- Report of the Secretary-General on children and armed conflict in Afghanistan (S/2015/336)
- PIN/DRC: Urban Poverty Report: A Study of Poverty, Food Insecurity and Resilience in Afghan Cities
- The situation in Afghanistan and its implications for international peace and security - Report of the Secretary-General (A/69/929–S/2015/422)
Appeals & Funding
An Independent Outbreak Response Assessment in Equatorial Guinea took place last week with over a year since the most recent case of polio on the 3 May 2014. They concluded that there is no evidence that wild poliovirus continues to circulate in the country and that there has been a significant improvement in surveillance. Strengthening routine immunization was identified as the highest priority for sustaining the gains of the outbreak response.
By the end of 2014, significant progress had been made towards each of the Endgame Plan’s four objectives; the world has never been in a better position to eradicate polio.
As the GPEI enters 2015, efforts are being intensified to build on this progress and stop polio once and for all.
Capitalizing on progress in Nigeria, against outbreaks in central Africa and the Horn of Africa, and against two out of three strains of wild poliovirus
The Executive Board at its 136th session noted an earlier version of this report and expressed support for the proposals contained in the draft decision in that report concerning intensified eradication strategies and the removal of type 2 component of the oral poliovirus vaccine.
- 12 April marked 60 years since Jonas Salk’s inactivated polio vaccine (IPV) was launched, enabling children to be protected against polio for the first time. Read more.
- The Strategic Advisory Group of Experts on Immunization (SAGE) is meeting this week in Geneva, and will review the current epidemiological situation for polio and provide updates on readiness for oral polio vaccine withdrawal.
27 February 2015
The fourth meeting of the Emergency Committee under the International Health Regulations (IHR) (2005) regarding the international spread of wild poliovirus in 2014 - 15 was convened via teleconference by the Director-General on 17 February 2015. The following IHR States Parties submitted an update on the implementation of the Temporary Recommendations since the Committee last met on 13 November 2014: Cameroon, Equatorial Guinea, Pakistan and the Syrian Arab Republic.
Ministers of Health from around the world will convene next week at WHO’s Executive Board meeting, to set global public health policies. Among other topics, representatives are expected to review the current polio epidemiology and global preparedness plans for the phased removal of oral polio vaccines. A report has been prepared, to facilitate discussions, available here.
Report by the Secretariat
- More than 6 months have passed since the most recent case of wild poliovirus in central Africa was detected in Cameroon on the 9 July 2014. This indicates that progress towards stopping the outbreak in this region is being made. However, outbreak response activities must continue and subnational surveillance systems strengthened to ensure the rapid detection of any residual transmission.
The year ends with real – and fragile – progress: the longest stretch in history without wild poliovirus in Africa, large outbreaks stopped in the Middle East and the Horn of Africa, a certified polio-free South East Asia and no wild poliovirus type 3 for over 2 years. This will be the last weekly update of 2014.
In the north of Madagascar, supplementary immunization activities are planned for December in response to the outbreak of circulating vaccine derived poliovirus. National Immunization Days are planned for January. The aim is to boost immunity across the country against all strains of poliovirus using trivalent oral polio vaccine.
For the first time ever, only 1 case of wild poliovirus has been reported in Africa in the last 4 months. The case had onset of paralysis on 11 August in Somalia.
In response to the outbreak of circulating vaccine-derived poliovirus (cVDPV) in South Sudan, over 19,000 children were vaccinated last week in Bentiu Poc, where the two cases were reported. Outbreak response plans are in place to hold three rounds of supplementary immunization activities (SIAs) in high risk areas to stop transmission of the virus.
On 13 November, the Director-General of WHO accepted the recommendation of an International Health Regulations (IHR) Emergency Committee of Experts on polio that the international spread of polio continues to constitute a Public Health Emergency of International Concern (PHEIC) under the IHR, and extended the existing Temporary Recommendations to prevent the international spread of polio for countries affected by the disease for another 3 months.
The third meeting of the Emergency Committee under the IHR (2005) regarding the international spread of wild poliovirus in 2014 was convened by the Director-General through electronic correspondence from 2 through 7 November 2014.1 The following IHR States Parties submitted an update on the implementation of the Temporary Recommendations since the Committee last met on 31 July 2014: Cameroon, Equatorial Guinea, Pakistan and the Syrian Arab Republic.
In Madagascar, a circulating vaccine-derived poliovirus type 1 (cVDPV1) has been confirmed. The virus was isolated from one case of acute flaccid paralysis (AFP) with onset of paralysis on 29 September, and from three healthy contacts. An estimated more than 25% of children remain under-immunized against polio in the country. Madagascar was previously affected by a cVDPV2 outbreak in 2001/2002 (resulting in five cases) and in 2005 (resulting in three cases). Emergency outbreak response is being finalized, with campaigns to be held in December and January.
Two new cases of circulating vaccine derived polio virus (cVDPV) have been reported in South Sudan, constituting an outbreak. Immunization activities are planned in November and December in order to stop the spread of cVDPV.
Immunization campaigns in Iraq in September reached 88% of children under 5. Around 20 million children were vaccinated across the Middle East in October. These activities are helping to protect the gains made against the virus in the region, with no case reported for nearly 7 months.
The Global Polio Eradication Initiative’s 2013-18 Strategic Plan set a clear first objective: to stop wild polio virus transmission globally by the end of 2014. To deliver this formidable goal, the polio-infected countries and their partners made huge financial and operational pledges to complete the job they had started 25 years previously.
With just weeks to go until the end of 2014, this global target will not be achieved. The virus continues to thrive in two parts of the world that it has never been dislodged from.
Despite a return of seasonally normal rainfall during August, moisture deficits persist in northwestern Senegal. The delayed onset of the season in July has resulted in poor growing conditions and crop development.
Poor July rains in several local areas of Mali have resulted in poor crop and pastoral conditions. August and September rains have improved ground conditions, although the rainy season is quickly coming to a close.