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Viewing cable 06ZAGREB358, CROATIA: AVIAN INFLUENZA UPDATE: MARCH 15

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Reference ID Created Released Classification Origin
06ZAGREB358 2006-03-16 12:37 2011-08-25 00:00 UNCLASSIFIED Embassy Zagreb
VZCZCXRO2659
RR RUEHAG RUEHDA RUEHDF RUEHFL RUEHIK RUEHKW RUEHLA RUEHLN RUEHLZ
RUEHROV RUEHSR RUEHVK RUEHYG
DE RUEHVB #0358 0751237
ZNR UUUUU ZZH
R 161237Z MAR 06 ZDK
FM AMEMBASSY ZAGREB
TO RUEHC/SECSTATE WASHDC 5867
INFO RUEHZL/EUROPEAN POLITICAL COLLECTIVE
RUEHPH/CDC ATLANTA GA
RUEAUSA/DEPT OF HHS WASHDC
RHEFAFM/CDRAFMIC FT DETRICK MD
RUEKJCS/SECDEF WASHDC
RUCPDOC/USDOC WASHDC
RUEHRC/USDA WASHDC
UNCLAS ZAGREB 000358 
 
SIPDIS 
 
SIPDIS 
 
DEPT PLEASE PASS TO DS/DSS, DS/IP, M/MED/JCTRIPLETT 
FAS/CMP/DLP WETZEL AND MAGGINNIS 
FAS/ITP/EAMED POMEROY AND FLEMING 
CA/OCS/ACS DAVID SCHENSTED 
USAID FOR E&E/ECA/B/ANNE CONVERY 
 
E.O. 12958: N/A 
TAGS: KFLU TBIO SENV ECON EAGR PREL CASC HR
SUBJECT: CROATIA: AVIAN INFLUENZA UPDATE: MARCH 15 
 
REF: ZAGREB 252 AND PREVIOUS 
 
1. SUMMARY: Several more wild birds have been 
confirmed as positive for H5N1 in Croatia.  These 
discoveries have not activated any of Embassy 
Zagreb's tripwires but Post has sent a warden 
message with an update on the situation in Croatia 
and general information on avian flu.  Dr. Gjenero- 
Margan, Director of Epidemiology and Infectious 
Disease at the Croatian Institute for Public Health 
reviewed Croatia's preparedness posture with Emboffs 
on March 10, 2006. END SUMMARY 
 
2.  On March 15, the Poultry Center lab at the 
Croatian Veterinary Institute confirmed that a dead 
swan found in the Baranja region of Croatia close to 
the Hungarian and Serbian borders was infected with 
H5N1.  The GOC is continuing to test birds from the 
Pantan nature park near Trogir (where an infected 
swan was found in February) and, so far, several 
river gulls have tested positive for H5N1. 
 
3.  These discoveries have not activated any of 
Embassy Zagreb's tripwires.  Post placed a warden 
message with information on the reappearance of H5N1 
in Croatia and the State Department's avian and 
pandemic flu fact sheet on the announcements section 
of the Embassy website.  At a well-attended town 
hall meeting for American citizens in western 
Croatia, hosted by the Ambassador, consular staff 
answered questions and handed out a variety of 
written material on avian flu.  Three more town hall 
events are scheduled for the spring in other major 
Croatian cities and information on avian and 
pandemic influenza will be provided at all three 
events. 
 
4.  Emboffs met with Dr. Gjenero-Margan, Director of 
Epidemiology and Infectious Disease at the Croatian 
Institute for Public Health, on March 10, 2006. 
Margan provided Emboffs with the status of the 
recommended preparedness steps outlined in the 
Croatian national pandemic preparedness plan (in the 
plan, all steps should be completed by May 2006). 
Many, but not all, of the steps have been completed. 
For example, the Institute continues to work with 
the county health headquarters, which include 
veterinarians, hospital representatives, 
epidemiologists and sanitary inspectors, to draft 
local level plans, including contingencies for 
increases in flu-related morbidity and mortality. 
These county health headquarters, in turn, 
coordinate with field health units (there are 
approximately 130 field units in Croatia, about 1 
for every 40,000 inhabitants).  The Institute is 
also still working on increasing its lab biosafety 
level from 2 to 3 or 4.  Finally, Margan confirmed 
that although the Ministry of Health has a small 
stockpile of Tamiflu and there is Tamiflu in 
pharmacies for seasonal flu, the GOC is still 
waiting for more. 
 
FRANK