Identifier
Created
Classification
Origin
06JAKARTA13370
2006-12-01 08:22:00
UNCLASSIFIED//FOR OFFICIAL USE ONLY
Embassy Jakarta
Cable title:  

INDONESIA - DECEMBER 1 AVIAN INFLUENZA (AI) UPDATE

Tags:  TBIO AMED CASC EAGR KFLU PGOV ID 
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VZCZCXYZ0016
RR RUEHWEB

DE RUEHJA #3370/01 3350822
ZNR UUUUU ZZH
R 010822Z DEC 06
FM AMEMBASSY JAKARTA
TO RUEHC/SECSTATE WASHDC 2300
RUEHPH/CDC ATLANTA GA
INFO RUEAUSA/DEPT OF HHS WASHINGTON DC
RUEHRC/USDA FAS WASHDC
RHEHNSC/NSC WASHDC
RHMFIUU/BUMED WASHINGTON DC
RUEHBK/AMEMBASSY BANGKOK 7513
RUEHBY/AMEMBASSY CANBERRA 0151
RUEHRO/AMEMBASSY ROME 1956
UNCLAS JAKARTA 013370 

SIPDIS

SENSITIVE
SIPDIS

DEPT FOR EAP/MLS, EAP/IET, MED/DASHO/EMR AND MED
DEPT FOR G/AIAG AND OES
DEPT PASS TO USDA/FAS/DLP/HWETZEL AND FAS/ICD/LAIDIG
DEPT ALSO PASS TO USDA/FAS/FAA/DYOUNG AND USDA/APHIS/ANNELLI
DEPT ALSO PASS TO USAID/ANE/CLEMENTS AND GH/CARROLL
DEPT ALSO PASS TO HHS/WSTEIGER/ABHAT/MSTLOUIS AND HHS/NIH
PARIS FOR FAS/AG MINISTER COUNSELOR
BANGKOK FOR APHIS/CARDENAS, RMO, CDC, USAID/RDM/A
CANBERRA FOR APHIS/EDWARDS
ROME FOR FAO
NSC FOR JMELINE

E.O. 12958: N/A
TAGS: TBIO AMED CASC EAGR KFLU PGOV ID
SUBJECT: INDONESIA - DECEMBER 1 AVIAN INFLUENZA (AI) UPDATE

REF: A) Jakarta 13194 B) Jakarta 13014

UNCLAS JAKARTA 013370

SIPDIS

SENSITIVE
SIPDIS

DEPT FOR EAP/MLS, EAP/IET, MED/DASHO/EMR AND MED
DEPT FOR G/AIAG AND OES
DEPT PASS TO USDA/FAS/DLP/HWETZEL AND FAS/ICD/LAIDIG
DEPT ALSO PASS TO USDA/FAS/FAA/DYOUNG AND USDA/APHIS/ANNELLI
DEPT ALSO PASS TO USAID/ANE/CLEMENTS AND GH/CARROLL
DEPT ALSO PASS TO HHS/WSTEIGER/ABHAT/MSTLOUIS AND HHS/NIH
PARIS FOR FAS/AG MINISTER COUNSELOR
BANGKOK FOR APHIS/CARDENAS, RMO, CDC, USAID/RDM/A
CANBERRA FOR APHIS/EDWARDS
ROME FOR FAO
NSC FOR JMELINE

E.O. 12958: N/A
TAGS: TBIO AMED CASC EAGR KFLU PGOV ID
SUBJECT: INDONESIA - DECEMBER 1 AVIAN INFLUENZA (AI) UPDATE

REF: A) Jakarta 13194 B) Jakarta 13014


1. (SBU) Summary. The Dutch hosted a workshop on November
25 and 26 that will make recommendations on animal vaccine
strategy to the Ministry of Agriculture. The local
television station Lativi began broadcasting AI mini-
documentaries on November 10 and will continue these
broadcasts through the end of the year. Food and
Agricultural Organization (FAO) representatives joined a
Ministry of Agriculture Advisory Group and urged regular
release of poultry outbreak information to the international
community, public and local media. Experts from USAID and
other donor organizations spent the week of November 27
developing an operational research plan for effective
interventions for AI control in animals. As of December 1,
the PDS/PDR program has expanded to cover 75 districts. On
November 30, a local newspaper published an article briefly
describing the Tangerang trilateral project that will be
implemented next year. Although no new cases have been
confirmed since November 12, an AI patient hospitalized
since November 11 died on November 28 raising Indonesian AI
fatalities to 57. As of December 1, NAMRU-2 data reflects
74 confirmed cases with 57 fatalities. End Summary.

Dutch Host Vaccine Strategies Workshop
--------------


2. (U) The Embassy of the Netherlands held a conference on
November 25 and 26 entitled, "Workshop on Strategy
Development for the Introduction of a DIVA (Differentiate
Infected from Vaccinated Animals) Principle". The
objectives of the workshop were to review experiences and
progress to date of DIVA; recommend to the Ministry of

Agriculture vaccination strategies; discuss the roles and
responsibilities of stakeholders; and develop a road map
with implementation timeframes. The conference reported on
initial test results on the efficacy of locally produced
vaccines. The benchmark for protection of poultry after two
vaccines is set at 80 percent (i.e. 80% of birds are
protected.) The research carried out to dates suggests that
the locally produced vaccine tested appears to be falling
below this benchmark. Currently, there are 12 local and
imported vaccines registered for use for poultry in
Indonesia.

Lativi Broadcasts AI Documentaries
--------------


3. (U) Lativi, one Indonesia's fastest growing commercial TV
stations began broadcasting AI documentaries on November 10
and will continue through the end of this year. The station
started with a series of 2-3 mini-documentaries and plans to
broadcast two 30-minute documentaries during the week of
December 18. Approximately seven million reviewers
throughout Indonesia watch Lativi regularly. The Lativi
programs have been high quality.

FAO Reps Join Ministry of Agriculture Advisory Group
-------------- --------------


4. (U) In October 2006, the Minister of Agriculture agreed
to restructure the Central Management Unit for AI Control
(CMU) to include technical expertise from the FAO. On
November 6, the restructured CMU met and discussed the draft
work plan for 2007 and the need for releasing AI outbreak
information. FAO representatives urged the Ministry to
release Participatory Disease Surveillance/Participatory
Disease Response (PDS/PDR) weekly outbreak information to
the international community and set up a system for regular
release of information to the public. In presenting the
draft 2007 workplan, Dr. Elly Sawitri Siregar, the CMU
Director, praised the USG for its support for the PDS/PDR
program, citing the program's contributions to surveillance
capacity, disease understanding, and informed decision-
making. The 2007 work plan includes the establishment of
Local Disease Control Centers in every Indonesian province.

USAID Tech Assistance to MOA/FAO for AI Control in Animals
-------------- --------------


5. (U) Experts from USAID and other donor organizations
spent the week of November 27 in Jakarta developing an
operational research plan for implementing and validating
the most effective interventions for AI control in animals.
The plan will test the effectiveness of culling with and
without compensation, ring vaccination, and preventive
vaccination in sector 4 (backyard) chickens. USAID is
partnering with the World Bank to provide financial support
to implement these activities, conduct further evaluations
and provide feedback to the GOI in 2007.

6.(U) As of December 1, 2006, the PDS/PDR program has
expanded to cover 75 districts. The program is on schedule
to cover all districts (159) on the islands of Java and Bali
and two provinces on the island of Sumatra by June 2007.

Indonesia Newspaper Reports on Tangerang Pilot Project
-------------- --------------


7. (U) On November 30, Seputar Indonesia, a local newspaper
ran a story on the Tangerang Pilot project reporting that
the Government of Indonesia is preparing a pilot project to
handle the spread of bird flu. MOA bird flu Emergency
Response Team Chief Delima Hasri Azahari said the pilot
project would be concentrated in Tangerang and would involve
a team of researchers that will begin conducting
examinations in the field next year. According to Azahari,
"We hope this project will serve as an example for other
regions, especially regions with bird flu."

NAMRU-2 Human AI Case Profile
--------------


8. (SBU) NAMRU-2 reports no new human cases in the past two
weeks. However, a 35-year-old female from Tangerang who had
been hospitalized for bird flu at RSPI Hospital in Jakarta
since November 11 died on November 28 of what is believed to
be a hospital acquired infection. This death raised
Indonesia AI fatalities to 57. NAMRU-2 data indicates the
following AI-related case profile as of December 1:

-- Number of laboratory confirmed (positive PCR and/or
serology) human AI cases: 74, of which 57 have been fatal
(case fatality rate of 79 percent).

-- Number of probable AI cases 3 (2 deaths, 67%).

-- Number of cases awaiting analysis at the U.S. CDC: 0.

-- Number of possible untested AI cases under investigation
(last 30 days): approximately 16.

Note: NAMRU-2 data corresponds with MOH data but may vary at
times with AI case figures presented on the official World
Health Organization (WHO) website, which usually lags NAMRU-
2 data by one week. The WHO website, last updated on
November 29, notes 74 human AI cases in Indonesia with 57
deaths. WHO figures can be accessed at
www.who.int/csr/disease/avian_influenza.

PASCOE