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### Viewing cable 10LISBON48, CORRECTED COPY ADDED SIGNATURE) PORTUGAL H1N1 UPDATE -

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Reference ID | Created | Released | Classification | Origin
--- | --- | --- | --- | ---
10LISBON48 | 2010-02-01 10:10 | 2011-05-02 00:12 | UNCLASSIFIED | Embassy Lisbon

`

    VZCZCXRO2886
    RR RUEHIK
    DE RUEHLI #0048/01 0321000
    ZNR UUUUU ZZH
    R 011000Z FEB 10
    FM AMEMBASSY LISBON
    TO RUEHC/SECSTATE WASHDC 8093
    INFO RUEHZL/EUROPEAN POLITICAL COLLECTIVE
    RUEHPD/AMCONSUL PONTA DELGADA 0666
    RUEAUSA/DEPT OF HHS WASHDC

` `

    UNCLAS SECTION 01 OF 02 LISBON 000048

    SIPDIS

    HHS FOR CDC

    E.O. 12958: N/A
    TAGS: CASC AMED KFLU ETRD EAGR ECON EC PGOV PO
    SUBJECT: (CORRECTED COPY ADDED SIGNATURE) PORTUGAL    H1N1 UPDATE -
    JAN 21

    REF: 09 LISBON 625
          09 LISBON 579
          09 LISBON 558

    LISBON 00000048  001.3 OF 002

    SUMMARY
    -------
    ¶1. (SBU) The Portuguese Health Ministry has been slow to reach its
    goal of vaccinating 3 million Portuguese against the H1N1 virus,
    primarily due to lack of public confidence in the vaccine and media
    speculation surrounding the deaths of four newborn infants.  While
    many adults, including health care professionals, have been
    reluctant to get vaccinated, the vaccination program for children
    under 12 years old has been a success, according to health
    officials.  The first wave of the influenza has passed and H1N1
    cases no longer dominate the headlines; nevertheless, the Health
    Ministry will continue its vaccination campaign in anticipation of a
    second wave this spring.  End Summary.

    H1N1 VACCINATION CAMPAIGN BESET BY PUBLIC FEAR
    --------------------------------------------- -
    ¶2. (U) Since last spring, when the first H1N1 case was confirmed,
    the Portuguese have grown accustomed to living with the constant
    threat of the H1N1 virus and news of additional confirmed cases.
    With the spread of the virus, public demand for the H1N1 vaccine
    grew.  But when the long-awaited H1N1 vaccine finally became
    available in October, many expressed apprehension, perceiving it as
    riskier than the virus itself.  The government goal to vaccinate 3
    million Portuguese (out of a population of 10.7 million) has been
    hampered, mainly due to lack of public confidence in the vaccine,
    even among some health care professionals, which has resulted in
    lower-than-anticipated vaccinations.

    ¶3. (U) As of January 5, health officials estimated that a total of
    320,000 people had been vaccinated, of whom 73,750 were children
    under 12 years old.  (Note that some patients required two doses.)
    The Portuguese National Authority of Medicines and Health Products
    received 151 notifications of adverse reactions to the H1N1 vaccine,
    of which 62 were considered serious, but no fatalities.

    ¶4. (SBU) Deputy Director General of Health Graca Freitas told us
    that many Portuguese have not been vaccinated because of the reduced
    aggressiveness of the virus and consequently a perceived lower risk
    of being infected.  Freitas attributed the failure of the
    vaccination program for pregnant women primarily to media
    speculation linking the H1N1 vaccine to the deaths of four newborn
    infants.  She noted, however, the success of the vaccination program
    for children under 12 years old, and the increase in the number of
    vaccinated doctors.

    ¶5. (SBU) Freitas believes that a national public awareness campaign
    could increase public confidence but the vaccination program is
    ultimately dependent on timely delivery of vaccine doses by
    GlaxoSmithKline Pharmaceuticals, which has been unable to deliver at
    the desired pace due to limited production capacity.  As of January,
    Portugal had received 470,000 doses but should have received 1
    million of the 6 million doses ordered.  According to Freitas,
    Portugal will not consider reducing its order or donating doses to
    needier countries, as other EU countries have done.

    END OF FIRST WAVE
    -----------------
    ¶6. (U) To date, there has been a total of 94 fatalities, most of
    them at-risk male patients averaging 47.1 years.  The virus peaked
    during the lastQdE+QQW?ljhcsQQQ8OQlVR*USnQIN'Qcine itself.  The Health Ministry is now preparing for a
    second wave of the influenza with a renewed campaign to reach its
    goal of vaccinating 3 million people.     With lessons learned from
    the first wave, a more effective awareness-raising campaign to
    assuage apprehension over the vaccine, and availability of
    additional vaccine doses, Portugal should be better positioned to
    meet the challenges of a second wave.

    LISBON 00000048  002.9 OF 002

    -------
    ¶9. (SBU) Portugal undertook great efforts to educate the public
    about the H1N1 pandemic upon initial outbreak and quickly adopted
    preventive measures.  Its preparedness in early dissemination of
    information and diagnosis delayed spread of the virus.  Portuguese
    health authorities, however, did not anticipate the high level of
    public apprehension over the vaccine, fueled by media speculation
    over the deaths of newborn infants and lack of clear information on
    the vaccine itself.  The Health Ministry is now preparing for a
    second wave of the influenza with a renewed campaign to reach its
    goal of vaccinating 3 million people.     With lessons learned from
    the first wave, a more effective awareness-raising campaign to
    assuage apprehension over the vaccine, and availability of
    additional vaccine doses, Portugal should be better positioned to
    meet the challenges of a second wave.

    BALLARD

`