Forty-fourth session


Cholera and Diarrhoeal Diseases

         The Regional Committee,

         Having considered the Regional Director's report on cholera and diarrhoeal diseases;*

         Recalling resolution WPR/RC36.R4 on diarrhoeal disease control;

         Bearing in mind resolution WHA44.6 on, inter alia, import restrictions on products from countries affected by cholera;

         Noting the progress made by the diarrhoeal diseases control programme in the Region, particularly with regard to increasing access to and use of oral rehydration therapy, the scope of the training given to health workers, the number of courses conducted, and the undertaking of evaluation activities;

         Expressing its concern regarding inadequate compliance with the International Health Regulations (Article 3) with regard to reporting of cholera in the Region;

         Being concerned about the occurrence of a new strain of cholera (Vibrio cholerae 0139), its rapid spread and potential to cause major outbreaks;

  1. URGES Member States:
    (1) to provide maximum support for the further development of strong, well managed national diarrhoeal diseases control programmes in order to cope with the diarrhoea and cholera problems in the Region;
    (2) to give high priority to prompt reporting of cholera according to the International Health Regulations (Article 3) in order to promote international collaboration in the control of the disease;
    (3) not to apply to countries affected by the epidemic restrictions that cannot be justified on public health grounds, in particular as regards importation of products from the countries concerned;
  2. REQUESTS the Regional Director:
    (1) to further strengthen technical collaboration with Member States, particularly in training to enhance correct management of diarrhoea cases at the health facility and the household level; and in the implementation of preventive measures to reduce diarrhoeal diseases;
    (2) to reinforce WHO's efforts to mobilize and coordinate technical and financial support for national diarrhoeal diseases control programmes.

* WPR/RC44/14

17 September 1993

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