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### Viewing cable 09REYKJAVIK170, ICELAND'S PLANS TO COMBAT H1N1 VIRUS THIS WINTER

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Reference ID | Created | Released | Classification | Origin
--- | --- | --- | --- | ---
09REYKJAVIK170 | 2009-09-28 17:05 | 2011-01-13 05:05 | UNCLASSIFIED | Embassy Reykjavik

`

    VZCZCXYZ0005
    RR RUEHWEB

    DE RUEHRK #0170 2711707
    ZNR UUUUU ZZH
    R 281707Z SEP 09
    FM AMEMBASSY REYKJAVIK
    TO RUEHC/SECSTATE WASHDC 4175
    INFO RUEHCP/AMEMBASSY COPENHAGEN 0384
    RUEHLO/AMEMBASSY LONDON 0156

` `

    UNCLAS REYKJAVIK 000170

    STATE FOR OES/IHB AND EUR/NB
    COPENHAGEN FOR ESTH HUB
    LONDON FOR J.SILVA

    SIPDIS

    E.O. 12958: N/A
    TAGS: KFLU AMED PREL TBIO IC
    SUBJECT:  ICELAND'S PLANS TO COMBAT H1N1 VIRUS THIS WINTER

    REF: REYKJAVIK 97

    ¶1. (U) Summary: The strain of the H1N1 influenza virus present in
    Iceland has been milder than that experienced in other countries,
    and only one person has been hospitalized with the illness earlier
    this year.  Occurrences of H1N1 in Iceland have been on the decline
    recently.  However, Iceland's Chief Epidemiologist predicts the
    influenza virus will hit hard in December or January, Iceland's peak
    flu season months.  Iceland will administer vaccinations to three
    target groups beginning in October, once vaccine supplies arrive in
    country.  End summary.

    ¶2. (U) The first case of H1N1 in Iceland, an individual who had
    recently returned from New York, was announced on May 26.  According
    to the Directorate of Health, as of September 25, 199 cases of the
    H1N1 virus were confirmed in Iceland, 107 males and 92 females.
    However, the Health Directorate, in June, began diagnosing many
    cases based solely upon symptoms exhibited rather than upon medical
    tests.  As a result 1,264 cases of H1N1-like illness were diagnosed
    but not confirmed between June 29 and September 1.  Only one person
    was hospitalized for a short period of time and there have been no
    deaths as a result of the virus.  Haraldur Briem, Iceland's Chief
    Epidemiologist told EmbOff there are currently no cases of serious
    illness due to the H1N1 virus in Iceland at this time.

    ¶3. (U) Briem told EmbOff that he expects the H1N1 vaccine to arrive
    in Iceland in the beginning of October.  Icelandic health
    authorities have purchased 300,000 doses of the vaccine, which will
    be delivered in four shipments.  The last shipment is expected to
    arrive in Iceland at the beginning of January 2010.  Vaccinations
    will be performed only at health care centers and hospitals.  The
    recent discovery that the vaccine might only need to be administered
    once means that almost all Icelanders (pop. 320,000) could be
    vaccinated.

    ¶4. (U) The H1N1 vaccine, which will be provided free of charge to
    Icelandic residents, will be administered to three target groups in
    accordance with WHO recommendations.  Group I consists of health
    care workers, caretakers in nursing homes and homes for disabled
    people, patients with specified underlying diseases, pregnant women,
    policemen, firemen, rescue workers and paramedics.  Group II,
    comprised of all individuals between six months and 18 years of age,
    will be offered vaccinations in the beginning of November.  The
    remaining vaccine supply will then be offered to Group III, all
    other residents in Iceland.

    ¶5. (U) According to Briem, individuals in Group I will be vaccinated
    first, beginning in October, and revaccinated later if needed.  Once
    Group I has been vaccinated, those in Group II will be able to make
    an appointment within a specified timeframe.  At the end of that
    period, Group III will be able to make an appointment for
    vaccination.  Briem said the schools will most likely try to
    schedule group appointments.  Authorities will encourage people to
    get the vaccine, but it is not mandatory.  The government has
    already distributed informational posters and hand sanitizers as
    part of its public awareness campaign.

    ¶6. (U) Iceland adopted the WHO's declaration of H1N1 as a pandemic
    in the beginning of August, despite the mild nature of the symptoms,
    because the Chief Epidemiologist stated that the flu was thought to
    be spreading faster in comparison with the other Nordic countries.
    Despite the declaration, however, no restrictions were placed on
    schools or public gatherings, nor were additional resources made
    available to address the issue.  Schools, which started in late
    August and early September, have not reported an increase of H1N1
    virus cases this year and have operated on normal basis.  Iceland
    has two influenza seasons.  The first period runs through October,
    while the second period peaks in January or February.  Chief
    Epidemiologist Briem told EmbOff that it is very likely that the
    second wave of the H1N1 virus will appear after the New Year.

    ¶7. (U) Comment: The Icelandic government is taking seriously the
    threat of another H1N1 outbreak in Iceland and making an effort to
    prepare for its possible recurrence.  Recent budget cuts due to the
    economic crisis should have little impact on the government's
    ability to address the issue, as the vaccines will have been
    administered before any layoffs would take effect.  However, as the
    vaccinations are voluntary and Iceland can be a popular tourist
    destination even in the winter, the reemergence of an H1N1 outbreak
    is expected.  End comment.
    WATSON

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