{"id":10333,"date":"2025-03-01T14:07:40","date_gmt":"2025-03-01T19:07:40","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan359\/"},"modified":"2025-05-02T03:43:22","modified_gmt":"2025-05-02T08:43:22","slug":"dhan359","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan359\/","title":{"rendered":"php\/alerts\/dhan359 ~  Division of Public Health &#8212; Health Alert  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\r\n  <br>\r\n  <div class=\"container\" id=\"main_header\">\r\n    <!-- BEGIN readspeaker div -->\r\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\r\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\/dhan359.html\" title=\"Listen to this page using ReadSpeaker\">\r\n      <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\r\n      <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\r\n      <\/a>\r\n    <\/div>\r\n    <!-- END readspeaker div -->\r\n    <header class=\"pull-left\">\r\n      <h1>\r\n        Delaware Health Alert Network #<!--[type=EDIT name=\"DHAN Number\"]-->359 <!--[END]--> \r\n      <\/h1>\r\n      <h2>\r\n        <!--[type=EDIT name=\"DHAN Date\"]-->February 11, 2016 12:49 pm <!--[END]--> \r\n      <\/h2>\r\n    <\/header>\r\n  <\/div>\r\n  <br>\r\n  <div class=\"container\">\r\n    <div class=\"row\">\r\n      <div class=\"col-md-3\" id=\"leftCol\">\r\n        <div class=\"panel-group\" id=\"accordion\">\r\n          <div class=\"panel sectionmenu_panel\">\r\n            <div class=\"panel-heading\">\r\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>\r\n            <\/div>\r\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\r\n              <div class=\"panel-body\" id=\"clf_nav\">\r\n                <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\r\n                  <li>\r\n                    <a href=\"\/dph\/\">\r\n                      <h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2>\r\n                    <\/a>\r\n                  <\/li>\r\n                  <li class=\"toplevel\">\r\n                    <a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\">\r\n                      <h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2>\r\n                    <\/a>\r\n                    <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\r\n                      <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\r\n                      <li><a href=\"\/dph\/sections.html\">Sections &#038; 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The individual is an adult female and she is not considered infectious. As expected,\r\n          the illness was mild and she has already recovered. Pregnancy is not an issue.\r\n        <\/p>\r\n        <h3>\r\n          SUMMARY\r\n        <\/h3>\r\n        <p>\r\n          As the Zika Virus outbreak continues to evolve, DPH will provide updated guidance from the CDC to the healthcare community.\r\n        <\/p>\r\n        <p>\r\n          Most people infected with Zika do not develop symptoms. About one in five people infected with the virus develop the disease. Zika is\r\n          generally a mild illness currently widespread in Central and South America and the Caribbean. Anyone who lives or travels in the impacted\r\n          areas could be infected regardless of whether they show symptoms. The most serious threat linked to Zika is serious birth defects.\r\n          Microcephaly and other poor pregnancy outcomes are now being linked to the virus.\r\n        <\/p>\r\n        <h3>\r\n          BACKGROUND\r\n        <\/h3>\r\n        <p>\r\n          Zika is generally transmitted through bites of infected <em>Aedes<\/em> mosquitoes. The mosquito that most commonly transmits Zika\r\n          (<em>Aedes aegypti<\/em>), as well as dengue and chikungunya, is very rare in Delaware. However, in Delaware we do have another\r\n          <em>Aedes<\/em> species of concern for possible transmission of Zika, the Asian tiger mosquito, <em>Aedes albopictus<\/em>. Local Zika\r\n          transmission via a mosquito is possible once mosquito season starts but it depends on a variety of factors.\r\n        <\/p>\r\n        <p>\r\n          The most significant threat linked to Zika is serious birth defects. While it generally presents as a mild illness, there have been\r\n          reports of serious birth defects to infants whose mother contracted the virus while pregnant. Microcephalya condition in which a\r\n          baby\u2019s head is smaller than expected when compared to babies of the same sex and age, and other poor pregnancy outcomes in babies\r\n          of mothers are now being explicitly linked to the virus, per a new CDC announcement today.\r\n        <\/p>\r\n        <p>\r\n          As a result, the Division of Public Health (DPH) is focusing its messaging and awareness on preventing exposure to pregnant women and\r\n          their male partners.\r\n        <\/p>\r\n        <h3>\r\n          RECOMMENDATIONS\/REPORTING\r\n        <\/h3>\r\n        <p>\r\n          <strong>Precautions for pregnant women or women who may get pregnant:<\/strong>\r\n        <\/p>\r\n        <ul>\r\n          <li>If you are pregnant, postpone travel to the countries where Zika virus transmission is ongoing.\r\n          <\/li>\r\n          <li>If your male sexual partner has traveled to or lives in an area with active Zika virus transmission, condoms should be used for the\r\n            duration of the pregnancy. Discuss your male partner\u2019s potential exposures and history of Zika-like illness with your doctor.\r\n          <\/li>\r\n          <li>If you are trying to become pregnant, talk to your doctor before you travel about your plans to become pregnant and the risk of Zika\r\n            virus.\r\n          <\/li>\r\n          <li>If you are pregnant or may become pregnant and must travel to one of these areas, talk to your doctor first and strictly follow steps\r\n            to prevent mosquito bites during your trip.\r\n          <\/li>\r\n          <li>If you are <strong><em>not<\/em><\/strong> pregnant, but your male partner lives in or has traveled to a country with Zika, consider\r\n            using condoms.\r\n          <\/li>\r\n        <\/ul>\r\n        <h3>\r\n          SCREENING AND REPORTING POTENTIAL ILLNESSES\r\n        <\/h3>\r\n        <p>\r\n          All women who traveled to an area with ongoing Zika virus transmission during pregnancy should be evaluated specifically for Zika virus\r\n          infection and tested in accordance with CDC\u2019s latest guidance. See CDC links below.\r\n        <\/p>\r\n        <p>\r\n          Health care providers should ask all their patients about recent travel. Because of the similar geographic distribution and clinical\r\n          presentation of Zika, dengue, and chikungunya virus infection, patients with symptoms consistent with Zika virus should also be evaluated\r\n          for dengue and chikungunya virus infection, in accordance with existing guidelines.\r\n        <\/p>\r\n        <p>\r\n          To screen patients for travel-related infectious diseases, healthcare providers can use the updated DPH screening tool at:<br>\r\n          <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/emergingandtravelrelatedinfdiseasescreeningtool.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/php\/files\/emergingandtravelrelatedinfdiseasescreeningtool.pdf<\/a>\r\n        <\/p>\r\n        <h3>\r\n          PATIENT TESTING\r\n        <\/h3>\r\n        <p>\r\n          According to CDC, testing should be prioritized for:\r\n        <\/p>\r\n        <ul>\r\n          <li>Pregnant women with travel to affected areas \u2013 regardless of presence of symptoms\r\n          <\/li>\r\n          <li>Travelers to affected areas exhibiting symptoms\r\n          <\/li>\r\n        <\/ul>\r\n        <p>\r\n          Contact DPH Office of Infectious Disease Epidemiology at 888-295-5156 or 302-744-4990 for assistance with specimen collection and\r\n          coordination of testing.\r\n        <\/p>\r\n        <h3>\r\n          ADDITIONAL INFORMATION\r\n        <\/h3>\r\n        <ul>\r\n          <li>\r\n            <strong>UPDATED<\/strong>: Interim Guidelines for Pregnant and Reproductive Age Women: <a href=\"http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6505e2er.htm?s_cid=mm6505e2er_e\">http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6505e2er.htm?s_cid=mm6505e2er_e<\/a>\r\n          <\/li>\r\n          <li>\r\n            <strong>NEW<\/strong>: Interim Guidelines for Prevention of Sexual Transmission of Zika Virus: <a href=\"http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6505e1er.htm?s_cid=mm6505e1er_e\">http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6505e1er.htm?s_cid=mm6505e1er_e<\/a>\r\n          <\/li>\r\n          <li>\r\n            <strong>NEW:<\/strong>: Evidence of Zika Virus Infection in Brain and Placental Tissues from Two Congenitally Infected Newborns and\r\n            Two Fetal Losses: <a href=\"http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6506e1er.htm?s_cid=mm6506e1er_e\">http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6506e1er.htm?s_cid=mm6506e1er_e<\/a>\r\n          <\/li>\r\n          <li>For further information on Zika: <a href=\"http:\/\/www.cdc.gov\/zika\/\">http:\/\/www.cdc.gov\/zika\/<\/a>\r\n          <\/li>\r\n          <li>Educational flyer for pregnant women in English: <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/zikaflyerforpregnantwomen.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/files\/zikaflyerforpregnantwomen.pdf<\/a>\r\n          <\/li>\r\n          <li>Educational flyer for pregnant women in Spanish: <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/zikaflyerforpregnantwomensp.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/files\/zikaflyerforpregnantwomensp.pdf<\/a>\r\n          <\/li>\r\n          <li>DPH special bulletin on Zika: <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/dphbulletin1602zika.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/files\/dphbulletin1602zika.pdf<\/a>\r\n          <\/li>\r\n          <li>Zika information in Spanish: <a href=\"http:\/\/www.cdc.gov\/spanish\/mediosdecomunicacion\/comunicados\/d_recomendaciones_viajeros_virus_del_zika_011516.html\">http:\/\/www.cdc.gov\/spanish\/mediosdecomunicacion\/comunicados\/d_recomendaciones_viajeros_virus_del_zika_011516.html<\/a>\r\n          <\/li>\r\n          <li>For DPH clinical guidance on travel-related screening: <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/emergingandtravelrelatedinfdiseasescreeningtool.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/php\/files\/emergingandtravelrelatedinfdiseasescreeningtool.pdf<\/a>\r\n          <\/li>\r\n          <li>For the latest Centers for Disease Control and Prevention (CDC) list of impacted countries, visit: <a href=\"http:\/\/wwwnc.cdc.gov\/travel\/notices\">http:\/\/wwwnc.cdc.gov\/travel\/notices<\/a>\r\n          <\/li>\r\n          <li>Department of Natural Resources and Environmental Control mosquito control: <a href=\"http:\/\/www.dnrec.delaware.gov\/fw\/mosquito\/Pages\/MC-Diseases.aspx\">http:\/\/www.dnrec.delaware.gov\/fw\/mosquito\/Pages\/MC-Diseases.aspx<\/a>\r\n          <\/li>\r\n        <\/ul>\r\n        <p>\r\n          ************************************\r\n        <\/p>\r\n        <p>\r\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\r\n          like to subscribe, please register at <a href=\"https:\/\/healthalertde.org\">https:\/\/healthalertde.org<\/a>\r\n        <\/p>\r\n        <br>\r\n        <br>\r\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>\r\n        <!--[END]-->\r\n        <div class=\"panel panel-danger\">\r\n          <div class=\"panel-heading\">\r\n            <h2>Categories of Health Alert messages:<\/h2>\r\n          <\/div>\r\n          <div class=\"panel-body\">\r\n            <ul>\r\n              <li><strong>Health Alert:<\/strong> Conveys the highest level of importance; warrants immediate action or attention.<\/li>\r\n              <li><strong>Health Advisory:<\/strong> Provides important information for a specific incident or situation; may not require immediate action.<\/li>\r\n              <li><strong>Health Update:<\/strong> Provides updated information regarding an incident or situation; unlikely to require immediate action.<\/li>\r\n            <\/ul>\r\n            <div><strong>NOTE: This page is for informational purposes only and dated material (e.g. temporary websites) may not be available.<\/strong><\/div>\r\n          <\/div>\r\n        <\/div>\r\n        <br>  \r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n  <!-- \/container -->\r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Health Alert Network #359 February 11, 2016 12:49 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-10333","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10333","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=10333"}],"version-history":[{"count":2,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10333\/revisions"}],"predecessor-version":[{"id":12078,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10333\/revisions\/12078"}],"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=10333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}