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Viewing cable 09BANDARSERIBEGAWAN178, BRUNEI MOVES TO MITIGATION

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Reference ID Created Released Classification Origin
09BANDARSERIBEGAWAN178 2009-07-23 08:00 2011-08-25 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Bandar Seri Begawan
VZCZCXRO4380
OO RUEHAST RUEHCHI RUEHDH RUEHDT RUEHHM RUEHLN RUEHMA RUEHNH RUEHPB
RUEHPOD RUEHSL RUEHTM RUEHTRO
DE RUEHBD #0178 2040800
ZNR UUUUU ZZH
O 230800Z JUL 09
FM AMEMBASSY BANDAR SERI BEGAWAN
TO RUEHC/SECSTATE WASHDC IMMEDIATE 4595
INFO RUEHPH/CDC ATLANTA GA IMMEDIATE
RUEAUSA/DEPT OF HHS WASHINGTON DC
RHEHNSC/NSC WASHDC
RUEKJCS/SECDEF WASHINGTON DC
RUEHRC/DEPT OF AGRICULTURE WASHDC
RUEHGP/AMEMBASSY SINGAPORE 3529
RUCNASE/ASEAN MEMBER COLLECTIVE
RUEHGVA/USMISSION GENEVA 0105
RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE
UNCLAS BANDAR SERI BEGAWAN 000178 
 
 
SENSITIVE 
 
SIPDIS 
 
SINGAPORE FOR MED/BROWNL 
STATE FOR CA/OCS/EAP 
STATE FOR EAP/MTS/COPPOLAMG 
STATE FOR S/ES-O/CMS EPARRA 
STATE FOR M/PRI/MORRITZR 
STATE FOR OES/AIAG 
STATE FOR REO/BKK/HOWARDH 
HHS FOR OGHA 
CDC ATLANTA FOR CCID AND COGH 
USDA FOR APHIS 
 
E.O. 12958: N/A 
TAGS: KFLU AEMR ASEC CASC TBIO PREL PINR BX
 
SUBJECT:  BRUNEI MOVES TO MITIGATION 
 
REF: A) BANDAR SERI BEGAWAN 146 
B) BANDAR SERI BEGAWAN 165 
 
SUMMARY 
1. (SBU) Brunei's Ministry of Health (MoH) announced plans to move 
from containment of the H1N1 virus to mitigation.  As noted in 
reftels, this announcement has been expected.  Concerns have been 
raised that the MoH's public health campaign and statements made by 
senior department officials are not accurate and could lead to 
unnecessary treatment.  Tamiflu supplies are reported at lower 
levels than originally announced.  One US Embassy staff member and 
family have been subject to home quarantine procedures. End 
Summary. 
 
BRUNEI MOVES TO MITIGATION 
------------------------------ 
2. (U) Brunei's Ministry of Health (MoH) announced that containment 
of the H1N1 virus is no longer the primary public health strategy 
for the Government of Brunei. Instead, like many countries, Brunei 
will adopt mitigation standards to lessen the impact of H1N1 on 
Brunei. As noted in reftels, this change in public health strategy 
has been anticipated.  Brunei's new case load has dropped recently. 
For the first time in many weeks, no new cases were reported 
yesterday.  MoH officials noted that they believe now is the time to 
adopt a mitigation strategy regarding H1N1. 
 
PUBLIC HEALTH MEASURES: SEEDING CONFUSION 
------------------------------------------ 
3. (SBU) While moving to a mitigation strategy and still actively 
engaged in a public awareness campaign, recent statements, as quoted 
in the press, have lead to confusion and concern among health care 
practitioners and the public.  A recent public statement by a MoH 
official that H1N1, if left untreated, could lead to death, is a 
prime example. Little was offered in the way of clarification or 
noting that deaths linked with H1N1 are often in persons with prior 
and serious medical conditions.  Local health care practitioners 
have spoken to embassy officials and noted concerns that the MoH's 
public awareness campaign is now causing confusion and unnecessary 
alarm regarding H1N1. 
 
ENOUGH SUPPLIES? 
---------------- 
4 (SBU) While initial MoH reports, per Reftels, stated there would 
be ample Tamiflu supplies, it now appears that current stockpiles 
are lower than reported.  Supplies reportedly could be provided to 
approximately 30% of the population, although this has not been 
independently verified.  Potentially low level of supplies combined 
with a public awareness campaign encouraging treatment (often with 
Tamiflu) may cause a further dwindling of limited supplies.  The 
Bruneian press also continues to report on concerns about the 
ability and timing of H1N1 vaccine shipments. 
 
COMMENT 
------- 
4. (SBU) New H1N1 case numbers are reportedly dropping and the MoH 
recent move to mitigation over containment strategy are seen as 
positive developments in Brunei. However, concerns regarding Tamiflu 
and potential vaccine supplies remain, coupled with potentially 
alarmist and, at times, a contradictory public health campaign. 
Embassy staff and families have been fortunate in not suffering from 
H1N1, with only one staff member and his family quarantined at 
home. 
 
MCINTYRE