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Viewing cable 09CAIRO1552, GOE INFLUENZA PLANNING WELL UNDER WAY FOR ANNUAL

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Reference ID Created Released Classification Origin
09CAIRO1552 2009-08-10 07:05 2011-08-24 16:30 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Cairo
VZCZCXRO8465
PP RUEHAST RUEHDH RUEHHM RUEHLN RUEHMA RUEHPB RUEHPOD RUEHSL RUEHTM
RUEHTRO
DE RUEHEG #1552 2220705
ZNR UUUUU ZZH
P 100705Z AUG 09
FM AMEMBASSY CAIRO
TO RUEHC/SECSTATE WASHDC PRIORITY 3381
INFO RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE PRIORITY
RUEAUSA/DEPT OF HHS WASHDC PRIORITY
RUEHPH/CDC ATLANTA GA PRIORITY
UNCLAS CAIRO 001552 
 
SENSITIVE 
SIPDIS 
 
DEPT FOR AIAG (AMBASSADOR LOTFIS AND DAVID WINN), NEA/ELA 
DEPT PASS TO AID (DENNIS CARROLL) 
 
E.O. 12958: N/A 
TAGS: TBIO KFLU KSTH PGOV EAGR CASC PREL EAID EG
SUBJECT: GOE INFLUENZA PLANNING WELL UNDER WAY FOR ANNUAL 
PILGRIMAGES 
 
Sensitive but Unclassified.  Please handle accordingly. 
 
 
1.(SBU) Key Points: 
 
-- A Ministry of Health (MoH) senior official explained GOE plans to 
address increasing influenza concerns as it prepares for annual 
religious pilgrimages to Saudi Arabia. 
 
--For the first time, MoH is collaborating with the Ministry of 
Education (MoE) to lead influenza awareness classes in all Egyptian 
public elementary, middle, and high schools. 
 
--------------------------------------------- --- 
WHO WILL BE PREVENTED FROM RELIGIOUS PILGRIMAGES? 
--------------------------------------------- --- 
 
2. (SBU)Egyptian MoH chief spokesperson Dr. Abd-El Rahman Shaheen 
told Emboff on August 4 that as a result of increasing influenza 
concerns, the GOE will implement new measures this year for its 
religious pilgrims.  He explained that Egypt is planning to restrict 
travel for certain groups of individuals seeking to perform umrah 
(minor pilgrimage to Mecca performed at any time of the year) or 
hajj. 
 
3. (SBU) According to Shaheen those considered "high-risk" for 
travel to Saudi Arabia include pregnant women, children under 12 
years old, obese individuals, those with chronic ailments (e.g. 
diabetes, hypertension), and adults over 65 years old. This last 
category was MoH's biggest concern since many people do not 
undertake hajj until their later years and Shaheen worried how 
Egypt's elderly population would accept this decision. He noted the 
Arab health ministries now await a royal Saudi decree likely to 
ratify these recommendations; a decision is expected shortly "any 
day now." 
 
--------------------------------- 
NEW PREVENTION MEASURES INTRODUCED 
--------------------------------- 
 
4. (SBU), MoH plans to combat influenza are already well under way. 
He noted that during umrah and hajj the GOE operates health clinics 
for Egyptian citizens in Mecca, Medina, and Jeddah; this year they 
will "significantly increase" staffing at those facilities. A doctor 
will travel on all umrah flights to monitor the health of Egyptian 
travelers. Another new measure involves requiring all individuals to 
possess a hospital-issued medical certificate stating they have no 
health problems preventing travel to Saudi Arabia. Copies of this 
certificate, which Shaheen listed as "tamper-proof", will be kept on 
file at issuing hospitals and will likely cost between 250-400 LE 
($45-72).  Along with a yellow vaccination book traditionally 
carried by Egyptian pilgrims, all individuals must present this 
certificate at a port of departure.  Shaheen also noted that the MoH 
plans to quarantine every single returning pilgrim in the event of 
an influenza pandemic. Individuals will be taken to hospitals and 
clinics across the country. 
 
---------------------------------------- 
MANDATORY INFLUENZA CLASSES TO SWEEP EGYPTIAN SCHOOLS 
---------------------------------------- 
 
5. (SBU) MoH is partnering with the MoE to prepare influenza 
awareness classes for all of its public elementary, middle, and high 
schools. On the first day of the Egyptian school year, likely to be 
September 22 following the day after Eid ul-Fitr marking the end of 
Ramadan, students will receive a 45 minute lesson in how to avoid 
contracting influenza.  Teachers will explain that it is imperative 
to wash your hands with soap and water, keep a tidy desk, and 
maintain clean bathrooms. Shaheen noted this program could 
potentially reach 17 million students in 43,000 schools across the 
country. 
 
6. (SBU) Comment: To date, MoH has done a relatively effective job 
in treating its influenza patients, especially those infected with 
H5N1. Individual human cases, particularly in children, are 
identified quickly and promptly treated at area hospitals. The H5N1 
fatality rate in Egypt is 32% as compared to the global fatality 
rate of 66%. However, it is unclear if the GOE possesses the medical 
personnel, logistical capability, and financial resources to 
implement all of its new influenza initiatives, especially its 
pandemic response plans. 
 
Scobey