Identifier
Created
Classification
Origin
05LIMA4008
2005-09-15 19:19:00
UNCLASSIFIED
Embassy Lima
Cable title:  

PERU AND AVIAN FLU -- OPPORTUNITY TO COLLABORATE

Tags:  EAGR EAID KSCA PREL SOCI KTDB ECON PE UNGA 
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UNCLAS SECTION 01 OF 02 LIMA 004008 

SIPDIS

Dept for U/S Dobriansky
OES for Foster
Brasilia for Norman
USDA/AS/FAA/Bailey and USDA/FAS/ITP/FSTSD/Brehm

E.O. 12958: N/A
TAGS: EAGR EAID KSCA PREL SOCI KTDB ECON PE UNGA
SUBJECT: PERU AND AVIAN FLU -- OPPORTUNITY TO COLLABORATE

REF: A) Lima 3924 (B) State 164134 (C) State 153802

UNCLAS SECTION 01 OF 02 LIMA 004008

SIPDIS

Dept for U/S Dobriansky
OES for Foster
Brasilia for Norman
USDA/AS/FAA/Bailey and USDA/FAS/ITP/FSTSD/Brehm

E.O. 12958: N/A
TAGS: EAGR EAID KSCA PREL SOCI KTDB ECON PE UNGA
SUBJECT: PERU AND AVIAN FLU -- OPPORTUNITY TO COLLABORATE

REF: A) Lima 3924 (B) State 164134 (C) State 153802


1. Summary: The GOP is slowly progressing on its action
plan to combat the Avian Flu threat, but the Health and
Agriculture Ministries have insufficient resources to
implement it. Public health capacity is already stretched
thinly across a wide range of needs. Peru is at risk due to
expanding commerce with Asia, an extensive poultry industry
and its key position as a stopping point for north/south and
east/west avian migration. The U.S. Naval Medical
Institute's presence in Peru can support aspects of planning
for and responding to any epidemic in South America. End
Summary.

PERU'S ACTION PLAN IN PROGRESS
--------------

2. Peru has a small head start on handling the predicted
high lethality Avian Flu epidemic. No cases of Avian Flu
have been reported in Peru, according to Vice Minister of
Health, Jose Carlos del Carmen, in a September 9 meeting
with ESTH officer that included the Ministry's entire Avian
Flu team. The Ministry of Health has recognized the threat
for several years, del Carmen said, and began developing an
action plan in 2003, accelerated after Ministry officials
learned of several cases in Chile. In 2004 the Health
Ministry began a series of workshops targeted to various
sectors of the economy -- the poultry industry, scientific
researchers and the health care field.


3. After circulating Ref B invitation to join a U.S.-
initiated Avian Flu partnership among the Health, Foreign
and Agriculture ministries, Vice Minister del Carmen and
Foreign Ministry Director for Social Issues, Maria Eugenia
Echevarria, reported to ESTH office the GOP's enthusiasm for
working with the U.S. on this issue (Ref A). NMRCD director
noted that the Health Minister has had a strong interest in
cooperating with the U.S. on Avian Flu research and
prevention since she assumed her position, an interest
shared by her predecessor. Echevarria said on September 9

that President Toledo's staff is planning to brief Toledo
extensively to prepare him for participating on this issue
at UNGA.


4. The Health Ministry is almost finished with its master
action plan to combat the Avian Flu threat. The Ministry
plans a final multi-sectoral workshop that would bring
together University researchers, the poultry industry and
clinical health care workers, but it lacks the resources to
conduct the workshop. An interagency action plan will then
be based on the workshop results. Dr. Raul Zegara, Director
of Avian Flu and Newcastle's Disease programs at the
Ministry of Agriculture's inspection service, SENASA, told
ESTHoff that lessons learned from Peru's participation in
the recent multi-nation Avian Flu outbreak simulation
exercise in Argentina would be used to finalize the master
action plan.

CURRENT INSPECTIONS AND NEXT STEPS
--------------

5. The Health Ministry's focus so far has been on
laboratory investigation of Avian Flu. Dr. Luis Suarez
Ognio, the Health Ministry's director for Avian Flu issues,
said that the next step in the Ministry's action plan
involves linking clinical practice to existing research, as
well as conducting an information campaign for the general
public on signs of avian flu and how to prevent
transmission. Funds are lacking for both of these steps,
Dr. Suarez said.


6. SENASA currently inspects poultry for signs of Avian
Flu. Dr. Zegara told ESTHoff on September 12 that since
November of 2004 his agency has performed over 11,000 tests
for Avian Flu, which SENASA has incorporated into its
program for Newcastle's Disease testing. In the next few
days Zegara said he would orchestrate an official message to
the OAS that Peru was free of Avian Flu. SENASA existing
inspections cover large poultry operations, small-scale
poultry raising and house pets. In November, in cooperation
with GOP environmental agency INRENA, SENASA will begin
inspecting migratory wild bird populations.

PERU HIGH RISK FOR SPREAD OF AVIAN FLU
--------------

7. The U.S. Naval Medical Research Center Detachment (NMRCD)
has an extensive research program in Peru. NMRCD Director
confirmed Health Ministry officials' description of Peru as
a prime risk for an Avian Flu outbreak. Peru's coast is an
important stop for migratory birds journeying between North
and South America; there is also a significant migration
pattern for birds between the coast and lowland jungle
extending into Brazil and Bolivia.


8. The extensive poultry industry is another risk factor
for Peru, coupled with the prevalence throughout the country
of local markets that mix chicken, duck and other avian
species. Peru's chicken and duck industries are
concentrated along its coast, near zones of North/South wild
bird migrations.

NMRCD AND USAID EFFORTS
--------------

9. Peru is an ideal location for Avian Flu research and
programs due to its risk factors and the existing presence
of the NMRCD, with physicians and researchers in Lima's port
of Callao and in the largest jungle metropolis, Iquitos.
NMRCD staff participated in the GOP's first Avian Flu
workshop in 2004. NMRCD priorities have been Malaria,
Dengue Fever and diarrheal diseases; NMRCD staff have a
strong interest in Avian Flu programs but lack the resources
to conduct Avian Flu research. Agricultural Attache has an
extensive network of contacts and cooperation in the poultry
industry that could be enlisted to support a research
effort.


10. USAID/Washington's coordination of worldwide preparation
for an epidemic has so far prioritized its Asian missions.
USAID/Peru has limited resources to support public health
planning and interventions related to an Avian Flu epidemic;
efforts will focus on building capacity among health care
providers, managers, and health communications specialists.


11. Points of Contact for followup at Embassy are ESTH
Officer Hal Howard, (51-1) 618-2414, howardhh@state.gov and
NMRCD Director for Infections Diseases CDR David Blazes, MD,
(51-1) 618-2922, blazes@nmrcd.med.navy.mil. POC for the GOP
is Dr. Luis Suarez Ognio, Director General of Epidemiology,
Ministry of Health, (51-1) 433-0081, lsuarez@oge.sld.pe; Dr.
Suarez speaks English well.

STRUBLE