{"id":10463,"date":"2025-03-01T14:08:09","date_gmt":"2025-03-01T19:08:09","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan82\/"},"modified":"2025-03-02T00:56:56","modified_gmt":"2025-03-02T05:56:56","slug":"dhan82","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan82\/","title":{"rendered":"php\/alerts\/dhan82 ~  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\/dhan82.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\"]-->82 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->September 9, 2004 12:40 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; 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In Wisconsin, the state Department of Health and Family Services has identified 2 children sickened by\n\n\n  salmonellosis after handling small turtles illegally sold by vendors in four Wisconsin counties. At this time there are no known reptile\n\n\n  associated cases of salmonellosis in Delaware.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Background:\n\n\n<\/h3>\n\n\n<p>\n\n\n  Salmonellosis associated with reptiles is a continuing public health concern. During the 1970s, small pet turtles were a major source of\n\n\n  <em>Salmonella<\/em> infections in the USA. In 1975, the FDA banned commercial distribution of small (less than four inches long) turtles.\n\n\n  Delaware prohibited the sale of such turtles. These measures prevented an estimated 100,000 cases of salmonellosis among children each\n\n\n  year in the United States. However, reptiles remain popular pets in the U.S. The increase in pet reptile popularity has been paralleled\n\n\n  by an increase in the number of reptile-related <em>Salmonella<\/em> serotypes isolated from humans.\n\n\n<\/p>\n\n\n<p>\n\n\n  Reptiles are commonly colonized with <em>Salmonella<\/em> and shed the organism intermittently in their feces. Attempts to treat reptiles\n\n\n  with antibiotics to eliminate <em>Salmonella<\/em> carriage have been unsuccessful and might lead to increased antibiotic resistance.\n\n\n  <em>Salmonella<\/em> survives well in the environment and can be isolated for prolonged periods from surfaces contaminated by reptile\n\n\n  feces. For this reason, even minimal indirect contact with reptiles can result in illness. For <em>Salmonella<\/em> bacteria to spread\n\n\n  from reptiles to humans, the bacteria must be ingested. Therefore, simply touching or holding a reptile will not result in spread of\n\n\n  bacteria unless something contaminated with reptile feces or the reptile itself is placed in the mouth. All reptiles should be presumed\n\n\n  to be carrying <em>Salmonella<\/em> in their intestinal tract and to be continuously or intermittently shedding it in their feces.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Clinical Description:\n\n\n<\/h3>\n\n\n<p>\n\n\n  Most <em>Salmonella<\/em> infections in humans result in a mild, self-limiting illness characterized by diarrhea, fever and abdominal\n\n\n  cramps. However, the infection can spread to the bloodstream, bone marrow or nervous system, leading to severe, and sometimes fatal,\n\n\n  illness.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Risk Groups:\n\n\n<\/h3>\n\n\n<p>\n\n\n  Those at increased risk for developing severe salmonellosis include the young, the elderly, pregnant women and those with weakened immune\n\n\n  systems.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Incubation Period:\n\n\n<\/h3>\n\n\n<p>\n\n\n  Incubation period is from 6 to 72 hours, but is usually between 12 to 36 hours.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Period of Communicability:\n\n\n<\/h3>\n\n\n<p>\n\n\n  Person to person communicability persists throughout the course of infection and is extremely variable. Occasionally a temporary carrier\n\n\n  state continues for months, especially in infants.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Laboratory Criteria for Diagnosis:\n\n\n<\/h3>\n\n\n<p>\n\n\n  <em>Salmonella<\/em> may be isolated from stool specimens of both symptomatic and asymptomatic individuals (three to ten grams of fecal\n\n\n  material preferable to rectal swabs) inoculated into an appropriate enrichment medium. Specimens should be collected over days since\n\n\n  excretion of organisms may be intermittent. In cases of septicemia, <em>Salmonella<\/em> may be isolated on enteric media from feces and\n\n\n  blood during acute stage of illness. Serologic tests are not useful in diagnosis.\n\n\n<\/p>\n\n\n<p>\n\n\n  Bacterial culture of fecal specimens from reptiles to determine <em>Salmonella<\/em> infection status is discouraged. If veterinarians are\n\n\n  called upon to assist health officials in determining the cause of salmonellosis in a person, bacterial culture of combined fecal and\n\n\n  cloacal specimens from reptiles with which that person has had direct or indirect contact are recommended. Specimens should be collected\n\n\n  over days since excretion of organisms may be intermittent.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Prevention:\n\n\n<\/h3>\n\n\n<p>\n\n\n  The spread of <em>Salmonella<\/em> bacteria from reptiles to humans can be easily prevented by the following routine precautions:\n\n\n<\/p>\n\n\n<ol>\n\n\n  <li>Always wash hands with hot, soapy water after handling reptiles, reptile cages and equipment, and the stool of reptiles.\n\n\n  <\/li>\n\n\n  <li>Do not allow reptiles to have access to the kitchen, dining room or any other area in which food is prepared. Also, do not allow\n\n\n  reptiles to have access to bathroom sinks and tubs or to any area where infants are bathed. Consider keeping reptiles caged or limiting\n\n\n  the parts of the house where reptiles are allowed to roam free. Always wash hands after coming into contact with any area where reptiles\n\n\n  are allowed to roam free.\n\n\n  <\/li>\n\n\n  <li>Do not eat, drink, or smoke while handling reptiles, reptile cages or reptile equipment. Do not kiss reptiles or share food or drink\n\n\n  with them.\n\n\n  <\/li>\n\n\n  <li>Do not use the kitchen sink, kitchen counters, bathroom sinks or bathtubs to bathe reptiles or to wash reptile cages, dishes or\n\n\n  aquariums. Reptile owners may wish to purchase a plastic basin or tub in which to bathe or swim their reptiles. Waste water and fecal\n\n\n  material should be disposed of in the toilet instead of the bathtub or household sink.\n\n\n  <\/li>\n\n\n  <li>The Centers for Disease Control and Prevention (CDC) recommends that children less than 5 years of age avoid contact with reptiles\n\n\n  and that households with children less than 1 year of age not own reptiles. The Association of Reptilian and Amphibian Veterinarians\n\n\n  encourages reptile owners with young children to discuss steps to minimize risks associated with owning reptiles with their reptiles&#8217;\n\n\n  veterinarian and their physician. Children should be supervised when they are handling reptiles to ensure that they do not place their\n\n\n  hands or objects that a reptile has contacted in their mouths. Reptiles should not be kept in child care centers.\n\n\n  <\/li>\n\n\n  <li>Immunocompromised persons should avoid contact with reptiles.\n\n\n  <\/li>\n\n\n  <li>Follow instructions from a veterinarian concerning proper diet and environment for your reptile. Healthy reptiles living in proper\n\n\n  environments are less likely to shed <em>Salmonella<\/em> bacteria.\n\n\n  <\/li>\n\n\n<\/ol>\n\n\n<h3>\n\n\n  Reporting of Suspect Cases:\n\n\n<\/h3>\n\n\n<p>\n\n\n  To aid in surveillance, the Delaware Division of Public Health (DPH) requests that health care providers be suspicious of patients\n\n\n  presenting with clinically compatible illness and those having a history of contact with a reptile. Report suspicious cases and\n\n\n  laboratory confirmed salmonellosis infections to DPH, Bureau of Epidemiology at 1-888-295-5156. The number is available during normal\n\n\n  business hours and during non-business hours for emergencies.\n\n\n<\/p>\n\n\n<h3>\n\n\n  For Further Information:\n\n\n<\/h3>\n\n\n<p>\n\n\n  Gaps remain in the public&#8217;s understanding of amphibian and reptile associated salmonellosis. Pet store owners, health care providers\n\n\n  and veterinarians should provide information and prevention messages about salmonellosis to owners and potential purchasers of reptiles.\n\n\n  Educational materials are available from the Pet Industry Joint Advisory Council, telephone 800-553-7387.\n\n\n<\/p>\n\n\n<p>\n\n\n  Questions about this health advisory can be directed to DPH, Bureau of Epidemiology at 1-888-295-5156. The number is available during\n\n\n  normal business hours and during non-business hours for emergencies.\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 #82 September 9, 2004 12:40 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-10463","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10463","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=10463"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10463\/revisions"}],"predecessor-version":[{"id":11639,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10463\/revisions\/11639"}],"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=10463"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}