Public Health Emergency of International Concern (PHEIC)
Polio this week as of 03 July 2018 [GPEI]
:: Tens of thousands of Rotarians met last week in Toronto, Canada, for the annual Rotary International Convention. Polio eradication was again front and centre at this year’s event. Addressing the Convention, WHO Director-General Dr Tedros Adhanom Ghebreyesus thanked Rotarians for their leadership in bringing the world to the brink of being polio-free, and asked for a doubling of efforts to cross the finish line once and for all.
:: On the convention’s final day, Justin Trudeau, Prime Minister of Canada, was presented with Rotary’s Polio Eradication Champion Award in recognition of his leadership and Canada’s contributions to polio eradication.
:: Read about the vaccination of refugees and internally displaced people in the Lake Chad basin.

Summary of new cases this week:
Afghanistan: An advance notification has been received of one new wild poliovirus type 1 (WPV1) case in Afghanistan.
Nigeria: One circulating vaccine-derived poliovirus type 2 (cVDPV2) positive environmental sample has been reported from Nigeria.
Pakistan: Three new WPV1 positive environmental samples have been reported from Pakistan.
Somalia: An advance notification has been received of one new cVDPV2 positive contact in Somalia. S


Alarming polio outbreak spreads in Congo, threatening global eradication efforts
Science | 2 July 2018  By Leslie Roberts
Overshadowed by the Ebola outbreak in the Democratic Republic of the Congo (DRC), another frightening virus is on the loose in that vast, chaotic country: polio. Public health experts have worked for months to stamp out the virus, but it keeps spreading. It has already paralyzed 29 children, and on 21 June a case was reported on the border with Uganda, far outside the known outbreak zone, heightening fears that the virus will sweep across Africa. The DRC is “absolutely” the most worrisome polio outbreak today, says Michel Zaffran, who heads the Global Polio Eradication Initiative (GPEI) at the World Health Organization (WHO) in Geneva, Switzerland.
The outbreak also underscores the latest complication on the bumpy road toward polio eradication. It is caused not by the wild virus hanging on by a thread in Afghanistan, Pakistan, and perhaps Nigeria, but by a rare mutant derived from the weakened live virus in the oral polio vaccine (OPV), which has regained its neurovirulence and the ability to spread. As OPV campaigns have driven the wild virus to near-extinction, these circulating vaccine-derived polioviruses (cVDPVs) have emerged as the greatest threat to polio eradication. If the outbreaks are not stopped quickly, polio scientists warn, they could spiral out of control, setting eradication efforts back years.
“There is an urgency” to stopping these vaccine-derived outbreaks, says epidemiologist Nicholas Grassly of Imperial College London. “It is so much more important than controlling the wild virus.”…


WHO Grade 3 Emergencies  [to 7 Jul 2018]
The Syrian Arab Republic
:: Southern Syrian Arab Republic Health Cluster report pdf, 130kb  Issue 2, 29 June-1 July 2018

:: WHO responds to health needs in Al-Hudaydah amid escalating conflict 28 June 2018

Iraq  – No new announcements identified
Nigeria  – No new announcements identified
South Sudan  – No new announcements identified

WHO Grade 2 Emergencies  [to 7 Jul 2018]
[Several emergency pages were not available at inquiry]
Cameroon  – No new announcements identified
Central African Republic  No new announcements identified.
Democratic Republic of the Congo  No new announcements identified
Ethiopia  No new announcements identified.
LibyaNo new announcements identified.
Myanmar  – No new announcements identified
Niger  – No new announcements identified.
UkraineNo new announcements identified.

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 
:: Syrian Arab Republic: Dar’a, Quneitra, As-Sweida Situation Report No. 1 as of 4 July 2018
…Sustained hostilities in south-west Syria since 17 June and rapid advances by the Government of Syria (GoS) army have led to the displacement of an estimated 285,000 – 325,000 individuals as of 4 July. Of those, up to 189,000 IDPs have moved to areas in close proximity to the Golan Heights and up to 59,000 individuals were displaced to areas near the Al-Nasib border crossing with Jordan…
:: Yemen: Al Hudaydah Update Situation Report No. 7 – Reporting period: 27 June – 4 July 2018


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.
:: Ethiopia Humanitarian Bulletin Issue 56 | 18 June – 1 July 2018

:: Humanitarian Bulletin Somalia, 2 June – 5 July 2018

Editor’s Note:
We will cluster these recent emergencies as below and continue to monitor the WHO webpages for updates and key developments.

EBOLA/EVD  [to 7 Jul 2018]
No new announcements identified.

MERS-CoV [to 7 Jul 2018]
No new announcements identified.
Yellow Fever  [to 7 Jul 2018]
No new announcements identified.

Zika virus  [to 7 Jul 2018]
No new announcements identified.