{"id":10344,"date":"2025-03-01T14:07:42","date_gmt":"2025-03-01T19:07:42","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan369\/"},"modified":"2025-05-02T03:49:17","modified_gmt":"2025-05-02T08:49:17","slug":"dhan369","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan369\/","title":{"rendered":"php\/alerts\/dhan369 ~  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\/dhan369.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\"]-->369 <!--[END]--> \r\n      <\/h1>\r\n      <h2>\r\n        <!--[type=EDIT name=\"DHAN Date\"]-->September 9, 2016 2:48 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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However, there have been multiple reports of local transmission (through mosquitoes) in Florida and at least one\r\n          report (in Maryland) of transmission through sexual contact in individuals with no history of travel.\r\n        <\/p>\r\n        <h3>\r\n          Background\r\n        <\/h3>\r\n        <p>\r\n          On August 26, 2016, the Maryland Department of Health reported Zika virus disease in a non-pregnant woman who reported to her physician\r\n          with symptoms compatible with Zika virus infection but who had no history of travel to areas with ongoing Zika virus transmission.\r\n          Further questioning revealed that her sexual partner had recently returned from travel to Dominican Republic (where there is ongoing\r\n          transmission of Zika) but had himself had no symptoms of Zika. This case represents the first known transmission of Zika from a person\r\n          without Zika virus symptoms in which sexual contact was established as the most likely means of transmission.\r\n        <\/p>\r\n        <h3>\r\n          Recommendations\r\n        <\/h3>\r\n        <p>\r\n          Current recommendations for Zika virus testing are primarily based on testing SYMPTOMATIC returned travelers and their sexual partners\r\n          who develop symptoms as well as pregnant women (symptomatic or not) who return from travel to affected areas. These recommendations are\r\n          still in place\r\n        <\/p>\r\n        <p>\r\n          In addition, given the new information about the possibility of sexual transmission of Zika from non-symptomatic returned travelers,\r\n          providers should maintain a high index of suspicion and consider testing non-travelers who develop Zika symptoms (including fever,\r\n          arthralgia, rash, and conjunctivitis) and for whom there is no more plausible explanation for their symptoms. At the very least,\r\n          providers should question such individuals to see if they have had sexual exposure to an individual who recently returned from areas with\r\n          ongoing Zika transmission.\r\n        <\/p>\r\n        <p>\r\n          Providers should continue to counsel their patients (particularly pregnant women) on the importance of using barrier methods such as\r\n          condoms to prevent sexual acquisition of Zika from individuals with history of recent travel to areas with widespread Zika transmission.\r\n          Pregnant women whose sexual partners return from such areas should use barrier protection for the duration of their pregnancy or\r\n          otherwise abstain from sex for the duration of their pregnancy.\r\n        <\/p>\r\n        <h3>\r\n          Laboratory Testing for Zika\r\n        <\/h3>\r\n        <p>\r\n          Serum and urine PCR for Zika virus are available through the DPH Laboratory as well as through several commercial laboratories. Serology\r\n          testing (Zika IgM antibody capture Enzyme-linked immunosorbent assay: Zika MAC-ELISA) is offered through the DPH Laboratory and recently\r\n          has become available in some commercial laboratories.\r\n        <\/p>\r\n        <p>\r\n          PCR testing is indicated for serum samples collected fewer than seven days and urine samples collected fewer than 14 days after symptom\r\n          onset (or last possible exposure if no symptoms). While a positive PCR test is confirmatory of Zika virus infection, a negative PCR test\r\n          result does not exclude Zika virus infection and serologic testing by ELISA for Zika IgM antibody should be completed. Zika IgM antibody\r\n          ELISA is indicated for the diagnosis of Zika two to 12 weeks from the onset of symptoms (or from the last possible exposure).\r\n        <\/p>\r\n        <p>\r\n          Any provider diagnosing Zika in a patient or who wishes to arrange for testing through the DPH lab should contact DPH at the number\r\n          below.\r\n        <\/p>\r\n        <p>\r\n          For a comprehensive list of measures and an updated list of prevention efforts, visit <a href=\"\/dph\/zika.html\">http:\/\/dhss.delaware.gov\/dph\/zika.html<\/a>\r\n        <\/p>\r\n        <h3>\r\n          Contacting DPH\r\n        <\/h3>\r\n        <p>\r\n          Providers are asked to call DPH for any guidance needed in selecting the appropriate test to order for their patient or to arrange for\r\n          Zika virus testing, coordinate specimen collection or to report any suspect case of Zika virus infection or pregnant woman with potential\r\n          exposure to Zika virus. Zika is a reportable disease in Delaware.\r\n        <\/p>\r\n        <p>\r\n          Contact DPH at 888-295-5156 or 302-744-4990\r\n        <\/p>\r\n        <h3>\r\n          Additional Information\r\n        <\/h3>\r\n        <ol>\r\n          <li>Maryland reports likely sexual transmission of Zika in a person with no travel history <a href=\"http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6534e2.htm\">http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6534e2.htm<\/a>\r\n          <\/li>\r\n          <li>\r\n            More information for health care providers:\r\n            <ul>\r\n              <li>Update: Interim Guidance for Health Care Providers Caring for Pregnant Women with Possible Zika Virus Exposure \u2014 United\r\n                States, July 2016  <a href=\"http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6529e1.htm?s_cid=mm6529e1_w\">http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6529e1.htm?s_cid=mm6529e1_w<\/a>\r\n              <\/li>\r\n              <li>Update: Interim Guidance for Prevention of Sexual Transmission of Zika Virus  <a href=\"http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6529e2.htm?s_cid=mm6529e2_w\">http:\/\/www.cdc.gov\/mmwr\/volumes\/65\/wr\/mm6529e2.htm?s_cid=mm6529e2_w<\/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          <\/li>\r\n          <li>\r\n            Patient education materials for printing and posting\r\n            <ul>\r\n              <li>Division of Public Health Zika page: <a href=\"\/dph\/zika.html\">http:\/\/dhss.delaware.gov\/dph\/zika.html<\/a>\r\n              <\/li>\r\n              <li>\r\n                Educational flyer for pregnant women in:\r\n                <ul>\r\n                  <li>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>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>Haitian Creole: <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/zikaflyerforpregnantwomenhc.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/files\/zikaflyerforpregnantwomenhc.pdf<\/a>\r\n                  <\/li>\r\n                <\/ul>\r\n              <\/li>\r\n              <li>\r\n                Facts and information on Zika and mosquito control:\r\n                <ul>\r\n                  <li>English: <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/zikafaq.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/files\/zikafaq.pdf<\/a>\r\n                  <\/li>\r\n                  <li>Spanish: <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/zikafaqsp.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/files\/zikafaqsp.pdf<\/a>\r\n                  <\/li>\r\n                  <li>Haitian Creole: <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/zikafaqhc.pdf\">http:\/\/www.dhss.delaware.gov\/dph\/files\/zikafaqhc.pdf<\/a>\r\n                  <\/li>\r\n                <\/ul>\r\n              <\/li>\r\n            <\/ul>\r\n          <\/li>\r\n        <\/ol>\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 #369 September 9, 2016 2:48 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-10344","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10344","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=10344"}],"version-history":[{"count":2,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10344\/revisions"}],"predecessor-version":[{"id":12081,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10344\/revisions\/12081"}],"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=10344"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}