Public Health Emergency of International Concern (PHEIC)
Polio this week as of 06 November2018 [GPEI]
:: The Semi-Annual Status Report for January-June 2018 was recently published with detailed narrative for each of the Endgame Plan strategic objectives.
Summary of new viruses this week:
Democratic Republic of Congo – two new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2)
Pakistan – Two new cases of wild poliovirus (WPV1) and two WPV1 positive environmental samples.
Niger- one new case of circulating vaccine-driven polio virus type 2 (cVDPV2).
Nigeria – four new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2)
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 10 Nov 2018 ]
Democratic Republic of the Congo
:: 14: Situation report on the Ebola outbreak in North Kivu  6 November 2018
:: DONs Ebola virus disease – Democratic Republic of the Congo   8 November 2018
[See Milestones above for more detail]
Bangladesh – Rohingya crisis
:: Weekly Situation Report 49 – 1 November 2018 pdf, 410kb
:: WHO supports cholera vaccination in critical States of the Northwest region
Zamfara, 6 November, 2018 – The World Health Organization (WHO) is supporting health authorities in Zamfara with the necessary preparation for the implementation of the first Oral Cholera Vaccination (OCV) campaigns.  Similar activity and assistance will be provided to Katsina and Kebbi States.
With financial support from GAVI, the Vaccine Alliance, these vaccination campaigns will directly protect 808,795 inhabitants of the three states who are aged one year and above from cholera. The campaigns will be implemented in two rounds for each state (14-18 November 2018 for the 1st round) and (11-16 December 2018 for the 2nd round). The intervention will complement efforts from the Federal Government and States in responding to the ongoing cholera outbreak and facilitate the prevention and control of cholera in Nigeria in the long term.
Nigeria is experiencing its largest cholera outbreak in recent years with over 42,466 suspected cases including 830 deaths reported from 01 January to 29 October 2018 in 20 states. The numbers sharply contrast 18,243 suspected cases reported in the country over the last three years (2015- 2017)…

 South Sudan
:: WHO enhances Ebola Rapid Response Readiness Capacities in South Sudan
Juba 1 November 2018 – The World Health Organization is supporting the Ministry of Health of South Sudan, to train a total of 214 members of the Rapid Response Teams at the national level and in all the Ebola virus disease (EVD) high-risk states.
\\These trainings are part of the ongoing efforts to strengthen the country’s preparedness capacities and mitigate the risk of EVD importation from the raging outbreak in North Kivu and Ituri in the Democratic Republic of Congo (DRC). The recent WHO EVD risk assessment raised the risk of regional spread from “high” to “very high” thus justifying all efforts aimed at enhancing national EVD readiness capacities…

Syrian Arab Republic
:: Hama National Hospital provides ray of hope for Syrian cancer patients  1 November 2018
:: Statement on Yemen by Dr Ahmed Al-Mandhari, WHO Regional Director for the Eastern Mediterranean
Cairo, 8 November 2018 – The current violence in Al Hudaydah is placing tens of thousands of already vulnerable people at risk, and preventing WHO from reaching them with the help they urgently need. The violence, now in close proximity to the area hospitals, is affecting the movement and safety of health staff, patients and ambulances, as well as the functionality of health facilities, leaving hundreds without access to treatment.

With only 50% of health facilities functioning across the country and no doctors in 18% of districts in Yemen, we cannot afford for one more health worker to lose their life, or one more hospital to go out of service. In Hudaydah city, the hospitals are closest to the frontlines, which is alarming and is jeopardizing the lives of health care workers and patients alike.

Increased fighting is also affecting the port of Al Hudaydah, through which 85% of the country’s food supplies are normally imported. The people of Yemen are already on the brink of famine, with 1.8 million children under five and 1.1 million pregnant or breastfeeding women acutely malnourished. More than 400,000 severely acutely malnourished children rely on urgent and accessible medical care to stay alive.

   As the immune systems of millions of Yemenis fail due to hunger, thousands are dying of malnutrition, cholera and other diseases. People living in Al Hudaydah are some of the worst hit, with the highest rates of cholera reported since the beginning of the outbreak…
Somalia – No new announcements identified
WHO Grade 2 Emergencies  [to 10 Nov 2018 ]
:: Weekly Situation Report 49 – 1 November 2018 pdf, 410kb
:: WHO and the Ministry of Health intensify response to gastroenteritis outbreak amid water crisis in Basra  2 November 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
occupied Palestinian territory – No new announcements identified
Libya – No new announcements identified
MERS-CoV – 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 44: 27 October – 02 November 2018
The WHO Health Emergencies Programme is currently monitoring 55 events in the region. This week’s edition covers key ongoing events, including:
:: Yellow fever in Ethiopia
:: Ebola virus disease in the Democratic Republic of the Congo
:: Cholera in Niger
:: Humanitarian crisis in Democratic Republic of the Congo
:: Humanitarian crisis in South Sudan

WHO Grade 1 Emergencies  [to 10 Nov 2018 ]
Angola (in Portuguese)
Lao People’s Democratic Republic
Namibia – viral hepatitis
Papua New Guinea
Philippines – Tyhpoon Mangkhut
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 22 October – 6 November 2018 | Issue 31
:: UN calls for urgent action on five key points to avert an imminent humanitarian catastrophe in Yemen.
:: A total of 118 humanitarian partners operate in the 333 districts of Yemen providing assistance to as many as 8 million people per month.
:: Armed clashes, airstrikes and artillery shelling continued around the airport and Kilo 10 to the south and east of Al Hudaydah City; fighting was also reported on the Hays frontline.
:: Partners identified 80,763 displaced families from Al Hudaydah hosted in Al Hudaydah, Hajjah, Raymah and Al Mahwit governorates; 71,363 of these households have been assisted since June.
:: US$87 million has been allocated to 75 projects under the first Standard Allocation 2018 of the Yemen Humanitarian Fund, and will benefit over 3 million Yemenis in 19 governorates.

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.
:: Humanitarian Bulletin Somalia, 4 October – 5 November 2018
:: Aid agencies step up livelihood, resilience support
:: Conflict related displacement spikes in Lower Shabelle
:: Evictions continue in Mogadishu
:: Major disease outbreaks contained
:: Polio immunization continues
:: Mental health care must be prioritized
:: Sustained funding needed to support the aid operation

Ethiopia  No new announcements identified.

“Other Emergencies”
Indonesia: Central Sulawesi Earthquake
:: Central Sulawesi Earthquake & Tsunami: Humanitarian Country Team Situation Report #7 (as of 6 November 2018))