{"id":10254,"date":"2025-03-01T14:03:18","date_gmt":"2025-03-01T19:03:18","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan285\/"},"modified":"2025-03-02T00:51:21","modified_gmt":"2025-03-02T05:51:21","slug":"dhan285","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan285\/","title":{"rendered":"php\/alerts\/dhan285 ~  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\/dhan285.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\"]-->285 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->November 7, 2012 9:05 am <!--[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   Alert<!--[END]-->\n\n<br>\n\n<!--[type=EDIT name=\"DHAN Heading\"]-->\n\n\n\nCONTAMINATION OF ADDITIONAL MEDICAL PRODUCTS FROM NEW ENGLAND COMPOUNDING CENTER (NECC)<!--[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 is issuing this health alert to provide healthcare providers and facilities with details regarding\n\n\n  additional contaminated medical products identified in the ongoing Food and Drug Administration (FDA) investigation associated with the\n\n\n  fungal meningitis outbreak. It is unknown whether facilities in Delaware received the lots of contaminated betamethasone or cardioplesia\n\n\n  solution.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Background\n\n\n<\/h3>\n\n\n<p>\n\n\n  The Centers for Disease Control and Prevention (CDC) and FDA are reporting that product testing has identified bacterial contamination\n\n\n  with several <em>Bacillus<\/em> species and closely related bacterial organisms in unopened vials of betamethasone and cardioplegia\n\n\n  solution that were distributed and later recalled by NECC on October 6, 2012. These bacteria are commonly found in the environment and\n\n\n  have been rarely reported as a cause of human disease; it is not known how product contamination with these species might affect\n\n\n  patients. CDC has not received reports of laboratory-confirmed cases of infection due to <em>Bacillus<\/em> or closely related organisms\n\n\n  linked to these products.\n\n\n<\/p>\n\n\n<p>\n\n\n  The following table provides CDC and FDA laboratory testing results for contamination and product lot numbers. Other cultures for these\n\n\n  products, including fungal cultures, are pending.\n\n\n<\/p><br>\n\n\n<table class=\"table table-condensed table-hover\">\n\n\n  <tbody>\n\n\n    <tr>\n\n\n      <th scope=\"col\">\n\n\n        Medication\n\n\n      <\/th>\n\n\n      <th scope=\"col\">\n\n\n        Lot number\n\n\n      <\/th>\n\n\n      <th scope=\"col\">\n\n\n        Microbial contamination\n\n\n      <\/th>\n\n\n    <\/tr>\n\n\n    <tr>\n\n\n      <td>\n\n\n        Betamethasone\n\n\n      <\/td>\n\n\n      <td>\n\n\n        08202012@141\n\n\n      <\/td>\n\n\n      <td>\n\n\n        <em>Paenibacillus pabuli\/amolyticus, Bacillus idriensis, Bacillus flexus, Bacillus simplex, Lysinibacillus sp.<\/em>\n\n\n      <\/td>\n\n\n    <\/tr>\n\n\n    <tr>\n\n\n      <td>\n\n\n        Betamethasone\n\n\n      <\/td>\n\n\n      <td>\n\n\n        07032012@22\n\n\n      <\/td>\n\n\n      <td>\n\n\n        <em>Bacillus niabensis, Bacillus circulans<\/em>\n\n\n      <\/td>\n\n\n    <\/tr>\n\n\n    <tr>\n\n\n      <td>\n\n\n        Betamethasone\n\n\n      <\/td>\n\n\n      <td>\n\n\n        07302012@52\n\n\n      <\/td>\n\n\n      <td>\n\n\n        <em>Bacillus lentus, Bacillus circulans<\/em>\n\n\n      <\/td>\n\n\n    <\/tr>\n\n\n    <tr>\n\n\n      <td>\n\n\n        Cardioplegia solution\n\n\n      <\/td>\n\n\n      <td>\n\n\n        09242012@55\n\n\n      <\/td>\n\n\n      <td>\n\n\n        <em>Bacillus halmapalus, Brevibacillus choshinensis<\/em>\n\n\n      <\/td>\n\n\n    <\/tr>\n\n\n  <\/tbody>\n\n\n<\/table><br>\n\n\n<h3>\n\n\n  Recommendations\n\n\n<\/h3>\n\n\n<ol>\n\n\n  <li>Clinicians should consider these product findings when reviewing laboratory results from patients who have been exposed to a NECC\n\n\n  product.\n\n\n  <\/li>\n\n\n  <li>Do not use any product produced by NECC as previously recommended by CDC and FDA.\n\n\n  <\/li>\n\n\n  <li>Continue follow-up of patients who received any injectable NECC product, including betamethasone or cardioplegia solution purchased\n\n\n  from or distributed by NECC after May 21, 2012.\n\n\n  <\/li>\n\n\n  <li>For healthcare providers diagnosing and treating symptomatic patients who have received NECC products, CDC recommendations have not\n\n\n  changed and can be found at <a class=\"anchors_link\" href=\"http:\/\/www.cdc.gov\/hai\/outbreaks\/clinicians\/index.html#Guidance\">http:\/\/www.cdc.gov\/hai\/outbreaks\/clinicians\/index.html#Guidance<\/a>.\n\n\n  <\/li>\n\n\n<\/ol>\n\n\n<h4>\n\n\n  Additional Information\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>CDC health alert: <a href=\"http:\/\/www.bt.cdc.gov\/HAN\/han00333.asp\">http:\/\/www.bt.cdc.gov\/HAN\/han00333.asp<\/a>. \u00a0<a href=\"http:\/\/www.fda.gov\/Safety\/MedWatch\/SafetyInformation\/SafetyAlertsforHumanMedicalProducts\/ucm326370.htm\">http:\/\/www.fda.gov\/Safety\/MedWatch\/SafetyInformation\/SafetyAlertsforHumanMedicalProducts\/ucm326370.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of these products\n\n\n  online at <a href=\"http:\/\/www.fda.gov\/MedWatch\/report.htm\">www.fda.gov\/MedWatch\/report.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>Delaware Division of Public Health, Bureau of Epidemiology (24\/7): 1-888-295-5156.\n\n\n  <\/li>\n\n\n<\/ul>\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 #285 November 7, 2012 9:05 am 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-10254","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10254","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=10254"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10254\/revisions"}],"predecessor-version":[{"id":11430,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10254\/revisions\/11430"}],"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=10254"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}