WHO Grade 3 Emergencies [to 25 February 2017]
Read the health situation report from Mosul pdf, 521kb 18 February 2016

Statement on Nigeria and the Lake Chad Region in Oslo Humanitarian Conference
24 February 2017 Oslo, Norway
As several speakers have noted today, while there are enormous food security, nutrition and protection dimensions to the crisis in the Lake Chad Region, this is also a public health crisis, with rates of death, malnutrition and disease rarely seen over the past 20 years.
In Nigeria and the Lake Chad Region, lack of qualified health workers, essential medicines and the destruction of medical facilities hamper the delivery of lifesaving health care. Widespread food insecurity and malnutrition are associated with severe health consequences. As you know, malnutrition lowers the body’s capacity to fight infection – a malnourished child is far more prone to contract an infectious disease such as pneumonia, diarrhoea and measles – and then to die from that disease. As one of our local staff in Niger said to me once – between malnutrition and death, there is always disease.
All four countries in the Lake Chad Region have similar health priorities: rapidly expanding access to a package of essential health care – including child and reproductive health; boosting immunization rates; preventing, detecting and responding to disease outbreaks; effectively treating malnutrition and its consequences. We also must address psychosocial problems, sexual and gender-based violence, and violent trauma leading to physical injuries. Together, health sector partners seek to help 8.2 million people this year…

South Sudan
South Sudan: Amidst insecurity, WHO in collaboration with the Ministry of Health and partners intensifies the health response to the cholera outbreak
14 February 2017, Juba, South Sudan – Despite the ongoing complex humanitarian crises in South Sudan, the World Health Organization (WHO) in partnership with the Ministry of Health and partners are responding to the latest cholera outbreak in the former Jonglei and Lakes States. The outbreak of cholera was first detected in June 2016 and since then 5 006 cholera cases and 99 deaths (CFR 1.98%) have been reported from 12 Counties in nine states countrywide.

Yemeni health system crumbles as millions risk malnutrition and diseases
23 February 2017, Al-Hudaydah, Yemen – “Hospital staff have not received their salaries for the past 5 months. There are acute shortages of certain medicines and we need more fuel to ensure the hospital has electricity,” says Dr Khaled Suhail, Director of Al-Tharwa Hospital in Yemen’s third largest city, Al-Hudaydah. With more than 1200 employees and 320 beds, Al-Thawra Hospital is the main functioning health facility in Al-Hudaydah and neighbouring governorates.

The Syrian Arab RepublicNo new announcements identified


WHO Grade 2 Emergencies [to 25 February 2017]
Cameroon No new announcements identified.
Central African Republic No new announcements identified.
Democratic Republic of the CongoNo new announcements identified.
EthiopiaNo new announcements identified.
LibyaNo new announcements identified.
MyanmarNo new announcements identified.
NigerNo new announcements identified.
UkraineNo new 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. 

:: Iraq: Mosul Humanitarian Response Situation Report No. 21 (13 February – 19 February 2017)

:: Statement to the Security Council on Syria 22 Feb 2017
:: 24 Feb 2017
Health Resources Availability Mapping System (HeRAMS) Report – Turkey Hub Health Cluster for Syria, 2016

:: Escalating Conflict on Yemen’s Western Coast – Flash Update # 2 | 25 February 2017
:: 21 Feb 2017
Statement by the Humanitarian Coordinator in Yemen, Jamie McGoldrick, on the Impact of the Conflict and Ongoing Food Crisis [EN/AR]


UNICEF [to 25 February 2017]
21 February 2017
Nearly 1.4 million children at imminent risk of death as famine looms in Nigeria, Somalia, South Sudan and Yemen – UNICEF
NEW YORK/DAKAR/NAIROBI/AMMAN,– Almost 1.4 million children are at imminent risk of death from severe acute malnutrition this year, as famine looms in Nigeria, Somalia, South Sudan and Yemen, UNICEF said today.

WHO: Rapid response teams and medicines deployed to cholera outbreak in South Sudan
February 2017 – Essential medicines and supplies have been delivered to communities in South Sudan affected by the cholera outbreak. The supplies were deployed along with rapid response teams that are currently working alongside local teams to control the outbreaks.
[No mention of OCV use]

WHO: About 17 million people are affected by crisis in the Lake Chad Basin
23 February 2017 – Years of violent conflict have deprived millions of people in north-eastern Nigeria, northern Cameroon, western Chad and south-east Niger of even the most basic health care services. Malnutrition is widespread and in the 3 worst-affected states of Nigeria nearly 6 million men, women, children and infants urgently need health assistance. WHO is working with the Nigerian Ministry of Health and partners to reach those in need with lifesaving health care.
…Millions of people in Borno State have had limited or no access to regular health services over a number of years, leading to very low vaccination rates. The ongoing movement of internally displaced people also makes it difficult to track those who have or have not been immunized. WHO supported a measles vaccination campaign in January 2017 which reached nearly 3 million children. Polio is still endemic in Nigeria, but WHO and its partners have vaccinated over 1.8 million children under five against the disease in a continued effort to eradicate it…

PAHO -Epidemiological Alerts and Updates
:: 24 February 2017: Cholera – Epidemiological Update
Between epidemiological week (EW) 1 and 5 of 2017, a total of 1,897 cholera cases were reported in Haiti, including 28 deaths. In the Dominican Republic, from the beginning of the year to EW 2 of 2017, there were 7 suspected cholera cases and 2 confirmed cases reported, including one death.


POLIO [to 25 February 2017]
Public Health Emergency of International Concern (PHEIC)

Polio this week as of 15 February 2017
Country Updates [Selected Excerpts]
:: One new wild poliovirus type 1 (WPV1) case was reported in the past week from Nahr-e-Saraj district, Helmand province, with onset of paralysis on 21 January. The total number of WPV1 cases for 2016 remains 13, and two for 2017.
:: One new environmental WPV1 positive sample was reported in the past week from Jalalabad, Nangarhar, collected on 24 January
:: One new wild poliovirus type 1 (WPV1) case was reported in the past week from Lodhran district, Punjab province, with onset of paralysis on 28 January 2017. This is the first case in Punjab since December 2015, and an immunization response is already being implemented.
:: One new environmental WPV1 positive sample was reported in the past week, from Quetta, Balochistan, collected on 20 January.


Japan gives US$ 33.3 million in emergency polio funding
New funding will contribute to emergency efforts in Nigeria and Lake Chad Region to prevent further spread of polio and stop the outbreak for good
US$ 33.3 million grant from the Government of Japan in humanitarian emergency funding to UNICEF was announced this week and will help to protect millions of children from polio in Nigeria and the Lake Chad region.
In response to the urgent need to rapidly raise immunity to polio virus in the region, Japan has generously provided exceptional funding from their supplementary budget envelope to purchase polio vaccines, conduct house-to-house polio campaigns and support communication efforts to mobilize communities for vaccination in Nigeria, Chad, Niger, Cameroon and the Central African Republic…


Editor’s Note:
We will cluster these recent emergencies as below and continue to monitor the WHO webpages for updates and key developments.

Zika virus [to 25 February 2017]
Latest Report [apparently no longer bi-weekly]:
Zika situation report – 2 February 2017
Full report: http://apps.who.int/iris/bitstream/10665/254507/1/zikasitrep2Feb17-eng.pdf?ua=1
Overall, the global risk assessment has not changed. Zika virus continues to spread geographically to areas where competent vectors are present. Although a decline in cases of Zika infection has been reported in some countries, or in some parts of countries, vigilance needs to remain high.
[See PAHO announcements below]

Yellow Fever [to 25 February 2017]
Disease Outbreak News (DONs)
:: Yellow fever – Brazil 24 February 2017 –
From 1 December 2016 to 22 February 2017, a total of 1336 cases of yellow fever infection (292 confirmed, 920 suspected, and 124 discarded), including 215 deaths (101 confirmed, 109 suspected, 5 discarded), have been detected in six states (Bahia, Espírito Santo, Minas Gerais, Rio Grande do Norte, São Paulo, and Tocantins). The estimated case fatality rate is 35% for confirmed cases and 12% for suspected cases. To date, the majority (86%) of the confirmed cases are men and of which, approximately 81% are aged between 21 and 60 years.

EBOLA/EVD [to 25 February 2017]
No new digest content identified for this edition.

MERS-CoV [to 25 February 2017]
No new digest content identified for this edition.

WHO: Disease Outbreak News (DONs)
:: 24 February 2017 – Yellow fever – Brazil
:: 23 February 2017 – Meningococcal disease – Togo
:: 22 February 2017 – Human infection with avian influenza A(H7N9) virus – China
:: 20 February 2017 – Seoul virus – United States of America and Canada
:: 20 February 2017 – Human infection with avian influenza A(H7N9) virus – China