{"id":10314,"date":"2025-03-01T14:07:36","date_gmt":"2025-03-01T19:07:36","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan341\/"},"modified":"2025-03-02T00:52:51","modified_gmt":"2025-03-02T05:52:51","slug":"dhan341","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan341\/","title":{"rendered":"php\/alerts\/dhan341 ~  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\/dhan341.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\"]-->341 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->November 5, 2014 11:14 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\nUPDATED GUIDANCE REGARDING TRIAGING PATIENTS AT AMBULATORY\/NON-INPATIENT HEALTH CARE SETTINGS FOR\n\n\n  POSSIBLE EBOLA INFECTIONS<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<h2>\n\n\n  <br>\n\n\n  <a class=\"anchors_link\" href=\"#a1\">Background<\/a>\n\n\n<\/h2>\n\n\n<h2>\n\n\n  <a class=\"anchors_link\" href=\"#a2\">Countries with Ongoing Transmission<\/a>\n\n\n<\/h2>\n\n\n<h2>\n\n\n  <a class=\"anchors_link\" href=\"#a3\">Symptoms and Mode of Transmission<\/a>\n\n\n<\/h2>\n\n\n<h2>\n\n\n  <a class=\"anchors_link\" href=\"#a4\">Recommendations for Triaging, Handling, and Reporting Suspected Cases<\/a>\n\n\n<\/h2>\n\n\n<h2>\n\n\n  <a class=\"anchors_link\" href=\"#a5\">Recommendations for Personal Protective Equipment<\/a>\n\n\n<\/h2>\n\n\n<h2>\n\n\n  <a class=\"anchors_link\" href=\"#a6\">Facilities Performing Invasive\/ Aerosol Generating Procedures<\/a>\n\n\n<\/h2>\n\n\n<h2>\n\n\n  <a class=\"anchors_link\" href=\"#a7\">Recommendations for Cleaning<\/a>\n\n\n<\/h2>\n\n\n<h2>\n\n\n  <a class=\"anchors_link\" href=\"#a8\">Questions? Or to Contact DPH<\/a>\n\n\n<\/h2>\n\n\n<p>\n\n\n  \u00a0\n\n\n<\/p>\n\n\n<h2>\n\n\n  <a class=\"anchors\" id=\"a1\"><\/a>Background\n\n\n<\/h2>\n\n\n<p>\n\n\n  This communication provides an update to the October 17, 2014 Delaware Health Alert regarding the ongoing Ebola virus disease outbreak.\n\n\n<\/p>\n\n\n<p>\n\n\n  The epidemic of Ebola virus disease (EVD) continues to unfold. Particularly affected are the West African countries of Sierra Leone,\n\n\n  Liberia, and Guinea; but travel related cases have also shown up in other areas including Dallas, TX, and New York City.\n\n\n<\/p>\n\n\n<p>\n\n\n  Because of increased monitoring of travelers instituted by DPH in conjunction with CDC\u2019s Division of Global Migration and\n\n\n  Quarantine, it is unlikely that patients responding \u201cyes\u201d to travel and\/or exposure relevant to Ebola and complaining of\n\n\n  symptoms will present to your non-hospital facility. Virtually all such patients would already be under monitoring by DPH.\n\n\n<\/p>\n\n\n<p>\n\n\n  There has been evidence of healthcare associated transmission of EVD in the United States, with two nurses who cared for a man with\n\n\n  travel related EVD in Dallas, TX contracting the disease. Both nurses received immediate treatment and have recovered.\n\n\n<\/p>\n\n\n<p>\n\n\n  There has been no community (non-healthcare) associated transmission in the United States.\n\n\n<\/p>\n\n\n<h2>\n\n\n  <a class=\"anchors\" id=\"a2\"><\/a>Countries with Ongoing Transmission\n\n\n<\/h2>\n\n\n<p>\n\n\n  The epidemic continues to evolve. For an updated list of countries with ongoing high level transmission, visit the Centers for Disease\n\n\n  Control and Prevention (CDC) website at <a href=\"http:\/\/www.cdc.gov\/vhf\/ebola\/outbreaks\/2014-west-africa\/distribution-map.html\">http:\/\/www.cdc.gov\/vhf\/ebola\/outbreaks\/2014-west-africa\/distribution-map.html<\/a>\n\n\n<\/p>\n\n\n<h2>\n\n\n  <a class=\"anchors\" id=\"a3\"><\/a>EVD-Symptoms and Mode of Transmission\n\n\n<\/h2>\n\n\n<p>\n\n\n  Based on currently available information, Ebola virus is only transmitted by patients who have symptoms. Transmission occurs when a\n\n\n  susceptible individual comes in contact with blood or other bodily fluids of an infected individual.\n\n\n<\/p>\n\n\n<p>\n\n\n  Symptoms of EVD occur after an incubation period of two to 21 days and include:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Fever (temperature greater than 100.4\u2070F or 38\u2070C)\n\n\n  <\/li>\n\n\n  <li>Severe headache\n\n\n  <\/li>\n\n\n  <li>Muscle pain\n\n\n  <\/li>\n\n\n  <li>Weakness\n\n\n  <\/li>\n\n\n  <li>Diarrhea\n\n\n  <\/li>\n\n\n  <li>Vomiting\n\n\n  <\/li>\n\n\n  <li>Abdominal (stomach) pain\n\n\n  <\/li>\n\n\n  <li>Unexplained hemorrhage (bleeding or bruising)\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h2>\n\n\n  <a class=\"anchors\" id=\"a4\"><\/a>Recommendations\/Reporting\n\n\n<\/h2>\n\n\n<p>\n\n\n  The Division of Public Health (DPH) is providing the guidance below to outpatient facilities including, but not limited to, urgent care\n\n\n  centers and outpatient clinics, in order to help with triaging and handling patients who may have had potential exposures to Ebola virus.\n\n\n<\/p>\n\n\n<ol>\n\n\n  <li>Ensure that staff is familiar with the signs and symptoms of EVD listed above.\n\n\n  <\/li>\n\n\n  <li>Have on hand several sets of personal protective equipment (PPE) and ensure that staff is familiar with their use. (See below for DPH\n\n\n  recommendation regarding PPE)\n\n\n  <\/li>\n\n\n  <li>Develop a quick screening tool that can be used by front desk staff to assess patients coming into your facility, including screening\n\n\n  for recent travel to West Africa, and for contact with a known Ebola patient in the U.S. An example of such a tool is included here at\n\n\n  this url: <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/ebolascreeningtoolupd.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/php\/files\/ebolascreeningtoolupd.pdf<\/a><br>\n\n\n    on the DPH website.\n\n\n  <\/li>\n\n\n  <li>Be sure that this screening is administered to all patients coming into your facility, rather than to a select few based on language,\n\n\n  name, perceived accent, race, or other demographic.\u00a0 Remember that there is no increased risk inherent to such factors as race,\n\n\n  nationality or language. The risk is only present with recent travel and\/or exposure to infected patients.\n\n\n  <\/li>\n\n\n  <li>When responses to the screening tool suggest no exposure to Ebola, continue to manage patient as you normally would.\n\n\n  <\/li>\n\n\n  <li>When responses to the screening tool suggests the possibility of Ebola exposure but the patient has no symptoms consistent with\n\n\n  Ebola, continue to treat the patient as you would normally, but also contact the DPH Office of Infectious Disease Epidemiology 24\/7 at\n\n\n  888-295-5156, including weekends and holidays\n\n\n  <\/li>\n\n\n  <li>For those whose responses suggest the possibility of Ebola exposure AND who have ANY of the symptoms listed above, take the steps\n\n\n  listed below:\n\n\n    <ol style=\"list-style-type: lower-alpha\">\n\n\n      <li>First, remain calm. Bear in mind that there are several travel related illness including malaria, typhoid fever and dengue much\n\n\n      more common than Ebola, and whose symptoms overlap with Ebola. You may very well be seeing any of these other illnesses.\n\n\n      <\/li>\n\n\n      <li>Separate the patient from staff and other patients in a room that has a door, and private bathroom if available.\n\n\n      <\/li>\n\n\n      <li>Contact the DPH Office of Infectious Disease Epidemiology 24\/7 at 888-295-5156, including weekends and holidays.\u00a0 DPH will\n\n\n      arrange for transport of the patient to the hospital for further evaluation\n\n\n      <\/li>\n\n\n      <li>Any staff person attending to the patient should be appropriately attired in PPE. See PPE recommendations below.\n\n\n      <\/li>\n\n\n      <li>After the patient has left, clean the room where he\/she was kept following CDC guidelines at <a href=\"http:\/\/www.cdc.gov\/vhf\/ebola\/hcp\/environmental-infection-control-in-hospitals.html\">http:\/\/www.cdc.gov\/vhf\/ebola\/hcp\/environmental-infection-control-in-hospitals.html<\/a>.\u00a0\n\n\n      Further detail also below.*\n\n\n      <\/li>\n\n\n    <\/ol>\n\n\n  <\/li>\n\n\n<\/ol>\n\n\n<h2>\n\n\n  <a class=\"anchors\" id=\"a5\"><\/a>Recommendations for Personal Protective Equipment (PPE)\n\n\n<\/h2>\n\n\n<p>\n\n\n  For non-hospital settings in which invasive procedures and aerosol producing procedures are <strong>NOT<\/strong> performed, DPH is\n\n\n  recommending the following for the care of persons suspected of having been exposed to Ebola: **\u00a0\n\n\n<\/p>\n\n\n<ol>\n\n\n  <li>At the minimum: impervious gown, double gloving for all patient care, use of eye protection, face cover (such as a face shield)\n\n\n  should be used.\n\n\n  <\/li>\n\n\n  <li>In addition, it is important that the following additional measures be implemented if the patient is actively vomiting, bleeding, has\n\n\n  diarrhea or is otherwise releasing copious bodily fluids:\n\n\n    <ol style=\"list-style-type: lower-alpha\">\n\n\n      <li>No area of the healthcare workers\u2019 skin should be exposed and\n\n\n      <\/li>\n\n\n      <li>Shoe covers or boots should be utilized.\n\n\n      <\/li>\n\n\n    <\/ol>\n\n\n  <\/li>\n\n\n  <li>Proper attention should be paid to removal of PPE after care of the patient suspected to have Ebola. Facilities should practice the\n\n\n  \u201cbuddy system,\u201d in which one healthcare worker observes another removing PPE after caring for a suspected Ebola patient.\n\n\n  <\/li>\n\n\n<\/ol>\n\n\n<p>\n\n\n  An easy to understand graphic for PPE removal is available at <a href=\"http:\/\/www.who.int\/csr\/disease\/ebola\/remove_ppequipment.pdf?ua=1\">http:\/\/www.who.int\/csr\/disease\/ebola\/remove_ppequipment.pdf?ua=1<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  The CDC also provides detailed guidance on PPE removal available at <a href=\"http:\/\/www.cdc.gov\/vhf\/ebola\/hcp\/procedures-for-ppe.html\">http:\/\/www.cdc.gov\/vhf\/ebola\/hcp\/procedures-for-ppe.html<\/a>\u00a0\u00a0AND\u00a0\u00a0<a href=\"http:\/\/www.cdc.gov\/vhf\/ebola\/hcp\/ppe-training\/index.html\">http:\/\/www.cdc.gov\/vhf\/ebola\/hcp\/ppe-training\/index.html<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  **For facilities performing invasive procedures or aerosol generating procedures, see next section\n\n\n<\/p>\n\n\n<h2>\n\n\n  <a class=\"anchors\" id=\"a6\"><\/a>Recommendations for Facilities Performing Invasive or Aerosol Generating Procedures\n\n\n<\/h2>\n\n\n<p>\n\n\n  DPH recommends that outpatient\/non-hospital facilities consider deferring non-emergency invasive or aerosol-generating procedures on\n\n\n  individuals with history of travel to affected areas or history of exposure to known Ebola cases until at least 21 days have passed since\n\n\n  their last potential exposure.\n\n\n<\/p>\n\n\n<p>\n\n\n  If aerosol generating procedures (such as nebulizer treatments) or invasive procedures must be done in an outpatient setting, DPH\n\n\n  recommends that such facilities follow CDC guidelines for PPE use in hospital settings available at link below and that the number of\n\n\n  staff involved in the procedure be limited to the minimum number that can safely be involved <a href=\"http:\/\/www.cdc.gov\/vhf\/ebola\/hcp\/procedures-for-ppe.html\">http:\/\/www.cdc.gov\/vhf\/ebola\/hcp\/procedures-for-ppe.html<\/a>.\n\n\n<\/p>\n\n\n<h2>\n\n\n  <a class=\"anchors\" id=\"a7\"><\/a>*Recommendations for Cleaning\n\n\n<\/h2>\n\n\n<p>\n\n\n  When cleaning up after a suspected Ebola patient has been removed from your facility, you should follow CDC guidelines for cleaning\n\n\n  available at <a href=\"http:\/\/www.cdc.gov\/vhf\/ebola\/hcp\/environmental-infection-control-in-hospitals.html\">http:\/\/www.cdc.gov\/vhf\/ebola\/hcp\/environmental-infection-control-in-hospitals.html<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  Cleanup should be done by individuals adequately attired in appropriate PPE, with proper attention to careful removal of PPE, as is done\n\n\n  for those who have cared for the patient.\n\n\n<\/p>\n\n\n<h2>\n\n\n  <a class=\"anchors\" id=\"a8\"><\/a>Reporting\/Questions\/Suspected Case\n\n\n<\/h2>\n\n\n<p>\n\n\n  Call the DPH Office of Infectious Disease Epidemiology 24\/7 at 888-295-5156, including weekends and holidays.\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><br>\n\n\n<br>\n\n\n<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\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 #341 November 5, 2014 11:14 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-10314","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10314","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=10314"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10314\/revisions"}],"predecessor-version":[{"id":11490,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10314\/revisions\/11490"}],"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=10314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}