Public Health Emergency of International Concern (PHEIC)
Polio this week as of 25 September 2018 [GPEI]
:: Preparations for World Polio Day are in full swing:  partners and stakeholders across the world are preparing for World Polio Day on 24 October, to raise awareness and resources for the global eradication effort.  Join Rotarians around the world in making this year’s World Polio Day a huge success.  Click here to view a video message by Rotary International President Barry Rassin, inviting everyone to join in World Polio Day activities.

Summary of new viruses this week:
Afghanistan – one case of wild poliovirus type 1 (WPV1) and five WPV1-positive environmental samples;
Pakistan – seven WPV1-positive environmental samples;
Nigeria – three cases of circulating vaccine-derived poliovirus type 2 (cVDPV2);
Horn of Africa (Somalia) – one cVDPV type 3-positive environmental sample
Editor’s Note:
WHO has posted a refreshed emergencies page which presents an updated listing of Grade 3,2,1 emergencies as below.

WHO Grade 3 Emergencies  [to 6 Oct 2018 ]
Democratic Republic of the Congo
:: 09: Situation report on the Ebola outbreak in North Kivu  4 October 2018
:: Disease Outbreak News (DONs)  Ebola virus disease – Democratic Republic of the Congo
4 October 2018
[See Milestones above for detail]

:: Yobe State requests WHO’s expertise over fresh cholera outbreak
Damaturu, 27 September 2018 – The Yobe state Government has called on the World Health Organization (WHO) to deploy its human resources and technical expertise to contain the ongoing outbreak of cholera in the state. The request was contained in a Press statement in Damaturu, the state capital by the Commissioner for Health, Dr Muhammad Bello Kawuwa…

Syrian Arab Republic
:: WHO delivers largest cross-border shipment of health supplies to northwest Syrian Arab Republic to date
5 October 2018 — The World Health Organization (WHO) supported close to 180 health facilities in northwest Syrian Arab Republic in September 2018 with essential medical supplies, totaling over 104 tonnes worth US$ 1.3 million. This is one of the biggest monthly shipments to date this year from its operational hub in Turkey, delivered to prepare for any possible escalation of conflict.
With these supplies, health facilities will be able to provide approximately 677 000 medical treatments for surgery and trauma, communicable and non-communicable diseases, and more. Medical supplies allow health facilities to remain functional and continue providing medical services to both trauma patients and those in need of primary health care…

Yemen – No new announcements identified
[See joint WHO-UNICEF press release above]

Bangladesh – Rohingya crisis – No new announcements identified
Somalia – No new announcements identified
South Sudan – No new announcements identified

WHO Grade 2 Emergencies  [to 6 Oct 2018 ]
:: Zimbabwe to vaccinate 1.4 million people against cholera in Harare

3 October 2018, Harare – The Government of Zimbabwe with the support of the World Health Organization (WHO) and partners is launching today an oral cholera vaccination (OCV) campaign to protect 1.4 million people at high risk of cholera in Harare…
[See OCV above for more detail]
:: Restoring mobility and hope in Mosul   5 October 2018
:: Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia  3 October 2018
Cameroon  – No new announcements identified
Central African Republic  – No new announcements identified
Ethiopia – No new announcements identified
Hurricane Irma and Maria in the Caribbean – No new announcements identified
occupied Palestinian territory – No new announcements identified
Libya – No new announcements identified
Myanmar – No new announcements identified
Niger – No new announcements identified
Sao Tome and Principe Necrotizing Cellulitis (2017) – No new announcements identified
South Africa Listeriosis (2017) – No new announcements identified
Sudan – No new announcements identified
Ukraine – No new announcements identified

Outbreaks and Emergencies Bulletin, Week 37: 22 -28 September 2018
The WHO Health Emergencies Programme is currently monitoring 54 events in the AFRO region. This week’s edition covers key ongoing events, including:
:: Ebola virus disease outbreak in the Democratic Republic of the Congo
:: Cholera outbreak in Zimbabwe
:: Cholera outbreak in Cameroon
:: Plague outbreak in Madagascar
:: Monkeypox outbreak in Nigeria.
WHO Grade 1 Emergencies  [to 6 Oct 2018 ]
Angola (in Portuguese)
Lao People’s Democratic Republic
Papua New Guinea
Tropical Cyclone Gira


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. 
:: Yemen Humanitarian Update Covering 18 – 27 September 2018 | Issue 28

Key Issues
– Food and fuel prices have skyrocketed following a sharp depreciation of the Yemeni Rial against the US dollar. Crippling fuel queues are reported in Sana’a.
– Food security has further deteriorated, which could add another 3.5 million people to the 8.4 million people who currently need emergency food assistance in Yemen.
– The main Al Hudaydah-Sana’a road remains inaccessible due to fighting; access to the city is only from the north, on the Al Hudaydah-Hajjah road.
– Over 2.3 million people have been displaced by conflict since 2015; and an additional 58,000 households were displaced between June and August 2018.
– Efforts are underway to expedite the release of humanitarian cargo currently held at Yemen’s main entry points awaiting import approval.

Syrian Arab Republic   No new announcements identified.


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 64 | 17 – 30 September 2018
:: Humanitarian Bulletin Somalia, 5 September – 4 October 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 6 Oct 2018 ]
[See Milestones above for more detail]

MERS-CoV [to 6 Oct 2018 ]
:: Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia  3 October 2018


Yellow Fever  [to 6 Oct 2018 ]
No new announcements identified.

Zika virus  [to 6 Oct 2018 ]
No new announcements identified.

WHO & Regional Offices [to 6 Oct 2018 ]
5 October 2018
News Release
Health workers in Yemen reach more than 306,000 people with cholera vaccines during four-day pause in fighting – WHO, UNICEF

1 October 2018
News Release
WHO FCTC opens 8th COP session to review progress, strengthen global fight against tobacco use

1 October 2018
News Release
WHO calls for increased investment to reach the goal of a toilet for all

Ending the epidemics of high-impact communicable diseases
Why primary health care matters
1 October 2018

Weekly Epidemiological Record, 5 October 2018, vol. 93, 40 (pp. 521–540)
:: Surveillance of leishmaniasis in the WHO European Region, 2016
:: Global leishmaniasis surveillance update, 1998–2016

October 2018
GIN September 2018  pdf, 2.03Mb
WHO Regional Offices
Selected Press Releases, Announcements
WHO African Region AFRO

Selected Featured News
:: South Sudan establishes Rota sentinel surveillance to determine the extent of Rotavirus infection among children with acute diahorrea  04 October 2018
:: East African Countries intensify collaboration and Preparedness as Ebola Outbreak Continues in DRC  03 October 2018
:: Zimbabwe to vaccinate 1.4 million people against cholera in Harare  03 October 2018
:: From high burden to high impact: getting back on track to end malaria  29 September 2018

WHO Region of the Americas PAHO
– No new announcement identified
WHO South-East Asia Region SEARO
:: Major Earthquake Hits Sulawesi, Indonesia, 28 September 2018
A 7.7 magnitude earthquake hit Donggala District Central Sulawesi, Indonesia on 28 September 2018. A tsunami hit Palu City, the provincial capital of Central Sulawesi, around fifteen minutes after the quake. The twin disaster affected over 500,000 people, damaging homes, leaving 70,000 homeless and causing loss of over 1500 lives.
The Government of Indonesia is spearheading the emergency response with exhaustive search and rescue operations, and healthcare efforts. WHO is closely monitoring the public health needs of the affected while supporting the national authorities in coordination of the health sector response…
WHO European Region EURO
:: Healthy cities of the European Region adopt the Belfast Charter, ushering in a new phase of commitment 05-10-2018
:: Changing cities to change the world 03-10-2018

WHO Eastern Mediterranean Region EMRO
– No new announcement identified

WHO Western Pacific Region
– No new announcement identified