Public Health Emergency of International Concern (PHEIC)
Polio this week as of 07 July 2021
:: In the recently concluded Paris-held Generation Equality Forum, the World Health Organization announced multiple commitments to drive change for gender equality and the empowerment of women and girls in all their diversity. One of the commitments the organisation made is to support countries to address gender-related barriers to polio vaccination, collect and analyse sex-disaggregated data to ensure girls and boys are reached equally, and to increase women’s meaningful participation and decision-making across all levels of the polio eradication programme… Read more
:: GPEI has made available the Polio Eradication Strategy 2022-2026 Stakeholder Consultation Report which provides an outline of the strategy consultation process, as well as a summary of feedback received and responses from the authors of the strategy in relation to key points raised and questions asked.
Summary of new WPV and cVDPV viruses this week (AFP cases and ES positives):
:: Pakistan: one WPV1 positive environmental sample
:: Afghanistan: one cVDPV2 case
:: DR Congo: one cVDPV2 case
:: Yemen: one cVDPV1 case
Stakeholder Consultation Report
Polio Eradication Strategy 2022–2026 :: Delivering on a promise
Undated :: 15 pages
Polio Eradication Strategy 2022–2026: Delivering on a promise was developed following a
comprehensive assessment of the Global Polio Eradication Initiative’s (GPEI) management
practices and structure, alongside a programme-wide evaluation of the Polio Endgame Strategy
2019–2023 to determine what actions, interventions and transformations will be needed to
achieve polio eradication.
The development of the Polio Eradication Strategy 2022–2026 began in July 2020 and was led
by a multi-partner working group comprised of external consultants and representatives from the
GPEI’s core partners: Rotary International, the World Health Organization (WHO), the U.S.
Centers for Disease Control and Prevention (CDC), the United Nations Children’s Fund
(UNICEF), the Bill & Melinda Gates Foundation, and Gavi, the Vaccine Alliance.
This consultation process was designed to achieve the following goals:
create a transparent, inclusive strategy development process;
engage a range of audiences with varying types of expertise; and
increase awareness within the global health community that a new 2022–2026 Strategy
was under development to replace the 2019-2023 Strategy and prepare for the Post-
Certification Strategy (PCS).
This report provides an outline of the consultation process, as well as a summary of feedback
received and responses from the authors of the strategy in relation to key points raised and
SUMMARY OF STAKEHOLDER FEEDBACK RECEIVED THROUGH ITERATIVE REVIEWS
Common feedback themes:
Two goals to address all poliovirus have been well-received.
Stakeholders expressed interest in strategies to help the GPEI achieve deep government and
community buy-in. They welcomed the broader focus on these issues in the updated strategy,
moving away from a strictly epidemiological focus.
Detailed solutions within each goal must provide geographical specificity, wherever possible.
A gender lens must be applied to and integrated across polio eradication activities.
A monitoring and evaluation framework will be critical for confidence in the strategy.
Stakeholders expressed interest in seeing how GPEI partners will become accountable for
progress against results. Ensuring accountability will only be possible if governments clearly
demonstrate ownership – which, in turn, is cultivated through a well-tailored approach on how
the GPEI work with governments and build capacity.
On timelines, there was broad agreement that building benchmarks and milestones into the
strategy’s timeline are more important than emphasizing a timeline for eradication. The strategy’s
timeline should be positioned as a budgeting tool for planning purposes.
On the timeline for interrupting circulating vaccine-derived poliovirus type 2(cVPDV2), the
Strategy Committee (SC) agreed to three years after last cVDPV2 isolate given the case-toinfection
ratio of cVDPV2 and agreed that the Global Commission for Certification of the
Eradication of Poliomyelitis (GCC) will later define prerequisites for cVDPV2 validation.
The strategy should address transition planning – as this is equally important for focus countries
(which should begin this journey now regardless of ongoing outbreaks) and for those countries
where polio activities are already winding down.
WHO has apparently reorganized and fundamentally shifted how it judges and tracks “emergencies”. We found no announcement of descriptive information to share and present the webpage structure as encountered below. Obviously, the dates associated with some of these emergencies suggest that this is an archival platform as well as a current emergencies resource.
Health emergencies list – WHO
“The health emergencies list details the disease outbreaks, disasters and humanitarian crises where WHO plays an essential role in supporting countries to respond to and recover from emergencies with public health consequences.”
Ebola outbreak, Democratic Republic of the Congo, 2021
[Last apparent update: 3 May 2021]
Ebola outbreak outbreak, N’Zerekore, Guinea, 2021 [Last apparent update: 3 May 2021]
Coronavirus disease (COVID-19) pandemic [Last apparent update 9 July 2021; See COVID above]
Ebola outbreak, Equateur Province, Democratic Republic of the Congo, 2020 [Last apparent update: 1 June 2021]
Ebola outbreak, North Kivu, Ituri, Democratic Republic of the Congo, 2018 – 2020 [Last apparent update: 3 May 2021]
Ebola outbreak, Democratic Republic of the Congo, 2018 [Last apparent update: 24 July 2018]
Yemen crisis [Last apparent update: 12 February 2021]
Syria crisis [Last apparent update: 18 June 2021]
Somalia crisis [Last apparent update: 24 March 2018]
Nigeria crisis [Last apparent update: 9 May 2018]
Ebola outbreak, Democratic Republic of the Congo, 2017 [Last apparent update: 3 May 2021]
Zika virus disease outbreak, 2015-2016 [Last apparent update: 24 Jan 2020]
Ebola outbreak: West Africa, 2014-2016 [Last apparent update: 3 May 2021]
Iraq crisis [Last apparent update: 9 Jan 2008]
South Sudan crisis [Last apparent update: 23 Sep 2020]
Avian influenza A (H7N9) virus outbreak [Last apparent update: 21 May 2021]
Middle East respiratory syndrome (MERS-CoV) outbreak [Last apparent update: 8 July 2019]
Influenza A (H1N1) virus, 2009-2010 pandemic [Last apparent update: 10 Aug 2010]
UN OCHA – Current Emergencies
Current Corporate Emergencies
Ethiopia – Tigray Region Humanitarian Update Situation Report, 9 July 2021
:: Humanitarian access within most of Tigray is significantly improving, with large areas now accessible while the flow of humanitarian supplies into the region remains blocked.
:: Humanitarian partners gradually resumed operations including food distribution, water trucking, medical supplies and farming seeds.
:: Humanitarian operations are constrained by the absence of fuel, banking services, telecommunications and electricity.
:: Additional staff, supplies, and restoration of basic services are urgently needed for the continuity of humanitarian operations.
:: The Northern Ethiopia Humanitarian Response Plan is facing a significant funding gap of $433 million until the end of the year