Identifier
Created
Classification
Origin
06TAIPEI193
2006-01-19 21:36:00
UNCLASSIFIED
American Institute Taiwan, Taipei
Cable title:  

TAIWAN: AVIAN FLU UPDATE

Tags:  AMED AMGT CASC ECON SENV SOCI TBIO WHO TW 
pdf how-to read a cable
VZCZCXRO6441
RR RUEHCN
DE RUEHIN #0193/01 0192136
ZNR UUUUU ZZH
R 192136Z JAN 06
FM AIT TAIPEI
TO RUEHC/SECSTATE WASHDC 8093
INFO RUEHGV/USMISSION GENEVA 1715
RUEHLO/AMEMBASSY LONDON 0110
RUEHBK/AMEMBASSY BANGKOK 3094
RUEHBJ/AMEMBASSY BEIJING 4543
RUEHHI/AMEMBASSY HANOI 2983
RUEHJA/AMEMBASSY JAKARTA 3757
RUEHKL/AMEMBASSY KUALA LUMPUR 3429
RUEHML/AMEMBASSY MANILA 9616
RUEHPF/AMEMBASSY PHNOM PENH 0525
RUEHUL/AMEMBASSY SEOUL 7542
RUEHGP/AMEMBASSY SINGAPORE 6324
RUEHKO/AMEMBASSY TOKYO 7346
RUEHGZ/AMCONSUL GUANGZHOU 8888
RUEHHK/AMCONSUL HONG KONG 5743
RUEHCN/AMCONSUL CHENGDU 0981
RUESLE/AMCONSUL SHANGHAI 8289
RUEHSH/AMCONSUL SHENYANG 4899
RUEHOK/AMCONSUL OSAKA KOBE 0354
RUEAUSA/DEPT OF HHS WASHDC
RUEHPH/CDC ATLANTA GA
UNCLAS SECTION 01 OF 03 TAIPEI 000193 

SIPDIS

STATE PLEASE PASS TO AIT/W, EAP/TC AND OES/IHA
HHS PLEASE PASS TO ERIKA ELVANDER
GENEVA PLEASE PASS HEALTH ATTACHE DAVID HOHMAN

SIPDIS

E.O. 12958: N/A
TAGS: AMED AMGT CASC ECON SENV SOCI TBIO WHO TW
SUBJECT: TAIWAN: AVIAN FLU UPDATE
REF: A) 2005 SECSTATE 151549 B) 2005 TAIPEI 3598

C) 2005 TAIPEI 3742 D) 2005 TAIPEI 3713 E) 2005
TAIPEI 4067 F) 2005 TAIPEI 4264 G) 2005 TAIPEI
4128 H) 2005 TAIPEI 4160 I) 2005 TAIPEI 4295 J)
2005 TAIPEI 4645

UNCLAS SECTION 01 OF 03 TAIPEI 000193

SIPDIS

STATE PLEASE PASS TO AIT/W, EAP/TC AND OES/IHA
HHS PLEASE PASS TO ERIKA ELVANDER
GENEVA PLEASE PASS HEALTH ATTACHE DAVID HOHMAN

SIPDIS

E.O. 12958: N/A
TAGS: AMED AMGT CASC ECON SENV SOCI TBIO WHO TW
SUBJECT: TAIWAN: AVIAN FLU UPDATE
REF: A) 2005 SECSTATE 151549 B) 2005 TAIPEI 3598

C) 2005 TAIPEI 3742 D) 2005 TAIPEI 3713 E) 2005
TAIPEI 4067 F) 2005 TAIPEI 4264 G) 2005 TAIPEI
4128 H) 2005 TAIPEI 4160 I) 2005 TAIPEI 4295 J)
2005 TAIPEI 4645


1. Summary. Taiwan continues to be H5N1 free and to
prepare to counter a potential Avian Influenza (AI)
outbreak. It has staged large-scale drills and
distributed information in multiple languages to
increase the flow of information to the public.
Taiwan's Environmental Protection Agency (TEPA) has
trained its staff to handle and dispose of AI-infected
waste. Taipei City officials will start a pilot
program in early February to stop the slaughtering of
birds at traditional markets. In December,
surveillance of wild birds detected the third
occurrence of low-pathogenic strains of the HN virus on
the island since April 2005. End Summary.

Government Conducts AI Response Drill
--------------


2. On December 27, the Department of Health (DOH)
conducted a tabletop exercise for level B and level C
conditions to fine-tune its response to an AI outbreak).
The exercise, chaired by Vice Premier Wu Rong-I, was
held with the participation of over 20 local governments
to clarify their roles and responsibilities. In the
exercise scenario, the central government raised the
pandemic alert level to "A1" and set up quarantine
facilities for travelers from affected areas. The next
step in the simulation was a WHO announcement that the
global flu pandemic was in WHO phase 5, and Taiwan
raised its alert level to "B." Finally, Taiwan entered
level "C" as the world was in WHO phase 6. Taiwan uses
the following 5-level system for its pandemic alert
levels:

a) Level 0/Alert: no human-to-human transmission
globally and no domestic avian-to-human transmission.
b) Level A1: confirmed cases of human-to-human

transmission outside of Taiwan.
c) Level A2: confirmed cases of domestic bird-to-human
transmission; a laboratory suspected case in Taiwan; or
an imported suspected case, but no signs of local human-
to-human transmission.
d) Level B: one or more confirmed cases of initial human-
to-human transmission reported domestically.
e) Level C: Secondary human-to-human transmission
reported domestically.


3. Council of Labor Affairs (CLA) Chairman Lee Ying-
yuan, who acted as the commander of the Central Epidemic
Command Center at the drill, stated that an important
part of preparation involves strengthening the
psychological framework of society. DOH Minister Hou
Shen-mou reiterated that defenses against AI were a top
priority of the DOH and called on the public to have
confidence in government preparations. The DOH
conducted a drill for level A1 & A2 pandemic
mobilization on July 7, 2005. The officials emphasized
that Taiwan remains free of H5N1 and is at the O level
of the TCDC Pandemic Response system. (Note: Prior to
becoming CLA Chairman, Lee was the Secretary General of
the Executive Yuan and a key player in drawing up
Taiwan's long-term plans to combat AI. End Note.)

Increased Public Awareness

TAIPEI 00000193 002 OF 003


--------------


4. Apart from this exercise, health authorities have
distributed booklets to the public, established
telephone information lines and put up public notices to
inform the public about the threat and describe
government preparations to counter AI. Notices have
been put up in major parks warning the public against
feeding birds and mass-transit systems also prohibit
carrying birds aboard their vehicles. In order to
advise the substantial foreign labor component in Taiwan
of the threat, the Council of Labor Affairs (CLA) has
also distributed a total of 430,000 information booklets
on avian flu in English, Vietnamese, Thai and
Indonesian.

TEPA Implements AI Measures
--------------


5. Taiwan's Environmental Protection Administration
(TEPA) has adopted measures for disease prevention and
controls and has stepped up efforts to train staff in
the event of an AI outbreak. TEPA officials told AIT
that at the alert level 0, TEPA is responsible for
assisting agricultural authorities to clean up culled
animals. (Note: Council of Agriculture (COA) takes
charge of handling all the dead birds at all levels and
most of the infected animals would be cremated unless a
large number of animals need to be destroyed in which
case they would be buried.) At A1, A2 and B levels, in
addition to assisting COA in handling dead birds, TEPA
is responsible for monitoring and assisting health
institutions in handling infected waste material; at
the C level, TEPA would take over the task of handling
all the waste material discharged by infected AI
patients. TEPA has strengthened staff training in
procedures for protecting workers while handling
infected waste. TEPA has purchased 4,000 suits of
protective gear for use when managing infected waste.
TEPA told AIT that these suits are for the use of the
approximately 1,000 front-line TEPA workers who would
respond in the event of an AI outbreak. TEPA has also
established a toll free telephone number urging the
public to report any suspicious materials.

Traditional Markets to Stop Slaughtering Birds on Site
-------------- --------------


6. In an effort to curb the spread of viruses, the
Taipei City Government plans to stop the slaughtering
of chickens at traditional markets. Ten stalls at Nan
Men Market will begin the trial program after the Lunar
New Year (which commences on January 28). Each stall
will receive subsidies for purchasing freezers. The
Taipei City government is trying to convince people
that freshly killed poultry at the traditional market
may not be healthy, and that people should look for a
label with a health certificate when purchasing poultry
meat. There are more than 300 COA workers monitoring
the operations of the slaughterhouses.

Low Pathogenic Strains of HN Viruses Found for Third Time
-------------- --------------

TAIPEI 00000193 003 OF 003




7. In routine fecal sampling by Taiwan's Wild Bird
Federation and COA on Dec. 14, the H5N2 and H7N3
viruses - low pathogenic strains of the HN family of
viruses - were found for the second time in the Guandu
marshlands in northern Taiwan. The H7N3 virus was
previously found in Guandu in April 2005 and was also
found in marshlands near Tainan in Southern Taiwan in
November 2005. COA has warned the public to take extra
precautions in the upcoming January to March flu
season.

Paal