{"id":10217,"date":"2025-03-01T14:03:09","date_gmt":"2025-03-01T19:03:09","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan251\/"},"modified":"2025-03-02T00:50:28","modified_gmt":"2025-03-02T05:50:28","slug":"dhan251","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan251\/","title":{"rendered":"php\/alerts\/dhan251 ~  Division of Public Health &#8212; 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\/dhan251.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\"]-->251 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->June 23, 2011 10:16am <!--[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; 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cases should be reported\n\n\n  immediately<\/strong> to the Division of Public Health (DPH) by rapid means (telephone, fax or other electronically). Reporting specifics\n\n\n  and forms are available at: <a href=\"\/dph\/dpc\/rptdisease.html\">http:\/\/dhss.delaware.gov\/dph\/dpc\/rptdisease.html<\/a>. Reports can also be\n\n\n  called into the DPH Bureau of Epidemiology by calling (302) 744-1033 or 1-888-295-5156.\n\n\n<\/p>\n\n\n<h3 class=\"text-center\">\n\n\n  This is an official<br>\n\n\n  CDC HEALTH ADVISORY<br>\n\n\n  High Number of Reported Measles Cases in the U.S. in 2011\u2014<br>\n\n\n  Linked to Outbreaks Abroad\n\n\n<\/h3><br>\n\n\n<h4>\n\n\n  Summary and Background\n\n\n<\/h4>\n\n\n<p>\n\n\n  The United States is experiencing a high number of reported measles cases in 2011, many of which were acquired during international\n\n\n  travel. From January 1 through June 17 this year, 156 confirmed cases of measles were reported to CDC. This is the highest reported\n\n\n  number since 1996. Most cases (136) were associated with importations from measles-endemic countries or countries where large outbreaks\n\n\n  are occurring. The imported cases involved unvaccinated U.S. residents who recently traveled abroad, unvaccinated visitors to the United\n\n\n  States, and people linked to these imported cases. To date, 12 outbreaks (3 or more linked cases) have occurred, accounting for 47% of\n\n\n  the 156 cases. Of the total case-patients, 133 (85%) were unvaccinated or had undocumented vaccination status. Of the 139 case-patients\n\n\n  who were U.S. residents, 86 (62%) were unvaccinated, 30 (22%) had undocumented vaccination status, 11 (8%) had received 1 dose of\n\n\n  measles-mumps-rubella (MMR) vaccine, 11 (8%) had received 2 doses, and 1 (1%) had received 3 (documented) doses.\n\n\n<\/p>\n\n\n<p>\n\n\n  Measles was declared eliminated in the United States in 2000 due to our high 2-dose measles vaccine coverage, but it is still endemic or\n\n\n  large outbreaks are occurring in countries in Europe (including France, the United Kingdom, Spain, and Switzerland), Africa, and Asia\n\n\n  (including India). The increase in measles cases and outbreaks in the United States this year underscores the ongoing risk of\n\n\n  importations, the need for high measles vaccine coverage, and the importance of prompt and appropriate public health response to measles\n\n\n  cases and outbreaks.\n\n\n<\/p>\n\n\n<p>\n\n\n  Measles is a highly contagious, acute viral illness that is transmitted by contact with an infected person through coughing and sneezing.\n\n\n  After an infected person leaves a location, the virus remains contagious for up to 2 hours on surfaces and in the air. Measles can cause\n\n\n  severe health complications, including pneumonia, encephalitis, and death.\n\n\n<\/p>\n\n\n<h4>\n\n\n  Recommendations for Health Care Providers\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>Ensure all patients are up to date on MMR vaccine* and other vaccines.\n\n\n  <\/li>\n\n\n  <li>For those who travel abroad, CDC recommends that all U.S. residents older than 6 months be protected from measles and receive MMR\n\n\n  vaccine, if needed, prior to departure.\n\n\n    <ul>\n\n\n      <li>Infants 6 through 11 months old should receive 1 dose of MMR vaccine before departure.\u2020\n\n\n      <\/li>\n\n\n      <li>Children 12 months of age or older should have documentation of 2 doses of MMR vaccine (separated by at least 28 days).\n\n\n      <\/li>\n\n\n      <li>Teenagers and adults without evidence of measles immunity** should have documentation of 2 appropriately spaced doses of MMR\n\n\n      vaccine.\n\n\n      <\/li>\n\n\n    <\/ul>\n\n\n  <\/li>\n\n\n  <li>Consider measles as a diagnosis in anyone with a febrile rash illness lasting 3 days or more, a temperature of 101\u00baF\n\n\n  (38.3\u00baC) or higher, and clinically compatible symptoms (cough, coryza, and\/or conjunctivitis) who has recently traveled abroad or\n\n\n  who has had contact with someone with a febrile rash illness. Immunocompromised patients may not exhibit rash or may exhibit an atypical\n\n\n  rash. The incubation period for measles from exposure to fever is usually about 10 days (range, 7 to 12 days) and from exposure to rash\n\n\n  onset is usually 14 days (range, 7 to 21 days).\n\n\n  <\/li>\n\n\n  <li>Isolate suspect measles case-patients and immediately report cases to local health departments to ensure a prompt public health\n\n\n  response.\n\n\n  <\/li>\n\n\n  <li>Obtain specimens for testing, including viral specimens for confirmation and genotyping.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  * Children 1 through 12 years of age may receive MMRV vaccine for protection against measles, mumps, rubella, and varicella; however,\n\n\n  MMRV vaccine is currently unavailable.\n\n\n<\/p>\n\n\n<p>\n\n\n  \u2020 Infants who receive a dose of MMR vaccine before their first birthday should receive 2 more doses of MMR vaccine, the first of\n\n\n  which should be administered when the child is 12 through 15 months of age and the second at least 28 days later.\n\n\n<\/p>\n\n\n<p>\n\n\n  ** One of the following is considered evidence of measles immunity for international travelers: 1) birth before 1957, 2) documented\n\n\n  administration of 2 doses of live measles virus vaccine (MMR, MMRV, <em>or<\/em> measles vaccines), 3) laboratory (serologic) proof of\n\n\n  immunity, <em>or<\/em> 4) documentation of physician-diagnosed measles.\n\n\n<\/p>\n\n\n<h4>\n\n\n  For more information:\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>CDC. <a href=\"http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6013a1.htm?s_cid=mm6013a1_w\">Measles among Unvaccinated U.S. Residents Aged\n\n\n  6\u201323 Months Who Have Traveled Outside the United States, 2001\u20132011<\/a>. MMWR. 2011;60:397\u2013400.\n\n\n  <\/li>\n\n\n  <li>CDC. <a href=\"http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6020a7.htm\">Measles\u2014United States, January\u2013May 20, 2011<\/a>.\n\n\n  MMWR. 2011;60;666\u20138.\n\n\n  <\/li>\n\n\n  <li>CDC. <a href=\"http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6013a6.htm?s_cid=mm6013a6_w\">Notes from the Field: Measles\n\n\n  Outbreak\u2014Hennepin County, Minnesota, February\u2013March 2011.<\/a> MMWR. 2011;60:421.\n\n\n  <\/li>\n\n\n  <li>CDC\u2019s <a href=\"http:\/\/www.cdc.gov\/measles\/index.html\">Measles (Rubeola)<\/a> website\n\n\n  <\/li>\n\n\n  <li>CDC\u2019s <a href=\"http:\/\/www.cdc.gov\/measles\/vaccination.html\">Measles Vaccination<\/a> website\n\n\n  <\/li>\n\n\n  <li>CDC\u2019s <a href=\"http:\/\/wwwn.cdc.gov\/travel\/default.aspx\">Travelers&#8217; Health<\/a>: <a href=\"http:\/\/wwwnc.cdc.gov\/travel\/notices\/in-the-news\/measles.htm\">In the News, 2011 Measles Update<\/a>\n\n\n  <\/li>\n\n\n  <li>Medscape Today: <a href=\"http:\/\/www.medscape.com\/viewarticle\/741206\">CDC Expert Commentary: Measles: What You Might Not Know<\/a>\n\n\n  Recognizing, diagnosing, and preventing measles (running time: 5:20 mins)\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  <em>The Centers for Disease Control and Prevention (CDC) protects people&#8217;s health and safety by preventing and controlling diseases\n\n\n  and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through\n\n\n  strong partnerships with local, national and international organizations.<\/em>\n\n\n<\/p>\n\n\n<p>\n\n\n  <em>************************************<\/em>\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 #251 June 23, 2011 10:16am 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 Screening [&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-10217","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10217","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=10217"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10217\/revisions"}],"predecessor-version":[{"id":11393,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10217\/revisions\/11393"}],"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=10217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}