{"id":10299,"date":"2025-03-01T14:07:32","date_gmt":"2025-03-01T19:07:32","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan327\/"},"modified":"2025-03-02T00:52:23","modified_gmt":"2025-03-02T05:52:23","slug":"dhan327","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan327\/","title":{"rendered":"php\/alerts\/dhan327 ~  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\/dhan327.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\"]-->327 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->June 3, 2014 1:01 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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IHR is an international agreement among countries to prevent, protect or control the international spread of disease. All\n\n\n  countries have agreed to be bound by recommended activities under IHR.<\/em>\n\n\n<\/p>\n\n\n<p>\n\n\n  <em>The \u201ctemporary recommendations\u201d in response to this PHEIC, the second ever to be issued under IHR, will be reviewed and\n\n\n  possibly revised by WHO\u2019s Emergency Committee in three months. The burden for enforcement of the polio vaccination requirements\n\n\n  under this PHEIC declaration lies with polio-affected countries (termed \u201cpolio-infected\u201d by WHO). At this time, the United\n\n\n  States government is not expected to implement requirements for entry into the United States.<\/em>\n\n\n<\/p>\n\n\n<p>\n\n\n  <em>U.S. clinicians should be aware of possible new vaccination requirements for patients planning travel for greater than four weeks to\n\n\n  countries with ongoing poliovirus transmission. The May 5 WHO statement names 10 such countries, three designated as \u201cexporting\n\n\n  wild poliovirus\u201d (Cameroon, Pakistan and Syria [Syrian Arab Republic]) that should \u201censure\u201d recent (4 to 52 weeks\n\n\n  before travel) polio boosters among all departing residents and long-term travelers (of more than 4 weeks), and an additional seven\n\n\n  countries \u201cinfected with wild poliovirus\u201d (Afghanistan, Equatorial Guinea, Ethiopia, Iraq, Israel, Somalia and Nigeria) that\n\n\n  should \u201cencourage\u201d recent polio vaccination boosters among residents and long-term travelers.<\/em>\n\n\n<\/p>\n\n\n<p>\n\n\n  <em>At this time, CDC is not aware of what specific steps will be taken by these 10 countries to comply with the PHEIC declaration. U.S.\n\n\n  citizens who plan to travel to any of the polio infected countries should have documentation of a polio booster in their yellow\n\n\n  International Certificate of Vaccination in order to avoid delays in transit.<\/em>\n\n\n<\/p>\n\n\n<h4>\n\n\n  Background\n\n\n<\/h4>\n\n\n<p>\n\n\n  Currently 10 countries have active transmission of wild poliovirus (WPV) that could spread to other countries through international\n\n\n  travel. From January through April 2014, months normally considered the low-transmission season for polio, the virus already has been\n\n\n  carried to three countries: from Pakistan to Afghanistan, from Syria to Iraq, and from Cameroon to Equatorial Guinea. WHO considers this\n\n\n  an \u201cextraordinary event\u201d and a public health risk to other countries. If the current spread of WPV continues, cases could\n\n\n  multiply considerably as the high-transmission season has already begun. The consequences of further international spread are\n\n\n  particularly acute today given that several countries with complex humanitarian emergencies or other major challenges are bordering the\n\n\n  infected countries.\n\n\n<\/p>\n\n\n<h4>\n\n\n  Recommendations\n\n\n<\/h4>\n\n\n<p>\n\n\n  Because of the substantial progress of the polio eradication initiative in 2012\u20132013, and in order to harmonize CDC recommendations\n\n\n  with WHO recommendations, CDC now recommends an adult inactivated poliovirus (IPV) booster dose for travelers to countries with active\n\n\n  WPV circulation. Countries are considered to have active WPV circulation if they have ongoing endemic circulation, active polio\n\n\n  outbreaks, or environmental evidence of active WPV circulation. Travelers working in health care settings, refugee camps, or other\n\n\n  humanitarian aid settings in these countries may be at particular risk.\n\n\n<\/p>\n\n\n<p>\n\n\n  Domestic clinicians should provide the following information to their patients planning international travel to countries experiencing\n\n\n  polio outbreaks\/active transmission:\n\n\n<\/p>\n\n\n<p>\n\n\n  1. Travelers to polio-affected areas should receive polio vaccination or a booster polio vaccination prior to travel following the\n\n\n  guidance at http:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2014\/chapter-3-infectious-diseases-related-to-travel\/poliomyelitis.\n\n\n<\/p>\n\n\n<p>\n\n\n  2. Travelers also may be impacted by new WHO Polio Vaccination Recommendations in countries with ongoing poliovirus transmission:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>For travel to Pakistan, Cameroon, and Syria (countries exporting WPV)\n\n\n    <ul>\n\n\n      <li>These governments have been asked to ensure that all residents and long-term visitors (of more than 4 weeks) receive an\n\n\n      additional dose of oral polio vaccine (OPV) or inactivated poliovirus vaccine (IPV) between 4 weeks and 12 months prior to any\n\n\n      international travel and have the dose documented.\n\n\n      <\/li>\n\n\n      <li>Residents and long-term visitors who are currently in those countries who must travel with fewer than 4 weeks\u2019 notice and\n\n\n      have not been vaccinated with OPV or IPV within the previous 4 weeks to 12 months receive a dose at least by the time of departure.\n\n\n      <\/li>\n\n\n      <li>These measures should be maintained until at least 6 months have passed without new exportations with documentation that there is\n\n\n      strong surveillance for the virus and that people are being vaccinated in all infected and high-risk areas; without such\n\n\n      documentation, these measures should be maintained until at least 12 months have passed without new exportations.\n\n\n      <\/li>\n\n\n      <li>At this time, CDC has not seen documentation from any of these three countries specifying how these new requirements will be\n\n\n      implemented.<br>\n\n\n        \u00a0\n\n\n      <\/li>\n\n\n    <\/ul>\n\n\n  <\/li>\n\n\n  <li>For travel to Afghanistan, Equatorial Guinea, Ethiopia, Iraq, Israel, Somalia, and Nigeria (In countries that currently have ongoing\n\n\n  poliovirus transmission but have not exported WPV to another country in the past 6 months)\n\n\n    <ul>\n\n\n      <li>These governments are encouraged to ensure that residents and long-term visitors receive an additional dose of OPV or IPV 4 weeks\n\n\n      to 12 months prior to each international journey; current residents of those countries undertaking travel with fewer than 4\n\n\n      weeks\u2019 notice who have not been vaccinated with a dose of OPV or IPV within the previous 4 weeks to 12 months should be\n\n\n      encouraged to receive a dose by the time of departure and have the dose documented.\n\n\n      <\/li>\n\n\n      <li>These measures should be maintained until at least 6 months have passed without the detection of WPV transmission in the country\n\n\n      from any source.\n\n\n      <\/li>\n\n\n      <li>At this time, CDC has not seen documentation from any of these seven countries specifying how these new requirements will be\n\n\n      implemented.\n\n\n      <\/li>\n\n\n      <li>Travelers should also be aware that in the event of new international spread from any one of these seven infected countries, that\n\n\n      country would be asked to immediately implement the vaccination requirements for \u2018States currently exporting wild\n\n\n      poliovirus.\u2019\n\n\n      <\/li>\n\n\n    <\/ul>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  Travelers to or from all 10 countries should be given a WHO\/IHR International Certificate of Vaccination or Prophylaxis\n\n\n  (http:\/\/www.who.int\/ihr\/ports_airports\/icvp\/en\/) to record and serve as proof of their polio vaccination.\n\n\n<\/p>\n\n\n<h4>\n\n\n  Guidance\n\n\n<\/h4>\n\n\n<p>\n\n\n  CDC routinely recommends that anyone planning travel to a polio-affected country be fully vaccinated against polio and that, in addition,\n\n\n  adults should receive a one-time booster dose of polio vaccine. Because of the recent PHEIC declaration, anyone staying in any of the\n\n\n  polio-affected countries for more than four (4) weeks may be required to have a polio booster shot within the 4 weeks to twelve months\n\n\n  prior to departure from that country. This booster should be documented in the yellow International Certificate of Vaccination in order\n\n\n  to avoid delays in transit or forced vaccination in country. Either oral poliovirus vaccine (OPV) or inactivated poliovirus vaccine (IPV)\n\n\n  may be used for this booster, however only IPV is currently available in the United States.\n\n\n<\/p>\n\n\n<h4>\n\n\n  For more information:\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>\n\n\n    <a href=\"http:\/\/www.polioeradication.org\/Portals\/0\/Document\/Emergency\/PolioPHEICguidance.pdf\">http:\/\/www.polioeradication.org\/Portals\/0\/Document\/Emergency\/PolioPHEICguidance.pdf<\/a>\n\n\n  <\/li>\n\n\n  <li>Contact Steven Wassilak, MD, at axj3@cdc.gov or 404-488-7100 (available 24 hours).\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  The Centers for Disease Control and Prevention (CDC) protects people\u2019s health and safety by preventing and controlling diseases and\n\n\n  injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through\n\n\n  strong partnerships with local, national, and international organizations.\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 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>\n\n\n<p>\n\n\n  \u00a0\n\n\n<\/p>\n\n\n<p>\n\n\n  <br>\n\n\n  <\/p><p class=\"smalltext\"><a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\"><img loading=\"lazy\" decoding=\"async\" alt=\"Download Adobe Acrobat Reader\" height=\"21\" src=\"\/wp-content\/uploads\/dhss\/img\/getacro60.gif\" width=\"60\"><\/a> Please note: Some of the files available on this page are in Adobe PDF format which requires Adobe Acrobat Reader.  A free copy of Adobe Acrobat Reader can be downloaded directly from <a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\">Adobe <\/a>. If you are using an assistive technology unable to read Adobe PDF, please either view the corresponding text only version (if available) or visit Adobe&#8217;s <a href=\"http:\/\/access.adobe.com\">Accessibility Tools page<\/a>.<\/p>\n\n\n<p>\n\n\n  \u00a0\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 #327 June 3, 2014 1:01 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-10299","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10299","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=10299"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10299\/revisions"}],"predecessor-version":[{"id":11475,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10299\/revisions\/11475"}],"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=10299"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}