Identifier
Created
Classification
Origin
09KUALALUMPUR383
2009-05-18 09:17:00
UNCLASSIFIED//FOR OFFICIAL USE ONLY
Embassy Kuala Lumpur
Cable title:  

TFFLU01: MALAYSIA H1N1 UPDATE - MAY 18, 2009

Tags:  KFLU AEMR ASEC AMED CASC KFLO TBIO KSAF KPAO PREL 
pdf how-to read a cable
VZCZCXRO6637
RR RUEHAST RUEHCHI RUEHDH RUEHDT RUEHHM RUEHLN RUEHMA RUEHNH RUEHPB
RUEHPOD RUEHTM RUEHTRO
DE RUEHKL #0383/01 1380917
ZNR UUUUU ZZH
R 180917Z MAY 09
FM AMEMBASSY KUALA LUMPUR
TO RUEHC/SECSTATE WASHDC 2737
INFO RUEHPH/CDC ATLANTA GA
RUEAUSA/DEPT OF HHS WASHINGTON DC
RUEHGV/USMISSION GENEVA 1722
RUEKJCS/SECDEF WASHINGTON DC
RUEHRC/DEPT OF AGRICULTURE WASHINGTON DC
RUCNASE/ASEAN MEMBER COLLECTIVE
RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE
UNCLAS SECTION 01 OF 02 KUALA LUMPUR 000383 

SENSITIVE
SIPDIS

STATE FOR CA/OCS/EAP
STATE FOR M/PRI FOR RMORRITZ
STATE FOR S/ES-O/CMS FOR EPARRA
STATE FOR EAP/MTS FOR DBISCHOF
STATE FOR OES/AIAG FOR AMBASSSADOR LOFTIS, DWINN AND
CPATTERSON
STATE FOR REO/BKK FOR HHOWARD
STATE FOR OES/IHB, AAIT, MED
HHS FOR OGHA STEIGER AND HICKEY
CDC ATLANTA FOR CCID AND COGH
USDA FOR APHIS

E.O. 12958: N/A
TAGS: KFLU AEMR ASEC AMED CASC KFLO TBIO KSAF KPAO PREL
PINR, AMGT, TF, MY
SUBJECT: TFFLU01: MALAYSIA H1N1 UPDATE - MAY 18, 2009

REF: Kuala Lumpur 377

UNCLAS SECTION 01 OF 02 KUALA LUMPUR 000383

SENSITIVE
SIPDIS

STATE FOR CA/OCS/EAP
STATE FOR M/PRI FOR RMORRITZ
STATE FOR S/ES-O/CMS FOR EPARRA
STATE FOR EAP/MTS FOR DBISCHOF
STATE FOR OES/AIAG FOR AMBASSSADOR LOFTIS, DWINN AND
CPATTERSON
STATE FOR REO/BKK FOR HHOWARD
STATE FOR OES/IHB, AAIT, MED
HHS FOR OGHA STEIGER AND HICKEY
CDC ATLANTA FOR CCID AND COGH
USDA FOR APHIS

E.O. 12958: N/A
TAGS: KFLU AEMR ASEC AMED CASC KFLO TBIO KSAF KPAO PREL
PINR, AMGT, TF, MY
SUBJECT: TFFLU01: MALAYSIA H1N1 UPDATE - MAY 18, 2009

REF: Kuala Lumpur 377


1. (U) SUMMARY: Malaysia has two confirmed H1N1 cases as of COB
May 18. The Ministry of Health (MOH) confirmed the first case on
May 15 (see reftel) and the second case on May 17. Both individuals
are Malaysian citizens who traveled back to Malaysia together on the
same flight after studying in the U.S. MOH has quarantined the
individuals at government hospitals for at least seven days. Other
passengers who had contact with these individuals have been placed
under quarantine - at home for residents and in hospital for
visitors including one AmCit. Post is preparing an updated warden
message and management notice for Mission staff and dependents. END
SUMMARY

--------------
Confirmed Cases
--------------


2. (U) The second confirmed H1N1 case in Malaysia is a 21 year old
female. She is a Malaysian citizen who had been studying in the
U.S. She returned to Malaysia on May 13 aboard the same Malaysia
Airlines flight MH091 as the first confirmed case - a 21 year old
male. The two individuals are reportedly friends. While the male
passenger stayed in the Kuala Lumpur area and was subsequently
quarantined at Sungai Buloh hospital, one of the Ministry of
Health's designated facilities, the female took Air Asia flight
AK5358 from the Kuala Lumpur Low Cost Carrier Terminal to Penang.
She was taken to a government hospital in Penang and placed under
mandatory seven-day quarantine. Both individuals are reportedly
doing well.

--------------
Quarantining Policies
--------------


3. (U) The families of both confirmed cases have been placed under
seven-day home quarantine. MOH has requested that all passengers
aboard MH091 and AK5358 contact the ministry. The air crews and
passengers have also been placed under home quarantine. However, 76
passengers from the two flights have still not contacted MOH.
Ramlee B. Rahmat, Deputy Director General of Health, instructed
state health departments to track these individuals down and impose
quarantines if necessary under the Prevention and Control of
Infectious Diseases Act 1988.


4. (SBU) Three AmCits traveled on MH091, one of whom voluntarily
contacted MOH while driving toward Kuala Lumpur. He was told to
stop where he was and an ambulance met him along the road and took
him to a government hospital in Ipoh. He has been cleared of H1N1
through testing and has shown no symptoms. However, he will not be
released from the hospital until Wednesday, May 20. MOH is covering
the costs of his quarantine. While local residents have been placed
under home quarantine, this AmCit is hospitalized because he has no
other place to stay in Malaysia. There is no indication that he is
being discriminated against for being American. Two other AmCits
who traveled on the same flight have not yet come forward. MOH
contacted Conoff for assistance in tracking down these individuals.
Conoff informed MOH of the Privacy Act and agreed that if we heard
from these AmCits, we would inform them to contact MOH. Post has
not had any contact from these two AmCits.

--------------
Screening and Testing
--------------


5. (U) Over 100,000 passengers have been screened at various ports
of entry with no positive cases being discovered at the port. MOH
is assisting in the rebooking of flights for passengers who miss
connections due to screening. As of May 18, 102 suspected cases
have been tested at the Malaysian Institute of Medical Research
(IMR) with only the two positive cases. A WHO representative
confirmed to ESTHoff that the IMR testing is reliable and there is

KUALA LUMP 00000383 002 OF 002


no need for independent WHO confirmation of most test results.
Malaysia is not currently sending samples to the WHO reference lab
in Melbourne for confirmation.

KEITH