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Cablegate: Avian Influenza - March 24 Komnas Meeting

VZCZCXRO3423
PP RUEHCHI RUEHCN RUEHDT RUEHHM
DE RUEHJA #0688/01 0951011
ZNR UUUUU ZZH
P 041011Z APR 08
FM AMEMBASSY JAKARTA
TO RUEHC/SECSTATE WASHDC PRIORITY 8569
RUEHPH/CDC ATLANTA GA
INFO RUEAUSA/DEPT OF HHS WASHINGTON DC
RUEHRC/USDA FAS WASHDC
RHEHNSC/NSC WASHDC
RUEHZS/ASSOCIATION OF SOUTHEAST ASIAN NATIONS
RHHMUNA/HQ USPACOM HONOLULU HI
RHHMUNA/CDR USPACOM HONOLULU HI//J07/CATMED/CAT//
RUEHBK/AMEMBASSY BANGKOK 8391
RUEHBY/AMEMBASSY CANBERRA 2270
RUEHFR/AMEMBASSY PARIS 1100
RUEHGV/USMISSION GENEVA 7750

UNCLAS SECTION 01 OF 02 JAKARTA 000688

SIPDIS

SIPDIS
SENSITIVE

DEPT FOR EAP/MTS, G/AIAG AND OES
USAID FOR ANE/CLEMENTS AND GH/CARROLL
DEPT ALSO PASS TO HHS/WSTEIGER/ABHAT/MSTLOUIS AND HHS/NIH
GENEVA FOR WHO/HOHMAN
USDA/FAS/OSTA BRANT, ROSENBLUM
USDA/APHIS ANNELLI

E.O. 12958: N/A
TAGS: TBIO AMED CASC EAGR AMGT PGOV ID
SUBJECT: AVIAN INFLUENZA - MARCH 24 KOMNAS MEETING


1.(SBU) SUMMARY: The National Committee for Avian Influenza Control
and Pandemic Preparedness (KOMNAS) convened a meeting of municipal
health officials and donor partners on March 24 to discuss the
progress of interventions to date in JABODETABEK, the greater
Jakarta area which includes the neighboring cities of Bogor, Depok,
Tangerang, and Bekasi. During the meeting, KOMNAS representatives
highlighted ten recommended priority actions. KOMNAS Chief
Executive Bayu Krisnamurthi estimated the loss as a result of bird
flu since 2004 to reach approximately $446 million. The greater
Jakarta area has felt the impact of these losses acutely, as over
half of the human cases and 70 percent of the deaths occurred in
this region. As of April 1, Indonesia has 132 human cases, with 107
fatalities. End Summary.

-------------------------------------
KOMNAS Recommends 10 Priority Actions
-------------------------------------

2. (U) Data presented at the KOMNAS meeting showed JABODETABEK
remains the epicenter of the disease for both poultry and humans.
Livestock official Edy Setiarto noted that 70 percent of the
Indonesia's AI cases in birds occur in Jakarta and the surrounding
districts. Illustrating the human impact, more than half of the 107
human fatalities to date occurred in this region. Bayu Krisnamurthi
referenced a January 2008 Menkokesra coordination meeting that
recommending implementing ten priority actions for the Jakarta metro
area, as detailed below:

-- Local government commitment to control AI through an increased
focus on the poultry industry and improved coordination between the
human and animal sectors;

-- Live bird markets cleaned every 7-10 days;

-- Regulated transport of live birds (e.g., live enclosed poultry in
trucks);

-- Eliminated sale of live poultry by 2010, and requiring slaughter
houses to meet specified standards;

-- Continued programs to cage backyard chickens;

-- Permitting PNPM (National Program for Community Empowerment to
Alleviate Poverty) fund allocation for AI;

-- Physicians and nurses at clinics, hospitals, and private medical
centers trained to recognize and treat AI;

-- Risk reduction education communication focused on students and
women;

-- Pandemic preparedness and planning;

-- Increased research of AI in humans and birds, and vaccination in
the poultry industry.

--------------------------------------------- -
Loss Due to Bird Flu Amounts to Rp4.1 Trillion
--------------------------------------------- -

3. (U) KOMNAS Chief Executive Bayu Krisnamurthi estimated the loss
as a result of bird flu since 2004 to reach approximately $446
million USD (Rp 4.1 trillion). "The amount does not include the loss
of employment opportunity and the decrease of protein consumption by
the community," he said. Rp4 trillion accounts for losses from
culling, decreased demand for chickens and eggs, the decline of
chicken and egg consumption in restaurants, additional costs spent
by poultry raisers and government in handling bird flu, and the
impact on other sectors such as tourism.

------------------------------------------
AI Case Report: Cases and Deaths Continue
------------------------------------------


JAKARTA 00000688 002 OF 002


4. (U) Ministry of Health reports three additional cases of human
H5N1 infection in the last 10 days of March. The three new cases
include a 15-year-old male from West Java who checked into the
hospital on March 22, transferred to a second hospital March 26, and
died on March 26. He had a brother who died 15 days ago of dengue
and parents reported chicken deaths at the home. The second case
involves a 11-year-old female from West Bekasi who checked into the
hospital on March 23 and died on March 28. Her risk factor for AI
exposure remains unknown. A third case occurred in a 22 month old
female from Sumatra who checked into the hospital on March 22 and
transferred to an AI referral hospital on March 24. Her condition
is stable. She had no known contact with birds, but her sibling
died one week ago of a combination of typhoid and acute respiratory
syndrome. As of April 1, Indonesia has 132 human cases with 107
deaths.

HUME

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