Identifier
Created
Classification
Origin
06WARSAW347
2006-03-01 15:47:00
UNCLASSIFIED
Embassy Warsaw
Cable title:  

POLAND AVIAN INFLUENZA UPDATE: CROSS AGENCY

Tags:  KFLU TBIO SENV ECON EAGR PREL PL 
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UNCLAS SECTION 01 OF 02 WARSAW 000347 

SIPDIS

DEPT FOR EUR/NCE DKOSTELANCIK AND MSESSUMS, DEPT FOR G,
OES/IHA, OES/IHA FOR DSINGER AND RDALEY, DEPT FOR INR
RLESTER

E.O. 12958: N/A
TAGS: KFLU TBIO SENV ECON EAGR PREL PL
SUBJECT: POLAND AVIAN INFLUENZA UPDATE: CROSS AGENCY
COOPERATION GETTING THE MESSAGE OUT

REF: A. A. STATE 209622


B. B. WARSAW 3903

C. C. WARSAW 3830

D. D. WARSAW 3632

E. E. WARSAW 3364

F. F. WARSAW 3212

Sensitive but unclassified -- not for internet distibution


UNCLAS SECTION 01 OF 02 WARSAW 000347

SIPDIS

DEPT FOR EUR/NCE DKOSTELANCIK AND MSESSUMS, DEPT FOR G,
OES/IHA, OES/IHA FOR DSINGER AND RDALEY, DEPT FOR INR
RLESTER

E.O. 12958: N/A
TAGS: KFLU TBIO SENV ECON EAGR PREL PL
SUBJECT: POLAND AVIAN INFLUENZA UPDATE: CROSS AGENCY
COOPERATION GETTING THE MESSAGE OUT

REF: A. A. STATE 209622


B. B. WARSAW 3903

C. C. WARSAW 3830

D. D. WARSAW 3632

E. E. WARSAW 3364

F. F. WARSAW 3212

Sensitive but unclassified -- not for internet distibution



1. (SBU) Summary. Econoffs recently discussed GOP
contingency preparations for an outbreak of avian influenza
(AI) with the Polish Ministry of Health. Polish Health
Ministry officials believe that AI is still primarily a
threat to Polish agriculture, but stressed that the GOP has
planned thoroughly for any AI scenario, including a pandemic.
The GOP's Anti-Pandemic Committee (APC) is responsible for
this effort. The APC is composed of officials from several
agencies, including the Ministries of Agriculture and
Interior. The APC continues to meet frequently to coordinate
activity at the national and local levels of government.
Though there have not been any reported cases of AI in
Poland, Health Ministry officials concede there is little
they can do to prevent the disease from crossing into Poland
due to migratory habits of birds that summer here. The
Embassy's Avian Flu working group met on February 28 and
determined that trip wire 2 has not been crossed yet and
reviewed Embassy preparedness for that eventuality. End
Summary.

--------------
The Structure of Cooperation
--------------


2. (SBU) Econoffs met with Ministry of Health Under
Secretary of State Andrzej Wojtyla and National Health

SIPDIS
Inspectorate (an organ of the Ministry of Health)
Anti-Pandemic Specialist Anna Swiatecka to discuss Polish
plans to deal with what most consider an inevitable outbreak
of AI in Poland. Wojtyla is the Chair of the GOP's
Anti-Pandemic Committee (APC). He noted that one of the
legacies of Poland's communist past that has not yet been
dismantled is Sanepid stations, or Sanitary-Epidemiology
Inspection Offices, of which there is one in each of Poland's
16 voivodships. In addition, there are another 300

sub-offices located at the county (powiat) level. These
offices collectively employ over 18,000 workers and are
essentially controlled by the Ministry of Health and the
Ministry of Agriculture (depending upon the function being
performed). The APC has been able to work through these
offices, conducting inspections and disseminating information
to the remotest periphery of the country. Wojtyla quipped
that this legacy of the past provides the GOP with an
effective tool to manage sub-national governmental
coordination.


3. (SBU) The Ministry of Agriculture and its Veterinary
Inspectorate run inspections out of the Sanepid offices, and
the Ministry of Health and the National Health Inspectorate
are currently using them to spread information about the
human dimension of AI. The main goals of the APC at this
time are educating hospitals to recognize AI symptoms in
humans, and providing information to schools about hygiene
and what to do if a child finds a dead bird. The APC is
creating informational sheets on these subjects that it will
distribute across Poland. A different information sheet is
already being distributed at Polish airports to travelers
heading to countries where outbreaks of AI have been
confirmed. Swiatecka also mentioned that the APC has asked
local parish priests (often the centerpiece of Polish village
life) to spread information about AI to their congregations.
In all cases, the goal is to provide information and
forestall panic when AI is inevitably discovered here.

--------------
Planning for the Future
--------------


4. (SBU) Poland's main veterinary laboratory, located in
Pulawy, is rated BSL-3 (bio safety level 3). It is able to
detect H5, but not H5N1. Poland currently must rely on labs
in London or Germany for tests of this specificity. Wojtyla
stated that the APC has been discussing an upgrade of the
Pulawy lab, and that the idea has gained support in the GOP.
The main obstacles are financing and clarifying which
ministry would control the lab. Upgrading the Pulawy
facility would cost approximately PLN 16 million. Wojtyla
believes both the financing and bureaucratic hurdles can be
cleared.


5. (SBU) The APC is preparing for pandemic as best it can by
following WHO guidelines. The GOP has ordered Tamiflu shots
from Roche, though it expects to wait for another 8-9 months
for receipt. The APC is also encouraging Poles to get the
generic flu shot, which is now widely available throughout
the country (this was not the case a few months ago).
--------------
Embassy Preparations
--------------


6. (SBU) The DCM convened the embassy Avian Flu working
group on February 28 to review embassy preparations for an
avian flu outbreak in Poland. The working group determined
that we have not yet crossed embassy trip wire 2 -- Bird
infection reported in Poland -- but that we expect
confirmation of the first case shortly. Preparations for
trip wire 2 and 3 were reviewed to ensure that the embassy is
prepared to deal with the disease when its existence in
Poland is confirmed.

--------------
The Best Laid Schemes O' Mice 'An Men
--------------


7. (SBU) Comment. The GOP and the Polish populace realize
that an AI occurrence is almost an inevitability at this
point, with many cases now reported just over the German
border. However, from conversations with Wojtyla and
Swiatecka, the GOP appears confident that it is as prepared
as it can be at this point in time. Wojtyla and Swiatecka
also seemed very certain that the APC is conducting its
duties effectively. Swiatecka reported a 90% compliance rate
with the order to keep domesticated fowl indoors in the
Polish province closest to the German outbreak of AI. She
noted that the outbreak of cases in bordering countries had
made the sense of financial loss more tangible to small
farmers. While it is clear that the GOP can not prevent an
AI outbreak, the APC, which has been meeting for over a year,
is doing its best to safeguard Poland with expertise and
preparedness.
ASHE