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Viewing cable 09BERN406, FOLLOW-UP ON PRESIDENT'S ANNOUNCEMENT TO EXPAND

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Reference ID Created Released Classification Origin
09BERN406 2009-09-25 14:58 2011-08-25 00:00 UNCLASSIFIED Embassy Bern
INFO  LOG-00   AF-00    AID-00   AMAD-00  CIAE-00  DODE-00  DS-00    
      MEDE-00  EAP-00   EUR-00   UTED-00  VCI-00   H-00     TEDE-00  
      INR-00   IO-00    MOFM-00  MOF-00   CDC-00   VCIE-00  NSAE-00  
      ISN-00   OES-00   EPAU-00  ISNE-00  IRM-00   SSO-00   SS-00    
      DPM-00   T-00     NCTC-00  FMP-00   EPAE-00  DSCC-00  PRM-00   
      SAS-00   FA-00    SWCI-00  PESU-00    /000W
    
R 251458Z SEP 09
FM AMEMBASSY BERN
TO SECSTATE WASHDC 6080
UNCLAS BERN 000406 
 
 
E.O. 12958: N/A 
TAGS: KFLU AORC PREL SZ
SUBJECT: FOLLOW-UP ON PRESIDENT'S ANNOUNCEMENT TO EXPAND 
FIGHT AGAINST GLOBAL H1N1 PANDEMIC 
 
REF: STATE 97471 
 
------- 
Summary 
------- 
 
1. (U)  Embassy pol-econ counselor delivered reftel points to 
Swiss Federal Office of Public Health (FOPH) International 
Affairs Office Vice Director Dr. Gaudenz Silberschmidt MD. on 
September 25.  Silberschmidt indicated that his office would 
be the coordinating center for Switzerland's participation in 
the international/WHO effort on H1N1.  He then proceeded to 
outline the details of Switzerland's current national and 
international effort. 
 
------------ 
Swiss Effort 
------------ 
 
2. (U) Switzerland's Federal Council approved and earmarked 
money for a mass domestic vaccination program in summer 2009. 
Switzerland subsequently ordered 13 million doses of H1N1 
vaccine from Sanofi and Glaxo Smith Kline, at a price 
exceeding 10 CHF (US$10) a dose.  Silberschmidt said that he 
estimates this is roughly four times the concessional 
per-dose price the WHO could probably obtain from the 
pharmaceutical firms for inoculation campaigns in developing 
countries.  The FOPH estimates that 13 million doses will be 
enough to inoculate the entire Swiss population (7.8 
million), assuming two doses are needed per child and one for 
each adult.  Silberschmidt said he does not know when the 
first batch of vaccines will become available. Production is 
going more slowly than anticipated, due to the unanticipated 
difficulty of growing the vaccine.  For this reason, 
estimates of annual global H1N1 vaccine production capacity 
have been reduced from 5 billion doses to 3 billion. 
 
3. (U) With regard to the international effort, Switzerland 
is making available 5 million CHF ($5 million) for the WHO to 
purchase vaccines.  Silberschmidt figures that this will be 
enough to buy roughly 1.5 million doses of vaccine at the 
$2-3 a dose concessional WHO price. Switzerland figures that 
this is therefore equivalent to roughly 10 percent of its 
overall vaccine procurement.  In addition, Switzerland will 
provide vaccines to UN system employees living in or cycling 
through Switzerland.  Finally, Switzerland does not yet know 
if the 13 million doses it is buying for its national program 
will be more than needed.  If it turns out that Switzerland 
has over-purchased, then some additional donations may be 
possible. 
 
4. (U) Switzerland has opted to separate the WHO procurement 
effort (at $2-3 a dose) from its domestic purchase.  This 
will allow FOPH to avoid using expensive Swiss reference 
price vaccines for the WHO's developing country program, a 
costly strategy which would only subsidize pharmaceutical 
suppliers.  The FOPH also did not think it would be feasible 
to negotiate price reductions for a portion of its already 
contracted orders, in order to provide these vaccines to the 
WHO.  Instead, the Swiss-financed vaccine orders for WHO 
programs will be additional to those being purchased for the 
national Swiss program.  In this way, the FOPH believes it 
can avoid a negative industry reaction. 
 
----------------------- 
Concern about Liability 
----------------------- 
 
5. (U) Silberschmidt said that the Swiss government is 
concerned that liability issues could greatly complicate 
organization of the international action.  For example, if a 
dual U.S./local national in a country like Botswana has an 
adverse reaction to a WHO-donated vaccination, will that 
person be able to sue the donors or the manufacturers in a 
U.S. court?  If so, this could vastly increase the product 
liability risk (and therefore the manufacturer's vaccine 
price) for campaigns in developing countries. 
 
--------------- 
Swiss Questions 
--------------- 
 
6. (U) Silberschmidt indicated that he had the following 
questions regarding U.S. planning. 
 
-- Which agency and which office specifically is in charge of 
leading the U.S. international response to H1N1?  Can the 
U.S. provide appropriate points of contact and their e-mail, 
phone and fax numbers? 
 
-- Does the U.S. have plans to supply vaccines to UN agency 
personnel living in or cycling through the United States? 
 
-- Would the U.S. consider providing inoculations to members 
of other diplomatic missions in countries where the local 
authorities have limited capabilities?   Switzerland has 
dozens of small diplomatic missions with no capacity for cold 
pack vaccine transport and storage. 
 
-- How does the U.S. plan to guarantee provision of vaccines 
to U.S. citizens residing overseas? 
 
-------------------- 
Swiss Contact points 
-------------------- 
 
7. (U) The following Swiss Government officials should be 
included in WHO-related donor coordinating discussions: 
 
Dr. Gaudenz Silberschmidt MD 
Vice Director 
Head of Division 
Division of Intenational Affairs 
Federal Office of Public Health 
Federal Department of the Interior 
Tel:  41-31-322-6650 
Fax:  41-31-322-1131 
E-mail: gaudenz.silberschmidt@bag.admin.ch 
 
Ms. Rhena Forrer 
Division of International Affairs 
Federal Office of Public Health 
Federal Department of the Interior 
Tel:  41-31-325-5417 
Fax:  41-31-322-1131 
E-mail: rhena.forrer@bag.admin.ch 
 
Ms. Stephanie Gratwohl Egg 
Diplomatic Officer 
Political Division V 
Transport, Energy and Health Section 
Federal Department of Foreign Affairs 
Tel:  41-31-322-7531 
Fax:  41-31-324-1063 
E-mail: stephanie.gratwohl@eda.admin.ch 
 
 
-------------- 
Action Request 
-------------- 
 
8. (U)  Embassy requests Department's assistance to respond 
to GOS questions posed in paragraph 6. 
 
BEYER