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HomeMy WebLinkAboutR-85-0239J-85-301 3/13/85 rr/070/D-A RESOLUTION NO.85-23S A RESOLUTION ALLOCATING AN AMOUNT NOT TO EXCEED $50,000 FROM SPECIAL PROGRAMS AND ACCOUNTS, CONTINGENT FUND, AS A CONTRIBUTION TO THE INTERNATIONAL HEALTH COUNCIL (ICH) FOR THE PREPARATION, COORDINATION AND SUPERVISION OF THE THIRD INTERNATIONAL HEALTH CONFERENCE TO BE HELD SEPTEMBER 1985 IN MIAMI, FLORIDA; FURTHER AUTHORIZING THE CITY MANAGER TO EXECUTE AN AGREEMENT, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, WITH THE ICH; SAID ALLOCATION BEING CONDITIONED UPON METROPOLITAN DADE COUNTY AND THE PRIVATE SECTOR EACH CONTRIBUTING AN EQUAL AMOUNT TOWARD THIS EVENT AND UPON SUBSTANTIAL COMPLIANCE WITH CITY OF MIAMI ADMINISTRATIVE POLICY NO. APM 1-84, DATED JANAURY 24, 1984. WHEREAS, the International Health Council (IHC), a coalition representing the educational and professional community, individuals and health care institutions in South Florida, is organizing the Thrid International Health Conference to be held September, 1985 in Miami, Florida, in collaboration with the Pan Amerian Health Organization (PAHO); and — i WHEREAS, the Second International Health Conference attracted the participation of 13 Ministers of Health and 32 official delegates of the member countries of the Pan American Health Organization (PAHO) which is indicative of the growing recognition Miami is receiving as an International Center for health care; WHEREAS, the IHC through this years event will promote the health resources available in the Miami area among the countries of Latin America and the Caribbean; and WHEREAS, it is anticipated that the City of Miami, Metropolitan Dade County and the private sector will each contribute an amount not to exceed $50,000 toward this event; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: CITY COMMISSION MEETING OF MAR z��g� RESOLU i W,w no. Section 1. A sum not to exceed $50,000 is hereby allocated from Special Programs and Accounts, Contingent Fund, to the International Health Council (IHC) for the preparation, coordination and supervision of the Third International Health Conference to be held September, 1985 in Miami, Florida. Section 2. The City Manager is hereby authorized to execute an agreement, in a form acceptable to the City Attorney, with THC. Section 3. The herein allocation is subject to Metropolitan Dade County and the private sector each contributing an amount not to exceed $50,000 toward this event. Section 4. The herein allocation is also conditioned upon substantial compliance with City of Miami Administrative Policy No. APM-1-84, dated January 24, 1984. PASSED AND ADOPTED this 21st day of March , 1985. EST: LPT G. ONGIE, CITY CLE PREPARED AND APPROVED BY: ROBERT F. CLARK CHIEF DEPUTY CITY ATTORNEY AND CORRECTNESS: Maurice A. Ferre MAURICE A. FERRE, MAYOR 195-2439 . '0� ."1 February 15, 1985 Hon. Maur ice Ferri Mayor City of Miami 3500 Pan American Drive Coconut Grove, Florida 33133 Dear MayorFerre, International Health Council On, behalf of the International Health l'ouncil, i am writing to request to be placed on the agenda for the City of Miami Commission Meeting Thursday, February 28, 191-15. The purpose of the presentation is two -fold: one, tr) formally transmit the Report of the Second International Health Conference, help) at the7ames C.' Knight Center on September 21-23, 198ei; and second, to request financial support in the ainount of f.),lli�t� from the City For the Thir7 Annual Conference, to be he'd in September 11,185. I am pleased to advise you that on February '1, 1985, tee Metro -Cade County Special Events Panel approved two THC grants for a total of $ 35,f,i u. Based on your suggestion of matched support rrom the City, the County, and the private sector, we are working with Ernie Martin, to try to secure the aeditional $15,COO from the County. Also the IHC is revising itsinembership fee structure that should insure financial sL,ppt)rt from Council Members and the health industry oo South Florida. The funds requested from the City will be utilized exclusively to support the costs of the Conference, including travel to Washington, D.C. for planning sessions with officials of the Pan American Health Orcanization, interamerican Development Bank, U.S. AID, and Congress to develop a substantive Conference program. These funds should also cover airfare for the Ministers, social events, lodQino, expenses at the Knight Convention Center, and the development of a Conference Report. A complete proposal is being developed with technical assistance from the Office of Community Development, and will be available prior to the Comm :ss i on Meeting on the 28th . Members of the International Health Ccunci 1 Steering Committee w`'o will participate in the presentation of February 26, 1985, include: 800 Douglas Entrance Coral Gables, FL 33134 305/447-3558 0023S.. Dr. Steve Altman, Florida International University Dr. Jose Szapecznik, University of Miami Spanish Farnily Cuidance Center, Dean Ambler Moss, University of Miami, International Stur:ies/'•forth/Sou th Center Dr. Manuel Viamcnte, Chairman & Professor, Clenartment of Radiology Mount Sinai Medical Center Father William Mess ik, Assistant to President Earry University Atlee Wampler, Esq . Greater Miami Chamber of Commerce Dale Smith, Dade County Medical Association If you have any questicns or need additicnal information ;_rior to the meeting, please do not hesitate to contact me perscnally. Sincerely, Maria Elena Torano cc: Members, City of Miami Commission Randolph Rosencratz, City Manage. - Frank Castaneda, Director, Office of Community Develcpment i �Nt f i S�R�f International Health Council 5. a L �et)r#.ary 25, i`,S5 M:,nt3ce r City of Miami s 35CO Pan w^nerica.n Drive '•tiami, Florid,=i 33133 l�e:,r r . (=osenc r ,t._ ! I a#�t ; i1��sed to ;;rov,cJe t!-e Folinwinc; mat.^-.r.ials to ynu l.n supr;crt of the n - lnternc3tiCnal 1, alLn Counc'tl�s request r,�r :� 5C,(:GU `rC.il LhE' City Qc 'Miami for the I-iir-, i- r^a1, � Dnal He; 1l:h Con"'ererce: A Report on 11-#? Pene�iLs ;:r L,-.e ct,,_,ir.td TnLt—.mac [Ertl;;. It -al"`l -' Conference 2) Prospectus - An Strat_e-y '-or ure Pc icn - ?) Propose:) c�u ;,�,� t `., U � . "� ^# , fe rerc i .i n e ycu need any addi `Iona 1 in °r r,n in, p lea t: give ne a call . I i-taria Elena Torailo cc: Frank Castaned.a Kathy Leff BCC Dougias Entrance Coral Gaines. FL 33134 305,'44 ; -3558 International Health Council REPORT ON UENITITS OF I I E SECOND INTERNAT IONAL I t-/1LT11 CONFEW-WE The Second InCernationaI Hf3alttl (:unreI'Cnct was an initial 5tt?p in a long rantge development effort to t:sl:a�)lisll 'Aiami as an Internwil:ional Center for Excellence in Health. Tile Mai, increase ill partiCi(1yt1Gn by M1lllSters of'Heal th ar ;1 tjl'fll:l: -s 1'rum the G I it tJ U',e �.CCQnt; Con fert.nce ] n((l�.a tt (j1-ow [rig recut�n i t i(n 0 f i 11cti(1 i tlrlt 1 tht Internat. ional!!e:itthLOurlcl.itisIt?811t?r5(11O in tliC(lt,dl i12are rii ltl. in addition to 13 Ministers of i+t? lit!1, (one or the 3�, naLir,-rls I te(.j `h e "e 3 d ii "I(nna] 1-Ureign (!?1('t7ates, represt,nting lj nvi I- Ier. Nt_. 2 a• ( t or cre hail of `--he nations invited. International, national and state and local dignitaries who attended include, among othP.rs: Concressman Dante Fascell Dr. Carlvle Guerra de Macedo, Director, PAHO Jose Manuel Casanova, Inh_eramerir_an Development Bank Victor Rivera, U.S. AID Hcn. lA,aurice Fe re, Maycr, City 0rMi31ni Sena for Carrie Meek Alberto Cardenas, goad & Cassel P.A. Tad roote, President, I_rt_versi*v of Mimi Gregg Probe, President, Florida International University we have new set the stage for attracting and supporting large scale rAalt`1 3ra amru conferences t la tv_:: r-cmote growth _n stob_ ,n Yiam as an 1 terlat cna_ .�,eal.h center. 300 DOUL113S E: !rn nca Coral Ga:,les. FL 331'_! 3050 7.355 • I'?nP of f:flP_ In! :,r_ iif�,nrr.ant Llri.r�mes of arly hrnference is the �'��_iif�lLSttffll'llf. it?!f S.rNllt,�.tlf,lillV.� tlf IJeL'S!1"I;it ilf;!I Il1Qfr5`i1(Jn;i1 Ii^kages. These 1i16.ai'e`i (Ir#-el i-es(t''r. in nef"'N".rk1ng, which in turn, result in Positivf. 12C11flUfilic'?r sol'i'll itn ii:l:, '.x'*t:'lliat tii the i-)riiinal f area o ir,tere�t. E)� I.I� iid'_r rj '.hc i,, I>n.'.:�:n v `�r!•ins`.e mot i-e� `h cf the Hemisphere to t'eccrr.e ,lore famil1 r we have set the Stage for their expioring I'IOt I:rI iulni'S I!- Lh industry, but also our educational, trade, financial, ccmmercial and tourism industries. And because of their positicns of leadership in their respective ccntr ies, we can e'e pect t`lat- ct:-e_ s . _II `e in°l, enced by their choices and fol lcw the i r lead . In additicr to tt,,e long term Benefits, there are also many short term or'Fe _s, ime�!_. nto ly as direct returns to a iami or its -anticipation in, suc'l a Ccr,ferer,ce. • First, and Tost the money provided by the City Of Miami :ra 'metro Cede ..'Cjr)ty stayed here. Of the $ 92,000 e;<pended on the :,'DnFere ice, all $ 500 was expended for services to `•ti31i1,� for 1�37-e sud-contracts such as hotels and restaur.anl s an(' srrUll _Ub-ccntracts such as printers, messenger services, translation, local trnnsportaticn, etc. • Secondly, the uirect contact riith t•tiami and the International Health Council has resultrad °n a number of invitations and exchange opportunities fcr Miamians to the countries participating. n INCOME-: International Health Council PROPOSED f3WGFT FOR 1985 City Of Miami 'b 5r),0r,0 Metro Dade County 50,CCO PrivateContritutic:ns 50,CQ0 TOTAL: $ 150,000 EXPENDITIFZE�5: Salaries & Benefits ',ConIF3i3I, ce OPf1CPCS :�rcject clrector, 1 4 ' Secretar-di, 1QC�Jl-CS �eCi,r7icS ass Is .anCe ?S,UUCJ Travel �i1 �StaTj �^ 5,C00 �`;=e-; nc C c!m"� tee 5, 000 Hotel Lodgina 12,000 Conference facilities 3,000 Social Events & Act's 13,OCO Meals 12,000 Other Expenses Equipment Rentals 1, 51'0 Accounting Services 2,000 Supplies 1,0u0 A.rt Wcrk/Phctogrj—ph 1.,uc� Printing Klessenaer Service 1,I;GI_I Postage 3,rii10 Telephone 1 ,i1ij(I Miscellaneous TOTAL: $ 1501000 t,00 Dow, 1 is Enll lnce Cui ti Goolus, FL 33134 3l)5r 14 i •3558 73 "'%\ Cr Y OF MIAMI. FLORIDA INTER -OFFICE MEMORANDUM TO. Randolph B. Rosencrantz OATS. March 6, 1985 City Manager International Health SUBJECT: Council now Charlotte Gallog e'vop-,v- 1REFERENCES:Director �J March 21, 1985 Agenda Department of Economic NDevelopmlnt ENCLOSURES: 5,1 "It is recommended that the City Commission approve the attached resolution allocating an amount not to exceed $50,000 from the Special Programs and Accounts, Contingent Fund, as a contribution to the International Health Council for the preparation, coordination and supervision of the Third International Health Conference to be held in Miami in September 1985; said allocation being conditioned upon Metropolitan Dade County and the private sector each contributing an equal amount towards this event and upon substantial compliance with the City of Miami's Administrative Policy No. APM-1-84, dated January 24, 1984 and further authorizing the City Manager to enter into an agreement subject to the City Attorney's approval as to form and correctness." The International Health Council (IHC), a coalition representing the educational and professional community, individuals and health care institutions in South Florida, is organizing the Third International Health Conference which will take place in Miami during September 1985 in collaboration with the Pan American Health Organization (PAHO). The Department of Economic Development considers that the Third International Health Conference is an appropriate business promotion activity for the City to support. The International Health Council's goal is to "establish Miami as an international health 85-235, Randolph B. Rosencrantz .Page 2 center by developing an inter -relationship between South Florida's health industry and that of Latin America and the Caribbean." Clearly, efforts which are targeted directly at the Health Ministers of PAHO will contribute in that these individuals will become aware of the resources that exist in Miami. This should lead to an increase in the tertiary care referrals, in-service technical training and the purchase of medical equipment and supplies from Miami -based institutions and businesses. It should be noted that the City of Miami contributed $40,000 toward the Second International Health Conference held at the .Tames- L. Knight Center on September 21-23, 1984. The conference ,attracted...._ the participation of 13 Ministers of Health and 32 official delegates of the member countries- of the- Pan American Health— Organization (P.AHO) which is indicative of the growing recognyi'tiorn of Miami as an International Center in health care. CG/MO/ ju Attachment INTERNATIONAL 'H CONFERENCE Health for All A Report of the International Health Council "Health can be a bridge for expanding understanding... and public health must be a collaborative venture. Its goals can only be achieved when individuals communities and nations work together. Miami, because of its distinctive characteristics, language, culture and geography, can aspire to become an international center of com- merce, of health and of human life. This Second Annual International Health Conference can be means to link the institutions ofMiami, through the leadership and dynamism of the International Health Council, with the countries of the region. In this way, the International Health Council can be a mechanism to mobilize the resources of this community to help solve the critical health needs of the people of the Americas. Miami can become the gateway to Latin America for health." DR. CARLYLE GUERRA DE MACEDO, Director, Pan American Health Organization The Second International Health Conference was made possible by funding from the City of Miami, Metro -Dade County, U.S. A.I.D. and the Dade County Medical Association. 85-23:.', STEERING COMMITTEE Father William Messick Honorable Ambler Moss Joseph Patterson, Ph.D. MEMBERSHIP AMBULATORY CENTER/MIAMI Andrea Goldstein. R.N. Executive Director AMERICAN HOSPITAL Dr. Modesto Mora Medical Director BARRY UNIVERSITY Sister Jeanne O'Laughlin President Father William Messick Assistant to the President CARIBBEAN/CENTRAL AMERICAN ACTION Peter Johnson Executive Director CEDARS MEDICAL CENTER Charles R. Fotsch Executive Director CONTINENTAL COMPANIES Sherwood Weiser President CORD IS CORPORATION William P. Murphy, M.D. Chairman of the Board CITY OFMLAL41 Hon. Maurice Ferre Mayor Howard Gary Manager DADE C0L1NTY MEDICAL ASSOCIATION A. Frederick Schild, M.D. President Daniel L. Seckinger Past President Dale Smith Executive Vice -President D1ARI0 LAS AMERICAS Dr. Horatio Aguirre Editor and Publisher FLORIDA INTERNATIONAL UNIVERSITY Dr. Gregory B. Wolfe President Dr. Steven Altman Vice -President & Provost Dr. Joseph Patterson Director, Health Services Administration GRANT CENTER HOSPITAL Anthony Nowe!s Medical Director GREATER MIAMI CHAMBER OF COMMERCE William 0. Cullom President Atlee W. Wampler, III Blackwell, Walker, Gray, et al. Maria Elena Torano de Pantin, Chair Steven Altman. Ph.[)., Vice -Chair Jose Szapocznik, Ph.D., Conference Chair Victor Politano, M.D. Daniel L. Seckinger, M.D. Dale Smith HIALEAH HOSPITAL. Jon Gedford Executive Vice -President HIGHLAND PARK GENERAL HOSPITAL. Jay Weinstein Florida Regional Director (American .'Medical Centers) HUMANA HOSPITAL Robert Krieger Executive Director INTERNATIONAL CENTER OF FLORIDA Coleman Travelstead Executive Director )ACKSON MEMORIAL HOSPITAL Fred Cowell President Public Health Trust M.ARLA ELENA TOR.ALNO ASSOCIATES, INC. Maria Elena Torano President METRO DADE COUNT)' Hon. Stephen P. Clark Mayor M.R. Stierheim County Manager MIAMI CHILDREN'S HOSPITAL. Jules M. I inkes President MIAMI DADE COMMUNITY COLLEGE Dr. Robert McCabe President MIAMI GENERAL HOSPITAL Dr. Jay Henn. Sanders Tice -President Medical Affairs MIAMI HEART INSTITUTE John Lauri Executive Director MOUNT SINAI !MEDICAL CENTER Alvin Goldberg Executive Tice -President Manuel Viamonte. M.D. Chairman & Director, Department of Radiology NORTH SHORE HOSPITAL Carlos Saenz, M.D. Chief of Medicine PAN AMERICAN HOSPITAL Dr. Alberto Hernandez Member. Board of Directors SAINT FRANCIS HOSPITAL Sister Margaret McManus President'Chief Executive Officer SOUTH FLORIDA BLOOD SERVICE Dr. Peter Tomasulo Medical Director Rick Smith Manuel Viamonte, M.D. -Wee W Wampler, III SPILLIS. CANDELA & PARTNERS Ifilano Candela President STATE OF FLORIDA Hon. Robert H. Graham Governor Department of State Hon. George Firestone Secretar: of State Florida Senate Senator Jack Gordon President Pro -Temp ere Department of Commerce Hon. Wayne Mi-snn Lieutenant Governor and Secretar• of Commerce Department of Health and Rehabilitative Services David Pingree Secretan James T. Ho-Acil. M.D. Deputy Dtrectr,•r TOCCHE ROSS & COMPANY Ron Chase Partner in Charge Rick Smith Partner. Management Consulting CNWERSI'n' OF MLAM I EdNatd T. Foote President Honorable Ambler "•toss Dean. Graduate School of International Studies Dr. Bernard Fogel Vice -President for Medical Affairs and Dean. School of Medicine Jose Szap(icznik. Ph.D. Director. Miami World Health Organization Collaborating Center VETERANS ADMINISTRATION HOSPITAL T.C. Doherty Director VICTORIA HOSPITAL Charles J. Sweat President WESTCHESTER GENERAL HOSPITAL Sylvia L'rlich President INDIVIDUALS: Armando C'odina O. William Davenport. M.D. Seymour Halbert. M.D. Barry T. Hastings Herb Hiller Castle Jordan Robert B. Katims. M.D. STEERING CONNU TT'k Father William Messick Honorable Ambler Moss Joseph Patterson, Ph.D. MEMBERSHIP AMBULATORY CENTER/MIAMI Andrea Goldstein, R.N. Executive Director AMERICAN HOSPITAL. Dr. Modesto Mora Medical Director BARRY UNIVERSITY Sister Jeanne O'Laughlin President Father William Messick Assistant to the President CARIBBEAN/CENTRAL AMERICAN ACTION Peter Johnson Executive Director CEDARS MEDICAL CENTER Charles R. Fotsch Executive Director CONTINENTAL COMPANIES Sherwood Weiser President CORDIS CORPORATION William P. Murphy, M.D. Chairman of the Board CITY OF MIAMI lion. Maurice Ferre Mayor Howard Gary Manager DADE COUNTY MEDICAL ASSOCIATION A. Frederick Schild, M.D. President Daniel L. Seckinger Past President Dale Smith Executive Vice -President DIARIO [AS AMERICAS Dr. Horatio Aguirre Editor and Publisher FLORIDA INTERNATIONAL UNIVERSITA' Dr. Gregory B. Wolfe President Dr. Steven Altman Vice -President & Provost Dr. Joseph Patterson Director, Health Services Administration GRANT CENTER HOSPITAL Anthony Nowels Medical Director GREATER MIAMI CHAMBER OF COMMERCE William O. Cullom President Atlee W. Wampler, III Blackwell, Walker, Gray, et al. I>anirl rkinger, till). I)ale Smith HIALEAH HOSPITAL. Jon Gedford Executive Vice -President HIGHLAND PARK GENERAL. HOSPITAL. Jay Weinstein Florida Regional Director (American Medical Centers) HUMANA HOSPITAL. Robert Krieger Executive Director INTERNATIONAL CENTER OF FLORIDA Coleman Travelstead Executive Director JACKSON MEMORIAL HOSPITAL. Fred Cowell President Public Health Trust MARIA ELENA TORANO ASSOCIATES, INC. Maria Elena Torano President METRO DADE COUNTY Hon. Stephen P. Clark Mayor M.R. Stierheim County !Manager MIAMI CHILDRI'N'S HOSPITAL. Jules M. Ilinkes President MLAMI DADE COMMUNITY COLLEGE Dr. Robert McCabe President MIAMI GENERAL HOSPITAL Dr. Jay Henry Sanders Vice -President Medical Affairs MIAMI HEART INSTITUTE John Lauri Executive Director MOUNT SINAI MEDICAL CENTER Alvin Goldberg Executive Vice -President Manuel Viamonte. M.D. Chairman & Director, Department of Radiology NORTH SHORE HOSPITAL Carlos Saenz. M.D. Chief of Medicine PAN AMERICAN HOSPITAL. Dr. Alberto Hernandez Member. Board of Directors SAINT FRANCIS HOSPITAL Sister Margaret McManus PresidenVChief Executive Officer SOUTH FLORIDA BLOOD SERVICE Dr. Peter Tomasulo Medical Director !lick Smith Manuel Viamonte, M.D. Atlee VV. Wampler, III SPILLIS, CANDELA & PARTNERS Hilario Candela President STATE OF FLORIDA Hon. Robert H. Graham Governor Department of Slate Hon. George Firestone Secretary of State Florida Senate Senator Jack Gordon President Pro-Tempore Department of Commerce Hon. Wayne Mixson Lieutenant Governor and Secretary of Commerce Department of Health and Rehahilitative Services David Pingree Secretary James T. Howell. M.D. Deputy Director TOUCHE ROSS & COMPANY Ron Chase Partner in Charge Rick Smith Partner. Management Consulting UNIVERSITY OF MIAMI Edward T. Foote President Honorable Ambler Moss Dean. Graduate School of International Studies Ur. Bernard Fogel Vice -President for Medical Affairs and Dean. School of Medicine Jose Szapocznik.Ph.D. Director. Miami World Health Organization Collaborating Center VETERANS ADMINISTRATION HOSPITAL T.C. Doherty Director VICTORIA HOSPITAL. Charles J. Sweat President WESTCHESTER GENERAL HOSPITAL Sylvia L'rlich President INDIVIDUALS: Armando Codina 0. William Davenport. M.D. Seymour Halbert, M.D. Barry T. Hastings Herb Hiller Castle Jordan Robert B. Katims, M.D. ACKNOWLEDGEMENT ^ Te International Health Council takes this opportunity to thank the hundreds of people who helped make the Second International Health Conference such an overwhelming suc- cess. Many of their names appear in this report, such as the members of the council, those who provided financial assis- tance and those who contributed their time and expertise to this effort. However, no major endeavor can ever be fully accomplished without the support of key individuals whose faith and shared commitment become essential in the realization of a dream. Years ago, long before the establishment of the International Health Council, or the three committees which preceded it, two men with great vision and strength foresaw Miami as an International Center for Excellence in Health. Mayor Maurice Ferre and Congressman Dante Fascell were those two men. The fact that during the last ten years Miami has become a center for international trade, commerce and finance is due in no small part to Mayor Maurice Ferre's tireless efforts. His drive and determination command our respect and his per- sonal involvement in the work of the IHC has served as a source of strength. Congressman Dante Fascell, an internationally recognized leader who serves as the Chairman of the House Foreign Rela- tions Committee, has maintained the ability to remain in touch with the needs and interests of the community he rep- resents. His special relationship with countries in the region has been vital to our efforts. The IHC thanks the Pan American Health Organization, its dynamic and visionary Director, Dr. Carlyle Guerra de Macedo and his committed staff for their generous support in provid- ing technical assistance to the Council for the implementa- tion of this project. Finally, special thanks and appreciation to those who placed their confidence and trust in us. Maria Elena'Ibrano Jose Szapocznik, Ph.D. Chair, International Health Chair, Second International Council Health Conference 8aj-235 F 11 Gill± of jftaitti. Yloriba wuarcW s rea.a n°� ..,. °• walcomel our city is proud to welcome you to the 2nd International Health Conference. Sponsored by the international Health council, the end private srepresents a true partnership of the pea Missi's dramatic growth as a global city has resulted from the close cultural and commercial ties with Latin America and the Caribbean. The relationship is valued by the citizens of our community. The more than 40 hospitals located in Greater Miami offer virtually all general and highly specialited medical Mery icaa. This progressive and growing health care delivery system for the patient provides educational opportunity for the professional and places Miami in the forefront of communities with comprehensive international medical capabilities. we are pleased to share these resources with our hemispheric neighbors in the quest of 'health for all.' test wishes for a successful conference and a productive stay in Miami. �,,Si''ncerely -\ Maurice A. rarre Mayor ��• METROPOLITAN DADE COUNTY-FLORIDA o.or cou.u„ cou•r„oun ,� arts .um,•. tr.rt, . t°.,t tat . r..,, r,. . us.• ru.,, noawa lmyo von irr•ttat September 18, 1984 International Health Council 800 Douglas Entrance Coral Gables, FL 31134 GREETINGSI On behalf of the neatly two million residents of Metropolitan Dade County, I am proud and pleased to welcome the delsptaa of the INTERNATIONAL HEALTH CONFERENCE to out ana September I1-21, 19B4. I join with Greater Miami's newly created International Health Council and Congressman Dante Fascell, chairman of the Houma Foreign Relations Committee and honoraq chairman of the Second International Health Conference, in wia ing you Is productive And pleasant stay. I sum well aware that the primary goal of thin Year's conference Is to familiarise the health ministers of the Pan American Health Organization with the etieting South Florida resources in the health care field, and to evaluate the specific health and medical needs of their Latin American and Caribbean countries. Dade County is extremely proud to host this event and develop. into an international resource for Latin America and the Caribbean. 4e welcome you, the participants, and offer you a wide range,of facilities as well as a diverse range of activities. Many of our attraction. era of a ona•of-a-kind variety. Gres Miami has something for everyone. Enjoy yourselves during this important step in international relations. Sine aly, tap sn P. Clark Mayor Congetss of tht UfflaD Metes "M of Rgnmxom "tea B.C. MI S.pteab— 21, 19e4 TO THE. HLAEIH MINISTERS OF THE HOOSPHEaE Door Friends, 1 e. pl.ssed to loin in wlcaatns Tou to tlu Socmd annual Internet tonal Ma alrh Coat er mace and add ry be •t wl•Me fora suceessf ul had ptoductly. $*.at—. Assurles the bast possible health for all Poopl.s of the ao0 laphot. to a primary obl.etl.. of .11 our gorarirena. Our netloos bn ale liar challenges free Provldl.g sure basic..0 adequate .utritlm to the difficult task of pruviding access to Medical aarvte.a tot all of our cities". we have Much to learn froa one another. The 1ot•r.ollowl Health C—faience providee'us all with an opportunity to f.r,Mr our reason efforts .katnst the anti—[ scourges of Mankind Mich und. mlno our efforts to build a better future for mrsolvas and our zblldr... I commend the oTaoal..r. of this conference for their lino wo,4 sad thank the Meat otgaatsstims and groups which have contributed. Again, My Mat wishes to each of you for a successful session, starr.ly. ,DAM a, FASCK"� Chalresn Dar/Cx THE INTERNATIONAL AALTH COUNCIL eo� Seeking to maximize Miami's role as a between gateway the north and south in the health care area, the International Health Committee of Greater Miami was founded in 1982. The dual objective of the Committee was to explore ways for the health and academic institutions to stimulate utilization of Miami's health resources by Latin American and Caribbean h countries, and in turn to foster better health care throughout the hemisphere by promoting the concept of "health for all:' The international Health Committee first addressed itself to '. establishing a cohesive organization with representation from the Miami health and educational community, as well as par- ticipation by the city and county governments. The first major collaborative effort of the member medical and health care professionals, hospitals, universities, busi- ness leaders, the City of Miami, and Metro Dade County, was to host an International Health Conference in October of 1983. Created through an invitation extended to Caribbean and Latin American Health Ministers, the conference was de - "The IHC responded to signed to provide an opportunity for the ministers to spend the need to develop wide several days in Miami prior to the annual meeting in Wash- community support and ington of the Pan American Health Organization (PAHO). Es - tablished as a partnership in health among the thirty-four ... establish Miami as an member countries in the Americas, PAHO functions to repre international center for sent the interests of Latin America and the Caribbean within excellence in health:" the World Health Organization. The First International Health Conference was facilitated by strong support from Miami Mayor Maurice Ferre, United States Congressman Dante Fascell, and Dr. Carlyle Guerra de Macedo, Director of PAHO. The event initiated the network- ing process between the Miami community and the Health Ministers of the PAHO member countries through workshop sessions, site visits to hospitals and informal gatherings. These activities contributed to a process of exchange which addressed the needs of the PAHO ministers, the health re- sources available in the Greater Miami area and the common links that existed among the different countries. The experience gained from the 1983 Health Conference ini- tiated a developmental process for the International Health Committee, resulting in a merger with the International Cen- ter of Excellence for the Advancement of Health Affairs, and the Economic Development Action Committee of the Greater Miami Chamber of Commerce. This merger responded to the need to develop a wider base of community support, and to create an organization that would allow many diverse inter- ests to coordinate their efforts to establish Miami as an inter- national center for excellence in health. Incorporated as the International Health Council (IHC) in 1984, two primary goals were identified for the organization: • 1b act as a broker for excellence in health in the Hemisphere; • 1b harness the health resources available in the Miami area for the promotion of "Health for All" among the countries of the region. 063 85-S _ ►SECOND INTERNAnoNLHEALTH CoNFERENCE The International Health Council Hyatt Regency Hotel/James L. Knight Convention Center September 21-23, 1984 Miami, Florida The Honorable Dante B. Fascell, Honorary Chairman "The Conference... Nkas only the first step toward the creation of a collaborative program of exchange ... " Held in Miami on September 21-23. 1984, the Second International Health Conference was structured to build on the foundation established during the previous year. Through an assessment process conducted by PAHO, the Health Minis- ters identified specific health and medical needs of their countries and the conference agenda was developed in re- sponse to those findings. These stated issues were subse- quently communicated to the Miami -based organizations, in- stitutions and individuals best suited to address them, and the conference participants and presenters were identified on that basis. This process resulted in a conference format that was divided into four main working sessions: 1) Financing Health for All 2) Education and Training 3) Appropriate Technology 4) Use of Mass Media/Leadership Development in Public Health Education Forty-five high level officials representing nineteen Central, Latin and Caribbean countries attended the Second Interna- tional Health Conference. Distinguished United States partic- ipants included: Congressman Dante Fascell, Chairman, For- eign Relations Committee, U.S. House of Representatives; Dr. Carlyle Guerra de Macedo, Director, Pan American Health Or- ganization; lose Manuel Casanova, U.S. Executive Director, Interamerican Development Bank; Victor Rivera, Administra- tor for Latin America, U.S. Agency for International Develop- ment; Maurice A. Ferre, Mayor of Miami; Carrie Meek, Flor- ida State Senator; Al Cardenas, U.S. International Trade Advisory Committee; and Edward T. Foote, President, Univer- sity of Miami. Organized and supported by the members of the International Health Council and other community lead- ers, the Conference was also attended by over two hundred Miami -based health, government, academic, business and civic leaders. The following report represents a summary of the major is- sues and resolutions addressed during the Second Interna- tional Health Conference. The information contained in this document will be used to further develop a strong and pro- ductive relationship between Miami and the PAHO member countries. It is the hope of the International Health Council that this effort is only the first step toward the creation of a collaborative program of exchange between Miami and her southern neighbors. i, VISITING MINISTERS EALTH AND DELEGATES" I Antigua and Barbuda Guatemala Hon. Cristopher tit. o'Mard Hon. Dr. Jose Ramiro Rivera Alvarez Minister 10, Health Minister of Health Dr. Alcernon Boyd }� Chief Medical Officer Haul Lestroy Warner Dr. Francisque Milord Superintendent Medical Benefits Scheme Chief of Cabinet Bahamas Serge Toureau Hon. Livinstone Coakley Director General Minister of Health Alix Adam Dr. Percival McNeil Medical Director Medical officer Honduras j John Thompson i hospital Administrator Hon. Dr. Ruben Garcia i Harold A. Munnings Minister of Public Health Permanent Secretary Jamaica Belize Dr. Deanna Ashley i lion. Assah Shoman Senior Medical Officer E Minister of Health ` Dr. Errol Vanzie Montserrat Director of health Services Hon. G.M. Cassell Bolivia Minister of Health Sra. Sylvia M. Salazar -Paredes Panama Director of International Relations Hon. Dr. Alberto E. Calvo British Virgin Islands Minister of Health Dr. D.O. tinuth Saint Kitts Chief Medical Officer Hon. S. Earl Morris Dominica Minister of Health Hon. C.A. Mavnard Oriel A, Hector Minister of Fducation and Health Permanent Secretary Dr. Desmond McIntyre Saint Lucia Health Services Officer Hon. Clendon H. Mason Eudora Shaw Minister of Health, Housing and Labour Permanent Secretary Cornelius Lubin Grand Cayman, Cayman Islands Permanent Secretary Jack M. Newhv, Jr. Saint Vincent and the Grenadines Administrator, Secretary of health. Education and Hon. C. Allan Cruickshank Social Services Minister of Health Eloise (teed Dr. Herbert A. Jesuadasoh Assistant Secretary of Health, Education and Social Services Senior Medical Officer ' Shirline Henriques In -Service Coordinator Suriname Grand Turk, Turks and Caicos Islands Hon. Dr. Robert van Tt ikt Minister of Health s Hon. Robert Hall Prof. Dr. Baltus Oostburg Minister of Health Director of Bureau of Public Health 1 R.A. Hailwood Chief Medical Officer Uruguay Matilda A. Taylor Dr. Hugo Damasco Administrative Officer Director General of Health 85-235. PROGRAM r FRIDAY, SEPTEMBER 21 SATURDAY, SEPTEMBERt 22, 1984 9:30 a.m. REGISTRATION 9:30 a.m. EDUCATION AND TRAINING PLENARY SESSION Promenade Room Jasmine Room Program Overview 9:30 a.m. OFFICIAL OPENING CEREMONY Dr. Jose Szapocznik Jasmine Room Welcoming Remarks Education and Training: A Ilan American Health Organization Maria Elena Torano de Pantin Perspective Chair, International Health Council Dr. Jose Ferreira Florida: The Norlh•South Bridge Program Coordinator, Ilealth Manpower Ilan. Carrie Meek Pan American Health Organization Florida Slate Senator Initial Efforts in Developing Miami as an International International Exchange: A Point of View Medical Center At Cardenas Dr. George Wise Member Chancellor U.S. Senate International Trade Advisory Committee Tel Aviv University The Pan American Ilealth Organization Perspective Mark Schneider 10:15 a.m. SMALL GROUP SESSIONS Special Advisor to the Director Pan American Health Organization Ilibiscus Allied Health and Specialized Allied Health The Second International Health Conference Room A Father William Messick. Dr. Jose Szapocznik Assistant to the President Chairman Barry University Second International Health Conference Isabel Rapp 10:30 a.m. BREAK Director of Conferences Promenade Room Center for Business and Industry 10:45 a.m. A ROUNDTABLE DISCUSSION ON Miami Dade Community College Jasmine Room INTERNATIONAL HEALTH Sister John Karen Frei, Ph.D. Dean. Division of Biological and Biomedical Sciences Presented b Heads of Delegations Barry University Moderator Reha Anderson, Ph.D. Ambassador Ambler Moss Chair and Associate Professor International Ilealth Council Department of Occupational Therapy Dean, Graduate School of International Studies Florida International University University of Miami Patti Prewitt, M.T. 12:30 p.m. LUNCHEON Supervisor, Reference Lah and Technical Education Tuttle Room South Florida Blood Service Master of Ceremonies Hibiscus Health Administration, Delivery Systems, and Mental Health Dr. Steven Altman Vice Chair, International Health Council Room B Alvin Goldberg Provost. Florida International University Executive Vice President Mount Sinai Medical Center Keynote Speakers: Charles Frankenhoff. Ph.D., M.CH. East, West, North, South - Some Reflections Associate Professor Edward T. Foote, 11 Department of Health Services Administration President, University of Miami Florida International University Official Welcome Raquel E. Cohen, ALD. Maurice A. Ferre Director of Education and Training Mayor. City of Miami Miami World Ifealth Organization Collaborating Center 2:00 p.m. FINANCING HEALTH FOR ALL University of Miami School of Medicine Marta Hardy Jasmine Room Session Chairman Assistant Secretary for Ilealth Planning Rick Smith Health and Rehabilitative Services International Health Council State of Florida Tbuche Ross & Company Max Rothman, J.D. Speakers: Executive Director Jose Manuel Casanova Southeast Florida Center for Aging U.S. Executive Director Florida International University Interamerican Development Bank Francisco Tejada, M.D. Dr. Jorge Ossanai Director Public Health Unit Miami Cancer Institute Interamerican Development Bank Haul Medina 3:30 p.m. BREAK Assistant Mount Sinnairector Medical Center Promenade Room Luis Rodriguez, M.D. 3:45 p.m. THE USE OF MASS MEDIA/LEADERSHIP Specialist in Addiction Resources Jasmine Room DEVELOPMENT IN PUBLIC HEALTH Mount Sinai Medical Center EDUCATION Azalea Rooms Nursing Maria Elena Torano de Pantin A and B Leda McKenry, Ph.D. Session Chair Director of International Programs Participants: University of Miami School of Nursing Monsignor Jose Salzedo Linda A. Simunek, R.N., Ph.D. Director, Executive Committee Dean and Professor Nohora I. Gutierrez School of Nursing Media & Contents, Inc. Florida International University Guillermo Martinez Sister Judith Ann Balcerski, O.P. Editorial Board Member Dean, School of Nursing The Miami Herald Barry University Judy Stanton Griselle Hernandez Director of Communications Associate Director, Post Graduate Education Mount Sinai Medical Center Mount Sinai Hospital Ellen Mattingly, Pit.[). Tbm Madayag Professor, School of Computer Sciences Director of Education and Training Barry University Hialeah Iospital Gardenia Rooms Physicians Orange Blossom Public Health A and B Health Manpower in Latin America and the Caribbean: Rooms A and B Same as Morning Session n Open Dialogue Bernard J. Firgel, M.U. 4:30 p.m.-5:00 p.m. DEBRIEFING SESSION EDUCATION AND �- s Vice President for Medical Affairs Jasmine Room TRAINING ' Dean, University of Miami School of Medicine Committee: Summary of Small Group Discussions KOrange Blossom Public Health (session open to all Conference Participants) Rooms A and B John E. Davies, M.D., M.PI1. Session Chairman Chairman. Department of Epidemiology and Public health Dr. lose Szapocznik y. Head, World health Organization for Pesticide Epidemiology 7:30 p.m. GALA RECEPTION IN HONOR OF THE HEALTH ask University of Miami School of Medicine Joseph Patterson, Dr. Pit. MINISTERS OF THE WESTERN HEMISPHERE ur Director, Department of Health Services Administration Gusman Cultural Center Florida International University 174 E. Flagler Street, Miami Susan Sutterfield, M.U. Sponsored by: Associate Director, Master of Sciences Programs The International Health Council University of Miami School of Medicine and the Bennett Sallman, Ph.D. Dade County Medical Association s> Director, South Campus University of Miami School of Medicine 12:30 p.m. LUNCHEON Orchid Room Master of Ceremonies Maria Elena Torano de Pantie SUNDAY, SEPTEMBER 23, 1984 ' ;- Keynote Speakers: 9:30 a.m. APPROPRIATE TECHNOLOGY ` The Honorable Dante B. Fascell Chairman, Foreign Relations Committee Jasmine Room Session Chairman U.S. House of Representatives Dr. Manuel Viamonte +' Dr. Carlyle Guerra de Macedo Mount Sinai Medical Center "Conventional and Advanced Pulmonary Technology" Director, Pan American Health Organization by Bruce Krieger. M.D. 2:00 p.m. FINANCING HEALTH FOR ALL, PART 11 Division of Pulmonary Diseases Jasmine Room Session Chairman Mount Sinai Medical Center Rick Smith Assistant Professor of Medicine Victor Rivera University of Miami School of Medicine. Administrator for Latin America .,Ophthalmic Advances" by Richard Parrish, M.D. U.S. Agency for International Development Assistant Professor of Ophthalmology 3:00 p.m. SMALL GROUP SESSIONS Bascom Palmer Eye Institute Hibiscus Allied Health University of Miami School of Medicine. "Development of and Elisa Test for Chagas' disease Using Room A Same as Morning Session g crn Monoclonal Antibodies" Hibiscus Biomedical Engineering "Establishment of Field Stations for the Detection of Room B Jacob Kline, Ph.D., C.C.E. Chloroquine-resistant Plasmodium Falciparum" Professor and Chairman by Dr. Bennett Sallman Department of Biomedical Engineering Director. South Campus, University of Miami University of Miami Ozcan Ozdamar, Ph.D. Professor of Microbiology. Assistant Professor University of Miami. Department of Biomedical Engineering "Infectious Diseasesl1984" University of Miami by Thomas A. Hoffman. M.D. Chief, Infectious Diseases Orange Blossom Dentistry University of Miami School of Medicine. Room C Jeff Blum, D.D.S. "New Developments in a Children's Hospital" Oral and Maxillofacial Surgery by Ramon Rodriguez -Torres, M.D. Mount Sinai Medical Center Director and Chief of Staff Dalia Garcia, D.D.S. Miami Children's Hospital. } Restorative Temporo-Mandibular Joint Therapy "Strategies for Developing an Essential Drug Formulary" Mount Sinai Medical Center and Jackson Memorial Hospital by Kenneth C. Lasseter, M.D. Isaac Garazi, U.D.S. Vice -President and Medical Director ' Periodentia Clinical Pharmacology Associates, Inc. Mount Sinai Medical Center Clinical Associate Professor Bernard Segall, D.D.S. of Pharmacology and Medicine Maxillofacial Prosthodontist University of Miami School of Medicine. Mount Sinai Medical Center "Screening for Colorectal Carcinoma" John Tabak by Daniel Seckinger, M.U. Restorative Dentistry and Hospital Administration Immediate Past President of the Miami Children's hospital Dade County Medical Association Azalea Rooms Nursing Director of Laboratories Department of Pathology A and B Same as Morning Session Cedars Medical Center. Gardenia Rooms Physicians "Diagnostic Imaging: Update" A and B Manuel Viamonte, M.U. by Manuel Viamonte, M.D. Chairman and Director Chairman and Director of the Department of Radiology Department of Radiology Mount Sinai Medical Center Mount Sinai Medical Center Professor of Radiology Professor of Radiology University of Miami School of Medicine University of Miami School of Medicine. — Federico Justiniani Director of Medical Education CLOSING REMARKS Mount Sinai Medical Center Associate Professor, Department of Medicine Maria Elena Torano Pantin Dr. Jose Szapocznik = University of Miami p 85-23C r r .'a* FI %vc.'jATG HL'ALTH Fox ALL By necessity. financial re- sources play a critical role in the development of health programs. The IHC, while not a funding source itself, established the objective of facilitat- ing financial relations he- tween the PAHO member countries and funding sources in the United States. In order to address that objective, Manuel Casanova, U.S. Executive Director of the Interamer- ican Development Bank and Victor Rivera. Adrnin- istrator for Latin America, U.S. Agency for Interna- tional Development, were invited to participate in a seminar session with the delegates attending the International Health Conference. The relationship of the In- teramerican Development Bank (IDB) with the RAHO member countries, the bank's health priori- ties for funding, and is- sues of qualification for smaller countries were areas of special interest to the ministers. Small countries which are not members of the Inter- nati(inal Development Bank are not eligible to apple for funding from the bank. At the same time, while they are eligible for funding from the Carib- bean Development Bank, this institution does not give loans for health proj- ects. These policies pre- vent the small Caribbean nations from utilizing re- sources available from either of these institu- tions, and subsequently restrict their own ability to address critical health needs. During discussion on this issue, it was reconn- mended that tilt inter- american I )evelopment Bank promote a meeting with the Caribbean Health and Finance Ministers to explore policy rcvisi(in in this arcs. MANUEL CASANOVA, U.S. Executive Director Interamerican Development Bank Ifealth problems are not solved only by capital investments. The bank understands that like other services, the eBective- ness of health institutions depend upon human resources. And for this reason, all health loans are accompanied by technical cooperation... The main objectives of the technical cooperation have been institutional strengthening, man- power development, maintenance of health facilities and equipment, health planning and preparation of loan request documents. Special emphasis is given to primary care, including im- munization programs, breast feeding and nutrition, prenatal care, and health education. The projects should be designed within this context and be consistent with national health plans. In the past ten years, from 1973 to 1982, the bank has ap- proved 18 loans for health projects in 14 member countries. The total investment in health through these projects has reached 361.9 million dollars of which the bank has financed 270.4 million representing roughly 75% of the total cost ... Although the bank finances mostly capital investment, such as the construction of new health facilities, upgrading and rehabilitation or expansion of existing ones, purchase of equipment and vehicles, these are considered critical compo- nents of comprehensive health projects. The loan request pre- sented to the bank must clearly show the context in which the proposed project fits. IDQ is a project -oriented bank. VICTOR RIVERA, Administrator for Latin America United States Agency for International Development A $253 million portfolio exists for health purposes within USAID for Latin America and the Caribbean. This funding was established to address improved health services, en- hancement of the financial base and promotion of transfer of new health technology with an emphasis on reducing child mortality, and morbidity in the work force. USAID is inter- ested in funding programs that address the health systems that impact on the quality of life of the people in the region. Program priorities for this goal are to: 1) Encourage policy reform that can raise the level of awareness and response from policy makers, and provide assistance in increasing the capability to implement change; 2) Address the lack of exist- ing resources; and 3) Institutionalize the capability to run institutions; 4) Stimulate greater involvement on the part of the non -governmental sector; 5) Support technology trans- fer; 6) Improve the implementation and administration of projects; 7) Strengthen management and education systems. Y EDUCATION AND TRAINING While issues of financing are critical to the im- provement of health con- ditions in Latin America and the Caribbean, the application of funding to programs designed to cre- ate lasting changes in the technical and medical ex- pertise of the country was considered equally essen- tial. Design of programs that can utilize funding to promote institutional change was given priority. Problem areas that were identified by the ministers as priorities are: 1) Infectious diseases; 2) Health administration; 3) Development of cost effective procedures for the delivery of services to large masses of marginal populations; 4) health equipment training and maintenance; 5) Development of the country's institutional capabilities in health; 6) Education and training through continuing education; 7) Establishment of health as a higher priority. APPROPRIATE TECHNOLOGY In the development of the session on Appropriate Rchnology, discussion ad- dressed the priorities of the health needs of the Latin American and Car- ibbean countries. Issues of water and sanitation, food -and nutrition, infant mortality, adequate facili- ties and essential drugs were raised for consid- eration. In turn, the re- sources, health programs and institutions available in the Greater Miami area which could respond to these needs were assessed. Programs to develop an inventory of medical sup- plies and drugs in Miami that could service the PAHO member countries, a cooperative method for purchase of these supplies and mechanisms for re- pair and maintenance of equipment were some of the potential projects discussed. USE or, MASS MEDIAI LEADERSHIP DEVELOPMENT IN PUBLIC HEALTH EDUCATION Conventional means of formal education have not been able to reach large segments of the popula- tion to provide urgently needed basic education. Years of experience have shown that the mass me- dia, when combined with an interpersonal compo- nent, is the most highly - leveraged and cost-effec- tive means of reaching people with development related information. Exist- ing programs provide practical and applicable knowledge in areas such as literacy, health, agricul- ture, small business asso- ciations, responsible par- enthood, home and personal improvements, and others, designed to: 1) Operate through local government, the pri- vate sector and the mass media; 2) Have nationwide coverage; 3) Benefit the most de- prived sector of the population; 4) Respond to funda- mental needs; 5) Become institutional- ized by establishing na- tional organizations with strong participa- tion of the private sector; 6) Use existing resources, such as government fa- cilities and other offi- cial organizations, pri- vate sector support and services (e.g. distribu- tion networks, in -kind donations, paid adver- tising), and mass me- dia (radio, television, newspaper networks, printing facilities). SS-23� 0 IN SUMMARY THE INTERNATIONAL HEALTH COUNCIL AND THE PANAMERICAN HEALTH ORGANIZATION: A COLLABORATIVE EFFORT the Second International Health Conference served to strengthen communication among the health professionals of Miami and the Ministers of Health of the PAHO member countries, which was initially established during the First In- ternational Health Conference. The conference activities and opportunities for exchange contributed to a dialogue that will become the foundation of long-range projects between the health community of Miami and the Latin and Caribbean countries. Four substantive resolutions were proposed and approved by the heads of the delegations represented at the Conference. These resolutions will serve as the framework for the activi- ties of the International Health Council in the year to come. The present challenge of the International Health Council is to develop a mechanism to address the resolutions of the PAHO Ministers and the Heads of Delegations, and to develop " Health issues can form programs of a substantial and continuous nature. The first ... objective in meeting that goal is the establishment of a per - a powerful link between manent administrative structure, and the cementing of a countries and their people ... strong, cohesive foundation within the IHC. In order to ac- Miami can a role in complish this, the Steering Committee of the Council will play work with their respective organizations, constituencies and improving health in the institutions to define the role of the various members of the hemisphere .., " Council. In addition to organizational objectives, the IHC will continue to seek funding from national, state, city and county sources to continue in their efforts to establish Miami as an international health center. The development of future programs will be based on the needs and concerns identified by the Health Ministers and the Heads of Delegations. These issues, articulated at the Second International Health Conference, will be evaluated in relation to funding s )urces guidelines and priorities to develop a real- istic plan fit implementation. Working in coordination with the Pa-. American Health Organization, the Interamerican n--;,ciopment Bank and the U.S. Agency for International De- velopment, the International Health Council will facilitate the design, development and funding of programs to address the critical health needs of the Latin American and Caribbean region. Health is the most universal need of all humans. It is linked to childbirth, nutrition, the development of a strong society and the very quality of life itself. As a universal and impera- tive need, health issues form a powerful link between coun- tries and their people. Miami has an opportunity to play a role in contributing to the improvement of health in the hemisphere by using the same talent and vision that has cata- lyzed Miami's position as an international center of banking, trade and finance. The International Health Council stands committed to meet that challenge. r , FOUR RESOLUTIONS fi* CHANGE The International Health Council should request of the 1. Health Desk of CARICOM an invitation to become a perma- nent observer through selected representation at the Health Ministers Conference and the Health Ministers should bring about a positive vote upon this request. The International Health Council should seek funds from 29 agencies such as the U.S. Agency for International Develop- ment to establish a fund for the purchase of services and re- sources in Miami that will benefit the overall health of the Hemisphere. The International Health Council should be asked to intercede 3 . with the Interamerican Development Bank to establish a health fund accessible to Caribbean nations not members of the Interamerican Development Bank. Miami and the International Health Council should facilitate 4, the establishment of a permanent inventory of pharmaceutical and medical supplies which could be purchased by Caribbean and Latin American countries on a cooperative basis, thereby reducing costs in the purchase of critical health resources. S5-235. CHARTING THE FUTURE THE MINISTERS SPEAK HONORABLE; CRISTOPHER M. O'MARD MINISTER OF HEALTH, ANTIGUA AND BARBUDA I wish to go on record, and I think that I speak on behalf of all my colleagues, that this conference has been a tre- mendous success. Ifle hope that it will remain a cohesive entity, and will be an annual event, and that a close rela- tionship can be maintained between this committee and the Caribbean and Latin Health Ministers. HONORABLE LMNSTONE COAKLEY MINISTER OF HEALTH, BAHAMAS "More than just Financial assistance, our country needs to develop new strategies in the Field of health through evaluation of technical elements and technical assistance. It won't help to get money if we are not well prepared to use it." HONORABLE ASSAH SHOMAN MINISTER OF HEALTH, BELIZE "It is our interest to look beyond donations and grants of money, by developing a relationship with a city like Miami to help us train our own people so that we can better help ourselves." HONORABLE C.A. MAYNARD MINISTER OF EDUCATION AND HEALTH, DOMINICA "Miami has the potential to become a base of operations which through coordination can provide solutions to the health problems we are all facing." HONORABLE ROBERT HALL MINISTER OF HEALTH, GRAND TURK, TURKS AND CAICOS ISLANDS I would like to propose that the 111C set up a small multidisciplinary committee to visit various territories to be- come a bit more intimately familiar with the problems of the territories, because you will notice that while we have a great deal ofsimilarities there are certain problems that are unique to each of our countries. HONORABLE JOSS RAMIRO RIVERA ALVAREZ MINISTER OF PUBLIC HEALTH, GUATEMALA the have seen that this year there has been a ,great step forward with increased activity during the International Health Conference. In relation to this effort, two points stand out. one, the fact that Miami has all the health specialties, the wish and the intention of becoming a resource center for Latin America; and second, that it can serve as an intermediary to obtain help for our countries through the different institutions that are dedicated to this work. HONORABLE RUBE:N GARCIA MINISTER OF PUBLIC HEALTH, HONDURAS In spite of our strong historical bonds, each country has its speciRc idiosyncrasy and from that stems the necessity that the International Health Council must know us in our different countries. For this we are extending an invita- tion to visit us and we hope that in the next few months it could become a possibility. We hope that from now on we will have a concrete basis to maintain our contact so that we may follow through on each of the issues that have been addressed here. I t I a I EONORABLE C.M. CASSELL MINISTER OF HEALTH, MONTSERRAT "tle have learned here that through collaborative efforts, competition can be avoided and comprehensive and effec- tive activities can be promoted. Providing cost efficient, quality health care is our shared objective." t HONORABLE DR. ALBERTO E. CALVO MINISTER OF HEALTH, PANAMA I think it is necessary to see the way in which there would be continuity with the contacts made between our coun- tries to explore with anticipation the future programs to be addressed. The participation of the countries could con- tribute to the development of the program agenda and themes, through questionnaires. Themes could then be cho- sen and developed so that we might single out the ones that are most important to each country. HONORABLE S. EARL MORRIS MINISTER OF HEALTH, SAINT KITTS "If Miami becomes a center for training, the U.S. funding sources, such as the IDB and 17. S. AID, can lend money on a regional basis to address a program based on priorities to address education and training." HONORABLE CLENDON M. MASON MINISTER OF HEALTH, SAINT LUCIA We have during the course of this conference observed and felt the potential ofthe IHCas a means of assisting the Caribbean region in matters of health, and it would be a particular privilege fw the (ARIC0.11 health ministers to have the benefits of the very able representatives of the 111C sitting as observers of their conference. HONORABLE C. ALLAN CRUICKSHANK MINISTER OF HEALTH. SAINT VINCENT AND GRENADINE:S ":Miami can become a bridye of support in the development and delivery of health care in the Hemisphere." HONORABLE DR. ROBEIZT VAN TRIKT MINISTER OF HEALTH, SURINAME; "Having the Conference at this time of the year, just before the P.1110 meeting in tlashington, is very convenient; The arrangements have been excellent." HONORABLE HUGO DAMASCO DIRECTOR OF GENERAL HEALTH, URUGUAY The change from last year to this year shows that the Council has been institutionalized. We hope to put scientists in contact with specialists in our country so that they can develop programs like the ones discussed here. [Ve be- lieve that this is a very important process of interchange ofprofessional relations. 65-235