Emergencies

Emergencies

 
 
POLIO
Public Health Emergency of International Concern (PHEIC)
Polio this week as of 30 January 2019
:: 2018 in review and looking ahead to 2019: progress, challenges, milestones and takeaway lessons as we move forward. Read here.
:: The 144th Session of the Executive Board is meeting from 24 January to 1 February ahead of the World Health Assembly in May. Polio was one of the main talking points in the opening speech by the DG WHO and current Chair of the Polio Oversight Board, Dr Tedros Adhanom Ghebreyesus. Read his speech here. Concurrently, the DG also had a stakeholder consultation where he stressed on the need for strengthened and systematic collaboration between partners, health, and non-health actors, and committing to transparent long-term budgets for eradication efforts.

 Summary of new viruses this week:
:: Afghanistan – five WPV1 positive environmental samples;
:: Pakistan – ten wild polioviruses type 1 (WPV1) positive environmental samples;
:: Nigeria – two circulating vaccine derived poliovirus (VDPV2) positive environmental samples.

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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 2 Feb 2019]
Bangladesh – Rohingya crisis
:: Bi‐weekly Situation Report 2 – 31 January 2019

KEY HIGHLIGHTS
:: The number of varicella cases reported in week 4 has increased to 5 376, which is more than double from week 3. WHO and the health sector are working in collaboration with community health working group; education sector and risk communication group for multi-prong response
:: Partners were provided with important guidance on key issues such as temperature control storage, disposal of drugs and content of Emergency health kits were shared with partners through a health logistics meeting
:: WHO was involved in developing a microplan for water quality surveillance in refugee camps for 2019.
:: The health sector is actively coordinating a systematic rationalisation process to reduce duplication of health facilities in the refugee camps

 

Democratic Republic of the Congo
:: Ebola virus disease – Democratic Republic of the Congo
Disease outbreak news: Update
31 January 2019
The Ministry of Health (MoH), WHO and partners continue to respond to an outbreak of Ebola virus disease (EVD), despite persistent challenges around security and community mistrust impacting response measures. Relatively high numbers of cases were reported in recent weeks (Figure 1), mostly driven by the outbreak in Katwa Health Zone; the current focus of large scale response activities. Smaller clusters continue to be reported beyond Katwa Health Zone, including from Beni and Oicha; however, teams have quickly and systematically responded to these clusters to prevent onward transmission and guard against further geographical expansion of the outbreak. Teams are also working actively to strengthen community trust and participation in all affected areas.
As we approach six months since declaration of the outbreak, there have been a total of 752 EVD cases1 (698 confirmed and 54 probable) reported, including 465 deaths (overall case fatality ratio: 62%) as of 29 January 2019. Thus far, 259 people have been discharged from Ebola Treatment Centres (ETCs) and enrolled in a dedicated program for monitoring and supporting survivors. Among cases with a reported age and sex, 59% (439/750) were female, and 30% (224/749) were aged less than 18 years; including 115 children under 5 years…

South Sudan
:: South Sudan vaccinates health workers against Ebola
Yambio, 28 January 2019 – The Ministry of Health of South Sudan, with support from the World Health Organization (WHO), Gavi, the Vaccine Alliance, UNICEF and the US Centers for Disease Control and Prevention (CDC) and other partners, today started vaccinating health workers and other front-line responders against Ebola as part of preparedness measures to fight the spread of the disease.
Vaccination began in Yambio, Gbudue State, but health workers in Tombura, Yei and Nimule as well as the capital city, Juba, will also be offered the vaccine. These are high-risk areas bordering the Democratic Republic of the Congo (DRC), now experiencing its tenth outbreak of Ebola. The outbreak began 1 August 2018. Neighbouring countries have not reported any cases of Ebola, but preparedness is crucial…

Syrian Arab Republic
:: WHO concerned over critical health situation in Al-Hol camp, Al-Hasakeh
31 January 2019, Damascus, Syria – The World Health Organization is extremely concerned about the deteriorating humanitarian situation in Al-Hol camp in Al-Hasakeh governorate, and calls on all parties to the conflict to provide unhindered humanitarian access to people in need of life-saving aid….

Myanmar – No new digest announcements identified  
NigeriaNo new digest announcements identified
Somalia – No new digest announcements identified
Yemen – No new digest announcements identified

 

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WHO Grade 2 Emergencies  [to 2 Feb 2019]

Brazil (in Portugese) – No new digest announcements identified
Cameroon  – No new digest announcements identified
Central African Republic  – No new digest announcements identified
Ethiopia – No new digest announcements identified
Hurricane Irma and Maria in the Caribbean – No new digest announcements identified
Iraq – No new digest announcements identified
Libya – No new digest announcements identified
MERS-CoV – No new digest announcements identified
Niger – No new digest announcements identified
occupied Palestinian territory  – No new digest announcements identified
Sao Tome and Principe Necrotizing Cellulitis (2017) – No new digest announcements identified
Sudan – No new digest announcements identified
Ukraine – No new digest announcements identified
Zimbabwe – No new digest announcements identified

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WHO Grade 1 Emergencies  [to 2 Feb 2019]
Afghanistan
Chad
Indonesia – Sulawesi earthquake 2018
Kenya
Lao People’s Democratic Republic
Mali
Namibia – viral hepatitis
Peru
Philippines – Tyhpoon Mangkhut
Tanzania 

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WHO AFRO Outbreaks – Week 04: 19 – 25 January 2019
The WHO Health Emergencies Programme is currently monitoring 57 events in the region. This week’s edition covers key new and ongoing events, including:
:: Ebola virus disease in the Democratic Republic of the Congo
:: Measles in Madagascar
:: Humanitarian crisis in Nigeria
:: Humanitarian crisis in South Sudan

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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
:: Hajjah Flash Update 1 | 27 January 2018

Syrian Arab Republic   – No new digest announcements identified

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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  – No new digest announcements identified
Somalia  – No new digest announcements identified

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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 2 Feb 2019]
http://www.who.int/ebola/en/
– No new digest announcements identified.
 
 
MERS-CoV [to 2 Feb 2019]
http://who.int/emergencies/mers-cov/en/
– No new digest announcements identified.
 
 
Yellow Fever  [to 2 Feb 2019]
http://www.who.int/csr/disease/yellowfev/en/
– No new digest announcements identified.
 
 
Zika virus  [to 2 Feb 2019]
http://www.who.int/csr/disease/zika/en/
– No new digest announcements identified.