Emergencies

Emergencies

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

Ebola Outbreak in DRC 75: 14 January 2020
Situation Update
From 6 to 12 January 2020, eight new confirmed cases of Ebola virus disease (EVD) were reported from Mabalako, Beni, and Musienene Health Zones in North Kivu Province in the Democratic Republic of the Congo. Of these cases, three were reported in Beni Health Zone, where no cases had been reported for 29 days, and one was reported in Musienene Health Zone, where no cases had been reported for 132 days. These four cases are linked to the transmission chain that originated in Aloya Health Area, Mabalako Health Zone, and were not unexpected given known links between Mabalako and Beni…

…Vaccines
:: From 8 August 2018 to 12 January 2020, 265 309 people were vaccinated with the rVSV-ZEBOV-GP Ebola vaccine.
:: Vaccination with the Ad26.ZEBOV/MVA-BN-Filo vaccine continued in Karisimbi Health Zone, with 5684 people vaccinated since its introduction on 14 November 2019.

…Risk communication, social mobilization and community engagement
:: Traditional healers and managers of private structures which had contact with suspected EVD cases participated in response activities after community dialogue in Aloya, Mabalako Health Zone.
:: A forum for popular expression was also organized with village chiefs and civil society leaders to address questions related to vaccination activities in Métal and Aloya Health Zones.
:: Teams continue to involve local actors in communication and vaccination activities in Lwemba and Biakato.

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DR Congo: Red Cross volunteers attacked during Ebola burial
Goma/Nairobi/Geneva, 15 January 2020 – Two volunteers from the Democratic Republic of Congo (DR Congo) Red Cross were seriously injured following an attack during a safe and dignified burial of a suspected Ebola case near Mambasa, in eastern DR Congo on Monday, 13 January. The volunteers are now in hospital, receiving medical care and psychosocial support.

DR Congo Red Cross teams have faced incidents of violence and aggression from communities resisting safe and dignified burial protocols since the start of the Ebola outbreak in North Kivu and Ituri.  In this most recent attack, the family had consented to the burial but rumours and panic quickly spread among the community resulting in a violent assault against the Red Cross team.

Grégoire Mateso Mbuta, President of the DR Congo Red Cross Society said: “This incident is a stark reminder of the serious risks our volunteers face when they carry out the dangerous task of safe and dignified burials. While we deplore any violence towards our volunteers or staff, we understand first hand, the fear and frustration that communities harbour and shall continue to render the needed services to the affected populations.”

The current Ebola outbreak, which began on 1 August 2018, is unfolding in an area affected by a two decades-long conflict that has claimed countless lives and raised fear and hostility towards responders.

Building community trust and acceptance has been at the core of the Red Cross’ Ebola response operations. This investment has paid off. Since the beginning of the outbreak nearly 20,000 successful safe and dignified burials have been conducted with a consistently high success rate.
Red Cross volunteers continue to work within affected communities, listening to concerns and gathering feedback that is then analysed and used to provide improved support to people in need. As a result, community resistance for safe and dignified burials has drastically declined over the course of the operation.

Nicole Fassina, Ebola Operations Manager for the International Federation of Red Cross and Red Crescent Societies (IFRC) said: “While we experienced an overall improvement in community’s acceptance of burials, this attack underscores why we cannot become complacent. The Red Cross will continue to engage and involve communities in the Ebola response if we want to bring this outbreak to end.”

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POLIO
Public Health Emergency of International Concern (PHEIC)
http://polioeradication.org/polio-today/polio-now/this-week/

Polio this week as of 14 January 2020
:: Pakistan intensifies cVDPV2 response efforts, focusing on comprehensive outbreak response, strengthened routine immunization, communication and enhanced surveillance.

Summary of new viruses this week (AFP cases and ES positives):
:: Pakistan:  seven WPV1 cases; and, five WPV1-positive environmental samples
:: Angola:  two cVDPV2 cases
:: Benin:  one cVDPV2 case
:: Central African Republic (CAR):  two cVDPV2 cases
:: Ghana:  one cVDPV2 case; and, six cVDPV2-positive environmental samples
:: Malaysia:  one cVDPV1-positive environmental sample; and, one cVDPV2-positive environmental sample
:: Philippines:  two cVDPV2 cases
:: Togo:  two cVDPV2 cases

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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 18 Jan 2020]

Democratic Republic of the Congo
:: Ebola Outbreak in DRC 75: 14 January 2020
[See Ebola above for detail]

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 18 Jan 2020]
Iraq
:: WHO assesses capacity and preparedness of Al Jumhury Teaching Hospital for influenza
Erbil, Iraq, 14 January 2020

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
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

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WHO Grade 1 Emergencies [to 18 Jan 2020]

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
:: Syrian Arab Republic: Recent Developments in Northwestern Syria Situation Report No. 6 – As of 15 January 2020

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.
CYCLONE IDAI and Kenneth – No new digest announcements identified
EBOLA OUTBREAK IN THE DRC – No new digest announcements identified

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