{"id":10269,"date":"2025-03-01T14:03:21","date_gmt":"2025-03-01T19:03:21","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan299\/"},"modified":"2025-03-02T00:51:25","modified_gmt":"2025-03-02T05:51:25","slug":"dhan299","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan299\/","title":{"rendered":"php\/alerts\/dhan299 ~  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\/dhan299.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\"]-->299 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->March 12, 2013 11:25 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; 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The CDC health advisory can be found at: <a href=\"http:\/\/emergency.cdc.gov\/HAN\/han00343.asp\">http:\/\/emergency.cdc.gov\/HAN\/han00343.asp<\/a>.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Summary\n\n\n<\/h3>\n\n\n<p>\n\n\n  The CDC is working closely with the World Health Organization (WHO) and other partners to better understand the public health risk posed\n\n\n  by a novel coronavirus that was first reported to cause human infection in September 2012 in the Middle East.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Background\n\n\n<\/h3>\n\n\n<p>\n\n\n  Novel coronavirus is a beta coronavirus that was first described in September 2012 when it was reported to have caused fatal acute lower\n\n\n  respiratory illness in a man in Saudi Arabia. This new virus is different from other known human coronaviruses, including the one that\n\n\n  caused severe acute respiratory syndrome (SARS).\u00a0\u00a0 As of March 8, 2013, 14 laboratory-confirmed cases of novel coronavirus\n\n\n  infection have been reported to the WHO: Saudi Arabia (7), Qatar (2), Jordan (2), and the United Kingdom (UK) (3). Illness onset ranged\n\n\n  from April 2012 to February 2013. Of the 14 cases, eight were fatal. To date, no cases have been reported in the United States. Diagnosis\n\n\n  relies on testing for the novel coronavirus with specific polymerase chain reaction (PCR) assays available at the CDC. There is no\n\n\n  specific treatment for novel coronavirus infection and the only option for care is supportive management.\n\n\n<\/p>\n\n\n<p>\n\n\n  A cluster of illnesses is still under investigation by the UK Health Protection Agency but provides the first clear evidence of\n\n\n  human-to-human transmission of this novel coronavirus and of human co-infection with novel coronavirus and another respiratory pathogen\n\n\n  (influenza A).\u00a0 Additional details can be found in the March 7, 2013 <em>MMWR<\/em> Early Release (<a href=\"http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm62e0307a1.htm?s_cid=mm62e0307a1_e\" target=\"_blank\">http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm62e0307a1.htm?s_cid=mm62e0307a1_e<\/a>).\n\n\n<\/p>\n\n\n<h3>\n\n\n  Recommendations\n\n\n<\/h3>\n\n\n<ol>\n\n\n  <li>Review updated guidance on the CDC coronavirus Website at:\u00a0 (<a href=\"http:\/\/www.cdc.gov\/coronavirus\/ncv\/case-def.html\" target=\"_blank\">http:\/\/www.cdc.gov\/coronavirus\/ncv\/case-def.html<\/a>)\n\n\n  <\/li>\n\n\n  <li>Persons who develop severe acute lower respiratory illness within 10 days of travel from the Arabian Peninsula or neighboring\n\n\n  countries* should continue to be evaluated according to current guidelines for community acquired pneumonia.\u00a0 <span style=\"text-decoration: underline\">In addition<\/span>, persons who meet the following criteria for \u201cpatient under investigation\u201d\n\n\n  (PUI) should be reported to the Delaware Division of Public Health, Bureau of Epidemiology (24\/7) at 1-888-295-5156 for evaluation for\n\n\n  possible novel coronavirus infection and for coordination of laboratory testing with the CDC:\n\n\n    <ul>\n\n\n      <li>History of travel from the Arabian Peninsula or neighboring countries* within the preceding 10 days; AND\n\n\n      <\/li>\n\n\n      <li>Evidence of acute respiratory infection, which may include fever (\u2265 38\u00b0C , 100.4\u00b0F) and cough; AND\n\n\n      <\/li>\n\n\n      <li>Suspicion of pulmonary parenchymal disease (pneumonia or acute respiratory distress syndrome) based on clinical or radiologic\n\n\n      features;AND\u00a0\n\n\n      <\/li>\n\n\n      <li>Signs, symptoms and radiologic features not explicable by other infectious or non-infectious etiology, after conducting all\n\n\n      clinically indicated tests for community-acquired pneumonia<sup>\u2020<\/sup> .\n\n\n      <\/li>\n\n\n    <\/ul>\n\n\n  <\/li>\n\n\n<\/ol>\n\n\n<p>\n\n\n  In addition, the following persons may be considered for evaluation for novel coronavirus infection:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Persons who develop severe acute lower respiratory illness due to a known etiologic agent but who do not respond to appropriate\n\n\n  therapy targeted at that agent and whose symptoms started within 10 days of travel from the Arabian Peninsula or neighboring countries*;\n\n\n  OR\n\n\n  <\/li>\n\n\n  <li>Persons who develop severe acute lower respiratory illness and who are close contacts<sup>\u2021<\/sup>of a symptomatic traveler who\n\n\n  developed fever and respiratory illness within 10 days of travel from the Arabian Peninsula or neighboring countries.*\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  \u00a0* Countries considered to be on or neighboring the Arabian Peninsula include Bahrain, Iraq, Iran, Israel, Jordan, Kuwait, Lebanon,\n\n\n  Oman, Palestinian territories, Qatar, Saudi Arabia, Syria, the United Arab Emirates (UAE), and Yemen.\n\n\n<\/p>\n\n\n<p>\n\n\n  <sup>\u2020<\/sup> Examples of respiratory pathogens that commonly cause community-acquired pneumonia and for which laboratory testing\n\n\n  can be done when indicated include influenza A and B, respiratory syncytial virus, adenovirus, <em>Streptococcus pneumoniae<\/em>, and\n\n\n  <em>Legionella pneumophila<\/em>.\n\n\n<\/p>\n\n\n<p>\n\n\n  <sup>\u2021<\/sup> Close contact is defined as 1) any person who provided care for the patient, including a health-care worker or family\n\n\n  member, or who had other similarly close physical contact, or 2) any person who stayed at the same place (e.g., lived with or visited) as\n\n\n  the patient while the patient was ill.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Additional Information\n\n\n<\/h3>\n\n\n<ul>\n\n\n  <li>CDC HAN: <a href=\"http:\/\/emergency.cdc.gov\/HAN\/han00343.asp\">http:\/\/emergency.cdc.gov\/HAN\/han00343.asp<\/a>\n\n\n  <\/li>\n\n\n  <li>CDC coronavirus website at: <a href=\"http:\/\/www.cdc.gov\/coronavirus\/ncv\" target=\"_blank\">ttp:\/\/www.cdc.gov\/coronavirus\/ncv<\/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 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 #299 March 12, 2013 11:25 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-10269","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10269","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=10269"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10269\/revisions"}],"predecessor-version":[{"id":11445,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10269\/revisions\/11445"}],"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=10269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}