Identifier
Created
Classification
Origin
09MEXICO1209
2009-04-30 17:38:00
UNCLASSIFIED//FOR OFFICIAL USE ONLY
Embassy Mexico
Cable title:  

SITREP 6 - H1N1 FLU OUTBREAK IN MEXICO CITY

Tags:  ASEC CVIS CASC KSCA TBIO MX 
pdf how-to read a cable
VZCZCXRO3649
RR RUEHCD RUEHGD RUEHHO RUEHMC RUEHNG RUEHNL RUEHRD RUEHRS RUEHTM
DE RUEHME #1209/01 1201738
ZNR UUUUU ZZH
R 301738Z APR 09
FM AMEMBASSY MEXICO
TO RUEHC/SECSTATE WASHDC 6300
RUEAUSA/DEPT OF HHS WASHINGTON DC
RUEHPH/CDC ATLANTA
RHMFIUU/DEPT OF HOMELAND SECURITY WASHINGTON DC
RUEHRC/DEPT OF AGRICULTURE WASHINGTON DC
RHEHAAA/NATIONAL SECURITY COUNCIL WASHINGTON DC
RUEKJCS/SECDEF WASHINGTON DC
INFO RUEHXQ/ALL EUROPEAN UNION POST COLLECTIVE
RUEHXC/ALL US CONSULATES IN MEXICO COLLECTIVE
RUEHGT/AMEMBASSY GUATEMALA 3814
RUEHLO/AMEMBASSY LONDON 0482
RUEHOT/AMEMBASSY OTTAWA 2522
RUEHTV/AMEMBASSY TEL AVIV 0179
RUEHGV/USMISSION GENEVA 1103
UNCLAS SECTION 01 OF 07 MEXICO 001209 

SENSITIVE
SIPDIS

STATE FOR WHA/MEX, WHA/PDA, STATE FOR OES/IHB, PA, CAPRESS;
STATE FOR MED/DASHO (MCFADDEN, RINALDO, KEYES); STATE FOR
MED/DIR (PENNER); STATE FOR DS/IP/WHA; CDC FOR
CCID/NCPDCID, CCID/NCIRD AND COGH/DPPPC

E.O. 12958: N/A
TAGS: ASEC CVIS CASC KSCA TBIO MX
SUBJECT: SITREP 6 - H1N1 FLU OUTBREAK IN MEXICO CITY

UNCLAS SECTION 01 OF 07 MEXICO 001209

SENSITIVE
SIPDIS

STATE FOR WHA/MEX, WHA/PDA, STATE FOR OES/IHB, PA, CAPRESS;
STATE FOR MED/DASHO (MCFADDEN, RINALDO, KEYES); STATE FOR
MED/DIR (PENNER); STATE FOR DS/IP/WHA; CDC FOR
CCID/NCPDCID, CCID/NCIRD AND COGH/DPPPC

E.O. 12958: N/A
TAGS: ASEC CVIS CASC KSCA TBIO MX
SUBJECT: SITREP 6 - H1N1 FLU OUTBREAK IN MEXICO CITY


1. (U) SUMMARY:
--------------

April 29 GOM estimates of confirmed H1N1 cases rose to 99,
with eight cases resulting in death. Additionally, Secretary
of Health Cordova announced that non-critical federal
government offices will close from May 1 thru May 5.
Essential government services will remain operational.


2. (U) FEDERAL AND LOCAL GOVERNMENT ACTIONS:
--------------

FEDERAL GOVERNMENT: On April 29, Secretary of Health Cordova
announced that federal government offices will close from May
1 thru May 5. Critical employees will continue to work and
essential government services will still be provided.
States/municipalities were encouraged to adopt similar
measures. The private sector is also encouraged to suspend
non-critical activities. Supermarkets, drug stores, telecom,
banks, gas stations, and hotels will remain open.
Restaurants may remain open as long as they are not in closed
spaces.

-- The Public Education Secretariat (SEP) created a guide,
&What a School Can Do To Face Influenza?8 and it will be
distributed to all grade levels. Information on designing an
emergency plan before returning to school, establishing
screening procedures to detect probable cases of H1N1 flu,
and other measures are included.

-- A team of 14 veterinarians and health officials from the
Mexican veterinary service (SENASICA) and public health
agency (COFEPRIS) is inspecting the La Gloria hog farm owned
by Smithfield, near Veracruz, and is taking samples to
determine if any swine at the farm are infected with H1N1
influenza. A Smithfield company veterinarian is with the
government team. Results of the investigation will be
reported to the APHIS office in Mexico City.

-- The Mexican veterinary service (SENASICA) circulated a
letter from the International Organization for Animal Health
(OIE) to foreign embassies attesting to the lack of any link
between the A/H1N1 virus and consumption of pork.

-- Official requests for assistance were made to the
governments of the U.S., China, and Japan for stocks of

Tamiflu. According to local press reports, China has offered
$5M: $1M in cash, and $4M in &humanitarian assistance.8

MEXICO CITY GOVERNMENT: On August 29, Mexico City Mayor
highlighted that the local government had implemented 100% of
the measures of the maximum alert and defended his decision
to maintain the closure of restaurants, bars, and other
areas. He rejected the implementation of other restrictive
measures including the cancellation of public transportation.
The city government also began distributing anti-bacterial
gel to metro (subway) users.


STATE OF MEXICO: On April 28, Governor Enrique Pena Nieto
announced that there will be 122 mobile medical units that
will give medical attention in the largest municipalities.

-- The Health Secretary said that the state would have 15,000
new lab tests kits that will allow them to detect Influenza A
and H1N1 flu. The old test kits yeilded results in 48 hours
but the new test kits will provide results much faster.
Finally, he said the State had sufficient retrovirals.

-- In general The State of Mexico, he has take similar
measures as to those implemented in DF and the Federal
Government, except for shutting down commercial
establishments and restaurants.


MEXICO 00001209 002 OF 007




3. (U) ACTIONS BY NON GOVERNMENTAL ORGANIZATIONS:
-------------- --------------

Nothing new to report.



4. (SBU) STATISTICS:
--------------

-- At a press conference on the evening of April 29, the
Secretary of Health reported that there are now 99 confirmed
H1N1 cases. Of these, 8 have resulted in deaths. Of the
total confirmed cases, 83 are in D.F.; 13 in the State of
Mexico; 1 in Colima; 1 in Oaxaca; and 1 in Veracruz. Note:
We continue to have problems obtaining consistent government
statistical data. End Note.

-- The number of hospital beds available/filled and daily
admittance to hospitals from 24 - 27 April: INER hospital
reports 61.8% occupied, Hospital General de Mexico 71.7%, and
ISSTE Zaragoza 86.1%.



5. (U) MANAGEMENT ISSUES:
--------------

-- The Embassy issued an additional 30 masks to U.S. direct
hire employees, their families, and locally employed staff.

-- Two additional CDC visitors arrived in Mexico City Embassy
April 29 and 1 is expected to arrive April 30 for a total of
12 CDC visitors in country.

-- The Embassy set up a call center with 3 phones and 3
computers. Operation for the call center will begin April 30
if demand warrants. Callers can either dial direct or access
the center through the main embassy greeting (press 1 for
influenza information, then press 0 to speak to a call center
staff).

-- The Embassy conducted a warden check and a radio check
is planned for the weekend.

-- Guidelines for telecommuting were distributed and
employees were encouraged to take liberal leave.

-- An EAC meeting and a town hall meeting will be convened on
April 30 and employees will be dismissed at noon.

-- Absenteeism remains very low.



6. (U) SECURITY ISSUES:
--------------

Embassy continues to experience absenteeism among local
guards and police, but the number of guards/police remains
adequate. RSO will continue to monitor the activity of
Embassy guards and police closely.



7. (U) CONSULAR ISSUES:
--------------

-- U.S. EMBASSY: The Embassy will issue an updated warden
message April 30, the sixth in seven days. The message will
refer to WHO,s April 29 announcement, raising the pandemic
alert to Phase 5.

Embassy Mexico's call center received approximately 600
H1N1-flu related calls on April 29, slightly more than April

28. Roughly half of the calls were questions about
rescheduling visas. Embassy is preparing contingency plans

MEXICO 00001209 003 OF 007


for a call center this weekend, but do not plan to stand it
up unless the numbers of calls per day to the operators
exceed 1000. Current plans are to add more operators.

One emergency visa case was interviewed and issued April 29.
The American Citizen Services section experienced a normal
day with 30 passport applications and 9 emergencies.


-- CONSULATE, CIUDAD JUAREZ: IV operations finished
processing applicants on April 29. The no-show rate for IV
applicants was within the normal range. IV operations will
be suspended from April 30 to May 8. All IV applicants with
appointments scheduled on these dates will be rescheduled for
June 5th, 8th, and 9th and will receive a new appointment via
regular mail.

-- CONSULATE, GUADALAJARA: ACS handled approximately half of
their regularly scheduled appointments today. The remainders
were &no-shows.8 The majority of applicants requested
emergency passports, but there is no sign that the Amcit
community is fleeing Mexico en masse. The volume of Amcit
calls has also dropped in comparison to yesterday. The Visa
Unit handled eight emergency cases.


-- CONSULATE, NOGALES: Visa services continue suspended
until May 6. ACS services continue with limited service for
emergencies. Post reached out to newspapers to notify the
public of limited services and to inform them of how to reach
the consular section should emergencies arise. A warden
message was issued and the website was updated.


-- U.S. CONSULATE, HERMOSILLO: NIV Chief reported that
people are calling and inquiring as to the status of
appointments on May 6.

-- U.S. CONSULATE, MERIDA: Consulate received a report from
an AMCIT of a doctor attempting to charge an excessive amount
for H1N1 screening. We are currently working with the
Secretary of Health from each state to advise AMCITs of a
procedure and number to contact should they become concerned
of infection. Consulate management is preparing projects for
CONOFFs should normal services remain closed through next
week.

-- U.S. CONSULATE, MONTERREY: The ACS section has continued
to receive 15-20 calls per day, primarily to inquire if the
border is closed or about visa appointments for Mexican
friends.




8. (U) BORDER AND CONSULATE ISSUES:
--------------

-- CIUDAD JUAREZ: Municipal authorities in Chihuahua and
Ciudad Juarez launched radio, television, and print spots to
inform the public of the latest information related to the
H1N1 outbreak. Municipal and State authorities continue to
distribute brochures at airports, bus stations and highway
checkpoints. The Juarez Mayor's Office told Post that it
printed and plans to distribute 200,000 brochures. Chihuahua
State authorities issued a recommendation to all public
transport operators that they wear masks and use gloves when
transporting passengers. The Chihuahua Delegate for the
National Chamber of Industry (CANACINTRA) stated in a press
conference that the commercial sector supports the GOM,s
measures to contain the spread of the swine flu virus.

Hotel managers in Ciudad Juarez expect that the suspension of
consular services will reduce their occupancy rates by an
average of 30 percent. The most recent statistics available

MEXICO 00001209 004 OF 007


to Post show that business generated by the U.S. Consulate
General in Ciudad Juarez accounts for more than 70 percent of
the city's tourism revenue.


Post Management Officer (MO) continues to distribute masks,
hand-washing sanitizer and Clorox wipes at all remaining
active immigrant visa and ACS interview windows at Post.
Several local suppliers told the MO that they currently do
not have masks and cleaning supplies available for purchase
due to the swine flu outbreak. The suppliers expect to
receive a shipment next week. The MO is confident that Post
has sufficient stock of these items.

-- GUADALAJARA: Nearly all public activities have been
suspended. Guadalajara,s zoo is now closed to the public,
and the popular Sunday &Via Recreativa8 closure of a major
avenue to facilitate biking and strolling has been suspended
until further notice. Aguascalientes State has canceled the
remainder of the San Marcos Fair ) Mexico's largest State
Fair, as a precautionary measure. RSO reports a decline in
criminal incidents throughout Guadalajara. No incidents of
&panic buying8 of supplies have been reported. Several
cruise lines have canceled Mexico port calls. This action
will further damage the economies of cruise ports such as
Puerto Vallarta, Manzanillo, and Mazatlan.

--HERMOSILLO: The Consulate General convened an EAC meeting
April 29. RSO reports that Post cascade emergency
notification drill was carried out with a high level of
participation. Local newspapers are reporting that the
month-long livestock exposition (EXPOGAN) has suspended
activities until May 7, due to lack of attendance and concern
over H1N1.


-- NOGALES: Post hosted a meeting of the local Integrated
Emergency Management Group on 04/28. The group consisted of
Mexican and U.S. health authorities as well as County
Emergency first responders from both sides of the Nogales
border. The meeting adjourned in a very positive note
agreeing to meet again next week.

-- MONTERREY: Nuevo Leon Governor Gonzalez Paras closed some
state offices attending the public, suspended Friday's Labor
Day celebrations, and urged people not to attend movie
theaters or other closed areas. Several movie theaters had
already closed due to lack of patrons. In addition, 250
people held in prison for administrative irregularities were
released from four prisons due to the risk of the spread of
H1N1 flu. Several of the PAN and PRI candidates have
canceled election events. Finally, our contacts expect local
schools to remain closed past May 6.

The governments in the other states have also reacted. In
San Luis Potosi (SLP),the PAN and PRI parties have canceled
campaign rallies until May 6. In Durango, only one member of
the family is permitted to visit the patient in some
hospitals. Durango has also closed some public venues such
as the zoo, a pool and a park. In Zacatecas, Governor Garcia
said that the pandemic had not hit Zacatecas, but the bishop
suspended weekend mass services.

Many people in Nuevo Leon are staying home, as restaurants,
movie houses and bars are fairly empty. A good percentage of
people are beginning to wear face masks. Post will hold a
town hall meeting on April 29 to keep the Consulate community
informed and to answer any questions.


-- TIJUANA: Wait times to cross from Mexico to the US have
drastically dropped from an average of 2-3 hours to an
average wait time of less than an hour currently. News media
and public officials have expressed great alarm over the

MEXICO 00001209 005 OF 007


economic impact that the current crisis is having on the
region. It is estimated that business has been reduced by as
much as 50%, and hotel occupancy has fallen by approximately
35%.

-- MERIDA: Archeological sites and cruise ship ports have
been temporarily closed. The Secretary of tourism for
Quintana Roo stated hotel occupancy is currently down 26% and
they are seeing many charter cancellations from Europe.
Consulate staff and EFMs remain calm. The MO and the CLO have
been providing notices and updates to staff that keep them
informed and their moral up.

--MATAMOROS: Until yesterday, traffic from Brownsville, TX
to Matamoros last week was normal, but today has decreased
50%. The 22-month old child who died in Houston was a
Mexican citizen on vacation from Mexico City to Brownsville.
She landed April 2 in Matamoros and became ill; she was
transported to Houston where she died. Post has one EFM and
one officer exhibiting flu-like symptoms. Streets and main
squares are less populated and there are Emergency Services
handing out information throughout the city. Post will
continue to monitor the situation.



9. (U) MEDIA REACTION/GENERAL POPULATION SENTIMENTS:
-------------- --------------

On April 29, coverage of the H1N1 outbreak continued focusing
on the economic consequences of the disease particularly
because the Mexico City government ordered the temporary
suspension of dine-in service at restaurants. Most newspapers
reported an estimated loss of US$70 million daily as a
consequence of this measure. Business-oriented daily El
Economista editorialized in its headline, &Is this
necessary?8 showing pictures of empty restaurants.
&Business sector furious,8 added newspaper Milenio in its
headline. Reaction to the measure was very negative among
opinion makers. Economic expert Sergio Sarmiento wrote in his
daily column in newspaper Reforma, &Closing down the Mexico
City restaurants was a very unwise decision that could have
huge consequences ... especially because the federal
government asked local governments not to take measures that
significantly affected economic activity.8 Reforma columnist
Manuel Jauregui added, &The measure does not realistically
contribute to fighting the outbreak and it represents a blow
against an already weak economy.8 The media is also
reporting statements by politicians, officials and
commentators who suggest that it would be wise to postpone
the start of the midterm elections campaigns ) scheduled for
this Sunday. Other important items reported included the
detection of new cases throughout the world and the first
reported death in the U.S. of a Mexican infant. On April 29
at around 3PM central time, news broke in the electronic
media that the WHO raised the pandemic alert to level 5. Most
reports have been very cautious, avoiding sensationalism.
Reports also highlighted that at this point no borders will
be closed.


10. (U) ECONOMIC IMPACT:
--------------
MACROECONOMIC IMPACT: At the August 29 press conference,
Secretary of Finance Agustin Carstens said the H1N1 outbreak
will have a negative impact on the economy. The magnitude of
the impact will depend on the duration of the epidemic and
the size of the outbreak. The tourism sector has been the
most immediately affected. Recovery is expected to be fast
once the situation is over.

Carstens explained that there are 6.3 billion pesos available
in a catastrophic fund to be used immediately to address the
health crisis. Caldeorn instructed Hacienda to release the
fund to other Secretariats for expenses related to the flu.
There are no budgetary restrictions to address this event,

MEXICO 00001209 006 OF 007


which is a priority for the GOM. Carstens calculates they
have sufficient resources including the World Bank loan.

U.S. BUSINESSES IN MEXICO: Mission Mexico convened a
conference call with the American Chamber and heads of
various U.S. businesses operating in Mexico, including from
the energy, financial, transportation, and insurance sectors.
The businesses have followed the lead of the GOM,
discouraging meetings, limiting travel, and encouraging work
from home. They expressed a certain frustration with the
lack of accurate information and trying to plan ahead, not
knowing how long the business closures and other preventive
measures will be necessary. Commercial activity continues
with no supply challenges at the present time. Nationwide
and at the border, the distribution and product transport
systems are still running well. The representative of a
major financial services company noted they had seen a very
slight drop in charges over the weekend in Mexico City, with
a surge on Sunday mostly due to bulk purchasing at
supermarkets. Parties agreed to schedule another conference
call for Wednesday, May 6.

PORK INDUSTRY: The Mexican press reports an 80-percent drop
in pork consumption as ill-informed consumers avoid pork,
thinking it is a potential source of infection. April 30 the
Secretariat of Agriculture (SAGARPA) will discuss a request
from Mexican pork producers to shut down pork imports due to
the Mexican swine industry's economic distress. Pork
producers are suffering from the severe dropoff in demand.
The Mexican meat industry association, COMECARNE, is calling
for a change of the popularized term "swine flu" to something
else, and reports that demand is down even for pre-cooked and
processed pork products.



11. (U) TRANSPORTATION:
--------------

FLIGHTS: Cuba and Argentina became the first countries to
suspend flights to and from Mexico on 28 April. Peru moved
similarly on April 29. Several Canadian airlines have also
halted service to some or all Mexican stations. Rumors the
European Union may suspend flights to Mexico led to confusion
among passengers with tickets already purchased, according to
station chiefs at the Mexico City International Airport
(AICM). Several major tour operators have cancelled all
Mexico itineraries and Carnival cruise ships are now skipping
Mexico ports of call.

AIRPORT CONTROLS: Secretary of Communications and
Transportation Molinar Horcasitas gathered airline managers
on the evening of 28 April to announce augmented passenger
screening measures at the six largest airports in country by
international traveler volume (AICM, Cancun, Guadalajara,
Monterrey, Tijuana, and Cabo),for both entering and exiting
passengers. As of the evening of 29 April, preparations were
underway at airports to launch screening the same day. All
passengers will pass through a screening booth to undergo a
visual inspection and complete a questionnaire. A
temperature reading will also be taken, although uncertainty
remains as to whether this will apply to all passengers or
only those presenting symptoms upon visual inspection.

AIRLINE PASSENGER VOLUMES: U.S. carriers report growing
declines in Mexico passenger arrivals, while outbound flights
are holding steady. Some business and tourist travelers are
moving up their departure dates to leave the country ahead of
schedule. Continental, with 10-11 daily flights out of AICM,
is considering consolidation of flights on its shuttle route
to Houston.
Mexican airlines report less change in passenger volumes.
Domestic routes are not showing the same declines as
international routes. Aeromexico, which operates roughly 160
inbound and 160 outbound flights per day at AICM, is

MEXICO 00001209 007 OF 007


cancelling 1-2 flights per day to consolidate passengers on
lightly traveled routes.

MASS TRANSIT: Mexico City,s Metro (subway) and Metrobus
municipal mass transit systems continue to see volume off by
50%. For the heavily-used Metro system, this still amounts
to 2.5 million passengers per day. Mexican armed forces are
beginning to deploy to major Metro stations to assist Metro
staff and police. Distribution of protective masks to
passengers is ongoing at major stations. According to Metro
officials, a new supply of 5 million masks destined for Metro
and other mass transit modes is expected to arrive 30 April.
The decision to close mass transit systems remains with Mayor
Ebrard. Metro officials do not consider closure imminent.

BASSETT

Visit Mexico City's Classified Web Site at
http://www.state.sgov.gov/p/wha/mexicocity and the North American
Partnership Blog at http://www.intelink.gov/communities/state/nap /
BASSETT