POLIO – Public Health Emergency of International Concern (PHEIC); WHO/OCHA Emergencies

Emergencies

POLIO
Public Health Emergency of International Concern (PHEIC)

Polio this week as of 21 July 2020
:: In response to donor and stakeholder feedback, as well as the programme’s evolving needs and challenges, in December 2019, GPEI launched an internal governance review process to evaluate how to improve the partnership’s operations and structures at the leadership level (Polio Oversight Board, Finance & Accountability Committee and Strategy Committee). The result of a series of surveys, workshops, interviews and stakeholder consultations conducted over a six-month period, this report outlines key issues with recommendations aimed at strengthening the programme’s governance [see below].

Summary of new WPV and cVDPV viruses this week (AFP cases and environmental samples):
:: Afghanistan: five WPV1 cases and five WPV1 positive environmental samples
:: Pakistan: two WPV1 cases and eight WPV1 positive environmental samples
:: Cameroon: one cVDPV2 positive environmental sample
:: Chad: three cVDPV2 cases

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GPEI – Governance Review Final Report
July 2020 :: 25 pages
EXECUTIVE SUMMARY
In response to donor and stakeholder feedback, as well as the programme’s evolving needs
and challenges, the Global Polio Eradication Initiative (GPEI) undertook an internal review process to evaluate how to improve the partnership’s operations, structures and culture in order to more efficiently and effectively progress towards the endgame strategy’s goals and objectives. The result of a series of surveys, workshops, interviews and stakeholder consultations, this report sets forth key issues and recommendations aimed at strengthening
the programme’s structure and operations.

Stakeholders also emphasized the importance of integration activities and – while not a primary focus of this report – we acknowledge that work remains to be done to strengthen efforts toward GPEI’s integration goal. Incorporating these recommendations through deliberate and concerted actions – while simultaneously strengthening efforts towards integration and fostering a culture of change – GPEI can achieve greater accountability for decisions and
implementation, increase transparency around its decision-making and financial processes,
enhance country engagement and ownership, and reinforce continuous improvement. These outcomes will help GPEI reach its goals: eradication, integration, containment and certification.

GPEI has achieved significant and important successes. There are, however, obstacles that GPEI must address in order to realize its goals. The programme must rise to meet significant
challenges, including GPEI’s work in the remaining endemic countries, contending with
circulating vaccine-derived polioviruses, vaccine supply issues and the impact of COVID-19 on
GPEI operations and vaccination efforts.

Donors have questioned whether GPEI’s structure and governance remain fit for purpose to eradicate polio. This report outlines proposed changes that stakeholders feel will reinforce the partnership’s fitness moving forward. These recommendations do not address questions of
programme strategy and are not intended to be the sum total of the governance review process. They are, however, important steps in GPEI’s ongoing improvement to ensure the partnership is fit for purpose and provide important substrate for the larger revision of the endgame strategy. The GPEI Strategy Committee should actively manage and monitor implementation of the recommendations and any required follow-ups.

While the need for this review was identified and the exercise itself began before the onset of COVID-19, the challenges confronting GPEI as a result of the pandemic have reinforced

CONCLUSION AND NEXT STEPS
The donor community is supportive of GPEI and its work. Though this review explored the possibility, no one suggested that GPEI should be dismantled and rebuilt from the ground up. The history, momentum, institutional knowledge and capabilities of the partnership are unparalleled, and stakeholders are eager to see the partnership succeed. However, stakeholders want substantive changes within the partnership related to role clarity, accountability, and considering new perspectives.

This review emphasizes stakeholders’ concerns with some of GPEI’s operations and structures across all levels of the programme and presents some ways forward to address them. GPEI must commit to a strong culture of change to implement these recommendations and improve the programme’s accountability, transparency, country engagement and ownership, as well as the ability to continuously improve. GPEI must also refocus its integration efforts, which will allow GPEI to support immunization, health systems and emergency response in the near term, particularly in the wake of COVID-19, as well as in the long-term, cementing its legacy in a post-polio world.

GPEI’s donors, stakeholders and partners are rooting for its success, and seeing demonstrable progress on these recommendations will strengthen their commitment and resolve to achieve a polio-free world.

As immediate next steps, the Strategy Committee needs to:
reflect on recommendations and determine how to move forward;
consult with the POB on its conclusions and course of action;
develop an implementation workplan;
follow up (as soon as possible) with donors and other stakeholders, outlining which steps are to be taken and what the implementation workplan (and timeline) looks like; and
provide regular updates to the programme and stakeholders on the progress of the implementation workplan.

It is critical that GPEI leadership follow through on the steps listed above to ensure that this is
a substantial, serious effort – and demonstrate that change is welcome within the partnership
because eradication goals may be at risk with the partnership’s current structure and practices

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WHO Grade 3 Emergencies [to 25 July 2020]

Democratic Republic of the Congo – 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 25 July 2020]
Burkina Faso [in French]
:: Combattre la peur et la stigmatisation liées à la COVID-19
23 juillet 2020
Hésitation à se faire dépister, éviter les personnes chargées de la recherche des contacts ou se méfier de ce que diront les voisins : la pandémie de COVID-19 a déclenché chez certains habitants de Ouagadougou des réactions diverses qui ont rendu la riposte plus difficile.

Iraq
:: WHO mobile clinics serving the vulnerable in Mosul amid COVID-19 outbreak 20 July 2020

Niger
:: Continuité des services de santé en contexte de COVID19 : l’OMS accompagne le Gouver… 19 juillet 2020
Le Niger a lancé officiellement le 13 juillet l’édition 2020 de la campagne de chimio prévention du paludisme saisonnier. Cette campagne couplée au dépistage de la malnutrition, entre dans le cadre de la lutte contre le paludisme au Niger qui reste une des principales préoccupations de santé pour le pays. La cérémonie de lancement a eu lieu à Niamey dans la salle de conférence de l’hôtel Bravia sous le patronage du Ministre de la Santé Publique, Dr Idi Illiassou Mainassara en présence de la Représentante de l’OMS au Niger Dr Anya Blanche, et des autres partenaires du Programme.

Afghanistan – No new digest announcements identified
Angola – 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
Iran floods 2019 – No new digest announcements identified
Libya – No new digest announcements identified
Malawi – 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
occupied Palestinian territory – No new digest announcements identified
HIV in Pakistan – No new digest announcements identified
Sao Tome and Principe Necrotizing Cellulitis (2017) – 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 25 July 2020]

Chad – No new digest announcements identified
Djibouti – Page not responding at inquiry
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
:: 23 Jul 2020 Daily Noon Briefing Highlights: Nigeria – Syria

Yemen
:: 22 Jul 2020 UN report: Yemen sees return to alarming levels of food insecurity
:: 20 Jul 2020 Daily Noon Briefing Highlights: India – Nepal – Sudan – Yemen

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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.
East Africa Locust Infestation
:: Desert Locust situation update – 21 July 2020

COVID-19
:: Coronavirus disease 2019 (COVID-19) Situation Report 37: occupied Palestinian territory, issued 16 July 2020, information for period: 5 March – 23 July 2020

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