Epidemic prone diseases remain to be serious public health threats to Mem- ber States in the African region. In response to these threats, Member States through the adoption and implementation of the Integrated Diseases Surveil- lance and Response Strategy and the International Health Regulations, con- tinue to strengthen their public health emergency response systems and struc- tures. In this issue, a summary of acute public health events that occurred dur- ing the course of 2014 is provided
In this issue:
New study on child poverty in Sub-Saharan Africa
Two thirds of children in sub-Saharan Africa experience multiple deprivations
New UNICEF study provides extensive new data and analysis of multidimensional child poverty
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.
Mais les conflits, Ebola et les conditions climatiques défavorables exacerbent l’insécurité alimentaire
11 décembre 2014, Rome – Les dernières indications confirment que la production céréalière mondiale devrait atteindre un niveau record de plus de 2,5 milliards de tonnes en 2014.
Conflict, Ebola and adverse weather exacerbate local food insecurity
11 December 2014, Rome - Latest indications confirm that world cereal production will reach an all-time record of more than 2.5 billion tonnes in 2014.
Buoyed by bumper crops in Europe and a record maize output in the United States of America, this year's cereal output should reach 2.532 billion tonnes, including rice in milled terms, or 0.3% higher than 2013, according to FAO's latest Crop Prospects and Food Situation Report.
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.
Saving mothers and newborn lives in the face of the devastating Ebola outbreak
Purpose of the guide
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.
The country does not produce a significant quantity of cereals. The staple foods are sweet potatoes, cassava and plantains. With a population of about 757 000, the total cereal requirement for 2014, overwhelmingly supplied through commercial imports, is forecast at about 28 000 tonnes, including 8 000 tonnes of rice and 20 000 tonnes of wheat.
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.