Cablegate: Thailand Response to Request for Avian And
This record is a partial extract of the original cable. The full text of the original cable is not available.
220754Z Dec 05
UNCLAS SECTION 01 OF 03 BANGKOK 007801
SIPDIS
OES FOR DSINGER, RDALEY
E.O. 12958: N/A
TAGS: TBIO SENV ECON EAGR EAID PREL XX
SUBJECT: THAILAND RESPONSE TO REQUEST FOR AVIAN AND
PANDEMIC INFLUENZA INFORMATION
REF: A. STATE 209622
B. BANGKOK 5626
1. (U) Post hereby provides updated responses to second avian
influenza questionnaire contained in reftel A:
A) PREPAREDNESS/COMMUNICATION
-- DOES THE GOVERNMENT HAVE A PREPAREDNESS PLAN/STRATEGY FOR
PREVENTING AVIAN FLU FROM BECOMING A PANDEMIC AND CONTAINING
A PANDEMIC ONCE IT OCCURS? IF THE COUNTRY HAS A STRATEGY, HOW
CAPABLE IS IT OF IMPLEMENTING IT? PLEASE PROVIDE A COPY OF
THE PLAN OR THE INTERNET ADDRESS FOR THE PLAN.
2. (U) Thailand has developed and published a plan for both
control of avian influenza in poultry and for a response to a
human influenza pandemic. These documents are publicly
available in English and Thai languages. The English plan can
be accessed at
http://epid.moph.go.th/invest/ai/bird%20flu.p df. Substantial
resources have been committed to AI containment and pandemic
planning. Within the limits of national resources, the
Government of Thailand is capable of an effective response to
a human influenza pandemic.
-- HOW TRUTHFUL WILL THE GOVERNMENT BE IN REPORTING THE SCOPE
OF ANY DISEASE OUTBREAK AMONG PEOPLE? AMONG ANIMALS? WHAT
INCENTIVES COULD BE OFFERED THAT WOULD LIKELY RESULT IN MORE
TRANSPARENCY?
3. (U) Over the past 12-16 months, the Government of Thailand
has been increasingly transparent in reporting suspected and
confirmed human cases of avian influenza.
Laboratory-confirmed cases are promptly reported to WHO.
Likewise, outbreaks of the infection in poultry have been
promptly reported to the OIE. Incentives at the level of the
government are probably not needed. The government continues
to provide compensation to villagers for birds culled and
this remains an important incentive to reporting bird
die-offs.
-- WHERE DOES PREPARING FOR AN AVIAN FLU HUMAN PANDEMIC RANK
AMONG GOVERNMENT PRIORITIES? WHO AND WHAT WOULD MOST
INFLUENCE THE COUNTRY TO GIVE THE ISSUE A HIGHER PRIORITY?
WHO IS THE KEY "GO-TO" PERSON, OFFICE OR DEPARTMENT (I.E.
MINISTER FOR HEALTH, PRIME MINISTER, ETC.) FOR USG OFFICIALS
TO ENGAGE ON THIS ISSUE?
4. (U) This issue has the attention of the highest levels of
the Thai government. The Prime Minister has been directly
involved in the response and committees have been formed at
various levels of the government to address the issue. Key
go-to persons: Deputy Prime Minister Chaturon Chaisang and
Dr. Supamitr Chunsutiwat at the Thailand Ministry of Public
Health.
-- HAVE NATIONAL LAWS BEEN REVIEWED TO ENSURE THAT THEY ARE
CONSISTENT WITH THE INTERNATIONAL HEALTH REGULATIONS AND DO
NOT POSE BARRIERS TO AVIAN INFLUENZA DETECTION, REPORTING,
CONTAINMENT, OR RESPONSE?
5. (U) Thailand participated in drafting the revised
International Health Regulations. Avian influenza in humans
is a notifiable (reportable) disease in Thailand. National
laws pose no barriers.
-- IS THE HOST COUNTRY ALREADY WORKING WITH INTERNATIONAL
ORGANIZATIONS OR OTHER COUNTRIES ON THE AVIAN FLU ISSUE? ARE
GOVERNMENT LEADERS LIKELY TO ASK FOR ASSISTANCE FROM THE US
OR OTHER COUNTRIES? WOULD GOVERNMENT LEADERS BE RECEPTIVE TO
MESSAGES FROM US LEADERS THROUGH A BILATERAL APPROACH, AT A
MULTILATERAL FORUM SUCH AS THE UN (WHO,FAO,ETC.) OR APEC, OR
THROUGH BILATERAL CONTACTS BY A THIRD COUNTRY? WHAT WOULD THE
COUNTRY WANT FROM THE US IN RETURN FOR ITS EFFORTS?
6. (U) The Government of Thailand has met with numerous
political representatives and maintains collaborative
relationships with technical experts from several regional
countries affected by avian influenza. The Government of
Thailand has asked for technical assistance from the US CDC
in the past. The US CDC continues to actively collaborate on
the issue, particularly by improving surveillance and
laboratory diagnostic capacity. The Government of Thailand is
not likely to ask for direct financial aid to address this
issue but welcomes technical cooperation and assistance at
different levels. Thai leaders would be receptive to
messages indicating a desire of the US to support and
collaborate on efforts to control AI and plan for a human
pandemic with technical assistance such as advanced training
in laboratory diagnostics. Thailand has taken a regional
leadership role on this issue and should be recognized for
this. The Government of Thailand would appreciate political
and technical assistance from the US to establish and
maintain a regional stockpile of antiviral drugs and personal
protective equipment.
-- DOES THE COUNTRY CURRENTLY ADMINISTER ANNUAL FLU SHOTS? IF
NOT, MIGHT IT CONSIDER DOING SO? WHAT IS THE PRODUCTION
CAPABILITY (I.E. HOW MANY DOSES OF THE ANNUAL TRIVALENT FLU
VACCINE CAN THE COUNTRY MAKE)FOR HUMAN INFLUENZA VACCINES IN
THE COUNTRY? DOES THE COUNTRY PRODUCE INFLUENZA VACCINE FOR
POULTRY AND IF SO HOW MUCH? IF THE COUNTRY IS DEVELOPING AN
H5N1 VACCINE, WHERE IS IT IN PRODUCTION AND TESTING? ANY
LICENSING ISSUES? IS THERE A LIABILITY SHIELD FOR FOREIGN
MAKERS/DONORS OF VACCINES? IF NOT, ANY PROSPECTS OF ONE BEING
ENACTED?
7. (U) The human seasonal influenza vaccine is available in
Thailand but is not widely used. Prior to the avian
influenza outbreak, fewer than 80,000 doses were used each
year; this represents