@StateDept’s Interagency Group to Coordinate Repatriation – Not Convened Since April 2019

 

In November 2021, the GAO released its review of the State Department’s repatriation efforts at the beginning of the COVID-19 pandemic. (see State Carried Out Historic Repatriation Effort but Should Strengthen Its Preparedness for Future Crises).
GAO’s report concludes in part that:

State carried out a historic effort in helping to repatriate more than 100,000 individuals during the first 6 months of the COVID-19 pandemic. Most of the passengers who responded to our survey gave State high marks for its communication and information related to repatriation. In addition, State’s application of lessons learned from its COVID-19 repatriation effort will help it address future crises effectively.

However, although State took steps to prepare for a global crisis such as the pandemic, addressing several gaps could improve State’s
preparedness to carry out future repatriations. Reconvening quarterly meetings of the WLG, which has not met since April 2019, would ensure better communication among the agencies involved in planning emergency evacuations.

The publicly available 1998 MOU between the State Department and DOD on the protection and evacuation of US citizens and nationals and designated other persons from threatened areas overseas explains the role of the WLG:

The Washington Liaison Group (WLG) is an organization consisting of members of the Departments of State and Defense, chaired by a representative of the Department of State, which has basic responsibility for the coordination and implementation of plans for the protection and evacuation in emergencies of persons abroad for whom the Secretaries of State and/or Defense are responsible. The representatives on the WLG are the points of contact for their departments on all matters pertaining to emergency evacuation planning, implementation of plans, and coordination of repatriation activities with the Department of Health and Human Services.

Regional liaison groups are established overseas and activated upon the recommendation of the WLG to assist in the coordination of emergency and evacuation planning between the Departments of State and Defense for areas outside the United States.

GAO notes that WLG members include DOD, DHS, and HHS, among other agencies, as well as a number of State bureaus. Specifically, State WLG members include CA, DS, the Bureau of Administration, the Bureau of Legislative Affairs, the Office of the Legal Advisor, and regional bureaus.
More from the GAO report:

Although State established an interagency group—the WLG—to ensure coordination for the protection and evacuation of U.S. citizens abroad, State did not sustain the regular quarterly WLG meetings, which may have contributed to gaps in interagency communication during the global repatriation effort. State and DOD established the WLG in 1998, with State as the lead agency, to coordinate and implement plans for the evacuation of persons abroad during emergencies, and according to State officials, State formalized WLG’s charter in 2018.39 The charter states that the WLG is expected to meet quarterly. CMS—which is responsible for department-wide crisis preparedness and response activities—manages the WLG’s day-to-day operations, including scheduling meetings.40 However, as of May 2021, CMS officials told us that they had not convened the group since April 2019.

According to CMS officials, after the WLG last met in April 2019 and before the pandemic began, members of the group questioned the
purpose of further meetings. CMS officials told us that, in response, they offered to schedule future meetings on request or if the need arose.
According to the officials, in February 2021, interagency WLG members expressed interest in CMS reconvening the WLG to discuss information sharing about repatriation across and among the task forces. However, CMS delayed reconvening the WLG in part because of limited capacity within CMS to manage the group while also playing an active role in managing State’s international response to the COVID-19 pandemic, according to CMS officials.

State documents and comments by CMS officials suggest that the lack of WLG meetings before and during the pandemic may have contributed to gaps related to interagency communication. In internal documents, State identified a number of gaps related to interagency communication during the pandemic, such as a lack of knowledge of how to communicate with other agencies, lack of guidance about points of contact at other agencies, and lack of clarity about U.S. government policy on repatriation. Comments by State officials indicated that such gaps led to challenges in communicating with the correct offices at interagency partners and coordinating repatriation efforts with interagency partners in the absence of clear, established policy. For example, CMS officials told us that regular meetings of the WLG would have facilitated interagency communication at the start of the COVID-19 pandemic, because such communication would have reduced the effort required to identify the correct contacts in other agencies.

In part because CMS did not convene quarterly WLG meetings in accordance with the group’s charter, State’s ability to coordinate with other agencies to respond to the pandemic and carry out repatriation activities was diminished. In addition to the requirement for the WLG to meet quarterly, leading practices for interagency coordination based on our prior work call for agencies to consider how to sustain leadership of interagency groups over the long term—such as by meeting regularly—in order to maintain the group’s effectiveness.41 CMS officials told us in May 2021 that they planned to reconvene the WLG in the future but did not know when that would occur. Convening quarterly meetings of the WLG would enhance State’s ability to coordinate repatriation activities with other agencies in any future global crisis.

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US Announces Travel Restrictions For Eight African Countries Over New COVID Variant

 

On November 26, President Biden issued a Proclamation on Suspension of Entry as Immigrants and Nonimmigrants of Certain Additional Persons Who Pose a Risk of Transmitting Coronavirus Disease 2019. The proclamation is effective at 12:01 a.m. eastern standard time on Monday, November 29, 2021. This proclamation notes that this does not apply to persons aboard a flight scheduled to arrive in the United States that departed prior to 12:01 a.m. eastern standard time on November 29, 2021.
The entry restrictions cover travelers (with certain exceptions) who were physically present within the Republic of Botswana, the Kingdom of Eswatini, the Kingdom of Lesotho, the Republic of Malawi, the Republic of Mozambique, the Republic of Namibia, the Republic of South Africa, and the Republic of Zimbabwe during the 14-day period preceding their entry or attempted entry into the United States.
Excerpt:

The national emergency caused by the coronavirus disease 2019 (COVID-19) outbreak in the United States continues to pose a grave threat to our health and security. As of November 26, 2021, the United States has experienced more than 47 million confirmed COVID-19 cases and more than 773,000 COVID-19 deaths. It is the policy of my Administration to implement science-based public health measures, across all areas of the Federal Government, to act swiftly and aggressively to prevent further spread of the disease.

On November 24, 2021, the Republic of South Africa informed the World Health Organization (WHO) of a new B.1.1.529 (Omicron) variant of SARS-CoV-2, the virus that causes COVID-19, that was detected in that country. On November 26, 2021, the WHO Technical Advisory Group on SARS-CoV-2 Virus Evolution announced that B.1.1.529 constitutes a variant of concern. While new information is still emerging, the profile of B.1.1.529 includes multiple mutations across the SARS-CoV-2 genome, some of which are concerning. According to the WHO, preliminary evidence suggests an increased risk of reinfection with this variant, as compared to other variants of concern. Further, the WHO reports that the number of cases of this variant appears to be increasing in almost all provinces in the Republic of South Africa. Based on these developments, and in light of the extensive cross-border transit and proximity in Southern Africa, the detection of B.1.1.529 cases in some Southern African countries, and the lack of widespread genomic sequencing in Southern Africa, the United States Government, including the Centers for Disease Control and Prevention (CDC), within the Department of Health and Human Services, has reexamined its policies on international travel and concluded that further measures are required to protect the public health from travelers entering the United States from the Republic of Botswana, the Kingdom of Eswatini, the Kingdom of Lesotho, the Republic of Malawi, the Republic of Mozambique, the Republic of Namibia, the Republic of South Africa, and the Republic of Zimbabwe. In addition to these travel restrictions, the CDC shall implement other mitigation measures for travelers departing from the countries listed above and destined for the United States, as needed.

Given the recommendation of the CDC, working in close coordination with the Department of Homeland Security, described above, I have determined that it is in the interests of the United States to take action to suspend and restrict the entry into the United States, as immigrants and nonimmigrants, of noncitizens of the United States (“noncitizens”) who were physically present within the Republic of Botswana, the Kingdom of Eswatini, the Kingdom of Lesotho, the Republic of Malawi, the Republic of Mozambique, the Republic of Namibia, the Republic of South Africa, and the Republic of Zimbabwe during the 14-day period preceding their entry or attempted entry into the United States.

NOW, THEREFORE, I, JOSEPH R. BIDEN JR., President of the United States, by the authority vested in me by the Constitution and the laws of the United States of America, including sections 212(f) and 215(a) of the Immigration and Nationality Act, 8 U.S.C. 1182(f) and 1185(a), and section 301 of title 3, United States Code, hereby find that the unrestricted entry into the United States of persons described in section 1 of this proclamation would, except as provided for in section 2 of this proclamation, be detrimental to the interests of the United States, and that their entry should be subject to certain restrictions, limitations, and exceptions.

Read in full here.

 

US Embassy Bangkok: Overseas Americans and COVID Vaccines

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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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@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.

Related items:

Related posts:

 

 

Snapshot: Visas Issued at Foreign Service Posts (FY 2016-2020)

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Via state.gov

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Post in Search of a Mission: “Now, I found, that the world is round and of course, it rains everyday ….”

13 GoingOn 14: Help Keep the Blog Going For 2021 — GFM: https://gofund.me/32671a27

1) If there are fewer than two dozen staff members. 
2) If they live in austere conditions even without COVID, but particularly during COVID they are limited to their homes and the embassy. Nothing else. 
3) If there are no flights servicing pouch needs coming to post. This means the staff cannot procure needed items with regularity, including food and medicine. 
4) If there are no relationships with the host government. This means the embassy remains open simply to support itself. 
5) If staff is top heavy with multiple FS-01 positions and few FS-02 and below officers. 
6) If staff lives together due to health concerns. 
7)  If there are no option to telework even amidst COVID. Security requirements preclude remote access. 
8) If a staff member gets COVID, they will likely put the entire embassy at risk. Flight clearance to get an OPMED evacuation flight is difficult to obtain from host nation and would likely necessitate evacuating all who had been exposed (thus shuttering the embassy) because of the OPMED cost, and the delayed timeline of clearance to land and cost of repeated flights. 
9) If local staff continue to be paid even though most never come to work, and have been forced to stay home since COVID. 
10) If COVID vaccination efforts will be hamstrung by the aforementioned issues with host nation further putting staff at risk. 

 

Now, I found that the world is round
And of course it rains everyday

Living tomorrow, where in the world will I be tomorrow?
How far am I able to see?
Or am I needed here?

Now, I found that the world is round
And of course it rains everyday

If I remember all of the things I have done
I’d remember all of the times I’ve gone wrong
Why do they keep me here?

Courtesy: Bee Gees – World (From the 1968 Album, Horizontal)


 

 

US Consulate General Hong Kong Staffers and Kids in HK Quarantine Center

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Two employees at the USCG Hong Kong reportedly tested positive of COVID-19. According to local news the Hong Kong  Special Administrative Region Government has allowed the children of these staffers to join them in a quarantine center.  A separate report says that a three-year old daughter of consulate employees has also tested positive and the school had now been closed.  Mainland China news alleged that the US staffers claimed diplomatic immunity to avoid quarantine. The State Department called it “absolutely false.” The HK SAR says that the “US Consulate General in Hong Kong has been fully co-operative with the Government on all the above action items to combat COVID-19.”
Via SCMP Hong Kong:
Hong Kong leader Chief Executive  Carrie Lam Cheng Yuet-ngor confirmed that two infected US consulate employees, a married couple, had already been sent to the hospital on Monday night, while special permission had been granted to allow their children to join them instead of being sent into quarantine as per long-enforced rules. But she emphasised the exceptional treatment for the pair was made on compassionate grounds and based on their family circumstances, rather than their status as consulate workers.
” …. Lam said the government allowed for children to be admitted to hospital along with their parents and that the special dispensation had been granted to the consulate workers, who also had a daughter who tested preliminary-positive.
“We are a compassionate government … Instead of sending the very young kids on their own to the quarantine centre or asking other relatives and friends to go into a quarantine centre with these kids, we will exceptionally allow the admission of their children into the hospital as well,” she said. “We are applying the exceptional treatment, not exceptional because they are US consulate staff, but exceptional because of their family circumstances.”

[…]
Arrangements for families hit by Covid-19 were thrust into the spotlight this past week when a flare-up of cases enveloping part of the expatriate community on Hong Kong Island, affecting international school teachers, bankers and lawyers, forced many children into quarantine. They are among about 120 children and teens currently isolated at the government facilities.”

On March 15, the US Consulate General Hong Kong posted a statement on its website about being informed that two Consulate General employees have tested positive for COVID-19. The consulate will remain closed until March 22. It also released a Health Alert for American citizens:

On March 15, 2021 the U.S. Consulate General in Hong Kong and Macau was informed that two Consulate General employees tested positive for COVID-19. We have closed the Consulate General to perform a deep disinfection and cleaning while contact tracing is conducted. The Consulate employees that tested positive for COVID-19 do not work in offices that interact with the public. We are aware that many U.S. citizens in Hong Kong are concerned about local government testing, quarantine, and hospitalization procedures, particularly in regard to the possible separation of children from their parents. The U.S. Consulate General is actively addressing these concerns at the highest levels of the Hong Kong government to advocate for the U.S. citizen community. We urge U.S. citizens in Hong Kong to comply with all instructions from the Hong Kong Center for Health Protection.

At the March 15 DPB, the StateDepartment’s Deputy spokesperson was asked about this and she responded:

“Yes, so we’ve been informed that two consulate general employees have tested positive for COVID-19, but due to privacy concerns, we’re not able to share additional information. When it comes to disinformation about these two not complying to quarantine, that is absolutely false.”

The Hong Kong SAR Government also released a statement:

“… The cases have been admitted to the hospital for isolation, and all staff members and visitors who have been present at the relevant premises are required to undergo testing according to the relevant legislation. The two preliminary positive cases belong to the same family. Having learnt that the two patient are staff members of the US Consulate General in Hong Kong, the Government has immediately liaised with the Consulate General; the Centre for Health Protection (CHP) has also contacted the relevant persons, and arranged them to be admitted to the hospital for isolation and medical treatment according to the mechanism.
[…]
The US Consulate General in Hong Kong has been fully co-operative with the Government on all the above action items to combat COVID-19.”

HK SAR also issued “a compulsory testing notice pursuant to the Prevention and Control of Disease (Compulsory Testing for Certain Persons) Regulation (Cap. 599J), which requires any person who had been present at the US Consulate General in Hong Kong between March 2 and 15, 2021 to undergo a COVID-19 nucleic acid test.”
In related news, the American Chamber of Commerce in Hong Kong said that the international business community has undergone an unsettling weekend with children from several schools under threat of being sent to mandatory government quarantine facilities after mandatory testing due to COVID outbreaks. The Chamber conducted a quick poll to gauge its members’ views. A majority of those surveyed said they were worried or somewhat worried about entire school classes being sent to government quarantine facilities, and that the policy is unjustified when it comes to the health of children. Over half of those surveyed said that if this policy became routine it would factor into their decision about staying in Hong Kong.  AmCham suggested “more clarity and transparency of information around quarantine arrangements for minors be given to schools and parents while the government does its best to control the pandemic” See more here.
Meanwhile, on March 16, the State Department named 24 PRC and Hong Kong officials who have materially contributed to the PRC’s failure to meet its obligations under the Sino – British Joint Declaration (see Update to Report on Identification of Foreign Persons Involved in the Erosion of the Obligations of China Under the Joint Declaration or the Basic Law). This was an update to the October 14 report, consistent with section 5(e) of the HKAA and includes financial sanctions and visa restrictions.
On March 17, the State Department also released a statement on the Hong Kong Autonomy Act Update):

“Today’s update identifies 24 PRC and Hong Kong officials whose actions have reduced Hong Kong’s high degree of autonomy, including 14 vice chairs of the National People’s Congress Standing Committee and officials in the Hong Kong Police Force’s National Security Division, the Hong Kong and Macau Affairs Office, and the Office for Safeguarding National Security.  Foreign financial institutions that knowingly conduct significant transactions with the individuals listed in today’s report are now subject to sanctions.”

We’ve reached out to the State Department on the quarantine of USG employees. We’re hoping to have a follow-report.

 

@StateDept’s Vaccination Efforts For Overseas Posts Under Fire, a Test for @SecBlinken

 

Hey, did you see that  DOD is shipping Moderna COVID-19 vaccines overseas for military families?
This is the pandemic of our lifetime. Half a million Americans are dead and many more will die before this is over. DOD has a larger global footprint than the State Department. It has an expansive regional presence around the world.  Why isn’t State working with DOD and HHS to get all overseas USG personnel and family members vaccinated?

Dear Secretary Blinken, Secretary Austin, HHS Acting Secretary Cochran, can you please get this done?

Can we please have Secretary Blinken talked to Secretary of Defense Lloyd J. Austin III and HHS Acting Secretary Norris Cochran so we can get this done? If there’s a will, there’s a way. Simple as that. We sent these employees and their family members overseas to do work for the U.S. Government. The least we can do is to ensure that they get vaccinated as they continue to do their work on our country’s behalf. Why is that hard?
Do we really want our diplomats to deliver their démarches to their host countries in the morning and then have them beg for vaccines for themselves and their families in the afternoon?
C’mon!
We understand that the State Department’s COVID-19 vaccination efforts at overseas posts have come under fire. Yes, we’ve heard about the SBU Kosovo cable, and no, we have not seen it. One FSO told us it was a “blistering critique”, another FSO who read it told us it was “whiny”.  It looks like the cable got leaked fairly quickly to NBC News and New York Times. Politico’s Nahal Toosi previously had a thread on Twitter about it. Have you read the cable? What do you think?
News of the Kosovo cable is in addition to the recent reporting from WaPo’s John Hudson – Vaccine shortage prompts U.S. diplomats to request doses from foreign governments, including Russia. That’s the piece that includes an item about “State Department personnel appealed to Moscow for doses of its Russian-made Sputnik V vaccine after Washington could not promise the delivery of U.S.-made vaccine doses in the near future.” Oy! Who did that? A vaccine with no FDA approval? That report also says that in China some U.S. personnel have complained about being subjected to anal swab tests for the coronavirus by Chinese authorities. Double oy! More from WaPo:
The invasive technique has been heralded by Chinese doctors as more effective than a nasal swab despite the unpleasant nature of the procedure. In response to questions about the anal swab testing of U.S. officials, a State Department spokesman said the department was “evaluating all reasonable options” to address the issue with the aim of preserving the “dignity” of U.S. officials “consistent with the Vienna Convention on Diplomatic Relations.”
In a report about anal swabs,  Omai Garner, PhD, an associate clinical professor, clinical microbiology section chief, and point of care testing director in the Department of Pathology and Lab Medicine at UCLA Health said that “it became very apparent, like most other respiratory viruses, the most accurate place to find it is in the upper respiratory tract, so this is why I was a little bit surprised and confused by the reports coming out on large scale anal swab testing.”
What now?
Back in January, two diplomats tested positive of COVID-19 upon arrival in Guangzhou, China. The other passengers from the same flight, some 86 State Department folks apparently were all considered close contacts and placed in “centralized quarantine” for 21 days. The Chinese Government also informed Consulate General Guangzhou that it would “strictly enforce the separation policy” which means one adult/one room.  There was one mention of NAT nasal swab/throat swab but none about anal swabs. Yes, we did ask the State Department and USCG Guangzhou about this at that time but our email got chewed madly bad in an email grinder, never to be seen again. Either that or …
…. holy mother of god and all her wacky nephews please do not/do not make the dog eat our emails!
In any case, we sent a few question to the State Department’s Public Affairs shop asking if they could address the State Department’s vaccine delivery issues at overseas posts. We did say please, too, you guys! But to no avail.
It is our understanding that  State ordered enough vaccine, but HHS is refusing to turn over the entire allotment. Purportedly, the current administration also made a choice not to prioritize government workers (no matter where they serve, etc.) over average Americans in the vaccination. We asked if this is an actual policy on vaccine distribution but got no response.
We also wanted to know if Secretary Blinken is pushing the Biden Administration and HHS to release the remaining supply for DOS so State employees overseas get vaccinated and do not have to beg for those vaccines from their host countries.
We pointed out that given the State Department’s botched response to the Havana Syndrome, some overseas folks were understandably concerned that the health and safety of our people overseas does not matter back in DC.
Perhaps part of these concerns and anxieties also stem from the anecdotal evidence that some minor political appointees reportedly got their second shots just days before they left their jobs on January 20. And weren’t the same folks in charge of vaccinations at State before January 20 the same people in charge of vaccination decisions now?
Anyway, we waited. And we waited. And we waited for a response. We are sorry to report that we have not received a response to-date.
Source A did tell us that communication is spotty, and that there is frustration with Secretary Blinken for not saying anything about the vaccine shortage at State.  “At the moment, the feeling is that it’s not a priority of his.” Apparently, vaccines were originally promised sometime in December, then it became January, then February. This has now been replaced according to this same  source to what amounts to a message of  “we don’t know when you will get it.. maybe this summer.. you should get it locally if you can.”
So folks really just want to hear from their boss saying this is a priority, and that he’ll do something about it.
A second source, Source B,  told us that the leadership at State is communicating much more effectively to explain what the plans and rules are compared to Pompeo’s tenure  and pointed to a recent Zoom call attended by over 1,000 participants.
Source B who is familiar with the developments confirmed to us that State never got all the vaccines that HHS promised and that former Secretary of State Pompeo did call Secretary Azar but got nowhere. We do not know at this time if Secretary Blinken has pushed back or if he is working with HHS to obtain the full allocation for State. It is worth mentioning that the State Department currently does not have a nominee for the position of Under Secretary for Management. The position is currently filled in an acting capacity by the Senate-confirmed DGHR Carol Perez. We should note further that the calamitous response to the Havana Syndrome also occurred during a span of time when the State Department fired its Senate confirmed Under Secretary for Management, and no nominee was confirmed over a lengthy period, leaving only an Acting M. Another lesson not learned, eh?
Our understanding is that “a very small portion of domestic employees” has been vaccinated. One explanation was that for folks working in the buildings in DC, State is able to get almost all of them covered at the same time, whereas at overseas missions, there needs to be enough vaccines for all under Chief of Mission Authority. That is, all American and local employees from all agencies plus all American family members (folks reporting to combatant commands are not considered under COM authority).  A separate issue has to do with getting the vaccines to overseas posts via the cold chain.
If you’re on Twitter, go ahead and tag @SecBlinken, @SecDef, and @HHSGov.
Now we wait and see if anything gets done or if y’all need to start eating nine gin-soaked raisins for your health.

 


 

 

WHO’s Dr. Tedros Responds to Pompeo’s Reported Claim to UK MPs

Notable via Reuters:
“Infections in the United States have rapidly accelerated since the first COVID-19 case was detected on Jan. 21. It took the country 98 days to reach 1 million cases. It took another 43 days to reach 2 million and then 27 days to reach 3 million.”

 

Guatemala Gets a New Health Alert System, Movement Restrictions, Suspension of Services, Mandatory Masks, Curfew

 

The US Embassy in Guatemala issued a new Message for U.S. Citizens Regarding New Restrictions and Updates by Government of Guatemala in Response to COVID-19 on 14 July, 2020.

On Sunday, July 12, Guatemalan President Alejandro Giammattei announced the following updates to restrictions in place in response to the COVID-19 pandemic:

New health alert system: Guatemala will launch a tiered system of health alerts on July 27, providing updated information on levels of health risk in the country based on locality and time.  The threat ranking will be as follows:

TYPE OF ALERT   THREAT LEVEL
Green                     Normal
Yellow                    Moderate
Orange                   High
Red                         Maximum

The Embassy advises U.S. citizens in Guatemala to familiarize themselves with changes to the threat level in their areas.  For the next two weeks before the official launch, these alerts are meant to be informational only.  Following the official launch, Guatemalan authorities may impose specific restrictions to travel or activities in a given area based on its threat level.  Current health alerts and additional information can be found on the Ministry of Health’s website, via the following link: https://mspas.gob.gt.

Restrictions on Vehicular Mobility: In the departments of Guatemala, Escuintla, Sacatepequez, Suchitepequez, Izabal, El Progreso, Zacapa, Santa Rosa and Quetzaltenango, all personal vehicles with license plates that end in an odd number (for example P001AAA) are permitted to circulate Monday, July 13; Wednesday, July 15, Friday, July 17; Tuesday, July 21; Thursday, July 23, and Saturday, July 25.  All personal vehicles with license plates that end in an even number (for example P002AAA) are permitted to circulate on Tuesday, July 14; Thursday, July 16; Saturday, July 18; Monday, July 20; Wednesday, July 22; and Friday, July 24.  Motorcycles, pedestrians, and other modes of non-vehicular transportation are exempt from these restrictions.  All private vehicular mobility will be restricted on Sunday, July 19 and Sunday, July 26. 

Curfew Hours: Guatemala’s national mandatory curfew remains in place, running from 6:00 p.m. each evening through 5:00 a.m. the following day.  In addition, an extended curfew will be in place on weekends, beginning Saturday, July 18 and Saturday, July 25 at 2 p.m., and extending through 5:00 a.m. the following Monday.  This means that a full 24-hour curfew will be in place on Sunday, July 19 and Sunday, July 26.  Every individual in Guatemala — including U.S. citizens — is required to remain inside their domicile during curfew hours (with exceptions for health and security, restaurant delivery services, certain media and legal personnel in pursuit of their duties, and patients receiving urgent treatment for chronic conditions). 

Guidance on Inter-Department Travel: The suspension on inter-departmental travel has been lifted, but government of Guatemala the urges individuals to avoid travel into, out of, or between the departments of Guatemala, Escuintla, Sacatepequez, Suchitepequez, Izabal, El Progreso, Zacapa, Santa Rosa and Quetzaltenango.

Operating Hours for Essential Businesses: Supermarkets, grocers, other markets, and essential businesses are permitted to operate from 6:00 a.m. through 4:00 p.m.  Shopping malls and large commercial centers remain closed.

Mandatory Use of Masks in Public: All individuals must wear masks in public spaces, including in grocery stores and on the street, to prevent the further spread of the COVID-19 virus.  Failure to comply with this requirement will result in fines of up to 150,000 quetzales.

Closing of Borders: The Guatemalan government is currently barring entry to most non-Guatemalans (with specific exceptions for accredited diplomatic personnel, health and security personnel, and exceptional cases as designated by the Guatemalan government) – by its land, sea, and air borders.  Airport operations and routine commercial flights out of Guatemala have been suspended.  The U.S. Embassy continues to work with Guatemalan authorities to allow passengers manifested on outgoing commercial flights to travel to the airport in Guatemala City.  These passengers will receive letters requesting safe passage from their commercial carrier. 

Suspension of Public Transportation: Public transportation within Guatemala is suspended. 

Suspension of Public and Private Sector Labor Activities: Public and private sector labor is suspended, with the exceptions for certain essential government and health personnel, and for specific industries and utilities whose activities are essential to Guatemala’s security, food production, sanitation or infrastructure.  

Prohibitions on Alcohol: The sale and purchase of alcohol is permitted only during limited hours.   Consumption of alcohol in public areas is prohibited. 

Other Restricted Activities:  All beaches, lakes, rivers, and other tourist sites in Guatemala remain closed.  Public religious gatherings and celebrations of any size are prohibited.  Visits to individuals in hospitals or prisons are prohibited.  Academic activities at all levels are suspended until further notice.  

Additional Department and Municipality-Level Restrictions: Beyond the national-level restrictions mentioned above, different municipalities within the country may adopt additional restrictive measures on travel and outdoor activities.  Please monitor local news reports to receive the latest information. 

State of Prevention: The government of Guatemala has announced an extension of the State of Prevention, until July 30, 2020, for the municipalities of Nahualá, Santa Lucía Utatlán, and Santa Catarina Ixtahuacán, of the Department of Sololá. The State of Prevention is due to the ongoing security situation in the area caused by territorial disputes. Increased military and police presence can be expected in the area throughout the State of Prevention period.

We missed this, but the US Embassy in Guatemala previously suspended its routine consular services for U.S. citizens on June 22, 2020 until further notice  “due to COVID-19-related health and safety measures.”

While this suspension is in effect, the Embassy will provide passport services on an emergency basis only.  U.S. citizens with expired or soon-to-expire passports who have imminent travel plans to the United States may request an emergency appointment at the Embassy through the following email address: amcitsguatemala@state.gov.  The Embassy urges U.S. citizens to communicate all requests and confirm all appointment times through this e-mail; for health and safety reasons, the Embassy may not be able to accommodate walk-in requests.

The Embassy continues to accept adult passport renewal applications by mail. For more information on this process, please click here.  

Due to reduced operations at U.S. domestic facilities, U.S. citizens who have previously applied for routine passport or Consular Report of Birth Abroad (CRBA) services may expect delays in receiving their documents.  Applicants with documents in transit who have imminent travel plans to the United States may apply for emergency passports by scheduling an emergency appointment through the email address listed below.  As a reminder, U.S. citizen children do not require a CRBA to qualify for an emergency passport.

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