@NewYorker: Vienna Is the New Havana Syndrome Hotspot

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Via New Yorker:
Since Joe Biden took office about two dozen U.S. intelligence officers, diplomats, and other government officials in Vienna have reported experiencing mysterious afflictions similar to the Havana Syndrome. U.S. officials say the number of possible new cases in the Austrian capital—long a nexus of U.S. and Russian espionage—is now greater than the number reported by officials in any city except for Havana itself, where the first cases were reported.
[…]
The first possible syndrome case in Vienna was reported a couple of months after Biden’s Inauguration. That case and subsequent ones were reported to officials in Washington soon after they occurred. But the Biden Administration decided not to announce the Vienna outbreak—officials were concerned that any public disclosure about the cases would hamper ongoing U.S. intelligence and law-enforcement investigations, which are still under way in Vienna. The Austrian Embassy in Washington declined to comment on the cluster of cases.
CNN quotes a State Department spox:
“In coordination with our partners across the U.S. Government, we are vigorously investigating reports of possible unexplained health incidents (UHI) among the U.S. Embassy Vienna community or wherever they are reported,” a State Department spokesperson said. “Any employees who reported a possible UHI received immediate and appropriate attention and care.”
On May 25, 2021 U.S. government workers and their spouses who say they were injured by Havana Syndrome sent a letter to Deputy Secretary of State Brian McKeon (via NBC)

 

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US Embassy Bangkok: Overseas Americans and COVID Vaccines

Thank you to the 504 readers and supporters who made our continued operation possible this year. Raising funds for a small outlet that is already open and free for all to read has often been the most challenging part of running  this blog. We are grateful for your support and well wishes. Merci, Grazie — DS

 

According to the CA bureau, an estimated 9 million U.S. citizens lived overseas. Late last month, Reuters reported that the U.S. Embassy in Thailand “rejects citizens appeal for vaccines.”
Obviously, the decision to fly vaccines to Thailand as reportedly requested by American expatriates in the country (or to 194 other countries where the United States has diplomatic relations) is not something that each individual embassy can decide on. We don’t think this is something that even the State Department can decide on. This is a decision that has to be made by the current administration. And if/when the Biden administration decides that overseas Americans in one country should be vaccinated, it would also need to consider access to vaccines for overseas Americans living in other countries. There will likely be an equity of treatment issue; the USG will either vaccinate all overseas Americans, or it doesn’t.
WorldAtlas.com notes that about 900,000 Americans live in Mexico, some 800,000 in the European Union, and about 740,000 are in Canada. Approximately 700,000 are in India, with some 600,000 living in the Philippines, and about 185,000 in Israel.
What options are there for overseas Americans?
#1. AmCits fly back the the U.S. to get vaccinated as suggested by Embassy Bangkok.  How many of the 9 million overseas Americans will be able to return to the U.S. just to get vaccinated?
#2. Two former political ambassadors to  Thailand and New Zealand wrote a WSJ op-ed claiming that “There are no significant hurdles for the U.S. government to ship Covid vaccines around the world and administer them to Americans living abroad. The State Department confirmed on April 20 that it has sent to each U.S. embassy sufficient vaccines to administer to all American employees. Each embassy also maintains a list of Americans who have registered their contact details, and unregistered Americans could easily be reached through the American communities in each country. All that would be required to administer vaccines in an orderly manner to Americans overseas would be to create an online sign-up system.”
Really? Embassies have MED units typically staffed by a handful of medical professionals; a physician and a couple of nurses if you’re lucky. Consulates typically do not have their own health units. How is the Health Unit at the US Embassy in Manila for example supposed to managed the logistics of vaccinating some 600,000 American expats in the Philippines? Should embassies be authorized to provide vaccinations, it would require additional staff to administer the vaccines, handle an online sign-up system, bio-hazard disposals, security, etc. In the meantime, posts are still expected to continue doing the day to day work they’re tasked to do.
#3. Each embassy advocates for equitable access to vaccines for U.S. citizens in host country, as indicated by US Embassy Bangkok. Obviously, host country would resist the perception that it is favoring expats over its own citizens. So how equitable the access to vaccines for overseas Americans would most likely vary from country to country.
#4. The French Embassy in Thailand has organized a two-month vaccination campaign for French nationals from multiple hospitals in the country, providing the single-dose Covid-19 vaccine for free to those who are 55 years old and older. Reuters reported that China has donated one million vaccine doses to Thailand, with 400,000 earmarked for its nationals. This is probably one reason why overseas Americans are upset; the French and the Chinese are providing vaccination to their overseas nationals while the United States has not. The United States plans to  donate 80 million vaccines worldwide with 25 million doses soon to be released (7 million going to Asia). The United States has earmarked these doses for priority countries but it cannot allocate 9 million out of that 80 million doses for its overseas citizens?
At a May 11, 2021 Press Briefing, the WH spox was asked:

Q    What about Americans overseas?  There is bipartisan groups who are pleading with this administration to help them get vaccinated.  It’s impractical for them to fly back to the United States.  So, are you looking into this?  Anything that the administration can do?

MS. PSAKI:  Well, we certainly do — and as a veteran of the State Department, I can restate that we are quite focused on the health, safety, wellbeing of Americans living all around the world.  We have not historically provided private healthcare for Americans living overseas, so that remains our policy.  But I don’t have anything to predict in terms of what may be ahead.

We are in a once in a lifetime pandemic.
We think that the WH needs to reassess this policy. Just because the USG has not historically provided healthcare to overseas Americans doesn’t mean that should remain the policy as it relates to COVID -19 vaccines.
We can all accept the uniqueness of our times. Our collective grief has marked us forever.   The US government can do more for our overseas nationals. It should. We have already buried over 600,000 of our citizens due to an incompetent federal response. We should not add more to that toll based on a policy that was set in a world before the coronavirus walked our lands.

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Permission to Speak Freely: End the Shame and Stigma

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According to the CDC, suicide is the 10th leading cause of death in the United States. It was responsible for more than 47,500 deaths in 2019. In 2019, 12 million American adults seriously thought about suicide, 3.5 million made a plan, and 1.4 million attempted suicide.
Secretary Antony J. Blinken at a Virtual Town Hall with U.S. Mission Nigeria and U.S. Embassy Nairobi Employees and Family Members, April 9, 2021:

“We had the recent news of the death of a member of our State Department family on temporary assignment in Kenya, which is deeply saddening and distressing, and a reminder of how important it is for us to be there for each other and to seek help if we need it without shame.  The global authorized departure policy meant that many of you were separated and isolated from your family members as well as from each other, and Kenya is dealing with heightened security concerns.  In Lagos and Abuja, your movements outside the city centers are restricted, now even more so.”

This is the closest the secretary of state come to acknowledging the reported suicide of a State Department employee in Kenya (see US Embassy Kenya: USG Employee Found Deceased at a Nairobi Hotel). We understand that a diplomatic courier assigned at a post in Germany, temporarily stayed two weeks at the Tribe Hotel in Nairobi, Kenya, prior to his next permanent assignment in Nairobi. He was found deceased at the hotel on April 7, 2021.
We don’t know how people can “seek help if we need it without shame” if the top official could not even give what happened in Kenya a name. Somebody died. True. It was “saddening and distressing”.  True. But we can help by acknowledging what happened there has a name and it has its own realities. A struggle in a dark world of  despair and hopelessness that is as real to those who suffer as the great blue skies you and I live in.
The fight to make it every day, to keep going despite the pain is a valiant battle. We need to remember that the fight is often painful, solitary, and seemingly hopeless. To get rid of shame and end the stigma, we need to talk about this in the open, not in whispers, not by skirting its name. But it has to start at the top. Otherwise, as a blog pal once asked, What FSO is going to risk losing their security clearance by going to MED and saying they are thinking about suicide?” 
Read: 5 Common Myths About Suicide Debunked
Warning Signs and Risk Factors of Suicide
If you’re thinking about suicide, are worried about a friend or loved one, or would like emotional support, the Lifeline network is available 24/7 across the United States. Call 1-800-273-8255.
If you are overseas, please seek help by calling or visiting the health unit or call the Military Crisis Line  or a local Suicide Hotline .

 

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More About the Separate Quarantine at US Mission China

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Yesterday, we posted: FS family members 14 and up are forcibly quarantined separately from their families in China?  As often the case when we post questions in this blog, we get a reaction. Below is what we learned from a correspondent who is currently serving in China and who has “happily extended” their tour there. Our correspondent gave a different perspective about the quarantine process upon arrival in China and life there during the pandemic. He/She also answered additional questions we have.
Quarantine with children
— The quarantine rules, including those affecting children have been known by the entire mission and the EAP bureau a year ago.
— If there are two parents, they decide who takes what kid during quarantine. For single parents, you take all the kids and be in the same room; the bed is reportedly extra large king. In the case of illness concerning a baby or a young child, the PRC would allow one parent to stay at the hospital under the negotiated agreement. This was not the case at the beginning; apparently, there was a three month old baby of French diplomats who stayed alone in the hospital although reportedly with “constant monitoring.”
— When ill, mission employees go to two hospitals where the doctors are 20% Western and the Chinese doctors have been educated in the US, UK, or Australia.
— Diplomats are lodged at franchise hotel in Shanghai and Guangzhou with room sizes similar to a that of a regular Marriott room with about 420 sqft of space.
— The hotel offers at least Chinese, Muslim, Western menus that are “quite cheap.” There are additional choices from the VIP menu with a higher price but still within the authorized per diem.
— Last year, people could order online but this privilege was rescinded for fresh food because it was apparently sprayed with disinfectant upon arrival, so people could only order closed/canned foods. There is second hand account attributed to folks who recently concluded their quarantine that people were able to order salads, cheese, etc. again this year.
— Diplomats are allowed to do part of their quarantine at home, unlike other people (for example, business people). We were informed that EAP/Mission negotiated this. Also in late December, China started requiring a second test (blood) from an approved lab in a city with direct flights to China. Despite these precautions, there are reportedly continuing imported cases from Africa, Europe and the Middle East. Beijing and now Shanghai reportedly require a third week of quarantine with relaxed protocol like a hotel where the families can be together. For our diplomats, the negotiated agreement is that this third week can be done at home.
— The correspondent pointed out that the assignment in China requires an investment of at least a year of language but signing up for the Foreign Service requires acceptance of assignments that include hardships.
— We understand that people can curtail their assignments as some employees did last summer; they never went back after the evacuation.
We asked about the rationale for the cut-off age; 12 year olds are allowed to stay with parents but 14 year olds must quarantine separately?
Our correspondent said that previously, this was kids who are 15 and above. Now the requirement to quarantine separately is 14 years and above. Our correspondent did not have a clear answer but points at the likelihood that local authorities have probably determined that this is the age when kids are infected or transmitting like adults.
Medevac Flights
Our correspondent confirmed that the Department used charter flights to transport people back to Mission China last year. There were standby flights to return anyone who tested positive back to the U.S. “Happened once.” We learned that the Department stopped the charters in September/October when majority of the staff had returned or arrived PCS. Incoming staff to China used commercial flights thereafter.
Communication
Our correspondent said EAP and Mission China were  “almost too communicative”.  Our correspondent pointed out that in June-August, China folks received three emails per week to update them “of the progress.”  They apparently also had a FAQs with over 30 pages. A separate source notes that while the transfer season is always busy,  there is a special China packet, as well as town halls that people should read/tune in.
Isolation
Our correspondent said that “most kids 14-18 were actually happy” to be able to be on their cellphone and other social media without their parents on their back. “With Skype or WeChat you can have video calls if you wish, you are not isolated.”
Life During a Pandemic
Our correspondent explained that Beijing was never in lockdown, the embassy never closed its doors, that people continued to go to work, restaurants remained open, etc.  He/She asks, “Is 14 days a hard price to pay for a regular life?”  He/She writes, “It is much better than over a year of lockdowns, curfews, and other restrictions and worrying to catch the virus.”
At the end of the day, the sentiment expressed by our correspondent is — we are all extremely happy that China has strict rules because it meant a regular life (with a mask) for all Posts (except Wuhan).
One anecdotal evidence from a recently returned employee from China expressed a similar sentiment, that the quarantine process “sucked” but when it was done, they were able to move around and live a “more normal” daily life – although with masks.
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#HavanaSyndrome: Reports on Additional Cases, Wearable Sensors, More Clips

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Ambassador Daniel Smith to be Chargé d’Affaires, ad interim at US Mission India

The life of a blog has no certainty. In most cases, a blog has a lifespan better than that of a mayfly. A day. But most blogs do not make it longer than winter bees (six months). We have to-date survived through 26 winter bee seasons! So that’s amazing! Whatever is in the horizon, we are thankful to all of you who made these seasons possible. We are on the last few days of our eight-week annual fundraising. We are grateful to over 400 readers who pitched in since we launched a few weeks ago. If you care what we do here, and you are able to help, please see GFM: https://gofund.me/32671a27.  We could use your support.  ❤️❤️❤️ D!

 

On April 30, 2021, the State Department announced the appointment of Ambassador Daniel Smith to US Mission India as Chargé d’Affaires, ad interim.
Ambassador Daniel Smith, the Director of the Foreign Service Institute who recently served as acting Secretary of State and Acting Deputy Secretary of State, will be departing for New Delhi to serve as Chargé d’Affaires, ad interim. Ambassador Smith carries the highest Foreign Service rank of Career Ambassador.
Ambassador Smith’s appointment underscores the United States’ strong commitment to our partnership with the Government of India and the Indian people.  He will spearhead close cooperation with India to ensure that our countries continue to advance our shared priorities, including overcoming the global pandemic.
The United States stands in solidarity with India, and Ambassador Smith is committed to working together with India in partnership.

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#HavanaSyndrome: Directed-Energy Attacks Now Reported in D.C.

Once a year, we ask for your support to keep this blog and your dedicated blogger going. So here we are on Week #7 of our eight-week annual fundraising. Our previous funding ran out in August 2020. We recognize that blogging life has no certainty, and this year is no exception.  If you care what we do here, please see GFM: https://gofund.me/32671a27.  We could use your help. Grazie!  Merci! Gracias!

On April 28, NBC’s Josh Lederman reported that a group of Canadian diplomats have accessed Canada’s government of withholding information about new cases of brain injury resulting from “Havana Syndrome”.  The report also says that the diplomats are citing “unacceptable delays” on coordinating care for Canadians affected, including numerous children who were accompanying their parents in Cuba. “Who knows what the long-term impacts will be?” the diplomats wrote.
Who knows what the long-term effect will be for the employees affected and the family members who were at these posts? For the State Department, the magic number appears to remain at 41 for those officially diagnosed. We do not have the number of employees who were not officially counted but whose lives and health were upended by the Department’s botched response to these attacks. We do not even know how many Foreign Service kids were similarly affected by these attacks.  Given the Department’s poor track record of handing these incidents going back to Moscow in the 1970’s, we need to keep asking questions.  Congress needs to step up in its oversight.
Back in early April, one of the questions we asked the State Department is to confirm that the mystery illness has been reported domestically (WH staffer in Arlington, a couple at UPENN)?  The State Department refused to answer that question and all our other questions.  See the rest of the questions here: Havana Syndrome Questions @StateDept Refuses to Answer.  We added a submitted question: #17. Why not expand the mandate of Ambassador Spratlen to include instances of previous microwave attacks, since those episodes were handled so badly by the State Department? Here is a little background: https://shoeone.blogspot.com/2013/09/moscow-microwaves.html
CNN is now reporting that “federal agencies are investigating at least two possible incidents on US soil, including one near the White House in November of last year, that appear similar to mysterious, invisible attacks that have led to debilitating symptoms for dozens of US personnel abroad. Multiple sources familiar with the matter tell CNN that while the Pentagon and other agencies probing the matter have reached no clear conclusions on what happened, the fact that such an attack might have taken place so close to the White House is particularly alarming.”
So there. Now that this has become “particularly alarming,” maybe we’ll learn some more?
Pardon me, what do you mean  …. “NO”!?
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US Mission India Now on ‘Voluntary Departure’ for Family Members of USG Employees (Updated)

Once a year, we ask for your support to keep this blog and your dedicated blogger going. So here we are on Week #7 of our eight-week annual fundraising. Our previous funding ran out in August 2020. We recognize that blogging life has no certainty, and this year is no exception.  If you care what we do here, please see GFM: https://gofund.me/32671a27.  We could use your help. Grazie!  Merci! Gracias!

Update 4/29/21 at 8:23 PST : The State Department’s official word on US Mission India’s authorized departure via the DPB of April 29, 2021:

QUESTION: The – in addition to this aid, you guys put out this new travel notice, travel alert today, which mentioned the authorized departure for families of U.S. government personnel at the embassy and the, what is it, four consulates. I’m just curious. Is this by popular demand? Were there people – and I know you don’t want to get into numbers or anything, but were people wanting to leave and have people left already under this – the authorized departure?

MR PRICE: Well, thanks for that question. And I think it’s important to speak for just a moment about what this was and importantly what this was not. Out of an abundance of caution, the Department of State authorized the voluntary departure, so-called authorized departure, of family members of embassy – at the U.S. Embassy in New Delhi and the consulates throughout the country. Authorized departure doesn’t force anyone to leave; it doesn’t require anyone to leave. It gives these family members the option to depart if they wish. Departure, again, is not required.

There’s also been I think some misreporting, perhaps a misperception, that we provided revised guidance to private American citizens in India. That is not true. There was a pro forma reissuance of the travel advisory, the level four travel advisory that had previously been in effect, given COVID not only in India but also globally as well.

QUESTION: Yeah, but are people taking advantage of it? Were people wanting this, or was it just decided from here and from the ambassador or whoever the charge is that this would be a good idea? I mean, is there a rush to the exits?

MR PRICE: I don’t have the numbers. I’m not sure we’d be able to provide them, regardless, given —

QUESTION: I don’t want your numbers. I just want to know if people are taking advantage of this.

MR PRICE: Well, I think it speaks to the fact that we put the safety and health of our employees and their families, in this case – we prioritize that, and so that is why the department thought it prudent to give them the option to depart the country if they so wished.

 

This is a follow-up post to @StateDept Mum on US Mission India’s Covid Outbreak: Four FSNs Dead (Not Two), 100+ Positive Cases, What Else?
We’ve learned that four locally employed staff have died at US Mission India due to COVID, and not two as previously reported. One FSN died in November, and three have died during the current wave. We understand that there’s “a ton of infections” at US Mission India. While most of those ill are locally employed staff, there are some U.S. direct hire Americans who are also sick. There is speculation that most of the infection occurred before the vaccine became available at posts. We understand that Mission India has now gone back to Phase 1, mostly conducting work via telework. 
Late on April 27, we also learned that family members of U.S. Government employees  were approved for authorized departure, an order that allows for their voluntary evacuation from post. There was no official announcement of the order on April 27. 
Previously, on April 21, 2021, the State Department issued a “Level 4-Do Not Travel” advisory for India due to COVID-19, crime, and terrorism.
On April 23, US Mission India issued an alert that Flights Departing India Are Available:

 Flights to U.S. cities remain open.  However, those originating from India to Canada, the UK, UAE, and South East Asia (Singapore, Hong Kong) have been suspended.  United Airlines temporarily cancelled their flights on April 23 from Delhi to Chicago, Newark, and San Francisco due to technical difficulties.  United is working to restore service as quickly as possible.  Travelers should check with the airline for scheduling updates.  United Airlines’ codeshare flights on Lufthansa and United’s flights from Mumbai have not been impacted.  Delta’s codeshare flights from India on Air France and KLM also remain operational.  The U.S. Centers for Disease Control and Prevention (CDC) has issued a Level 4 Travel Health Notice and the Department of State has issued a Level 4 Travel Advisory advising against all travel to India.

Post has issued three health alerts since April 28:
Late on April 28, the State Department issued an updated Level 4-Do Not Travel advisory for India advising Americans “not travel to India due to COVID-19” and to “exercise increased caution due to crime and terrorism.” It also announced  that the Department “on April 28, 2021 … approved the voluntary departure of family members of U.S. government employees.” It advised that “U.S. citizens who wish to depart India should take advantage of available commercial transportation options. “
The SCA bureau is currently headed by Acting A/S Dean Thompson while the nominee for assistant secretary Ambassador Donald Lu awaits confirmation.
No nominee has been announced for U.S. Mission India as of this writing.  US Mission India is currently under the leadership of Chargé D’Affaires Donald L. Heflin with Brian Heath as Acting Deputy Chief of Mission. The constituent posts are headed by the following career diplomats:

 

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@StateDept Mum on US Mission India’s Covid Outbreak: Four FSNs Dead (Not Two), 100+ Positive Cases, What Else? (Updated)

 

Once a year, we ask for your support to keep this blog and your dedicated blogger going. So here we are on Week #7 of our eight-week annual fundraising. Our previous funding ran out in August 2020. We recognize that blogging life has no certainty, and this year is no exception.  If you care what we do here, please see GFM: https://gofund.me/32671a27.  We could use your help. Grazie!  Merci! Gracias!

 

Update 4/27/21 4:11 PST:  We’ve learned that four FSNs have died at US Mission India due to COVID. One died in November, and three have died in the current second wave. We understand that there’s “a ton of infections” at US Mission India. While most of those ill are locally employed staff, there are some U.S. direct hire Americans who are also sick. There is speculation that most of the infection occurred before the vaccine shots became available. The Mission has now gone back to Phase 1 mostly conducting telework.  We understand that family members are now on authorized departure but we have not seen the official announcement yet. 
CNN is reporting that a COVID outbreak at US Mission India has resulted in the death of two locally employed staffers, and over 100 positive cases “in recent weeks.” The report did not indicate which posts the outbreak occurred.
During the Daily Press Briefing of April 26, one of the reporters asked about the outbreak, and here is the official non-answer:
QUESTION: Can you speak to reports of a outbreak among U.S. diplomatic staff in India, say how many are affected, and if perhaps, considering that, the U.S. might be looking at authorized departure?
MR PRICE: So I’m not in the position to confirm any cases within our staff. Obviously, privacy considerations limit what we can say. But as I have mentioned during the course of this briefing alone, India is enduring a deeply concerning outbreak, and the entire country has been affected. We obviously do have a large diplomatic presence within India. It is tantamount to the deep engagement and partnership we have with India. But I’m not in a position to speak to any cases within our staff or embassy community.
During the COVID outbreak in January at U.S. Forces Korea, USFK reported:
“19 new infections at Yongsan between Jan. 5 and Thursday. It provided no further information about the five late Thursday. Of the remaining 14, four are Defense Department employees, six are contractors, two are spouses, one is a dependent and one is a South Korean taxi driver.”
Unlike DOD, the State Department almost always hide behind “privacy considerations” when asked to account for the welfare of its employees overseas. We can understand if Department officials do not want to talk about a potential authorized departure order but note that the other question asked was for the number of employees affected by the COVD outbreak at US Mission India. The reporter was not asking for identifying information; the question was not an invasion of  an infected employee’s privacy. We want to know how many employees and family members have been affected by the pandemic at US Mission India and wehat is State doing about it. If as reported, medical facilities have been running out of oxygen and ICU beds, are there medevac flights?

OPM: Under what circumstances should an agency communicate to its employees that there is a confirmed case among one or more of its employees (without identifying the person/specific office)? View

The most recent publicly available information on staffing is from 2018. It indicates that the U.S. diplomatic mission in India which consists of the embassy in New Delhi and consulates general in Mumbai, Chennai, Hyderabad, and Kolkata, employed more than 2,500 U.S. and foreign nationals. As with other diplomatic posts, several agencies are represented at the mission, including the U.S. Commercial Service, the Foreign Agriculture Service, and elements of the Departments of Defense, Justice, Homeland Security, Treasury, and Health and Human Services.
The 2018 report also indicates that almost 40 percent of mission staff worked at the four constituent posts, and the Consuls General were in charge of staffs ranging from 183 in Kolkata to 391 in Mumbai. That means Embassy Delhi has about 60% of the total staff or around 1,500 U.S. and foreign nationals. These numbers do not include family members and members of household at Mission India.  However, we estimate that the number of family members/MOH at post could not be over 533. The Family Liaison Office’s data from Fall 2020 indicates that there are 533 family members “at post” for the South and Central Asian Affairs bureau which covers India plus 12 other countries.

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Havana Syndrome Questions @StateDept Refuses to Answer

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The questions below were sent to the State Department on March 16, 2021 for Ambassador Pamela Spratlen, the newly designated  Senior Advisor to the Havana Syndrome Task Force (officially called  the Health Incident Response Task Force (HIRTF) .  She was appointed with direct reporting responsibility to the Department’s senior leadership. The State Department’s media arm confirmed receipt of these questions on March 17.
To-date, the State Department has not responded to these questions despite our follow-up. It looks like the PA leadership has fed our questions to their email-chewing doggo. Poor bow wow!!! PA folks still sore about this, hey? Inside @StateDept: Leaked Cable Provides Guidance For ‘America First’ Cost Savings Initiatives. Oh, dear!
Anyways. If you’re the unofficial kind and have some answers to these questions, please send your howlers here or via Twitter and we’ll get back to you. We’ll write as many follow-up posts as needed.

 

Task Force: 

—1. The State Department spokesperson said that there is an individual on the Health Incident Response Task Force (HIRTF) who is responsible solely for engaging with those who may have been victims of these incidents. The individual was not publicly named. I understand that the 41 recognized victims apparently also have no idea who this individual is or who are the members of the task force. Shouldn’t the State Department be transparent and name all the people on the task force? How do potential victims, (including spouses and foreign nationals) contact the individual tasked with engaging with them?
—2. The ARB Cuba report clearly demonstrates the botched response to these incidents in Havana. It was also an interim report. In addition, we have received allegations that the Department’s response to the incidents in China was much worse. Are there plans to convene an ARB for China? Is there a plan to expand the time frame and places of possible incidents covered in this investigation? We are aware of at least one case that occurred much earlier than December 2016. How many reported cases of mystery illness were excluded by State? With so many varied symptoms, and many unknowns, is it fair to rule out anyone without the full constellation of symptoms? How did the State Department determine that Patient Zero, widely reported to have been injured in December 2016, is really Patient Zero and not Patient Two, or Patient 10 or Patient 20? 
—3. What is the status of the implementation of the ARB Cuba recommendations?
—4. Can you confirm that the mystery illness has been reported domestically (WH staffer in Arlington, a couple at UPENN)?
—5. There were employee/s who suffered grievous treatment in the aftermath of these incidents (e.g. alleged retaliation, uncovered medical expenses). Is Amb Spratlen willing to meet with employees suffering from  medical and bureaucratic chaos brought about by these incidents?

 

National Academy of Sciences (NAS) Report:

—6. I recognized that there is new leadership at State but the HIRTF has been there since 2018. Why did State sit on the NAS report of August 2020 and only released it in December 2020? It is an unclassified report, so national security concerns should not have been an issue.
—7. Has the State Department accepted that the illness is due to microwave exposure? If so, how are employees protected from the next attacks? Why hasn’t State fully implemented the recommendations in the NAS report?

Bureau of Diplomatic Security (DS) and Bureau of Medical Services (MED)

—8. Why is Diplomatic Security still acting (and conducting searches in apartments) as if the cause could be toxic chemicals when NAS ruled out chemical exposure as a cause and pointed to the reported signs, symptoms and observations as consistent with the effects of directed, pulsed radio frequency (RF) energy?
—9. Why is Diplomatic Security still conducting briefings that “only one person was found by State/MED to be affected in China” when USG has officially diagnosed 15?
—10. How many employees who complained of unexplained illness to MED or DS were told to undergo psych evaluations or told to “get their act together” by the bureaus tasked with protecting their welfare? How many mystery illness were reported globally by employees, family members and local employees before State took them seriously?

 

3 FAM 3660 Implementation

—11. 3 FAM 3660 has been in the Foreign Affairs Manual since May 2020 but we’ve heard reports that State is blocking implementation of the prescribed benefits for employees from other agencies. Can you discuss where the responsibility for adjudicating cases under the provisions of 3 FAM 3660 falls? What is the processing time for requests made under these regulations for State and non-State employees? 
—12. There are numerous employees and family members as you know who still have symptoms but because they are not in the group of 41, they do not qualify for the 3 FAM 3660 provisions and therefore are on their own.  What are the treatment options for the hundreds of employees/family members who were medevaced but were not enrolled like the 41 cases in the UPenn study and designated by Department of Labor to get workers compensation benefits?
—13. How many foreign nationals connected with USG missions/residences where the attacks occurred reported similar symptoms as USG American employees and family members? What support and treatment options were available to them? 
—14. As you know, under 3 FAM 3660, a covered employee is an employee of the Department of State who, on or after January 1, 2016, becomes injured by reason of a qualifying injury and was assigned to a duty station in the Republic of Cuba, the People’s Republic of China, or another foreign country as designated by the Secretary of State. What other countries have been designated by the Secretary of State under 3 FAM 3666 to-date?  
—15. Members of the 41 officially diagnosed say State has caused irreparable harm with a “see no evil” response and just wants the problem to go away. Do you recognize the harm of State’s botched past response and lack of transparency?
—16. A” being the highest and “F” being failing, how would you grade the previous State Department leadership’s response to the health incidents?

Submitted Questions:

 –17.  Why not expand the mandate of Ambassador Spratlen to include instances of previous microwave attacks, since those episodes were handled so badly by the State Department? Here is a little background: https://shoeone.blogspot.com/2013/09/moscow-microwaves.html

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