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Viewing cable 06TOKYO2135, AVIAN INFLUENZA: JAPAN WEEKLY REPORT APRIL 19

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Reference ID Created Released Classification Origin
06TOKYO2135 2006-04-19 08:05 2011-08-25 00:00 UNCLASSIFIED Embassy Tokyo
VZCZCXRO0259
PP RUEHHM RUEHLN RUEHPB
DE RUEHKO #2135/01 1090805
ZNR UUUUU ZZH
P 190805Z APR 06 ZUI PER SVC 9132
FM AMEMBASSY TOKYO
TO RUEHC/SECSTATE WASHDC PRIORITY 1168
INFO RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE
RUEHFK/AMCONSUL FUKUOKA 5804
RUEHNAG/AMCONSUL NAGOYA 5791
RUEHNH/AMCONSUL NAHA 8431
RUEHOK/AMCONSUL OSAKA KOBE 8982
RUEHKSO/AMCONSUL SAPPORO 6982
RUEHRC/USDA FAS WASHDC 8229
RUEAUSA/DEPT OF HHS WASHINGTON DC
RUEAIIA/CIA WASHDC
UNCLAS SECTION 01 OF 02 TOKYO 002135 
 
SIPDIS 
 
DEPT FOR AIAG AMBASSADOR LANGE 
DEPT FOR OES/IHA SINGER AND FENDRICK 
DEPT FOR EAP/J 
USDA PASS TO APHIS 
HHS PASS TO CDC 
HHS FOR OGHA STEIGER, BHAT AND ELVANDER 
 
SIPDIS 
 
E.O. 12958: N/A 
TAGS: TBIO KFLU KSTH ECON PREL SOCI WHO JA
SUBJECT: AVIAN INFLUENZA: JAPAN WEEKLY REPORT APRIL 19 
 
REF: A. 05 STATE 153802 
 
B. TOKYO 2017 AND PREVIOUS 
 
TOKYO 00002135  001.5 OF 002 
 
 
1.  The following is an update on avian influenza (AI) 
developments in Japan for the period April 13 to 19.  No 
human or animal outbreaks of H5N1 avian influenza were 
reported in Japan during the past week. 
 
-- H5N1 to become a "Government-Decreed" Infectious Disease 
-- 
 
2.  On April 14, the Ministry of Health, Labor and 
Welfare's (MHLW) Health Sciences Council decided to 
designate the H5N1 highly pathogenic strain of avian 
influenza as a "government-decreed" infectious disease in 
accordance with the Law Concerning the Prevention of 
Infectious Diseases and Medical Care for Patients of 
Infections (Infectious Diseases Law).  MHLW will also 
designate H5N1 as a government-decreed quarantinable 
infectious disease under the Quarantine Law.  The Ministry 
is still working out the details for the quarantine 
guidelines.  MHLW made the decision in response to recent 
interim infection control guidelines published by the WHO 
and new findings from human cases in Turkey.  It is part of 
the Ministry's proactive efforts to prepare for a possible 
avian influenza outbreak in Japan. 
 
3.  MHLW's Tuberculosis and Infectious Diseases Division 
told EST that only H5N1 was specified because it is the 
most likely strain to mutate into a form that can be easily 
transmitted from human to human.  Other strains of avian 
influenza will remain categorized as Category IV diseases 
under the Infectious Diseases Law, but the Ministry will 
consider the re-designation of those strains if necessary. 
The decision is now open for public comment, but officials 
told us they expect that the designation will be formalized 
through a Cabinet order without problem in June.  Once the 
Cabinet order is issued, the designation will be valid for 
one year, with the possibility of renewal for a second year 
for a maximum of two years.  (Note: After the two-year 
period, if the disease continues to remain a threat, it may 
be designated in a category higher than its current 
category IV designation depending on its virulence.) 
 
4.  By designating H5N1 as a government-decreed infectious 
disease, officials will be able to impose certain 
restrictions on the rights of individuals infected by the 
virus or suspected of being infected by H5N1 in order to 
prevent the further spread of the disease.  The last and 
only time MHLW has made such a designation was in 2003 when 
the status of SARS was changed.  H5N1 will be treated 
similar to a Category II disease, which includes 
diphtheria, cholera, shigellosis and typhoid fever, among 
others.  Health officials are empowered to require physical 
examinations and can forcibly hospitalize individuals with 
or suspected of having been infected by these diseases. 
The individuals targeted by the stronger regulations will 
include not only those infected by the virus, but also 
those who may have been in contact with patients and are 
expressing symptoms such as a high fever as well as those 
who have tested positive for an infection but are not 
symptomatic.  In addition to forced hospitalization, 
officials may require that individuals suspected of being 
infected stay home and restrict their work schedules to 
prevent further transmission of the virus.  The imposition 
of quarantines is an issue that occasionally brings forth 
human rights concerns in Japan, but MHLW officials told 
ESToff that the Council did not expect any problems because 
the attorneys serving as its members did not make any 
objections. 
 
5.  Restrictions and measures set forth to deal with 
Category II diseases are not as severe as those for 
Category I diseases such as Ebola, where authorities can 
restrict public transportation and access to certain 
buildings and facilities.  H5N1 does not qualify for 
Category I status at this point in time, because all of the 
 
TOKYO 00002135  002.4 OF 002 
 
 
potential human-to-human cases of avian influenza infection 
up to now have been the exception rather than the norm. 
(Correction: Tokyo 2017 paragraph 2 should have read 
category IV instead of D.  End correction). 
 
6.  In addition to the stricter measures on the human 
health side, veterinarians and animal health workers will 
be required to report to local health authorities when they 
identify cases of avian influenza infections in birds. 
 
-- Influenza Season "Almost Over" in Japan -- 
 
7.  On April 18, the National Institute of Infectious 
Diseases (NIID) announced that this year's influenza season 
was almost over in Japan.  According to NIID, the peak of 
the flu season was in late January. NIID reported that 73.7 
percent of infections were caused by the Influenza A(H3) 
Hong Kong strain and 23.5 percent by the A(H1) Soviet 
strain.  Infections by Influenza B totaled only 2.7 percent 
of total flu illnesses. 
 
SCHIEFFER