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Identifier
Created
Classification
Origin
09BEIJING1885
2009-07-08 03:41:00
UNCLASSIFIED//FOR OFFICIAL USE ONLY
Embassy Beijing
Cable title:  

H1N1 INFLUENZA OUTBREAK - CHINA SITREP # 23

Tags:   KFLU  AEMR  ASEC  CASC  KFLO  TBIO  KSAF  KPAO  PREL  PINR 
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VZCZCXRO6174
RR RUEHCN RUEHDT RUEHGH RUEHPB RUEHVC
DE RUEHBJ #1885/01 1890341
ZNR UUUUU ZZH
R 080341Z JUL 09
FM AMEMBASSY BEIJING
TO RUEHC/SECSTATE WASHDC 5050
INFO RUEHOO/CHINA POSTS COLLECTIVE
RUEHBY/AMEMBASSY CANBERRA 9721
RUEHDN/AMCONSUL SYDNEY 0594
RUEAUSA/DEPT OF HHS WASHINGTON DC
RUEHRC/DEPT OF AGRICULTURE WASHDC
RUCPDOC/DEPT OF COMMERCE WASHDC
RUEATRS/DEPT OF TREASURY WASHINGTON DC
RHMFIUU/DEPT OF HOMELAND SECURITY WASHINGTON DC
RUEKJCS/SECDEF WASHDC//USDP/ISA/AP//
RHEHNSC/NSC WASHDC
RUCNARF/ASEAN REGIONAL FORUM COLLECTIVE
RUEHPH/CDC ATLANTA GA
RUEAIIA/CIA WASHDC
RHEFDIA/DIA WASHINGTON DC
RHMFISS/CJCS WASHINGTON DC//J2/J3/J5//
RHMFIUU/CDR USPACOM HONOLULU HI//J00/J2/J3/J5//
						UNCLAS SECTION 01 OF 02 BEIJING 001885 

HHS FOR OGHA
CDC ATLANTA FOR CCID, AND PASS TO FLU COX AND MOUNTS AND
COGH BLOUNT AND KELLEY

SENSITIVE
SIPDIS

E.O. 12958: N/A
TAGS: KFLU AEMR ASEC CASC KFLO TBIO KSAF KPAO PREL PINR
AMGT, MG, EAGR, HHS, CH
SUBJECT: H1N1 INFLUENZA OUTBREAK - CHINA SITREP # 23

REF: A) BEIJING 1816 B) BEIJING 1705 C) BEIJING 1664
D) BEIJING 1636 E) BEIJING 1596

1151 CASES OF 2009 A/H1N1 CONFIRMED, 1 ACCIDENTAL DEATH
-------------------- ---------- -----------------------

UNCLAS SECTION 01 OF 02 BEIJING 001885

HHS FOR OGHA
CDC ATLANTA FOR CCID, AND PASS TO FLU COX AND MOUNTS AND
COGH BLOUNT AND KELLEY

SENSITIVE
SIPDIS

E.O. 12958: N/A
TAGS: KFLU AEMR ASEC CASC KFLO TBIO KSAF KPAO PREL PINR
AMGT, MG, EAGR, HHS, CH
SUBJECT: H1N1 INFLUENZA OUTBREAK - CHINA SITREP # 23

REF: A) BEIJING 1816 B) BEIJING 1705 C) BEIJING 1664
D) BEIJING 1636 E) BEIJING 1596

1151 CASES OF 2009 A/H1N1 CONFIRMED, 1 ACCIDENTAL DEATH
-------------- -------------- --------------


1. (U) As of COB July 7, China's Ministry of Health (MOH) has
officially communicated information about 1151 confirmed cases of
infection by the novel 2009 influenza A/H1N1. Confirmed cases have
been detected in 19 provinces and the municipalities of Beijing,
Chongqing, Shanghai and Tianjin. Of the 1151 confirmed cases, MOH
reported that as of July 7, 870 infected patients had recovered and
been released from treatment. Of the remaining cases, 280 are being
treated in isolation at local designated hospitals and one case is
being treated in isolation at home.


2. (U) On July 3, MOH reported one accidental death in Hangzhou of a
patient who was being treated for A/H1N1. According to press
reports, the death was due to electrocution in the hospital
bathroom. MOH has reported no deaths thus far due to A/H1N1
infection or underlying complications.

A/H1H1 AMCIT CASES
--------------


3. (SBU) Inconsistent and delayed notification of the status of
Amcits in quarantine or isolation makes an exact daily count of
cases exceedingly difficult. As of July 1, the countrywide totals
for AmCit cases on Mainland China are estimated to be the following:
cumulatively, over 1700 AmCits had been quarantined to date; on July
1 the number then in quarantine was 200 AmCits were in quarantine;
and cumulatively, at least 130 AmCits had been confirmed to have

been infected by the A/H1N1 virus as of July 1.


POST REQUESTS HOME QUARANTINE OPTION FOR MISSION PERSONNEL
-------------- --------------


4. (SBU) Due to an increasing number of cases affecting the Mission
community and TDY travelers to Post, on July 2, CDA sent a letter to
Chinese Minister of Health CHEN Zhu, requesting permission to allow
home or post-designated self-quarantine and treatment for all
mission personnel and family members, and for those entering China
on official or diplomatic passports. This request also follows MOH's
notifications over the last week that a portion of confirmed A/H1N1
cases have been receiving treatment at home. As of COB July 7, MOH
has not yet provided an official response to the letter.


CHINESE GOVERNMENT MAY LOOSEN H1N1 QUARANTINE MEASURES
-------------- --------------


5. (SBU) On July 3, Premier WEN Jiabao convened the Executive
Committee of the State Council to discuss next steps for China's
Novel Influenza A/H1N1 control and prevention. While not explicitly
announcing the end of quarantine measures, the meeting outcomes
included calling to "adjust" control and prevention measures
consistent with the experiences of other countries. His speech
specifically addressed seven areas for control and prevention of the
A/H1N1 influenza virus, but notably did not mention quarantine and
isolation.


6. (SBU) At the same high-level meeting, participants also
reportedly discussed the process of gradually "normalizing" medical
costs to make efforts to address H1N1 more sustainable. The
Ministry of Health is currently consulting with the Ministry of
Finance on anticipated quarantine costs, with some press accounts
speculating that patients themselves would have to pay for costs
associated with quarantine and hospital isolation. (COMMENT: It is
likely that mandatory quarantine and isolation procedures will be

BEIJING 00001885 002 OF 002


phased out and patients will pay based on treatments and
hospitalization received, as with regular seasonal influenza
infection and/or other illnesses. END COMMENT)


7. (SBU) ConGen Guangzhou learned from a contact in the Guangdong
Provincial Department of Health in the last week that although the
Ministry of Health has not officially released documents regarding a
shift in control strategy, the Guangdong Provincial Health
Department itself already allows patients with mild cases to seek
outpatient treatment and observe home quarantine, instead of
requiring that all patients remain in designated quarantine hotels
or treatment hospitals. The Guangzhou Health Department contact
predicted that the Ministry of Health The Guangzhou Health
Department contact predicted that the Ministry of Health might
release official instructions to encourage home quarantine or
isolation by the end of the week. Current MOH instructions do not
explicitly address or disallow home quarantine or isolation.


8. (SBU) Shanghai press reported in the last week that the Shanghai
Municipal Health Bureau had eased A/H1N1 detection and control
measures, ending both on board temperature screenings at the airport
and the mandatory quarantine of those considered close contacts of
suspected or confirmed A/H1N1 cases. However, Post is still
receiving reports that as of COB July 6, the new measures have not
yet been implemented and existing practices persist.


GOLDBERG