Emergencies

Emergencies

POLIO
Public Health Emergency of International Concern (PHEIC)
Polio this week as of 17 July 2019
:: In Central African Republic, a series of previously-detected/reported VDPV2s have now been officially classified as ‘circulating’.  Since initial detection of the viruses in May, the country had already operationally considered these viruses to represent an outbreak and implemented emergency outbreak response and declared the event to be a national public health emergency.
:: A cVDPV2 originating in Jigawa, Nigeria, continues to spread.  Genetically-linked virus has been confirmed from an environmental sample in Ghana.
:: In Myanmar, a cVDPV1 has been reported and response measures are being implemented.  Neighbouring countries have been informed of the confirmed cVDPV1, and surveillance for polioviruses is being strengthened across the region.  Myanmar had previously successfully stopped a cVDPV2 outbreak in 2015.

Summary of new viruses this week:
:: Afghanistan — one wild poliovirus type 1 (WPV1) case and one WPV1-positive environmental sample;
:: Pakistan— four WPV1 cases and three WPV1-positive environmental samples;
:: Nigeria —three circulating vaccine-derived poliovirus type 2 (cVDPV2) cases, two cVDPV2-positive environmental samples, and one cVDPV2 isolated from a healthy contact;
:: Democratic Republic of Congo (DRC) — five cVDPV2 cases;
:: Central African Republic (CAR) — three cVDPV2 cases, one case classified cVDPV2 based on a positive contact, and ten cVDPV2 community/close contacts ;
:: Angola — one cVDPV2 isolated from healthy child;
:: Ghana — one cVDPV2-positive environmental sample linked to Jigawa/Nigeria outbreak;
:: Myanmar — two cVDPV1 cases and two cVDPV1 positive contacts.

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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 20 Jul 2019]

Democratic Republic of the Congo
:: Ebola outbreak in the Democratic Republic of the Congo declared a Public Health Emergency of International Concern 19 July 2019
:: High-level meeting on the Ebola outbreak in the Democratic Republic of the Congo affirms support for Government-led response and UN system-wide approach 15 July 2019
:: 50: Situation report on the Ebola outbreak in North Kivu 16 July 2019
:: Disease Outbreak News (DONs} Ebola virus disease – Democratic Republic of the Congo
18 July 2019
[See DRC Ebola+ above for detail]

Syrian Arab Republic
:: Elizabeth Hoff: Seven years of tireless work in war-torn Syria 15 July 2019

Cyclone Idai – No new digest announcements identified
Mozambique floods – No new digest announcements identified
Nigeria – No new digest announcements identified
Somalia – No new digest announcements identified
South Sudan – No new digest announcements identified
Yemen – No new digest announcements identified

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WHO Grade 2 Emergencies [to 20 Jul 2019]

Measles in Europe
:: Vaccination against measles increases amid ongoing measles outbreaks in Europe 15-07-2019

MERS-CoV
:: Middle East respiratory syndrome coronavirus (MERS-CoV) – The Kingdom of Saudi Arabia
16 July 2019
From 1 through 31 May 2019, the National International Health Regulations (IHR) Focal Point of Saudi Arabia reported 14 additional cases of Middle East respiratory syndrome (MERS-CoV) infection, including five deaths…

Afghanistan – 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
HIV in Pakistan – No new digest announcements identified
Iran floods 2019 – No new digest announcements identified
Iraq – No new digest announcements identified
Libya – No new digest announcements identified
Malawi floods – No new digest announcements identified
Myanmar – 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)
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 20 Jul 2019]

Angola – No new digest announcements identified
Chad – No new digest announcements identified
Djibouti – No new digest announcements identified
Indonesia – Sulawesi earthquake 2018 – No new digest announcements identified
Kenya – No new digest announcements identified
Mali – No new digest announcements identified
Namibia – viral hepatitis – No new digest announcements identified
Tanzania – No new digest announcements identified

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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. 
Syrian Arab Republic – No new digest announcements identified
Yemen – 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.
Editor’s Note:
Ebola in the DRC has bene added as a OCHA “Corporate Emergency” this week:
CYCLONE IDAI and Kenneth – No new digest announcements identified
EBOLA OUTBREAK IN THE DRC – No new digest announcements identified

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