Public Health Emergency of International Concern (PHEIC)
Polio this week as of 1November 2017 [GPEI]
:: This month Harvard University and National Public Radio (NPR) hosted an online forum to discuss how social data shines a global spotlight on polio’s last challenges.

:: Summary of newly-reported viruses this week:
Afghanistan: One new wild poliovirus type 1 (WPV1) case, reported in Shahwalikot district in Kandahar province. Three new wild poliovirus 1 (WPV1) positive environmental samples reported, one from Kandahar and two from Hilmand provinces.
Pakistan: Two new wild poliovirus 1 (WPV1) positive environmental samples reported, one from Sindh and one from Khyber Pakhtunkhwa provinces. Democratic Republic of the Congo (DRC): One new circulating vaccine derived poliovirus type 2 (cVDPV2) case reported, in Tanganika province.
Syria:  One new circulating vaccine derived poliovirus type 2 (cVDPV2) case reported, in Deir Ez-Zor governorate.

:: Additionally, an advance notification was received this week of a new WPV1 case in Afghanistan from Batikot district in Nangarhar province, onset 11 October.  The case will be officially reflected in next week’s global data reporting.


Syria cVDPV2 outbreak situation report 20: 31 October 2017
:: One (1) new case of cVDPV2 was reported this week from Mayadeen, Deir Ez-Zor governorate. The date of onset of the case was 18 August 2017. The most recent case (by date of onset) remains 25 August.
:: The total number of cVDPV2 cases is 53.
:: Third party independent monitoring results for the second outbreak response round for Raqqa governorate have been received. Reported coverage of targeted children is 69% (measured by parental recall through a house to house survey). Market surveys reported much higher coverage of 84%.
:: Sixteen (16) new refrigerator trucks have been provided by UNICEF to transport vaccine and maintain cold chain for ongoing response activities and outreach.
:: WHO is supporting the upgrade of laboratory facilities to enable more sophisticated techniques to be conducted in country for the detection of poliovirus. WHO is also supporting the establishment of environmental surveillance in country by end of 2017.


WHO Grade 3 Emergencies  [to 4 November 2017]
The Syrian Arab Republic
:: Syria cVDPV2 outbreak situation report 20, 31 October 2017
 [See Polio above]

:: Daily epidemiology bulletin, 30 October 2017
887, 440 – Suspected cases
2,184 – Associated deaths
0.25%  – Case Fatality Rate
96%  – Governorates affected   ( 22 / 23 governorates )
92%  – Districts affected   ( 305 / 333 districts )

WHO Grade 2 Emergencies  [to 4 November 2017]
::  Second phase of cholera, polio vaccination begins in Cox’s Bazar for vulnerable population
Cox’s Bazar, Bangladesh, 4 November 2017 – The second phase of the oral cholera vaccination drive began today to provide an additional dose of the vaccine to children of newly arrived Rohingya population against the deadly diarrheal disease. The children are also being administered oral polio vaccine.

Nearly 180,000 children aged between one and five years are expected to receive the second dose of oral cholera vaccine (OCV), while around 210,000 children up to the age of five years will be vaccinated against polio in a six-day immunization campaign in Ukhia and Teknaf sub-districts of Cox’s Bazar and Naikhanchari in Bandarban district.

The campaign is being conducted by The Ministry of Health and Family Welfare (MoHFW) with support from WHO, UNICEF, International Centre for Diarrhoeal Disease Research, Bangladesh, IOM, UNHCR and local and international NGO’s.

“These large scale immunization drives against cholera and polio reflect the commitment of the health sector to take all possible measures to protect the health of these vulnerable population,” Dr. N. Paranietharan, WHO Representative to Bangladesh, said. “Children being among the most vulnerable, the vaccination campaign is an important and commendable effort of the Ministry of Health and Family Welfare and health partners”, he added.

The previous oral cholera vaccine campaign, launched on 10 October, covered 700 487 people aged one year and above, 176 482 of them children aged one to five years. 900 000 doses of oral cholera vaccine were mobilized following a risk assessment conducted by MoHFW, with the support from WHO, UNICEF, IOM and Médecins Sans Frontières (MSF), in late September. The International Coordinating Group (ICG) on vaccine provision released OCV within a day of the Bangladesh government’s request, while GAVI, the Vaccine Alliance, provided financial support.

Earlier, in a rapidly organized vaccination campaign for measles, rubella and polio, 72 334 children up to five years of age were administered oral polio vaccine between 16 September to 4 October…


Outbreaks and Emergencies Bulletin, Week 43: 21 – 27 October 2017
The WHO Health Emergencies Programme is currently monitoring 44 events in the region. This week’s edition covers key ongoing events, including:
:: Marburg virus disease in Uganda
:: Plague in Madagascar
:: Malaria in Cabo Verde
:: Dengue fever in Côte d’Ivoire
:: Cholera in Zambia
:: Cholera in north-east Nigeria.
Week 43: 21 – 27 October 2017

UN OCHA – L3 Emergencies
The UN and its humanitarian partners are currently responding to three ‘L3’ emergencies. This is the global humanitarian system’s classification for the response to the most severe, large-scale humanitarian crises. 
:: Iraq: Humanitarian Bulletin, October 2017 | Issued on 2 November
…Military operations to retake the last major territory held by ISIL begin in western Anbar.
184,000 people are currently displaced by recent unrest in northern governorates.
…Almost 62,000 people return to Hawiga a month after it is retaken, to a lack of services and explosive hazard contamination.
…Heaters, fuel and sanitation upgrades are urgently needed in camps across Iraq as winter approaches.
…IHF launches $14 million reserve allocation for Hawiga.

Syrian Arab Republic
:: 1 Nov 2017  Turkey | Syria: Border Crossings Status 1 November 2017 [EN/AR/TR]
:: Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Mark Lowcock: Statement to the Security Council on the humanitarian situation in Syria, 30 October 2017 [EN/AR]


UN OCHA – Corporate Emergencies
When the USG/ERC declares a Corporate Emergency Response, all OCHA offices, branches and sections provide their full support to response activities both at HQ and in the field.
:: 30 Oct 2017   Ethiopia Humanitarian Bulletin Issue 39 | 16 – 29 October 2017
…Ethiopia begins civil registration of refugees for the first time in history as the number of refugees in country nears the one million mark….

:: ISCG Situation Update: Rohingya Refugee Crisis, Cox’s Bazar – 2 November 2017
607,000 new arrivals are reported as of 31 October, according to IOM Needs and Population Monitoring, UNHCR and other field reports. The dataset and full report is available online.
Partners reported today that an estimated 3,000 arrivals have crossed Naf river and are currently staying in no man’s land near Anjumapara border (Palongkhali union). They are expected to continue into Bangladesh. NPM is keeping track of them and verifying the information.
…607,000 Cumulative arrivals since 25 Aug
…329,000 Arrivals in Kutupalong Expansion Site
…46,000 Arrivals in host communities

:: Horn of Africa: Humanitarian Impacts of Drought – Issue 11 (3 November 2017)
Measles cases rise in Somalia and Ethiopia, while number of AWD and/or Cholera cases declines. In Somalia, more than 18,000 cases of measles were recorded between January and September 2017; four times the number of cases reported during the same period in 2015 and 2016. Most recently, 12 suspected cases were reported at an IDP settlement in Waajid district, Bakool region. A nationwide campaign to vaccinate 4.2 million children is planned for November-December. Meanwhile, there has been a significant reduction in new AWD/cholera cases in Somalia over the past three months, with no deaths reported during this period. To date, 77,783 cholera cases and 1,159 deaths have been reported in 2017. In Ethiopia, 3,151 measles cases have been reported and four districts in the Oromia (Babile and Jima Spe town, East Hararge zone) and Somali (Afder and Warder) regions reached the measles outbreak threshold in September…
:: Humanitarian Bulletin Somalia, 01 – 30 October 2017
…Measles cases remain at epidemic levels as new AWD/cholera cases reduce…