Public Health Emergency of International Concern (PHEIC)
Polio this week as of 10 January 2018 [GPEI]
:: New on www.polioeradication.org: We join Dr Urs Herzog, polio eradicator, National PolioPlus Advocacy Advisor for Rotary Switzerland and polio survivor himself, as he explains the financial costs of the programme and why it is critical that we eradicate every last trace of the virus.

:: Summary of newly-reported viruses this week:
Afghanistan:  Three new wild poliovirus type 1 (WPV1) positive environmental samples have been reported, one collected from Kandahar, one from Hilmand, and one from Nangarhar provinces.
Pakistan: Four new WPV1 positive environmental samples have been reported, three collected from Sindh province, and one from Khyber Pakhtunkhwa province.
Democratic Republic of the Congo: Advance notifications have been received of five cases of circulating vaccine-derived poliovirus type 2 (cVDPV2). These will be confirmed in next week’s data reporting.

Syria cVDPV2 outbreak situation report 29, 9 January 2018
Situation update 9 January 2018
:: No new cases of cVDPV2 were reported this week. The total number of cVDPV2 cases remains 74.
:: The most recent case (by date of onset of paralysis) is 21 September 2017 from Boukamal district, Deir Ez-Zor governorate.
:: Preparations continue at national and governorate levels for the upcoming first round of the second phase of the outbreak response. mOPV2 and IPV will be used in two immunization rounds through house-to-house and fixed centre vaccination.
:: mOPV2 stocks have arrived in Beirut, Lebanon, for onward transportation to Damascus. The shipment process for IPV is underway.

WHO Grade 3 Emergencies  [to 13 January 2018]
The Syrian Arab Republic
:: Syria cVDPV2 outbreak situation report 29, 9 January 2018
[See Polio above for detail]

:: Weekly epidemiology bulletin, 25–31 December 2017
Cumulative figures
-The cumulative total from 27 April 2017 to 31 December 2017 is 1,019,044 suspected cholera cases and 2,237 associated deaths,
(CFR 0.22%), 1094 have been confirmed by culture.
– 59.3 % of death were severe cases at admission
– The total proportion of severe cases among the suspected cases is 16.9%
– The national attack rate is 370 per 10,000. The five governorates with the highest cumulative attack rates per 10,000 remain  Amran (870), Al Mahwit (824), Al Dhale’e (644), Hajjah (498) and Abyan (494).
– Children under 5 years old represent 28.6% of total suspected cases.
– In total, 25,889 rapid diagnostic tests (RDT) have been performed which represents 24.3% coverage.
– 2,651 cultures have been performed which represents 25.4% coverage.
– The last positive culture was on 19 Dec 2017 in Al-Sabeen distric in Amanat Al-Asimah
– 70 districts did not report any suspected case the last three consecutive 3 weeks
Governorate and District level
– At governorate level, the trend from W50-W52 decrease or was stable in all governorates except (Sana’a governorate (+25%),
Hajjah governorate (+16%), Sada’a (+17%) .
– The weekly number of cases is decreasing for the 16 consecutive weeks.
– The weekly proportion of severe cases has significantly decreased representing now 10% of the admitted cases.
Week 52
– 9,169 suspected cases and 4 associated deaths were reported
– 11 % are severe cases
– 740 RDTs were performed, 136 were positive
– 0 Positive culture

WHO Grade 2 Emergencies  [to 13 January 2018]
:: Weekly Situation Report # 9
Date of issue: 6 January 2018; Period covered: 31 December – 6 January
…As of 6 January 2018, a total of 3 523 cases clinically suspected with diphtheria and 58 laboratory confirmed cases (out of 185 cases tested) have been reported. 104 clinically suspected cases were admitted at diphtheria treatment facilities on 6 January 2018. A total of 30 deaths have been recorded so far. The last reported death was on 2 January.
…Preparations are underway for the second round of Penta/Td vaccination for Forcibly Displaced Myanmar Nationals (FDMN), which will occur in January.
…A vaccination campaign targeting children in the host community was held on 02 January during free book distribution day across 104 schools in Ukhia. A total of 29 377 children were vaccinated – 6 514 children 6 weeks to under 7 were vaccinated with pentavalent vaccine and 22 823 children 7 to 15 years were vaccinated with Td.
…The upgraded EWARS system was launched on 1 January. Training is ongoing for DGHS representatives, agency focal

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. 
Syrian Arab Republic
:: Syria: UN Humanitarian Chief sees first hand “colossal toll that the brutal and sustained hostilities have taken”  11 January, 2018
:: Health Cluster Weekly Situation Report: Whole of Syria, Week 2, 5-11 January 2018
:: Turkey | Syria: Recent Developments in Northwestern Syria (as of 10 January 2018)

:: Statement by the Humanitarian Coordinator for Yemen, Jamie McGoldrick,on the vital importance of keeping Yemen’s entry points open, 11 January 2018 [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.
:: WASH Sector Cox’s Bazar Situation Report, 13 January 2018

:: 11 Jan 2018 – Ethiopia Humanitarian Bulletin Issue 44 | 25 Dec. 2017 – 7 Jan. 2018