eventh Pan American Sanitary Conference Final Act

Eleventh Pan American Sanitary Conference:Final Act

[PublicationNo.198 September1943]

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PAN" AMERICAN SANITARY BUREAU

WASHINGTON_ D. C.

FUNCIONARIOS

DE LA

OFICINA SANITARIA PANAMERICANA

(OFFICERS OF THE PAN A1VIERICAN SANITARY BUREAU)

DIRECTOR

DR. HUGH S. CUMMING

8uraeon General (Retired), U. 5. Publ_ Health g_ir, e

VICEDIRECTOR

DR. JORG_ BEZARANO

C'olomb_

CONSEJEROS (CO_SELORS)DR. VfcTOR ARNOLDO SUTTZR

El 8aI_adar

DR. ENRIQUE CLAVEA_

Uru#uay

DIRECTOR AUXILIAR (ASSISTANT DIRECTOR)DR. EDWARD C. ERNST

8erv_io d_ Sanidad Pu'bllca de los Estados Unidos

SECRETARIO (SECRETARY)DR. ARfSTIDES A. MOLI_

Redactor C_nt_fwo, Bol_fn de la O$clna _anltaria Panamer@ana

VOCAL_S(_ZMRERS)Representantes designados por las siguientes Repdblicas:

PARAGUAYHAITf BOLIVIAHONDURAS I_E PI_B LICA DO_rrNICANAGUATEMALA PANAM_

MIEMBROS DE HONOR (HONORARY MEMBERS)

DR. JO_O DE BARROS BARRETO, Presidente de HonorBrasil

DR. CARLOS ENRIQUE PAZ SOLD_N

Per_

DR. L_rm GAIT_-_T

Guatemala

DR. MANUEL MARTINEZ B_[mz

Eleventh Pan American Sanitary Conferenee:Final Act

(Held in the City of Rio de Janeiro, Brazil,

September 7-18, 1942)

PAN AMERICAN SANITARY BUREAU

WASHINGTON_ D. C.

ELEVENTH PAN AMERICAN SANITARY CONFERENCE

(Held in the City of Rio de Janeiro, Brazil, September 7-18, 19]t2)

FINAL ACT

The Eleventh Pan American Sanitary Conference opened in the city

of Rio de Janeiro, on the 6th of September, 1942, with a preliminary

meeting at which the Permanent President of the Conference was

elected. Dr. Jo_o de Barros Barreto, President of the Organizing Com-mittee of the Conference, was elected Permanent President by ac-clamation.

The following were also appointed: Doctors Aristides A. Moll andAltair Castro, Secretaries General; Doctors Jules Thebaud, Edward C.

Ernst, Guillermo Garcia de Paredes and 0svaldo Lopes da Costa,Associate Secretaries.

In accordance with the provisions of the regulations of the Con-

ference, numbers were drawn to determine the order of precedence ofthe delegations, with the following result:

I. Haiti II. Mexico2. Guatemala 12. Bolivia ,3. Canada 13. Ecuador4. Uruguay 14. Honduras5. Colombia 15. Nicaragua6. Costa Rica 16. E1 Salvador7. Paraguay 17. Cuba8. Venezuela 18. Argentina9. United States 19. Peru

10. Chile 20. Dominican Republic21. Panama

The inaugural session was held in the evening of September 7th.His Excellency, Dr. Gustavo Capanema, Minister of Education and

1

2 PAN AMERICAN SANITARY BUREAU

Health of Brazil, presided at the formal opening, assisted by TheirExcellencies Doctors Hugh S. Cumming, Director of the Pan American

Sanitary Bureau, by Jo_o de Barros Barreto, Director General of the

National Department of Public Health of Brazil and also President of

the Eleventh Pan American Sanitary Conference, and by DoctorsAristides Moll and Almir Castro, Secretaries General of the Conference.

Their addresses appear in the Transactions of the Conference.

COMMITTEES

The following committees were appointed:

Resolutions: The heads or representatives of the Delegations from the Ar-gentine, Chile, United States, Mexico, Ecuador, Honduras, Peru, DominicanRepublic, Venezuela and two ex-o_eio members.

Credentials: The heads of the Delegations from Bolivia, Colombia, Costa Rica,Guatemala, Nicaragua and Uruguay.

Sanitary Engineering: Those Sanitary Engineers present under the directionof the Engineers of the Delegations from Paraguay, Panama and E1 Salvador.

A sub-committee within the Resolutions Committee was organized

to cover Continental defense and is composed of the heads of the Delega-

tions from the United States, Venezuela and the Dominican Republic.In accordance with the report of the Secretary General, the Con-

ference approved the powers of the following Delegates:

Argentina: Dr. Rodolfo Vaccarezza, Dr. Francisco Martinez, Mr. Jorge Clay-pole. Bolivia: Dr. Abelardo Ib_fiez Benevente. Brazil: Dr. Jogo de BarrosBarreto, President, Dr. Almir Godofredo de Almeida e Castro, Dr. Adelmo Men-donna, Dr. Alberto Pires Amarante, Dr. Carlos Aeioli de S_, Dr. Carlos ChagasFilho, Dr. Decio Parreiras, Dr. Eder Jansen de Melo, Dr. Francisco Borges Vieira,Dr. Genesio Pacheeo, Dr. Geraldo Paula Souza, Dr. Henrique de BeaurepaireRohan Arag_o, Dr. ttumberto Pascale, Dr. Josg Guilherme Lacorte, Dr. Jos_Monteiro Sampaio, Dr. Manoel de Abreu, Dr. Mario Pinotti, Dr. Otavio Magal-l_es, Dr. Panio Parreiras Horta, Dr. Samuel Pessoa. Canada: Dr. Jean Desi, Dr.L. Mayrand. Chile: Dr. Henrique Laval, Dr. Benjamin Viel, Dr. Francisco Rojas,Dr. Guillermo Grebe, Dr. Julio Caballero, Dr. Josg Binimelis Roa, Dr. HerngnUrzua. Colombia: Dr. Augusto Fern£ndez. Costa Rica: Dr. SolSn Ndfiez.

, Cuba: Dr. Gabriel Landa. El Salvador: Dr. Victor Arnoldo Sutter, Dr. F. J.Osegueda. Ecuador: Dr. L. Izquieta P6rez, Dr. Atilio Macchiavello, Dr. L. W.Hackett. United States: Dr. Thomas Parran, Dr. G. L. Dunnahoo, Dr. George C.Dunham, Dr. W. H. Sebrell, Capt. Charles S. Stephenson, Dr. Abel Wolman, Mr.Philip P. Williams. Guatemala: Dr. Manuel Arroyo, Dr. Charlos Vasseaux.Haiti: Dr. Jules Thgbaud, Dr. Luiz de Morais Jr., Dr. Virgilio de Oliveira, Dr.Artur Martins Sampaio. Honduras: Dr. Pedro OrdSfiez Diaz. Mexico: Dr.Manuel Martinez B£ez, Dr. Alberto P. LeSn. Nicaragua: Dr. Honorio Argfiello.Panama: Dr. Guillermo Gareia Paredes, Mr. Carlos Guardia. Paraguay: Dr.Miguel Oliveira y Silva, Dr. Leandro Pereira, Dr. Ram6n Prieto, Dr. Radl Pefia,Dr. Jorge Roig Ocampos, Dr. Manuel Oehoa, Dr. Manuel Gim_nez, Dr. CesarMartinez Ramella. Peru: Dr. Carlos La Puente, Dr. C. E. Paz Sold_n, Dr.Cesar Gordillo Zuleta, Dr. Hugo Pesce. Dominican Republic: Dr. Manuel A.Robiou. Uruguay: Dr. Enrique Claveaux, Dr. Estenio Hormaeche. Venezuela:Dr. Arnoldo Gabaldon, Dr. Rafael Risqucz Iribarren. International Labor

ELEVENTH PAN AMERICAN SANITARY CONFERENCE 3

O_ce: Dr. Rodolfo Paula Lopes. Rockefeller Foundation: Dr. F. L. Soper. PanAmerican Sanitary Bureau: Dr. Hugh S. Cumming, Dr. E. C. Ernst, Dr. A. A.Moll, Dr. J. D. Long, Dr. F. E. Linder.

RESOLUTIONS AND RECOM1VIENDATIONS

After due consideration the Eleventh Pan American Sanitary Con-

ference approved the following resolutions and recommendations:

CONTINENTALDEFENSE AND PUBLIC HEALTH

Whereas: CSPJ J. J EN1. The continuation and extension of hostilities throughout the world have

brought and will continue to bring emphasis to the problems of public health;2. The threat of extension of hostilities in the Western Hemisphere requires

intensified preparations for defense in the field of public health;3. The principle of equal sacrifice for the joint defense of the American con-

tinent in matters of_public health is recognized,The Eleventh Pan American Sanitary ConferenceRvsolves:To recommend to the governments of the American Republics:1. That they continue to consult among themselves, in the light of changing

conditions, with regard to the additional available means of putting into effectrecommendation XXX of the Third Meeting of the Ministers of Foreign Affairsof the American Republics;

2. That they undertake measures seeking to conserve and develop their re-sources of medical and other supplies necessary for the preservation of publichealth and continental security and to promote the interchange of such suppliesto meet the continental health needs;

3. That they now undertake individually a survey of the geographic distribu-tion of communicable diseases of wartime importance, in accordance with aprogram suggested by the Pan American Sanitary Bureau;

4. That it is urged upon the respective governments that they collect currenthealth and epidemiological data and furnish such data promptly to the PanAmerican Sanitary Bureau in accordance with plans suggested by it for promptdissemination among the American Republics;

5. That they undertake also to make an inventory of available stocks of sup-plies essential to the maintenance of health in order to assure their equitabledomestic utilization, and to make all surpluses available for continental defense;

6. That they also undertake to make a survey of their medical and sanitaryrequirements to determine the absolutely essential needs which must be met fromexternal sources to maintain public health and sanitation;

7. That a confidential report covering the results of the above surveys be pre-pared and within the limits imposed by military exigencies, be submitted to thePan American Sanitary Bureau and to interested countries;

8. That the efficient cooperation of the Pan American Sanitary Bureau beutilized fully in all matters pertaining to health and sanitation defense problems,and specifically the Pan American Sanitary Bureau is requested to appoint a com-mittee of experts which will be available to consult with each country in order toassist in organizing the surveys of disease, or the surveys and inventories of needsfor supplies essential to maintenance of health, or other problems relating tohealth and sanitation in continental defense; and when such committee visitsany country, the directing health authority will become an ex-o_eio memberthereof while the committee is in such country;


9. That in the event of an actualor threatenedepidemic in any country, which

might affectthe health of neighboring countriesor continentalhealth security,

other countries upon request agree to furnish under the auspices of the Pan

American Sanitary Bureau such aid and assistanceas may be possiblein accord-

ance with theirrespectiveabilities;i0. That sinceincreasedair transportation,civiland military,often on un-

predictableschedules,gravely threatensto spread diseasethrough insectvectors

and human carriers,the respectiveGovernments be urged to adopt extraordinary

and precisemethods of preventing spread, utilizingthe fullestcooperation be-tween civiland militaryhealth authoritiesto thisend. The Pan American Sani-

tary Bureau should functionas an information and consultingagency on mattersof thiskind.

CSP11.2 EN _[ILIrAI_¥ EEALTH SERVICES

The Eleventh Pan American Sanitary Conference resolves :

1. To suggest the advisability of full cooperation between the military andcivil health services.

2. To suggest to the Military Health Services of the various countries:

(a) the formation of nuclei of public health physicians within those services;

(b) that the public health physicians, whose services may, in the judgment of

their respective governments, be spared by the civilian populations, be, in caseof mobilization, used as sanitarians;

(c) that specialized courses on Hygiene and Public Health be included in the

emergency courses of military medicine, and that a part of the physicians calledto active service register in these courses.

CSP11.3 EN 8ANITA.R,Y ENGINEERING

'±'he Eleventh Fan American Sanitary Conference recommends:

1. The stimulation, in strategic areas of Latin America, of the production ofchlorine and its compounds, to be used in disinfecting water and sewage;

2. The stimulation, also in strategic locations, of the production of Paris-green

to be used in the eradication of mosquitos;3. The development, in well chosen regions of Latin America, of the production

of cement to be used in engineering projects for the prevention of malaria and in

other public health works;4. The making of a census of specialists in Sanitary Engineering and the crea-

tion of intensive courses in this field, so that the demands for such expert per-

sonnel be properly met;

5. The establishment of mutu_l aid headquarters, in contiguous states and

countries, for the inventory of existing stocks of materials for sanitary works, so

those might be expeditiously exchanged in case of an emergency;

6. The adoption of measure with a view to protecting the water supplies, as

well as to guarantee the machinery and materials needed for sanitation projects;7. The encouragemeng of research work with a view to discovering substitutes

for materials used in sanitation projects which may become scarce;

8. The thorough examination and bringing under control of all hazards rela-

tive to the irrigation of vegetable products with contaminated water;

9. The adoption of adequate technical measures to protect important sanita-tion facilities from destructive agents;

10. The creation of a Permanent Committee of Sanitary Engineers which, from

the very start, will take over the defining of even the smallest requirements rela-

tive to sanitary engineering, in case of emergency.


NUTRITION CSP11.4 ENThe Eleventh Pan American Sanitary ConferenceRecommends to the Governments of the American Republics:1. That the production of foodstuffs be planned in accordance with the basic

nutrition needs of the population, to be determined by surveys, and that specialattention be given this problem in single-crop regions.

2. That adequate transportation facilities be established or promoted in orderthat the foodstuffs be properly distributed, (if necessary this work to be done bythe Government itself), so that each individual may obtain adequate food toinsure his health.

3. That special attention be given to educating the people, most specificallythe younger generation, in regard to the importance of proper nutrition.

4. That close collaboration be established among the various Government

departments interested in the divers phases of the nutrition problem,' so that anational nutrition policy program be established in each country.

5. That the nutrition research be based especially on the following:(a) surveys of the relationship between the soil composition and the grade of

mineral salts content of the food plants;(b) surveys of the supplementary relations of vegetable proteins from various

sources;

(c) surveys in different population groups of the effects of plain and monoto-

nous dietaries. CSP11.5 ENMILK

Milk being a food of prime necessity, the Eleventh Pan American Sanitary

Conference advises that a study be made of the simplest and most appropriate

processes in each zone in each country, to obtain safe milk of good quality, andthat the protection of the milk be guaranteed by supervised pasteurization, or

by boiling same in the homes. CSP11.6 ENHOUSING

The Eleventh Pan American Sanitary Conference recommends that, among thesubjects to be discussed by the Fifth Conference of National Health Directors,a study of housing in all its aspects be made. For this work the Pan AmericanSanitary Bureau will designate a Committee of experts which will prepare the

necessary material and will suggest to the Governments, which have not ap-

pointed National Commlttees to do so when feasible.

MODELSA_TA_YCOD_ CSP11.7 EN

The Eleventh Pan American Sanitary Conference resolves:To maintain the Committee on Model Sanitary Code, with strengthened

powers, in order to obtain from the proper authorities of each Republic all dataconcerning its task of studying the evolution of Public Health Law.

To authorize the above mentioned Committee to formulate a definite working

plan, which shall be submitted to the Pan American Sanitary Bureau, which inturn, will present it to the various Governments concerned.

To request the Pan American Sanitary Bureau to take the necessary steps toadopt the necessary measures for the carrying out and financing that project,the results of which to be submitted to the Fifth Conference of National Health

Directors for consideration. CSP11.8 ENPAN AMERICAN HIGHWAY

Taking into consideration the fact that the construction and use of the PanAmerican Highway may create important sanitary hazards, the Eleventh Pan


American Sanitary Conference recommends that the Pan American SanitaryBureau, upon request of those countries concerned, furnish technical aid inregard to the above-mentioned problems.

CSP11.9 EN _TALSTATISTICSThe Eleventh Pan American Sanitary Conference recommends:1. The creation and maintenance, in each of the American Republics, as part

of their health services, of a technically adequate organization for the collec-tion, compilation and analysis of biodemographic data, and other data relatedto public health.

2. That, insofar as possible, the Pan American Sanitary Bureau cooperatewith the Republics which solicit help in the organization of biodemographicunits or in perfecting their methods.

3. That the Pan American Sanitary Bureau, in collaboration with the Inter-American Statistical Institute and the statisticians of the various countries co-operate in establishing uniform methods and procedures, with the view of im-proving the statistical organizations and obtaining, to a greater degree,uniformity and comparability of biodemographic and public health data.

The Eleventh Pan American Sanitary Conference also recommends:1. That the recommendations of the Fourth Pan American Conference of

Directors of Public Health, for improving the collection of statistical data relat-ing to the incidence of cancer and cardio-vascular diseases be adopted;

2. That the systematic practice of autopsies, in case of death without medicalassistance, be intensified;

3. That, in the Schools of Medicine, exercises in the proper certification ofdeath be made obligatory in the course of hygiene and of legal medicine;

4. That a committee be established in the office of the Pan American SanitaryBureau for the purpose of making uniform the standards of biostatistics and thecoordinating of the efforts in the solution of biostatistics problems of commoninterest to the countries of America.

CSP11.10 EN MALARIA

Aware of the fact that malaria is the disease which causes most harm to thegreater number of the nations of this Continent, the Eleventh Pan AmericanSanitary Conference recommends that the National Health Departments of theAmerican Republics accept the recommendations of the Malaria Committeeof the Pan American Sanitary Bureau and consider it their consulting organizationfor the purpose of carrying out survey and control programs in malaria.

The Eleventh Pan American Sanitary Conference also congratulates theGovernment of Brazil, its public health experts and the Rockefeller Founda-tion, for the eradication of Anopheles gambiae. This achievement, besidesfurnishing evidence of the progress of public health in Brazil, also shows whatmay be expected from Inter-American cooperation, and deserves, for this reason,the gratitude of all the countries of this Continent.

CSPl1.11 EN YELLOWFEVER

After considering the results obtained in Brazil, Peru and Bolivia in regard tothe eradication of Aedes Aegypti, the Eleventh Pan American Sanitary Con-ference resolves to extend its congratulations for this sanitary achievement whichis a guarantee against the spread of yellow fever, and at the same time, the Con-ference requests the Governments of the countries where this vector is found, toorganize eradicating projects based on the plans adopted in Brazil.

ELEV]_NTH PAN AMERICAN SANITARY CONFERENCE 7

CSPl1.12 ENBUBONIC PLAGUE

The Eleventh Pan American Sanitary Conference acknowledges with pleasure

the continued efforts which the American Republics, in cooperation with the Pan

American Sanitary Bureau, have made for eradicating bubonic plague fromtheir territories, and advises those Republics, in which this disease has not asyet been eradicated, to continue their anti-plague campaigns maldng use of the

latest preventive measures.

TYPHUS FEVER CSP1 1.13 ENThe Eleventh Pan American Sanitary Conference recommends:

The creation by the Pan American Sanitary Bureau of a Committee to makestudies of typhus fever and other rickettsia diseases in order:

1. To determine the different varieties of typhus virus existing in each countrywith a view to obtaining better means of vaccination.

2. To study the reservoirs and vectors of the virus existing in each country.3. To submit all reports of its work to future conferences.4. That the health authorities of the regions where typhus fever is found

and which have an Indian population, should try to obtain the cooperation of the

natives by placing in charge of health measures selected representatives of thenatives themselves, as this should prove to be the most direct and efficient way of

reaching permanent results. CSPJ 1.14 ENCHAGAS' DISEASE

The Eleventh Pan American Sanitary Conference recommends to all theGovernments of the Continent:

1. The carrying out of studies concerning Chagas' disease, from both medical

and social viewpoints.2. The solution of the problem of rural housing.

CSPl!.15 ENINFLUENZA

The Eleventh Pan American Sanitary Conference recommends that studiesof processes of immunization against influenza be continued until efficient pre-

ventive method be found, not neglecting however, epidemiological, clinical andlaboratory observations and those concerning the transmission of the virus,

which would be undertaken by a central laboratory to be designated by thePan American Sanitary Bureau, during the various epidemics in order that databe obtained which will result in better control methods.

TUBERCULOSIS CSP11.16 ENThe Eleventh Pan American Sanitary Conference recommenas _ne auop_lon

of the Manoel de Abreu diagnosis method (microfilm) in combating tuberculosis

LEPROSY CSP11.17 ENThe Eleventh Pan American Sanitary Conference recommends to the Pan

American Sanitary Bureau that, in accordance with the resolution adopted bythe Bogot_ Conference, it organize the Second Pan American Leprosy Conferenceto be held in 1945, in Brazil, a country whose notable progresses in this subject

constitute an example for the whole Continent.CSPl1.18 EN

DIARRHEAS AND ENTEI_ITIDES

In view of the complexity and importance of diarrheas and enter,_ldes as tnecauses of a great number of deaths, especially among children, the Eleventh Pan

American Sanitary Conference recommends that the Health Administrations of

the American Republics stimulate clinical, microbiologic and epidemiological

studies of these conditions, paying special attention to salmonella infections.


For these studies, specialized laboratories already established, or others thatmay be organized, should be used and especially the Montevideo Laboratory of

Hygiene. The Conference also recommends that this subject be included in the

program of the Twelfth Pan American Sanitary Conference.

COMPLIMENTARY RESOLUTIONS

The Eleventh Pan American Sanitary Conference commends and thanks:

The Government and the people of Brazil for the generous and cordial hospi-

tality extended in every respect to the Delegates;

The organizing Committee and especially its President, Dr. Jo_o de Barros

Barreto, for their excellent work in organizing the meeting. This resolutionincludes also the Officers of the Conference and the Staff of the National Depart-

ment of Health;The Director of the National School of Fine Arts for his courtesy in extending

the use of its facilities for the meetings of the Conference and also for the valuable

help given during the proceedings;The press of Rio de Janeiro for the excellent publicity given the Conference;The National Academy of Medicine and important research institutions for

the courtesies extended to the Delegates;The Pan American Sanitary Bureau for its valuable cooperation in the prepara-

tory work and organization of the Conference;

The International Labor Office for having sent a representative to the meeting

and for its cooperation in the study of nutrition problems;

The Government of Canada, for having taken part, for the first time, in thisPan American endeavour, thus proving its continental solidarity;

The air lines which made possible the attendance of such a large number of

delegates;

The Ataulfo de Paiva Foundation for its kind invitation which brough,t out

the importance of coordinating social action with public health.

SPECIAL COMMENDATION

The Eleventh Pan American Sanitary Conference especially commends the

Government of President Getulio Vargas for its sanitary achievements, clearly

shown by the Public Health Exhibition and documentary films exhibited which

revealed not only the sanitary advancement in Brazil, but also the Public Health

progress made in the Hemisphere, which stand out as shining examples worthyof emulation.

DIRECTING COUNCIL

In accordance with the Constitution and By-laws of the Pan American Sani-

tary Bureau, the following were elected members of the Directing Council.Honorary President: Dr. Jogo de Barros Barreto (Brazil)Director: Dr. Hugh S. Cumming (United States)Vice-Director: Dr. Jorge Bejarano (Colombia)First Counselor: Dr. Victor Arnoldo Sutter (El Salvador)Second Counselor: Dr. Henrique Claveaux (Uruguay)Executive Secretary: (ex-officio) Dr. Aristides A. MollMembers: l_araguay

Haiti

Honduras

GuatemalaBolivia

Dominican RepublicPanama

Honorary Member: Dr. Martinez B_ez


SEAT OF THE NEXT CONFEPJENOE CSP1 1.19 EN

It was unanimously agreed that the Twelfth Pan American _anitary Con-

ference be held in the city of Caracas in 1946, the exact data to be designated bythe Government of Venezuela.

Signed in the city of Rio de Janeiro on the eighteenth day of September 1942,

authenticated copies being delivered to each'one of the delegations of the Con-

ference. Copies shall be forwarded through diplomatic channels to the Ministryof Foreign Relations of Brazil and to the Pan American Sanitary Bureau fortransmission by the latter to the nations concerned.

Jo_o de Barros Barreto, President; Aristides A. Moll, Secretary General;

Altair Castro, Secretary General; Jules Th_baud, Associate Secretary; Edward

C. Ernst, Associate Secretary; Guillermo Garcia de Paredes, Associate Secretaryand Osvaldo Lopes Costa, Associate Secretary.

Haiti: Luiz de Morais Jr., Virgilio de Oliveira; Guatemala: Manuel Arroyo,

Carlos Vasseaux; Canada: Jean Desi, L. Mayrand; Uruguay: Henrique Claveaux,

Estenio Hormaeche; Colombia: Augnsto Fernandez; Costa Riea: Soldn Ndfez;

Paraguay: Miguel Oliveira y Silva, Leandro Pereira, Ram6n Prieto, Rafil Pefa,Jorge Roig Ocampos, Manuel Gimdnez, Cesar Martinez Ramella; Venezuela:

Arnoldo Gabald6n, Rafael Risquez Iribarren; United States: Thomas Parran,

G. L. Dunnahoo, George C. Dunham, W. H. Sebrell, Charles S. Stephenson, Abel

Wolman, Philip P. Williams; Chile: Eugenio Su_rez, Henrique Laval, BenjaminViel, Francisco Rojas, Glfillermo Grebe, Julio Caballero, Hern_n Urzda; Mexico:

Manuel Martinez B_ez, Alberto P. Leon; Bolivia:* Ecuador: L. Izquieta Pdrez,

L. W. ttackett, Atilio Macchiavello; Honduras: Pedro Ord6nez Diaz; Nicaragua:Honorio Arguello; El Salvador: Victor Arnoldo Sutter, F. J. Osegueda; Cuba:

Gabriel Landa; Dominican Republic: Manuel A. Robiou; Panama: Guillermo

Garcia Paredes, Carlos Guardia; Brazil: Alberto Pires Amarante, Eder Jansende Melo, Henrique de Beaurepaire Rohan Arag_o, Humberto Pascale, Josd Mon-teiro Sampaio, Otavio Magalh_es, Paulo Parreitas Horta; Pan American Sani-

tary Bureau: I-]ugh S. C,lmm_ng, J. D. Long, F. E. Linder.

"Even though the Delegate from Bolivia had expressed his agreement, his signature does not appearon the Final Act, because he had to leave before the closing meeting of the Conference.

PUBLICACIONES DE LA OFICINA SANITARIA PANAMERICANA

PUBLICATIONS OF THE PAN AMERICAN SANITARY BUREAU

Actas de |a Tercera Confereneia Sanitaria Internaeional de las t_epdblieas Amerieanas. Espafiol.Actas de la Cuarta Confereneia Sanitaria Internaeional de las Repfibliess Amaricanas. Ingles y espa_ol.Aotas de la Quinta Conferencia Sanitaria Internaelonal de las Repfiblieas Americanas. Ingles y espafiol.Actas de la Sexta Conferencia Sanitaria Internacional de las Repfiblicas Americanas. Espafiol.Actas de ]a S_ptima Conferencia Sanitaria Panamericano. Ing1_s y espaRol.Actas de la Octava Conferencia Sanitaria Pauamericana. Espafiol.No. 1--1_revencibn de las Enfermedades Transmisibles. 60 p_ginas.No. 3--Higiene Pre-natal. 7 p_gines.No. 5_Ordenanza Modelo para Leehe. 11 p_ginas.No. 7--OrganizaciSn del Servicio de Sanidad Pfiblica de los Estados Unidos. 26 p_ginas.No. 9--La Prefil_xis del Bocio End6mico. 10 p_ginas.No. 17--Conservaci6n de la Vista. 6 p_ginas.No. 19--Colecta, Examen e IdentifaeiSn de las Pulgas Murinas. 11 p_glnas.No. 23--Meningitis Cerebreespinal Epid_mica (MeningocScica). 4 pt_ginas.No. 25--Am_gdalas y Adenoides (Vegetaciones Adenoideas). 6 p_ginas.No. 26--Tifoidea: Su Causa y Prefilaxia, 4 p_glnas.No. 30--Tratamiento del Paludismo. 4 p_ginas.No. 36--Nomenelatura International de las Causas de Muerte. 16 p_iglnas.No. 37--E1 Interrogatorio en el Diagn6stico Precoz de la Tuberculosis Pulmonar. 3 p_ginas.No. 43--C6digo Sanitaria Panamericano. 23 p_ginas.No. 45--La DeclaraciSn Obligatoria del Embarazo. I0 p_ginas.No. 46--La Difteria en el TrSpico. 15 p_ginas.No. 47--Los Censos en Sanidad yen Epidemiologfa. 13 pRglnas.No. 48--Higiene Comunal para el Pre-escolar. 5 p_ginas.No. 49--E1 Diagn6stico de la Fiebre Amarilla. 14 p_ginas.No. 60_Aeta Final, II Conferencia Panamericana de Direetores Nacionales de Sanidad. 16 p_glnas.No. 51--Milk. 8 pages.No. 52--Summary of Proceedings, II Pan American Conference of National Directors of Health. 14 pages.No. 53--VacunaciSn Antidift_rica. 8 p_ginas.No. 55--A Luct_ Anti-Larvari_ no Impaludismo. 6 p_ginas.No. 57--DLugn6stico Retrospective de la Fiebre Amarilla. 6 pRginas.No. 58---E1 Problema de la AlimentaeiSn en el Uruguay. 9 p_ginas.No. 61--ImmunizaciSn Frofil_ctica de los Reci_n Nacidos con BCG. 22 p_ginas.No. 62--Epidemiologfa de la Lepra. 5 p_ginas.No. 65---La Higiene Mental. 11 p_ginas.No. 70--Diagn6stleo de la Tuberculosis. 6 p_ginas.No. 82--Narcoman_a. 46 p_ginas.No. 88--Antirratizaei5n de los Buques. 40 p_ginss.No. 90--Control de las Enfermedades Transmisibles. 70 p_ginas.No. 97--Acta Final, Novena Conferencia Sanitaria Panamerieana. 20 p_glnas.No. 98--E1 Problema de la Fiebre Amarilla en AmSriea. 10 p_glnas.No. 99--Profilaxla de la Fiebre Amarflla. 6 p_glnas.No. 101--Ninth Pan American Sanitary Conference (Final Act). 8 pages.No. 102--El Saneamiento del Suelo. 17 p_ginas,No. 103--Report of the Director of the Pan American Sanitary Bureau to the Ninth Pan American Sani-

tary Conference. 8 pages.No. 104--Prefilaxia y dominie del paludismo. 24 p_iginas.No. 105--FumigaciSn de buques. 14 p_ginas.No. 108--Las Repdbllcas Americanas ante las Convenciones Internaeionales de Sanidad. 5 p_ginas.No. 109--La Luvha Antiven_rea. 27 p_ginas.No. ll0--Third Pan American Conference of National Directors of Health: Summary of Proceedings.

l0 pages.No. lll--¥enenos Antirrata. 4 p_ginas.No. ll2--Tratamiento Anti-LeprStico. 14 p_glnas.No. ll3--Pautas de OrganizaciSn Sanitaria. 12 p_ginas.No. ll$--Servi_o de Peste. 6 p_ginas.No. 121--Ac?_as de la Tereera Conferencia Panamerieana de Directores Nacionales de Sanidad. 396

p_ginas.No. 126--D_cima Conferenei_ Sanitaria Panamericana: Acta Final. 20 p_ginas.No. 127--Lepra: Epidemiologfa--Clasificaci6n--Tratamiento. 17 p_ginas.No. 128--A Classific_o da Lepra. 5 p_ginas.No. 129--Firml Act: Tenth Pan American Sanitary Conference. 13 pages.No. l_0--Dixi_me Conference Sanitaire Panam_rieaine: Acre Final. 20 pages.No. 131--X Confer_ncia Sanit_'ia Panamericana: Ata Final. 12 p_ginas.No. 132--Modelos de Certifieados de DefunciSn, de Naeimlento Viable, y de DefunciSn Fetal. 4 p_ginas.No. 138--Tenth Pan American Sanitary Conference: Summary of Proceedings. 14 pages.No. 134--Los Preventorios en la Lepta. 8 p_ginas.

No. 135--Proyecto de EscalafSn Sanltario. 12 p_ginas.No. 136---Actas de la D_cima Conferencia Sanitaria Panamericana. 941 p_fginas.No. 137--Nomenclatura Internacional de las Causas de Muerte. 25 p_ginas.No, 138--La Enferineria Sanitaria. 10 ptiginas.No. 139--Mate. 8 p_iginas.No. 140--Alimentaci6n. 22 p_ginas.No. 141--Sociedades e Instituciones Cientifieas de la America Latina (Scientific Societies and Institutions

in Latin America). 50 pt_gmas.No. 142---Demogralfa de las l_ep_blicas Americanas. 16 p_glnas.No. 143---EducaciTn Sexual Destinada a los Padres. 9 p_ginas.No. 144---Estudio de Ciertas Cuestiones Relatlvas alas Vitaminas. 14 p_iginas.

No. 145---Lo que debemos saber sobre Ctlncer. 6 p_ginas.No. 146--A las Madres. 2 ptfginas.No. 147--IV Conferencia Panamericana de Dircctores Naeionales de Sanidad: Acta Final. 9 p_iglnas.No. 148---The Pan American Sanitary Bureau and its Cooperative Work in the Improvement of Milk

Supplies. 4 pages.No. 149---Half a Century of _edical and Public Health Progress. 20 pages.No. 15fl--Medio Sigio de Adelanto en Medieina y Sanidad. 22 p_ginas.No. 151--IV Pan American Conference of National Directors of Health (Final Act). 8 pages.No. 153--Annual IReport of the Director of the Pan American Sanitary Bureau: 1939-1940. 34 pages.No. 154--ReacciSn a la Tubercullna. 6 pftginas.No. 155--Informe Anual del Director de la Oficina Sanitaria Panamericana: 1999-1940. 39 p_ginas.Nn. 156---Pan American Public Health Quiz. 14 pages.No. 157--Epitome del Segundo Suplemento (1939) de la Farmaeopea E. U. XI. 20 p_ginas.No. 158--Public Health and Medicine in Stamps of the Americas. 7 pages.No. 159--Some Pan American Pioneers in Public Health. 5 pages.No. 160--Scientific Institutions in Latin America: Part I. 47 pages.No. 161--Indices Sanitarios Panamericanos. 3 p_ginas.No. 162--IV Conferencia Panamericana de Directores Nacionales de Sanidad: Resumen de sns labores.

29 p_.ginas.No. 168--Huertos Escolares. 7 p_ginas.No. 164--Clave diagn6stica para la cla_ifieaci6n en eolumna (tabulaci6n) de las causas de morhidad. 18

p_ginas.No. 165---Con_ribuciones al estudlo de la peste bub6nica en el nordeste del Brasil. 331 p_ginas.No. 166--Health and Living Conditions in Latin America. 11 pages.No. 167--The Work of the Pan American Sanitary Bureau in Relation to Child Welfare. 4 pages.No. 168--La enseSanza m_lica en Estados Unidos. 22 p_ginns.No. 169--E1 lansailamas en la lueha antipestosa. 9 p_ginas.No. 170--El entierro de la basura bajo un recubrimiento eficaz en Cristbbal, Zona del Canal. 11 p$iglnas.No. 171--Fourth Pan American Conference of National Directors of Health: Resume. 23 pages.No. 172--Pautas mfnimas para el saneamiento de las minas del Perd en lo relative a viviendas. 8 p_ginas.No. 173--La ilebre amarilla en las Americas. 15 p_ginas.No. 174--DiagnSstice y tratamlento de ciertas afecciones de los trTplcca. 12 p_glnas.No. 175--Honsing and Hospital Projects of Latin American Social Security Systems. 15 pages.No. l?6--Annual Report of the Director of the Pan American Sanitary Bureau: 1940-1941. 39 pages.No. l?7--Publie Health in the Americas. 68 pages.No. 178--Tratamiento de las c!uemaduras. 4 p_ginas.

No. 179--Inferme Anual del Director de la Oficina Sanitaria Panamerlcana: 1940-1941. 42 p_glnas.No. 180_La mosca. 9 p_glnas.No. 181--Child Nutrition in Latin America. 17 pages.No. 182--Tratamlento de las afeeciones ven_reas en el ej6rcito de Estados Unides. 9 p_glnas.No. 183--T6cnicas y procedimientos para las encuestas o censos diet_tices. 6 p_glnas.No. 184--Tratamiento de las heridas de guerra. 4 p_ig_nas.

No. 185---Alphahetleal List of _Iedical and Public Health Journals of Latin America. (Lista Alfab6tlcade las Revistas de Medicina, inclnso Sanidad y Ciencias Ailadas, de la Am_riea Latina). 90pages.

No. 136---Manual de Bromatologla. 6ll p_glnas.No. 187--Reglamento del Servicio Nacional Antipestoso del Perd. B p_ginas.No. 188--The Wild Fire (Psmph¢gu,_ foliaceus) of Brazil. 13 pages.No. 189--Hespital Development in Latin America. 10 pages.No. 190--La sanidad en las Am6rieas, 95 p_ginas.No. 191--American Hospitals & Latin American Interns. 9 pages.No. 192---Actas de la IV Conferencia de Direetores Nacionales de Salubridad. 573 p_ginas.No. 193--Pan American Sanitary Code. 23 pages.No. 194--Annual Report of the Director of the Pan American Sanitary Bureau: 1941-1942. 45 pages.No. 195--Informe Biodemogr_fico y EpidemiolTgice de las Americas. 34 ptginas.No. 196--Encuestas de AilmentaciTn. 43 p_tginas.No. 197--Paludismo en algunas de las Repdblicas de America. 44 pliginas.No. 198--Eleventh Pan American Sanitary Conference: Final Act. 9 pages.

HE PAN AMERICAN SANITARY BUREAU is an independent internationalpublic health organization. It was created by the Second International Amer-

ican Conference (1901-1902), organized by the First Pan American SanitaryConference (1902), and reorganized by the Sixth (1920). It is governed by aDirecting Council elected, together with the Director, at each Pan AmericanSanitary Conference, and supported by annual quotas contributed pro rata by allthe American Republics. The Bureau is interested primarily in the preventionof the international spread of communicable diseases, and also in the maintenanceand improvement of the health of the people of the 21 American Republics. Underthe provisions of the Pan American Sanitary Code (1924), It has become the centerof coordination and information in the field of public health, in the AmericanRepublics. It also acts as a consulting body at the request of national healthauthorities, carries on epidemtological and scientific studies, and publishes amonthly Bulletin, as weU as other educational material. Pan American HealthDay is celebrated annually on December 2 in all American Republics. Addressall correspondence to the Director of the Pan American Sanitary Bureau, Wash-ington, D. C.

eventh Pan American Sanitary Conference Final Act

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Transcript of eventh Pan American Sanitary Conference Final Act