{"id":10248,"date":"2025-03-01T14:03:17","date_gmt":"2025-03-01T19:03:17","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan28\/"},"modified":"2025-03-02T00:50:57","modified_gmt":"2025-03-02T05:50:57","slug":"dhan28","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan28\/","title":{"rendered":"php\/alerts\/dhan28 ~  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\/dhan28.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\"]-->28 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->May 23, 2003 8:11 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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ALERT FOR MEDICAL COMMUNITY<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<p>\n\n\n  The Department of Homeland Security issued a Code Orange &#8211; High Threat Alert today, May 20, 2003. The High Threat Alert informed all\n\n\n  states that intelligence reports indicate potential for terrorist attacks to related to an increase in terrorist attacks abroad. State\n\n\n  and local governments are advised to increase security at state and federal buildings, monuments, hospitals and high traffic locations.\n\n\n<\/p>\n\n\n<p>\n\n\n  NO SPECIFIC THREAT HAS BEEN RECEIVED AND NO SPECIFIC LOCATIONS OR WEAPONS HAVE BEEN INDICATED. Agents ranging from biological, chemical\n\n\n  and radiological remain on the threat list and require advance response preparation.\n\n\n<\/p>\n\n\n<p>\n\n\n  Delaware&#8217;s Division of Public Health (DPH) recommends heightened awareness by the Delaware medical community for patients that may\n\n\n  present with symptoms consistent with bio and chemical terrorist agents. This alert contains a chart that lists agents, clinical and\n\n\n  treatment information.\n\n\n<\/p>\n\n\n<p>\n\n\n  To report suspected illness resulting from terrorist activity, or to obtain technical assistance in evaluating and treating patients,\n\n\n  contact the Division of Public Health immediately at 1-888-295-5156. This number is operational 24 hours, seven days a week during the\n\n\n  High Threat Alert.\n\n\n<\/p>\n\n\n<p>\n\n\n  Further information about agents of bio and chemical terrorism can be obtained from the Centers for Disease Prevention and Control at:\n\n\n  <a href=\"http:\/\/www.bt.cdc.gov\/\">http:\/\/www.bt.cdc.gov\/<\/a> .\n\n\n<\/p>\n\n\n<p>\n\n\n  The Delaware Division of Public Health will provide further information about this threat as it becomes available through the Health\n\n\n  Alert Network.\n\n\n<\/p>\n\n\n<h3 class=\"text-center\">\n\n\n  Biological \/ Chemical Terrorism Agents\n\n\n<\/h3>\n\n\n<table class=\"table table-condensed table-hover\">\n\n\n  <tbody><tr>\n\n\n    <th scope=\"col\">\n\n\n      Agent\n\n\n    <\/th>\n\n\n    <th scope=\"col\">\n\n\n      Incubation\/Onset\n\n\n    <\/th>\n\n\n    <th scope=\"col\">\n\n\n      Transmission Route\n\n\n    <\/th>\n\n\n    <th scope=\"col\">\n\n\n      Clinical Effects\n\n\n    <\/th>\n\n\n    <th scope=\"col\">\n\n\n      Need Decon?\n\n\n    <\/th>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Anthrax Pulm\n\n\n    <\/td>\n\n\n    <td>\n\n\n      1-6 days (up to 60)\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Inhalation of Spores\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Initially ILI: fever, malaise, fatigue, non-productive cough, chest discomfort.<br>\n\n\n      <br>\n\n\n      LATE: Severe respiratory distress, stridor, cyanosis. Septicemia and hemorrhagic meningitis.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Only if acutely exposed.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Anthrax Cut.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      1-12 days (up to 60).\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Spores enter through non-intact skin.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Begins as a papule then becomes a fluid filled vesicle. The vesicle dries and forms a dark black scab (eschar).\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Only if acutely exposed.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Smallpox\n\n\n    <\/td>\n\n\n    <td>\n\n\n      7-17 days\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Respiratory droplets and drainage from pustules.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Prodrome 2-4 days of ILI. Rash begins as papules which become deep vesicles then scab. Mostly face and extremities. DOES involve\n\n\n      palms\/soles.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Cleanse lesions and soiled material.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Plague Pneum.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      2-3 days\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Inhaled droplets Can follow bubonic.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Begins as ILI. Rapid progression over 24 hours to severe pneumonia, hemoptysis, then respiratory distress and failure.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Only if acutely exposed.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Plague Bubonic\n\n\n    <\/td>\n\n\n    <td>\n\n\n      2-10 days\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Can be natural (endemic in Western US) Skin or inhaled.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      High fever; painful, massively swollen lymph nodes (buboes).\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Only if acutely exposed.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Tularemia\n\n\n    <\/td>\n\n\n    <td>\n\n\n      2-5 days (Range 1-14).\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Inhaled for BW but also skin contact, GI or animal bites.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Begins as ILI. Progresses over several days to pneumonia with dyspnea and hilar adenopathy.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Only if acutely exposed.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Botulinum Toxin\n\n\n    <\/td>\n\n\n    <td>\n\n\n      24-72 hrs\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Inhaled\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Symmetric, descending flaccid paralysis. Eyes, bulbar muscles then respiratory and skeletal.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Possibly if toxin present.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      VHF&#8217;s (Ebola, etc.)\n\n\n    <\/td>\n\n\n    <td>\n\n\n      2-10 days\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Blood or secretions. Possibly aerosolized.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      ILI prodrome. Day 3 Bleeding. Day 5 desquamation. Rapid progression to delirium, multi-system organ failure.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Linen, lesions.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Ricin\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Ingestion 18-24 hrs<br>\n\n\n      Inhalation 8-36 hrs\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Ingestion, Inhalation\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Acute GI: Nausea\/vomiting, diarrhea, fever, abd. pain<br>\n\n\n      Acute Pulm: Chest tightness, cough, wheeze, nausea, fever\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Soap\/water: Personnel, Equipment, Supplies.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Cyanides\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Seconds &#8211; Minutes\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Inhalation, Ingestion, Cutaneous absorption\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Moderate exposure: hypotension, dizziness, nausea\/vomiting, headache, eye irritation, &#8220;pink&#8217; skin color,\n\n\n      hyperventilation<br>\n\n\n      High exposure: LOC, seizures, cardio-pulm arrest\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Soap\/water: Personnel, Equipment, Supplies\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Vesicants\/Blister agents (mustard, lewisite, phosgene)\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Lewisite: minutes<br>\n\n\n      Mustard: Hrs. &#8211; Days\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Inhalation, Cutaneous absorption\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Skin erythema, blistering, itchy red skin, mucosal irritation, tearing\/burning\/red eyes, nausea\/vomiting, SOB, pulm. edema, metabolic\n\n\n      failure\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Soap\/water: Personnel, Equipment, Supplies\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n<\/tbody><\/table><br>\n\n\n<h3 class=\"text-center\">\n\n\n  Biological \/ Chemical Terrorism Agents (continued)\n\n\n<\/h3>\n\n\n<table class=\"table table-condensed table-hover\">\n\n\n  <tbody><tr>\n\n\n    <th scope=\"col\">\n\n\n      Agent\n\n\n    <\/th>\n\n\n    <th scope=\"col\">\n\n\n      Treatment\n\n\n    <\/th>\n\n\n    <th scope=\"col\">\n\n\n      Vaccinate?\n\n\n    <\/th>\n\n\n    <th scope=\"col\">\n\n\n      Prophylaxis?\n\n\n    <\/th>\n\n\n    <th scope=\"col\">\n\n\n      Morbidity\n\n\n    <\/th>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Anthrax Pulm\n\n\n    <\/td>\n\n\n    <td>\n\n\n      CIP OR Doxy. AND Clinda or Vanco AND Rifampin +\/-<br>\n\n\n      <br>\n\n\n      Steroids<br>\n\n\n      All Intravenous\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Patient: yes<br>\n\n\n      Exposed to release: possibly<br>\n\n\n      Other Contact: NO<br>\n\n\n      Health Care: NO\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Only those exposed to actual release.<br>\n\n\n      Doxy or Cipro orally 28-60 days.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Treated early: LOW<br>\n\n\n      <br>\n\n\n      After onset of respiratory distress: HIGH (near 100%).\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Anthrax Cut.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Cipro or Doxy for 7-10 days. Can be given PO. With systemic sx or risk of inhalation, treat as above.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Patient: yes<br>\n\n\n      Exposed to release: possibly<br>\n\n\n      Other Contact: NO<br>\n\n\n      Health Care: NO\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Only those exposed to actual release.<br>\n\n\n      Doxy or Cipro orally 28-60 days.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Untreated: up to 25%<br>\n\n\n      Treated < 1%\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Smallpox\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Supportive Gancyclovir may help. Other antivirals unknown.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Vaccinate patient and all contacts or potential contacts. Vaccinate health care workers at facility.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      See vaccination.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      10-30% likely. Higher in (rare) hemorrhagic form up to 90%.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Plague Pneum.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      IV doxycycline or gentamycin.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      NOT effective on aerosolized form of disease.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Doxy or Tet. Strict respiratory and droplet precautions. Isolate pt. 72 hrs.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Untreated: 100%<br>\n\n\n      <br>\n\n\n      Treated: ?\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Plague Bubonic\n\n\n    <\/td>\n\n\n    <td>\n\n\n      IV doxycycline or gentamycin.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Does not treat patient. May give to health care or family. Isolate pt. 48 hrs until lesions stop draining. Treat contacts as above.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Untreated: 7-30%. May be higher.<br>\n\n\n      <br>\n\n\n      Treated: < 2%\n\n\n    <\/td>\n\n\n    <td>\n\n\n      \u00a0\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Tularemia\n\n\n    <\/td>\n\n\n    <td>\n\n\n      IV Streptomycin, gentamycin or ciprofloxacin\n\n\n    <\/td>\n\n\n    <td>\n\n\n      None\n\n\n    <\/td>\n\n\n    <td>\n\n\n      \u00a0\n\n\n    <\/td>\n\n\n    <td>\n\n\n      < 5%\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Botulinum Toxin\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Supportive. Antitoxin may lessen progress. No antibiotics.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Antitoxin from CDC or Public Health.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      None: toxin not infection.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Uncertain. Long recovery.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      VHF&#8217;s (Ebola, etc.)\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Supportive care. Dialysis may help. Need transfusions and FFP.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      None. Strict droplet precautions. Linen, etc. highly infectious.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      None\n\n\n    <\/td>\n\n\n    <td>\n\n\n      High\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Ricin\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Inhalation &#038; Ingestion:<br>\n\n\n      No antidote, Supportive care<br>\n\n\n      Charcoal lavage for ingestion\n\n\n    <\/td>\n\n\n    <td>\n\n\n      None\n\n\n    <\/td>\n\n\n    <td>\n\n\n      None\n\n\n    <\/td>\n\n\n    <td>\n\n\n      High\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Cyanides\n\n\n    <\/td>\n\n\n    <td>\n\n\n      100% oxygen, intubation,<br>\n\n\n      Amyl nitrite via ambu, 1 ampule (0.2cc) q 5 min.<br>\n\n\n      Sodium nitrite 300mg IV over 5-10 min.<br>\n\n\n      Additional sodium nitrite based on hgb level and pt. wt.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      None\n\n\n    <\/td>\n\n\n    <td>\n\n\n      See treatment.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      HIGH without immediate antidotes.<br>\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      Vesicants\/Blister agents (mustard, lewisite, phosgene)\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Mustards &#8211; NO antidote<br>\n\n\n      Lewisite &#8211; British Anti-Lewisite (BAL or Dimercaprol) IM<br>\n\n\n      Thermal burn therapy, supportive care, eye care\n\n\n    <\/td>\n\n\n    <td>\n\n\n      None\n\n\n    <\/td>\n\n\n    <td>\n\n\n      See treatment.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      HIGH without early decon. for Mustard.<br>\n\n\n      HIGH without early antidote for Lewisite.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n<\/tbody><\/table><br>\n\n\n<!--[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 #28 May 23, 2003 8:11 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-10248","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10248","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=10248"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10248\/revisions"}],"predecessor-version":[{"id":11424,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10248\/revisions\/11424"}],"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=10248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}