Identifier
Created
Classification
Origin
06KUWAIT4466
2006-11-15 13:58:00
CONFIDENTIAL//NOFORN
Embassy Kuwait
Cable title:
KUWAIT PREPARES FOR AVIAN INFLUENZA PANDEMIC
how-toVZCZCXRO9613 PP RUEHDE RUEHDIR RUEHHM RUEHPB DE RUEHKU #4466/01 3191358 ZNY CCCCC ZZH P 151358Z NOV 06 FM AMEMBASSY KUWAIT TO RUEHC/SECSTATE WASHDC PRIORITY 7619 INFO RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE PRIORITY RUEHZM/GULF COOPERATION COUNCIL COLLECTIVE PRIORITY
C O N F I D E N T I A L SECTION 01 OF 02 KUWAIT 004466
SIPDIS
SENSITIVE
SIPDIS
E.O. 12958: DECL: 11/15/2011
TAGS: AMED CASC KSCA SENV TBIO KU
SUBJECT: KUWAIT PREPARES FOR AVIAN INFLUENZA PANDEMIC
REF: A. 05 KUWAIT 4673
B. 05 KUWAIT 4755
C. 05 KUWAIT 4516
D. KUWAIT 563
Classified By: CDA Matt Tueller for reasons 1.4 (b) and (d).
C O N F I D E N T I A L SECTION 01 OF 02 KUWAIT 004466
SIPDIS
SENSITIVE
SIPDIS
E.O. 12958: DECL: 11/15/2011
TAGS: AMED CASC KSCA SENV TBIO KU
SUBJECT: KUWAIT PREPARES FOR AVIAN INFLUENZA PANDEMIC
REF: A. 05 KUWAIT 4673
B. 05 KUWAIT 4755
C. 05 KUWAIT 4516
D. KUWAIT 563
Classified By: CDA Matt Tueller for reasons 1.4 (b) and (d).
1. (SBU) SUMMARY. On November 15, Econoff and Medoff met
separately with Director of Public Health Dr. Rashed
Al-Owaish and his deputy Dr. Mussab Al-Saleh, and with
Director of Animal Health Dr. Farida Al-Mulla to discuss the
GOK's preparations for a possible outbreak of Avian Influenza
(AI). The GOK has developed and circulated case definitions
and treatment protocols based on World Health Organization
(WHO) guidance to all public and private hospitals, and
currently has sufficient stocks of Tamiflu to treat 1 million
people (10 million doses),along with doses of Relenza for
100,000 people. Al-Owaish said Kuwait will follow WHO
guidance on treatment and will only use its Tamilfu for
treatment, not as a prophylactic (except for healthcare
workers). Al-Owaish said Kuwait's AI ministerial committee,
headed by the Ministry of Health, is finalizing a
comprehensive plan to cover the responsibilities and
jurisdictions of GOK ministries in a pandemic, but is facing
resistance from the Interior Ministry over subordinating its
Civil Defense Department to MOH authority.
2. (SBU) Al-Mulla said her department is continuing the
practices developed in 2005 (Refs A & B) to inspect bird
markets, farms, and coastal areas for signs of AI. She said
she is receiving good budgetary support from the Ministry of
Finance and has better resources to conduct inspections as
compared to last year. Animal Health inspectors are
conducting regular inspections of Kuwait commercial poultry
operations, and will only provide vaccines to commercial
operators after an inspection is completed. Al-Mulla said
the GOK has purchased the H5N1 vaccine for poultry, but only
plans to use it in the case of a local AI outbreak.
Surprisingly, Al-Mulla did not raise concerns over U.S.
military vehicle traffic entering Kuwait from Iraq, although
this was a major issue during the winter of 2005/2006. END
SUMMARY.
AI Plan Coming Together, Interior Ministry Balks
-------------- ---
3. (SBU) On November 15, Econoff and Medoff met with
Direction of Public Health Dr. Rashed Al-Owaish and his
deputy Dr. Mussab Al-Saleh. The Directorate of Public Health
is part of the Ministry of Health (MOH). Al-Owaish said the
GOK's ministerial committee, chaired by the Minister of
Health, is finalizing a comprehensive plan to respond to a
possible AI outbreak, including case definitions and
treatment protocols that have already been distributed to all
public and private hospitals. Part of the plan involves
delineating the roles and jurisdictions of each GOK ministry,
but Al-Saleh said the Ministry of Interior, which sees its
Civil Defense Department as leading any crisis-response
effort, has balked at MOH authority. The roles of the
various ministries will be on the committee's agenda for its
next meeting during the week of November 20. Under the
ministerial committee, Al-Owaish said there are two
sub-committees - one addressing medical issues and one
working on non-medical (logistics and resources) issues -
which are using WHO guidance in developing their plans.
Tamiflu Only For Treatment
--------------
4. (C) Al-Saleh said the MOH purchased 200,000 doses of the
influenza vaccine (up from 40,000 doses in 2005),and has
made them widely available. The GOK has secured sufficient
Tamiflu for 1 million persons (10 million doses),and has
decided to use the drug only for treatment, not for
prophylaxis (except for healthcare workers). The GOK also
has 100,000 doses of Relenza on hand. In order to monitor
distribution and appropriate usage, the MOH will only allow
Tamiflu to be distributed at government hospitals. Al-Saleh
also said the GOK has reserved some of its Tamiflu stocks for
distribution to "VIPs," and that the decisions surrounding
these "VIP stocks" would be made by the Amir. Al-Saleh said
the VIPs could include the Embassy personnel of "the U.S.,
U.K., and others" in the event that "we really need your
help."
Animal Health Inspections Continue
--------------
5. (SBU) Econoff and Medoff also met on November 15 with Dr.
Farida Al-Mulla, Director of Animal Health at the Public
Authority for Agriculture and Fish Resources (PAAAFR).
KUWAIT 00004466 002 OF 002
Al-Mulla said there are 7 PAAAFR teams conducting regular
inspections of bird markets, poultry farms, and coastal
areas. These inspections follow the same protocols the
PAAAFR developed in 2005 (Refs A & B),which were very
effective. Al-Mulla said she is getting good budgetary
support, including more vehicles, from the Ministry of
Finance which has made inspections more efficient. At
commercial poultry farms, PAAAFR inspectors are withholding
vaccinations for the birds until the farms pass a biosecurity
inspection. The GOK has purchased the H5N1 vaccine for
poultry, but because of limited stocks does not plan to
inoculate all birds. Instead, in the event of an outbreak of
AI among poultry, the PAAAFR will order the destruction of
all birds within a 3km radius of the outbreak site, and use
the H5N1 vaccine of all poultry within a 10km radius to
contain the outbreak.
No Concern (Yet) Over Border Traffic
--------------
6. (SBU) To Econoff's surprise, Al-Mulla did not express
concerns over U.S. military vehicle traffic entering Kuwait
from Iraq. In the winter of 2005/2006, Al-Mulla and the
PAAAFR expressed serious concerns about the AI virus being
brought into Kuwait on the tires of these vehicles, and
requested that substantial measures be taken to decontaminate
these vehicles. (See Ref D for a summary of GOK concerns and
USG responses.) Instead, Al-Mulla's worries centered on
appropriate quarantine procedures at Kuwait ports of entry,
and on the quality of the PAAAFR's laboratory work.
********************************************* *
For more reporting from Embassy Kuwait, visit:
http://www.state.sgov.gov/p/nea/kuwait/?cable s
Visit Kuwait's Classified Website:
http://www.state.sgov.gov/p/nea/kuwait/
********************************************* *
Tueller
SIPDIS
SENSITIVE
SIPDIS
E.O. 12958: DECL: 11/15/2011
TAGS: AMED CASC KSCA SENV TBIO KU
SUBJECT: KUWAIT PREPARES FOR AVIAN INFLUENZA PANDEMIC
REF: A. 05 KUWAIT 4673
B. 05 KUWAIT 4755
C. 05 KUWAIT 4516
D. KUWAIT 563
Classified By: CDA Matt Tueller for reasons 1.4 (b) and (d).
1. (SBU) SUMMARY. On November 15, Econoff and Medoff met
separately with Director of Public Health Dr. Rashed
Al-Owaish and his deputy Dr. Mussab Al-Saleh, and with
Director of Animal Health Dr. Farida Al-Mulla to discuss the
GOK's preparations for a possible outbreak of Avian Influenza
(AI). The GOK has developed and circulated case definitions
and treatment protocols based on World Health Organization
(WHO) guidance to all public and private hospitals, and
currently has sufficient stocks of Tamiflu to treat 1 million
people (10 million doses),along with doses of Relenza for
100,000 people. Al-Owaish said Kuwait will follow WHO
guidance on treatment and will only use its Tamilfu for
treatment, not as a prophylactic (except for healthcare
workers). Al-Owaish said Kuwait's AI ministerial committee,
headed by the Ministry of Health, is finalizing a
comprehensive plan to cover the responsibilities and
jurisdictions of GOK ministries in a pandemic, but is facing
resistance from the Interior Ministry over subordinating its
Civil Defense Department to MOH authority.
2. (SBU) Al-Mulla said her department is continuing the
practices developed in 2005 (Refs A & B) to inspect bird
markets, farms, and coastal areas for signs of AI. She said
she is receiving good budgetary support from the Ministry of
Finance and has better resources to conduct inspections as
compared to last year. Animal Health inspectors are
conducting regular inspections of Kuwait commercial poultry
operations, and will only provide vaccines to commercial
operators after an inspection is completed. Al-Mulla said
the GOK has purchased the H5N1 vaccine for poultry, but only
plans to use it in the case of a local AI outbreak.
Surprisingly, Al-Mulla did not raise concerns over U.S.
military vehicle traffic entering Kuwait from Iraq, although
this was a major issue during the winter of 2005/2006. END
SUMMARY.
AI Plan Coming Together, Interior Ministry Balks
-------------- ---
3. (SBU) On November 15, Econoff and Medoff met with
Direction of Public Health Dr. Rashed Al-Owaish and his
deputy Dr. Mussab Al-Saleh. The Directorate of Public Health
is part of the Ministry of Health (MOH). Al-Owaish said the
GOK's ministerial committee, chaired by the Minister of
Health, is finalizing a comprehensive plan to respond to a
possible AI outbreak, including case definitions and
treatment protocols that have already been distributed to all
public and private hospitals. Part of the plan involves
delineating the roles and jurisdictions of each GOK ministry,
but Al-Saleh said the Ministry of Interior, which sees its
Civil Defense Department as leading any crisis-response
effort, has balked at MOH authority. The roles of the
various ministries will be on the committee's agenda for its
next meeting during the week of November 20. Under the
ministerial committee, Al-Owaish said there are two
sub-committees - one addressing medical issues and one
working on non-medical (logistics and resources) issues -
which are using WHO guidance in developing their plans.
Tamiflu Only For Treatment
--------------
4. (C) Al-Saleh said the MOH purchased 200,000 doses of the
influenza vaccine (up from 40,000 doses in 2005),and has
made them widely available. The GOK has secured sufficient
Tamiflu for 1 million persons (10 million doses),and has
decided to use the drug only for treatment, not for
prophylaxis (except for healthcare workers). The GOK also
has 100,000 doses of Relenza on hand. In order to monitor
distribution and appropriate usage, the MOH will only allow
Tamiflu to be distributed at government hospitals. Al-Saleh
also said the GOK has reserved some of its Tamiflu stocks for
distribution to "VIPs," and that the decisions surrounding
these "VIP stocks" would be made by the Amir. Al-Saleh said
the VIPs could include the Embassy personnel of "the U.S.,
U.K., and others" in the event that "we really need your
help."
Animal Health Inspections Continue
--------------
5. (SBU) Econoff and Medoff also met on November 15 with Dr.
Farida Al-Mulla, Director of Animal Health at the Public
Authority for Agriculture and Fish Resources (PAAAFR).
KUWAIT 00004466 002 OF 002
Al-Mulla said there are 7 PAAAFR teams conducting regular
inspections of bird markets, poultry farms, and coastal
areas. These inspections follow the same protocols the
PAAAFR developed in 2005 (Refs A & B),which were very
effective. Al-Mulla said she is getting good budgetary
support, including more vehicles, from the Ministry of
Finance which has made inspections more efficient. At
commercial poultry farms, PAAAFR inspectors are withholding
vaccinations for the birds until the farms pass a biosecurity
inspection. The GOK has purchased the H5N1 vaccine for
poultry, but because of limited stocks does not plan to
inoculate all birds. Instead, in the event of an outbreak of
AI among poultry, the PAAAFR will order the destruction of
all birds within a 3km radius of the outbreak site, and use
the H5N1 vaccine of all poultry within a 10km radius to
contain the outbreak.
No Concern (Yet) Over Border Traffic
--------------
6. (SBU) To Econoff's surprise, Al-Mulla did not express
concerns over U.S. military vehicle traffic entering Kuwait
from Iraq. In the winter of 2005/2006, Al-Mulla and the
PAAAFR expressed serious concerns about the AI virus being
brought into Kuwait on the tires of these vehicles, and
requested that substantial measures be taken to decontaminate
these vehicles. (See Ref D for a summary of GOK concerns and
USG responses.) Instead, Al-Mulla's worries centered on
appropriate quarantine procedures at Kuwait ports of entry,
and on the quality of the PAAAFR's laboratory work.
********************************************* *
For more reporting from Embassy Kuwait, visit:
http://www.state.sgov.gov/p/nea/kuwait/?cable s
Visit Kuwait's Classified Website:
http://www.state.sgov.gov/p/nea/kuwait/
********************************************* *
Tueller