Public Health Emergency of International Concern (PHEIC)
Polio this week as of 4 September 2018 [GPEI]
The Johns Hopkins University is leading a project to document lessons learned from GPEI, and translating those lessons to improve delivery of other lifesaving health programmes and strengthening health systems globally. Read more and learn how you can contribute: GPEI Lessons Learned Project.

Summary of new viruses this week:
Afghanistan – One new case of wild poliovirus (WPV1).
Pakistan – One new case of wild poliovirus (WPV1).
Afghanistan and Pakistan continue to detect WPV1 through environmental sampling, indicating sustained transmission
Papua New Guinea – three new cases of circulating vaccine-derived poliovirus type 1 (cVDPV1).
Somalia – two new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2).


GPEI Lessons Learned Project
The Johns Hopkins University is leading a project to document lessons learned from GPEI, and translating those lessons to improve delivery of other lifesaving health programmes and strengthening health systems globally.

As an initial step in the project, a global survey is underway to map tacit knowledge of GPEI actors about implementation challenges (and the contexts in which those arose).

The specific objectives of the survey are:
:: Map tacit knowledge (ideas, approaches and experiences that were not documented, but relevant for both intended and unintended results) about GPEI under various context typologies
:: Identify key facilitators for GPEI programme implementation
:: Identify key implementation challenges, the level where they originated from (global, national, subnational), and how they were resolved.

The target audience for the global survey includes:
:: Individuals who have been directly involved in implementing activities under the GPEI between 1988 to date. Implementing activities refer to all cycles of implementation, including GPEI-related funding, policy, programming, and research cycles. The population includes individuals who have spent 12 or more continuous months working on activities under the GPEI between 1988 to date.

If you meet the specifications of the target audience, your participation is requested in this online survey, which takes approximately 15-30 minutes.

How to participate in the survey
Access to the survey can be granted by reaching out to the project team at poliolessonslearned@gmail.com with your name and organization.

Editor’s Note:
WHO has posted a refreshed emergencies page which presents an updated listing of Grade 3,2,1 emergencies as below.

WHO Grade 3 Emergencies  [to 15 Sep 2018]
Bangladesh – Rohingya crisis
:: Using local materials to build health facilities  12 September 2018
:: Weekly Situation Report 42 – 6 September 2018pdf, 220kb

  • The next round of oral cholera campaign (OCV) will begin on 6 October 2018, targeting 327 364 people.
  • Acute Respiratory Infection (ARI) and suspected malaria cases are showing an increasing trend.
  • A total of nine Mobile Medical Teams were deployed in week 35. Primary health care and dental care services were provided to 3 375 people across 13 camps.


  • According to the Needs and Population Monitoring (NPM) exercise, there are an estimated 919 000 Rohingya refugees in Cox’s Bazar as of 22 July 2018. Of these, 706 364 are new arrivals since 25 August 2017.
  • More heavy rain from the current monsoon season and the second season of cyclones and monsoons toward the end of the year will increase the risk of water-borne diseases such as cholera and hepatitis A and vector-borne diseases such as malaria, dengue and chikungunya.

Democratic Republic of the Congo
:: 06: Situation report on the Ebola outbreak in North Kivu 11 September 2018
:: Disease Outbreak News (DONs) – Ebola virus disease – Democratic Republic of the Congo
14 September 2018
[See Milestones above for more detail]

:: WHO statement on the health situation in Yemen  7 September 2018
Dr Ahmed Al Mandhari, WHO Regional Director for the Eastern Mediterranean
[See Milestones above for more detail]

Iraq – No new announcements identified
Nigeria – No new announcements identified
Somalia – No new announcements identified
South Sudan – No new announcements identified
Syrian Arab Republic – No new announcements identified

WHO Grade 2 Emergencies  [to 15 Sep 2018]
Cameroon  – See below
Central African Republic  – See below
Hurricane Irma and Maria in the Caribbean – No new announcements identified
occupied Palestinian territory – No new announcements identified
Libya – No new announcements identified
Myanmar – No new announcements identified
South Africa Listeriosis (2017) – See below
Sudan – No new announcements identified
Ukraine – No new announcements identified
Sao Tome and Principe Necrotizing Cellulitis (2017) – No new announcements identified

Outbreaks and Emergencies Bulletin, Week 36: 1 – 7 September 2018
The WHO Health Emergencies Programme is currently monitoring 55 events in the region. This week’s edition covers key ongoing events, including:
:: Declaration of the end of the listeriosis outbreak in South Africa
:: Ebola virus disease in the Democratic Republic of the Congo
:: Cholera in Niger
:: Cholera in Cameroon
:: Hepatitis E in Namibia
:: Humanitarian crisis in Central African Republic.

WHO Grade 1 Emergencies  [to 15 Sep 2018]
Angola (in Portuguese)
Lao People’s Democratic Republic
Papua New Guinea
Tropical Cyclone Gira
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. 
:: Yemen Humanitarian Update Covering 27 August – 6 September 2018 | Issue 26
Published on 06 Sep 2018
:: As the depreciation of the Yemeni Rial continues, a further 3.5 million people may become food insecure and an additional 2 million may face a heightened risk of famine.
:: The conflict in Yemen continues to exact a heavy toll on civilians. In August, 241 civilian impact incidents were reported.
:: Humanitarian partners continue to work to prevent a third outbreak of cholera; some 133,000 suspected cholera cases have been confirmed since January…

Syrian Arab Republic   No new announcements identified.


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.
Ethiopia  – No new announcements identified.
Somalia   No new announcements identified.