Emergencies

POLIO
Public Health Emergency of International Concern (PHEIC)
Polio this week as of 15 May 2019
:: On 9 May 2019, the World Health Organization received notification of the detection of wild poliovirus type 1 (WPV1) from an environmental sample, collected on 20 April, in Seestan and Balochistan province, Iran. The virus collected is an environmental sample only, and no associated cases of paralysis have been detected.  Genetic sequencing confirmed it is linked to WPV1 circulating in Karachi, Pakistan.
:: On 21 May 2019, taking advantage of the presence of major Global Polio Eradication Initiative (GPEI) stakeholders attending the World Health Assembly (WHA) in Geneva, the GPEI is hosting an informal reception marking the launch of its new Polio Endgame Strategy 2019-2023: To Succeed by 2023 – Reaching Every Last Child for a Polio-Free World. Delegates who will be in Geneva are invited. Please RSVP here.

Summary of new viruses this week:
:: Pakistan — four wild poliovirus type 1 (WPV1) cases and four WPV1-positive environmental samples;
: Iran—one WPV1-positive environmental sample three wild poliovirus type 1 (WPV1) cases and 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 18 May 2019]

Democratic Republic of the Congo
:: 41: Situation report on the Ebola outbreak in North Kivu 14 May 2019
:: Disease Outbreak News (DONs) Ebola virus disease – Democratic Republic of the Congo
16 May 2019
[See Ebola DRC above for detail]

Bangladesh – Rohingya crisis
:: Bi-weekly Situation Report #09 Date of issue: 09 May 2019
HIGHLIGHTS
:: The Mental Health and Psychosocial Support (MHPSS) team conducted an mhGAP training for health workers from Sadar Hospital, Ukhiya, Ramu and Moheskhali Upazila health complexes.
:: Refurbishment work for Microbiology Room of Institute of Epidemiology, Disease Control and Research(IEDCR) Field Lab in Cox’s Bazaar Medical College has been completed.
:: Acute respiratory infection (ARI), acute watery diarrhea (AWD) and unexplained fever were the conditions with highest proportional morbidity this week.
:: World Immunization Week was observed in Rohingya camps from 24-30 April 2019 with the theme of ‘Protected Together – Vaccine works’. The week has featured, among others, an advocacy meeting with relevant stakeholders, awareness meetings with community influencers, dropout listing and vaccination by vaccinators, distribution of Information, Education and Communication (IEC) materials to service providers and others.
:: The health sector held bilateral meetings with a UN agency to plan on establishing first line support and referral services on gender-based violence (GBV) for ten of its supported health posts where GBV services are currently not available to meet minimum essential service package.
:: The Health Sector coordinated preparation for potential damage from heavy rains and winds, associated with cyclone Fani.

Mozambique floods
:: More than 500 000 doses of cholera vaccine available for Cabo Delgado 18 May 2019

Myanmar – No new digest announcements identified
Nigeria – No 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 18 May 2019]

Iraq
:: WHO mobile medical clinics reach displaced persons in Kalar district, Sulaymaniyah governorate, Iraq 16 May 2019

Zimbabwe
:: The rush to deliver cholera vaccines to remote communities in Zimbabwe 10 May 2019

Cyclone Idai – No new digest announcements identified
Libya – No new digest announcements identified
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
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

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WHO Grade 1 Emergencies [to 18 May 2019]
Peru
:: Países avanzan hacia la eliminación de la transmisión de la madre al hijo del VIH, la sífilis, la hepatitis B y la enfermedad de Chagas

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
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
:: Syria: Situation Report 2: Recent Developments in Northwestern Syria (as of 17 May 2019)
Northweste ..

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
:: Mozambique: Brave mothers in the midst of hardship 11 May 2019