Syria

20 December 2019
SC/14066
Security Council Rejects 2 Draft Resolutions Authorizing Cross-Border, Cross-Line Humanitarian Access in Syria
The Security Council today failed to adopt two draft resolutions on extending the authorization for the mechanism that allows cross border delivery of humanitarian aid in Syria today — one tabled by Belgium, Germany and Kuwait; the other by the Russian Federation.

The draft proposed by co sponsors Belgium, Germany and Kuwait was rejected by a vote of 13 in favour and 2 against (China, Russian Federation). By its terms, the Council would have decided to renew the mechanism created by resolution 2165 (2014), excluding the border crossing of Al Ramtha, for a further six month period, to be followed by an additional six months unless the Council decided otherwise.

That draft would have demanded that all parties allow safe, unimpeded and sustained access for humanitarian convoys, including medical and surgical supplies, to all requested areas and populations, according to the United Nations’ assessment of need in all parts of Syria. It would have called on United Nations humanitarian agencies to improve monitoring of the distribution of relief consignments and their delivery inside Syria. It also would have requested the Secretary General to conduct an independent written review of United Nations humanitarian cross-line and cross-border operations, including recommendations on the need to reauthorize use of the Al Ramtha border crossing.

The draft proposed the Russian Federation was likewise defeated by 5 votes in favour (China, Côte d’Ivoire, Equatorial Guinea, Russian Federation, South Africa), to 6 opposed (Dominican Republic, France, Peru, Poland, United Kingdom, United States), with 4 abstentions (Belgium, Germany, Indonesia, Kuwait).

By its terms, the Council would have decided to renew the decisions in paragraphs 2 and 3 of Security Council resolution 2165 (2014), excluding border crossings at Al Yarubiyah and Al-Ramtha until 10 July 2020. It would have also called on all United Nations humanitarian agencies and their implementing partners to ensure appropriate identification for vehicles delivering assistance through cross border operations authorized by the resolution…

Rohingya

Myanmar :: Bi‐weekly Situation Report 24 – 5 December 2019
HIGHLIGHTS
:: A total of 1,270,70 doses of oral cholera vaccine (OCV) was approved for the OCV campaign, targeting around 635,000 individuals, which will take place from 8 to 14 December in the Rohingya camps and 8 to 31 December in the host communities.
:: Since 5 September 2019, a total of 213 cases of Acute Watery Diarrhea (AWD) have tested positive by cholera Rapid Diagnostic Tests (RDTs), or culture.
:: An assessment undertaken for the operational risks associated with Fecal Sludge management (FSM) and water sources has concluded that, urgent actions are required to improve the water safety situation in these camps.

SITUATION OVERVIEW
As per Inter-Sector Coordination Group (ISCG) report of September 2019, there are 914,998 Rohingya refugees in Cox’s Bazar. This includes 34,172 refugees from Myanmar who registered before 31st August 2017. All refugees, including new arrivals, face compounding vulnerabilities, including in health. WHO has been responding to this crisis since September 2017…

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The Lancet
Dec 21, 2019 Volume 394 Number 10216 p2201-2284
https://www.thelancet.com/journals/lancet/issue/current
Editorial
The Rohingya people: past, present, and future
The Lancet
Aung San Suu Kyi’s fall from grace is complete. Last week she gave an inhumane defence of Myanmar, a nation being tried for genocide, in a hearing at the International Court of Justice. But while events in The Hague monopolise the world’s attention, the appalling situation for the Rohingya refugees in Bangladesh is being neglected.

The Rohingya people have long been disenfranchised, including with respect to health, but since a mass flight from killing, rape, and arson in 2017, almost 1 million now live in refugee camps in Cox’s Bazar. Sanitation is poor, food is scarce, and shelters are basic and overcrowded. Humanitarian agencies have brought some stability, but the health situation is precarious.

The risk of infectious disease outbreaks is high: measles and diphtheria have already struck. And now a huge cholera vaccination campaign, with 635 000 doses, has begun after a series of cases of acute watery diarrhoea, some positive for cholera. Sexual abuse and intimate partner violence have been widely reported. The trauma of sexual violence and displacement from Myanmar, combined with a lack of prospects and unemployment in Bangladesh, is harming mental health, ranging from anxiety to depression to suicidal thoughts; 80 000 children are estimated to have severe mental distress. Fewer than half of births take place in health facilities. Only 46% of health centres have insulin. Disability care, eye care, oral care, and the care of older people are severely lacking. To describe the humanitarian situation in Cox’s Bazar is to list shortcomings in practically every facet of health.

Efforts at repatriation have failed, naturally, without major change in Myanmar and guarantees of safety. The Bangladeshi Government has blocked communications and intends to build a barbed wire fence around the area, as tensions with the local population grow. Plans to give the Rohingya a more permanent home elsewhere in Bangladesh have been mooted. Meanwhile, a new generation is being born in the camps of Cox’s Bazar, a generation whose health and prospects are in jeopardy. Their future is uncertain. For the present, the very least we can give them is our attention.

Waves of protests around the world are reminder that voices of children and adolescents must be heard and their rights protected
Statement by UNICEF Executive Director Henrietta Fore
NEW YORK, 18 December 2019 – “Children and young people from around the world have taken to the streets in recent months to demand their rights.

“Although every context is unique, from the Middle East to Latin America to the Caribbean, and in Europe, Africa and Asia, young people are calling for action on the climate crisis, for an end to corruption and inequality, for better education and employment opportunities – and for a fairer world for everyone, everywhere.

“It is therefore a heartbreaking irony that, in standing up for their fundamental rights, many children and adolescents are simultaneously having their rights taken away.

“Many of these protests have left young protesters behind bars, injured and at times killed. Schools have been shuttered and public services interrupted.

“Children’s rights to peaceful assembly and freedom of expression, including in peaceful protest, are enshrined in the Convention on the Rights of the Child, the most widely ratified human rights treaty in the world. It is incumbent on Member States to ensure that children can exercise this right in a safe and peaceful manner.

“All actors must refrain from violence, and fundamental guarantees for the protection of children must remain applicable everywhere, at all times, including where there is civil unrest or armed conflict.

“My plea is to please protect children from violence and respect their right to speak up and be heard. Give them opportunities to meaningfully voice their concerns and participate in matters that affect their futures. Listen to them and respond in a principled, constructive and supportive way.”

Refugees – Multilateral Development Banks (MDBs)

Global Refugee Forum – Joint Commitments by the MDB Coordination Platform on Economic Migration and Forced Displacement
On the occasion of the Global Refugee Forum on 17-18 December 2019 in Geneva (Switzerland), we, a group of Multilateral Development Banks (MDBs) including the African Development Bank, Asian Development Bank, European Bank for Reconstruction and Development, European Investment Bank, Inter-American Development Bank, Islamic Development Bank and the World Bank Group, affirm our commitment to work in support of the operationalization of the Global Compact on Refugees by the UNHCR, United Nations Member States, and other relevant stakeholders.

We acknowledge the Global Compact on Refugees as a key enabler and accelerator towards the achievement of the Sustainable Development Goals, and the importance of the protection mandate of UNHCR.

We recognize the imperative for MDBs to scale up financing for programs and projects that benefit the forcibly displaced and host communities alike.

In line with our different mandates and countries of operation, we wish to highlight MDBs’ ongoing support to countries of origin, transit areas, host communities, and refugees and migrants in refugee-like situations, through targeted financing and policy instruments.

In this context, we work together through a dedicated MDB Coordination Platform on Economic Migration and Forced Displacement, which seeks to foster strategic alignment among MDBs, strengthen operational coordination and knowledge sharing to leverage our synergies and complementarities.

We also work with strategic partners, including UNHCR, on issues of common interest. This includes data monitoring and sharing where possible, as well as across a number of the focus areas identified as critical by the 2019 Global Refugee Forum.

On the occasion of the Forum, we take the opportunity to commit to expanding and deepening cooperation amongst each other, and with member countries, and relevant specialized organizations, notably the UNHCR, as well as civil society and the private sector, to maximize our collective development impact.

In this context, MDBs reaffirm their commitment to:
:: Step up their work together and individually through a range of financing and policy instruments in accordance with each organization’s investment and financing criteria and requirements.

:: Coordinate with each other and with core stakeholders on key issues on the ground in order to build on existing initiatives, better enable shorter lead times, and deliver better outcomes for host communities and vulnerable populations.

:: In large-scale and rapidly evolving contexts, provide rapid financing through dedicated financial instruments or sources that can help alleviate the strain on public services in host countries, and support livelihoods, inclusiveness and resilience for all. Examples of these financing instruments and sources include AfDB’s Transition Support Facility, the AsDB’s Emergency Assistance Loan Instrument, the EBRD’s Refugee Response Plan, the EIB’s Economic Resilience Initiative, IDB’s Grant Facility to support countries with large and sudden intraregional migration inflows, IsDB through matching funds mechanisms and other channels, the World Bank IDA18 Sub-window for Refugees and Host Communities and the World Bank-administered Global Concessional Financing Facility, among others.

:: Promote and support the essential contribution of the private sector – inter alia through MDBs playing a facilitating role – in enhancing private sector participation in sustainable skills development and employment opportunities, SME and entrepreneurship support, as well as economic and social infrastructure and provision of essential services for host communities and target groups, including women and youth.

As part of these commitments, MDBs will follow principles of good practice that recognize the specific needs of vulnerable populations:
:: Tailor interventions to the specific country situations and regional dimensions in which MDBs are working.
:: Leverage and adapt existing programming and expertise to enable shorter lead times in deploying effective responses.
:: Align with good international practice, including on refugee protection, when developing programming that supports access to essential services and decent employment.
:: Foster inclusive approaches that benefit both host communities and target groups alike, with particular emphasis on interventions that strengthen resilience and social cohesion.
:: Consider the capacity and capabilities of partners at the regional, national and local level, and, where needed, provide targeted technical assistance to boost capacity.
:: Refine and strengthen incentives for private sector participation, including through risk mitigation, blended instruments and political risk insurance.
:: Measure and share information where possible on the impact of interventions to scale up and replicate the most effective programs in other areas of need, while ensuring that further interventions remain responsive to the new circumstances.
:: Continuously review and strengthen MDB staff expertise and capacity to ensure that programming appropriately considers the specific needs of host communities and vulnerable populations.

To support the above work, the MDB Coordination Platform on Economic Migration and Forced Displacement is working towards establishing streamlined mechanisms to facilitate cross-MDB knowledge sharing and operational exchanges including via an online community of practice, a series of papers on good practices, and focused workshops.

We look forward to taking stock of progress and sharing lessons learned at the next gathering of all stakeholders devoted to bringing the Global Compact on Refugees to life.

Development – Inequality

G7 Paris Summit
Reducing inequalities for sustainable development
Paris Joint Statement of the French Minister of Labour, the Managing Director of the International Monetary Fund (IMF), the Director-General of the International Labour Organization (ILO), and the Secretary General of the Organisation for Economic Cooperation and Development (OECD).

Statement | Paris, France | 19 December 2019
Throughout the world, increased inequalities within countries pose risks to inclusive growth, economic stability and social cohesion, both in advanced economies and in developing countries. In the absence of strong and effective policy responses to citizens’ call for social justice and shared prosperity, high inequalities contribute to the erosion of trust in democratic institutions and may ultimately challenge the foundation of our rules-based international cooperation system.

At a time of weak growth, the world of work is also undergoing profound and rapid global changes, driven by technological innovations, demographic shifts as well as environmental and climate change. These are defining global challenges requiring effective and coordinated responses through international cooperation and sustained social dialogue, to develop a human-centered approach which puts the needs, aspirations and rights of all people at the heart of economic, social and environmental policies.

The evidence from the work of our respective organizations has demonstrated that well-managed, digital transformations and transitions to environmentally and socially sustainable economies can become a strong driver of job creation, job upgrading, social justice and inclusion. Economies must be robust and productive to meet the needs of the world’s growing population. Societies must be inclusive, providing opportunities for decent work for all and must generate a fairer and more equitable distribution of income from work, reducing absolute poverty and inequalities.

Enhanced social spending can be a key policy lever for addressing emerging challenges from demographic shifts, technological developments, and climate change. Investment in education, health and social protection plays an essential role in generating equal opportunity, supporting social and political stability, addressing inequalities of income, protecting vulnerable groups and stabilizing economies in the face of shocks.

Adapting, reinforcing and expanding adequate, efficient, and fiscally sustainable social protection systems and investing in education, skills upgrading and health can help reduce inequality in income and opportunities, including in its gender dimension, address the persistence of poverty across generations, enhance social mobility, and ultimately promote sustained inclusive growth. Sound and effective redistributive fiscal policies adapted to national contexts are therefore needed to help governments address high levels of inequality. This requires fostering the adequacy, efficiency and equity, including risk sharing and solidarity, of social spending.

In this regard, and in light of the respective mandates of the International Labour Organization (ILO), the Organisation for Economic Cooperation and Development (OECD) and the International Monetary Fund (IMF), we believe that stronger cooperation and coordination among the international organizations constitutes an opportunity to increase the efficiency and impact in delivering the outcomes identified by our stakeholders and to foster the realization of the 2030 sustainable development goals, as agreed at the G7 Leaders Summit in Biarritz in August 2019.

In line with the G7 Social members’ call for a multilateral dialogue and coordination for the reduction of inequalities, we will strengthen our joint efforts at the institutional and country level, within our respective mandates, to identify areas for collaboration to reduce inequalities and to promote access to education, health and social protection.

Development – Debt in Emerging/Developing Economies

Global Wave of Debt Is Largest, Fastest in 50 Years
WASHINGTON, December 19, 2019—Debt in emerging and developing economies (EMDEs) climbed to a record US$55 trillion in 2018, marking an eight-year surge that has been the largest, fastest, and most broad-based in nearly five decades, according to a new World Bank Group study that urges policymakers to act promptly to strengthen their economic policies and make them less vulnerable to financial shocks.

The analysis is contained in Global Waves of Debt, a comprehensive study of the four major episodes of debt accumulation that have occurred in more than 100 countries since 1970. It found that the debt-to-GDP ratio of developing countries has climbed 54 percentage points to 168 percent since the debt buildup began in 2010. On average, that ratio has risen by about seven percentage points a year—nearly three times as fast it did during the Latin America debt crisis of the 1970s. The increase, moreover, has been exceptionally broad-based—involving government as well as private debt, and observable in virtually all regions across the world.

“The size, speed, and breadth of the latest debt wave should concern us all,” said World Bank Group President David Malpass. “It underscores why debt management and transparency need to be top priorities for policymakers—so they can increase growth and investment and ensure that the debt they take on contributes to better development outcomes for the people.”

According to the report, the prevalence of historically low global interest rates mitigates the risk of a crisis for now. But the record of the past 50 years highlights the dangers: Since 1970, about half of the 521 national episodes of rapid debt growth in developing countries have been accompanied by financial crises that significantly weakened per-capita income and investment.

“History shows that large debt surges often coincide with financial crises in developing countries, at great cost to the population,” said Ceyla Pazarbasioglu, the World Bank Group’s Vice President for Equitable Growth, Finance, and Institutions. “Policymakers should act promptly to enhance debt sustainability and reduce exposure to economic shocks.”

The analysis found that this latest wave is different from the previous three in several ways—it involves a simultaneous buildup in both public and private debt; it involves new types of creditors; and it is not limited to one or two regions. Some of the increase in debt has been driven by China, whose debt-to-GDP ratio has risen 72 points to 255 percent since 2010. But debt is substantially higher in developing countries even if China is excluded from the analysis—among EMDEs, it is twice the nominal level reached in 2007.

Those characteristics pose challenges that policymakers haven’t had to tackle before. For example, nonresident investors today account for 50 percent of the government debt of EMDEs, considerably more than in 2010. For low-income countries, much of this debt has been on non-concessional terms, and outside the debt-resolution framework of the Paris Club.

Under the circumstances, policymakers should develop mechanisms to facilitate debt resolution when it becomes necessary, according to the report. Greater debt transparency would also help.

Featured Journal Content

PLoS Medicine
http://www.plosmedicine.org/
(Accessed 21 Dec 2019)
Research Article
Estimating the global impact of poor quality of care on maternal and neonatal outcomes in 81 low- and middle-income countries: A modeling study
Victoria B. Chou, Neff Walker, Mufaro Kanyangarara
Research Article | published 18 Dec 2019 PLOS Medicine
https://doi.org/10.1371/journal.pmed.1002990
Abstract
Background
In low-resource settings where disease burdens remain high and many health facilities lack essentials such as drugs or commodities, functional equipment, and trained personnel, poor quality of care often results and the impact can be profound. In this paper, we systematically quantify the potential gain of addressing quality of care globally using country-level data about antenatal, childbirth, and postnatal care interventions.
Methods and findings
In this study, we created deterministic models to project health outcomes if quality of care was addressed in a representative sample of 81 low- and middle-income countries (LMICs). First, available data from health facility surveys (e.g., Service Provision Assessment [SPA] and Service Availability and Readiness Assessment [SARA]) conducted 2007–2016 were linked to household surveys (e.g., Demographic and Health Surveys [DHS] and Multiple Indicator Cluster Surveys [MICS]) to estimate baseline coverage for a core subset of 19 maternal and newborn health interventions. Next, models were constructed with the Lives Saved Tool (LiST) using country-specific baseline levels in countries with a linked dataset (n = 17) and sample medians applied as a proxy in countries without linked data. Lastly, these 2016 starting baseline levels were raised to reach targets in 2020 as endline based upon country-specific utilization (e.g., proportion of women who attended 4+ antenatal visits, percentage of births delivered in a health facility) from the latest DHS or MICS population-based reports. Our findings indicate that if high-quality health systems could effectively deliver this subset of evidence-based interventions to mothers and their newborns who are already seeking care, there would be an estimated 28% decrease in maternal deaths, 28% decrease in neonatal deaths, and 22% fewer stillbirths compared to a scenario without any change or improvement in quality of care. Totals of 86,000 (range, 77,800–92,400) maternal and 0.67 million (range, 0.59 million–0.75 million) neonatal lives could be saved, and 0.52 million (range, 0.48 million–0.55 million) stillbirths could be prevented across the 81 countries in the calendar year 2020 when adequate quality care is provided at current levels of utilization. Limitations include the paucity of data to individually assess quality of care for each intervention in all LMICs and the necessary assumption that quality of care being provided among the subset of countries with linked datasets is comparable or representative of LMICs overall.
Conclusions
Our findings suggest that efforts to close the quality gap would still produce substantial benefits at current levels of access or utilization. With estimated mortality rate declines of 21%–32% on average, gains from this first step would be significant if quality was improved for selected antenatal, intrapartum, and postnatal interventions to benefit pregnant women and newborns seeking care. Interventions provided at or around the time of childbirth are most critical and accounted for 64% of the impact overall estimated in this quality improvement analysis.

Author summary
Why was this study done?
:: In low- and middle-income countries, health systems struggle to provide high-quality medical care to pregnant women and their newborns in need.
:: Delivery of key health interventions is critical to save lives and prevent morbidity and mortality in high-burden settings.
:: The impact of extant or poor quality of care at a population level is poorly understood, and quantifying the benefits of improving quality among those already seeking or accessing care would be a critical first step for prioritization.

What did the researchers do and find?
:: To examine the global impact of improvement in the quality of care, we used a linking approach, which combines health facility and population-level survey data to estimate baseline for a subset of important evidence-based interventions.
:: Intervention coverage trends were modeled in 81 countries by setting current levels of reported utilization as the final country-specific targets for 2020.
:: If those seeking medical attention arrived at facilities reimagined with adequate resources and receive high-quality care, our systematic tally indicates that almost one quarter of the maternal deaths, neonatal deaths, and stillbirths would be preventable during the period 2016–2020 if the gaps in quality of care were eliminated.

What do these findings mean?
:: Countries and current health systems are far from ensuring that skilled providers with adequate supplies are providing timely and appropriate healthcare to existing populations in need. Our analysis of potential gains quantifies the consequences of these missed opportunities, ranging from the prenatal to postnatal periods.
:: Bolstering the quality of care is an essential checkpoint because efforts to increase utilization will rely on the same health systems where vulnerable populations are presently accessing care.
:: With greater attention focused on tracking country-level progress, more data will hopefully become available to effectively monitor changes in coverage for key maternal and neonatal interventions. As these parameters or inputs are better defined, modeling can contribute to the body of knowledge by offering an informed approach to examine quality of care gaps so that better strategies can be developed to improve health among mothers and their children seeking care in this context.

Featured Journal Content

Proceedings of the Royal Society B – Biological Sciences
11 December 2019 Volume 286 Issue 1917
Research articles
Articulating ‘free, prior and informed consent’ (FPIC) for engineered gene drives
Dalton R. George, Todd Kuiken and Jason A. Delborne
Published:18 December 2019 https://doi.org/10.1098/rspb.2019.1484
Abstract
Recent statements by United Nations bodies point to free, prior and informed consent (FPIC) as a potential requirement in the development of engineered gene drive applications. As a concept developed in the context of protecting Indigenous rights to self-determination in land development scenarios, FPIC would need to be extended to apply to the context of ecological editing. Without an explicit framework of application, FPIC could be interpreted as a narrowly framed process of community consultation focused on the social implications of technology, and award little formal or advisory power in decision-making to Indigenous peoples and local communities. In this paper, we argue for an articulation of FPIC that attends to issues of transparency, iterative community-scale consent, and shared power through co-development among Indigenous peoples, local communities, researchers and technology developers. In realizing a comprehensive FPIC process, researchers and developers have an opportunity to incorporate enhanced participation and social guidance mechanisms into the design, development and implementation of engineered gene drive applications.

Featured Journal Content

Nature
Volume 576 Issue 7787, 19 December 2019
http://www.nature.com/nature/current_issue.html
Article | 11 December 2019
Earliest hunting scene in prehistoric art
A rock art panel from Sulawesi—dated to at least 43.9 thousand years ago—represents the oldest currently known figurative art in the world, and provides evidence of early storytelling through narrative hunting scenes.
Maxime Aubert, Rustan Lebe[…] & Adam Brumm
Abstract
Humans seem to have an adaptive predisposition for inventing, telling and consuming stories1. Prehistoric cave art provides the most direct insight that we have into the earliest storytelling2,3,4,5, in the form of narrative compositions or ‘scenes’2,5 that feature clear figurative depictions of sets of figures in spatial proximity to each other, and from which one can infer actions taking place among the figures5. The Upper Palaeolithic cave art of Europe hosts the oldest previously known images of humans and animals interacting in recognizable scenes2,5, and of therianthropes6,7—abstract beings that combine qualities of both people and animals, and which arguably communicated narrative fiction of some kind (folklore, religious myths, spiritual beliefs and so on). In this record of creative expression (spanning from about 40 thousand years ago (ka) until the beginning of the Holocene epoch at around 10 ka), scenes in cave art are generally rare and chronologically late (dating to about 21–14 ka)7, and clear representations of therianthropes are uncommon6—the oldest such image is a carved figurine from Germany of a human with a feline head (dated to about 40–39 ka)8. Here we describe an elaborate rock art panel from the limestone cave of Leang Bulu’ Sipong 4 (Sulawesi, Indonesia) that portrays several figures that appear to represent therianthropes hunting wild pigs and dwarf bovids; this painting has been dated to at least 43.9 ka on the basis of uranium-series analysis of overlying speleothems. This hunting scene is—to our knowledge—currently the oldest pictorial record of storytelling and the earliest figurative artwork in the world.

Emergencies

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

Ebola Outbreak in DRC 72: 17 December 2019
Situation Update
In the week of 9 to 15 December 2019, 24 new confirmed Ebola virus disease (EVD) cases were reported from three health zones in two affected provinces in the Democratic Republic of the Congo. The majority of these new confirmed cases are from Mabalako (22/24; 92%), and the other cases were reported from Biena (1/24; 4%) and Mandima (1/24; 4%) health zones.

The new cases from Mabalako and Biena, are linked to a single chain of transmission, in which one individual was a potential source of infection for 24 people. This was the second documentation of EVD illness in this individual within a 6-month period. Based on the preliminary sequencing of samples from the case, this is being classified as a relapse of EVD. Rare cases of relapse have been documented, in which a person who has recovered from EVD gets disease symptoms again, but this is the first documented relapse in this outbreak.

The volume of alerts reported has returned to levels seen before the security incidents in the past weeks. In general, the overall average proportion of contacts under surveillance in the last seven days has returned to previously observed levels. However, Mabalako, the health zone with the highest volume of contacts, has the lowest performance with 73% of contacts under surveillance…

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First FDA-approved vaccine for the prevention of Ebola virus disease, marking a critical milestone in public health preparedness and response
December 19, 2019
The U.S. Food and Drug Administration announced today the approval of Ervebo, the first FDA-approved vaccine for the prevention of Ebola virus disease (EVD), caused by Zaire ebolavirus in individuals 18 years of age and older. Cases of EVD are very rare in the U.S., and those that have occurred have been the result of infections acquired by individuals in other countries who then traveled to the U.S., or health care workers who became ill after treating patients with EVD.

“While the risk of Ebola virus disease in the U.S. remains low, the U.S. government remains deeply committed to fighting devastating Ebola outbreaks in Africa, including the current outbreak in the Democratic Republic of the Congo,” said Anna Abram, FDA Deputy Commissioner for Policy, Legislation, and International Affairs. “Today’s approval is an important step in our continuing efforts to fight Ebola in close coordination with our partners across the U.S. Department of Health and Human Services, as well as our international partners, such as the World Health Organization. These efforts, including today’s landmark approval, reflect the FDA’s unwavering dedication to leveraging our expertise to facilitate the development and availability of safe and effective medical products to address urgent public health needs and fight infectious diseases, as part of our vital public health mission.”…

… “Ebola virus disease is a rare but severe and often deadly disease that knows no borders. Vaccination is essential to help prevent outbreaks and to stop the Ebola virus from spreading when outbreaks do occur,” said Peter Marks, M.D., Ph.D., director of the FDA’s Center for Biologics Evaluation and Research. “The FDA’s approval of Ervebo is a major advance in helping to protect against the Zaire ebolavirus as well as advancing U.S. government preparedness efforts. The research approach used to study the effectiveness and safety of this vaccine was precedent-setting during a public health emergency and may help create a model for future studies under similar circumstances. The FDA is committed to continuing our work across the U.S. government and with our international partners to prevent future Ebola outbreaks and mitigate the current outbreak in the DRC, reflecting our nation’s commitment to preparing for and responding to biological threats, like Ebola.”’’’

…The FDA granted this application Priority Review and a Tropical Disease Priority Review Voucher under a program intended to encourage development of new drugs and biologics for the prevention and treatment of certain tropical diseases. The FDA also granted Breakthrough Therapy designation for Ervebo to facilitate the development and scientific evaluation of the vaccine. Because of the public health importance of a vaccine to prevent EVD, the FDA worked closely with the company and completed its evaluation of the safety and effectiveness of Ervebo in less than six months. The approval was granted to Merck & Co., Inc.

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POLIO
Public Health Emergency of International Concern (PHEIC)

Polio this week as of 18 December 2019

Summary of new viruses this week (AFP cases and ES positives):
:: Afghanistan – two WPV1 cases and two WPV1-positive environmental samples.
:: Pakistan – seven WPV1 cases, one cVDPV2 case and 12 WPV1-positive environmental samples.
:: DR Congo – Eight cVDPV2 cases.
:: Somalia – two cVDPV2-positive environmental sample.
:: Angola – 11 cVDPV2 cases and two cVDPV2-positive environmental samples.
:: Chad – one cVDPV2 case.
:: Ethiopia – one cVDPV2-positive environmental sample.
:: Ghana – 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 21 Dec 2019]

Democratic Republic of the Congo
:: Ebola Outbreak in DRC 72: 17 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 21 Dec 2019]
Measles in Europe
:: Nordic countries working together to sustain measles and rubella elimination 20-12-2019
:: 2019: the WHO European Region’s year in review 19-12-2019

Myanmar
:: Bi‐weekly Situation Report 24 – 5 December 2019
HIGHLIGHTS
:: A total of 1,270,70 doses of oral cholera vaccine (OCV) was approved for the OCV campaign, targeting around 635,000 individuals, which will take place from 8 to 14 December in the Rohingya camps and 8 to 31 December in the host communities.
:: Since 5 September 2019, a total of 213 cases of Acute Watery Diarrhea (AWD) have tested positive by cholera Rapid Diagnostic Tests (RDTs), or culture.
:: An assessment undertaken for the operational risks associated with Fecal Sludge management (FSM) and water sources has concluded that, urgent actions are required to improve the water safety situation in these camps…

Immunization
Oral Cholera Vaccine and Measles Outbreak Response Immunization campaigns
:: The Civil Surgeon, with support from WHO and UNICEF, established an immunization core group. The first meeting took place at the Ministry of Health and Family Welfare (MoHFW) Coordination Cell offices. Details of the upcoming Oral Cholera Vaccine (OCV) campaign were discussed.
:: A total of 1 270 170 doses of OCV was approved for the OCV campaign targeting around 635 000 individuals. The campaign will take place from 8 to 14 December in the Rohingya camps and 8 to 31 December in the host communities.
:: Several preparatory meetings have taken place. This includes District planning and Coordination meeting on 27 November, Upazila planning and microplanning meetings on 28 November and several advocacy meetings involving different target leaders including political leaders, Imams, Ministry of Education officials, among others.
:: Training has taken place for 34 OCV Camp Coordinators, 34 OCV Associate Camp Coordinators on 23 and 24 November 2019. These trainings were cascaded to over 2750 Community Health Workers and Communication for Development volunteers and 240 team supervisors between 28 and 30 November 2019, with support from partners.
:: For the host community, 300 vaccinators and mobilizers have been trained alongside 50 supervisors. Training for 1 050 and 900 volunteers commenced and will be completed by 4 December 2019, for Teknaf and Ukhia respectively.
:: The Rohingya Camp Wide Measles Rubella Outbreak Response Immunization (MR ORI) is planned in response to the measles outbreak that is currently confirmed in 16 of 34 camps in the Ukhia and Teknaf Upazila. Discussions on MR ORI took place 28 November 2019 during Scientific and Technical Sub- Committee (STSC) of the National Committee for Immunization Practices (NCIP) meeting held in Dhaka. There is need for timely ORI while ensuring quality, good coverage and proper capacity and management plan for any Adverse Events Following Immunization (AEFI).
:: MR ORI implementation planned for first week of January 2020 subject to Government approvals and favorable preparedness assessment. The target age group for this ORI is all children 6 months to less than 10 years of age in the Rohingya camps of Ukhia and Teknaf in Cox’s Bazar district.

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
MERS-CoV – No new digest announcements identified
Niger – No new digest announcements identified
occupied Palestinian territory – No new digest announcements identified
Sudan – No new digest announcements identified
Ukraine – No new digest announcements identified
Zimbabwe – No new digest announcements identified

::::::

WHO Grade 1 Emergencies [to 21 Dec 2019]

Chad – No new digest announcements identified
Djibouti – 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

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

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
:: Syrian Arab Republic: Recent Developments in Northwestern Syria Flash Update No. 1 – As of 20 December 2019
HIGHLIGHTS
:: Following the intensification of airstrikes and shelling since 16 December in southern Idleb, tens of thousands of civilians are reportedly fleeing from Ma’arrat An-Nu’man area in southern Idleb governorate to north. Thousands of others are reportedly waiting for the bombardment to ease allowing them to move. The shortage of fuel in Idleb area is also limiting the movement of civilians fleeing from hostilities.
:: As of 20 December, ground fighting also resumed along the frontlines in southern Idleb governorate, amplifying displacement from southern Idleb as civilians are fleeing in anticipation of fighting directly affecting their communities.
:: Displacement happening in winter months is exacerbating the vulnerability of people in need. Many of those who fled are in urgent need of humanitarian support, particularly shelter, food, health, non-food and winterization assistance.

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.
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

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

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 14 December 2019

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 14 Dec 2019

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]

Human Development Report 2019 – Beyond income, beyond averages, beyond today: Inequalities in human development in the 21st century
UNDP 2019 :: 366 pages
PDF: http://hdr.undp.org/sites/default/files/hdr2019.pdf

Press Release
To answer global protests, tackle new inequalities — UN report
2019 Human Development Report says business as usual will not solve new generation of inequalities
Bogota, December 9, 2019 – The demonstrations sweeping across the world today signal that, despite unprecedented progress against poverty, hunger and disease, many societies are not working as they should. The connecting thread, argues a new report from the United Nations Development Programme (UNDP), is inequality.

“Different triggers are bringing people onto the streets — the cost of a train ticket, the price of petrol, demands for political freedoms, the pursuit of fairness and justice. This is the new face of inequality, and as this Human Development Report sets out, inequality is not beyond solutions,” says UNDP Administrator, Achim Steiner.

The 2019 Human Development Report (HDR), entitled “Beyond income, beyond averages, beyond today: inequalities in human development in the 21st Century,” says that just as the gap in basic living standards is narrowing for millions of people, the necessities to thrive have evolved.

A new generation of inequalities is opening up, around education, and around technology and climate change — two seismic shifts that, unchecked, could trigger a ‘new great divergence’ in society of the kind not seen since the Industrial Revolution, according to the report.

In countries with very high human development, for example, subscriptions to fixed broadband are growing 15 times faster and the proportion of adults with tertiary education is growing more than six times faster than in countries with low human development…

…The 2019 Human Development Index (HDI) and its sister index, the 2019 Inequality-Adjusted Human Development Index, set out that the unequal distribution of education, health and living standards stymied countries’ progress. By these measures, 20 per cent of human development progress was lost through inequalities in 2018…

Planning beyond today
Looking beyond today, the report asks how inequality may change in future, looking particularly at two seismic shifts that will shape life up to the 22nd century:

• The climate crisis: As a range of global protests demonstrate, policies crucial to tackling the climate crisis like putting a price on carbon can be mis-managed, increasing perceived and actual inequalities for the less well-off, who spend more of their income on energy-intensive goods and services than their richer neighbours. If revenues from carbon pricing are ‘recycled’ to benefit taxpayers as part of a broader social policy package, the authors argue, then such policies could reduce rather than increase inequality.

• Technological transformation: Technology, including in the form of renewables and energy efficiency, digital finance and digital health solutions, offers a glimpse of how the future of inequality may break from the past, if opportunities can be seized quickly and shared broadly. There is historical precedent for technological revolutions to carve deep, persistent inequalities – the Industrial Revolution not only opened up the great divergence between industrialized countries and those who depended on primary commodities; it also launched production pathways that culminated in the climate crisis.

The change that is coming goes beyond climate, says the report, but a ‘new great divergence’, driven by artificial intelligence and digital technologies, is not inevitable. The HDR recommends social protection policies that would, for example, ensure fair compensation for ‘crowdwork’, investment in lifelong learning to help workers adjust or change to new occupations, and international consensus on how to tax digital activities – all part of building a new, secure and stable digital economy as a force for convergence, not divergence, in human development.

Development Finance – World Bank Replenishment

Global Community Renews Commitment to the World’s Poorest Countries with $82 Billion
Focus on jobs, gender, fragility, climate, and good governance
STOCKHOLM, December 13, 2019 — A global coalition of development partners announced today their commitment to maintain momentum in the fight against extreme poverty, with $82 billion for the International Development Association (IDA), the World Bank’s fund for the poorest. The financing, which includes more than $53 billion for Africa, will help countries invest in the needs of their people, boost economic growth, and bolster resilience to climate shocks and natural disasters…

Two thirds of the world’s poor—almost 500 million people—now live in countries supported by IDA. The funding will allow IDA to reinforce its support to job creation and economic transformation, good governance, and accountable institutions. It will also help countries deal with the challenges posed by climate change, gender inequality, and situations of fragility, conflict, and violence, including in the Sahel, the Lake Chad region, and the Horn of Africa.

IDA will renew its support to facilitate growth and regional integration, including investments in quality infrastructure. The IDA Private Sector Window will continue enabling the International Finance Corporation (IFC) and the Multilateral Investment Guarantee Agency (MIGA) to mobilize private sector investment in challenging environments, a critical component to meet the scale of financing needed in developing countries.

IDA’s resources are replenished every three years; this 19th replenishment will cover the period from July 1, 2020, to June 30, 2023. The new funding will support projects that deliver life-changing results, including:
:: Essential health, nutrition, and population services for up to 370 million people;
:: Safe childbirth for up to 80 million women through provision of skilled health personnel;
:: Enhanced access to broadband internet for 50 to 60 million people;
:: Immunizations for up to 140 million children;
:: Better governance in up to 60 countries through improved statistical capacity;
:: An additional 10 GW of renewable energy generation capacity.

To promote greater equity and economic growth, IDA will also tackle broader development challenges, such as enhancing debt sustainability and transparency; harnessing and adapting to transformative digital payment technology; promoting inclusion of those living with disabilities; strengthening the rule of law; and investing in human capital, including efforts to achieve universal health coverage…

World Bank Group Strategy for Fragility, Conflict and Violence [FCV] 2020-2025
December 5, 2019 :: 69 pages
Timeframe: April 2019 – January 2020
Draft Strategy for Fragility, Conflict and Violence (.pdf)

Phase 2 consultations are open until January 16, 2019.

The World Bank Group has released its draft strategy for Fragility, Conflict and Violence (FCV). The objective of the strategy is to address the drivers of FCV in affected countries and their impact on vulnerable populations, with the ultimate goal of contributing to peace and prosperity. To ensure the strategy benefits from a wide range of inputs, the World Bank Group is undertaking global consultations to inform the strategy’s development.

Introduction
1. By 2030, around half of the world’s extreme poor will live in fragile and conflict-affected situations (FCS). Preventing and mitigating fragility, conflict, and violence (FCV) is central to achieving the Sustainable Development Goals (SDGs) and the World Bank Group’s (WBG) twin goals of ending extreme poverty and promoting shared prosperity. It will also support the international community’s broader efforts to promote peace and prosperity.

2. The global fragility landscape has worsened significantly. According to Pathways for Peace: Inclusive Approaches to Preventing Violent Conflict, there are more violent conflicts globally than at any time in the past 30 years,6 and the world is also facing the largest forced displacement crisis ever recorded. Rising inequality, lack of opportunity, and exclusion are fueling grievances and perceptions of injustice. Climate change, demographic change, migration, digital transformation, illicit financial flows, and violent extremism are often interconnected, with effects that transcend borders. These factors can increase vulnerability to shocks and crises and create regional spillovers. They can cause lasting and devastating impacts, especially on women, children, and youth, that will be felt for generations. Without swift and effective action, FCV risks could both erode gains made in the fight against poverty and undermine the prospects for progress.

3. The objective of the FCV Strategy is to enhance the WBG’s effectiveness to support countries in addressing the drivers and impacts of FCV and strengthening their resilience, especially for the most vulnerable populations. To this end, the strategy sets out a framework to support countries in addressing diverse challenges across the FCV spectrum. While FCV challenges are often more longstanding and acute in low-income and lower-middle income countries (LICs and LMICs), the strategy also addresses countries at higher levels of income that are affected by high levels of violence, forced displacement shocks, and subnational conflict. The FCV Strategy builds on successive IEG reviews of WBG engagement in FCV settings, portfolio reviews and lessons learned in FCS, to systematically address the root causes of fragility and long-term risks that can drive or exacerbate conflict and violence.

4. This strategy is among the WBG’s contributions to the collective global effort to tackle FCV. While the WBG strives to increase its direct impact on FCV, it also approaches this task with humility. It recognizes the intractable challenges of FCV, and that the full commitment of local and national actors
is imperative to achieve progress. The WBG has prioritized supporting countries’ efforts to mitigate FCV and promote peace, and is committed to deepening partnerships with a diverse set of actors, based on respective complementarities and comparative advantages.

5. This strategy has greatly benefitted from extensive global consultations held during 2019. The consultations engaged a wide range of partners, including governments, international organizations, global and local civil society, and the private sector. They captured lessons learned and best practices such as: (i) the need to tailor interventions and financing to the distinct FCV challenges faced by a country; (ii) the importance of supporting the most vulnerable and marginalized groups, and addressing the grievances underlying and driving FCV; (iii) the importance of vibrant and inclusive private sector development to support job creation and provide economic opportunities; and (iv) the recognition of the crucial role of partnerships in FCV settings to address the drivers and impacts of FCV…

Heritage Stewardship – Emergencies

Safeguarding intangible cultural heritage in emergencies: a priority for the Heritage Emergency Fund – UNESCO
13 December 2019
“Safeguarding intangible cultural heritage in emergencies is not a luxury: it helps address the human dimension of crises, enabling individuals and communities to maintain their sense of identity and dignity, and thus withstand and recover from crises,” said Ernesto Ottone R., UNESCO Assistant Director-General for Culture at a special event, “Safeguarding Intangible Cultural Heritage in Crises,” which was held on 12 December in Bogotá (Colombia), during the 14th session of the Intergovernmental Committee for the Safeguarding of the Intangible Cultural Heritage.

This rationale also underpinned the creation of UNESCO’s Heritage Emergency Fund, which helps secure the safeguarding of living heritage – traditional practices, festivals, rituals and more. Living heritage is central to the life of communities and it comes under particularly serious threat in times of crises such as civil strife, war and disasters, both natural and human-induced.

The event showcased 15 emergency preparedness and response activities concerning living heritage that were conducted in 14 countries with the assistance of the Heritage Emergency Fund. These include the participatory identification of needs with community leaders, Post-Disaster Needs Assessments by cultural experts, emergency interventions and capacity-building for cultural institutions. Such measures help national authorities and local communities recover from emergencies by reviving vital elements of their cultural life.

These activities have also played a key role in the development of the “Operational principles and modalities for safeguarding intangible cultural heritage in emergencies”, which were endorsed by the Committee for the Safeguarding of the Intangible Cultural Heritage during its 14th session. The Operational Principles were designed to help guide States Parties to UNESCO’s 2003 Intangible Cultural Heritage Convention, and other national and international stakeholders in ensuring that intangible cultural heritage is effectively engaged, and safeguarded, in times of crises and recovery.

Since its establishment in 2016, the Heritage Emergency Fund has received the support of the Qatar Fund for Development, the Kingdom of Norway, the Government of Canada, the Principality of Monaco, the Republic of Estonia, the Kingdom of the Netherlands, the Grand Duchy of Luxembourg, the Principality of Andorra, the Republic of Slovakia and the Republic of Serbia.

The Lego Foundation Awards US $100 Million Grant to the International Rescue Committee to Bring Learning through Play to Children Impacted by Crises in Ethiopia and Uganda
The Lego Foundation
The “PlayMatters” partnership will bring the power of learning through play to nearly one million children, teachers and caregivers.

Billund, Denmark – 10 December 2019- Today, the LEGO Foundation is awarding a US$100 million grant to a consortium led by the International Rescue Committee (IRC) to promote play-based, early learning solutions for pre-primary and primary school aged children impacted by the humanitarian crises in East Africa and living in Ethiopia and Uganda. This major initiative, called PlayMatters, will deliver play-based learning to children, strengthening their resilience and building their social, emotional, cognitive, physical and creative skills. The grant will be implemented in partnership with War Child, Plan International, Ubongo, Behavioural Insights Team and Innovations for Poverty Action.

“We are contributing to fulfil the international promise to children, supported by the United Nations, that every child has the right to an education and every refugee should be included in sustainable long-term solutions that help them in their future. We have to do our best to ensure it is realised,” said Thomas Kirk Kristiansen, Chairman of the LEGO Foundation. “Play provides comfort. It helps children to overcome traumatic experiences, and to return to the routine and normalcy of being a child. With this new grant, the LEGO Foundation continues to address a pressing challenge of our time and change the way the world thinks about learning through play and its importance for children in crisis settings.”

Through this initiative, IRC and its partners will work in Ethiopia and Uganda, with the potential of expanding to a third country in East Africa. PlayMatters will improve education outcomes for approximately 800,000 children and reach approximately 10,000 pre-primary and primary school teachers and education personnel and 170,000 primary caregivers, who will receive training to engage in learning through play with children who have faced adversities.

“Children in these humanitarian crises did not choose to be refugees and it is unacceptable that an entire generation is deprived of quality childhood education. We know that investing in play-based learning interventions is key to addressing toxic stress and trauma for young children in refugee settings as learning through play helps to develop social and emotional skills, builds resilience, and strengthens brain connections essential for future development. Through this new initiative, we will work with teachers in the host communities, focus on innovation to ensure systemic and lasting impact, and share these approaches across aid agencies for replication. The children in these largely forgotten crises in Ethiopia and Uganda deserve the power of learning through play and the hope that it can bring for a bright future,” said John Goodwin, CEO of the LEGO Foundation.

This new initiative addresses the Global Compact for Refugees’ (GCR) request for the international community to support governments to find durable solutions for the crisis, especially as the governments of Ethiopia and Uganda, who have expressed intention to better respond to the challenge. In that regard, the partnership will focus on working closely with the governments of Ethiopia, Uganda, and a third country which have been leaders in the region to integrate refugees into national systems.

“We know that nearly half of all refugees are children, but humanitarian funding still thinks of education as just an add-on. We need big solutions with bold ideas that put education at the forefront of humanitarian response,” said David Miliband, President and CEO of the International Rescue Committee. “With the LEGO Foundation’s investment in play-based learning and the IRC’s expertise in reaching the most vulnerable, this partnership has the potential to reshape education for a generation of refugee children.”…

UNICEF Press release
Despite significant increase in birth registration, a quarter of the world’s children remain ‘invisible’
Proportion of registered births increased almost 20 per cent over past decade, yet 166 million children under-five have never been officially recorded
NEW YORK, 11 December 2019 – The number of children whose births are officially registered has increased significantly worldwide, yet 166 million children under-five, or 1 in 4, remain unregistered, according to a new report released by UNICEF today on its own 73rd birthday.

Birth Registration for Every Child by 2030: Are we on track? – which analyses data from 174 countries – shows that the proportion of children under-five registered globally is up around 20 per cent from 10 years ago – increasing from 63 per cent to 75 per cent.

“We have come a long way but too many children are still slipping through the cracks, uncounted and unaccounted for,” said UNICEF Executive Director Henrietta Fore. “A child not registered at birth is invisible – nonexistent in the eyes of the government or the law. Without proof of identity, children are often excluded from education, health care and other vital services, and are more vulnerable to exploitation and abuse.”

Global progress is driven largely by great strides in South Asia, particularly in Bangladesh, India and Nepal. In India, the proportion of registered children rose from 41 per cent in 2005-2006 to 80 per cent in 2015-2016. In recent years, UNICEF has worked with the Government of India to prioritize birth registration across states by increasing and improving access to registration centres, training officials and community workers and rolling out public awareness programmes, particularly amongst the most vulnerable communities.

By contrast, the majority of countries in sub-Saharan Africa lag behind the rest of the world, with Ethiopia (3 per cent), Zambia (11 per cent*) and Chad (12 per cent) recording the lowest levels of registered births globally…

Children – Liberty, Rights

Global Study on Children Deprived of Liberty
November 2019 :: 789 pages
PDF of Full Study: https://omnibook.com/Global-Study-2019
Manfred Nowak, Independent Expert

United Nations High Level Interagency Task Force (UNITF)
Najat MAALLA M’JID – The Special Representative of the Secretary-General on Violence against Children
Virginia GAMBA – The Special Representative of the Secretary-General for Children and Armed Conflict
The Office of the High Commissioner for Human Rights (OHCHR)
The United Nations Children’s Emergency Fund (UNICEF)
The United Nations Office of Drugs and Crime (UNODC)
The United Nations Refugee Agency (UNHCR)
The United Nations Committee on the Rights of the Child (CRC)
The World Health Organization (WHO)
The International Organization for Migration (IOM)

.

Press Release
United Nations Task Force calls on Member States to end children’s deprivation of liberty
Geneva/ New York – October 8 – The United Nations Task Force supporting the Global
Study on Children Deprived of Liberty calls on Member States to put an end to children’s
deprivation of liberty, following the submission and presentation of a report by the
Independent Expert to the UN General Assembly.

The Independent Expert’s report highlights that while this year marks the 30th anniversary of
the United Nations Convention on the Rights of the Child, a landmark treaty aiming at
promoting and protecting the rights of children’s worldwide, countless children still suffer
violations of their basic human rights. The UN Task Force further notes that in adopting the
2030 Agenda for Sustainable Development Member States made a clear commitment to
leave no child behind and yet, children deprived of liberty continue to be one of the most
vulnerable, invisible and forgotten groups in societies across the globe. The UN Task Force
joins the Independent Expert in calling on States to end the deprivation of liberty of children
or those at most risk as a matter of urgency. The Task Force emphasizes that it is indeed
time to put the most vulnerable first.

Children around the world are deprived of their liberty in closed institutions, psychiatric
centres or detention facilities, sometimes together with adults. Furthermore, children are
detained for national security, armed conflict or migration-related reasons. They are denied
family care and access to justice, often unable to challenge the legality of their detention.

These children are exposed to further human rights violations, enduring cruel, inhumane
and/or degrading conditions. Furthermore, they are often denied the right to education,
and health care, and do not benefit from tailored and long-term rehabilitation and
reintegration support. Deprivation of liberty has a destructive impact on children’s physical
and mental development, and often compounds trauma they have suffered.

The UN Task Force believes that the presentation of the report creates a unique momentum
to learn from children and Member States’ experiences. The UN Task Force member
organizations express their strong commitment to work together with Member States, civil
society and children themselves to end children’s deprivation of liberty and safeguard their
rights as enshrined in the Convention on the Rights of the Child and other international
standards, and further re-affirmed in the 2030 Agenda for Sustainable Development.

In December 2014 the United Nations General Assembly (A/RES/69/157, paragraph 52d)
invited the UN Secretary-General to commission an in-depth global study on children
deprived of liberty. In October 2016, Professor Manfred Nowak was designated as the
Independent Expert to lead the Global Study development. The Independent Expert
submitted his final report on the Study (A/74/136) to the General Assembly during its
seventy-fourth session and presents his main findings, conclusions and recommendations to
the Third Committee of the General Assembly on 8 October 2019.

::::::

UNGA – A/74/136
Promotion and protection of the rights of children
11 July 2019
A. General recommendations [p.18]
98. The Independent Expert strongly recommends that States make all efforts to significantly reduce the number of children held in places of detention and prevent deprivation of liberty before it occurs, including addressing the root causes and pathways leading to deprivation of liberty in a systemic and holistic manner.

99. To address the root causes of deprivation of liberty of children, States should invest significant resources to reduce inequalities and support families to empower them to foster the physical, mental, spiritual, moral and social development of their children, including children with disabilities.

100. In all decisions that may lead to the detention of children, the Independent Expert calls upon States to most rigorously apply the requirement of article 37 (b) of the Convention on the Rights of the Child that deprivation of liberty shall be applied only as a measure of last resort in exceptional cases, and that the views of children shall be heard and taken duly into account.

101. The Independent Expert calls upon States to repeal all laws and policies that permit the deprivation of liberty of children on the basis of an actual, or perceived, impairment.

102. If detention is unavoidable under the particular circumstances of a case, it shall be applied only for the shortest appropriate period of time. States have an obligation to apply child-friendly conditions, without any discrimination. Children shall not be exposed to neglect, violence, sexual abuse or exploitation, ill-treatment, torture and inhuman conditions of detention. States should ensure that children have access to essential services aimed at their rehabilitation and reintegration into society, including education, vocational training, family contacts, sports and recreation, adequate nutrition, housing and health care. Health services in detention shall be of a standard equivalent to that available in the community at large.

103. Since children have the right under article 12 of the Convention on the Rights of the Child to actively participate in all matters directly affecting their lives, they shall be empowered to influence decisions relating to their treatment and enjoyment of such essential services and have the right to effective remedies, as well as to lodge complaints to an independent and impartial authority on any grievances and human rights violations during detention. Furthermore, States are strongly encouraged to ratify the third Optional Protocol to the Convention on the Rights of the Child on a communications procedure, enabling children to further seek redress for violations of their rights.

104. States are strongly encouraged to ratify the Optional Protocol to the Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment and to establish independent and effective national preventive mechanisms with a particular expertise, to conduct visits to places where
children are, or may be, deprived of liberty.

105. States should enhance the capacity, by means of investing in human resources, awareness-raising and systematic education and training, of all professionals who work with and for children in decisions leading to their deprivation of liberty, and those who are responsible for their well -being while in detention. This applies to the police, judges, prosecutors, prison guards, psychiatrists, medical personnel, psychologists, educators, probation officers, social workers, child protection and welfare officers, asylum and migration personnel and any other individuals in contact with children at risk of
deprivation, or deprived, of liberty.

106. States are strongly encouraged to establish an appropriate system of data collection at the national level, involving all relevant ministries and other State agencies, coordinated by a focal point. Whenever possible, data on children should be obtained directly from them in accordance with the principle of informed consent and self-identification. When necessary, such information should be supplemented by data concerning their parents or primary caregivers.

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

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

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

::::::

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

::::::

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

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

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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The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 7 December 2019

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 7 Dec 2019

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]