EXECUTIVE AGREEMENT SERIES 436 
HEALTH AND SANITATION PROGRAM 
AGREEMENT 
BETWEEN THE UNITED STATES OF AMERICA 
AND PARAGUAY 
Effected by Exchange of Notes 
Signed at Washington May 18 and 22, 1942 
UNITED STATES 
GOVERNMENT PRINTING OFFICE 
WASHINGTON : 1945 
For sale by the Superintendent of Documents, U. S. Government Printing Office, Washington 25, D. C. 
Price 10 cents DEPARTMENT OF STATE 
Publication 2264 The Under Secretary of State to the Paraguayan Ambassador 
Department of State 
Washington, 
My dear Mr. Ambassador : 
May 18, 191$ 
I wish to refer to the Department’s note of May 5, 1942 [x] in which 
my Government agreed to assist the Government of Paraguay by con- 
tributing $1,000,000 for the purpose of carrying out a cooperative 
health and sanitation program. 
In fulfillment of this commitment and in' accordance with Resolu- 
tion XXX of the Third Meeting of the Ministers of Foreign Affairs 
of the American Republics at Rio de Janeiro, the Government of the 
United States, acting through the agency of the Coordinator of Inter- 
American Affairs, is sending, upon your request, a small group of 
experts to Paraguay in the immediate future in order to develop a 
specific program in agreement with the Government of Paraguay. 
This group will be under the immediate direction of the Chief Med- 
ical Officer of the Office of the Coordinator of Inter-American Affairs 
and will work in the closest cooperation with the appropriate Para- 
guayan officials. Approval for the actual execution of the specific 
projects agreed upon will be made by the respective Governments or 
their duly appointed agents upon recommendation of the Chief Med- 
ical Officer, acting in cooperation with the appropriate officials of the 
Paraguayan Government, or with appropriate officials designated by 
the Paraguayan Government for such projects as might be under- 
taken outside of the municipal areas of Asuncion. Expenditures for 
such projects shall be made upon certification of the Chief Medical 
Officer and the appropriate Paraguayan official designated for the 
areas where projects will be executed. 
The specific projects of interest to the Paraguayan Government 
include: 
1. Improvemelit of existing water-supply system in Asuncion and 
amplification of water-supply in accordance with availability of 
materials. 
2. Improvement of sewerage in Asuncion in accordance with avail- 
ability of materials. 
1 [Not printed.] [E.A.S. 436] 
3. Provision for malaria control in areas where such control is 
needed as shall be agreed upon between the appropriate health 
officials of the Paraguayan Government and the chief medical 
officer provided by the Office of the Coordinator of Inter- 
American Affairs. 
4. Improvement of disease control by means of hospitals, clinics, 
and educational measures. 
5. General cooperation with the Paraguayan Health Department. 
These projects upon completion will of course become the sole prop- 
erty of the Paraguayan Government. The United States Govern- 
ment will be prepared to facilitate such training of Paraguayan per- 
sonnel as the two Governments may deem advisable. 
The Paraguayan Government will, it is understood, be willing to 
provide, in accordance with its ability, such raw materials, services 
and funds as may be deemed necessary for the proper carrying out 
of the program. 
Believe me 
Sincerely yours, 
Sumner Welles 
His Excellency 
Dr. Don Celso R. Velazquez, 
Ambassador of Paraguay. 
The Paraguayan Ambassador to the Under Secretary of State 
EMBAJADA DEL PARAGUAY 
WASHINGTON, D. C. 
D. 16. 
My dear Mr. Welles: 
May 22nd, 1942. 
I wish to acknowledge the receipt of your letter of May 18, 1942 in 
which you set forth the specific measures by which the Government 
of the United States proposes to fulfill in the immediate future its 
commitment to contribute the amount of $1,000,000 for expenditure in 
ways which will assist in the attainment of the objectives of my Gov- 
ernment in matters of health and sanitation. 
Under the authority granted to me by His Excellency the President 
of Paraguay, and His Excellency the Minister of Foreign Affairs in a 
telegram of May 21, 1942, it is my pleasure to inform you that the 
projects outlined in your letter, and the terms relating thereto, are 
entirely satisfactory to the Government of Paraguay. I wish to as- 
sure you at this time that, once the projects have been completed and 
thereby become the sole property and responsibility of the Govern- 
ment of Paraguay, adequate measures of maintenance for the projects 
will be taken in order that the resulting benefits may be preserved. [E.A.S. 436] 
The Government of Paraguay further agrees, in accordance with 
Article 1 of Resolution XXX of the Third Meeting of the Ministers 
of Foreign Affairs of the American Republics at Rio de Janeiro, to 
provide, in accordance with its ability, raw materials, services, and 
funds for the projects agreed upon. 
It is my further understanding that the salaries and expenses of 
the small group of experts mentioned in your letter will be paid for 
by the Office of the Coordinator of Inter-American Affairs and will 
not be debited against project funds in the amount of $1,000,000 as 
agreed upon. 
Accept, my dear Mr. Welles, the renewed assurances of my highest 
consideration. 
Celsoß. Velazquez 
- Ambassador. 
The Honorable 
Sumner Welles, 
Under Secretary of State 
of the United States of America 
Washington, D. G.