Emergencies

Emergencies 

POLIO
Public Health Emergency of International Concern (PHEIC)
Polio this week as of 6 February 2019
:: The 144th Session of the Executive Board concluded on 1 February with a renewed support from the public health leadership for a final push to end polio. Read more about polio eradication efforts and the report by the EB on polio eradication here.
:: The Global Surveillance Action Plan 2018-2020 is now online. The GPSAP aims to support endemic, outbreak, and high-risk countries in evaluating and increasing the sensitivity of their surveillance systems. 

Summary of new viruses this week:
:: Afghanistan – Afghanistan- one case of wild poliovirus type 1 (WPV1);
:: Pakistan – one case of WPV1 and six WPV1-positive environmental samples;
:: Niger – one case of circulating vaccine derived poliovirus (VDPV2). five WPV1 positive environmental samples.

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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 9 Feb 2019]
Democratic Republic of the Congo
:: Ebola virus disease – Democratic Republic of the Congo   7 February 2019
…During the last 21 days (16 January – 5 February 2019), 119 new cases have been reported from 13 health zones (Figure 2), including: Katwa (75), Butembo (9), Beni (8), Kyondo (5), Kayna (5), Oicha (4), Manguredjipa (4), Biena (2), Kalunguta (2), Mabalako (2), Masereka (1), Mutwanga (1), and Vuhovi (1)2. Current epidemiological analyses points to nosocomial transmission due to poor infection prevention and control (IPC) practices, persistent delays in detection and isolation of new cases, frequent community deaths (and subsequent contact with deceased), and transmission within family and community networks, as the main drivers of ongoing disease transmission. Insecurity and pockets of community resistance have continuously stifled efforts to combat these risks; nevertheless, response teams remain committed to actively strengthening community trust and participation in all affected areas, and are beginning to observe tangible improvements in Katwa and elsewhere….

:: 27: Situation report on the Ebola outbreak in North Kivu  5 February 2019

Case management
On 24 November 2018, the MoH announced the launch of a randomized control trial for Ebola therapeutics. This is ongoing, with all confirmed cases in ETCs receiving therapy under the compassionate use protocol, together with supportive care.
As of 3 February 2018, 194 patients were admitted to Ebola transit and treatment centres. Among nine treatment ETCs and transit centres (TC), two have bed occupancy of more than 100% (Katwa ETC and Beni TC).
Patient sorting in Beni hospital and Beni ETC is being supervised; community re-integration of two cured cases is ongoing in Kirumba and Kanyabayonga.
…Implementation of ring vaccination protocol
As of 3 February 2019, a cumulative total of 73,309 people have been vaccinated since the start of the outbreak.
The Immunization Commission is being supported in their efforts to persuade contacts to be vaccinated in Kivika, Kambuli and Mukuna in Katwa health zone.

Bangladesh – Rohingya crisis – No new digest announcements identified  
Myanmar – No new digest announcements identified  
NigeriaNo new digest announcements identified
Somalia – No new digest announcements identified
South Sudan – No new digest announcements identified  
Syrian Arab Republic – No new digest announcements identified  
Yemen – No new digest announcements identified

 
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WHO Grade 2 Emergencies  [to 9 Feb 2019]
Brazil (in Portugese)
:: Sarampo na Europa: número recorde de pessoas doentes e imunizadas  7 de fevereiro de 2019

Libya
:: WHO warns of increasing attacks on health facilities in Libya
5 February 2019 – The World Health Organization (WHO) warns of increasing attacks on health facilities and workers in both frequency and scale. WHO has documented more than 41 attacks targeting health workers and facilities throughout 2018–2019 across the country. These attacks resulted in 6 health workers and patients killed and 25 health workers injured. An additional seven health workers were also assaulted during this period…

Cameroon  – No new digest announcements identified
Central African Republic  – No new digest announcements identified
Ethiopia – No new digest announcements identified
Hurricane Irma and Maria in the Caribbean – No new digest announcements identified
Iraq – No new digest announcements identified
MERS-CoV – No new digest announcements identified
Niger – No new digest announcements identified
occupied Palestinian territory  – No new digest announcements identified
Sao Tome and Principe Necrotizing Cellulitis (2017) – No new digest announcements identified
Sudan – No new digest announcements identified
Ukraine – No new digest announcements identified
Zimbabwe – No new digest announcements identified

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WHO Grade 1 Emergencies  [to 9 Feb 2019]
Afghanistan
Chad
Indonesia – Sulawesi earthquake 2018
Kenya
Lao People’s Democratic Republic
Mali
Namibia – viral hepatitis
Peru
Philippines – Tyhpoon Mangkhut
Tanzania
 
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WHO AFRO Outbreaks – Week 05: 26 January – 01 February 2019
The WHO Health Emergencies Programme is currently monitoring 60 events in the region. This week’s edition covers key new and ongoing events, including:
:: Ebola virus disease in the Democratic Republic of the Congo
:: Lassa fever in Nigeria
:: Cholera in Burundi
:: Humanitarian crisis in Democratic Republic of the Congo
:: Humanitarian crisis in Ethiopia.

::::::
:::::: 
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
:: Yemen: Hajjah Governorate – Flash Update 2 | 28 January-3 Feb …
Syrian Arab Republic   – No new digest announcements identified

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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 
:: Ethiopia Humanitarian Bulletin Issue #2 | 21 January-03 Febr …

Somalia 
:: Humanitarian Bulletin Somalia, 1 January – 5 February 2019 …
 

 

POLIO
Public Health Emergency of International Concern (PHEIC)
Polio this week as of 6 February 2019
:: The 144th Session of the Executive Board concluded on 1 February with a renewed support from the public health leadership for a final push to end polio. Read more about polio eradication efforts and the report by the EB on polio eradication here.
:: The Global Surveillance Action Plan 2018-2020 is now online. The GPSAP aims to support endemic, outbreak, and high-risk countries in evaluating and increasing the sensitivity of their surveillance systems. 

Summary of new viruses this week:
:: Afghanistan – Afghanistan- one case of wild poliovirus type 1 (WPV1);
:: Pakistan – one case of WPV1 and six WPV1-positive environmental samples;
:: Niger – one case of circulating vaccine derived poliovirus (VDPV2). five WPV1 positive environmental samples.

::::::
::::::

 
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 9 Feb 2019]
Democratic Republic of the Congo
:: Ebola virus disease – Democratic Republic of the Congo   7 February 2019
…During the last 21 days (16 January – 5 February 2019), 119 new cases have been reported from 13 health zones (Figure 2), including: Katwa (75), Butembo (9), Beni (8), Kyondo (5), Kayna (5), Oicha (4), Manguredjipa (4), Biena (2), Kalunguta (2), Mabalako (2), Masereka (1), Mutwanga (1), and Vuhovi (1)2. Current epidemiological analyses points to nosocomial transmission due to poor infection prevention and control (IPC) practices, persistent delays in detection and isolation of new cases, frequent community deaths (and subsequent contact with deceased), and transmission within family and community networks, as the main drivers of ongoing disease transmission. Insecurity and pockets of community resistance have continuously stifled efforts to combat these risks; nevertheless, response teams remain committed to actively strengthening community trust and participation in all affected areas, and are beginning to observe tangible improvements in Katwa and elsewhere….

:: 27: Situation report on the Ebola outbreak in North Kivu  5 February 2019

Case management
On 24 November 2018, the MoH announced the launch of a randomized control trial for Ebola therapeutics. This is ongoing, with all confirmed cases in ETCs receiving therapy under the compassionate use protocol, together with supportive care.
As of 3 February 2018, 194 patients were admitted to Ebola transit and treatment centres. Among nine treatment ETCs and transit centres (TC), two have bed occupancy of more than 100% (Katwa ETC and Beni TC).
Patient sorting in Beni hospital and Beni ETC is being supervised; community re-integration of two cured cases is ongoing in Kirumba and Kanyabayonga.
…Implementation of ring vaccination protocol
As of 3 February 2019, a cumulative total of 73,309 people have been vaccinated since the start of the outbreak.
The Immunization Commission is being supported in their efforts to persuade contacts to be vaccinated in Kivika, Kambuli and Mukuna in Katwa health zone.

Bangladesh – Rohingya crisis – No new digest announcements identified  
Myanmar – No new digest announcements identified  
NigeriaNo new digest announcements identified
Somalia – No new digest announcements identified
South Sudan – No new digest announcements identified  
Syrian Arab Republic – No new digest announcements identified  
Yemen – No new digest announcements identified

 
::::::
 
WHO Grade 2 Emergencies  [to 9 Feb 2019]
Brazil (in Portugese)
:: Sarampo na Europa: número recorde de pessoas doentes e imunizadas  7 de fevereiro de 2019

Libya
:: WHO warns of increasing attacks on health facilities in Libya
5 February 2019 – The World Health Organization (WHO) warns of increasing attacks on health facilities and workers in both frequency and scale. WHO has documented more than 41 attacks targeting health workers and facilities throughout 2018–2019 across the country. These attacks resulted in 6 health workers and patients killed and 25 health workers injured. An additional seven health workers were also assaulted during this period…

Cameroon  – No new digest announcements identified
Central African Republic  – No new digest announcements identified
Ethiopia – No new digest announcements identified
Hurricane Irma and Maria in the Caribbean – No new digest announcements identified
Iraq – No new digest announcements identified
MERS-CoV – No new digest announcements identified
Niger – No new digest announcements identified
occupied Palestinian territory  – No new digest announcements identified
Sao Tome and Principe Necrotizing Cellulitis (2017) – No new digest announcements identified
Sudan – No new digest announcements identified
Ukraine – No new digest announcements identified
Zimbabwe – No new digest announcements identified

::::::
 
WHO Grade 1 Emergencies  [to 9 Feb 2019]
Afghanistan
Chad
Indonesia – Sulawesi earthquake 2018
Kenya
Lao People’s Democratic Republic
Mali
Namibia – viral hepatitis
Peru
Philippines – Tyhpoon Mangkhut
Tanzania
 
::::::
 
WHO AFRO Outbreaks – Week 05: 26 January – 01 February 2019
The WHO Health Emergencies Programme is currently monitoring 60 events in the region. This week’s edition covers key new and ongoing events, including:
:: Ebola virus disease in the Democratic Republic of the Congo
:: Lassa fever in Nigeria
:: Cholera in Burundi
:: Humanitarian crisis in Democratic Republic of the Congo
:: Humanitarian crisis in Ethiopia.

::::::
:::::: 
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
:: Yemen: Hajjah Governorate – Flash Update 2 | 28 January-3 Feb …
Syrian Arab Republic   – No new digest 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 
:: Ethiopia Humanitarian Bulletin Issue #2 | 21 January-03 Febr …

Somalia 
:: Humanitarian Bulletin Somalia, 1 January – 5 February 2019 …