Public Health Emergency of International Concern (PHEIC)
Polio this week as of 13 December 2017 [GPEI]
:: In Pakistan, the polio eradication programme and the routine immunization programme are working hand in hand to increase vaccination coverage in urban areas.
:: Pakistan and Afghanistan are implementing sub-national rounds during the second half of December; the rounds are synchronized to ensure that all the high risk mobile populations are efficiently reached with polio vaccine.
:: Summary of newly-reported viruses this week:
Afghanistan:  Two new WPV1 positive environmental samples reported, both collected from Nangarhar province.
Pakistan: One new case of wild poliovirus type 1 (WPV1) reported in Sindh province, Pakistan. This follows the advance notification of the case last week. Two new WPV1 positive environmental samples reported, one from Sindh province, and one from Balochistan province. Syria: Four new circulating vaccine derived poliovirus type 2 (cVDPV2) cases reported, all from Deir Ez-Zor governorate.

Editor’s Note:
It continues to be unclear why the weekly GPEI report on new cases at country level [above] does not capture cases in Syria [below].
Syria cVDPV2 outbreak situation report 26, 12 December 2017
Situation update 12 December 2017
:: Four new cases of circulating vaccine-derived poliovirus (cVDPV2) were reported this week. Three cases were reported from Mayadeen district, one case from Boukamal district, Deir Ez-Zor governorate. The most recent case (by date of onset) is 21 September 2017 from Boukamal district.
:: The total number of confirmed cVDPV2 cases is 74.
:: Global Polio Eradication Initiative (GPEI) partners continue to support the Syrian Ministry of Health with planning for the second phase of the outbreak response.
:: A new environmental surveillance laboratory has been successfully established in Damascus this week. WHO has led the training of surveillance officers and staff from the Ministry of Health and Ministry of Water Resources.


WHO Grade 3 Emergencies  [to 16 December 2017]
The Syrian Arab Republic
:: Saving the lives of Syrian mothers and children
13 December 2017, Damascus, Syrian Arab Republic — Through a donation from the Government of Spain, WHO is providing medicines to support health services in 7 governorates in the Syrian Arab Republic. WHO has provided anti-D immunoglobulin injections and other medicines, including anesthetics, to health facilities in 7 governorates in Syria through a generous donation from the Government of Spain. The grant provided sufficient medicines for more than 4500 treatments
:: Syria cVDPV2 outbreak situation report 26, 12 December 2017
[See Polio above for detail]

WHO Grade 2 Emergencies  [to 16 December 2017]
:: Bangladesh moves to protect Rohingya children from diphtheria 12 December 2017
[See joint announcement below]


Bangladesh moves to protect Rohingya children from diphtheria
COX’S BAZAR, Bangladesh, 12 December 2017 – The Government of Bangladesh, with the support of UNICEF, the World Health Organization and GAVI, the Vaccine Alliance, today launched  a vaccination campaign against diphtheria and other preventable diseases for all Rohingya children aged 6 weeks to 6 years living in 12 camps and temporary settlements near the Myanmar border.
Accelerated immunization will cover nearly 255 000 children in Ukhiya and Teknaf sub-districts in Cox’s Bazar, while the Government and health partners continue to increase support for diphtheria treatment and prevention….


South Sudan implements the second round of Oral Cholera Vaccination to enhance outbreak response efforts in high risk locations
Juba, 14 December 2017:  Cholera in South Sudan remains an important public health problem which has affected 21 571 people and resulted in 462 deaths since the onset of the outbreak on 18 June 2016. This has been the longest and largest outbreak in magnitude and geographical extent, its impact exacerbated by the protracted crisis, insecurity, displacements and declining access to safe drinking water and sanitation. Access to improved sanitation facilities across South Sudan remains at less than 10% while access to safe drinking water from improved water sources is estimated at 60%.
As part of the ongoing cholera response, the Ministry of Health of South Sudan with support from WHO and partners has deployed cholera vaccines to complement traditional cholera response strategies in several high-risk populations and locations. From the 2,178,177 doses secured by WHO in 2017, a total of 1,133,579 doses have already been deployed with 879,239 doses used during the first round and 254,340 doses utilized in second round campaigns in 16 cholera-affected and high-risk populations countrywide.
“When used alongside other interventions for improving access to safe water and sanitation, oral cholera vaccines are very effective for cholera prevention and control, giving protection to those at risk, especially when the recommended two doses are administered,” emphasized Dr Pinyi, Director General for Preventive Services at the Ministry of Health of South Sudan.
The most recent consignment of 737,819 doses, requested by WHO from the Global Task Force on Cholera Control (GTFCC) stockpile was in Juba by 11 December, 2017. The vaccines have been deployed to areas and counties with pending second round vaccination campaigns and these include Kapoeta South, Kapoeta East, Tonj East, Aburoc and Malakal Town…

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
:: 14 Dec 2017  Health Cluster Weekly Situation Report: Whole of Syria, Week 50 (8 – 15 December 2017)

:: 11 Dec 2017  Statement by the Humanitarian Coordinator for Yemen, Jamie McGoldrick, Calling on Parties to Facilitate Unimpeded Aid Delivery [EN/AR]
:: Yemen: Escalation of armed clashes and airstrikes in Sana’a City – Flash Update 2 | 7 December 2017

:: Iraq: Humanitarian Bulletin, November 2017 | Issued on 8 December

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 – 14 December 2017

:: 12 Dec 2017  Ethiopia Humanitarian Bulletin Issue 42 | 27 Nov – 10 Dec 2017
…Ethiopia launched Comprehensive Refugee Response Framework in line with pledges made at Leaders’ Summit on Refugees in September 2016.
…30,000 refugees to benefit from employment opportunities under the “Ethiopian Jobs Compact”.
…Government to phase out encampment policy over 10 years and advance out-of-camp and local integration options.

:: Fact Sheet NE Nigeria: Bama, Bama LGA (as of 12 December 2017)
:: UN allocates $13.4 million to support 1 million people with life-saving aid in North-East Nigeria
(Abuja, 11 December 2017): The United Nations, through the Nigeria Humanitarian Fund, has allocated $13.4 million to help thousands of children, women and men in need of urgent humanitarian assistance in crisis-hit north-east Nigeria.
The humanitarian emergency in the northeastern Nigeria is one of the most severe in the world today, with 8.5 million people in need of life-saving aid in 2017 in the worst-affected states of Borno, Adamawa and Yobe.
The Nigeria Humanitarian Fund (NHF) allocation will help address this devastating situation by financing 24 projects in the sectors of protection, nutrition, water and sanitation, health, education, shelter and non-food items, rapid response and early recovery, targeting a total of 950,000 people…