Emergencies

Emergencies

POLIO
Public Health Emergency of International Concern (PHEIC)
Polio this week as of 24 July 2019
Summary of new viruses this week:
:: Pakistan — three WPV1-positive environmental samples;
:: Nigeria —two circulating vaccine-derived poliovirus type 2 (cVDPV2)-positive environmental samples;
:: Democratic Republic of the Congo (DRC) — four cVDPV2 cases.

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DRC – Ebola
Public Health Emergency of International Concern (PHEIC)

Disease Outbreak News (DONs}
Ebola virus disease – Democratic Republic of the Congo
25 July 2019
The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces in Democratic Republic of the Congo is ongoing amidst a complex crisis, and we continue to observe sustained local transmission and a high number of cases. Most notably, Beni Health Zone accounted for over half of all new cases reported in the last three weeks, as well as a number of cases and contacts that travelled to other health zones. This is the second wave of the outbreak in Beni Health Zone, and it is larger in case numbers and longer in duration than the first. New healthcare worker and nosocomial infections continue to be reported in Beni and other affected health zones, despite substantial infection prevention and control by multiple agencies during the last wave of the outbreak; a total of 141 (5% of total cases) have been reported to date.
The intensive follow-up of contacts of the confirmed case who arrived in Goma on 14 July (see the 18 July Disease Outbreak News) will continue until the end of the 21-day period. In response to this case, 19 health workers were deployed from other posts to Goma to provide support. Rumours of his contacts travelling to Bukavu, South Kivu, were investigated and ruled out by response teams. No new cases have been reported in Goma to date. There are currently no confirmed cases of EVD outside of the Democratic Republic of the Congo…

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World Bank Mobilizes US$300 Million to Finance the Ebola Response in Democratic Republic of Congo
WASHINGTON, July 24, 2019—The World Bank Group today announced that it is mobilizing up to US$300 million to scale up support for the global response to the Ebola epidemic in the Democratic Republic of Congo (DRC). The announcement follows the declaration by the World Health Organization (WHO) that the current outbreak constitutes a Public Health Emergency of International Concern.
The US$300 million in grants and credits will be largely financed through the World Bank’s International Development Association (IDA) and its Crisis Response Window, which is designed to help countries respond to severe crises and return to their long-term development paths. The financing package will cover the Ebola-affected health zones in DRC and enable the government, WHO, UNICEF, WFP, IOM and other responders to step up the frontline health response, deliver cash-for-work programs to support the local economy, strengthen resilience in the affected communities, and contain the spread of this deadly virus…

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The United States Announces More Than $38 Million in Additional Assistance to Contain the Ebola Outbreak in the Democratic Republic of Congo
July 24, 2019
The United States, through the U.S. Agency for International Development (USAID) is providing more than $38 million in additional assistance to help end the ongoing Ebola outbreak in the Eastern Democratic Republic of Congo (DRC), including $15 million in new funding to the World Health Organization. This brings the total USAID funding for the response to Ebola to more than $136 million since the beginning of the outbreak in August 2018.

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Summary of new polio viruses this week:
Democratic Republic of the Congo
Four cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) have been reported this week in the Democratic Republic of the Congo (DR Congo): two from Kalonda-Ouest and one from  Nyanga, Kasai province, with onset of paralysis on 3, 7, and 5 June 2019; one from Tshumbe, Sankuru province, with onset of paralysis on 14 June 2019.  There are 15 reported cases of cVDPV2 in 2019. The total number of cVDPV2 cases reported in 2018 is 20.  DRC is currently affected by eight separate cVDPV2 outbreaks; one each originated in Haut Katanga, Mongala, Sankuru, two in Haut Lomami and three in Kasai provinces.

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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 27 Jul 2019]

Democratic Republic of the Congo
[See DRC Ebola+ above for detail]

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
Syrian Arab Republic – No new digest announcements identified
Yemen – No new digest announcements identified

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WHO Grade 2 Emergencies [to 27 Jul 2019]

Iraq
:: WHO Regional Director in Iraq to reinforce WHO support as country enters transition to development phase 15 July 2019

Myanmar
:: Bi‐weekly Situation Report 14 – 18 July 2019 pdf, 737kb

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
Libya – No new digest announcements identified
Malawi floods – No new digest announcements identified
Measles in Europe – 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)
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 27 Jul 2019]

Chad
:: Partner meeting for the eradication of poliomyelitis in the Lake Chad Basin under the coordination and leadership of the WHO African region [in French] 30 June 2018

Angola – 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
:: Humanitarian Update Syrian Arab Republic – Issue 04 | 25 July 2019
Upsurge in violence endangers 3 million people in northwest
The United Nations remains gravely concerned by the dramatic escalation of violence in northwest Syria which has resulted in over 400 civilians confirmed dead and hundreds of thousands of women, children and men displaced since the upsurge in violence began almost three months ago…

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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