{"id":10237,"date":"2025-03-01T14:03:14","date_gmt":"2025-03-01T19:03:14","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan27\/"},"modified":"2025-03-02T00:50:55","modified_gmt":"2025-03-02T05:50:55","slug":"dhan27","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan27\/","title":{"rendered":"php\/alerts\/dhan27 ~  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\/dhan27.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\"]-->27 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->May 23, 2003 6:50 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; 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   Information<!--[END]-->\n\n<br>\n\n<!--[type=EDIT name=\"DHAN Heading\"]-->\n\n\n\nUPDATED SARS INFORMATION<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<p>\n\n\n  <strong>The Delaware Division of Public Health (DPH) continues to investigate reports of SARS in Delaware, but none have met the clinical\n\n\n  and epidemiologic case definition. This Advisory provides three updates from the Centers for Disease Prevention and Control\n\n\n  (CDC).<\/strong>\n\n\n<\/p>\n\n\n<h3 class=\"text-center\">\n\n\n  Update Number 1<br>\n\n\n  Interim Guidance for Institutions or Organizations Hosting Persons Arriving in the United States from Areas with Severe Acute Respiratory\n\n\n  Syndrome (SARS)\n\n\n<\/h3>\n\n\n<p>\n\n\n  Thousands of people arrive in the United States from areas where SARS outbreaks are occurring to participate in gatherings such as\n\n\n  academic courses, business meetings, or sporting events. Guidance is needed to provide a consistent, rational approach to SARS prevention\n\n\n  without unnecessarily stigmatizing these groups or interfering with collegial pursuits, commerce, and other important activities.\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>At this time, CDC does not recommend canceling or postponing classes, meetings or other gatherings that will include persons\n\n\n  traveling to the United States from areas with SARS. CDC also does not recommend quarantine of persons arriving from areas with SARS.\n\n\n  [Quarantine is the restriction of activities of well persons.]<\/strong>\n\n\n<\/p>\n\n\n<p>\n\n\n  If organization representatives become aware of a person from an area with SARS who develops fever or respiratory symptoms, the following\n\n\n  steps should be taken:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Exclude the ill person from activities (e.g., classes, meetings, and other public areas) and locate him\/her in a separate area to\n\n\n  minimize contact with other people while awaiting further medical evaluation.\n\n\n  <\/li>\n\n\n  <li>Alert appropriate health-care personnel that an individual from an area with SARS requires evaluation, so that advance preparations\n\n\n  can be made to implement infection control procedures to prevent transmission to others during transport and in the health-care setting.\n\n\n  <\/li>\n\n\n  <li>Remind the treating health-care provider to notify the Delaware Division of Public Health (1-888-295-5156) if SARS is suspected.\n\n\n  Further information for health-care providers about the management of persons with suspected SARS is available at <a href=\"http:\/\/www.cdc.gov\/ncidod\/sars\/exposuremanagement.htm\">http:\/\/www.cdc.gov\/ncidod\/sars\/exposuremanagement.htm<\/a>.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  The full text of this advisory, including additional steps that organizations can take to address SARS concerns, can be found at\n\n\n  http:\/\/www.cdc.gov\/ncidod\/sars\/hostingarrivals.htm.\n\n\n<\/p>\n\n\n<h3 class=\"text-center\">\n\n\n  Update Number 2<br>\n\n\n  Interim Guidelines for Businesses and Other Organizations with Employees Returning to the United States from Areas with SARS\n\n\n<\/h3>\n\n\n<p>\n\n\n  In this country, only a small number of suspected or probable cases of SARS have been detected among exposed healthcare personnel and\n\n\n  household contacts of SARS patients. Casual contact with SARS patients at schools, other institutions, or in non-healthcare work settings\n\n\n  has not resulted in documented transmission in the United States. Persons returning from areas with SARS should be vigilant for fever\n\n\n  (i.e., measure temperature twice a day) and respiratory symptoms (cough, shortness of breath, or difficulty in breathing) over the 10\n\n\n  days after departure. These persons need not limit their activities and should not be excluded from work, meetings, or other public\n\n\n  areas, unless fever or respiratory symptoms develop. Persons returning from areas with SARS should notify their healthcare provider\n\n\n  immediately if fever OR respiratory symptoms develop within 10 days after departure. The healthcare provider should be contacted in\n\n\n  advance so arrangements can be made, if necessary, for infection control measures to prevent transmission to others in the healthcare\n\n\n  setting.\n\n\n<\/p>\n\n\n<p>\n\n\n  The full text of this advisory can be found at http:\/\/www.cdc.gov\/ncidod\/sars\/business_guidelines.htm.\n\n\n<\/p>\n\n\n<h3 class=\"text-center\">\n\n\n  Update Number 3<br>\n\n\n  Updated Interim U.S. Case Definition for Severe Acute Respiratory Syndrome (SARS)\n\n\n<\/h3>\n\n\n<p>\n\n\n  The previous CDC SARS case definition (published April 30, 2003) has been updated as follows:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Epidemiologic criteria for travel exposure have been updated to specify dates of illness onset for each area:<br>\n\n\n    <br>\n\n\n    <table class=\"table table-condensed table-hover\">\n\n\n      <caption>\n\n\n        <strong>Travel criteria for suspect or probable U.S. cases of SARS<\/strong>\n\n\n      <\/caption>\n\n\n      <tbody>\n\n\n        <tr>\n\n\n          <th scope=\"col\">\n\n\n            Area\n\n\n          <\/th>\n\n\n          <th scope=\"col\">\n\n\n            First date of illness onset for inclusion as reported case \u2021\n\n\n          <\/th>\n\n\n          <th scope=\"col\">\n\n\n            Last date of illness onset for inclusion as reported case \u2020\n\n\n          <\/th>\n\n\n        <\/tr>\n\n\n        <tr>\n\n\n          <td>\n\n\n            China (mainland)\n\n\n          <\/td>\n\n\n          <td>\n\n\n            November 1, 2002\n\n\n          <\/td>\n\n\n          <td>\n\n\n            Ongoing\n\n\n          <\/td>\n\n\n        <\/tr>\n\n\n        <tr>\n\n\n          <td>\n\n\n            Hong Kong\n\n\n          <\/td>\n\n\n          <td>\n\n\n            February 1, 2003\n\n\n          <\/td>\n\n\n          <td>\n\n\n            Ongoing\n\n\n          <\/td>\n\n\n        <\/tr>\n\n\n        <tr>\n\n\n          <td>\n\n\n            Hanoi, Vietnam\n\n\n          <\/td>\n\n\n          <td>\n\n\n            February 1, 2003\n\n\n          <\/td>\n\n\n          <td>\n\n\n            May 25, 2003\n\n\n          <\/td>\n\n\n        <\/tr>\n\n\n        <tr>\n\n\n          <td>\n\n\n            Singapore\n\n\n          <\/td>\n\n\n          <td>\n\n\n            February 1, 2003\n\n\n          <\/td>\n\n\n          <td>\n\n\n            Ongoing\n\n\n          <\/td>\n\n\n        <\/tr>\n\n\n        <tr>\n\n\n          <td>\n\n\n            Toronto, Canada\n\n\n          <\/td>\n\n\n          <td>\n\n\n            April 23, 2003\n\n\n          <\/td>\n\n\n          <td>\n\n\n            May 30, 2003\n\n\n          <\/td>\n\n\n        <\/tr>\n\n\n        <tr>\n\n\n          <td>\n\n\n            Taiwan\n\n\n          <\/td>\n\n\n          <td>\n\n\n            May 1, 2003\n\n\n          <\/td>\n\n\n          <td>\n\n\n            Ongoing\n\n\n          <\/td>\n\n\n        <\/tr>\n\n\n      <\/tbody>\n\n\n    <\/table>\n\n\n    <p>\n\n\n      <br>\n\n\n      \u2021 The WHO has specified that the surveillance period for China should begin on November 1; the first recognized cases in Hong\n\n\n      Kong, Singapore and Hanoi (Vietnam) had onset in February 2003. The dates for Toronto and Taiwan are linked to CDC\u2019s issuance\n\n\n      of travel recommendations.\n\n\n    <\/p>\n\n\n    <p>\n\n\n      \u2020 The last date for illness onset is 10 days (i.e., one incubation period) after removal of a CDC travel alert. The case\n\n\n      patient\u2019s travel should have occurred on or before the last date the travel alert was in place.\n\n\n    <\/p>\n\n\n  <\/li>\n\n\n  <li>Interim criteria for exclusion of previously reported cases have been added. (A case may be excluded as a suspect or probable SARS\n\n\n  case if an alternative diagnosis can fully explain the illness or the case was reported on the basis of contact with an index case that\n\n\n  was subsequently excluded as a case of SARS.)\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  The full text of the updated case definition can be found at <a href=\"http:\/\/www.cdc.gov\/ncidod\/sars\/casedefinition.htm\">http:\/\/www.cdc.gov\/ncidod\/sars\/casedefinition.htm<\/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 #27 May 23, 2003 6:50 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-10237","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10237","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=10237"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10237\/revisions"}],"predecessor-version":[{"id":11413,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10237\/revisions\/11413"}],"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=10237"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}