Public Health Emergency of International Concern (PHEIC)
Polio this week as of 1 November 2017 [GPEI]
:: Health Ministers at the G7 summit in Milan this week reaffirmed their commitment to polio eradication, recognising “the importance of continuing our efforts to succeed and keep the world sustainably polio-free”.
[See Milestones above for polio eradication reference]

:: Summary of newly-reported viruses this week:
Afghanistan: One new wild poliovirus type 1 (WPV1) case, reported in Batikot district in Nangarhar province.
Syria:  Ten new circulating vaccine derived poliovirus type 2 (cVDPV2) cases reported, eight in Mayadeen district, and two in Boukamal district, Deir Ez-Zor governorate. Four new cVDPV2 positive contacts reported, three in Mayadeen district, and one in Boukamal district, Deir Ez-Zor governorate.


Syria cVDPV2 outbreak situation report 21: 7 November 2017
Situation update 7 November 2017
:: Ten (10) new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) were reported this week from Mayadeen and Boukamal districts, Deir Ez-Zor governorate. Isolates from some cases had been laboratory pending for some time. The most recent case (by date of onset) remains 25 August.
:: The total number of cVDPV2 cases is 63.
:: Inactivated polio vaccine (IPV) will be offered to children 2-23 months in areas of Damascus and Rural Damascus with large internally displaced populations in the upcoming subnational immunization days (SNIDs) targeting children under 5 with bivalent oral polio vaccine. The campaign is planned for 19 November.
:: 250,000 doses of IPV have arrived in Damascus, which will ensure a continuous supply of vaccine for routine immunization activities in coming months. Syria is finalizing planning for targeted vaccination with IPV and is finalizing a request for additional IPV vaccine for additional campaign activities in Hasakah, Aleppo, Damascus and Rural Damascus governorates.
:: The International Monitoring Board (the polio programmes highest independent review mechanism) met last week in London to assess progress towards global interruption of all poliovirus circulation. The IMB reviewed the quality of the Syrian outbreak response to date and will provide recommendations through its report on how Syria can strengthen its outbreak response activities in coming months.


Polio Eradication Hopes and Fears: What Next?
4 Nov, 201:
On the occasion of World Polio Day  
Heidi Larson, Ph.D. & Will Schulz, MSc,
[See Research/Commentary below for full text]

WHO Grade 3 Emergencies  [to 11 November 2017]
The Syrian Arab Republic
:: Syria cVDPV2 outbreak situation report 21: 7 November 2017
 [See Polio above]

[See UNICEF and WHO statements above in Milestones]

WHO Grade 2 Emergencies  [to 11 November 2017]
::  Mortality and Morbidity Weekly Bulletin(MMWB) Cox’s Bazar, Bangladesh Volume No 4: 05
November 2017

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
:: 8 Nov 2017  Syria: Flash update on recent events – 8 November 2017

:: 6 Nov 2017  Yemen Humanitarian Bulletin Issue 28 | 29 October 2017
:: Statement by the Humanitarian Coordinator for Yemen, Jamie Mcgoldrick, on Continued Violence Affecting Civilians in Yemen [EN/AR] Sana’a, 5 November 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.
:: ISCG Situation Update: Rohingya Refugee Crisis, Cox’s Bazar – 9 November 2017
613,000 new arrivals are reported as of 7 November, according to IOM Needs and Population Monitoring.
A note on methodology: The official situation report figures are tabulated using the IOM Needs and Population Monitoring Emergency Tracking. This exercise takes place each day by estimating new arrivals at the point of transit in and around different settlements. NPM reports figures three times a week to update the international community on influx.

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 11 November 2017]
Middle East respiratory syndrome coronavirus (MERS-CoV) – Oman
10 November 2017
Yellow Fever  [to 11 November 2017]
[See Milestone above]
WHO & Regional Offices [to 11 November 2017]
Stop using antibiotics in healthy animals
7 November 2017 – To prevent the spread of antibiotic resistance, farmers and the food industry should stop using antibiotics to promote growth and prevent disease in healthy animals. Over-use and misuse of antibiotics contributes to the threat of antibiotic resistance. Sustained action across all sectors, including agriculture, is key to preventing the spread of antibiotic resistance.

Facilitating access to paediatric treatment of Chagas disease
November 2017 – WHO and partners are working to make an essential antiparasitic medicine for treatment of Chagas disease widely accessible to children. Treatment with this medicine in the early stages of infection can cure the Chagas disease, but currently very few people are able to access diagnosis and treatment services.

WHO’s work on air pollution
November 2017 – From smog hanging over cities to smoke inside the home, air pollution poses a major threat to health and climate. The combined effects of ambient (outdoor) and household air pollution cause about 6.5 million premature deaths every year.

Triple drug therapy to accelerate elimination of lymphatic filariasis
November 2017 – WHO is recommending an alternative three-drug treatment to accelerate the global elimination of lymphatic filariasis, a disabling and disfiguring neglected tropical disease. The treatment, known as IDA, involves a combination of ivermectin, diethylcarbamazine citrate, and albendazole.
Evaluation of the election of the Director-General of WHO
November 2017 – The Sixty-fifth World Health Assembly decided, in resolution WHA65.15 (2012), that an evaluation, open to all Member States, will be conducted by the Executive Board within one year from the appointment of the next Director-General of WHO, to assess the efficacy of the revised process and methods for the election of the Director-General, in order to discuss any need for further enhancing fairness, transparency and equity among the Member States of the six regions of WHO.


GIN October 2017 pdf, 2.23Mb 10 November 2017


Weekly Epidemiological Record, 10 November 2017, vol. 92, 45 (pp. 681–700)
:: Progress report on the elimination of human onchocerciasis, 2016–2017
:: Country Immunization Information System Assessments (IISAs), in Kenya (2015) and Ghana (2016)

WHO Regional Offices
Selected Press Releases, Announcements
WHO African Region AFRO
:: 10 November 2017  Botswana successfully concludes the IDSR national Training of Trainers (TOT) Workshop
:: Uganda and Kenya Hold Cross Border Meeting on Marburg Virus Disease 10 November 2017
:: Ghana celebrates World Mental Health Day
:: As Nigerian government Flags-off 2017/2018 Measles Vaccination Campaign, Kaduna state Governor’s children get vaccinated against measles disease.  09 November 2017
:: Mental health in the workplace: Commemoration of the World Mental Health Day in Swaziland
09 November 2017
:: Local Communities in Kween District Embrace Marburg Virus Disease Control Interventions
08 November 2017
:: Namibia’s ban on antibiotics in healthy animals drives meat exports  08 November 2017
:: Building capacity for reducing health inequalities: The Regional GER & SD Workshop kicks off in Tanzania  07 November 2017
:: South Sudan kick starts implementation of the 3rd Malaria Indicator Survey to assess progress in tackling the disease  07 November 2017
:: New Strategy Launched to Help Tackle Maternal, Child Deaths in Sierra Leone 06 November 2017

WHO Region of the Americas PAHO
:: Obesity, a key driver of diabetes (11/10/2017)

WHO South-East Asia Region SEARO
::  Bangladesh steps up vaccination for new Rohingya arrivals as measles cases rise  10 November 2017
[See Bangladesh in Emergencies above]

WHO European Region EURO
:: Meeting of European immunization programme managers offers innovative forum for exchange of ideas and experiences 09-11-2017
Over 170 immunization programme managers from 43 Member States of the WHO European Region came together on 24–27 October 2017 in Budva, Montenegro, for the biannual Immunization Programme Managers’ Meeting (PMM), organized by WHO/Europe. They focused on maintaining momentum towards the goals of the European Vaccine Action Plan (EVAP).
Participants received updates on the work of WHO and partners, informed WHO and each other about progress in their countries, and learned about innovative WHO projects to address ongoing challenges. The PMM covered many immunization-related topics using a variety of formats to ensure maximum information sharing and discussion…

:: New procedure to accredit regional non-State actors not in official relations with WHO to the WHO Regional Committee for Europe 08-11-2017
:: Ioannina becomes the first city in Greece to pilot integrated health and social services 08-11-2017
:: New studies of street food in Kyrgyzstan and Tajikistan show alarming levels of trans fat and salt 08-11-2017
:: Training supports Republic of Moldova and Ukraine in increasing access to lower-priced medicines 06-11-2017

WHO Western Pacific Region
:: Stop overuse and misuse of antibiotics: combat resistance  MANILA, 10 November 2017