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Viewing cable 07RANGOON228, BURMA DOES ITS BEST TO COPE WITH AI OUTBREAK

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Reference ID Created Released Classification Origin
07RANGOON228 2007-03-05 11:06 2011-08-25 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Rangoon
VZCZCXRO5156
OO RUEHCHI RUEHDT RUEHHM RUEHNH
DE RUEHGO #0228/01 0641106
ZNR UUUUU ZZH
O 051106Z MAR 07
FM AMEMBASSY RANGOON
TO RUEHC/SECSTATE WASHDC IMMEDIATE 5810
INFO RUCNASE/ASEAN MEMBER COLLECTIVE
RUEHBJ/AMEMBASSY BEIJING 1356
RUEHBY/AMEMBASSY CANBERRA 0206
RUEHKA/AMEMBASSY DHAKA 4490
RUEHNE/AMEMBASSY NEW DELHI 3777
RUEHUL/AMEMBASSY SEOUL 7302
RUEHKO/AMEMBASSY TOKYO 4862
RUEHVI/AMEMBASSY VIENNA 0061
RUEHCI/AMCONSUL CALCUTTA 1066
RUEHCN/AMCONSUL CHENGDU 1080
RUDKIA/AMCONSUL CHIANG MAI 0900
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 02 RANGOON 000228 
 
SIPDIS 
 
SENSITIVE 
SIPDIS 
 
STATE FOR EAP/MLS, G/AIAG; PACOM FOR FPA; USDA FOR 
FAS/PECAD, FAS/CNMP, FAS/AAD, APHIS; BANGKOK FOR 
USAID:JMACARTHUR), APHIS:NCARDENAS, REO:JWALLER 
 
E.O. 12958: N/A 
TAGS: EAGR EAID AMED PGOV PREL CASC TBIO KFLU BM
SUBJECT: BURMA DOES ITS BEST TO COPE WITH AI OUTBREAK 
 
REF: A. RANGOON 0221 
     B. RANGOON 0212 
 
RANGOON 00000228  001.2 OF 002 
 
 
1. (SBU) Summary: Burmese authorities reported the death from 
Avian Influenza of sixteen chickens and five ducks in three 
additional townships of Rangoon from February 28 through 
March 2, in addition to those at the initial site (ref B). 
After tests for AI were positive at the three new sites, 
officials culled the remaining poultry and disinfected the 
areas.  Livestock and residents within a one-kilometer radius 
of each outbreak remain under surveillance.  The source of AI 
infection in Rangoon has not been determined.  On March 4, 
WHO supported a training course for health workers at Waibagi 
hospital, the designated infectious diseases facility in 
Rangoon.  WHO representatives said the GOB response to the 
current outbreak was systematic and organized, showing marked 
improvement over its performance at the first outbreak in 
March 2006, although problem areas remain.  End summary. 
 
Rapid Response to New Cases 
--------------------------- 
2. (SBU) The GOB announced on March 3 that three chickens and 
five ducks in Thingangyun Township and two chickens in Insein 
Township found dead on February 28 had tested positive for AI 
with Rapid Test Kits.  Since these cases were at small 
residential farms, authorities did not verify with PCR 
testing, but immediately culled all remaining poultry and 
disinfected the farms.  On March 2, eleven dead chickens were 
found at a commercial farm in Hlaing Thaya Township.  Rapid 
Test Kits, then PCR testing confirmed HPAI, and again, 
authorities culled all remaining poultry and disinfected the 
farm.  Contacts told us that high-level officials personally 
oversaw the burning and disinfecting operations. 
 
3. (SBU) On March 5, WHO Country Representative Adik Wibowo 
told Charge that Burmese government officials had dealt with 
the current outbreak in a systematic, organized way.  The 
Minister, Deputy Minister, and Director General of Health 
traveled to Rangoon from Nay Pyi Taw to handle the response. 
Also, at the Minister of Health's request, WHO supported a 
training drill for health workers at Waibagi Hospital, which 
is the designated facility for infectious diseases in 
Rangoon.  The twelve members from the family whose farm 
experienced the initial outbreak remain under observation at 
Waibagi, although none show symptoms at this point. 
 
4. (U) Announcements have appeared daily in government media 
describing the numbers of Rangoon bird deaths (including 
crows, pigeons, sparrows and quail) reported and 
investigated.  All birds other than ducks or chickens have 
tested negative for AI, according to the reports.  These 
announcements also cautioned pet owners to keep their pets 
from eating dead birds; advised breeders on effective 
disinfectant solutions; warned farmers to keep wild birds and 
crows away from poultry farms; recommended all citizens to 
bury dead crows; and ordered farm owners to maintain stronger 
biosecurity measures. 
 
Problem Areas 
------------- 
5. (SBU)  While the government's quick and thorough response 
to the outbreak has received  praise from the international 
community, problem areas remain.  These include: 
 
-- Inadequate biosafety at markets: On March 3 and 4, embassy 
employees witnessed sellers butchering and dressing poultry 
in Rangoon markets in unsanitary conditions, without proper 
facilities or practices to clean and disinfect the seller's 
 
RANGOON 00000228  002.2 OF 002 
 
 
area, clothing, and skin.   No posters or pamphlets with 
guidance on proper procedures to prevent AI transmission were 
evident in any markets.  We estimate Rangoon has 25-30 
markets, many of which continue to sell poultry. 
 
-- Uninformed Response: A contact informed us that the Yangon 
City Development Council turned off the water supply to parts 
of Mayangone Township, site of the initial outbreak, in an 
attempt to prevent the spread of AI through water seepage and 
flow from or near the affected farm.   WHO Country 
Representative Adik Wibowo promised to follow up with GOB 
authorities after we informed her of this development, to 
urge them to turn the water back on as soon as possible to 
allow area residents to maintain a higher standard of 
hygiene. 
 
-- Information Campaign Slow to Rural Areas:  The bulk of 
educational posters and pamphlets designed by UNICEF and 
funded by the Japanese Trust Fund and other donors have only 
recently been approved and passed to the government for wide 
distribution.  Wibowo expressed concern that, on her recent 
trip to Sagaing Division, she did not see any AI 
informational materials on display.  In Rangoon, posters are 
visible in some restaurants, but not at markets and other 
places where live and freshly-killed poultry is handled. 
Local sources tell us that many Burmese continue to believe 
that backyard poultry are immune from AI.  An aggressive 
public education campaign is needed to change these strongly 
held beliefs and increase public awareness of proper 
precautions. 
 
Assistance 
---------- 
6. (U) At the request of the Livestock Breeding and 
Veterinary Department, USAID Bangkok will send a specialist 
to advise on lab procedures on March 6 and on human health 
issues later this week.  LBVD officials have promised 
assistance to expedite their visas and travel.  Director 
Generals from both LBVD and the Department of Health have 
requested additional PPEs, as they are using their current 
supply quickly for response and monitoring teams.  We 
coordinated with USAID Bangkok to forward the request to 
Washington.  We will continue to consult closely with WHO, 
FAO and LBVD officials monitoring the current situation. 
VILLAROSA