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Viewing cable 07LONDON3525, LONDON - LESSONS LEARNED FROM PANDEMIC INFLUENZA

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Reference ID Created Released Classification Origin
07LONDON3525 2007-09-14 08:33 2011-08-25 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy London
VZCZCXRO7403
RR RUEHHM RUEHLN RUEHMA RUEHPB RUEHPOD
DE RUEHLO #3525/01 2570833
ZNR UUUUU ZZH
R 140833Z SEP 07
FM AMEMBASSY LONDON
TO RUEHC/SECSTATE WASHDC 5372
INFO RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE
RUEHBL/AMCONSUL BELFAST 0873
RUEHED/AMCONSUL EDINBURGH 0791
RUEAUSA/DEPT OF HHS WASHDC
RUEHPH/CDC ATLANTA GA
RUEHFSI/DIR FSINFATC
RHMFISS/HQ USEUCOM VAIHINGEN GE
RUEKJCS/SECDEF WASHDC
RUEHLO/USDAO LONDON UK
UNCLAS SECTION 01 OF 02 LONDON 003525 
 
SIPDIS 
 
SENSITIVE 
SIPDIS 
 
STATE FOR A/MED, OES/IHB, EUR/WE, CA/OCS, S/ES-O/CMS, 
EUR-IO/EX, AND G/AIAG LANGE 
FSINFATC FOR FSI/LMS/CMT 
 
E.O. 12958: N/A 
TAGS: KFLU CASC TBIO AMED AMGT UK
SUBJECT: LONDON - LESSONS LEARNED FROM PANDEMIC INFLUENZA 
EXERCISE 
 
 
LONDON 00003525  001.2 OF 002 
 
 
1.  (SBU) SUMMARY: Post held a Pandemic Influenza 
Tabletop Exercise (PI TTX) on September 7 with members 
of the Embassy's Pandemic Influenza Working Group 
(PIWG) and officials from the U.S. Department of 
Defense's (DOD) 3rd Air Force in the UK, and U.S. Air 
Force Europe (USAFE), located at Ramstein Air Base, 
Germany.  Key topics in the exercise that need further 
attention include 1) coordinating communication among 
the Embassy, American citizens and DOD, 2) shelter-in- 
place guidelines, and 3) distribution of prophylaxis. 
Embassy tripwires will be revised based on feedback 
from participants in the exercise. 
 
2.  (SBU) BACKGROUND: The purpose of the PI TTX was to 
use recently revised Embassy tripwires in the scenario, 
and identify areas that required additional review. 
The PI TTX consisted of a fictional scenario in three 
segments, covering approximately one and half months 
in time.  The scenario began at World Health 
Organization (WHO) Phase 3 (no or very limited human- 
to-human transmission) and ended at WHO Phase 6 
(pandemic underway).  Participants in the exercise 
included all members of the PIWG: Medical; Environment, 
Science, Technology and Health Section; Consular; 
Community Liaison Office; Public Affairs; Management, 
Human Resources; Regional Security Office; Defense 
Attach Office.  In addition, staff members from the 
48th Medical Group at RAF Lakenheath participated in 
the PI TTX to ensure coordination between their 
personnel, who are not in the Embassy Chief of Mission 
(COM) chain of command, and the Embassy. 
 
3.  (SBU) COORDINATING COMMUNICATION: The key issue 
identified from the PI TTX was coordinating 
communication.  Throughout the scenarios, participants 
realized that significant coordination was required to 
ensure a consistent message was being delivered inside 
the Embassy, with Amcits, to the media and with DOD 
personnel in the UK not under COM authority.  In 
addition, coordination with HMG policy and outreach 
would be essential to avoid conflicting guidance. 
 
4.  (SBU) SHELTER-IN-PLACE GUIDELINES: Throughout the 
scenarios, significant discussion focused on when 
shelter-in-place would be appropriate and the 
subsequent impact on essential operations.  DOS and 
DHS recommendations to maintain a stockpile of food 
and water for 12 weeks are not generally practical 
given small housing in the UK.  Participants believe 
that the water supply in the UK will not be affected 
in the event of a pandemic, so purifying water (e.g. 
using bleach) would be better than storing it.  MGMT 
and HR emphasized that limited tele-work options 
currently exist and could be used if needed.  In 
addition, the Embassy alert system via mobile text 
messaging (SMS) will be a valuable tool to keep 
employees informed. 
 
5.  (SBU) DISTRIBUTION OF PHARMACEUTICALS: 
Participants discussed the issues surrounding the 
distribution of prophylaxis, including the physical 
distribution, who gets it, how to evaluate potential 
recipients (e.g. telephonic vs. in person), security 
measures during distribution, and when it should be 
administered.  It is expected that in the event of an 
outbreak, Embassy employees and Amcits will be seeking 
prophylaxis even before symptoms arise.  Participants 
accepted that we will need to primarily rely on the 
host country for medical care in the event of a 
pandemic.  Consular (American Citizen Services) has 
discussed this issue with HMG, including the question 
of Amcits visiting the UK, and was told that HMG would 
be prepared to assist anyone with medical care 
regardless of nationality or residence status, in the 
event of a pandemic affecting the UK. 
 
6.  (SBU) NEXT STEPS: 1) Embassy tripwires will be 
revised based on input from the PI TTX and reviewed at 
 
LONDON 00003525  002.2 OF 002 
 
 
the next working group. 2) The next working group 
meeting will focus on establishing communication POCs, 
particularly focused on sharing Embassy information 
with DOD not under COM authority. 3) MED will continue 
to review its pharmaceutical distribution method to 
Embassy staff in the event of a pandemic.  4) Post 
will continue to work with HMG to better understand 
host nation capabilities, based on the questions and 
issues raised during the PI TTX. 
 
Visit London's Classified Website: 
http://www.state.sgov.gov/p/eur/london/index. cfm 
TUTTLE