{"id":10144,"date":"2025-03-01T14:02:54","date_gmt":"2025-03-01T19:02:54","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan185\/"},"modified":"2025-03-02T00:48:24","modified_gmt":"2025-03-02T05:48:24","slug":"dhan185","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan185\/","title":{"rendered":"php\/alerts\/dhan185 ~  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\/dhan185.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\"]-->185 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->May 28, 2009 8:48 am <!--[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; 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\nNEW AND UPDATED GUIDANCE RELATED TO NOVEL H1N1 FLU<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<p>\n\n\n  Delaware Division of Public Health (DPH) would like to share the following new and updated guidance from the Centers for Disease Control\n\n\n  and Prevention (CDC) related to H1N1 influenza with the Delaware community.\n\n\n<\/p>\n\n\n<p>\n\n\n  As of May 27, 2009 there are 112 laboratory-confirmed cases of H1N1 in Delaware. Of the 112 cases, 95 are in New Castle County, 12 in\n\n\n  Kent County and 4 in Sussex County. There have been two short hospitalizations related to H1N1 but all cases have recovered, or are\n\n\n  recovering, without complications. The ages of the laboratory-confirmed cases ranges from 1 to 41 years.\n\n\n<\/p>\n\n\n<p>\n\n\n  Influenza illness, including illness associated with the novel influenza A H1N1 virus is ongoing in the United States. The May 22\n\n\n  <em>FluView<\/em> Report shows that influenza activity is decreasing in the United States; however, levels of influenza-like illness are\n\n\n  higher than normal for this time of year. At this time, the majority of influenza viruses isolated in the United States are now novel\n\n\n  H1N1 viruses.\n\n\n<\/p>\n\n\n<p>\n\n\n  It\u2019s uncertain at this time how severe this novel H1N1 outbreak will be in terms of how many people infected have severe\n\n\n  complications or death related to novel H1N1 infection. While nation-wide influenza-like-illness surveillance is trending downward,\n\n\n  localized outbreaks are ongoing and it\u2019s likely that such outbreaks will continue over the summer. It\u2019s uncertain how the\n\n\n  novel H1N1 virus will affect the upcoming 2009-2010 influenza season.\n\n\n<\/p>\n\n\n<p>\n\n\n  The Centers for Disease Control and Prevention continues its response to the novel H1N1 Flu outbreak. CDC&#8217;s goals continue to be to\n\n\n  reduce the spread and severity of illness and to provide information to assist health care providers, public health officials, and the\n\n\n  public address the challenges posed by this emergency. To this end, CDC continues to develop and update guidance documents and provide\n\n\n  other information.\n\n\n<\/p>\n\n\n<h3>\n\n\n  New on the CDC Web Site:\n\n\n<\/h3><br>\n\n\n<h4>\n\n\n  <a href=\"http:\/\/www2a.cdc.gov\/podcasts\/download.asp?af=h&#038;f=11630&#038;s_cid=cs_000_sw\">Interim Guidance for Correctional and Detention\n\n\n  Facilities on Novel Influenza A (H1N1) Virus<\/a>\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>This interim guidance is specific to correctional facilities\u00a0 to ensure continuation of essential public services and protection\n\n\n  of the health and safety of inmates, staff and visitors in the context of a novel influenza A (H1N1) virus outbreak.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h4>\n\n\n  <a href=\"http:\/\/www2a.cdc.gov\/podcasts\/download.asp?af=h&#038;f=11629&#038;s_cid=cs_000_sw\">Guidelines for the Submission of Tissue\n\n\n  Specimens for the Pathologic Evaluation of Influenza Virus Infections<\/a>\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>This guidance has been updated to refine the specimen sampling recommendations and to provide more detailed shipping instructions.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h4>\n\n\n  <a href=\"http:\/\/www2a.cdc.gov\/podcasts\/download.asp?af=h&#038;f=11628&#038;s_cid=cs_000_sw\">Interim Recommendations for Facemask and\n\n\n  Respirator Use to Reduce Novel Influenza A (H1N1) Virus Transmission<\/a>\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>This document provides updated interim guidance on the use of facemasks and respirators for decreasing exposure to novel influenza A\n\n\n  (H1N1) virus.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h4>\n\n\n  <a href=\"http:\/\/www.cdc.gov\/flu\/weekly\/\">FluView Report<\/a>\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>The Epidemiology and Prevention Branch in the Influenza Division at CDC collects, compiles and analyzes information on influenza\n\n\n  activity year round in the United States and produces a weekly report published each Friday called \u201c<em>FluView<\/em>\u201d at\n\n\n  <a href=\"http:\/\/www.cdc.gov\/flu\/weekly\/\">http:\/\/www.cdc.gov\/flu\/weekly\/<\/a>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h3>\n\n\n  Antiviral Use:\n\n\n<\/h3>\n\n\n<p>\n\n\n  As a reminder to clinicians, CDC recommends that influenza antiviral treatment be given to all hospitalized patients with confirmed,\n\n\n  probable, or suspected novel influenza A (H1N1) and any patient with confirmed, probable or suspected novel influenza A (H1N1) who is at\n\n\n  higher risk for seasonal influenza complications. All hospitalized patients should be carefully monitored and treated with antiviral\n\n\n  medications as soon as possible after admission, including patients who seek treatment more than 48 hours after onset of symptoms. The\n\n\n  drugs recommended for treatment are either oseltamivir or zanamivir. The novel H1N1 viruses are resistant to amantadine and rimantadine.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Testing Guidelines:\n\n\n<\/h3>\n\n\n<p>\n\n\n  Not all people with suspected novel influenza (H1N1) infection need to have the diagnosis confirmed, especially if the person resides in\n\n\n  an affected area or if the illness is mild, such as in Delaware.\n\n\n<\/p>\n\n\n<p>\n\n\n  Clinicians <em><strong>should<\/strong><\/em> test persons who have an acute febrile respiratory illness or sepsis-like syndrome\n\n\n  <strong><em>and<\/em><\/strong> 1) require hospitalization or 2) are at high-risk for severe disease (as listed below). As always,\n\n\n  clinicians should use their clinical judgment, in addition to this guidance when deciding when to test for novel influenza A (H1N1). The\n\n\n  full CDC recommendation can be found here: <a href=\"http:\/\/www.cdc.gov\/h1n1flu\/identifyingpatients.htm\">http:\/\/www.cdc.gov\/h1n1flu\/identifyingpatients.htm<\/a>.\n\n\n<\/p>\n\n\n<p>\n\n\n  Specimen storage and transportation information can be found here:\u00a0 <a href=\"\/dph\/php\/alerts\/dhan177.html\">http:\/\/www.dhss.delaware.gov\/dph\/php\/alerts\/dhan177.html<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  Groups at higher risk for seasonal influenza complications include:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Children less than 5 years old\n\n\n  <\/li>\n\n\n  <li>Persons aged 65 years or older\n\n\n  <\/li>\n\n\n  <li>Children and adolescents (< 18 years) who are receiving long-term aspirin therapy and who might be at risk for experiencing Reye\n\n\n  syndrome after influenza infection\n\n\n  <\/li>\n\n\n  <li>Pregnant women\n\n\n  <\/li>\n\n\n  <li>Adults and children who have chronic pulmonary, cardiovascular, hepatic, hematological, neurologic, neuromuscular, or metabolic\n\n\n  disorders\n\n\n  <\/li>\n\n\n  <li>Adults and children who have immunosuppression (including immunosuppression caused by medications or by HIV)\n\n\n  <\/li>\n\n\n  <li>Residents or nursing homes or other chronic-care facilities\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  For more information please contact the Bureau of Epidemiology at: 1-888-295-5156 or 302-744-4541\n\n\n<\/p>\n\n\n<p>\n\n\n  CDC specific information regarding H1N1 Flu can be found here: <a href=\"http:\/\/www.cdc.gov\/h1n1flu\/\">http:\/\/www.cdc.gov\/h1n1flu\/<\/a>\n\n\n<\/p>\n\n\n<p class=\"text-center\">\n\n\n  ****\n\n\n<\/p>\n\n\n<p>\n\n\n  You are receiving this email because you are a registered member of the Delaware Health Alert Network.\n\n\n<\/p>\n\n\n<p>\n\n\n  If you are not a member and would like to subscribe, please complete the form found online at:\u00a0 <a href=\"\/main\/mailforms\/dph_hanform.aspx\">http:\/\/dhss.delaware.gov\/main\/mailforms\/dph_hanform.aspx<\/a> .\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 #185 May 28, 2009 8:48 am 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-10144","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10144","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=10144"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10144\/revisions"}],"predecessor-version":[{"id":11320,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10144\/revisions\/11320"}],"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=10144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}