{"id":10445,"date":"2025-03-01T14:08:05","date_gmt":"2025-03-01T19:08:05","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan64\/"},"modified":"2025-03-02T00:56:24","modified_gmt":"2025-03-02T05:56:24","slug":"dhan64","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan64\/","title":{"rendered":"php\/alerts\/dhan64 ~  Division of Public Health &#8211; &#8211; 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\/dhan64.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\"]-->64 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->December 31, 2003 6:49 pm <!--[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   Update<!--[END]-->\n\n<br>\n\n<!--[type=EDIT name=\"DHAN Heading\"]-->\n\n\n\nUPDATE ON PUBLIC HEALTH PRECAUTIONS RELATED TO ORANGE THREAT LEVEL: PART 2 (PUBLIC HEALTH\n\n\n  INFORMATION AND RESOURCES FOR A POSSIBLE CHEMICAL EMERGENCY)<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<p>\n\n\n  In preparation for any possible public health emergency related to the current orange (high) threat level, the Centers for Disease\n\n\n  Control and Prevention (CDC) is disseminating a series of notices on potential hazards. This is the second in a series of four updates.\n\n\n  This message focuses on possible chemical threats.\n\n\n<\/p>\n\n\n<p>\n\n\n  During an orange (high) alert, public health agencies and clinicians should be prepared to respond to a terrorist event involving\n\n\n  chemical agents. Local and state public health and environmental health officials would be the first called upon to respond to protect\n\n\n  the public\u2019s health.\n\n\n<\/p>\n\n\n<p>\n\n\n  Clinicians play a critical role in effective surveillance to determine possible chemical attacks. Clinicians who suspect cases of\n\n\n  poisonings or chemical exposures are requested to immediately report such cases to their state or local health departments and local\n\n\n  poison control centers. Case definitions and chemical syndromes for exposure to chemical agents can be found at: \u00a0 <a href=\"http:\/\/www.bt.cdc.gov\/agent\/agentlistchem.asp\">http:\/\/www.bt.cdc.gov\/agent\/agentlistchem.asp<\/a>. CDC requests that reports of suspected\n\n\n  cases from state and local health departments be reported to the CDC Emergency Operations Center, telephone (770) 488-7100.\n\n\n<\/p>\n\n\n<p>\n\n\n  There are several possible scenarios for a chemical emergency. Toxic chemicals could be introduced into the water, food or medical\n\n\n  supplies. An aircraft or conventional weapon could be used to disperse a toxic agent over a large area. A \u201csilent source\u201d\n\n\n  could be used to expose people to a chemical (in a mall, subway or any place that people gather). Chemicals could be released during an\n\n\n  explosion aimed at an industrial facility or transport vehicle.\n\n\n<\/p>\n\n\n<p>\n\n\n  An emergency involving toxic chemical agents would present special challenges for public health responders and clinicians. Treatment of\n\n\n  casualties is more difficult because of the need to perform decontamination of exposed individuals to protect responders and clinicians.\n\n\n  People who were not wounded in an immediate attack could still be harmed by environmental exposure to toxic agents. The affected area may\n\n\n  be much larger than the immediate scene of the crime. Exposure to a toxic chemical, invisible and uncertain in terms of long-term health\n\n\n  impacts, will cause considerable public fear and concern. The incident will be difficult to manage until appropriate monitoring equipment\n\n\n  and well-trained technical individuals are available.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Public Health Roles and Responsibilities\n\n\n<\/h3>\n\n\n<p>\n\n\n  In a chemical emergency, a broad public health response involving state, local and Federal public health agencies may be required. Public\n\n\n  health activities that may be required include the following:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Deploy the Strategic National Stockpile through the Department of Homeland Security\n\n\n  <\/li>\n\n\n  <li>Conduct field investigations and monitoring of people\n\n\n  <\/li>\n\n\n  <li>Conduct surveillance and epidemiological studies\n\n\n  <\/li>\n\n\n  <li>Establish an exposure registry and monitor long-term impacts\n\n\n  <\/li>\n\n\n  <li>Medical treatment and decontamination\n\n\n  <\/li>\n\n\n  <li>Criteria for entry and operations in the contaminated zone\n\n\n  <\/li>\n\n\n  <li>Medical interventions and recommendations\n\n\n  <\/li>\n\n\n  <li>Disease control and prevention measures\n\n\n  <\/li>\n\n\n  <li>Establish protective action guidelines\n\n\n  <\/li>\n\n\n  <li>Make evacuation and relocation decisions\n\n\n  <\/li>\n\n\n  <li>Evaluate health and medical impact on the public and emergency and medical personnel\n\n\n  <\/li>\n\n\n  <li>Communicate with the public, policy makers and the media. For CDC information for the public on chemical emergencies, see: <a href=\"http:\/\/www.bt.cdc.gov\/agent\/agentlistchem.asp\">http:\/\/www.bt.cdc.gov\/agent\/agentlistchem.asp<\/a>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h3>\n\n\n  Public health agencies are encouraged to review plans for emergency response to chemical emergencies:\n\n\n<\/h3>\n\n\n<ul>\n\n\n  <li>The Federal Response Plan: \u00a0 http:\/\/www.fema.gov\/rrr\/frp\/\n\n\n  <\/li>\n\n\n  <li>The Federal National Oil and Hazardous Substances Pollution Contingency Plan. This plan provides information about how federal\n\n\n  agencies will coordinate their support for local and state officials.\n\n\n  http:\/\/www.access.gpo.gov\/nara\/cfr\/cfrhtml_00\/title_40\/40cfr300_00.html\u00a0\u00a0 or\u00a0http:\/\/www.epa.gov\/oilspill\/ncpover.htm\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h3>\n\n\n  Information on management of a chemical emergency can be found at:\n\n\n<\/h3>\n\n\n<ul>\n\n\n  <li>Agency for Toxic Substances and Disease Registry : <a href=\"http:\/\/www.atsdr.cdc.gov\/MHMI\/\">http:\/\/www.atsdr.cdc.gov\/mhmi.html<\/a>\n\n\n  <\/li>\n\n\n  <li>Safety Information for First Responders: \u00a0 <a href=\"http:\/\/www.bt.cdc.gov\/agent\/agentlistchem.asp\">http:\/\/www.bt.cdc.gov\/agent\/agentlistchem.asp<\/a>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h3>\n\n\n  Medical guidance related to chemical exposures can be found at:\n\n\n<\/h3>\n\n\n<ul>\n\n\n  <li>Centers for Disease Control and Prevention: \u00a0http:\/\/www.atsdr.cdc.gov\/mhmi\/mmg170.pdf\n\n\n  <\/li>\n\n\n  <li>Centers for Disease Control and Prevention:\u00a0\u00a0 <a href=\"http:\/\/www.bt.cdc.gov\/agent\/agentlistchem.asp\">http:\/\/www.bt.cdc.gov\/agent\/agentlistchem.asp<\/a>\n\n\n  <\/li>\n\n\n  <li>U.S. Army\u2019s Personal Protective Equipment Guide for Military Medical Treatment Facility Personnel Handling Casualties from\n\n\n  Weapons of Mass Destruction and Terrorism Events:<br>\n\n\n    http:\/\/chppm-www.apgea.army.mil\/documents\/tg\/techguid\/tg275new.pdf Chapters 2, 3, 7 and 8\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h3>\n\n\n  CDC information for personal protective steps and decontamination can be found at:\n\n\n<\/h3>\n\n\n<ul>\n\n\n  <li>http:\/\/www.bt.cdc.gov\/planning\/personalcleaningfacts.asp\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  <a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\"><\/a> Certain information sheets require software to view. Download the\n\n\n  latest <a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\">Adobe Acrobat viewer<\/a> for free. If you are using as assistive\n\n\n  technology unable to read Adobe PDF, please visit\u00a0Adobe&#8217;s\u00a0 <a href=\"http:\/\/access.adobe.com\">Accessibility Tools Page<\/a> .\n\n\n<\/p><!--[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 #64 December 31, 2003 6:49 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-10445","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10445","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=10445"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10445\/revisions"}],"predecessor-version":[{"id":11621,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10445\/revisions\/11621"}],"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=10445"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}