Public Health Emergency of International Concern (PHEIC)
Polio this week as of 13 September 2017 [GPEI]
:: Following flooding in Benue, Nigeria, the World Health Organization has deployed its polio infrastructure across the state to strengthen disease prevention efforts.
:: Pakistan and Afghanistan plan to implement National Immunization Days during the second half of September.
:: Summary of newly-reported viruses this week: two new wild poliovirus type 1 (WPV1) positive environmental samples were confirmed this week, one located in Karachi, Pakistan, and the other in Rawalpindi, Pakistan
Situation reports on the polio outbreak in Syria [WHO]
Situation update 12 September 2017
:: No new cases of cVDPV2 were reported this week. The total number of cVDPV2 cases remains 39. All confirmed cases to date have had onset of paralysis before 14 July 2017.
:: Final lab results are pending for an additional 4 poliovirus type-2 (PV2) isolates (2 from Mayadeen and 1 from Boukamal districts, Deir Ez-Zor governorate, and 1 from Thawra district, Raqqa governorate).
:: The second round for Deir Ez-Zor concluded 28 August. Third party independent monitoring reported coverage of 77% (gauged by caregiver recall).
:: Preparations for the second Raqqa round continue.
:: The Ministry of Health has established healthy children stool sampling in all governorates receiving IDPs from Deir Ez-Zor and Raqqa.
:: IPV is being administered to unvaccinated children under five from Deir Ez-Zor and Raqqa at border checkpoints and entrances in all governorates.
:: The total number of AFP cases detected in Deir Ez-Zor governorate since the beginning of 2017 is 134 (99 from Mayadeen, 10 from Deir Ez-Zor, and 25 from Boukamal districts). Raqqa governorate has reported 16 AFP cases (5 from Raqqa, 10 from Tell Abyad, and 1 from Thawra districts). Homs governorate has reported 30 AFP cases (14 from Homs city, 13 from Rastan, 1 from Tadmour and 2 from Talkalakh districts).
WHO Grade 3 Emergencies  [to 16 September 2017]
:: WHO Intensifies Efforts to Contain Cholera Outbreak in Borno State
Maiduguri, 08 September 2017-With more than 1000 suspected and confirmed cases of cholera including 30 deaths in Borno state as of 07 Sept 2017, World Health Organization (WHO) has intensified its response efforts to contain the outbreak in Muna internally displaced persons (IDPs)camp in Maiduguri, Jere, Monguno and Dikwa local government areas (LGAs)…
The Syrian Arab Republic
:: Situation reports on the polio outbreak in Syria [WHO]  Situation update 12 September 2017
[See Polio above]
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. 
Syrian Arab Republic
:: 15 Sep 2017  After three year siege, UNHCR aid convoy reaches Deir Ez-Zor in eastern Syria
:: Iraq: Humanitarian Bulletin, September 2017 | Issued on 15 September
…Humanitarian partners prepare for up to 85,000 displaced from Hawiga and surrounding areas.
…Iraq inter-agency toll-free call centre one of a kind in existence.
…Cash Working Group develops joint approach for assistance programmes.
…Iraq Humanitarian Fund prepares new allocation.
…Military operations in Hawiga may affect 85,000
Yemen  No new announcements identified.
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.
:: UN Aid Chief: Humanitarian response saves lives in Nigeria’s north-east, civilian safety must be prioritized
(Abuja, 12 September 2017): At the end of a two-day mission to Nigeria, the United Nations Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Mark Lowcock, said that the Government and humanitarians had made important progress in delivering life-saving relief to millions of people in north-east Nigeria. However, the complex Lake Chad Basin crisis will require sustained international support over the coming years…
:: Nigeria: Five ways to contain the cholera outbreak
:: Nigeria – North-East Flash Update No. 3 – Cholera Outbreak, 9 September 2017
:: Somalia: Drought Response – Situation Report No. 16  Published on 14 Sep 2017
[Highlights excerpts]
…There is progress on containment of the AWD/cholera outbreak with a significant decline in cases in August.
…Case numbers of measles remain high. A nationwide measles vaccination campaign is scheduled for November/December 2017.Health partners highlight the need for further funding for this campaign.
:: 7 Sep 2017  Somalia Civil-Military Working Group Report – August 2017
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 16 September 2017]
Middle East respiratory syndrome coronavirus (MERS-CoV) – Oman
12 September 2017
Emergency cholera vaccination campaign kicks off in Sierra Leone
FREETOWN, 15 September 2017 – Sierra Leone’s first ever Oral Cholera Vaccination (OCV) campaign kicked off today, September 15th 2017. The emergency campaign targets communities affected by Western Area’s severe floods and landslides, which left over 6,000 people displaced and caused over 500 confirmed deaths.
“The cholera vaccine is safe and available free of cost for everyone living in the affected communities who is over 1 year of age,” said Dr. Brima Kargbo, Chief Medical Officer of the Ministry of Health and Sanitation. “We encourage people in these areas to take the two required doses of the vaccine, which will significantly increase protection against this life-threatening disease.”
Two doses of the vaccine are needed to maximize protection against cholera. The first dose will be administered from 15th to 20th September and the second from 5th to 10th October.  It will be available at health facilities and from health workers who will be going house-to-house in the affected communities and camps.
“Risks of cholera can increase after severe flooding and Sierra Leone has experienced severe outbreaks in the past,” said Alexander Chimbaru, Officer in-Charge of the World Health Organization in Sierra Leone. “In such situations, the cholera vaccine can be a valuable tool to reduce risks, alongside ongoing efforts to improve access to safe water, good hygiene practices and sanitation.”…