Emergencies

Emergencies

POLIO
Public Health Emergency of International Concern (PHEIC)
Polio this week as of 15 May 2019
:: Health ministers and delegates attending the World Health Assembly this week in Geneva welcomed the new Polio Endgame Strategy 2019-2023, reiterating the need to fully implement and fund all aspects of the strategy to secure a lasting polio-free world.  The five-year plan spells out the tactics and tools to wipe out the poliovirus from its last remaining reservoirs, including innovative strategies to vaccinate hard-to-reach children and expanded partnerships with the Expanded Programme on Immunization community and health emergencies.

:: Taking advantage of the critical mass of global leaders, the Global Polio Eradication Initiative hosted an event for polio eradicators, partners and stakeholders on 21 May 2019.  The event, To Succeed by 2023—Reaching Every Last Child, celebrated the GPEI’s new Polio Endgame Strategy 2019-2023. Read more here.

:: The GPEI is committed to advancing gender equality and the empowerment of women in its efforts to eradicate polio. On 11 May 2019, the GPEI Polio Oversight Board officially endorsed the GPEI Gender Equality Strategy, 2019-2023 with the objective to promote the integration of a gender perspective into different aspects of the GPEI’s programming, to support countries in addressing gender-related barriers to polio vaccination to increase coverage and increase women’s meaningful participation in the polio programme. Read strategy here. Watch an animation explaining the
relations between gender and polio eradication here.

:: Watch Coffee with Polio Experts: Sini Ramo, Gender Analyst as she talks about the role of gender in determining health goals—including access to polio vaccines— and GPEI’s part in integrating gender equality and mainstreaming in its work to end polio.

Summary of new viruses this week:
:: Afghanistan—one wild poliovirus type 1 (WPV1)-positive environmental sample;
:: Pakistan— two WPV1 cases and seven WPV1-positive environmental samples;
:: Niger—one circulating vaccine-derived poliovirus type 2 (cVDPV2) isolated from a healthy community contact;
:: Nigeria—One case classified cVDPV2 based on a positive contact and three cVDPV2-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 25 May 2019]

Democratic Republic of the Congo
:: United Nations strengthens Ebola response in Democratic Republic of the Congo
23 May 2019
:: Taking risks to provide care in a conflict zone 22 May 2019
:: 42: Situation report on the Ebola outbreak in North Kivu 21 May 2019
:: Disease Outbreak News (DONs) Ebola virus disease – Democratic Republic of the Congo
23 May 2019
[See Ebola DRC above for detail]

Bangladesh – Rohingya crisis
:: Rohingya crisis: WHO introduces new software for epidemiologists to control disease outbreak
Cox’s Bazar (18-21 March 2019) – Over the past week, WHO and the Global Outbreak Alert and Response Network (GOARN) have trained public health experts in Cox’s Bazar, Bangladesh, in using a newly developed piece of software called Go.Data. The training is part of the global roll-out of Go.Data, a software which allows conducting outbreak investigations, including field data collection, contact tracing and visualization of disease chains of transmission. The new software was developed in collaboration with GOARN, WHO and other partner organizations…

Nigeria
:: Strengthening the healthcare system in north-east Nigeria – a priority for WHO 22 May 2019
:: Over 850,000 Nigerians in 12 States at risk of poisoning from mercury use 20 May 2019

Syrian Arab Republic
:: Supporting Syrian refugees in Turkey with the health services and guidance they need
20 May 2019

Mozambique floods – No new digest announcements identified
Myanmar – No new digest announcements identified
Somalia – No new digest announcements identified
South Sudan – No new digest announcements identified
Yemen – No new digest announcements identified

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WHO Grade 2 Emergencies [to 25 May 2019]

Libya
:: WHO distributes urgently needed medical supplies as Libya conflict continues
21 May 2019

Brazil (in Portugese)
:: Organização Mundial da Saúde certifica Argélia e Argentina como livres da malária
22 de maio de 2019 – Argélia e Argentina foram oficialmente reconhecidas pela Organização Mundial da Saúde (OMS) como livres da malária. A certificação é concedida quando um país prova que interrompeu a transmissão autóctone da doença por pelo menos três anos consecutivos.

MERS-CoV
:: MERS situation update, April 2019
At the end of April 2019, a total of 2428 laboratory-confirmed cases of Middle East respiratory syndrome (MERS), including 838 associated deaths (case–fatality rate: 34.5%) were reported globally; the majority of these cases were reported from Saudi Arabia (2037 cases, including 760 related deaths with a case–fatality rate of 37.3%). During the month of April, a total of 29 laboratory-confirmed cases of MERS were reported globally. All the 29 cases were reported from Saudi Arabia with 11 associated deaths.

occupied Palestinian territory
:: Health attacks continue during Gaza’s Great March of Return 20 May 2019

Cameroon – No new digest announcements identified
Central African Republic – No new digest announcements identified
Cyclone Idai – No new digest announcements identified
Ethiopia – No new digest announcements identified
Iran floods 2019 – No new digest announcements identified
Iraq – No new digest announcements identified
Malawi floods – No new digest announcements identified
Niger – 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 25 May 2019]

Afghanistan – No new digest announcements identified
Angola – No new digest announcements identified
Chad – No new digest announcements identified
Djibouti – No new digest announcements identified
Indonesia – Sulawesi earthquake 2018 – No new digest announcements identified
Kenya – No new digest announcements identified
Mali – No new digest announcements identified
Namibia – viral hepatitis – 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 3: Recent Developments in Northwestern Syria (as of 24 May 2019)
HIGHLIGHTS
:: Ongoing conflict in northwest Syria continues to impact civilians, civilian infrastructure, and humanitarian service provision in the deescalation zone of northern Hama, southern Idleb governorates, and the countryside of Aleppo.
:: More than 200,000 people were displaced between 1 and 16 May, while 20 health facilities, three IDP settlements, and one refugee camp were reportedly affected by hostilities. This number is in addition to those people displaced prior to that date. There are unconfirmed local reports that up to 25 schools have been affected since the beginning of May.
:: The humanitarian response is ongoing with tens of thousands of people being provided food, protection, nutrition, health, shelter, education and WASH services, while critical gaps remain across sectors.

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
::  25 May 2019 Mozambique: Cyclone Idai & Floods Situation Report No. 22 (As of 20 May 2019)
:: 24 May 2019 Zimbabwe: Emergency Situation Report No. 8, As of 22 May 2019