Somalia continues to respond to concurrent outbreaks of circulating vaccine-derived poliovirus type 2 and type 3.
Total number of cases remains 12: five cVDPV2 cases, six cVDPV3 cases, and one case with cVDPV2 and cVDPV3 co-infection.
The date of onset for the last confirmed cVDPV2 and cVDPV3 cases was 2 September and 7 September 2018, respectively.
Four new positive environmental samples have been reported this week. Three samples were confirmed as cVDPV2 and one as aVDPV from environmental sampling sites in Banadir, bringing the total positive environmental samples in 2018 to 28.
A third NID using bOPV started Monday 29 October, synchronized with Kenya and Ethiopia, aiming to reach 2.6 million children under age five in all 19 regions in Somalia.
Health and humanitarian access remains reduced across the central southern areas of the country. Lower and Middle Juba regions are particularly inaccessible due to ongoing insecurity and conflict.