13107 Mexico - Agreement to Establish a United States-Mexico Border Health Commission
TREATIES AND OTHER INTERNATIONAL ACTS SERIES 13107
Agreement Between the
UNITED STATES OF AMERICA
Signed at Washington and Mexico
July 14 and 24, 2000
NOTE BY THE DEPARTMENT OF STATE
Pursuant to Public Law 89—497, approved July 8, 1966
(80 Stat. 271; 1 U.S.C. 113)—
“. . .the Treaties and Other International Acts Series issued
under the authority of the Secretary of State shall be competent
evidence . . . of the treaties, international agreements other than
treaties, and proclamations by the President of such treaties and
international agreements other than treaties, as the case may be,
therein contained, in all the courts of law and equity and of maritime
jurisdiction, and in all the tribunals and public offices of the
United States, and of the several States, without any further proof
or authentication thereof.”
Agreement signed at Washington and Mexico
July 14 and 24, 2000;
Entered into force November 24, 2000.
BETWEEN THE GOVERNMENT OF
THE UNITED STATES OF AMERICA
AND THE GOVERNMENT OF
THE UNITED MEXICAN STATES
A UNITED STATES-MEXICO BORDER HEALTH COMMISSION
The Government of the United States of America and the Government of the United Mexican
States (hereinafter referred to as the Parties),
Considering that the United States and Mexico share more than three thousand kilometers of
common border constituting one of the most dynamic regions of the world,
Appreciating that the United States-Mexico Border Area has increasingly come to serve as a
model of binational cooperation offering great challenges and opportunities and as a place that
unites several cultures and global visions,
Realizing the importance of working together to address common health problems and public
health issues of mutual concern,
Recognizing the historical relationship and shared commitments to improving the health status
of people, particularly those in vulnerable high-risk groups, in the United States-Mexico Border
Noting the intent of both governments to promote a "new Border Vision" as stated by
Presidents William Clinton and Ernesto Zedillo in their Joint Statement on Migration of May 6,
Further noting the Memorandum of Cooperation between the Department of Health and
Human Services of the United States of America and the Secretariat of Health of the United
Mexican States for Cooperation in the Field of Health, signed at Mexico City, May 7, 1996,
Supporting health initiatives that result from collaboration, shared responsibility, and sensitivity
to the health and well-being of the populations of the border region, and
Wishing to enhance their cooperation in the promotion of better conditions of health and well-
being for people on both sides of the border,
Have agreed as follows:
The Parties hereby establish the United States-Mexico Border Health Commission. The
purpose of the Commission is to identify and evaluate current and future health problems
affecting the population in the United States-Mexico Border Area, and to encourage and
facilitate actions to address these problems.
For purposes of this Agreement:
3. "Commission" means the United States-Mexico Border Health Commission;
b. "Health Problem" means a disease or a public health condition that poses a public health
risk to the population residing in the United States-Mexico Border Area, particularly those in
vulnerable high-risk groups;
c. "United States-Mexico Border Area" means the area located in the United States and
Mexico within 100 kilometers of the inland and maritime boundary between the United States
1. In order to achieve its purpose, the Commission may undertake the following activities:
a. Conduct public health needs assessments in the United States-Mexico Border Area,
and conduct or support investigations, research or studies designed to identify and monitor
b. Provide financial, technical or administrative support to assist the efforts of public
and private nonprofit entities to prevent and resolve Health Problems;
c. Conduct or support health promotion and disease prevention activities in the United
States-Mexico Border Area; and
d. Conduct or support the establishment of an extensive and coordinated system, which
uses advanced technologies to the maximum extent possible, for gathering health-related data
and monitoring Health Problems in the United States-Mexico Border Area.
2. The Commission may, as appropriate, consult and collaborate with non-governmental
bodies and other entities involved in public health activities in the United States-Mexico Border
No later than October 1, 2001, and on October 1 of each year thereafter, the
Commission shall submit an annual report to each Party regarding all activities of the
Commission during the 12-month period ending on the preceding June 30.
1. The Commission shall consist of a U.S. Section and a Mexican Section.
2. The U.S. Section of the Commission shall be composed of the Secretary of Health and
Human Services or the Secretary's delegate and 12 other members, who shall be designated by
the Government of the United States of America. The Commissioner of the U.S. Section shall
be the Secretary of Health and Human Services or the Secretary's delegate.
3. The Mexican Section of the Commission shall be composed of the Secretary of Health
or the Secretary's delegate and 12 other members, who shall be designated by the Government
of the United Mexican States. The Commissioner of the Mexican Section shall be the
Secretary of Health or the Secretary's delegate.
1. Each Section of the Commission may establish its own executive secretariat.
2. Each Section of the Commission shall develop operational and administrative
guidelines to facilitate its actions in carrying out the Commission's decisions.
3. The activities of each Section shall be subject to the availability of funds and resources
provided by the Parties.
4. The Commission shall meet at least annually in the United States-Mexico Border Area.
5. The Commission shall adopt decisions by majority vote, representing a majority of the
members of the U.S. Section, including the vote of the Secretary of Health and Human Services
or the Secretary's delegate, and a majority of the members of the Mexican Section, including
the vote of the Secretary of Health or the Secretary's delegate.
1. Commission activities shall be subject to the availability of funds and resources
provided by the Parties.
2. Commission activities may be financed jointly by the Parties or solely by either Party.
1. The activities of the Commission shall conform to all laws and regulations in effect in
the territory in which they are performed.
2. The Commission shall possess juridical personality, and in particular, full capacity to
contract for advisory, research and support services.
3. Each Party shall, in accordance with its laws and regulations, facilitate the prompt and
efficient entry into and exit from its territory of equipment and materials to be used in
connection with activities of the Commission. The Parties may conclude under this Agreement
arrangements for particular Commission activities, which shall address, as appropriate,
procedures for the transfer of equipment and funds, and other relevant issues.
4. After the Commission has entered into operation, the Parties shall evaluate the
possibility of agreeing on the granting of privileges and immunities if deemed necessary for the
Commission and its members to function effectively.
Organization of Cooperation
Each Party shall designate a liaison for purposes of coordinating cooperation between
the Parties under this Agreement. For the Government of the United States of America, the
liaison shall be the Secretary of Health and Human Services or the Secretary's designee. For
the Government of the United Mexican States, the liaison shall be the Secretary of Health or
the Secretary's designee.
1. Nothing in this Agreement shall prejudice the rights and obligations of the Parties under
other existing international agreements.
2. Nothing in this Agreement shall prejudice or otherwise affect the functions entrusted to
the International Boundary and Water Commission in accordance with the Treaty between the
United States of America and Mexico Relating to the Utilization of Waters of the Colorado and
Tijuana Rivers, and of the Rio Grande, signed at Washington on February 3, 1944.
3. Nothing in this Agreement shall prejudice or otherwise affect the functions entrusted to
the Border Environment Cooperation Commission or to the North American Development
Bank in accordance with the provisions of the Agreement Between the Government of the
United States of America and the Government of the United Mexican States Concerning the
Establishment of a Border Environment Cooperation Commission and a North American
Development Bank, signed at Mexico City on November 16, 1993, and at Washington on
November 18, 1993.
Any disputes concerning the interpretation or application of this agreement shall be
settled through negotiation between the Parties.
Entry into Force, Termination and Amendment
1. The Agreement shall enter into force upon an exchange of diplomatic notes confirming
that all legal requirements for entry into force have been fulfilled by each Government.
2. The Agreement shall remain in force for five years and thereafter shall be automatically
extended for additional five-year periods unless a Party gives written notice of its intent not to
renew the Agreement at least 90 days before the date of renewal.
3. The Agreement may be amended by mutual written agreement of the Parties.
4. The Agreement may be terminated at any time by either Party upon 90 days written
notice to the other Party. In the event of termination of this Agreement, ongoing projects will
continue unless there is specific agreement to terminate them.
IN WITNESS WHEREOF, the undersigned, being duly authorized by their respective
Governments, have signed this Agreement.
Done at Washington this fourteenth day of July, 2000 and at Mexico City this twenty-fourth
day of July, 2000, in duplicate, in the English and Spanish languages, both texts being equally
FOR THE GOVERNMENT OF THE
UNITED STATES OF AMERICA:
FOR THE GOVERNMENT OF THE
UNITED MEXICAN STATES: