{"id":10199,"date":"2025-03-01T14:03:05","date_gmt":"2025-03-01T19:03:05","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan235\/"},"modified":"2025-03-02T00:49:55","modified_gmt":"2025-03-02T05:49:55","slug":"dhan235","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan235\/","title":{"rendered":"php\/alerts\/dhan235 ~  Division of Public Health  &#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\/dhan235.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\"]-->235 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->August 16, 2010 1:06 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\nINCREASE IN GONORRHEA IN THE PHILADELPHIA AREA<!--[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 (DPH) is advising the Delaware medical community about an important report from the Philadelphia\n\n\n  Department of Public Health.\n\n\n<\/p>\n\n\n<p>\n\n\n  In 2010 to date, the Sexually Transmitted Disease (STD) Control Program of the Philadelphia Department of Public Health (PDPH) has\n\n\n  identified a 26% increase in reported cases of <em>Neisseria gonorrhoeae<\/em> infection (gonorrhea) compared to the same period in 2009.\n\n\n  This increase may be due to more timely and improved reporting of cases. However, it may also reflect a true increase in gonorrhea\n\n\n  incidence across the city. Females between the ages of 15-19 years and males between the ages of 20-24 years are at highest risk for\n\n\n  gonorrhea infection in Philadelphia. African Americans are disproportionately affected.\n\n\n<\/p>\n\n\n<p>\n\n\n  In Delaware, as of July 30, 2010 there have been 565 cases of gonorrhea reported statewide. This is a 9% increase in reported cases for\n\n\n  the same time period in 2009. The majority of cases were located in New Castle County (302 cases), followed by Sussex (151 cases) and\n\n\n  Kent (112 cases). Of the 565 cases reported, 187 or 33% of those cases were reported from the City of Wilmington. Adolescents and young\n\n\n  adults between the ages of 15-24 are most at risk for gonorrhea infection in Delaware.\n\n\n<\/p>\n\n\n<p>\n\n\n  Over the past several years Delaware has experienced decreasing trends in Gonorrhea infection as shown below.\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>2009 &#8211;\u00a0 971 cases (110.1 cases per 100,000)\n\n\n  <\/li>\n\n\n  <li>2008 &#8211;\u00a01045 (199.3 per 100,000)\n\n\n  <\/li>\n\n\n  <li>2007 &#8211;\u00a01293 (149.4 per 100,000)\n\n\n  <\/li>\n\n\n  <li>2006 &#8211;\u00a01486 (176.0 per 100,000)\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  The Delaware Division of Public Health along with the Centers for Disease Control and Prevention recommends the following treatment for\n\n\n  Gonorrhea infection:\n\n\n<\/p>\n\n\n<h2>\n\n\n  Uncomplicated Gonococcal Infections of the Cervix, Urethra, and Rectum*\n\n\n<\/h2>\n\n\n<h3>\n\n\n  Recommended Regimens\n\n\n<\/h3>\n\n\n<p>\n\n\n  <strong>Ceftriaxone<\/strong> 125 mg IM in a single dose\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>OR<\/strong>\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>Cefixime<\/strong> 400 mg orally in a single dose or 400 mg by suspension (200 mg\/5ml)\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong><em>PLUS<\/em><\/strong>\n\n\n<\/p>\n\n\n<p>\n\n\n  TREATMENT FOR CHLAMYDIA IF CHLAMYDIAL<br>\n\n\n  INFECTION IS NOT RULED OUT\n\n\n<\/p>\n\n\n<p>\n\n\n  * This regimen is recommended for all adult and adolescent patients, regardless of travel history or sexual behavior.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Alternative Regimens\n\n\n<\/h3>\n\n\n<p>\n\n\n  <strong>Spectinomycin\u2020<\/strong> 2 g in a single intramuscular (IM) dose\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>OR<\/strong>\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>Single-dose cephalosporin regimens<\/strong>\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>\u2020<\/strong> Spectinomycin is currently not available in the United States.\n\n\n<\/p>\n\n\n<p>\n\n\n  Other single-dose cephalosporin therapies that are considered alternative treatment regimens for uncomplicated urogenital and anorectal\n\n\n  gonococcal infections include ceftizoxime 500 mg IM; or cefoxitin 2 g IM, administered with probenecid 1 g orally; or cefotaxime 500 mg\n\n\n  IM. Some evidence indicates that cefpodoxime 400 mg and cefuroxime axetil 1 g might be oral alternatives.\n\n\n<\/p>\n\n\n<h2>\n\n\n  Uncomplicated Gonococcal Infections of the Pharynx*\n\n\n<\/h2>\n\n\n<h3>\n\n\n  Recommended Regimens\n\n\n<\/h3>\n\n\n<p>\n\n\n  <strong>Ceftriaxone<\/strong> 125 mg IM in a single dose\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong><em>PLUS<\/em><\/strong>\n\n\n<\/p>\n\n\n<p>\n\n\n  TREATMENT FOR CHLAMYDIA IF CHLAMYDIAL<br>\n\n\n  INFECTION IS NOT RULED OUT\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>*<\/strong> These regimens are recommended for all adult and adolescent patients, regardless of travel history or sexual behavior.\n\n\n<\/p>\n\n\n<p>\n\n\n  Gonorrhea is a reportable disease under Delaware Code.\u00a0 All cases of gonorrhea must be reported to the Delaware Division of Public\n\n\n  Health STD program.\u00a0 Reporting forms and more information about the reporting of sexually transmitted diseases can be found on our\n\n\n  website at: <a href=\"\/dph\/dpc\/reportstds.html\">http:\/\/www.dhss.delaware.gov\/dph\/dpc\/reportstds.html<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  Updated information on the treatment of gonorrhea can be obtained at <a href=\"http:\/\/www.cdc.gov\/std\/treatment\/2006\/updated-regimens.htm\">http:\/\/www.cdc.gov\/std\/treatment\/2006\/updated-regimens.htm<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  For further information, contact the Division of Public Health STD program: (302) 744-1050\n\n\n<\/p>\n\n\n<p>\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. If you are not a member and would\n\n\n  like to subscribe, please register at <a href=\"https:\/\/healthalertde.org\">https:\/\/healthalertde.org<\/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 #235 August 16, 2010 1:06 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-10199","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10199","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=10199"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10199\/revisions"}],"predecessor-version":[{"id":11375,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10199\/revisions\/11375"}],"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=10199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}