Public Health Emergencies of International Concern (PHEIC)  [to 15 April 2017]

Public Health Emergency of International Concern (PHEIC)
Polio this week as of 12 April 2017
:: The Polio Research Committee (PRC) is meeting this week in Geneva, to continue to provide guidance to the eradication effort’s research agenda. Research underpins polio eradication, evaluating new strategies, products and solutions to long-standing operational, epidemiological and virological challenges.
:: Summary of newly-reported viruses this week: two new wild poliovirus type 1 positive environmental samples from Pakistan.

Country Updates [Selected Excerpts]
New cases or environmental samples reported across the monitored country/region settings: Afghanistan, Pakistan, Nigeria, Lake Chad Basin. Guinea and West Africa, and Lao People’s Democratic Republic have been removed from the monitored geographies list.
:: On 4-5 April, the Technical Advisory Group (TAG) on Polio Eradication in Afghanistan convened in Kabul. This independent technical body of experts reviewed latest epidemiology by region, remaining gaps and strategies for the rest of the year.
::Pockets of remaining unreached children in particular in Bermel, Helmand and Kandahar needs to be addressed, as such pockets continue to present a risk to the national effort.
:: Two new WPV1 positive environmental samples were reported in the past week, from Islamabad and Gadap (greater Karachi), Sindh, collected on 11 and 9 March, respectively.

[See joint WHO, UNICEF, World Bank news release on polio immunization in Yemen in Milestones above]


WHO Grade 3 Emergencies  [to 15 April 2017]
YemenNo new announcements identified
Nationwide immunization campaign protects 5 million children against polio in war-torn Yemen     8 April 2017
[See Milestones above for more detail]

Iraq  – No new announcements identified
NigeriaNo new announcements identified
South Sudan  – No new announcements identified
The Syrian Arab Republic  – No new announcements identified


WHO Grade 2 Emergencies  [to 15 April 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.
Niger  – No new announcements identified.
Ukraine  – No 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. 28 (2 – 9 April 2017) [EN/KU/AR]
Highlights [Excerpts]
…Humanitarian needs in western Mosul remain high, with shortages of food and water being reported. Although some areas of western Mosul are accessible to humanitarian partners, regular water supply has been very severely impact by the conflict resulting in serious shortages of water supplies of acceptable quality.
…Since the start of the operation in western Mosul on 19 February, an estimated 275,000 displaced people have passed through the Hammam al Alil screening site as of 9 April, according to the Government of Iraq.
…The cumulative number of IDPs since the beginning of the Mosul Operation on 17 October 2016 has reached beyond 436,000 people as of 9 April, according to the government. The government reports that 91,000 individuals have returned to eastern Mosul, and around 345,000 people are currently displaced as of 9 April…

:: UN Damage Assessment Shows Extensive Destruction in Western Mosul [EN/AR/KU]
(Baghdad, 13 April 2017): The most recent assessment from UN-Habitat, the United Nations Human Settlements Programme, confirms that extensive damage has occurred in western Mosul…
“The level of damage in western Mosul is already far greater than in the east, even before the battle to retake the Old City begins,” said Lise Grande, Humanitarian Coordinator for Iraq. “Nearly 300,000 civilians have fled western Mosul. Hundreds of thousands more may in the days and weeks ahead.”
“Homes are being destroyed. Schools and health centres are damaged and crucial public infrastructure including electricity and water stations are in ruins,” said Ms. Grande. “Under international humanitarian law, parties to the conflict are obliged to do everything possible to protect civilians and limit damage to civilian infrastructure. Nothing is more important.”…

:: 14 Apr 2017  Syria – IDP Situation Monitoring Initiative (ISMI) Weekly Update, Major Reported IDP Movements (03/04/17 – 09/04/17)
:: Northwest Syria – Flash Update (As of 11 April 2017)

:: 14 Apr 2017 – Yemen Humanitarian Bulletin Issue 22 | 14 April 2017
:: 13 Apr 2017 – Situational briefing to the General Assembly on the Secretary-General’s Call to Action on famine response and prevention
:: 11 Apr 2017 – Statement by the Humanitarian Coordinator in Yemen, Jamie McGoldrick,on the need to improve humanitarian access to Taizz City [EN/AR]


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 15 April 2017]
[No new digest content identified]

MERS-CoV [to 15 April 2017]
[No new digest content identified]

Yellow Fever  [to 15 April 2017]
[No new digest content identified]

EBOLA/EVD  [to 15 April 2017]
[No new digest content identified]