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The governance of the Union alternates every two years between the divisions as described in the Memorandum of Cooperation between the two divisions. Currently, the officers are:

Among the past presidents of the Union were Wilfrid HODGES (DLMPS, United Kingdom, 2010-2011), Liu DUN (DHST, China, 2012-2013), and Elliott SOBER (DLMPS/DLMPST, United States of America, 2014-2015), Efthymios NICOLAIDIS (DHST, Greece, 2016-2017).