Keep Us Strong WikiLeaks logo

Currently released so far... 97115 / 251,287

Articles

Browse latest releases

Browse by creation date

Browse by origin

A B C D F G H I J K L M N O P Q R S T U V W Y Z

Browse by tag

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
ETRD EAGR ETTC EAID ECON EFIN ECIN EINV ELAB EAIR ENRG EPET EWWT ECPS EIND EMIN ELTN EC ETMIN EUC EZ ET ELECTIONS ENVR EU EUN EG EINT ER ECONOMICS ES EMS ENIV EEB EN ECE ECOSOC EK ENVIRONMENT EFIS EI EWT ENGRD ECPSN EXIM EIAD ERIN ECPC EDEV ENGY ECTRD EPA ESTH ECCT EINVECON ENGR ERTD EUR EAP EWWC ELTD EL EXIMOPIC EXTERNAL ETRDEC ESCAP ECO EGAD ELNT ECONOMIC ENV ETRN EIAR EUMEM ENRGPARMOTRASENVKGHGPGOVECONTSPLEAID EREL ECOM ECONETRDEAGRJA ETCC ETRG ECONOMY EMED ETR ENERG EITC EFINOECD EURM EENG ERA EXPORT ENRD ECONEINVETRDEFINELABETRDKTDBPGOVOPIC EGEN EBRD EVIN ETRAD ECOWAS EFTA ECONETRDBESPAR EGOVSY EPIN EID ECONENRG EDRC ESENV ETT EB ENER ELTNSNAR ECHEVARRIA ETRC EPIT EDUC ESA EFI ENRGY ESCI EE EAIDXMXAXBXFFR EETC ECIP EIAID EIVN EBEXP ESTN EING EGOV ETRA EPETEIND ELAN ETRDGK EAIDRW ETRDEINVECINPGOVCS EPEC ENVI ELN EAG EPCS EPRT EPTED ETRB EUM EAIDS EFIC EFINECONEAIDUNGAGM EAIDAR ESF EIDN ELAM EDU EV EAIDAF ECN EDA EXBS EINTECPS ENRGTRGYETRDBEXPBTIOSZ EPREL EAC EINVEFIN ETA EAGER EINDIR ECA ECLAC ELAP EITI EUCOM ECONEFINETRDPGOVEAGRPTERKTFNKCRMEAID EARG ELDIN EINVKSCA ENNP EFINECONCS EFINTS ECCP ETC EAIRASECCASCID EINN ETRP EAIDNI EFQ ECOQKPKO EGPHUM EBUD ECONEINVEFINPGOVIZ ENERGY ELB EINDETRD EMI ECONEFIN EIB EURN ETRDEINVTINTCS EIN EFIM ETIO ELAINE EMN EATO EWTR EIPR EINVETC ETTD ETDR EIQ ECONCS EPPD ENRGIZ EISL ESPINOSA ELEC EAIG ESLCO EUREM ENTG ERD EINVECONSENVCSJA EEPET EUNCH ECINECONCS ETRO ETRDECONWTOCS ECUN EFND EPECO EAIRECONRP ERGR ETRDPGOV ECPN ENRGMO EPWR EET EAIS EAGRE EDUARDO EAGRRP EAIDPHUMPRELUG EICN ECONQH EVN EGHG ELBR EINF EAIDHO EENV ETEX ERNG ED
KMDR KPAO KPKO KJUS KCRM KGHG KFRD KWMN KDEM KTFN KHIV KGIC KIDE KSCA KNNP KHUM KIPR KSUM KISL KIRF KCOR KRCM KPAL KWBG KN KS KOMC KSEP KFLU KPWR KTIA KSEO KMPI KHLS KICC KSTH KMCA KVPR KPRM KE KU KZ KFLO KSAF KTIP KTEX KBCT KOCI KOLY KOR KAWC KACT KUNR KTDB KSTC KLIG KSKN KNN KCFE KCIP KGHA KHDP KPOW KUNC KDRL KV KPREL KCRS KPOL KRVC KRIM KGIT KWIR KT KIRC KOMO KRFD KUWAIT KG KFIN KSCI KTFIN KFTN KGOV KPRV KSAC KGIV KCRIM KPIR KSOC KBIO KW KGLB KMWN KPO KFSC KSEAO KSTCPL KSI KPRP KREC KFPC KUNH KCSA KMRS KNDP KR KICCPUR KPPAO KCSY KTBT KCIS KNEP KFRDCVISCMGTCASCKOCIASECPHUMSMIGEG KNNB KGCC KINR KPOP KMFO KENV KNAR KVIR KDRG KDMR KFCE KNAO KDEN KGCN KICA KIMMITT KMCC KLFU KMSG KSEC KUM KCUL KMNP KSMT KCOM KOMCSG KSPR KPMI KRAD KIND KCRP KAUST KWAWC KTER KCHG KRDP KPAS KITA KTSC KPAOPREL KWGB KIRP KJUST KMIG KLAB KTFR KSEI KSTT KAPO KSTS KLSO KWNN KPOA KHSA KNPP KPAONZ KBTS KWWW KY KJRE KPAOKMDRKE KCRCM KSCS KWMNCI KESO KWUN KPLS KIIP KEDEM KPAOY KRIF KGICKS KREF KTRD KFRDSOCIRO KTAO KJU KWMNPHUMPRELKPAOZW KEN KO KNEI KEMR KKIV KEAI KWAC KRCIM KWCI KFIU KWIC KCORR KOMS KNNO KPAI KBWG KTTB KTBD KTIALG KILS KFEM KTDM KESS KNUC KPA KOMCCO KCEM KRCS KWBGSY KNPPIS KNNPMNUC KWN KERG KLTN KALM KCCP KSUMPHUM KREL KGH KLIP KTLA KAWK KWMM KVRP KVRC KAID KSLG KDEMK KX KIF KNPR KCFC KFTFN KTFM KPDD KCERS KMOC KDEMAF KMEPI KEMS KDRM KEPREL KBTR KEDU KNP KIRL KNNR KMPT KISLPINR KTPN KA KJUSTH KPIN KDEV KTDD KAKA KFRP KWNM KTSD KINL KJUSKUNR KWWMN KECF KWBC KPRO KVBL KOM KFRDKIRFCVISCMGTKOCIASECPHUMSMIGEG KEDM KFLD KLPM KRGY KNNF KICR KIFR KM KWMNCS KAWS KLAP KPAK KDDG KCGC KID KNSD KMPF KPFO KDP KCMR KRMS KNPT KNNNP KTIAPARM KDTB KNUP KPGOV KNAP KNNC KUK KSRE KREISLER KIVP KQ KTIAEUN KPALAOIS KRM KISLAO KWM KFLOA
PHUM PINR PTER PGOV PREL PREF PL PM PHSA PE PARM PINS PK PUNE PO PALESTINIAN PU PBTS PROP PTBS POL POLI PA PGOVZI POLMIL POLITICAL PARTIES POLM PD POLITICS POLICY PAS PMIL PINT PNAT PV PKO PPOL PERSONS PING PBIO PH PETR PARMS PRES PCON PETERS PRELBR PT PLAB PP PAK PDEM PKPA PSOCI PF PLO PTERM PJUS PSOE PELOSI PROPERTY PGOVPREL PARP PRL PNIR PHUMKPAL PG PREZ PGIC PBOV PAO PKK PROV PHSAK PHUMPREL PROTECTION PGOVBL PSI PRELPK PGOVENRG PUM PRELKPKO PATTY PSOC PRIVATIZATION PRELSP PGOVEAIDUKNOSWGMHUCANLLHFRSPITNZ PMIG PREC PAIGH PROG PSHA PARK PETER POG PHUS PPREL PS PTERPREL PRELPGOV POV PKPO PGOVECON POUS PGOVPRELPHUMPREFSMIGELABEAIDKCRMKWMN PWBG PMAR PREM PAR PNR PRELPGOVEAIDECONEINVBEXPSCULOIIPBTIO PARMIR PGOVGM PHUH PARTM PN PRE PTE PY POLUN PPEL PDOV PGOVSOCI PIRF PGOVPM PBST PRELEVU PGOR PBTSRU PRM PRELKPAOIZ PGVO PERL PGOC PAGR PMIN PHUMR PVIP PPD PGV PRAM PINL PKPAL PTERE PGOF PINO PHAS PODC PRHUM PHUMA PREO PPA PEPFAR PGO PRGOV PAC PRESL PORG PKFK PEPR PRELP PREFA PNG PGOVPHUMKPAO PRELECON PINOCHET PFOR PGOVLO PHUMBA PRELC PREK PHUME PHJM POLINT PGOVPZ PGOVKCRM PGOVE PHALANAGE PARTY PECON PEACE PROCESS PLN PRELSW PAHO PEDRO PRELA PASS PPAO PGPV PNUM PCUL PGGV PSA PGOVSMIGKCRMKWMNPHUMCVISKFRDCA PGIV PRFE POGOV PEL PBT PAMQ PINF PSEPC POSTS PHUMPGOV PVOV PHSAPREL PROLIFERATION PENA PRELTBIOBA PIN PRELL PGOVPTER PHAM PHYTRP PTEL PTERPGOV PHARM PROTESTS PRELAF PKBL PRELKPAO PKNP PARMP PHUML PFOV PERM PUOS PRELGOV PHUMPTER PARAGRAPH PERURENA PBTSEWWT PCI PETROL PINSO PINSCE PQL PEREZ PBS

Browse by classification

Community resources

courage is contagious

Viewing cable 08HELSINKI83, FIGHTING TUBERCULOSIS IN FINLAND

If you are new to these pages, please read an introduction on the structure of a cable as well as how to discuss them with others. See also the FAQs

Understanding cables
Every cable message consists of three parts:
  • The top box shows each cables unique reference number, when and by whom it originally was sent, and what its initial classification was.
  • The middle box contains the header information that is associated with the cable. It includes information about the receiver(s) as well as a general subject.
  • The bottom box presents the body of the cable. The opening can contain a more specific subject, references to other cables (browse by origin to find them) or additional comment. This is followed by the main contents of the cable: a summary, a collection of specific topics and a comment section.
To understand the justification used for the classification of each cable, please use this WikiSource article as reference.

Discussing cables
If you find meaningful or important information in a cable, please link directly to its unique reference number. Linking to a specific paragraph in the body of a cable is also possible by copying the appropriate link (to be found at theparagraph symbol). Please mark messages for social networking services like Twitter with the hash tags #cablegate and a hash containing the reference ID e.g. #08HELSINKI83.
Reference ID Created Released Classification Origin
08HELSINKI83 2008-02-29 12:44 2011-04-24 00:00 UNCLASSIFIED Embassy Helsinki
VZCZCXRO1304
RR RUEHAG RUEHAST RUEHDA RUEHDF RUEHFL RUEHIK RUEHKW RUEHLA RUEHLN
RUEHLZ RUEHPOD RUEHROV RUEHSR RUEHVK RUEHYG
DE RUEHHE #0083/01 0601244
ZNR UUUUU ZZH
R 291244Z FEB 08
FM AMEMBASSY HELSINKI
TO RUEHC/SECSTATE WASHDC 4084
INFO RUEHZL/EUROPEAN POLITICAL COLLECTIVE
UNCLAS SECTION 01 OF 02 HELSINKI 000083 
 
SIPDIS 
 
STATE FOR EUR/CARC, EUR/PGI/DTESSLER AND 
OES/IHB/ALAURIZEN 
SIPDIS 
 
E.O. 12958: N/A 
TAGS: TBIO WHO XG FI
SUBJECT: FIGHTING TUBERCULOSIS IN FINLAND 
 
REF: STATE 6989 
 
1. Per reftel request, Post contacted Ministry of Social 
Affairs and Health's Ministerial Counselor Anni 
Virolainen-Julkunen and Finnish Lung Health Association's 
Medical Adviser Arvid Nyberg to gain information on the 
status of implementation in Finland of the Berlin 
Declaration on Tuberculosis. The assessment is contained 
in the following paragraphs. 
 
2. Finland has a long history of Tuberculosis (TB) 
diagnostics, treatment and monitoring. Due to determined 
and persistent efforts TB has dropped significantly in 
Finland in the last 40 years and the rate of the spread 
of infection between population groups when it does occur 
is very low. According to the World Health Organization 
(WHO), the TB incidence rate was six per 100,000 (339 
cases) in 2005, only 3 percent of the level prevailing in 
the early 1960s (TB incidence 172/100,000). The positive 
trend has continued: in 2006, 295 new TB cases were 
reported and in 2007 the number of new cases was 266, 
according to the national TB expert organization, the 
National Public Health Institute (KTL). Finland differs 
from the other Nordic countries in that the majority of 
TB cases are detected in people aged 65 and older (who 
contracted TB infection in their youth) and only a 
smaller proportion (10-20%) of cases are detected in 
immigrants. Childhood TB is very rare in Finland, with 
four to ten cases registered in children in the whole 
country. As a result of Finland meeting the International 
Union Against Tuberculosis and Lung Disease (IATLD) 
criteria for discontinuing universal Bacille Calmette- 
Gurin (BCG) vaccination programs and following an 
increase of BCG vaccination complications, Finland halted 
mass BCG vaccination of newborns in September 2006. A new 
KTL supervised BCG vaccination program was introduced and 
Finland moved to target risk groups instead (immigrants 
from high TB risk countries). 
 
New TB control program 
 
3. To enhance awareness and knowledge of TB and to 
support the change to the new BCG vaccination program, 
Finnish Lung Health Association (Filha)in cooperation 
with KTL and supported by the Ministry for Social Affairs 
and Health (MoSAH), drafted a new Tuberculosis Control 
Program for Finland, which was released in August 2006, 
and will be updated by 2012. The goal of the program is 
early detection, efficient and successful treatment in 80 
percent of those with infectious pulmonary TB, efficient 
prevention of new infections, reduction in the risk of 
contracting TB and improved knowledge and skills of 
Finland's health care staff. The implementation of the 
new TB control Program addresses commitments taken by the 
Berlin Declaration signatories. 
 
4. Compared with previous practices, the most significant 
changes in the new TB Control Program are specific 
measures aimed at risk groups, more efficient prevention 
of TB transmission in institutions, the appointment of a 
national expert group, specific guidelines for hospital 
districts, more effective supervision of treatment and 
co-ordination of monitoring, targeting BCG vaccinations 
at risk groups, and increasing training and research. All 
hospital districts in Finland have appointed persons 
responsible for regional TB know-how and they were tasked 
to draw up hospital district specific guidelines by the 
end of 2007. 
 
5. To address the extremely-drug resistant (XDR)-TB 
challenge, all hospital personnel are instructed on how 
to handle the XDR-TB disease, and incubation units have 
already been set up in some hospitals to handle XDR 
patients. Two national TB Expert Groups have been 
established to monitor and support the implementation of 
the National Tuberculosis program. The National TB 
Prevention expert group, headed by KTL Research Professor 
Petri Ruutu, which meets 2-3 times a year, is presently 
drafting a TB treatment outcome monitoring system for 
Finland to be released in 2008. The National TB Treatment 
expert group, headed by Specialist in Respiratory 
Medicine at Turku University Hospital Tuula Vasankari, 
acts as the national expert body to be consulted in 
problematic TB, multi-drug resistant (MDR)/XDR cases. 
This group meets as needed, but at least 3-4 times a 
year. The possibility that MDR-TB and XDR-TB may spread 
to Finland from neighboring countries has been a cause of 
concern, although one which has so far not been realized. 
There have been a few separate MDR-TB cases (2-5 per 
year) but no outbreaks detected. KTL anticipates 
Individual XDR cases as opposed to a widespread outbreak. 
 
HELSINKI 00000083  002 OF 002 
 
 
 
National TB Expert Organizations 
 
6. KTL's Department of Infectious Disease Epidemiology 
and Control (INFE), the national coordinator for the EU 
monitoring network of infectious diseases (EuroTB), works 
in close collaboration with the European Center for 
Disease Prevention and Control (ECDC) to gather 
information about the occurrence of infectious diseases, 
epidemics and suspected epidemics, as well as the related 
risk factors, and provide instructions for municipal 
authorities to obtain and manage epidemic information 
and, when necessary, assist them in these matters. In 
addition to applied epidemiological research, INFE's HIV 
laboratory and viral vaccine laboratory conduct basic 
research in the field of microbiology and cell biology, 
and is in charge of the quality control of laboratories 
specializing in clinical diagnostic microbiology. 
 
7. INFE's weekly updated and publicly available 
Infectious Diseases Register provides detailed statistics 
about infectious diseases, including TB, in Finland. 
Doctors are obliged to report on infectious diseases (TB, 
diphtheria, hepatitis, malaria, HIV, poliomyelitis, 
cholera and rabies), and microbiological laboratories 
report any occurrence of infectious diseases and related 
observations. As part of an effort to improve the fight 
against TB, and meet the Berlin declaration commitments, 
the TB treatment outcome also must be submitted to INFE's 
Infectious Disease Register, starting January 1, 2008. 
 
8. Finnish Lung Health Association (Filha - former 
Finnish Anti-Tuberculosis Association) implements in 
Finland the new National Tuberculosis Control Program 
together with MoSAH and KTL, by working nationally and 
internationally to promote public health in the field of 
TB and lung diseases. Filha's main task is to enhance 
prevention, treatment and rehabilitation of these 
diseases, by acting as a collaborative body of experts in 
designing and implementing national disease control 
programs, providing consulting, training and information 
for health care personnel in Finland, Russia and Estonia, 
collaborating with the public and private sectors in its 
activities, promoting international collaboration in lung 
diseases and expert exchange, supporting the battle 
against TB in Russia and high incidence countries in 
collaboration with Ministry for Foreign Affairs and 
Ministry of Justice, and supporting medical research in 
the field of lung diseases. Filha is the WHO 
Collaborating Centre for Prevention, Control and 
Treatment of TB, partner in the "Stop TB" strategy, and 
member of the International Union Against Tuberculosis 
and Lung Diseases (IUATLD), and the Tuberculosis 
Surveillance Unit (TSRU). 
 
9. Finland is an active partner in the international 
effort to combat TB. Each year Finland funds numerous 
joint projects in St Petersburg, the Leningrad region, 
the Karelian Republic and Murmansk (Filha's Karelia 
Republic TB Project 2000-2010, Murmansk Region TB Project 
1997-2007, and St Petersburg TB Project 2002-2008 etc). 
The main issues of cooperation are the eradication of 
contagious diseases such as TB and HIV. Finland also 
supports WHO's projects in Russia on TB and HIV. 
 
WARE