The ICMM is made up of 119 member states and 3 observer States, all of which are either members of the United Nations (UN), have the status of official observers with in the UN, or are recognised as members of WHO. Each member state is represented by an official delegate who is appointed by the government of his country. Each member state brings a request issued from the Ministry of Defense, Foreign Affairs, or other high state authority, requesting to be a member of ICMM.