Emergencies

Emergencies

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

Ebola Outbreak in DRC 67: 12 November 2019
1. Situation update
Over the last three months, there has been a steady decrease in confirmed cases of Ebola Virus Disease (EVD) in the Democratic Republic of the Congo. At the peak of the epidemic in the last week of April 2019, 120 cases were reported. In the week of 4 to 10 November 2019 only 12 cases were reported. Teams are building on this progress by enhancing efforts to thoroughly investigate all new cases and improving contact tracing in order to break the remaining transmission chains…

::::::
::::::

POLIO
Public Health Emergency of International Concern (PHEIC)

Polio this week as of 13 November 2019
:: Besides Acute Flaccid Paralysis surveillance and Environmental surveillance, how else do disease surveillance officers track the poliovirus in populated cities, hard-to-reach geographical areas and in conflict zones? Find out here.
:: With the current VDPV outbreaks in the Philippines, the Government with the support of GPEI and other partners is working hard to tackle the virus. The Government has pledged US$ 9 million in domestic resources and has to date disbursed US$ 6.7 million, complemented by contributions from the GPEI. Read the country’s latest situation report [below]

Summary of new viruses this week (AFP cases and ES positives):
:: Pakistan— two WPV1 cases, three WPV1-positive environmental samples, seven cVDPV2 cases and nine cVDPV2 positive environmental samples;
:: Nigeria – one cVDPV2 case;
:: Democratic Republic of the Congo (DR Congo)- eight cVDPV2 cases;
:: Angola— three cVDPV2 cases;
:: Chad— two cVDPV2 community contacts;
:: Côte d’Ivoire- one cVDPV2 positive environmental sample.

::::::

Weekly Epidemiological Record, 15 November 2019, vol. 94, 46 (pp. 525–540)
:: Progress towards poliomyelitis eradication – Pakistan, January 2018–September 2019
:: Update on vaccine-derived polioviruses – worldwide, January 2018–June 2019

::::::

Philippines
Situation Report 9 – Polio Outbreak
WHO-UNICEF 9 November 2019
Highlights
– 4th confirmed poliovirus type 2 case is a three-year old female from Maguindanao. Virus was found to be genetically linked to other 2 cases from Mindanao. Outbreak immunization for 18,268 children 0-59 months in the area was conducted on 4-8 November: 16,295 children (89.2%) vaccinated thus far.
– Synchronized polio vaccination campaigns on 14-27 October covered 1,628,717 children under 5: 95.5% of the target. Preparations ongoing for the next round on 25 November-7 December in National Capital Region (NCR) and all provinces of Mindanao targeting 4,388,281 children 0-59 months.
– Current polio outbreak resulting from persistently low routine immunization coverage, and poor sanitation and hygiene.
– Circulating vaccine-derived poliovirus (cVDPV) is considered a public health emergency of international concern (PHEIC).

… Risk assessment
The risk for further polio transmission in the country continues to be assessed as high at the national level, because of chronically suboptimal immunisation coverage, sub-optimal performance of AFP sur-veillance, and poor sanitation and hygiene conditions.
The regional risk of potential spread across international borders is assessed as moderate considering the large number of Overseas Filipino Workers (OFW). Although many OFW work globally, the risk of in-ternational spread is still considered low, but not negligible, further influenced by dynamic migratory patterns (particularly the USA).

… Immunization response
The first of three rounds of scheduled mass vaccination campaigns has been successfully implemented in polio affected areas. Between 14 and 27 October 2019, a total of 1,628,717 children under 5 were vac-cinated out of a targeted 1,703,639 in NCR, Davao del Sur, Davao City and Lanao del Sur. Both NCR and Davao City have reported reaching the target of 95% children vaccinated…

::::::

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 16 Nov 2019]

Democratic Republic of the Congo
:: Ebola Outbreak in DRC 67: 12 November 2019

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

::::::

WHO Grade 2 Emergencies [to 16 Nov 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
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
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

::::::

WHO Grade 1 Emergencies [to 16 Nov 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

::::::
::::::

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 06 |14 November 2019
Response Efforts Increase in North-east Syria
The UN and its partners are working to address the needs of hundreds of thousands of people recently impacted by last month’s military escalation in north-east Syria.
Since Turkey’s military offensive began on 9 October, more than 190,000 women, children and men have been displaced. As of 12 November, more than 74,000 people remain displaced, including from Al-Hasakeh (48,134), Ar-Raqqa (19,471) and Aleppo (6,776) governorates. More than 14,000 people have reportedly fled to Iraq.
The fighting has seen civilian casualties in both Syria and Turkey, damage to and closure of critical infrastructure, including health and water treatment facilities, as well as significant forced displacement. At least 92 civilians have been killed in north-west and north-east Syria during these latest hostilities, according to the United Nations High Commissioner for Human Rights (OHCHR).
Of particular concern are threats to civilians and critical infrastructure, forced displacement of civilians within or outside Syria, the potential negative impact on essential services and livelihoods, as well as the obstruction of access for humanitarian assistance and protection services…

Yemen – No new digest 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.
Editor’s Note:
Ebola in the DRC has bene added as a OCHA “Corporate Emergency” this week:
CYCLONE IDAI and Kenneth
:: 13 Nov 2019 Southern Africa: 12 million people are food insecure
:: 12 November 2019 Southern Africa Humanitarian Snapshot (November 2019)

EBOLA OUTBREAK IN THE DRC – No new digest announcements identified

::::::
::::::