{"id":10077,"date":"2025-03-01T14:02:38","date_gmt":"2025-03-01T19:02:38","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan122\/"},"modified":"2025-03-02T00:46:50","modified_gmt":"2025-03-02T05:46:50","slug":"dhan122","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan122\/","title":{"rendered":"php\/alerts\/dhan122 ~  Division of Public Health &#8211; &#8211; Health Alert  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n  <br>\n\n\n\n  <div class=\"container\" id=\"main_header\"> \n\n    <!-- BEGIN readspeaker div -->\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan122.html\" title=\"Listen to this page using ReadSpeaker\">\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n      <\/a>\n\n    <\/div>\n\n    <!-- END readspeaker div -->\n\n\n\n    \n\n    <header class=\"pull-left\">\n\n      <h1>Delaware Health Alert Network #<!--[type=EDIT name=\"DHAN Number\"]-->122 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->September 16, 2006 1:22 PM <!--[END]--> <\/h2>\n\n    <\/header>\n\n  <\/div><br>\n\n \n\n  <div class=\"container\">\n\n    <div class=\"row\">\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n          <div class=\"panel sectionmenu_panel\">\n\n            <div class=\"panel-heading\">\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n            <\/div>\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; 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Wellness<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/healthyhomes.html\">Healthy Homes<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/healthywp.html\">Healthy Workplaces<\/a><\/li>\n        <li><a href=\"\/dph\/lab\/labs.html\">Laboratory<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/feir.html\">Restaurant Inspections<\/a><\/li>\n        <li><a href=\"\/dph\/screen.html\">Screening and Testing<\/a><\/li>\n        <li><a href=\"\/dph\/chca\/dphwichominf01.html\">WIC<\/a><\/li>\n        <li><a href=\"\/dph\/servicesadd.html\">Additional Services<\/a><\/li><li>\n      <\/li><\/ul>\n    <\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n        <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\n        <li><a href=\"\/dph\/factsheetsaz.html\">A-Z Fact Sheets<\/a><\/li>\n        <li><a href=\"\/dph\/pubreportsaz.html\">A-Z Publications &#038; Reports<\/a><\/li>\n        <li><a href=\"\/dph\/diseasesandconditions.html\">Diseases &#038; Conditions<\/a><\/li>\n        <li><a href=\"\/dph\/faq.html\">FAQ&#8217;s<\/a><\/li>\n        <li><a href=\"\/dph\/php\/alerts.html\">Health Alerts<\/a><\/li>\n        <li><a href=\"\/dph\/healthylifestyles.html\">Healthy Lifestyles<\/a><\/li>\n        <li><a href=\"\/dph\/hipaa.html\">HIPAA<\/a><\/li>\n        <li><a href=\"\/dph\/regs.html\">Regulations<\/a><\/li>\n        <li><a href=\"\/dph\/forms.html\">Request Forms<\/a><\/li>\n        <li><a href=\"\/dph\/links.html\">Links &#038; Resources<\/a><\/li>\n        <li><a href=\"http:\/\/delaware.gov\/help\/foia_request.shtml\">FOIA Request Form<\/a><\/li>\n      <\/ul>\n    <\/li>\n    <li><a id=\"SocialMenuHeader\"><h2>Connect <i class=\"fa fa-thumbs-o-up fa-fw\"><\/i><\/h2><\/a>\n      <ul id=\"SocialMenu\">\n        <li class=\"facebook\"><a href=\"https:\/\/www.facebook.com\/DEPublicHealth\" target=\"_blank\" title=\"Division of Public Health Facebook Page\"><i class=\"fa fa-facebook-square fa-lg\"><\/i> Facebook<\/a><\/li>\n        <li class=\"twitter\"><a href=\"https:\/\/twitter.com\/Delaware_DHSS\" target=\"_blank\" title=\"Delaware Health and Social Services Twitter Account\"><i class=\"fa fa-twitter-square fa-lg\"><\/i> Twitter<\/a><\/li>\n        <!-- <li class=\"googleplus\"><a href=\"#\"><i class=\"fa fa-google-plus-square fa-lg\"><\/i> Google +<\/a><\/li>\n        <li class=\"flickr\"><a href=\"#\"><i class=\"fa fa-flickr fa-lg\"><\/i> Flickr<\/a><\/li>\n        <li class=\"youtube\"><a href=\"#\"><i class=\"fa fa-youtube-square fa-lg\"><\/i> Youtube<\/a><\/li>\n        <li class=\"instagram\"><a href=\"#\"><i class=\"fa fa-instagram fa-lg\"><\/i> Instagram<\/a><\/li>\n        <li class=\"linkedin\"><a href=\"#\"><i class=\"fa fa-linkedin-square fa-lg\"><\/i> Linkedin<\/a><\/li>\n        <li class=\"pinterest\"><a href=\"#\"><i class=\"fa fa-pinterest-square fa-lg\"><\/i> Pinterest<\/a><\/li> -->\n      <\/ul>\n    <\/li>\n  <\/ul>\n\n              <\/div>\n\n            <\/div>\n\n          <\/div>\n\n        <\/div><br>\n\n      <\/div>\n\n\n\n      <div class=\"col-md-9\" id=\"main_content\"> \n\n  \n\n<h2 class=\"center\">Health\n\n<!--[type=EDIT name=\"DHANType\"]-->\n\n\n\n   Advisory<!--[END]-->\n\n<br>\n\n<!--[type=EDIT name=\"DHAN Heading\"]-->\n\n\n\nOUTBREAK OF BOTULINUM TOXIN TYPE A ASSOCIATED WITH BOTTLED CARROT JUICE<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<p>\n\n\n  The Division of Public Health is forwarding this Health Advisory from the Centers for Disease Control and Prevention. To contact DPH\n\n\n  about this Health Advisory, call 1-888-295-5156. This number is answered during normal business hours, and during non-business hours for\n\n\n  emergencies.\n\n\n<\/p>\n\n\n<h2 class=\"text-center\">\n\n\n  This is an official<br>\n\n\n  CDC Health Advisory\n\n\n<\/h2>\n\n\n<p>\n\n\n  Distributed via Health Alert Network<br>\n\n\n  September 16, 2006, 12:31 EDT (12:31 PM EDT)<br>\n\n\n  CDCHAN-00250-06-09-16-ADV-N\n\n\n<\/p>\n\n\n<h3 class=\"text-center\">\n\n\n  Outbreak of <em>Botulinum<\/em> toxin Type A associated with<br>\n\n\n  bottled carrot juice\n\n\n<\/h3>\n\n\n<p>\n\n\n  A commercial beverage has been confirmed as the cause of a cluster of three botulism cases in Georgia. The three patients had onset of\n\n\n  symptoms on Friday, September 8th, after consuming a common meal that included commercially produced carrot juice on Thursday, September\n\n\n  7th. Two bottles of juice were consumed.\u00a0 All three patients drank from bottle #1; whether all three patients drank from bottle #2\n\n\n  is unknown. <em>Botulinum<\/em> toxin type A was identified in the serum and stool of all three patients by mouse bioassay. Subsequently,\n\n\n  <em>botulinum<\/em> toxin type A was identified from carrot juice remaining in bottle #1 by mouse bioassay. Bottle #2 had been rinsed with\n\n\n  water, and the test for toxin was negative. The label on the implicated bottle reads \u201cBolthouse Farms, Bakersfield, California,\n\n\n  100% carrot juice.\u201d The use by date is 09-18-06.\n\n\n<\/p>\n\n\n<p>\n\n\n  The investigation is ongoing. It is unknown whether the contaminated juice was subjected to time or temperature abuse that might have\n\n\n  facilitated the growth of <em>Clostridium botulinum<\/em> spores, which can survive pasteurization. CDC has not been notified of any cases\n\n\n  of suspected botulism since this cluster was reported on September 8. We encourage state and local officials to inquire specifically\n\n\n  about consumption of carrot juice in the food history of suspect botulism cases.\n\n\n<\/p>\n\n\n<p>\n\n\n  CDC has dispatched a notice of this outbreak to public health officials in all 50 states through the Foodborne Disease Listserve,\n\n\n  reminding them about the contact numbers for CDC\u2019s Botulism Clinical Consultation and Antitoxin Release Service. The Georgia\n\n\n  Department of Health issued an Epi-X alert, alerts to Georgia clinicians and local health officials, and a press release about this\n\n\n  outbreak and the implicated food. We anticipate that the Food and Drug Administration (FDA) will be issuing a press release about this\n\n\n  outbreak and advising consumers to properly refrigerate juices and follow other food safety guidelines for illness prevention.\n\n\n<\/p>\n\n\n<p>\n\n\n  Any suspected botulism case reported by a clinician to a state health department should be reported immediately by the state to CDC via\n\n\n  the 24\/7 CDC Botulism Clinical Consultation and Antitoxin Release Service, by calling the CDC Emergency Operations Center at (770)\n\n\n  488-7100 and asking for the botulism officer on call.\n\n\n<\/p>\n\n\n<p>\n\n\n  For more information on botulism visit this CDC website:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>\n\n\n    <a href=\"http:\/\/www.cdc.gov\/ncidod\/dbmd\/diseaseinfo\/botulism_g.htm\" target=\"_blank\" title=\"http:\/\/www.cdc.gov\/ncidod\/dbmd\/diseaseinfo\/botulism_g.htm\">http:\/\/www.cdc.gov\/ncidod\/dbmd\/diseaseinfo\/botulism_g.htm<\/a>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  <strong>NOTE:<\/strong>\u00a0 The CDC HAN web site has been relocated. The link to the new site location is: <a href=\"http:\/\/www2a.cdc.gov\/HAN\/\" target=\"_blank\" title=\"http:\/\/www2a.cdc.gov\/HAN\/\">http:\/\/www2a.cdc.gov\/HAN\/<\/a>\u00a0 If you maintain or\n\n\n  contribute to a web site that links to the CDC HAN web site you should update the link. Also, to ensure the widest dissemination of this\n\n\n  change it would be appreciated if you would distribute this notification as appropriate. Thank you!\n\n\n<\/p><!--[END]-->\n\n  \n\n        <div class=\"panel panel-danger\">\n\n          <div class=\"panel-heading\">    \n\n      <h2>Categories of Health Alert messages:<\/h2>\n\n       <\/div>\n\n       <div class=\"panel-body\">\n\n      <ul>\n\n        <li><strong>Health Alert:<\/strong> Conveys the highest level of importance; warrants immediate action or attention.<\/li>\n\n        <li><strong>Health Advisory:<\/strong> Provides important information for a specific incident or situation; may not require immediate action.<\/li>\n\n        <li><strong>Health Update:<\/strong> Provides updated information regarding an incident or situation; unlikely to require immediate action.<\/li>\n\n            <\/ul>\n\n         <div><strong>NOTE: This page is for informational purposes only and dated material (e.g. temporary websites) may not be available.<\/strong><\/div>\n\n          <\/div> \n\n        <\/div><br>  \n\n\n\n      <\/div>\n\n    <\/div>\n\n  <\/div><!-- \/container -->\n\n  <\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Health Alert Network #122 September 16, 2006 1:22 PM Public Health Menu Home About About DPH Sections &#038; Programs Office Locations Contact Info Calendar Services A-Z Services Air &#038; Water Quality Birth, Death, &#038; Marriage Records Clinics Health Data &#038; Statistics Emergency Preparedness Health &#038; Wellness Healthy Homes Healthy Workplaces Laboratory Restaurant Inspections [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":9294,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-10077","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10077","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/comments?post=10077"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10077\/revisions"}],"predecessor-version":[{"id":11253,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10077\/revisions\/11253"}],"up":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9294"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/media?parent=10077"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}