Public Health Emergencies of International Concern (PHEIC)  [to 22 April 2017]

Public Health Emergency of International Concern (PHEIC)
Polio this week as of 19 April 2017
:: Over the next two weeks, key global meetings will take place to review the global polio epidemiology and examine what additional efforts must be implemented to achieve a lasting polio-free world.  Next week, the Strategic Advisory Group of Experts on immunization (SAGE) will meet in Geneva, as well the next meeting of the International Health Regulations (IHR) Emergency Committee on the spread of poliovirus (via teleconference).  These meetings will be followed the week after by the Independent Monitoring Board (IMB), convening in London.

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.
[No new cases or positive sampling activity reported]


WHO Grade 3 Emergencies  [to 22 April 2017]
Iraq  – No new announcements identified
NigeriaNo new announcements identified
South Sudan  – No new announcements identified
The Syrian Arab Republic No new announcements identified
YemenNo new announcements identified


WHO Grade 2 Emergencies  [to 22 April 2017]
Cameroon No new announcements identified.
Central African Republic No new announcements identified.
Democratic Republic of the Congo No new announcements identified.
EthiopiaNo new announcements identified.
Libya No 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. 29 (10 April to 16 April 2017) [EN/AR]
:: Mosul Humanitarian Crisis, 19 April 2017
:: Six months into the military operation to retake Mosul City from the Islamic State of Iraq and the Levant (ISIL), civilians continue to have significant humanitarian needs. These needs are most severe among displaced families, both in and out of camps, and vulnerable residents in newly accessible areas.
:: On 19 February, Iraqi Security Forces (ISF) resumed military operations to retake western Mosul from ISIL. The humanitarian impact has been significant. Since the new offensive began, approximately 330,000 people from west Mosul have been displaced to camps and emergency sites as of 18 April, according to the Government of Iraq.
:: As of 18 April 2017, an estimated 400,000 people are currently living in displacement as a result of the military operations to retake Mosul, according to government figures. Cumulative displacement from west and east Mosul and surrounds was estimated at 491,000 people as of 18 April by the authorities, and returns at 91,000.
:: An estimated 500,000 people in western neighbourhoods of Mosul city remain largely inaccessible to humanitarians, sheltering from the fighting, or waiting for an opportune time to flee. 400,000 of them are in the old city. Serious concerns remain for the protection of civilians in west Mosul, where food, water, medicine and fuel are running low. Given the narrow streets and high population density in western Mosul city, people are at great risk of being caught in crossfire, and infrastructure is sustaining considerable damage.
:: Trauma casualty rates from Mosul City remain high. From 17 October 2016 to 12 April 2017, close to 6,400 hospital referrals were made from east and west Mosul, including1,900 cases from west Mosul since 18 February.
:: Emergency response packages of food and water are being distributed to families arriving at the Hammam al-Alil screening site from west Mosul. Over 2 million people have received emergency response packages since mid-October.

:: 21 Apr 2017  Syrian Arab Republic: IDP Movements in January 2017
:: 16 Apr 2017  Statement on the situation in Aleppo, Syria – UN Humanitarian Chief

YemenNo new announcements identified.


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 22 April 2017]
[No new digest content identified]

MERS-CoV [to 22 April 2017]
[No new digest content identified]

Yellow Fever  [to 22 April 2017]
Weekly Epidemiological Record, 21 April 2017, vol. 92, 16 (pp. 193–204)
Eliminate Yellow fever Epidemics (EYE): a global strategy, 2017–2026

EBOLA/EVD  [to 22 April 2017]
[No new digest content identified]