..
UNITED NATIONS E/ICEF/L,80910 August1955
ECONOMIC ORIGINAL:EN3LISH
.& AND -~’ SOCIAL COUNCIL-.
UKCTEDNATIONSCHILD.llENtS FUND
ProgrammeCommittee
.
Recommendationof the ExecutiveDirectorfor anMEXICO
Apportiomnent
I%_@riaEradication
1. The Administrationrecommendsan ,apporticmentof $2&400,000for the-—.provisionof insecticides,vehicles,sprayersand othereauipmentfor the first
18 monthsof a s-yearcampai”gnof insecticidesprayingto eradicatemalariain
Mexico. TheAdministrationalsorecommendsthe approvalin principleof the
entireproject. Thefirs”tyear of the campaign,19%/19%, will be devotedto
recruitment.and trainingof personnel,organizationof the campaignand.spraying
in relativelyUmited pilotareas, Full coverageof the countrywill startin
September1956. At the peak levelof the sprayingoperation,which willbe
maintainedfor 4 consecutiveyears1956 to 1960, 13,400,000peopleHillbe
directlyprotected. Du&ng the S years of the programmeit is expectedthat
UNICEFwillbe requestedto providesuppliesand eouipmentto the approximate
totalvalue of $8,400,000.Duringthis sameperiodthe MexicanGovernmentwiU
spendthe equivalentof $12~5!10,000for the programme. The apportionment..recommendedin this paperwould cwer a periodof 18 months,the preparatory
year plus 6 monthsof the firstyear of-fullcoverage,
2. The techniquesto be usedin the programmeare basedon therecommenda-
tionsofM’HOand the UNICEF/WHOJointCommitteeon HealthPolicy, WHO will
assign6 technicaladvisorsto the programmeand provide19 fellowshipsfor
traim”.ngabroadfor iVexicantechnicians~.Thesefellowsare alrea~ in
Venezuelaand the UhitedStatesin training. Theprojectpersonneland fello-
wshipsare expectedto be financedfrom TechnicalAssistancefundswhich”have,.
alreadybe~n requestedby theGovernmentof Mexicoas a firstprioxzity.. .
,.
/30 T~.present recommendationf,.,. ,,,.
,.,..
,,
, ..-.
... . . ,; “:.,..”..
. ...,,,.::,., ,,.~,
..,. ,;;~,...E/IC.EF/L,809 ,.Page 2
.;.,......
.:. ,,., .,:.,!,.,.:. .?...... ...-,.,,,..‘,. >. ,“,.:,...,,, ....,.,
...,,!.:... .> .,’”.. ....,.. .,:,.,,.,.,,,
.:’,. ,, .!.. ,.!... .. 2-.,!,,;.:,.,.
3*’” The presentrecommendationhas takeninto accountthe”su>@ies and ~~ ‘
“equipmentprovidedas a resultof an allocationof $200,000approvedby.the +.:~Boardin September1953 for malariacontrolin Mexico... .
Malariain Mexico
h i%d.ariais one of the most seriousdiseasesin Mexico. Duringthe
past.,5years it has been the thirdmost importantcauseof death.followi.ng
onlydiarrheaand enteritisand pulmonarydiseases. The country,situated...
on the Tropicof Cancer with a large ??ort~on Of ~:~ -a Wb.thi-nthe trol?~.c~:.,, :,..,,,,, zonesotfersconditionse~re~eq favo~rablefor ~Kl@-c m~a~ia. Geogr~ ,“
..,.
.. .’:”“’phically,.“.,... country.
,,.,‘“. zonesand
i.,.
,5. , .
malariacovemapproximatelythreefourthsof the surfaceof the,~:’’”;;;.~~
OnQtwo states,Chihuahuaand KLxwJala,and the highestmounta~;fii,s’”.... ,the desertare considered.to be treeof malaria.
,...;,.:,,,;..,,. ,,.,...,,, .The averagemalariamortalityfor the countryas a wholedur~agthe;-’
,,.,:pas~j“’years.;hasbeen 90 per 100,000population>with a rate of 449,inkxaca,.... .
‘.,...321,,*Tabasco,308 in Chiapas,200 in Pueblaand ~7’7in Vera @UZ~ “ ~;’-’ { “.;, .’i,,:’:
~~:..,:~.~;;,.‘!hem~arious area in Mexicorepresentsnearly45.percentof.’”the’‘ .
.,.,
.. -. :..malari,oqs.:.arwasstill.not protectedin the Americas. In this arealive”@,? “’
>,per,ce:~tof-thepopulationstillunprotectedin the Americas. The motitiality-.’;...’.ir6mmalafiairMexico represents.52per centof the totalmalariamor&litY’”’”,..,k the Americasa ‘J’’hreefour%hsoi the productivepopulationin Meficolives
,,. .,.ti rnalariouszoneswith,t~e.resultthat economiclossesdirectlyCausedby- ,,
the raiages?f rn.alariahave been estimatedby the MexicanGovernmentat more’”~~‘“,.
than,2bi.~on.pesosper year. (U.S.@_602000)OOO).,., ,.,“~.,. ,.
...,.
7P .’
three are
Inosquikos-,:,
8“● ,
Of the ~“our“speciesof plasmodiumwhichproducehumaninfections>.,.foundin Mexicojwhile26 speciesand sub-speciesof anophe,les:,..,,,,
have-beenf-ound.:,,,’,,,. ...’ .. . :.....,. .......,.,.,,,.’ :~-.,, .,:,..: ~.:;;:.
:. ,,Althoughdata on w.lariamorbidityis incompleteand more.or,less..,““’,,,:
umited,>o the registration Ofsick PerSOnSseenat healthcentersand ;“~~~’’’:,<t‘-”p:..... ...*,;........... .,, ,,hospitals,w indicationOf thesaou~e= Of the problem can be ob=rvwk-~~~ ‘??”:;... .fromthe-factthat,evenwith theselimitations,the morbidityrqtesper.~~jj~r’~~~<;~
(k,,.. .. :’,’++.” ‘“”.!.’ .. , . , ,.” ., .,”~,.~’Coahu”ila:’l;735J‘inTabasco,,.
‘% .’s~atesaveragfig200 tO 250.
‘.:., ,‘, ,.,,,,.,,... ;!,
ljl-13and in Nayarit1,067with the restof. , .’......The effectsof suchhighmorbitityrates‘&re.;: .’
b,:
disastrous.The great majorityof productiveareasof the countrybeing& ,,‘.,.,--${~e”malariou~zoneshas a profoud affectonindustryj agric.d.ture>
.F animalhusban~~ and mining. With approximately2 millionpeoplea year.sufte~hg.,,
,fl’’6mn&laria,+t is estimatedthat at least 500jOQ0,or 25 per centof the’
economicallyproductivepopulationare debilitated.As a result%of corn,iice,cattle,wheat,bee~s>sugar,cacao,textiles,oil,,,..,, .....otherproductsis seriouslyaffected..,
,, “’~ 9* : ‘-”The eradicationof malariaZs certainto hava d.ramati,c.;..
the production,.
&d many~,,“,.... .,..\ ..”‘... .
resultsti “’:,.,. ,: ,~;‘.’“termsof h~an welfareby directlyrelievingthe immediatesufferersof the “; J~,-., :,..~~ miseriesof the diseaseas well as by increasingproductionin presently ‘:~,;...
‘cultivatedareasand openingup new territoryto exploita,tion~ ,1..,”“,.. ,.-,,Y,<.”,.,: ,“
..”.‘.,. ,.,.’,.: ...,
The’pol..icyof malariaeradication. ,,,,,..’,.” .,.,.’,.’~c);”::“
.. - .’. .,. .;.”<.’..’:
The Boardhad beforeit at the last sessionvafiousdoc~.erits~.~,,””’..,.,:,’..:.,..:”,.,:,’,...,.,’.,...,:.relatlngto ‘theneed for, and possibilitiesof, eradicatingmaiaria,incltihg ..,., . . ,.“ani~fo~ation note’by the &ecutive Directoron the fin=ci~ ~~pectS:”o~l,&“
... ..increa~edUNICEFcontributionfor malariaeradication(13/ICEF/L755);a.repo~.
.,by the Directorof the Pan AmericanSanitaryBureauj
,. ..BegionalOfficeof,the .,.
‘WorldIi~bthOrganizationon \fMalariaEradicationin ~he Americas?!(E/&EF/282); ‘“.,.”a statementby the Chiefof the WHO.MalariaSection($H()&.Qetti Vole-II,{‘“,.
.! ..;”i~~b~r4-5} 1954); =d resolutionsof the Xmth pan ~eric~ SMita&,Con_ ’”’, ~,-
feierlce;October’1954.Since the last sessionjtha ~ghth~~rld~eal~~ ‘,,Aa~e&L.yhel(lin MexiuoCity in May 19$Srequested~gavernments ,,
to.intensityplansof nationwidemalariacontrolso thatmalariaeradication ...
maY be achievedand the regularinsecticidesspraytigC~P+&n#: ’Safe~,.”:”,.,,terminatedbeforethe potential.dangerof a development’of resist~ce,,to,@- ‘
-..,.. ‘.?++<k: .“,,:<, ..
secticidesk anophelesvectorspeciesmateri~ize~ll(II&+&830)*.Th~,&j~rd ‘“” ‘. .; ...has’be~ore,itthe recommendations’ofthe JointCommittee~nHeAih.poL~cy:~fi;~,..”..,:),,,.-.,.,“’,..,,,’,. , .“,:.:
rec&&&nd~g WIC~ participationin eradicationprogran&es( E/ICEF/297fi~:,.;’.’-.’:..,,The’JCHPreportpoints.outthat”therehave,..... , ,.developments,~.the..fight:against,,,~a~a,r>a:.. ...i, -.).,”‘:, , .. ~,,.:,.,.,:,, ., ,.,. ,,,,0” ,,...,,, .,,.....,: : ..:.,..,.,.,..:’,.’ .,
a)’
‘/.
,. ..,,;.. .,., : .,be~ntwo outstandingrecent~,;;’~;,{...:::”,
:..., ...’.that.it’is.:tectic+ly;j.tid~~.fi~~’:T.’“!,,:.,,/.:...........:.“.:..,,<.... ....,-.:,‘,..... ,,...,,financiallyfeasible....
,:,
., :,?,.
*L ,,, .{.
..,.
.&i
financiallyfeasibleto“eradicatemalariain largeareaeang~b) th~tit ~~s,-,..’’’..’”,‘?,,.;,,,’::..*,, 4be&&neappaienithat theremay be a time limitbeyondwhichknowninsec~icixles..;,,,.,...:....... ,-:> ‘;’““nolongerkill tlle”mosquitosthat carrymalariaowingto the dev~loPM~*.’of
?,... .;,,.“
“re.s~stancein t.he.mosquitovector or to chamgesin its behavior, The”Com&ttee.,,
~ipted out thatmalariaeradicationmeansthe eliminat~onof malariafro~a..,.
....givenarea as an endemicdisease, It+is no longerendemicwhentherehas been;.,<:
,:,no,new authochthonouscase for three.corks~eutiveyears.:..
,.The Committeerecome
rnek;d’’”that”tlle’requestingcountryshouldbe ~ected tO have = a~~quate
ce~~tral@i-+nalariaorganizatim;shouldpromoteLk.snecessarysupporting”““...,*..... .“ ,.
leg~~+qtion;“&d shouldpledgeit3 f’ina.nc~~suppG:.1,for the dUratiOnOf the,.,.,,,”p&5gf&ii&It is the opinionof tine
ful.f{llsthesethreecriteria,
Administrat.ioathat the Mexicanprograuime
... . .. .. .,. ”.$ .. . . . ,,
“’U* . ,:,:,Itis proposedtO protect,13j@~~0 peoPle
‘the%’”’’indirectlyprotectedpa tota~of16~7QO@@) by
directlyb~”ivlu~g,. “
Qouse sprayiig:of... .
i.n’secticidesycithresidualeffect. Dependingon the characteristics0$.‘,
mal~ri~,transmission,,spraying~1 be carriedout once or twiceeachyear., .,, ..,.
ovep a periodof four“yearsof completecoverage, ThisperiodwL1l be”pre=., ,’,.,
sed~ by ‘a”’preparatioryyear,,.dur~gwhichcountrywidesurve~til.1-be made,..
pers?~el Willbe;recrui.tedtid trained,’’’theorganization,of.thecampa;~ set,,. .’.
..,..,,,up,,andsupplies and equipmentput in placethroughoutthe co&try. .T)ne‘,,. ,.. ,.,,..po~~aiion tobe proteetedis shownin the followingtable:... >.,. ~
TotalPopulation TotalNumberof Populationof Poptiationto be
(1958) Houses(195$)
MalariousArea Protecteddirectly,,.in Ma.).ariousArea.’
32r078,785 6,ml, 61.I. 16,746;136 13J06,70?”’;’”., .,, ~,,
12* The annualsprayingworkkad duringthe yearsof’flil.1cover~ge”wKLl-
tieas follows:~., ,...
..‘“.Numberof Houses Numberof Houses TotalNumber ‘l!otalNumber,&f““”tobe sprayed to be sprayed of spraytigs; .,Once a year Twicea year Houses
.:.,Per year~
,<<.,;..-
1,396;593 ‘“’ 2,739#19 ,4,135,742 ““ ._1,342,5z6 “+ ~ ... .:.,,,.. ... i.-.“ .,,$ ,!.. ,,.,....
,,........:,
E/IcEF/L.$09Page 5
b’ 13● Thesesprayingoperationswill be carriedout in 30 of th~ 32 states
‘1 and territoriesof the country~ .
Basisfor estimatesof requirements
14. It is estimatedthat on the averageeachhousewill have 200 sqyare
metresof wall surfaceto be sprayed. Wallswill be sprayedto a heightof
3.5metres With a concentrationof 2 grammesper sWaremetreOtPQTpure su’h-
a%ancepor0.60 grammesper squaremetre of dieldrin~ It is estimatedthat each
spraymancan cover10 housesper day working250 d~-;~sper yeare Therefore,
1,654 spraymenwill be neededto accomplishthe requirednumberof sprayings
eachyear*
15. A special.organizationfor the executionof the campaignhas been
establishedby the Government.The work will be directedby a fivemember
NationalCommissionpresidedoverby the Secretaryof ,Healthand Welfare-
Underthe Commissionare two main departments— Executiveand Evaluation.
For f~.eldoperationsthe countqyhas been dividedinto 13 zones>eachzone
havfi~,~a chiefwho reportsto the nationaldirectorof tliecampaignsa medicaJ.
officerin chargeof the evaluationactivitiesh the zonetand an engineer
who will be directlyresponsiblefor the fieldoperations.Each zonewill
have a supplydepotand transportworkshops. The 13 zonesin tuih are divided
into 83 sectors,eachwith an officerin chargeof operationsand an evaluation
officer. Each sectorwill have on the average5 sprayingbrigadesconsisting j
of a brigadeleaderand 4 spraymen. In general,eachbrigadewillbe responsible.Jfor a specificdelimitedareaduriggthe entirecampaignwith a minimumof ~
.!,.
movingof brigadesfrom one ‘placeto another. dhereverpossiblethe limitsof “’
the areato be coveredby eachbrigadeare drawnin sucha way as to include
somehouseswhichneed 2 sprayingsa year and somewhichneed one in orderto
enablethe brigadesto meet the seasonsof malariatransmission. :.
/Techniqueof the campaigm
J
Techniqueof the canpxi~
16. The campaignwill consistof two basic stages(a) the nt%’eof
eradication;and (b) the stageof surveillanceand preventionof re-infectionc
The eradicationsta~eincludesthe sprayinGand evaluatim operations,,tihe
latterbeixvgof crucialim~ortances
17. =ior to the actualsmrt of f’ieldsww% oWrattons the
evaluationservicesmust determinethe preciselimitsof the malariaarea,the
ch-cteristics of trarmmissionand the habitsof vectorsto determine,what
wtrate~wi-11be employed. Duringthe sprayingoperationitselfthe evaluation
servicesmust checRcloseyyandcmstantly ita effi~’.ac;rt.norderto avoidor
recaupany failureswhichWOU1?endanaercompletee;-adfcatlona
18● The fieldsprayingoperationsare developedin threephases:
a)
b)
c)
the preliminaryph.aeewhich in this pro@amme will occupythe firstyear in which sprayingwillbe done in limitedaree.~,yrimarilyfor the purposeof trainingand firaldeterminationof technique;
the phaseof totalcovera~ewhich inlk?xicowiU lastfouryears>end;
the phaseof interruptionof sprayingde~endingon thescientificdeterminationtlnatmalariahas not been transmittedfor at leas%threeyears.
19● When syrayin~has been interrupted,the phaseof surveillanceand
preventionof re-infecttonbegins,the ob~ecttvebein~to discoverany casesof
malaria,to treatthem,ati,,if necessary carryout repeatsprayingsin the
affecteda~ea, Durin8thisstage stepsmust alsobe takento preventthe
introductionof new casesfrmn outsidethe ca,urtry,
20* The criterionof the achievementof eradicationis the absenceof
‘i” any new case of malariafor threeyears. When eradicationhas been achieved,.:”’the specialWalaria organizationwillbe dismantledand the functionof
permanentsurveillancewill becomepart of the normalo~erationof the re~lar
publichealthservices,
21 ● All of the existin~informationaboutmaIariain Mexicohas been
collectedand collatedby the new nationalmalariaeradicationor~nizationand
has servedas a basisfor layin&out the preliminaryplan of attack. On the
basisof thi~data provi.sionqlmaps have been madeand Vae countrydi%ridedinto
/operatin~sectors,
,i E/ICEF/L.809Yage 7
..m
.Opmzting sectors,preliminaryestimatesof the quantitiesand ty~esOf
insecticidesrequired,~de, a~ the nu~er of spraytngsper year determined
on the basis of the characteristicsof transmissionof the disease. One of the
22● & notedabo~e,13,406,707peoplewill be ‘directlyprotected”by
the s~rayingo~ratfon al~tl~@ 16,7~j136 p.eop~elive in malarious areas. This
differenceis eccountedfc)r%ythe fact that at will ke possibleto protect
someareas “indirectly:’tllnmu@the applicationof the “harrier”technique. In
diseaseand movementof the vectori@ such %h&t inte:?ruptionof trenmissioncan
k le achievedby settingup a barrierof sprays dhouseswhichwill effectively
prOtectthe housesbehindthe barrtereventhoufl@theyare not syrayed.
23. 11.srietenninattonas to whetheran area will be s~rayedOriceor
twiceeachyear deperdson the annualperiodof trafismissionof the disease,
Wherethe transmissionis seasonaland of shortduration(threelmfivemonths)
it willbe sufficientto sprayonly oncea year,beginningthe spraying
sufficientlyfar in advanceof the be~innin~of the transmissionseasonSo that
when transmissionbe@ns, aU the affectedhousesare protected.Where the
transmissionis year-round,syrayfngmustbe carriedout twicea year as the DDT
CtiEuWb be reliedu~on to have sufficientkilli~ effectfor longertilansix months.
24. Unlike‘pM’,the insecticidedieldrincan, in Mexicanconditions,
killmosquitoesfor at leasta yearafterit has leen a~plied. Thereforein those ‘“
areaswheretbe periodof malariatransmissionis more than six monthsa year,
but the roadsare such that the areasare accessiblefor onlya shorttimeeach ~
year makingtwo sprayingsinyossiblejdieldrtnwill be used. It is also
plannedto use dieldrinexclusivelyin the fourthyear of the campai~ when .,,,
totalcoveraGeof the.malariousarea throughoutthe countrywill%e
accomplishedduri~ the first six inonthsof the year,terminatingthenthe .>,
eradicationphaseof the pro~amme. ,,.:>
25. The wallsof dwellingswill%e sprayed’uyto a maximnmhei~ht
of 3 1/2 metres, whtch will be exceeded o- when entomological studiesdemonstrate
that in a Particulararea it Is necessaryto spray higherthan this,
/TiminRof the cmna~——.. .. —.
26.
necessary
firsttwo
including
coursein
Duringthe
for the total
monthsall of
., .,
firstyear of thecampaign,all the,persomlel
yrogrammewill be recruitedand.trained- DurinQthe
the seniortechntcalstaffwill be assenlbled,
malariologiatsand entomulog%ts~ They willundergoan intensive
malariaeradication
the operation’-In the second
leader~,and fieldevaluation
sectms will be recruitedand
as well as field.trainingin the routinesOf
step (45/60days)all of tinesectorchiefs,brigade
Prsonnel who will be attachedto the zonesand
trainedfor theirspscificjobse In the third
step (fourmonths),the tecludcaland auxiliarylyx~fiorrnel‘havingbeen trained,
a Geographicalreconmissanceof the entiremalari’ou.sarea of the cczmtry
will be undertaken.Duringthis periodmaps will%e adjusted,habitsof the
vectorsstudied,housesnumbered,roadsand meansof comnmnicationsstudied,and
all of the detailedinformationnezessaryto guidethe fieldoperationswill be
collectisdand confirmed.cThe fourthstep in the preliminaryyear willhe the
collatingof all thisdata,adjustingmaps and atrategYJand fim.diziw
the detailedplan of operations.In the fifthgte~ 500 spraym.enwill he
recruited‘andGiventen days of intensivefieldtrainingin sprayingtechniques.Thesemen will form thex%z~leusof the sprayingbrigades.27. Threemonthsbeforethe beginningof totalsprayingcoveraceof
the countrythe ~rimaryand secondarysupplydepotsthroughoutthe countrywill
be establishedand suppliesand equipmentdistributedto them so that
be completelyreadyfor operationstwo monthsbeforethe inau~ration
sprayinGoperations
28. At this timethe rest of the spraymenwill be recruited,
theywill
of total
trained
and dispatchedto the areaswheretheywill be working+ It is plannedthat
all personqeland supplieswill be in placeso that,ona givenday the tOtal
sprayingo~erationcap begins.;’:.:+m..,?
. ..>.
/ Legislation
..
E/IcEF/I.ao9Page 9
,,
Legislation
em The UNICEF/MHOJointComnitteeon H&althPolicynotedthatas one
M the basic elementsof a successfuleradicationprofyamnethe requesting
Countries’’shtildpromotethe necessarysupportinglegislation’’(E/ICST/297)mra”10)
30. In March 1975, a malariasanitarycodewas ~ro~@ted in
Mexico. The main provisionsof thiscodeare as’follQws:
a)
l))
, c)
All medical-pra.ctitioner~are required.to reportwithin24 hoursall positiveor suspecteddiagnosesof malariacasese
All malariacases‘mastbe treated.and bloodsmearsexaminedin alaboratory.
Representativesof the MalariaServicesare giventhe authorityto enterhousesto spraythem or to checkthe efficacyof thespraying. “
~T1fJE~ ~o~f+j~en~s
31. It is estimatedthatfor the entirefiveyears of the programme
UNICEFwouldprovidethe follcwingsu@@e and equiynent:
pre=ratory year (1955 - w%)
3 StationwaGons
195 Jeeps
394 Pick-uptrucks
15 Iargetrucks
5 Out-boardmotors
18OO Sprayers
82 Microscopes
26,455 PoundsofDDT (100~)
540,388 I’ ‘i “ (75%)85,GGO ‘I Dieldrin(5G$)
Firstyear of totalcoveraoe(1956- 19’57)
148,243 l?OU12.d.S DDI (lO@O)
3,5Qo,918 ‘f M (75$)
465,649 “ Dieldrin(5@~)
Seccndyear of totalcoveraGe(1957- 1958)
152,293 PoundsDIYT (100~)
3>596,574 t’ ,, (75%)
478,373 “ Dielirin(5C~)
/Third.year of
E/ICEF/L.80~l?a~e20
Thirdyear of totalccverage(1958- 1959)
156,408 Run@P~ (MIG$O)“
3,693,734’ f! ‘ ,, (75$)
491,295 “ D3@.&in(5~)
Fourthyear of totalcoveraqe(Z959 - 1960)
1,528,310 PiundsDieZWln (%$)
32. Spare parts for the vehial’~swillhe providedto approximately
10 Per cent of the valueof the vehic@B. If experiencedurinGthe firstyear
of totalcovera~ewarrants,lar~errelatfvequant~.tiesof dieldrinmay be
requested~This wouldnot,howver, mater3.~2~affe~ttlr~etotalcost to Ulu~CEF
33” It is estimatedthat the cost to UN’lCIL’of these suppliesover
the five yearswouldbe amroxhw,tely$8,40Q,0C0.
, 34. The apportionmentrec@mxendedZn this palerwouldcoversu~p~ies .,
for the prefatory year and six monthsof the firstyear of totalcoverage.
UNICW?would ywide the followi~:
Transport(3stattonwagons,195 jeeys,354 pick-uptrucks,15 heavytrucks,5 outboard.motors,sparep?ts) $1,200,000
Sprayers,MC(I 43,000
~ficroscoyes,82 24,000
DIW lC@O lC0,000l’bs. 24,000
DDT 75$ 2,300,000 lbss 552,000
Dieldrin 320,000 lbs. 352,000
Totalsuppliesand.equipment $ 2,195,000
Freight 205,000 .
$ 2,400,000
Governmentcommitments
35* The totalexpendituresof’the MexicanGovernmentfor the five-year
programmeare estimatedtobe 1~0,000,000pesos (US$12,500,0CO). These
expenditureswill be distributedas follows:
E/lcEF/L*809PaGe 11 -,.
..:..,(InMexicanPesos)
k:.......
1955/36 1956/57 1957/5~ 1958/59 1959/60 .
Fieldyeraomel 10.298.881 s.909.488 20.351.888 20.953.866 16*175*Y33
Administration 4.053.888 4.538.lk8 4.538.148 4.53&148 4*53!5.148personnel
Officeequipment 1.200.000
Field equipment 1.285.000 * .
Officeoperations 3.lo&G92 3,7CQ.000 3s750.000 3.800.000 3.750.000
Transportand field 3.250.000 4.2000000 4.250-000 4.300.000 395109117operations .
23.196.061 32*347*636 32,890.036 33.592,014 27.974.253
givinga totalexpe.ndi%reC@ N&x. 2esos150.000.000 .
36. The Governmentof Uixieohas qressei. itsfirm commitmentto
undertaketheseexpendituresfor tbe euti~ecampaign.
WEO participationand technicalapyruval
37“ The plan for malariaeradicationinl~exicohas the technical
apTrovalof hTIOand has been developedwith the closestco-operationof WHO.
The CoordinatingOfficefor the MalariaEradication I’rogramme(CONER)whichis an
integralpart of the Tan AmericanSanitaryBureau,ReGionalOfficeof the World
HealthOrfyanization,and which is responsiblefor WHO participationin malaria
eradicationthroughoutthe lkmericas,has been established in Mexico City. Tlnis
Office has been intimately involved in the plann$ng of this firstlarge-scale
eradicationpro~amme.
38. In addition to the @zidmce which the programmewill receivefrom
this Office,itwill alsohave the constanttechnicalassistanceof six’WHO
advisersone of whom,a malariologist,is alreadyon the Job. Five additional
adviserswill short~ arrive in Mexico. In 1955 $58,000 has been ln@eted for
thie Turposewith expendituresof $72,000p~ed for 1956and a likeamount ‘
in succeedin~years. In additionto,theTechnicaladvisers,19 fellowshi~s
for forei~ studywill be financedby WHO at a cost of ap@oximately$20,000.
As notedabove,theseFellowsare alreadystudyi~ in Venezuelaand the United
States. The technicaladvisersand fellowshipsare expectedto be financedfrv,
“ Priority1 TechnicalAssistancefunds. .,.,,,
,.-,
..
k“””
. .
. . .