Public Health Emergencies of International Concern (PHEIC)  [to 13 May 2017]

Public Health Emergency of International Concern (PHEIC)
Polio this week as of 10 May 2017
:: A major global polio event will be held this June at the Rotary Convention in Atlanta. Find out more.
:: Pakistan’s polio surveillance network provides a silent force behind eradication efforts. Read more.
:: New animations from the WHO highlight the global scope of the polio surveillance system, how they respond to a polio outbreak and efforts to reach every last child with vaccines.
Summary of newly-reported viruses this week:  Pakistan – two new wild poliovirus type 1 (WPV1) environmental samples.

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.
:: Two new WPV1 positive environmental samples were reported in the past week, from Sindh (Khi Gadap and Khi Landhi, in greater Karachi), collected on 10 and 12 April, respectively.


WHO Grade 3 Emergencies  [to 13 May 2017]
:: Separated by conflict but reunited: health care in action
7 May 2017 – Thousands of people have been seriously wounded as a result of the conflict in Mosul, with many patients facing permanent disability as a result of their injuries. To date, more than 8000 people, many of them civilians including women and children, have received treatment in hospitals for trauma injuries since west Mosul operations began. For some, these injuries are life-changing.
:: Special health situation report from Mosul  7 May 2017
South Sudan 
:: Read the latest cholera situation report pdf, 674kb  5 May 2017
…Working with Health and Wash cluster partners, WHO has completed a rational plan for deploying 9 million doses of oral cholera vaccines alongside WASH interventions over the next two years targeting at least 4.5 million people aged one year and above in cholera transmission hotspots. The plan has been submitted to the Global Taskforce for cholera control for approval…

Planned Activities/recommendations

  1. The next weekly EPR/cholera taskforce meeting is scheduled for 10 May 2017 starting 2:00pm in the WHO Conference Hall.
  2. Roll out a comprehensive integrated response including oral cholera vaccination in response to the cholera outbreak in Mingkaman IDPs, Bentiu PoC, and Bor PoC.
  3. Continue with the ongoing response to the outbreaks in Mingkaman, Yirol East, Yirol West, Northern Liech, and Pigi/Malakal Town in Central Upper Nile states.
  4. Deploy additional WASH partners to support the cholera response in Yirol East and Yirol West.
  5. Develop tailored strategies for cholera prevention and response in affected and at-risk cattle camps.
  6. Enhance cholera preparedness, investigation and response activities in Kapoeta North and Kapoeta East as well as Torit county.
  7. Identify areas with active transmission that should be prioritized

:: WHO responds to resurgent cholera in Yemen
11 May 2017, Sana’a, Yemen — The World Health Organization (WHO) and partners are responding to an upsurge in cholera transmission in several parts of Yemen that has claimed 51 lives and caused around 2752 suspected cases since 27 April 2017. [No OCV mention]
NigeriaNo new announcements identified
The Syrian Arab Republic  – No new announcements identified


WHO Grade 2 Emergencies  [to 13 May 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. 
:: Mosul Humanitarian Crisis, 9 May 2017
..616,264 People displaced, cumulatively, from Mosul city as of 9 May 409,604 people currently displaced from western Mosul city as of 9 May
…6,612 family plots immediately available to shelter displaced people in 9 priority sites and 10 other sites as of 9 May
…3,100 m³ water trucked every day to eastern Mosul by humanitarian partners
…12,081 people have been referred from frontline areas to hospitals to receive treatment for trauma injuries as of 7 May
…Re-intensification of hostilities on 4 May between the Iraqi Security Forces (ISF) and the Islamic State in Iraq and the Levant (ISIL) has significantly impacted the humanitarian situation. Many families have been arriving at the newly established Badoush mustering point, northeast of Mosul city, where humanitarian partners are providing emergency relief assistance…
:: Iraq: Humanitarian Bulletin, April 2017 | Issued on 10 May
:: Iraq: Mosul Humanitarian Response Situation Report No. 32 (1 May to 7 May 2017) [EN/KU]

Syrian Arab Republic
:: Syria Crisis: Menbij and Ar-Raqqa Situation Report No. 4 (as of 1 May 2017)
:: Syrian Arab Republic: Whole of Syria CCCM Cluster response snapshot for 2017 (as of end March) 13 May 2017

:: Yemen Humanitarian Response Plan – Funding Status (As of 09 May 2017) [EN/AR]
:: Yemen Humanitarian Bulletin Issue 23 | 9 May 2017
:: Statement on behalf of the humanitarian coordinator, Jamie McGoldrick on the need to ensure funding and humanitarian access into and throughout Yemen [EN/AR] 7 May 2017

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.
:: Somalia: Drought Response – Situation Report No. 7 (as of 9 May 2017)

:: 9 May 2017  Ethiopia Weekly Humanitarian Bulletin, 08 May 2017

:: Press Statement by Peter Lundberg, Deputy Humanitarian Coordinator/Humanitarian Coordinator A.I on the Release of 82 Chibok Girls
(Abuja, 8 May 2017): The United Nations welcomes the release of the 82 Chibok girls in northeastern Nigeria and appeals to all Nigerians, including the families and communities of the liberated girls, to fully embrace them and provide all necessary support to ensure their reintegration into society.
Over 100 of these school girls are still unaccounted for, and the United Nations urges the international community to continue supporting the Government of Nigeria in its efforts to ensure the release, rehabilitation and reintegration of all the children, women and men who are victims of Boko Haram.
Despite this encouraging news, insecurity continues to affect millions of people living in six states in north-eastern Nigeria amid a deepening humanitarian crisis. Borno, Adamawa and Yobe States, where 8.5 million people are in need of life-saving humanitarian assistance and protection, are the most directly affected by conflict and mass forced displacement. The United Nations and partners are committed to supporting the Government of Nigeria to providing much needed relief to these vulnerable people.


UNICEF  [to 13 May 2017]
12 May 2017
Statement attributable to UNICEF’s Regional Office for Latin America and the Caribbean on health data in Venezuela
PANAMA CITY, 12 May 2017 – “Data on infant and maternal deaths released last week by the Ministry of Health in Venezuela provides stark evidence of the impact of the prolonged crisis on women and children in the country.
“Despite the efforts of the Government and other stakeholders, the data indicates that 30 per cent more children died before their first birthday and 64 per cent more women died during pregnancy or within 42 days after giving birth in 2016 compared to 2015. More than 240,000 people were infected with malaria in 2016, up 76 per cent from 2015. Cases of diarrhea, pertussis, pneumonia, HIV, and measles –all potentially deadly for children– also show marked increases.
“The publication of the data by the Ministry of Health is a crucial step in addressing health challenges in Venezuela. UNICEF is deeply concerned about the situation and stands ready to strengthen its ongoing support to partners in government and civil society, which has included the provision of medicine for the treatment of malaria, diphtheria and other diseases, within the framework of agreed cooperation priorities.”

Wall Street Journal
Accessed 13 May 2017
Venezuela’s Maduro Replaces Top Health Official After Data Released
By Kejal Vyas
May 12, 2017 12:40 am ET
Move comes days after publication of figures showing sharp declines in public health
Venezuela President Nicolás Maduro replaced his top health official just days after her ministry reported a severe worsening in public health in a rare release of government statistics.
After withholding data since 2015, the Health Ministry in Venezuela this week published an epidemiological bulletin showing a 30% increase in infant mortality…


Editor’s Note:
We will cluster these recent emergencies as below and continue to monitor the WHO webpages for updates and key developments.
EBOLA/EVD  [to 13 May 2017]
12 May 2017
WHO: Statement on Ebola in the Democratic Republic of the Congo
[See Milestones section above for detail]

MERS-CoV [to 13 May 2017]
[No new digest content identified]
Yellow Fever  [to 13 May 2017]
[No new digest content identified]
Zika virus  [to 13 May 2017]
[No new digest content identified]