Emergencies

Editor’s Note:
While we have concentrated the most current key reports just below, COVID-19 announcements, analysis and commentary will be found throughout this issue, in all sections.
Beyond the considerable continuing coverage in the global general media:
Daily WHO situation reports here: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports
WHO Coronavirus disease (COVID-2019) daily press briefings here: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/media-resources/press-briefings

Coronavirus [COVID-19]
Public Health Emergency of International Concern (PHEIC)
Situation report – 33 [WHO]

Novel Coronavirus (COVID-19)
22 February 2020
[Excerpts]
SITUATION IN NUMBERS
Globally :: 77,794 laboratory-confirmed [599 new]
[Week ago: 49,053 laboratory-confirmed [2056 new]]
China :: 76,392 laboratory-confirmed [397 new]
:: 2,348 deaths [109 new]
Outside of China
:: 1,402 laboratory-confirmed [58 new]
:: 28 countries
:: 11 deaths [1 new]

WHO RISK ASSESSMENT
China – Very High
Regional Level – High
Global Level – High

HIGHLIGHTS
:: Two new countries (Lebanon and Israel) reported cases of COVID-19 in the past 24 hours.
:: The role of environmental contamination in the transmission of COVID-19 is not yet clear. On 18 February, a new protocol entitled “Surface sampling of coronavirus disease (COVID-19): A practical “how to” protocol for health care and public health professionals” was published. This protocol was designed to determine viable virus presence and persistence on fomites in various locations where a COVID-19 patient is receiving care or isolated, and to understand how fomites may play a role in the transmission of the virus.
:: The WHO Director-General briefed the emergency ministerial meeting on COVID-19 organized by the African Union and the Africa Centres for Disease Control and Prevention. Details can be found here.

::::::

National Health Commission of the People’s Republic of China
http://en.nhc.gov.cn/
Selected News & Announcements
Feb 22: Daily briefing on novel coronavirus cases in China
On Feb 21, 31 provincial-level regions on the Chinese mainland as well as the Xinjiang Production and Construction Corps reported 397 new cases of confirmed infections, 1,361 new cases of suspected infections, and 109 deaths.
[See Emergencies above for detail]

China races to develop vaccines against coronavirus
2020-02-21
BEIJING — Chinese scientists are racing to develop vaccines against the novel coronavirus by adopting five technological approaches, a senior National Health Commission official said on Feb 21.
“Some projects have entered the stage of animal testing,” Zeng Yixin, deputy director of the commission, told a news conference on China’s fight against the novel coronavirus outbreak.
“Under the premise of ensuring safety, effectiveness and accessibility (of vaccines), (we) foresee that as soon as from April to May this year some vaccines could enter clinical trials, or under specific conditions, could be applied for emergency use,” he said.
“Our goal is that if required by the outbreak situation, the emergency use of vaccines, as well as the emergency review and approval process, can be activated in accordance with laws,” the official said.

Emergencies

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

Ebola Outbreak in DRC 80: 16 February 2020
[Excerpts]
Situation Update
This week, the incidence of Ebola virus disease (EVD) cases continued to be low (Figure 1). From 10 to 16 February 2020, one new confirmed case was reported in Beni Health Zone, North Kivu Province in Democratic Republic of the Congo. The case was reported on 11 February 2020, and was listed and followed as a contact at the time of detection, with known epidemiological links. Early detection of cases reduces the probability of transmission of EVD in the community and significantly improves the clinical outcome for the patients…

While we are cautiously optimistic about the overall trend and reduced geographic spread of the outbreak, the security situation in several EVD-affected health areas remain volatile, and the risk of spread within Democratic Republic of the Congo and neighbouring countries remains high. Given delays in isolation of some cases in recent weeks and continued reports of nosocomial transmission, we expect to see additional cases in the coming weeks. It is critical that response teams rapidly detect, investigate and follow-up all cases and their contracts…

…Conclusion
While there is room for cautious optimism around the low number of new confirmed cases reported in recent weeks, the situation remains fragile and further cases should be expected. It is important to ensure continued access and heightened vigilance for response activities, including early case identification, contact tracing, and improving infection prevention and control measures in healthcare facilities.

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 15 February 2020 :: Number 305

This weekly digest is intended to aggregate and distill key content from a broad spectrum of practice domains and organization types including key agencies/IGOs, NGOs, governments, academic and research institutions, consortia and collaborations, foundations, and commercial organizations. We also monitor a spectrum of peer-reviewed journals and general media channels. The Sentinel’s geographic scope is global/regional but selected country-level content is included. We recognize that this spectrum/scope yields an indicative and not an exhaustive product. Comments and suggestions should be directed to:

David R. Curry
Editor
GE2P2 Global Foundation – Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

PDF: The Sentinel_ period ending 15 Feb 2020

Contents
:: Week in Review  [See selected posts just below]
:: Key Agency/IGO/Governments Watch – Selected Updates from 30+ entities   [see PDF]
:: INGO/Consortia/Joint Initiatives Watch – Media Releases, Major Initiatives, Research:: Foundation/Major Donor Watch -Selected Updates
:: Journal Watch – Key articles and abstracts from 100+ peer-reviewed journals  [see PDF]

Conflict – Sexual Violence – Children

Office of the Special Representative of the Secretary-General on Sexual Violence in Conflict and Committee on the Rights of the Child Join Together to Protect and Promote the Rights of Children Impacted by Conflict-Related Sexual Violence
14 February, 2020
The United Nations Special Representative of the Secretary-General on Sexual Violence in Conflict, Ms. Pramila Patten, and the Chair of the Committee on the Rights of the Child (CRC Committee), Mr. Luis Ernesto Pedernera Reyna, welcomed the signing of a Framework of Cooperation between the Office of the Special Representative and the Committee during the 83rd session of the Committee in Geneva.

“With this Framework of Cooperation, the CRC Committee and my Office affirm our common commitment to promote and protect the rights of children affected by, or at risk of, conflict-related sexual violence”, said Special Representative Patten. “Children impacted by conflict-related sexual violence are rights-holders and therefore entitled to protection, justice, physical and psychological recovery and social reintegration, as outlined in the Convention on the Rights of the Child”, added Mr. Pedernera.

This Framework reaffirms that the response to conflict-related sexual violence requires a survivor-centered, rights-based approach that prioritizes the unique needs and best interests of children affected by sexual violence, including children conceived through rape. The Framework is based on the premise that the denial of the rights of children affected by conflict-related sexual violence is irreconcilable with human rights’ claim to universality. It is also a threat to international peace and security and is in contravention of the principle of the Sustainable Development Goals, “Leave No one Behind”.

This initiative aims at advancing national level implementation of the rights of children affected by conflict-related sexual violence, through the implementation of relevant United Nations Security Council resolutions on sexual violence and the Committee’s concluding observations to States parties. It also aims at enhancing cooperation in the conduct of research and collection of data to promote accountability of Member States and other actors in regard to the obligations under the Convention on the Rights of the Child and its Optional Protocols, relevant United Nations Security Council resolutions, and other relevant international obligations and standards.

SRSG Patten and CRC Chair Pedernera stated: “This Framework of Cooperation provides a roadmap to guide our joint efforts to tackle the structural drivers of sexual violence against children. By fostering compliance with international norms, we can prevent and deter these horrific crimes, and ensure that they do not go unpunished. Together, we will continue to support duty-bearers to meet their obligations, and for all children to realize their rights.”

This Framework of Cooperation is the second agreement between the Office of the Special Representative and a United Nations human rights treaty body, following the signature, in July 2018, of a similar framework with the Committee on the Elimination Discrimination against Women (CEDAW Committee).

Human Rights

OAS Launches Guidebook to Facilitate Access of LGBTI Persons in the Americas to their Economic, Social, Cultural and Environmental Rights
February 10, 2020
Today the General Secretariat of the Organization of American States (OAS) and the Working Group of the Protocol of San Salvador (WGPSS) launched the “Guidebook for the Operationalization of the Indicators of the Protocol of San Salvador from a Cross-cutting LGBTI Perspective.” This guidebook will facilitate access to Economic, Social, Cultural and Environmental Rights for lesbian, gay, bisexual, trans and intersex (LGBTI) persons.

The guidebook is the first of a series of thematic reports called “Measuring All Gaps” that seeks to shed light on the state of economic, social, cultural and environmental rights of several groups in a situation of vulnerability.

Lesbian, gay, bisexual, trans and intersex (LGBTI) persons are among those that suffer exclusion and discrimination around the world and require specific measures to guarantee their access to and the enjoyment of their economic, social, cultural and environmental rights.

Speaking at the launch event, the President of the WGPSS, Andrés Scagliola, noted that: “In the most unequal region of the world, the inequalities based on sexual orientation, gender identity, gender expression and/or sexual characteristics (SOGIESC), ethnicity and nationality increase the gaps faced by LGBTQI persons in the enjoyment of their economic, social, cultural and environmental rights. The invisibility of these inequalities perpetuates the cycle of exclusion that these persons face on the basis of their SOGIESC. Giving visibility to these gaps and creating policies is a step to stopping this cycle, which is a responsibility of all States.”

This guidebook has been prepared to help States improve the collection of data concerning the state of economic, social, cultural and environmental rights of LGBTI persons. The publication contains suggestions and recommendations, based on a series of progress indicators of the Protocol of San Salvador, on how to better disaggregate data to obtain information that is essential to designing and implementing effective public policies to address the gaps identified. It also contains examples of best practices adopted by states in the region concerning the data collection and social inclusion of LGBTI persons.

Also speaking at the event, the United Nations Independent Expert on protection against violence and discrimination based on sexual orientation and gender identity, Victor Madrigal-Borloz, said: “States must adequately address the scourge of violence and discrimination based on SOGI through public policy, access to justice, law reform or administrative actions. In most contexts around the globe, however, policymakers are taking decisions in the dark, left only with personal preconceptions and prejudices. In my 2019 report to the UN General Assembly I urged States to collect data in an effort to understand root causes and deconstruct barriers created by criminalization, pathologization and demonization. Efforts to implement the Protocol of San Salvador throughout the Americas with a LGTBI cross-cutting perspective are essential building blocks in this endeavor.”…

The Guidebook is available here.

Featured Journal Content

Lancet Public Health
Feb 2020 Volume 5 Number 2 e71-e126
https://www.thelancet.com/journals/lanpub/issue/current
Editorial
Living in detention: a matter of health justice
The Lancet Public Health
About 11 million people are currently being held in custody across the globe and more than 30 million individuals pass through prisons each year, often for short but disruptive periods of time. According to the UN Global Study on Children Deprived of Liberty, 1·3 million children globally are deprived of liberty each year, with an estimated 410 000 living within the administration of justice. The health profile of the detained population is complex, often with co-occurring physical and mental health disorders, and a backdrop of social disadvantage. Detention can also expose people to new and increased health risks, yet the profiles of the population behind bars and their health needs have often been neglected. In this issue of The Lancet Public Health a series of reports look at detention through a public health lens.

Rohan Borschmann and colleagues review the health of adolescents in detention and report that they have poor health across a broad range of domains. Young people detained have a substantially higher prevalence of mental health disorders, suicidal behaviours, and self-harm than their peers, along with substance use disorders, neurodevelopment disabilities, and sexually transmitted infections. In a companion paper published in The Lancet Child and Adolescent Health, Nathan Hugues and colleagues examined the determinants of adolescent criminalisation. Neurodevelopmental disabilities, poor mental health, and childhood trauma and adversity can increase the risk of contact with the criminal justice system, and such risk is exacerbated by societal marginalisation and inequality. For Lauren Brinkley-Rubinstein and colleagues, the carceral contexts that young people are exposed to are most probably causing irrevocable harm to their health and wellbeing and, as such, the detention of children and adolescents should be used as a last resort.

While in detention, individuals are deprived of their freedom, not of their right to health. The WHO report on prison health in the European Region, stresses how much people involved in the criminal justice system disproportionately experience complex health issues, and continue to do so after release. Mortality among people released from prison exceeds that of those in the community, often due to preventable causes such as suicide, injury, and overdose.

Concerns have been raised about solitary confinement, which has been associated with post-traumatic stress disorders after release and with increased risk of reincarceration. In this issue, Christopher Wildeman and Lars Andersen look at the association between solitary confinement and mortality after release, and report that mortality among formerly incarcerated individuals who were placed in solitary confinement was much higher than for those not exposed, and almost 10 times that in the general population. These findings raise serious questions about how compatible solitary confinement is with the duty of care owed by prison authorities.

Angus Wallace, in his comment, sheds some light on the powerful lever that can be the European Court of Human Rights to improve the health of prison populations—mainly through Article 3 of the European Convention on Human Rights: the prohibition of torture and inhuman or degrading treatment or punishment.

Most people who are incarcerated will return to the community and so addressing their health needs can not only improve the wellbeing of the individual, but also impact that of their families and communities. For WHO “the health of people in prison is a critical part of broader public health.” Prison need not be a place where individuals’ health and wellbeing deteriorate. Time in detention can provide access to health services for people who often faced substantial barriers to accessing health care in the community, and deliver health promotion, health education, and disease prevention interventions.

Those with responsibility for governing societies must find a balance between keeping communities safe (by excluding those judged dangerous to community interests) and protecting the fundamental rights of everyone in society (including those who are incarcerated). Yet the evidence presented in this issue aligns with the conclusion of Arash Anoshiravani’s piece—namely, that addressing the health needs of young people involved with the justice system requires no less than a “reimagining of paediatric and adolescent primary care”. A radical transformation of attitudes and practices in favour of people living in detention is necessary, and public health institutions and practitioners represent a trusted frontline within which lie the origins of this urgent and necessary social change.

.

Scoping Review
The health of adolescents in detention: a global scoping review
Rohan Borschmann, et al
Summary
Adolescents detained within the criminal justice system are affected by complex health problems, health-risk behaviours, and high rates of premature death. We did a global synthesis of the evidence regarding the health of this population. We searched Embase, PsycINFO, Education Resources Information Center, PubMed, Web of Science, CINCH, Global Health, the Cochrane Database of Systematic Reviews, the Campbell Library, the National Criminal Justice Reference System Abstract Database, and Google Scholar for peer-reviewed journal articles, including reviews, that reported the prevalence of at least one health outcome (physical, mental, sexual, infectious, and neurocognitive) in adolescents (aged <20 years) in detention, and were published between Jan 1, 1980, and June 30, 2018. The reference lists of published review articles were scrutinised for additional relevant publications. Two reviewers independently screened titles and abstracts, and three reviewed full texts of relevant articles. The protocol for this Review was registered with PROSPERO (CRD42016041392). 245 articles (204 primary research articles and 41 reviews) were included, with most primary research (183 [90%]) done in high-income countries. A high lifetime prevalence of health problems, risks, and conditions was reported in detained adolescents, including mental disorders (0–95%), substance use disorders (22–96%), self-harm (12–65%), neurodevelopmental disabilities (2–47%), infectious diseases (0–34%), and sexual and reproductive conditions (pregnant by age 19 years 20–37%; abnormal cervical screening test result 16%). Various physical and mental health problems and health-risk behaviours are more common among adolescents in detention than among their peers who have not been detained. As the social and structural drivers of poor health overlap somewhat with factors associated with exposure to the criminal justice system, strategies to address these factors could help to reduce both rates of adolescent detention and adolescent health inequalities. Improving the detection of mental and physical disorders, providing appropriate interventions during detention, and optimising transitional health care after release from detention could improve the health outcomes of these vulnerable young people.

Featured Journal Content

PNAS – Proceedings of the National Academy of Sciences of the United States of America
http://www.pnas.org/content/early/
Inaugural Article
Veridical data science
Bin Yu and Karl Kumbier
PNAS first published February 13, 2020. https://doi.org/10.1073/pnas.1901326117
Significance
Predictability, computability, and stability (PCS) are three core principles of data science. They embed the scientific principles of prediction and replication in data-driven decision making while recognizing the central role of computation. Based on these principles, we propose the PCS framework, including workflow and documentation (in R Markdown or Jupyter Notebook). The PCS framework aims at responsible, reliable, reproducible, and transparent analysis across fields of science, social science, engineering, business, and government. It can be used as a recommendation system for scientific hypothesis generation and experimental design. In particular, we propose (basic) PCS inference for reliability measures on data results, extending statistical inference to a much broader scope as current data science practice entails.
Abstract
Building and expanding on principles of statistics, machine learning, and scientific inquiry, we propose the predictability, computability, and stability (PCS) framework for veridical data science. Our framework, composed of both a workflow and documentation, aims to provide responsible, reliable, reproducible, and transparent results across the data science life cycle. The PCS workflow uses predictability as a reality check and considers the importance of computation in data collection/storage and algorithm design. It augments predictability and computability with an overarching stability principle. Stability expands on statistical uncertainty considerations to assess how human judgment calls impact data results through data and model/algorithm perturbations. As part of the PCS workflow, we develop PCS inference procedures, namely PCS perturbation intervals and PCS hypothesis testing, to investigate the stability of data results relative to problem formulation, data cleaning, modeling decisions, and interpretations. We illustrate PCS inference through neuroscience and genomics projects of our own and others. Moreover, we demonstrate its favorable performance over existing methods in terms of receiver operating characteristic (ROC) curves in high-dimensional, sparse linear model simulations, including a wide range of misspecified models. Finally, we propose PCS documentation based on R Markdown or Jupyter Notebook, with publicly available, reproducible codes and narratives to back up human choices made throughout an analysis. The PCS workflow and documentation are demonstrated in a genomics case study available on Zenodo.

Featured Journal Content

Risk Analysis
Volume 40, Issue 2 Pages: 215-438 February 2020
https://onlinelibrary.wiley.com/toc/15396924/current
Original Research Articles
The Prioritization of Island Nations as Refuges from Extreme Pandemics
Matt Boyd, Nick Wilson
Pages: 227-239
First Published: 23 September 2019
Abstract
In this conceptual article with illustrative data, we suggest that it is useful to rank island nations as potential refuges for ensuring long‐term human survival in the face of catastrophic pandemics (or other relevant existential threats). Prioritization could identify the several island nations that are most suitable for targeting social and political preparations and further investment in resiliency. We outline a prioritization methodology and as an initial demonstration, we then provide example rankings by considering 20 sovereign island states (all with populations greater than 250,000 and no land borders). Results describe each nation in nine resilience‐relevant domains covering location, population, resources, and society according to published data.

EMERGENCIES

Editor’s Note:
While we have concentrated key reports below, COVID-19 announcements, analysis and commentary will be found throughout this issue, in all sections.

Coronavirus [COVID-19]
Public Health Emergency of International Concern (PHEIC)

Situation report – 25
Novel Coronavirus (COVID-19)
14 February 2020
[Excerpt]
SITUATION IN NUMBERS
Globally :: 49,053 laboratory-confirmed [2056 new]
China :: 48,548 laboratory-confirmed [1998 new]
:: 1,381 deaths [121 new]
Outside of China
:: 505 laboratory-confirmed [58 new]
:: 24 countries
:: 2 deaths [1 new]

WHO RISK ASSESSMENT
China – Very High
Regional Level – High
Global Level – High

HIGHLIGHTS
:: No new countries reported cases of 2019-nCoV in the past 24 hours.
:: The second death has been reported outside of China, in Japan. This individual did not have known travel history to China.
:: In China, health care workers account for 1716 confirmed cases of COVID-19 including six deaths.

STRATEGIC OBJECTIVES
WHO’s strategic objectives for this response are to:
:: Limit human-to-human transmission including reducing secondary infections among close contacts and health care workers, preventing transmission amplification events, and preventing further international spread from China*;
:: Identify, isolate and care for patients early, including providing optimized care for infected patients;
:: Identify and reduce transmission from the animal source;
:: Address crucial unknowns regarding clinical severity, extent of transmission and infection, treatment options, and accelerate the development of diagnostics, therapeutics and vaccines;
:: Communicate critical risk and event information to all communities and counter misinformation;
:: Minimize social and economic impact through multisectoral partnerships.

*This can be achieved through a combination of public health measures, such as rapid identification, diagnosis and management of the cases, identification and follow up of the contacts, infection prevention and control in health care settings, implementation of health measures for travelers, awareness-raising in the population and risk communication.

::::::

National Health Commission of the People’s Republic of China
http://en.nhc.gov.cn/
News
:: Daily briefing on novel coronavirus cases in China
Updated: 2020-02-15
…As of 24:00 on Feb 14, the National Health Commission had received 66,492 reports of confirmed cases and 1,523 deaths in 31 provincial-level regions on the Chinese mainland and the Xinjiang Production and Construction Corps, and in all 8,096 patients had been cured and discharged from hospital. There still remained 56,873 confirmed cases (including 11,053 in serious condition) and 8,969 suspected cases. So far, 513,183 people have been identified as having had close contact with infected patients. 169,039 are now under medical observation…

China pushes for differentiated measures to battle coronavirus
Updated: 2020-02-14 Xinhua
Epidemic prevention and control in Hubei Province, particularly in the capital city of Wuhan, remain the top priority, said Premier Li Keqiang.
BEIJING, Feb. 13 (Xinhua) — Chinese authorities on Feb 13 stressed differentiated measures for different regions to fight the novel coronavirus outbreak at a high-level meeting chaired by Premier Li Keqiang.
The leading group of the Communist Party of China (CPC) Central Committee on the prevention and control of the novel coronavirus outbreak also demanded efforts to improve patient treatment and expedite research on drugs.
Epidemic prevention and control in Hubei Province, particularly in the capital city of Wuhan, remain the top priority, said the leading group headed by Li, who is also a member of the Standing Committee of the Political Bureau of the CPC Central Committee.
While ordering Wuhan to speed up hospital admission and suspected case quarantine, the leading group instructed hard-hit cities in Hubei such as Xiaogan and Huanggang to carry out equally strict measures as in Wuhan in surveillance, quarantine and treatment.
The demand for more medics in Hubei and Wuhan should be fulfilled, and the departure channels of the city and the province need further control, according to the meeting.
Multiple steps such as spacing out return trips have prevented large-scale flows of people after the Spring Festival, said the meeting.
Each province is responsible for formulating differentiated epidemic prevention and control strategies based on their own conditions, according to the meeting.
No one-size-fits-all approach should be taken and unfair and extreme practices must be corrected without delay, said the meeting…

::::::

New York Times
http://www.nytimes.com/
Accessed 15 Feb 2020
China’s Leader, Under Fire, Says He Led Coronavirus Fight Early On
In pushing a new account of the country’s response, officials said President Xi Jinping was aware of the outbreak nearly two weeks before he first spoke publicly about it. It could draw him directly into questions about whether Chinese officials did too little, too late.
By Amy Qin
Feb. 15, 2020
Under fire for its response to the coronavirus epidemic, China’s authoritarian government appears to be pushing a new account of events that presents President Xi Jinping as taking early action to fight the outbreak that has convulsed the country.

But in doing so, the authorities have acknowledged for the first time that Mr. Xi was aware of the epidemic and involved in the response nearly two weeks before he first spoke publicly about it — and while officials at its epicenter in the city of Wuhan were still playing down its dangers.
That confirmation risks drawing the president, China’s most powerful leader in decades, directly into questions about whether top officials did too little, too late.

In an internal speech published on Saturday, Mr. Xi said he had “issued demands about the efforts to prevent and control” the coronavirus on Jan. 7, during a meeting of the Politburo Standing Committee, the highest council of the Communist Party, whose sessions are typically cloaked in secrecy.

In the speech, he also said he had authorized the unprecedented lockdown of Wuhan and other cities beginning on Jan. 23.

“I have at every moment monitored the spread of the epidemic and progress in efforts to curtail it, constantly issuing oral orders and also instructions,” Mr. Xi said of his more recent involvement…

::::::

WHO News release 12 February 2020
World experts and funders set priorities for COVID-19 research
Leading health experts from around the world have been meeting at the World Health Organization’s Geneva headquarters to assess the current level of knowledge about the new COVID-19 disease, identify gaps and work together to accelerate and fund priority research needed to help stop this outbreak and prepare for any future outbreaks.

The 2-day forum was convened in line with the WHO R&D Blueprint – a strategy for developing drugs and vaccines before epidemics, and accelerating research and development while they are occurring.

“This outbreak is a test of solidarity — political, financial and scientific. We need to come together to fight a common enemy that does not respect borders, ensure that we have the resources necessary to bring this outbreak to an end and bring our best science to the forefront to find shared answers to shared problems. Research is an integral part of the outbreak response,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus. “I appreciate the positive response of the research community to join us at short notice and come up with concrete plans and commitment to work together.”

The meeting, hosted in collaboration with GloPID-R (the Global Research Collaboration for Infectious Disease Preparedness) brought together major research funders and over 300 scientists and researchers from a large variety of disciplines. They discussed all aspects of the outbreak and ways to control it including:
:: the natural history of the virus, its transmission and diagnosis;
:: animal and environmental research on the origin of the virus, including management measures at the human-animal interface;
:: epidemiological studies;
:: clinical characterization and management of disease caused by the virus;
:: infection prevention and control, including best ways to protect health care workers;
:: research and development for candidate therapeutics and vaccines;
:: ethical considerations for research;
:: and integration of social sciences into the outbreak response.

“This meeting allowed us to identify the urgent priorities for research. As a group of funders we will continue to mobilize, coordinate and align our funding to enable the research needed to tackle this crisis and stop the outbreak, in partnership with WHO,” said Professor Yazdan Yazdanpanah, chair of GloPID-R. “Equitable access – making sure we share data and reach those most in need, in particular those in lower and middle-income countries, is fundamental to this work which must be guided by ethical considerations at all times.”

During the meeting, the more than 300 scientists and researchers participating both in person and virtually agreed on a set of global research priorities. They also outlined mechanisms for continuing scientific interactions and collaborations beyond the meeting which will be coordinated and facilitated by WHO. They worked with research funders to determine how necessary resources can be mobilized so that critical research can start immediately.

The deliberations will form the basis of a research and innovation roadmap charting all the research needed and this will be used by researchers and funders to accelerate the research response.

WHO News release 13 February 2020
Remarks by Dr Michael Ryan, Executive Director, WHO Health Emergencies Programme at media briefing on COVID-19 on 13 February 2020

::::::

Transcript for CDC Media Telebriefing: Update on COVID-19
Friday, February 14, 2020

FDA’s Actions in Response to 2019 Novel Coronavirus at Home and Abroad
Feb 14, 2020

::::::
::::::

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 8 February 2020 :: Number 304

This weekly digest is intended to aggregate and distill key content from a broad spectrum of practice domains and organization types including key agencies/IGOs, NGOs, governments, academic and research institutions, consortia and collaborations, foundations, and commercial organizations. We also monitor a spectrum of peer-reviewed journals and general media channels. The Sentinel’s geographic scope is global/regional but selected country-level content is included. We recognize that this spectrum/scope yields an indicative and not an exhaustive product. Comments and suggestions should be directed to:

David R. Curry
Editor
GE2P2 Global Foundation – Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

PDF: The Sentinel_ period ending 8 Feb 2020

Contents
:: Week in Review  [See selected posts just below]
:: Key Agency/IGO/Governments Watch – Selected Updates from 30+ entities   [see PDF]
:: INGO/Consortia/Joint Initiatives Watch – Media Releases, Major Initiatives, Research:: Foundation/Major Donor Watch -Selected Updates
:: Journal Watch – Key articles and abstracts from 100+ peer-reviewed journals  [see PDF]

Central Sahel

UN agencies raise alarm in the Central Sahel where millions face hunger amid rapidly escalating humanitarian crisis
Joint UNFAO, UNICEF and WFP press release
DAKAR, 3 February 2020 – The number of people facing a critical lack of food and vital livelihood opportunities in the Central Sahel has spiked in one year due to rising insecurity and climatic shocks. The situation may further deteriorate unless the international community acts now, three United Nations agencies warned today.

Despite an overall satisfactory agricultural production, 3.3 million people need immediate assistance in the Central Sahel, according to the latest Cadre Harmonisé food security analyses, the Food and Agriculture Organization of the United Nations (FAO), the United Nations Children’s Fund (UNICEF) and the United Nations World Food Programme (WFP) said. Experts forecast that close to 4.8 million people in the Central Sahel will be at risk of food insecurity during the lean season (June-August 2020) if no appropriate actions are taken urgently.

The unprecedented escalation of humanitarian needs in the Central Sahel is a major factor for the alarming situation that the overall West Africa region is facing in 2020, where the number of people at risk of food insecurity could rise up to a total 14.4 million, a level that has not been reached since 2012.

Of biggest concern are the Central Sahelian countries of Burkina Faso, Mali, and Niger, where conflict and its impacts on communities have become the main cause of food insecurity. The three countries are experiencing a rise in the number of security incidents, including attacks by armed groups and community conflicts that frequently lead to population movements.

In Burkina Faso in particular, the situation is alarming. The number of internally displaced people (IDPs) is now six times higher than it was in January 2019, going from 90,000 to 560,033 in December 2019. This shows how quickly and massively the situation deteriorated during in 2019.

“We are seeing a staggering rise in hunger in the central Sahel. The number of food-insecure people has doubled after harvest time when it should have dropped. Unless we act now, a whole generation are at risk,” said Chris Nikoi, Regional Director for WFP in West and Central Africa.

Climate change is disrupting already fragile livelihoods. There are already early departures of transhumance herds. This situation is exacerbated by armed and community conflicts, theft, and banditry, which disrupt the mobility of animal herds, access to fodder and water resources. It also leads to a concentration of animals in some more secure areas, with the risk of aggravating farmer-pastoralist conflicts.

Overall, the increasing vulnerability of rural populations, insecurity and conflict over resources, are disrupting social cohesion amongst communities, leading to a longer-term worsening of the crisis in the Sahel. Therefore, immediate assistance to respond to urgent needs must be coupled with substantial investments in rural livelihoods and social services, in order to reinforce social cohesion and provide the foundations for peace in the region.

“Unless we address these crises from their roots, millions of vulnerable pastoralists and agro-pastoralists will continue requiring urgent assistance each year, as it was in 2019 and as it will be in 2020,” said Robert Guei, FAO Sub-regional Coordinator for West Africa, adding that the Global Network against Food Crises provides framework for that support.

Thanks to collective efforts in providing essential preventive and curative services, the results of the 2019 national nutrition surveys in the Sahel do not show an immediate decline in children’s nutritional status. However, the situation remains fragile with rates of global acute malnutrition that are still above or close to the WHO “serious threshold” in Niger (10.9%), and Mali (9.4%). The situation is particularly worrying in northern Burkina Faso where widespread insecurity is significantly hindering the prevention and treatment of acute malnutrition among mothers and young children. Rapid nutrition assessments conducted in municipalities with high numbers of internally displaced people show a sharp deterioration of the nutritional status among children under five. More in-depth analysis involving both institutional and operational partners is ongoing to identify the most at-risk areas.

Household food insecurity, compounded by population displacement, limited access to health services and safe drinking water, as well as poor knowledge on optimal child feeding practices will have a serious impact on the nutritional status of young children, and on the capacities of communities to bounce back, if nothing is done now to protect the nutritional status of young children and prevent life-threatening acute malnutrition. Integrated approaches for the prevention and care of acute malnutrition must be implemented at scale immediately in the most affected areas.

“The conflict in the Central Sahel is a cascading crisis sweeping across the region, putting a whole generation of children at risk. Hundreds of thousands of children are deprived of education, vulnerable to exploitation and at risk of malnutrition. Children and young people continue to pay the highest price for a crisis not of their making. We need to act now with partners to avert a tragedy”, said Marie-Pierre Poirier, UNICEF Regional Director for West and Central Africa.

FGM

Unleashing Youth Power: A Decade of Accelerating Actions Towards Zero Female Genital Mutilation
Joint statement by UNFPA Executive Director Dr. Natalia Kanem, UNICEF Executive Director Henrietta Fore, UN Women Executive Director Phumzile Mlambo-Ngcuka and WHO Director-General Dr. Tedros Adhanom Ghebreyesus
NEW YORK, 6 February 2020 – “When Tabitha was growing up in rural Kenya, most of her 16-year-old peers were subjected to female genital mutilation – a human rights violation that more than 4 million girls worldwide are at risk of this year. Yet Tabitha remains unharmed, thanks to the unwavering support of her parents, who, in spite of enormous social pressure, saved their daughter from the same fate.

“On the International Day of Zero Tolerance for Female Genital Mutilation, we join with Tabitha and young people around the world who are standing up for their rights with urgency and energy. They are engaging their peers, families, communities and governments with a call to end this harmful act of gender-based violence once and for all, as promised by the international community in the 2030 Agenda for Sustainable Development.

“While significant progress in eliminating the practice has been made in the last 30 years, approximately 200 million girls and women alive today have had their genitals mutilated. This can lead to long-term physical, psychological and social consequences.

“Support for the practice is dwindling. Adolescent girls aged 15 to 19 in countries where female genital mutilation is prevalent are less supportive of continuing the practice than are women aged 45 to 49. And in many countries, young girls are at much lower risk of being subjected to female genital mutilation than their mothers and grandmothers were. However, rapid youth population growth in countries where female genital mutilation is prevalent could lead to a significant rise in the number of girls at risk by 2030.

“Today’s young people can play a critical role in ending the practice. Unleashing the power of youth means investing in youth-led movements to champion gender equality, an end to violence against women and girls and the elimination of harmful practices. This requires including young people as partners when designing and implementing national action plans, building relationships with youth-led organizations and networks that work to end female genital mutilation and recognize it as a form of violence against women and girls, empowering young people to lead community campaigns that challenge social norms and myths, and engaging men and boys as allies.

“But this is not a goal young people can achieve alone, nor can it be addressed in isolation from other forms of violence against women and girls or from gender inequality. It also requires strong political leadership and commitment.

“Last year, at the Nairobi Summit on ICPD25, governments, civil society, faith-based organizations and private companies recommitted to ending gender-based violence and harmful practices – such as female genital mutilation – in 10 years, the same timeframe for achieving the Sustainable Development Goals. In March, we mark 25 years since the Beijing Platform for Action, a global commitment to advance women’s rights across 12 critical areas, including the elimination of all harmful practices against girls and women. This year, we will announce the creation of a new Generation Equality to drive further investment and results for gender equality.

“Now is the time to invest, translating the political commitments already made into concrete action. Now is the time to do more and do it better and faster to end the practice once and for all. Now is the time to keep our promise to Tabitha and all girls of reaching zero female genital mutilation by 2030.”

.

UNICEF Press release
Approximately 1 in 4 survivors of female genital mutilation were cut by a health care provider
Increased prevalence in medicalized FGM obscures global progress on eliminating support for the practice. Twice as many women in high-prevalence countries want the practice to end compared to 20 years ago… Read the full analysis here
05/02/2020

::::::

6 February 2020
SG/SM/19960
Secretary-General Calls for Decade of Zero Female Genital Mutilation, Calling Practice ‘Extreme Violence against Girls’, in Observance Message

Disarmament – Light Weapons

Spread of 1 Billion Small Arms, Light Weapons Remains Major Threat Worldwide, High Representative for Disarmament Affairs Tells Security Council
5 February 2020 SC/14098
The widespread proliferation of approximately 1 billion small arms in circulation around the world — to terrorists, parties to intra-State conflict, organized criminals and warring gangs — continues to pose a major threat around the globe, the senior United Nations disarmament official told the Security Council today.

Izumi Nakamitsu, High Representative for Disarmament Affairs, said that small arms — such as rifles, pistols and light machine guns — contributed to some 200,000 deaths in every year from 2010 to 2015, and continue to represent a challenge that cuts across peace and security, human rights, gender, sustainable development and beyond.

Presenting the Secretary-General’s biennial report on small arms and light weapons (document S/2019/1011), she said that their use, whether in conflict or non-conflict settings, is prevalent from the Americas to Africa to Southern Europe. Indeed, no State is immune to the challenges posed by illicit weapons flows, she stressed, pointing that small arms continue to facilitate a vast spectrum of actions constituting violations human rights, including the killing and maiming of children, rape and other forms of sexual and gender-based violence. Noting that the Secretary-General has recognized the relationship between high levels of armed violence and challenges to the realization of sustainable development, she nevertheless emphasized that the gender dimension has not been sufficiently integrated into policies regulating small arms and light weapons.

Damien Spleeters, Deputy Director of Operations for the investigative organization Conflict Armament Research, also briefed the Council, providing a snapshot of the technical challenges on the ground. A widespread lack of detailed reporting has hampered international efforts to control the illicit flow of small arms, he noted, likening the situation to attempting to control the spread of an infectious disease without understanding its origins or transmission vectors. Some of the most common challenges identified by his organization include governmental failure to secure weapons against theft and looting, the falsifying of export-control documents and the deliberate supply, by States, of weapons to rebel, insurgent and terrorist forces…

Featured Journal Content

The Lancet
Feb 08, 2020 Volume 395Number 10222p389-466, e19-e27
https://www.thelancet.com/journals/lancet/issue/current
Editorial
Safeguarding the health and livelihoods of migrants
The Lancet
On Jan 9, 2020, the National Assembly of El Salvador passed an important new law to protect the health and safeguard the rights of internally displaced people in the country. Since 2006, more than 70,000 people in El Salvador have been displaced internally by organised crime and violence. Drafted with input from the UN High Commissioner for Refugees and following the UN Guiding Principles on Internal Displacement, this legislation lays out a broad set of rights and standards for internally displaced migrants, including access to humanitarian assistance, protection of families, an adequate standard of living, and mechanisms to maintain claims on property that individuals might have been forced to abandon. Honduras is considering similar legislation.

Migration is a global reality. But when irregular or forced, migration and displacement can be dangerous. Although the journey is safe for most migrants, up to 71 million people worldwide are forcibly displaced because of conflict, climate change, or economic necessity. Nearly 800 migrants died in the Americas in 2019, most trying to cross the border between Mexico and the USA. Laws like the one in El Salvador will provide stability and relieve internal pressures that force displaced families to attempt potentially fraught transnational journeys that might expose them to traffickers, natural disasters, and anti-migrant policies. Implementation and enforcement of the law will be crucial to safeguard migrants’ rights to mobility and health.

On Feb 5, the Lancet Migration was launched. This new global collaboration between The Lancet, researchers, implementers, and others in the field aims to advance the health of migrants, building on the recommendations and ambitions of the UCL–Lancet Commission on Migration and Health. Lancet Migration will focus on multidisciplinary research, dissemination, and advocacy to improve the health and wellbeing of migrants around the world. Laws like the one passed in El Salvador are important steps in recognising that migration should not strip people of their rights, and the need to ensure the health of everyone, displaced or not.

Poverty – Rural Development

IFAD President calls on Member States to increase investment in rural development to eradicate extreme poverty and hunger
Rome, 11 February 2020 – Gilbert F. Houngbo, President of the International Fund for Agricultural Development (IFAD), will today call on its 177 Member States to help the Fund reach its goal of doubling its impact on the lives of the world’s most marginalized people by 2030 – with a proposed US$30 billion programme of work over the next 10 years.

“With extreme weather, conflict, fragility and migration threatening our food systems, we need to invest more in the rural people who grow our food,” said Houngbo. “We have just 10 years to reach our global targets of eradicating extreme poverty and hunger. That means stepping up our investments where poverty and hunger is concentrated – in rural areas.”

The call for increased investments will be made at the launch of IFAD’s 12th replenishment – a year-long consultative process during which IFAD’s Member States come together to agree strategic directions and mobilize funds for IFAD to provide as concessional loans and grants to developing countries.

With increased support from Member States, IFAD aims to raise the production of more than 200 million small-scale producers, improve the resilience of more than 100 million rural people, and increase the incomes of about 260 million rural women and men by at least 20 per cent by 2030.

The evidence is increasingly clear that the road to achieving the Sustainable Development Goals (SDGs) runs through rural areas, where 80 per cent of the world’s poorest people live. Investing in agriculture and rural development is the most direct means of increasing their incomes and food security. Studies show that economic growth in agriculture is two to three times more effective at reducing poverty than growth in any other sector.

“With more than 40 years’ experience on the ground, we know the last mile can be the hardest,” said Houngbo. “We can still deliver on the SDGs and eradicate extreme poverty and hunger – but not if we continue on our current trajectory. We need more funding, new partnerships and financial instruments, and more inclusive approaches.”

As the only multilateral institution exclusively focused on rural areas, IFAD works in remote places where few other development projects reach. Over the next decade, IFAD will use its unique focus and expertise in designing and rolling-out rural investment projects targeting the world’s most vulnerable groups, including rural women, youth and indigenous peoples.

To dramatically step-up its impact and capacity to assist the countries most in need, IFAD is developing a new financial model that enables more resources to be channeled to the poorest countries and the poorest people. This will ensure that IFAD can continue to offer a strong return on investment for its donors, and multiply the impact of their contributions.

The Adaptation for Smallholder Agriculture Programme (ASAP), IFAD’s flagship programme for channeling climate and environmental finance to smallholder farmers, will expand to provide more funding to lower-income countries, especially those with high levels of malnutrition, and to fragile situations where climate adaptation investment is lacking. It will focus more on the interlinkages between climate change and its impact on women, young people and nutrition.

In addition, the new Private Sector Financing Programme will aim to bring private sector investment and know-how to bear on the development of rural small and medium-sized enterprises and farmers’ organizations.

IFAD also acts as an assembler of finance and is valued as an honest broker, including by rural people and their organizations. By working with governments, civil society, the private sector, and other partners, IFAD increases investments that are transforming rural areas economically and socially.
IFAD will continue to invest at community level in small and medium enterprises, small-scale producers, and in the rural non-farm economy, simultaneously expanding its work on climate change adaptation, environmental protection, gender and youth empowerment, and improved nutrition.

Reproductive Health and Protection Services

UNFPA launches humanitarian aid appeal to urgently reach 48 million women and youth
UNITED NATIONS, New York – 6 February 2020
UNFPA, the United Nations sexual and reproductive health agency, today appealed to the international community for $683 million to urgently provide life-saving reproductive health and protection services to 48 million women, girls and young people, including 4 million pregnant women, in 57 countries affected by conflict or natural disasters in 2020.

The appeal, also known as UNFPA’s Humanitarian Action Overview, describes how women and girls face unique challenges during humanitarian disasters, from being more likely to die from complications of pregnancy and childbirth to an increased risk of gender-based violence. Globally, more than half of all maternal deaths take place in countries affected by humanitarian crisis and fragility. The humanitarian assistance received following this appeal will provide life-saving sexual and reproductive health services, combat gender-based violence and extend mental health and psychosocial support in emergencies.

“Women and girls pay a high price in conflicts that they had no role in creating. It is time to prioritize their rights, safety and dignity in humanitarian action. During crises and conflict, violence against women and girls is staggering. And women do not stop getting pregnant and having babies when crisis strikes — we must provide them with the services and the support they need,” said Dr. Natalia Kanem, UNFPA Executive Director.

In 2020, the world will face enormous humanitarian challenges: one out of every 45 people will be affected by a crisis. Right now more than 168 million people need humanitarian assistance worldwide.
UNFPA is currently assisting millions of women and girls affected by emergencies: from Bangladesh, Venezuela and Yemen to the Democratic Republic of the Congo, South Sudan and 52 other countries affected by natural disaster, war or conflict…

Heritage Stewardship – Values

Values in Heritage Management: Emerging Approaches and Research Directions
Edited by Erica Avrami, Susan Macdonald, Randall Mason, and David Myers
Book. Getty Conservation Institute (GCI). 2019 [J. Paul Getty Trust]
Abstract
Over the last fifty years, conservation professionals have confronted increasingly complex political, economic, and cultural dynamics. This volume, with contributions by leading international practitioners and scholars, reviews how values-based methods have come to influence conservation, takes stock of emerging approaches to values in heritage practice and policy, identifies common challenges and related spheres of knowledge, and proposes specific areas in which the development of new approaches and future research may help advance the field.
This open-access catalogue is also available for free online and in multiple formats for download, including PDF, MOBI/Kindle, and EPUB.

EMERGENCIES

Coronavirus [2019-nCoV]
Public Health Emergency of International Concern (PHEIC)

Situation report – 18
Novel Coronavirus (2019-nCoV)
7 February 2020
[Excerpt]
SITUATION IN NUMBERS
Globally :: 31,481 confirmed [3205 new]
China :: 31,211 confirmed
:: 4821 sever [962 new]
:: 637 deaths [73 new]
Outside of China
:: 270 confirmed [54 new]
:: 24 countries

WHO RISK ASSESSMENT
China – Very High
Regional Level – High
Global Level – High

HIGHLIGHTS
:: No new countries reported cases of 2019-nCoV in the past 24 hours.
:: To date, a total of 72 States Parties were identified to be implementing travel restrictions through official reports, official statements and the media. Of these 72 States Parties, WHO received 23 (32%) official reports from States Parties about their travel restrictions.
:: “The Pandemic Supply Chain Network (PSCN)” has commissioned a market assessment of the personal protective equipment market which will be distributed shortly to stakeholders of the PSCN as it continues to monitor the market. Additionally, senior management of WHO spoke with the stakeholders of the PSCN to ensure the private sector’s continued engagement to distribute supplies to those countries in most need. The PSCN will encourage manufacturers to increase production, commit supplies to frontline health emergency responders, and expand the number of stakeholders who are involved in the PSCN to gain a critical mass of suppliers to mitigate the operational risks within the market. WHO will continue to provide the technical guidance and coordination of supplies to those countries in most need.

::::::

WHO to accelerate research and innovation for new coronavirus
News release 6 February 2020
WHO is convening a global research and innovation forum to mobilize international action in response to the new coronavirus (2019-nCoV).
“Harnessing the power of science is critical for bringing this outbreak under control,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus. “There are questions we need answers to, and tools we need developed as quickly as possible. WHO is playing an important coordinating role by bringing the scientific community together to identify research priorities and accelerate progress.”
The forum, to be held 11-12 February in Geneva, is organized in collaboration with the Global Research Collaboration for Infectious Disease Preparedness.
The forum will bring together key players including leading scientists as well as public health agencies, ministries of health and research funders pursuing 2019-nCoV critical animal health and public health research and the development of vaccines, therapeutics and diagnostics, among other innovations…

::::::

US$675 million needed for new coronavirus preparedness and response global plan
News release 5 February 2020
To fight further spread of the new coronavirus (2019-nCoV) outbreak in China and globally, and protect states with weaker health systems, the international community has launched a US$675 million preparedness and response plan covering the months of February through to April 2020.
“My biggest worry is that there are countries today who do not have the systems in place to detect people who have contracted with the virus, even if it were to emerge,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “Urgent support is needed to bolster weak health systems to detect, diagnose and care for people with the virus, to prevent further human to human transmission and protect health workers.”
The Strategic Preparedness and Response Plan (SPRP) for the new coronavirus lays out activities and resources needed by international health organizations globally, including WHO, to implement priority public health measures in support of countries to prepare and respond to nCoV-2019 for a period February-April 2020. The objectives of the plan are to  limit human-to-human transmission of the virus, particularly in countries most vulnerable if they were to face an outbreak; identify, isolate and care for patients early; communicate critical risk and event information; minimize social and economic impact; reduce virus spread from animal sources; and address crucial unknowns.
The plan focuses on:
:: Rapidly establishing international coordination and operational support;
:: Scaling up country readiness and response operations;
:: Accelerating priority research and innovation…
The Strategic Preparedness and Response Plan (SPRP) for the 2019 novel coronavirus

::::::

Bill & Melinda Gates Foundation Dedicates Additional Funding to the Novel Coronavirus Response
The foundation will provide up to $100 million to improve detection, isolation and treatment efforts; protect at-risk populations in Africa and South Asia; and accelerate the development of vaccines, drugs and diagnostics.
SEATTLE, February 5, 2020 – The Bill & Melinda Gates Foundation today announced that it will immediately commit up to $100 million for the global response to the 2019 novel coronavirus (2019-nCoV). The funding will help strengthen detection, isolation and treatment efforts; protect at-risk populations; and develop vaccines, treatments and diagnostics. The new funding is inclusive of $10 million the foundation committed to the outbreak in late January.

“Multilateral organizations, national governments, the private sector and philanthropies must work together to slow the pace of the outbreak, help countries protect their most vulnerable citizens and accelerate the development of the tools to bring this epidemic under control,” said Gates Foundation CEO Mark Suzman. “Our hope is that these resources will help catalyze a rapid and effective international response. This response should be guided by science, not fear, and it should build on the steps that the World Health Organization has taken to date.”

::::::
::::::

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

Ebola Outbreak in DRC 78: 04 February 2020
[Excerpts]
Vaccines
:: From 8 August 2018 to 2 February 2020, 283,117 people were vaccinated with the rVSV-ZEBOV-GP Ebola vaccine.
:: Vaccination with the Ad26.ZEBOV/MVA-BN-Filo vaccine continued in two health areas near Goma, with 9715 people vaccinated since its introduction on 14 November 2019, as of 31 January 2020.
Conclusion
New confirmed EVD cases continue to be reported in Beni and Mabalako Health Zones in North Kivu Province. Sustained and secure access to affected areas and heightened vigilance is required to continue essential response activites in order to refer and to test alert cases as soon as possible, treat confirmed cases early and to tackle further transmission of the disease in the community and in healthcare facilities.

::::::
::::::

POLIO
Public Health Emergency of International Concern (PHEIC)
http://polioeradication.org/polio-today/polio-now/this-week/

Polio this week as of 05 February 2020
:: The WHO Executive Board is currently holding its 146th session at the WHO headquarters in Geneva. Among many others, polio is one of the topics of discussion, take a look at the report by the Director-General on polio eradication.
:: cVDPV2 confirmed in Kinshasa: a number of new cVDPV2s cases have been confirmed in DR Congo which may have significant implications on the current outbreak response activities. While none of the newly-confirmed cases are new emergences, the virus has now been detected in the mega-city of Kinshasa which is the first case in the city.

Summary of new viruses this week (AFP cases and ES positives):
:: Pakistan: eight WPV1 cases
:: Democratic Republic of the Congo (DR Congo): five cVDPV2 cases
:: Somalia: one cVDPV2 positive environmental samples
:: Angola: eight cVDPV2 cases
:: Burkina Faso: one cVDPV2 case

::::::
::::::

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 8 Feb 2020]

Democratic Republic of the Congo
:: Ebola Outbreak in DRC 78: 04 February 2020

South Sudan
:: South Sudan launches a nationwide campaign to protect 2.5 million children against measles
Juba, 4 February 2020

Syrian Arab Republic
:: Northwest Syria: WHO raises alarm as more than 50 health facilities are forced to cease operations amid mass displacement and hostilities 3 February 2020

Yemen
:: Joint statement by UN Special Envoy for Yemen, UN Humanitarian Coordinator for Yemen and World Health Organization in Yemen on UN medical air bridge flights
3 February 2020, Sana’a/Amman — The UN Special Envoy for Yemen, Martin Griffiths, the UN Humanitarian Coordinator for Yemen, Lise Grande and the World Health Organization Representative for Yemen, Altaf Musani, welcomed today the launch of the medical air bridge operation that brought the first group of Yemeni patients in need of specialized medical assistance from Yemen to Jordan.
Today was the maiden voyage of the medical air bridge operation that brought a number of patients out of an initial group of 30 along with their respective travel companions from Sanaa to Amman. The remaining of the first group of 30 patients will travel in a second flight while more patients will follow on subsequent flights. The World Health Organization in collaboration with the local public health and population authorities coordinated these flights. The medical air bridge flights come as part of the United Nations’ ongoing humanitarian assistance in Yemen including providing support to the health care system.
The United Nations is grateful to the host countries, Egypt and Jordan, but also to Saudi Arabia, for their efforts in this humanitarian measure. The collaboration and commitment of both the Government of Yemen and Sana’a authorities made the operation possible.
Many United Nations entities and several governments in the Region and around the world have collaborated to get these patients the treatment they need abroad, and we are grateful to them all. The United Nations will do what it can to ensure the continuation of the medical air bridge as a temporary solution to reduce the suffering of the Yemeni people until a more sustainable solution is reached in the near future.

Mozambique floods – No new digest announcements identified
Nigeria – No new digest announcements identified
Somalia – No new digest announcements identified

::::::

WHO Grade 2 Emergencies [to 8 Feb 2020]
Iraq
:: Improving access to specialized health services for people with physical disability in Iraq
26 January 2020

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

::::::

WHO Grade 1 Emergencies [to 8 Feb 2020]

Kenya
:: Surviving cervical cancer then taking on a new battle 03 February 2020

Chad – No new digest announcements identified
Djibouti – No new digest announcements identified
Namibia – viral hepatitis – No new digest announcements identified
Tanzania – No new digest announcements identified

::::::
::::::

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
:: Recent Developments in Northwest Syria – Flash Update – As of 6 February 2020

Yemen – No new digest announcements identified

::::::

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 –
– No new digest announcements identified

EBOLA OUTBREAK IN THE DRC
– No new digest announcements identified

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 1 February 2020 :: Number 304

This weekly digest is intended to aggregate and distill key content from a broad spectrum of practice domains and organization types including key agencies/IGOs, NGOs, governments, academic and research institutions, consortia and collaborations, foundations, and commercial organizations. We also monitor a spectrum of peer-reviewed journals and general media channels. The Sentinel’s geographic scope is global/regional but selected country-level content is included. We recognize that this spectrum/scope yields an indicative and not an exhaustive product. Comments and suggestions should be directed to:

David R. Curry
Editor
GE2P2 Global Foundation – Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

PDF: The Sentinel_ period ending 1 Feb 2020

Contents
:: Week in Review  [See selected posts just below]
:: Key Agency/IGO/Governments Watch – Selected Updates from 30+ entities   [see PDF]
:: INGO/Consortia/Joint Initiatives Watch – Media Releases, Major Initiatives, Research:: Foundation/Major Donor Watch -Selected Updates
:: Journal Watch – Key articles and abstracts from 100+ peer-reviewed journals  [see PDF]

Auschwitz – ICC

Reflections of the President of the ICC, Judge Chile Eboe-Osuji, on the 75th Anniversary of Auschwitz Liberation: ‘Never Again’ Must Not Be a Meaningless Mantra
Statement 26 January 2020
… Today, 27 January 2020, the world marks the 75th anniversary of the liberation of Auschwitz. It is right that world leaders should gather together as they did last Thursday to mark the anniversary. And we must all reflect.

A guiding ethos of the world order following World War II – that was coeval with the Holocaust – was engraved in the commitment of ‘never again’. Yes, it bears repeating that the Holocaust remains the paradigm testament of the human capacity for evil. As a global undertaking, however, ‘never again’ was meant to stand against human atrocities of even lesser scale – so that humanity is never again to endure atrocity on the scale of the Holocaust. But, did ‘never again’ really mean anything? Or was it merely a self-serving salve to the world’s apathy and gutlessness that appeased and pleased a regime that hijacked the genius and might of one of the most powerful nations on earth, to commit a brand of evil that debased us all? It may be significant that in the decades following the liberation of Auschwitz, the world witnessed other atrocities – in the forms of war crimes, crimes against humanity and, yes, genocide.

It was to take events like the genocide against Rwandan Tutsis, and crimes against humanity committed in the former Yugoslavia, for the world finally to take firm action that gives concrete instrument to the ‘never again’ undertaking. That was the creation of the International Criminal Court.

As an actionable undertaking, ‘never again’ is a defiant pledge indeed. It communicates a promise of arduous struggle against an opposing foe — evil. It is in that light that the political attacks deployed against the ICC — since it commenced its work in 2002 — oddly make some sense. The ICC must be allowed to do its work undistracted by attacks directed against it in obvious strategy to intimidate. But it may well be wishful thinking to hope for an end to political attacks against the Court: as there is no readily available strategy to stop such attacks, short of those occasions when a particular attack crosses the line into the territory of a distinct offence prosecutable under article 70 of the Rome Statute.

We are thus left to recognise the significance of these political attacks. It is in the nature of the ICC’s mandate to attract resistance – and the resistance shows that the court is making a difference. It shows that the court cannot be ignored by those whose preference is to leave innocent victims at the mercy of heinous crimes.

Yes, it is in the very mandate of the Court to get in the way of atrocities — to stand against them. And, yes, it is better for the Court to draw the ire of potential forces of violations — and of those who see an interest in condoning such violations — than that their hellfire is allowed to rain unobstructed upon defenceless, innocent victims. Thus, comfort may be taken in the realisation that the political attacks against the ICC are a veritable signal that the Court is doing its work as it should – precisely by engaging in the very struggle that is inherent in the vow of ‘never again’.

The vow requires the world to stand hard and resolute against the danger of anti-Semitism and all other kinds of racism and religious bigotry — which always carry in their logic the associated risk of atrocity crimes motivated by them. The ICC is a newfound global instrument through which the world can take that stand.

From the perspective of the ICC the vow of ‘never again’ is a shared responsibility regarding which the ICC stands ready to play its part. That part requires the ICC to put itself between the victims and the atrocities that the world had in mind when creating the ICC — even if this means brooking political attacks against the Court itself.

And, for its part, the world must continue to support and nurture – in the most robust way – that institution of accountability that it established as a monument to the actionable vow that the world should ‘never again’ allow our shared humanity to endure a genocide, crimes against humanity, war crimes and the crime of aggression – without effective objection.