{"id":10130,"date":"2025-03-01T14:02:50","date_gmt":"2025-03-01T19:02:50","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan172\/"},"modified":"2025-03-02T00:47:54","modified_gmt":"2025-03-02T05:47:54","slug":"dhan172","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan172\/","title":{"rendered":"php\/alerts\/dhan172 ~  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\/dhan172.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\"]-->172 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->April 26, 2009, 6:35 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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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\nDELAWARE HEALTH ALERT NETWORK IS COMBINING TWO<br>\n\n\n  CDC HEALTH ADVISORIES RELATED TO SWINE FLU<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<h2 class=\"text-center\">\n\n\n  <br>\n\n\n  <br>\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  <br>\n\n\n  April 26, 2009,11:00 EST (11:00AM EDT)<br>\n\n\n  CDCHAN-000282-2009-04-26-ALT-N\n\n\n<\/p>\n\n\n<h3 class=\"text-center\">\n\n\n  Risk of Swine Flu Associated with Travel to Affected Areas\n\n\n<\/h3>\n\n\n<p>\n\n\n  Public health officials within the United States and throughout the world are investigating outbreaks of swine influenza (swine flu).\n\n\n<\/p>\n\n\n<p>\n\n\n  Swine flu is a respiratory disease of pigs caused by a type A influenza virus that regularly causes outbreaks of influenza among pigs.\n\n\n  Swine flu viruses do not normally infect humans; however, human infections with swine flu do occur. Public health officials have\n\n\n  determined that this strain of swine flu virus spreads from human to human and can cause illness.\n\n\n<\/p>\n\n\n<p>\n\n\n  The outbreak is ongoing and additional cases are expected. For more information concerning swine flu infection, please see the Centers\n\n\n  for Disease Control and Prevention (CDC) website: <a href=\"http:\/\/www.cdc.gov\/swineflu\" title=\"http:\/\/www.cdc.gov\/swineflu\">http:\/\/www.cdc.gov\/swineflu\/<\/a>. For specific information on travel precautions and an update on the\n\n\n  affected areas, please visit: <a href=\"http:\/\/www.cdc.gov\/travel\" title=\"http:\/\/www.cdc.gov\/travel\">www.cdc.gov\/travel<\/a>.\n\n\n<\/p>\n\n\n<p>\n\n\n  The symptoms of swine flu in people are similar to the symptoms of seasonal flu in humans and may include:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Fever (greater than 100\u00b0F or 37.8\u00b0C)\n\n\n  <\/li>\n\n\n  <li>Sore throat\n\n\n  <\/li>\n\n\n  <li>Cough\n\n\n  <\/li>\n\n\n  <li>Stuffy nose\n\n\n  <\/li>\n\n\n  <li>Chills\n\n\n  <\/li>\n\n\n  <li>Headache and body aches\n\n\n  <\/li>\n\n\n  <li>Fatigue\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  Some people have reported diarrhea and vomiting associated with swine flu. Severe illness (pneumonia and respiratory failure) and deaths\n\n\n  have been reported with swine flu infection in people. Like seasonal flu, swine flu may cause a worsening of underlying chronic medical\n\n\n  conditions.\n\n\n<\/p>\n\n\n<p>\n\n\n  People entering the United States who are experiencing symptoms consistent with swine flu and have traveled to an affected area (see\n\n\n  <a href=\"http:\/\/www.cdc.gov\/swineflu\/investigation.htm\" title=\"http:\/\/www.cdc.gov\/swineflu\/investigation.htm\">http:\/\/www.cdc.gov\/swineflu\/investigation.htm<\/a> for affected areas), or have been\n\n\n  exposed to someone possibly infected with swine flu, during the last 7 days should report their illnesses to their health care provider\n\n\n  immediately and inform them of their recent travel.\n\n\n<\/p>\n\n\n<p>\n\n\n  People traveling from the United States to affected areas should be aware of the risk of illness with swine flu and take precautions.\n\n\n<\/p>\n\n\n<h4>\n\n\n  To prevent the spread of swine flu:\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>\n\n\n    <strong>Avoid contact<\/strong> with ill persons.\n\n\n  <\/li>\n\n\n  <li>When you cough or sneeze, <strong>cover your nose and mouth<\/strong> with a tissue or your sleeve (if you do not have a\n\n\n  tissue).\u00a0 Throw used tissues in a trash can.\n\n\n  <\/li>\n\n\n  <li>After you cough or sneeze, wash your hands <strong>with soap and water,<\/strong> or use an <strong>alcohol-based<\/strong> hand gel.\n\n\n  <\/li>\n\n\n  <li>\n\n\n    <strong>If you think you are ill with flu,<\/strong> avoid close contact with others as much as possible. <strong>Stay at home or in\n\n\n    your hotel room.\u00a0 Seek medical care if you are severely ill (such as having trouble breathing).\u00a0 There are antiviral\n\n\n    medications for prevention and treatment of swine flu that a doctor can prescribe.\u00a0 Do not go to work, school, or travel while\n\n\n    ill.<\/strong>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  For more information:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Contact your local\u00a0or state health department\n\n\n  <\/li>\n\n\n  <li>Visit <a href=\"http:\/\/www.cdc.gov\/swineflu\/\">http:\/\/www.cdc.gov\/swineflu\/<\/a>\n\n\n  <\/li>\n\n\n  <li>Contact CDC 24 Hours Every Day\n\n\n    <ul>\n\n\n      <li>1-800-CDC-INFO (232-4636)\n\n\n      <\/li>\n\n\n      <li>TTY: (888) 232-6348\n\n\n      <\/li>\n\n\n      <li>\n\n\n        <a href=\"mailto:cdcinfo@cdc.gov\">cdcinfo@cdc.gov<\/a>\n\n\n      <\/li>\n\n\n    <\/ul>\n\n\n  <\/li>\n\n\n<\/ul><br>\n\n\n<br>\n\n\n<br>\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  <br>\n\n\n  April 25, 2009, 3:00 EST (03:00 PM EDT)<br>\n\n\n  CDCHAN-000281-2009-04-25-ALT-N\n\n\n<\/p>\n\n\n<h3 class=\"text-center\">\n\n\n  Investigation and Interim Recommendations:<br>\n\n\n  Swine Influenza (H1N1)\n\n\n<\/h3>\n\n\n<p>\n\n\n  CDC, in collaboration with public health officials in California and Texas, is investigating cases of febrile respiratory illness caused\n\n\n  by swine influenza (H1N1) viruses. As of 11 AM (EDT) April 25, 2009, 8 laboratory confirmed cases of Swine Influenza infection have been\n\n\n  confirmed in the United States. Four cases have been reported in San Diego County, California. Two cases have been reported in Imperial\n\n\n  County California. Two cases have been reported in Guadalupe County, Texas. Of the 8 persons with available data, illness onsets occurred\n\n\n  March 28-April 14, 2009. Age range was 7-54 y.o. Cases are 63% male.\n\n\n<\/p>\n\n\n<p>\n\n\n  The viruses contain a unique combination of gene segments that have not been reported previously among swine or human influenza viruses\n\n\n  in the U.S. or elsewhere.At this time, CDC recommends the use of oseltamivir or zanamivir for the treatment of infection with swine\n\n\n  influenza viruses. The H1N1 viruses areresistant to amantadine and rimantadine but not tooseltamivir or zanamivir. It is not anticipated\n\n\n  that the seasonal influenza vaccine will provide protection against the swine flu H1N1 viruses.\n\n\n<\/p>\n\n\n<p>\n\n\n  CDC has also been working closely with public health officials in Mexico, Canada and the World Health Organization (WHO). Mexican public\n\n\n  health authorities have reported increased levels of respiratory disease, including reports of severe pneumonia cases and deaths, in\n\n\n  recent weeks. CDC is assisting public health authorities in Mexico by testing specimens and providing epidemiological support. As of\n\n\n  11:00 AM (EDT) April 25, 2009, 7 specimens from Mexico at CDC have tested positive for the same strain of swine influenza A (H1N1) as\n\n\n  identified in U.S. cases. However, no clear data are available to assess the link between the increased disease reports in Mexico and the\n\n\n  confirmation of swine influenza in a small number of specimens. WHO is monitoring international cases. Further information on\n\n\n  international cases may be found at: <a href=\"http:\/\/www.who.int\/csr\/don\/2009_04_24\/en\/index.html\" title=\"http:\/\/www.who.int\/csr\/don\/2009_04_24\/en\/index.html\">http:\/\/www.who.int\/csr\/don\/2009_04_24\/en\/index.html<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  Clinicians should consider swine influenza infection in the differential diagnosis of patients with febrile respiratory illness and who\n\n\n  1) live in San Diego or Imperial counties, California, or Guadalupe County, Texas, or traveled to these counties or 2) who traveled\n\n\n  recently to Mexico or were in contact with persons who had febrile respiratory illness and were in one of the three U.S. counties or\n\n\n  Mexico during the 7 days preceding their illness onset.\n\n\n<\/p>\n\n\n<p>\n\n\n  Patients who meet these criteria should be tested for influenza, and specimens positive for influenza should be sent to public health\n\n\n  laboratories for further characterization. Clinicians who suspect swine influenza virus infections in humans should obtain a\n\n\n  nasopharyngeal swab from the patient, place the swab in a viral transport medium, refrigerate the specimen, and then contact their state\n\n\n  or local health department to facilitate transport and timely diagnosis at a state public health laboratory. CDC requests that state\n\n\n  public health laboratories promptly send all influenza A specimens that cannot be subtyped to the CDC, Influenza Division, Virus\n\n\n  Surveillance and Diagnostics Branch Laboratory.\n\n\n<\/p>\n\n\n<p>\n\n\n  Persons with febrile respiratory illness should stay home from work or school to avoid spreading infections (including influenza and\n\n\n  other respiratory illnesses) to others in their communities. In addition, frequent hand washing can lessen the spread of respiratory\n\n\n  illness.\n\n\n<\/p>\n\n\n<p>\n\n\n  CDC has not recommended that people avoid travel to affected areas at this time. Recommendations found at <a href=\"http:\/\/wwwn.cdc.gov\/travel\/contentSwineFluUS.aspx\" title=\"http:\/\/wwwn.cdc.gov\/travel\/contentSwineFluUS.aspx\">http:\/\/wwwn.cdc.gov\/travel\/contentSwineFluUS.aspx<\/a> will help travelers reduce risk\n\n\n  of infection and stay healthy.\n\n\n<\/p>\n\n\n<p>\n\n\n  Clinical guidance on laboratory safety, case definitions, infection control and information for the public are available at:<a href=\"http:\/\/www.cdc.gov\/swineflu\/investigation.htm\" title=\"http:\/\/www.cdc.gov\/swineflu\/investigation.htm\">http:\/\/www.cdc.gov\/swineflu\/investigation.htm<\/a>.\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Swine Influenza A (H1N1) Virus Biosafety Guidelines for Laboratory Workers: <a href=\"http:\/\/www.cdc.gov\/swineflu\/guidelines_labworkers.htm\" title=\"http:\/\/www.cdc.gov\/swineflu\/guidelines_labworkers.htm\">http:\/\/www.cdc.gov\/swineflu\/guidelines_labworkers.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>Interim Guidance for Infection Control for Care of Patients with Confirmed or Suspected Swine Influenza A (H1N1) Virus Infection in a\n\n\n  Healthcare Setting: <a href=\"http:\/\/www.cdc.gov\/swineflu\/guidelines_infection_control.htm\" title=\"http:\/\/www.cdc.gov\/swineflu\/guidelines_infection_control.htm\">http:\/\/www.cdc.gov\/swineflu\/guidelines_infection_control.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>Interim Guidance on Case Definitions for Swine Influenza A (H1N1) Human Case Investigations: <a href=\"http:\/\/www.cdc.gov\/swineflu\/casedef_swineflu.htm\" title=\"http:\/\/www.cdc.gov\/swineflu\/casedef_swineflu.htm\">http:\/\/www.cdc.gov\/swineflu\/casedef_swineflu.htm<\/a>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  <em>Morbidity and Mortality Weekly Reports Dispatch (April 24)<\/em> provide detailed information about the initial cases at <a href=\"http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm58d0424a1.htm\" title=\"http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm58d0424a1.htm\">http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm58d0424a1.htm<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  For more information about swine flu: <a href=\"http:\/\/www.cdc.gov\/swineflu\" title=\"http:\/\/www.cdc.gov\/swineflu\">http:\/\/www.cdc.gov\/swineflu<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  Additional information is also available by calling 1-800-CDC-INFO (1-800-232-4636)\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 #172 April 26, 2009, 6:35 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-10130","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10130","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=10130"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10130\/revisions"}],"predecessor-version":[{"id":11306,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10130\/revisions\/11306"}],"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=10130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}