{"id":10169,"date":"2025-03-01T14:02:59","date_gmt":"2025-03-01T19:02:59","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan208\/"},"modified":"2025-03-02T00:48:54","modified_gmt":"2025-03-02T05:48:54","slug":"dhan208","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan208\/","title":{"rendered":"php\/alerts\/dhan208 ~  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\/dhan208.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\"]-->208 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->November 9, 2009 10:03 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\nKEY ISSUES FOR CLINICIANS CONCERNING ANTIVIRAL TREATMENTS FOR 2009 H1N1<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<p>\n\n\n  The Delaware Division of Public Health is forwarding this Health Advisory from the Centers for Disease Control and Prevention.\n\n\n<\/p>\n\n\n<p>\n\n\n  <em>Although use of influenza antiviral drugs in the United States has increased during the 2009-2010 flu season, not all people\n\n\n  recommended for antiviral treatment are getting treated. Listed below are important facts to consider when deciding whether a patient\n\n\n  needs to be treated with antiviral medication.<\/em>\n\n\n<\/p>\n\n\n<p>\n\n\n  <em><strong>It is critical to remember that it is not too late to treat, even if symptoms began more than 48 hours ago.<\/strong> Although\n\n\n  antiviral treatment is most effective when begun within 48 hours of influenza illness onset, studies have shown that hospitalized\n\n\n  patients still benefit when treatment with oseltamivir is started more than 48 hours after illness onset. <strong>Outpatients,\n\n\n  particularly those with risk factors for severe illness who are not improving, might also benefit from treatment initiated more than 48\n\n\n  hours after illness onset.<\/strong><\/em>\n\n\n<\/p>\n\n\n<h3>\n\n\n  Recommendations for Clinicians:\n\n\n<\/h3>\n\n\n<p>\n\n\n  Many 2009 H1N1 patients can benefit from antiviral treatment, <strong>and all hospitalized patients with suspected or confirmed 2009 H1N1\n\n\n  should receive antiviral treatment with a neuraminidase inhibitor \u2013 either oseltamivir or zanamivir \u2013 as early as\n\n\n  possible<\/strong> after illness onset. Moderately ill patients, especially those with risk factors for severe illness, and those who\n\n\n  appear to be getting worse, can also benefit from treatment with neuraminidase inhibitors. A full listing of risk factors for severe\n\n\n  influenza is available at: <a href=\"http:\/\/www.cdc.gov\/h1n1flu\/highrisk.htm\">http:\/\/www.cdc.gov\/h1n1flu\/highrisk.htm<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  Although antiviral medications are recommended for treatment of 2009 H1N1 in patients with risk factors for severe disease, <strong>some\n\n\n  people without risk factors may also benefit from antivirals<\/strong>. To date, 40% of children and 20% of adults hospitalized with\n\n\n  complications of 2009 H1N1 did not have risk factors. Clinical judgment is always an essential part of treatment decisions.\n\n\n<\/p>\n\n\n<p>\n\n\n  When treatment of persons with suspected 2009 H1N1 influenza is indicated, it <strong>should be started empirically. If a decision is\n\n\n  made to test for influenza, treatment should not be delayed while waiting for laboratory confirmation<\/strong>. The earlier antiviral\n\n\n  treatment is given, the more effective it is for the patient. Also, rapid influenza tests often can give false negative results. If you\n\n\n  suspect flu and feel antiviral treatment is warranted, treat even if the results of a rapid test are negative. Obtaining more accurate\n\n\n  testing results can take more than one day, so treatment should not be delayed while waiting for these test results. For more information\n\n\n  on influenza testing, please see: <a href=\"http:\/\/www.cdc.gov\/h1n1flu\/guidance\/diagnostic_tests.htm\">http:\/\/www.cdc.gov\/h1n1flu\/guidance\/diagnostic_tests.htm<\/a>.\n\n\n<\/p>\n\n\n<p>\n\n\n  Although commercially produced pediatric oseltamivir suspension is in short supply, <strong>there are ample supplies of children&#8217;s\n\n\n  oseltamivir capsules, which can be mixed with syrup at home. In addition, pharmacies can compound adult oseltamivir capsules into a\n\n\n  suspension for treatment of ill infants and children.<\/strong> Additional information on compounding can be found at: <a href=\"http:\/\/www.cdc.gov\/H1N1flu\/pharmacist\/\">http:\/\/www.cdc.gov\/H1N1flu\/pharmacist\/<\/a>.\n\n\n<\/p>\n\n\n<h3>\n\n\n  For More Information\n\n\n<\/h3>\n\n\n<p>\n\n\n  Updated Interim Recommendations for the Use of Antiviral Medications in the Treatment and Prevention of Influenza for the 2009-2010\n\n\n  Season: <a href=\"http:\/\/www.cdc.gov\/H1N1flu\/recommendations.htm\">http:\/\/www.cdc.gov\/H1N1flu\/recommendations.htm<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  Questions &#038; Answers:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Antiviral Drugs, 2009-2010 Flu Season: <a href=\"http:\/\/www.cdc.gov\/h1n1flu\/antiviral.htm\">http:\/\/www.cdc.gov\/h1n1flu\/antiviral.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>Influenza Diagnostic Testing: <a href=\"http:\/\/www.cdc.gov\/h1n1flu\/diagnostic_testing_clinicians_qa.htm\">http:\/\/www.cdc.gov\/h1n1flu\/diagnostic_testing_clinicians_qa.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>Updated Interim Recommendations for Obstetric Health Care Providers Related to Use of Antiviral Medications in the Treatment and\n\n\n  Prevention of Influenza for the 2009-2010 Season: <a href=\"http:\/\/www.cdc.gov\/H1N1flu\/pregnancy\/antiviral_messages.htm\">http:\/\/www.cdc.gov\/H1N1flu\/pregnancy\/antiviral_messages.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>Antiviral Drugs: Summary of Side Effects: <a href=\"http:\/\/www.cdc.gov\/flu\/protect\/antiviral\/sideeffects.htm\">http:\/\/www.cdc.gov\/flu\/protect\/antiviral\/sideeffects.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>General information for the public on antiviral drugs is available in \u201c2009 H1N1 and Seasonal Flu: What You Should Know About\n\n\n  Flu Antiviral Drugs\u201d at <a href=\"http:\/\/www.cdc.gov\/H1N1flu\/antivirals\/geninfo.htm\">http:\/\/www.cdc.gov\/H1N1flu\/antivirals\/geninfo.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>Downloadable brochures and informational flyers, including one on antiviral drugs, are available at <a href=\"http:\/\/www.cdc.gov\/h1n1flu\/flyers.htm\">http:\/\/www.cdc.gov\/h1n1flu\/flyers.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>For the FDA page on antiviral influenza drugs:<br>\n\n\n    <a href=\"http:\/\/www.fda.gov\/Drugs\/DrugSafety\/InformationbyDrugClass\/ucm100228.htm\">http:\/\/www.fda.gov\/Drugs\/DrugSafety\/InformationbyDrugClass\/ucm100228.htm<\/a>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  For additional information, you can also call CDC\u2019s toll-free hotline, 800-CDC-INFO (800-232-4636) TTY: (888) 232-6348, which is\n\n\n  available 24 hours a day, every day.\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 #208 November 9, 2009 10:03 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-10169","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10169","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=10169"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10169\/revisions"}],"predecessor-version":[{"id":11345,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10169\/revisions\/11345"}],"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=10169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}