Keep Us Strong WikiLeaks logo

Currently released so far... 251287 / 251,287

Articles

Browse latest releases

Browse by creation date

Browse by origin

A B C D F G H I J K L M N O P Q R S T U V W Y Z

Browse by tag

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
AEMR ASEC AMGT AE AS AMED AVIAN AU AF AORC AGENDA AO AR AM APER AFIN ATRN AJ ABUD ARABL AL AG AODE ALOW ADANA AADP AND APECO ACABQ ASEAN AA AFFAIRS AID AGR AY AGS AFSI AGOA AMB ARF ANET ASCH ACOA AFLU AFSN AMEX AFDB ABLD AESC AFGHANISTAN AINF AVIATION ARR ARSO ANDREW ASSEMBLY AIDS APRC ASSK ADCO ASIG AC AZ APEC AFINM ADB AP ACOTA ASEX ACKM ASUP ANTITERRORISM ADPM AINR ARABLEAGUE AGAO AORG AMTC AIN ACCOUNT ASECAFINGMGRIZOREPTU AIDAC AINT ARCH AMGTKSUP ALAMI AMCHAMS ALJAZEERA AVIANFLU AORD AOREC ALIREZA AOMS AMGMT ABDALLAH AORCAE AHMED ACCELERATED AUC ALZUGUREN ANGEL AORL ASECIR AMG AMBASSADOR AEMRASECCASCKFLOMARRPRELPINRAMGTJMXL ADM ASES ABMC AER AMER ASE AMGTHA ARNOLDFREDERICK AOPC ACS AFL AEGR ASED AFPREL AGRI AMCHAM ARNOLD AN ANATO AME APERTH ASECSI AT ACDA ASEDC AIT AMERICA AMLB AMGE ACTION AGMT AFINIZ ASECVE ADRC ABER AGIT APCS AEMED ARABBL ARC ASO AIAG ACEC ASR ASECM ARG AEC ABT ADIP ADCP ANARCHISTS AORCUN AOWC ASJA AALC AX AROC ARM AGENCIES ALBE AK AZE AOPR AREP AMIA ASCE ALANAZI ABDULRAHMEN ABDULHADI AINFCY ARMS ASECEFINKCRMKPAOPTERKHLSAEMRNS AGRICULTURE AFPK AOCR ALEXANDER ATRD ATFN ABLG AORCD AFGHAN ARAS AORCYM AVERY ALVAREZ ACBAQ ALOWAR ANTOINE ABLDG ALAB AMERICAS AFAF ASECAFIN ASEK ASCC AMCT AMGTATK AMT APDC AEMRS ASECE AFSA ATRA ARTICLE ARENA AISG AEMRBC AFR AEIR ASECAF AFARI AMPR ASPA ASOC ANTONIO AORCL ASECARP APRM AUSTRALIAGROUP ASEG AFOR AEAID AMEDI ASECTH ASIC AFDIN AGUIRRE AUNR ASFC AOIC ANTXON ASA ASECCASC ALI AORCEUNPREFPRELSMIGBN ASECKHLS ASSSEMBLY ASECVZ AI ASECPGOV ASIR ASCEC ASAC ARAB AIEA ADMIRAL AUSGR AQ AMTG ARRMZY ANC APR AMAT AIHRC AFU ADEL AECL ACAO AMEMR ADEP AV AW AOR ALL ALOUNI AORCUNGA ALNEA ASC AORCO ARMITAGE AGENGA AGRIC AEM ACOAAMGT AGUILAR AFPHUM AMEDCASCKFLO AFZAL AAA ATPDEA ASECPHUM ASECKFRDCVISKIRFPHUMSMIGEG
ETRD ETTC EU ECON EFIN EAGR EAID ELAB EINV ENIV ENRG EPET EZ ELTN ELECTIONS ECPS ET ER EG EUN EIND ECONOMICS EMIN ECIN EINT EWWT EAIR EN ENGR ES EI ETMIN EL EPA EARG EFIS ECONOMY EC EK ELAM ECONOMIC EAR ESDP ECCP ELN EUM EUMEM ECA EAP ELEC ECOWAS EFTA EXIM ETTD EDRC ECOSOC ECPSN ENVIRONMENT ECO EMAIL ECTRD EREL EDU ENERG ENERGY ENVR ETRAD EAC EXTERNAL EFIC ECIP ERTD EUC ENRGMO EINZ ESTH ECCT EAGER ECPN ELNT ERD EGEN ETRN EIVN ETDR EXEC EIAD EIAR EVN EPRT ETTF ENGY EAIDCIN EXPORT ETRC ESA EIB EAPC EPIT ESOCI ETRB EINDQTRD ENRC EGOV ECLAC EUR ELF ETEL ENRGUA EVIN EARI ESCAP EID ERIN ELAN ENVT EDEV EWWY EXBS ECOM EV ELNTECON ECE ETRDGK EPETEIND ESCI ETRDAORC EAIDETRD ETTR EMS EAGRECONEINVPGOVBN EBRD EUREM ERGR EAGRBN EAUD EFI ETRDEINVECINPGOVCS EPEC ETRO ENRGY EGAR ESSO EGAD ENV ENER EAIDXMXAXBXFFR ELA EET EINVETRD EETC EIDN ERGY ETRDPGOV EING EMINCG EINVECON EURM EEC EICN EINO EPSC ELAP ELABPGOVBN EE ESPS ETRA ECONETRDBESPAR ERICKSON EEOC EVENTS EPIN EB ECUN EPWR ENG EX EH EAIDAR EAIS ELBA EPETUN ETRDEIQ EENV ECPC ETRP ECONENRG EUEAID EWT EEB EAIDNI ESENV EADM ECN ENRGKNNP ETAD ETR ECONETRDEAGRJA ETRG ETER EDUC EITC EBUD EAIF EBEXP EAIDS EITI EGOVSY EFQ ECOQKPKO ETRGY ESF EUE EAIC EPGOV ENFR EAGRE ENRD EINTECPS EAVI ETC ETCC EIAID EAIDAF EAGREAIDPGOVPRELBN EAOD ETRDA EURN EASS EINVA EAIDRW EON ECOR EPREL EGPHUM ELTM ECOS EINN ENNP EUPGOV EAGRTR ECONCS ETIO ETRDGR EAIDB EISNAR EIFN ESPINOSA EAIDASEC ELIN EWTR EMED ETFN ETT EADI EPTER ELDIN EINVEFIN ESS ENRGIZ EQRD ESOC ETRDECD ECINECONCS EAIT ECONEAIR ECONEFIN EUNJ ENRGKNNPMNUCPARMPRELNPTIAEAJMXL ELAD EFIM ETIC EFND EFN ETLN ENGRD EWRG ETA EIN EAIRECONRP EXIMOPIC ERA ENRGJM ECONEGE ENVI ECHEVARRIA EMINETRD EAD ECONIZ EENG ELBR EWWC ELTD EAIDMG ETRK EIPR EISNLN ETEX EPTED EFINECONCS EPCS EAG ETRDKIPR ED EAIO ETRDEC ENRGPARMOTRASENVKGHGPGOVECONTSPLEAID ECONEINVEFINPGOVIZ ERNG EFINU EURFOR EWWI ELTNSNAR ETD EAIRASECCASCID EOXC ESTN EAIDAORC EAGRRP ETRDEMIN ELABPHUMSMIGKCRMBN ETRDEINVTINTCS EGHG EAIDPHUMPRELUG EAGRBTIOBEXPETRDBN EDA EPETPGOV ELAINE EUCOM EMW EFINECONEAIDUNGAGM ELB EINDETRD EMI ETRDECONWTOCS EINR ESTRADA EHUM EFNI ELABV ENR EMN EXO EWWTPRELPGOVMASSMARRBN EATO END EP EINVETC ECONEFINETRDPGOVEAGRPTERKTFNKCRMEAID ELTRN EIQ ETTW EAI ENGRG ETRED ENDURING ETTRD EAIDEGZ EOCN EINF EUPREL ENRL ECPO ENLT EEFIN EPPD ECOIN EUEAGR EISL EIDE ENRGSD EINVECONSENVCSJA EAIG ENTG EEPET EUNCH EPECO ETZ EPAT EPTE EAIRGM ETRDPREL EUNGRSISAFPKSYLESO ETTN EINVKSCA ESLCO EBMGT ENRGTRGYETRDBEXPBTIOSZ EFLU ELND EFINOECD EAIDHO EDUARDO ENEG ECONEINVETRDEFINELABETRDKTDBPGOVOPIC EFINTS ECONQH ENRGPREL EUNPHUM EINDIR EPE EMINECINECONSENVTBIONS EFINM ECRM EQ EWWTSP ECONPGOVBN
KFLO KPKO KDEM KFLU KTEX KMDR KPAO KCRM KIDE KN KNNP KG KMCA KZ KJUS KWBG KU KDMR KAWC KCOR KPAL KOMC KTDB KTIA KISL KHIV KHUM KTER KCFE KTFN KS KIRF KTIP KIRC KSCA KICA KIPR KPWR KWMN KE KGIC KGIT KSTC KACT KSEP KFRD KUNR KHLS KCRS KRVC KUWAIT KVPR KSRE KMPI KMRS KNRV KNEI KCIP KSEO KITA KDRG KV KSUM KCUL KPET KBCT KO KSEC KOLY KNAR KGHG KSAF KWNM KNUC KMNP KVIR KPOL KOCI KPIR KLIG KSAC KSTH KNPT KINL KPRP KRIM KICC KIFR KPRV KAWK KFIN KT KVRC KR KHDP KGOV KPOW KTBT KPMI KPOA KRIF KEDEM KFSC KY KGCC KATRINA KWAC KSPR KTBD KBIO KSCI KRCM KNNB KBNC KIMT KCSY KINR KRAD KMFO KCORR KW KDEMSOCI KNEP KFPC KEMPI KBTR KFRDCVISCMGTCASCKOCIASECPHUMSMIGEG KNPP KTTB KTFIN KBTS KCOM KFTN KMOC KOR KDP KPOP KGHA KSLG KMCR KJUST KUM KMSG KHPD KREC KIPRTRD KPREL KEN KCSA KCRIM KGLB KAKA KWWT KUNP KCRN KISLPINR KLFU KUNC KEDU KCMA KREF KPAS KRKO KNNC KLHS KWAK KOC KAPO KTDD KOGL KLAP KECF KCRCM KNDP KSEAO KCIS KISM KREL KISR KISC KKPO KWCR KPFO KUS KX KWCI KRFD KWPG KTRD KH KLSO KEVIN KEANE KACW KWRF KNAO KETTC KTAO KWIR KVCORR KDEMGT KPLS KICT KWGB KIDS KSCS KIRP KSTCPL KDEN KLAB KFLOA KIND KMIG KPPAO KPRO KLEG KGKG KCUM KTTP KWPA KIIP KPEO KICR KNNA KMGT KCROM KMCC KLPM KNNPGM KSIA KSI KWWW KOMS KESS KMCAJO KWN KTDM KDCM KCM KVPRKHLS KENV KCCP KGCN KCEM KEMR KWMNKDEM KNNPPARM KDRM KWIM KJRE KAID KWMM KPAONZ KUAE KTFR KIF KNAP KPSC KSOCI KCWI KAUST KPIN KCHG KLBO KIRCOEXC KI KIRCHOFF KSTT KNPR KDRL KCFC KLTN KPAOKMDRKE KPALAOIS KESO KKOR KSMT KFTFN KTFM KDEMK KPKP KOCM KNN KISLSCUL KFRDSOCIRO KINT KRG KWMNSMIG KSTCC KPAOY KFOR KWPR KSEPCVIS KGIV KSEI KIL KWMNPHUMPRELKPAOZW KQ KEMS KHSL KTNF KPDD KANSOU KKIV KFCE KTTC KGH KNNNP KK KSCT KWNN KAWX KOMCSG KEIM KTSD KFIU KDTB KFGM KACP KWWMN KWAWC KSPA KGICKS KNUP KNNO KISLAO KTPN KSTS KPRM KPALPREL KPO KTLA KCRP KNMP KAWCK KCERS KDUM KEDM KTIALG KWUN KPTS KPEM KMEPI KAWL KHMN KCRO KCMR KPTD KCROR KMPT KTRF KSKN KMAC KUK KIRL KEM KSOC KBTC KOM KINP KDEMAF KTNBT KISK KRM KWBW KBWG KNNPMNUC KNOP KSUP KCOG KNET KWBC KESP KMRD KEBG KFRDKIRFCVISCMGTKOCIASECPHUMSMIGEG KPWG KOMCCO KRGY KNNF KPROG KJAN KFRED KPOKO KM KWMNCS KMPF KJWC KJU KSMIG KALR KRAL KDGOV KPA KCRMJA KCRI KAYLA KPGOV KRD KNNPCH KFEM KPRD KFAM KALM KIPRETRDKCRM KMPP KADM KRFR KMWN KWRG KTIAPARM KTIAEUN KRDP KLIP KDDEM KTIAIC KWKN KPAD KDM KRCS KWBGSY KEAI KIVP KPAOPREL KUNH KTSC KIPT KNP KJUSTH KGOR KEPREL KHSA KGHGHIV KNNR KOMH KRCIM KWPB KWIC KINF KPER KILS KA KNRG KCSI KFRP KLFLO KFE KNPPIS KQM KQRDQ KERG KPAOPHUM KSUMPHUM KVBL KARIM KOSOVO KNSD KUIR KWHG KWBGXF KWMNU KPBT KKNP KERF KCRT KVIS KWRC KVIP KTFS KMARR KDGR KPAI KDE KTCRE KMPIO KUNRAORC KHOURY KAWS KPAK KOEM KCGC KID KVRP KCPS KIVR KBDS KWOMN KIIC KTFNJA KARZAI KMVP KHJUS KPKOUNSC KMAR KIBL KUNA KSA KIS KJUSAF KDEV KPMO KHIB KIRD KOUYATE KIPRZ KBEM KPAM KDET KPPD KOSCE KJUSKUNR KICCPUR KRMS KWMNPREL KWMJN KREISLER KWM KDHS KRV KPOV KWMNCI KMPL KFLD KWWN KCVM KIMMITT KCASC KOMO KNATO KDDG KHGH KRF KSCAECON KWMEN KRIC
PREL PINR PGOV PHUM PTER PE PREF PARM PBTS PINS PHSA PK PL PM PNAT PHAS PO PROP PGOVE PA PU POLITICAL PPTER POL PALESTINIAN PHUN PIN PAMQ PPA PSEC POLM PBIO PSOE PDEM PAK PF PKAO PGOVPRELMARRMOPS PMIL PV POLITICS PRELS POLICY PRELHA PIRN PINT PGOG PERSONS PRC PEACE PROCESS PRELPGOV PROV PFOV PKK PRE PT PIRF PSI PRL PRELAF PROG PARMP PERL PUNE PREFA PP PGOB PUM PROTECTION PARTIES PRIL PEL PAGE PS PGO PCUL PLUM PIF PGOVENRGCVISMASSEAIDOPRCEWWTBN PMUC PCOR PAS PB PKO PY PKST PTR PRM POUS PRELIZ PGIC PHUMS PAL PNUC PLO PMOPS PHM PGOVBL PBK PELOSI PTE PGOVAU PNR PINSO PRO PLAB PREM PNIR PSOCI PBS PD PHUML PERURENA PKPA PVOV PMAR PHUMCF PUHM PHUH PRELPGOVETTCIRAE PRT PROPERTY PEPFAR PREI POLUN PAR PINSF PREFL PH PREC PPD PING PQL PINSCE PGV PREO PRELUN POV PGOVPHUM PINRES PRES PGOC PINO POTUS PTERE PRELKPAO PRGOV PETR PGOVEAGRKMCAKNARBN PPKO PARLIAMENT PEPR PMIG PTBS PACE PETER PMDL PVIP PKPO POLMIL PTEL PJUS PHUMNI PRELKPAOIZ PGOVPREL POGV PEREZ POWELL PMASS PDOV PARN PG PPOL PGIV PAIGH PBOV PETROL PGPV PGOVL POSTS PSO PRELEU PRELECON PHUMPINS PGOVKCMABN PQM PRELSP PRGO PATTY PRELPGOVEAIDECONEINVBEXPSCULOIIPBTIO PGVO PROTESTS PRELPLS PKFK PGOVEAIDUKNOSWGMHUCANLLHFRSPITNZ PARAGRAPH PRELGOV POG PTRD PTERM PBTSAG PHUMKPAL PRELPK PTERPGOV PAO PRIVATIZATION PSCE PPAO PGOVPRELPHUMPREFSMIGELABEAIDKCRMKWMN PARALYMPIC PRUM PKPRP PETERS PAHO PARMS PGREL PINV POINS PHUMPREL POREL PRELNL PHUMPGOV PGOVQL PLAN PRELL PARP PROVE PSOC PDD PRELNP PRELBR PKMN PGKV PUAS PRELTBIOBA PBTSEWWT PTERIS PGOVU PRELGG PHUMPRELPGOV PFOR PEPGOV PRELUNSC PRAM PICES PTERIZ PREK PRELEAGR PRELEUN PHUME PHU PHUMKCRS PRESL PRTER PGOF PARK PGOVSOCI PTERPREL PGOVEAID PGOVPHUMKPAO PINSKISL PREZ PGOVAF PARMEUN PECON PINL POGOV PGOVLO PIERRE PRELPHUM PGOVPZ PGOVKCRM PBST PKPAO PHUMHUPPS PGOVPOL PASS PPGOV PROGV PAGR PHALANAGE PARTY PRELID PGOVID PHUMR PHSAQ PINRAMGT PSA PRELM PRELMU PIA PINRPE PBTSRU PARMIR PEDRO PNUK PVPR PINOCHET PAARM PRFE PRELEIN PINF PCI PSEPC PGOVSU PRLE PDIP PHEM PRELB PORG PGGOC POLG POPDC PGOVPM PWMN PDRG PHUMK PINB PRELAL PRER PFIN PNRG PRED POLI PHUMBO PHYTRP PROLIFERATION PHARM PUOS PRHUM PUNR PENA PGOVREL PETRAEUS PGOVKDEM PGOVENRG PHUS PRESIDENT PTERKU PRELKSUMXABN PGOVSI PHUMQHA PKISL PIR PGOVZI PHUMIZNL PKNP PRELEVU PMIN PHIM PHUMBA PUBLIC PHAM PRELKPKO PMR PARTM PPREL PN PROL PDA PGOVECON PKBL PKEAID PERM PRELEZ PRELC PER PHJM PGOVPRELPINRBN PRFL PLN PWBG PNG PHUMA PGOR PHUMPTER POLINT PPEF PKPAL PNNL PMARR PAC PTIA PKDEM PAUL PREG PTERR PTERPRELPARMPGOVPBTSETTCEAIRELTNTC PRELJA POLS PI PNS PAREL PENV PTEROREP PGOVM PINER PBGT PHSAUNSC PTERDJ PRELEAID PARMIN PKIR PLEC PCRM PNET PARR PRELETRD PRELBN PINRTH PREJ PEACEKEEPINGFORCES PEMEX PRELZ PFLP PBPTS PTGOV PREVAL PRELSW PAUM PRF PHUMKDEM PATRICK PGOVKMCAPHUMBN PRELA PNUM PGGV PGOVSMIGKCRMKWMNPHUMCVISKFRDCA PBT PIND PTEP PTERKS PGOVJM PGOT PRELMARR PGOVCU PREV PREFF PRWL PET PROB PRELPHUMP PHUMAF PVTS PRELAFDB PSNR PGOVECONPRELBU PGOVZL PREP PHUMPRELBN PHSAPREL PARCA PGREV PGOVDO PGON PCON PODC PRELOV PHSAK PSHA PGOVGM PRELP POSCE PGOVPTER PHUMRU PINRHU PARMR PGOVTI PPEL PMAT PAN PANAM PGOVBO PRELHRC

Browse by classification

Community resources

courage is contagious

Viewing cable 09BRASILIA606, CONFERENCES HIGHLIGHT SUCCESSES AND REMAINING CHALLENGES

If you are new to these pages, please read an introduction on the structure of a cable as well as how to discuss them with others. See also the FAQs

Understanding cables
Every cable message consists of three parts:
  • The top box shows each cables unique reference number, when and by whom it originally was sent, and what its initial classification was.
  • The middle box contains the header information that is associated with the cable. It includes information about the receiver(s) as well as a general subject.
  • The bottom box presents the body of the cable. The opening can contain a more specific subject, references to other cables (browse by origin to find them) or additional comment. This is followed by the main contents of the cable: a summary, a collection of specific topics and a comment section.
To understand the justification used for the classification of each cable, please use this WikiSource article as reference.

Discussing cables
If you find meaningful or important information in a cable, please link directly to its unique reference number. Linking to a specific paragraph in the body of a cable is also possible by copying the appropriate link (to be found at theparagraph symbol). Please mark messages for social networking services like Twitter with the hash tags #cablegate and a hash containing the reference ID e.g. #09BRASILIA606.
Reference ID Created Released Classification Origin
09BRASILIA606 2009-05-13 13:28 2011-08-30 01:44 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Brasilia
VZCZCXRO3311
RR RUEHAST RUEHDH RUEHHM RUEHLN RUEHMA RUEHPB RUEHPOD RUEHTM RUEHTRO
DE RUEHBR #0606/01 1331328
ZNR UUUUU ZZH
R 131328Z MAY 09
FM AMEMBASSY BRASILIA
TO RUEHC/SECSTATE WASHDC 4286
INFO RUEHSO/AMCONSUL SAO PAULO 4030
RUEHRI/AMCONSUL RIO DE JANEIRO 7719
RUEHRG/AMCONSUL RECIFE 9522
RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE
RUEHPH/CDC ATLANTA GA
RUEAUSA/DEPT OF HHS WASHDC
UNCLAS SECTION 01 OF 03 BRASILIA 000606 
 
SENSITIVE 
 
SIPDIS 
 
STATE DEPARTMENT FOR OES/IHB, OES/STC:K.DELAK, WHA:F.COLON, 
WHA/BSC:D.SCHNIER 
 
E.O. 12958: N/A 
TAGS: TBIO KSCA NIH CDC BR
SUBJECT:  CONFERENCES HIGHLIGHT SUCCESSES AND REMAINING CHALLENGES 
IN HEALTH COOPERATION BETWEEN THE US AND BRAZIL 
 
BRASILIA 00000606  001.2 OF 003 
 
 
(U) THIS CABLE IS SENSITIVE BUT UNCLASSIFIED AND NOT FOR INTERNET 
DISTRIBUTION. 
 
1.  (SBU) SUMMARY:  Two recent conferences in Rio de Janeiro 
highlighted both the successes and obstacles remaining in health 
cooperation between the United States and Brazil.  Current bilateral 
cooperation programs that have staff actually working within 
Government of Brazil (GOB) health agencies have been successful, 
such as with the HIV/AIDS program, while other efforts to spur joint 
research have often encountered serious bureaucratic delays. 
Fortunately, there are some positive signs that change may be on the 
horizon, and the Embassy will continue to engage with GOB officials 
in an effort to make progress overcoming the outstanding issues. 
END SUMMARY. 
 
CDC'S PARTNERSHIP WITH THE NATIONAL AIDS PROGRAM 
 
2.  (SBU) A shining example of successful cooperation between the 
United States and Brazil in the field of public health is the Center 
for Disease Control and Prevention (CDC)'s Global AIDS Program 
(GAP).  CDC/GAP is integrated into Brazil's National AIDS program, 
functioning as a part of their larger organization.  This 
integration has lead to a strong partnership that not only benefits 
the United States and Brazil, but which also is a model for other 
countries in Latin America and Africa.  The model for monitoring and 
evaluating AIDS patients developed by the CDC/GAP program is now 
being exported to third countries to help them strengthen their 
public health systems as well. 
 
3.  (SBU) This program was highlighted at the Monitoring and 
Evaluation International Seminar held at the Brazilian National 
School of Public Health (a part of the Oswaldo Cruz Foundation 
(Fiocruz)) from March 23 through April 3, 2009.  The seminar was 
held in three languages (Portuguese, English, and Spanish) and had 
participants from a variety of countries throughout Latin America 
and Africa.  The seminar included two weeks of courses and lectures 
on best practices in HIV/AIDS monitoring and evaluation. 
 
4.  (SBU) In a side conversation during the monitoring and 
evaluation conference, the Director of the National AIDS Program, 
Mariangela Batista Galvao Simao, spoke very highly of the CDC/GAP 
program and the work that it does in conjunction with the National 
AIDS Program.  She also had praise for the current CDC/GAP Director, 
Dr. Aristides Barbosa.  NOTE.  Dr. Barbosa's position is unique as 
he is the only non-American to be appointed as the Director of a CDC 
program abroad.  Dr. Barbosa's familiarity with the Brazilian public 
health system and the key players within the system has increased 
the Brazilians' comfort level with this program and contributed to 
its success.  END NOTE. 
 
NIH ACTIVITIES IN BRAZIL: A MIXED BAG 
 
5.  (SBU) The National Institutes of Health (NIH) have a long 
history of cooperation in Brazil.  Brazil is one of the largest 
recipient countries of NIH grants, with approximately 170 active 
projects and at least $28 million dollars in research grants in 
FY08.  NIH representatives indicated that there is great interest 
among US researchers in collaborating with their Brazilian 
counterparts because Brazilian researchers and institutions are 
capable of engaging in high quality research. 
 
6.  (SBU) Brazil is also one of the few countries in which an NIH 
alumni association (NIH Alumni Association of Brazil - NIHAABR) has 
grown into an active organization with a serious agenda.  The 
NIHAABR consists of Brazilian researchers with previous exposure to 
the NIH, either through training at NIH intramural laboratories, 
collaboration with NIH scientists or NIH funding for extramural 
research.  These scientists place great importance on both the 
experience they gained with the NIH and the value of the NIH as a 
resource for collaborative scientific efforts. 
 
7.  (SBU) The NIHAABR has an ambitious agenda of supporting 
collaborative biomedical research, as well as exchanges of US and 
Brazilian scientists.  For example, the NIHAABR has helped to 
facilitate a proposal by the Brazilian Federal Agency for Support 
and Evaluation of Graduate Education (CAPES) to support Brazilian 
researchers who may be able to work at NIH laboratories. 
 
8.  (SBU) Despite strong incentives for NIH-supported research in 
Brazil, there are significant bureaucratic hurdles that impact 
NIH-funded research.  The GOB has established a complex approval 
 
BRASILIA 00000606  002.2 OF 003 
 
 
process for all biomedical research funded by a foreign government. 
The research protocol must be submitted through the foreign 
government's embassy and the Ministry of External Relations (MRE) to 
the Ministry of Health (MS) for approval by the Ministry of Health, 
the Ministry of Science and Technology (MCT), and the National 
Commission on Ethics in Research (CONEP).  In certain cases, 
additional approvals are required from the National Agency on Health 
Vigilance (ANVISA) and the National Technical Biosafety Committee 
(CTnBio). 
 
9.  (SBU) The approval process for NIH-supported research routinely 
requires many months and often more than a year to complete.  In 
some situations delays have resulted in a loss of funding.  In other 
situations, researchers have chosen to conduct their research in 
neighboring countries rather than pursue Brazilian approvals. 
 
10.  (SBU) Post has engaged with counterparts in the GOB to identify 
changes in procedure that can speed up grant approvals.  Post also 
regularly works with GOB officials to facilitate the clearance of 
grants as researchers navigate this approval process. 
 
11.  (SBU) This topic has been discussed at the United States-Brazil 
Joint Commission and at the United States Brazil Working Group on 
Public Health.  The Working Group established a bilateral Task Group 
on Regulatory and Ethical Affairs and Joint Research Review.  The 
Task Group has not made any significant progress toward resolving 
these issues, and the US has consistently met with resistance in 
attempts to develop concrete steps for addressing this problem. 
 
12.  (SBU) The Brazilian researchers in attendance at the NIHAABR's 
First International Workshop expressed a great degree of concern 
over the problem of delays in research approvals.  They indicated 
that some of these problems apply to purely domestic research as 
well. 
 
13.  (SBU) The component of the review process that causes the 
longest delays relates to ethical approval by CONEP.  All in 
attendance at the NIHAABR meeting expressed concern with not only 
the delays, but also the lack of transparency in the approval 
process and the capriciousness of the outcomes.  For example, 
researchers noted that they would receive varying, and often 
contradictory, guidance from CONEP for different projects.  The MS 
representative at the NIHAABR meeting, Ms. Jamile Menezes, noted 
that CONEP refuses to discuss individual reviews, generally does not 
attend meetings related to this process, and is quite difficult to 
contact.  The researchers echoed this sentiment, lamenting their 
inability to contact CONEP regarding their projects. 
 
14.  (SBU) The new Director of the Ministry of External Relations' 
Office of Science and Technical Cooperation (DCTEC), Ademar Seabra 
Cruz Junior, attended the NIHAABR meeting and noted that this was 
the first he had heard of the problem.  He indicated that this was, 
in his opinion, a serious issue that adversely affected the need to 
increase, rather than impede, health cooperation between our 
countries.  He told the participants that upon returning to Brasilia 
he would look into ways to begin tackling this problem.  NOTE.  In a 
subsequent meeting Mr. Cruz asked ESTH Officer for help in putting 
together data about the most egregious cases of delays in this 
process.  He confided with Environment, Science and Technology, and 
Health (ESTH) Officer that he plans to personally take these cases 
to CONEP to start a conversation about improving the process.  END 
NOTE. 
 
15.  (SBU) The Brazilian scientists attending the NIHAABR meeting 
have also begun a dialog with Brazilian government officials 
regarding the regulatory delays.  As Brazilian scientists, the 
NIHAABR may have some influence that is more effective than Embassy 
and NIH officials. 
 
COMMENT 
 
16.  (SBU) The success of the CDC/GAP program, and another CDC 
integrated program (the Field Epidemiology Training Program), show 
that there is a space in which U.S. and Brazilian health 
institutions can cooperate in a productive manner.  Similarly, the 
NIH supports a broad portfolio of biomedical research in Brazil. 
 
17.  (SBU) While there have been several false starts in efforts to 
overcome the bureaucratic hurdles that impede increased health 
cooperation between the US and Brazil, the Post has recently seen 
some encouraging signs.  Mr. Cruz seems to be a strong proponent for 
 
BRASILIA 00000606  003.2 OF 003 
 
 
addressing these issues and recent organizational changes within the 
Ministry of Health may put some of the Post's best health contacts 
in a position to help move these issues forward.  It is still too 
early to know if these developments will lead to significant 
progress in this area, but they may present an important opportunity 
for the USG.  END COMMENT. 
 
18.  (U) This cable was written in conjunction with Consulate 
General Rio de Janeiro, CDC/GAP in Brasilia, and the National 
Institutes of Health. 
 
SOBEL