Identifier
Created
Classification
Origin
06GUANGZHOU6984
2006-03-14 09:06:00
UNCLASSIFIED//FOR OFFICIAL USE ONLY
Consulate Guangzhou
Cable title:  

PEOPLE'S LIBERATION ARMY PREPARING FOR AI

Tags:  TBIO KFLU CACS AMED ASEC ECON CH 
pdf how-to read a cable
VZCZCXRO7788
RR RUEHCHI RUEHCN RUEHDT RUEHHM RUEHLN RUEHNH RUEHPB
DE RUEHGZ #6984/01 0730906
ZNR UUUUU ZZH
R 140906Z MAR 06
FM AMCONSUL GUANGZHOU
TO RUEHC/SECSTATE WASHDC 0493
INFO RUEHBJ/AMEMBASSY BEIJING 3773
RUEHOO/CHINA POSTS COLLECTIVE
RUCNASE/ASEAN MEMBER COLLECTIVE
RUEKJCS/DIA WASHDC
RUEAIIA/CIA WASHDC
RHHMUNA/HQ USPACOM HONOLULU HI
RUEHRC/DEPT OF AGRICULTURE WASHINGTON DC
RUEAHLC/HOMELAND SECURITY CENTER WASHINGTON DC
RUEAUSA/DEPT OF HHS WASHDC
RUEHPH/CDC ATLANTA GA
RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE
UNCLAS SECTION 01 OF 03 GUANGZHOU 006984 

SIPDIS

SENSITIVE
SIPDIS

STATE FOR EAP/CM
STATE FOR CA/OCS/ACS ATTN: ELIZABETH RYAN
STATE PASS TO NIH
USDOC FOR 4420/ITA/MAC/MCQUEEN, CELICO, DAS LEVINE
STATE FOR USTR
USPACOM FOR FPA
USPACOM ATTN: MAJOR PBREED

E.O. 12958
TAGS: TBIO KFLU CACS AMED ASEC ECON CH
SUBJECT: PEOPLE'S LIBERATION ARMY PREPARING FOR AI
OUTBREAKS

REF: A) 05 STATE 202102, B) 05 GUANGZHOU 31546, C) STATE

1175, D) CHENGDU 633 E) Guangzhou 06175

(U) THIS DOCUMENT IS SENSITIVE BUT UNCLASSIFIED. PLEASE
PROTECT ACCORDINGLY. NOT FOR RELEASE OUTSIDE U.S.
GOVERNMENT CHANNELS. NOT FOR INTERNET PUBLICATION.

UNCLAS SECTION 01 OF 03 GUANGZHOU 006984

SIPDIS

SENSITIVE
SIPDIS

STATE FOR EAP/CM
STATE FOR CA/OCS/ACS ATTN: ELIZABETH RYAN
STATE PASS TO NIH
USDOC FOR 4420/ITA/MAC/MCQUEEN, CELICO, DAS LEVINE
STATE FOR USTR
USPACOM FOR FPA
USPACOM ATTN: MAJOR PBREED

E.O. 12958
TAGS: TBIO KFLU CACS AMED ASEC ECON CH
SUBJECT: PEOPLE'S LIBERATION ARMY PREPARING FOR AI
OUTBREAKS

REF: A) 05 STATE 202102, B) 05 GUANGZHOU 31546, C) STATE

1175, D) CHENGDU 633 E) Guangzhou 06175

(U) THIS DOCUMENT IS SENSITIVE BUT UNCLASSIFIED. PLEASE
PROTECT ACCORDINGLY. NOT FOR RELEASE OUTSIDE U.S.
GOVERNMENT CHANNELS. NOT FOR INTERNET PUBLICATION.


1. (SBU) Summary: A visiting PACOM/State delegation
meeting with civil and military leaders to discuss Avian
Flu (AI) preparedness was impressed with the level of
planning by the Southern Military Command of the Peoples
Liberation Army (PLA). Civil authorities, however, were
less impressive as they provided assurances about AI that
were later found to be false. While the Guangdong Public
Health Bureau (PHB) has developed a reporting system,
response protocols and done some medical stockpiling, the
PLA has also established protocols to manage a general
outbreak and could take emergency response control over
civil authorities. Based on dialog with the Guangdong PHB
it appears that the Chinese policy of tightly controlling
and selectively releasing information on AI remains in
place. End Summary.

The PLA: On the Bench and Ready to Play
--------------


2. (SBU) The visiting delegation met with the Guangzhou
General Hospital of the Southern Military Command (SMC),
Guangdong Provincial Public Health Bureau and the Guangzhou
Institute of Bio-medicine and Health (a China Academy of
Sciences Institute). Doctors from the SMC briefed the
delegation on the military's role of working in conjunction
with civil authorities to manage an infectious disease
outbreak. Unlike the U.S., the Chinese Military's advance
planning assumes that they will take some level of command
responsibility over civilian resources in the very early
stages of a crisis. AI is clearly the dominant concern at
this time, and the SMC has developed and continuously tests
protocols for dealing with any infectious disease outbreak.

As a part of this responsibility, the SMC maintains an on-
going training program for civil medical authorities by
providing visiting military personnel to assist civil
hospitals establish protocols on infectious disease
diagnosis, treatment, stabilization, containment and
reporting. The SMC stressed that its role is to develop,
train, and manage civil authorities dealing with an
infectious disease epidemic/pandemic.


3. (SBU) Noting that the SMC evaluated over 30,000 persons
during the 2003-2004 SARS crisis, the briefer stated that
in addition to the General Hospital and the seven Military
hospitals under its command, there are a number of civilian
hospitals, clinics and treatment centers that receive
training and some level of oversight by the SMC. These
places could be quickly mobilized during an outbreak to
treat a large volume of patients, though the SMC plan
assumes most cases would be treated on an outpatient basis.
No absolute number of beds available was stated.

A Finger on the Pulse
--------------


4. (SBU) The SMC and the PLA Center for Disease Control
(PLA/CDC) maintain a system of 70 monitoring units
throughout southern China. They do not report to civilian
authorities, but they do receive data from Provincial
Agricultural stations and the civilian CDC. In this way,
the PLA/CDC mirrors the civilian CDC and provincial
departments of health monitoring system except the PLA/CDC
has no public education or media function. In an
emergency, the SMC has plans to deploy its civilian and
military personnel to affected areas to assist with

GUANGZHOU 00006984 002 OF 003


decontamination, and to enforce pre-established treatment
protocols with civil hospitals and clinics. The briefer
stressed that the PLA/CDC did not report to civilian
authorities and while it did share information with the
civilian CDCs, there did not appear to be a mandated
exchange of information. (Note: While this separate
reporting channel to the national level is well known, it
may explain why confirmations of suspected infections are
often. End Note.)

Public Health - Playing the Support Role
--------------


5. (U) While the military response seems to be geared
toward managing a crisis, the Provincial Health Bureau's
(PHB) role is directed toward early detection, basic
training in infectious disease protocols for civilian
authorities, and, during a crisis, enforcing established
protocols at local levels. Another important job the PHB
does is to manage media access to information and reporting
on AI issues.


6. (U) Mirroring, but not formally communicating with the
Military health reporting system, the PHB and Provincial
CDC are the provincial leaders for AI planning and maintain
a surveillance network in Guangzhou Province based on local
civilian hospitals and clinics in 21 cities. This
monitoring network's goal is to identify disease trends and
assess human contacts within animals and birds -- which are
in the jurisdiction of the Ministry of Agriculture with
which PHB/CDC cooperate. The PHB maintains that it has
decontamination and training teams working mainly in rural
areas where, according to Director Huang Xiaoling, the need
for AI awareness is most urgent. When asked, Director
Huang noted that if an AI case were identified, the PHB's
role would be to report and transport the person to a
hospital designated to receive AI patients.

Chinese Reporting on AI - Looking Through a Dark Glass
-------------- --------------


7. (SBU) When asked about the current situation, Director
Huang said that MoA confirms that 95% of all chickens in
the Province had been vaccinated and that while there were
nine cases of AI in animals since 2004, there were no
reports of infections at this time. On March 3, however,
CNN and BBC reported that 6000 chickens recently died in
Guangdong Province. AI is suspected, but not confirmed. A
more telling event occurred the day after the Director made
her statement. On March 4, Reuters ran a story about a man
who died on March 2 of suspected H5N1 AI, after being
hospitalized in Guangzhou since February 22. The Reuters
report also stated that Chinese authorities had actively
quashed the story telling local media that the case could
not be reported until AI was confirmed (ref E).

U.S. Education Powers Advanced Drug Research in China
-------------- --------------


8. (U) In stark contrast to the cadre dominated Public
Health Bureau, the Guangzhou Institute of Biomedicine was
an example of China's rapidly growing potential.
Established in 2004, the Institute has 150 scientists and
researchers, half of whom were trained in the U.S. or
Canada and among whom, two were nominated for Nobel Awards
in Chemistry or Biochemistry. The Institute's primary
research is directed toward pathogens and infectious
diseases (AI and Acquired Immune Diseases) and cancer
research. The lab's emphasis is on developing advanced NA
inhibitors (like Oseltamivir, Tamiflu by trade name) and MR
Blockers. Of significance, they are researching the
feasibility of a "pan-Influenza" vaccine using genetic

GUANGZHOU 00006984 003 OF 003


engineering to modify receptor sequences. The Institute
maintains its own primate lab to assist with its research.
Co-located with the Institute are about 25 other Chinese
and joint venture companies most of which conduct bio-
medical/genetic based research. The delegation's
scientists present believed the lab's equipment to be equal
to that found in advanced labs in the U.S.

Comment
--------------


9. (SBU) If south China experiences an actual AI outbreak,
it will be interesting to see at what point the Chinese
Government decides to relieve the MOH of its roles as the
lead for human pandemic preparation and allow what appears
to be the better-prepared military organizations to assume
control of the situation and how long this military control
would last. It is difficult to determine at this time the
level of transparency Post can expect from the Chinese in
daily reporting or in a general outbreak scenario.


10. (SBU) The PACOM Medical Planning team has seen this
message.

DONG