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Viewing cable 07LONDON3657, UK HEALTH PROTECTION AGENCY PROPOSES FORMAL

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Reference ID Created Released Classification Origin
07LONDON3657 2007-09-21 15:51 2011-08-25 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy London
VZCZCXYZ0029
PP RUEHWEB

DE RUEHLO #3657 2641551
ZNR UUUUU ZZH
P 211551Z SEP 07
FM AMEMBASSY LONDON
TO RUEHC/SECSTATE WASHDC PRIORITY 5524
RUEHPH/CDC ATLANTA GA PRIORITY
RUEAUSA/DEPT OF HHS WASHDC PRIORITY
INFO RHEBAAA/DEPT OF ENERGY WASHINGTON DC PRIORITY
RHMCSUU/FBI WASHINGTON DC PRIORITY
RUEHUNV/USMISSION UNVIE VIENNA PRIORITY 0294
RHEFHLC/HOMELAND SECURITY CENTER WASHINGTON DC PRIORITY
UNCLAS LONDON 003657 
 
SIPDIS 
 
SENSITIVE 
SIPDIS 
 
CDC FOR DIRECTOR GERBERDING 
CDC FOR CHARLES MILLER AND ROBERT WHITCOMB 
 
E.O. 12958: N/A 
TAGS: CASC PREL UK
SUBJECT: UK HEALTH PROTECTION AGENCY PROPOSES FORMAL 
LIAISON WITH U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION 
 
REF: LONDON 1534 (AND PREVIOUS) 
 
1.  (SBU) SUMMARY: UK Health Protection Agency (HPA) Chief 
Advisor to the Chief Executive Dr. Nigel Lightfoot proposed 
to visiting U.S. Centers for Disease Control and Prevention 
(CDC) officials and EmbOffs that a formal liaison be 
established between HPA and CDC.  During discussions of 
lessons learned in response to the November 2006 polonium-210 
incident (reftel), Lightfoot also recommended 1) CDC peer 
review HPA's "unknown illness" patient diagnosis protocol, 2) 
the G7 consider ways to communicate more effectively during a 
public health crisis, and 3) practice using the CDC-HPA 
communication process during the October TopOff 4 exercise. 
END SUMMARY 
 
2.  (SBU) On September 14, CDC officials Dr. Charles Miller 
and Dr. Robert Whitcomb, accompanied by EmbOffs, met with HPA 
officials Dr. Nigel Lightfoot, John Cooper and Neil McColl, 
to discuss additional lessons learned from the November 2006 
polonium-210 poisoning in London of former KGB officer 
Alexander Litvinenko (reftel).  Based on the polonium 
experience, Lightfoot strongly recommended that a formal 
liaison be established between CDC and HPA that would plan 
and facilitate peer-to-peer communication during a public 
health emergency.  Lightfoot suggested a personnel exchange, 
a formal communications process, and/or a memorandum of 
understanding be established to assist in any future 
incidents.  HPA Chief Executive Pat Troop reiterated this 
request to ESTOff during a event at the annual Health 
Protection 2007 conference.  Troop said she believes the time 
is ripe for a more formal relationship with CDC. 
 
3.  (SBU) One of the lessons identified from the polonium 
incident, explained HPA officials, was informing public 
health officials how to manage and report a patient 
experiencing an unknown illness.  In response, HPA developed 
an "unknown illness" document to assist public health 
officials in identifying the underlying problem.  Lightfoot 
encouraged CDC to use and to comment on the document. 
 
4.  (SBU) Given that over 50 nations had citizens who may 
have come into contact with polonium-210, a major lesson 
identified was how to communicate effectively with other 
countries.  There are links between HPA and the UK Foreign 
and Commonwealth Office (FCO) to share information with 
third-country embassies represented in London.  In addition, 
the FCO is working with Embassies to implement a 
password-protected internet application, dubbed Hermes, that 
would provide information during a mass casualty crisis. 
Lightfoot recommended that further discussion was needed 
throughout the international community to address how to 
communicate in the event of a crisis.  Lightfoot recommended 
that the most appropriate forum would be the G7. 
 
5.  (SBU) CDC and HPA officials are participating in the 
October TopOff 4 exercise, and committed to practice newly 
established communication links.  On September 14, CDC and 
HPA exchanged phone numbers for 24/7 public health duty 
officers to facilitate communication in the event of a crisis. 
 
6.  (U) This cable has been cleared by CDC. 
 
Visit London's Classified Website: 
http://www.state.sgov.gov/p/eur/london/index. cfm 
 
 
LeBaron