Identifier
Created
Classification
Origin
06HONGKONG957
2006-03-08 07:11:00
UNCLASSIFIED//FOR OFFICIAL USE ONLY
Consulate Hong Kong
Cable title:  

HONG KONG REACTIONS TO GUANGZHOU CASE

Tags:  ECON TBIO SENV EAGR AMED KFLU HK CH 
pdf how-to read a cable
VZCZCXRO1698
RR RUEHCN RUEHHM RUEHLN RUEHPB
DE RUEHHK #0957/01 0670711
ZNR UUUUU ZZH
R 080711Z MAR 06
FM AMCONSUL HONG KONG
TO RUEHC/SECSTATE WASHDC 5365
INFO RUEHOO/CHINA POSTS COLLECTIVE
RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE
RUEHGV/USMISSION GENEVA 1046
RUEHRC/DEPT OF AGRICULTURE WASHDC
RUEAUSA/DEPT OF HHS WASHDC
RUEHPH/CDC ATLANTA GA
UNCLAS SECTION 01 OF 02 HONG KONG 000957 

SIPDIS

SENSITIVE

SIPDIS

STATE FOR EAP/ANP AND INR/EAP, EAP/EX, EAP/BCLTV, EAP/EP
TWANG, EAP/CM KBENNETT, GWARD
STATE FOR G VTUREKIAN
STATE FOR M/MED AND M/MEDEX PETER WOOD
STATE FOR OES ANTHONY ROCK, OES/STC MGOLDBERG, OES/IRA
DSINGER AND RDALEY
HHS FOR OGRA -STEIGER, ELVANDER, BHAT BANGKOK FOR RMO, CDC
USDA FOR DU/US --LAMBERT
BEIJING FOR DSELIGSOHN, CSHAPIRO

E.O. 12958: NA
TAGS: ECON TBIO SENV EAGR AMED KFLU HK CH
SUBJECT: HONG KONG REACTIONS TO GUANGZHOU CASE

REFS: A) Guangzhou 6174 B) Guangzhou 6175

UNCLAS SECTION 01 OF 02 HONG KONG 000957

SIPDIS

SENSITIVE

SIPDIS

STATE FOR EAP/ANP AND INR/EAP, EAP/EX, EAP/BCLTV, EAP/EP
TWANG, EAP/CM KBENNETT, GWARD
STATE FOR G VTUREKIAN
STATE FOR M/MED AND M/MEDEX PETER WOOD
STATE FOR OES ANTHONY ROCK, OES/STC MGOLDBERG, OES/IRA
DSINGER AND RDALEY
HHS FOR OGRA -STEIGER, ELVANDER, BHAT BANGKOK FOR RMO, CDC
USDA FOR DU/US --LAMBERT
BEIJING FOR DSELIGSOHN, CSHAPIRO

E.O. 12958: NA
TAGS: ECON TBIO SENV EAGR AMED KFLU HK CH
SUBJECT: HONG KONG REACTIONS TO GUANGZHOU CASE

REFS: A) Guangzhou 6174 B) Guangzhou 6175


1. (SBU) Summary: On March 3, 2006 the Health Department of
Guangdong Province informed the Hong Kong Department of
Health (DOH) of a suspected human case of H5N1 avian
influenza (AI). After the case was confirmed by Guangdong
Provincial authorities as a definite H5N1 case (see reftels)
on March 5, the Health, Welfare and Food Bureau (HWFB)
announced that imports of live poultry, day-old chicks, and
pet birds from the Guangdong Province would be banned for
three weeks to provide sufficient time for Guangdong and
Hong Kong health officials to conduct a comprehensive
epidemiological investigation. The Centre for Health
Protection sent three medical officials to Guangzhou to take
part in the investigation. AI expert Guan Yi said that the
situation raised serious questions about the effectiveness
of mainland Chinese poultry vaccines but praised both
Guangzhou's improved transparency as well as the Hong Kong
Government's (HKG) cautious responses thus far. Democratic
Party legislator Fred Li, on the other hand, expressed
serious concern about the delay between the AI victim's
hospitalization on February 22 and Guangdong's notification
of the case to the HKG on March 3. End Summary.

New Human AI Case in Guangzhou
--------------


2. (SBU) On March 3, the Guangdong Province Health
Department informed the Hong Kong DOH about the suspected
H5N1 related death of a Guangzhou man on March 2 (see
reftels). After Guangdong Provincial authorities confirmed
on March 5 that the man's death was indeed caused by the
H5N1 virus, the HKG announced that imports of live poultry,
day-old chicks, and pet birds from the Guangdong Province

would be banned for three weeks to provide sufficient time
for Guangdong and Hong Kong health officials to conduct a
comprehensive epidemiological investigation. On March 7,
the AFCD announced that the HKG would limit the number of
new poultry licenses so that the poultry population in Hong
Kong is kept under two million chickens at any time.
Furthermore, the Food and Environmental Hygiene Department
(FEHD) and the Agriculture, Fisheries and Conservation
Department (AFCD) announced that they would enhance AI
surveillance and check other bio-safety measures at all
poultry-related locations in Hong Kong. According to media
reports, the price of freshly slaughtered chickens has
already risen 60% since the announcement of the ban. If the
suspension continues over 3 weeks, local supplies of live
chickens will then be also affected due to the inability of
Hong Kong poultry farms to restock with day-old chicks.


3. (SBU) Although the HKG did not institute any border
restrictions or require travelers to fill out a health
declaration, Hong Kong immigration officials stepped up
public awareness efforts at all immigration control points
by distributing flyers and putting up more AI awareness
posters. DOH Director P.Y. Lam stated that stricter
immigration controls were not necessary until the
confirmation of human-to-human transmission of the H5N1
virus. CHP spokesperson Thomas Tsang told Econoff that the
CHP had sent three senior medical officers to Guangzhou to
conduct an epidemiological investigation there: Principal
Medical and Health Officer Dr Chuang Shuk-kwan, Head of
Public Health Laboratory Services Branch Dr Wilina Lim, and
Senior Medical and Health Officer Dr Edwin Tsui. All three
officers have been involved in previous epidemiological
investigations in mainland China, most notably during the
2005 streptococcus suis outbreak in Sichuan. On March 7,
Dr. Chuang said that she believed the AI victim had most
likely been infected from live poultry stalls in a Guangzhou
wet market.

AI Expert Guan Yi Speaks
--------------


4. (SBU) Hong Kong University (HKU) researcher Guan Yi said

HONG KONG 00000957 002 OF 002


that he was not surprised that a human infection had
originated in Guangzhou, pointing out that HKU research had
shown the presence of H5N1 in many mainland provinces where
it has not been reported recently. He said that while the
situation was certainly more dangerous than before, he still
believed that this was an isolated case. Guan said that as
far as he knew, the girlfriend of the infected man had only
shown normal flu-like symptoms, not the more severe symptoms
associated with H5N1 infection. As for the source of the
infection, he said that in line with the results of the
recent HKU study he would not be surprised if one percent of
the chickens in Guangzhou wet markets were actually non-
symptomatic carriers of the H5N1 virus. This would mean
that the poultry vaccines being used by mainland Chinese
officials were ineffective and possibly hiding the further
spread of the virus. Guan admitted, though, that he had no
hard data to support this theory and had no samples of the
various AI vaccines being used by mainland officials.


5. (SBU) Despite his doubts about the mainland Chinese
poultry vaccines, Guan said that the Guangdong Government
had evidently "learned how to behave" (xue guaile) since the
SARS epidemic. He said that the seemingly long delay
between the hospitalization of the infected man and the
official notification to the HKG about the case merely
reflected Guangzhou's limitations in both surveillance and
analysis capabilities. Guan agreed with the HKG's approach
towards the situation, saying that there was no need to stir
up a panic in Hong Kong and cause unnecessary troubles by
imposing travel restrictions. He said that HKG officials
had done a good job in walking the fine line between taking
prudent precautions and overreacting to the situation.

Legco Reactions
--------------


6. (SBU) Democratic Party Legislator Fred Li, on the other
hand, said that many Legco members were "extremely
concerned" about the delay between the man's hospitalization
and the notification to the HKG about the case. Li said
that Guangzhou should be notifying the HKG at the
preliminary test result stage as opposed to waiting for a
final result, at which point it may be too late to take
precautionary measures. Even if they catch the index case,
he continued, they could always miss secondary cases if the
H5N1 virus were to mutate into an efficiently transmitted
human-to-human disease. Li claimed that the three week ban
on poultry had been his idea to "buy time" for a full
epidemiological investigation into the circumstances
surrounding this case. If there are no chickens in
Guangzhou with H5N1, asked Li, how in the world did this
poor man become infected with the virus?

Cunningham