Emergencies

Emergencies

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

Ebola Outbreak in DRC 62: 08 October 2019
Situation Update
In the past week, from 30 September to 6 October, 14 new confirmed Ebola virus disease (EVD) cases, with an additional nine deaths, have been reported from seven health zones in two affected provinces in the Democratic Republic of the Congo. Although the decline in the number of new cases is encouraging, the recent fluctuations in case numbers per week must be interpreted with caution, as case reporting is contingent upon the level of access and security.
During mid-September, serious security incidents in Lwemba Health Area, Mandima Health Zone, stalled outbreak response activities for more than two weeks. Response activities have since resumed but remain limited. Last week, an open forum for discussion and reconciliation was held in Lwemba with partners and civil society to dispel mistrust and enhance engagement in future response activities. Improved access may result in enhanced case finding and an increase in the number of reported cases from the area…

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As measles deaths in the Democratic Republic of the Congo top 4,000, UNICEF rushes medical kits to health centers and vaccinates thousands more children
KINSHASA/DAKAR/GENEVA/NEW YORK, 9 October 2019 – UNICEF is vaccinating thousands more children against measles and rushing life-saving medicines to health centers across the Democratic Republic of the Congo (DRC), as deaths from the world’s largest measles outbreak top 4,000.

Since January, 203,179 cases of measles have been reported in all 26 provinces of the country, and 4,096 have died.  Children under the age of five represent 74 per cent of infections and nearly 90 per cent of deaths. The number of measles cases in DRC this year is more than triple the number recorded for all of 2018. The measles outbreak in DRC has become far deadlier than Ebola, which to date, has taken 2,143 lives.

“We’re fighting the measles epidemic on two fronts – preventing infections and preventing deaths,” said UNICEF Representative in the DRC, Edouard Beigbeder. “Along with the government and key partners, UNICEF has been racing to vaccinate children against measles, and at the same time, supplying clinics with medicines that treat symptoms and improve the chance of survival for those already infected.”

This week and next, an additional 1,111 medical kits are being delivered to health centers in measles hot-spots. The kits contain antibiotics, rehydration salts, Vitamin A, pain relievers, antipyretics and other supplies to care for over 111,000 people infected with the highly contagious and potentially deadly viral disease.

Over the past year, UNICEF supplied more than 8.6 million doses of the measles vaccine for emergency outbreak responses rolled out by multiple organizations. UNICEF has led outbreak responses in eight hard-hit provinces—vaccinating more than 1.4 million children.  The most recent concluded last month in Kasai Central, where over 210,000 children were vaccinated…

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POLIO
Public Health Emergency of International Concern (PHEIC)

Polio this week as of 09 October 2019
:: On 24 October 2019, World Polio Day, an event will be held at the WHO to mark the potential certification of eradication of wild poliovirus type 3. With no poliovirus type 3 detected anywhere in the world since 2012, the Global Commission for the Certification of Poliomyelitis Eradication (GCC) is anticipated to officially declare this strain as globally eradicated. The event will also be broadcast on the internet. Viewers are welcome to follow the proceedings through a WebEx broadcast that will be available here.

:: In the Democratic Republic of the Congo, an Outbreak Response Assessment (OBRA) conducted in the country noted operational and Coordination improvements and strengthened government ownership in support of the outbreak response.  As a result, three genetically-distinct outbreak strains have been successfully stopped and recommended for closure, demonstrating the effectiveness of outbreak response measures, if fully implemented. At the same time, however, the OBRA noted that the strengthened political ownership now needed to rapidly translate into uniformly high-quality outbreak response, including through appropriate use and management of mOPV2, effective implementation of accountability framework to ensure high quality campaigns to urgently stop the remaining outbreak lineages and prevent further strains from emerging in the future.

:: On 16 September 2019, the Emergency Committee under the International Health Regulations (IHR 2005) held its twenty-second meeting. Read the committee’s report of progress for affected IHR States Parties subject to Temporary Recommendations.

Summary of new viruses this week:
:: Pakistan — three WPV1 cases and 13 WPV1-positive environmental samples;
:: Central African Republic— four cVDPV2 cases and two cVDPV2 positive environmental samples;
:: Democratic Republic of the Congo — three circulating vaccine-derived poliovirus type 2 (cVDPV2) cases;
:: Philippines — three cVDPV2 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 12 Oct 2019]

Democratic Republic of the Congo
:: Ebola Outbreak in DRC 62: 08 October 2019
[See Ebola above for detail]

Mozambique floods – No new digest announcements identified
Nigeria – No new digest announcements identified
South Sudan – No new digest announcements identified
Syrian Arab Republic – No 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 12 Oct 2019]

Iran floods 2019
:: WHO mobile clinics deployed to Islamic Republic of Iran 9 October 2019

Libya
:: WHO provides support for treatment of leishmaniasis in Libya 7 October 2019

Afghanistan – No new digest announcements identified
Angola – No new digest announcements identified
Burkina Faso [in French] – No new digest announcements identified
Burundi – 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
Iraq – 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
Myanmar – No new digest announcements identified
Niger No new digest announcements identified
occupied Palestinian territory – 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 12 Oct 2019]

Chad – No new digest announcements identified
Djibouti – 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
:: Syria ǀ Flash Update #2, Humanitarian impact of the military operation in north-eastern Syria, 11 October 2019
:: Syrian Arab Republic: Recent Developments in Northwestern Syria Situation Report No. 13 – as of 8 October 2019

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
:: 06 Oct 2019 Cholera response plan launched in Sudan

EBOLA OUTBREAK IN THE DRC – No new digest announcements identified

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