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Viewing cable 06SOFIA59, BULGARIA'S LATEST RESPONSE TO AVIAN FLU

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Reference ID Created Released Classification Origin
06SOFIA59 2006-01-13 15:22 2011-08-25 00:00 UNCLASSIFIED Embassy Sofia
This record is a partial extract of the original cable. The full text of the original cable is not available.
UNCLAS SOFIA 000059 
 
SIPDIS 
 
DEPT FOR EUR/NCE, SCOTT BRANDON 
 
E.O. 12958: N/A 
TAGS: TBIO ECON PREL SOCI BG KSTH WHO
SUBJECT: BULGARIA'S LATEST RESPONSE TO AVIAN FLU 
 
 
1. (U) The Embassy's avian flu working group met January 12 
to discuss the GOB's latest response to the threat of AI 
following the recent deaths of three people in neighboring 
Turkey from the virus.  It also reviewed Post's AI tripwires 
and agreed none had been reached.  According to Embassy 
contacts, the GOB is negotiating with the pharmaceutical 
company, LaRoche, to supply 80,000 doses of Tamiflu to 
Bulgaria. This amount is expected to partially cover of 
Bulgaria's needs under its current Influenza Pandemic 
Contingency Plan, which is still in draft form.  The doses, 
however, will not be available until April.  During a recent 
meeting with U.S. Congressman Goodlatte, the Agriculture 
Minister made a request for assistance in obtaining 1000 
doses of Tamiflu for its first-responders. The country 
currently does not have reserves of Tamiflu to protect its 
field veterinarian and medical personnel. 
 
2. (U) Apart from Tamiflu, the Agriculture Ministry is 
seeking lab equipment that would shorten the time it takes 
to test for the virus to one day.  According to Post's 
agricultural attach, the USDA may be able to assist with 
this request and we are in the process of identifying U.S. 
manufacturers who can supply this equipment. We will try to 
assist them in obtaining the requested Tamiflu. The 
Agriculture Ministry also is requesting a mobile incinerator 
unit.   We do not, however, considered this unit to be a 
necessity, as the more basic procedure of burning culled 
birds in the ground has proven sufficient in Romania. 
 
3. (U) Although the Agriculture Ministry appears to have a 
good capacity to respond to a possible outbreak, we are 
concerned by its lack of a public awareness campaign.  Small 
local farmers--and the veterinarians who work closely with 
them--still do not have sufficient information on 
preventative measures against avian flu, according to 
Embassy contacts.  In particular, farmers need to be better 
informed about the importance of reducing contact between 
humans and infected birds.  No infected birds have been 
found in Bulgaria but we are not certain sufficient testing 
is being done. 
 
HEALTH MINISTRY LACKS SUFFICIENT FUNDS TO RESPOND 
--------------------------------------------- ----- 
 
4. (U) The Ministry of Health last November made a request 
for laboratory testing equipment to improve its response 
capability but recently told us that their most "immediate" 
requests have been covered under the current budget.  The 
MOH's response plan for AI still has not been approved and 
the Ministry fears it will not receive the sufficient amount 
of funds it believes is necessary to respond to the threat. 
The MOH's surge capacity remains limited.  There still is 
only one lab in the country that can test for the virus. 
While some people could be referred to the infectious 
departments of district hospitals in the event of an 
outbreak, other hospitals would need to be converted if the 
outbreak was large. 
 
NEXT STEPS FOR THE EMBASSY COMMUNITY 
------------------------------------ 
 
5. (U) The Embassy plans next week to hold a town-hall 
meeting to inform the Embassy and local American community 
about the latest developments related to AI. The Embassy's 
Health unit reported the Tamiflu supply expected from M/MED 
will not arrive until May or June.   The unit currently has 
enough doses to treat about 50 people.  However, we are in 
process of acquiring additional doses--for approximately 10 
or 15 people--from local pharmacies.  The Health Unit also 
is considering acquiring testing kits for the common strain 
of influenza (type A).  The Consular section has not issued 
any new notices regarding avian flu but news about AI is 
prominent on its website. In the coming weeks, the 
Agricultural section plans to follow up on the requests for 
equipment from the Ministry Agriculture and encourage the 
Ministry to step up its public awareness campaign. 
Meanwhile, USAID is working to update our latest assessment 
of Bulgaria's prevention measures and preparedness against 
AI. 
 
BEYRLE