Viewing cable 05VILNIUS1347
Title: Avian Influenza: Lithuania tripwires and contingency

IdentifierCreatedReleasedClassificationOrigin
05VILNIUS13472005-12-30 06:33:00 2011-08-30 01:44:00 UNCLASSIFIED Embassy Vilnius
This record is a partial extract of the original cable. The full text of the original cable is not available.
UNCLAS SECTION 01 OF 03 VILNIUS 001347 
 
SIPDIS 
 
E.O. 12958: N/A 
TAGS: AMGT ASEC CASC AMED AEMR LH
SUBJECT: Avian Influenza: Lithuania tripwires and contingency 
planning 
 
REF(S): A. STATE 219189; B. VILNIUS 1239 
 
¶1.  Embassy Vilnius has reviewed the preparedness steps and 
tripwire guidance in ref A. As requested, we have developed 
our own readiness measures against avian influenza, including 
tripwires for possible drawdown requests and shelter-in-place 
plans. 
 
¶2.  Per paragraph 6 of ref A, Post has attempted to place the 
following information on the TRIPS website. We are having 
technical problems logging in, but we will keep trying until 
we succeed, and confirm as soon as the information is 
uploaded. 
 
¶3. Introductory paragraph: 
 
The GOL has plans in place to manage a possible outbreak of 
avian influenza or human pandemic influenza.  An outbreak of 
extremely virulent human pandemic influenza would undoubtedly 
strain Lithuania's capabilities, but the GOL likely would 
report its situation truthfully and seek assistance from both 
its allies and international organizations.  Vilnius has two 
hospitals that are designated for use in an AI outbreak. 
Infected adults will be treated at State TB and Infectious 
Diseases University; infected children will be treated at 
Santariskiu Children's University Hospital. Treatment at both 
hospitals is on a first-come, first-served basis, with no 
discrimination between a national and a foreigner.  Once an 
epidemic is declared in Vilnius, Post cannot shelter in place 
for more than three days.  Once quarantine is declared for the 
country or for Vilnius, Post will be able to shelter in place 
for no more than 48 hours. Post does not have the funds to 
purchase medication, hand sanitizers, masks and food to 
provide 100% coverage for all personnel or for sustaining a 
long-term period of sheltering in place. MGMT Officer Cheryl 
Johnson and IMO David McCrane are Post's POCs for coordinating 
Post's AI plan.  Ms. Johnson and Mr. McCrane are also tasked 
with inputting Post Tripwires into TRIPS. 
 
¶4. Tripwires: 
 
Tripwire One: A spike in the number and/or broadening 
geographic spread of animal-to-human cases or sustained human- 
to-human transmission in the Baltics or a neighboring country. 
 
Tripwire One Responses: 
 
a) EAC meets to confirm tripwire has been crossed. 
 
b) Provide Mission briefings for American and LES employees 
and dependents. 
 
c) Restrict official and unofficial travel to suspected areas. 
 
d) Ensure that any public announcements or travel warnings 
issued relating to the neighboring country are disseminated to 
American citizens in Lithuania. 
 
e) Consider requesting authorized departure of non-essential 
staff and family members.  Note: Under certain scenarios, 
drawdown of personnel may not be possible, safe, or medically 
advisable due to factors such as closure of borders and other 
travel restrictions; establishment of quarantines at ports of 
entry; rapid curtailment of commercial travel; and surge in 
demand for medicine and related services. 
 
f) Consider recalling all employees who are currently in 
remote areas. 
 
Tripwire Two: A spike in the number and/or broadening 
geographic spread of animal to human cases or sustained human- 
to-human transmission in rural areas of host country. 
 
Tripwire Two Responses: 
 
a) EAC meets to confirm tripwire has been crossed. 
 
b) Provide Mission briefings for American and LES employees 
and dependents. 
 
c) Restrict official and unofficial travel to suspected areas. 
 
d) Consider requesting ordered departure of non-essential 
staff and family members.  Note: Under certain scenarios, 
drawdown of personnel may not be possible, safe, or medically 
advisable due to factors such as closure of borders and other 
travel restrictions; establishment of quarantines at ports of 
entry; rapid curtailment of commercial travel; and surge in 
demand for medicine and related services. 
 
e) In coordination with the Department, issue public 
announcement, warden message, or travel warning cautioning 
American citizens against nonessential travel to the affected 
region and to suspected areas. 
f) In coordination with the Department, prepare press 
guidance. 
 
g) Institute mandatory sick leave for employees who exhibit 
flu-like symptoms or has a family member exhibiting flu-like 
symptoms. 
 
h) Implement use of protective equipment (gloves, masks, etc.) 
according to MED guidance. 
 
i) Limit consular services as necessary, such as instituting 
an appointment-based system for all non-emergency services so 
as to reduce crowds in the waiting room. Posts should consult 
with CA prior to taking such steps. 
 
Tripwire Three: A spike in the number and/or broadening 
geographic spread of animal to human cases or sustained human- 
to-human transmission near or within the capital city. 
 
Tripwire Three Responses: 
 
a) EAC meets to confirm tripwire has been crossed. 
 
b) Provide Mission briefings (perhaps by phone or email) for 
American and LES staff and dependents. 
 
c) Cancel incoming official travel to host country, except for 
personnel involved in investigative/containment efforts, or as 
otherwise deemed necessary by COM. 
 
d) Coordinate with CA/OCS on issuance of guidance (public 
announcement or travel warning, as appropriate) urging 
American citizens to defer all non-emergency travel to host 
country and particularly the affected regions. 
 
e) In coordination with the Department, prepare press 
guidance. 
 
f) Implement home quarantine of any staff or dependents who 
have been in contact with a person confirmed to have an AI 
infection and implement at home monitoring procedure. 
 
g) If AD/OD is not permissible, instruct all non-emergency 
American and LES staff to remain home on administrative leave. 
Children should remain home from school. 
 
h) Implement social distancing (limit movements of all 
personnel and dependents in the city). 
 
i) Plan for home visits to sick individuals who receive care 
under the Embassy health unit. 
 
j) Consider relocating Embassy personnel to designated 
residences. 
 
k) Consider delivery service of groceries and other essential 
items to residences. 
 
l) Depending on level of public inquiries, Embassy staffs and 
equips a situation room. Consular officers should establish a 
database tracking American citizens who have been quarantined, 
hospitalized, or ill at home. Also, prepare guidance for 
American citizen community on treatment options. 
 
m) Reduce consular operations to emergency consular services 
only. 
 
n) Divide the Marine Security Guard detachment into two 
separate and independent entities to decrease the risk of the 
spread of the disease and ensure proper coverage of classified 
materials. 
 
o) Restrict visitor access to Mission. 
 
p) Consider prophylactic Tamiflu treatment only for staff who 
are required to be in direct contact with potentially infected 
persons. 
 
Alternate Tripwire: Mission employee or eligible family member 
develops AI infection. 
 
Alternate Tripwire Response: 
 
a) Employee or eligible family member begins Tamiflu 
treatment. 
 
b) Medevac if possible. 
 
¶5. Post's principal point of contact for AI contingency 
planning is Management Officer Cheryl Johnson (370 5 266 
5561). 
 
KELLY