Identifier
Created
Classification
Origin
09RANGOON246
2009-04-30 01:50:00
UNCLASSIFIED//FOR OFFICIAL USE ONLY
Embassy Rangoon
Cable title:
MGSF01: STILL NO CONFIRMED CASES OF H1N1 IN BURMA;
how-toVZCZCXRO2821 OO RUEHCHI RUEHDT RUEHHM RUEHNH DE RUEHGO #0246/01 1200150 ZNR UUUUU ZZH O 300150Z APR 09 FM AMEMBASSY RANGOON TO RUEHC/SECSTATE WASHDC IMMEDIATE 8911 INFO RUCNASE/ASEAN MEMBER COLLECTIVE RUEHBJ/AMEMBASSY BEIJING 2262 RUEHBY/AMEMBASSY CANBERRA 1926 RUEHKA/AMEMBASSY DHAKA 5187 RUEHNE/AMEMBASSY NEW DELHI 5404 RUEHUL/AMEMBASSY SEOUL 8997 RUEHKO/AMEMBASSY TOKYO 6573 RUEHCN/AMCONSUL CHENGDU 1777 RUEHCHI/AMCONSUL CHIANG MAI 2148 RUEHCI/AMCONSUL KOLKATA 0625 RUEAUSA/DEPT OF HHS WASHDC RUEHRC/DEPT OF AGRICULTURE WASHINGTON DC RUEHPH/CDC ATLANTA GA RUEHRC/USDA FAS WASHDC RHHMUNA/CDR USPACOM HONOLULU HI RHEHNSC/NSC WASHDC RUEKJCS/SECDEF WASHDC RUEKJCS/JOINT STAFF WASHDC
UNCLAS SECTION 01 OF 02 RANGOON 000246
SENSITIVE
SIPDIS
STATE FOR EAP/MLS, G/AIAG, DS/IP/EAP, CA/OCS/ACS/EAP, OES
PACOM FOR FPA
USDA FOR FAS/PECAD, FAS/CNMP, FAS/AAD, APHIS
BANGKOK FOR USAID:JMACARTHUR, APHIS:RTANAKA, REO:HHOWARD
DEPT PLEASE PASS TO HHS FOR OGHA STEIGER AND HICKEY
PASS TO CDC ATLANTA FOR CCID AND COGH
E.O. 12958: N/A
TAGS: KFLU AEMR ASEC CASC KFLO TBIO KPAO PREL PINR
AMGT, BM
SUBJECT: MGSF01: STILL NO CONFIRMED CASES OF H1N1 IN BURMA;
BUT NO LOCAL DIAGNOSTIC CAPACITY TO DETECT
REF: A. RANGOON 241
B. RANGOON 238
RANGOON 00000246 001.2 OF 002
Summary
-------
UNCLAS SECTION 01 OF 02 RANGOON 000246
SENSITIVE
SIPDIS
STATE FOR EAP/MLS, G/AIAG, DS/IP/EAP, CA/OCS/ACS/EAP, OES
PACOM FOR FPA
USDA FOR FAS/PECAD, FAS/CNMP, FAS/AAD, APHIS
BANGKOK FOR USAID:JMACARTHUR, APHIS:RTANAKA, REO:HHOWARD
DEPT PLEASE PASS TO HHS FOR OGHA STEIGER AND HICKEY
PASS TO CDC ATLANTA FOR CCID AND COGH
E.O. 12958: N/A
TAGS: KFLU AEMR ASEC CASC KFLO TBIO KPAO PREL PINR
AMGT, BM
SUBJECT: MGSF01: STILL NO CONFIRMED CASES OF H1N1 IN BURMA;
BUT NO LOCAL DIAGNOSTIC CAPACITY TO DETECT
REF: A. RANGOON 241
B. RANGOON 238
RANGOON 00000246 001.2 OF 002
Summary
--------------
1. (SBU) The World Health Organization (WHO) and Food and
Agricultural Organization (FAO) confirmed that the Ministry
of Health (MOH) and Ministry of Livestock and Fisheries'
reference laboratories lack the capacity to diagnose A/H1N1.
In the meantime, any suspected samples will be sent to
reference labs in Bangkok, Kuala Lumpur, or Tokyo for
testing. The MOH has a small stockpile of tamiflu, as well
as limited equipment for respiratory support, should any
infections occur. The UN has 1,500 tamiflu doses; Embassy
Rangoon has enough tamiflu to treat all American staff and
their families. Despite rumors to the contrary, there are no
confirmed cases of A/H1N1 in Burma. End Summary.
Still no A/H1N1 Cases; No Diagnostic Capacity
--------------
2. (SBU) During an April 29 briefing for the diplomatic
community, WHO Epidemiologist and Pandemic Flue Coordinator
Silvia Garelli confirmed that there are still no reported
cases of A/H1N1 in Burma, despite rumors of an outbreak in
Twante, Rangoon Division. WHO and FAO continue to work with
both the Ministry of Health (MOH) and the Ministry of
Livestock and Fisheries (MOLF) to improve their surveillance
and detection capabilities, building upon existing Avian
Influenza (AI) preparedness programs.
3. (SBU) Dr. Murray McLean, FAO AI specialist, confirmed
that while both the MOLF and MOH have strong National
Reference Laboratories, neither has the chemical reagents
necessary to diagnostically test and confirm cases of A/H1N1.
He explained that the rapid test kits used for AI are of no
use with this new virus. Dr. Garelli commented that the WHO
is working with the MOH to identify laboratory needs;
however, she could not confirm when either the MOH or MOLF
would obtain the necessary reagents. In the meantime, both
animal and human flu samples would be sent to reference labs
in Bangkok, Tokyo, or Kuala Lumpur for testing if necessary,
she explained.
4. (SBU) Medical experts from the Australian Embassy and
SOS Hospital inquired how to best transmit human smear
samples to an overseas reference lab. WHO pledged to
coordinate with Embassies and SOS, and will set up an
information hotline for the general public.
Limited Tamiflu Stockpiles
--------------
5. (SBU) Diplomats inquired whether the MOH has established
any emergency guidelines, should an outbreak occur. Garelli
admitted the MOH has yet to do so. She confirmed that the
MOH has a small stockpile of tamiflu and limited respiratory
support equipment, which should be made available to
hospitals for treatment. Chris Kaye, Acting Humanitarian
Coordinator, told diplomats that the UN has 1,500 does of
tamiflu, which could be made available if necessary. Embassy
Rangoon has almost 1,400 doses of tamiflu, enough to treat
American staff and their families. While several other
RANGOON 00000246 002.2 OF 002
Embassies, including the British and Australians, have their
own stockpiles, the majority of Embassies in Rangoon do not.
6. (SBU) The UN will host a donor meeting on May 4, and
will invite officials from the MOH and MOLF to attend. We
expect both Ministries will request assistance, including
chemical reagents, tamiflu, antibiotics, and funding for
surveillance and outreach. Diplomats from Australia, the UK,
and Singapore emphasized the need for the international
community to provide assistance, including by improving the
response capacity of the Burmese Government, which could
benefit both the Burmese and the expatriate community.
DINGER
SENSITIVE
SIPDIS
STATE FOR EAP/MLS, G/AIAG, DS/IP/EAP, CA/OCS/ACS/EAP, OES
PACOM FOR FPA
USDA FOR FAS/PECAD, FAS/CNMP, FAS/AAD, APHIS
BANGKOK FOR USAID:JMACARTHUR, APHIS:RTANAKA, REO:HHOWARD
DEPT PLEASE PASS TO HHS FOR OGHA STEIGER AND HICKEY
PASS TO CDC ATLANTA FOR CCID AND COGH
E.O. 12958: N/A
TAGS: KFLU AEMR ASEC CASC KFLO TBIO KPAO PREL PINR
AMGT, BM
SUBJECT: MGSF01: STILL NO CONFIRMED CASES OF H1N1 IN BURMA;
BUT NO LOCAL DIAGNOSTIC CAPACITY TO DETECT
REF: A. RANGOON 241
B. RANGOON 238
RANGOON 00000246 001.2 OF 002
Summary
--------------
1. (SBU) The World Health Organization (WHO) and Food and
Agricultural Organization (FAO) confirmed that the Ministry
of Health (MOH) and Ministry of Livestock and Fisheries'
reference laboratories lack the capacity to diagnose A/H1N1.
In the meantime, any suspected samples will be sent to
reference labs in Bangkok, Kuala Lumpur, or Tokyo for
testing. The MOH has a small stockpile of tamiflu, as well
as limited equipment for respiratory support, should any
infections occur. The UN has 1,500 tamiflu doses; Embassy
Rangoon has enough tamiflu to treat all American staff and
their families. Despite rumors to the contrary, there are no
confirmed cases of A/H1N1 in Burma. End Summary.
Still no A/H1N1 Cases; No Diagnostic Capacity
--------------
2. (SBU) During an April 29 briefing for the diplomatic
community, WHO Epidemiologist and Pandemic Flue Coordinator
Silvia Garelli confirmed that there are still no reported
cases of A/H1N1 in Burma, despite rumors of an outbreak in
Twante, Rangoon Division. WHO and FAO continue to work with
both the Ministry of Health (MOH) and the Ministry of
Livestock and Fisheries (MOLF) to improve their surveillance
and detection capabilities, building upon existing Avian
Influenza (AI) preparedness programs.
3. (SBU) Dr. Murray McLean, FAO AI specialist, confirmed
that while both the MOLF and MOH have strong National
Reference Laboratories, neither has the chemical reagents
necessary to diagnostically test and confirm cases of A/H1N1.
He explained that the rapid test kits used for AI are of no
use with this new virus. Dr. Garelli commented that the WHO
is working with the MOH to identify laboratory needs;
however, she could not confirm when either the MOH or MOLF
would obtain the necessary reagents. In the meantime, both
animal and human flu samples would be sent to reference labs
in Bangkok, Tokyo, or Kuala Lumpur for testing if necessary,
she explained.
4. (SBU) Medical experts from the Australian Embassy and
SOS Hospital inquired how to best transmit human smear
samples to an overseas reference lab. WHO pledged to
coordinate with Embassies and SOS, and will set up an
information hotline for the general public.
Limited Tamiflu Stockpiles
--------------
5. (SBU) Diplomats inquired whether the MOH has established
any emergency guidelines, should an outbreak occur. Garelli
admitted the MOH has yet to do so. She confirmed that the
MOH has a small stockpile of tamiflu and limited respiratory
support equipment, which should be made available to
hospitals for treatment. Chris Kaye, Acting Humanitarian
Coordinator, told diplomats that the UN has 1,500 does of
tamiflu, which could be made available if necessary. Embassy
Rangoon has almost 1,400 doses of tamiflu, enough to treat
American staff and their families. While several other
RANGOON 00000246 002.2 OF 002
Embassies, including the British and Australians, have their
own stockpiles, the majority of Embassies in Rangoon do not.
6. (SBU) The UN will host a donor meeting on May 4, and
will invite officials from the MOH and MOLF to attend. We
expect both Ministries will request assistance, including
chemical reagents, tamiflu, antibiotics, and funding for
surveillance and outreach. Diplomats from Australia, the UK,
and Singapore emphasized the need for the international
community to provide assistance, including by improving the
response capacity of the Burmese Government, which could
benefit both the Burmese and the expatriate community.
DINGER