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-

Report of the Decisions of
the General Assembly
of the ICMM

Kuala Lumpur (Malaysia)
5 and 7 October 2009


Second Session


Chairmanship

Chairman : Lt General Dato' Pahlawan (DR) Sulaiman BIN ABDULLAH (allowed to vote)
Secretary General : Dr Jacques SANABRIA
Deputy Chairman: Brigadier General Mohamed Kamel CHEBBI (MD) (allowed to vote)
Deputy Secretary General: Colonel Marc LEMMENS (MD)
Chairman of the Scientific Council : Major General Marcel MERLIN (MD, Prof.) (allowed to vote)

Members present

Algeria, Argentina, Australia, Austria, Bahrain, Bangladesh, Belgium, Brazil, Burundi, Canada, Chad (not allowed to vote), Chile, China, Comoros, Democratic Republic of the Congo, Côte d’Ivoire, Cyprus, Czech Republic, Finland, France, Gabon, Germany, Ghana, Greece, Holy See, India, Iraq, Italy, Japan, Jordan, Malaysia, Mali, Malta, Mauritania (not allowed to vote), Morocco, Namibia, Netherlands, New Zealand, Nicaragua, Nigeria, Norway, Pakistan, Russia, Saudi Arabia, Senegal, Serbia, Singapore, Slovakia, South Africa, Sudan, Sweden, Switzerland, Tunisia, Turkey, United Kingdom, United States of America, Uruguay

Observers

Iran, CIOMR (Interallied Confederation of Medical Reserve Officers), WHO, UNAIDS

Report

1. The Chairman opened the meeting at 14:12.
A presentation was given by Colonel (DMD.) T. GONZALES (USA), Chairman of the Technical Commission for Dentistry.

2. Report of the Financial Auditing Commission (Belgium, Chile, Greece).
The report was given by Greece (see appendix 2A). The recommendations of the commission were accepted unanimously by the General Assembly.

3. Presentations by International Organizations
• WHO (see appendix 2B)
Dr LIM outlined the possibilities for cooperation. The Secretary General of the ICMM is authorized to discuss with WHO and the Member States the ways in which cooperation can lead to developing a network of military public health resources, in order to share experiences, build capacity and provide training.

This forum would have the following characteristics:
- National sovereignty to be guaranteed
- International, neutral and transparent
- Voluntary participation
- Supports a public health agenda

The SG suggested studying the feasibility of creating a Center of Excellence for Public Health and asked the General Assembly to approve preliminary discussions. Deputy Chairman Brigadier General CHEBBI (MD) stressed that it would be a first step in the process of establishing theoretical approaches in this field.
Proposal approved by 43 votes (out of 48).

• UNAIDS
The proposal was as follows (see appendix 2C):
- To act on the recommendations of the Security Council to work with Military Medical Services (through the ICMM) on the issue of HIV/AIDS. This would be in keeping with the MOU signed in 2009 between UNAIDS and the ICMM.
- This could be achieved through better cooperation and improved relations between UNAIDS and Armed Forces Medical Services. If necessary, it could mean setting up « ad hoc » working groups.
The proposal was accepted by unanimous vote, with no comments from Member States.
The delegate from Côte d’Ivoire remarked that there is an existing AIDS network (Réseau SIDA) with an office in Dakkar. He requested that the ICMM participate in the development of this center.

• CIOMR
A presentation was given by the President Elect of the CIOMR (2010-2012) Colonel G. RUETTER (MD). He gave an overview of the CIOMR and reported on the involvement of reserve medical officers in PSO. He proposed that a working group be set up within the ICMM to deal with the question of reserve medical officers.
The Secretariat General will continue to maintain relations with the CIOMR

4. Future of the ICMM
• Proposed Strategic Plan
- The General Assembly made no comments about the Strategic Plan. The document is a draft plan which may evolve. Its purpose is to give a framework for the future of the ICMM and its activities, in keeping with the recommendations of the IWG.
- The SG proposed that delegates be invited to submit their comments by mail. During Regional Assemblies, the delegates shall discuss the subject and give the SG regional proposals for the plan. The topic shall also be discussed during the meeting of the IWG and at the General Assembly of the 39th World Congress in 2011.

• Project Officers
No comments were made about this concept. The SG will send a letter to delegates to outline precise criteria for the posts to be appointed, particularly for the Scientific Council projects.

5. Proposed Budget 2010-2011
The SG presented the budgets for the years 2008-2009. He noted the progressive reduction in losses due to:
- Improved collection of contributions,
- Significantly lower travel expenses, in accordance with various RIO adopted by the General Assemblies,
- A possible long-term reduction in staff costs, as an outcome of discussions with Belgium.
In 2010, there will be no index-related increase and expenditure should remain fairly constant.
No comments or questions were expressed. The General Assembly approved the budget (48 votes in favor)

6. Regional Working Groups
• Pan African
The Pan African Congress is to be organized by Côte d’Ivoire in October, 2010. The theme of the Congress will be: the place and role of military medical services in humanitarian operations (program to be finalized).

• Pan American
A presentation was given by the delegate of Nicaragua
The RWG met in November 2008 in Brazil. They concluded that:
- We can see significant progress in the region as regards military medical issues.
- These issues consist mainly of the Law of Armed Conflict and International Humanitarian Law, tracking infectious diseases and AIDS (creation of working groups).
The RWG stressed that the ICMM should be an international organization of collaboration for the advancement of military medicine.
The next Regional Congress will be organized by Nicaragua in November, 2010. The themes will be:
- International regional cooperation between military medical services in operations;
- Terrorism and NBCR agents
The delegate remarked on the use of Spanish within the organization and asked for efforts to be made to improve the situation.

• Pan Arab
The activities of the RWG were presented by the delegate of Saudi Arabia.
- The Pan Arab Congress was held in October, 2008 in Algeria. The themes were Military Medicine: management, organization and humanitarian operations. Reports may be found on the ICMM website and in the Review.
- Algeria prepared a RIO for the Pan Arab RWG.
- There is a need for more educational and training activities.
- For a report of activities, see report by the Chairman of the Scientific Council
- The next regional congress is to be held in December 2010, in Saudi Arabia.

• Maghreban (Algeria, Tunisia, Morocco, Libya)
The delegate of Tunisia announced that Mauritania will soon be joining the RWG.
Activities have included:
- The preparation of a RIO for the Group
- The 4th Veterinary Course
- The first course on Medical Support in a desert environment
- The meeting of the IWG in Tunis.
Activities for 2010 include:
- The 2nd Regional Congress in Morocco, at a date to be determined
- In Tunisia, the 2nd Course on medicine in a desert environment

• Europe
The delegate of Russia stated that he will initiate negotiations to bring together European countries at a meeting.
He announced that Russia will organize the first European Congress in Kaliningrad in June, 2010, with the creation of a European RWG.

• Asia-Pacific
The delegate of China reviewed the activities of the Group and the outcome of the meeting held on October 05, 2009. A consensus was reached on the decision to create the Asia-Pacific RWG, in accordance with the current ICMM regulations, to cater for specific regional needs.
Members of the ad hoc committee were named: China (Chairman), Malaysia and Australia (Co-Chairman).
He announced the following measures as a plan of action:
- Maintain relations and establish a list of actions to address specific regional needs
- China will prepare documents by the close of the congress
- The organization of the first Asia-Pacific regional congress will be undertaken by China, possibly in 2010. The topics receiving priority would be emergency medicine, re-emerging diseases and rapid response (disaster) capacity building.

7. International Working Group (IWG)
The SG requested that during the break, the RWG or continents designate their representatives within the International Working Group for the upcoming period.
After the break the designated countries were announced:
Pan African (3)
Côte d’Ivoire, Sudan, South Africa
Pan American (3)
Brazil, Nicaragua, Uruguay
Pan Arab (3)
Bahrain, Iraq, Saudi Arabia
Maghreb (1)
Tunisia
Asia-Pacific (3)
Australia, China, Malaysia
Europe (6)
Cyprus, Germany, Netherlands, Russia, Serbia, Sweden and/or Norway

8. 39th World Congress
Having discussed the matter with the Chairman of the ICMM, the two countries involved decided to maintain their position as candidates to host the congress. They presented their projects once again.
• GABON
The congress would take place in 2011, in Libreville, at a date to be determined.
Arguments in favor of this country:
- A background of expertise in managing pathologies (prevention and treatment).
- Scientific activities and program of events
- Equatorial tourist destination

• NIGERIA
The congress would take place in 2011, in Abuja, October 20 – 26.
Arguments in favor of this country:
- The Assembly was reassured that security problems are now under control.
- The Ministry of Defense has designated an Organizing Committee.
- The country has experience of this type of event
- Scientific and cultural activities
- A presentation was given of the possible infrastructure

Questions/comments
Brigadier General CHEBBI asked for more details concerning the scientific programs. The delegate of the UK commented that it would not be necessary to give such details two years before a congress is to be held.

Results of voting:
GABON: 24 votes in favor
NIGERIA: 29 votes in favor
Abstentions: 3

It was therefore decided that the next World Congress will be held in Nigeria. The delegate of Nigeria became the new Deputy Chairman of the ICMM and took his place on the rostrum.

9. Proposed resolution from the Holy See (see appendix 2D)
The delegate of the Holy See read the finalized recommendation (text distributed to delegates).
The resolution was approved by the General Assembly (49 votes in favor)

10. Honorary awards.
The Secretary General presented the following honorary awards:
- To Colonel I. KHOLIKOV for his unfailing commitment to the ICMM since the period of Russian Chair and Deputy Chair
- To Brigadier General CHEBBI, as his active work as Chairman comes to an end
- To Brigadier General Dato’(Dr.) Mohd Zin BIN BIDIN, Congress Director, for achieving such an excellent result
- To Major General A. PASTUREL, (MD, Prof.) for his years of service to the ICMM, as Chairman of the Scientific Council, as Deputy Secretary General and more recently as Director of International Relations

The Chairman expressed his thanks to all those attending.
The meeting of the second session of the General Assembly was adjourned.