Public Health Emergency of International Concern (PHEIC)
Polio this week as of 24 November 2021
:: The thirtieth meeting of the Emergency Committee under the International Health Regulations (2005) (IHR) on the international spread of poliovirus was convened by the WHO Director-General on 3 November 2021. The meeting statement is now available here [and excerpted below]
Summary of new WPV and cVDPV viruses this week (AFP cases and ES positives):
– Afghanistan: two WPV1 cases
– Nigeria: nine cVDPV2 cases and 25 cVDPV2 positive environmental samples
– Yemen: two cVDPV2 cases
Statement of the Thirtieth Polio IHR Emergency Committee
23 November 2021
The thirtieth meeting of the Emergency Committee under the International Health Regulations (2005) (IHR) on the international spread of poliovirus was convened by the WHO Director-General on 3 November 2021 with committee members and advisers attending via video conference, supported by the WHO Secretariat. The Emergency Committee reviewed the data on wild poliovirus (WPV1) and circulating vaccine derived polioviruses (cVDPV). Technical updates were received about the situation in the following State Parties: Afghanistan, China, Guinea Bissau, Mauritania, Nigeria, Pakistan, Senegal and Ukraine.
Although heartened by the apparent progress, the Committee unanimously agreed that the risk of international spread of poliovirus remains a Public Health Emergency of International Concern (PHEIC) and recommended the extension of Temporary Recommendations for a further three months. The Committee recognizes the concerns regarding the lengthy duration of the polio PHEIC but concluded that there are still significant risks despite apparent progress made in the two endemic countries, and that the coming three months would be a critical period to monitor the situation there closely.
…States infected with cVDPV2, with or without evidence of local transmission:
Afghanistan (most recent detection 9 July 2021)
Benin (most recent detection 14 May 2021)
Burkina Faso (most recent detection 9 June 2021)
Cameroon (most recent detection 8 September 2021)
CAR (most recent detection 29 October 2020)
Chad (most recent detection 28 November 2020)
Rep Congo (most recent detection 14 April 2021)
DR Congo (most recent detection 30 April 2021)
Côte d’Ivoire (most recent detection 23 December 2020)
Egypt (most recent detection 8 June 2021)
Ethiopia (most recent detection 16 July 2021)
Gambia (most recent detection 1 July 2021)
Guinea (most recent detection 10 July 2021)
Guinea Bissau (most recent detection 26 July 2021)
Iran (Islamic Republic of) (most recent detection 20 February 2021)
Kenya (most recent detection 25 January 2021)
Liberia (most recent detection 28 May 2021)
Mali (most recent detection 23 December 2020)
Mauritania (most recent detection 1 September 2021)
Niger (most recent detection 20 July 2021)
Nigeria (most recent detection 12 September 2021)
Pakistan (most recent detection 11 August 2021)
Senegal (most recent detection 14 September 2021)
Sierra Leone (most recent detection 1 June 2021
Somalia (most recent detection 23 May 2021)
South Sudan (most recent detection 10 Apr 2021)
Sudan (most recent detection 18 December 2020)
Tajikistan (most recent detection 13 August 2021)
Uganda (most recent detection 1 June 2021)
Ukraine (most recent detection 7 September 20…
The committee noted the convincing efforts by China to rule out further transmission and accepted that nine months after the last detection of cVDPV3, China was no longer infected.
The Committee welcomed the further progress achieved with the introduction and delivery of nOPV2 but was concerned to hear of significant delays in outbreak response timelines as countries opted to delay response in order to use nOPV2. Polio outbreaks should continue to be met with an aggressive and timely response with the immediately available type-2 vaccine.
The Committee warned of the ongoing effects of COVID-19 particularly on essential immunization and possible future disruptions of supply and delivery of vaccines. Zero-dose children and communities were missed before the advent of the pandemic and it is critical that these children and communities are prioritized as essential immunization services are restored. COVID-19 is likely to continue to have adverse effects on all health programs and systems for some time to come so the polio programme must continue to manage its response to overcome the remaining hurdles.
Based on the current situation regarding WPV1 and cVDPV, and the reports provided by affected countries, the Director-General accepted the Committee’s assessment and on 5 November 2021 determined that the situation relating to poliovirus continues to constitute a PHEIC, with respect to WPV1 and cVDPV. The Director-General endorsed the Committee’s recommendations for countries meeting the definition for ‘States infected with WPV1, cVDPV1 or cVDPV3 with potential risk for international spread’, ‘States infected with cVDPV2 with potential risk for international spread’ and for ‘States no longer infected by WPV1 or cVDPV, but which remain vulnerable to re-infection by WPV or cVDPV’ and extended the Temporary Recommendations under the IHR to reduce the risk of the international spread of poliovirus, effective 5 November 2021.
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.”
Afghanistan crisis [Last apparent update: 18 Oct 2021]
Crisis in Northern Ethiopia [Last apparent update: 1 June 2021]
Ebola outbreak, Democratic Republic of the Congo, 2021 [Last apparent update: 17 Aug 2021]
Ebola outbreak outbreak, N’Zerekore, Guinea, 2021 [Last apparent update: 17 Aug 2021]
Coronavirus disease (COVID-19) pandemic [See COVID above]
Ebola outbreak, Equateur Province, Democratic Republic of the Congo, 2020
[Last apparent update: 17 Aug 2021]
Ebola outbreak, North Kivu, Ituri, Democratic Republic of the Congo, 2018 – 2020
[Last apparent update: 17 Aug 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: 1 Oct 2021]
Ebola outbreak, Democratic Republic of the Congo, 2017 [Last apparent update: 17 Aug 2021]
Zika virus disease outbreak, 2015-2016 [Last apparent update: 24 Jan 2020]
Ebola outbreak: West Africa, 2014-2016 [Last apparent update: 17 Aug 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: 13 September 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
:: Afghanistan: Weekly Humanitarian Update (15 – 21 November 2021)
:: Afghanistan: ICCT Real-Time Response Overview Situation Report (22 November 2021)
Ethiopia – Northern Ethiopia Humanitarian Update Situation Report, 25 Nov 2021
NHAS resumed flights to and from Mekelle on 24 November.
An assessment conducted in Debre Berhan, Amhara, to gauge the humanitarian and access situation, and inform on the humanitarian response, following large-scale displacement.
More than 500 health facilities across Amhara Region were damaged due to the conflict, preventing a large number of people from accessing healthcare services.
Nutrition and feeding commodities sufficient to treat severely malnourished children in Afar and Amhara regions for the next two months were dispatched to both regions.
Food partners started a food assistance operation to reach more than 450,000 people in Dessie and Kombolcha over the next two weeks.