Identifier
Created
Classification
Origin
06ADANA28
2006-02-08 11:08:00
UNCLASSIFIED//FOR OFFICIAL USE ONLY
Consulate Adana
Cable title:  

US AVIAN INFLUENZA TEAM VISITS VAN IN EASTERN TURKEY

Tags:  KFLU PGOV TU ADANA 
pdf how-to read a cable
This record is a partial extract of the original cable. The full text of the original cable is not available.
UNCLAS SECTION 01 OF 02 ADANA 000028 

SIPDIS

SENSITIVE

E.O. 12958: N/A
TAGS: KFLU PGOV TU ADANA
SUBJECT: US AVIAN INFLUENZA TEAM VISITS VAN IN EASTERN TURKEY


UNCLAS SECTION 01 OF 02 ADANA 000028

SIPDIS

SENSITIVE

E.O. 12958: N/A
TAGS: KFLU PGOV TU ADANA
SUBJECT: US AVIAN INFLUENZA TEAM VISITS VAN IN EASTERN TURKEY



1. (SBU) Summary: The U.S. interagency Avian Influenza (AI)
team traveled to Van, Turkey on January 22 for talks with local
officials. The team met with the Acting Governor and the Deputy
Governor, who heads up the province's interagency AI crisis
management center. The team then split into two groups
representing animal health and human health concerns, who met
with their local counterparts. Part of the human health team
toured Van Centennial University Hospital's AI unit. The AI
team was satisfied with the Van government's timely and
transparent response, and encouraged local officials to continue
their cooperation with the U.S. and other international
institutions to fight the spread of AI in Turkey and globally.
Van government officials expressed appreciation for the team's
visit and promised to take the team's recommendations seriously,
while continuing their policy of open, transparent and
internationally cooperative response to AI. End summary.


2. (SBU) The Deputy Governor told the team that, in response to
the AI outbreak, his office established the Crisis Center, the
Human Health Commission and the Animal Health Commission. The
Crisis Center was established and began monitoring the
implementation of the two commissions' policy decisions on
January 4, 2006, five days after Turkey's two initial human AI
cases checked in to Van University's Centennial Hospital on
December 31, 2005. The Van Deputy Governor presides and
coordinates among agencies on the provincial Crisis Management
team. It is composed of representatives from the Van Provincial
Health Directorate, Van Provincial Agricultural Directorate, Van
Centennial University Research Hospital, Van Municipality, Van
Provincial Security (Turkish National Police) Directorate, Van
Provincial Jandarma Command, Van Provincial Environment and
Forestry Directorate, National Health Ministry, Van Provincial
Health Protection Directorate, Van Provincial Public Relations
Office, and the World Health Organization. The Sub-Governor
told the team that the provincial crisis team coordinated with
neighboring provinces and other central government agencies,
pursuing high-level contacts as necessary.


3. (SBU) The Deputy Governor explained that the commissions for
human health and animal health were established to work through,
and provide support for, provincial sub-governor offices

(including 11 townships and Van city, each with smaller versions
of the provincial AI response administrations) to implement
provincial-level commission decisions regarding human and animal
health concerns. The Human Health Commission designated Van
Centennial University Research Hospital as the sole hospital in
the province to receive AI cases since it was a research
hospital and was the best equipped hospital in the province.
The Ministry of Health provided additional equipment and
personnel to the hospital. On January 3, 2006, the commission
began a public outreach campaign via television, brochures,
local health and farming institutions, mosques and schools
throughout the province to inform the public about AI.


4. (SBU) On January 3, the Animal Health Commission established
quarantine areas within the province and prohibitions on entry
and exit of animals into/from the province, as well as across
the Iran border (where vehicles entering the province are
disinfected; also at airports in the province). The commission
banned the purchase and sale of fowl from/to other provinces.
The commission established 85 culling teams throughout the
province. Each team was composed of a veterinarian, a driver and
three workers. Teams report their activities to the crisis
center every day by 1800 hours, providing the AI administration
with continuing updates on numbers of culled fowl and any
related devlelopments throughout the province. As of January
22, the teams had destroyed 416,000 out of an estimated total
population of 594,000 fowls, with no reports of illness among
culling personnel.


5. (SBU) As with the Human Health Commission, the Animal Health
Commission implemented a comprehensive public outreach campaign
to inform the public about avoiding contact with winged fowl and
related products. The commission is also working with local
institutions to educate the public about the dangers involved in
small-scale backyard poultry raising. Both government
interlocutors and our contacts around town revealed to us that
many small-scale, backyard poultry operators hide their birds
from culling teams, while ignoring the possible health risks,
and complaining that government compensation (approximately 5
YTL per bird) is below the practical replacement value for their
birds.


6. (SBU) The Deputy Governor told the team that the government
long has been encouraging local farmers to use covered,
integrated installations for raising poultry to ensure less
contact with possibly infected wild birds (i.e., increase
bio-security). The province currently has three large-capacity
poultry installations: one with 194,000 capacity and two with
10,000 to 20,000 capacity.


7. (SBU) In a debriefing of the trip with the Acting Governor
and the Deputy-Governor, U.S. animal health officials expressed
satisfaction with the Van Provincial Governments' response to AI
in the province, and emphasized, despite continuing U.S.
concerns about ensuring future bio-security, the importance of
using Turkey's response as a model for other countries grappling
with AI or other disease outbreaks. U.S. human health officials
were impressed by the timely actions taken by Turkey, including
early stockpiling of drugs and early education of hospital staff
even before the first case of AI was reported. The U.S. human
health officials assessed Turkey's disease surveillance systems
as robust and likely to detect any future cases. They said that
Turkey's case management was appropriate and commendable for a
disease that had previously never been seen; and that this was
due to Turkey's openness and transparency in working with the
international community. While U.S. officials were impressed
with Turkey's rapid system of sending samples to the lab in
Ankara, they recommended that during sample collection greater
care be taken to ensure that all cases are confirmed by the lab.


8. (SBU) When asked how the U.S. could provide further support,
Van provincial officials responded that the need for financial
support in fighting AI would continue, and that they looked to
the U.S. to assist with a worldwide information campaign to tell
the West about Turkey's positive contributions in gaining a
greater understanding of AI. The provincial officials asked for
increased U.S. diplomatic efforts in countries surrounding
Turkey to explain Turkey's positive role in battling this global
disease.


9. (U) The AI delegation did not have the opportunity to clear
this cable before departing Van.
REID