СО1ЖТТЕЕ ON HEADQUARTERS AND REGIONAL ORGANIZATION PROVISIONAL MINUTES OF THE THIRD MEETING

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I t UNITED NATIONS NATIONS UNIES WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ FIRST WORLD HEALTH ASSEMBLY A/HQ/Min/3.Corr.1. 5 July 1948 ORIGINAL: ENGLISH СО1ЖТТЕЕ ON HEADQUARTERS AND REGIONAL ORGANIZATION PROVISIONAL MINUTES OF THE THIRD MEETING Palais des Nations, Geneva, Thursday, 1 July 1948, at 2.30 p.m. CORRIGENDUM 1 Page 3, line 23 * 29 Î Delete the words "in the Far East" and substitute : "comprising the area inhabited by Malays, such as.the Philippines, Java, Sumatra, Borneo, Malay States, and nearby islands in the Pacific." Delete the words "such as vaccination". PREMIERE ASSEMBLEE MONDIALE DE LA SANTE A/HQ/ian/З^Созгг Jl. " ' ' TVJuilXet 1948 ORIGINAL: ANGLAIS COMMISSION DU SIEGE ET DE L'ORGANISATION. REGIONALE PROCES-VERtíAL PROVISOIRE DE LA TROISIEME SEANCE Palais des Nations, Genève Jeudi 1er juillet 1948., 14 heures 30 CORRIGENDUM 1 ï&ge 4,. ligne 8:lire: Le Dr. ARGUELLES (Philippines) demande instamment qu'on établisse une organisation régionale comprenant les pays habités par l.es Malais, telles que les Philippines, Java, Sumatra, Bornéo, les Etats Malais et lès îles avoisinantes de l'océan Pacifique"..tl II " 15: supprimer : tels que la vaccination.

UNITED NATIONS NATIONS UNIES WORLD HEALTH ORGANISATION MONDIALE ORGANIZATION DE LA SANTÉ FIRST WORLD HEALTH ASSEMBLY A/HQ/Min/3 «Corr. 2 7 July 1948 ORIGINAL: ENGLISH COMMITTEE ON HEADQUARTERS AND REGIONAL ORGANIZATION PROVISIONAL MINUTES OP THE THIRD MEETING Palai s de в Nati pns Geneva? Thursday. l~juîy ïg^t'at 2,,3Q p.m. CORRIGENDUM 2 Page 5 paragraph 4 to read; "Dre TIMMERMAN (Netherlands) asked whether the proposed European zone would include Western Europej to which the CHAIRMAN replied that it would" 0 Page 8, Insert the following text after paragraph 3: "Dr. de Paula SOUZA (Brazil) suggested that the question of a working party for the Americas had Ъееп overlooked* "The CHAIRMAN explained that the point would arise later in the discussionson the Pan American Sanitary Bureau", PREMIERE ASSEMBLEE MONDIALE A/HQ/kin/З. Corr. 2 DE LA SANTE 7 Juillet 1948 ORIGINAL; ANGLAIS COMMISSION DU SIEGE ET DE L'ORGANIZATION REGIONALE PROCES-VERBAL PROVISOIRE DE LA TROISIEME SEANCE Palais des Nations, Geneva, Jeudi 1.juillet 1948, 14 heures 30 CORRI GENEUM '2 ' Page 6? paragraph 3; lire; "Le Dr. TIMMERMAN (Pays-Bas) demande si la région proposée pour l'europe occidentale,, Le PRESIDENT repond qu'il en est bien ainsi" 0 Page 10 ; avant le paragraphe 1, insérer ce qui suit: "Le Dr. de Pauls SOUZA (Brésil) croit devoir signaler que la question de création d'un groupe de travail pour les Amériques n'a pas été envisagée,? "Le PRESIDENT explique qu cette question sera soulevée plus tardj au cours de la discussion sur le Bureau Sanitaire Panaméricain, Et dans le paragraphe 1, mettre; Le Dr. de Paula SOUZA (Brésil) juge désirable, etc. (sans changement).

# UNITED NATIONS.. NATIONS UNIES WORLD HE ALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ FIRST WORLD HEALTH ASSEMBLY A/nQ./Min./З 1 July 1948 ORIGINAL: ENGLISH COMMITTEE ON HEADQUARTERS AND. REGIONAL ORGANIZATION PROVISIONAL MINUTES OP THE THIRD MEETING Palais des Nations, Geneva, Thursday, 1 July 1948, at 2.30 P.m, CHAIRMAN: Dr. J. ZOZAYA (Mexico) Note: Corrections tci these provisional minutes should be sent to Mr. Richards, room A.215> within 48 hours-of their distribution.

A/hQ/fain/3 page 2 1. DISCUSSION OP THE REPORT OP THE WORDING, PARTY ON REGIONAL -ORGANIZATION ' 4 " ' Л Mi The CHAIRMAN called on the Chairman of the working party to present his report. ' Dr. GEAR (South Africa) read, the report of the working party on regional organization. The report concluded with the following recommendations : ;. "The working party recommends for. the consideration of the Committee on Headquarters and Regional Organization as a working basis. for the programme of 1949, and in view of the present immediate limited resources of WHO, the establishment of at least three working parties as follows î.. '' ' "' (1) A working party to examine the definition of a geographical «area in South-East Asia and that the following Member States be invited to be represented in the working party : * * " Iran, Afghanistan, Pakistan, India, New Zealand, Burma, Ceylon, Australia, and such other countries as are interested in the area. (2) A working party to examine the definition of a geographical area in the Middle East, Near East, and certain parts of North-East Africa. This working party to consist of the following Member States : Iraq, Egypt (including Sudan), Saudi Arabia, Syria, Greece, Turkey, Ethiopia, Iran -and such other countries as are interested in the area. (3) It is recommended that the countries included in the Iran proposal (Off.Rec.WHO No. 7, page 136) should take part in the discussions of both the above working parties. (k) A working party to examine the definition of a geographical area in the Par East, This working party to consist of the

А/щ/М.±ц/5 page 3 following Member States : China, Siam, Philippines, and such other countries as are interested in the area. (5) The working party took note of the desire of the USSR delégate to name Europe as the basis of a regional organization, but refers this for discussion to the nain Committee on Headquarters and Regional Organization; and similarly took note of the Iran proposal to be the centre of a region. (6) The working party also took note that the Americas constitute a geographical area which might be served by a regional organization". Dr. VINOGRADOV (USSR) said that he had not proposed a permanent regional organization for Europe but a temporary one, which would operate as long as was necessary to eliminate the effects of the war in the field of health. Dr. NAZI? BEY (Egypt) pointed out that Iraq was one of the countries mentioned in the proposal by Iran (Off.Rec.WHO, No. 7, page I36) while he felt that Iraq would belong more appropriately to a regional organization situated at Alexandria, He proposed that Pakistan be included among the countries to discuss a regional organization for the Middle East. Dr. ARGUELLES (Philippines) urged that a regional organization should be set up in the Par East, The Philippines were among the countries devastated by the war and the need for a regional organization was therefore urgent. He. quoted statistics showing the incidence of malaria and tuberculosis in his. country, which diseases had been greatly aggravated by the war and the.japanese occupation. He pointed out that people of different races reacted differently to diseases and to treatment such as vaccination, and that a regional organization was necessary to take these factors into

account and to achieve the full co-operation of the people. The CHAIR"AN asked the delegate of the Philippines to join the working party for the Per East, which would discuss his proposal. Dr. CHELLAPAH (Ceylon) emphasized that the requirements for the control of disease should be given primary consideration in the grouping of countries into regional organizations. On the proposal of the CHAIRLiAN it was agreed that the chairmen of the three working parties should be : (1) a delegate from India for the working party on South- East Asia, (2) a delegate from Egypt for the working party on the Middle East, and (3) a delegate from China for the working party on the Par East. Mr. SbiONOVITS (Hungary) and Dr. BABECKI (Poland) supported the proposal of the Soviet Union delegate that a regional organization should be set up for the war-devastated countries of Europe. The СНАЖ LAN suggested that a fourth working party established to consider the question. Dr. RAE (United Kingdom) said that he was in sympathy with the proposal of the Soviet Union delegate but he wished the committee to bear in mind the problem of financing the regional organizations. He proposed that the committee should establish a joint sub-committee with members from the committee on Administration and Finance c

The СНАШШ reminded the delegate of the United Kingdom that these were only working parties and it would be time to suggest such a liaison when the results of their discussions «/ere reported to the main committee. Dr. TIMMERMAN (Netherlands) supported the proposal made by the delegate of the United Kingdom, but thought the Chairman's suggestion was not quite the same tiling. Regarding the European zone unoer discussion, he understood this would comprise all devastated countries in Europe, but thought the delegate of Poland only meant Eastern and Central Europe. The CKAIR \ian replied that any war-devastated country of Europe could oin the working party. Dr. TIMMERMAN (Netherlands) said h ; was still not clear whether the proposed European zone would include Eastern Europe, to which the CHAIRMAN replied that it would. Mr. T.J. BRADY (Ireland) put forward the view of small countries such as his own. Ireland was prepared to play her part in international health matters, but it was essential that the financial contributions of small countries be kept to a low level. The creation of a large number of regional organizations was bound to inflate the expenditure of WHO and it might be desirable to confine such organizations to one or two for the first two years. He thought his country would be reluctant to involve itself - in heavy commitments in respect of a large number of regional organizations which- though they might facilitate the carrying out of the health programme, were bound to lead to a certain amount of duplication of services. He suggested that some system of financing should be arranged by which the countries mainly interested would malee a special contribution towards the expenses of the regional organizations.

The CHAIRMAN thought they should not speak of the financial aspect of the problem before they had discussed the regions which were to be accepted and the priorities of those'regions. There being no objection, he accepted the formation of a fourth working party for Europe, with Dr. UNGAR (Czechoslovakia) as its chairman. Dr. TOGBA (Liberia), referring to the ireport of the working * pajhiy, said that, although Africa seemed to be the one country most in need of help from WHO, it had not been considered. He felt that Liberia, the only country in that part of Africa which was a Member of the United Nations and WHO, should be used as a regional headf quarters of the Organization. Dr. GEAR (Union of South Africa), speaking first as chairman of the working party, said the members of the working party had discussed the problems before them in a global sense and had not urged their own partioular needs. Speaking as the representative os South Africa, he thought that in each of the! three main committees they should bear in mind the importance of hastening slowly. They must be realistic and not favour too heavy and complicated an organization i too ea&y in'its existence. He therefore felt they should give attention to the areas discussed by the working party and not go into details at the present stage. The CHAIRMAN saw no objection to forming a working party for 1 Africa and asked which countries would be interested in forming such a group. Dr. M. VAUCEL (France) entirely agreed with the delegate of South Africa. When the moment came for a regional group to be created in Africa, France would certainly co-operate to the fullest extent.

Mr. SHAH (Pakistan) did not object to the formation of a working party for Africa but thought that ño further proposals should be made. He thought the working parties should take into account the financial implications of the setting-up of regional organizations and that their operation must depend on the countries who would join them, Dr. da Silva TRaV^SSOS (Portugal) agreed with the delegate of South Africa. If it were decided to set up a working party for Africa, Portugal would be happy to participate. Dr. TOGBA (Liberia) again urged that there should be a working party for Africa, He felt that he was the only one to speak for Africa. Dr. ViiUCEL (France) regretted that the delegate of Liberia had not quite understood his remarks. He wished to repeat that France was prepared to do everything in her power, when the right moment came, towards ameliorating the health situation in Africa. Dr. RAE (United Kingdom) associated himself with the remarks of the delegate óf France. There had never been any thought that there would be no organization for Africa. He suggested that a working party be set up, so thac the interested parties could get together and discuss the question. Dr. BARM (Ukrainian SSR) observed that what had been said by the delegate of Liberia deserved to receive the attention of the coimiittee. The CHAIRMAN said there was no objection to the formation of a fifth working party, for Africa. Following the suggestion made by the delegate of Iiberia, he named Dr. Rae (United Kingdom) as the chairman. The CHAIRMAN agreed to the request by Dr. RAE (United Kingdom) that the working parties should not meet at the same time, because some delegations had not sufficient members.

In reply to a question Ъу Mr, DAVIN (New Zealand), the CHAIRMAN said the recommendations of the working parties would have to be referred to the Committee on Administration and Finance for consideration and then brought back to the main committee for a decision on priority. Dr, van den BERG- (Netherlands) strongly supported the proposal, cf the delegate of the United Kingdom to have a joint sub-committee with members of the Committee on Administration and Finance, The CHAIRMAN agreed with Dr. van den Berg and other speakers on the need for consideration of the financial aspect, but felt it premature to do so before they had the results of the working parties' discussions. «Dr. de Paula SOUZA (Brazil) thought it desirable that a representative of the Americas should take part in the discussions of the working parties and suggested the delegate of Venezuela, to which the CHAIRMAN replied that any member of the American Continent could join any group. The meeting rose at 4.40 p.m.