Public Health Emergency of International Concern (PHEIC)
Polio this week as of 17 January 2018 [GPEI]
:: Summary of newly-reported viruses this week:
Afghanistan:  One new case of wild poliovirus type 1 (WPV1) reported in Kandahar province. Five new WPV1 positive environmental samples have been reported, three collected from Nangarhar province, one from Hilmand province, and one from Kunar province.
Pakistan: Pakistan: Three new WPV1 positive environmental samples have been reported, two collected from Balochistan province, and one from Punjab province.
Democratic Republic of the Congo: Five new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) have been reported in Tanganyika province.

Syria cVDPV2 outbreak situation report 30, 16 January 2018
Situation update 16 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.
:: The first round of the second phase of the outbreak response started in Deir Ez-Zor city and in Hasakah and Homs governorates on 14 January. The round will commence in other parts of Deir Ez-Zor and in Raqqa in the coming days.


WHO Grade 3 Emergencies  [to 20 January 2018]
The Syrian Arab Republic
:: Syria cVDPV2 outbreak situation report 30, 16 January 2018
[See Polio above for detail]

:: Weekly epidemiology bulletin, 8–14 January 2018
Cumulative figures
– The cumulative total from 27 April 2017 to 14 Jan 2018 is 1,035,676 suspected cholera cases and 2,244 associated deaths,
(CFR 0.22%), 1100 have been confirmed by culture.

WHO Grade 2 Emergencies  [to 20 January 2018]
:: Nearly half a million children being vaccinated against diphtheria in Cox’s Bazar
14 January 2018, Cox’s Bazar, Bangladesh – As part of an intensified response to the current diphtheria outbreak, WHO, UNICEF and health sector partners are working with the Bangladesh Ministry of Health and Family Welfare to vaccinate more than 475,000 children in Rohingya refugee camps, temporary settlements and surrounding areas.
“All efforts are being made to stop further spread of diphtheria. The vaccination of children in the Rohingya camps and nearby areas demonstrates the health sector’s commitment to protecting people, particularly children, against deadly diseases,” said Dr Bardan Jung Rana, ai WHO Representative to Bangladesh.
Nearly 150,000 children aged six weeks to seven years received pentavalent vaccine (that protects against diphtheria, tetanus, pertussis, haemophilus influenza type b and hepatitis B), and nearly 166,000 children aged 7 to 17 years were given tetanus and diphtheria (Td) vaccine, during a three-week vaccination campaign that ended on 31 December. Two more rounds of vaccination with a diphtheria-containing vaccine, at intervals of one month, are planned to fully protect the children in camps and surrounding areas.
“Children are particularly vulnerable to diphtheria. Volunteers are making door-to-door visits in the Rohingya settlements to ensure all children receive vaccination. The massive influx within a very short time has heavily affected basic services in the settlement areas. They have no choice but to live in a very congested environment, which is impacting their health and quality of life. We are making continued efforts to improve conditions of the camps. At the same time, diphtheria vaccination is vital to reducing the risk of further outbreak,” said the UNICEF Country Representative Mr. Edouard Beigbeder.
To limit the spread of diphtheria to communities living near the Rohingya camps and settlements, nearly 160,000 children in 499 schools of Teknaf and Ukhiya sub-districts are also being vaccinated. This initiative began on 1 January. Vaccination was initiated on a day when children attend school in large numbers to avail themselves of free books provided by the government at the start of the academic year.
WHO, UNICEF and other health partners are working with the Ministry of Health and Family Welfare to establish fixed locations for immunization in the Rohingya camps to continue to provide life-saving vaccines to children, in line with Bangladesh’s childhood immunization programme.

Democratic Republic of the Congo
15 January 2018
Cholera in Kinshasa – WHO is redeploying experts to control the epidemic
Kinshasa — On a 24-hour working visit to the Democrati Republic of Congo’s capital, heavily affected by the cholera epidemic, Dr Matshidiso MOETI, WHO Regional Director for Africa, told the Minister of Health, Public Health, Dr Oly ILUNGA Monday, of a reinforced emergency support mechanism putting all the experts from the Country Office and those deployed in the Democratic Republic of the Congo (epidemiologists, logisticians, data managers, specialists in communication on risks, social mobilization and community engagement etc.) available to the DPS to strengthen the response against cholera.

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
:: 18 Jan 2018   Syria cVDPV2 Outbreak Situation Report #30 – 16 January 2018
:: Statement by the UN in Syria on civilians impacted by increase in hostilities [EN/AR]  17 January 2018

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.
:: ISCG Situation Report: Rohingya Refugee Crisis, Cox’s Bazar | 14 January 2018

:: 17 Jan 2018  Somalia: US$1.6 billion urgently needed to save and protect 5.4 million lives from unprecedented drought
Editor’s Note:
We will cluster these recent emergencies as below and continue to monitor the WHO webpages for updates and key developments.
Yellow Fever  [to 20 January 2018]
16 January 2018
Updates on yellow fever vaccination recommendations for international travelers related to the current situation in Brazil
Information for international travellers
…Considering the increased level of yellow fever virus activity observed across the state of São Paulo, the WHO Secretariat has determined that, in addition to the areas listed in previous updates, the entire state of São Paulo should also be considered at risk for yellow fever transmission.
Consequently, vaccination against yellow fever is recommended for international travellers visiting any area in the state of São Paulo.
The determination of new areas considered to be at risk for the yellow fever transmission is an ongoing process and updates will be provided regularly…