{"id":10301,"date":"2025-03-01T14:07:33","date_gmt":"2025-03-01T19:07:33","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan329\/"},"modified":"2025-03-02T00:52:23","modified_gmt":"2025-03-02T05:52:23","slug":"dhan329","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan329\/","title":{"rendered":"php\/alerts\/dhan329 ~  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\/dhan329.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\"]-->329 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->July 18, 2014 8:42 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; 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Lyme disease is the most common disease spread by ticks in Delaware. In 2013,\n\n\n  Delaware had over 500 confirmed cases of Lyme disease. Other tick-borne diseases such as Rocky Mountain Spotted Fever, Ehrlichiosis,\n\n\n  Anaplasmosis, and Babesiosis are diagnosed less frequently in Delaware but can cause severe illness and often require hospitalization.\n\n\n<\/p>\n\n\n<p>\n\n\n  The symptoms of tick-borne disease depend on the specific disease an individual has acquired. Symptoms common to many of these diseases\n\n\n  include fever, chills, fatigue, vomiting, diarrhea, headaches, and muscle and joint aches. Some of the illnesses are characterized by\n\n\n  rash, and in some, serious cardiovascular and neurological complications may occur. Early diagnosis and treatment are key to good health\n\n\n  outcomes. Advise patients that if they are bitten by a tick they should monitor their health closely, and contact a physician if symptoms\n\n\n  develop. Diagnosis of a tick-borne disease is based on an individual\u2019s exposure history, signs and symptoms, and the results of\n\n\n  laboratory testing. (See additional information below for guidance regarding specific diseases.)\n\n\n<\/p>\n\n\n<p>\n\n\n  As with tick bites, spring and summer time is the mostly likely time for mosquito bites. Disease agents that can be transmitted to humans\n\n\n  from the bite of mosquito species present in Delaware include, but are not limited to: West Nile virus (WNV), Eastern Equine Encephalitis\n\n\n  (EEE), Chikungunya, and Saint Louis Encephalitis virus. In 2003, there were 17 confirmed human cases of WNV in Delaware, two of which\n\n\n  were fatal. During 2007, 2008 and 2011, one human case was confirmed each year. There was an increase in 2012 with nine cases, and there\n\n\n  were three confirmed cases in 2013. Note that these numbers represent only cases reported to and confirmed by DPH, and the actual number\n\n\n  of cases is likely higher.\n\n\n<\/p>\n\n\n<p>\n\n\n  Of WNV cases, approximately 80 percent of human infections are mild and cause no apparent symptoms. Nearly 20 percent of those infected\n\n\n  develop a mild illness (West Nile fever), which includes fever, body and muscle aches, headache, nausea, vomiting, and rash. A small\n\n\n  percentage of patients, usually the elderly, develop severe neurological disease.\n\n\n<\/p>\n\n\n<p>\n\n\n  Another mosquito borne illness, Chikungunya, is a debilitating disease characterized by acute onset of fever and debilitating joint pains\n\n\n  occurring after an incubation period of 3-7 days. It is transmitted through the bite of infected <em>Aedes aegypti<\/em> and<em>Aedes\n\n\n  albopictus<\/em> mosquitos. There is an ongoing Chikungunya outbreak in the Caribbean and the disease has been reported in other US States\n\n\n  among travelers returning from the Caribbean. No case has been reported in Delaware, but the mosquito vectors of the disease are known to\n\n\n  be present in Delaware.\n\n\n<\/p>\n\n\n<p>\n\n\n  DPH asks that you report any known or suspected case of Chikungunya, West Nile virus (WNV), Eastern Equine Encephalitis (EEE), and Saint\n\n\n  Louis Encephalitis virus to the Division of Public Health at the number listed below.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Recommendations\n\n\n<\/h3>\n\n\n<p>\n\n\n  Healthcare providers should remind patients to take appropriate measures to protect themselves from tick and mosquito bites (see links\n\n\n  under additional information for specific guidance and patient resource materials).\n\n\n<\/p>\n\n\n<h4>\n\n\n  TICK PREVENTION\n\n\n<\/h4>\n\n\n<p>\n\n\n  Advise patients to do the following:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Apply tick repellants (Following manufacturer instructions regarding use in children and re-application time).\n\n\n  <\/li>\n\n\n  <li>Check themselves and their children for ticks after being outdoors; paying special attention to the head area.\n\n\n  <\/li>\n\n\n  <li>Bear in mind that ticks can enter their homes on pets (which themselves should be treated with tick and flea repellants).\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h4>\n\n\n  MOSQUITO PREVENTION\n\n\n<\/h4>\n\n\n<p>\n\n\n  Advise patients to do the following:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Use mosquito netting as appropriate to protect their face and neck when outdoors, to protect children in infant carriages, strollers\n\n\n  and playpens.\n\n\n  <\/li>\n\n\n  <li>Use mosquito repellents containing DEET (following manufacturer instructions regarding use in children and re-application time)\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h3>\n\n\n  Additional Information\n\n\n<\/h3>\n\n\n<p>\n\n\n  For additional information regarding tick or mosquito borne diseases or to report a case call the Office of Infectious Disease\n\n\n  Epidemiology: 1-888-295-5156 or 302-744-1033.\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>\n\n\n    <a href=\"http:\/\/www.cdc.gov\/ticks\">www.cdc.gov\/ticks<\/a>\n\n\n  <\/li>\n\n\n  <li>\n\n\n    <a href=\"\/dph\/epi\/lyme.html\">www.dhss.delaware.gov\/dph\/epi\/lyme.html<\/a>\n\n\n  <\/li>\n\n\n  <li>\n\n\n    <a href=\"http:\/\/www.cdc.gov\/lyme\/\">http:\/\/www.cdc.gov\/lyme\/<\/a>\n\n\n  <\/li>\n\n\n  <li>\n\n\n    <a href=\"http:\/\/www.cdc.gov\/features\/stopmosquitoes\/\">http:\/\/www.cdc.gov\/features\/stopmosquitoes\/<\/a>\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 #329 July 18, 2014 8:42 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-10301","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10301","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=10301"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10301\/revisions"}],"predecessor-version":[{"id":11477,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10301\/revisions\/11477"}],"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=10301"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}