 Previous cVDPV2 outbreaks in Nigeria, the Democratic Republic of Congo, and Somalia continued into 2019 and spread to neighboring countries, while several countries have experienced new outbreaks.In addition to eighteen reported paralysis cases in Nigeria, the cVDPV2 outbreaks there spread to Benin, Burkina Faso, Chad, Ghana, Niger and Togo, while the virus was also detected in environmental samples from Cameroon and Ivory Coast.Somalia's continuing outbreaks caused a half-dozen cases there and in neighboring Ethiopia, with a separate Ethiopia outbreak adding one case.