Identifier
Created
Classification
Origin
09RANGOON429
2009-07-10 03:37:00
CONFIDENTIAL
Embassy Rangoon
Cable title:
BURMA: MINISTRY OF HEALTH CONFIRMS SECOND A/H1N1
how-toVZCZCXRO4094 OO RUEHCHI RUEHDT RUEHHM RUEHNH DE RUEHGO #0429/01 1910337 ZNY CCCCC ZZH O 100337Z JUL 09 ZDK FM AMEMBASSY RANGOON TO RUEHC/SECSTATE WASHDC IMMEDIATE 9220 INFO RUCNASE/ASEAN MEMBER COLLECTIVE RUEHBJ/AMEMBASSY BEIJING 2362 RUEHBY/AMEMBASSY CANBERRA 2136 RUEHKA/AMEMBASSY DHAKA 5282 RUEHNE/AMEMBASSY NEW DELHI 5610 RUEHUL/AMEMBASSY SEOUL 9206 RUEHKO/AMEMBASSY TOKYO 6784 RUEHCN/AMCONSUL CHENGDU 1872 RUEHCHI/AMCONSUL CHIANG MAI 2250 RUEHCI/AMCONSUL KOLKATA 0720 RUEAUSA/DEPT OF HHS WASHDC RUEHPH/CDC ATLANTA GA RUEHRC/USDA FAS WASHDC RHHMUNA/CDR USPACOM HONOLULU HI RHEHNSC/NSC WASHDC RUEKJCS/SECDEF WASHDC RUEKJCS/JOINT STAFF WASHDC
C O N F I D E N T I A L SECTION 01 OF 02 RANGOON 000429
SIPDIS
STATE FOR EAP/MLS, CA/OCS/ACS/EAP, OES, G/AIAG
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: DECL: 08/14/2017
TAGS: KFLU AEMR ASEC CASC KFLO TBIO EAID KPAO PREL
PINR, AMGT, BM
SUBJECT: BURMA: MINISTRY OF HEALTH CONFIRMS SECOND A/H1N1
CASE
REF: RANGOON 402
RANGOON 00000429 001.2 OF 002
Classified By: Economic Officer Samantha A. Carl-Yoder for reasons 1.4
(b and d).
Summary
-------
C O N F I D E N T I A L SECTION 01 OF 02 RANGOON 000429
SIPDIS
STATE FOR EAP/MLS, CA/OCS/ACS/EAP, OES, G/AIAG
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: DECL: 08/14/2017
TAGS: KFLU AEMR ASEC CASC KFLO TBIO EAID KPAO PREL
PINR, AMGT, BM
SUBJECT: BURMA: MINISTRY OF HEALTH CONFIRMS SECOND A/H1N1
CASE
REF: RANGOON 402
RANGOON 00000429 001.2 OF 002
Classified By: Economic Officer Samantha A. Carl-Yoder for reasons 1.4
(b and d).
Summary
--------------
1. (C) The Ministry of Health (MOH) on July 9 confirmed
Burma's second A/H1N1 case -- a 20-year old Burmese man who
recently returned from Bangkok. The man, who was diagnosed
on July 9, is receiving tamiflu treatment at Wei Bagi
Infectious Disease Hospital in Rangoon. The MOH is
conducting surveillance on relatives, airport staff, and the
106 passengers who traveled with the man on the July 6 Thai
Air Asia flight. Ministry of Health officials surmise there
are likely more cases of A/H1N1 in Burma, but note they lack
the technology necessary to conduct substantive sample tests.
USAID will be seeking approval to reprogram H5N1 Pandemic
Flu funds to procure through WHO the necessary technical
equipment for rapid detection of A/H1N1. End Summary.
Another A/H1N1 Case Confirmed
--------------
2. (SBU) According to WHO Acting Representative Dr. Hans
Kluge, the Ministry of Health (MOH) confirmed Burma's second
A/H1N1 case on July 9. Local media outlet MRTV conveyed the
news during its July 9 evening report and the state-run New
Light of Myanmar published a short article on the first page
of the July 10 paper. The patient, a 20-year old Burmese man
who traveled to Rangoon from Bangkok on the July 6 Thai Air
Asia flight, did not demonstrate symptoms upon arrival in
Rangoon. Kluge confirmed that the patient exhibited
influenza-like symptoms on July 7 and voluntarily sought
treatment at Wei Bagi Infectious Disease Hospital in Rangoon.
The MOH National Influenza Reference Lab, using a
conventional Polymerase Chain Reaction (PCR) Thermal Cycler
machine, conducted A/H1N1 testing and confirmed a positive
case on July 9.
3. (SBU) According to Dr. Kluge, the man remains under
treatment at Wei Bagi Hospital. The MOH is currently
conducting surveillance on the man's relatives, airport
staff, and the 106 passengers who traveled with him on the
Thai Airways flight.
Update on the First Case
--------------
4. (SBU) Dr. Kluge confirmed that the 13-year old girl who
tested positive for A/H1N1 in late June (Reftel) was released
from Yangon General Hospital on July 8. After five days of
tamiflu treatment, she has recovered and is in good spirits.
According to the MOH, there is no indication of any
human-to-human A/H1N1 transmission here as yet.
More Cases in Burma?
--------------
5. (C) Dr. Khin Yi Oo (PROTECT),National Influenza Center
staff, diagnosed the first A/H1N1 case in Burma. It was
serendipity. She heard the coughs of her student who had
just returned from Singapore. (The Doctor tutors to
supplement her meager civil service income.) Dr. Khin Yi Oo
told us there are likely more cases of A/H1N1 in Burma, but
RANGOON 00000429 002.2 OF 002
the MOH lacks the diagnostic capacity to quickly test
samples. So far, the National Influenza Laboratory has made
due with its conventional PCR machine, which takes up to 16
hours to test a sample. Dr. Khin Yi Oo observed that should
Burma experience a major outbreak of A/H1N1, the National
Laboratory will be unable to handle the caseload. To date,
the laboratory has tested less than 50 samples, due to time
constraints and difficulties obtaining samples from different
hospitals and clinics.
6. (C) WHO Epidemiologist Silvia Garelli reiterated WHO's
request for assistance in procuring a Real Time PCR (RT-PCR).
She noted that although the Singapore Government initially
indicated it would procure a machine for the MOH, it has yet
to do so. USAID has agreed to consider reprogramming some of
its H5N1 Pandemic Flu monies to procure an RT-PCR, as well as
train lab technicians on proper use. Any reprogramming would
be contingent upon MOH providing USG officials with access to
the National Influenza Laboratory for monitoring and
evaluation.
DINGER
SIPDIS
STATE FOR EAP/MLS, CA/OCS/ACS/EAP, OES, G/AIAG
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: DECL: 08/14/2017
TAGS: KFLU AEMR ASEC CASC KFLO TBIO EAID KPAO PREL
PINR, AMGT, BM
SUBJECT: BURMA: MINISTRY OF HEALTH CONFIRMS SECOND A/H1N1
CASE
REF: RANGOON 402
RANGOON 00000429 001.2 OF 002
Classified By: Economic Officer Samantha A. Carl-Yoder for reasons 1.4
(b and d).
Summary
--------------
1. (C) The Ministry of Health (MOH) on July 9 confirmed
Burma's second A/H1N1 case -- a 20-year old Burmese man who
recently returned from Bangkok. The man, who was diagnosed
on July 9, is receiving tamiflu treatment at Wei Bagi
Infectious Disease Hospital in Rangoon. The MOH is
conducting surveillance on relatives, airport staff, and the
106 passengers who traveled with the man on the July 6 Thai
Air Asia flight. Ministry of Health officials surmise there
are likely more cases of A/H1N1 in Burma, but note they lack
the technology necessary to conduct substantive sample tests.
USAID will be seeking approval to reprogram H5N1 Pandemic
Flu funds to procure through WHO the necessary technical
equipment for rapid detection of A/H1N1. End Summary.
Another A/H1N1 Case Confirmed
--------------
2. (SBU) According to WHO Acting Representative Dr. Hans
Kluge, the Ministry of Health (MOH) confirmed Burma's second
A/H1N1 case on July 9. Local media outlet MRTV conveyed the
news during its July 9 evening report and the state-run New
Light of Myanmar published a short article on the first page
of the July 10 paper. The patient, a 20-year old Burmese man
who traveled to Rangoon from Bangkok on the July 6 Thai Air
Asia flight, did not demonstrate symptoms upon arrival in
Rangoon. Kluge confirmed that the patient exhibited
influenza-like symptoms on July 7 and voluntarily sought
treatment at Wei Bagi Infectious Disease Hospital in Rangoon.
The MOH National Influenza Reference Lab, using a
conventional Polymerase Chain Reaction (PCR) Thermal Cycler
machine, conducted A/H1N1 testing and confirmed a positive
case on July 9.
3. (SBU) According to Dr. Kluge, the man remains under
treatment at Wei Bagi Hospital. The MOH is currently
conducting surveillance on the man's relatives, airport
staff, and the 106 passengers who traveled with him on the
Thai Airways flight.
Update on the First Case
--------------
4. (SBU) Dr. Kluge confirmed that the 13-year old girl who
tested positive for A/H1N1 in late June (Reftel) was released
from Yangon General Hospital on July 8. After five days of
tamiflu treatment, she has recovered and is in good spirits.
According to the MOH, there is no indication of any
human-to-human A/H1N1 transmission here as yet.
More Cases in Burma?
--------------
5. (C) Dr. Khin Yi Oo (PROTECT),National Influenza Center
staff, diagnosed the first A/H1N1 case in Burma. It was
serendipity. She heard the coughs of her student who had
just returned from Singapore. (The Doctor tutors to
supplement her meager civil service income.) Dr. Khin Yi Oo
told us there are likely more cases of A/H1N1 in Burma, but
RANGOON 00000429 002.2 OF 002
the MOH lacks the diagnostic capacity to quickly test
samples. So far, the National Influenza Laboratory has made
due with its conventional PCR machine, which takes up to 16
hours to test a sample. Dr. Khin Yi Oo observed that should
Burma experience a major outbreak of A/H1N1, the National
Laboratory will be unable to handle the caseload. To date,
the laboratory has tested less than 50 samples, due to time
constraints and difficulties obtaining samples from different
hospitals and clinics.
6. (C) WHO Epidemiologist Silvia Garelli reiterated WHO's
request for assistance in procuring a Real Time PCR (RT-PCR).
She noted that although the Singapore Government initially
indicated it would procure a machine for the MOH, it has yet
to do so. USAID has agreed to consider reprogramming some of
its H5N1 Pandemic Flu monies to procure an RT-PCR, as well as
train lab technicians on proper use. Any reprogramming would
be contingent upon MOH providing USG officials with access to
the National Influenza Laboratory for monitoring and
evaluation.
DINGER