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Viewing cable 06RANGOON1249, BURMA: AI UPDATE - AUGUST 30, 2006

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Reference ID Created Released Classification Origin
06RANGOON1249 2006-08-31 08:04 2011-08-25 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Rangoon
VZCZCXRO0003
OO RUEHCHI RUEHDT RUEHHM RUEHNH
DE RUEHGO #1249/01 2430804
ZNR UUUUU ZZH
O 310804Z AUG 06
FM AMEMBASSY RANGOON
TO RUEHC/SECSTATE WASHDC IMMEDIATE 5039
INFO RUCNASE/ASEAN MEMBER COLLECTIVE
RUEHBJ/AMEMBASSY BEIJING 1095
RUEHBY/AMEMBASSY CANBERRA 9864
RUEHKA/AMEMBASSY DHAKA 4307
RUEHNE/AMEMBASSY NEW DELHI 3499
RUEHUL/AMEMBASSY SEOUL 6962
RUEHKO/AMEMBASSY TOKYO 4579
RUEHVI/AMEMBASSY VIENNA 0046
RUEHCI/AMCONSUL CALCUTTA 0884
RUEHCN/AMCONSUL CHENGDU 0887
RUDKIA/AMCONSUL CHIANG MAI 0598
RUEAUSA/DEPT OF HHS WASHDC
RUEHRC/DEPT OF AGRICULTURE WASHINGTON DC
RUEHPH/CDC ATLANTA GA
RUEHRC/USDA FAS WASHDC
RHHMUNA/CDR USPACOM HONOLULU HI
RHEHNSC/NSC WASHDC
RUEKJCS/SECDEF WASHDC
RUEKJCS/JOINT STAFF WASHDC
UNCLAS SECTION 01 OF 03 RANGOON 001249 
 
SIPDIS 
 
SENSITIVE 
SIPDIS 
 
STATE FOR EAP/MLS; PACOM FOR FPA; UDSA FOR FAS/PECAD, 
FAS/CNMP, FAS/AAD, APHIS; BANGKOK FOR USAID (JOHN 
MACARTHUR), APHIS 
 
E.O. 12958: N/A 
TAGS: EAGR EAID AMED PGOV PREL CASC TBIO KFLU BM
SUBJECT: BURMA: AI UPDATE - AUGUST 30, 2006 
 
REF: A. STATE 111495 
 
     B. RANGOON 623 
 
RANGOON 00001249  001.2 OF 003 
 
 
1. (SBU) Summary: Burma has reported no new cases of Avian 
Influenza (AI) since a February/March 2006 poultry outbreak, 
which was contained in April.  Donors, including USAID, 
support targeted WHO and FAO activities to improve local 
capacity to address AI.  Although the GOB continues to 
cooperate with international donors, inadequate coordination 
within the GOB and in villages and townships has raised 
doubts that programs can be implemented properly in rural 
areas.  End summary. 
 
Current Situation: No New Cases 
------------------------------- 
2. (U) The GOB has not reported any evidence of Avian 
Influenza in humans or animals in Burma for the past four 
months.  On August 16, Livestock Breeding and Veterinary 
Department (LBVD) officials confirmed to us that their last 
recorded case of animal AI appeared in Burma on April 8.  In 
late April, LBVD began to carry out regular serosurveillance 
of poultry in the thirteen townships affected by the 
February-March AI outbreak, as well as at Rangoon markets. 
All of the 13,000 blood specimens collected were tested at 
veterinary labs in Rangoon and Mandalay and were negative for 
H5N1. 
 
3. (SBU) On August 18, an LBVD contact told us in confidence 
that three child deaths in the town of Tharyawaddy, Bago 
Division, that were attributed to dengue fever were actually 
due to AI.  Emboff followed up on August 21 with Dr. Cho Cho 
Su, veterinary officer for LBVD, who traveled to the area to 
investigate the deaths.  She, however, confirmed that all 
three were caused by dengue fever.  WHO's coordinator for AI 
in Burma, Dr. Jum Coninx, told us that she also tried to 
investigate the Bago deaths and had not found any evidence 
that the cases were related to AI.  Coninx observed that 
local town authorities also called in Ministry of Health 
(MOH) personnel to investigate, so it did not appear that 
there were any efforts to cover up an outbreak.  Since 
poultry deaths in the same town were attributed to Newcastle 
disease, Coninx encouraged GOB authorities to use further 
tests to confirm this, and WHO continues to follow the 
situation closely. 
 
4. (SBU) Coninx reported to us on August 22 that the GOB has 
now established Rapid Response Teams (RRTs) in every one of 
the country's 130 administrative districts, and that the 
Rangoon medical lab can now diagnose H5N1 in humans.  WHO 
closely monitors how all assistance is being used, she said. 
MOH and LBVD continue efforts to improve coordination.  Both 
share information freely with international donors.  Donor 
funding will address many of the shortcomings in the GOB's 
ability to respond effectively to an outbreak, particularly 
in upgrading surveillance capability and improving weak lab 
and hospital treatment capabilities.  Although WHO continues 
to encourage the GOB to convene a coordinating body of all 
stakeholders, including government representatives, UN 
representatives, and bilateral donors, the GOB has yet to do 
so.  Coninx said that future WHO funding will be used to 
support a coordination subcommittee to formalize meetings and 
enhance such cooperation. 
 
Training 
-------- 
5. (U) Ministry of Health epidemiologists Dr. Win Htin and 
Dr. Theingi Nyunt attended the US-sponsored APEC Seminar on 
AI and the Australia/Singapore-sponsored Pandemic Response 
 
RANGOON 00001249  002.2 OF 003 
 
 
Exercise Workshop on August 14-17 in Singapore (ref A).   The 
Australian government funded their travel. 
 
6. (U) Dr. Kyi Mar Aung, Assistant Director at LBVD, attended 
the July 2006 U.S. Department of Agriculture's diagnostic 
training course in Ames, Iowa.  Kyi Mar Aung told APHIS 
Regional AI Coordinator Ned Cardenas during his most recent 
visit to Burma that that the workshop was valuable but too 
short.  She conducted a training session with her colleagues 
upon her return to share information gained in Ames, and she 
has requested follow-up training in Burma.  Dr. Cardenas 
encouraged her to identify specific areas for follow-on 
training.   Dr. Cardenas also enlisted support from the FAO 
to run an LBVD epidemiology course and awareness raising 
campaign directed at poultry farmers. 
 
Donor Funds Flowing 
------------------- 
7. (U) Human Health:  WHO's Coninx said donor support has 
allowed included upgrades at two hospitals, funded by the 
Japanese Grassroots Fund, and a pandemic preparedness 
tabletop exercise planned for September.  Part of the $1 
million in Asian Development Bank (ADB) funds committed to 
fight AI in May (ref B) will be used to upgrade the isolation 
rooms at designated hospitals and to support the rapid 
response teams, she said. 
 
8. (U) Coninx described WHO's current activities supported by 
$110,000 in USAID funding: a lab mission from the Thai 
National Institute of Health/National Influenza Center to 
provide training to local lab personnel in Burma in August 
and in Thailand in September.  USAID funds to WHO allowed 
LBVD and Ministry of Health participation in a July AI 
workshop in Rangoon, and at a train-the-trainer workshop for 
GOB Rapid Response Teams (RRT) in Bangkok the same month. 
WHO will adapt the RRT training modules and use USG and ADB 
funds to provide RRT training countrywide in October.  WHO 
will also bring an epidemiologist from Bangkok in September 
to work on an early warning system with the Central 
Epidemiology Unit.   WHO and Ministry of Health officials 
expressed their gratitude for USG support. 
 
9. (U) Additionally, WHO is preparing to accept delivery of 
half of the 4,500 Personal Protective Equipment sets (PPEs) 
supplied by USAID, with control of the other half to be 
managed by FAO.  According to Coninx, storage and 
accountability for the PPEs will be among the issues 
discussed at a WHO-sponsored workshop in late September.  We 
will store the PPEs in our Embassy warehouse until WHO and 
FAO storage arrangements are finalized.  A contracted 
specialist will lead the workshop on the logistics of 
stockpiling supplies, as well as advising the GOB, WHO, and 
FAO on pandemic containment planning. 
 
10.  (U) Cardenas outlined APHIS's proposed campaign to raise 
awareness among small poultry farmers.  Coninx noted that the 
bulk of work at the grassroots level must be done by local 
and international NGOs.  So far, she said, only CARE has 
begun AI work in the villages, so getting funds and GOB 
approval for additional NGO projects is an important next 
step. 
 
11. (U) Animal Health: LBVD Deputy Director Dr. Ohn Kyaw 
recently provided emboffs an updated list of international 
donors and projects addressing AI in animals.  The Japanese 
International Cooperation Agency (JICA) donated approx. 
$50,000 for immediate response assistance, and China has 
offered one million yuan (about $129,000) for PPEs, vehicles, 
 
RANGOON 00001249  003.2 OF 003 
 
 
and lab equipment.  The Japanese Grassroots Fund will provide 
$168,000 to upgrade five veterinary labs.  Dr. Ohn Kyaw 
expressed LBVD's appreciation for the support FAO has 
received from the US government. 
 
12. (SBU) Describing larger-scale international funding, FAO 
Representative Tang Zhengping told Cardenas that the Japanese 
Trust Fund will sign an agreement to provide UNICEF, FAO and 
OIE with approximately $3 million from a regional $10 million 
program to support public awareness and epidemiology capacity 
building.  Australia (AusAID) agreed in June to provide Aus$1 
million (about US$770,000), which FAO and WHO will split. 
FAO will use the funds to recruit a national consultant, 
assistant, and clerk, and to procure equipment and vehicles 
for LBVD and FAO.  The Thai government continues to supply 
Human Resources support, and the World Bank may provide $1 
million from the new AI Prevention Facility, according to 
Tang. 
 
13. (SBU) Comment: The GOB has displayed uncharacteristic 
cooperativeness and openness on working with foreign donors 
on AI issues.  Our contribution has opened the door for other 
donors to step in with valuable contributions and WHO 
continues to play the lead role in coordinating donor 
contributions and government responses.  However, 
coordination among ministries and between the national 
government and local leaders, also not the norm here, needs 
to improve to diminish doubts about the ability of 
lower-level officials and technicians to implement programs. 
In addition to upgrading national facilities and training 
personnel, donors should continue to urge the regime to 
upgrade the monitoring of poultry flocks and allow NGOs to 
play an enhanced role in public awareness and training.  End 
comment. 
VILLAROSA