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World: Global Weather Hazards Summary: July 19 – 25, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Belize, Burkina Faso, Cameroon, Central African Republic, Chad, Côte d'Ivoire, Dominican Republic, El Salvador, Ethiopia, Gabon, Gambia, Guatemala, Guinea, Guinea-Bissau, Haiti, Honduras, Kazakhstan, Kenya, Kyrgyzstan, Liberia, Mali, Nicaragua, Niger, Nigeria, Senegal, Sierra Leone, South Sudan, Sudan, Togo, Turkmenistan, Uganda, Uzbekistan, World

Heavy rainfall triggers flooding in Sudan, as dryness persists in Senegal, Cote d’Ivoire, Nigeria, and Cameroon

  1. A delayed rainy season in Senegal, Mali, Gambia, and Guinea Bissau has resulted in abnormal dryness. Despite increased rainfall last week, deficits are forecast to persist.

  2. Below-average rainfall since April has resulted in early season deficits and abnormal dryness in central Nigeria.

  3. Heavy rainfall triggered flooding in western Sudan in early June. Continued rainfall forecast next week maintains the risk for flooding and landslides.

  4. A delayed start to monsoon rains has been marked by several consecutive weeks of below-average rainfall and 25-50% of average rainfall to date in parts of Nigeria and Cameroon.

  5. Rainfall deficits developed over the past month in southeastern Cote d’Ivoire. Below-average rainfall next week will likely sustain abnormally dry conditions.

World: To Walk the Earth in Safety (2019): January – December 2018, 18th Edition – Documenting the United States’ Commitment to Conventional Weapons Destruction

Source: US Department of State
Country: Afghanistan, Albania, Angola, Armenia, Azerbaijan, Bosnia and Herzegovina, Burkina Faso, Cambodia, Chad, Chile, Colombia, Croatia, Cyprus, Democratic Republic of the Congo, El Salvador, Estonia, Georgia, Guatemala, Guinea, Guinea-Bissau, Honduras, Iraq, Jordan, Kenya, Kyrgyzstan, Lao People's Democratic Republic (the), Lebanon, Libya, Mali, Marshall Islands, Mauritania, Moldova, Montenegro, Morocco, Myanmar, Namibia, Nepal, Niger, Nigeria, occupied Palestinian territory, Palau, Peru, Rwanda, Senegal, Serbia, Solomon Islands, Somalia, South Sudan, Sri Lanka, Syrian Arab Republic, Tajikistan, Thailand, Ukraine, United Republic of Tanzania, United States of America, Viet Nam, World, Yemen, Zimbabwe

A Message From Deputy Assistant Secretary Marik String

This 18th Edition of To Walk the Earth In Safety summarizes the United States’ Conventional Weapons Destruction (CWD) programs in 2018. CWD assistance provides the United States with a powerful and flexible tool to help partner countries manage their stockpiles of munitions, destroy excess small arms and light weapons (SA/LW) and clear explosive hazards such as landmines, improvised explosive devices (IEDs), and unexploded ordnance (UXO). Our assistance also helps countries destroy illicitly-held or poorlysecured man-portable air defense systems (MANPADS) and mitigate their threat to civilian aviation and public safety.

In today’s dynamic world, threats to U.S. national security abound. The work carried out by the Department of State’s Office of Weapons Removal and Abatement (PM/ WRA) through its CWD programs is essential to protecting civilians and advancing our nation’s interests. From my work as a Reserve Naval Officer and as a staff member of the Senate Foreign Relations Committee, I understand the need for a robust effort to secure weapons so they do not fall into the hands of nefarious actors.

Stockpiles of excess, poorly-secured, or otherwise at-risk conventional weapons remain a serious challenge to peace and prosperity in many countries. Poorly-secured munitions are illicitly diverted to terrorists and other destabilizing actors. Explosive hazards continue to kill and maim people long after conflicts have ended, preventing the safe return of displaced people and suppressing economic opportunities that are crucial to prosperity and political stability. As long as these dangers persist, it is difficult for communities to recover from conflict.

Since late 2015, the United States and our partners in the Global Coalition to Defeat ISIS have cleared IEDs from critical infrastructure in Iraq and Syria including hospitals, schools, and water pumping stations, facilitating the flow of hundreds of millions of dollars in stabilization assistance and humanitarian aid into liberated areas. In this regard, explosive hazard clearance serves as an essential enabler for follow-on stabilization and humanitarian assistance. CWD programs such as this lay the foundation for long-term benefits. U.S. humanitarian demining assistance to Vietnam began in 1993 and helped set the stage for our current bilateral relationship. In the near term, across Africa, the Middle East, and Southeast Asia, CWD programs focused on excess and poorly-secured weapons have helped keep those weapons out of the hands of criminals and terrorists.

Since 1993, the United States has provided more than $3.4 billion in CWD assistance to over 100 countries. In 2018, we had active CWD programs in 59 countries. These programs are implemented by commercial contractors, nongovernmental organizations, and international organizations.

United States CWD programs are tied to key U.S. foreign policy priorities and play a direct role in keeping U.S. citizens and our allies safe, while also clearing the way for a stable, secure, and prosperous future in countries that are key to U.S. security interests. Thanks to the U.S. Congress’ bipartisan support and generosity of the American people, we can attest that our goal remains a future in which all may walk the earth in safety.

MARIK STRING
Deputy Assistant Secretary
Political-Military Affairs

Democratic Republic of the Congo: WHO AFRO Outbreaks and Other Emergencies, Week 28: 8 – 14 July 2019; Data as reported by 17:00; 14 July 2019

Source: World Health Organization
Country: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Ghana, Guinea, Kenya, Liberia, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sierra Leone, South Africa, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 71 events in the region. This week’s edition covers key new and ongoing events, including:

  • Circulating vaccine-derived poliovirus type 2 (environmental sample) in Ghana

  • Ebola virus disease in Democratic Republic of the Congo

  • Humanitarian crisis in Cameroon

  • Humanitarian crisis in Central African Republic.

For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.

A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have largely been controlled and thus closed.

Major issues and challenges include:

This week, health authorities in Ghana confirmed circulating vaccine-derived poliovirus type 2 (cVDPV2) in an environmental sample. Additionally, two case-patients with acute flaccid paralysis (AFP) tested positive for genetically linked cVDPV2 in Haut Lomami Province, Democratic Republic of the Congo.

The frequency of occurrence of cVDPV2 events in the African Region has been increasing (lately), with three major loci, situated in the Democratic Republic of the Congo, the Lake Chad basin and the Horn of Africa. These epicentres are characterized by major prolonged complex humanitarian emergencies – with insecurity, disrupted health systems and social dislocation. However incidentally, the countries around these epicentres also have conditions that are conducive to the rapid spread of polioviruses, namely accumulation of unprotected persons, suboptimal sanitation and high population mobility. The circulation of vaccine-derived polioviruses in the African region is likely to become a major public health problem if not tackled decisively at this point in time.

The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces, Democratic Republic of the Congo continues. The occurrence of a confirmed case in Goma on 14 July 2019, while long anticipated and prepared for, emphasises the enormous challenges around control of this outbreak, reinforcing the need for strong and consistent implementation of all public health measures. While progress is slowly being made, the ongoing response operations are being challenged by suboptimal resourcing, negatively impacting on the entire response. Member States and other donors are strongly encouraged to provide additional funding in order to ensure that hard won progress in containing this EVD outbreak will not suffer a potentially devastating setback due to financial limitations

World: Global Weather Hazards Summary: July 12 – 18, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Benin, Burkina Faso, Cameroon, Côte d'Ivoire, Dominican Republic, El Salvador, Eritrea, Ethiopia, Gambia, Ghana, Guatemala, Guinea, Guinea-Bissau, Honduras, Kazakhstan, Kenya, Kyrgyzstan, Liberia, Mali, Nicaragua, Niger, Nigeria, Senegal, Sierra Leone, South Sudan, Sudan, Togo, Turkmenistan, Uganda, Uzbekistan, World

Dry conditions persist in West Africa, while heavy rainfall triggers flooding in South Sudan and Uganda

  1. A delayed rainy season over Senegal, Mali, Gambia, and Guinea Bissau resulted in abnormal dryness. Despite increased rainfall last week, deficits are forecast to persist.

  2. Below-average rainfall since April has led to early-season deficits and abnormal dryness in central Nigeria.

  3. Heavy rainfall triggered flooding in western Sudan. Continued rainfall forecast next week maintains the risk for flooding.

  4. Heavy rainfall during the past weeks has caused flooding in eastern Uganda and northwestern Kenya. Heavy rainfall forecast next week is likely to maintain high flood risk.

  5. A delayed start to monsoon rains has been marked by several consecutive weeks of below-average rainfall and 25-50% of average rainfall to date in parts of Nigeria and Cameroon.

  6. Rainfall deficits developed over the past month in southeastern Cote d’Ivoire. Abnormal dryness is likely to persist

World: International Activity Report 2018

Source: Médecins Sans Frontières
Country: Afghanistan, Angola, Armenia, Bangladesh, Belarus, Belgium, Burkina Faso, Burundi, Cambodia, Cameroon, Central African Republic, Chad, Colombia, Côte d'Ivoire, Democratic Republic of the Congo, Egypt, El Salvador, Eritrea, Eswatini, Ethiopia, France, Georgia, Germany, Greece, Guinea, Guinea-Bissau, Haiti, Honduras, India, Indonesia, Iran (Islamic Republic of), Iraq, Italy, Jordan, Kyrgyzstan, Lebanon, Liberia, Libya, Madagascar, Malawi, Malaysia, Mali, Mauritania, Mexico, Mozambique, Myanmar, Nauru, Nicaragua, Niger, Nigeria, occupied Palestinian territory, Pakistan, Papua New Guinea, Philippines, Russian Federation, Senegal, Serbia, Sierra Leone, Somalia, South Africa, South Sudan, Sudan, Sweden, Syrian Arab Republic, Tajikistan, Thailand, Turkey, Uganda, Ukraine, United Republic of Tanzania, Uzbekistan, Venezuela (Bolivarian Republic of), World, Yemen, Zambia, Zimbabwe

THE YEAR IN REVIEW

By Dr Marc Biot, Dr Isabelle Defourny, Marcel Langenbach, Kenneth Lavelle, Bertrand Perrochet and Teresa Sancristoval, Directors of Operations

In 2018, Médecins Sans Frontières (MSF) teams provided medical and humanitarian assistance to people facing extreme hardship in over 70 countries. From treating war-wounded ever closer to frontlines in Yemen, to responding to epidemic outbreaks such as cholera in Niger, or providing assistance to people fleeing violence in the Central African Republic, emergency response continued to be a core part of our work.

As 2018 drew to a close, the Democratic Republic of Congo (DRC) was in the midst of its second Ebola outbreak of the year, and its biggest ever. MSF was part of the response, led by the Ministry of Health. Although rapid and well-resourced, with teams having access to a promising new vaccine and several new drugs with the potential to better protect and treat people, the response, and those managing it, failed to adapt to people’s priorities, and to gain the trust of the community. This lack of trust in the health services meant people delayed or avoided seeking treatment. By the end of the year, the epidemic in North Kivu and Ituri provinces had claimed more than 360 lives and in some areas was still not under control.

Seeking care in war zones

Early in the year, Syrian civilians and medical staff were caught in the violence in Idlib, in the northwest, and in East Ghouta, near the capital Damascus. In East Ghouta, the barrage was relentless in February and March, with waves of dead and injured arriving at MSF- supported hospitals and health posts. As the siege blocked incoming aid, medical staff had few medical supplies to work with. By the end of the offensive, 19 of the 20 hospitals and clinics we supported were destroyed or abandoned, leaving civilians with few options to seek medical help.

The war in Yemen, which has left the country and its healthcare system in ruins, entered its fourth year. The Saudi- and Emirati-led coalition continued to target civilian areas with airstrikes and bombings, including our new cholera treatment centre in Abs. The war is taking a heavy toll on people, who often must negotiate constantly changing frontlines to find care for their war- wounds or their general medical needs. Yemen was the country where our teams treated the highest number of war-wounded in 2018, over 16,000 people. After a major offensive was launched in Hodeidah in June, doctors in our Aden hospital treated Hodeidah residents who had been driven for six hours, the majority of them in a critical condition. Conflict intensified on several frontlines at the end of the year, leading to an influx of people with war-related injuries. We also treated more than 150 people wounded by mines planted by Houthi-led Ansar Allah troops around Mocha. Constant attacks on our staff and patients at facilities in Ad Dhale forced us to withdraw from the town in November.

Democratic Republic of the Congo: WHO AFRO Outbreaks and Other Emergencies, Week 27: 1 – 7 July 2019; Data as reported by 17:00; 7 July 2019

Source: World Health Organization
Country: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sierra Leone, South Africa, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

Overview

This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 74 events in the region. This week’s edition covers key new and ongoing events, including:

  • Circulating vaccine-derived poliovirus type 2 in Angola
  • Ebola virus disease in Democratic Republic of the Congo
  • Dengue fever in Côte d’Ivoire
  • Humanitarian crisis in north-east Nigeria.

For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.

A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have largely been controlled and thus closed.

Major issues and challenges include:

  • A new case of genetically-distinct circulating vaccine-derived poliovirus type 2 (cVDPV2) has been confirmed in Cuvango district, Huila Province, central Angola. This is the second cVDPV2 outbreak in Angola in 2019, occurring over 1 000 kilometers away from the first event. The occurrence of this event (symbolic) and the increasing frequency of cVDPV2 emergence across the African Region is becoming a major public health issue, given the compromised sanitation situation, high population mobility and challenges faced by the national immunization programmes. While comprehensive responses are being undertaken, these events should serve to remind all countries in the African region of the importance of improving the quality of routine and supplementary immunization activities and maintain high levels of polio (and all other antigens) vaccination coverage to minimize the risk and consequences of poliovirus circulation.

  • The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces, Democratic Republic of the Congo continues, with persistent low transmission intensity. The weekly incidence showed some reduction in the number of new confirmed EVD cases this week, albeit with a fluctuating pattern. All efforts to step up and sustain ongoing response operations need to continue.

World: 41 pays dans le monde, dont 31 en Afrique, ont besoin d’une aide alimentaire (FAO)

Source: UN News Service
Country: Afghanistan, Bangladesh, Burkina Faso, Burundi, Cabo Verde, Cameroon, Central African Republic, Chad, China, Congo, Democratic People's Republic of Korea, Democratic Republic of the Congo, Djibouti, Eritrea, Eswatini, Ethiopia, Guinea, Haiti, Iraq, Kenya, Lesotho, Liberia, Libya, Madagascar, Malawi, Mali, Mauritania, Mozambique, Myanmar, Niger, Nigeria, Pakistan, Senegal, Sierra Leone, Somalia, South Sudan, Sudan, Syrian Arab Republic, Uganda, Venezuela (Bolivarian Republic of), World, Yemen, Zimbabwe

Les conflits prolongés et les mauvaises conditions climatiques exacerbent les besoins alimentaires, alerte l'Organisation des Nations Unies pour l'alimentation et l'agriculture (FAO).

Selon le dernier rapport de la FAO sur les Perspectives de récoltes et la situation alimentaire publié jeudi, les conflits en cours et les sécheresses demeurent les principales causes de grave insécurité alimentaire, compromettant ainsi l'accès aux aliments et leur disponibilité pour des millions de personnes.

Le rapport indique que 41 pays, dont 31 en Afrique, ont toujours besoin d'une aide extérieure pour couvrir leurs besoins alimentaires, une situation inchangée depuis trois mois.

Les 41 pays ayant actuellement besoin d'une aide extérieure pour couvrir leurs besoins alimentaires sont l'Afghanistan, le Bangladesh, le Burkina Faso, le Burundi, le Cap Vert, le Cameroun, la République centrafricaine, le Tchad, le Congo, la Corée du Nord, la République démocratique du Congo, Djibouti, l'Erythrée, l'Eswatini, l'Ethiopie, la Guinée, Haïti, l'Iraq, le Kenya, le Lesotho, le Libéria, la Libye, Madagascar, le Malawi, le Mali, la Mauritanie, le Mozambique, le Myanmar, le Niger, le Nigéria, le Pakistan, le Sénégal, la Sierra Leone, la Somalie, le Soudan du Sud, le Soudan, la Syrie, l'Ouganda, le Venezuela, le Yémen et le Zimbabwe.

Le manque de pluies compromet la production alimentaire

En 2019, les dégâts causés par le cyclone Idai et le manque de pluies ont eu de lourdes répercussions sur la production agricole d'Afrique australe, dont celles de faire grimper les besoins d'importations en céréales. Les récoltes ont baissé pour la deuxième année consécutive au Zimbabwe et en Zambie, tandis que les pays voisins ont également enregistré des baisses de leur production en raison de conditions climatiques défavorables, comme par exemple au Mozambique avec le cyclone Idai. Au Zimbabwe, l'insécurité alimentaire devrait s'aggraver davantage en 2019, exacerbée par une forte hausse des prix des aliments de base et par la crise économique. Début 2019, près de 3 millions de personnes dans le pays étaient considérées comme étant en situation d'insécurité alimentaire.

En Afrique de l'Est, une grave sécheresse a affecté les récoltes de la première saison et conduit à une dégradation des conditions de pâturages. Les plus importantes baisses de production céréalière en 2019 sont attendues au Kenya, en Somalie et au Soudan où, d'après le rapport, les récoltes devraient être inférieures à la moyenne.

En Asie, des productions de blé et d'orge inférieures à la moyenne en 2018/19 sont attendues en Corée du Nord et des inquiétudes subsistent quant aux principales cultures saisonnières de 2019, en raison de pluies de plus en plus rares et de la faiblesse de la disponibilité en eau destinée à l'irrigation. Selon la récente mission rapide d'évaluation de la sécurité alimentaire de la FAO et du PAM de 2019, plus de 10 millions de personnes, soit 40 pour cent de la population, sont actuellement en situation d'insécurité alimentaire et ont besoin d'une aide alimentaire de manière urgente.

Les conflits chroniques ont de graves répercussions sur la sécurité alimentaire

Au Proche-Orient, malgré des conditions climatiques propices aux cultures, les conflits armés en cours en Syrie et au Yémen continuent d'entraver les activités agricoles en limitant la disponibilité des intrants et en augmentant les coûts de production. Au Yémen, lors de la période allant de décembre 2018 à janvier 2019, près de 15,9 millions de personnes, soit 53 pour cent de la population, faisaient face à une situation d'insécurité alimentaire aiguë.

De même, en Afrique, la situation désastreuse de la sécurité alimentaire dans de nombreux pays, y compris en République centrafricaine, en République démocratique du Congo et au Soudan du Sud, est le résultat de conflits persistants et de l'insécurité. Au Soudan du Sud, en particulier, selon certaines estimations, de mai à juillet 2019, le nombre de personnes en situation de grave insécurité alimentaire s'élevait à presque 7 millions, soit 60% de la population

World: Global Weather Hazards Summary: July 5 – 11, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Benin, Burkina Faso, Cameroon, Côte d'Ivoire, Dominican Republic, El Salvador, Eritrea, Ethiopia, Gambia, Ghana, Guatemala, Guinea, Guinea-Bissau, Honduras, Kazakhstan, Kenya, Kyrgyzstan, Liberia, Mali, Nicaragua, Niger, Nigeria, Senegal, Sierra Leone, South Sudan, Sudan, Togo, Turkmenistan, Uganda, Uzbekistan, World

Flooding continues across Uganda while dry conditions remain in parts of West Africa

  1. A delayed rainy season over Senegal, Mali, Gambia, and Guinea Bissau resulted in abnormal dryness. Despite increased rainfall last week, deficits are forecast to persist.

  2. Below-average rainfall since April has led to early-season deficits and abnormal dryness in central Nigeria.

  3. Heavy rainfall triggered flooding in western Sudan. Continued rainfall forecast next week maintains the risk for flooding.

  4. Heavy rainfall during the past weeks has caused flooding in eastern Uganda and northwestern Kenya. Heavy rainfall forecast next week is likely to maintain high flood risk.

  5. A delayed start to monsoon rains has been marked by several consecutive weeks of below-average rainfall and 25-50% of average rainfall to date in parts of Nigeria and Cameroon.

  6. Rainfall deficits developed over the past month in southeastern Cote d’Ivoire. Abnormal dryness is likely to persist.

World: Crop Prospects and Food Situation, No. 2, July 2019

Source: Food and Agriculture Organization of the United Nations
Country: Afghanistan, Bangladesh, Burkina Faso, Burundi, Cabo Verde, Cameroon, Central African Republic, Chad, China, Congo, Democratic People's Republic of Korea, Democratic Republic of the Congo, Djibouti, Eritrea, Eswatini, Ethiopia, Guinea, Haiti, Iraq, Kenya, Lesotho, Liberia, Libya, Madagascar, Malawi, Mali, Mauritania, Mozambique, Myanmar, Niger, Nigeria, Pakistan, Senegal, Sierra Leone, Somalia, South Sudan, Sudan, Syrian Arab Republic, Uganda, Venezuela (Bolivarian Republic of), World, Yemen, Zimbabwe

REGIONAL HIGHLIGHTS

AFRICA

Cyclone damage and rainfall deficits in 2019 caused significant production declines in Southern Africa, while in East Africa severe dryness reduced first season harvests and led to a degradation of rangeland conditions. Rainfall in West Africa is predicted to be below average, constraining production prospects.

ASIA Cereal production in 2019

in Far East Asia is forecast to rise marginally, mostly resting on a larger harvest in India. Similarly, in the Near East, despite damaging floods and persistent conflicts, production is set to increase for the region as a whole. Cereal production is also seen to increase in CIS Asia.

LATIN AMERICA AND THE CARIBBEAN

Significant production upturn is forecast in South America in 2019, compared to last year's reduced output. In Central America and the Caribbean, irregular rains have raised concerns over the maize harvests in all countries, except Mexico, where crop prospect are favourable.

Democratic Republic of the Congo: WHO AFRO Outbreaks and Other Emergencies, Week 26: 24 – 30 June 2019; Data as reported by 17:00; 30 June 2019

Source: World Health Organization
Country: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sierra Leone, South Africa, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 76 events in the region. This week’s edition covers key new and ongoing events, including:

  • Circulating vaccine-derived polio virus type 2 in Democratic Republic of the Congo
  • Ebola virus disease in Democratic Republic of the Congo
  • Hepatitis E in Namibia
  • Humanitarian crisis in Burkina Faso.

For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.

A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have largely been controlled and thus closed.

Major issues and challenges include:

  • Health authorities in Democratic Republic of the Congo reported two simultaneous events of genetically-distinct circulating vaccine-derived polio virus type 2 (cVDPV2) in Kasai and Sankuru provinces. In both events, two case-patients with acute flaccid paralysis were confirmed with geneticallylinked circulating vaccine derived poliovirus type 2. The two events become the fifth and sixth genetically-distinct cVDPV2 outbreaks in the country. While comprehensive responses are being undertaken, these events highlight the need to maintain high levels of routine polio vaccination coverage in all countries in the region to minimize the risk and consequences of any poliovirus circulation.
  • The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces, Democratic Republic of the Congo continues, with insecurity incidents reported in Beni this week targeting Ebola response personnel. The weekly incidence showed minimum reduction in the number of new confirmed EVD cases this week, as the transmission intensity keeps fluctuating. All efforts to step up and sustain ongoing response operations need to continue.

World: Global Weather Hazards Summary: June 28 – July 4, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Benin, Burkina Faso, Cameroon, Côte d'Ivoire, Dominican Republic, El Salvador, Eritrea, Ethiopia, Gambia, Ghana, Guatemala, Guinea, Guinea-Bissau, Honduras, Kazakhstan, Kenya, Kyrgyzstan, Liberia, Mali, Nicaragua, Niger, Nigeria, Senegal, Sierra Leone, South Sudan, Sudan, Togo, Turkmenistan, Uganda, Uzbekistan, World

Dry conditions persist in West Africa, while heavy rainfall continues in Uganda and Kenya

  1. A delayed onset to the March-May rainfall season coupled with high temperatures has caused dryness across many areas of the Gambia.

  2. Below-average rainfall since April has led to early-season deficits and abnormal dryness in central Nigeria.

  3. Heavy rainfall during the past weeks has caused flooding in eastern Uganda and northwestern Kenya. Heavy rainfall forecast next week is likely to maintain high flood risk.

  4. A delayed start to monsoon rains has been marked by several consecutive weeks of below-average rainfall and 25-50% of average rainfall to date in parts of Nigeria and Cameroon.

Democratic Republic of the Congo: WHO AFRO Outbreaks and Other Emergencies, Week 25: 17 – 23 June 2019; Data as reported by 17:00; 23 June 2019

Source: World Health Organization
Country: Angola, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Lesotho, Liberia, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sierra Leone, South Africa, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

This Weekly Bulletin focuses on selected acute public health emergencies
occurring in the WHO African Region. The WHO Health Emergencies Programme
is currently monitoring 77 events in the region. This week’s edition covers key
new and ongoing events, including:

  • Cholera in Nigeria
  • Ebola virus disease in Democratic Republic of the Congo
  • Humanitarian crisis in Ethiopia
  • Humanitarian crisis in South Sudan.

For each of these events, a brief description, followed by public health measures
implemented and an interpretation of the situation is provided.

A table is provided at the end of the bulletin with information on all new and
ongoing public health events currently being monitored in the region, as well as
recent events that have largely been controlled and thus closed.

Major issues and challenges include:

The outbreak of Ebola virus disease (EVD) in North Kivu and Ituri provinces,
Democratic Republic of the Congo continues, with fluctuating transmission
intensity. There has been a period of improved security recently, allowing
response teams to access communities and operate more freely. As a result,
indicators over the past few weeks provide early signs of an easing of the
transmission intensity in major hotspots. However, concerns remain over the
number of new cases still occurring in areas that previously had lower rates of
transmission. Additionally, the lack of funding to support response operations
has reached a worrying level. The international community must step up
funding to support the ongoing response and strengthen preparedness in
Democratic Republic of the Congo and neighbouring countries.

Health authorities in Nigeria have confirmed a new cholera outbreak in Adamawa
State, one of the three states in north-east Nigeria with prolonged complex
humanitarian emergencies. These states are vulnerable to experiencing large
cholera outbreaks, as has been seen in the recent past. It is therefore critical
that the current cholera outbreak is responded to swiftly at the initial stages
to prevent escalation of the situation.

World: World Bank Group Support in Situations Involving Conflict-Induced Displacement – An Independent Evaluation

Source: World Bank
Country: Afghanistan, Algeria, Angola, Armenia, Azerbaijan, Bangladesh, Bosnia and Herzegovina, Burkina Faso, Burundi, Cambodia, Cameroon, Chad, Colombia, Congo, Côte d'Ivoire, Croatia, Democratic Republic of the Congo, Djibouti, Ecuador, Eritrea, Ethiopia, Georgia, Guinea, Indonesia, Iraq, Jordan, Kyrgyzstan, Lebanon, Liberia, Mali, Mauritania, Montenegro, Myanmar, Nepal, Niger, occupied Palestinian territory, Pakistan, Philippines, Rwanda, Senegal, Serbia, Sierra Leone, Somalia, South Sudan, Sri Lanka, Sudan, Syrian Arab Republic, the Republic of North Macedonia, Timor-Leste, Turkey, Uganda, World, Yemen, Zambia

Highlights

  • In 2016, the World Bank Group stepped up its engagement in situations of conflictinduced forced displacement at the global and country levels and adopted a new approach to its engagement that recognizes displacement as a development challenge that must be addressed to attain the World Bank Group’s twin goals.

  • Since fiscal year 2016, the Bank Group’s analytical, financial, and operational support has become more aligned with its stated development approach building on lessons from past engagements. This is an important shift.

  • Advisory services and analytics have shifted from providing a rationale for Bank Group engagement in situations involving conflictinduced forced displacement to contextspecific needs assessments focused on evidence-based, medium-term solutions.
    The World Bank successfully mobilized new financing to support situations involving conflict-induced forced displacement and crowded-in funding from other donors. World Bank support for populations forcibly displaced by conflict and their host communities has increased, become more balanced, and focused on priority sectors to
    generate economic opportunities. These are significant achievements.

  • At the same time, the Bank Group has not yet fully leveraged its comparative
    advantages in implementing its development approach. Evidence generated
    from analytical and advisory services needs to be translated better into
    context-specific policy dialogue, project design, and programming.
    Project design, in particular, could further address the specific needs and
    vulnerabilities of conflict-induced forcibly displaced persons and their host
    communities, especially the specific needs and vulnerabilities of the women
    and children among them. Projects should also more systematically include
    specific indicators to monitor and evaluate the effects on affected populations.

  • The World Bank engages and coordinates with humanitarian actors and
    development organizations at various levels, but coordination could be further
    strengthened. Additionally, select partnerships at the country level could be
    leveraged to ensure sector coherence and to foster policy dialogue to enact
    institutional reforms toward self-reliance that address the vulnerabilities of
    forcibly displaced persons. The Bank Group could also increase engagement
    to catalyze the private sector’s role in situations of conflict-induced forced
    displacement.

  • Internal and external factors inhibit the Bank Group’s development
    response to address situations of conflict-induced forced displacement.
    Internal factors include varying levels of active leadership in Country
    Management Units, growing but still limited Bank Group experience, and
    incentives. External factors include the varying nature of displacement
    situations, government capacity, macroeconomic and development
    challenges, and complex political economy factors.

World: Global Weather Hazards Summary: June 21 – 27, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Benin, Burkina Faso, Chad, Côte d'Ivoire, Dominican Republic, El Salvador, Eritrea, Ethiopia, Ghana, Guatemala, Guinea, Haiti, Honduras, India, Kazakhstan, Kenya, Kyrgyzstan, Liberia, Mali, Nicaragua, Niger, Nigeria, Pakistan, Sierra Leone, Somalia, South Sudan, Sudan, Tajikistan, Togo, Uganda, Uzbekistan, World, Yemen

Heavy rainfall triggers flooding in North Darfur of Sudan, while dryness persists in parts of West Africa

  1. A delayed onset to the March-May rainfall season coupled with high temperatures has caused dryness in parts of Ethiopia, Kenya, Somalia, and Uganda.

  2. Below-average rainfall over the past since April have led to early-season deficits and abnormal dryness in central Nigeria.

  3. Heavy rainfall during the past weeks has caused flooding in eastern Uganda and triggered flooding in northwestern Kenya.
    Heavy rainfall forecast next week is likely to maintain high flooding risk.

  4. A delayed start to monsoon rains has been marked by several consecutive weeks of below-average rainfall and 25-50% of average rainfall to date across Sierra Leone and Liberia.

  5. Heavy rainfall last week caused flash flooding in North Darfur, Sudan.
    Heavy rainfall forecast next week is likely to worsen ground conditions

Democratic Republic of the Congo: WHO AFRO Outbreaks and Other Emergencies, Week 24: 10 – 16 June 2019; Data as reported by 17:00; 16 June 2019

Source: World Health Organization
Country: Angola, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Lesotho, Liberia, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sierra Leone, South Africa, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

Overview

This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 75 events in the region. This week’s edition covers key new and ongoing events, including:

  • Ebola virus disease in Uganda
  • Ebola virus disease in Democratic Republic of the Congo
  • Measles in Democratic Republic of the Congo
  • Humanitarian crisis in Mali.

For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.

A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have largely been controlled and thus closed.

Major issues and challenges include:

  • The emergence, this week, of a cluster of Ebola virus disease (EVD) cases in Kasese District, western Uganda raised a lot of attention in the region and globally. This event affirmed the continuous risk of spread of the outbreak in the region and re-echoes the importance of enhancing preparedness and readiness measures in the neighbouring countries. The robust response mounted by health authorities in Uganda emphasized one of the key principles of International Health Regulations (IHR) 2005, namely ‘containment at source’. This is premised on attaining requisite capabilities for rapid detection and swift control of health events at their onset, thus preventing escalation of small outbreaks into large epidemics. The event in Uganda is a reminder to all State Parties in the African Region to work towards attaining the core capacities stipulated in the IHR (2005).

  • The Democratic Republic of the Congo has been experiencing recurrent measles outbreaks since 2010, with a significant surge in 2019. The Ministry of Health has formally declared the measles epidemic and is calling for all stakeholders to step up response efforts. The response to the measles outbreak (and many other health events) in Democratic Republic of the Congo have been challenged by under-resourcing, weak health systems, insecurity and social disentanglement.

World: Global Weather Hazards Summary: June 14 – 20, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Benin, Burkina Faso, Chad, Costa Rica, Côte d'Ivoire, Dominican Republic, El Salvador, Eritrea, Ethiopia, Ghana, Guatemala, Guinea, Haiti, Honduras, India, Kazakhstan, Kenya, Kyrgyzstan, Liberia, Mali, Nicaragua, Niger, Nigeria, Pakistan, Sierra Leone, Somalia, South Sudan, Sudan, Tajikistan, Togo, Uganda, Uzbekistan, World, Yemen

Heavy rainfall causes flooding in eastern Uganda and northwestern Kenya

  1. A delayed onset to the March-May rainfall season coupled with high temperatures has caused dryness in parts of Ethiopia, Kenya, Somalia, and Uganda.

  2. Below-average rainfall over the past two months have led to early-season deficits and abnormal dryness in Nigeria.

  3. Heavy rainfall during the past weeks has caused flooding in eastern Uganda. Continued rainfall next week is likely to maintain high flooding risk.

  4. A delayed start to monsoon rains has been marked by four consecutive weeks of below-average rainfall and 25-50% of average rainfall to date across Sierra Leone and Liberia.

  5. Above-average rainfall during the past month has caused flooding in Ghana. Continued heavy rains next week maintain a high risk for flooding.

Democratic Republic of the Congo: WHO AFRO Outbreaks and Other Emergencies, Week 23: 3 – 9 June 2019; Data as reported by 17:00; 9 June 2019

Source: World Health Organization
Country: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sierra Leone, South Africa, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

Overview

This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 72 events in the region. This week’s edition covers key new and ongoing events, including:

  • Malaria in Burundi
  • Measles in Comoros Islands
  • Ebola virus disease in Democratic Republic of the Congo
  • Humanitarian crisis in Central African Republic.

For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.

A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have largely been controlled and thus closed.

Major issues and challenges include:

  • There has been a significant reduction in the number of new Ebola virus disease cases and deaths reported in Democratic Republic of the Congo in the last weeks. While it is still too early to make any conclusions, this observed declining trend is very positive and encouraging. There have been several initiatives and efforts to step up the response to the outbreak in the past weeks.
    While still being aware of the prevailing risk factors in the communities, it is anticipated that these initiatives and intensified efforts will turn the tide on the ongoing high levels of transmissions of infections. The national authorities and all stakeholders need to sustain implementation of effective public health measures in order to bring this outbreak to an end.

  • Health authorities in Burundi have detected a potential malaria outbreak in several health districts in the country. This event comes barely one year after the occurrence of a large malaria outbreak in 2017, signifying the vulnerability of the country to malaria epidemics. The national authorities and partners need to capitalize on the early detection of this event and mount a robust response in order to bring the outbreak to a speedy end and avoid escalation of the situation.

World: Global Weather Hazards Summary: June 6 – 13, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Benin, Burkina Faso, Costa Rica, Côte d'Ivoire, Democratic Republic of the Congo, Dominican Republic, El Salvador, Ethiopia, Ghana, Guatemala, Guinea, Haiti, Honduras, Kazakhstan, Kenya, Kyrgyzstan, Liberia, Nicaragua, Niger, Nigeria, Sierra Leone, Somalia, South Sudan, Sudan, Tajikistan, Togo, Uganda, World

The Horn of Africa remains abnormally dry following poor March-May rain and a delayed onset to the season

  1. A delayed onset to the March-May rainfall season coupled with high temperatures has caused dryness in parts of Ethiopia, Kenya, Somalia, and Uganda.

  2. Below-average rainfall over the past two months have led to early-season deficits and abnormal dryness in Nigeria.

  3. Torrential rainfall during the past week has caused flash floods in Kampala, Uganda. Heavy rainfall is forecast to continue, maintaining high flood risk.

  4. A delayed start to monsoon rains has been marked by four consecutive weeks of below-normal rainfall and 25-50% of normal rainfall to date across Sierra Leone and Liberia.

  5. Heavy rainfall last week caused flooding in Accra, Ghana. Continued heavy rains next week maintain a high risk for flooding.

  6. Above-average sea-surface temperatures in the Indian Ocean are expected to strengthen Tropical cyclone development, which could impact parts of Somalia

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