Thursday, February 09, 2012

H5N1 in Indonesia


More of the continuing 5th Estate series on H5N1 weaponization by Yoshihiro Kawaoka and Teridah Ernala Ginting of Kobe University; attempted Indonesian H5N1 virus theft by Akiko Makino; coming soon:  More "Smoking Gun" e-mails from Teridah Ernala to the 5th Estate

The 5th Estate
02/08/2011
The Avian Influenza H5N1 Virus in Indonesia

By Jana Steingass
 
Presented to Dr. Geoffrey Whitehall

 POLS 4143

5 February 2008
The Avian Influenza H5N1 Virus in Indonesia

Indonesia, with the fourth largest population in the world of 242 million[1], has been hit the hardest by the Avian Influenza (AI) virus.  As of 1 February 2008, 102 out of 124 cases reported have resulted in death.[2] (82% mortality rate)  As of September 2006, the virus had spread to 29 of the country’s 33 provinces,[3] and has surely increased since then.  According to the National Strategy Plan, “the increasingly wide spread of AI is caused by the uncontrolled movement of infected birds, poultry products and wastes, labor and transportation from infected areas to uninfected areas, as well as low animal heath institution capacity and a lack of trained animal healthcare workers.”[4]

Insane "novel" H5N1 virus creator Kawaoka...
The first reported deadly cases of AI in poultry were in August 2003, in several Central Java districts. According to the National Strategy Plan, published in January 2006, over 150 million birds have died from the virus or were destroyed after having contracted the virus. The first human case of AI was reported in June 2005, and by December 2005, 14 cases had been reported, 9 resulting in death. [5] According to a BBC news article published in 2004, China and Indonesia, among some countries, were vaccinating millions of chickens against AI. Scientists were concerned that the vaccination of birds against the virus could cause new strands or mutations to occur—the worst being a strand transmissible from human to human.[6] By 2005, a new strand did develop in Indonesia, which could potentially complicate the development of human vaccines.[7]

In January 2006, the National Strategic Plan for Avian Influenza Control Preparedness for Human Pandemic Influenza 2006-2008 was published.[8] It outlines the problems that the country faces, the goals, and the solutions in order to deal with controlling AI as well as preparing for a Human Pandemic. Shortly after, on 7 March 2006, the Indonesian National Committee for Avian Influenza Control and Pandemic Influenza Preparedness (or Komnas FBPI) was created to coordinate the government’s responses to AI. The overall goal of the organization is to have the virus under control in Indonesia by the end of 2008. Komnas FBPI works closely with the Indonesian Ministry of Health, Ministry of Agriculture, the World Health Organization, the Food and Agriculture Organization, as well as the Indonesian poultry industry and local and provincial governments.[9]
...an uncanny resemblance to Unit 731's  Shiro
The two main actions that the government, backed by international organizations, has taken are to place quick response teams at the “grass-roots” level, and to increase AI education in the general population. These quick response teams react to new outbreaks and in order to try and prevent future outbreaks, they travel from door-to-door to educate each farmer on how to protect themselves and their chickens. With the help of the international community—for example South Korean’s aid of 500000USD worth of equipment,[10] and UNICEF’s distribution of 100,000 bird flu kits[11]—the government is attempting to increase the general population’s education on AI and provide them with basic tools to minimize the spread of the virus.

There are several problems that the government faces in order to effectively carry out those actions. The first problem is the “heavily decentralized system: policies made in Jakarta are often held up or in practice even blocked at the local level.”[12] This creates a disorganized atmosphere which hinders the ability of the government keep control of the situation. Also, there are not enough of these teams which makes it difficult to react effectively when there are simultaneous outbreaks thousands of kilometers apart.[13]

The second problem is the demographics of the country. There are many small villages that are tucked away in the vastness of the country, which makes it difficult for the quick reaction teams to reach, and as well to spread policies and education. There are approximately 30 million households—many of which are in those small villages—that are small scale farmers (backyard farmers) with their own supply of poultry for the family.[14] In these small villages farming is free-range, and there is little control over poultry.[15] All of these conditions combined create perfect conditions for the spread of AI, and makes it very difficult to control.

A third problem that the country faces is a lack of funding. Even though the country is receiving international aid, they are far from their budget set out in the National Strategy Plan. The Plan requires approximately $350m, and in 2006 international donors pledged $50m for 2007. Because the country faces other issues such as natural disasters and malaria, the government has been forced to cut spending to deal with AI. This in turn makes it harder for the country to gather donations from the international community when they themselves have cut their budget.[16] The lack of funding limits the amount of money it can spend on the quick response teams, as well as on vaccines and compensation for the poultry farmers.

Indonesia has received some flack by the international community in its dealing with the AI. Its response had been accused of being unorganized and underfinanced. It has also been accused of under-reporting cases and no longer keeping track of poultry cases.[17] Although these accusations might be accurate, the government is not entirely to blame due to some extenuating circumstances that were mentioned above. It is easier for the wealthier countries to criticize Indonesia when they have enough money and infrastructure to contain the problem. The mechanisms that were in place by the WHO to develop and produce vaccines against AI for poultry and humans in preparation for a pandemic were unfair to developing countries.[18] It left little choice for Indonesia, forcing it to take drastic measures: in January 2007, Indonesia stopped sending AI samples to the WHO and started bilateral arrangements between pharmaceutical companies.[19] This created a response, and by March 2007, the WHO revised its “terms of reference,” making the vaccines more accessible to developing countries and Indonesia agreed to start sending samples again.[20]

Even though Indonesia has taken flack for their response to AI, they have adopted some good polices in order to deal with the virus. The creation of Komnas FBPI and the drafting of the National Strategic Plan for Avian Influenza Control Preparedness for Human Pandemic Influenza 2006-2008 has facilitated coordination and communication between the different ministries in the government. The government should continue to focus their efforts in educating their population, and providing quick aid to those who are infected in order to contain the virus. The government should also continue to prioritize their resources to whatever crisis or problem is more threatening to their country, regardless of the input of the international community. If the rest of the world is afraid of the virus spreading to them, they should help out Indonesia.



Strategy to control AI:

            1. Highly Pathogenic Avian Influenza (HPAI) Control in Animals
            2. Management of Human Cases of AI
            3. Protection of High-Risk Groups
            4. Epidemiological Surveillance on Animals and Humans
            5. Restructuring the Poultry Industry System
            6. Risk Communication, Information and Public Awareness
            7. Strengthening Supporting Laws
            8. Capacity Building
            9. Action Research
            10. Monitoring and Evaluation

 Bibliography
BBC News: Bird flu virus ‘now in two forms’ Last Updated: Tuesday, 21 March 2006. Available online:  <http://news.bbc.co.uk/2/hi/health/4828078.stm>
BBC News: Warning on avian flu vaccination. Last Updated: Thursday, 25 March, 2004. Available online: <http://news.bbc.co.uk/2/hi/health/3564891.stm>
Dayne, Suzanna. UNICEF Indonesia supports community bird flu prevention programme. UNICEF Indonesia: Curug Village, Indonesia. Last Updated: 16 July 2007. Available online: <http://www.unicef.org/infobycountry/indonesia_40341.html>

Gulf News: Experts wary of Indonesian deal on H5N1. Associate Press. London. Published: February 09, 2007. Available online: <http://archive.gulfnews.com/indepth/bird_flu/vaccinations/10102960.html>

http://id_center.apic.org/apic/influenza/avianflu/news/feb0108avian.html
Komnas FBPI Official Website: http://www.komnasfbpi.go.id/aboutus.html
McGrath, Matt. Nations under-report bid flu. BBC News, Rome. Last Updated: Wednesday, 31 May 2006. Available online: <http://news.bbc.co.uk/2/hi/science/nature/5034276.stm>
National Strategic Plan for Avian Influenza Control Preparedness for Human Pandemic Influenza 2006-2008. Republic of Indonesia. January 2006. Title page, pp. 5-8, 12, 14
Pandemic Plan: More Worries in Indonesia. Last updated: 16 June 2006. Available online: <http://reports.typepad.com/pandemic_plan/2006/06/more_worries_in.html#more>
Pellerin, Cheryl. Indonesia Agrees to Resume Sharing Avian Flu Samples. USINFO produced by the Bureau of International Information Programs, U.S. Department of State. Last Updated 27 March 2007. Available online: <http://www.america.gov/st/washfile-english/2007/March/20070327151813lcnirellep0.7828638.html>
People’s Daily Online: South Korea helps fight bird flu in Indonesia. China. Last Updated: 30 January 2007. Available online: <http://english.peopledaily.com.cn/200701/30/eng20070130_346149.html>
Rukmantara, Arie. UNICEF to distribute 100,000 bird flu prevention kits in Indonesia. UNICEF Indonesia: Garut, Indonesia. Last Updated: 5 June 2007. Available Online: <http://www.unicef.org/infobycountry/indonesia_39923.html>
Williamson, Lucy. Indonesia pushes bird flu education. BBC News, Jakarta. Last Updated: Sunday, 10 September 2006. Available online: <http://news.bbc.co.uk/2/hi/asia-pacific/5327522.stm>


[1] http://reports.typepad.com/pandemic_plan/2006/06/more_worries_in.html#more
[2] http://id_center.apic.org/apic/influenza/avianflu/news/feb0108avian.html
[3] http://news.bbc.co.uk/2/hi/asia-pacific/5327522.stm
[4] National Strategy Plan for Avian Influenza Control p. 5
[5] Ibid p. 6
[6] http://news.bbc.co.uk/2/hi/health/3564891.stm
[7] http://news.bbc.co.uk/2/hi/health/4828078.stm
[8] National Strategy Plan Title Page.
[9] http://www.komnasfbpi.go.id/aboutus.html
[10] http://english.peopledaily.com.cn/200701/30/eng20070130_346149.html
[11] http://www.unicef.org/infobycountry/indonesia_39923.html
[12] http://news.bbc.co.uk/2/hi/asia-pacific/5327522.stm
[13] Ibid
[14] http://www.unicef.org/infobycountry/indonesia_40341.html
http://news.bbc.co.uk/2/hi/asia-pacific/5327522.stm
[15] Op cit
[16] http://news.bbc.co.uk/2/hi/asia-pacific/5327522.stm
[17] http://reports.typepad.com/pandemic_plan/2006/06/more_worries_in.html#more
http://news.bbc.co.uk/2/hi/science/nature/5034276.stm
[18] http://www.america.gov/st/washfile-english/2007/March/20070327151813lcnirellep0.7828638.html
[19] http://archive.gulfnews.com/indepth/bird_flu/vaccinations/10102960.html
[20] Op cit 

Any opinions expressed here are those of the author and do not necessarily reflect those of The 5th Estate. 

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This site contains copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc.  We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes.





Information Exploitation; What to Expect from Your Government; OPSEC


A primer on what to look for from U.S. government, CIA, "OGA'S"

The 5th Estate
02/08/2012





Any opinions expressed here are those of the author and do not necessarily reflect those of The 5th Estate.

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This site contains copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc.  We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes.



Operation Iraqi Freedom (CIF) DOD Bogus U.S. Casualty Status 02/03/2012


Here are some bogus numbers DOD is attempting to fob off on Americans; multiply these stats by 10 and it will be closer to reality and may be a conservative estimate still

The 5th Estate
02/08/2012



Proof positive DOD has a sense of humor; these statistics laughable if not so serious

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This site contains copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc.  We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes.


SARS & Influenza A (H5N1) Update and Guidelines for Emergency Departments & Healthcare Providers


Here is another little gem we acquired; while dated, it provides the reader with an idea of what today's nefarious plans by the U.S. to quarantine/kill Americans looks like; take note of the exhortation to report your sick friends and neighbors, next step will be to offer a reward for snitches

The 5th Estate
02/08/2012

SARS  & Influenza A (H5N1)

Update and Guidelines for Emergency Departments & Healthcare Providers

 SARS Update

Parctice Makes Perfect:  Pandemic victims burn pit

During April 22-29, 2004, the Chinese Ministry of Health reported a total of nine cases (one fatal) of  SARS in China resulting from infection of two graduate students who worked at the National Institute of Virology Laboratory in Beijing, which is known to conduct research on SARS-CoV.  No further cases of SARS in China or anywhere else in the world have been reported since April 29, 2004.  On May 18, the World Health Organization reported that the outbreak in China appears to have been contained. Therefore, US recommendations for SARS have been revised “downward”.

Recommendations for SARS Surveillance, Testing and Reporting


In the current setting, surveillance efforts should aim to identify patients who:1) require hospitalization for radiographically confirmed pneumonia or acute respiratory distress syndrome without identifiable etiology AND 2) have one of the following risk factors in the 10 days before the onset of illness:

i Travel to mainland China, Hong Kong, or Taiwan, or close contact with an ill person with a history of recent travel to one of these areas, or
 
i Employment in an occupation associated with a risk for SARS-CoV exposure (e.g., health-care worker with direct patient contact; worker in a laboratory that contains live SARS-CoV), or

i Part of a cluster of cases of atypical pneumonia without an alternative diagnosis.

When such patients are identified, the following actions should be taken:

 i Patients should be placed on droplet precautions; if there is a high index of suspicion for SARS-CoV disease, the patient should be placed on contact (with eye protection) and airborne precautions.

i Patients should be reported to the state (303-692-2700 / after-hours: 303-370-9395) or local health department.

iTesting for evidence of SARS-CoV infection should be considered in consultation with state/local  health department if no alternative diagnosis is identified within 72 hours of admission.

More Information About SARS



Avian Influenza A (H5N1) Update

Since January 2004, a total of 34 confirmed human cases of avian influenza A (H5N1) virus infections have been reported in Vietnam (22 cases, 15 deaths) and Thailand (12 cases, 8 deaths).  The last case officially reported by Vietnam occurred in February 2004; unofficially, one additional case was reported in mid-March in southern Vietnam.  All persons with confirmed H5N1 influenza had severe illness and were hospitalized with pneumonia; most cases occurred in children and young adults who had direct close contact with live, sick, or dead poultry. There currently is no evidence of efficient human-to-human transmission of avian influenza A (H5N1) viruses.  These cases were associated with widespread H5N1 poultry outbreaks that occurred at commercial and small backyard poultry farms.   

Since December 2003, eight countries have reported H5N1 outbreaks among poultry.  Outbreaks in South Korea and Japan were limited to commercial farms and have been adequately contained; however, outbreaks in Vietnam, Thailand, Indonesia, Cambodia, Laos, and China have been more extensive and the degree to which they have been controlled remains uncertain.  On the basis of current information, human infection with avian influenza A (H5N1) viruses remains a public health risk in these countries. 
        

Enhanced U.S. Influenza Surveillance for Avian Influenza (H5N1)


Testing for avian influenza A (H5N1) is indicated for patients who: 1) require hospitalization for  radiographically confirmed pneumonia, acute respiratory distress syndrome (ARDS), or other severe respiratory illness for which an alternate diagnosis has not been established, AND 2) history of travel  within 10 days of symptom onset to a country with documented H5N1 avian influenza in poultry and/or humans.

When such patients are identified, the following actions should be taken:
  • Patients should be placed in contact (with eye protection) and airborne precautions.
  • Patients should promptly be reported to the state (303-692-2700 / after-hours: 303-370-9395) or              local health department.
  • Patients should promptly be tested for influenza virus infection by PCR of both nasal wash and  nasopharyngeal/throat swabs performed at the state laboratory.
Testing for avian influenza A (H5N1) should be considered on a case-by-case basis in consultation with the state or local health department for hospitalized or ambulatory patients with:

i  Documented temperature of >38°C (>100.4°F), and

i  One or more of the following: cough, sore throat, shortness of breath, and

i  History of contact with poultry (e.g., visited a poultry farm, a household raising poultry, or a bird market) or a known or suspected human case of influenza A (H5N1) in an H5N1-affected country within 10 days of symptom onset.

More Information About Avian Influenza



 
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This site contains copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc.  We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes.



  

Extraordinary Rendition UK – Letter to Chief Constables


Another sample of the recent document purchase by The 5th Estate; our series on criminal virologists Yoshihiro Kawaoka and Indonesian traitor Teridah Ernala Ginting continues

The 5th Estate
02/08/2011

Extraordinary Rendition – Letter to Chief Constables
29th November 2005

Dear Chief Constable,

You may be aware that the Guardian published an article on 12th September 2005 which suggests that airports and military airbases in the United Kingdom are being used by the CIA in connection with the practice referred to as “extraordinary rendition.” I enclose a copy of that article.

CIA Torture Rendition Flights
Liberty takes the view that the Guardian article gives rise to a very real suspicion that the CIA is
transporting people against their will through this country on their way to deliver them to state authorities in third countries in the full knowledge, and indeed expectation, that the people they are transporting will be subjected to torture at the hands of those authorities.

If this is the case the CIA operatives commit a number of offences whilst on British soil:

1. Torture
 
Section 134 Criminal Justice Act 1988 makes it an offence, anywhere in the world, intentionally to inflict severe pain or suffering on another person. The severe pain or suffering may be both physical or mental. The offence may either be committed by a public official or someone acting in an official capacity, or by someone else acting at the instigation of or with the consent or acquiescence of a public official or someone acting in an official capacity.

We submit that detaining someone where the person detained is aware that the purpose of the detention is to bring them to a place where they will be subjected to physical torture is itself torture, as it will undoubtedly inflict severe mental suffering on the person detained. The situation is analogous to the “death row phenomenon” considered by the European Court of Human Rights in Soering v UK (1989) 11 EHRR 439, where the Court found that the mental anguish experienced by someone sentenced to death in anticipating the violence that would be done to them breaches Article 3 of the European Convention on Human Rights (ECHR).

Further, we cite the United Nations Human Rights Committee’s Decision on the application of El-Megreisi (CCPR/C/50/D/440/1990) in which it was held that prolonged, incommunicado detention in an unknown location amounted to torture in breach of Article 7 of the International Covenant on Civil and Political Rights (which is identically worded in this respect to Article 3 of the ECHR).

2. Aiding and abetting torture and/or conspiracy to torture

Given that under section 134 torture is an offence wherever in the world it is committed, the CIA operatives, by detaining people within the United Kingdom with a view to delivering them to third countries, are either aiding and abetting acts which are offences contrary to British law, notwithstanding that they are committed abroad, are procuring such acts or are conspiring with others in third countries to commit such acts.

3. False imprisonment

A person who intentionally and unlawfully restricts a person’s freedom of movement commits the offence of false imprisonment. We are unaware of any provision of British law that would allow CIA operatives to detain people against their will within the United Kingdom.

4. Kidnap

In R v D [1984] AC 778 the House of Lords held that this offence has four elements:

(i) the taking or carrying away of one person by another,

(ii) by force or fraud,

(iii) without the consent of the person so taken or carried away, and

(iv) without lawful excuse.

Again we are unaware of any basis in British law for the CIA’s actions.

I am writing to you as the Chief Constable for Sussex Police, within whose area lies Gatwick airport, one of the airports mentioned in the Guardian article, to request that your force investigate the offences set out above. Indeed, it is Liberty’s view that you are obliged under the European Convention on Human Rights (the ECHR) to investigate the torture offences.

The ECHR

Article 1 of the Convention requires the parties to it to “secure to everyone within their jurisdiction” the substantive rights protected by the Convention.

Article 3 prohibits torture and inhuman or degrading treatment. The prohibition is absolute. Article 3 also imposes obligations on states to prevent torture and to investigate arguable breaches of the Article.

In Chahal v UK (1996) 23 EHRR 413 the European Court of Human Rights stated that:

“It is well established in the case-law of the Court that expulsion by a Contracting State may give rise to an issue under Article 3, and hence engage the responsibility of that State under the Convention, where substantial grounds have been shown for believing that the person in question, if expelled, would face a real risk of being subjected to treatment contrary to Article 3 in the receiving country. In these  circumstances, Article 3 implies the obligation not to expel the person in question to that country.”

In our view it is clear that Articles 1 and 3 impose obligations on state authorities not only to investigate allegations of torture within their territory but also:

1. to prevent people within their territory from being removed by third parties to other countries where there is a substantial risk that they will be subjected to torture or inhuman or degrading treatment, and

2. to investigate credible evidence that this has happened.

We consider that it would be unconscionable if such gross breaches of human rights were to go uninvestigated because the nature of the breaches is such that the victims are denied the possibility of making a complaint.

I would be grateful if you would confirm within 14 days of the date of this letter that you will conduct the investigation that we have requested.

Yours faithfully,
Shami Chakrabarti
Director of Liberty


Any opinions expressed here are those of the author and do not necessarily reflect those of The 5th Estate.

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This site contains copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc.  We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes.








U.S. DOD (Department of Defense) Summary of Avian Influenza/Pandemic Influenza Plan


This is a sample of the massive documents purchase by The 5th Estate, please bear with us as we are weeding through this treasure trove of documents, hundreds of unclassified and classified papers on everything from H5N1 intentional releases to Abu Grahib, CIA Black Rendition and Continuity of Government plans for the next "disaster" in the U.S. and other countries; we are having to peruse these document by document so we won't wind up like Julian Assange or political prisoner Bradley Manning - stay with us, you will be rewarded with an incredible amount of actionable intelligence:  the following posts on The 5th Estate are a few samples - stay tuned

The 5th Estate
02/08/2011


Summary of Avian Influenza/Pandemic Influenza Plan


Due to the recent emergence of Avian Influenza (Bird Flu, H5N1) as a disease in humans in Asia and the risk that it may become a new pandemic influenza strain, DoD convened a working group of infectious disease and preventive medicine experts from all three services and the Joint Chiefs of Staff to develop preparation and response guidance.  That guidance, issued on 25 September 2004, requests that:

·        Service Surgeon Generals ensure that MTFs have response plans to public health emergencies and pandemic influenza that are coordinated and synchronized with local health officials.
·        Installation commanders review their plans for emergency response and ensure that they have appointed a Public Health Emergency Officer IAW DoDD 6200.3.

Background: 

It is assumed that when a new pandemic strain of influenza emerges, it may strike at an unusual time (e.g. Summer) and may affect young, healthy individuals more severely than the usually vulnerable populations.  Also, it will take at least 6 months to develop an effective vaccine against the new flu strain.  During those 6 months, it is projected that up to 50% of the total population of the US will become ill. General sanitation measures, isolation of cases, and the use of antiviral medication will be the only means available to control or slow the spread of disease until an effective vaccine is deployed.


Plan of Action:

According to ASD HA Memo of 21 September 2004, Department of Defense Guidance for Preparation and Response to an Influenza Pandemic caused by the Bird Flu (Avian Influenza), the DoD will follow the Health and Human Services (HHS)/ Centers for Disease Control and Prevention (CDC) phase plan as outlined below.  

HHS/CDC Phase/Level

Situation

Action

Phase 0: Level 1

Influenza virus circulates in population causing yearly outbreaks

-Routine immunization and laboratory surveillance activity. -Prepare response plans.

-Train personnel,

-Pre-designate and train medical treatment teams and immunization teams for mass immunization campaigns.

Phase 0: Level 2

Identification of novel influenza virus in humans, but no human to human or pandemic transmission

-Outbreak investigations

-MTFs review and exercise response plan.

Phase 0: Level 3

Confirmed human to human transmission of novel flu strain that can cause pandemic

-Increased surveillance and outbreak investigation.

-Military commanders and MTFs review and prepare to initiate response plans.

Phase 1

Confirmation of pandemic by World Health Organization

-Immunization if available.

-Institute preventive measures, including antiviral prophylactic medication where indicated.

Phase 2

Regional and multi-regional outbreaks abroad or in the US, medical treatment facilities utilization beyond capacity

-Continue Phase 1 actions.

-Be ready to deploy additional personnel (medical treatment teams and immunization teams) and resources into affected areas to augment local facilities.

Phase 3

Subsequent waves of outbreaks in new locations

-Continue Phase 2 actions.

Phase 4

Confirmation of a second widespread outbreak of the same novel virus (may occur 3 to 9 months after initial outbreak)

-Continue Phase 2 actions.

Phase 5

Pandemic ends
 
Installation and MTF response plans must address pre-designation and training of medical treatment teams and immunization teams, contingency plans for increased patient visits and use of facilities due to respiratory infections, stress management, patient movement, evacuation requirements, mental health and chaplain services, security, and mortuary affairs.

DoD Appendix 1 and DoD Appendix 4 of ASD HA Memo of 21 September 2004, Department of Defense Guidance for Preparation and Response to an Influenza Pandemic caused by the Bird Flu (Avian Influenza) provide specific tasks for installation and MTF commanders in planning and developing their response to influenza pandemic outbreaks.
 
Antiviral Chemoprophylaxis:

Oseltamivir has shown promise as an agent having activity against the current form of Avian Influenza.  DoD is purchasing 1.2 to 1.5 million treatment courses of Oseltamivir for influenza prophylaxis and treatment to protect our operational forces and critical healthcare personnel until a vaccine can be developed and deployed.  The first purchase of 300K packages is scheduled for FY05.  If needed, the DoD will determine the prioritization of forces that will receive chemoprophylaxis.  We expect that the prioritization for chemoprophylaxis will look similar to the scheme developed by the Joint Chiefs of Staff and the Assistant Secretary of Defense, Health Affairs during the 2004-2005 influenza vaccine shortage.


BUMED actions:
1.  Draft message instructing MTF commanders develop plans according to DoD guidance and to plan in coordination with local officials for influenza pandemic.
2.  Provide MTF commanders with model plan for response.
3.  Monitor completion of plans by MTF commanders.
4.  Develop with NEHC, training tools for medical treatment teams immunization teams that can be placed on Navy Knowledge Online.
5.  Inform ASD HA of actions to ensure that MTF have plans that are coordinated and synchronized with local health authorities.

Prepared by CAPT E. M. Kilbane, MC, USN, Director, Prev Med/Occ Health (M3F4)


Any opinions expressed here are those of the author and do not necessarily reflect those of The 5th Estate.

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This site contains copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc.  We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes.


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ANDREW KREIG: EXPERTS REJECT FIRE AS CAUSE FOR 9/11 WTC COLLAPSES

The real truth on 9/11 slowly continues to bleed out

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Technical experts are mounting major challenges to official U.S. government accounts of how three World Trade Center skyscrapers collapsed in near-freefall after the 9/11 attacks 15 years ago.

Many researchers are focusing especially on the little-known collapse of

READ MORE >>

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The Geopolitics Of The United States, Part 1: The Inevitable Empire

The Empire and the inevitable fall of the Obama criminal regime

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STRATFOR Editor’s Note: This installment on the United States, presented in two parts, is the 16th in a series of STRATFOR monographs on the geopolitics of countries influential in world affairs.

Like nearly all of the peoples of North and South America, most Americans are not originally from the territory that became the United States.

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Geopolitics Of The United States Part 2: American Identity And The Threats of Tomorrow

A look back at 2011 predictions for the future in order to put events of today into perspective

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We have already discussed in the first part of this analysis how the American geography dooms whoever controls the territory to being a global power, but there are a number of other outcomes that shape what that power will be like. The first and most critical is the impact of that geography on the American mindset.

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By Robert S. Finnegan

This e-mail outlines and confirms the acts of espionage against Indonesia and Indonesians by Akiko Makino and the others involved both in Kobe University and in AI Lab at University of Airlangga, Surabaya; Bahasa Indonesia original follows English translation...

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UPDATED 01/07/2015 : New Analysis Challenges Tamiflu Efficacy; Hong Kong Corona Virus Outbreak

UPDATED 01/07/2015 : FOX NEWS CORPORATE PHARMA SHILL MEGAN KELLY AND FOX NEWS QUACK DOCTOR NOW PUSHING TAMIFLU FOR PREGNANT WOMEN AND CHILDREN;

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THE 5TH ESTATE UNEQUIVOCALLY WARNS THE PUBLIC NOT TO TAKE OR GIVE THIS PROVEN DANGEROUS, INEFFECTIVE DRUG TO ANYONE

Obama criminals now resulting to biowarfare in quest to destroy Chinese and ASEAN economy; "novel virus substrain" points directly to a Kawaoka / Fouchier / Ernala-Ginting Kobe lab virus weaponized and genetically altered to specifically target and infect the Asian population: Ribavirin...

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The 5th Estate has just purchased a library on H5N1 "Novel" virus pandemics, there are dozens of PDF and Exel documents we feel will assist you in saving lives following intentional releases of the H5N1 and now MERS viruses; we will begin by printing those that appear to be extremely relevant here: H5N1 Kobe-Kawaoka-Ernala series continues soon with more "Smoking Gun" e-mails from Teridah Ernala to The 5th Estate . . .

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By Robert S. Finnegan

On October 12, 2002 the Indonesian island of Bali experienced a terrorist attack that rocked the world. It was unquestionably well-coordinated and executed, the largest in the country's history.

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