{"id":10394,"date":"2025-03-01T14:07:54","date_gmt":"2025-03-01T19:07:54","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan420\/"},"modified":"2025-03-02T00:55:03","modified_gmt":"2025-03-02T05:55:03","slug":"dhan420","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan420\/","title":{"rendered":"php\/alerts\/dhan420 ~  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\/dhan420.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\"]-->420 <!--[END]--> <\/h1>\n\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->March 4, 2020 9:11 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; 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This is particularly common \n\n\n\n\nin close-contact settings. Vigilance is needed to identify mumps cases early and prevent outbreaks.<\/p>\n\n\n\n\n \n\n\n\n\n<h2>Background:<\/h2>\n\n\n\n\n<p>High vaccination rates among Delaware children has resulted in only very few cases of mumps reported each year (on average \n\n\n\n\n0-3 unconnected cases). However, 20 cases were reported in 2018, most of which were linked to an outbreak involving attendees \n\n\n\n\nof a multicultural dance in New Castle County; three cases (two confirmed and one probable) were reported in 2019. The Delaware \n\n\n\n\nDivision of Public Health (DPH) is currently investigating an outbreak of mumps cases in New Castle County, Delaware. As of \n\n\n\n\nMarch 3, 2020, nine cases have been reported (seven confirmed, two probable), all in school-age children.<\/p>\n\n\n\n\n\n\n\n\n\n<h2>Recommendations<\/h2>\n\n\n\n\n<p>Providers are strongly urged to:<\/p>\n\n\n\n\n<ul>\n\n\n\n\n<li>Consider mumps when evaluating any patient with acute parotitis or other salivary gland swelling or orchitis<\/li>\n\n\n\n\n<li>Inquire about possible exposure to mumps in patients presenting with fever, malaise, headache, anorexia, myalgia or non-specific respiratory symptoms.<\/li>\n\n\n\n\n<li>Obtain specimens for laboratory confirmation: buccal swab for PCR (ideally within three days but no greater than nine days after symptom onset) and blood for serology (IgM and IgG) four or more days after symptom onset. (Note that in vaccinated individuals the IgM may remain negative).<\/li>\n\n\n\n\n<li>Suspect mumps patients must remain home and away from public spaces such as school and work for five days after parotitis onset or, in its absence, until the resolution of constitutional symptoms.<\/li>\n\n\n\n\n<li>Promptly report suspected (without waiting for laboratory confirmation), and confirmed cases to DPH Office of Infectious Disease Epidemiology (OIDE) at 302-744-4990 (normal business hours) or 1-888-295-5156 (outside of normal business hours), fax to 302-223-1540, or email to <a href=\"mailto:reportdisease@state.de.us\">reportdisease@state.de.us<\/a>. Pertussis is a reportable disease in Delaware.<\/li>\n\n\n\n\n<li>Consult DPH OIDE with any questions about a potential mumps case.<\/li>\n\n\n\n\n<li>Ensure that all clinic staff who have contact with patients have immunity to mumps (two documented doses of MMR or serologic evidence of immunity).<\/li>\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n<h3>Laboratory testing:<\/h3>\n\n\n\n\n<p>Buccal swabs and serum serologies for both IgM and IgG are the available options to diagnose mumps. Buccal swabs are the \n\n\n\n\npreferred test as serology may not differentiate recent mumps exposure or previous vaccinations.<\/p>\n\n\n\n\n<ul>\n\n\n\n\n<li>If it has been \u2264 3 days since symptom onset, collect a buccal swab only for detection of viral RNA.<\/li>\n\n\n\n\n<li>If it has been > 3 days since symptom onset, collect a buccal swab <u>and<\/u> a serum sample for IGM detection.<\/li>\n\n\n\n\n<li>If the patient has orchitis\/oophoritis, mastitis, pancreatitis, hearing loss, meningitis, or encephalitis, collect a buccal specimen for detection of viral RNA, a urine specimen for detection of viral RNA and a serum specimen for IgM detection, regardless of number of days since symptom onset.<\/li>\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n<h2>Additional Information<\/h2>\n\n\n\n\n<p>Mumps is a viral illness acquired through respiratory droplets. The incubation period ranges from 12-25 days. The prodromal \n\n\n\n\nsymptoms are nonspecific, and include myalgia, anorexia, malaise, headache, and low-grade fever. Parotitis is the most common \n\n\n\n\nmanifestation. Contagiousness is similar to that of influenza and infected individuals are most contagious in the few days prior \n\n\n\n\nto and after parotitis. Transmission also likely occurs from persons with asymptomatic infections and from persons with prodromal \n\n\n\n\nsymptoms. The most common complication in the post-vaccine era is orchitis.  Less common side effects include mastitis, oophoritis, \n\n\n\n\npancreatitis, deafness, meningitis, and encephalitis.<\/p>\n\n\n\n\n<p>A person with two doses of MMR vaccine has about an 88% reduction in risk for mumps; a person with one dose has a 78% reduction \n\n\n\n\nin risk for mumps. In addition, disease symptoms are milder and complications are less frequent in vaccinated people. Also, high \n\n\n\n\nvaccination coverage helps to limit the size, duration, and spread of mumps outbreaks. Indications as listed below:<\/p>\n\n\n\n\n<ul>\n\n\n\n\n<li>MMR one dose for preschool-age children 12 months of age and older and persons born during or after 1957 not at high risk of mumps exposure<\/li>\n\n\n\n\n<li>MMR two doses for school-age children and adults at high risk of mumps exposure (i.e., healthcare personnel, international travelers and students at post-high school educational institutions)<\/li>\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n<p>MMR vaccine is not recommended for use as post-exposure prophylaxis.<\/p>\n\n\n\n\n\n\n\n\n\n<p>For more information, visit the CDC @ <a href=\"https:\/\/www.cdc.gov\/mumps\/index.html\">https:\/\/www.cdc.gov\/mumps\/index.html<\/a><\/p>\n\n\n\n\n\n\n\n\n\n<p>Call the DPH OIDE at 302-744-4990 (normal business hours) or 1-888-295-5156 (after hours), or email to <a href=\"mailto:reportdisease@state.de.us\">reportdisease@state.de.us<\/a>. \n\n\n\n\n<\/p><p>************************************<\/p><p>You are receiving this email because you are a registered member of the Delaware Health Alert Network.\n\n\n\n\nIf you are not a member and would like to subscribe, please register at <a href=\"https:\/\/healthalertde.org\">https:\/\/healthalertde.org<\/a><\/p><p><!--[END]-->\n\n\n  \n\n\n        <\/p><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><p><br>  \n\n\n\n\n\n      <\/p><\/div>\n\n\n    <\/div>\n\n\n  <\/div><!-- \/container -->\n\n\n  <\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Health Alert Network #420 March 4, 2020 9:11 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-10394","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10394","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=10394"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10394\/revisions"}],"predecessor-version":[{"id":11570,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10394\/revisions\/11570"}],"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=10394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}