- OCHA: Afghanistan Earthquake Situation Report No. 4 (as of 23 Nov 2015)
- IFRC: Earthquake Emergency Plan of Action (EPoA) DREF Operation n° MDRAF003, 5 Nov 2015
- OCHA: Humanitarian Bulletin Issue 45 | 01 – 31 Oct 2015
Appeals & Funding
- Afghanistan 2015 Humanitarian Response Plan: Mid-Year Review of Financing, Achievements and Response Challenges
- 2015 Humanitarian Needs Overview
- UNHCR Refugee Response in Afghanistan - Updated requirements, Jan-Dec 2015
- Common Humanitarian Fund (CHF) in 2015 PDF XLS
The emergency committee of the International Health Regulations (IHR) has met for the seventh time and assessed that the international spread of polio continues to constitute a Public Health Emergency of International Concern (PHEIC). They also expanded the temporary recommendations to outbreaks of circulating vaccine derived poliovirus, due to the importance of stopping all types of poliovirus as we near the finish line of polio eradication. Learn more about cVDPVs.
In 2015, wild poliovirus transmission is at the lowest levels ever, with fewer cases reported from fewer areas of fewer countries than ever before. In 2015, 56 wild poliovirus cases have been reported from two countries (Pakistan and Afghanistan), compared to 290 cases from nine countries during the same period in 2014.
Three years since no wild poliovirus type 3: the 10th of November is an opportunity to mark three years with no child paralysed by wild poliovirus type 3 (WPV3); a reminder of the role of surveillance in ensuring the world is polio free, and of innovations in driving the programme forward. For more, please click here.
Significant progress has been made to fight the outbreaks of wild poliovirus type 1 that occurred in the Middle East and Somalia in 2013. The outbreak in Somalia was officially declared over after an outbreak assessment team conducted an in depth review in October.
On 20 October, the Strategic Advisory Group of Experts on immunization (SAGE) confirmed that the globally coordinated withdrawal of the type 2 component in oral polio vaccine (OPV) should occur in April 2016, specifically in a window from 17 April to 1 May. Countries should intensify their preparatory efforts to switch from trivalent OPV to bivalent OPV to meet this timeline.
In Lao Democratic People’s Republic a circulating vaccine-derived poliovirus type 1 (cVDPV1) outbreak has been confirmed, with one case, an eight year old boy who had onset of paralysis on 7 September. Outbreaks of cVDPVs can arise in areas of low population immunity, emphasizing the importance of strong vaccination coverage. Learn more about VDPVs.
Afghanistan became the final polio-endemic country to introduce the inactivated polio vaccine on 30 September as part of the biggest globally synchronized vaccine introduction in history.
This week, the Independent Monitoring Board is meeting in London to assess progress towards polio eradication and to make recommendations for the coming months. The report is expected to be published in the next few weeks.
Out of school and into marriage: 39,000 girls forced to marry every day
Girls in 26 countries are more likely to be forced into marriage than to enroll in secondary school, research from CARE has found.
The report, Vows of Poverty, has been released to mark the International Day of the Girl on 11 October and provides a snapshot of the forces that drive girls into marriage and out of school.
The report found:
- Pakistan launched a nationwide polio campaign this week to vaccinate more than 35 million children in 163 districts of the country. Approximately 200,000 polio workers are participating in the polio campaign, during which Vitamin A will also be distributed.
The Global Polio Eradication Initiative (GPEI) leadership agreed at the time of the 2013–2018 Polio Eradication and Endgame Strategic Plan (PEESP) development that the programme would regularly assess progress, reflect on the lessons learned, plan for the risks ahead, and make needed adjustments to the activities and costs of the plan going forward. This midterm review (MTR) was conducted by a team from the GPEI partners under the guidance of the Strategy Committee (SC) from March-May 2015.
A case of vaccine-derived poliovirus type 2 (VDPV2) has been reported with onset of paralysis on 20 July 2015 in Bamako city, Mali. The virus was isolated from a 19-month old boy of Guinean nationality. The closest genetic match to this case is from a case from Kankan, Guinea, with onset of paralysis on 30 August 2014. The genetic changes suggest that the cVDPV2 has been circulating for more than 12 months. Discussions are currently ongoing with national health authorities to plan and implement an urgent outbreak response.
In Ukraine, a circulating vaccine-derived poliovirus type 1 (cVDPV1) outbreak has been confirmed. Two cases have been confirmed, with dates of onset of paralysis of 30 June and 7 July. The genetic similarity between the cases indicates active transmission of cVDPV1. Both are from the Zakarpatskaya oblast, in south-western Ukraine, bordering Romania, Hungary, Slovakia and Poland. Ukraine had been at particular risk of emergence of a cVDPV, due to inadequate vaccination coverage. In 2014, only 50% of children were fully immunized against polio and other vaccine-preventable diseases.
This week, Pakistan will become the second polio-endemic country to introduce the inactivated polio vaccine (IPV) into its routine immunization system. More than half the global birth cohort is now receiving at least one dose of IPV through routine immunization systems as a result of the biggest globally synchronized vaccine introduction in history. Read more on the status of IPV introductions here.
11 August marked one full year without a case of wild poliovirus confirmed on the African continent for the first time in history. Six weeks are required for all remaining samples in the laboratory to be processed and confirmed negative for poliovirus before there can be more confidence in a polio-free year in Africa.
The sixth meeting of the Emergency Committee under the International Health Regulations (2005) (IHR) regarding the international spread of wild poliovirus was convened via teleconference by the Director-General on 4 August 2015. The following IHR States Parties submitted an update on the implementation of the Temporary Recommendations since the Committee last met on 24 April 2015: Afghanistan and Pakistan.
This week the emergency committee of the International Health Regulations (IHR) is meeting for the sixth time to assess whether the international spread of polio continues to constitute a Public Health Emergency of International Concern (PHEIC).
Despite the deteriorating security situation in Yemen, a humanitarian pause enabled 50,000 children to be reached with the oral polio vaccine during the final week of Ramadan. Read more
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.