POLIO [to 10 September 2016]

POLIO [to 10 September 2016]
Public Health Emergency of International Concern (PHEIC)

Please see the extended excerpts from the IMB’s 13th Report below in the “Reports…” section.

Polio this week as of 7 September 2016
: In Nigeria, one new wild poliovirus type 1 (WPV1) case has been reported, from Borno state, following confirmation of two cases in August. Regional outbreak response across north-eastern Nigeria and the Lake Chad sub-region is continuing within the broader humanitarian emergency context. Detection of new cases at this point is not unexpected or unusual, particularly as surveillance is being strengthened (including by conducting retrospective acute flaccid paralysis case searches).

:: The polio outbreak has been declared a national public health emergency by the Government of Nigeria and a regional public health emergency by the Governments of the Lake Chad sub-region, to ensure all-of-government, all-of-society approaches to the outbreak response. See ‘Nigeria’ section below for more.

: The Global Polio Eradication Initiative has launched an emergency appeal to respond to the polio outbreak across the region. Against the planned outbreak response budget of US$116 million, a critical funding gap of US$33 million must be urgently filled. More.
[excerpt from appeal]
KEY FACTS
:: Wild poliovirus type 1 outbreak in Nigeria: 2 cases
:: High risk of poliovirus spread in the Lake Chad area
:: Ongoing Polio Outbreak Response in Northern Nigeria and Lake Chad area implemented as part of the broader humanitarian response effort
:: WHO has declared Northern Nigeria a Grade 3 Humanitarian Emergency
:: UNICEF has activated its Level 3 Corporate Emergency Procedure for North – East Nigeria
:: Budget requirements: US116 million
:: Funding gap: US$33 million

:: Selected Country Updates [excerpts]
Pakistan
:: One new case of wild poliovirus type 1 (WPV1) was reported in the past week, from South Waziristan, Federally Administered Tribal Areas (FATA), with onset of paralysis on 27 July. It is the most recent case in the country, bringing the total number of WPV1 cases for 2016 to 14.

Nigeria
:: One new case of wild poliovirus type 1 (WPV1) was reported in the past week, from Monguno Local Government Area (LGA), Borno state, with onset of paralysis on 6 August. It is the most recent case in country and brings the total number of WPV1 cases for 2016 to three.
:: Detection of new cases at this point is not unexpected or unusual, particularly as surveillance is being strengthened (including by conducting retrospective acute flaccid paralysis case searches).
:: A full case investigation of the third case is ongoing, however the child had onset of paralysis on 6 August and was detected in an accessible internally-displaced persons camp in Monguno LGA. The child’s family had originally arrived from Marte LGA (as had the family of the case from Jere LGA reported in August).
:: An emergency regional outbreak response is continuing under the guidance of the Emergency Operations Committee, led by the Government of Nigeria and with support from WHO and GPEI partners, including with inactivated polio vaccine (IPV). The outbreak response is being coordinated with neighbouring countries and in the broader humanitarian emergency response context affecting the region. Similar approaches to outbreak response were successfully implemented in previous years in the Middle East and the Horn of Africa.