{"id":10132,"date":"2025-03-01T14:02:50","date_gmt":"2025-03-01T19:02:50","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan174\/"},"modified":"2025-03-02T00:48:21","modified_gmt":"2025-03-02T05:48:21","slug":"dhan174","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan174\/","title":{"rendered":"php\/alerts\/dhan174 ~  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\/dhan174.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\"]-->174 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->April 27, 2009 6:21 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; Programs<\/a><\/li>\n        <li><a href=\"\/dph\/ofclocations.html\">Office Locations<\/a><\/li>\n        <li><a href=\"\/dph\/contact.html\">Contact Info<\/a><\/li>\n      \n        <li><a href=\"\/calendars.html\" target=\"_blank\">Calendar<\/a><\/li>\n      <\/ul>\n    <\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\"><h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">\n        <li><a href=\"\/dph\/servicesaz.html\">A-Z Services<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/environmental.html\">Air &#038; Water Quality<\/a><\/li>\n        <li><a href=\"\/dph\/ss\/vitalstats.html\">Birth, Death, &#038; Marriage Records<\/a><\/li>\n        <li><a href=\"\/dph\/clinics.html\">Clinics<\/a><\/li>\n        <li><a href=\"\/dph\/healthdatastats.html\">Health Data &#038; Statistics<\/a><\/li>\n        <li><a href=\"\/dph\/php\/emsps.html\">Emergency Preparedness<\/a><\/li>\n        <li><a href=\"\/dph\/healthandwellness.html\">Health &#038; 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; 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The\n\n\n  situation continues to evolve and additional information will be released as it becomes available. <strong>There are no confirmed cases\n\n\n  in Delaware<\/strong>.\n\n\n<\/p>\n\n\n<p>\n\n\n  As part of an ongoing investigation into an outbreak of swine influenza A (H1N1) in the United States and Mexico, public health officials\n\n\n  believe that more cases will be identified over the next several weeks based on the rapid spread of the virus thus far. Case counts are\n\n\n  updated daily and available at: <a href=\"http:\/\/www.cdc.gov\/swineflu\/investigation.htm\">http:\/\/www.cdc.gov\/swineflu\/investigation.htm<\/a>.\n\n\n<\/p>\n\n\n<p>\n\n\n  The U.S. cases have had self-limited febrile respiratory illness and were seen on an out-patient basis only. As of April 27<sup>th<\/sup>\n\n\n  at 1:00 p.m., Centers for Disease Control and Prevention (CDC) reported 40 confirmed cases from five states (CA, KS, NY, OH, and TX).\n\n\n  None had any exposure to swine and all had viruses with identical genetic sequences that contain a unique combination of gene segments\n\n\n  previously not seen in humans or swine in the United States. The viruses that were tested were resistant to Amantadine and Rimandatine,\n\n\n  but sensitive to Oseltamivir and Zanamivir.\n\n\n<\/p>\n\n\n<h3 class=\"text-center\">\n\n\n  INFORMATION FOR CLINICIANS\n\n\n<\/h3>\n\n\n<p>\n\n\n  Clinicians should consider the possibility of swine influenza virus infections in patients presenting with febrile respiratory illness\n\n\n  who:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Live in an area where human cases of swine influenza A (H1N1) has been identified or;\n\n\n  <\/li>\n\n\n  <li>Have traveled to an area where human cases of swine influenza A (H1N1) has been identified; or\n\n\n  <\/li>\n\n\n  <li>Have been in contact with ill persons from these areas in the seven days prior to their illness onset.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  If swine flu is suspected, clinicians should obtain a respiratory swab for Swine Influenza testing and place it in a refrigerator (not a\n\n\n  freezer). Once collected, the clinician should contact the Delaware Public Health Laboratory at (302) 223-1520 to facilitate transport\n\n\n  and timely diagnosis.\n\n\n<\/p>\n\n\n<p>\n\n\n  Please refer to CDC website for the swine case definition for the Swine Flu: <a href=\"http:\/\/www.cdc.gov\/swineflu\/casedef_swineflu.htm\">http:\/\/www.cdc.gov\/swineflu\/casedef_swineflu.htm<\/a>. For more information about swine\n\n\n  flu: call the Delaware Division of Public Health\u2019s Bureau of Epidemiology at (302) 744-4541 or log on to <a href=\"http:\/\/www.cdc.gov\/swineflu\">http:\/\/www.cdc.gov\/swineflu<\/a>. Additional information is also available by calling 1-800-CDC-INFO\n\n\n  (1-800-232-4636).\n\n\n<\/p>\n\n\n<p>\n\n\n  CDC recommends the use of oseltamivir or zanamivir for the treatment and\/or prevention of infection with swine influenza viruses.\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Oseltamivir (brand name Tamiflu \u00ae) is approved to both treat and prevent influenza A and B virus infection in people one year of\n\n\n  age and older.\n\n\n  <\/li>\n\n\n  <li>Zanamivir (brand name Relenza \u00ae) is approved to treat influenza A and B virus infection in people 7 years and older and to\n\n\n  prevent influenza A and B virus infection in people 5 years and older.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  Recommendations for using antiviral drugs for treatment or prevention of swine influenza will change as we learn more about this new\n\n\n  virus.\n\n\n<\/p>\n\n\n<p>\n\n\n  Clinicians should consider treating any person with confirmed or suspected swine influenza with an antiviral drug. Visit: <a href=\"http:\/\/www.cdc.gov\/swineflu\/recommendations.htm\">http:\/\/www.cdc.gov\/swineflu\/recommendations.htm<\/a>\u00a0for specific recommendations.\n\n\n<\/p>\n\n\n<h3 class=\"text-center\">\n\n\n  Laboratory Information\n\n\n<\/h3>\n\n\n<p>\n\n\n  The Delaware Public Health Laboratory (DPHL) is requesting specimens from suspect Influenza-like illness cases with a history of travel\n\n\n  to Mexico or exposure to known or suspected cases of Swine Flu.\n\n\n<\/p>\n\n\n<h4>\n\n\n  INFORMATION FOR LABORATORIANS\n\n\n<\/h4>\n\n\n<p>\n\n\n  Due to the recent cases of a novel Swine Influenza as noted above, please send positive influenza samples to DPHL. DPHL needs your help\n\n\n  to assess the influenza subtype(s) that may be present in our communities. Therefore, when your laboratory obtains a positive rapid A\n\n\n  influenza result, including PCR (or culture-positive), please send an appropriate sample to DPHL Appropriate sample types are listed\n\n\n  below.\n\n\n<\/p>\n\n\n<h4>\n\n\n  What sample type to submit to DPHL:\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>Preferred specimen is a combination throat\/nasal pharyngeal swab or oral pharyngeal swab; most other routine respiratory specimens\n\n\n  will be acceptable.\n\n\n  <\/li>\n\n\n  <li>When influenza is detected in your laboratory by RAPID TESTING methods, please send an aliquot (1-2 ml) of the original suspension\n\n\n  (not exposed to test kit reagents) in viral transport media or sterile diluent; or if an additional original specimen is available, that\n\n\n  is preferable.\n\n\n  <\/li>\n\n\n  <li>When influenza is detected in your laboratory by VIRAL CULTURE, please send the actively growing viral culture tube with 2 ml of\n\n\n  viral maintenance media.\n\n\n  <\/li>\n\n\n  <li>If you have questions regarding specimen collection, please call Rebekah Parsons at (302) 223-1520.\n\n\n  <\/li>\n\n\n  <li>If you need swabs for specimen collection,\u00a0 e-mail <a href=\"mailto:labsupplies@delaware.gov\">labsupplies@delaware.gov<\/a>.\n\n\n  <\/li>\n\n\n  <li>If you need a specimen test request form,\u00a0 go to the DPHL web site <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/testreq.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/lab\/files\/testreq.pdf<\/a>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h3 class=\"text-center\">\n\n\n  General Information for Prevention:\n\n\n<\/h3>\n\n\n<p>\n\n\n  There are every day actions people can take to stay healthy:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Cover the nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after use.\n\n\n  <\/li>\n\n\n  <li>Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.\n\n\n  <\/li>\n\n\n  <li>Avoid touching your eyes, nose or mouth. Germs spread that way.\n\n\n  <\/li>\n\n\n  <li>Try to avoid close contact with sick people. Influenza is thought to spread mainly person-to-person through coughing or sneezing of\n\n\n  infected people.\n\n\n  <\/li>\n\n\n  <li>If you get sick, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h4>\n\n\n  New guidance is available at:\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>\n\n\n    <a href=\"http:\/\/www.cdc.gov\/swineflu\/recommendations.htm\">http:\/\/www.cdc.gov\/swineflu\/recommendations<\/a>, including:\n\n\n    <ul>\n\n\n      <li>\n\n\n        <a href=\"http:\/\/www.cdc.gov\/swineflu\/recommendations.htm\">Interim Guidance on Antiviral Recommendations for Patients with Confirmed\n\n\n        or Suspected Swine Influenza A (H1N1) Virus Infection and Close Contacts<\/a>\n\n\n      <\/li>\n\n\n      <li>\n\n\n        <a href=\"http:\/\/www.cdc.gov\/swineflu\/guidance_homecare.htm\">Interim Guidance for Swine influenza A (H1N1): Taking Care of a Sick\n\n\n        Person in Your Home<\/a>\n\n\n      <\/li>\n\n\n      <li>\n\n\n        <a href=\"http:\/\/www.cdc.gov\/swineflu\/masks.htm\">Interim Recommendations for Facemask and Respirator Use in Certain Community\n\n\n        Settings Where Swine Influenza A (H1N1) Virus Transmission Has Been Detected<\/a>\n\n\n      <\/li>\n\n\n      <li>\n\n\n        <a href=\"http:\/\/www.cdc.gov\/swineflu\/guidelines_labworkers.htm\">Swine Influenza A (H1N1) Virus Biosafety Guidelines for Laboratory\n\n\n        Workers<\/a>\n\n\n      <\/li>\n\n\n      <li>\n\n\n        <a href=\"http:\/\/www.cdc.gov\/swineflu\/guidelines_infection_control.htm\">Interim Guidance for Infection Control for Care of Patients\n\n\n        with Confirmed or Suspected Swine Influenza A (H1N1) Virus Infection in a Healthcare Setting<\/a>\n\n\n      <\/li>\n\n\n      <li>\n\n\n        <a href=\"http:\/\/www.cdc.gov\/swineflu\/casedef_swineflu.htm\">Interim Guidance on Case Definitions to be Used For Investigations of\n\n\n        Swine Influenza A (H1N1) Cases<\/a>\n\n\n      <\/li>\n\n\n    <\/ul>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  For more information, please contact the Delaware Division of Public Health at (302) 744-4541.\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 #174 April 27, 2009 6:21 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-10132","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10132","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=10132"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10132\/revisions"}],"predecessor-version":[{"id":11308,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10132\/revisions\/11308"}],"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=10132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}