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### Viewing cable 09QUITO655, GOE INTERVENTIONS RE H1N1

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Reference ID | Created | Released | Classification | Origin
--- | --- | --- | --- | ---
09QUITO655 | 2009-07-29 21:09 | 2011-05-02 00:12 | UNCLASSIFIED//FOR OFFICIAL USE ONLY | Embassy Quito

`

    VZCZCXYZ0000
    RR RUEHWEB

    DE RUEHQT #0655 2102154
    ZNR UUUUU ZZH
    R 292154Z JUL 09
    FM AMEMBASSY QUITO
    TO RUEHC/SECSTATE WASHDC 0693
    INFO RUEHBO/AMEMBASSY BOGOTA 8289
    RUEHCV/AMEMBASSY CARACAS 3658
    RUEHLP/AMEMBASSY LA PAZ AUG LIMA 3340
    RUEHGL/AMCONSUL GUAYAQUIL 4522
    RUEHRC/USDA FAS WASHDC 0643
    RUCPDOC/DEPT OF COMMERCE WASHDC

` `

    UNCLAS QUITO 000655

    SENSITIVE
    SIPDIS

    E.O. 12958: N/A
    TAGS: CASC AMED KFLU ETRD EAGR ECON EC
    SUBJECT: GOE INTERVENTIONS RE H1N1

    REFTEL A: STATE 73971
      B: QUITO 597

    ¶1.  (SBU) As of July 29, the GOE reports 17 fatalities from AH1N1
    flu in Ecuador, with a total of 534 confirmed cases.  However, as
    many influenza cases go unreported, the real number of AH1N1 cases
    is probably much higher.

    ¶2.  (SBU) On July 23, in a widely broadcast interview with the
    popular Radio Sonorama, President Correa praised the actions of the
    Ministry of Health (MOH) and said that Ecuador had a low level of
    AH1N1 cases compared to other countries in the region.  He also
    urged Ecuadorians not to travel to countries with a "high level of
    incidence" of the virus, such as the U.S., Mexico, and Argentina.
    So far there has been very little reporting in the press about
    Correa's comments.

    ¶3.  (SBU) In response to ref A, this cable details the actions the
    GOE has implemented in response to AH1N1 flu and the dates each
    intervention was imposed.  Some of the interventions were reported
    in ref B.

    ¶4.  (SBU) The following public health interventions were instituted
    by the GOE as a part of its AH1N1 Flu Containment Strategy in place
    since April 2009:

    --On April 28, the MOH warned citizens and visitors to take standard
    flu season precautions to prevent the spread of the virus.

    --Quarantine policies were first announced on April 24.

    --An Emergency Declaration was first issued on April 29, when
    President Correa issued Decree 1693.  This declared a "state of
    emergency" due to the rapid propagation of the virus and its harmful
    effects on human health.

    --On May 15, the GOE ordered the first quarantine for a household
    where an infection was identified.  Quarantine was ordered for the
    first case identified in Guayaquil and for subsequent cases.

    --The first school closure also occurred on May 15 in Guayaquil.
    Many other schools have subsequently been closed, but shortly
    thereafter returned to normal activities.  Most schools in the
    central Sierra region have closed for summer vacations until
    mid-August.

    --The first theater was closed on July 22.  There have been
    additional closures, but most theaters remain open for business and
    some large concerts have taken place.

    --On July 28, the MOH issued new emergency regulations that give it
    expanded authority to postpone or cancel any public event.

    ¶5.  (SBU) Before and after the first case of AH1N1 flu was confirmed
    in Ecuador, the MOH has followed the World Health Organization's
    guidance in order to strengthen its surveillance and response system
    and prevent the rapid spread of the virus.  The MOH has ordered
    private and public health providers to report and closely monitor
    respiratory and influenza cases.  When AH1N1 cases are identified,
    they must be referred to the two reference hospitals in Ecuador for
    appropriate AH1N1 tests and treatments.  As several recent AH1N1
    deaths in Ecuador have indicated, however, these instructions have
    not always been followed by small medical clinics (ref B).

    ¶6.  (SBU) Since the first case of AH1N1 flu was confirmed, the GOE
    has launched national press, TV, and radio awareness campaigns.  It
    has also begun direct training of public health providers and school
    teachers.  Airport and seaport controls have been established, with
    officials using thermal imaging equipment to screen passengers at
    the Guayaquil and Quito international airports.  Ecuador has
    purchased 220,000 doses of Tamiflu and personal protection equipment
    for public health providers.  In addition, the GOE has reserved
    550,000 doses of a future vaccine against AH1N1.

    Hodges

`