Emergencies

Emergencies

POLIO
Public Health Emergency of International Concern (PHEIC)
Polio this week as of 2 May 2019
:: On 30 April 2019, the Polio Endgame Strategy 2019-2023 was launched. The strategy will guide the Global Polio Eradication Initiative and its partners to overcome final hurdles to eradication and stay the course for a polio-free world. Read the statement.
:: Polio News April 2019 is now online, covering all the happenings, news and the latest on polio eradication efforts around the world.

Summary of new viruses this week:
:: Afghanistan— one wild poliovirus type 1 (WPV1) case;
:: Pakistan — two WPV1 cases and 11 WPV1-positive environmental samples;
:: Nigeria— one cVDPV2-positive environmental sample

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The Polio Endgame Strategy 2019-2023
GPEI statement on the strategy to achieve and sustain a polio-free world
30/04/2019
Today, the Global Polio Eradication Initiative (GPEI) launched the Polio Endgame Strategy 2019-2023, which will guide the programme and its partners to overcome the final hurdles to eradication and move toward sustaining a polio-free future.

The new plan hones in on addressing today’s most pressing obstacles to end poliovirus transmission imminently, integrate polio programme resources into health and development programmes globally, and certify the world polio-free. In addition to building on the programme’s core strategies to expand access to vaccination and improve surveillance around the world, the 2019-2023 Endgame Strategy offers responsive and innovative solutions tailored to communities’ needs. These include establishing a regional hub in Amman, Jordan to enhance coordinated support to Afghanistan and Pakistan and creating permanent Rapid Response Teams to accelerate the programme’s response to outbreaks.

The programme will also work to improve immunisation coverage and support basic development needs through strengthened collaboration with immunisation partners such as Gavi, the Vaccine Alliance and the humanitarian and emergency response communities.

To reach its goals and achieve eradication, the Endgame Strategy requires a US$4.2 billion budget, of which US$3.27 billion is to be raised by the GPEI. In support of the Strategy and to encourage additional commitments, a pledging event will be hosted this November at the Reaching the Last Mile Forum in Abu Dhabi, a gathering of leaders from across the global health space held once every two years. The pledging event will be hosted by the GPEI, with the support of His Highness Sheikh Mohamed bin Zayed Al Nahyan, Crown Prince of Abu Dhabi, a longtime champion of the polio programme.

The 2019-2023 Endgame Strategy builds on the 2013-2018 Strategic Plan, which brought the world to the brink of polio eradication. Despite this impressive progress, the last steps to eradication have proved to be the most difficult.

Wild poliovirus transmission continues in Afghanistan and Pakistan, and circulating vaccine-derived poliovirus outbreaks are ongoing in several countries across Africa and Asia. To overcome these challenges, the new Strategy must be fully implemented with sufficient resources and commitments from governments, donors, multilateral organisations, and local communities.

The Polio Endgame Strategy 2019-2023 will be discussed at the upcoming 2019 World Health Assembly in Geneva, Switzerland during the week of 20 May.

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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 4 May 2019]

Democratic Republic of the Congo
:: Ebola situation worsening while support lags 30 April 2019
:: 39: Situation report on the Ebola outbreak in North Kivu 30 April 2019
:: Disease Outbreak News (DONs) Ebola virus disease – Democratic Republic of the Congo
2 May 2019
[See Ebola DRC above for detail]

Syrian Arab Republic
:: WHO condemns the attack on three health facilities in north-west Syrian Arab Republic
3 May 2019 The World Health Organization (WHO) strongly condemns the consecutive reported attacks on three health facilities in north-west Syria on 28 and 30 April. The attacks resulted in damage to infrastructure, putting them out of service.
Of the three attacked facilities, two were hospitals located in northern Hama providing life-saving medical services to thousands of vulnerable populations affected by increased hostilities over the past weeks…

Nigeria
:: Braving the waves to reach underserved populations with immunization services in the Niger Delta 28 April 2019
…“The difficulty of accessing healthcare services is due to suboptimal and expensive coastal and waterway transportation from the distant communities to healthcare centers, hence, innovative strategies are being employed to reach the underserved and vulnerable population with vaccination and other health interventions especially during Supplemental Immunization Activities (SIAs)”, says Dr Edmund Egbe, WHO State Coordinator in Bayelsa…

South Sudan
:: South Sudan intensifies efforts to control an ongoing measles outbreak 29 April 2019
…To date, more than 310 582 children aged 6 months – 15 years have been vaccinated.
South Sudan is among the countries experiencing an upsurge of measles cases. Since the beginning of 2019, measles outbreaks have been confirmed in 11 counties and three Protection of Civilian sites (POCs) housing displaced populations, affecting over 908 children and claiming at least seven lives…

Bangladesh – Rohingya crisis – No new digest announcements identified
Cyclone Idai – No new digest announcements identified
Myanmar – No new digest announcements identified
Somalia – No new digest announcements identified
Yemen – No new digest announcements identified

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WHO Grade 2 Emergencies [to 4 May 2019]

Libya
:: WHO Libya teams saving lives on Tripoli’s front lines 30 April 2019
…WHO Libya has deployed 3 teams with different specialties, including general surgeons, orthopedic surgeons, a vascular surgeon and anaesthesiologists, to 3 hospitals receiving the wounded from the front lines.

Brazil (in Portugese) – No new digest announcements identified
Cameroon – No new digest announcements identified
Central African Republic – No new digest announcements identified
Ethiopia – 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
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 4 May 2019]
Afghanistan – No new digest announcements identified
Chad – No new digest announcements identified
Indonesia – Sulawesi earthquake 2018 – No new digest announcements identified
Kenya – No new digest announcements identified
Lao People’s Democratic Republic – No new digest announcements identified
Mali – No new digest announcements identified
Namibia – viral hepatitis – No new digest announcements identified
Peru – No new digest announcements identified
Philippines – Tyhpoon Mangkhut – No new digest announcements identified
Tanzania – No new digest announcements identified

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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 – No new digest announcements identified
Yemen – 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.
CYCLONE IDAI and Kenneth
:: 28 Apr 2019
CERF allocates US$13M to provide a lifeline to people hit by Tropical Cyclone Kenneth in Comoros and Mozambique