Public Health Emergency of International Concern (PHEIC)
Polio this week as of 29 November 2017 [GPEI]
:: Both the Technical Advisory Group (TAG) on Polio Eradication in Afghanistan, and in Pakistan, have met this week. The TAGs are reviewing the latest epidemiology, and performing a thorough program review. The outcomes will help advise each country program on improving the planning and implementation of their National Emergency Action Plans.

:: Summary of newly-reported viruses this week:
Afghanistan: one new wild poliovirus type 1 (WPV1) case, from Nangarhar province.


Syria cVDPV2 outbreak situation report 24: 28 November 2017
Situation update 28 November 2017
:: No new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) were reported this week in Syria. The most recent case (by date of onset) is 9 September 2017 from Mayadeen district.
:: The total number of confirmed cVDPV2 cases remains 70.
:: Outbreak response teams continue to use inactivated polio vaccine (IPV) strategically to boost immunity and additional vaccines are being prepositioned as part of ongoing contingency planning to ensure that the programme is able to respond quickly in areas where there has been recent evidence of virus transmission. Activities will be carried out when the security situation allows.
:: 7751 children aged 2–23 months were reported vaccinated with IPV in Damascus (representing 86% of the administrative target), as part of a subnational campaign aiming to reach children with bOPV and IPV. The campaign also reached more than 14 000 children aged 2–23 months from 5 camps for internally displaced people in Hasakah governorate, hosting populations from Deir Ez-Zor.
:: WHO continues to support the strengthening of active AFP surveillance in outbreak areas. In Ein Eisa IDP camp, Raqqa governorate and Al-Arysha IDP camp in Hasakah governorate, orientation sessions on reporting of AFP cases are being conducted for physicians operating out of camps.


WHO Grade 3 Emergencies  [to 2 December 2017]
The Syrian Arab Republic
:: Beyond the bullets and bombs: Saving the lives of chronic disease patients living in conflict settings
WHO has developed a new health kit to support treatment for chronic disease patients in emergency settings. Three years after the kit’s conceptualization, the first shipment of 6 kits, enough for 60 000 medical treatments, has been delivered cross-border from Turkey to northern Syria.
23 November 2017, Cairo, Egypt – In countries facing ongoing violence, the most direct victims are the people caught in the crossfire who sustain life-threatening trauma injuries. But in the longer term, conflict affects another group of people: those who are unable to access medicines and regular treatment for noncommunicable diseases such as diabetes, cancer, kidney diseases and other chronic conditions…

:: Polio- Situation update 28 November 2017
[See Polio above for detail]

:: WHO delivers medicines as diphtheria spreads in Yemen
News release
27 November 2017 | Sana’a – WHO has delivered medicines to tackle an outbreak of diphtheria in Yemen, warning that sustained humanitarian access is critical to stopping its spread.
The shipment of 1,000 vials of life-saving anti-toxins and 17 tonnes of medical supplies arrived in Sanaa on Monday (November 27) after being stalled by the three-week closure of sea and air ports.
“It is shocking that in 2017, there are children dying of an ancient disease that is vaccine-preventable and can be easily treated,” said Dr Nevio Zagaria, WHO Country Representative in Yemen.
The anti-toxins can help stop the spread of the bacterium to vital organs in patients already infected with diphtheria. But no supplies were available in Yemen before the arrival of the WHO shipment on Monday.
Antibiotics and vaccines are also critical to treating and preventing the highly infectious respiratory disease – both of which are in short supply in Yemen…
Despite the conflict and recent closures, WHO, UNICEF, and partners have continued to work with available supplies, vaccinating 8,500 children under five years in al-Sadah and Yarim districts in Ibb governorate during November.
A vaccination campaign targeting 300,000 children younger than 12 months began on Saturday (November 25). Further vaccination rounds for more than 3 million children and young adults in priority districts are due in December.

:: Iraq: Lifesaving mobile health teams reach people in newly liberated areas of Hawiija, Iraq
27 November 2017 – For more than three years, the people of Hawiija district in Kirkuk governorate, Iraq, were cut off from lifesaving health care and immunization services, leaving many children susceptible to vaccine-preventable diseases.

WHO Grade 2 Emergencies  [to 2 December 2017]
Democratic Republic of the Congo
:: Democratic Republic of the Congo – cholera in Lomami district
22 November 2017 Kinshasa — WHO Country Office in the Democratic Republic of the Congo and health partner ALIMA (Alliance for International Medical Action) signed an financing agreement, US$ 70 000 USD, to support and response to the cholera epidemic in Lomami Province. ALIMA will support the activities of case management for a period of two months. The focus will be on treated water supply, hygiene and increasing community awarenes of the importance of sanitation.

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
:: 30 Nov 2017  Syria Arab Republic: Whole of Syria Shelter/NFI Sector Winter Assistance Update 2 (30 November 2017)
:: Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Mark Lowcock: Statement to the Security Council on the humanitarian situation in Syria, 29 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 – 30 November 2017

:: 28 Nov 2017  Ethiopia Humanitarian Bulletin Issue 41 | 13 – 26 Nov. 2017
The OCHA-managed Ethiopia Humanitarian Fund (EHF) allocated US$11.35 million under its Reserve Allocation as a bridging response to the critical requirements identified until early 2018.
:: Humanitarian Bulletin Somalia, 01 – 29 November 2017
…Food security needs nearly double five-year average.
…Late Deyr rainfall falls short, risk of fifth poor rains.
…Number of newly displaced people decline in October.
…Plans underway to kick start measles vaccination campaign.
…Additional funding required to support humanitarian assistance.
Editor’s Note:
We will cluster these recent emergencies as below and continue to monitor the WHO webpages for updates and key developments.
Yellow Fever  [to 2 December 2017]
:: 1 December 2017 1.4 million vaccines from global stockpile support yellow fever control in Nigeria
Geneva – The International Coordinating Group (ICG) on vaccine provision for yellow fever has provided 1.4 million vaccine doses for an immunization campaign that starts on Saturday (2 December) to help control an ongoing yellow fever outbreak in Nigeria.
The Government of Nigeria, supported by World Health Organization and partners, is expected to vaccinate 1.3 million people to contain the outbreak in affected areas. The vaccines, funded by Gavi, the Vaccine Alliance, will be administered in parts of Zamfara state where cases of the deadly disease have been confirmed.
“WHO is working with the Government of Nigeria to address the low immunity among affected populations that is giving rise to cases of yellow fever,” said Dr Wondimagegnehu Alemu, WHO Representative in Nigeria.
The release of 1.4 million doses from the global stockpile builds on earlier efforts in October that reached 874 000 people in Kwara and Kogi states…