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### Viewing cable 06TAIPEI193, TAIWAN: AVIAN FLU UPDATE

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Reference ID | Created | Released | Classification | Origin
--- | --- | --- | --- | ---
06TAIPEI193 | 2006-01-19 21:36 | 2011-08-23 00:00 | UNCLASSIFIED | American Institute Taiwan, Taipei

`

    VZCZCXRO6441
    RR RUEHCN
    DE RUEHIN #0193/01 0192136
    ZNR UUUUU ZZH
    R 192136Z JAN 06
    FM AIT TAIPEI
    TO RUEHC/SECSTATE WASHDC 8093
    INFO RUEHGV/USMISSION GENEVA 1715
    RUEHLO/AMEMBASSY LONDON 0110
    RUEHBK/AMEMBASSY BANGKOK 3094
    RUEHBJ/AMEMBASSY BEIJING 4543
    RUEHHI/AMEMBASSY HANOI 2983
    RUEHJA/AMEMBASSY JAKARTA 3757
    RUEHKL/AMEMBASSY KUALA LUMPUR 3429
    RUEHML/AMEMBASSY MANILA 9616
    RUEHPF/AMEMBASSY PHNOM PENH 0525
    RUEHUL/AMEMBASSY SEOUL 7542
    RUEHGP/AMEMBASSY SINGAPORE 6324
    RUEHKO/AMEMBASSY TOKYO 7346
    RUEHGZ/AMCONSUL GUANGZHOU 8888
    RUEHHK/AMCONSUL HONG KONG 5743
    RUEHCN/AMCONSUL CHENGDU 0981
    RUESLE/AMCONSUL SHANGHAI 8289
    RUEHSH/AMCONSUL SHENYANG 4899
    RUEHOK/AMCONSUL OSAKA KOBE 0354
    RUEAUSA/DEPT OF HHS WASHDC
    RUEHPH/CDC ATLANTA GA

` `

    UNCLAS SECTION 01 OF 03 TAIPEI 000193

    SIPDIS

    STATE PLEASE PASS TO AIT/W, EAP/TC AND OES/IHA
    HHS PLEASE PASS TO ERIKA ELVANDER
    GENEVA PLEASE PASS HEALTH ATTACHE DAVID HOHMAN

    SIPDIS

    E.O. 12958: N/A
    TAGS: AMED AMGT CASC ECON SENV SOCI TBIO WHO TW
    SUBJECT:  TAIWAN:  AVIAN FLU UPDATE
    REF: A) 2005 SECSTATE 151549  B) 2005 TAIPEI 3598

    C) 2005 TAIPEI 3742  D) 2005 TAIPEI 3713  E) 2005
    TAIPEI 4067  F) 2005 TAIPEI 4264  G) 2005 TAIPEI
    4128  H) 2005 TAIPEI 4160  I) 2005 TAIPEI 4295  J)
    2005 TAIPEI 4645

    ¶1.  Summary.  Taiwan continues to be H5N1 free and to
    prepare to counter a potential Avian Influenza (AI)
    outbreak.  It has staged large-scale drills and
    distributed information in multiple languages to
    increase the flow of information to the public.
    Taiwan's Environmental Protection Agency (TEPA) has
    trained its staff to handle and dispose of AI-infected
    waste.  Taipei City officials will start a pilot
    program in early February to stop the slaughtering of
    birds at traditional markets.  In December,
    surveillance of wild birds detected the third
    occurrence of low-pathogenic strains of the HN virus on
    the island since April 2005.  End Summary.

    Government Conducts AI Response Drill
    -------------------------------------

    ¶2.  On December 27, the Department of Health (DOH)
    conducted a tabletop exercise for level B and level C
    conditions to fine-tune its response to an AI outbreak).
    The exercise, chaired by Vice Premier Wu Rong-I, was
    held with the participation of over 20 local governments
    to clarify their roles and responsibilities.  In the
    exercise scenario, the central government raised the
    pandemic alert level to "A1" and set up quarantine
    facilities for travelers from affected areas.  The next
    step in the simulation was a WHO announcement that the
    global flu pandemic was in WHO phase 5, and Taiwan
    raised its alert level to "B."  Finally, Taiwan entered
    level "C" as the world was in WHO phase 6.  Taiwan uses
    the following 5-level system for its pandemic alert
    levels:

    a) Level 0/Alert: no human-to-human transmission
    globally and no domestic avian-to-human transmission.
    b) Level A1: confirmed cases of human-to-human
    transmission outside of Taiwan.
    c) Level A2: confirmed cases of domestic bird-to-human
    transmission; a laboratory suspected case in Taiwan; or
    an imported suspected case, but no signs of local human-
    to-human transmission.
    d) Level B: one or more confirmed cases of initial human-
    to-human transmission reported domestically.
    e) Level C: Secondary human-to-human transmission
    reported domestically.

    ¶3.  Council of Labor Affairs (CLA) Chairman Lee Ying-
    yuan, who acted as the commander of the Central Epidemic
    Command Center at the drill, stated that an important
    part of preparation involves strengthening the
    psychological framework of society.  DOH Minister Hou
    Shen-mou reiterated that defenses against AI were a top
    priority of the DOH and called on the public to have
    confidence in government preparations.  The DOH
    conducted a drill for level A1 & A2 pandemic
    mobilization on July 7, 2005.  The officials emphasized
    that Taiwan remains free of H5N1 and is at the O level
    of the TCDC Pandemic Response system.  (Note:  Prior to
    becoming CLA Chairman, Lee was the Secretary General of
    the Executive Yuan and a key player in drawing up
    Taiwan's long-term plans to combat AI.  End Note.)

    Increased Public Awareness

    TAIPEI 00000193  002 OF 003

    --------------------------

    ¶4.  Apart from this exercise, health authorities have
    distributed booklets to the public, established
    telephone information lines and put up public notices to
    inform the public about the threat and describe
    government preparations to counter AI.  Notices have
    been put up in major parks warning the public against
    feeding birds and mass-transit systems also prohibit
    carrying birds aboard their vehicles.  In order to
    advise the substantial foreign labor component in Taiwan
    of the threat, the Council of Labor Affairs (CLA) has
    also distributed a total of 430,000 information booklets
    on avian flu in English, Vietnamese, Thai and
    Indonesian.

    TEPA Implements AI Measures
    ---------------------------

    ¶5.  Taiwan's Environmental Protection Administration
    (TEPA) has adopted measures for disease prevention and
    controls and has stepped up efforts to train staff in
    the event of an AI outbreak.  TEPA officials told AIT
    that at the alert level 0, TEPA is responsible for
    assisting agricultural authorities to clean up culled
    animals.  (Note: Council of Agriculture (COA) takes
    charge of handling all the dead birds at all levels and
    most of the infected animals would be cremated unless a
    large number of animals need to be destroyed in which
    case they would be buried.)  At A1, A2 and B levels, in
    addition to assisting COA in handling dead birds, TEPA
    is responsible for monitoring and assisting health
    institutions in handling infected waste material; at
    the C level, TEPA would take over the task of handling
    all the waste material discharged by infected AI
    patients.  TEPA has strengthened staff training in
    procedures for protecting workers while handling
    infected waste.  TEPA has purchased 4,000 suits of
    protective gear for use when managing infected waste.
    TEPA told AIT that these suits are for the use of the
    approximately 1,000 front-line TEPA workers who would
    respond in the event of an AI outbreak.  TEPA has also
    established a toll free telephone number urging the
    public to report any suspicious materials.

    Traditional Markets to Stop Slaughtering Birds on Site
    --------------------------------------------- ---------

    ¶6.  In an effort to curb the spread of viruses, the
    Taipei City Government plans to stop the slaughtering
    of chickens at traditional markets.  Ten stalls at Nan
    Men Market will begin the trial program after the Lunar
    New Year (which commences on January 28).  Each stall
    will receive subsidies for purchasing freezers.  The
    Taipei City government is trying to convince people
    that freshly killed poultry at the traditional market
    may not be healthy, and that people should look for a
    label with a health certificate when purchasing poultry
    meat.  There are more than 300 COA workers monitoring
    the operations of the slaughterhouses.

    Low Pathogenic Strains of HN Viruses Found for Third Time
    --------------------------------------------- ------------

    TAIPEI 00000193  003 OF 003

    ¶7.  In routine fecal sampling by Taiwan's Wild Bird
    Federation and COA on Dec. 14, the H5N2 and H7N3
    viruses - low pathogenic strains of the HN family of
    viruses - were found for the second time in the Guandu
    marshlands in northern Taiwan.  The H7N3 virus was
    previously found in Guandu in April 2005 and was also
    found in marshlands near Tainan in Southern Taiwan in
    November 2005.  COA has warned the public to take extra
    precautions in the upcoming January to March flu
    season.

    Paal

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