{"id":10239,"date":"2025-03-01T14:03:14","date_gmt":"2025-03-01T19:03:14","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan271\/"},"modified":"2025-03-02T00:50:55","modified_gmt":"2025-03-02T05:50:55","slug":"dhan271","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan271\/","title":{"rendered":"php\/alerts\/dhan271 ~  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\/dhan271.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\"]-->271 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->July 24, 2012 3:21 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   Advisory<!--[END]-->\n\n<br>\n\n<!--[type=EDIT name=\"DHAN Heading\"]-->\n\n\n\nTICK-BORNE DISEASES &#8211; PREVENTION IS KEY<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<br>\n\n\n<p>\n\n\n  The Delaware Division of Public Health (DPH) reminds Delawareans that simple precautions reduce a person\u2019s chances of getting\n\n\n  tick-borne infections this summer.\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>Lyme disease<\/strong> is the most common disease spread by ticks in Delaware. Other tick-borne diseases such as <strong>Rocky\n\n\n  Mountain spotted fever<\/strong> and <strong>Ehrlichiosis<\/strong> are diagnosed much less frequently in Delaware but can cause severe\n\n\n  illness and often require hospitalization.\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>It usually takes 24-36 hours of attachment before a disease is transmitted from a tick to a person.<\/strong> Individuals who get\n\n\n  tick-borne diseases may be treated with antibiotics. Early diagnosis and intervention are key to appropriate treatment and improved\n\n\n  health outcomes. People who have been bitten by a tick and do not have symptoms do not require treatment, but they should monitor their\n\n\n  health closely and contact a physician if they feel unwell or have any of the symptoms detailed below. <strong>Diagnosis of tick-borne\n\n\n  disease is based on an individual\u2019s symptoms and the results of blood testing.<\/strong>\n\n\n<\/p>\n\n\n<h3>\n\n\n  PREVENTION\n\n\n<\/h3>\n\n\n<p>\n\n\n  DPH reminds residents to take the following protective measures to avoid tick bites when gardening, camping, hiking, and playing\n\n\n  outdoors:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Wear light colored clothing to allow you to see ticks crawling on your clothing.\n\n\n  <\/li>\n\n\n  <li>When possible, wear long sleeves and long pants. Tuck your shirt into your pants and your pant legs into your socks.\n\n\n  <\/li>\n\n\n  <li>Apply tick repellants. Repellents containing permethrin can be sprayed on boots and clothing and will last for several days and\n\n\n  through several washings. Repellents containing DEET (N, N-diethyl-m-toluamide) should be applied to exposed skin. Protection lasts\n\n\n  several hours after which reapplication is necessary. Always follow product information regarding reapplication times.\n\n\n  <\/li>\n\n\n  <li>Use insect repellent containing 20-50% DEET for adults. Use repellent containing 20-30% DEET on children older than 2 months.**\n\n\n  <\/li>\n\n\n  <li>Upon return from outdoor activities, search your entire body for ticks.\n\n\n  <\/li>\n\n\n  <li>Check children\u2019s entire body for ticks, especially in the hair and behind the ears.\n\n\n  <\/li>\n\n\n  <li>Note that ticks may be carried into the household on clothing and pets.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h4>\n\n\n  Tick Removal\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>Using fine-tipped tweezers grasp the tick close to the skin surface and pull upward with steady, even pressure.\n\n\n  <\/li>\n\n\n  <li>If part of the tick remains attached to the skin and you are unable to remove it easily with clean tweezers, leave it alone. Attempts\n\n\n  to remove the tick forcibly may cause tissue damage. The portion of the tick that is still attached will fall off as the skin heals and\n\n\n  the risk of Lyme disease is not increased as the full tick must be attached for 24 \u2013 36 hours for disease transmission.\n\n\n  <\/li>\n\n\n  <li>After removing the tick, cleanse the site with rubbing alcohol, an iodine scrub, or soap and water, and wash your hands.\n\n\n  <\/li>\n\n\n  <li>Delaware\u2019s DPH does not recommend the use of home remedies such as petroleum jelly or hot matches for tick removal.\n\n\n  <\/li>\n\n\n  <li>Further information regarding tick prevention can be found at:\u00a0\u00a0 <a href=\"http:\/\/www.cdc.gov\/Features\/StopTicks\/\">http:\/\/www.cdc.gov\/Features\/StopTicks\/<\/a>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  <strong>Lyme disease<\/strong> is transmitted to humans by the bite of infected ticks (in Delaware, usually the deer tick). Ticks are\n\n\n  active all year, but most cases of Lyme disease occur during the spring and summer months when humans enjoy outdoor activities. In 2011,\n\n\n  Delaware had 873 confirmed cases compared to 656 cases in 2010. Common symptoms include a &#8220;bull\u2019s-eye&#8221; rash (seen in\n\n\n  approximately half of Lyme disease cases), fever, fatigue, headache, muscle and joint aches. Late manifestations such as chronic joint,\n\n\n  heart and neurological problems may occur.\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>Rocky Mountain spotted fever<\/strong> (RMSF) and <strong>Ehrlichiosis<\/strong> are diagnosed less frequently in Delaware. In\n\n\n  2011, Delaware had 20 cases of RMSF compared to 22 in 2010. Ehrlichiosis cases totaled 35 in 2010 compared to 17 in 2011. Common symptoms\n\n\n  of these diseases include fever, fatigue, headache, rash, muscle aches, abdominal pain, and vomiting.\n\n\n<\/p>\n\n\n<p>\n\n\n  **The <a href=\"http:\/\/www.aap.org\/family\/wnv-jun03.htm\">American Academy of Pediatrics (AAP)<\/a> recommends that repellents with DEET\n\n\n  should not be used on infants less than 2 months old.\n\n\n<\/p>\n\n\n<p>\n\n\n  Delaware Division of Public Health, Bureau of Epidemiology: 888-295-5156\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 message because you are a registered member of the Delaware Health Alert Network. If you are not a member and\n\n\n  would 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 #271 July 24, 2012 3:21 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-10239","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10239","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=10239"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10239\/revisions"}],"predecessor-version":[{"id":11415,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10239\/revisions\/11415"}],"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=10239"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}