4,000 6,200

2,7091,051

36,0783,404

10,0003,359

12,842

5,022

16,2137,3006,890

46,041

5,9048,5833,188

10,343

10,9!3,21

1,63

2

4,1

5,1

5900

0063

00

+50

000

FELLOWSHIPS ANUPARTICIPANTS

960 1 1961 1962

$ S $

300,546 463,399 588,734

251,573 185,386 154,098

270,615 268,415 299,143

38,118 42,355 32,755

860,852 959,555 1,074,730

10,000 10,000 8,0007,500

20,000 18,300 18,3002.330 3,300 3,300

1,2001,200

3,687836

1,3008,6004,358

1,606

2,000

2,1543,000

2,0003,000

12,9009,260

33,825

3,426

1,300

1,800

1,600

1,5353,000

10,000

3,42(

1,30

43,0

3,00

7,5[

6

0

LO

00

JO

30

mmmm

L ANTS AND OTHER

,0 1 961 19621 $_1 $

54,128 60,185

832,974 848,444

24,462 22,296

15,000 15,000

926,564 945,925

425

1,000

720

1,12010,19511,200'1,300

300

520

59,840

829,179

22,096

15,000

926,115

30

52

1,120 1,111,2601 11,2

730 5

O

20

206030

15,000

35,000 35,000

3,500

583,000 583,000 583,000

9,000 9,287 9,287

8,586 6,842

2,500 1,500 1,500

1I

GR,

19

$

--

1* I ; -

| _-

mmm~ mmmmmm~ m_ _1

m1 1 *m mmmmmm

II

1

mm

1

Ñ

1

h.

1

Page 98: PROPOSED PROGRAM AND BUDGET ESTIMATES

E S T Ir ASUMMARY OF PROGRAMS

BY M AJO R E XPENS E ¡1960_ 1961 1962 1960COSTSS 1960 1961 1962 1960 1961 1962$ $ $ $ 1 $ 1 $

MALARIA (continued)

PO AMRO-197, Research on the Resistance of Anophelinesto Insecticides

PO AMRO-199, Anopheline Susceptibility TestingPO AMRO-220, Malaria Eradication Epidemiology Teams

Contingency Reserve for Malaria Eradication

Total - Malaria

TUBERCULOSIS

PR Argentina-20, Tuberculosis ControlWR Argentina-20, Tuberculosis ControlPR Colombia-15, Tuberculosis ControlPR Dominican Republic-10, BCG VaccinationPR Guatemala-ll, Tuberculosis Control

TA Guatemala-ll, Tuberculosis ControlWR Mexico-38, Tuberculosis ControlWR Peru-29, Tuberculosis ControlWR AMRO-110, Tuberculosis PreventionPR AMRO-246, Tuberculosis Control (Zone III)

Total - Tuberculosis

VENEREAL DISEASES AND TREPONEMATOSES

PR Dominican Republic-52, Venereal Diseases ControlWR Haiti-l, Yaws EradicationPR Venezuela-13, Yaws Eradication and Venereal Diseases ControlPR AMRO-47, Yaws Eradication and Syphilis Control (Caribbean)TA AMRO-47, Yaws Eradication and Syphilis Control (Caribbean)PR AMRO-160, Treponematoses Eradication

Total - Venereal Diseases and Treponematoses

ENDEMO-EPIDEMIC DISEASES

PR Argentina-51, Aedes aegypti EradicationPR British Guiana and West Indies-l, Aedes aegypti EradicationTA British Guiana and West Indies-l, Aedes aegypti EradicationPR Chile-36, Aedes aegypti EradicationPR Cuba-l, Aedes aegypti Eradication

PR Dominican Republic-8, Aedes aegypti EradicationTA Dominican Republic-8, Aedes aegypti EradicationTA French Antilles and Guiana-2, Aedes aegypti EradicationPR Mexico-26, Aedes aegypti EradicationPR Surinam and Netherlands Antilles-l, Aedes aegypti Eradication

TA Surinam and Netherlands Antilles-l, Aedes aegypti EradicationPR Uruguay-9, Chagas' DiseaseWR Venezuela-5, Onchocerciasis InvestigationPR Venezuela-ll, Plague InvestigationPR Venezuela-16, Aedes aegypti Eradication

WR. AMRO-7, Aedes aegypti Eradication (Central America andPanama) (ZoneTIII)

TA AMRO-8, Aedes aegypti Eradication (Caribbean)PR AMRO-74, Plague InvestigationPR AMRO-81, Pan American Zoonoses CenterPO AMRO-81, Pan American Zoonoses Center

TA AMRO-81, Pan American Zoonoses CenterPR AMRO-88, Aedes aegypti EradicationPR AMRO-155, Sohistosomiasis ControlWR AMRO-215, Study Group on Chagas' DiseasePR AMRO-232, Filariasis (Zone I)

Total -Endemo-Epidemio Diseases

20,00010,00050,572

20,00010,00098,147

100,000

20,00010,000

146,576100,000

3,017,483 3,185,636 3,268,955 1,567,738 1,679,630 1,760,727

39,004 29,821 26,804 20,52130,098 25,298

11,654 12,808 10,424 11,7835,578 4,5037,800 4,200

17,460 18,310 24,051 16,160 16,510 22,25119,705 12,963 11,420 12,178

23,337 49,186 47,622 20,262 28,706 30,92211,826 5,600 5,600 9,226 2,400 2,400

13,166 11,166

96,099 143,459 146,031 79,649 96,264 111,221

31,582 31,756 31,222 28,782 29,956 29,42228,860 14,420 15,178 19,460 11,420 12,1785,200 4,200 2,800 1,8002,460 14,504 14,380 2,160 11,604 11,480

15,552 14,10229,796 31,362 22,146 22,762

83,654 90,476 96,342 67,304 75,126 77,642

38,247 30,074 26,272 34,387 27,394 24,7923,311 3,500

46,111 58,481 48,521 43,781 54,557 44,87918,430 11,13061,906 52,632 55,659 38,512 36,032 39,059

27,141 27,936 23,346 24,14126,753 22,9589,502 9,185 9,685 9,002 8,781 9,281

7,800 8,400 4,200 3,60013,341 13,058 13,688 12,491 12,208 12,838

8,413 9,318 8,899 6,703 7,568 7,1495,100 2,800 1,400 1,2001,400 600

2,400 1,05089,060 65,058 60,789 74,060 51,721 49,539

6,629 4,62923,730 25,661 23,611 19,730 21,804 19,754

11,340 60030,470 32,714 32,839 19,014 22,164 19,439

a)61,159 b)46 ,64 9 b)47,768 36,483 37,251 38,370

32,024 35,090 36,800 30,574 33,561 35,27575,555 27,800 28,400 22,595 4,200 3,6003,900 2,600 4,200 2,100 1,400 1,800

12,261 1,7306,275 2,800 2,800 1,200

559,891 459,347 453,907i

- U U U

a) Contributions from the Government of Argentina, CyanamidE. R. Squibb & Sons snd Industrias Kaiser.

b) Contributions from the Government of Argentina.

International,

90

43,572 78,405 118,713

390,929 350,987 336,516

Page 99: PROPOSED PROGRAM AND BUDGET ESTIMATES

91

TED E X P E N D I T U REDUTY TRAVE L SUPPLIES AND FELLOWSHIPS AND GRANTS AND OTHERDUTY TRAVEL EQUIPMENT PRANTS AND OTHER_ __ _ EQUIPMENT_ _ PARTICIPANTS

1960 1961 1962 1960 1961 1962 1960 1961 1962 1960 1961 1962$ I $ $ $ $ $ 6 $ $ $

20,000 20,000 20,00010,000 10,000 10,000

3,500 16,242 24,363 1,500 1,500 1,500 2,000 2,000 2,000100,000 100,000

345,099 361,643 374,315 280,544 318,543 359,170 129,556 54,261 45,226 694,546 771,559 729,517

7,200 5,000 5,000 4,3004,800

1,230 1,0251,0753,600

1,300 1,800 1,800785 785 7,500

3,075 9,900 9,900 7,880 4,300 2,700 2,5002,300 3,200 3,200 300

2,000

16,150 24,115 23,710 300 20,380 8,600 2,700 2,500

1,800 1,800 1,800 1,0006,400 3,000 3,000 3,0002,400 2,400

300 2,900 2,9001,450

6,650 7,600 1,000 1,000

12,350 14,350 17,700 4,000 1,000 1,000

3,860 2,680 1,4803,311 3,500

2,180 3,924 3,642 1503,000 4,3006,459 6,600 6,600 16,935 10,000 10,000

3,795 3,7953,795

500 404 4043,600 4,800

850 850 850

1,710 1,750 1,7501,200 1,600 2,500800

1,35015,000 13,337 11,250

2,0004,000 3,857 3,857

2,270 1,700 6,7703,256 2,550 2,700 5,200 2,500 5,200 3,000 5,500 5,500

241 723 723 2,812 21,623 8,675 8,675

1,450 1,529 1,52512,960 3,600 4,800 40,000 20,000 20,0001,800 1,200 2,400

10,5312,400 1,600 1,075

74,942 54,799 56,046 65,097 35,811 40,400 4,300 3,575 6,770 24,623 14,175 14,175M~~~~~~~~~~~~~~~~~~~~~~~~~~~2,2 1417 ,7

Page 100: PROPOSED PROGRAM AND BUDGET ESTIMATES

SUMMARY OF PROGRAMS PERSONNELT 0 T A L E1CO1TS

BY MAJOR EXPENSE 1960 1961 1962 1960 1961 1 1962

_ $ # S $ $ I $ $

VIRUS DISEASES

TA Brazil-8, National Virus Laboratory Services 6,477 10,620 11,378 6,477 10,620 11,378

PR Brazil-38, Smallpox Eradication 2,000 4,000 2,000

WR Brazil-42, Rabies Control 9,050 3,800 1,200 1,200

PR Brazil-51, Yellow Fever Laboratory (AMRO-57) 6,104 6,000 6,000 1,104

PR Colombia-17, Smallpox Eradication 12,879 15,526 17,813 10,490 13,137 15,424

PR Colombia-52, Yellow Fever, Carlos Finlay Institute (AMRO-57) 31,600 31,600 31,600

WR Costa Rica-24, Laboratory for Diagnosis of Virus Diseases 2,800 1,200

PR Ecuador-20, Smallpox Eradication 14,011 16,114 16,077 10,553 13,906 13,869

PR AMRO-60, Smallpox Eradication 5,400 3,900 4,200 2,100 1,400 1,200

PR AMRO-61, Rabies Control 2,800 1,200

PO AMRO-61, Rabies Control a) 181WR AMRO-61, Rabies Control 3,100 1,200

PR AMRO-92, Poliomyelitis 25,760 30,137 22,420 13,460 17,837 2,400

PO AMRO-181, Live Poliovirus Vaccine Studies b274,698 51,198

PO AMRO-200.2, Symposium on Live Poliovirus Vaccines e)72,196

Total - Virus Diseases

LEPROSY

WR Argentina-28, Leprosy ControlPR Bolivia-12, Leprosy ControlPR Brazil-48, Leprosy ControlTA Colombia-19, Leprosy ControlPR Ecuador-18, Leprosy Control

PR Mexico-29, Leprosy ControlWR Paraguay-9, Leprosy ControlWR Peru-24, Leprosy ControlWR AMRO-149, Leprosy ControlPR AMRO-202, Leprosy Control (Zone III)

Total - Leprosy

PUBLIC HEALTH ADMINISTRATION

WR Argentina-4, National Institute of MicrobiologyPR Argentina-7, Public Health ServicesTA Argentina-7, Public Health ServicesPR Argentina-13, PAHO Public Health Administration FellowshipsWR Argentina-17, School of Public Health

PR Argentina-24, Planning and Organization of Hospital ServicesPR Bolivia-10, Public Health ServicesTA Bolivia-ll, Joint Field Mission on Indigenous PopulationWR Brazil-3, Public Health Services (Northeast)WR Brazil-18, National Food and Drug Services

WR Brazil-19, Scho(;- of Public Health (Rio de Janeiro)PR Brazil-28, PAHO Public Health Administration FellowshipsPR Brazil-33, Training Course for Laboratory TechniciansWR Brazil-35, School of Public Health (Sao Paulo)PR Brazil-39, Public Health Services (Mato Grosso)

PR Brazil-44, Teaching of Public Health in Schools ofVeterinary Medicine

PR British Guiana and West Indies-4, PAHO Public HealthAdministration Fellowships

WR British Guiana and West Indies-6 (WIF -Trinidad), PublicHealth Legislation

WR British Guiana and West Indies-10 (British Guiana), PublicHealth Services

WR British Guiana and West Indies-ll (WIF - Jamaica), PublicHealth Training Station

WR British Honduras-5, Public Health Services

PR British Honduras-6, PAHO Public Health AdministrationFellowships

WR Canada-l, WHO Public Health Administration FellowshipsWR Canada-2, Consultants in Specialized Fields of Public HealthTA Chile-18, Public Health Administration

-

263,456 121,697 117,088 97,782 58,100 46,671

4,500 3,0002,600 1,400

7,800 13,521 4,200 10,021

10,047 14,023 14,502 8,547 10,665 11,4242,600 14,256 1,400 10,321

11,656 10,62110,516 11,946 11,460 10,236 11,346 10,860

2,600 1,40010,000 7,000 6,800 1,800 1,200 1,200

16,893 16,018 11,673 13,516

59,756 56,787 72,195 39,456 40,927 54,447

23,281 37,160 39,434 18,981 31,860 34,13445,846 42,679 36,619 37,544

37,170 44,380 48,329 36,780 43,990 47,9398,600 4,300 4,300

14,527 21,920 20,878 8,427 12,420 13,178

17,578 18,943 19,491 12,178 12,543 13,09119,748 19,022 20,997 14,448 13,722 15,69712,685 13,161 13,103 11,185 11,341 10,8824,300 16,075 16,533 10,620 11,3789,900 8,200 4,300 1,800 1,800

6,900 12,600 18,200 1,400 1,200 2,400

4,300 8,600 8,60013,556 11,55617,457 22,196 19,396 1,200 1,200 1,20030,495 24,462 27,151 23,695 19,462 22,151

4,300 4,300 4,300

4,300 4,300 4,300

2,220 1,230

11,975 11,583 11,575 11,183

2,600 5,600 5,600 1,400 2,400 2,4005,205 15,921 21,471 10,621 18,931

4,3006,500 6,100 6,1002,600 2,800 2,800 1,400 1,200 1,2005,700 10,200 6,300

a) Contribution from Unión Ganadera Regional de Chihuahua.b) Grant from American Cyanamid Co.c) Grant from Sister Elizabeth Kenny Foundation.

92

.e

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ED E X.P NDI U REDUTY TRAVEL

1 9I I~~~~~~~SUPPLIES AND ¡ FELLOWSHIPS AND

EQUIPMENT U PARTI riPANTS ¡ GRANTS AND OTHER

1960 1961 1962 1960 1961 1962 1960 1961 1962 1960 1961 1962

$ $ $ $ $ $ 5 $ $ $ $

2,000 4,000 2,0001,400 1,600 4,800 1,650 1,000

5,000 6,000 6,0002,389 2,389 2,389

31,600 31,600 31,6001,600

2,208 2,208 2,208 1,2501,800 1,200 1,600 1,500 1,300 1,400

1,600

1811,400 5002,700 2,700 4,700 1,000 1,000 500 8,600 8,600 14,8207,000 1,500 15,000

300 34,656 37,240

18,897 10,097 14,097 13,281 1,000 500 48,156 13,600 16,820 85,340 38,900 39,000

1,5001,200

3,600 3,5001,500 3,358 3,0781,200 1,035 2,900

1,035280 600 600

1,2002,100 1,600 1,600 6,100 4,200 4,0003,300 2,502 1,920

12,280 11,660 7,348 8,020 4,200 10,400

1,000 1,000 4,300 4,300 4,300627 835 8,600 4,300

390 390 3908,600 4,300 4,300

1,800 2,400 2,400 1,000 4,300 7,100 4,300

1,100 1,100 1,100 4,300 5,300 5,3001,000 1,000 1,000 4,300 4,300 4,3001,500 1,820 2,221

855 855 4,300 4,600 4,3002,100 2,400 6,000 4,000 4,300

1,200 1,600 3,200 4,000 4,300 9,800 8,6004,300 8,600 8,600

2,0001,400 1,600 1,600 5,000 5,000 5,000 6,000 9,800 7,000 3,857 4,596 4,596

800 700 700 6,000 4,300 4,300

4,300 4,300 4,300

4,300 4,300 4,300

990

400 400

1,200 3,200 3,2001,000 2,540 5,205 4,300

4,3006,500 6,100 6,100

1,200 1,600 1,6005,700 10,200 6,300

- - - - - - a - -~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~I

-F- I

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94

SUMMARY OF PROGRAMS E TAPERSONNEL

BY MAJOR EXPENSE 1960 1961 1962 1960 1961 1962Y$ M$ $ $$

PUBLIC HEALTH ADMINISTRATION (continued)

TA Chile-19, Food and Drug Control 4,375 4,300 4,300PR Chile-26, PAHO Public Health Administration Fellowships 4,300 4,300PR Chile-27, Public Health Services (Ovalle-Copiapo) 5,200 5,200 5,600 1,400 2,800 2,400WR Chile-31, School of Public Health 11,200 15,400 12,600 2,400 2,400 2,400PR Chile-43, Administrative Methods and Practices in Public Health 9,500 15,646 2,800 10,621

TA Colombia-4, Public Health Services 63,705 61,620 66,385 58,455 56,598 62,047WR Colombia-18, WHO Public Health Administration Fellowships 4,300 4,300PR Colombia-21, PAHO Public Health Administration Fellowships 12,900 4,300 4,300WR Colombia-24, School of Public Health 15,632 16,004 17,000 11,332 13,204 3,600PR Costa Rica-14, Expansion of Local Public Health Services 8,600 14,323 14,789 10,023 10,489

TA Costa Rica-16, WHO/TA Public Health Administration Fellowships 4,300 4,300 4,300PR Costa Rica-20, Planning and Organization of Hospital Services 4,300 15,324 10,024PR Costa Rica-23, Public Health Legislation 4,200PR Cuba-3, Public Health Services 9,752 13,100 14,026 9,152 12,380 13,306TA Cuba-3, Public Health Services 34,230 38,693 44,190 32,730 36,483 38,758

PR Cuba-6, PAHO Public Health Administration Fellowships 12,900 12,900 12,900PR Dominican Republic-4, Public Health Services 48,141 49,446 44,913 41,391 46,996 42,463PR Dominican Republic-ll, PAHO Public Health Administration

Fellowships 4,300 4,300WR Ecuador-4, Public Health Services 36,767 15,035 16,410 25,336 9,319 10,694

TA Ecuador-4, Public Health Services 16,192 17,359 11,856 15,944PR Ecuador-ll, National Institute of Health 15,159 11,240 16,981 10,490 10,953 12,312PR Ecuador-19, PAHO Public Health Administration Fellowships 4,300 4,300TA El Salvador-5, Health Demonstration Area 25,580 23,680PR El Salvador-9, PAHO Public Health Administration Fellowships 4,300 4,300 4,300

PR El Salvador-lO, Planning and Organization of HospitalServices 10,126 14,157 8,758 12,789

WR El Salvador-15, Public Health Laboratory 19,175 12,375PR French Antilles and Guiana-3, PAHO Public Health Administration

Fellowships 4,300 4,300 4,300

WR Guatemala-8, Public Health Services 53,147 60,701 67,929 51,496 58,751 59,679PR Guatemala-12, PAHO Public Health Administration Fellowships 4,300 4,300 4,300PR Guatemala-14, Public Health in Schools of Veterinary

Medicine 7,100 1,200PR Haiti-9, Public Health Laboratory 7,525 11,453 12,812 7,525 11,453 12,812

PR Haiti-12, PAHO Public Health Administration Fellowships 4,300 4,300 4,300TA Haiti-16, Public Health Services 23,699 37,844 39,620 19,806 35,314 37,090TA Honduras-4, Public Health Services 62,807 44,971 41,877 60,807 43,123 40,029PR Honduras-6, PAHO Public Health Administration Fellowships 8,600 4,300 8,600PR Mexico-15, State Health Services 32,853 14,772 16,103 23,118 8,872 10,203

WR Mexico-22, Public Realth Services (Guanajuato) 58,615 62,007 64,429 51,925 59,307 57,429PR Mexico-25, PAHO Public Health Administration Fellowships 4,300 4,300 4,300PR Mexico-28, Public Health Laboratory 6,175 6,175 6,475 2,100 2,100 1,800WR Mexico-30, School of Public Health 15,241 5,800 7,100 10,121 1,200 1,200WR Mexico-34, Teaching of Public Health in Schools of

Veterinary Medicine 6,900 2,800 7,100 1,400 1,200 1,200

PR Nicaragua-7, PAHO Public Health Administration Fellowships 4,300 4,300 4,300PA Panama-l, Public Health Services 45,599 63,277 58,379 43,599 54,327 53,979PR Panama-8, PAHO Public Health Administration Fellowships 4,300 4,300 4,300WR Panama-lO, Planning and Organization of Hospital Services 13,050 12,750PR Paraguay-10, Public Health Services 11,970 19,925 24,188 11,720 19,675 19,638

PA Paraguay-10, Public Health Services 59,835 59,387 65,140 57,835 57,647 63,400PR Paraguay-13, PAHO Public Health Administration Fellowships 4,300 4,300 4,300TA Peru-22, Public Health Services 32,192 39,415 38,770 30,842 38,415 37,770PA Peru-23, Joint Field Mission on Indigenous Population 1,000 1,000 1,000PR Peru-25, PAHO Public Health Administration Fellowships 6,900 4,300 4,300

PR Surinam and Netherlands Antilles-2, PAHO Public HealthAdministration Fellowships 4,300 4,300 4,300

R United States-7, WHO Public Health Administration Fellowships 5,000 9,410 10,000R United States-10, Consultants in Specialized Fields of

Public Health 5,300 12,600 12,600 2,200 5,400 5,400PR United States-11, PAHO Public Health Administration Fellowships 11,845 15,690 25,000

A - L - - A 1

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95

T ED E XP EN D I T U R EUTY TRAVEL 1 SUPPLIES AND FELLOWSHIPS AND

__DUTY TRAVEL EQUIPMENT j PARTIGIPANS 1NGRANTS AND OTHER

1960 1961 16 0 . 1961 9 62 1960 1961 1962$ $ $ $ $ $ $ $ I $ $ $I $

1,2002,800

5,250

6001,500

2,400

2,831

369

1,900

1,368

1,420

2,0002,000

5,465

2,290

1,8002,120

1,200

2,000

250

2,000

1,3501,000

3,100

2,4003,2002,400

5,022

7202,210

2,400

1,416

4,336287

1,368

1,950

2,5301,848

1,600

2,600

1,8001,600

1,600

8,950

250

1,740

1,0001,000

7,200

3,2003,200

725

4,338

4,800

1,000

7205,432

2,400

1,416

1,415369

1,950

1,600

2,5301,848

1,600

2,600

2,4001,600

1,600

4,400

300250

1,740

1,0001,000

7,200

650

2,6001,000

50

231

500

100

750

1,000 1,000

50

100

750

50

2,000

100

750

3,725

5,000

12,9004,3008,600

4,300

12,9004,300

8,600

4,300

4,300

4,300

4,300

4,3001,893

8,6003,770

4,3004,3001,5253,000

4,300

4,300

4,300

4,300

6,900

4,3005,000

11,845

4,3004,300

8,8004,300

4,3004,3002,8004,300

4,3004,300

12,900

4,3004,300

4,300

4,300

4,300

4,300

4,300

4,3004,300

4,3001,5253,000

4,300

4,300

4,300

4,300

4,3009,410

15,690

4,3004,300

6,0004,300

4,3004,3008,6004,300

4,3004,3004,200

12,900

4,300 ¡4,300

4,3004,300

4,300

6,800

4,300

4,3004,300

4,300

4,300

8,6004,300

4,3004,3001,5254,300

4,300

4,300

4,300

4,300

4,300

4,300

4,30010,000

25,000

~~~~~1 - h 1 1 d a~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~_ ·

Page 104: PROPOSED PROGRAM AND BUDGET ESTIMATES

EST I " ASUMMARY OF PROGRAMS PERSONNEL

BY MAJOR EXPENSE 1960 T 0 T A LCOSTSBY M AJO R E XPENS E 1960 1961 1962 1960 1 1961 2

$ $ __$ $ $ 1 $

PUBLIC HEALTH ADMINISTRATION (continued)

TA Uruguay-5, Public Health ServicesPR Uriguay-10, PAHO Public Health Administration FellowshipsPR Uruguay-13, Training of Public Health PersonnelPR Venezuela-9, PAHO Public Health Administration FellowshipsPR Venezuela-18, National Institute of Hygiene

WR Venezuela-19, School of Public HealthPR Venezuela-24, Public Health ServicesWR Venezuela-29, Planning and Organization of Hospital ServicesWR AMRO-16, Assistance to Schools of Public HealthWR AMRO-45, Laboratory Services

WR AMRO-67, Teaching of Public Health in Schools ofVeterinary Medicine

WR AMRO-76, Vaccine TestingPR AMRO-106, Seminar on Public Health AdministrationPR AMRO-148, Laboratory for Production of Biologicals (Zone III)PR AMRO-150, Food and Drug Services

PR AMRO-152.2, Seminar on Schools of Public HealthPR AMRO-162, Epidemiology (Zone II)PR AMRO-163, Epidemiology (Zone VI)PR AMRO-178, Veterinary Public Health (Zone II)PR AMRO-179, Veterinary Public Health (Zone IV)

PR AMR0-185, Medical Care and Hospital OrganizationWR AMRO-188, Vet'erinary Public Health (Zone III)WR AMRO-189, Veterinary Public Health (Zone V)PR AMRO-198, Administrative Methods and Practices in

Public Health

PR AMR0-203, Epidemiology (Zone III)PR El Paso -Field Office

Total - Public Health Administration

VITAL AND HEALTH STATISTICS

TA AMRO-10, Program for Biostatistics EducationWR AMRO-85, Latin American Center for Classification of DiseasesWR AMRO-86, Health Statistics (Zone III)WR AMRO-143, Health Statistics, (Zone IV)WR AMR0-144, Health Statistics (Zone II)

PR AMRO-156, Training Program in Hospital StatisticsPR AMRO-157, Health Statistics (Zone I)PR AMR0-159, Health Statistics (Zone VI)PR AMRO-201, Health Statistics (Zone V)PR AMR0-241, Advisory Committee on StatisticsPR AMRO-247, Teaching of Statistics in Medical Schools

Total - Vital and Health Statistics

ENTAL HEALTH

R Brazil-37, Dental Public Health EducationR Brazil-43, Teaching of Preventive DentistryR AMRO-72, Dental Health

Total - Dental Health

RSING

A Argentina-3, Nursing Education (Cordoba and El Chaco)R Argentina-23, Nursing Education (Rosario)

PR Argentina-25, Training of Nursing PersonnelR Bolivia-5, Nursing EducationR British Guiana and West Indies-3, Public Health Nursing

41,5704,30022,4514,300

8,16010,300

6,90013,100

2,6004,725

22,81433,432

11,99215,40519,49618,634

15,26413,659

17,228

78,592

51,8364,300

13,8754,3002,600

4,20011,700

5,200

5,24820,88522,31641,842

13,90014,39012,76915,88416,819

16,40017,34216,875

20,854

12,36598,756

53,9244,300

15,8534,300

8,500

22,475

5,200

5,24811,12923,67549,660

15,74814,12817,83118,512

12,70016,29313,669

21,984

13,216105,237

40,570

16,651

1,8006,000

1,2003,600

1,400

11,74223,682

8,89213,06015,22616,134

12,24412,059

13,228

56,457

50,336

8,965

1,400

1,8006,300

1,800

1,40012,01622,472

2,10011,29010,42413,66414,319

4,20014,32215,575

13,054

11,16776,996

52,424

10,303

1,800

18,175

1,800

1,20013,37527,790

12,64811,78315,61116,012

3,60013,29312,369

14,441

12,01683,232

1,431,314 1,644,454 1,761,597 999,243 1,141,558 1,228,192

29,200 34,255 28,25522,000 27,442 36,455 3,60017,063 15,188 16,296 13,913 12,688 13,79611,286 13,620 14,378 9,036 10,620 11,3789,777 14,583 15,342 7,677 11,483 12,242

30,325 38,294 16,725 22,59413,174 14,846 14,010 10,924 12,596 11,76011,822 12,588 11,424 10,022 10,788 9,62410,270 10,674 12,033 10,020 10,424 11,783

3,40010,920 1,800

124,592 173,521 200,807 61,592 85,324 98,577

2,0002,600 1,400

31,842 18,465 17,985 13,319

31,842 21,065 19,985 13,319 1,400

35,25328,04813,90113,008

39,22027,91710,97213,884

41,73928,23316,70313,74912,080

34,95317,1888,9018,323

-

37,05116,9278,9729,222

39,55918,64310,3039,087

10,080

96

I _

Page 105: PROPOSED PROGRAM AND BUDGET ESTIMATES

97

E D E X P E N D I T U R E-e - y

DUTY TRAVEL ¡ SUPPLIES AND FELLOWSHIPS AND GR AND OTHERPARTICIPANTS

1960 1961 1962 1960 1961 1962 1960 1961 1962 1960 1961 1962

$ $ $ $ $ $ $ $$ $ $ $

1,000 1,500 1,5004,300 4,300 4,300

500 500 250 1,000 110 1,000 4,300 4,300 4,3004,300 4,300 4,300

1,200

2,100 2,400 2,400 960 3,300 4,3004,300 5,400

4,3001,400 4,3004,200 2,400 .2,400 1,000 500 4,300 1,000 500

1,2004,725 5,248 5,248

1,200 1,600 1,000 1,000 16,785 6,829 500 5003,772 1,000 1,000 3,000 5,000 5,000 4,300 4,300 4,3005,250 10,600 10,600 1,500 2,500 3,770 3,770 3,000 5,000 5,000

1,800 750 9,000 2503,000 3,000 3,000 100 100 1002,345 2,345 2,3454,270 2,220 2,2202,500 2,500 2,500

3,600 4,800 8,600 4,3002,600 2,600 2,500 420 420 5001,300 1,300 1,300 300

4,000 3,500 3,243 4,300 4,300

1,198 1,2009,755 12,575 13,015 12,380 9,185 8,990

116,385 145,957 141,547 21,161 14,280 24,500 270,563 317,880 343,024 23,962 24,779 24,334

14,200 19,255 13,255 15,000 15,000 15,0004,800 7,000 12,442 13,055 15,000 15,000 15,000

3,000 2,500 2,500 1502,250 3,000 3,0002,000 3,000 3,000 100 100 100

4,000 6,100 1,000 1,000 8,600 8,6002,250 2,250 2,2501,800 1,800 1,800

250 250 2503,4002,400 6,720

11,550 16,800 29,500 250 1,100 1,100 21,200 40,297 41,630 30,000 30;000 30,000

2,0001,200

4,800 13,723 18,465 17,985

4,800 1,200 13,723 18,465 19,985

300760700365

2,169890

1,000362

2,180890

1,000362

2,000

1,500

20

1,5001,000

- ¡ - ·¡ ~ h 1

100100

8,6004,3004,300

8,600 8,6005,300

4,300 4,300

I ·la la - | la la |

Page 106: PROPOSED PROGRAM AND BUDGET ESTIMATES

98

ES T"vl ASUMMARY OF PROGRAMS E PERSONNEL

BY MAJOR EXPENSE 1960 19 1962 1960 1 19COST 62

$ _ 1961_ $ $ 1 $ I $

NURSING (continued)

British Guiana and West Indies-3, Public Health NursingBritish Guiana and West Indies-12 (WIF -Jamaica), Nursing

EducationChile-29, Advanced Nursing EducationChile-41, Nursing Survey

Costa Rica-18, Advanced Nursing EducationCuba-4, Nursing EducationDominican Republic-3, Nursing EducationEcuador-16, Nursing EducationEl Salvador-ll, National Public Health Nursing Services

Guatemala-6, Nursing EducationGuatemala-6, Nursing EducationMexico-14, Nursing EducationNicaragua-5, Nursing EducationPeru-15, Advanced Nursing Education

Venezuela-14, Nursing EducationVenezuela-14, Nursing EducationAMRO-28, Advanced Nursing EducationAMRO-46, Seminar on Nursing EducationAMRO-100, Courses in Nursing Supervision and Administration

(Zone VI)

AMRO-212, Seminar on Teaching of Nursing AuxiliariesAMRO-213, Seminar on Public Health Nursing Services (Zone III)AMRO-233, Training Courses on Nursing Supervision and

Administration (Zone III)AMRO-240, Seminar on Public Health Nursing Services (Interzone)AMRO-245, Course on Nursing Supervision and Administration

(Zone I)

Total -Nursing

SOCIAL AND OCCUPATIONAL HEALTH

TAPRTAWR

Brazil-31, Rehabilitation Training CenterChile-21, Rehabilitation CenterChile-21, Rehabilitation CenterVenezuela-28, Industrial Hygiene

Total - Social and Occupational Health

HEALTH EDUCATION OF THE PUBLIC

WR AMRO-29, Anthropology in Public HealthWR AMRO-93, Health Education (Zone II)WR AMRO-112, Community Development Training CenterWR AMRO-141, Health Education (Zone III)

Total - Health Education of the Public

MATERNAL AND CHILD HEALTH

WR Chile-20, Midwifery EducationPR Venezuela-25, Diarrheal Diseases in ChildhoodPR AMRO-94, Diarrheal Diseases in ChildhoodPR AMRO-183, Nursing Midwifery

PR AMRO-184, Seminar on Maternal and Child HealthPR AMRO-237, Medical Education (Zone III)

Total -Maternal and Child Health

9,180

14,59317,855

12,326

18,59127,977

19,03110,37015,74632,89819,225

14,98227,99016,100

12,270

11,001

13,781

15,378

14,12412,97725,41820,44110,773

4,30021,56013,85928,72314,724

4,30017,77927,99013,075

3,90015,906

30,800

10,741

15,110

14,221

15,45313,70825,55227,24711,201

10,10021,37215,13228,89120,459

18,54017,53627,990

20,095

29,668

31,400

8,030

10,29312,175

6,226

13,14117,007

9,1319,9659,57221,6388,725

13,482

1,200

3,030

8,857

9,381

13,998

8,97410,47719,11815,77110,548

20,3208,839

21,3839,424

16,079

1,200

2,100700

4,200

8,597

10,710

12,841

10,30311,20819,25216,27710,976

20,13210,11222,5769,359

13,40015,836

1,200

600

3,600

359,344 412,802 486,920 212,980 253,541 284,651

10,990 10,316 11,604 10,635 10,006 11,29411,500 2,800

11,900 12,200 2,400 2,40018,175 18,175

22,490 22,216 41,979 13,435 12,406 31,869

19,550 14,90018,989 18,563 19,371 15,889 14,863 16,27112,938 11,134 12,492 11,588 11,134 12,49211,139 14,646 15,405 9,239 12,146- 12,905

43,066 44,343 66,818 36,716 38,143 56,568

21,189 17,407 16,188 10,709 12,227 11,0082,600 2,800 1,400 1,200

21,886 22,973 18,973 16,486 11,200 7,20013,020 24,320 10,020 10,490

19,437 2,40011,166 20,616 11,166 12,016

43,075 67,166 102,334 27,195 46,013*- - ¡

TAPR

WRWR

PRWRWRWRTA

PRTAPRWRWR

PRTAWRWRWR

PRPRPR

PRPR

di

Page 107: PROPOSED PROGRAM AND BUDGET ESTIMATES

T E D E XP E N D I T U R EDUTY TRAVEL SUPPLIELLOWSHIS AND FEL

EQUIPMENT PARTICIPANTS GRANTS AND OTHER1960 1961 1962 1960 1961 1962 1960 1961 1962 1960 1961 1962

$ $ $ -$ $ $ $ $ $ $

1,150 2,144 2,144

100 100 4,300 4,300 4,300880 500 4,300

880 880 500 500

300 300 300 1,500 550 550 4,300 4,300 4,300500 500 2,000 2,000

1,150 2,000 2,000 4,300 4,300 4,300370 370 370 2,000 2,000 8,600 4,300 8,600

225 225

300 1,000 1,500 8,600 4,300 8,600405 1,240 1,240

1,374 720 720 500 4,300 4,300 4,3001,110 1,465 1,465 1,550 1,575 550 8,600 4,300 4,300

500 500 500 1,400 500 2,000 8,600 4,300 8,600

840 4,300 4,3001,500 1,700 1,700

27,990 27,990 27,9904,400 4,630 500 1,000 10,000 6,245

2,330 1,000 5,910

1,800 7,675 750 10,220 250600 1,000 13,106 500

3,600 1,000 22,000800 1,000 26,768 500

4,800 1,000 22,000

17,894 26,695 32,191 11,470 9,125 10,550 117,000 122,941 158,778 500 750

355 310 3102,400 2,000 4,300

3,200 3,200 2,000 2,000 4,300 4,600

2,755 3,510 3,510 2,000 2,000 2,000 4,300 4,300 4,600

4,6503,000 3,000 3,000 100 700 1001,250 1001,900 2,500 2,500

6,150 5,500 10,150 200 700 100

880 880 880 1,000 8,600 4,300 4,3001,200 1,600

5,400 9,600 9,600 2,173 2,1733,000 3,730 1,500 8,600

3,200 1,000 12,8378,600

6,2801 14,6801 19,010 1,000 2,1731 4,6731 8,600 4,3001 34,337U * - * - U - U - k1h ,01

I

Page 108: PROPOSED PROGRAM AND BUDGET ESTIMATES

ESMT I rE ASUMMARY OF PROGRAMS T 0 T A L PERSONNEL

BY MAJOR EXPENSE 1960 1961 1 1962 1960 COTS61 196

$- $ r$ $ $ $MENTAL HEALTH

PR Argentina-27, Training of Personnel for Mental Health Programs

PR Mexico-40, Mental HealthPR Venezuela-2, Mental HealthJR AMRO-9.3, Seminar on Mental Health (Alcoholism)

Total - Mental Health

NUTRITION

PR Argentina-15, NutritionWR Ecuador-53, National Institute of NutritionTA Ecuador-53, National Institute of NutritionPR Haiti-20, NutritionTA Mexico-23, National Institute of Nutrition

PR AMRO-54, Institute of Nutrition of Central America and PanamaPO AMRO-54, Institute of Nutrition of Central America and PanamaPR AMRO-165, Nutrition Advisory Services (Interzone)WR AMRO-165, Nutrition Advisory Services (Interzone)

Total -Nutrition

RADIATION AND ISOTOPES

PR Chile-39, Training in the Medical Use of RadioisotopesPR Venezuela-15, Health Aspects of RadiationPR AMRO-142, Health Aspects of Radiation

Total - Radiation and Isotopes

ENVIRONMENTAL SANITATION

PO Argentina-29, Promotion of Community Water SuppliesPR Argentina-30, Sanitary Engineering EducationPO Bolivia-15, Promotion of Community Water SuppliesPR Brazil-50, Seminar on Pollution of Water Supply SourcesPO British Guiana and West Indies-18, Promotion of Community

Water Supplies

PO Colombia-25, Promotion of Community Water SuppliesPO Costa Rica-22, Promotion of Community Water SuppliesPO Cuba-10, Promotion of Community Water SuppliesPO Dominican Republic-15, Promotion of Community Water SuppliesTA El Salvador-12, National Environmental Sanitation Services

PO El Salvador-14, Promotion of Community Water SuppliesPO Honduras-9, Promotion of Community Water SuppliesWR Mexico-35, Environmental Sanitation TrainingPO Mexico-39, Promotion of Community Water SuppliesPO Panama-9, Promotion of Community Water Supplies

PO Paraguay-19, Promotion of Community Water SuppliesPO Peru-30, Promotion of Community Water SuppliesWR Uruguay-15, Waterworks Operators SchoolPO Uruguay-18, Promotion of Community Water SuppliesPR Venezuela-26, Training of Sanitarians

PO Venezuela-27, Promotion of Community Water SuppliesPR Venezuela-30, Water Pollution ControlR AMRO-39, Environmental Sanitation (Advisory Committee and

Consultants)R AMRO-50, Water Fluoridation

850

17,050

15,422

5,700

17,900 21,122 17,753 1,750 10,972 11,503

9,500 9,500 11,900 2,800 2,800 2,40016,192 12,953 14,992 11,476

12,320 10,9209,900 2,400

4,000

49,209 54,161 54,892 35,609 40,561 40,692a)375,4 00 a)375,4 00 a)375,400 315,600 315,600 315,600

57,853 44,138 58,300 42,853 35,648 43,61426,281 11,875

508,282 499,391 549,626 407,782 409,601 428,057

1,00D 1,0004,300 4,300 4,300

88 20,700 21,300 4,200 3,600

4,388 26,000 26,600 4,200 3,600

16,203

2,8954,825

7,365

22,500

14,540

8,9583,600

7,800

6,7002,075

2,535

8,233

14,3006,9003,000

12,021

22,5003,000

14,6368,200

13,903

5,20014,3003,800

15,6003,000

7,80014,300

5,2006,900

19,500

2,600

- - 1

a) Quota contributionsand various grants.

from member governments of INCAP

100

17,753350

1,400

10,372

600

11,503

14,30014,2003,000

12,489

22,5004,300

15,9958,200

15,693

5,20029,9003,80029,9004,300

7,80014,300

5,2002,800

19,5008,400

9,0622,800

4,958

1,050

9,800

13,340

4,9581,400

4,200

2,400

2,100

7,7001,400

10,021

9,800

12,0362,100

12,991

2,8007,7001,2004,200

4,2007,700

2,8002,100

10,500

1,400

7,7002,400

10,489

9,800

13,3952,100

14,781

2,80016,1001,200

11,200

4,2007,700

2,8001,200

10,5003,600

1,200

Page 109: PROPOSED PROGRAM AND BUDGET ESTIMATES

101

T E D E XP E N D I T U R EDUTY TRAVEL SUPPLIES AND FELLOWSHIPS AND

EQUIPMENT PARTICIPANTS GRANTS AND OTHER

1960 1961 1962 1960 1961 1962 1960 1961 1962 1960 1961 1962

$ S $ $ $ $$ $ $ $ $

1,550 1,950 1,000 2,500 4,300500

800 4,3002,610 12,160 880

3,110 2,350 1,950 1,000 12,160 6,800 4,300 880

2,400 2,400 3,200 2,000 4,300 4,300 4,3001,200 1,477

1,4003,200 4,300

4,000

12,460 12,500 13,100 1,000 1,000 1,000 140 100 1009,800 9,800 9,800 21,900 21,900 21,900 2,200 2,200 2,200 25,900 25,900 25,900

13,280 8,490 14,686 1,7201,956 12,450

39,340 34,390 47,419 22,900 22,900 24,900 10,500 6,500 23,250 27,760 26,000 26,000

1,000 1,0004,300 4,300 4,300

3,600 4,800 12,900 12,900 88

3,600 4,800 1,000 1,000 4,300 17,200 17,200 88

4,000

3,775

8,400

1,200

4,0001,200

3,600

2,800

6,133

6,6001,200

2,000

8,400

2,6001,800

912

2,4006,6001,6003,600

3,6006,600

2,4001,800

1,200

6,6003,200

2,000

8,400

2,6001,800

912

2,40013,8001,6009,600

3,6006,600

2,4001,600

9,0004,800

8,9621,600

1,000

1,500

1,0003,500

1,000500

100

7,245

2,895

7,365

2,500

2,075

2,535

4,3003,000

2,5003,000

4,300

4,3003,000

3,000

8,6003,000

2,5004,300

4,300

8,6004,300

1,800 1,800 1,800

- - - - & - J - - & - - 1

Page 110: PROPOSED PROGRAM AND BUDGET ESTIMATES

SUMMARY OF PROGRAM T ASUMMARY OF PROGRAMS PERSONNEL

BY MAJOR EXPENSE 160E9:1160COSTSBY MA JOR EXPENSE ~1960 1961 1962 1960 1961 1962$ $ $ $$ $

ENVIRONMENTAL SANITATION (continued)

AMRO-62, Public Health Aspects of HousingAMRO-95, Environmental Sanitation (Caribbean)AMRO-95, Environmental Sanitation (Caribbean)AMRO-108, Sanitation of Travel CentersAMRO-151, Seminar on Teaching of Sanitary Engineering

in Schools of Engineering

AMRO-151, Seminar on Teaching of Sanitary Engineeringin Schools of Engineering

AMRO-187, Promotion of Community Water SuppliesAMRO-204, Environmental Sanitation Training (Zone I)AMRO-205, Environmental Sanitation Training (Zone II)

AMRO-206, Environmental Sanitation Training (Zone III)AMRO-207, Environmental Sanitation Training (Zone IV)AMRO-208, Environmental Sanitation Training (Zone V)AMRO-209, Environmental Sanitation Training (Zone VI)AMRO-219, Training Course in Administration, Management andFinancing of Water Supplies

AMRO-234, Sewage Disposal and Water Pollution ControlAMRO-235, Food SanitationAMRO-236, Refuse and Garbage Disposal4MR0-239, Promotion of Community Water Supplies (Interzone)AMRO-242, Seminars on Water Supply Design and Management

PO AMRO-243, Conference on Development of Water SuppliesPO AMRO-244, Seminar on Water RatesPR AMRO-248, Sanitary Engineering in Schools of Engineering

Total - Environmental Sanitation

EDUCATION AND TRAINING

Argentina-18, Medical EducationBritish Guiana and West Indies-13 (W'IF - Jamaica), Department

of Preventive Medicine (UCWI)Chile-37, Medical EducationHaiti-19, Medical Education

Honduras-B, Medical EducationMexico-32, Medical EducationVenezuela-17, Medical EducationVenezuela-17, Medical EducationVenezuela-17, Medical Education

AMRO-18, Medical EducationAMRO-210, Medical Education (Zone VI)AMRO-211, Seminar on Teaching of Internal Medicine

Total -Education and Training

OTHER PROJECTS

Chile-44, Cancer ControlUruguay-16, Chronic DiseasesVenezuela-20, Public Health Aspects of Accident PreventionAMRO-35, Fellowships (Unspecified)

Total - Other Projects

PO AMRO-77, Pan American Foot-and-Mouth Disease Center

Lesss Delay Factor for New Projects

TOTAL - ALL SUBJECTS AND ALL FUNDS

8,34224,2401,180

4,00010,4004,0008,000

8,00012,0004,00012,000

50,269

31,956

32,904

2,6008,401

22,922

10,713

15,6004,300

11,800

8,60012,0004,300

12,000

35,953

3,9002,6003,900

34,27530,000

40,000

10,90017,80822,586

16,8004,3008,600

12,90012,0006,30012,000

4,2004,200

34,57530,000

40,000

22,800

7,34220,510

200

2,0005,600

2,230

29,956

2,425

1,4007,40119,661

8,400

2,800

1,4002,100

29,9202,425

2,425

1,20015,80819,375

7,200

1,800

30,2052,425

2,425

2,400

319,520 460,524 513,608 114,469 178,580 206,003

11,200 11,400 11,400 1,400 1,200 1,200

9,900 2,800 2,400 1,2D011,400 9,900 5,600 2,400

22,786 20,646 31,529 18,321 16,346 27,229

1,462 6004,520 8,500 8,500 1,800 1,800

12,100 13,800 9,900 4,200 2,800 2,4001,400

4,300

14,800 23,300 38,300 2,400 3,600 7,20013,923 14,878 11,423 12,378

23,120 1,800

71,168 114,269 150,327 26,921 45,169 57,607

8,400 3,6006,900 7,100 1,400 1,2004,300

45,213 64,520 64,520

45,213 75,720 80,020 1,400 4,800

a)403,600 a)5 25 ,811 a)550,18 8 270,786 357,841 357,841

(2,544) (21,631 (2,544) (21,631

7,506,133 8,163,262 8,701,449 4,429,046 4,884,638 5,179,175

Argentina-18, Medical Education~~~~~~~~~~~~~~~~~~~

t �1�1a1�1a) Organization of American States - Technical Assistance.

102

PRPRTAPRPR

WR

PRWRWR

WRWRWRWRPO

PRPRPRPOPO

WRWR

PRPR

PRWRPRWRTA

WRPRPR

PRPRPRPR

IWR

Page 111: PROPOSED PROGRAM AND BUDGET ESTIMATES

TED E XP END I T U REDUTY TRAVEL SUPPLIES AND FELLOWSHIPS AND

EQUIPMENT PARTICIPANTS GRANTS AND OTHER

1960 1961 1962 1960 1961 1962 1960 1 961 1962 1960 1961 1962

$ $ ' $ $ $ $ $ $ $L...... $ $ $

1,200 1,600 600 7,5001,000 1,000 2,0003,730 3,261 3,211

280 700

1,500 8,963 250

2,0004,800 7,200 9,600

4,000 4,300 4,3008,000 11,800 8,600

8,000 8,600 12,90012,000 12,000 12,0004,000 4,300 6,300

12,000 12,000 12,000

21,044 2,400 2,000 15,995 29,153 9,000 1,600

3,900 4,2001,200 2,4001,800

2,000 4,355 4,3701,800 1,800 24,175 24,175 1,600 1,600

1,800 1,800 34,175 34,175 1,600 1,6001,800 27,079 1,600

3,200 17,200

71,762 88,328 121,455 4,500 6,000 2,200 115,689 180,766 178,950 13,100 6,850 5,000

1,200 1,600 1,600 8,600 8,600 8,600

3,200 1,600 4,3004,800 3,200 1,000 4,300

165 4,300 4,300 4,300

862220 2,400 2,400 4,300 4,300 4,300

3,600 2,400 3,200 4,300 8,600 4,3001,400

4,300

2,800 4,800 9,600 1,000 2,000 8,600 12,900 21,5002,500 2,500

2,400 750 18,170

8,847 21,700 26,500 5,300 3,000 750 30,100 44,400 65,470

4,8001,200 1,600 4,300 4,300

4,30045,213 64,520 64,520

1,200 6,400 45,213 73,120 68,820

24,936 41,688 41,688 64,141 69,250 69,250 17,472 21,322 21,322 26,265 35,710 60,087

793,527 884,262 979,336 496,144 488,882 542,093 860,852 959,555 1,074,730 926,564 945,925 926,115

_ 1 U U U U - U ~ 1 U - * - U -

103

El

1

Page 112: PROPOSED PROGRAM AND BUDGET ESTIMATES

PAN AMERICAN HEALTH ORGANIZATION

REGULAR BUDGET OTHER FUNDS SUMMARY OF PROFESSIONAL AND LOCAL PERSONNEL

NUMBER OF POSTS NUMBER OF POSTS

_ 7 _ T _ _

1961t t t~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

1

1962

1

20 [ 20 20 1 1 1 1

611

611

136 137 139 17 17 17

6 6

101 101 101 6 6 6

72 82 87 171 175 1802 3 3 137 142 142

74 85 90 308 317 322

10 10 10

175148

180148

185 196 201 314 323 328

179 190 196 178 182 187162 163 164 154 159 159

341 353 360 332 341 346

PART I

PAN AMERICAN HEALTH ORGANIZATION

ProfessionalLocal

Total - Part I

PART II

PAN AMERICAN HEALTH ORGANIZATION -HEADQUARTERS

ProfessionalLocal

Total - Part II

PART III

PAN AMERICAN HEALTH ORGANIZATION -FIELD AND OTHER PROGRAMS

Zone Offices

ProfessionalLocal

Total - Zone Offices

Projects

ProfessionalLocal

Total - Projects

Editorial Services and Publications

ProfessionalLocal

Total -Editorial Services and Publications

Potal -Field and Other Proarams

ProfessionalLocal

Total -Part III

ALL PARTS

ProfessionalLocal

Total - PERSONNEL

104

19611960

119

1962 1960

119

119

5977

6077

6178

611

3170

3170

3170 6

64

64

64

10976

11977

12477

171143

Page 113: PROPOSED PROGRAM AND BUDGET ESTIMATES

105

WORLD HEALTH ORGANIZATION

TOTALSREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER OF POSTS NUMBER OF POSTS NUMBER OF POSTS

1960 1961 ' 1962 1960 1961 1962 1960 1961 1962

4 4 4 16 16 161 1 1 10 10 10

5 5 5 26 26 26

28 28 28 93 94 9535 35 35 123 123 124

63 63 63 216 217 219

4 4 4 35 35 3576 76 76

4 4 4 111 111 111

47 45 52 73 73 71 363 375 390139 145 145

47 45 52 73 73 71 502 520 535

1 1 1 7 7 71 1 1 5 5 5

2 2 2 12 12 12

52 50 57 73 73 71 405 417 4321 1 1 220 226 226

53 51 58 73 73 71 625 643 658

84 82 89 73 73 71 514 527 54337 37 37 353 359 360

121 119 126 73 73 71 867 886 903

Page 114: PROPOSED PROGRAM AND BUDGET ESTIMATES

PAN AMERICAN HEALTH ORGANIZATIONPART I w

REGULAR BUDGET OTHER FUNDSPAN AMERICAN HEALTE ORGANIZATION cr

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE F O ESTIMATED EXPENDITUREOF POSTS O POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ SECTION 1

CONFERENCE AND PUBLICATIONS BRANCE(For text see page 15)

1 1 1 9,925 10,225 Chief of Branch, .297 P51 1 1 4,600 4,600 Secretary, .16 WL6

Meeting Services

Arrangements

Administrative Services Officer,1 1 1 6,981 7,206 .13 P3

Conference Services Officer, .0018,1 1 1 5,000 5,200 1 1 1 5,000 5,200 9213 P21 1 1 4,600 4,600 Clerk, .54 WL61 1 1 3,502 3,652 Clerk Stenographer, .28 WL5

Documents

1 1 1 5,000 5,000 Documents Officer, .14 P12 2 2 9,815 10,000 Clerk, .17, .18 WL71 1 1 3,915 4,065 Clerk Stenographer, .55 WL5

Language Services

Chief, Language Services,1 1 1 7,854 8,104 .0021 P4

Spanish

1 1 1 6,719 6,944 Translator Reviser, .20, 4.24, 4.8000 P33 3 3 16,484 17,084 Translator, .22, .288, .0006 P2

English

1 1 1 6,200 6,400 Translator Reviser, .23 P31 1 1 6,400 6,400 Translator, .21, 4.26 P2

Portugese

Translator, 4.25 P2

Stenographic Pool

Clerk, 4.27 WL71 1 1 4,080 4,240 Secretary, .0003 WL62 2 2 7,654 7,954 Clerk Stenographer, .0002, .0004 WL5

20 20 20 105,799 108,729 111,674 1 1 1 4,800 5,000 5,200 TOTAL

SECTION 2

ORGANIZATIONAL MEETINGS(For text see page 15)

Ch. 1. Meetings of the Pan AmericanSanitary Conference, DirectingCouncil, Executive Committeeand WHO Regional Committee

9,609 31,951 Personal Services3,935 35,898 Travel and Transportation

133 3,167 Space and Equipment Services2,200 6,347 Other Services1,667 3,467 Administrative Supplies

31,250 46,300 Publications

67,093 48,794 127,130 TOTAL

L

Page 115: PROPOSED PROGRAM AND BUDGET ESTIMATES

107

WORLD HEALTH ORGANIZATIONREGULAR BUD G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBER-OF POSTS EXPEN ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

_s$ $ $ $ $ $ s $

1 1 1 9,925 10,2251 1 1 4,600 4,600

1 1 1 6,981 7,206

2 2 2 10,000 10,4001 1 1 4,600 4,6001 1 1 3,502 3,652

1 1 1 5,000 5,0002 2 2 9,815 10,0001 1 1 3,915 4,065

1 1 1 7,854 8,104

2 2 2 13,344 13,794 3 3 3 20,063 20,7383 3 3 16,484 17,084

1 1 1 6,200 6,4001 1 1 6,217 6,400 2 2 2 12,617 12,800

1 i i1 6,150 6,350 1i i 1I 6,150 6,35

1 1 1 5,008 5,193 1 1 1 5,008. 5,1931 1 1 4,080 4,2402 2 2 7,654 7,954

5 5 5 29,684 30,719 31,737 26 26 26 140,283 144,448 148,611

4,805 15,974 14,414 47,923,267 20,195 7,202 56,09

67 1,583 200 4,7501,100 3,173 3,300°1 9,52C

833 1,733 2,500 5,20[31,250 46,30

19,323 10,072 42,658 86,416 58,866 169,78

Page 116: PROPOSED PROGRAM AND BUDGET ESTIMATES

108

PAN AMERICAN HEALTH ORGANIZATIONPARI i

R E G U L A R B U D G E T OT H E R F S PA AMERICAN HEALTH ORGANIZATION

NUMBER NUMBER oOF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITUREOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 Ch. 2. Meetings of the Executive-~ $ $ $ $ $ $ Committee

5,802 5,802 Personal Services4,632 4,632 Travel and Transportation

100 100 Space and Equipment Services1,000 1,000 Other Services3,400 3,400 Administrative Supplies

14,934 14,934 14,934 TOTAL

SECTION 3

TEMPORARY PERSONNEL(For text see page 15)

1,350 1,350 1,350 Temporary Personnel

SECTION 4

COMMON STAFF COSTS(For text see page 15)

15,293 15,716 16,142 228 238 247 Ch. 1. Pension2,380 2,447 2,512 108 113 117 Ch. 2. Insurance

17,075 17,075 17,075 1,425 1,425 1,425 Ch. 3. Post Adjustment Allowance256 256 256 384 400 416 Ch. 4. Service Benefit

1,175 1,175 1,175 Ch. 5. Repatriation Grant6,000 6,000 6,000 800 800 800 Ch. 6. Dependents' Allovance7,600 3,800 Ch. 7. Recruitment Costs2,325 4,618 4,525 1,100 Ch. 8. Home Leave Travel

10,250 10,390 10,530 Ch. 9. Reimbursement of Income Tax

62,354 57,677 58,215 6,745 2,9761 4,105 TOTAL

PART II

HEADQUARTERS

SECTION 1

EXECUTIVE OFFICES(For text see page 16)

Ch. 1. Office of the Director

1 1 1 16,000 16,000 Director, .1 Ung1 1 1 15,000 15,000 Assistant Director, .2 Ung1 1 1 14,000 14,000 Secretary General, .3 Ung1 1 1 5,000 5,000 Administrative Officer, .6 P12 2 2 11,172 11,377 Secretary, .7, .8 WL8

Reports Office

1 1 1 6,719 6,944 Reports Officer, .293 P31 1 1 3,800 4,000 Reports Officer, .5 P11 1 1 3,800 3,960 Clerk, .289 WL61 1 1 3,815 3,965 Clerk Typist, .11 WL5

(15,000) (15,000 Contribution of WHO

64,306 65,246 Cost of salaries

6,300 6,300 Duty Travel for Executive Offices

Representation Allowance of the6,000 6,000 Director

200 200 Hospitality

10 10 IO 74,566 76,806 77,746 TOTAL

Page 117: PROPOSED PROGRAM AND BUDGET ESTIMATES

109

WORLD HEALTH ORGANIZATIONT OTALS

R E G U L A R BUD G E T TECHNICAL ASSISTANCE FUNDS _A_ S

NUMBER NUMBER NUMBEROF MOS ESTIMATED EXPENDITURE O E ESTIMATED EXPENDITURE O S ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $5,802 5,8024,632 4,632

100 1001,000 1,0003,400 3,400

14,934 14,934 14,934

1,350 1,350 1,350

4,364 4,481 4,629 19,885 20,435 21,018668 691 714 3,156 3,251 3,343

5,675 5,675 5,675 24,175 24,175 24,175640 656 672

292 302 1,175 1,467 1,477

1,200 1,425 1,200 8,000 8,225 8,000600 11,400 600

5,325 1,800 4,260 7,650 6,418 9,885

2,015 2,277 2,347 1 12,265 12,667 12,877

19,247 17,241 19,127 88,346 77,894 81,447

1 1 1 16,000 16,0001 1 1 15,000 15,0001 1 1 14,000 14,0001 i 1 5,000 5,0002 2 2 11,172 11,377

1 1 1 6,719 6,9441 1 1 3,800 4,000i 1 1 3,800 3,9601 1 1 3,815 3,965

15,000 15,000

15,000 15,000 79,306 80,246

11,700 11,700 18,000 18,000

6,000 6,000

1,500 1,500 1,700 1,700

25,115 28,200 28,200 o10 10 10 99,681 105,006 105,946

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110

PAN AMERICAN HEALTH ORGANIZATIONPAIe II w

REGULAR BUDGET OTHER FUNDS PARQuiE

NUMER NUMBEROF POSTS ESTIMATED EXPENDITURE PMDTS ESTIMATED EXPENDITUREOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ Ch. 2. Information Office

Information Officer, 4.29 P31 1 1 5,000 5,200 Information Officer, .0009 P2

Information Officer, 4.30 P11 1 1 4,376 4,561 Information Assistant, .32 WL71 1 1 4,760 4,760 Secretary, .31, 4.1301 WL61 1 1 3,752 3,902 Clerk Stenographer, .0020 WL5

"World Health"

8,458 10,500 News Releases

World Health Day

Supplies, Materials and Other3,250 3,500 Services

Visual Aids

1 1 1 8,000 8,000 Visual Media Officer, .209 P31 1 1 5,683 5,883 Visual Media Officer, .210 P21 1 1 5,000 5,000 Photo Editor, .255 P1

Visual Media Assistant, .211, .212,4 4 4 21,319 21,746 .213, .0001 WL81 1 1 4,347 4,507 Clerk Stenographer, .214 WL6

1,600 1,600 Drafting Supplies

2,800 2,800 Photographic Ser'ices

665 665 Slides and Film Strips

5,600 5,600 Exhibits

12 12 12 82,189 84,610 88,224 TOTAL

SECTION 2

DIVISION OF EDUCATION AND TRAINING(Por text see page 16)

Ch. 1. Office of the Chief

Chief of Division, 4.56 D21 1 1 4,160 4,345 Secretary, .58 WL71 1 1 3,640 3,790 Clerk Stenographer, .59 WL5

7,800 8,135 Cost of salaries

17,545 17,545 405 405 Duty Travel for Division

2 2 2 25,010 25,345 25,680 405 405 405 TOTAL

Ch. 2. Fellowships Branch

Chief of Branch, 4.69 P51 1 1 8,792 9,042 Medical Officer, .61 P41 1 1 7,206 7,431 Nurse, .234 P3

Training Officer, 9105, 4.294,1 1 1 6,350 6,569 4.0500 P3

Administrative Officer, 4.62 P2Budget and Avards Clerk, 4.65 WL8Placement Clerk, .243, .0014, 9106

2 2 2 8,783 9,153 1 1 1 4,468 4,653 4.63, 4.0501 WL7Payments and Travel Clerk, 4.64 WL7

1 1 1 5,270 5,270 Statistics Clerk, .66 WL7Secretary, 4.295 WL6

1 1 1 3,800 3,960 Clerk Stenographer, .0005 WL62 2 2 7,946 8,266 Clerk, .292, .0034 WL6

_ ______ _ Clerk Stenographer, 4.254 WL5

8 8 81 40,333 41,797 43,122 2 2 2 10,464 10,818 11,222 TOTAL

k~~~~~~~~~~~~~~~~~~~~~~~~~

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111

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBE'R NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE NUMESTIMATED EXPENDITURE EST ATED EXPENDTUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

_ $ $ $ $ $ S $1 1 8,000 8,000 1 1 1 8,000 8,000

1 1 1 5,000 5,2001 1 1 4,100 4,300 1 1 1 4,100 4,300

1 1 1 4,376 4,5611 1 1 3,973 4,133 2 2 2 8,733 8,893

1 1 1 3,752 3,902

56,800 56,800 56,800 56,800

4,267 5,500 12,725 16,000

9,700 10,000 9,700 10,000

3,456 3,706 6,706 7,206

1 1 1 8,000 8,0001 1 1 5,683 5,8831 1 1 5,000 5,000

4 4 4 21,319 21,7461 1 1 4,347 4,507

750 750 2,350 2,350

1,200 1,200 4,000 4,000

335 335 1,000 1,000

3,200 3,200 8,800 8,800

3 3 3 77,017 95,781 97,924 15 15 15 159,206 180,391 186,148

1 1 1 12,500 12,500 1 1 1 12,500 12,5001 1 1 4,160 4,3451 1 1 3,640 3,790

12,500 12,500 20,300 20,635

8,130 8,130 26,080 26,080

1 1 1 9,172 20,630 20,630 3 3 3 34,587 46,380 46,715

1 1 1 9,000 9,250 1 1 1 9,000 9,2501 1 1 8,792 9,0421 1 1 7,206 7,431

2 2 2 13,193 13,643 3 3 3 19,543 20,2121 1 1 5,733 5,933 1 1 1 5,733 5,9331 1 1 5,620 5,620 1 1 1 5,620 5,620

2 2 2 8,375 8,720 5 5 5 21,626 22,5261 1 1 5,085 5,085 1 1 1 5,085 5,085

1 1 1 5,270 5,2701 1 1 3,867 4,027 1 1 1 3,867 4,027

1 1 1 3,800 3,9602 2 2 7,946 8,266

1 1 1 3,690 3,840 1 1 1 3,690 3,840

10 10 10 48,472 54,563 56,118 20 20 20 99,269 107,178 110,462

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112

PAN AMERICAN HEALTH ORGANIZATIONPAET II w

REGULAR BUDGET OTHER FUNDS EuA]ER

NUMBER NUMBER oNUBEROF POSTS ESTIMATED EXPENDITURE NUMBER ESTIMATED EXPENDITUREOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ Ch. 3. Professional Education Branch

1 1 1 9,000 9,250 Chief of Branch, .67 P51 1 1 9,500 9,500 Medical Officer, .290, 4.235 P41 1 1 9,458 9,500 Nurse Educator, .68 P41 1 1 4,453 4,638 Clerk, .231 WL72 2 2 9,040 9,200 Secretary, .70, .71 WL61 1 1 4,760 4,760 Clerk Stenographer, .52 WL61 1 1 3,902 4,052 Clerk Typist, .0022 WL5

Library

1 1 1 8,000 8,000 Librarian, .37 P3Cataloger, 4.38 P1

3 3 3 13,520 13,680 Clerk, .39, ,41, .42 WL62 2 2 7,567 7,867 Clerk, .40, .43 WL5

79,200 80,447 Cost of salaries

6,400 6,400 _ Library Acquisitions and Binding

14 14 14 83,679 85,600 86,847 TOTAL

SEOTION 3

DIVISION OF ADMINISTRATION(For text see page 16)

Ch. 1. Office of the Chief

1 1 1 12,500 12,500 Chief of Division, .112 D21 1 1 5,270 5,270 Secretary, .114 WL7

17,770 17,770 Cost of salaries

5,100 4,220 3,800 3,800 Duty Travel for Division

5,000 5,000 Audit Costs

2 2 2 27,885 27,870 26,990 6,300 35,800 3,800 TOTAL

Ch. 2. Administrative Managementand Personnel Branch

Chief of Branch, 4.138 P5Administrative Officer (Trainee),

1 1 1 5,683 5,883 .0032 P21 1 1 4,760 4,760 Secretary, .139 WL6

Management Section

1 1 1 7,731 7,979 Management Officer, .141 P3Management Officer, 4.236 P2

1 1 1 3,927 4,077 Clerk, .0017 WL5

Personnel Section

1 1 1 8,146 8,396 Personnel Officer, .148 P4Procedures and Policies Officer,

1 1 1 7,675 7,917 .0007 P3Recruitment Officer, 4.145 P2Classification, Wage Administration

and Employees Services Officer, 4.146 P21 1 1 5,000 5,200 Insurance Officer, .0037 P21 1 1 4,383 4,583 Documentation Officer, .150 P1

1 1 1 4,083 4,283 Assistant Recruitment Officer, 9002 P11 1 4,595 4,800 Personnel Assistant, .241, 4.144 WL81 1 1 4,160 4,345 Personnel Assistant, .0040 WL7

Secretary, 4.142 WL61 1 1 41 ,053 4,213 1 1 1 4,120 4,280 Clerk, .0011, 4.198, 4.218, 9015 WL6

Clerk Stenographer, 4.189 WL6

11 11 11 58,113 60,113 62,153 2 2 2 7,803 8,203 8,563 TOTAL

__~~~~~~~ _ _ 1-

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113

WORLD HEALTH ORGANIZATIONREGULAR BUDG E T TECHNICAL ASSISTANCE FUNDS T A L

N.U MB ER NUMBERBEROF POSTS ESTIATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

_______ _______ _____ _ POF POST S

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ I$ $ $ $ $ $ $1 1 1 9,000 9,250

1 1 1 7,732 7,979 2 2 2 17,232 17,479

1 1 1 9,458 9,5001 1 1 4,453 4,6382 2 2 9,040 9,2001 1 1 4,760 4,7601 1 1 3,902 4,052

1 1 1 1 ,000 8,0001 1 iI 1 1 5,000 5,000 1 1 1 5,000 5,000

3 3 3 13,520 13,6802 2 2 7,567 7,867

12,732 12,979 91,932 93,426

6,400 6,400

2 2 2 12,507 12,732 12,979 16 16 16 96,186 98,332 99,826

1 1 1 12,500 12,5001 1 1 5,270 5,270

17,770 17,770

4,440 3,635 13,340 11,65

5,000 5,000

4,385 4,440 3,635 2 2 2 38,570 36,110 34,425

11 1 11,000 11,000 11 1 11,000 11,00

1 1 1 5,683 5,8831 1 1 4,760 4,760

1 1 1 7,731 7,9791 1 1 5,383 5,563 1 1 1 5,383 5,583

1 1 1 3,927 4,077

1 1 1 8,146 8,396

1 1 1 7,675 7,9171 1 1 5,133 5,333 1 1 1 5,133 5,333

1 1 1 5,600 5,800 1 1 1 5,600 5,B001 1 1 5,000 5,2001 1 1 4,383 4,5831 1 1 4,083 4,283

1 i 1 4,988 5,193 2 2 2 9,583 9,9931 1 1 4,160 4,345

1 1 1 4,440 4,600 1 1 1 4,440 4,6102 2 2 8,920 9,080 4 4 4 17,093 11,5731 1 1 3,800 3,960 1 1 1 3,800 3,960

9 9 9 46,578 49,264 50,549 22 22 22 112,494 117,580 121,265

94

Page 122: PROPOSED PROGRAM AND BUDGET ESTIMATES

114

PAN AMERICAN HEALTH ORGANIZATIONPART II w

REGULAR BUDGET OTHER FUNDSHEADQUARTERS 0

NUMBER NUMBEROF POSS ESTIMATE OF POSTS ESTIMATED EXPENDITURE

60 61162 1960 1961 1962 60 61 62 1960 1961 1962_ $ $ $ _ $ Ch. 3. Budget and Finance Branch

1 1 1 1 10,750 11,000 Chief of Branch, .152 P51 1 1 4,187 4,347 Secretary, .157 WL6

Budget Section

2 2 2 12,956 13,381 Budget Officer, .155, 4.153, .0015 P3Administrative Officer, 4.35 P1

1 1 1 5,364 5,569 1 1 1 5,569 5,774 Budget Assistant, .298, 9001 WL81 1 1 4,760 4,760 Clerk Stenographer, .9, 4.117 WL6

Clerk, 4.196 WL5

1 1 1 3,577 3,727 Clerk Typist, .158 WL5

Finance Section

Finance Officer, 4.160 P4

1 1 1 6,569 6,794 Accountant, .177 P31 1 1 5,833 6,033 )isbursement Officer, .250 P23 3 3 17,283 17,883 Accountant, .170, .179, .0016 P2

Accountant, 4.164 P1

1 1 1 5,159 5,364 Accounting Assistant, .233, 4.172 WL8Accounting Assistant, .163, 4.166,

1 1 1 4,191 4,376 4.180, 4.182 WL7Clerk, .162, .168, 4.169, 4.174,

2 2 2 7,947 8,267 4.176 WL61 1 1 3,627 3,777 Clerk Typist, .167 WL5

17 17 7 89,004 92,203 95,278 1 1 1 5,364 5,569 5,774 TOTAL

Ch. 4. Supply Office

1 1 1 7,979 8,229 Supply Services Officer, .119 P4Supply Services Officer, 4.9146 * P3

1 1 1 5,233 5,433 Supply Services Officer, .121 P2

1 1 1 5,000 5,000 Translator, .136 P1Administrative Services Officer,

4.201 P1Supply Services Officer, 4.124 Pl

2 2 2 9,245 9,430 Clerk, .125, .129 WL7Clerk Stenographer, 4.128 WL6

2 2 2 9,280 9,440 Clerk, .203, .253 WL6Clerk, 4.131 WL5Clerk Typist, 4.130 WL5

7 7 7 35,853 36,737 37,532 TOTAL

Ch. 5. General Services Office

1 1 1 9,208 9,458 Administrative Services Officer, .184 P4

Travel

Travel Officer, 4.187 P1

Records and Communicationa

Administrative Services Officer,

1 1 1 5,000 5,000 .191 P1

2 2 2 8,202 8,352 Clerk, .192, .193, 4.194 WL61 1 1 3,947 4,107 Clerk (Records), .0023 WL61 1 1 4,240 4,240 Clerk, .195 WL5

1 1 1 3,298 3,428 Clerk, .200 WL4

Printing

1 1 1 4,160 4,345 Printing Technician, .202 1L7Machine Operator, 4.204 WL6

1 1 1 3,490 3,640 Machine Operator, .207 WL5

* This post funded from the Malaria Eradication Special Account.

Page 123: PROPOSED PROGRAM AND BUDGET ESTIMATES

WORLD HEALTH ORGANIZATIONREGULAR BUD G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBER_OFP ESTIMATEO EXPENDITURE TS ESTIMATED EXPENDITURE OFMOSI ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ S $ $ $ $ $ $ $1 1 1 10,750 11,0001 1 1 4,187 4,347

1 1 1 7,150 7,375 3 3 3 20,106 20,7561 1 1 5,000 5,000 1 1 1 5,000 5,000

2 2 2 10,933 11,3431 1 1 3,765 3,915 2 2 2 8,525 8,6751 1 1 4,390 4,390 1 1 1 4,390 4,390

1 1 1 3,577 3,727

1 1 1 8,104 8,354 1 1 1 8,104 8,3541 1 1 6,569 6,7941 1 1 5,833 6,0333 3 3 17,283 17,883

1 1 1 5,000 5,000 1 1 1 5,000 5,0001 1 1 4,663 4,868 2 2 2 9,822 10,232

3 3 3 14,160 14,530 4 4 4 18,351 18,906

3 3 3 12,973 13,293 5 5 5 20,920 21,5601 1 1 3,627 3,777

13 13 13 63,446 65,205 66,725 31 31 31 157,814 162,977 167 ,777

1 1 1 7,979 8,2291 1 1 6,719 6,944 1 1 1 6,719 6,944

1 1 1 5,233 5,4331 1 1 5,000 5,000

1 1 1 5,000 5,000 1 1 1 5,000 5,0001 1 1 5,000 5,000 1 1 1 5,000 5,000

2 2 2 9,245 9,4301 1 1 4,520 4,600 1 1 1 4,520 4,600

2 2 2 9,280 9,4401 1 1 3,502 3,652 1 1 1 3,502 3,6521 1 1 3,802 3,952 1 1 1 3,802 3,952

6 6 6 27,858 28,543 29,148 13 13 13 63,711 65,280 66,680

1 1 1 9,208 9,458

1 1 1 5,000 5,000 1 1 1 1 5,000 5,000

1 1 1 5,000 5,000e 1 1 1 4,760 4,760 3 3 3 12,962 13,112

1 1 1 3,947 4,1071 1 1 4,240 4,2401 1 1 3,298 3,428

1 1 1 4,160 4,3451 1 1 4,587 4,747 1 1 1 4,587 4,747

1 1 1 3,490 3,640

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116

PAN AMERICAN HEALTH ORGANIZATIONPAHM II w

REGULAR BUDGET OTHER FUNDS oHEADQUAIRERS B

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 General Services Office (continued)

$ $ $S $ $Property Services

Administrative Services Officer,4.215 P2

1 1 1 4,595 4,800 Administrative Services Officer, .217 WLB2 2 2 8,840 9,000 Clerk, .216, .219 WL61 1 1 4,760 4,760 Switchboard Operator, .220 WL61 1 1 4,240 4,240 Svitchboard Operator, .221 WL51 1 1 3,449 3,579 Clerk, .244, 4.224 WL4

1 1 1 3,319 3,449 Clerk Messenger, 9004 WL41 1 1 3,287 3,417 Chauffeur Clerk, .227 WL4

16 16 16 69,049 70,716 72,366 1 1 1 3,190 3,319 3,449 TOTAL

SECTION 4

DIVISION OF PUBLIC HEALTH(For text see page 16)

Ch. 1. Office of the Chief

1 1 1 12,500 12,500 Chief of Division, .72 D21 1 1 11,000 11,000 Radiological Health Officer, .299 P5

1 1 5,475 7,469 Radiological Health Officer, .0041 P41 1 1 4,160 4,345 Secretary, .73 WL71 1 1 3,490 3,640 Clerk Stenographer, .286 WL5

36,625 38,954 Cost of salaries

19,520 20,660 4,450 4,450 Duty Travel for Division

4 5 5 38,877 56,145 59,614 4,450 4,450 4,450 TOTAL

Ch. 2. Health Promotion Branch

1 1 1 10,700 11,000 Chief of Branch, .75 P5Medical Officer, 4.79 P4

1 1 1 7,469 7,694 Medical Officer (Nutrition), .0038 P4Medical Officer (Medical Care),

1 1 1 7,469 7,694 .0035 P4Medical Officer (Mental Health),

1 1 1 7,469 7,694 .0036 P41 5,475 Medical Officer (MCH), .0042 P4

1 1 1 8,646 8,896 Dental Officer, .7053 P4Nurse, 4.77 P4Health Educator, 4.0503 P4

1 1 1 4,600 4,760 Seoretary, .82 WL6Clerk Stenographer, .0024, .0039,

2 2 3 7,542 10,347 .0043, 4.83, 4.92 WL5Clerk, 4.0504 WL5

8 8 10 46,106 53,895 63,560 TOTAL

Ch. 3. Communicable Diseases Branch

1 1 1 11,000 11,000 Chief of Branch, .86 P5Medical Officer, 4.89, 4.239 P4

1 1 1 7,469 7,694 Medical Officer (Tuberculosis), .0025 P41 1 1 9,500 9,500 Public Health Veterinarian, .88 P41 1 1 4,160 4,320 Secretary, .91 WL6

Clerk Stenographer, .74, .93, .95,4 4 4 13,959 14,559 .0026, 4.84 WL5

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117

WORLD HEALTH ORGANIZATIONT O T A L S

REGULAR BUDGET TECHNICAL ASSISTANCE FUNDSNUMBER NUMBER NUBER

_ TS ESTIMAT ED EXPEDITURE OF POSTS MATED EXPENDITURE ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ # 6 $ $ $ $ $ $

1 1 1 6,383 6,400 1 1 1 6,383 6,4001 1 1 4,595 4,8002 2 2 8,840 9,0001 1 1 4,760 4,7601 1 1 4,240 4, 240

1 1 1 3,850 3,850 2 2 2 7,299 7,4291 1 1 3,319 3,4491 1 1 3,287 3,417

5 5 5 23,995 24,580 24,757 22 22 22 96,234 98,615 100,572

1 1 1 12,500 12,5001 1 1 11,000 11,000

1 1 5,475 7,4691 1 1 4,160 4,3451 1 1 3,490 3,640

36,625 38,954

27,030 28,890 51,000 54,000

27,030 27,030 28,890 4 5 5 70,357 87,625 92,954

1 1 1 10,700 11,0001 1 9,500 9,500 1 1 1 9,500 9,500

1 1 1 7,469 7,694

1 1 1 7,469 7,694

1 5,4751 1 1 8,646 8,896

1 1 1 8,125 8,375 1 1 1 8,125 8,3751 1 1 9,438 9,500 1 1 1 9,438 9,500

1 1 1 4,600 4,760

2 2 2 7,130 7,430 4 4 5 14,672 17,7771 1 1 3,490 3,640 1 1 1 3,490 3,640

6 6 6 37,949 37,683 38,445 14 14 16 84,055 91,578 102,005

1 1 1 11,000' 11,0002 2 2 17,167 17,667 2 2 2 17,167 17,667

1 1 1 7,469 7,6941 1 1 9,500 9,5001 1 1 4,160 4,320

1 1 1 3,865 4,015 5 5 5 17,824 18,574

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118

PAN AMERICAN HEALTH ORGANIZATIONPAET II w

REGULAR BUDGE T OTHER FUNDS EADAENUMADBUA11ERS

OF POSTS ESTIMATED EXPENDITURE OF POSS ESTIMATED EXPENDITUREOF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 Communicable Diseases

_$ $ s $ $ $ Branch (continued)

Epidemiology and StatisticsSection

1 1 1 9,675 9,975 Statistician, .96 P5

1 1 1 7,469 7,694 1 1 1 7,525 7,750 Statistician, .0027, 9007 P4

2 2 2 13,456 13,906 Statistician, .97, .0029 P3

2 2 2 11,783 11,983 Statistician, .98, .102, 4.99 P2

2 2 2 10,000 10,000 Statistician, .100, .101 P1

1 1 1 5,000 5,000 Statistical Assistant, .0028 P1Statistical Assistant, 4.103 WL8

1 1 1 4,760 4,760 Clerk, .104 WL6

1 1 4,000 4,160 Clerk Stenographer, 9008, 4.106 WL6

2 2 2 7,730 7,880 Clerk Typist, .0030, .105 WL5

20 20 20 115,357 115,961 118,271 2 2 2 11,140 11,525 11,910 TOTAL

Ch. 4. Environmental SanitationBranch

Chief of Branch, 4.107 P5

1 1 1 9,458 9,500 Sanitary Engineer, .245 P4Secretary, 4.111 WL6

1 1 1 3,627 3,777 Clerk Stenographer, .246 WL5

2 2 2 12,685 13,085 13,277 TOTAL

Ch. 5. Malaria Eradication

1 1 1 12,000 12,000 Chief, Malaria Eradication, .1023 D1

1 1 1 9,750 10,050 Deputy Chief, .1074 P5

1 1 1 9,675 9,975 Scientist (Epidemiologist), .1073 P5

1 1 1 9,000 9,250 Malariologist, 9127 P5

1 1 1 9,100 9,100 Medical Consultant, 9021 Ung

1 1 1 7,525 7,750 Operations Officer, 9128 P4

1 1 1 5,159 5,364 Technical Assistant, 9011 WL8

1 1 1 5,270 5,270 Secretary, 9012 WL7

2 2 2 8,427 8,747 Secretary, 9013, 9022 WL6

1 1 1 3,515 3,665 Clerk Stenographer, 9014 WL51 1 1 3,802 3,952 Clerk, 9016 WL5

31,425 32,025 51,798 53,098 Cost of salaries

12,144 12,144 13,530 13,530 Duty Travel

3 3 3 41,914 43,569 44,169 9 9 9 63,714 65,328 66,628 TOTAL

SECTION 5

TEMPORARY PERSONNEL(For text see page 16)

9,546 13,140 13,140 2,500 1,180 1,180 Temporary Personnel

SECTION 6

COMMON STAFF COSTS(For text see page 16)

104,920 111,647 115,624 5,499 5,879 6,063 Ch. 1. Pension16,718 17,827 18,442 1,903 2,055 2,117 Ch. 2. Insurance85,396 91,314 93,139 7,642 8,475 8,475 Ch. 3. Post Adjustment Allovance

309 319 329 2,984 3,376 3,491 Ch. 4. Service Benefit

12,479 12,479 12,479 Ch. 5. Repatriation Grant32,103 34,736 35,536 3,833 3,800 3,800 Ch. 6. Dependents' Allovance

34,200 3,800 3,800 8,600 Ch. 7. Recruitment Costs19,323 7,307 33,200 4,000 6,700 Ch. 8. Home Leave

102,762 104,702 106,492 6,540 6,960 7,260 Ch. 9. Reimbursement of Income Tax

408,210 384,131 419,041 41,001 30,545 37,906 TOTAL

= _ = = == = _~~~~~~~

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119

WORLD HEALTH ORGANIZATIONT OTALSREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS T O T A

NUMBER NUMBER NUMBEROF PO ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OF POT ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ X $ _$ $ $ $ $ $

1 1 1 9,675 9,9752 2 2 14,994 15,4442 2 2 13,456 13,906

1 1 1 6,400 6,400 3 3 3 18,183 18,3832 2 2 10,000 10,0001 1 1 5,000 5,000

1 1i 1 4,595 4,800 1 1 1 4,595 4,8001 1 1 4,760 4,760

1 1 1 4,600 4,600 2 2 2 8,600 8,7602 2 2 7,730 7,880

6 6 6 34,675 36,627 37,482 28 28 28 161,172 164,113 167,663

1 1 1 9,650 9,950 1 1 1 9,650 9,9501 1 1 9,458 9,500

1 1 1i 4,333 4,493 1 1 1 4,333 4,4931 1 1 3,627 3,777

2 2 2 13,569 13,983 14,443 4 4 4 26,254 27,068 27,720

1 1 1 12,000 12,0001 1 1 9,750 10,0501 1 1 9,675 9,9751 1 1 9,000 9,2501 1 1 9,100 9,1001 1 1 7,525 7,75011 1 1 5,159 5,3641 1 1 5,270 5,2702 2 2 8,427 8,7471 1 1 3,515 3,6651 1 1 3,802 3,952

83,223 85,123

25,674 25,674

12 12 12 105,628 108,897 110,797

363 5,680 5,680 12,409 20,000 20,000

43,815 47,721 48,695 154,234 165,247 170,3827,759 8,259 8,435 26,380 28,141 28,99439,523 42,730 42,730 132,561 142,519 144,3443,578 5,489 5,696 6,871 9,184 9,516

700 718 12,479 13,179 13,19719,242 19,720 19,720 55,178 58,256 59,0563,989 46,789 3,800 3,8004,606 17,700 5,500 27,929 25,007 45,400

50,662 54,966 56,016 159,964 166,628 169,768

173,174 197,285 187,510 622,385 611,961 644,457

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120

PAN AMERICAN HEALTH ORGANIZATIONPART II ,

REGULAR BUDGET OTHER FUNDS QANUMBER NUMBER

OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITUREOF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ S $$ $ $$ SECTION 7

COMMON SERVICES - HEADQUARTERS(For text see page 17)

Ch. 1. Space and Eauipment Services

18,526 18,526 18,526 2,407 2,407 2,407 Contracted Custodial Services12,272 12,272 12,272 1,595 1,595 1,595 Rent1,770 1,770 1,770 230 230 230 Fuel5,428 5,428 5,428 705 705 705 Electricity413 413 413 54 54 54 Gas354 354 354 46 46 46 Water826 826 826 107 107 107 Elevator Maintenance413 413 413 54 54 54 Trash Removal - Extermination

1,416 1,416 1,416 184 184 184 Janitorial Supplies2,655 2,655 2,655 345 345 345 Buildings, Repairs and Upkeep

Equipment, Repair and1,652 1,652 1,652 215 215 215 Maintenance

45,725 45,725 45,725 5,942 5,942 5,942 TOTAL

Ch. 2. Other Services

Communications

8,850 8,850 8,850 1,150 1,150 1,150 Postage9,440 9,440 9,440 1,227 1,227 1,227 Cables4,130 4,130 4,130 537 537 537 Telephone Toll Charges9,145 9,145 9,145 1,188 1,188 1,188 Telephone Service Charges

Other Contractual Services

2,124 2,124 2,124 276 276 276 Medical Examinations3,835 3,835 3,835 498 498 498 Miscellaneous

Local Transportation

767 767 767 100 100 100 Vehicle Operation2,360 2,360 2,360 307 307 307 Miscellaneous Transportation

40,651 40,651 40,651 5,283 5,283 5,283 TOTAL

Ch. 3. Supplies and Materials

8,850 8,850 8,850 1,150 1,150 1,150 Office Supplies1,770 1,770 1,770 230 230 230 Printing Supplies

17,700 17,700 17,700 2,300 2,300 2,300 Contract Printing

28,320 28,320 28,320 3,680 3,680 3,680 TOTAL

Ch. 4. Fixed Charges and Claims

3,491 3,491 3,491 376 376 376 Insurance - Non-Staff

Ch. 5. Acquisition of CapitalAssets

10,575 7,050 4,050 * Equipment

SUMMARY

45,725 45,725 45,725 5,942 5,942 5,942 Ch. 1. Space and Equipment Services40,651 40,651 40,651 5,283 5,283 5,283 Ch. 2. Other Services28,320 28,320 28,320 3,680 3,680 3,680 Ch. 3. Supplies and Materials3,491 3,491 3,491 376 376 376 Ch. 4. Fixed Charges and Claims

10,575 7,050 4,050 Ch. 5. Acquisition of Capital Assets

128,762 125,237 122,237 15,281 15,281 15,281 TOTAL

* Direct Charges** Includes contribution from the Malaria Eradication Special Account

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121

WORLD HEALTH ORGANIZATIONREGULAR BUD G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBEROESTMATED POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $

10,467 10,467 10,467 31,400 31,400 31,4006,933 6,933 6,933 20,800 20,800 20,8001,000 1,000 1,000 3,000 3,000 3,0003,067 3,067 3,067 9,200 9,200 9,200

233 233 233 700 700 700200 200 200 600 600 600467 467 467 1,400 1,400 1,400233 233 233 700 700 700800 800 800 2,400 2,400 2,400

1,500 1,500 1,500 4,500 4,500 4,500

933 933 933 2,800 2,800 2,800

25,833 25,833 25,833 77,500 77,500 77,500

5,000 5,000 5,000 15,000 15,000 15,0005,333 5,333 5,333 16,000 16,000 16,0002,333 2,333 2,333 7,000 7,000 7,0005,167 5,167 5,167 15,500 15,500 15,500

1,200 1,200 1,200 3,600 3,600 3,6002,167 2,167 2,167 6,500 6,500 6,500

433 433 433 1,300 1,300 1,3001,333 1,333 1,333 4,000 4,000 4,000

22,966 22,966 22,966 68,900 68,900 68,900

5,000 5,000 5,000 15,000 15,000 15,0001,000 1,000 1,000 3,000 3,000 3,000

10,000 10,000 10,000 30,000 30,000 30,000

16,000 16,000 16,000 48,000 48,000 48,000

1,633 1,633 1,633 5,500 5,500 5,500

10,575 7,050 4,050 21,150 14,100 8,100

25,833 25,833 25,833 77,500 77,500' 77,50022,966 22,966 22,966 68,900 68,900 68,90016,000 16,000 16,000 48,000 48,000 48,0001,633 1,633 1,633 5,500 5,500 5,500

10,575 7,050 4,050 21,150 14,100 8,100

77,007 **73,482 **70,482 221,050 214,000 208,000

_ _ _ _ _ _ _ _ _J

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122

PAN AMERICAN HEALTH ORGANIZATION PARTn III

REGULAR BUDGET OT H E R F U N D S FIELD AND OTHER PROGRAMS

NUMBER NUMBERNUMBEROF POSTS ESTIMATED EXPENDITURE NUMSER ESTIMATED EXPENDITURE ZONE IOF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 ZONE OFFICE - CARACAS

$ $ $ $ $ $ $ (For text see page 18)

1 1 1 10,300 10,700 Zone Representative, .275 D11 1 1 9,375 9,650 Assistant Zone Representative, .8002 P51 1 1 9,187 9,438 Publio Health Engineer, .8006 P41 1 1 7,600 7,833 Public Health Nurse, .8003 P41 1 1 7,917 8,167 Administrative Officer, .8004 P41 1 1 5,200 5,400 Accounts and Budget Officer, .8008 P2

1 1 1 8,030 8,388 Secretary, 9017 CL61 1 1 8,090 8,448 Accounting Assistant, .279 CL61 1 1 8,149 8,507 Secretary, Chief of Pool, .8009 CL61 1 1 8,209 8,567 Personnel Clerk, .8005 CL61 1 1 8,060 8,418 General Services Clerk, .8010 CL6

Records and Communications Clerk,1 1 1 6,965 7,264 .287 CL51 1 1 6,716 7,015 Secretary, .296 CL51 1 1 5,067 5,300 Accounting Clerk, .8011 CL41 1 1 5,009 5,242 Clerk Stenographer, .8019 CL41 1 1 2,828 2,881 Chauffeur-Messenger, .8012 CL21 1 1 1,672 1,672 Janitor, .8013 CL1

1,200 1,200 Estimated Local Wage Increases

111,544 115,702 8,030 8,388 Cost of salaries

Allowances

15,794 16,389 361 377 Pension Fund2,483 2,576 180 189 Insurance

37,200 37,200 Post Adjustment7,050 7,050 Assignment4,400 4,400 Dependents'

321 336 Service Benefit

Travel and Transportation

10,500 10,500 Duty5,900 2,100 Home Leave

300 300 Hospitality

Common Services

3,698 3,851 Space and Equipment Services14,358 14,605 Other Services4,839 5,064 Supplies and Materials

400 400 Fixed Charges and Claims4,900 2,500 Acquisition of Capital Assets

16 16 16 210,841 223,366 222,637 1 1 1 7,789 8,892 9,290 SUB-TOTAL

Costs Payable by Government(53,000) (53,000) (53,000 53,000 53,000 53,000 of Venezuela

16 16 16 157,841 170,366 169,637 1 1 1 60,789 61,892 62,290 TOTAL

BRITISH GUIANA AND WEST INDIES

BRITISH GUIANA AND WEST INDIES-1,Aedes ae ypti Eradication(For text see page 19)

Entomologist, 4.284 P3Sanitarian, 4.907, 4.908, 4.994,

4.8503, 4.8505 P2Sanitarian, 4.909, 4.910 P1

Cost of salaries

Common Staff Costs

Duty Travel

3,311 3,500 Supplies and Equipment

3,311 3,500

Estimated Government Contribution

Page 131: PROPOSED PROGRAM AND BUDGET ESTIMATES

123

WORLD HEALTH ORGANIZATIONREGULAR BUD G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF PO ESTIMATED EXPENDITURE NUO BER ESTIMATED EXPENDITURE NUMBER ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ S $ $ S $ S1 1 1 10,300 10,7001 1 1 9,375 9,6501 1 1 9,187 9,4381 1 1 7,600 7,8331 1 1 7,917 8,1671 1 1 5,200 5,4001 1 1 8,030 8,3881 1 1 8,090 8,4481 1 1 8,149 8,5071 1 1 8,209 8,5671 1 1 8,060 8,418

1 1 1 6,965 7,2641 1 1 6,716 7,0151 1 1 5,067 5,3001 1 1 5,009 5,2421 1 1 2,828 2,8811 1 1 1,672 1,672

1,200 1,200

119,574 124,090

16,155 16,7662,663 2,765

37,200 37,2007,050 7,0504,400 4,400

321 336

10,500 10,5005,900 2,100

300 300

411 428 4,109 4,2791,595 1,623 15,953 16,228

538 563 5,377 5,627400 400

4,900 2,500

2,014 2,544 2,614 17 17 17 220,644 234,802 234,541

2,014 2,544 2,614 17 17 17 220,644 234,802 234,541

1 1 1 6,367 6,587

5 4 4 21,217 22,0172 7,367

34,951 28,604

19,606 16,275

3,924 3,642

6 7 5 46,111 58,481 48,521 6 7 5 46,111 61,792 52,021

(495,000) (475,000 (475,000

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124

PAN AMERICAN HEALTH ORGANIZATIONPART III

REGULAR BUDGET 1 OTHER FUNDS FIEL ANDOTHER POGRAS

NUMBER NUMBER oOF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE I~~~~~~~~~OF POSTS O OT

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ BRITISH GUIANA AND WEST INDIES-3,Public Health Nursing(For text see page 19)

Public Health Nurse, 4.8501, 4.8510 P3

Common Staff Costs

Duty Travel

l _ 1 ] _ 1_ i 1Estimated Government Contribution

BRITISH GUIANA AND WEST INDIES-4,PAHO Public Health AdministrationFellowships

(For text see page 19)

4,300 4,300 4,300 Fellowships

BRITISH GUIANA AND WEST INDIES-6(WIF - Trinidad),Public Health

Legislation(For text see page 19)

All Purposes

BRITISH GUIANA AND WEST INDIES-10(British Guiana),Public HealthServices

(For text see page 19)

Medical Officer, 4.8508 P4

Common Staff Costs

Duty Travel

Estimated Government Contribution

BRITISH GUIANA AND WEST INDIES-11WIF - Jamaica),Public HealthTraining Station

(For text see page 19)

Short-term ConsultantsFeesTravel

Estimated Government Contribution

BRITISH GUIANA AND WEST INDIES-12(WIF - Jamaica),Nursing Education(For text see page 20)

1 1 i I 1 6,200 6,400 Nurse Educator, .8020 P3

3,181 4,310 Common Staff Costs

100 100 Duty Travel

4,300 4,300 Fellowships

Estimated Government Contribution

-. . - s u a

1 1 i 14,593 13,781 15,110

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125

WORLD HEALTH ORGANIZATIONT 0 T A L S

REGULAR BUD G E T TECHNICAL ASSISTANCE FUNDSBER NBER NUMBEROF PO ETIMATED N U OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

_ $ _ $ $sI $ '$ $ $ ' S

1 6,000 1 1 1 6,267 6,475

4,080 2,590 2,122

2,000 2,144 2,144

1 12,080 1 1 1 9,180 11,001 10,741 1 1 1 2 9,180 11,001 22,821

(125,000) (175,000) (175,000)

4,300 4,300 4,300

2,220 2,220

1 I 7,300 7,525

4,275 3,658

400 400

1 1 11,975 11,583 1 1 11,975 11,583

(350,000) (35U,00o

2,400 2,4003,200 3,200

2,600 5,600 5,600 2,600 5,600 5,600

(75,000) (75,000) (75,f

1 1 1 14,593 13,781 15,110

(125,000) (150,000) (i50,0W

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126

PAN AMERICAN HEALTH ORGANIZATIONPART III w

REGULAR BUDGET OTHER FUNDS FIELD AND OTME PROGRAMS

OF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDTUREZONE IOF POSTS ¡OF POSTS_ _ _ J _ _ _ _ _ _ _ _ _ _ _ _ E S T I M A T E D _ X P E N D I T U R E _ Z O _E

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962__B--RITISH GUIANA AND WEST INDIES-13

$ $ $ $ $ $ (WIF - Jamaica),Department ofPreventive Medicine (UCWI)

(For text see page 20)

Short-term ConsultantsFeesTravel

ellowships

Estimated Government Contribution

BRITISH GUIANA AND WEST INDIES-14(British Guiana),MalariaEradication(For text see page 20)

Short-term Consultants2,800 2,800 Fees2,400 2,400 Travel

2,583 2,289 Supplies and Equipment

19,040 7,783 7,489

Estimated Government Contribution

BRITISH GUIANA AND WEST INDIES-15(WIF - Jamaica) Malaria Eradication

(For text see page 20)

1 1 1 9,500 9,500 Medical Officer, 9129 P41 1 1 8,500 8,750 Sanitary Engineer, 9103 P42 2 2 10,350 10,750 Sanitarian, 9065, 9066 P2

28,350 29,000 Cost of salaries

12,188 13,690 Common Staff Costs

3,920 3,920 Duty Travel

3,059 2,759 Supplies and Equipment

4 4 1 4 1 47,9521 47,517 49,3691~~~~~~~~~~~~~~~~~~~~4,6

Estimated Government Contribution

BRITISH GUIANA AND WEST INDIES-16(WIF - Trinidad), Malaria Eradication(For text see page20)

8,310 8,850 13,089 Supplies and Equipment

Estimated Government Contribution

BRITISH GUIANA AND WEST INDIES-17(WIF -Windward Islands),MalariaEradication

(For text see page21)

2 2 1 10,700 5,633 Sanitarian, 9067, 9132 P2

6,446 5,594 Common Staff Costs

3,392 1,696 Duty Travel

2,873 2,709 Supplies and Equipment

2 2 1 1 24,5841 23,411 1 15,632

Estimated Government Contribution

' '

1 1 i

1 1

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127

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBERMBOF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE ESTATE EXPENTUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

5$ $ $ $ $ $ $ $

2,400 1,2003,200 1,600

4,300

9,g900 2,800 ___ 9,900 2,800

(75,000 (75,000)

19,040 7,783 7,489

(25,000) <25,000)1 (25,000)+(25,000)l, (25,000)(25,000)

Page 136: PROPOSED PROGRAM AND BUDGET ESTIMATES

128

PAN AMERICAN HEALTH ORGANIZATION _PART IIIREGULAR BUDGET OTHER FUNDS FIELDAND OTHER PROGRANS

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962BRITISH GUIANA AND WEST INDIES-18,

$ $ $ $ $ Promotion of Community WaterSupplies

(For text see page 21)

1 1 5,475 7,469 Sanitary Engineer, 9303 P4

4,546 3,020 Common Staff Costs

____ _ __ _ _ 2,000 2,000 Duty Travel

1 1 7,365 12,021 12,489

1 1 1 18,893 21,392 22,910 6 7 6 107,251 99,582 98,068 TOTAL -BRITISH GUIANA AND WEST INDIES

FRENCH ANTILLES AND GUIANA

FRENCH ANTILLES AND GUIANA-2, Aedesaegypti Eradication

(PFor text see page 21)

Sanitarian, 4.283 P2

Common Staff Costs

Duty Travel

Estimated Government Contribution

FRENCH ANTILLES AND GUIANA-3,PAHO Public Health AdministrationFellowships

(For text see page 21)

4,300 4,300 4,300 Fellowships

4,300 4,300 4,300 TOTAL - FRENCH ANTILLES AND GUIANA

SURINAM AND NETHERLANDS ANTILLES

SURINAM-1, Malaria Eradication(For text see page 21)

1 1 1 7,525 7,750 Medical Officer, 9133 P42 2 2 10,350 10,750 Sanitarian, 9147, 9203 P2

17,875 18,500 Cost of salaries

10,780 12,675 Common Staff Costs

4,970 4,970 Duty Travel

_______ 16,562 10,959 Supplies and Equipment

3 3 3 41,541 40,187 47,104

Estimated Government Contribution

SURINAM AND NETHERLANDS ANTILLES-1,Adees aegyti Eradication

(For text see page21)

1 1 5,333 5,533 Sanitarian, .8021 P2Sanitarian, 4.1158 P1

6,875 7,305 Common Staff Costs

850 850 Duty Travel

1 11 1 1 13,341 13,058 13,688

Estimated Government Contribution

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129

WORLD HEALTH ORGANIZATIONT OTLS

REGULAR BUDGET TECHNICAL ASSISTANCE FUNDSNUMBER NUMBER NUMBER

OF POSERS ESTIMATED EXPENDITURE NESTIMATED EXPENDITURE N ER ESTIATE EXPENDURE60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ S

1 1 7,365 12,021 12,489

1 2 4,820 27,475 32,063 7 8 6 55,291 69,482 59,262 14 17 15 186,255 217,931 212,303

1 1 1 6,400 6,400

2,381 2,881

404 404

1 1 1 9,502 9,185 9,685 1 1 1 9,502 9,185 9,685

(16,000) (16,000) (16,000)

4,300 4,300 4,300

1 1 1 9,502 9,185 9,685 1 1 1 13,802 13,485 13,9851 [--i1 -52

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130

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER F U N D S FIELD AND OTER PROGRAS

NUMBER NUMBER oOF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE I

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $S $S 9 $ $ SURINAM AND NETHERLANDS ANTILLES-2,

PAHO Public Health AdministrationFellowships

(For text see page 22)

4,300 4,3UO 4,300 Fellowships

TOTAL - SURINAM AND1 1 1 17,641 17,358 17,988 3 3 3 41,541 40,187 47,104 NETHERLANDS ANTILLES

-~~~~~~ + +-·-+-I 4 +

5,700· ~~~~~~~ + *-+-l-- I 4

4,300

· ~ ~ ~~~~~~~44 - --

1,8002,400

4,200· ~~ ~ ~ ~ ~ ~~~~ 4--4-4-4* +

4,500

8,900

840

4,300

1 1¿L1 J 1. 5.

VENEZUELA

VENEZUELA-2. Mental Health(For text see page 22

Short-term ConsultantsFeesTravel

Fellowships

VENEZUELA-5, OnchocerciasisInvestigation

(For text see page 22)

Short-term ConsultantsFeesTravel

VENEZUELA-9, PARO Public HealthAdministration Fellowships

(PFor text see page 22)

Fellovwships

VENEZUELA-11. Plague Investigation(For text see page 22)

Short-term Consultants

VENEZUELA-13. Yaws Eradication andVenereal Diseases Control

(For text see page 22)

Short-ter. ConsultantsFeesTravel

VENEZUELA-14. Nursing Education(For text see page 22)

Nurse Educator, .8024, 4.8507

Common Staff Costs

Duty Travel

Fellowships

Estimated Government Contribution

600800

4,300

4,300

2,400

5,200

4,300

4,300

1

i 1 4,300¡ 18,540

P3

i i

.......... y' ........ -.......

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131

WORLD HEALTH ORGANIZATIONREGULA R B UDGET TECHNICAL ASSISTANCE FUNDST 0 T A L S

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF PSTS ESTIMATED EXPENDITURE ESTATE EXPENDTURE60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

4,300 4,300 4,300

1 1 1 8,413 9,318 8,899 5 5 5 67,595 66,863 73,991

_____ X_ <5,700

600800

1,400 1,400

4,300 4,300 4,300

2,400

5,200 4,200

1 1 1 7,600 7,833

8,479 8,003

1,700 1,700

1 1 1 14,982 17,779 17,536 1 1 2 14,982 22,074 36,076

(175,000) (225,000) (225,000)

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132

PAN AMERICAN HEALTH ORGANIZATION PART IIIw

REGULAR BUDGET OTHER FUN D S FIELD AND OTHER PROGRAMS

OF POSTS ESTIMATED EXPENDITURE OF POSTS 1 ESTIMATED EXPENDITURE ZONE IOF POSTS 1 OF POSTS

1 1 1 8,521 8,7713 2 2 11,650 11,850

20,171 20,621

31,550 28,918

13,337 11,250

4 33 1 99,060 65,058 60,789

$1961 1962

$

12,100 13,800] 9,900

1,4001,200

_- _ L I _ _______ 1 2,600 1

-+ f *4 - 41- - - --

VENEZUELA-15, Health Aspects ofRadiation

(For text see page 22)

Fellowships

VENEZUELA-16, Aedes aegyptiEradication

(For text see page 22)

Medical Officer, .4004Sanitarian, .4005, .4006, .4007

Cost of salaries

Common Staff Costs

Duty Travel

Estimated Government Contribution

VENEZUELA-17, Medical Education(For text see page 22)

Short-term ConsultantsFeesTravel

Fellowships

VENEZUELA-18, National Institute ofHygiene

(For text see page 23)'

Short-term ConsultantsFeesTravel

VENEZUELA-19. School of Public Health(For text see page 23)

Short-term ConsultantsFeesTravel

Fellowships

VENEZUELA-20, Public Health Aspectsof Accident Prevention

(For text see page 23)

Fellowships

VENEZUELA-24, Public Health Services(For text see page 23)

Short-term ConsultantsFeesTravel

P4P2

601 61 62 1960 1961

$1962

$-4-4-1 -1 4 ·

60 161 162$

4,300

1960

4,300 4,300

2,8002,400

8,600

2,4003,200

4,300

4~ 4 1- -4 4 +

· ~~~~~~~ 4 1- -- - + +

4.300

6,3005,400

1 _ 1 10,300 11,700

_ _¿1 d _. L A.

$

Page 141: PROPOSED PROGRAM AND BUDGET ESTIMATES

133

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OP ESTIMATED EXPENDITURE O S ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ s' $ $ $ $ $

4,300 4,300 4,300

4 3 3 89,060 65,058 60,789

,500,000) 1,500,U00) ,500,000)

1,400

1,400 4,300 16,400 15,200 9,900

2,600

1,800 1,8002,400 2,400

4,300

8,160 4,200 8,500 8,160 4,200 8,500

4,300

10,300 11,700

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134

PAN AMERICAN HEALTH ORGANIZATION p

REGULAR BUDGET OTHER FUNDS FIELDTADOTEPROGRAMS

UOF MoSTSR | ESTIMATED EXPENDITURE OF POSTS | ESTIMATED EXPENDITURE Woo N I _OFPOT ESTIMATED EXPENDITURE N U ESTIMATED EXPENDITURE TE I

601 61 162 1960

$1961

$

1,4001,200

1962

$

1,2001,600

601 611 62 1960

$1961

$1962

$

_ __ _ _ 11 2,6001 2,800 _ _ 1 _

2,1001,800

3,000

1,2001,600

_______ 1 6,900] 2,8011 __ __ __1 1

10,5009,000

10,5009,000

_______ ______ ___ _ ¡ l I i 1 2,5351 19,500 1 19,500

· ~~ ~ ~~~ -· L _ __

I I · ' ' · ' · · ·+

1 1 t t t -9

-4- -4 4 -4-I-l 9

3,6004,800

t~~ 4 +

8,400

VENEZUELA-25. Diarrheal Diseases inChildhood

(For text see page 23)

Short-term ConsultantsFeesTravel

VENEZUELA-26, Training of Sanitarians(For text see page 23)

Short-term ConsultantsFeesTravel

Fellowships

VENEZUELA-77. Promotion of Communitv

Water Supplies(For text see page 23)

Short-term ConsultantsFeesTravel

VENEZUELA-28. Industrial Uvaiene(For text see page 24)

Sanitary Engineer, 4.8511

Common Staff Costs

VENEZUELA-29, Planning and Organi-zation of Hospital Services

(For text see page 24)

Medical Officer, 4.8512

Common Staff Costs

Fellowships

VENEZUELA-30, Water Pollution Control(For text see page 24)

Short-term ConsultantsFeesTravel

4 3 4 127,660 125,558 116,029 1 ¡I I 2,5351 19,500i 19,500¡ TOTAL - VENEZUELA

P4

·----- w ----- -----

Page 143: PROPOSED PROGRAM AND BUDGET ESTIMATES

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

UBERO POST ESTIMATED EXPENDITURE OF POTOF POSTS 1 OF POSTS

60 61 1 621 1960

ESTIMATED EXPENDITURE

1961$ 1 $

1962

__ I~~~~~~~~~~~~~~~~~~~~~~~3

T O T A L S

ESTIMATED EXPENDITURE-_

1961 1 1962 160 1611 62 1960

-.

-

1

135

Page 144: PROPOSED PROGRAM AND BUDGET ESTIMATES

136

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUN D S FIELD AND OTHER PROGRAMS

OF PS5ETHTNUMBER PNDIUMB EXENTREIoOF POSS ESTIMATED EXPENDITURE O P 1 ESTIMATED EXPENDITURE ZONE IOF POSTS OF POSTS

60 161 1621 1960 1 1961

$ $1962

$

1 2 8,342 8,401 17,808

1 1 1 9,479 9,7751 1 1 8,562 8,8121 1 1 7,468 7,694

1 1 1 8,125 8,3751 1 1 1 7,875 8,0001 1 1 6,531 6,7561 1 1 5,400 5,6001 1 1 3,059 3,176

56,499 58,188

48,299 36,750

18,091 18,091

1,600 1,600

730 530

125,219

INTER-COUNTRY PROGRAMS

AMRO-8, Aedes aegypti Eradication(Caribbean)

(For text see page 24)

Medical Officer, 4.905

Common Staff Costs

Duty Travel

AMRO-47, Yaws Eradication and SyphilisControl kCaribbean)

(For text see page 24)

Medical Officer, .8023, 4.1083

Common Staff Costs

Duty Travel

Estimated Government Contribution

AMRO-95. Environmental Sanitatinn(Caribbean)(For text see page 24)

Sanitary Engineer, 4.1106Sanitarian, .8014, .8026, 4.1170

Cost of salaries

Common Staff Costs

Duty Travel

Estimated Government Contribution

AMRO-117, Malaria TechnicalAdvisory Services (Zone I)

(For text see page 25)

Chief Zone Malaria Adviser, 9086Epidemiologist, 9200Sanitary Engineer, 9134Administrative Methods Consultant,

9150Laboratory Adviser, 9087Entomologist, 9088Sanitarian, 9237Secretary, 9107

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Common Services

P4

P4P2

P5P4P4

P4P3P3P2JL6

106,569

1 1 1 -~ 1 ______ L _____ 1 1

115,159

61 1 162 1960 1961 1962

$1 1 1 . 11t--t-------------

$

1 1 1 1 E i i

1 T14

1 1 7,656

3,948

2,900

1 1

7,896

3,584

2,900

1 2,460 14,504 14,380

1 -

I ~ I I~ ~ 1 ' - - 4I i 4

1! 1 2 5,000

5,000

2,401

1,000

8,800

8,800

7,008

2,000

8 81 8

m

--f-- ...............

$

Page 145: PROPOSED PROGRAM AND BUDGET ESTIMATES

137

WORLD HEALTH ORGANIZATIONT 0 OTALS

REGULAR BUDGET TECHNICAL ASSISTANCE FUNDSNUMBER NUMBER NU BER

OF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ s $ $ $ $ $ $ s

1 1 1 9,500 9,500

12,304 10,254

3,857 3,857

1 1 1 23,730 25,661 23,611 1 1 1 23,730 25,661 23,611

1

1 15,552 2 1 1 18,012 14,504 14,380

(125,000) (115,000) (115,000)

1 1 1 7,712 7,9581 1 1 4,950 5,150

12,662 13,108

6,999 6,267

3,261 3,211

2 2 2 24,240 22,922 22,586 3 3 4 32,582 31,323 40,394

(780,000) (780,000) (780,000)

8 8 8 1 106,569 125,219 115,159'

Page 146: PROPOSED PROGRAM AND BUDGET ESTIMATES

138

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELDANDOTER PROGRAMS

OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE I

60 61 62 1960 1961 1962 60 61 62 1960 1961 19626_ 1 _[6~ -_ 1 - 1962 AMRO-134, Training Center for Malaria

$8 $0) ~ $d~ ~ ~~ ~ $I~~~~~~ $~ IEradication (Kinston)(For text see page 25)

1 1i- 1 8,958 9,208 Chief, Training Center, 9108 P52 2 2 12,998 13,423 Sanitarian, 9116, 9185 P31 1 1 5,483 5,683 Administrative Officer, 9114 P22 2 2 5,964 6,188 Secretary, 9205, 9141 Ung1 1 1 1,225 1,295 Chauffeur-Messenger, 9142 Ung2 2 2 2,281 2,421 Chauffeur, 9263, 9277 Ung1 1 1 922 989 Cleaner-Messenger, 9278 Ung

37,831 39,207 Cost of salaries

Short-term Consultants2,800 2,800 Fees2,400 2,400 Travel

14,363 17,965 Common Staff Costs

2,536 2,536 Duty Travel

4,450 4,450 Supplies and Equipment

9,287 9,287 Common Services

1.ii[iiI ___ ____ [ ___ 1 ._ _l10 10 10 1 69,5421 73,667 1 78,645

Estimated Government Contribution

AMRO-157, Health Statistics (Zone I)(For text see page 25)

1 1 1 7,562 7,792 Statistician, .8000

5,034 3,968 Common Staff Costs

2,250 2,250 Duty Travel

1 1 11 1 1 13,174 14,846 14,010

Estimated Government Contribution

AMRO-204, Environmental SanitationTraining Zone I)

(For text see page 25)

Fellowships

ARO-232, Filariasis (Zone I)(For text see page 25>

Short-term Consultants2,800 1,200 Fees2,400 1,600 Travel

1,075 Fellowships

I 6_2_5 __ 2 1 ,8006,275 2,800

1- 1 1 1 -

AMRO-245, Training Course on NursingSupervision and Administration(Zone I)(For text see page 25)

Short-term Consultants3,600 Fees4,80 Travel

1,000 Supplies and Equipment

22,000 Fellowships

31,400

3 3 4 23,976 44,026 80,398 18 18 18 176,111 198,886 193,804 TOTAL - INTER-COUNTRY PROGRAMS

9 8 10 192,470 212,634 241,625 27 28 27 327,438 358,155 358,476 TOTAL - ZONE I PROGRAMS_ ~ ~ ~ ~ ~ ~ ~ ~ - ___- _________ _________________

Page 147: PROPOSED PROGRAM AND BUDGET ESTIMATES

139

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS T T A L S

NUMBER NUMBEROFMT ~ESTIMATED EXPENDITURE NUMBER ESTMATED EXPENDTURE ESTMATED EXPENDTURE

OF POSTS OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

s s s $ $ $ $ $ $

1o 10 10 69,542 73,667 78,645

(15,000) (15,000) (15,000)

1 1 1 13,174 14,846 14,010

(55,000) (75,000) (75,000)

4,900 4,300 4,300 4,000 4,300 4,300

6,275 2,800

31,400

4,000 4,301 4,300 4 3 3 63,522 48,583 46,197 25 24 25 267,609 295,795 324,699

1 4 16,980 38,775 85,513 14 14 12 156,010 154,347 141,579 50 51 53 692,898 763,911 827,193

Page 148: PROPOSED PROGRAM AND BUDGET ESTIMATES

140

PAN AMERICAN HEALTH ORGANIZATION PAR IIIn

REGULAR BUD G E T OTHER F U N D S FIELD AND OTRER PROGRAMS t

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IIOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 ZONE OFFICE -MEXICO. D.F.$ $ $ $ $ $ (For text see page8)

1 1 1 12,000 12,000 Zone Representative, .300 D1Assistant Zone Representative, 4.303 P5Medical Officer, 4.302 P4

1 1 7,675 7,917 Nurse, .304 P41 1 1 8,146 8,396 Administrative Officer, .305 P41 1 1 5,683 5,883 Accounts and Budget Officer, .2009 P2

Administrative Services Assistant,1 1 3,167 3,279 .310 ML71 1 1 3,223 3,335 Accountant, .330 ML71 1 1 2,634 2,730 Accountant Assistant, .341 ML6

1 1 1 2,575 2,669 Clerk, 9124 ML6Clerk Stenographer, .308, .309, .331,

5 5 5 11,110 11,510 .332, .349 ML51 1 1 2,186 2,266 1 1 1 2,086 2,163 Clerk, .2010, 9123 ML51 1 1 1,563 1,619 Chauffeur, .311 ML31 1 1 1,306 1,362 Clerk, .368 ML31 1 1 1,165 1,205 Janitor, .340 ML1

59,858 61,502 4,661 4,832 Cost of salaries

Allovances

8,614 8,850 455 471 Pension Fund1,345 1,382 105 109 Insurance2,975 2,975 Post Adjustment4,600 4,600 Assignment2,700 2,700 Dependents'

Repatriation Grant83 87 Service Benefit

Travel and Transportation

7,140 7,140 Duty4,183 400 Home Leave

300 300 Hospitality

Common Services

8,743 8,743 Space and Equipment Services8,388 8,388 Other Services2,812 2,812 Supplies and Materials

150 150 Fixed Charges and Claims1,300 3,300 Acquisition of Capital Assets

16 16 16 107,218 113,108 113,242 2 2 2 5,024 5,304 5,499 TOTAL

CUBA

CUBA-1, Aedes aegypti EradicationFor text see page 26)

1 1 1 9,312 9,500 Medical Officer, .336 P41 1 1 5,533 5,733 Sanitarian, .344 P21 1 1 3,800 4,000 Sanitarian, .2025 P1

18,645 19,233 Cost of salaries

17,387 19,826 Common Staff Costs

6,600 6,600 Duty Travel

10,000 10,000 1 Supplies and Equipment

3 3 3 61,906 52,632 55,659

Estimated Government Contribution

Page 149: PROPOSED PROGRAM AND BUDGET ESTIMATES

141

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POT ESTIMATED EXPENDITURE O P ESTIMATED EXPENDITURE O S ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

S $ $ $ $ $ $$ $ $

i i 1 12,000 12,000I 1 1 9,975 10,275 1 1 1 9,975 10,2751 1 1 9,250 9,250 1 1 1 9,250 9,250

1 1 1 7,675 7,9171 1 1 8,146 8,3961 1 1 5,683 5,883

i 1 1 3,167 3,2791 1 1 3,223 3,3351 1 1 2,634 2,7301 1 1 2,575 2,669

5 5 5 11,110 11,5102 2 2 4,272 4,4291 1 1 1,563 1,6191 1 1 1,306 1,3621 1 1 1,165 1,205

19,225 19,525 83,744 85,859

1,905 1,949 10,974 11,270432 439 1,882 1,930

1,700 1,700 4,675 4,6752,600 2,600 7,200 7,200

400 400 3,100 3,100150 154 150 154740 740 823 827

4,400 4,400 11,540 11,5403,946 4,183 4,346

300 300

972 972 9,715 9,715932 932 9,320 9,320313 313 3,125 3,125

150 1501,300 3,300

2 2 2 36,145 33,769 38,070 20 20 20 148,387 152,181 156,811

3 3 3 61,906 52,632 55,659

(8o40,000oo) (8o40,0oo0) (840o,000oo)

Page 150: PROPOSED PROGRAM AND BUDGET ESTIMATES

142

PAN AMERICAN HEALTH ORGANIZATION PART IIIw

REGULAR BUDGET OTHER FUNDS FIELD AND OTHERPROGRAMS

OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE II.OF POSTS . . . .

60 161 621 1960$

1961$

7,412

7,412

4,968

720

1962$

7,637

7,637

5,669

720

601 61 162 1960$

1961$

1962

$

1 1 1 9,752 13,100 14,026

1 1 1 8,688 8,9381 1 7,300 7,525

1 2 2 9,700 10,100

25,688 26,563

26,382 19,772

5,100 5,100

300 300

10,000 10,000

1,30D 1,300

2 4 4 32,596 68,770 63,035

12,900 12,900 12,900_ _ - 4-4 1.4.

7,488

4,548

2,600· ~ ~ ~ ~ ~ ~~~~~ 1- - - 4 +

1 1 1 14,540 14,636

7,713

5,682

2,600

15,995

CUBA-3, Public Health Services(For text see page 26)

Chief Country Adviser, 4.374

Health Educator, .2030Sanitary Engineer, 4.2500Public Health Nurse, 4.375

Cost of salaries

Common Staff Costs

Duty Travel

Estimated Government Contribution

CUBA-4, Nursing EducationFor text see page 26)

Nurse Educator, 4.2508

Common Staff Costs

Supplies and Equipment

Fellowships

Estimated Government Contribution

CUBA-5, Malaria Eradication(For text see page 26)

Medical Officer, 9126Sanitary Engineer, 9297Sanitarian, 9156, 9298

Cost of salaries

Common Staff Costs

Duty Travel

Common Services

Supplies and Equipment

Fellowships

Estimated Government Contribution

CUBA-6. PAHO Public Health Adminis-tration Fellowships

(For text see page 26)

Fellowships

CUBA-10, Promotion of CommunityWater Supplies(For text see page 26)

Water Supply Consultant, 9276

Common Staff Costa

Duty Travel

4 l4 4 84,558 78,632 82,585 3 5 5 47,136 8394061 79,030 TYOTAL - CUBA

1 1 1

P4

Page 151: PROPOSED PROGRAM AND BUDGET ESTIMATES

143

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDST O T A L S

NUMBER NUMBER NUMBERNUMB__OF POSTS ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ 8$ $ $ $ $ $ $ $ $

1 1 1 8,958 9,208

1 1 1 7,413 7,6381 1 1 6,100 6,300

22,471 23,146

14,012 15,612

2,210 5,432

3 3 3 34,230 38,693 44,190 4 4 4 43,982 51,793 58,216

(666,750) (635,000) [1,778,000)

1 1 6,150 6,350

4,327 4,858

500 500

2,000 2,000

1 1 12,977 13,708 1 1 12,977 13,708

(75,000) (75,000)

2 4 4 32,596 68,770 63,035

(1010,000) (100,0,O) (10O,000)

12,900 12,900 12,900

1 1 1 14,54D 14,636 15,995

1 1 12,977 13,708 3 3 3 34,230 38,693 44,190 10 13 13 165,924 213,708 219,513

Page 152: PROPOSED PROGRAM AND BUDGET ESTIMATES

144

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER F U N D S FIELD A OTHER PGRAMS

OF POSTS ESTIMATED EXPENDITURE OF POSU S ESTIMATED EXPENDITURE ZONE IIUOF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

DOMINICAN REPUBLICS q) S I I$ $ $ $ $

DOMINICAN REPUBLIC-2, MalariaEradication

(For text see page 27)

1 1 1 7,875 8,125 Medical Officer, 9029 P41 1 1 8,042 8,292 Sanitary Engineer, 9040 P43 3 3 14,584 15,184 Sanitarian, 9036, 9038, 9231 P2

30,501 31,601 Cost of salaries

24,480 28,381 Common Staff Costs

10,960 10,960 Duty Travel

2,000 3,359 Supplies and Equipment

I_______ 1 _____ _1 T_5 5 | 5 71,897 1 67,941} 74,301

Estimated Government Contribution

DOMINICAN REPUBLIC-3. NursingEducation

(For text see page 27)

Nurse Educator, 4.372 P3Nurse Educator, 4.373 P2

Cost of salaries

Common Staff Costs

Duty Travel

Fellowships

Estimated Government Contribution

DOMINICAN REPUBLIC-4. Public HealthServicesT-For text see page 27)

1 1i i~ 1 ~9,975 10,275 Chief Country Adviser, .342 P51 1 1 ' 8,708 8,958 Sanitary Engineer, .353 P4

1 1i i~ 1 ~6,234 6,437 Public Health Nurse, .343 P3

24,917 25,670 Cost of salaries

22,079 16,793 Common Staff Costs

2,400 2,400 Duty Travel

50 50 Supplies and Equipment

3 3 3 1 48,141 49,446 44,913

Estimated Government Contribution

DOMINICAN REPUBLIC-8, Aedes aegyptiEradication

(For text see page 27)

1 i I 1 8,105 8,355 Medical Officer, .2028, 4.316 P41 i I 1 5,000 5,200 Sanitarian, .2029, 4.317 P2

13,105 13,555 Cost of salaries

10,241 10,586 Common Staff Costs

3,795 3,795 Duty Travel

Estimated Government Contribution

J 1 �

2 2 27,141 27,936

Page 153: PROPOSED PROGRAM AND BUDGET ESTIMATES

145

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS T L S

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE NUMESTIMATED EXPENDITURE ESTATED EXPENDTURE________ ~~OF POSTS ESTIMATED EXPENDITURE O OT SIAE XEDTROF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962~~~~~$ $ $S $ $ $

5 5 5 71,897 67,941 74,301

(500,000) (500,000) (500,000)

1 1 6,150 6,3501 1 5,033 5,233

11,183 11,583

7,935 7,669

2,000 2,000

4,300 4,300

2 2 2 18,591 25,418 25,552 2 2 2 18,591 25,418 25,552

(80,000) (80,000) (80,000)

3 3 3 48,141 49,446 44,913

(330,000) (330,000) '(330,000)

11

2 26,753 2 2 2 26,753 27,141 27,936

(100,o00) (100,000) (io0,000o

Page 154: PROPOSED PROGRAM AND BUDGET ESTIMATES

146

PAN AMERICAN HEALTH ORGANIZATION PART III

wREGULAR BUDGET OTHER FUNDS FIELD AD OTHER PROGRAMS

NUMBER NUMBER oOF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IIOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962DOMINICAN REPUBLIC-10 BCG Vaccination

$ $ $ $ $ $ (For text see page 27)

1 5,578 Public Health Nurse, .2024 P3

Estimated Government Contribution

DOMINICAN REPUBLIC-11 PAHO PublicHealth Administration Fellowships

(For text see page 27)

4,300 4,300 Fellowships

DOMINICAN REPUBLIC-15, Promotion ofCommunity Water Supplies

(For text see page 27)

Short-term Consultants2,100 2,100 Fees1,800 1,800 Travel

4,300 4,300 Fellowships

8,200 8,200

DOMINICAN REPUBLIC-52, VenerealDisease Control

(For text see page27)

1 1 8,146 8,396 Medical Officer, .320 P41 1 7,896 8,000 Serologist, .2008 P3

16,042 16,396 Cost of salaries

13,914 13,026 Common Staff Costs

1,800 1,800 Duty Travel

2 2 2 31,582 31,756 31,222

Estimated Government Contribution

6 7 7 85,301 112,643 108,371 5 5 5 71,897 76,141 82,501 TOTAL - DOMINICAN REPUBLIC

HAITI

HAITI-1l Yaws Eradication(For text see page 28)

Medical Officer, 4.323 P4Sanitarian, 4.364 P1

Common Staff Costs

Duty Travel

Estimated Government Contribution

HAITI-4. Malaria Eradication(For text see page 28)

1 1 1 8,875 9,125 Chief Country Malaria Adviser, 9080 P51 1 1 7,412 7,637 Epidemiologist, 9079 P41 1 1 7,412 7,637 Health Educator, 9144 P41 1 1 7,412 7,637 Sanitary Engineer, 9046 P41 1 1 4,900 5,100 Sanitarian, 9048 P21 1 1 3,700 3,900 Entomological Aide, 9280 P12 2 2 7,750 8,150 Sanitarian, 9257, 9258 P11 Administrative Officer, 9145 P1

47,461 49,186 Cost of salaries

29,225 34,914 Common Staff Costs

Page 155: PROPOSED PROGRAM AND BUDGET ESTIMATES

147

WORLD HEALTH ORGANIZATIONREGULAR B U D G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBERN BOF PO ESTIMATED EXPENDTURE N BFPSS ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 -60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ $ $ $

1 5,578

(100,000)

4,300 4,300

8,200 8,200

2 2 2 31,582 31,756 31,222

(113,000) (150,000) (150,000)

2 2 2 18,591 25,418 25,552 2 26,753 15 14 14 202,542 214,202 216,424

1 1 1 7,469 7,6941

3,951 4,484

3,000 3,000

2 1 1 28,860 14,420 15,178 2 1 1 28,860 14,420 15,178

(165,000) (165,000) (165,000)

Page 156: PROPOSED PROGRAM AND BUDGET ESTIMATES

148

PAN AMERICAN HEALTH ORGANIZATION PART IIIwi

REGULAR BUDGET OTHER FUNDS IELD AND OTHERPROGRAMS

OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IIOF POSTS OF POSTS60 61 621 1960

1

1961 1 1962$ $

601 61 62 1960$

1961$

16,000

7,300

1962

16,000

7,300

_ II g - 8 81 71,751 99,986 107 400_ 107,40a

1 1 7,525

3,928

7,750

5,062

1 1 i 1 7,5251 11,453 12,812 1 _

4,300 4,300 4,3001~ t1 i- f +

1 1 1 9,000 9,2501 5,475

9,000 14,725

7,346 12,504

4,300 4,300

1 1 2 22,786 20,646 31,529

2,4003,200

4,300

9,900

HAITI-4. (continued)

Duty Travel

Supplies and Equipment

Estimated Government Contribution

HAITI-9. Public Health Laboratorv(For text see page 28)

Laboratory Adviser, .339

Common Staff Costs

Estimated Government Contribution

HAITI-12. PAHO Public Health Adminis-tration Fellowships(For text see page 28)

Fellowships

HAITI-16. Public Health Services(For text see page 28)

Medical Officer, 4.2507Sanitary Engineer, 4.2513Public Health Nurse, 4.2509

Cost of salaries

Common Staff Costs

Duty Travel

Estimated Government Contribution

HAITI-l9, Medical Education(For text see page 29)

Professor of Physiology, .2021Professor of Microbiology, .2020

Cost of salaries

Common Staff Costs

Fellowships

Estimated Government Contribution

HAITI-20I Nutrition(For text see page 29)

Short-term ConsultantsFeesTravel

Fellowships

2 2 3 1 34,611 36,399 58,541 9 8 8 71,751 99,986 107,400 TOTAL - HAITI

Page 157: PROPOSED PROGRAM AND BUDGET ESTIMATES

149

WORLD HEALTH ORGANIZATIONREGUL A R BU D G E T TECHNICAL ASSISTANCE FUNDST O T A S

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE MBER ESTMATE EXPEN URE BER ESTIMATED EXPENDITUREOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ s ' $ $ $ $

9 8 8 71,751 99,986 107,400

(300,000) (300,000) (300,000)

1 1 1 7,525 11,453 12,812

(8,000) (8,000) (8,0ooo0)

4,300 4,300 4,300

1 (10, 1 7,771 8,0211 7,300 7,525

1 1 1 6,150 6,350

21,221 21,896

14,093 15,194

_________ 1 ~~2,530 2,530

2 3 3 23,699 37,844 39,620 2 3 3 23,699 37,844 39,620

(10o0,000) (100,000ooo) (100,000)

1 1 2 22,786 20,646 31,529

(100,000) (100,000) (o100,000)

9,900

2 1 1 28,860 14,420 15,178 2 3 3 23,699 37,844 39,620 15 14 15 158,921 188,649 220,739

Page 158: PROPOSED PROGRAM AND BUDGET ESTIMATES

150

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER F U N D S FIELD AND OTHER PROGRAMS

N UMBER ESTIMATED ZONE IIOF POSTS ESTIMATED EXPENDITURE OF ESTIMATED EXPENDITURE

60 61 62¡ 1960 o 1961 1 1962 160 161 1621 1960 1 1961 1 1962 ¡$ $ $ $ $ $

1 1 1 6,456 6,681

2,383 3,431

720 720

4,300 4,300

1 1 1 15,746 13,859 15,132

1 1 1 6,150 6,3502

2,722 3,853

1,600 1,600

4,300 4,300

3 1 1' 32,853 14,772 16,1031 _

-441 4 I-f----4-1 +

4,300 4,300 4,300

4,200 3,6003,600 4,800

L ¡~~L~.LI ____________ ¡

MEXICO-14. Nursing Education(For text see page 29)

Nurse Educator, .2012 P3

Common Staff Costs

Duty Travel

Fellowships

Estimated Government Contribution

MEXICO-15, State Health Services(For text see page 29)

Public Health Nurse, .2005 P3Sanitarian, .2026, .2027 P2

Common Staff Costs

Duty Travel

Fellowships

Estimated Government Contribution

MEXICO-22. Public Health ServicesGuana uato)(For text see page 29)

Medical Officer, 4.354 P4Sanitary Engineer, 4.367 P4Health Educator, 4.2505 P4Public Health Nurse, 4.356 P3Sanitarian, 4.366 P2

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

Estimated Government Contribution

MEXICO-23, National Institute ofNutrition

(For text see page 29)

Fellowships

MEXICO-25, PARO Public Health Adminis-tration Fellowships

(For text see page 30)

Fellowships

MEXICO-26. Aedes aegypti Eradication(For text see page 30)

Short-term ConsultantsFeesTravel

Estimated Government Contribution

_7,800 8,4001 1

r

_ mZ1CTAIuu

Page 159: PROPOSED PROGRAM AND BUDGET ESTIMATES

151

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBE NUMBEROF POSTS ESTIMATED EXPENDITURE F P T ESTIMATE EXPENTURE ESTMATED EXPENDOTURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ S $ $ $ .$ $

1 1 1 15,746 13,859 15,132

(30,000) (30,000) (30,000)

3 1 1 32,853 14,772 16,103

(400,000) (400,000) (400,000)

1 1 1 7,469 7,6941 1 1 8,292 8,5421 1 1 7,731 7,9791 1 1 6,662 6,8871 1 1 5,050 5,250

35,204 36,352

24,103 21,077

2,600 2,600

100 100

4,300

5 5 5 58,615 62,007 64,429 5 5 5 58,615 62,007 64,429

(400,000) (400,0 0 0)

4,000 4,000

4,300 4,300 4,300

7,800 8, 4 00

(300,000) (300,000)

Page 160: PROPOSED PROGRAM AND BUDGET ESTIMATES

152

PAN AMERICAN HEALTH ORGANIZATION PART III

CREGULAR BUDGET OTHER F U N D S FIELD AND OTHER PROGRAMS

OF POSMBTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE,OF POS.Ts OF POSTS _

1960$

1961 1962· ~~ ~ ~~~~~~ 4 1 .,,,.,.

$ $

6,175 6,175 6,475

1 5,475

5,146

1,035

1 i 1 11,656

i _ _ _ 1 _1 _ _ 1 . . 1 1 1 1

-i I i i i . 4 4

h 1L1.1 J ¡~~~~~~~~~~~~~~~1

nr";AJ. U -28. Public Health Laboratory(For text see page 30)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

Estimated Government Contribution

MEXICO-29. Leprosy Control(For text see page 30)

Medical Officer, .2032

Common Staáff Costs

Duty Travel

MEXICO-30, School of Public Health(For text see page 30)

Nurse Educator, 4.2506

Short-term ConsultantsFeesTravel

Fellowships

Estimated Government Contribution

MEXICO-32, Medical Education(For text see page 30)

Short-term ConsultantsFeesTravel

Fellowships

MEXICO-34, Teaching of Public Healthin Schools of Veterinary Medicine

(FPor text see page 30)

Short-term ConsultantsFeesTravel

Fellowships

MEXICO-35. Environmental SanitationTrain(For text see page 31)

Short-term ConsultantsFeesTravel

Supplies and Equipment

P3

60 61 162 1960 1961$

1962

$60 161 162

$

2,1001,800

750

1,525

1,8002,400

750

1,525

ttttt��

-�-�-�-�-

Page 161: PROPOSED PROGRAM AND BUDGET ESTIMATES

153

WORLD HEALTH ORGANIZATIONT 0 OTALSR E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE NUMBER OF POSTSEESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ _ _

6,175 6,175 6,475

(50,000) (50,000) (50,000)

_ _ _ _ _ _ _ _ 1 11,656

1,200 1,2001,600 1,600

3,000 4,300

1I I 1 15,241 5,800 7,100 1 15,241 5,800 7,100

(250,000) (250,000) (250,000)

1,800 1,8002,400 2,400

4,300 4,300

4,520 8,500 8,500 _ _ _ 4,520 8,500 8,500

1,200 1,2001,600 1,600

4,300

6,900 2,800 7,100 6,900 2,800 7,100

1,200 1,2001,600 1,600

1,000 1,000

3,600 3,800 3,800' 3,600 3,800 3,800

Page 162: PROPOSED PROGRAM AND BUDGET ESTIMATES

154

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER F U N D S FIELD AN OTHER PROGRAMS <

OF POSTS ESTIMATED EXPENDITURE OF POSTS 1 ESTIMATED EXPENDITURE ZONE IIOF POSTS 1 OF POSTSAn 1 iL

r, 1ifl L

ou I l 0oz IYOu ¡ l YO1 | IYOL oul.- Ol lO ¡ i 1i0o1 ¡1 1*70u -_ _o--luu__u__ __lU_

$ $ $ S $

4 4--4-+-* 4I

4 I i I I 1 1--I t t II1

4,2003,600

3,500

4,300

$I

11,2009,600

500

8,600

15,600 29,900

850

1

1

1

1

1

1

7,413

6,200

13,613

10,843

3,600

47,713

520

3,000

7,638

6,400

14,038

8,943

3,600

46,041

520

3,000

- 1 1 ________1 ________ 1 _2 2 2 1 70,742 79,289 76,142

, (For text see page 31)

Medical Officer, 4.2511

Common Staff Costa

Duty Travel

Fellowships

MEXICO-39. Promotion of CommunityWater Supplies

(For text see page 31)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

MEXICO-40. Mental Health(For text see page 31)

Short-term Consultants

MEXICO-53, Malaria Eradication(For text see page 31)

Chief Country Malaria Adviser, 4.338Health Educator, 9268Malariologist, 4.360Sanitary Engineer, 4.361Assistant Engineer, 9274Sanitarian, 4.369

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Common Services

Fellowships

Estimated Government Contribution

4 2 3 59,924 46,906 62,066 2 2 2 70,742 94,889 106,042 TOTAL - MEXICO

INTER-COUNTRY PROGRAMS

AMRO-93 Health Education (Zone II)(For text see page 31)

Health Educator, 4.1095 P4

Common Staff Costs

Duty Travel

Supplies and Equipment

Estimated Government Contribution

, al 1 , 1 A 1 ^I ' ·l ll ,l

1 -L" l1L A 1nAl -VYTIrn-7 fPil -oll-4 Nnto1 A TJ

Page 163: PROPOSED PROGRAM AND BUDGET ESTIMATES

155

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF PO ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $$ s $ $ $ $ $1 1 7,469 7,694

3,951 4,484

785 785

7,500

1 1 19,705 12,963 1 1 19,705 12,963

15,600 29,900

850

i i I 9,675 9,975

1 1 1 9,083 9,3331 1 1 8,562 8,813

1 1 1 5,683 5,883

33,003 34,004

24,275 18,899

4,161 4,090

4 4 4 50,284 61,439 56,993 '6 6 6 121,026 140,728 133,135

,000,000) (6,000000) 6,000,000)

6 6 6 88,876 102,612 103,892 4 4 4 54,284 61,439 56,993 16 14 15 273,826 305,846 328,993

1 1 1 8,854 9,104

6,009 7,167

3,000 3,000

700 100

1 1 1 18,989 18,563 19,371 1 1 1 18,989 18,563 19,371

(20,000) (20,000) (20,000)

Page 164: PROPOSED PROGRAM AND BUDGET ESTIMATES

156

PAN AMERICAN HEALTH ORGANIZATION PART IIIw

REGULAR BUDGET OTHER F U N D FIELD AND OTHER PRORAMS

NUMBER R MBER Z0 II _

OF POSS ESTIMATED EXPENDITURE OP ESTIMATED EXPENDITURE ZNE II~~~~~~OF POSTS ~OF POSTST1OAí I

$191Q 1962 601 61 162 1960 19611 _. -- a - 1 ._. - - 4- a - -

$ $

11

1 1

$ 5

2,037

219

1,365

9,895

1962

5

2,115

228

1,365

9,895

2 1 1 13,631 13,516 13,603

1 1 1 i i t

7,469

3,821

3,000

100

7,694

4,954

3,000

100

1 I1 1 11,992 14,390 15,748

9,375

4,289

2,220

9,500

6,111

2,220

1 1 1 19,496 15,884 17,8311 1 _

AMRO-114. TraininR Center for MalariaEradication (Mexico)

(For text see page 31)

Clerk Stenographer, 9075Chauffeur-Messenger, 9125

Common Staff Costs

Common Services

Contractual Services

AMRO-144, Health Statistics(Zone II)

For text see page 32)

Statistician, 4.1171

Common Staff Costs

Duty Travel

Supplies and Equipment

Estimated Government Contribution

AMRO-167. Enidemioloea (Zone II),For text see page 32>(For text see page 32)

Epidemiologist, .2006

Common Staff Costs

Duty Travel

Supplies and Equipment

Estimated Government Contribution

AMRO-178. Veterinary Public Health(Zone II)(For text see page 32)

Public Health Veterinarian, .2011

Common Staff Costs

Duty Travel

AMRO-2n5. Environmental Sanitation

Training (Zone II)(For text see page 32)

Fellowships

A6l0 A1 12

ML5ML2

P4

P41 1 1

1 1 1

2 2 2 31,488 30,274 33,579 2 1 1 13,631 13,516 13,603 TOTAL - INTER-COUNTRY PROGRAMS

18 17 19 295,882 304,854 345,142 21 21 21 275,157 367,938 388,576 TOTAL - ZONE II PROGRAMS

Y )1 .

I -m _

"'' I'I----~~-~

Page 165: PROPOSED PROGRAM AND BUDGET ESTIMATES

157

WORLD HEALTH ORGANIZATIONREGULAR B U D GET TECHNICAL ASSISTANCE FUNDS S

NUMBER NUMBER NUMBEROF POU T ESTISATED EXPENDITURE ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ _ $ S $ $ $

2 1 1 1 13,631 13,516 13,603

1 1 1 7,525 7,750

3,958 4,492

3,000 3,000

100 100

1 1 1 9,777 14,583 15,342 1 1 1 9,777 14,583 15,342

(20,000) (20,000) (20,000)

1 1 1 11,992 14,390 15,748

(20,000) (20,000) (20,000)

1 1 1 19,496 15,884 17,831

8,000 11,800 8,600 8,000 11,800 8,600

2 2 2 36,766 44,946 43,313 6 5 5 81,885 88,736 90,495

12 12 12 173,093 200,373 201,643 11 10 10 138,966 137,976 140,803 62 60 62 883,098 1,011,141 1,076,164

Page 166: PROPOSED PROGRAM AND BUDGET ESTIMATES

158

PAN AMERICAN HEALTH ORGANIZATION P III

REGULAR BUDGET OTHER F U N D S FIEL AND OTER PROGRAM

OF OTUMER ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITURE ZONE III RNOF POSTS NOF POSTS _

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962ZONE OFFICE - GUATEMALA

$ $ $ $ $ $ (For text see page l8)

1 1 11,600 11,600 Zone Representative, .400 D11 1 9,676 9,976 Assistant Zone Representative, .401 P5

Sanitary Engineer, 4.402 P41 1 7,938 8,188 Nurse, .405 P41 1 1 9,500 9,500 Administrative Officer, .407 P41 1 5,300 5,500 Accounts and Budget Officer, .409 P2

Records and Communications Clerk,1 1 1 4,460 4,460 .410 GL71 1 1 3,585 3,760 General Services Clerk, .414 GL71 1 1 3,863 4,038 Accounting Assistant, .457 GL71 1 1 3,688 3,863 Personnel Clerk, .458 GL73 3 3 9,029 9,449 Accounting Clerk, .439, .3005, .3011 GL6

Secretary, .411, .415, .454, 9020,3 3 3 9,730 10,150 2 2 2 5,619 5,899 9256 GL61 1 1 2,565 2,695 Travel Clerk, .412 GL51 1 1 3,290 3,290 Clerk Stenographer, .413 GL51 1 1 2,085 2,085 Clerk, .416 GL31 1 1 1,660 1,745 Chauffeur, .3006 GL31 1 1 1,296 1,361 Janitor-Messenger, .417 GL2

1,500 83 Estimated Local Wage Increases

89,265 93,160 5,619 5,982 Cost of salaries

Allowances

12,813 13,157 254 266 Pension2,018 2,071 127 133 Insurance6,190 6,190 Post Adjustment4,650 4,650 Assignment2,000 2,000 Dependents'

Repatriation Grant226 237 Service Benefit

Travel and Transportation

6,445 10,647 Duty2,825 2,900 Home Leave

300 300 Hospitality

Common Services

5,391 3,636 Space and Equipment Services7,110 7,200 Other Services2,700 2,700 Supplies and Materials680 680 Fixed Charges and Claims

2,300 3,510 Acquisition of Capital Assets

20 20 20 138,427 144,687 152,801 2 2 2 4,955 6,226 6,618 TOTAL

BRITISH HONDURAS

BRITISH HONDURAS-1, MalariaEradication

(For text see page 33)

1 1 1 7,834 8,084 Medical Officer, 9259 P41 1 1 5,284 5,484 Sanitarian, 9210 P2

13,118 13,568 Cost of salaries

5,770 8,437 Common Staff Costs

7,492 7,492 Duty Travel

1,063 1,051 Supplies and Equipment

2 2 2 25,582 27,443 30,548

Estimated Government Contribution

Page 167: PROPOSED PROGRAM AND BUDGET ESTIMATES

159

WORLD HEALTH ORGANIZATIONR E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

_$ $ $ $ $ $ $ $ $ S S1 1 1 11,600 11,6001 1 1 9,676 9,976

1 1 1 9,146 9,396 1 1 1 9,146 9,3961 1 1 7,938 8,1881 1 1 9,500 9,5001 1 1 5,300 5,500

1 1 1 4,460 4,4601 1 1 3,585 3,7601 1 1 3,863 4,0381 1 1 3,688 3,8633 3 3 9,029 9,449

5 5 5 15,349 16,0491 1 1 2,565 2,6951 1 1 3,290 3,290i i i1 2,085 2,0851 1 1 1,660 1,7451 1 1 1,296 1,361

1,583

9,146 9,396 104,030 108,538

1,345 1,382 14,412 14,805206 212 2,351 2,416

1,525 1,525 7,715 7,715

1,200 1,200 5,850 5,8501,200 1,200 3,200 3,200

137 141 137 141226 237

4,555 4,555 11,000 15,2021,463 4,288 2,900

300 300

599 404 5,990 4,040790 800 7,900 8,000300 300 3,000 3,000

680 6802,300 3,510

1 1 1 20,582 22,466 21,115 23 23 23 163,964 173,379 180,534

2 2 2 25,582 27,443 30,548

(34,820) (34,820) (34,820)

Page 168: PROPOSED PROGRAM AND BUDGET ESTIMATES

160

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD AND OTHERPROGRAMS

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IIIOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962_$ $ $ $ $ $ BRITISH HONDURAS-5, Public Health

Services(Por text see page 33)

Sanitary Engineer, 4.3510 P4Public Health Nurse, 4.3509 P3

Cost of salaries

Common Staff Costs

Duty Travel

Fellowships

BRITISH HONDURAS-6, PAHO PublicHealth Administration Fellowships

(For text see page 33)

4,300 Fellowships

4,300 2 2 2 25,582 27,443 30,548 TOTAL - BRITISH HONDURAS

111

8,0844,0673,700

15,851

10,355

10,943

3,.843

8,3344,2673,9f0

16,501

12,410

10,733

3,404

________ ______ _ __ _ _2 3 3 31,378 40,992 43,048

1 1 1 8,600 14,323 14,7891

COSTA RICA

COSTA RICA-2, Malaria Eradication(For text see page 33)

Medical Officer, 9035Sanitarian, 9034Entomological Aide, 9281

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Estimated Government Contribution

COSTA RICA-14, Expansion of LocalPublic Health Services

(For text see page 33)

Medical Officer, .3015

Common Staff Costs

Fellowships

COSTA RICA-16, WHO/TA Public HealthAdministration FellowshiDs

(For text see page 34)

Fellowships

COSTA RICA-18. Advanced NursingEducation

(For text see page 34)

Nurse Educator, .3007

Common Staff Costs

Duty Travel

P4P1P1

P3

11

111

1 1 5,475

4,548

4,300

7,469

3,020

4,300

1 1 6,150

2,824

300

6,350

3,953

300

-a-. a 1*h1 A ¿ ¡

· · · · ·

Page 169: PROPOSED PROGRAM AND BUDGET ESTIMATES

161

WORLD HEALTH ORGANIZATION SREGULAR BUDGET 1 TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE NUMESTIMATED EXPENDITURE ESTMATE EXPENDTUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ s $ $ $S

1 1 7,469 7,6941 4,500

7,469 12,194

3,152 6,737

1,000 2,540

4,300

1 2 5,205 15,921 21,471 1 2 5,205 15,921 21,471

4,300

1 2 5,205 15,921 21,471 2 3 4 30,787 43,364 56,319

2 3 3 31,378 40,992 43,048

(246,913) (246,913) (246,913)

1 1 8,600 14,323 - 14,789

4,300 4,300 4,300 4,300 4,300 4,300

Page 170: PROPOSED PROGRAM AND BUDGET ESTIMATES

162

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUN D S FIELD AND OTHER PROGRAMS

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IIIOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$___~ $- $-~ 5 $COSTA RICA-18, (continued)S $ S S $

550 550 Supplies and Equipment

4,300 4,300 Fellowships

1 1 1 1 12,326 14,124 15,453

Estimated Government Contribution

COSTA RICA-20, Plannin sand Organi-zation of Hospital Services

(Por text see page 34)

1 5,475 Medical Officer, .3016 P4

4,549 Common Staff Costs

1,000 Duty Travel

4,300 4,300 Fellowships

1 4,300 15,324

COSTA RICA-22, Promotion of CommunityWater Supplies(For text see page 34)

3,000 4,300 PFellowships

COSTA RICA-23, Public HealthLegislation

(For text see page 34)

Short-term Consultants1,800 Fees2,400 1 Travel

4,200

COSTA RICA-24, Laboratory forDiagnosis of Virus Diseases

(For text see page 34)

Short-term ConsultantsFeesTravel

1 2 3 20,926 32,747 49,766 2 3 3 31,378 43,992 47,348 TOTAL - COSTA RICA

EL SALVADOR

EL SALVADOR-2, Malaria Eradication(For text see page 34)

1 1 1 8,042 8,292 Medical Officer, 9023 P41 1 1 7,619 7,854 Sanitary Engineer, 9216 P42 1 1 9,167 9,567 Sanitarian, 9121, 9215 P2

1 1 3,884 4,084 Entomological Aide, 9285 P1

28,712 29,797 Cost of salaries

27,013 20,503 Common Staff Costs

10,666 10,756 Duty Travel

2,304 5,022 Supplies and Equipment

1,800 Fellowships

4 4 4 50,800 70,495 66,078

Estimated Government Contribution

Page 171: PROPOSED PROGRAM AND BUDGET ESTIMATES

163

WORLD HEALTH ORGANIZATION 1R REGULAR BUDGET 1 TECHNICAL ASSISTANCE FUNDS T T LNUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE NUMESTIMATED EXPENDITURE ESTATED EXPENDTURE

______ ______ ______OF POSTS ESTIMATED EXPENDITURE O OT SIAE XEDTROF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 19611 1962

$ $ $ $ $ $ $ $ S $ $ S

1 1 1 12,326 14,124 15,453

(33,800) (S0,800) (50,800)

i1 4,300 15,324

3,000 4,300

4,200

1,2001,600

2,800 1 _ ___ 2,800

2,800 4,300 4,300 4,300 3 5 6 56,604 81,039 104,214

4 4 4 50,800 70,495 66,078

(601,584) (601,584 (601,584)

Page 172: PROPOSED PROGRAM AND BUDGET ESTIMATES

164

PAN AMERICAN HEALTH ORGANIZATIONPART III W

REGULAR BUDGET OT HER F U N D S FIELD AND OTHER PROGRAMS

OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IIIOF E NOSTSEROF POSTS I

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962_$ $ á I I $ $_$ $ EL SALVADOR-5, Health Demonstration

Area--For text see page 35)

All Purposes

EL SALVADOR-9, PAHO Public HealthAdministration Fellowships

(For text see page 35)

4,300 4,300 4,300 Fellowships

EL SALVADOR-10, Planning and Organi-zation of Hospital Services

(For text see page 35)

1 1 7,469 Medical Officer, .3008 P4

5,320 Common Staff Costs

1,368 Duty Travel

1 I 1 10,126 14,157 _ _

i i i i i i i

__ _ _ _ _ _ _ 1 _ _ _ _ _ _ _ _ ¡ _ _ _ _ _ _ _ _ J _ 1_ ___5 ,200 5,200

· ~~ ~ ~ ~ ~~~ 1* 4 .1

EL SALVADOR-11, National PublicHealth Nursing Services

(For text see page 35)

Public Health Nurse, 4.3514 P3

Common Staff Costs

Duty Travel

EL SALVADOR-12, National EnvironmentalSanitation Services

(For text see page 35)

Sanitary Engineer, 4.3515 P4

Common Staff Costs

Duty Travel

EL SALVADOR-14, Promotion of Com-munity Water Supplies

(For text see page 35)

Short-term Consultants2,800 2,800 Fees2,400 2,400 Travel

EL SALVADOR-15, Public HealthLaboratory

(For text see page 36)

Medical Officer, 4.3517 P4

Common Staff Costs

Fellovwships

1 i - 14,426 18,457 4,3001 4 4 4 50,800J 75,695 71,278¡ TOTAL - EL SALVADOR

· ~ ~ ~ ~ ~ 1 4 t· - *-I

· ~ ~~~~+I--4---

. . .

_' ._

Page 173: PROPOSED PROGRAM AND BUDGET ESTIMATES

165

WORLD HEALTH ORGANIZATIONTOTALS

REGULAR BUDGET TECHNICAL ASSISTANCE FUNDSNUMBER NUMBER NUMBER

OF POSTS ESTIMATED EXPENDITURE UMESTIMATED EXPENDITURE ESTIATED EXPENDTURE____ OF POSTS ESTIMATED EXPENDITURE O OT SIAE XEDTROF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ $

2 25,580 2 25,580

4,300 4,300 4,300

1 1 10,126 14,157

1 1 6,832 7,057

3,716 3,919

225 225

1 1 10,773 11,201 1 1 10,773 11,201

1 1 8,292 8,542

4,699 6,239

912 912

I1 1 13,903 15,693 1 1 13,903 15,693

5,200 5,200

~~~~1 ~7,3005,075

6,800

1 19,175 1 19,175

1 19,175 2 2 2 25,580 24,676 26,894 7 7 7 90,806 118,828 121,647'

Page 174: PROPOSED PROGRAM AND BUDGET ESTIMATES

166

PAN AMERICAN HEALTH ORGANIZATION PART III _

REGULAR BUDGET OTHER FUNDS FIELDANDOTERPROGRAMS

OF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE ZONE IIINOF POSTS 1 OF POSTS E

60 61 62 1960 1961 1962 60 61 621 1960 1961 1962$ $ $ $ $ $ GUATEMALA

GUATMNALA-1, Mlaria Eradication(For text see page 36)

1 1 1 18,084 8,334 Medical Officer, 9130 P41 1 1 7,750 8,000 Sanitary Engineer, 9255 P41 1 1 5,350 5,550 Sanitarian, 9043 P22 2 2 7,717 8,117 Sanitarian, 9260, 9217 P1

1 1 3,984 4,184 Entomological Aide, 9286 Pl

32,885 34,185 Cost of salaries

28,680 24,596 Common Staff Costs

16,801 16,835 Duty Travel

17,737 16,213 Supplies and Equipment

1,600 400 Fellowships

5 6 6 78,897I 97,703 92,229

Estimated Government Contribution

GUATEMALA-6, Nursing Education(For text see page 36)

Nurse Educator, .3014, 4.453,4.3512 P3

Common Staff Costs

Duty Travel

1,500 Supplies and Equipment

4,300 8,600 Fellowships

1 1 19,031 4,300 10,100

GUATEMALA-8, Public Health Services(For text see page 36)

Chief Country Adviser, 4.442 P5Sanitary Engineer, 4.447 P4Public Health Nurse, 4.443 P3Public Health Nurse, 4.456 P2Sanitarian, 4.3502 P1

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

Estimated Government Contribution

P4

_ _

Page 175: PROPOSED PROGRAM AND BUDGET ESTIMATES

167

WORLD HEALTH ORGANIZATIONR E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDST A L S

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE NUO BER ESTIMATED EXPENDITURE OF POS ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

S S 4b I $ $' $ $ $ s $

5 6 6 78,897 97,703 92,229

(1,152,000) (1,150,000)(1,150,000)

1 2 2 13,521 13,963

6,799 6,169

1,240 1,240

1 2 2 10,370 21,560 21,372 2 2 2 29,401 25,860 31,472

1 1 1 9,250 9,5001 1 1 8,730 8,9801 1 1 6,513 6,7381 1 1 4,950 5,1501 1 1 3,750 3,950

33,193 34,318

25,558 25,361

1,950 1,950

2,000

4,300

5 5 5 53,147 60,701 67,929 5 5 5 53,147 60,701 67,929

2,196,000) 2,816,000 (2,921,000)

1 1 1 8,917 9,167

7,593 13,084

1,800 1,800

1 1 1 17,460 18,310 24,051 1 1 1 25,260 18,310 24,051

Page 176: PROPOSED PROGRAM AND BUDGET ESTIMATES

168

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD AND OTHER PRORAMS

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE III

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962_ $ $ $ $ $ GUATENALA-12, PARO Public Health

Administration Fellowships(For text see page 37

4,300 4,300 4,300 Fellowships

GUATEMALA-14, Public Health inSchools of Veterinary Medicine(For text see page 37)

Short-term Consultants1,200 Fees1,600 Travel

4,300 Fellowships

7,100

_I 1 _ 31,131 8,600 21,500 5 6 6 78,897 97,703 92,229 TOTAL - GUATEMALA

112

1121

1121

7,6757,7327,9503,934

27,291

23,949

11,354

6,752

1,535

7,9177,9798,3504,134

28,380

21,463

12,229

6,890

_- 1 L- 1 tIli4 5 5 57,711 70,881 68,962

-' J'~ -.- ' . -

HONDURAS

HONDURAS-1, Malaria Eradicationgor text see page 37)

Medical Officer, 9218Sanitary Engineer, 9082Sanitarian, 9219, 9220Entomological Aide, 9287

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

Estimated Government Contribution

HONDURAS-4, Public Health Services(For text see page 38)

Medical Officer, 4.450Sanitary Engineer, 4.451Public Health Nurse, 4.452Public Health Nurse, 4.462Sanitarian, 4.3504

Cost of salaries

Common Staff Costs

Duty Travel

Estimated Government Contribution

P4P4P2P1

P4P4P3P2P2

_ _ = 1211 1 _ _

Page 177: PROPOSED PROGRAM AND BUDGET ESTIMATES

169

WORLD HEALTH ORGANIZATIONREGUL A R BUD G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBER_OF T ESTIMATED EXPENDITURE MB ESTIMATED EXPENDITURE OFU STS ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ S $ S S_ $

4,300 4,300 4,300

7,100

5 5 5 53,147 60,701 67,929 2 3 3 27,830 39,870 45,423 13 14 14 191,005 206,874 227,081

4 5 5 57,711 70,881 68,962

(754,917) (754,917) (754,917)

1 1 1 9,021 9,2711 1 1 8,605 8,8551 1 1 7,075 7,30011

24,701 25,426

18,422 14,603

1,848 1,848

5 3 3 62,807 44,971 41,877 5 3 3 62,807 44,971 41,877

(2,130,749) (1,750,010 1(2,446,810)

Page 178: PROPOSED PROGRAM AND BUDGET ESTIMATES

170

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER F U N D S FIELD AND OTRER PROGRAMS <

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IIIOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ HONDURAS-6, PAHO Public Health

Administration Fellowships(For text see page 38

8,600 4,300 8,600 _ Fellowships

HONDURAS-8, Medical Education(For text see page 38)

1,462 Short-term Consultants

HONDURAS-9, Promotion of Community

.Water Supplie(For text see page 38)

Short-term Consultants7,700 16,100 Fees6,600 13,800 Travel

8,958 14,300 29,900

10,062 4,300 8,600 4 5 5 66,669 85,181 98,862 TOTAL - HONDURAS

NICARAGUA

NICARAGUA-1, Malaria Eradication(For text see page 38)

1 1 1 7,834 8,084 Medical Officer, 9053 P41 1 1 7,938 8,188 Sanitary Engineer, 9054 P42 2 2 9,151 9,551 Sanitarian, 9190, 9221 P2

1 1 3,984 4,184 Entomological Aide, 9288 P1

28,907 30,007 Cost of salaries

19,660 19,154 Common Staff Costs

11,728 12,840 Duty Travel

6,507 5,904 Supplies and Equipment

4 5 5 58,527 66,802 67,905

Estimated Government Contribution

NICARAGUA-5, Nursing EducationFor text see page 38

Nurse Educator, 4.448, 4.449 P3

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

Estimated Government Contribution

Page 179: PROPOSED PROGRAM AND BUDGET ESTIMATES

171

WORLD HEALTH ORGANIZATIONT OTALS

R E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDS T A SNUMBER NUMBER NUMBER

OF PO ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OF OSTS ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ I $ $ $ $ $ $$ $ $

8,600 4,300 8,600

1,462

8,958 14,300 29,900

5 3 3 62,807 44,971 41,877 9 8 8 139,538 134,452 149,339

4 5 5 58,527 66,802 67,905

(598,625) (598,625 (598,625)

2 2 2 13,171 13,606

8,212 8,970

1,465 1,465

1,575 550

4,300 4,300

2 2 2 32,898 28,723 28,891 2 2 2 32,898 28,723 28,891

(85,114) (158,884 (170,598;

Page 180: PROPOSED PROGRAM AND BUDGET ESTIMATES

172

PAN AMERICAN HEALTH ORGANIZATION PART IIIw

REGULAR BUDGET OTHER F U N D S FIELD AND OTHER PROGRAMS

NUMBER NUMBER oOF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IIIOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ NICARAGUA-7, PAHO Public Health

Administration Fellowships(For text see page 39)

4,300 4,300 4,300 Fellowships

4,300 4,300 4,300 4 5 5 58,52 66,802 67,905 TOTAL - NICARAGUA

_3 3 _,3__

8,0007,959

10,2503,750

29,959

20,707

12,187

8,880

8,2508,208

10,6503,950

31,0586

19,832

13,534

8,583

67,46 71,733 73,007

PANAMA

PANAMA-1. Public Health Services(For text see page 39)

Chief Country Adviser, 4.432Sanitary Engineer, 4.433Public Health Veterinarian,

4.3510

Public Health Nurse, 4.466

Cost of salaries

Short-term ConsultantsFeesTravel

Common Staff Costs

Duty Travel

Estimated Government Contribution

PANAMA-2, Malaria Eradication(For text see page 39)

Medical Officer, 9222Sanitary Engineer, 9056Sanitarian, 9223, 9224Entomological Aide, 7289

Cost of salaries

Common Staff Costs -

Duty Travel

Supplies and Equipment

Estimated Government Contribution

PANAMA-8. PAHO Public HealthAdministration Fellowships

(For text see page 39)

Fellowships

P5P4P4P3

P4P4P2P1

4 4---4--4-4 ¿ 4~~~~~~~~~~~~~~~~

112

1121

1121

-~~~~~ 4. 4-4.-4-

4 51 5

-

4,300 4,3004,300

Page 181: PROPOSED PROGRAM AND BUDGET ESTIMATES

173

WORLD HEALTH ORGANIZATIONR EGULAR BUDGET TECHNICAL ASSISTANCE FUNDST O T A S

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS_ 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

_$ $ $ $ $ $ $

4,300 4,300 4,300

2 2 2 32,898 28,723 28,891 6 7 7 95,725 99,825 101,096

1 1 1 9,334 9,600i i 1I 8,480 8,7301 1 1 7,469 7,6941 1 1 7,263 7,488

32,546 33,512

3,6004,800

18,181 20,467

4,150 4,400

4 4 4 45,599 63,277 58,379 4 4 4 45,599 63,277 58,379

3,508,789) <3,508,789 (3,960,532)

4 5 5 67,461 71,733 73,007

(433,059) (433,059) (433,059)

4,300 4,300 4,300

Page 182: PROPOSED PROGRAM AND BUDGET ESTIMATES

174

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD AND OTHER PROGRAMS <cr

NUMBER NUMBER oOF POSTS ESTIMATED EXPENDITURE OFUPO S ESTIMATED EXPENDITURE ZONE IIIOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ 4$ $ I.ANAMA-9, Promotion of Communit

Water Supplies(For text see page 39)

3,000 4,300 Fellowships

PANAMA-10, Planning and Organizationof Hospital Services

(For text see page 40)

Hospital Administrator, 4.3518 P4

Common Staff Costs

Duty Travel

4,300 4,300 4,300 4 5 5 67,461 74,733 77,307 TOTAL - PANAMA

6 6 1.

INTER-COUNTRY PROGRAMS

AMRO-7. Aedes aeyvDti Eradication(Central America and Panama)TZone III)

(For text see page 40)

All Purposes

AMRO-54. Institute of Nutrition ofCentral America and Panama

(For text see page 40)

Medical Director, .946Assistant Medical Director, .438Editorial Assistant, .907

Cost of salaries

Short-term ConsultantsFeesTravel

Common Staff Costs

Duty Travel

Hospitality

Technical Advisory Committee

Travel of Consultants

Meeting of the Council

Travel and TransportationSupplies and Materials

D1P4P1

111

111

111

11,6007,4694,550

23,619

2,1001,800

14,842

4,200

100

4,500

2,0001,000

12,0007,6944,750

24,444

1,8002,400

14,448

4,200

100

4,500

2,0001,000

.--- 1 .... ~r- -- ......

Page 183: PROPOSED PROGRAM AND BUDGET ESTIMATES

175

WORLD HEALTH ORGANIZATIONT 0 T A L S

REGULAR BUDGET TECHNICAL ASSISTANCE FUNDSOF NUMBER ENUBERHU9BEROF POSTS ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ S $ $ $ $ $ S S

3,000 4,300

1 7,300

5,450

300

1 13,050 1 13,050

1 13,050 4 4 4 45,599 63,277 58,379 8 9 10 117,360 142,310 153,036

1 6,629 1 6,629

Page 184: PROPOSED PROGRAM AND BUDGET ESTIMATES

176

PAN AMERICAN HEALTH ORGANIZATION PART IIIw

REGULAR BUD G E T OTHER F U N D S FIELD AND OTHER PROGRAMS

OF POSS ESTIMATED EXPENDITURE OF POST5 ESTIMATED EXPENDITURE ZONE III~OF POST OF POSTS4i

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962_ ~~ ~~$ $ $ $ $ $ ANMRO-54, (continued)

INCAP Operations - Financed byMember Governments

Advisory Services and Education3 3 3 23,603 23,603 and Training

Dietary Habits and Evaluation of2 2 2 16,170 16,170 Nutritional Status

Protein Malnutrition and its1 1 1 3,990 3,990 Prevention

Nutritional and Dietary744 744 Requirements

Interrelation Between Acute908 908 Infections and Nutritional Status

Diet and its Effect on Chronic822 822 Illnesses

Composition and Improvement of2 2 2 18,296 18,296 Foods4 4 4 20,705 20,7905 Technical Services4 4 4 19,162 19,162 Administrative Services

600 600 Council Meetings

16 16 16 1 105,000J 105,000 1/105,000

INCAP Projects - Financed fromContributions and Grants

270,400 270,400 270,400 Technical Programs

3 3 3 1 49,209t 54,1611 54,892 16 16 | 16 2/375,40 - 375 ,400 2/ 375 400

AMRO-86, Health Statistics (Zone III)(For text see page 40)

Health Statistician, 4.1016 P3

Common Staff Costs

Duty Travel

AMRO-118, Malaria Technical AdvisoryServices (Zone III)

(For text see page 41)

1 1 1 9,650 9,950 Chief Zone Malaria Adviser, 9018 P51 1 1 8,042 8,292 Sanitary Engineer, 9019 P41 1 1 7,834 8,084 Administrative Methods Officer, 9039 P41 1 1 6,217 6,400 Entomologist, 9089 P3

Entomological Aide, 9186, 9187,5 9188, 9189, 9269 P11 1 1 2,874 3,014 Secretary, 9176 GL6

34,617 35,740 Cost of salaries

26,103 20,910 Common Staff Costs

15,911 15,911 Duty Travel

363 363 Supplies and Equipment

10 5 5 121,654 76,994 72,924

Contributions by Member Governments of INCAP../ Estimated contributions from various Organizations.

I I 1 1 I

1 I · 1

Page 185: PROPOSED PROGRAM AND BUDGET ESTIMATES

177

WORLD HEALTH ORGANIZATIONT OTALS

R E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDS __ _

NUMBER NUMBER NUMBEROF POT ESTIMATED EXPENDITURE O S ESTIMATED EXPENDITURE O S ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ s $ ' $ I $ $ $ $

19 19 19 424,609 429,561 430,292

1 1 1 7,792 8,000

4,896 5,796

2,500 2,500

1 1 1 17,063 15,188 16,296 1 1 1 17,063 15,188 16,296

10 5 5 121,654 76,994 72,924

Page 186: PROPOSED PROGRAM AND BUDGET ESTIMATES

178

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR B U D G E T OTHER F U N D S FIELD AND OTHER PROGRAMS

NUMBER EXPENDITUREOF POSTS ESTMATED EXPENDITUR ZONE SIIIT EP

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ AMRO-121, Malaria Eradication

Evaluation Teams(For text see page 41)

2 2 2 17,979 18,479 Chief, Evaluation Team, 9094, 9225 P52 2 2 12,731 13,156 Parasitologist, 9143, 9227 P32 2 2 9,850 10,250 Sanitarian, 9168, 9228 P2

40,560 41,885 Cost of salaries

25,785 30,380 Common Staff Costs

25,995 25,995 Duty Travel

560 200 Supplies and Equipment

_ 1 iiIiI _______ _ 1 __6 1 6 1 6 I 95,241 92,900 98,460

AMRO-141, Health Education (Zone III)(For text see page 41)

Health Educator, 4.670 P4

Common Staff Costs

Duty Travel

AMRO-148, Laboratory for Productionof Biologicals (Zone III)(For text see page 41)

1 1 1 7,469 7,694 Medical Officer, .3010 P4

4,547 5,681 Common Staff Costs

1,000 1,000 Duty Travel

5,000 5,000 Supplies and Equipment

4,300 4,300 Fellowships

1 1 1 1 22,814 22,3161 23,675

Estimated Government Contribution

AMRO-188, Veterinary Public Health(Zone III(For text see page 41)

Public Health Veterinarian, 4.3513 P4

Common Staff Costs

Duty Travel

Supplies and Equipment

AMRO-202, Leprosy Control (Zone III)(For text see page 41)

1 iI I 1 7,469 Medical Officer, .3012 P4

6,047 Common Staff Costs

2,502 Duty Travel

i1 I 1 16,893 16,018

Page 187: PROPOSED PROGRAM AND BUDGET ESTIMATES

179

WORLD HEALTH ORGANIZATIONREGULAR BUD G E T TECHNICAL ASSISTANCE FUNDST O T A L S

NUMBER NUMBER NUBEROF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE ESTNRATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ S

6 6 6 95,241 92,900 98,460

1 1 1 7,469 7,694

4,677 5,211

2,500 2,500

1 1 1 11,139 14,646 15,405 1 1 1 11,139 14,646 15,405

1 1 1 22,814 22,316 23,675

(60,000) (90,000) (120,000)

1 1 1 8,084 8,334

6,238 4,959

2,600 2,500

420 500

1 1 1 15,264 17,342 16,293 1 1 1 15,264 17,342 16,293

1 1 16,893 16,018

Page 188: PROPOSED PROGRAM AND BUDGET ESTIMATES

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUN D S IELD AND OTHERPRORAMSFOFLE AND OTHEE OPR0F~s <

NUMBER NUMBER IIIOF POT TIMATED EXPENDTURE OSTS ESTIIMATED EXPENDITUREOF POSTS ~~~~~OF POSTS

60 61 62 1 960 1 1961 1962 60 61 62 1960 1961 1962AMR0-203, Epidemiology (Zone III)

$ $ $ $ $ $ (For text see page 41)

1 1 5,475 7,469 Epidemiologist, .3013 P4

5,692 4,547 Common Staff Costs

1,198 1,200 Duty Travel

1 1 1 1 1 12,3651 13,216 1

l l l -

AMRO-206, Environmental Sanitation

Training (Zone III)(For text see page 42)

Fellowships

AMRO-213, Seminar on Public HealthNursing Services (Zone III)

(For text see page 42)

Short-term Consultants700 Fees600 Travel

1,000 Supplies and Equipment

500 Conference Services

13,106 Participants

__ _ _ _15,906 _ 1

AMRO-233, Training Course on NursingSupervision and Administration(Zone III)

(For text see page 42)

Short-term Consultants

4,200 Fees3,600 Travel

1,000 Supplies and Equipment

22,000 Fellowships

30,800

AMRO-237, Medical Education (Zone III)(For text see page 42)

1 i I 1 5,475 7,469 Medical Educator, .3019 P4

5,691 4,547 Common Staff Costs

8,600 Fellowships

1 1 1 11,166 20,616 1 _ _.

AMRO-246, Tuberculosis Control(Zone III)

(For text see page 42)

1 5,475 Medical Officer, .3017

5,691 Common Staff Costs

2,000 Duty Travel

1 13,166

5 7 7 88,916 162,732 125,565 32 27 27 592,295 545,294 546,784 TOTAL - INTER-COUNTRY PROGRAMS

8 1O 10 174,061 235,436 222,631 57 57 57 1 971,609 1,016,843 1,032,261 TOTAL - ZONE III PROGRAMS

Page 189: PROPOSED PROGRAM AND BUDGET ESTIMATES

181

WORLD HEALTH ORGANIZATIONR EGULAR BU DGET TECHNICAL ASSISTANCE FUNDST O T A S

NUMBER NUMBERNESTMATED EXPENDOTURE ESTIMATED EXPENDITURE OF POSS ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ s $ S $ $ $ $ S

1 1 12,365 13,216

8,0n0o 8,600 12,900 8,000 8,600 12,900

15,906

30,800

i i1 11,166 20,616

i 1 L 13,166

4 3 3 58,095 55,776 60,894 41 37 37 739,306 763,802 733,243

11 11 14 149,345 161,121 214,210 13 12 12 166,116 177,094 176,873 89 90 93 1,461,131 1,590,494 1,645,975

Page 190: PROPOSED PROGRAM AND BUDGET ESTIMATES

182

PAN AMERICAN HEALTH ORGANIZATION PART IIIw

REGULAR BUDGET OTHER FU N D S FIELD AND OTHER PROGRAMS :

NUMBER NUMBER Z0NE IVOF POSTS ESTIMATED EXPENDITURE OF POSTIMATED EXPENDITURE ZONE IVOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 ZONE OFFICE - LIMA

$ $$ $ $ (For text see page 18)

1 1 1 10,400 10,800 Zone Representative, .600 D11 1 1 9,333 9,600 Assistant Zone Representative, .601 P51 1 1 7,938 8,188 Sanitary Engineer, .602 P41 1 1 7,525 7,750 Nurse, .606 P41 1 1 8,146 8,396 Administrative Officer, .608 --- P41 1 1 5,283 5,483 Accounts and Budget Officer, .609 P22 2 2 4,735 4,929 Accounting Clerk, .654, .4003 LL51 1 1 2,526 2,622 Secretary, .610 LL51 1 1 2,072 2,169 Clerk, Personnel and Travel, .613 LL5

Clerk Stenographer, .611, .612, .6153 3 3 6,668 6,754 1 1 1 1,870 1,957 9024 LL41 1 1 2,245 2,309 File Clerk, .616 LL41 1 1 2,014 2,101 Clerk, .614 LL41 1 1 1,500 1,565 Clerk, .4009 LL31 1 1 11,054 1,097 Chauffeur, .617 LL21 1 1 704 737 Messenger, .619 LL1

4,000 1,500 100 100 Estimated Local Wage Increases

76,143 76,000 1,970 2,057 Cost of salaries

Allovances

10,440 10,781 84 88 Pension Fund1,624 1,676 42 44 Insurance6,750 6,750 Assignment

75 78 Service Benefit4,800 5,300 Dependents'

Travel and Transportation

9,800 9,800 Duty7,515 Home Leave

300 300 Hospitality

Common Services

3,596 3,596 Space and Equipment Services8,186 8,186 Other Services2,488 2,488 Supplies and Materials

240 240 Fixed Charges and Claims3,025 525 Acquisition of Capital Assets

18 18 18 124,695 127,392 133,157 1 1 1 2,191 2,171 2,267 TOTAL

BOLIVIA

BOLIVIA-4. Malaria Eradication(For text see page 43)

1 1 1 7,469 7,694 Medical Officer, 9279, 4.655 P41 1 1 7,600 7,833 Sanitary Engineer, 9045 P43 3 3 16,16,033 16,633 Sanitarian, 9025, 9031, 9191 P21 1 1 3,817 4,017 Sanitarian, 9042 P1

34,919 36,177 Cost of salaries

24,031 21,486 Common Staff Costs

12,860 12,860 Duty Travel

6,532 5,929 Supplies and Equipment

6 6 6 84,720 78,342 76,452

Estimated Government Contribution

Page 191: PROPOSED PROGRAM AND BUDGET ESTIMATES

183

WORLD HEALTH ORGANIZATIONREGUL A R B U D G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUBEROF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE TS ESTMATE EXPENDITUREOF POSTS OF POSTS OF POS 1

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ $ S $

1 1 1 10,400 10,8001 1 1 9,333 9,6001 i 1 7,938 8,1881 1 1 7,525 7,7501 1 1 8,146 8,3961 1 1 5,283 5,4832 2 2 4,735 4,9291 1 1 2,526 2,622i i i1 2,072 2,169

4 4 4 8,538 8,7111 1 1 2,245 2,3091 1 1 2,014 2,1011 1 1 1,500 1,565i i i1 1,054 1,0971 1 1 704 737

4,100 1,600

78,113 78,057

10,524 10,8691,666 1,7206,750 6,750

75 784,800 5,300

2,500 2,500 12,300 12,3007,515

300 300

399 399 3,995 3,995910 910 9,096 9,096276 276 2,764 2,764

240 2403,025 525

4,078 4,085 4,085 1 i9 19 19 130,964 133,648 139,509

i i i1 8,083 8,333

8,083 8,333

4,417 7,629

2,220 1,900

1 1 1 18,650 14,720 17,862 7 7 7 103,370 93,062 94,314

(504,202) (504,202) (504,202

Page 192: PROPOSED PROGRAM AND BUDGET ESTIMATES

PAN AMERICAN HEALTH ORGANIZATION pART III

REGULAR BUDGET OTHER F U N D S FIELD AD OTER PROGRAMS <

OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IV~OF POST S 1OF POSTS1961

-.- -4---- -4 4-- - 4 4 44

$1962

$

4 .4 +- - - 4 4

1 1 1 1 19,748 19,022 20,997

2,895 1 3,000 3,000

BOLIVIA-5. Nursing Education(For text see page 43)

Nurse Educator, 4.651

Common Staff Costs

Duty Travel

Fellowships

Estimated Government Contribution

BOLIVIA-10. Public Health Services(For text see page 43)

Chief Country Adviser, .661

Common Staff Costs

Duty Travel

Fellowships

Estimated Government Contribution

BOLIVIA-11, Joint Field Mission onIndigenous Populations

(For text see page 43)

Medical Officer, 4.1022

Common Staff Costs

Duty Travel

Estimated Government Contribution

BOLIVIA-12, Leprosy Control(For text see page 44

Short-term Consultanta

Estimated Government Contribution

BOLIVIA-15. Promotion of Community

Water Supplies(For text see page 44)

Fellowships

1 1 1 1 22,348 19,022 20,997 6 6 6 87,615 81,342 79,452 TOTAL - BOLIVIA

COLOMBIA

COLOMBIA-4, Public Health Services(For text see page 44)

Chief Country Adviser, 4.666 P5Medical Officer, 4.683 P4Sanitary Engineer, 4.667 P4Public Health Nurse, 4.621, 4.668 P3

Cost of salaries

184

601 61 62 1960 1961

$1 1962

$601 61 1 62

$1960

$

-4 4- 4 + 4- - - 4

11 1 1 9,063

4,659

1,000

4,300

9,313

6,384

1,000

4,300

2,600

Page 193: PROPOSED PROGRAM AND BUDGET ESTIMATES

185

WORLD HEALTH ORGANIZATIONR E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

_ 6I $ $ $ $ S$ $

1 1 1 6,300 6,512

2,922 2,575

362 362

4,300 4,300

1 1 1 13,008 13,884 13,749 1 1 1 13,008 13,884 13,749

(21,007) (21,007[ (21,007)

1 1 1 19,748 19,022 20,997

(4,426) (4,426 (4,426)

1 1 1 7,581 7,812

3,760 3,070

1,820 2,221

1 1 1 12,685 13,161 13,103 1 1 1 12,685 13,161 13,103

(1,540) (1,540) (1,540)

2,600

(5,000ooo)

________ 2,895 3,000 3,000

1 1 1 13,008 13,884 13,749 2 2 2 31,335 27,881 30,965 10 10 10 154,306 142,129 145,163

'1 1 1 9,396 9,6751 1 1 8,292 8,5421 1 1 8,417 8,6672 2 2 12,567 12,987

38,672 39,871

Page 194: PROPOSED PROGRAM AND BUDGET ESTIMATES

186

PAN AMERICAN HEALTH ORGANIZATIONREGULAR BUDGET O OTHER FUNDS

OF POSTS 1 ESTIMATED EXPENDITUREOF POSTS60 161 62 1960 1961 1962

NUMBEROF POSTS

60161 162

ESTIMATED EXPENDITURE

1960 1961

PART III

FIELD AND OTHER PROGRAMS

ZONE IV

I_19621 - - -- L -- -

$ $ $ $ 1$

-4--4-4 -4- l-4-�-1- + f

111142

111142

111142

9,0007,9798,5428,000

18,9837,800

60,304

38,111

24,203

10,000

3,426

9,2508,2298,7928,000

19,7838,200

62,254

36,683

25,043

36,078

3,426

......i 1 1 1 I - 10 10 10l 1 24,1571 136,044 163,484

1

1 1

i 1

7,412

3,012

1,230

7,637

4,146

1,025

1 1 11,654 12,808

7,771

5,366

2,389

8,021

7,403

2,389

1 1 1 12,879 15,526 17,813

12,900 4,300 4,300

COLOMBIA-4, (continued)

Common Staff Costs

Duty Travel

Estimated Government Contribution

COLOMBIA-5. Malaria Eradication(For text see page 44)

Chief Country Malaria Adviser,9183

Malariologist, 9192Sanitary Engineer, 9184Statistician, 9181Sanitarian, 9030, 9032, 9193, 9194Sanitarian, 9033, 9058

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

Estimated Governiment Contribution

COLOMBIA-15, Tuberculosis Control(For text see page 44)

Medical Officer, .4012

Common Staff Costs

Duty Travel

COLOMBIA-17,t Smallpox Eradication(For text see page 44)

Medical Officer, .1084

Common Staff Costs

Duty Travel

Estimated Government Contribution

COLOMBIA-18 (WHO). COLOMBIA-21 (PAHO),Public Health AdministrationFellowships(For text see pages 44 and 45)

Fellowships

I

O

(9

. . . , . ..

I

Page 195: PROPOSED PROGRAM AND BUDGET ESTIMATES

187

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF OSTS EST MATEO EXPENDITURE OPOT ESTIMATED EXPENDITURE ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

b6 61 621 1960 1961 1962 160 61 62 1960 1961 1962 601 61 62 1960 1961 1962_$ S $ _ $ $ s _ $ $ $S

17,926 22,176

5,022 4,338

5 5 5 63,705 61,620 66,385 5 5 5 63,705 61,620 66,385

(1,045,996)1(1,045,9961 l,045,996]

Page 196: PROPOSED PROGRAM AND BUDGET ESTIMATES

188

PAN AMERICAN HEALTH ORGANIZATIONREGULAR BUDGET OTHER FUNDS

NUMBER 1 E EPIDTR NUMBEROF POSTS ESTIMATEO EXPENDITURE O POSTS ESTIMATED EXPENDITUREOF POSTS 1 ~ ~~~OF POSTS

T

-~~~~~~ 4 4-- 4- 4 4

-f-4-4 4 4 r

9,8008,400

2,500

1,800

9,8008,400

2,500

1,800

_ -1 1 1 _i¡ _l _i 22,500 22,500 22,500

31,600 31,600 31,600

PART III

FIELD AND OTHER PROGRAMS

ZONE IV

Estimated Government Contribution

COLOMBIA-24. School of Public Health(For text see page 45)

Professor of Microbiology, 4.4511

Short-term ConsultantsFeesTravel

Common Staff Costs

Fellowships

COLOMBIA-25. Promotion of CommunityWater Supplies

(For text see page 45)

Short-term ConsultantsFeesTravel

Fellowships

Contractual Services

COLOMBIA-52, Yellow Fever, CarlosFinlay Institute (AMRO-57)

(For text see page 45 )

Cooperative Agreement

Estimated Government Contribution

1 2 2 57,379 63,080 66,521 10 10 10 146,657 158,544 185,984 TOTAL - COLOMBIA

ECUADOR

ECUADOR-4 Public Health Services(For text see page 45)

Chief Country Adviser, 4.652 P4Public Health Nurse, 4.678 P3

Common Staff Costs

Duty Travel

Fellowships

Estimated Government Contribution

P4

------- r-----T-

·

Page 197: PROPOSED PROGRAM AND BUDGET ESTIMATES

189

WORLD HEALTH ORGANIZATIONR E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROFNUMOT ESTIMATED EXPENDITURE NUMBER ESTIMATED EXPENDITURE NUMBER ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ X $ I I I $ S 732_$ $ $ S

1 1 1 7,507 7,732

3,158 3,692

3,358 3,078

1 1 1 10,047 14,023 14,502 1 1 1 10,047 14,023 14,502

(1118,881) (1.118.881 1,118,881)

1 1 7,656

3,6004,800

5,548

2,800 8,600

1 1 15,632 16,004 17,000 1 1 1 15,632 16,004 17,000

22,500 22,500 22,500

31,600 31,600 31,600

(55,944) (55,944) (55,944)

1 1 15,632 20,304 21,300 6 6 6 73,752 75,643 80,887 18 19 18 293,420 317,571 354,692

1 1 1 7,875 8,1251 1 1 6,906 7,131

2,413 3,563 3,981 7,819

1,416 1,416 4,336 1,415

4,300 4,300

2 1 1 36,767 15,035 16,410 1 1 16,192 17,359 2 2 2 36,767 31,227 33,769

(429,692) (429,692) (429,692)

Page 198: PROPOSED PROGRAM AND BUDGET ESTIMATES

190

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD AND OTER PROGRAMS

OF POSTS ESTIMATED EXPENDTURE ESTATED EXPENDITURE ESTIZONE IVOF POSTS OF POSTS601 61 162

1

1960

$1961 962 160 161 162 1960 1961 1962

1 . 1$

7,525

3,428

287

$

7,750

4,562

369

4,300

$ $ $

1 1 1 15,159 11,240 16,981

131

131

131

7,93814,6833,817

26,438

15,482

14,228

14,060

8,18815,2834,017

27,488

13,158

14,228

12,842

5 5 5 70,721 70,208 67,716

1 5,475

4,846

1,035

2,900

1 2,600 14,256

ECUADOR-11. National Institute ofHealth

(For text see page 45)

Bacteriologist, .4002

'ommon Staff Costs

Duty Travel

?ellovships

Estimated Government Contribution

ECUADOR-14 Malaria Eradication(For text see page 46)

Chief Country Malaria Adviser,4.1127

Sanitary Engineer, 9230Sanitarian, 9120, 9195, 9202Sanitarian, 9041

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Estimated Government Contribution

ECUADOR-16 t Nursing Education(For text see page 46)

Nurse Educator, 4.687Nurse Educator, 4.4500

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

Estimated Government Contribution

ECUADOR-1e. Leprosy Control(For text see page 46)

Medical Officer, .4008

Common Staff Costa

Duty Travel

Fellowships

1 1 P4

P5P4P2P1

P3P2

P4

1

_ _

Page 199: PROPOSED PROGRAM AND BUDGET ESTIMATES

191

WORLD HEALTH ORGANIZATIONT 0 T A L S

REGULAR BUD G E T TECHNICAL ASSISTANCE FUNDSNUMBER NUMBER NUMBER

OF POSTSURE ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ S 4 $ $ $ $ $ $

1 1 1 15,159 11,240 16,981

(319,330) (319,330) (319,330)

1 1 1 9,063 9,313

9,063 9,313

5,969 7,567

1,477 1,354

1 1 1 18,025 16,509 18,234 6 6 6 88,746 86,717 85,950

(429,692) (429,692) (429,692)

1 1 1 6,233 6,4371 1 1 5,033 5,233

11,266 11,670

4,505 4,607

370 370

2,000

4,300 8,600

2 2 2 27,977 20,441 27,247 2 2 2 27,977 20,441 27,247

(19,048) (19,048) (19,048)

1 2,600 14,256

Page 200: PROPOSED PROGRAM AND BUDGET ESTIMATES

192

PAN AMERICAN HEALTH ORGANIZATION PART IIIhw

REGULAR BUDGET OTHER FUNDS FIELD A OTHERPROGRAMS

NUMBER NUMBERZOF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE IV

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962_ $ $b I I I $ $ $ ECUADOR-19, PAHO Public Health

Administration Fellowships(For text see page 46)

4,300 4,300 Fellowships

ECUADOR-20. Smallpox Eradication(For text see page 46)

1 1 1 8,729 8,979 Medical Officer, .4000 P4

5,177 4,890 Common Staff Costs

2,208 2,208 Duty Travel

1 1 1 14,011 16,114 16,077

Estimated Government Contribution

ECUADOR-53, National Institute ofNutrition

(For text see page 46)

Medical Nutritionist, 4.677 P4

Common Staff Costs

Duty Travel

Estimated Government Contribution

2 2 3 31,770 31,654 51,614 5 5 5 70,721 70,208 67,716 TOTAL -ECUADOR

PERU

PERU-5, Malaria Eradication(For text see page 47)

Chief Country Malaria Adviser,4.4502 P5

1 1 1 8,042 8,292 Sanitary Engineer, 9059 P4Sanitarian, 9060, 9061, 9062, 9196,

5 5 5 22,934 23,934 9197, 4.4503 P2

30,976 32,226 Cost of salaries

26,574 24,009 Common Staff Costs

20,695 20,695 Duty Travel

11,398 10,343 Supplies and Equipment

6 6 6 94,749 89,643 87,273

Estimated Government Contribution

Page 201: PROPOSED PROGRAM AND BUDGET ESTIMATES

193

WORLD HEALTH ORGANIZATIONT OTALS

REGULAR BU DG E T TECHNICAL ASSISTANCE FUNDS

NB ESTIMATED EXPENDITURE OF O ESTIMATED EXPENDITURE OF POS ESTIMATED EXPENDITURE, OF POSTS OF POSTS OF POSTSE 1 E R E

60 61 162 1960 1961 1962 60 1 611 62 1960 1961 1962 60 161 62 1960 1961 1962

$ _ 5 $ $ $ _ $ $ $

4,300 4,300

1 1 1 14,011 16,114 16,077

(100,840) (100,840 (100,840)

1 I 1 7,732 7,979 1

7,260 3,497

1,200 1,477

1 1 16,192 12,953 1 12,320 1 1 1 12,320 16,192 12,953

(36,415) (36,415 (36,415)

4 4 4 64,744 51,668 56,610 2 2 2 30,345 32,701 35,593 13 13 14 197,580 186,231 211,533

1 1 1 9,500 9,800

1 1 1 5,417 5,617

14,917 15,417

8,926 9,733

2 2 2 23,040 23,843 25,150 8 8 8 117,789 113,486 112,423

·(791,367 (791,3671 (791,367:

Page 202: PROPOSED PROGRAM AND BUDGET ESTIMATES

194

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIED AND OTHER PROGRAMS

NUMBER ESTIATED EXPENDITUREMBEROF POSTS ESTIMATED EXPENDITURE B ESTIMATED EXPENDITURE ZONE IV

OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

_ _ _ $ $ $ $ PERU-15, Advanced Nursing Education(For text see page 47)

Nurse Educator, 4.4510 P3

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

Estimated Government Contribution

PERU-22, Public Health Services(For text see page 47)

Chief Country Adviser, 4.681 P5Sanitary Engineer, 4.685 P4Public Health Nurse, 4.682 P3

Cost of salaries

Common Staff Costs

Duty Travel

Estimated Government Contribution

PERU-23, Joint Field Mission onIndigenous Populations(For text see page 47)

Duty Travel

6,900 4,300 4,300

· · · · ·+ 1

L ~ ~ ¡L L .. ________

PERU-24, Leprosy ControlFor text see page 48)

All Purposes

PERU-25, PAHO Public HealthAdministration Fellowships

(For text see page 48

Fellowships

PERU-29, Tuberculosis Control(For text see page 48)

Medical Officer, 4.4513 P4Statistician, 4.4514 P3Nurse, 4.4515 P3

Cost of salaries

Common Staff Costs

Duty Travel

Common Services

Fellowships

Estimated Government Contribution·

Page 203: PROPOSED PROGRAM AND BUDGET ESTIMATES

195

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS T a s

NUMBER NUMBER NUMBEROF POSE ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ 8 $ $ $ S $ S

1 1 1 6,350 6,569

3,074 2,790

500 500

500 2,000

4,300 8,600

1 1 1 19,225 14,724 20,459 1 1 1 19,225 14,724 20,459

(2,878) (2,878) (2,878)

1 1 1 8,938 9,1881 1 1 9,021 9,271i i i 7,187 7,412

25,146 25,871

13,269 11,899

1,000 1,000

3 3 3 32,192 39,415 38,770 3 3 3 32,192 39,415 38,770

(9,047) (9,047) (9,047)

1,000 1,000 1,D0 1,000 1,000 1,000

2,600 _ _ _ _ _ _ _ _ 2,600

6,900 4,300 4,300

1 1 1 7,431 7,6561 1 1 6,117 6,3171 1 1 6,117 6,317

19,665 20,290

9,041 10,632

9,900 9,900

2,700 2,500

7,880 4,300

3 3 3 23,337 49,186 47,622 3 3 3 23,337 49,186 47,622

(53,957)

Page 204: PROPOSED PROGRAM AND BUDGET ESTIMATES

196

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER F U N D S FIELAND OTHER PROGRAMS <

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSS ESTIMATED EXPENDITURE ZONE IVOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ PERU-30. Promotion of CommunityWater Supplies

(For text see page 48)

Short-term Consultants7,700 7,700 Fees

6,600 6,600 Travel

14,300 14,300

6,900 4,300 4,300 6 6 6 94,749 103,943 101,573 TOTAL - PERU

8,9388,521

7,525

7,52513,2061,705

47,420

22,870

16,590

9,1888,771

7,750

7,75013,6311,791

48,881

24,202

16,590

_ ______ ____ ____ 7 7 7 82,892 86,8801 89,673

1 1 1 8,396 8,646

5,923 7,366

2,500 2,500

1 1 1 18,634 16,819 18,512

INTER-COUNTRY PROGRAMS

AMRO-119. Malaria Technical AdvisoryServices (Zone IV)

(For text see page 48)

Chief Zone Malaria Adviser, 9090Sanitary Engineer, 9091Administrative Methods Consultant,

9198Administrative Methods Officer,

9044Entomologist, 9092, 9199Clerk Stenographer, 9174

Cost of salaries

Common Staff Costs

Duty Travel

AMRO-143, Health Statistics (Zone IV)(For text see page 48)

Health Statistician, 4.1126

Common Staff Costs

Duty Travel

AMRO-179. Veterinary Public Health(Zone IV)

(For text see page 48)

Public Health Veterinarian, .605

Common Staff Costs

Duty Travel

AMRO-207, Environmental SanitationTraining (Zone IV)

(For text see page 48)

Fellowships

P5P4

P4

P4P3LL4

11

1

121

11

1

121

11

1

121

1 1 1 18,634 16,819 18,512 7 7 7 82,892 86,880 89,673 TOTAL - INTER-COUNTRY PROGRAMS

5 6 7 137,031 134,875 161,944 34 34 34 482,634 500,917 524,398 TOTAL - ZONE IV PROGRAMS11 1 1,3 689 1,1 282 8,8 963 TTL-ITRCUTYPOR

Page 205: PROPOSED PROGRAM AND BUDGET ESTIMATES

WORLD HEALTH ORGANIZATIONI REGUL AR BUDGET 1 TECHNICAL ASSISTANCE FUNDST O TNUMBER NUMBER NUMBER_ OF POE STSMATED EXPEND|TURE ESTIMATED EXPENDITURE NUESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ 4$ $ $ $ $ $ $

_____ ___j___ __ _ _ _ . = _ _ _14,300 14,300

4 4 4 45,162 63,910 68,081 5 5 5 56,232 64,258 64,920 15 15 15 203,043 236,411 238,874

7 7 7 82,892 86,880 89,673

1 1 1 7,469 7,694

3,151 3,684

3,000 3,000

1 1 1 11,286 13,620 14,378 1 1 1 1 11,286 13,620 14,378

1 1 1 18,634 16,819 18,512

12,000 12,000 12,000 12,000 12,000 12,000

1 1 1 23,286 25,620 26,378 9 9 9 124,812 129,319 134,563

11 11 10 161,832 175,386 186,118 15 15 15 191,664 200,483 212,365 65 66 66 973,161 1,011,661 1,084,825

197ll

Page 206: PROPOSED PROGRAM AND BUDGET ESTIMATES

198

PAN AMERICAN HEALTH ORGANIZATION PART IIIw

REGULAR BUDGET OTHER FUNDS FIELD AND OTHER PROGRAMS <

NUMBER NUMBER oOF POSTS ESTIMATED EXPENDITURE OFUMBT ESTIMATED EXPENDITURE ZONE VOF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 ZONE OFFICE - RIO DE JANEIRO

$ $ $ $ $ $ (For text see page 18)

1 1 1 10,400 10,800 Zone Representative, .700 D1Assistant Zone Representative, 4.5505 P5

1 1 1 7,525 7,750 Sanitary Engineer, .5012 P41 1 1 7,600 7,833 Nurse, .5008 P41 1 1 8,146 8,396 Administrative Officer, .705 P43 3 3 6,606 6,801 Secretary, .707, .5004, .5011 RL61 1 1 2,162 2,227 Accounting Assistant, .706 RL61 1 1 1,747 1,807 Secretary, .718 RL51 1 1 1,322 1,375 Clerk Stenographer, .708 RL41 1 1 1,539 1,593 Clerk, .709 RL41 1 1 815 842 Chauffeur, .711 RL21 1 1 640 665 Janitor-Office Boy, .712 RL2

48,502 50,089 Cost of salaries

Allowances

7,026 7,257 Pension Fund1,091 1,127 Insurance4,550 4,550 Assignment2,900 3,100 Dependents'

Repatriation Grant

Travel and Transportation

4,985 4,985 Duty4,300 2,200 Home Leave

300 300 Hospitality

Common Services

4,770 4,770 Space and Equipment Services7,335 7,335 Other Services1,440 1,620 Supplies and Materials

200 200 Fixed Charges and Claims500 500 Acquisition of Capital Assets

13 13 13 89,340 87,899 88,033 TOTAL

BRAZIL

BRAZIL-3, Public Health ServicesNortheast_

Por text see page 40)

Medical Officer, 4.5509 P4

Common Staff Costs

Duty Travel

Fellowships

Estimated Government Contribution

Page 207: PROPOSED PROGRAM AND BUDGET ESTIMATES

199

WORLD HEALTH ORGANIZATIONR E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POSTSENDITURE ESTIMATED EXPENDITURE OF POS ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ S $ $ $ $ S1 1 1 10,400 10,800

1 1 1 9,575 9,875 1 1 1 9,575 9,8751 1 1 7,525 7,7501 1 1 7,600 7,8331 1 1 8,146 8,3963 3 3 6,606 6,8011 1 1 2,162 2,2271 1 1 1,747 1,8071 1 1 1,322 1,3751 1 1 1,539 1,5931 1 1 815 8421 1 1 640 ' 665

9,575 9,875 58,077 59,964

1,408 1,452 8,434 8,709215 222 1,306 1,349

1,400 1,400 5,950 5,950

1,200 1,200 4,100 4,300144 148 144 148

1,670 1,670 6,655 6,655

1,152 4,300 3,352

300 300

530 530 5,300 5,300815 815 8,150 8,150160 180 1,600 1,800

200 200500 500

.1 1 1 18,012 17,117 18,644 14 14 14 1 107,352 105,016 106,677

I lI 1 7,469 7,694

3,151 3,684

855 855

4,600 4,300 .. .

1 11 4,300 16,075 16,533 1 1 4,300 16,075 16,533

(100,000) (100,000) (100,000)

Page 208: PROPOSED PROGRAM AND BUDGET ESTIMATES

200

PAN AMERICAN HEALTH ORGANIZATION PART III

R E G UE L A R B U D G E T OT H E R F U N D S FIELD AND OTHER PROGRAMS

O F POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE VOF POSTS 1 OF POSTS

60 61 162 1960 1961 1962 60 61 62 1960 1961 1962_$ $ 4b $$ $ $ $ BRAZIL-8, National Virus Laboratory

Services(For text see page 49)

Virologist, 4.5507 P4

Common Staff Costs

Estimated Government Contribution

BRAZIL-18, National Food and DrugService

TPFor text see page 4g)

Short-term ConsultantsFeesTravel

Fellowships

Estimated Government Contribution

BRAZIL-19, School of Public Health(Rio de Janeiro)

(For text see page 49)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

Estimated Government Contribution

BRAZIL-24, Malaria Eradication(For text see page 49)

1 1 9,104 9,354 Sanitary Engineer, 9028 P4

5,765 3,102 Common Staff Costs

950 950 Duty Travel

71,698 79,163 Supplies and Equipment

18,300 18,300 Fellowships

- - 1 1 1 1 1 1 79,2121 105,8171 110,869

Estimated Government Contribution

BRAZIL-28, PAHO Public HealthAdministration Fellowships

(For text see page 50)

4,300 8,600 8,600 Fellowships

Page 209: PROPOSED PROGRAM AND BUDGET ESTIMATES

201

WORLD HEALTH ORGANIZATIONT OTALS

R E GULA R BU DG ET TECHNICAL ASSISTANCE FUNDS T o T A L SNUMBER NUMBER NUMBER_OF ST ESTIMATED EXPENDITURES ESTIMATED EXPENDITURE NUO BER ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ $ S

1 1 1 7,469 7,694

3,151 3,684

1 1 1 6,477 10,620 11,378 1 1 1 6,477 10,620 11,378

(50,000) (50,000) (50,000)

1,8002,400

4,000 4,300

9,900 8,200 4,300 9,900 8,200 4,300

(30,000) (30,ono) (30,000)

1,200 2,4001,600 3,200

4,000

9,800 8,600

6,900 12,600 18,200 6,900 12,600 18,200

(150,000) (150,000) (150,000)

1 1 1 79,212 105,817 110,869

,000,0o0) :3,000,000)(3,000,000)

4,300 8,600 8,600

Page 210: PROPOSED PROGRAM AND BUDGET ESTIMATES

202

PAN AMERICAN HEALTH ORGANIZATION PART III nREGULAR BUDGET OTHER FUNDS IEL AND OTHER PRORAMS

NUMBER NMBER NZONEOF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$_ $ $ _ $ BRAZIL-31, Rehabilitation Training

Center(For text see page 50)

Medical Officer, 4.5003 P4

Common Staff Costs

Duty Travel

Estimated Government Contribution

BRAZIL-33, Training Course forLaboratory Technicians

(For text see page 50)

1 13,556 All Purposes

Estimated Government Contribution

BRAZIL-35, School of Public Health(Sao Paulo)(For text see page 50)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

Grant

Estimated Government Contribution

BRAZIL-37, Dental Public HealthEducation

(For text see page 50)

2,000 Fellowships

BRAZIL-38, Smallpox Eradication(For text see page 50)

2,000 4,000 2,000 Fellowships

Estimated Government Contribution

BRAZIL-39, Public Health Services(Mato Grosso)

(For text see page 51)

1 1 7,469 7,694 Sanitary Engineer, .5009 P41 1 1 6,150 6,350 Public Health Nurse, .5010 P3

13,619 14,044 Cost of salaries

5,843 8,107 Common Staff Costs

700 700 Duty Travel

4,300 4,300 Fellowships

2 2 2 30,495 24,462] 27,151

" '~~ ~ ~~~ ~~~~~~~ ________ L d

Estimated Government Contribution

Page 211: PROPOSED PROGRAM AND BUDGET ESTIMATES

203

WORLD HEALTH ORGANIZATIONT 0TALS

R E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDSNUMBER NUMBER NUMBER

OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATEO EXPENDITURE ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ $

1 1 1 7,875 8,125

2,131 3,169

310 310

1 1 1 10,990 10,316 11,604 1 1 1 10,990 10,316 11,604

(25,000) (35,000)1 (45,000)

1 13,556

(25,0on)

1,200 1,2001,600 1,600

5,000 5,000

9,800 7,000

4,596 4,596

17,457 22,196 19,396 17,457 22,196 19,396

(150,000) (150,000) (150,000)

2,000

2,000 4,000 2,000

(25,000) (25,000) (25,000)

2 2 2 30,495 24,462 27,151

(50,0(50,00) 50,000 (50,000)

Page 212: PROPOSED PROGRAM AND BUDGET ESTIMATES

204

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD AND OTRER PROGRAMS

NUMBER NUBER ZONE V (OF POSTS ESTIMATED EXPENDITURE OF POSTS 1 ESTIMATED EXPENDITURE

N UMBER NUMBER~~~- ¡ o1960

$1961 1962 60 61 162 1960

4 4 - -$

1,4001,200

$

13

13

12

$1961

$

7,83314,767

22,600

16,390

5,000

28,068

3,300

1962

$

8,0839,567

17,650

17,848

3,600

33,542

3,300

4 4 3 75,641 75,358 75,940

.

iii~~~~~- .4 4-4- 4-4 4

2,600iii ~ ~ ~ ~~ + *- - - 4i i 4

4,300 4,300 4,300

1 5,475

4,2003,600

4,546

3,500

1 7,800 13,521

BRAZIL-41, Malaria Eradication(Sao Paulo)

(For text see page 51)

Sanitary Engineer, 9138Sanitarian, 9139, 9140, 9208

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

Estimated Government Contribution

BRAZIL-42, Rabies Control(For text see page 51)

Short-term ConsultantsFeesTravel

Fellowships

Estimated Government Contribution

BRAZIL-43, Teaching of PreventiveDentistr

(For text see page 51)

Short-term ConsultantsFeesTravel

Estimated Government Contribution

BRAZIL-44, Teaching of Public Healthin Schools of Veterinary Medicine

(For text see page 51)

Fellowships

BRAZIL-48, Leprosy Control(For text see page 52)

Research Consultant, .5013

Short-term ConsultantsFeesTravel

Common Staff Costs

Fellowships

601 61 162

Page 213: PROPOSED PROGRAM AND BUDGET ESTIMATES

205

WORLD HEALTH ORGANIZATIONR EGULAR BUD G E T TECHNICAL ASSISTANCE FUNDS T A

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OF OTS ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

s $ $ $ $ $ $ $ $

4 4 3 75,641 75,358 75,940

,000o,000) 1,0oo00,000 oosoo,000)

1,2001,600

1,000

9,050 3,800 ,050 3,800

(30,000) (30,00oo)

2,600X

(10,000)

4,300 4,300 4,300

1i ~7,800 13,521

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206

PAN AMERICAN HEALTH ORGANIZATION PART IIIw

REGULAR BUD G E T OTHER F U N D S FIELD AND OTHER PROGRAMS

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE N MBTS ESTIMATED EXPENDITURE ZONE VOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962BRAZIL-50, Seminar on Pollution of

$ $ $ $ $ $ Water Supply SourSes(For text see page 52)

4,825 Short-term Consultants

BRAZIL-51, Yellow Fever Laboratory(AMRO-571

(For text see page 52)

6,104 6,000 6,000 Grant

Estimated Government Contribution

3 2 3 65,580 57,762 63,572 5 5 4 154,853 181,175 186,809 TOTAL - BRAZIL

13,786 6,842

9,063

4,259

2,640

9,313

3,297

2,640

. 1 1 1 _ _ [ ___ 1 1 i 1 17,374 15,962 15,250

" '~~ ~ ~~~~~~~~~~~~~~~~~~~~~~ 4'

1 1 1 1 10,270 10,674 12,033. I

INTER-COUNTRY PROGRAMS

AMRO-137, Training Center in MalariaEradication (Sao Paulo

(For text see page 52)

Grant

kMRO-139. Malaria Technical AdvisoryServices (Zones V and VI)

(For text see page 52)

Chief Malaria Adviser, 9055

Common Staff Costs

Duty Travel

AMRO-189, Veterinary Public Health(Zone V)

(For text see paga 52)

Public Health Veterinarian, 4.701

Common Staff Costs

Duty Travel

AMRO-201. Health Statistics (Zone V1lkor text see page 53)

Health Statistician, .5002

Common Staff Costs

Duty Travel

Estimated Government Contribution

AMRO-208, Environmental SanitationTraininS Zone V)

(For text see page 53)

¡Fellowships

1 1

1 1 1 7,412

3,012

250

7,637

4,146

250

1 1 1 10,270 10,674 12,033 1 1 1 31,160 22,804 15,250 TOTAL - INTER-COUNTRY PROGRAMS

4 3 4 75,850 68,436 75,605 6 6 5 186,013 203,979 202,059 TOTAL - ZONE V PROGRAMS

· · · · · · ·

· ·

?-~- ..... ·.... ·

Page 215: PROPOSED PROGRAM AND BUDGET ESTIMATES

207

WORLD HEALTH ORGANIZATIONT OTALSR E G U L A R BU G E T TECHNICAL ASSISTANCE FUNOS

NUMBER NUBER NUMBEROF PO_ OF POSTS ESTIMATED EXPENDIITURE OF POSTS ESTIMATED EXPENDITUREOF POSTS OF POSTS ~~~~~~~~~OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$$ S 9$ $ $ $ $ $ $

4,825

6,104 6,000 6,000

(75,000) (75,000) (75,000)

1 1 47,607 62,871 58,429 2 2 2 17,467 20,936 22,982 10 10 10 285,507 322,744 331,792

13,786 6,842

1 1 1 17,374 15,962 15,250

1 1 8,167 8,417

7,408 3,952

1,300 1,300

1 1 1 13,659 16,875 13,669 1 1 1 13,659 16,875 13,669

1 1 1 10,270 10,674 12,033

(5,000) (5,000) (5,00n0)

4,000 4,300 6,300 4,000 4,300 6,3nn

1 1 17,659 21,175 19,969 3 3 3 59,089 54,653 47,257

1 2 2 65,266 84,046 78,398 2 2 2 17,467 20,936 22,982 13 13 13 344,596 377,397 370,044'

Page 216: PROPOSED PROGRAM AND BUDGET ESTIMATES

208

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD OTHERPROGRAMS

N ESTIMATED EXUMB ESTIMATED EXPENDITURE ZONE VIOF POSTS ESTIMATED EXPENDTURE FESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 ZONE OFFICE - BUENOS AIRES

$ $ $$ $ $ $ (For text see page 18)

1 1 1 12,000 12,000 Zone Representative, .800 D11 1 1 9,675 9,975 Assistant Zone Representative, .804 P51 1 1 7,469 7,694 Sanitary Engineer, .6021 P41 1 1 8,146 8,396 Nurse, .805 P41 1 1 8,146 8,396 Administrative Officer, .806 P41 1 1 5,300 5,500 Accounts and Budget Officer, .807 P21 1 1 2,070 2,134 Assistant Accountant, .6012 BAL61 1 1 2,448 2,532 Accounting Clerk, .836 BAL62 2 2 3,236 3,336 Secretary, .808, .811 BAL61 1 1 1,727 1,778 Secretary, .843 BAL5

Clerk Stenographer, .809, .810, .6013,4 4 4 6,589 6,790 .6022 BAL51 1 1 1,009 1,040 Clerk, .812 BAL41 1 1 874 900 Chauffeur, .813 BAL21 1 1 889 915 Messenger, .814 BAL2

2,000 2,000 Estimated Local Wage Increases

71,578 73,386 Cost of salaries

Allowances

10,095 10,359 Pension Fund1,565 1,607 Insurance6,050 6,050 Assignment5,700 5,700 Dependents'

Travel and Transportation

7,440 7,440 Duty7,080 1,300 Home Leave

300 300 Hospitality

Common Services

2,900 2,900 Space and Equipment Services9,347 9,347 Other Services2,700 2,700 Supplies and Materials

350 350 Fixed Charges and Claims600 500 Acquisition of Capital Assets

18 18 18 110,871 125,705 121,939 TOTAL

ARGENTINA

ARGENTINA-3t Nursing Education(Cordoba and El Chaco)(For text see page 54)

Nurse Educator, 4.854, 4.855, 4.861,4.6508 P3

Common Staff Costs

Duty Travel

Estimated Government Contribution

Page 217: PROPOSED PROGRAM AND BUDGET ESTIMATES

209

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS A L S

NUMBER NUMBER NUMBEROFN BTS ESTIMATED EXPENDITURE O S ESTIMATED EXPENDITURE O S ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $6 $ I I I I' $ $ $ $1 I 1 12,000 12,0001 1 1 9,675 9,9751 1 1 7,469 7,6941 1 1 8,146 8,3961 1 1 8,146 8,3961 1 1 5,300 5,500i 1 1 2,070 2,1341 1 1 2,448 2,5322 2 2 3,236 3,3361 1 1 1,727 1,778

4 4 4 6,589 6,7901 1 1 1,009 1,0401 I i 1 874 900i i1 1 889 915

2,000 2,000

71,578 73,386

10,095 10,3591,565 1,6076,050 6,0505,700 5,700

1,480 1,480 8,920 8,9207,080 1,300

300 300

323 323 3,223 3,2231,038 1,038 10,385 10,385

300 300 3,000 3,000350 350600 500

3,598 3,141 3,141 18 18 18 114,469 128,846 125,080

4 4 4 26,988 27,901

10,063 11,658

2,169 2,180

4 4 4 35,253 39,220 41,739 '4 4 4 35,253 39,220 41,739

(387,000) (387,000 (387,000

Page 218: PROPOSED PROGRAM AND BUDGET ESTIMATES

210

PAN AMERICAN HEALTH ORGANIZATION PART IIIW

REGULAR BUDGET OTHER F U N D S FIELD AND OTHER PROGRAIS <

N UMBER NUMBER ZOE VIOF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

4 S 1 9

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962'$ $ $ $ $ $ ARGENTINA-4, National Institute of

Microbio(For text see page 54)

Pharmacologist, 4.6500 P4Bacteriologist, 4.6501 P4Virologist, 4.6502 P4

Cost of salaries

Common Staff Costs

uty Travel

Fellowships

1 1 1 _ _I I I1I1 1 1Estimated Government Contribution

ARGENTINA-7, Public Health Services(For text see page 54)

1 1 5,475 7,469 Medical Officer, .6024, 4.863 P41 1 5,475 7,469 Sanitary Engineer, .6025, 4.6504 P4

Health Educator, 4.6510 P41 1 4,500 6,150 Public Health Nurse, .6026, 4.860 P31 1 3,600 4,950 Sanitarian, .6027 P2

19,050 26,038 Cost of salaries

17,569 11,506 Common Staff Costs

627 835 Duty Travel

8,600 4,300 Fellowships

-4 -4 45,846 42,6791 _

Estimated Governnent Contribution

ARGENTINA-8, Malaria Eradication(For text see page 54)

6,200 6,200 Supplies and Equipment

10,000 8,000 Fellowships

16,452 16,200 14,200

Estimated Government Contribution

ARGENTINA-13, PAHO Public HealthAdministration Fellowships

(For text see page 55)

8,600 4,300 4,300 Fellowships

2,800 2,4002,400 3,200

2,000

4,300 4,300

9,500 9,500 11,900

ARGENTINA-15, Nutrition(For text see page 55)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

Estimated Government Contribution

Page 219: PROPOSED PROGRAM AND BUDGET ESTIMATES

211

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDST O T A L S

NUMBE R NUMBEROF POSTS ESTIMATED EXPENDITURE NUBER ESTIMATE D EXPENDITURE ESTMATED EXPENDTUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $$ $ $

i 1 1 1 [ 7,469 7,6941 1 1 7,469 7,694

1 1 1 7,469 7,694

22,407 23,082

9,453 11,052

1,000 1,000

4,300 4,300

3 3 3 23,281 37,160 39,434 3 3 3 23,281 37,160 39,434

(55,500) (61,700) (3,700)

1 1 1 7,469 7,6941 1 1 9,000 9,250

1 1 7,469 7,6941 1 1 7,262 7,487

31,200 32,125

12,790 15,814

390 390

3 4 4 37,170 44,380 48,329 3 8 8 37,170 90,226 91,008

1,800,000) (1,800,000):i,800,000)

16,452 16,,200 14,200

(3,766,222) (3,766,222)[3,766,222)

8,600 4,300 4,300

9,500 9,500 11,900

(300,000) (300,000) (300,000)

Page 220: PROPOSED PROGRAM AND BUDGET ESTIMATES

212

PAN AMERICAN HEALTH ORGANIZATION PARTIIIw

REGULAR BUD G E T OTHER F U N D S PIELD AND OTER PROGRAMS

OFMBER ESTMATE EXPENDTURE NUBER ESTIMATED EXPENDITURE ZONE VIOF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ ARGENTINA-17, School of Public Health(For text see page 55)

Professor of Public Health, 4.6509 P4

Common Staff Costs

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

Estimated Government Contribution

ARGENTINA-18, Medical Education(For text see page 55)

Short-term ConsultantsFeesTravel

Fellowships

11 I I --- 111 1 I 1 I

ARGENTINA-20, Tuberculosis Control(For text see page 55)

1 1 7,469 7,694 Medical Officer, .6014, 4.6512 P41 6,150 Statistician, .6032, 4.6514 P31 1 4,950 5,150 Nurse, .6031, 4.6513 P2

18,569 12,844 Cost of salaries

8,235 7,677 Common Staff Costs

7,200 5,000 Duty Travel

5,000 4,300 Fellowships

3 23i 1 39,0041 29,821

Estimated Government Contribution

ARGENTINA-23, Nursing Education(Rosario)

(For text see page 55)

2 2 2 12,893 13,343 Nurse Educator, .6008, .6009 P3

4,034 5,300 Common Staff Costs

890 890 Duty Travel

1,500 100 Supplies and Equipment

8,600 8,6001 ellowships

Estimated Government Contribution

2 2 2 28,048 27,9171 28,233 1

1 .-

Page 221: PROPOSED PROGRAM AND BUDGET ESTIMATES

213

WORLD HEALTH ORGANIZATIONT OTALS

REGULAR BUD G E T TECHNICAL ASSISTANCE FUNDS L SNUMBER NUMBER NUMBER

OF PO ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

_ $ $ $ $ $ $ $ S $

1 1 1 7,469 7,694

3,151 3,684

1,800 1,8002,400 2,400

1,000

7,100 4,300

1 1 1 14,527 21,920 20,878 1 1 1 14,527 21,920 20,878

(500,000) (500,000) (500,000)

1,200 1,2001,600 1,600

8,600 8,600

11,200 11,400 11,400 11,200 11,400 11,400

11

3 30,098 3 3 2 30,098 39,004 29,821

(323,000)1 (323,000) (323,000)

Page 222: PROPOSED PROGRAM AND BUDGET ESTIMATES

214

PAN AMERICAN HEALTH ORGANIZATION PART IIIw

REGULAR BUDGET OTHER FUNDS FIELDANDOTHERPROGRAMS

NUMBER ZNU MBEROF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE ZONEVIOF POSTS 1 OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ mARGENTINA-24, Planning and Organi-

zation of Hospital Services(For text see page 56)

1 1 1 8,229 8,479 Hospital Administrator, .6015 P4

4,314 4,612 Common Staff Costs

1,100 1,100 Duty Travel

5,300 5,300 Fellowships

1 11 1 17,5781 18,9431 19,491

Estimated Government Contribution

ARGENTINA-25, Training of NursingPersonnel

(For text see page 56)

6,150 6,350 Nurse Educator, .6016 P3

2,822 3,953 Common Staff Costs

1,000 1,000 Duty Travel

1,000 100 Supplies and Equipment

5,300 Fellowships

1 1 1 13,901 10,972 16,703

Estimated Government Contribution

ARGENTINA-27, Training of Personnelfor Mental Health Programs

(For text see page 56)

6,150 6,350 Nurse Educator, .6017 P3

Short-term Consultants1,400 1,200 Fees1,200 1,600 Travel

2,822 3,953 Common Staff Costs

350 350 Duty Travel

1,000 Supplies and Equipment

2,500 4,300 Fellowships

1 1 15,422 17,753

7,700 7,7006,600 6,600

_ _ _ _ __= __ 16,203 14,300 14,300

Estimated Governnent Contribution

ARGENTINA-28, Leprosy Control(For text see page 56)

All Purposes

ARGENTINA-29, Promotion of Community

Water Supplies(For text see page 56)

Short-term ConsultantsFeesTravel

Page 223: PROPOSED PROGRAM AND BUDGET ESTIMATES

215

WORLD HEALTH ORGANIZATIONT OTALS

REGULAR BUD G E T TECHNICAL ASSISTANCE FUNDST A SNUMBER NUMBER NUMBER

OF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

s$ $ 9b I I I I S Js$ $ $ $ $ $ S

1 1 1 17,578 18,943 19,491

(2,250,000) (2,250,000 2,250,000)

1 1 1 13,901 10,972 16,703

(150,000) (150,000 (150,000)

1 1 15,422 17,753

(3,750,000o(3,75o,ooo)

4,500 4,500

16,203 14,300 14,30n.

Page 224: PROPOSED PROGRAM AND BUDGET ESTIMATES

216

PAN AMERICAN HEALTH ORGANIZATION PAT IIIw

REGULAR BUDGET OTHER FUNDS FIELD AND OTHER PROGRAMS <

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE VIOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ ARGENTINA-30, Sanitary EngineerinEducation

(For text see page 57)

Short-term Consultants1,400 2,400 Fees1,200 3,200 Travel

4,300 8,600 1 Fellowships

6,900 14,200

ARGENTINA-51, Aedes aegyptiEradication

(For text see page 57)

1 1 1 9,375 9,500 Medical Officer, .815 P42 1 1 5,867 6,067 Sanitarian, .837, .849 P2

15,242 15,567 Cost of salaries

12,152 9,225 Common Staff Costs

2,680 1,480 _ Duty Travel

3 2 2 38,247 30,074 26,272

Estimated Government Contribution

7 14 13 115,874 208,878 211,352 32,655 30,500 28,500 TOTAL - ARGENTINA

CHILE

CHILE-18t Public Health Administration(For text see page 57)

Fellowships

CHILE-g19 Food and Drug Control(For text see page 57)

Fellowships

Estimated Government Contribution

CHILE-20 Midwifer Education(For text see page 57)

Nurse Educator, 4.851 P3

Common Staff Costs

Duty Travel

Fellowships

Estimated Government Contribution

Page 225: PROPOSED PROGRAM AND BUDGET ESTIMATES

217

WORLD HEALTH ORGANIZATIONREGULAR BUD G E T TECHNICAL ASSISTANCE FUNDS 7 T A L S

NUMBER NUMBER NUMBEROF PON ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OFPBTS ESTIMATED EXPENDITUREOF PO'STS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ $

6,900 14,200

3 2 2 38,247 30,074 26,272

(368,160) (368,160) (368,160)

7 4 4 83,606 70,480 71,712 7 8 8 72,423 83,600 90,068 21 26 25 304,558 393,458 401,632

5,700 10,200 6,300 . 5,700 10,200 6,300

4,375 4,300 4,300 4,375 4,300 4,300

(250,000) (250,000) (250,000)

1 1 1 6,944 7,169

5,283 3,839

880 880

4,300 4,300

1 1 1 21,189 17,407 16,188 1 1 1 21,189 17,407 16,188

(250,000) (250,000) (250,000)

Page 226: PROPOSED PROGRAM AND BUDGET ESTIMATES

218

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD AD OTER PROGRAS

OF POSTS 1 ESTIMATED EXPENDITURE UPOSTS 1 ESTIMATED EXPENDITURE ZONEVIOF POSTS BOF POSTS1961

$1962

5

11,5001 1 1 _ __ __ 1 _

_ [1 1 - 5,200 5,200 5,600

- - _-4

_T1 1 _ [ _ 1 _ T [ [

CHILE-21, Rehabilitation Center(For text see page 57)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

CHILE-26. PAHO Public HealthAdministration Pellowships

(For text see page 5

Fellowships

CHILE-27. Public Health Services(Ovalle-Copiapo)

(For text see page 58)

Short-term ConsultantsFeesTravel

Estimated Government Contribution

CHILE-29. Advanced Nursing Education(For text see page 58)

Nurse Educator, 4.1120

Estimated Government Contribution

CHILE-31. School of Public Health

tFor text see page 58)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

Estimated Government Contribution

CHILE-36. Aedes aegypti Eradication(For text see page 58)

All Purposes

a _____________ 6 1 h i.

601 61 162 1960$

1961$

1962 60 161 1 62$

+ t-±-t-t - t~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~1960

4,300

2,8002,400

4,300

2,4003,200

1 18,430

r

g

I

Page 227: PROPOSED PROGRAM AND BUDGET ESTIMATES

219

WORLD HEALTH ORGANIZATIONT~ 0 T A L S

REGULAR B U D G E T TECHNICAL ASSISTANCE FUNDS _ A SNUMBER NUMBER NUMBER

OF POSTS ESTIMMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ S $ $ $ $ $ S

2,400 2,4003,200 3,200

2,000 2,000

4,300 4,600

11,900 12,200 11,500 11,900 12,200

4,300 4,300

5,200 5,200 5,600

(500,000) (500,000 (500,000)

1 17,855 1 17,855

(200,000)

2,400 2,4003,200 3,200

1,000 1,000

8,800 6,000

11,200 15,400 12,600 _ 11,200 15,400 12,600

(400,000) (400,000 (400,000)

1 18,430

Page 228: PROPOSED PROGRAM AND BUDGET ESTIMATES

k

PAN AMERICAN HEALTH ORGANIZATION PART IIIw0

REGULAR BUDGET OTHER FUNDS FIELD AND OTER PROGRAMS

NUMBER NUMBER ZOE VI

OF POSTS ESTIMATED EXPENDITURE O PTE ESTIMATED EXPENDITURENEVI_OF POST _ OF POSTS

1960 1961 1962 160 161 162 1960 1961 1962__ 1 _ 1 _ 1 _______ L ---- 1

$ $

5,6004,800

1,000

$

2,4003,200

4,300

1 1 ~ 1 11,400 9,900

1,000 1,000" '~~~~ ~ ~~~ t-+- -

· ~~~~~~~ I 1 ·

2,8002,400

4,3001

5,475

5,146

725

4,300

1 9,500 15,646

3,6004,800

8,400

CHILE-37, Medical Education(For text see page 58)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

CHUILE-39. Training in the MedicalUse of Radioisotopes

(For text see page 58)

Supplies and Equipment

CHILE-41, Nursing Surve(For text see page 59)

Nurse Educator, 4.6516

Common Staff Costs

Duty Travel

Supplies and Equipment

CHILE-43, Administrative Methods andPractices in Public Health

(For text see page 59)

Medical Officer, .6034

Short-term ConsultantsFeesTravel

Common Staff Costs

Duty Travel

Fellowships

CHILE-44, Cancer Control(For text see page 59)

Short-term ConsultantsFeesTravel

1 _ 1 35,130 31,400 44,846 TOTAL - CHILE

PARAGUAY

PARAGUAY-1, Malaria Eradication(For text see page 59)

1 1 1 7,525 7,750 Medical Officer, 9136 P4

1 1 1 7,833 8,083 Sanitary Engineer, 9234 P4

2 2 2 10,150 10,550 Sanitarian, 9235, 9206 P2

25,508 26,383 Cost of salaries

9,327 12,567 Common Staff Costs

7,360 7,360 Duty Travel

220

60 61 162

1

I T I ^ I ^ I Aii i i$ $ $

Page 229: PROPOSED PROGRAM AND BUDGET ESTIMATES

221

WORLD HEALTH ORGANIZATIONTOTALS

R E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDS _A

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE NUMESTIMATED EXPENDITURE ESTATED EXPENTURE

______ ______ ______OF POSTS ESTIMTDEPNIUE O OI SIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ $ $

11,400 9,900

1,000 1,000

1 1 8,146 8,396

5,852 4,445

880 880

500 500

i1 1 15,378 14,221 i1 1 15,378 14,221

1 9,500 15,646

8,400

2 2 2 50,244 48,185 43,009 10,075 26,400 22,800 3 2 3 95,449 105,985 110,655

Page 230: PROPOSED PROGRAM AND BUDGET ESTIMATES

222

PAN AMERICAN HEALTH ORGANIZATION PART IIIW

REGULAR BUDGET OTHER F U N D S FIELD AND OTER PROGRAMS

N UMBER NU ESTIMATED B ZONE VI¡OF PESTIMATED EXPENDITURE ESTIMATED EXPENDITURE vOF POSTS 1 OF POSTS

1960 1961 1962 601 61 62 1960 1961 1962

_ _ $ $ $ $ $ $

3,188 3,188

10,000 7,500

4 4 4 53,757 55,383 56,998

1 1 1_

7,833

3,600

11,433

8,242

250

8,083

4,950

13,033

6,605

250

4,300

1 2 2t 11,970 19,925 24,188 _ _

4,300 4,300 4,300i ~ ~ ~ ~ 4 4 - __ _ _ + 4

4,2003,600

iii ~ ~ ~ ~ ~ ~ .1 4.-44----+

7,800 7,800

4,2003,600

7,800

PARAGUAY-1, (continued)

Supplies and Equipment

Fellowships

Estimated Government Contribution

PARAGUAY-9, Leprosy Control(For text see page 60)

Leprologist, 4.850

Common Staff Costs

Duty Travel

Estimated Government Contribution

PARAGUAY-10. Public Health Services(For text see page 60)

Chief Country Adviser, 4.830Sanitary Engineer, 4.831Administrative Methods Officer,

.6010Bacteriologist, 4.822Epidemiologist, 4.862Public Health Nurse, 4.823Sanitarian, 6029

Cost of salaries

Common Staff Costs

Duty Travel

Fellowships

Estimated Government Contribution

PARAGUAY-13, PAHO Public HealthAdministration Fellowships

For text see page 60

Fellowships

PARAGUAY-19. Promotion of CommunityWater Supplies

(For text see page 60)

Short-term ConsultantsFeesTravel

-1,2?7J 24,2251 28,488 4 4 4 61,557 63,183 64,798 TOTAL - PARAGUAY

60 1 61162

1 11

1

P4

P5P4

P4P4P4P3P2

Page 231: PROPOSED PROGRAM AND BUDGET ESTIMATES

223

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

1960 1961 1962 60 1 611 62 1960 1961 1962 601 61 162 1960 1961 1962

$ $ 5 $ $ $ $ $ $ $ $ $

4 4 4 53,757 55,383 56,998

(195,000) (195,000) (203,617)

1 1 I 1 7,562 7,792

3,784 3,068

600 600

i1 1 1 10,516 11,946 11,460 1 1 1 10,516 11,946 11,460

(48,500) (48,500 (48,500)

1 1 1 9,417 9,7001 1 1 7,675 7,917

1 1 1 9,354 9,5001 1 1 7,469 7,6941 1 1 6,812 7,037

40,727 41,848

16,920 21,552

1,740 1,740

5 5 5 59,835 59,387 65,140 6 7 7 71,805 79,312 89,328

1,004,700) (1,147,920) 1,147,92o)

4,300 4,300 4,300

7,800 7,800 7,800

1 1 1( I10,516 11,946 11,460 5 5 5 59,835 59,387 65,140 11 12 12 148,178 158,741 169,886

L _ _ _ _ _ _ _ _ _1. _ _ _ _ _ _ _ _ _ _ _

60 61 ¡62

Page 232: PROPOSED PROGRAM AND BUDGET ESTIMATES

224

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER F U N D S FIELD A OTHERPROGRAMS

OFPOSTS ESTIMATED EXPENDITURE OUMBER ESTIMATED EXPENDITURE ZONE VIOF POSTS 1 OF POSTS OF PSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ _ $ $ URUGUAYURUGUAY-5, Public Health Services

(For text see page 60)

Chief Country Adviser, 4.846 P5Sanitary Engineer, 4.847 P4Public Health Nurse, 4.848 P3Sanitarian, 4.6515 P2

Cost of salaries

Common Staff Costs

Duty Travel

1,400 1,2001,200 1,600

2,500

5,100 2,800

4,300 4,300 4,300

1 1 1 6,150 6,3501

2,815 3,953

500 250

110 1,000

4,300 4,300

2 11 1 22,451 13,875 15,853 1 1 1

· ~~ ~ ~ ~~~~ I- - - +

1,400 1,2001,200 1,600

4,300 4,300

Estimated Government Contribution

URUGUAY-9, Chagas' Disease(For text see page 61)

Short-term ConsultantsFeesTravel

Fellowships

Estimated Government Contribution

URUGUAY-10, PAHO Public HealthAdministration Fellowships

(For text see page 61)

Fellowships

URUGUAY-13, Training of Public HealthPersonnel

-(Por text see page 61)

Nurse Educator, .6018 P3Sanitarian, .6020 P2

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

Estimated Government Contribution

URUGUAY-15, Waterworks OperatorsSchool

(For text see page 61)

All Purposes

Estimated Government Contribution

URUGUAY-16, Chronic DiseasesFor text see page 61)

Short-term ConsultantsFeesTravel

Fellowships

____ _ _1 _6,900 7,100

Estimated Government Contribution

Page 233: PROPOSED PROGRAM AND BUDGET ESTIMATES

225

WORLD HEALTH ORGANIZATION 1R REGULAR BUDGET 1 TECHNICAL ASSISTANCE FUNDS 1 T A L

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE NUBER ESTIMATED EXPENDITURE ESTATED EXPENDTUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ $

1 1 1 9,675 9,9751 1 1 9,438 9,5001 1 1 7,169 7,394

1 1 4,917 5,117

31,199 31,986

19,137 20,438

1,500 1,500

3 4 4 41,570 51,836 53,924 3 4 4 41,570 51,836 53,924

,000)1,500,00) (1,5000)a,500,000)

5,100 2,800

(100,000) (100,000)

4,300 4,300 4,300

2 1 1 22,451 13,875 15,853

(350,000) (350.,000) (350,000)

6,700 6,700

(100,000)

6,900 7,100

(50,000) (50,000)

Page 234: PROPOSED PROGRAM AND BUDGET ESTIMATES

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUN S FIELD AND OTHRPROGRAMS

N UMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ZONE VIOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962IURGUAX-18, Promotion of Community

$ $ S $ $ $ Water Supplies(For text see page 62)

Short-term Consultants2,800 2,800 Fees

2,400 2,400 Travel

2,075 5,200 5,200

2 1 1 26,751 30,175 30,053 2,075 5,200 5,200 TOTAL - URUGUAY

11 í 1 1 11,822 12,588f 11,424 _

1 i1 1 15,405 12,7691 14,1281 _

INTER-COUNTRY PROGRAMS

AMRO-9.3, Seminar on Mental Health(Alcoholism)

(For text see page 62)

All Purposes

AMRO-100. Courses in Nursing Super-vision and Administration

(Zone VI)(For text see page 62)

All Purposes

AMRO-159, Health Statistics (Zone VI)(For text see page 62)

Statistician, .6002

Common Staff Costs

Duty Travel

AMRO-163, Epidemiology (Zone VI)(For text see page 62)

Epidemiologist, .6003

Common Staff Costs

Duty Travel

AMRO-209, Environmental SanitationTraining (Zone VI)

(For text see page 62)

Fellowships

AMRO-210, Medical Education (Zone VI)(For text see page 62)

Chief Country Adviser, .6033

Common Staff Costs

Duty Travel

P4

P4

P5

226

" '~~~~~~1 4 ----- 4

1 1 6,250

4,538

1,800

6,456

3,168

1,800

1 7,412

3,012

2,345

7,637

4,146

2,345

1 1 6,563

4,860

2,500

1

8,938

3,440

2,500

1 13,923 14,878

"~~~~~ +- - - 4

2 3 3 27,227 39,280 40,430 TOTAL - INTER-COUNTRY PROGRAMS

13 20 20 221,252 333,958 355,169 4 4 4 96,287 98,883 98,498 TOTAL - ZONE VI PROGRAMS

Page 235: PROPOSED PROGRAM AND BUDGET ESTIMATES

227

WORLD HEALTH ORGANIZATI'ONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

OF POSTS ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITUREE OF POSTS _ OF POSTS R OF PO1TS 1 ESTIMATEE

1960 1 1961 1962 60 61 1621 1960 1961 1962 60 161 162 1960 1961 1962 1

$ $ $ $ $ $ $ S S

2,075 5,200 5,200

6,700 3 4 4 41,570 51,836 53,924 5 5 5 77,096 87,211 89,177

17,050 17,050

12,270 12,270

1 1 1 11,822 12,588 11,424

1 1 1 15,405 12,769 14,128

12,000 12,000 12,000 _ 12,000 12,000 12,000

1 1 13,923 14 ,878

41,320 12,000 12,000 1 2 3 3 68,547 51,280 52,430

60 61 162

1710 7 7 142,611 138,181 15 17 1 183,9031 221,2231 231,932 693,828 796,675 823,780' -192,386 42 4848

Page 236: PROPOSED PROGRAM AND BUDGET ESTIMATES

228

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR B U D GET OTHER F U N D S PIELD AND OTHER PROGRAMS

NUMBER NUMBER oOF POSTS ESTIMATED EXPENDITURE POSTS ESTIMATED EXPENDITURE WASHINGTON OFPICE - COUNTRY PROGRAMSOF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ CANADA

CANADA-1, WHO Public Health Adminis-tration Fellowships(For text see page 63)

Fellowships

CANADA-2. Consultants in SpecializedFields of Public Health

(For text see page 63)

Short-term ConsultantsFeesTravel

TOTAL - CANADA

UNITED STATES

UNITED STATES-7 (WHO). UNITEDSTATES-11 (PAHO) Public HealthAdministration Fellowships

(For text see page 63)

11,845 15,690 25,000 Fellowships

UNITED STATES-10, Consultants inSpecialized Fields of Public Health

(For text see page 63)

Short-term ConsultantsFeesTravel

11,845 15,690 25,000 TOTAL - UNITED STATES

EL PASO - FIELD OFFICE(For text see paga 63)

1 1 1 9,550 9,850 Chief, Field Office, .334 P51 1 1 7,469 7,694 Sanitary Engineer, .7060 P41 1 1 7,431 7,656 Public Health Veterinarian, .7099 P4

1 1 4,500 6,150 Public Health Nurse, .7091 P31 1 1 5,333 5,533 Administrative Officer, .7059 P22 3 3 10,607 10,808 Clerk Stenographer, .326, .327, .7104 EPL3

600 600 Estimated Local Wage Increases

45,490 48,291 Cost of salaries

Short-term Consultants2,100 1,800 Fees1,800 2,400 Travel

29,406 33,141 Common Staff Costs

10,775 10,615 Duty Travel

Page 237: PROPOSED PROGRAM AND BUDGET ESTIMATES

229

WORLD HEALTH ORGANIZATIONT OTALS

R E G U LAR BU DG E T TECHNICAL ASSISTANCE FUNDS T O T A L S

OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITUREA . R . A . NU - . .......

1961 1962 601 61 1621 1960 1961 1 1962 5601 621 1960 1961 1962

$ _ S _ _ _ , $ S __ _ __ S $. S

6,500 6,100 6,100 6,500 6,100 6,100

1,200 1,2001,600 1,600

2,600 2,800 2,800 2,600 2,800 2,800

9,100 8,900 8,900 9,100 8,900 8,900

5,000 9,410 lO,000 16,845 25,100 35,000

5,400 5,4007,200 7,200

5,300 12,600 12,600 5,300 12,600 12,600

10,300 22,010 22,600 22,145 37,700 47,600

.1 .1 ____________ 1

b60 61 62 1960

Page 238: PROPOSED PROGRAM AND BUDGET ESTIMATES

230

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUD G E T OTHER F U N D S FIELD A OTHER PROGRAMS <

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE WASHINGTON OFFICE - COUNTRY PROGRAMS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ EL PASO - FIELD OFFICE (continued)

Common Services

75 75 Space and Equipment2,680 2,680 Other Services1,500 1,500 Supplies and Materials

300 335 Fixed Charges and Claims430 200 Acquisition of Capital Assets

4,000 4,000 Conference Services

200 200 Hospitality

6 8 8 78,592 98,756 105,237

TOTAL - WASHINGTON OFFICE -6 8 8 90,437 114,446 130,237 COUNTRY PROGRAMS

PART III

FIELD AND OTHER PROGRAMS

INTER-ZONE

AMRO-10, Program for BiostatisticsEducation

(For text see page 63)

Fellowships

Grants

AMRO-16, Assistance to Schools ofPublic Health

(For text see page 63)

All Purposes

AMRO-18, Medical Education(For text see page 64)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

AMRO-28, Advanced Nursing Education(For text see page 64)

Fellowships

Page 239: PROPOSED PROGRAM AND BUDGET ESTIMATES

231

WORLD HEALTH ORGANIZATIONREGULAR BUD G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBERO O ESTIMATOF POST S ESTIMATED EXPENDITURE ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ S

6 8 8 78,592 98,756 105,237

19,400 30,910 31,500 6 8 8 109,837 145,356 161,737

19,255 13,255

15,000 15,000

29,200 34,255 28,255 29,200 34,255 28,255

6,900 6,900

3,600 7,2004,800 9,600

2,000

12,900 21,500

14,800 23,300 38,3001 _ 14,800 23,3001 38,300

27,990 27,990 27,990 1 1 | 27,990 27,990 27,990_~~~~~~~~l . == = 1 i i i I

Page 240: PROPOSED PROGRAM AND BUDGET ESTIMATES

PAN AMERICAN HEALTH ORGANIZATION PART IIIW

REGULAR BUDGET OTHER F U N D S FIELD AND OTHER PROGRAMS

OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE INTER-ZONE-OF POSTOF POSTS1960

45,213

1961

$1962

$60 611 62 1960

$1961

$1962

$

I . . I I i I

64,5201 64,520

8,962

100

8,233 9,062

_ _ _ _

1,400 1,2001,200 1,600

2,600 2,800

AMRO-29, Anthropology in PublicHealth

(For text see page 64)

Anthropologist, 4.7510

Common Staff Costs

Short-term ConsultantsFeesTravel

Duty Travel

AMRO-35. Fellowships (Unspecified)(For text see page 64)

Fellowships

AMRO-39, Environmental Sanitation(Advisory Committee and

Consultants)(For text see page 64)

Duty Travel

Supplies and Equipment

AMRO-45, Laboratory Services(For text see page 64)

Short-term ConsultantsFeesTravel

Common Services

Supplies and Equipment

AMRO-46. Seminar on Nursing Education(Por text see page 65)

Short-term ConsultantsFeesTravel

Duty Travel

Supplies and Equipment

Participants

AMR0-50S Water Fluoridation(For text see page 65)

Short-term ConsultantsFeesTravel

?32

601 61 162

P4

1

·

.. .

Page 241: PROPOSED PROGRAM AND BUDGET ESTIMATES

2_33

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS T A

NUMBER NUMBER NUMBERNUMBERESTMATEDOF POSTS ESTIMATED EXPENDITURE OF POSS ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ $ $

5,800

1,8002,400

2,250

1 19,550 1 19,550

5,213 64,520 64,520

8,233 9,062

1,800 1,8002,400 2,400

1,000 5f0

500

13,100 5,200 5,200 13,100 5,200 5,200

1,2001,600

3,030

1,000

6,245

16,100 13,075 16,100 13,075

2,600 2,800

Page 242: PROPOSED PROGRAM AND BUDGET ESTIMATES

234

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD AND OTHE PROGRAIS

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ¡ER-ZO-

1962 160 161 162

5,400 3,900 4,200

1,2001,600

2,800 * 1 181

1

18,465 17,985

1 31,842 18,465 17,985

1961

$1962

$ AMRO-60, Smallpox Eradication(For text see page 65)

Short-term ConsultantsFeesTravel

Contractual Services

1MR0-61, Rabies Control(For text see page 65)

Short-term ConsultanteFeesTravel

AMRO-62. Public Health Aspects of

P.T. text see page 65)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Fellowships

AMRO-67. Teachina of Public Healthin Schools of Veterinary Medicine

(For text see page 66)

ll Purposes

AMR0-72, Dental Health(For text see page 66)

Dental Officer, .7053

Fellowships

AMRO-74, Plague Investiation(For text see page b6)

Short-term ConsultantsFeesTravel

Duty Travel

Supplies and Equipment

Fellowships

AMRO-76t Vaccine Testin(For text see page 66

Grants

P4

_ _ ..

* Contribution from Unión Ganadera Regional de Chihuahua.

60 61 62 1960 1 961$

1960

$

1,4001,200

1,300

$$

1,2001,600

1,400

1,4001,200

1,2001,600

600

7,500

2,600

· ~~~~~~~~ 4-

10,900

600800

1,470

1,700

o,770

11, 34

·

Page 243: PROPOSED PROGRAM AND BUDGET ESTIMATES

235

WORLD HEALTH ORGANIZATIONREGULAR BUD G E T TECHNICAL ASSISTANCE FUNDST O T A L S

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

5,400 3,900 4,200$ $ $ $ $

3,100 3,281 2,800

2,600 10,900

2,600 2,6_00

1 31,842 18,465 17,985

11,340

4,725 5,248 5,248 4,725 5,248 5,248

Page 244: PROPOSED PROGRAM AND BUDGET ESTIMATES

236

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD AND OTER PROGRMS

NUMBER NUMBER ¡ 1OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE INTER-ZONEOF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ AMRO-77, Pan American Foot-and-Mouth

Disease Center(For text see page 66)

1 1 1 10,700 Director, .923 P51 1 1 9,375 Chief of Field Service, .924 P41 1 1 9,500 Chief of Laboratory Services, .925 P41 1 1 8,104 Senior Virologist, .926 P4

Field Officer (Veterinarian), .70032 3 3 22,319 .7004, .7049 P4

1 1 7,300 Field Consultant, .7050 P41 1 7,300 Laboratory Consultant, .7100 P4

1 1 1 6,150 Technical Officer, .7075 P31 1 1 7,300 Serologist, .927 P3

Research Officer, .928, .1020,2 3 3 19,484 .7101 P31 1 1 6,500 Administrative Officer, .929 P3

1 1 6,000 External Relations Officer, .7108 P31 1 1 5,533 Assistant Serologist, .930 P21 1 1 4,595 Accounting Assistant, .173 WL81 1 1 4,272 Senior Research Associate, .987 RL81 1 1 3,836 Research Associate, .988 RL71 1 -1 3,314 Accountant, .7006 RL71 1 1 3,367 Research Assistant, .989 RL6

Assistant Administrative Officer,1 1 1 3,367 .931 RL61 1 1 2,937 Librarian-Editor, .7005 RL61 1 1 2,841 Accounting Clerk, .7076 RL61 1 1 2,473 Senior Accounting Clerk, .7048 RL5

Bilingual Secretary, .990, .1007,4 4 4 10,442 .1109, .7007 RL5

Senior Laboratory Technician,1 1 1 2,567 .971 RL51 1 1 2,528 General Maintenance Officer, .935 RL51 1 1 2,333 Property and Supply Clerk, .933 RL51 1 1 2,540 Clerk Typist, .934 RL52 2 2 3,826 Clerk Typist, .7009, .7077 RL41 1 1 2,333 Senior Clerk, .1168 RL4

Laboratory Technician, .932, .1011,2 3 3 5,795 .7109 RL4

Laboratory Assistant, .938, .9396 6 6 8,046 .943, .1010, .7012, .7079 RL31 1 1 1,318 Electrician, .7010 RL31 1 1 1,327 Plumber-Fitter, .7011 RL3

1 1 1,233 Mechanic, .7110 RL3Assistant Maintenance Officer,

1 1 1 1,336 .942 RL31 1 1 1,278 Senior Carpenter, .7080 RL3

1 1 1,233 Auxiliary Clerk, .7111 RL31 1 1 1,014 Storekeeper, .940 RL24 4 4 4,323 Chauffeur, .936, .937, .969, .7081 RL21 1 1 1,022 Laundry Operator-Seamsstress, .941 RL21 1 1 989 Janitor-Office Boy, .944 RL2

Laboratory Aide, .986, .1029, .11728 8 8 7,693 .1173, .1174, .7016, .7017, .7018 RL2

Guard (Watchman) .1024, .1030,6 6 6 5,697 .1045, .7013, .7014, .7015 RL21 1 1 708 Carpenter, .1025 RL22 2 2 1,899 Field Aide, .7019, .7020 RL21 1 1 986 Mason-Painter, .1037 RL2

Laborer, Cattle Attendant (Sr),3 3 3 2,613 .7023, .7021, .7022 RL21 1 1 864 Messenger, .7078 RL2

Laborer, Cattle Attendant (Jr),4 4 4 2,790 .7024, .7025, .7026, .7027 RL11 1 1 780 Auxiliary Guard (Watchman), .1155 RL11 1 1 674 Laundry Assistant, .7082 RL1

1 1 833 Telephone Operator, .7112 RL1Laborer, .945, .1026, .1027, .1028,.1031, .1032, .1033, .1034, .1035,.1036, .1038, .1039, .1040, .1041,.1042, .1043, .1044, .1156, .1157,.7028, .7029, .7030, .7031, .7083,

28 28 28 22,267 .7084, .7085, .7086, .7087 RL14,000 Temporary Staff and Overtime

263,854| 263,8541Cost of salaries

____________ L 1 -

Page 245: PROPOSED PROGRAM AND BUDGET ESTIMATES

237

WORLD HEALTH ORGANIZATIONT O T A L S

REGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

OF POSTSESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITUREOF POSTS 1OF POSTS , OF POSTS60 61 62 1960 1 1961 1962 60 61 1 62 1960 1961 1962 160 61 62j 1960 1961 1962

$ $ $ $ $ $ S

_ __ la la

Page 246: PROPOSED PROGRAM AND BUDGET ESTIMATES

238

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD AND OTHER PROGRAMS .

NUMBER ENUMB ER I -ZONE _OF POSTS ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE _ _ _ _

OFUMBER N POSTS O POTST -- _______ ~~~ESTIMATEDEXNDTR1960 1 1961 1960 ¡ 1961

$93,987

41,688

69,250

10,181

17,800

21,322

7,729

1962

$93,987

41,688

69,250

10,181

17,800

21,322

j1 32,106

_ ¡ 1 1 107 1116 116 *403,6001 525,811 550,188

11,0001 11,000

4,1692,091999

1,7062,7151,4082,8522,3481,3261,3431,3671,0452,058

2,594891826611662647

1,267627

33,552

3,699

723

8,675

4,2972,1551,0301,7572,7951,4512,9362,4201,3671,3841,4091,0752,118

2,670917852629680665

1,305646

34,558

3,812

723

8,675

1 1 1 30,470 32,714 32,839 129 29 29 61,1591 4 6,649 47,768

_____________ 1 1

* Organization of American States - Technical Assistance.** Contribution from the Government of Argentina.*** Contributions from the Government of Argentina and grants

AMRO-77, (continued)

Common Staff Costs

Duty Travel

Supplies and Equipment

Common Services

Contractual Services

Fellowships

Contingencies

AMRO-81, Pan American Zoonoses Center(For text see page 67)

Director, .1132Chief of Laboratory, 4.1139Zoonoses Specialist, 4.1140Administrative Officer, 4.1164Field Assistant, .1133, .7037Accounting Assistant, .1152Laboratory Technician, .7035Librarian, .1153Laboratory Technician, .1175, .1176Secretary, .7036Laboratory Technician, .1177, .1178Clerk Stenographer, .1134, .7090Foreman, .7061Clerk, .7062Foreman (Central Site),.7038Clerk Typist, .7039Laborer, .7041, .7042Laboratory Aide, .1179, .1180,

.7063Chauffeur, .1135Animal Caretaker, .7089Laborer (Laboratory), .1136Laborer (Garden), .1137Laborer (Janitor), .7045Laborer, .7046, .7064Messenger, .7043

Cost of salaries

Common Staff Costs

Duty Travel

Supplies and Equipment

Common Services

AMRO-85. Latin American Center forClassification of Diseases

(For text see page 67)

Short-term ConsultantsFeesTravel

Fellowships

Grants

P5P4P4P2BAL6BAL6BAL6BAL5BALSBAL5BAL4BAL4BAL4BAL4BAL4BAL3BAL3

BAL2BAL2BAL2BAL1BAL1BAL1BAL1BALI

from Cyanamid International, Squibb, and Kaiser.1/ Includes allowance for salary increments.

60 61162-1 - 1 1 - - i i a

$ $1962

$601 61 162

1 11 1

2111212211112

31111121

2111212211112

31111121

11,000

11,164

2,550

2,500

5.500

11,000

8,439

2,700

5,200

5.500

"·~~~~~~~~~~ + *1*

-~~-- · · · · · ·~~~i 1

-1_

I

p

3

Page 247: PROPOSED PROGRAM AND BUDGET ESTIMATES

239

WORLD HEALTH ORGANIZATIONR E G U L A R B U D G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POSTS OF POSTS OF POSTS_ OF POSTS | ESTIATED EXPENDITURE OF PHoS5ETS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

i$ $I $ $ $1 $ S S

107 116 116 403,600 525,811 550,188

1 1 1 8,271 8,5211 i 1 8,125 8,3751 1 1 5,433 5,633

21,829 22,529

11,732 12,746

1,529 1,525

3 3 3 32,024 35,090 36,800 33 33 33 123,653 114,453 117,407

3,6004,800

12,442 13,055

15,000 15,000

22,000 27,442 36,455 = = = = == 22,000 27,442 36,455

Page 248: PROPOSED PROGRAM AND BUDGET ESTIMATES

240

PAN AMERICAN HEALTH ORGANIZATION PART IIIW

NUMBER NUMBER _ __INTER-ZONE

OF POSTS ESTIMATED EXPENDITURE OF P ESTIMATED EXPENDITURE_ii

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ S $ $ AMRO-88, Aedes aegypti Eradication(For text see page 67)

1i -Medical Officer, .1152

Short-term Consultants4,200 3,600 Fees3,600 4,800 Travel

20,000 20,000 Supplies and Equipment

2 2 2 15,224 15,6992 2 2 15,031 15,4911 1 1 8,667 8,9171 1 1 8,375 8,6251 1 1 7,812 8,0621 1 1 2,414 2,533

57,523 59,327

2,800 2,8002,400 2,400

25,809 27,873

14,850 14,850

3,200 3,200

1,120 1,120

8 8 8 139,431 107,702 111,570

1 1 8,062

1,400 2,4001,200 3,200

8,375

1,500 1,500

1,000 500

8,600 14,820

_1 1I 1 25,760 30,137 22,420

1

11,200 7,2009,600 9,600

2,173 2,173

1 21,886 22,973 18,973 1 1

AMRO-90 t Malaria Technical AdvisoryServices (Interzone

For text see page 67)

Medical Officer, 9111, 9159 P4Sanitary Engineer, 9135, 9160 P4Entomologist, 9261 P4Parasitologist, 9262 P4Administrative Officer, 9027 P4Secretary, 9122 Ung

Cost of salaries

Short-term ConsultantsPeesTravel

Common Staff Costs

Duty Travel

Supplies and Equipment

Common Services

AMRO-92tPolio yelitisPor text see page 68)

Medical Officer, .7047 P4

Short-term ConsultantsFeesTravel

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellovships

AMRO-94, Diarrheal Diseases inChildhood

(For text see page 68)

Statistician, .1145 P3

Short-term ConsultantsFeesTravel

Supplies and Equipment

1 1 1 75,555 27,8001 28,400 1 1

= _ 1

Page 249: PROPOSED PROGRAM AND BUDGET ESTIMATES

241

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDST O T A L S

NUMBER NUMBER NUMBERESTMATEDOF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

60 61 62- 1960 1961 1962 60 -61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ $ $ $

1 75,555 27,800 28,400

8 8 8 139,431 107,702 111,570

1 1 25,760 30,137 22,420

__1 21,886 22,973 18,973

Page 250: PROPOSED PROGRAM AND BUDGET ESTIMATES

242

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER FUNDS FIELD AND OTHER PROGRAMS

OF POSS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE INTE-ZONEOF POSTS NBOF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $ $ $ $ AMRO-106. Seminar on Public HealthAdministration(For text see page 68)

Short-term Consultants1,400 1,200 Fees1,200 1,600 Travel

1,000 1,000 Supplies and Equipment

500 500 Conference Services

16,785 6,829 Participants

_ __ __ 1 20,885[ 11,129

AMRO-108, Sanitation of TravelCenters(For text see page 69)

1,180 All Purposes

AMRO-110, Tuberculosis PreventionFor text see page 69)

Public Health Nurse, 4.7504 P3

Short-term ConsultantsFeesTravel

E11 1 1 1 1111 1 1

. . . "

AMRO-112. Community Development

Training Center(For text see page 69)

Medical Officer, 4.2512 P4

Common Staff Costs

AMRO-122, Research and Development ofInsecticide Application Equipment(For text see page 70)

Short-term Consultants6,300 Fees5,400 Travel

1,500 Supplies and Equipment

13,200

AMRO-123. Research and Development -Protective Equipment Against ToxicInsecticides(For text see page 70)

35,000 35,000 Grants

AMRO-130. Seminar on Mass Chemoprophy-laxis and Surveillance Techniquesin Malaria Eradication(For text see page 70)

41,925 All Purposes

I1 ZI 1 1 1 1 1 1 15,0001

. 1 . I

1

Page 251: PROPOSED PROGRAM AND BUDGET ESTIMATES

WORLD HEALTH ORGANIZATION SREGULAR BUDGET TECHNICAL ASSISTANCE FUNUDS

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE ESTMATEDOF POSTS ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

2,1400 2,4013,200 3,20[

I _1 11,826 5,600 5,600 1 11,826 5,600 5,600

1 1 1 7,507 7,732

3,627 4,76

1 1 1 12,938 11,134 12,49 1 1 1 12,938 11,134 12,492

15,000 13,200

35,000 35,000

41,925

-. ___________ L 1

w

243

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244

PAN AMERICAN HEALTH ORGANIZATION PART III _

REGULAR BUDGET OTHER FUN D S FIELDANDOTHERPROGRAMS

OF POSTS ESTIMATED EXPENDITURE E ESTIMATED EXPENDITURE INTER-ZONEOF POSTS 1ETAOF POSTS1960

583,000

1961$

583,000

1962.MRO-132, Operational Assistance toCountry Projects in Malaria

Eradication(For text see page 70)

583,000 Grants

66,200 28,800 28,800

4,200 3,6003,600 4,800

12,900 12,900

88 20,700 21,300

"'~~ ~~~~ 1 -- -4 4

2 2 2 1 33,432 41,842 49,660 1

AMRO-135, Malaria EradicationTrainees

(For text see page 70)

Trainees

AMRO-142, Health Aspects ofRadiation

(For text see page 70)

Short-term ConsultantsFeesTravel

Fellowships

AMRO-149, Leprosy ControlFoIr text see page 71

Short-term ConsultantsFeesTravel

Fellowships

AMRO-150, Food and Drug Services(For text see page 71)

Food and Drug Consultant, .7069,.7070

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

Contractual Services

AMRO-151, Seminar on Teaching ofSanitary Engineering in Schools

of Engineering(For text see page 71)

Supplies and Equipment

Contractual Services

Participants

6 6 1.

P4

.

601 61 162 1960$

1961

$1962 601 61 162

$1 1 -

$

2 2 2 14,976

7,496

10,600

3,770

5,000

15,246

12,544

10,600

2,500

3,770

5,000

1,500

250

8,963

10,713

$

r

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245

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE NUMBER ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ $ $ $ $ $ $--$b S 4b I I I I $$

583,000 583,000 583,000

66,200 28,800 28,800

88 20,700 21,300

1,200 1,2001,600 1,600

4,200 4,000

10,000 7,000 6,800 10,000 7,000 6,800

2 2 2 33,432 41,842 49,660

4,000 4,000 10,713

Page 254: PROPOSED PROGRAM AND BUDGET ESTIMATES

246

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUDGET OTHER F U N D S FIELD AND OTER PROGRAMS

NUMBER NUMB INTER-ZONEOF POSTS ESTIMATED EXPENDITURE ESIiMATED EXPENDITURE INTER-ZONEOF POSTS 1 OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

S $ $ $ $ $ AMRO-152.2 Seminar on Schools ofPublic Health

(For text see page 71)

Short-term Consultants2,100 Fees1,800 Travel

750 Supplies and Equipment

250 Contractual Services

9,000 Participants

13,900

AMRO-155, Sohistosomiasis Control(For text see page 71)

Short-term Consultants1,400 1,800 Fees1,200 2,400 Travel

- ± . 1 3,9001 2,600 4,200 _ 1 1

AMRO-156, Training Program inHospital Statistics

(For text see page 72)

Hospital Statistics Consultant,1] 1 3,650 7,412 .7000 P41 1 6,100 6,300 Medical Records Librarian, .7001 P3

9,750 13,712 Cost of salaries

Short-term Consultants1,200 Fees1,600 Travel

6,975 7,682 Common Staff Costs

4,000 4,500 Duty Travel

1,000 1,000 Supplies and Equipment

8,600 8,600 Fellowships

2 21 30,325[ 38,294

AMRO-160, Treponematoses Eradication(For text see page 72)

1 i I 1 5,475 7,469 Medical Officer, .7105 P41 1 4,500 6,150 Statistician, .7106 P3

9,975 13,619 Cost of salaries

Short-term Consultants2,100 1,800 Fees1,800 2,400 Travel

10,071 7,343 Common Staff Costs

4,850 5,200 Duty Travel

1,000 1,000 Supplies and Equipment

2I 2 29,7961 31,362

1 1 1 -

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247

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS T A L S

NUMBER NUMBER NUBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962$ 8 $ '$ $ $ $ S $

13,900

3,900 2,600 4,200

2 2 30,325 38,294

2 2 29,796 31,362

Page 256: PROPOSED PROGRAM AND BUDGET ESTIMATES

24B

PAN AMERICAN HEALTH ORGANIZATION PART III

REGULAR BUD G ET OTHER F U N D S FIELD AND OTER PROGRAMS M

OF POSTS ESTIMATED EXPENDITURE POSTS ESTIMATED EXPENDITURE INTER-ZONEOF POSTS i OF POSTS60 61 162

2

1

1960

$1961

16,8377,300

24,137

11,511

8,490

1962 601 611 62 1960 1961- t ~~ · · · --

$

17,2507,525

24,775

3,6004,800

15,239

9,886

$ $1962

$

3 3 3 57,853 44,138 58,300

4 74,698

1 1 5,475 7,469

4,545 3,021

3,000 3,730

1,500

8,600

1 1 13,020 24,320

2,4003,200

1,000

500

12,337

19,437_- - _ 4 + 4

4,2003,600

8,600

16,400

3,6004,800

4,300

12,700-~ 1 1 t i

AMRO-165. Nutrition Advisory Services(Interzone)

(For text see page 72)

Nutrition Adviser, .7073, .7098,4.7509

Nutrition Educator, .7055

Dost of salaries

Short-term ConsultantsFeesTravel

Common Staff Costs

Duty Travel

Fellowships

AMRO-181. Live Poliovirus VaccineStudies(For text see page 72)

All Purposes

AMRO-183, Nursing Midwifery(For text see page 72)

Public Health Nurse Midwife, .7094

Common Staff Costs

Duty Travel

Supplies and Equipment

Fellowships

AMRO-184. Seminar on Maternal andChild Health(For text see page 73)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Conference Services

Participants

AMRO-185. Medical Care and Hospital

Or anization(For text see page 73)

Short-term ConsultantsFeesTravel

Fellowships

.1. L A.

* Contributions from the American Cyanamid Company.

21

21

.

4

Page 257: PROPOSED PROGRAM AND BUDGET ESTIMATES

249

WORLD HEALTH ORGANIZATIONREGULAR BUD G E T TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBERNUESTMATED EXPENDTURE ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ $ $_ $ $ $ _ _ S $ S

1 7,300

7,300

4,575

1,956

12,450

1 26,281 3 3 4 57,853 44,138 84,581

4 74,698

1 1 13,020 24,320

19 ,437

16,400 12,700

Page 258: PROPOSED PROGRAM AND BUDGET ESTIMATES

250

PAN AMERICAN HEALTH ORGANIZATION PT III

REGULAR B U D GET OTHER F UNDS FIELD AND OTHm PROGRAMS

NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE INTER-OE

3 1160 61 62 1960 1961 1962 60 61 62 1960 1961 1962

_$ S S $ $ AMRO-187, Promotion of CommunityWater Supplies

(For text see page 73)

Short-term Consultants8,400 7,200 Fees7,200 9,600 Travel

i III 1 10,4001 15,6001 16,800 _ _ _ 1 _

AMR0-196, Insecticide Testing Teams(For text see page 73)

1 1 7,469 7,694 Senior Entomologist, 9238 P4Entomologist, 9239, 9270, 9290,

2 2 4 12,233 24,633 9292 P3Auxiliary Entomologist, 9241, 9271,

2 2 4 7,500 15,100 9291, 9293 P1

27,202 47,427 Cost of salaries

15,695 41,465 Common Staff Costs

13,921 23,394 Duty Travel

6,200 5,000 Supplies and Equipment

1,500 1,500 Common Services

5 | 5 | 9 | 6 7,489] 64 ,518| 118,786

AMRO-197, Research on the Resistanceof Anophelines to Insecticides

(For text see page 74)

20,000 20,000 20,000 Grants

AMRO-198, Administrative Methods andPractices in Public Health

(For text see page 74)

Chief Administrative Methods1 1i i 1 8,938 9,188 Officer, .7072 P5

4,116 5,253 Common Staff Costs

3,500 3,243 Duty Travel

4,300 4,300 Fellowships

1 1 1j 17,228 20,854 21,984

AMRO-199, Anopheline Susceptibility

(For text sea page 74)

10,000 10,000 10,000 Supplies and Equipment

AMRO-200.2, Symposium on LivePoliovirus Vaccines

(For text see page 74)

*72,196 All Purposes

* Contribution from the Sister Elizabeth Kenny Foundation.

,

. . ."

_ _

Page 259: PROPOSED PROGRAM AND BUDGET ESTIMATES

251

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITUREOF POSTS ~~~~~OF POSTS 1OF POSTS

60 61162 1960 1961 1962 60 1 611 62 1960 1961 1962 601 61 162 1960 1 1961 1962- .- $I $ $ $ $ $ $ $$ $ $ $

10,400 15,600 16,800

5 5 9 67,489 64,518 118,786

20,000 20,000 20,000

1 1 1 17,228 20,854 21,984

10,000 10,000 10,000

72,196

*·~ ·________ _ J I .

Page 260: PROPOSED PROGRAM AND BUDGET ESTIMATES

252

PAN AMERICAN HEALTH ORGANIZATION PARTIII

REGULAR BUDGET OTHER FUNPROGRAMSNUMBER NUMBER INTER-ZONE

OF POSTS ESTIMATED EXPENDITURE OFESTIMATED EXPENDITURE INTER-NE~~~OF POSTS ~OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

-RO-211 t Seminar on Teaching of_$ $ $ $ $ Internal Medicine

(For text see page 74)

Short-term Consultants1,800 Fees2,400 Travel

750 Supplies and Equipment

250 Common Services

17,920 Participants

23,120

AMRO-212, Seminar on Teaching ofNursing Auxiliaries

(For text see page 75)

Short-term Consultante2,100 1,200 Fees1,800 1,800 Travel

5,875 Duty Travel

750 Supplies and Equipment

250 Common Services

10,220 Participants

3,900 20,095

AMRO-215, Study Group on Chagas'Disease

(For text see page 75)

All Purposes

AMRO-219, Training Course in Adminis-tration, Management and Financing

of Water Supplies(For text see page 75)

Short-term Consultants2,800 Fees2,400 Travel

29,153 Fellowships

1,600 Contractual Services

¡ _ _______ 1 ________ 1 k J l50,2691 35,953

-r-1-1 ~~1 1 11

AMRO-220, Malaria EradicationEpidemiology Tesms

(For text see page 75)

1 2 3 14,679 22,519 Medical Officer, 9265, 9282, 9294 P41 2 3 14,679 22,519 Entomologist, 9266, 9283, 9295 P41 2 3 14,679 22,519 Parasitologist, 9267, 9284, 9296 P4

44,037 67,557 Cost of salaries

34,368 51,156 Common Staff Costs

16,242 24,363 Duty Travel

1,500 1,500 Supplies and Equipment

2,000 2,000 Common Services3 6 1

&

3 98,147 146,5766 1 9 50,5'72

Page 261: PROPOSED PROGRAM AND BUDGET ESTIMATES

253

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS

NUMBER NUMBER NUMBEROF PO ESTIMATED EXPENDITURE ESTIMATED EXPENDITURE OF POST ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

I $ $ $ $ $ $

23,120

3,900 20,095

12,261 12,261

50,269 35,953

3 6 9 50,572 98,147 146,576

Page 262: PROPOSED PROGRAM AND BUDGET ESTIMATES

254

PAN AMERICAN HEALTH ORGANIZATION PA.RT III

REGULAR BUDGET OTHER FUNDS FIELD OTER PROGRM

LY.1~L.. 1 1 iNUMBu.Eík.1 ESTIMATED EXP ITUE íITERN-ZBE R irOF POSTS ESTIMATED EXPENDITURE OF U ESTIMATED EXPENDITURE INTER-ZONE _ _OF POSTS 1 OF POSTS

60 161 1621 1960 1961$

2,1001,800

1962

$

1,8002,400

3,900 4,200

1,40O 1,8001,200 2,400

2,600 4,200

2,1001,800

60 61 ¡62 1960$

1961$

1962

$

i 1 I -i 3 1 _ 1 1 _ _ ___

111

111

111

7,4699,0003,733

20,202

9,718

4,355

7,6949,2503,893

20,837

9,368

4,370

______ 1 __ _1 __ _ l3 3 -3 31,956 34,275 34,575

600800

1,000

500

26,768

29,668

AMRO-234, Sewage Disposal and WaterPollution Control

(For text see page 75)

Short-term ConsultantsFeesTravel

AMRO-235, Food Sanitation(For text see page 75)

Short-term ConsultantsFeesTravel

AMRO-236. Refuse and Garbage Disposal(For text see page 75)

Short-term ConsultanteFeesTravel

AMRO-239. Promotion of Community WaterSuplies (Interzone)

(For text see page 76)

Consultant on Water Finance andAdministration, 9300

Sanitary Engineer, 9299Clerk Stenographer, 9301

Cost of salaries

Common Staff Costs

Duty Travel

AMRO-240. Seminar on Public HealthNursinr Services (Interzone)

For text see page 76)

Short-term ConsultantsFeesTravel

Supplies and Equipment

Conference Services

Participants

$

L

Page 263: PROPOSED PROGRAM AND BUDGET ESTIMATES

255

WORLD HEALTH ORGANIZATION 1R REGULAR BUDGET | TECHNICAL ASSISTANCE FUNDS ¡ T A LS

NUMBEMBER NUMBEROF POSTS ESTIMATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE OF POSTS ESTMATED EXPENDTURE60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

$ s . ' s $ $ - $

3,900 4,200

2,600 4,200

3,900

3 3 3 31,956 34,275 34,575

29,668

a a

Page 264: PROPOSED PROGRAM AND BUDGET ESTIMATES

256

PAN AMERICAN HEALTH ORGANIZATION PART IIIo

REGULAR BUDGET OTHER F U N D S FIELD AND OTER PROGRAMS

OFUMBER ESTIATE EXPENDITURE N ESTIMATED EXPENDITURE INTER-ZONE DOF POSTS OF POSTS

601 611621 1960 1960

. + - - -,

1961

$

30,000· ~~ ~ ~ ~~~~ *- - - 4 4

1962

30,000

40,000 1 40,0004 1 *I- -- - 4. -

32,904- 4 4 - 4 4

1,8002,400

6,720

10,920 L

100,000 100,000

kMRO-241, Advisory Committee onStatistics

(For text see page 76)

Temporary Adviser

AMRO-242 t Seminara on Water SupplyDesiRn and Management

(For text see page 76)

ll11 Purposes

AMRO-243. Conference on Development

of Water Supplies(For text see page 76)

&ll Purposes

AMRO-244. Seminar on Water Rates(For text see page 76)

All Purposes

AMRO-247, Teaching of Statistics inMedical Schools

(For text see page 77)

Short-term ConsultantsFeesTravel

Fellowships

AMRO-248. Sanitary EngineerinF inSchools of Engineeri

(For text see page 77)

Short-term ConsultantsFeesTravel

Fellowships

Contingency Reserve for MalariaEradication (Interzone)

(For text see page 77)

Contingency Reserve Fund

11 13 12 368,440 500,782 654,128 159 167 174 1,755,580 1,773,055 1,821,263 TOTAL -INTER-ZONE PROGRAMS

. 1 -- l 1 1 I

L

1961

$1962

$60 61 162

$1 -_ _

3,400

2,4003,200

17,200

22,800· ~~~~~~ + t-- + - -í-t

Page 265: PROPOSED PROGRAM AND BUDGET ESTIMATES

257

WORLD HEALTH ORGANIZATIONREGULAR BUDGET TECHNICAL ASSISTANCE FUNDS 0 T A

NUMBER NUMBER NUNBEROF POSTS ESTIMATED EXPENDITURE NUESTIMATED EXPENDITURE ESTATED EXPENDTURE_____ __________ F OTS ETIAEDEPEDTUEOF POSTS ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

I$ $ $ $ $ $ $

3,400

30,000 30,000

40,000 40,000

32,904

10,920

22,800

eO,ODO-. 100,000

2 1 3 162,340 125,989 183,916 3 3 3 61,224 69,345 65,055 175 184 192 2,347,584 2,4 69,171 2,724,362

Page 266: PROPOSED PROGRAM AND BUDGET ESTIMATES

258

PAN AMERICAN HEALTH ORGANIZATION PART IIIFIELD AND OTHER PROGRAMIS

REGULAR BUDGET OTHER FUNDS FSECTION 3

N UMBER NUMBER ·NUMBR PTESTIMATED EXPENDITURE ESTIMATED EXPENDITUREOF POSTS ESTIMATED EXPOF POSTS EDITORIAL SERVICES AND PUBLICATIONS

60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 (For text see page 78)

Editorial Services

Bulletin

1 1 1 6,719 6,944 Editor, .46 P32 2 2 11,983 12,383 Assistant Editor, .47, .48 P21 1 1 3,640 3,790 Clerk Typist, .53 WL5

Special Publications

Editor, 4.45 P31 1 1 5,233 5,433 Assistant Editor, .0008 P22 2 2 8,733 8,933 Sub-Editor, .49, .50 P11 1 1 4,240 4,240 Clerk Typist, .232 WL5

Distribution

1 1 1 5,620 5,620 Administrative Assistant, .51 WL8i 1 1 5,270 5,270 Clerk, .137 WL6

Clerk Operator, 4.291 WL6

50,410 51,438 52,613 Cost of salaries

Common Staff Costs

7,274 7,432 7,603 Pension1,133 1,156 1,182 Insurance6,633 6,900 6,900 Post Adjustment Allovance2,400 2,400 2,400 Dependents' Allowance2,725 3,145 Home Leave Travel

10,381 10,591 10,756 Reimbursement of Income Tax

80,956 79,917 84,599 SUB-TOTAL

Publications

45,000 50,000 50,000 PASB BulletinStatistical Publications and

8,000 8,500 9,000 Reports35,000 409000 40,000 Special Publications

10,D00 10,000 10,000 Special Malaria Publications

10 10 10 168,956 178,417 183,599 10,000 10,000 10,000 TOTAL

PART III

FIELD AND OTHER PROGRAMS

SECTION 4

REPATRIATION GRANT

(For text see page 78)

8,561 8,561 8,561 Repatriation Grant

PART IV

AMOUNT FOR INCREASING THE

WORKING CAPITAL FUND

(For text see page 78)

Amount for Increasing the300,000 300,000 Working Capital Fund

Page 267: PROPOSED PROGRAM AND BUDGET ESTIMATES

259

WORLD HEALTH ORGANIZATION A

REGULAR BUDGET 1 TECHNICAL ASSISTANCE FUNDSNUMBER NUMBER NUMBER

P |ESTlIATED EXPENDITURE OF POSTS ESTIMATED EXPENDITURE NUMBTS ESTIMATED EXPENDITUREOF POSTS OF POSTS OF POSTS60 61 62 1960 1961 1962 60 61 62 1960 1961 1962 60 61 62 1960 1961 1962

t $ $b I I $ $ $ $ $ 5$ $

1 1 1 6,719 6,9442 2 2 11,983 12,3831 1 1 3,640 3,790

1 1 1 7,112 7,337 1 1 1 7,112 7,3371 1 1 5,233 5,4332 2 2 8,733 8,9331 1 1 4,240 4,240

i 1 1 5,620 5,6201 1 1 5,270 5,270

i1 1 1 4,533 4 ,600 1 I 4,533 4,600 1 1 1 4,533 4,600

11,260 11,645 11,937 61,670 63,083 64,550

1,624 1,680 1,723 8,898 9,112 9,326

253 262 269 1,386 1,418 1,4511,100 1,100 1,100 7,733 8,000 8,000

2,400 2,400 2,4002,725 3,145

3,161 3,365 3,445 13,542 13,956 14,201

17,398 18,052 18,474 98,354 97,969 103,073

45,000 50,000 50,000

8,000 8,500 9,00035,000 40,000 40,00010,000 10,000 10,000

2 2 2 17,398 18,052 18,474 _ _ _ = 12 12 12 196,354 206,469 212,073

8,561 8,561 8,561

300,000 300,000

i

Page 268: PROPOSED PROGRAM AND BUDGET ESTIMATES

260

ANNEX 1

OTHER EXTRA - BUDGETARY FUNDS

INTERNATIONAL HEALTH ACTIVITIES FOR WHICH THE FUNDS PROPOSEDARE NOT ADMINISTERED BY PARO/WHO

This Annex is presented in conformity with Resolution Y made at the 31st Meeting of the ExecutiveCommittee, which approved a form of presenting the estimates in a manner designed to segregate from themain body of the budget schedules all funds falling outside the direct administrative control of thePAHO/WHO.

In the following table estimates are presented to reflect the measure of participation in jointinternational health activities expected to be provided from other sources.

Country

ARGENTINA

Argentina-7, Public Health ServicesArgentina-8, Malaria EradicationArgentina-20, Tuberculosis SurveyArgentina-25, Training Nursing PersonnelArgentina-28, Leprosy Control

1960

$

200.00

60,000*20,000*46,000*74,000*

1961

$

113,000

63,000

45,000*5,000*

1962

s

163,000

100,00063,000

BOLIVIA

Bolivia-4, Malaria EradicationBolivia-7, Tuberculosis SurveyBolivia-ll, Joint Field Mission on

Indigenous Population

BRAZIL

Brazil-3, Public Health ServicesBrazil-7, NutritionBrazil-54, Medical Education (Recife)Brazil-55, Tuberculosis Survey

BRITISH GUIANA AND WEST INDIES

British Guiana and West Indies-10(British Guiana), Public Health Services

British Guiana and West Indies-14(British Guiana), Malaria Eradication

British Guiana and West Indies-2(WIF - Trinidad), Nutrition

British Guiana and West Indies-15(WIF -Jamaica), Malaria Eradication

British Guiana-and West Indies-16(WIF - Trinidad), Malaria Eradication

British Guiana and West Indies-17(WIF -Dominica), Malaria Eradication

British Guiana and West Indies-22(WIF - St. Lucia), Nutrition

British Guiana and West Indies-22(WIP - St. Vincent), Nutrition

BRITISH HONDURAS

British Honduras-l, Malaria EradicationBritish Honduras-5, Rural Health Services

254,000 278,000 245,000

30,000

8,000*

178,000*

65,000*

3,000*

41,000

15,000*26,000*

30,000

130,000

65,000

3,000

10,000

10,000

20,000

20,000

130,000

65,000

5,000

5,000

15 000

15,000

* Allocated by UNICEF Executive Board.

137,000

137,000*

199,000

120,000*79,000*

235,000

140,00035,000

60,000

325 000

150,00080,00025,00070,000

170,000

140,000

30,000

215,000

150,00040,00025,000

Page 269: PROPOSED PROGRAM AND BUDGET ESTIMATES

261

Country 1960 1961 1962

CHILE 90,000 45,000-

Chile-27, Rural Health Services(Ovalle-Copiapo) 10,000*

Chile-34, Training of Nursing Auxiliaries 35,000* 15,000*Chile-35, Nutrition 45,000* -Chile-45, Health Education - 30,000 -

COLOMBIA 701,000 855,000 750,000

Colombia-4, Rural Health Services 15,000* 100,000 50,000Colombia-5, Malaria Eradication 686,000* 660,000 660,000Colombia-16, Nutrition - 60,000 40,000Colombia-19, Leprosy Control - 35,000 -

COSTA RICA 117,000 69,000 -

Costa Rica-2, Malaria Eradication 57,000* 47,000 -Costa Rica-21, Nutrition 60,000* 22,000* -

CUBA 132,000 38,000 50,000

Cuba-3, Rural Health Services 132,000* 38,000 50,000

DOMINICAN REPUBLIC 115,000 51,000 100,000

Dominican Republic-2, Malaria Eradication 109,000* 51,000 -Dominican Republic-4, Rural Health Services - - 65,000Dominican Republic-10, Tuberculosis Survey - 35,000Dominican Republic-10, BCG Vaccination 6,000* - -

ECUADOR 407,000 330,000 15,000

E3uador-4, Rural Health Services - 10,000 -

Ecuador-14, Malaria Eradication t200,000 250,000 -Ecuador-22, Joint Field Mission on

Indigenous Population 7,000* 35,000 -Ecuador-53, Nutrition - 35,000 15,000

EL SALVADOR 316,000 305,000 15,000

El Salvador-2, Malaria Eradication 291,000* 270,000 -El Salvador-16, Nutrition 25,000* 35,000 15,000

GUATEMALA 215,000 310,000 105,000

Guatemala-1, Malaria Eradication 215,000* 250,000 -Guatemala-ll, Tuberculosis Survey - - 35,000Guatemala-13, Nutrition - 60,000 70,000

RAITI 70,000 237,000 360,000

Haiti-4, Malaria Eradication 70,000* 200,000 300,000Haiti-16, Rural Health Services - - 50,000Haiti-16, Training of Auxiliary Midwives - 7,000 -Raiti-20, Nutrition - 30,000 10,000

HONDURAS 285,000 235,000 185,000

Honduras-l, Malaria Eradication 195,000'* 185,000 185,000Honduras-4, Rural Health Services 90,000* 50,000 -

* Allocated by UNICEF Executive Board.

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262

Country 1960 1961 1962

MEXICO 1,688,000 1,199,000 140,000

Mexico-15, Rural Health Services 162,000* 99,000 100,000Mexico-23, Nutrition - 60,000 40,000Mexico-29, Leprosy Control - 40,000 -Mexico-38, Tuberculosis Survey 71,000* -Mexico-53, Malaria Eradication 1,455,000* 1,000,000 -

NICARAGUA 180,000 220,000 195,000

Nicaragua-l, Malaria Eradication 180,000* 170,000 170,000Nicaragua-4, Nutrition - 50,000 25,000

PANAMA 100,000 190,000 90,000

Panama-l, Rural Health Services - 60,000 40,000Panama-l, Training of Auxiliaries - 30,000 20,000Panama-2, Malaria Eradication 100,000* 100,000 -Panama-ll, Nutrition - - 30,000

PARAGUAY 285,000 223,000 -

Paraguay-l, Malaria Eradication 125,000* 99,000 -

Paraguay-10, Rural Health Services 60,000* 40,000 -

Paraguay-18, Nutrition 100,000* 34,000* -

PERU 349,000 405,000 50,000

Peru-5, Malaria Eradication 314,000* 315,000 -Peru-22, Rural Health Services - 50,000 30,000Peru-23, Joint Field Mission on

Indigenous Population - 40,000 20,000Peru-29, Tuberculosis Survey 35,000* - -

SURINAM 30,000 28,000 28,000

Surinam-l, Malaria Eradication 30,000* 28,000 28,000

URUGUAY 18,000 - -

Uruguay-13, Training of Public RealthPersonnel 18,000* - -

INTER-COUNTRY PROJECTS 10,500 22,000 -

AMRO-221, Nutrition Education Seminars 10,500* 22,000 -

TOTAL 5,939,500 5,728,000 2,876,000

* Allocated by UNICEF Executive Board.

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263

ANNEX 2

PROJECTS DESIRED BY GOVERNMENTS AND NOT INCLUDED WITHIN PAHO/WHO PROGRAMAND BUDGET ESTIMATES FOR 1962, INCLUDING TECHNICAL ASSISTANCE CATEGORY II

PROGRAMS, DISPLAYED BY SUBJECT AND MAJOR EXPENSE ITEM

PersonnelCosts

S

Suppliesand

Equipment

$

Fellowships

$

Other Total

$ $

TUBERCULOIS

* Mexico-38, Tuberculosis Control* AMRO-110, Tuberculosis Prevention

Subtotal

VENEREAL DISEASES AND TREPONEMATOSES

* Haiti-l, Yaws Eradication* AMRO-47, Yaws Eradication and Syphilis Control

(Caribbean)* AMRO-160, Treponematoses Eradication

Subtotal

ENDEMO-EPIDEMIC DISEASES

* Argentina-51, AMdes aegypti Eradication* British Guiana and West Indies-l,

Aldes aegypti EradicationChile-46, Typhus Control

* Cuba-l, Aldes aegypti Eradication* French Antilles and Guiana-2, Aedes aegypti

Eradication* Mexico-26, Abdes aegypti Eradication* Surinam and Netherlands Antilles-l,

Abdes aegypti Eradication* Uruguay-9, Chagas' Disease* Venezuela-16, Aldes aegypti Eradication* AMRO-88, A&des aegypti Eradication* AMRO-155, Schistosomiasis Control* AMRO-232, Filariasis (Zone I)

AMRO-251, Filariasis (Interzone)

Subtotal

VIRUS DISEASES

* Brazil-8, National Virus Laboratory Services* Costa Rica-24, Laboratory for Diagnosis of

Virus DiseasesVenezuela-32, Rabies Control

* AMRO-60, Smallpox Eradication* AMRO-61, Rabies Control* AMRO-92, Poliomyelitis

Subtotal

LEPROSY

* Argentina-28, Leprosy Control* Mexico-29, Leprosy Control* Paraguay-9, Leprosy Control* AMRO-149, Leprosy Control

Subtotal

2,800 1,7007,50021,500

7,50026,000

2,800 1,700 29,000 33,500

2,800 2,800

10,950 4,300 15,2504,200 21,500 25,700

17,950 25,800 43,750

12,314 12,314

12,783 5,300 18,0832,000 3,000 5,000

52,000 52,000

1,500 1,50012,600 12,600

10,493 1,000 11,4935,000 5,000

18,318 18,31850,000 50,000

4,200 5,000 9,2002,800 2,8005,200 4,300 9,500

78,708 110,500 13,600 5,000 207,808

2,000 2,500 4,500

1,400 12,000 8,600 22,0004,200 4,2009,800 2,500 12,3001,400 1,000 4,300 6,700

16,800 21,500 38,300

33,600 15,000 39,400 88,000

2,800 3,000 5,8002,800 2,800

2,000 2,0005,600 4,300 9,900

11,200 9,300 20,500

Page 272: PROPOSED PROGRAM AND BUDGET ESTIMATES

Other Total

$ 5

PUBLIC HEALTH ADMINISTRATION

* Argentina-4, National Institute of Microbiology* Argentina-7, Publio Health Services* Argentina-13, Public Health Administration

Fellowships* Argentina-17, School of Public HealthBolivia-13, Public Health Administration

Fellowships* Brazil-3, Public Health Services (Northeast)Brazil-16, Public Health Administration

Fellowships* Brazil-19, School of Public Health

(Rio de Janeiro)* Brazil-28, Public Health Administration

Fellowships* Brazil-39, Public Health Services (Mato Grosso)

British Guiana and West Indies-9, Public HealthAdministration Fellowships

* British Honduras-5, Public Health Services* Chile-18 and Chile-26, Public Health

Administration Fellowships* Chile-l9, Food and Drug Control* Chile-27, Public Health Services (Ovalle-Copiapo)* Chile-43, Administrative Methods and Practices

in Public Health* Colombia-4, Public Health Services* Colombia-24, School of Public Health* Costa Rica-14, Expansion of Local Public

Health Services* Costa Rica-16, Public Health Administration

Fellowships* Cuba-3, Public Health Services* Dominican Republic-4, Public Health Services* Dominican Republic-l1, Public Health

Administration Fellowships* Ecuador-4, Public Health Services* El Salvador-9, Public Health Administration

FellowshipsFrench Antilles and Guiana-l, Public HealthAdministration Fellowships

Guatemala-7, Public Health AdministrationFellowships

* Guatemala-8, Public Health Services* Guatemala-14, Teaching of Public Health in

Schools of Veterinary Medicine* Haiti-16, Public Health Services* Honduras-4, Public Health Services*Mexico-15, State Health ServicesMexico-24, Public Health Administration

FellowshipsNicaragua-3, Public Health Services

* Nicaragua-7, Public Health AdministrationFellowships

* Panama-l, Public Health Services* Paraguay-lO, Public Health Services* Paraguay-13, Public Health Administration

Fellowships* Peru-22, Public Health Services

Surinam and Netherlands Antilles-2 andSurinam and Netherlands Antilles-3, PublicHealth Administration Fellowships

* Uruguay-5, Public Health Services* Uruguay-10, Public Health Administration

Fellowships* Uruguay-13, Training of Public Health Personnel

Uruguay-l9, Public Health Laboratory

12,450

1,000

5,000

11,400 10,00010,950 5,000

10,47013,771

5,000

2,80010,7388,992

19,815

6,70016,300

6,70012,200

10,7508,300

6,450

2,400

12,0007,700

17,2004,300

15,7008,6007,300

6,70027,9508,600

4,300

2,65015,0508,600

4,30015,050

4,300

2,610

15,0504,300

15,05015,050

17,2004,300

4,30021,500

24,734 26,400

13,7001,400 21,500

27,13015,500

13,80010,5535,600 5,500

264

PersonnelCosts

$

Suppliesand

Equipment

5

Fellowships

$

6,70028,750

6,70013,200

10,7508,300

6,450

7,400

12,0007,700

17,2004,300

15,7008,6007,300

6,70049,35024,550

4,300

2,65025,52022,371

4,30020,050

4,300

2,610

15,0504,300

2,80025,78824,04219,815

17,2004,300

4,30021,50051,134

13,70022,900

27,13015,500

13,80010,55311,100

it

Page 273: PROPOSED PROGRAM AND BUDGET ESTIMATES

Fellowships Other

5 $

PUBLIC HEALTH ADMINISTRATION (continued)

* Venezuela-4 and Venezuela-9, PublicHealth Administration Fellowships

* Venezuela-19, School of Public Health* AMRO-45, Laboratory Services* AMRO-67, Public Health in Schools of

Veterinary Medicine* AMRO-106, Seminar on Public Health

Administration* AMRO-148, Laboratory for Production of

Biologicals* AMRO-150, Food and Drug Services* AMRO-185, Hospital Planning and Organization* AMRO-188, Veterinary Public Health

AMR0-253, Administrative Methods and Practicesin Public Health (Zone III)

Subtotal

DENTAL HEALTH

AMRO-257, Seminar on Dental Education

Subtotal

VITAL AND HEALTH STATISTICS

Venezuela-33, Reports and Records* AMRO-10, Education in Biostatistics* AMRO-86, Health Statistics (Zone III)

AMRO-190, Seminar on Vital and Health Statistics* AMRO-201, Health Statistics (Zone V)* AMRO-247, Teaching of Statistics in Medical

Schools

Subtotal

NURSING

* Argentina-3, Nursing Education (Cordobaand El Chaco)

* Argentina-23, Nursing Education (Rosario)Argentina-31, Nursing Education (Buenos Aires)

* British Guiana and West Indies-3, PublicHealth Nursing

* Chile-41, Nursing Survey* Costa Rica-18, Advanced Nursing Education* El Salvador-ll, National Public Health

Nursing Services* Guatemala-6, Nursing Education* Nicaragua-5, Nursing Education* Venezuela-14, Nursing Education

AMRO-63, Assistance to Schools of Nursing

Subtotal

SOCIAL AND OCCUPATIONAL HEALTH

* Chile-21, Rehabilitation CenterChile-22, Institute of Occupational Health

Subtotal

HEALTH EDUCATION OF THE PUBLIC

* AMRO-29, Anthropology in Public Health

Subtotal

8,400

4,200

1,0002,000

500

1,000

7,000

7,800

58,050

17,200

8,600

17,750

8,60012,9004,3008,600

58,0501,000

27,600

13,300

18,750

15,60012,90012,1008,600

12,016 6,000 18,016

176,089 37,500 604,990 818,579

1,300 1,500 5,635 8,435

1,300 1,500 5,635 8,435

8,400 8,4004,200 25,800 30,000

4,300 4,3001,300 15,205 16,505

4,300 4,300

16,600 16,780 33,380

29,200 1,300 66,385 96,885

23,700 23,7002,400 2,400

10,468 1,600 5,500 17,568

11,217 8,600 19,81711,000 11,0005,350 5,350

4,300 4,3008,600 8,6004,300 4,300

18,641 4,300 22,9415,600 2,400 6,800 14,800

45,926 4,000 84,850 134,776

6,715 4,000 10,7158,400 3,000 7,800 19,200

15,115 3,000 11,800 29,915

7,000 7,000

7,000 7,000

PersonnelCosts

$

Suppliesand

Equipment

5

265

Total

$

Page 274: PROPOSED PROGRAM AND BUDGET ESTIMATES

SuppliesPersonnel andCosts Equipment

$ 5

MATERNAL AND CHILD HEALTH

* Chile-20, Midwifery Education* AMRO-183, Nursing Midwifery

Subtotal

MENTAL HEALTH

* Argentina-27, Training of Personnel for MentalHealth Programs

* Venezuela-2, Mental Health

Subtotal

NUTRITION

* Argentina-15, Nutrition* Haiti-20, Nutrition* Mexico-23, National Institute of Nutrition

Subtotal

ENVIRONMENTAL SANITATION

* El Salvador-12, National EnvironmentalSanitation Services

* Mexico-35, Environmental Sanitation Training* AMRO-50, Water Fluoridation* AMRO-62, Public Health Aspects of Housing* AMRO-204, Environmental Sanitation Training

(Zone I)* AMRO-205, Environmental Sanitation Training

(Zone II)* AMRO-206, Environmental Sanitation Training

(Zone III)* AMRO-207, Environmental Sanitation Training

(Zone IV)* AMRO-208, Environmental Sanitation Training

(Zone V)* AMRO-209, Environmental Sanitation Training

(Zone VI)* AMRO-234, Sevage Disposal and Water Pollution

Control* AMRO-235, Food Sanitation* AMRO-248, Sanitary Engineering in Schools of

EngineeringAMRO-2, Meat HygieneAMRO-254, Milk HygieneAMRO-255, Air PollutionAMRO-256, Industrial Hygiene

Subtotal

ENVIRONMENTAL SANITATION -WATER

* Argentina-29, Promotion of Community WaterSupplies

* Bolivia-15, Promotion of Community WaterSupplies

Brazil-49, Promotion of Community WaterSupplies

Chile-40, Promotion of Community Water Supplies* Colombia-25, Promotion of Community Water

Supplies

Fellowships

$

Other Total

$ 5

1,000 1,0008,600 8,600

1,000 8,600 9,600

1,200 1,2004,300 4,300

5,500 5,500

18,200 18,2007,000 4,300 11,300

4,300 4,300

7,000 26,800 33,800

4,300 4,3003,360 3,360

2,800 2,80011,869 11,869

8,600 8,600

8,600 8,600

4,300 4,300

4,300 4,300

4,300 4,300

8,600 8,600

7,500 1,700 7,203 16,4031,500 9,081 10,581

4,800 24,935 29,7354,200 1,500 6,735 12,4354,200 4,2005,600 200 5,8004,200 1,200 , 10,467 15,867

33,300 6,100 116,650 156,050

35,700

27,000

40,00020,000

23,700

150,000

10,000

5,000

20,000

185,700

32,000

60,00030,000

23,700

266

Page 275: PROPOSED PROGRAM AND BUDGET ESTIMATES

Other Total

5$

ENVIRONMENTAL SANITATION - WATER (continued)

* Costa Rica-22, Promotion of Community WaterSupplies

* Cuba-10, Promotion of Community WaterSupplies

* Dominican Republic-15, Promotion of CommunityWater Supplies

Ecuador-21, Promotion of Community WaterSupplies

* El Salvador-14, Promotion of Community WaterSupplies

Guatemala-17, Promotion of Community WaterSupplies

Haiti-22, Promotion of Community WaterSupplies

* Honduras-9, Promotion of Community WaterSupplies

* Mexico-39, Promotion of Community WaterSupplies

Nicaragua-10, Promotion of Community WaterSupplies

* Panama-9, Promotion of Community WaterSupplies

* Paraguay-19, Promotion of Community WaterSupplies

* Peru-30, Promotion of Community WaterSupplies

* Uruguay-18, Promotion of Community WaterSupplies

* Venezuela-27, Promotion of Community WaterSupplies

* AMRO-243, Conference on Development of WaterSupplies

Subtotal

EDUCATION AND TRAINING

* Argentina-18, Medical Education* British Guiana and West Indies-13

(WIF -Jamaica), Department of PreventiveMedicine (UCWI)

* Chile-37, Medical Education*AMR0-18, Medical Education

AMRO-102, Pediatric EducationAMRO-237, Medical Education (Zone III)

Subtotal

OTHER PROJECTS

* Chile-44, Cancer Control* Uruguay-16, Chronic Diseases

Subtotal

TOTAL

5,000

14,000

5,000

15,000

10,500

15,700

30,000

15,100

10,000

30,000

11,400

35,000

12,100

14,800

10,700

2,200

6,232

15,000

5,000

4,300

4,300

15,000

4,300

5,000

4,300

12,200

8,600

50,000

5,500

15,700

14,000

22,200

20,000

14,800

20,000

45,000

15,100

20,532

35,000

15,700

47,200

20,700

64,800

5,500

5,000 20,000 25,000

375,000 218,432 139,200 732,632

4,200 12,900 17,100

5,600 1,442 4,300 11,3425,600 1,000 11,700 18,300

16,800 3,500 23,800 44,1008,000 750 41,230 49,980

17,200 17,200

40,200 6,692 111,130 158,022

5,600 11,000 16,6001,400 1,400

7,000 11,000 18,000

881,388 406,724 1,309,640 5,000 2,bO02,752

* Indicates portions of projects in excess of amounts budgeted.

PersonnelCosts

S

Suppliesand

Equipment

$

26'

Fellowships

$

Page 276: PROPOSED PROGRAM AND BUDGET ESTIMATES

268

ANNEX 3

PAN AMERICAN HEALTH ORGANIZATION

OTHER FUNDS

Analysis of amounta appearing in the Other Funds column of theschedules: a) by source of fund, and b) by Part and Section of

the budget in which these amounts are displayed.

1960 1961 1962

$ $ $a) By Source of Fund

Special Malaria Fund 3,120,600 3,270,117 3,364,263

Government of Venezuela (Zone I Office) 53,000 53,000 53,000

Community Water Supply Fund 200,000 302,785 301,459

INCAP - Regular Budget 105,000 105,000 105,000

INCAP - Grants and Other Contributions 270,400 270,400 270,400

Organization of American States -Technical Cooperation Program 403,600 525,811 550,188

Government of Argentina (Zoonoses Center) 61,159 46,649 47,768

Grante and Other Contributions to PARO 147,075 - -

4,360,834 4,573,762 4,692,078

b) By Part and Section of the Budget

Part I Pan American Health Organization -Special Malaria Fund 11,545 7,976 9,305

Part II Pan American Health Organization -Headquarters -Special Malaria Fund 171,612 160,423 170,568

Part III Pan American Health Organization -Field and Other Programs

Sect. 1 Zone Offices - Special Malaria Fund 19,959 22,593 23,674Government of Venezuela (Zone I Office) 53.000 53.000 53,000

Total - Sect. 1 72,959 75,593 76,674

Sect. 2 Programs -Special Malaria Fund 2,907,484 3,069,125 3,150,716Community Water Supply Fund 200,000 302,785 301,459INCAP - Regular Budget 105,000 105,000 105,000INCAP - Grants and Other Contributions 270,400 270,400 270,400Organization of American States -

Technical Cooperation Program 403,600 525,811 550,188Government of Argentina (Zoonoses Center) 61,159 46,649 47,768Grants and Other Contributions to PAHO 147,075 -

Total - Sect. 2 4,094,718 4,319,770 4,425,531

Sect. 3 Publications -Special Malaria Fund 10,000 10,000 10,000

Sect. 4 Repatriation Grant _ _

Total -Part III 4,177,677 4,405,363 4,512,205

Part IV Amount for Increasing theWorking Capital Fund

Total - All Parts 4,360,834 4,573,762 4,692,078

Page 277: PROPOSED PROGRAM AND BUDGET ESTIMATES

269

ANNEX 4

SPECIAL MALARIA FUND

STATEMENT OF INCOME AND EXPENDITURE

In accordance with the provisions of paragraph 3, Resolution IV of the 31st Meetingof the Executive Committee, June 1957, the Director has the honor to report on themovement of funds of the Special Malaria Fund as of 31 May 1960.

1 January 1957 1 Januaryto to

31 December 31 May1959 1960

5 $

Balance (at beginning of period shown in column) 4,671,468

Income:Voluntary Contributions:

Government of the Dominican Republic 200,000Government of Haiti 5,000Government of the United States of America 8,500,000Government of Venezuela 299,400

Other Income:Interest and Discounts Earned 241,875 49,776Excess of Reserve for Unliquidated Obligations 134,345Miscellaneous 7,910

Total Income (for period shown in column) 9,388,530 49,776

Total available for Obligation (duringperiod shown in column) 9,388,530 4,721,244

Expenditure:Personal Services and Allowances 1,733,180 1,126,402Travel and Transportation 782,030 194,093Supplies, Equipment and Other Services 1,098,312 113,570Fellowships 413,167 37,762Trainees 303,579 17,332Grants 321,061 23,000Participants in Seminars 65,733 -

Total Obligations (for period shown in column) 4,717,062 1,512,159.L77 02 _51L5 5

Balance (at end of period shown in column) 4,671,468 3,209,085