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Viewing cable 06VIENTIANE332, AVIAN INFLUENZA: LAO WEEKLY REPORT NO.27

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Reference ID Created Released Classification Origin
06VIENTIANE332 2006-04-07 09:57 2011-08-25 00:00 UNCLASSIFIED Embassy Vientiane
VZCZCXRO5539
RR RUEHCHI RUEHDT RUEHHM
DE RUEHVN #0332/01 0970957
ZNR UUUUU ZZH
R 070957Z APR 06
FM AMEMBASSY VIENTIANE
TO RUEHC/SECSTATE WASHDC 9793
INFO RUEHZS/ASSOCIATION OF SOUTHEAST ASIAN NATIONS
RUEHBJ/AMEMBASSY BEIJING 1938
RUEHBY/AMEMBASSY CANBERRA 0852
RUEHPB/AMEMBASSY PORT MORESBY 0039
RUEHRO/AMEMBASSY ROME 0063
RUEHUL/AMEMBASSY SEOUL 0492
RUEHKO/AMEMBASSY TOKYO 1041
RUEHWL/AMEMBASSY WELLINGTON 0081
RUEHCHI/AMCONSUL CHIANG MAI 0332
RUEHHK/AMCONSUL HONG KONG 7710
RUEHPH/CDC ATLANTA GA
RUEHRC/DEPT OF AGRICULTURE WASHINGTON DC
RUEAUSA/DEPT OF HHS WASHINGTON DC
UNCLAS SECTION 01 OF 02 VIENTIANE 000332 
 
SIPDIS 
 
SIPDIS 
 
DEPT FOR EAP/MLS (WEYER), INR, CA/OCS/ACS/EAP 
BANGKOK FOR USAID MACARTHUR, RMO, CDC, REO WALLER 
HHS FOR EELANDER 
PASS TO USTR AND USAID DCARROL 
 
E.O 12958:N/A 
TAGS: TBIO ECON SOCI PREL LA KFLU
SUBJECT:  AVIAN INFLUENZA:  LAO WEEKLY REPORT NO.27 
 
 
VIENTIANE 00000332  001.2 OF 002 
 
 
Announcement of H5N1 in Laos 
---------------------------- 
1.  (U) During the visit of Dr. Nabarro, FAO Representative 
Leena Kirjavainen on behalf of Lao Agriculture Minister 
Siene announced to the donors that Dr. Webster's group had 
found the H5N1 virus in some Vientiane ducks.  Although the 
Minister has not heard this directly from Dr. Webster, he 
said the GOL has taken "active measures" to monitor and 
control the area. 
 
2.  (U) We told Dr. Webster that the Minister is expecting 
formal notification of the discovery.  He in turn asked the 
Ambassador to formally notify the Ministers on his behalf, 
which she did by letter today. 
 
Visit of Dr. Nabarro 
-------------------- 
3. (U) Dr. David Nabarro, UN System Senior Coordinator for 
Avian and Human Influenza briefed donors on April 4, 2006 on 
the meetings in Beijing and the upcoming meeting of 
"Partners" in early June in Vienna.  Nabarro said he was 
impressed with the quality of the GOL pandemic plan.  While 
more work needed to be done, it was one of the better plans 
in the region.  Nabarro said he was also impressed with both 
the Lao Ministers for Health and Agriculture, with the Lao 
Presidential Decree on AI issued in December and with donor 
coordination on the ground in Laos.  He also indicated that 
Laos was in a better funding situation than many other 
countries, with adequate funding from bilateral donors and 
the World Bank.  He singled out the United States for 
special thanks on this front. 
 
4.  (U) Nabarro said he had several questions for the Asia 
region, which he hoped to have answered:  Why is it 
difficult to get ministries of health and agriculture to 
coordinate?  What makes the Vietnam program relatively 
successful?  Why have we found it difficult to work with 
governments to intensify communication with the people -- 
especially in China?  What can we do to move the process 
forward in Laos, where we have not yet had a new major 
outbreak?  Nabarro made a strong pitch for continued donor 
cooperation and transparency.  He also asked the World Bank 
to take the lead by meeting with donors and sharing results 
from the Bank's upcoming appraisal team, which will decide 
on $10 million worth of IDA grants, EU and Japanese 
assistance to be disbursed in Laos.  Our AI Coordinator has 
been asked to join the assessment team.  At the meeting, 
UNICEF announced that Japan was contributing an additional 
$1.4 million to Laos for AI. 
 
5.  (U) The Ambassador asked that Nabarro, who had a meeting 
scheduled with the Deputy Prime Minister and Foreign 
Minister Lengsavad Somsavat today, to raise the issue of 
delays in getting MOUs (required for all NGO aid projects) 
approved through the MFA.  Nabarro agreed and stressed the 
need again to get the assistance moving. 
 
Formal Donor Meeting 
-------------------- 
6. (U) During a formal GoL sponsored Donor Meeting held on 
April 6, 2006, the Minister of Health, Dr. Ponmek, restated 
his commitment to a GoL donor relationship based on 
transparency, and partnership. Dr. Nabarro suggested that 
every country needs: 
 
--a strategic plan, with short-term and long-term goals, 
which Laos has. 
--clarity on a comprehensive technical approach to the 
threat -- the capacity to deal with animal infections, 
surveillance, alerts and culling.  He emphasized the 
importance of communications with the public as key to any 
success in combating the AI Pandemic Threat.  Laos has a way 
to go. 
--management arrangements with emphasis on identifying POCs 
to monitor and report.  Laos has begun setting up the 
 
VIENTIANE 00000332  002 OF 002 
 
 
requisite organization to manage donor relations, 
coordination, and progress on implementation. 
--direct working relationship with stakeholders. Laos is 
working toward this but should provide clearer guidance. 
--to ensure there is communication, transparency and harmony 
among all the stakeholders.  One way is to establish a 
"partners" group. Laos is not there yet. 
--flexibility to deal with evolving situations.  Laos is not 
there yet. 
--implementing the program plan while still designing -- 
"build the boat, while sailing it."  Laos is not there yet. 
--translate the strategic plan into action and develop next 
steps, including a National Action Plan.  This can be 
accomplished through joint appraisals, monitoring and 
critiques.  Stakeholders are key to insure success. Laos is 
not there yet. 
 
7.  (U) The GOL announced it has developed an organizational 
structure to deal with implementing its strategic plan and 
for channeling donor inflows. This newly created National 
Avian Influenza Coordinating Office (NAICO) will manage 
donor cooperation and overall coordination. They will be 
setting up a special account to manage donor funds, of which 
only the EU and the Work Bank will participate so far.  Dr. 
Ponmek stressed that the GoL was appreciative that each 
donor has its own accounting structure with different 
transfer, spending and reporting requirements, which the GoL 
will respect. 
 
8. (U) Dr. Ponmek indicated that the MoH has recommended GOL 
approval of the MOU with HHS/CDC, regarding the designated 
Infectious Disease/AI Country Coordinator, Dr. Andrew 
Corwin.  He publicly expressed his support for the overall 
MOU. 
 
USAID and USDA Visit 
-------------------- 
9. (U) John MacArthur (USAID Infectious Diseases Advisor, 
Bangkok) and Russ Nicely (USDA, Bangkok), visited Vientiane 
for Dr. Nabarro's visit. Dr. McCarthur introduced the new 
USAID supplemental plan intended for Laos, which will total 
approximately $3 million dollars in additional resources. 
Russ Nicely identified a "local partner" for a proposed Wet 
Market Workshop, for the August - September 2006 timeframe. 
Both the FAO and Project Care were recognized as having the 
capacity to stage a workshop, and established MOUs.  Russ 
Nicely also discussed how to best position someone from the 
Animal and Plant Health Inspection Service in Laos.  One 
model being considered is an arrangement mirroring that of 
the HHS/CDC Infectious Disease/AI Coordinator. 
 
Haslach