Emergencies

Emergencies

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

Ebola Outbreak in DRC 71: 10 December 2019
Situation Update
In the week of 2 to 8 December 2019, eleven new confirmed Ebola virus disease (EVD) cases were reported from four health zones in North Kivu and Ituri provinces in Democratic Republic of the Congo… As of 8 December 2019, a total of 3324 EVD cases were reported, including 3206 confirmed and 118 probable cases, of which 2209 cases died (overall case fatality ratio 66%). Of the total confirmed and probable cases, 56% (1873) were female, 28% (939) were children aged less than 18 years, and 5% (164) were healthcare workers…

…Vaccines
:: From 8 August 2018 to 10 December 2019, 256 381 persons were vaccinated with the rVSV-ZEBOV-GP Ebola vaccine.

:: Vaccination with the Johnson & Johnson vaccine (Ad26.ZEBOV/MVA-BN-Filo) continued in the Karisimbi Health Zone, with 1300 people vaccinated as of 10 December 2019 since its introduction on 14 November 2019.

:: In the last 21 days (date of confirmation 17 November – 9 December 2019), there have been 12 rings opened covered the 35 reported cases.

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Johnson & Johnson Announces Commitment to Support Republic of Rwanda’s Preparedness Against Ebola Outbreak
Up to 200,000 Regimens of Janssen’s Investigational Ebola Vaccine to be Supplied to Rwanda for Use in Border Region near Democratic Republic of the Congo (DRC)
NEW BRUNSWICK, N.J., Dec. 8, 2019 /PRNewswire/ — Johnson & Johnson (NYSE: JNJ) today announced that its Janssen Pharmaceutical Companies will provide up to 200,000 Ebola vaccine regimens to the Republic of Rwanda. This commitment will support a new immunization program led by the Rwanda Government that aims to help protect the country’s citizens from the Ebola outbreak in neighboring Democratic Republic of the Congo (DRC). The first batches of Janssen vaccine have been delivered to the country, and further shipments are being organized.
On July 17, 2019, the World Health Organization (WHO) declared the DRC Ebola outbreak a Public Health Emergency of International Concern (PHEIC). More than 3,300 cases, including more than 2,200 deaths, have been reported to date, making the outbreak second only to the 2014-2016 West Africa epidemic, and raising concerns about its potential to cross international borders. In October, the Johnson & Johnson announced that the DRC would begin using the Janssen investigational vaccine as part of an expanded response to the outbreak.
“Johnson & Johnson recognizes the Rwandan Government’s decision to proactively deploy Janssen’s investigational Ebola vaccine to help prevent the spread of the disease into the country,” said Paul Stoffels, M.D., Vice Chairman of the Executive Committee and Chief Scientific Officer of Johnson & Johnson. “We stand ready to support Rwanda’s initiative on epidemic preparedness.”…

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POLIO
Public Health Emergency of International Concern (PHEIC)

Polio this week as of 11 December 2019

Summary of new viruses this week (AFP cases and ES positives):
:: Pakistan — three WPV1 cases, nine WPV1 positive environmental samples and nine cVDPV2 positive environmental samples;
:: Democratic Republic of the Congo (DR Congo) — three cVDPV2 cases;
:: Angola — 12 cVDPV2 cases and two cVDPV2 positive environmental samples;
:: Ethiopia — two cVDPV2 cases;
: Malaysia — one cVDPV1 case;
:: Philippines — one cVDPV1 case and three cVDPV2 cases

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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 14 Dec 2019]

Democratic Republic of the Congo
:: Ebola Outbreak in DRC 71: 10 December 2019

Mozambique floods – 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 14 Dec 2019]

Iraq
:: Iraqi cancer data for 2017‒2018 announced  9 December 2019 ‒ Recently announced data from Iraq’s national cancer registry indicate that there are over 31,500 cancer and tumor-related cases in Iraq as of 2017‒2018. Cancer is considered one of the leading causes of mortality in the country, contributing to an estimated 11% of total deaths…

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
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 14 Dec 2019]

Djibouti
:: Djibouti mène une campagne de vaccination de masse pour protéger les enfants contre la poliomyélite tandis que des flambées sévissent dans la Corne de l’Afrique
5 décembre 2018 – L’analyse préliminaire des données de la campagne indique le succès d’une tournée de vaccination dans un pays exempt de poliomyélite confronté à un risque d’importation.
Au cours de la dernière semaine du mois d’octobre, le ministère de la Santé de Djibouti, en collaboration avec l’OMS, l’UNICEF et d’autres partenaires, a mené avec succès les premières journées nationales de vaccination antipoliomyélitique conduites dans le pays depuis 2015…

Chad – 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 – 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
:: 10 Dec 2019 Kassala, Sudan: Life with hard choices

EBOLA OUTBREAK IN THE DRC
:: République démocratique du Congo Rapport de situation, 13 décembre 2019
FAITS SAILLANTS (13 déc. 2019)
:: Au moins 600 000 personnes sont estimées être affectées par des inondations dans 12 provinces, causées par des pluies diluviennes survenues en octobre
:: Des besoins importants sont rapportés, en particulier dans les secteurs de l’eau, hygiène assainissement, abris/ articles ménagers essentiels, sécurité alimentaire et santé
:: La réponse à l’impact de ces inondations est coordonnée par le Gouvernement de la RDC au niveau central et provincial, avec l’appui des acteurs humanitaires.
:: Des activités d’assistance sont en cours ou en préparation par les acteurs humanitaires dans 8 des12 provinces affectées, mais de nombreux besoins ne sont pas couverts.
:: Alors que la décrue a commencé, il est essentiel de privilégier une approche visant à soutenir les mécanismes de résilience de la population déjà existants

 

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