Emergencies

Emergencies

Ebola – DRC+
Public Health Emergency of International Concern (PHEIC)

Disease Outbreak News (DONs)
Ebola virus disease – Democratic Republic of the Congo 19 September 2019
The intensity of the Ebola virus disease (EVD) transmission in the Democratic Republic of the Congo increased slightly from last week, with 57 new confirmed cases reported in North Kivu and Ituri provinces from 11-17 September 2019 versus 40 in the previous week. In the past week, localised, minor security incidents have impacted the response, including safe and dignified burials (SDB) and vaccination activities in Mambasa and Komanda Health Zones.

In addition, there was a major security incident in Lwemba, within Mandima Health Zone, from 14-17 September. The event was a community response to the death of a local healthcare worker from EVD. Due to the violence that occurred during the incident, all activities have been suspended in the area until further notice. This has a serious impact on the response activities on the ground, and it could lead to gaps or delays in the reporting of new EVD cases in this hotspot area. Overall, these incidents underscore the need for continued and proactive engagement and sensitizing of local communities throughout areas with EVD transmission and high-risk areas that may not currently be affected…

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POLIO
Public Health Emergency of International Concern (PHEIC)

Polio this week as of 18 September 2019
:: In the Philippines, a case of vaccine-derived poliovirus has been detected and is being further investigated, as outbreak response will be implemented.  See ‘Philippines’ section below for further details.

Summary of new viruses this week:
:: Afghanistan — six wild poliovirus type 1 (WPV1)- positive environmental samples;
:: Nigeria — one circulating vaccine-derived poliovirus type 2 (cVDPV2) case;
:: Angola — seven cVDPV2 cases

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WHO, UNICEF and partners support Philippine Department of Health’s polio outbreak response
19 September 2019
Joint News Release
The Philippine Department of Health (DOH) today announced an outbreak of polio in the country. A poliovirus case was confirmed on 16 September 2019 in a 3-year-old girl from Lanao del Sur. In addition, environmental samples from sewage in Manila and waterways in Davao were confirmed to contain the virus.

“We are very concerned that polioviruses are now circulating in Manila, Davao, and Lanao del Sur,” said World Health Organization (WHO) Representative in the Philippines, Dr Rabindra Abeyasinghe. “WHO and UNICEF are working closely with the Department of Health to strengthen surveillance and swiftly respond to this outbreak. We urge all parents and caregivers of children under 5 years of age to have them vaccinated so that they are protected against polio for life.”

“It is deeply disconcerting that poliovirus has re-emerged in the Philippines after nearly two decades. The outbreak calls for urgent action to protect more children from being infected. It reminds us of the importance of increasing immunization coverage to 95% of children to stop polio virus transmission in the Philippines. Vaccination is the only and best protection against polio that mainly affects children under 5 years of age. As long as one single child remains infected, children across the country and even beyond are at risk of contracting polio,” said Oyun Dendevnorov, UNICEF Philippines Representative, “UNICEF is working with Department of Health and WHO to accelerate actions for the health and safety of children in the Philippines, especially in the affected regions.”

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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 21 Sep 2019]

Democratic Republic of the Congo
:: Disease Outbreak News (DONs) Ebola virus disease – Democratic Republic of the Congo 19 September 2019

Nigeria – No new digest announcements identified
Mozambique floods – 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 21 Sep 2019]

Afghanistan – No new digest announcements identified
Angola – No new digest announcements identified
Burkina Faso [in French] – No new digest announcements identified
Burundi – 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
HIV in Pakistan – No new digest announcements identified
Iran floods 2019 – No new digest announcements identified
Iraq – No new digest announcements identified
Libya – No new digest announcements identified
Malawi floods – No new digest announcements identified
Measles in Europe – No new digest announcements identified
MERS-CoV – No new digest announcements identified
Myanmar – 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 21 Sep 2019]

Kenya
:: Kenya rolls out landmark malaria vaccine introduction 16 September 2019

Chad – No new digest announcements identified
Djibouti – 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 – 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.
Editor’s Note:
Ebola in the DRC has bene added as a OCHA “Corporate Emergency” this week:
CYCLONE IDAI and Kenneth – No new digest announcements identified
EBOLA OUTBREAK IN THE DRC – No new digest announcements identified

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