Identifier
Created
Classification
Origin
06DJIBOUTI633
2006-05-30 08:31:00
UNCLASSIFIED
Embassy Djibouti
Cable title:  

UPDATE 3: AVIAN INFLUENZA IN DJIBOUTI

Tags:  AMED CASC TBIO KFLU EAID EAGR DJ 
pdf how-to read a cable
VZCZCXRO0750
RR RUEHDU RUEHGI RUEHJO RUEHMR RUEHPA
DE RUEHDJ #0633 1500831
ZNR UUUUU ZZH
R 300831Z MAY 06
FM AMEMBASSY DJIBOUTI
TO RUEHC/SECSTATE WASHDC 7257
INFO RUEHZO/AFRICAN UNION COLLECTIVE
RUEHDS/AMEMBASSY ADDIS ABABA 3311
RUEHAE/AMEMBASSY ASMARA 2085
RUEHEG/AMEMBASSY CAIRO 0117
RUEHKH/AMEMBASSY KHARTOUM 0088
RUEHLO/AMEMBASSY LONDON 0593
RUEHNR/AMEMBASSY NAIROBI 2948
RUEHFR/AMEMBASSY PARIS 0839
RUEHYN/AMEMBASSY SANAA 1521
RHPIGXW/CJTF HOA
RUEHGV/USMISSION GENEVA 0302
UNCLAS DJIBOUTI 000633 

SIPDIS

SIPDIS

LONDON, PARIS FOR AFRICA WATCHER

ADDIS AND ASMARA FOR CONSULAR SECTION

E.O. 12958: N/A
TAGS: AMED CASC TBIO KFLU EAID EAGR DJ

SUBJECT: UPDATE 3: AVIAN INFLUENZA IN DJIBOUTI

REF: DJIBOUTI 564

DJIBOUTI 578
DJIBOUTI 615

UNCLAS DJIBOUTI 000633

SIPDIS

SIPDIS

LONDON, PARIS FOR AFRICA WATCHER

ADDIS AND ASMARA FOR CONSULAR SECTION

E.O. 12958: N/A
TAGS: AMED CASC TBIO KFLU EAID EAGR DJ

SUBJECT: UPDATE 3: AVIAN INFLUENZA IN DJIBOUTI

REF: DJIBOUTI 564

DJIBOUTI 578
DJIBOUTI 615


1. Summary. The Government of Djibouti (GoD) has reported that
results from the previously identified human case of H5N1 may
now be incorrect due to errors that appear to have occurred during
the testing process. The sample taken from the two-year-old girl in
Dammerjog may have actually been mixed up with another sample
taken from a different subject. It is unclear if the other subject is
human or animal, and it is also unclear where the other subject was
located. End summary.

Constant confusion
--------------

2. In Djibouti 578, we reported that an eight-year-old had tested
positive for H5N1. In Djibouti 617, we reported that the infected
child was actually two years old, and that two of her siblings and
her health-care provider and a family chicken were also sick. After
tests on all the sick people and the chickens close to the girl
returned negative, the World Health Organiztion (WHO) and
others questioned how a 2-year-old living in an isolated village
might have come in contact with H5N1. Additionally, officials
were surprised that such a young child recovered without receiving
Tamiflu within 48 hours of onset of symptoms.


3. On May 24, the Djibouti Ministry of Health said that the sample
that tested positive might have been mislabeled. According to the
log of samples, the one that tested positive was labeled with a
name and: "8 months, 8 kg". But for unclear reasons, the
information was communicated to the public (including WHO) as
"8-year-old child". However, when they found the child whose
name matched the sample, they discovered she was actually two
years old.

Questions remain
--------------

4. The latest information indicates that the Djiboutian health care
worker who took blood samples in Damerjog mislabeled the
samples. GoD still believes the infected sample came from the
village of Damerjog, but it is not known which patient might have
provided the sample. WHO and U.S. military representatives are
attempting to identify all patients from whom samples may have
been drawn to retest. Additionally, the child originally labeled
positive has not been ruled out, so she will be tested for the
presence of antibodies. Post anticipates it will not receive test
results for at least another week.


5. Embassy will inform Washington of developments in test
results or further information released by the GoD.
RAGSDALE