Emergencies

Emergencies

WHO Grade 3 Emergencies  [to 17 June 2017]
Iraq 
:: Iraq: WHO and health authorities immediately investigate suspected cases of foodborne illness in Hassan Sham U2 camp
Baghdad, 13 June 2017 – The World Health Organization, in coordination with Erbil and Ninewa Directorates of Health, rapidly responded to a suspected foodborne illness outbreak in Hassan Sham U2 camp by conducting an investigation with the aim of identifying the source and cause of the outbreak, treating those who are ill as well as containing and preventing any spread.
 
The Syrian Arab Republic 
:: WHO and health partners provide vital care to displaced people in northern Syria
13 June 2017– Responding to evacuations and a growing number of displaced people in northern Syria, WHO and its health partners are providing life-saving medical care to thousands of families. In spring 2017, following discussions between the Government of the Syrian Arab Republic and other groups, families from formerly besieged areas of the country were evacuated to areas further north.

Yemen
:: Read the latest situation report on the cholera outbreak in Yemen, 27 April–12 June [pdf 1.27Mb]
:: Epidemiology bulletin 9, 27 April–14 June 2017

NigeriaNo new announcements identified.
South SudanNo new announcements identified.
 

WHO Grade 2 Emergencies  [to 17 June 2017]
Cameroon  No new announcements identified

Central African Republic  – No new announcements identified.  [see UNICEF reports below]
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
 
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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
:: Iraq: Mosul Humanitarian Response Situation Report No. 37 (5 to 11 June 2017)
…Humanitarian and protection needs remain severe, both among displaced families and vulnerable residents of newly accessible areas. While humanitarian partners continue to respond to the outflow of people providing emergency assistance – including shading, ready-to-eat meals, water, sanitation facilities, and medical and protection services – capacities are being stretched, and funding concerns are being reported in some areas, such as water, sanitation and hygiene (WASH) and health…

Syrian Arab Republic
:: 16 Jun 2017 Mobile clinics reach far-flung regions of Syria

Yemen
:: Key messages on cholera (12 June 2017)
Current situation
Yemen is in the grip of a fast spreading cholera outbreak of an unprecedented scale. As of 12 June, WHO reports a cumulative total of 124,002 suspected cases and 923 associated deaths. More than half of the suspected cholera cases have been reported from four governorates: Amanat Al Asimah, Hajjah, Amran and Al Hudeideh. [These figures likely underrepresent the magnitude of the epidemic since only 45% of health facilities in Yemen are effectively functioning and surveillance systems, data collection and verification continues to be a challenge throughout the country. Although rapid test are available, only 2 labs (Sanaa and Aden) are ‘authorised’ to confirm suspected cases. On 14 May, the MoPHP declared a state of emergency in Sana’a governorate stating that the health system is unable to contain this unprecedented health and environmental disaster.]…
…The risk of the epidemic spreading further and affecting thousands more is real as the health/wash systems are unable to cope. Congested urban centers where garbage remains uncollected and overcrowded IDP collective centers/ settlements with precarious sanitation are at high risk of contagion.
Malnourished children, malnourished pregnant women and people living with other chronic health conditions are now at greater risk of death as they face the “triple threat” of conflict, famine and cholera. Their vulnerability cannot be overstated…

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
:: Humanitarian Common Feedback Project for Accountability to Affected People & Communication with Communities in Somalia for Prevention of Famine, June 2017
Published on 16 Jun 2017
The humanitarian situation in Somalia continues to deteriorate and an elevated risk of famine persists in some parts of the country, only six years after the devastating 2011 famine led to the death of over a quarter million people, half of them children. Over 6.7 million people are now estimated to need humanitarian assistance. This is more than half of the population of Somalia.
Led by OCHA, the Common Feedback Project (CFP) was rolled out in March through the Drought Operations Coordination Centres as part of a collective approach to strengthening two-way consultations between relief workers and affected communities. Working with humanitarian partners, the CFP is collecting, collating and analysing feedback from multiple platforms to identify key themes and issues being raised by communities, particularly related to ongoing drought…
:: Somalia: Drought Response – Situation Report No. 12 (as of 13 June 2017)

Ethiopia
:: Ethiopia Weekly Humanitarian Bulletin, 12 June 2017

DRC (Kasai crisis)No new announcements identified.
NigeriaNo new announcements identified.

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UNICEF  [to 17 June 2017]
https://www.unicef.org/media/media_94367.html
Children account for half of all suspected cholera cases in Yemen
SANA’A, 13 June 2017- “The cholera outbreak in Yemen continues to spread at an alarming speed. Over 124,000 cases have been recorded – almost half of them are children.
“Children continue to bear the brunt of the war in Yemen. Many who have become ill or have died from cholera were suffering from malnutrition. At least 923 people have died from the disease since late April. Children account for one quarter of the deaths.
“The cholera outbreak is overwhelming what remains of Yemen’s conflict-battered health system. Hospitals and treatment centres are struggling to cope with the large number of patients coming in from across the country. Medicines and intravenous fluids are quickly running out.
“But despite these massive challenges, health workers have spared no effort in responding to the emergency – even when their salaries have not been paid for nearly nine months.
“Without an urgent solution to pay health workers, more children will die – no matter how much humanitarian aid is delivered to the country.
“With no end in sight to the conflict, the cholera outbreak – and potentially other disease will continue to stalk the lives of children.”

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Unicef Steps In to Pay Yemen’s Doctors as War and Cholera Rage
New York Times – JUNE 15, 2017
By RICK GLADSTONE
Desperate to halt the cholera crisis afflicting Yemen, Unicef has taken the unusual step of paying the country’s doctors and nurses, who have not received salaries in months.
The regional director for Unicef, Geert Cappelaere, said on Thursday that Yemen’s health workers are crucial to the effort to combat cholera and that they should not be expected to work for free.
Their normal pay has been disrupted by the civil war that has raged since March 2015 between the Saudi-backed government and the country’s Houthi rebels and their allies.
Mr. Cappelaere said Unicef, the United Nations children’s agency, started paying the health workers about four weeks ago. The agency is borrowing the money from an emergency fund to provide medical workers with about 70 percent of what they ordinarily would be paid. The money, which he described as daily stipends, has already amounted to millions of dollars.
“It’s not a common practice at all,” Mr. Cappelaere said in an interview. “That’s also a practice I would not want to see sustained.”
Still, Mr. Cappelaere said it was necessary because, “We’re not going to let kids die.”
He described the cholera crisis ravaging Yemen as “really a massive, massive outbreak” the magnitude of which the country, the poorest in the Middle East, has never experienced…
Half of the country’s health facilities have been destroyed or closed because of the war, which has left roughly 10,000 people dead and millions displaced.
The cholera crisis, Mr. Cappelaere said, “just comes on top of what already was an incredibly daunting situation.”
 
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EBOLA/EVD  [to 17 June 2017]
http://www.who.int/ebola/en/
WHO AFRO
External Situation Report 24: 16 June 2017
WHO, UN Agencies, international organizations, non-governmental organizations (NGOs) and partners continue to support the Ministry of Health (MoH) in the Democratic Republic of the Congo to rapidly investigate and respond to the outbreak of Ebola virus disease (EVD) in Likati Health Zone, Bas Uele Province in the north-east of the country.
On 15 June 2017, no new confirmed or probable cases were reported. Since the last situation update on 13 June, 9 alerts have been reported and investigated of which two fulfilled the case definition as a suspected case. Both of these suspected cases were from Ngayi. Samples were collected and both tested negative by PCR for EVD. Therefore there are currently a total of five confirmed and three probable cases….
Data modelling suggests that the risk of further cases is currently low but not negligible, and decreases with each day without new confirmed/probable cases. As of the reporting date, 95% of simulated scenarios predict no further cases in the next 30 days.

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

MERS-CoV [to 17 June 2017]
http://www.who.int/emergencies/mers-cov/en/
DONs- Disease Outbreak News
Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia
13 June 2017
Between 1 and 10 June 2017, the national IHR focal point of Saudi Arabia reported 35 additional cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection including three fatal cases and one death among previously reported cases (case number 5 in the Disease Outbreak News published on 6 June 2017)….
 
Zika virus  [to 17 June 2017]
http://www.who.int/emergencies/zika-virus/en/
[No new digest content identified]

Yellow Fever  [to 17 June 2017]
http://www.who.int/emergencies/yellow-fever/en/
[No new digest content identified]