{"id":10381,"date":"2025-03-01T14:07:50","date_gmt":"2025-03-01T19:07:50","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan406\/"},"modified":"2025-03-02T00:54:34","modified_gmt":"2025-03-02T05:54:34","slug":"dhan406","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan406\/","title":{"rendered":"php\/alerts\/dhan406 ~  Division of Public Health  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n\n\n  <br>\n\n\n\n\n\n  <div class=\"container\" id=\"main_header\"> \n\n\n    <!-- BEGIN readspeaker div -->\n\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\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\/dhan406.html\" title=\"Listen to this page using ReadSpeaker\">\n\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n\n      <\/a>\n\n\n    <\/div>\n\n\n    <!-- END readspeaker div -->\n\n\n\n\n\n    \n\n\n    <header class=\"pull-left\">\n\n\n      <h1>Delaware Health Alert Network #<!--[type=EDIT name=\"DHAN Number\"]-->406 <!--[END]--> <\/h1>\n\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->May 14, 2019 8:45 am <!--[END]--> <\/h2>\n\n\n    <\/header>\n\n\n  <\/div><br>\n\n\n \n\n\n  <div class=\"container\">\n\n\n    <div class=\"row\">\n\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n\n          <div class=\"panel sectionmenu_panel\">\n\n\n            <div class=\"panel-heading\">\n\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\n            <\/div>\n\n\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\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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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\n              <\/div>\n\n\n            <\/div>\n\n\n          <\/div>\n\n\n        <\/div><br>\n\n\n      <\/div>\n\n\n\n\n\n      <div class=\"col-md-9\" id=\"main_content\"> \n\n\n  \n\n\n<h2 class=\"center\">Health\n\n\n<!--[type=EDIT name=\"DHANType\"]-->\n\n\n\n\n\n\n\n\n\nAdvisory<!--[END]-->\n\n\n<br>\n\n\n<!--[type=EDIT name=\"DHAN Heading\"]-->\n\n\n\n\n\n\n\n\n\nMEASLES TESTING AND VACCINATION RECOMMENDATIONS<!--[END]-->\n\n\n<\/h2>\n\n\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n\n\n\n\n\n\n<p>The Delaware Division of Public Health (DPH) is issuing this health advisory to update health care providers on the measles outbreak occurring in the United States. Although Delaware has not yet seen any confirmed cases of measles in 2019, all three bordering states \u2014 Pennsylvania, New Jersey, and Maryland \u2014 have had confirmed cases of measles this calendar year.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<h2>Summary<\/h2>\n\n\n\n\n\n\n\n\n\n\n\n<p>From January 1 to May 3, 2019, 764 individual cases of measles have been confirmed in 23 states. This is an increase of 60 cases from the previous week. This is the greatest number of cases reported in the U.S. since 1994 and since measles was declared eliminated in 2000. The states that have reported cases to CDC are Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oregon, Pennsylvania, Texas, Tennessee, and Washington. Measles outbreaks are ongoing in New York, New Jersey, Michigan, California, and many other countries in Europe, Asia, Africa, South America, and Oceania.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<h2>Background<\/h2>\n\n\n\n\n\n\n\n\n\n\n\n<p>Measles is a viral disease that spreads from person to person through airborne droplets when someone with the virus coughs or sneezes. It can also be spread by direct contact with nose or throat mucus secretions of someone with measles. Measles can be dangerous, especially for babies and young children. One in every four people with measles will need to go to the hospital. One in every three will have problems, such as diarrhea, ear infection, lung infection and in rare cases, swelling of the brain. For every 1,000 children with measles, one to two will die.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Symptoms of measles generally appear 7 to 14 days (ranges from7 to 21 days) after a person is infected. Measles is characterized by a prodromal phase with a temperature of 101 degrees F (38.3 degrees C) or higher, malaise, and the three \u201cC\u201ds: cough, coryza and conjunctivitis. Two to three days after symptoms begin, Koplik spots appear inside the mouth. Around three to five days after symptoms begin, a flat red rash appears on the head and face and descends to the neck, trunk, and extremities. Small, red bumps may appear on top of the flat spots. Immunocompromised individuals may not exhibit rash or may exhibit an atypical rash.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Most people are not at risk because they have been vaccinated or have developed immunity due to a previous measles infection. Individuals that are susceptible to becoming infected with measles include:<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>\u00a0Anyone born in or after 1957, who has not received at least one dose of live measles-containing vaccine (MMR);<\/li>\n\n\n\n\n\n <li>\u00a0Infants too young to be vaccinated;<\/li>\n\n\n\n\n\n <li>\u00a0People who were vaccinated with an inactivated vaccine that was used from 1963 to 1967, and have not been re-vaccinated;<\/li>\n\n\n\n\n\n <li>\u00a0Individuals of any age who refused vaccination;<\/li>\n\n\n\n\n\n <li>\u00a0People whose immune systems are compromised due to disease or medication.<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<h2>Recommendations<\/h2>\n\n\n\n\n\n\n\n\n\n\n\n<p>Vaccination is recommended for any patient who has not been previously vaccinated.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>\u00a0Children up to the age of 17 should receive two doses of the measles vaccine. The first dose of measles vaccine should be given at 12 to 15 months of age. The second dose at age 4 to 6 (or no earlier than 28 days apart).<\/li>\n\n\n\n\n\n <li>\u00a0Adults, born in or after 1957, should receive at least one dose of vaccine unless they have proof of vaccination or have a blood test that shows immunity.<\/li>\n\n\n\n\n\n <li>\u00a0Adults at high risk, including college students, individuals with HIV who do not have current evidence of severe immunosuppression, and international travelers who have only received a single dose of the MMR vaccine should receive a second dose (as long as it is 28 days after the initial dose).<\/li>\n\n\n\n\n\n <li>\u00a0Healthcare workers and individuals who provide care for immunocompromised persons should receive two doses of the measles vaccine at least 28 days apart.<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>If a person cannot remember if they were vaccinated for measles there is no harm in giving the vaccine to a person who may already be immune to measles and should be immunized. There is also no indication to provide a third dose of the vaccine routinely.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Post Exposure Prophylaxis for Those with Known Exposure to a Measles Case:<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>\u00a0MMR given to nonimmune individuals within 72 hours of exposure can prevent measles disease<\/li>\n\n\n\n\n\n <li>\u00a0MMR is recommended for adults and children without contraindications who have not previously received two doses of MMR, if at least one month has elapsed since the most recent dose<\/li>\n\n\n\n\n\n <li>\u00a0For infants between 6 and 11 months of age, a dose of MMR can be given but will not count as part of the primary series<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<h2>Testing<\/h2>\n\n\n\n\n\n\n\n\n\n\n\n<p>Providers should obtain the following specimens from patients who are suspected of having measles and provide the onset date of patient\u2019s symptoms. The Delaware Public Health Laboratory conducts Measles PCR testing. Providers must first contact the Office of infectious Disease Epidemiology to obtain approval.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>\u00a0Throat or nasopharyngeal swab for rRT-PCR testing\n\n\n\n\n\n <ul>\n\n\n\n\n\n  <li>\u00a0Send specimen in viral or universal transport media (VTM\/UTM)<\/li>\n\n\n\n\n\n  <li>\u00a0Ship on cold packs<\/li>\n\n\n\n\n\n <\/ul>\n\n\n\n\n\n <\/li>\n\n\n\n\n\n <li>\u00a0Urine for rRT-PCR testing\n\n\n\n\n\n <ul>\n\n\n\n\n\n  <li>\u00a0Collect minimum of 50 mL in sterile container<\/li>\n\n\n\n\n\n  <li>\u00a0Ship on cold packs in leak-proof container<\/li>\n\n\n\n\n\n <\/ul>\n\n\n\n\n\n <\/li>\n\n\n\n\n\n <li>\u00a0Serum for measles IgM and IgG testing\n\n\n\n\n\n <ul>\n\n\n\n\n\n  <li>\u00a0Acute phase serum as soon as possible and convalescent serum two to three weeks later<\/li>\n\n\n\n\n\n  <li>\u00a0Collect minimum of 5 mL of blood in a red-top or serum-separator tube (SST)<\/li>\n\n\n\n\n\n <\/ul>\n\n\n\n\n\n <\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<h2>Reporting<\/h2>\n\n\n\n\n\n\n\n\n\n\n\n<p>Measles is a reportable disease in Delaware. All Delaware physicians, laboratories, and other health care providers are <strong>required by regulations<\/strong> to report patients with the indicated conditions to the Office of Infectious Disease Epidemiology. Both lab-confirmed and clinical diagnoses are reportable within the time interval specified below. Reporting enables appropriate public health follow-up for your patients, helps identify outbreaks, and provides a better understanding of disease trends in Delaware. Follow this link to find out more information about Meaningful Use in Delaware: <a href=\"\/dph\/meaningfuluse.html\">https:\/\/dhss.delaware.gov\/dph\/meaningfuluse.html<\/a>.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<h3>How to Report<\/h3>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>\u00a0Immediately notify the Office of Infectious Disease Epidemiology of any suspected or confirmed measles case. To report or to obtain approval for testing, call <strong>302-744-4490 during business hours (8am to 4:30pm) and 1-888-295-5156 after hours<\/strong>. You may also use this phone number if you have further questions.<\/li>\n\n\n\n\n\n <li>\u00a0Complete a Notifiable Disease Report PDF Form at <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/morbiditycard.pdf\">https:\/\/dhss.delaware.gov\/dph\/epi\/files\/morbiditycard.pdf<\/a>. When you open the report form, you can enter the information online and use the Tab key to move from field to field. When the form is complete, print out both pages. If you have a fax machine, you can fax the Disease Report Form page to DPH Office of Infectious Disease Epidemiology at 302-223-1540.<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<h3>What to Report<\/h3>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>\u00a0Date<\/li>\n\n\n\n\n\n <li>\u00a0Patient information\n\n\n\n\n\n <ul>\n\n\n\n\n\n  <li>\u00a0Name<\/li>\n\n\n\n\n\n  <li>\u00a0Race\/Ethnicity<\/li>\n\n\n\n\n\n  <li>\u00a0Sex<\/li>\n\n\n\n\n\n  <li>\u00a0Phone<\/li>\n\n\n\n\n\n  <li>\u00a0Birth date<\/li>\n\n\n\n\n\n <\/ul>\n\n\n\n\n\n <\/li>\n\n\n\n\n\n <li>\u00a0Address and zip code<\/li>\n\n\n\n\n\n <li>\u00a0School or Type and Place of Employment<\/li>\n\n\n\n\n\n <li>\u00a0Condition or Disease\n\n\n\n\n\n <ul>\n\n\n\n\n\n  <li>\u00a0Date of Onset<\/li>\n\n\n\n\n\n  <li>\u00a0Laboratory data<\/li>\n\n\n\n\n\n  <li>\u00a0Recent domestic or international travel<\/li>\n\n\n\n\n\n  <li>\u00a0Exposure to measles in the community<\/li>\n\n\n\n\n\n  <li>\u00a0Physician\u2019s name, phone and address<\/li>\n\n\n\n\n\n  <li>\u00a0Hospital<\/li>\n\n\n\n\n\n  <li>\u00a0Any additional information<\/li>\n\n\n\n\n\n <\/ul>\n\n\n\n\n\n <\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<h2>Additional Information<\/h2>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>\u00a0Frequently asked questions:<br>\n\n\n\n\n\n <a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/measlesfaq.pdf\">https:\/\/dhss.delaware.gov\/dph\/files\/measlesfaq.pdf<\/a><\/li>\n\n\n\n\n\n <li>\u00a0CDC: <a href=\"https:\/\/www.cdc.gov\/measles\/index.html\">https:\/\/www.cdc.gov\/measles\/index.html<\/a><\/li>\n\n\n\n\n\n <li>\u00a0CDC: <a href=\"https:\/\/www.cdc.gov\/measles\/cases-outbreaks.html\">https:\/\/www.cdc.gov\/measles\/cases-outbreaks.html<\/a><\/li>\n\n\n\n\n\n <li>\u00a0Pennsylvania Department of Health:<br>\n\n\n\n\n\n <a href=\"https:\/\/www.health.pa.gov\/topics\/Documents\/HAN\/2019-PAHAN--446-05-08-ADV-Measles%20Testing%20Guidance.pdf\">https:\/\/www.health.pa.gov\/topics\/Documents\/HAN\/2019-PAHAN&#8211;446-05-08-ADV-Measles%20Testing%20Guidance.pdf<\/a><\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>************************************<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>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 like to subscribe, please register at <a href=\"https:\/\/healthalertde.org\">https:\/\/healthalertde.org<\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0\n\n\n\n\n\n<\/p><p><br>\n\n\n\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\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n<!--[END]-->\n\n\n  \n\n\n        <div class=\"panel panel-danger\">\n\n\n          <div class=\"panel-heading\">    \n\n\n      <h2>Categories of Health Alert messages:<\/h2>\n\n\n       <\/div>\n\n\n       <div class=\"panel-body\">\n\n\n      <ul>\n\n\n        <li><strong>Health Alert:<\/strong> Conveys the highest level of importance; warrants immediate action or attention.<\/li>\n\n\n        <li><strong>Health Advisory:<\/strong> Provides important information for a specific incident or situation; may not require immediate action.<\/li>\n\n\n        <li><strong>Health Update:<\/strong> Provides updated information regarding an incident or situation; unlikely to require immediate action.<\/li>\n\n\n            <\/ul>\n\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\n          <\/div> \n\n\n        <\/div><br>  \n\n\n\n\n\n      <\/div>\n\n\n    <\/div>\n\n\n  <\/div><!-- \/container -->\n\n\n  <\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Health Alert Network #406 May 14, 2019 8:45 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-10381","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10381","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=10381"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10381\/revisions"}],"predecessor-version":[{"id":11557,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10381\/revisions\/11557"}],"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=10381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}