Public Health Emergency of International Concern (PHEIC)
Polio this week as of 16 October 2018 [GPEI]
:: World Polio Day is coming up on 24 October: join partners around the world in making this year’s World Polio Day a success.
Summary of new viruses this week:
Afghanistan – one wild poliovirus type 1 (WPV1) case and five WPV1-positive environmental samples
Pakistan – two WPV1-positive environmental samples
Niger – three circulating vaccine-derived poliovirus type 2 (cVDPV2) cases
Papua New Guinea – three cVDPV type 1 cases
Somalia – one cVDPV type 3 case
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 20 Oct 2018 ]
Democratic Republic of the Congo
:: 11: Situation report on the Ebola outbreak in North Kivu  17 October 2018
:: Disease Outbreak News (DONs)  Ebola virus disease – Democratic Republic of the Congo
18 October 2018
[See Milestones above for more detail]
Bangladesh – Rohingya crisis
:: Weekly Situation Report 46 – 11 October 2018 pdf, 398kb
::  Acute respiratory infection and acute watery diarrhoea are showing increasing trends.
::  Suspected malaria cases continue to be reported in relatively high number. It is possible that these cases represent variety of syndromes with different etiologies.
::  A refresher training was conducted to improve the capacity of health workers for preparedness and response to diarrhoeal disease outbreaks in Cox’s Bazar.

::  There are an estimated 921,000 Rohingya refugees (215,796 families) in Cox’s Bazar, according to the latest Needs and Population Monitoring (NPM) round 12 exercise. The Rohingya refugees continue to arrive in Bangladesh, though the overall influx has slowed since the onset of the crisis in late August 2017. From 1 January-15 September 2018, UNHCR has recorded 13,764 new arrivals to Bangladesh.
::  The dense population, continuous contamination of the environment in the camps and the rainy season, indicate that continuous vigilance for disease outbreaks is needed. WHO through EWARS is continuously monitoring diseases and coordinating health response. More than 8,200 cases of Diphtheria have been reported since November 2017 and the risk of water-borne and vector-borne diseases remain. Other acute watery diarrhoea (AWD) and related clinical conditions, more specifically cholera and shigella, may potentially cause outbreaks. Due to endemicity of rotavirus in the camp areas and long-term knowledge on rotavirus in the community, an annual increase in rotavirus case notifications is also anticipated.

Syrian Arab Republic
:: WHO helps restore primary health care services in Aleppo  11 October 2018

:: Internally displaced persons from Hudaydah endure harsh circumstances in Sana’a
8 October 2018
Nigeria – No new announcements identified
Somalia – No new announcements identified
South Sudan – No new announcements identified

WHO Grade 2 Emergencies  [to 20 Oct 2018 ]
Brazil (in Portugese) – No new announcements identified
Cameroon  – No new announcements identified
Central African Republic  – No new announcements identified
Ethiopia – No new announcements identified
Hurricane Irma and Maria in the Caribbean – No new announcements identified
Iraq – No new announcements identified
occupied Palestinian territory – No new announcements identified
Libya – No new announcements identified
MERS-CoV – No new announcements identified
Myanmar – No new announcements identified
Niger – No new announcements identified
Sao Tome and Principe Necrotizing Cellulitis (2017) – No new announcements identified
Sudan – No new announcements identified
Ukraine – No new announcements identified
Zimbabwe – No new announcements identified

Outbreaks and Emergencies Bulletin, Week 41: 12 October 2018
The WHO Health Emergencies Programme is currently monitoring 58 events in the AFRO region. This week’s edition covers key ongoing events, including:
:: Ebola virus disease outbreak in the Democratic Republic of the Congo
:: Cholera outbreak in Zimbabwe
:: Cholera outbreak in Niger
:: Humanitarian crisis in the Democratic Republic of the Congo
:: Humanitarian crisis in South Sudan

WHO Grade 1 Emergencies  [to 20 Oct 2018 ]
Angola (in Portuguese)
Lao People’s Democratic Republic
Papua New Guinea
Tropical Cyclone Gira