WHO news

Due to the escalating violence, intense bombardment, mass displacement orders, and lack of assured humanitarian pauses across most of northern Gaza, the Polio Technical Committee for Gaza, including the Palestinian Ministry of Health, World Health Organization (WHO), United Nations Children’s Fund (UNICEF), the United Nations Relief and Works Agency for Palestine Refugees (UNRWA) and partners have been compelled to postpone the third phase of the polio vaccination campaign, which was set to begin today. This final phase of the ongoing campaign aimed to vaccinate 119 279 children across northern Gaza.

The current conditions, including ongoing attacks on civilian infrastructure continue to jeopardize people’s safety and movement in northern Gaza, making it impossible for families to safely bring their children for vaccination, and health workers to operate.

All logistics, supplies and trained human resources were prepared to vaccinate children across northern Gaza with a second dose of novel oral polio vaccine type 2 (nOPV2), following a first round conducted across the Gaza Strip from 1-12 September 2024. However, given that the area currently approved for temporary humanitarian pauses was substantially reduced—now limited only to Gaza City, a significant decrease from the first round—many children in northern Gaza would have missed out on the polio vaccine dose.

To interrupt poliovirus transmission, at least 90% of all children in every community and neighborhood must be vaccinated – a prerequisite for an effective campaign to interrupt the outbreak and prevent its further spread. Humanitarian pauses are essential for its success, allowing partners to deliver vaccination supplies to health facilities, families to safely access vaccination sites, and mobile teams of health workers to reach children in their communities. A delay in administering a second dose of nOPV2 within six weeks reduces the impact of two closely spaced rounds on concurrently boosting the immunity of all children and interrupting poliovirus transmission. Having a significant number of children miss out on their second vaccine dose will seriously jeopardize efforts to stop the transmission of poliovirus in Gaza. This could also lead to further spread of poliovirus in the Gaza Strip and neighboring countries, with the risk of more children being paralyzed.

Since the rollout of the second round of the polio campaign in Gaza on 14 October 2024, 442 855 children under ten years have been successfully vaccinated in central and south of the Gaza Strip– 94% of the target in these areas. A total of 357 802 children between two to ten years received vitamin A supplements as part of efforts to integrate the delivery of polio vaccine with other essential health services in Gaza.

It is imperative to stop the polio outbreak as soon as possible, before more children are paralyzed and poliovirus spreads further. It is crucial therefore that the vaccination campaign in northern Gaza is facilitated through the implementation of the humanitarian pauses, ensuring access for wherever eligible children are located. WHO and UNICEF urge all parties to ensure that civilians, health workers, and civilian infrastructure, such as schools, shelters, hospitals, are protected and renew their call for an immediate ceasefire.

On 21 October, 14 patients and 10 caregivers were transferred from Kamal Adwan in North Gaza to Al-Shifa Hospital in Gaza City during a high-risk, WHO-led joint mission, amid intense hostilities and access restrictions. Despite an initial agreement, the delivery of critical medical supplies, blood, and fuel – resources essential for keeping Kamal Adwan and Al-Awda hospitals operational – was denied just a few hours before the mission began on 20 October. 

The mission lasted two days, with the team facing delays at successive checkpoints, and during extensive security screenings. The team was forced to stay overnight at Kamal Adwan Hospital, as they were not cleared to proceed to Al-Shifa hospital due to active conflict in the area. Heavy bombardment continued near the hospital throughout the night, causing distress among patients, health workers and the mission team. The team was only able to proceed to Al-Shifa Hospital around midday on 21 October. En route to Al-Shifa, all patients were taken out of the ambulances for a security screening. Some patients on stretchers were left lying on the ground for some time during the screening was conducted, while some partner staff were subjected to humiliating treatment.  

This was the fourth WHO mission to the north of Gaza since 1 October. So far this month, out of the 21 missions requested by WHO, only 6 were facilitated, the majority being denied or impeded.   

Kamal Adwan Hospital remains partially functional but is struggling to meet growing needs due to intensified hostilities in the north and a shortage of medical supplies and fuel. A strike near the hospital causing damages to the gate was reported earlier today, 22 October. Currently, there are 95 patients in the hospital, including 15 in intensive care (including four requiring continuous life support) seven of whom are children. Over the last two days, at least 200 severely injured people and 53 dead bodies have been brought to the already overwhelmed hospital. Damaged roads, combined with ongoing hostilities, are severely disrupting safe access to the hospital. If patients, ambulances, and health workers are unable to reach the facility, and partners cannot resupply it, the hospital may soon become non-functional.  

As hostilities intensify in North Gaza, WHO is deeply concerned about the last two functional hospitals – Kamal Adwan and Al-Awda – which must be protected. A complete lack of health care in North Gaza would make an already catastrophic situation worse, and lead to more lives being lost. 

One year on, health care continues to be attacked and deprived of supplies and fuel, while WHO’s ability to regularly reach health facilities is severely compromised due to mission delays and denials.  

WHO reiterates its call for unimpeded access to health facilities, reliable and timely facilitation of missions, sustained flow of aid into and across Gaza, protection of health care, and above all a ceasefire.  

The World Health Organization (WHO) and the Kingdom of Saudi Arabia announced a new milestone digital health collaboration today to expand the Hajj health card initiative to support the roughly 3 million pilgrims who undertake the holy pilgrimage every year.

The Hajj health card, built on the WHO Global Digital Health Certification Network’s public key infrastructure, summarizes critical health information, such as medication needs, allergies, immunization status and pre-existing conditions. The card gives individuals agency over their own health information when they travel to Saudi Arabia so that they can provide authorized health providers access to accurate, up-to-date patient summary information and obtain personalized quality care.

“Today marks a notable progress in WHO’s support to Member States to expand access to safer and person-centered digital health tools for people to improve their access to quality health care when and where they need it,” said Dr Jeremy Farrar, WHO Chief Scientist. “We are thankful for the excellent collaboration with the Kingdom of Saudi Arabia, participating countries, and the WHO Regional Office for the Eastern Mediterranean, and look forward to further support building capacity and infrastructure in countries shifting to more digitized health systems.”

The Hajj is the largest pilgrimage in the world, drawing almost 3 million pilgrims from over 180 countries every year. Over 250 000 pilgrims from 3 countries, Indonesia, Malaysia and Oman, were issued Hajj health cards in 2024, as part of the pilot collaboration between WHO and Saudi Arabia. This test-phase demonstrated that each country was able to use global standards to issue their own national versions of the card, enhancing the pilgrims’ safety and quality of care while undertaking the Hajj.

WHO and Saudi Arabia agreed to further collaborate to improve and expand upon the successful pilot programme for the Hajj health card. The expertise and support from the Saudi government and their digital implementing partner LEAN, will enable increased data security and essential technical support to additional countries joining the Hajj health card programme.

“This exciting partnership between the Kingdom of Saudi Arabia and the World Health Organization to expand the Hajj health card initiative enhances the safety and well-being of millions of pilgrims,” said Dr Hanan Balkhy, WHO Regional Director for the Eastern Mediterranean (EMRO). “By leveraging digital health solutions, we strengthen quality of care, and help strengthen health systems in the Eastern Mediterranean Region and around the world."

WHO launched the Global Digital Health Certification Network (GDHCN) in 2023 building on a successful collaboration with the European Union and other partnering countries to support COVID-19 vaccination certificates. The GDHCN now includes over 80 WHO Member States that have established systems to verify the authenticity of health information between each other, leveraging a new global ISO standard, IPS – the International Patient Summary.

The GDHCN is based on a robust public key infrastructure (PKI) encryption system that keeps health credentials verifiable and secure, allowing national authorities and health providers to trust the authenticity of health documents across borders without compromising individual privacy.

The initiative aims to bring a digital health future where people can carry internationally recognized health credentials for improved travel and health care access. This enables greater access and control for people over their health information with the ability to select and decide which health information should be shared when seeking care domestically or abroad.

By joining WHO’s certification network, countries can cut down on administration processes, making border controls more efficient and health visits better informed. The global network lays the groundwork for long-term improvements in international health collaboration, enabling future use-cases such as cross-border e-prescriptions, insurance, and even telemedicine.