Public Health Emergency of International Concern (PHEIC)
Polio this week as of 20 September 2017 [GPEI]
:: Summary of newly-reported viruses this week:  Pakistan: one new wild poliovirus type 1 (WPV1) positive environmental sample; Syria: one new circulating vaccine-derived poliovirus type 2 (cVDPV2) case; and, Democratic Republic of Congo:  one new cVDPV2 case.


Situation reports on the polio outbreak in Syria [WHO]
Situation update 19 September 2017
:: One new case of cVDPV2 confirmed this week, from Mayadeen district, Deir Ez-Zor governorate. The case, a 9-month-old boy with no polio vaccination history, had onset of paralysis 19 June 2017.
:: The total number of cVDPV2 cases is 40. All confirmed cases to date have had onset of paralysis before 14 July 2017.
:: Preparations for the second Raqqa round continue.
:: Micro-plans are being updated for each of Raqqa’s districts. Pre-round C4D activities have started.
:: IPV vaccination for children missed in the second Deir Ez-Zor round continues through health facilities.
:: An IPV campaign targeting children aged between 2 and 23 months in Aleppo, Idlib and Hama is being planned to boost population immunity.


WHO Grade 3 Emergencies  [to 23 September 2017]
:: Cholera vaccination campaign begins in north-eastern Nigeria  18 September 2017
[See Cholera below for more detail]
The Syrian Arab Republic
:: Situation reports on the polio outbreak in Syria 19 September 2017
:: WHO responds to critical health needs of displaced populations in Al-Tabqa city, Ar-Raqqa Governorate   18 September 2017

:: [Cholera] Daily epidemiology bulletin, 19 September 2017
South Sudan
:: WHO and partners respond to flood crises in the former Northern Bahr el Ghazal and Upper Nile States of South Sudan  18 September 201

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
:: 22 Sep 2017  1.2 million children affected by Syrian crisis are benefiting from education through Education Above All Foundation and partners
:: Under-Secretary-General and Emergency Relief Coordinator Mr. Mark Lowcock: Remarks at High-level Meeting on Syria in Margins of the General Assembly  Report  UN Headquarters, New York, New York, September 21, 2017

:: OCHA Iraq | Hawiga Flash Update #1: Hawiga Humanitarian Response, 21 September 2017
:: Iraq: Returnees face new, unimaginable hardships  22 Sep 2017  Report from UN Office for the Coordination of Humanitarian Affairs

:: Yemen Humanitarian Bulletin Issue 27 | 20 September 2017
… Nearly 700,000 suspected cholera cases and over 2,000 associated deaths have been reported since 27 April.
…1.7 million people in acute need live in districts with highest access constraints.
..78 per cent of households are economically worse off than they were two years ago.
..8,530 people have been killed since March 2015, and 48,848 injured. More than 1,500 schools are damaged or destroyed.


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.
:: US$ 9.9 million urgently needed to respond to cholera outbreak in North-East Nigeria
18 September, 2017
The United Nations and its partners are urgently appealing for $9.9 million to respond to the current cholera outbreak in Borno State, north-east Nigeria, and prevent further outbreaks in high-risk areas. A Cholera Response and Prevention plan has been developed to address the immediate needs of 3.7 million people that could be affected by the outbreak…
Bangladesh Restricts Rohingya Refugees, Starts Immunization
New York Times/AP | 17 September 2017
COX’S BAZAR, Bangladesh — Bangladeshi authorities are taking steps to restrict the movement of Muslim Rohingya refugees living in crowded border camps after fleeing violence in Myanmar, whose military chief maintains that the chaos was the work of extremists seeking a stronghold in the country.
Bangladesh has been overwhelmed with more than 400,000 Rohingya who fled their homes in the last three weeks amid a crisis the U.N. describes as ethnic cleansing..
…With the U.N. saying there are some 240,000 children among the refugees living in dire conditions, Bangladeshi authorities have kicked off a massive immunization drive. Abdus Salam, the top government administrator in the Cox’s Bazar district hospital, said that some 150,000 children would be immunized over seven days for measles, rubella and polio.
“There are a lot of weak and malnourished children among the new arrivals,” UNICEF’s representative in Bangladesh, Edouard Beigbeder, said in an email. “If proper preventive measures are not taken, highly infectious diseases, especially measles, could even cause an outbreak…
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 23 September 2017]
Middle East respiratory syndrome coronavirus (MERS-CoV) – United Arab Emirates
21 September 2017 [One additional case]