VZCZCXRO3363
RR RUEHCHI RUEHDT RUEHHM
DE RUEHHI #0687/01 1020036
ZNR UUUUU ZZH
R 120036Z APR 07
FM AMEMBASSY HANOI
TO RUEHC/SECSTATE WASHDC 5120
INFO RUEHUJA/AMEMBASSY ABUJA 0031
RUEHAK/AMEMBASSY ANKARA 0065
RUEHKB/AMEMBASSY BAKU 0009
RUEHBK/AMEMBASSY BANGKOK 5598
RUEHBJ/AMEMBASSY BEIJING 6883
RUEHBM/AMEMBASSY BUCHAREST 0001
RUEHEG/AMEMBASSY CAIRO 0013
RUEHIL/AMEMBASSY ISLAMABAD 0092
RUEHJA/AMEMBASSY JAKARTA 0657
RUEHKV/AMEMBASSY KYIV 0033
RUEHMO/AMEMBASSY MOSCOW 0746
RUEHNE/AMEMBASSY NEW DELHI 0375
RUEHPF/AMEMBASSY PHNOM PENH 3666
RUEHVN/AMEMBASSY VIENTIANE 3937
RUEHOS/AMCONSUL LAGOS 0019
RUEHHM/AMCONSUL HO CHI MINH 2880
RUEHZS/ASEAN REGIONAL FORUM COLLECTIVE
RUEHPH/CDC ATLANTA GA
RUEAUSA/DEPT OF HHS WASHINGTON DC
RUEHRC/DEPT OF AGRICULTURE WASHINGTON DC
RUEKJCS/SECDEF WASHINGTON DC//USDP/ISA/AP//
RHMFISS/CJCS WASHINGTON DC//J2/J3/J5//
RHEFDIA/DIA WASHINGTON DC//DHO-3//
RHMFIUU/CDR USPACOM HONOLULU HI//J00/J2/J3/J5//
RHEFAFM/DIRAFMIC FT DETRICK MD//MA-1A//
UNCLAS SECTION 01 OF 03 HANOI 000687
SIPDIS
SIPDIS
STATE FOR G/AIG/JKOWALSKI, PCLERKIN AND SES-O/CMS/LGISVOLD
STATE FOR EAP/MLS, EAP/EP, INR, OES/STC, OES/IHA, MED
STATE PASS TO USAID FOR ANE AND GH
STATE PASS TO HHS/OGHA (WSTIEGER, DBELL AND ABHAT)
STATE PASS TO CDC (NCOX AND AMOHEN)
USDA PASS TO APHIS
DEPARTMENT OF DEFENSE FOR OSD/ISA/AP (LSTERN)
BANGKOK FOR RMO, CDC, USAID (JMACARTHUR AND MBRADY)
ROME FOR FAO
E.O. 12958: N/A
TAGS: KFLU KPAO SENV OCII AJ CB CA CH EG IN ID LA MX
NL, PK, RS, TH, TU, UP, VM
SUBJECT: UPDATE ON OUTBREAK COMMUNICATION STRATEGY IN VIETNAM AVIAN
INFLUENZA PLANS
HANOI 00000687 001.2 OF 003
UNCLASSIFIED
SIPDIS
REF: STATE 22991
1. (U) SUMMARY. The Socialist Republic of Vietnam (GVN) has a
comprehensive prevention and control approach for avian and pandemic
influenza (AI) based on a national surveillance system in the
developing world context. The approach integrates both animal and
human health sectors. The GVN leadership and management structure
effectively reaches all levels of government, from the Prime
Minster's office down to the district commune. The approach is
based on a national plan, which specifically addresses preparedness.
The plan is aggressive by international standards and has proven
effective during recurring animal and human outbreaks over recent
years. The implementation now falls under a partnership framework
between the National Steering Committee for Avian Influenza (GVN)
and international partners through a Vietnam Partnership for Avian
and Human Pandemic Influenza (PAHI), established in November 2006.
HHS/CDC has a cooperative agreement, which includes effort to
provide technical assistance to update this type of planning.
Experience with SARS provided momentum for building AI preparedness.
END SUMMARY.
2. (U) The national plan is contained in two documents: Vietnam's
Integrated National Plan for Avian Influenza Control and Human
Pandemic Influenza Preparedness and Response, 2006-2008 (also known
as the "Red Book") and The Vietnam Integrated National Operational
Programme for Avian and Human Influenza (OPI), 2006-2010 (known as
the "Green Book" See: http://www.avianinfluenza.org.vn (under
"resources," under "documents," accessed 04/11/2007).
3. (U) The GVN has conducted and participated in pandemic response
exercises at the national and international regional level. See
list below. It has trained rapid response teams at national,
provincial, and district levels. On the human health side, hospital
staff has been trained in detection, diagnosis, and management of
influenza suspects. There has been some effort to upgrade capacity
(i.e., equipment and staff training) and to deal with respiratory
failure (e.g., in the use of ventilators and oxygen, planned
training on personal protective equipment). Preparation and
response also characterizes the animal health side. The approach
includes systems for early detection, reporting, rapid response with
compensated culling, isolation, quarantine, and the implementation
of a comprehensive poultry immunization program. Regulations for
safer poultry rearing, slaughtering and marketing are in place and
longer term industry reforms are moving forward. Vietnam is taking
an increasingly important regional role in training and support.
Multi-agency USG support, both technical and financial, to the GVN
and the assistance of other international partners has contributed
substantially to Vietnam's preparedness capacity.
4. (U) The list of trainings and exercises should be put in the
context of the chronology of six "waves" of animal AI outbreaks
(12/2003, 4/2004, 12/2004, 10/2005, 12/2006, and 3/2007) and
HANOI 00000687 002.2 OF 003
confirmed human cases were related to the first four waves.
Further, the trainings should be understood in the context major
communications efforts on the part of the GVN (some examples include
01/28/04: Prime Minister issued the decision No 13/2004 QD-TTg to
establish the National Steering committee for AI control and
prevention; 2004: 64 Provincial Steering Committees for AI Control
and Prevention were established; 11/2006: Establishment of
Partnership on Avian and Human Influenza (PAHI); 12/22/06: Urgent
message 2119/CD-TTg by Prime Minister to direct authorities to
control AI).
5. (U) The list of trainings and exercises below includes the date,
title (location or frequency), and if available, estimated total
number of participants and sponsor. This is partial list. There is
no known centralized catalogue for this data. The data was
collected by Post from Ministry of Health (MOH), Ministry of
Agricultural and Rural Development (MARD), and Vietnamese and
English language press.
2004, Training for community health workers, 1500, 30 training
courses, GVN
2004, Training for public health officials (five courses), 150,
World Bank (WB)
2005, Tabletop exercise (Hanoi), 300, GVN
2005, Tabletop exercise (Hue), 300, GVN
2005, Tabletop exercise (Ho Chi Minh), 300 staff, GVN
2005, Conference on avian influenza for regional health officials
(four locations), 300, GVN
2005, Tabletop exercise, (four locations), 1500, GVN
2005, Training for community, district level (three locations),
1800, GVN
2005, Training for provincial and district public health workers
(three locations), 250, WHO
2006, Tabletop exercise (Thai Binh Province), 300, United Nations
Joint Program (UNJP)
2006, Tabletop exercise (Vinh Phuc Province), 300, UNJP
2006, Tabletop exercise (Can Tho Province), 300, UNJP
2006, Tabletop exercise (Quang Binh Province), 300
2006, Conferences for hospital health workers and ministerial
officials (Hanoi, Hue, Ho Chi Minh), 180, WHO
HANOI 00000687 003.2 OF 003
2006, Tabletop exercise (Can Tho, Vinh Phuc, Quang Binh, Thai Binh
Provinces), 1200, WHO
2006, Training on AI containment and prevention (23 Provinces),
1610, WHO
2006, Training on AI treatment therapy (10 Provinces), 500, GVN
2006, Training on using ventilator for central, provincial hospital
(24 cities and Provinces), 1200, GVN
2006, Training on WHO's Early Warning and Reporting System (EWARS)
for provincial and district public health workers (59 courses),
2950, WHO/FAO/UNDP
2006, Training for SARS control and prevention and other diseases
(Hanoi), 90, WHO
2006, Training for influenza surveillance A/H5N1 (Hanoi), 360, WHO
06/02/2006, Conference to support National activities on
coordination program against bird flu and human AI, WB MARD
01/07/2007, Quang Nam province conducted a tabletop exercise in the
event of an H5N1 human outbreak (Quangnam Province), 700, GVN
3/2007, National workshop on Influenza Surveillance, 65, US CDC
3/2007, Training course for sentinel hospitals (two locations) 90,
US CDC
MARINE