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(i) report on its activities to the Economic and Social Council in accordance with the special agreement to be reached between the Organization and the United Nations;

(j) take any other appropriate action to further the purposes of the Organization.

1. Composition

VII.

EXECUTIVE BOARD

The Board should be composed of a fixed number of persons (not less than 12 and not more than 18) designated by as many Member States. The Conference should name the States privileged to designate a Member to the Board. Each of these States should designate to the Board from among its delegates to the Conference a person technically qualified in the field of health. In the case of each State so named this privilege should extend for a period of three years, being immediately renewable by the Conference.

The first Conference should name States (12 to 18) to designate members to the Board. Of these States one third should hold the privilege for one year, one third for two years and one third for three years, as determined by lot. Succeeding Conferences should name States to replace those retiring.

The members of the Board should exercise the powers delegated to them by the Conference on behalf of the whole Conference and not as representatives of their respective governments.

The Board should elect its own Chairman from among its members and adopt its own rules of procedure.

The Board should meet at least twice a year and should determine the place of meeting.

2. Functions

The Board should be responsible for giving effect to the policies of the Organization, act as the executive organ of the Organization, and perform such other functions as may be delegated to it by the Conference. It should study all questions within its competence and in particular it should:

(a) advise the Conference on questions referred to it by that body and on those assigned to it by conventions, regulations, and agreements;

(b) submit advice or proposals to the Conference on its own initia

tive;

(c) prepare the agenda of meetings of the Conference;

(d) submit to the Conference for consideration and approval a general program of work covering a specific period;

(e) take any emergency measures within the scope of the general functions and financial resources to deal with events requiring the immediate action of the Organization. In particular it should be able to authorize the Director-General to take the necessary steps to combat epidemics, participate in the organization of health relief to victims of a calamity, and undertake studies and research the urgency of which has been drawn to its attention by any State or by the Director-General.

VIII.

THE DIRECTOR-GENERAL AND SECRETARIAT

1. The Director-General should be appointed by the Conference, on the nomination of the Board, for a period of five years under such conditions as the Conference may prescribe and should be eligible for reappointment for such period as the Conference may determine. He should be subject to removal by the Conference for valid cause.1

2. The Director-General should be ex officio Secretary of the Conference, the Board and all commissions and committees of the Organization and of conferences convened by it. He should be empowered to delegate these functions.

3. The Director-General should be chief administrative and technical officer of the Organization.

4. The Director-General should, in the discharge of his duties, have direct access to the national health administrations.2

5. The Director-General should prepare and submit to the Board the annual budget estimates of the Organization.

6. The Director-General should appoint the staff of the Secretariat in accordance with the staff regulations to be approved by the Conference. The paramount consideration in the employment of the staff and in the determination of the conditions of service should be the necessity of securing the highest standards of efficiency, competence, and integrity. Due regard should be paid to the importance of recruiting the staff on as wide a geographical basis as possible.

'Such removal should be governed by any principles adopted by the United Nations for removal of equally high officials for cause.

* This paragraph is intended only to invest the Director-General and the Secretariat with the right to communicate with national health administrations in such manner as may be agreed upon with the competent authority of each country. Direct communication with other branches of the government of any country should be through such channel as may be approved by the above-mentioned health authority.

7. The qualifications, salary, tenure, retirement, and conditions of service of the Director-General, assistants, and members of the staff of the Secretariat should be fixed, so far as is practicable, in conformity with those for members of the staff of the Secretariat of the United Nations and of the specialized agencies which may be brought into relationship with the United Nations.

8. In the performance of their duties, the Director-General and staff should be responsible only to the Organization. Their responsibilities should be exclusively international in character, and they should not seek or receive instructions in regard to the discharge thereof from any authority external to the Organization.

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1. The Board should establish such committees as the Conference may authorize and should be empowered, on its own initiative or on the proposal of the Director-General, to establish any other committees that it may consider desirable to serve any purpose within the scope of the Organization.1

2. The question of the continuance of each committee, except those appointed to serve for a specified time, should be reviewed each year by the Board.

3. The Board should be empowered to provide for the creation of, or the participation by the Organization in, joint or mixed committees with other organizations and to provide for the representation of the Organization in committees set up by such other organizations as may be considered desirable.

X. CONFERENCES

The Conference, or in cases of emergency the Board, should have the power to convene general, technical, regional, or other special conferences to consider any matter within the scope of the Organization and may provide for the representation at such conferences, in such manner as it may determine, of international organizations and, with the consent of the government concerned, of national organizations.

The Board should provide for representation of the Organization in conferences in which the Organization has an interest and which are called by competent outside authorities.

1 This provision was interpreted by the Chairman of the Technical Preparatory Committee to allow for the appointment of a General Advisory Committee by the Conference, but it was the consensus of the Technical Preparatory Committee that it would be inadvisable to provide for such a committee in the Con

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(a) Regional Committees representing Member States of the respective regions should be established by the Conference to meet the special need of the States of any particular region.

(b) A regional committee may have delegated to it by the Conference such functions as the following:

(i) to fix policies governing matters of an exclusively regional

scope;

(ii) to supervise the activities of the respective regional offices; (iii) to cooperate with the respective regional committees of the United Nations and with those of other specialized agencies; and

(iv) to recommend additional regional appropriations by the governments of the respective regions if the proportion of

'The discussions of the Committee revealed that there was full agreement on the principle that the headquarters of the Organization should be located at or near a center recognized for the excellence of its health and medical facilities. The importance of ample and efficient communication facilities was also stressed. There was, however, a difference of opinion as to whether any definite decision regarding the site should be taken by the Committee. Certain Members considered that the matter should be left to the June conference, as the exact location of the United Nations headquarters had not been settled and as the establishment of regional offices of the United Nations might affect the decision.

Those in favor of establishing the headquarters of the Organization at the seat of the United Nations pointed to the greater strength and authority which the Organization would derive from proximity to the United Nations, the simplification of cooperation with other organs of the United Nations concerned with similar problems and the economy resulting from the use of common administrative services and auxiliary services, such as the library. Among the advantages to be derived from the choice of an independent site were emphasized the importance of dissociating the Organization from political influences and the desirability of proximity to other specialized agencies which were not likely to be established at the seat of the United Nations. It was also pointed out that the advantage of economy was more than offset by the value of having international organizations established in different parts of the world.

2 The discussions of the Technical Preparatory Committee revealed a certain amount of difference of opinion in regard to proposals for regional arrangements, and the committee decided to present two alternatives. A vote taken showed nine experts favoring Alternative A and six experts favoring Alternative B.

the central budget of the Organization allotted to that region is insufficient for the carrying out of the regional functions.

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2. There should be constituted, besides the regional committees, regional offices entrusted with the carrying out of the decisions of the Conference, the Board, the Director-General, and of the regional committees within the scope of the latter's powers.

Regional offices may be created in either of two ways, by the Conference or by the transformation of already existing regional organizations. This transformation would be carried out according to agreements approved by the Conference.

Toward that end special transitional arrangements should be made by the Conference with regional health agencies in areas where such agencies already exist, in such a way that, taking into account the existing conventions, their facilities and services may be fully utilized without interruption and with a view to developing them as quickly as practicable into regional offices of the Organization or parts of such offices.

There should not be more than one regional office in any one region.

ALTERNATIVE B

1. Regional Committees

(a) Regional Committees representing Member States of the respective regions should be established by the Conference to meet the special needs of the States of any particular region.

(b) A Regional Committee may have delegated to it by the Conference such functions as the following:

(i) to fix policies governing matters of an exclusively regional

scope;

(ii) to supervise the activities of the respective regional offices;
(iii) to cooperate with the respective regional committees of the
United Nations and with those of other specialized agen-
cies; and
(iv) to recommend additional regional appropriations by the gov-
ernments of the respective regions if the proportion of the
central budget of the Organization allotted to that region is
insufficient for the carrying out of the regional functions.

'Certain Members were of the opinion that the word "may" should be substituted for the word "should".

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